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HomeMy WebLinkAboutCEN-PAC Engineering Inc; 2018-12-13; PWM19-673TRANRECORDED REQUESTED BY \ \ ~ CITY OF CARLSBAD AND WHEN RECORDED PLEASE MAIL TO: City Clerk City of Carlsbad 1200 Carlsbad Village Drive Carlsbad, California 92008 DOC# 2019-0262976 I llllll lllll lllll 111111111111111111111111111111 IIIII IIIII IIIII IIII IIII Jul 02, 2019 04:34 PM OFFICIAL RECORDS Ernest J. Dronen burg, Jr, SAN DIEGO COUNTY RECORDER FEES $0.00 (SB2 Atkins $0.00) PAGES 1 Space above this line for Recorder's use. PARCEL NO: n/a NOTICE OF COMPLETION Notice is hereby given that: 1. The undersigned is owner of the interest or estate stated below in the property hereinafter described. 2. The full names of the undersigned are City of Carlsbad, a municipal corporation. 3. The full address of the undersigned is 1200 Carlsbad Village Drive, Carlsbad, California 92008. 4. The nature of the title of the undersigned is: In fee. 5. A work or improvement on the property hereinafter described was completed on June 10, 2019. 6. The name of the contractor for such work or improvement is Cen-Pac Engineering, Inc. 7. The property on which said work or improvement was completed is in the City of Carlsbad, County of San Diego, State of California, and is described as follows: Project No. 6070 (PWM19-673TRAN), Rectangular Rapid Flashing Beacon Sign Installation. 8. The street address of said property is along Alicante Road at La pis Road in the City of Carlsbad. VERIFICATION OF CITY CLERK I, the undersigned, say: I am the City Clerk of the City of Carlsbad, 1200 Carlsbad Village Drive, Carlsbad, California, 92008; the City Manager of said City on 'Jun~ ~ 7 , 20_1!1_, accepted the above described work as completed and ordered that a Notice of Completion be filed. I declare under penalty of perjury that the foregoing is true and correct. Executed on ::J'yne ;J8 , 20_11, at Carlsbad, California. CITY OF CARLSBAD 1. 4laiJl~ Dtpui;J cd~ cJr.:oL 1<,( BARBARA ENGLESON (/ City Clerk Q:IPublic Works\PW Common\CAPITAL-ACTIVEIPWM19-673TRAN Alicante & Lapis RFB Sign lnstallation\NOC.doc CITY OF CARLSBAD ACCEPTANCE OF PUBLIC IMPROVEMENTS COMPLETION OF PUBLIC IMPROVEMENTS Cen-Pac Engineering, Inc. has completed the contract work required for Project No. 6070 (PWM19-673TRAN), Rectangular Rapid Flashing Beacon Sign Installation. City forces have inspected the work and found it to be satisfactory. The work consisted of: IMPROVEMENTS VALUE RRFB & sign installations $31,720 CERTIFICATION OF COMPLETION OF IMPROVEMENTS te r ~ CITY MANAGER'S ACCEPTANCE OF PUBLIC IMPROVEMENTS The construction of the above described contract is deemed complete and hereby accepted. The City Clerk is hereby authorized to record the Notice of Completion and release the bonds in accordance with State Law and City Ordinances. The City of Carlsbad is hereby directed to commence maintaining the above described improvements. /t.k 6·fi, 11 o/ Scott C~, City Manager Date APPROVED AS TO FORM: CELIA BREWER, City Attorney I . I • By: \,. A_ Deputy City Attorney Q \Public Works\PW Common\CAPITAL-ACTIVE\PWM19-673TRAN Alicante & Lapis RFB Sign lnstallation\APl.doc PWM 19-673TRAN CITY OF CARLSBAD MINOR PUBLIC WORKS CONTRACT RECTANGULAR RAPID FLASHING BEACON SIGN INSTALLATION; CONT. NO. 6070 This agreement is made on the / ,S'fu day of · , 20J!, by the City of Carlsbad, California, a municipal corporation, (hereina er called "City"), and Cen-Pac Engineering, Inc., a California corporation whose principal place of business is 1467 W. Shaw Ave, Fresno, CA 93711 (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, 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: John Kim (City Project Manager) 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. 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. Rectangular Rapid Flashing Beacon Sign Installation; Cont. No. 6070 Page 1 of 8 City Attorney Approved 9/27/16 PWM 19-673TRAN 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 subcontract r 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. 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. Rectangular Rapid Flashing Beacon Sign Installation; Cont. No. 6070 Page 2 of 8 City Attorney Approved 9/27/16 PWM 19-673TRAN INDEMNITY. The Contractor shall assume the defense of, pay all expenses of defense, and indemnify and hold harmless the City, and its officers and employees, from all claims, loss, damage, injury and liability of every kind, nature and description, directly or indirectly arising from or in connection with the performance of the Contract or work; or from any failure or alleged failure of Contractor to comply with any applicable law, rules or regulations including those related to safety and health; and from any and all claims, loss, damages, injury and liability, howsoever the same may be caused, resulting directly or indirectly from the nature of the work covered by the Contract, except for loss or damage caused by the sole or active negligence or willful misconduct of the City. The expenses of defense include all costs and expenses including attorneys· fees for litigation, arbitration, or other dispute resolution method. JURISDICTION. The Contractor agrees and hereby stipulates that the proper venue and jurisdiction for resolution of any disputes between the parties arising out of this agreement is San Diego County, California. Start Work: Contractor agrees to start within seven (7) working days after receipt of Notice to Proceed. Completion: Contractor agrees to complete work within thirty (30) working days after receipt of Notice to Proceed. CONTRACTOR'S INFORMATION. Gen-Pac Engineering, Inc. (name of Contractor) 1040742 (Contractor's license number) A-General Engineering Contractor 6/30/20 (license class. and exp. date) Ill Ill /II Ill Ill Ill Ill 1000058668 (DIR registration number) 6/30/19 (DIR registration exp. date) Rectangular Rapid Flashing Beacon Sign Installation; Cont. No. 6070 Page 3 of 8 1467 W. Shaw Ave (street address) Fresno CA 93711 (city/state/zip) 808-984-3421 (telephone no.) 805-985-2834 (fax no.) stephen.cenpac@gmail.com (e-mail address) City Attorney Approved 9/27/16 PWM 19-673TRAN 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, CEN-PAC ENGINEERING, INC., a California corporation (signfiere ~ By: s (print name/title} CITY OF CARLSBAD, a municipal corporation of the State of California By: If required by City, proper notarial acknowledgment of execution by Contractor must be attached. !f...E. corporation, Agreement must be signed by one corporate officer from each of the following two groups: Group A Chairman, President, or Vice-President Group B Secretary, Assistant Secretary, CFO or Assistant Treasurer Otherwise, the corporation must attach a resolution certified by the secretary or assistant secretary under corporate seal empowering the officer(s) signing to bind the corporation. APPROVED AS TO FORM: CELIA A. BREWER, City Attorney Rectangular Rapid Flashing Beacon Sign Installation; Cont. No. 6070 Page4 of 8 City Attorney Approved 9/27/16 CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of \/tY'r\urB--- } On~ \1 '2Dli) before me, Tub\lC personally appeared ~~ }cu., 'A J2Gn who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENAL TY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. t O O C C C C O d C O t O e ---..l-1.z. STEPHANIE HUNT Notary Public -California Ventura County Commission# 2195176 My Comm. Expires May 1. 2, • __ ... ,_.,..,_~·-~-:-~ ....... ,. t.,1At'.':T"" Notary Public Signature (Notary Public Seal) INSTRUCTIONS FOR COMPLETING THIS FORM ADDITIONAL OPTIONAL IN FORMATION This form complies with current California statutes regarding notary wording and, DESCRIPTION OF THE ATTACHED DOCUMENT if needed, should be completed and attached lo the document. Acknowledgments from other states may be completed for documents being sent to that state so long as the wording does not require the California notary to violate California notary law. (Title or description of attached document) (Title or description of attached document continued) Number of Pages __ Document Date ___ _ CAPACITY CLAIMED BY THE SIGNER • Individual (s) • Corporate Officer (Title) • Partner(s) • Attorney-in-Fact • Trustee(s) 0 Other _________ _ 2015 Version www.NotaryClasses.com 800-873-9865 • State and County information must be the State and County where the document signer(s) personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s) personally appeared which must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her commission followed by a comma and then your title (notary public). • Print the name(s) of document signer(s) who personally appear at the time of notarization. • Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. he/she/they, is /are) or circling the correct forms. Failure to correctly indicate this information may lead to rejection of document recording. • The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines. If seal impression smudges, re-seal if a sufficient area permits, otherwise complete a different acknowledgment form. • Signature of the notary public must match the signature on file with the office of the county clerk. ❖ Additional information is not required but could help to ensure this acknowledgment is not misused or attached to a different document. ❖ Indicate title or type of attached document, number of pages and date. ❖ Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer, indicate the title (i.e. CEO, CFO, Secretary). • Securely attach this document to the signed document with a staple. CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of ___ F_re_s_n_o ________ _ On --+-l~l_,_/~r:9-~~~6_l~K'~--before me, __ R_o_b_e_rt_a_V_o_s~s,_N_o_t_a_ry~P_ub_l_ic _______ _ Date Here Insert Name and Title of the Officer 'VI ck,· f<,. IO?d:5 m personally appeared Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person,(8)· whose nam$) is/~e subscribed to the within instrument and acknowledged to me that l;le/she/th;fy executed the same in hjgJher/their authorized capacity(i~), and that by t)is/her/ttwfr signature(~ on the instrument the person~), or the entity upon behalf of which the person)i) acted, executed the instrument. Place Notary Seal Above I certify under PENAL TY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signatur~ ~ ~o'z, Signature of Notary Public ---------------OPTIONAL--------------- Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: _____________ Document Date: _______ _ Number of Pages: ___ Signer(s) Other Than Named Above: ____________ _ Capacity(ies) Claimed by Signer(s} Signer's Name: ____________ _ Signer's Name: ____________ _ • Corporate Officer -Title(s): ______ _ • Corporate Officer -Title(s): ______ _ • Partner -• Limited • General • Partner -• Limited • General • Individual • Attorney in Fact • Individual • Attorney in Fact • Trustee • Guardian or Conservator • Trustee • Guardian or Conservator ::J Other: _____________ _ • Other: ______________ _ Signer Is Representing: _________ _ Signer Is Representing: _________ _ PWM 19-673TRAN 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 w,11 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 Portion of Project to Business Name and Address DIR Registration License No., %of be Subcontracted No. Classification & Total Expiration Date Contract ~-r2.1f1nG srrrrv»1-00 srt'-1Pt1 /flu, fo /:JD"'x (om'f/0 IO (')fYY') , 1 ., t./ 1~~),8(,. /)._, .,} Sf/11 i)/[jO,Cfl 9;.1,0 'lt'J~•/;w-GU 1 Total% Subcontracted: _ __,lu.&...:;..... __ _ The Contractor must perform no less than fifty percent (50%) of the work with its own forces Rectangular Rapid Flashing Beacon Sign Installation; Cont. No. 6070 Page 5 of 8 City Attorney Approved 9/27/16 PWM 19-673TRAN EXHIBIT B Rectangular Rapid Flashing Beacon Sign Installation for Alicante Road at Lapis Road Contractor to provide all labor, equipment and materials to install two (2) Back to Back Rectangular Rapid Flashing Beacons (RRFB) at the intersection of Alicante Road and Lapis Road, including striping & removals and additional signage. RRFB system to include: (2) foundations 24"x36", located by city engineer (Exhibit "D;') (2) RRFB displays including back-to-back flashers, signage and push buttons furnished by Tapco Co. (2) Signal poles Type 18-16' (2) Solar packages, complete with cabinets & batteries Striping package to include: (89sq) Estimated striping removal (180sq) Thermoplastic Continental Crosswalk (12) Thermoplastic Yield Line-Sharks Teeth (6) Signs on Unistrut type posts per plan (Exhibit "D") " Striping package to be performed by Statewide Stripes, Inc. JOB QUOTATION ITEM UNIT QTY DESCRIPTION NO. 1 LS 1 Install two (2) Back-to-Back RRFBs per City's Plan including all associated signage, posts, foundations 24"x36" per manufacturer, striping and associated removals. Traffic control and Labor and Materials Bond are included in price TOTAL* *Includes taxes, fees, expenses and all other costs. PRICE $31,720 $31,720 Rectangular Rapid Flashing Beacon Sign Installation; Cont. No. 6070 Page 6 of 9 City Attorney Approved 9/27/16 I EXHIBIT C LABOR AND MATERIALS BONO Bond#: 54-213459 Premium: $397.00 PWM 19-673TRAN WHEREAS, the City Councll of the City of Carlsbad, State of California, has awarded to CEN-PAC ENGINEERING, INC., (hereinafter designated as the "Principal"), a Contract for: RECTANGULAR RAPID FLASHING BEACON SIGN INSTALLATION CONTRACT NO, 6070 In tha City of Carlsbad, In &trlct conformity with the drawings and specifications, and other Contract Documents now on file In the Office of the City Clerk of the City of Carlsbad and a!I of which are Incorporated herein by this reference, WHEREAS, Prlnolpal has executed or \s about to execute said Contract and the terms thereof require the furnishing of a bond, providing that if Prlnclpal or any of Its subcontractors shall fall to pay for any materials, provisions, provender or other supplies or teams used In, upon or about the performance of the work agreed to be done, or for any work or labor done thereon of any kind, the Surety on this bond will pay the same to the extent hereinafter set forth. NOW, THEREFORE, WE, CEN-PAC ENGINEERING, INC., as Prlnclpal, (hereinafter designated as the "Contractor"), and United Fire and Casualty Company as Surety, are held firmly bound unto the City of Carlsbad In the sum of thirty one thousand seven hundred twenty dollars ($31,720), said surn being an amount equal to: One hundred percent (100%) of the total amount payable under the terms of the Contract by the City of Carlsbad, and for which payment well and truly to be made we bind ourselves, our heirs, executors and administrators, successors, or assigns, Jointly and severally, flrmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH that If the Contractor or his/her subcontractors fall to pay for any materials, provisions, provender, supplies, or teams used in, upon, for, or about the performance of the work contracted to be done, or for any other work or labor thereon of any kind, consistent with Cal\fornla Civil Code section 9100, or for amounts due under the Unemployment Insurance Code with respect to the work or labor performed under this Contract, or for any amounts required to be deducted, with held, and paid over to the Employment Development Department from the wages of employees of the contractor and subcontractors pursuant to section 13020 of the Unemployment Insurance Code with respeot to the work and labor, that the Surety wlil pay for the same, and, also, In case suit Is brought upon the bond, reasonable attorney's fees, to be flxad by the court consistent with Callfornla Clvll Code section 9554. This bond shall Inure to the benefit of any of the persons named In Callfomla Civil Code section 8100, so as to give a right of action to those persons or their assigns In any suit brought upon the bond. Surety stlpulatea and agrees that no change, extension of time, alteration or addition lo the terms of the Contract, or to the work to be performed hereunder or the specifications accompanying the same shall affect Its obligations on this bond, and it does hereby waive notice of any change, extension of time, alterations or addition to the terms of the contract or to the work or to the specifications. Rectangular Rapid Flashing Beacon Sign Installation; Cont. No. 6070 Page 7 of 8 City Attorney Approved 9/27/16 J PWM19·673TRAN In the event that Contractor Is an lndlvldual, It Is agreed !hat the death of any such Contractor shall not exonerate the Surety from Its obllgatlons under thJs bond, Executed by CONTRACTOR this _2_8t_h ___ _ day of November ,20~. CONTRACTOR: Cen-Pac Engineering, Inc. ) / .. ~m:: of Contractor) By: ~( .xlhAk ~=: ~ (sign here) illtt , L< 1n0:a'> ,;:-..J (print name here) ~t:7 /2-Er& t-t By; ___ ___.-'+--------- (sign here) (print name here) (title and organization of signatory) Executed by SURETY this __ 27_t_h ___ day f November 20 0 ------------· .1.§_. SURETY: By: United Fire and Casualty Company (name of Surety) 3880 Atherton Road, Rocklin, CA 95765 (address of Surety) name of Attomey-in-Faci) (attach corporate resolution st-:~wlng current power of attorney) (F>roper notarlal acknowledgment of execution by CONTRACTOR and SURETY must be attached.) (President or vice-president and seoretary or assistant secretary must sign for corporations. If only one officer signs, the corporation must attach a resolution certified by the secretary or assistant secretary under corporate seal empowering that officer to bind the corporation.) APPROVED AS TO FORM: CELIA A. BREWER City Attorney n () By: ~ Deputy City Attorney Rectangular Rapid Flashing Beacon Sign ll"lstaHatlon: Cont. No. 8070 Page 8 of 8 City Attorney Approved 9/27/16 - ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Fresno On __ {_(_,_/_1,,,_1 __ /1-1'-t-O ___ before me, Roberta Voss, Notary Public / (insert name and title of the officer) personally appeared Justin Smit -----------------------------who proved to me on the basis of satisfactory evidence to be the person(s) whose name(~) is/~ subscribed to the within instrument and acknowledged to me that he/~ executed the same in his/b!eic/tlooa authorized capacity(~). and that by hisMm/i~R signature('6) on the instrument the person(s), or the entity upon behalf of which the person~) acted, executed the instrument. I certify under PENAL TY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature ~e---r;;; ~····························· . ' ROBERTA VOSS ~ @· ; NOTARY PUBLIC -CALIFORNIA f ~ • oD • • COMMISSION # 2226217 ~ FRESNO COUNTY - My Comm. Exp. January 19, 2022 (Seal) , • ,smi• UNITED FIRE & CASUALTY COMPANY, CEDAR RAPIDS, IA UNITED FIRE & INDEMNITY COMPANY, WEBSTER, TX FINANCIALPAClFIC INSURANCE COMPANY, ROCKLIN, CA CERTIFIED COPY OF POWER OF ATTORNEY (original on file at Home Office of Company~ See Certification) Inquiries: Surety Department ll8 Second Ave SE Cedar Rapids~ IA 52401 KNOW ALL PERSONS BY THESE PRESENTS, That United Fire& Casualty Company, a corporation duly organized and existing under the laws of the State of Iowa; United Fire & Indemnity <:ompany, a corporation duly organized and existing under the laws of the State of Texas; and Financial Pacific Insurance Company, a corporation duly org!l(1ized and existing under the laws of the State of California (herein collectively called the Companies), and having their corpotate headquarters in Cedar Rapids, State of Iowa, does make, constitute and appoint JUSTIN SMIT, ROBERTA VOSS, CHRIS GUTILLA, EACH INDIVIDUALLY their true and lawful Attomey(s)-in-Fact with power and authority hereby conferred to sign, seal and execute in its behalf all lawful bonds, undertakings and other obligatory instruments ofsimilar nature provided that no single obligation shall exceed $25, 000, 0Q0. 00 and to bind the Companies thereby as fully and to the same extent as if such instruments were signed by the duly authorized officers of the Companies and all of the acts of said Attorney, pursuant to the authority hereby given and hereby ratified and confirmed. The Authority hereby granted shall expire the 13th day of March, 2020 un 1 ess sooner revoked by United Fire & Casualty Company, United Fire & Indemnity Company, and Financial Pacific Insurance Company. This Power of Attorney is made and executed pursuant to and by authority of the following bylaw duly adopted on May 15, 2013, by the Boards of Directors of United Fire & Casualty Company, United Fire & Indemnity Company, and Financial Pacific Insurance Company. "Article VI -Surety Bonds and llndertakings" Section 2, Appointment of Attorney-in-Fact. "The President or any Vice President, or any other officer of the Companies may, from time to time, appoint by w(:itten certificates attorneys-in-fact to act in behalf of the Companies in the execution of policies of insurance, bonds, undertakings and other obligatory instruments of like nature. The signature of any officer authorized hereby, and the Coiporate seal, may be affixed by facsimile to any power of attorney or special power of attorney or certification of either authorized hereby; such signature and seal, when so used, being adopted by the Companies as the original signature of such officer and the original seal of the Companies, to be valid and binding upon the Companies with the same force and effect as though manually affixed. Such attorneys-in-fact, subject to the limitations set of forth in their respective certificates of authority shall have full power to bind the Companies by their signature and execution of any such instruments and to attach the seal the Companies thereto. The President or any Vice President, the Board of Directors or any other officer of the Companies may at any time revoke all power and authority previously given to any attorney-in-fact. State oflowa, County of Linn, ss: IN WITNESS WHEREOF, the COMPANIES have each caused these presents to be signed by its vice president and its corporate seal to be hereto affixed this 13th day of March, 2018 UNITED FIRE & CASUALTY COMPANY UNITED FIRE & INDEMNITY COMPANY FINANCIAL PACIFIC INSURANCE COMPANY By: 9-~£ {LJ____ Vice President On 13th day of March, 2018, before me personally came Dennis J. Richmann to me kno'Ml, who being by me duly swoni, did depose !l(1d say; that be resides in Cedar Rapids, State of Iowa; that he is a Vice President of United Fire & Casualty Company, a Vice President of United Fire & Indemnity Company, and a Vice President of Financial Pacific Insurance Company the corporations described in and which executed the above instrument; that he knows the seal of said corporations; that the seal affixed to the said instrument is such corporate seal; that it was so. affixed pursuant to authority given l)y the Board of Directors of said corporations and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said corporations. ~"'•L« Patti Waddell ~ ~ l&l Iowa Notarial Seal ~ J.lr' ~ •@J Com~ssion nu~ber 713274 ~ Notary Public Olla. MyComnuslonExp1res10/26/2019 · M · · · I0/2G/2_019 ------------·-------y co_mm1ss1on exprres: I, Mary A. Bertsch, Assistant Secretary of United Fire & Casualty Company and Assistant Secretary of United Fire & Indemnity Company, and Assistant Secretary of Financial Pacific Insurance Company, do hereby certify that l have compared the foregoing copy of the Power of Attorney and affidavit, and the copy of the Section of the bylaws and resolutions.of s~idCorporations as set forth in said Power of Attorney, with the ORIGINALS ON FILEIN THE HOME OFFICE OF SAID CORPORATIONS, and that the same are correct transcripts thereof, and of the whole of the said originals; and that the said Power of Attorney has not been revoked and is now in full force and effect. In testimony~ereof I have hereunto subscribed my n;ime and affixe(i the corporate seal of the said Corporations this 'Z, 1 ~ day of NV V~ . 201.f_. By~':= UF&C & llF&I & FPIC BPOA0045 122017 This paper has a colored background and void pantograph. CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California } County of VY'ilir°'-} On \)um\:)~ I, 'lDI O before me, bl \C personally appeared ~qhl-n 0C1LY-'5oh who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENAL TY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. <t>\ 27~ Notary Pubn'c Signature (Notary Public Seal) INSTRUCTIONS FOR COMPLETING THIS FORM ADDITION AL Q PTI ON AL INFORM A Tl Q N This form complies with current California statutes regarding notary wording and, DESCRIPTION OF THE ATTACHED DOCUMENT if needed, should be completed and attached to the document. Acknowledgments from other states may be completed for documents being sent to that state so long as the wording does not require the California notary to violate California notary law. (Title or description of attached document) (Title or description of attached document continued) Number of Pages~-Document Date ___ _ CAPACITY CLAIMED BY THE SIGNER • Individual (s) • Corporate Officer (Title) • Partner(s) • Attorney-in-Fact • Trustee(s) 0 Other _________ _ 2015 Version www.NotaryClasses.com 800-873-9865 • State and County information must be the State and County where the document signer(s) personally appeared before the notary public for aclmowledgment. • Date of notarization must be the date that the signer(s) personally appeared which must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her commission followed by a comma and then your title (notary public). • Print the name(s) of document signer(s) who personally appear at the time of notarization. • Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. he/she/t!tey, is /are) or circling the correct forms. Failure to correctly indicate this information may lead to rejection of document recording. • The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines. If seal impression smudges, re-seal if a sufficient area permits, otherwise complete a different aclmowledgment form. • Signature of the notary public must match the signature on file with the office of the county clerk. ❖ Additional information is not required but could help to ensure this aclmowledgment is not misused or attached to a different document. ❖ Indicate title or type of attached document, number of pages and date. ❖ Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer, indicate the title (i.e. CEO, CFO, Secretary). • Securely attach this document to the signed document with a staple. CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Fresno On // );J-?f" /2?( I before me, __ R_o_b_e_r_t_a_V_o_s_s~,_N_o_t_a_r~y_P_u_b_l_ic ________ _ Date Here Insert Name and Title of the Officer personally appeared ---~V~J~-0=·~A~'-·-~x~·~~/T)Ad-~~~'.5~e_7 _________ _ Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person~ whose name.(g) is/a¢ subscribed to the within instrument and acknowledged to me that he1she/tb,ey executed the same in bffi/her/th,iir authorized capacity(~). and that by hls/her/tbefr signature~ on the instrument the person~, or the entity upon behalf of which the personjs) acted, executed the instrument. Place Notary Seal Above I certify under PENAL TY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature LY) e-f.µ56:c-{ ~ Signature of Notary Public ---------------OPTIONAL--------------- Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document _____________ Document Date: _______ _ Number of Pages: ___ Signer(s) Other Than Named Above: ___________ _ Capacity(ies) Claimed by Signer(s) Signer's Name: ____________ _ Signer's Name: ____________ _ • Corporate Officer -Title(s): ______ _ • Corporate Officer -Title(s): ______ _ 0 Partner -• Limited • General • Partner -• Limited • General ~ Individual • Attorney in Fact • Individual • Attorney in Fact • Trustee • Guardian or Conservator • Trustee • Guardian or Conservator :J Other: _____________ _ • Other: _____________ _ Signer Is Representing: _________ _ Signer Is Representing: ________ _ Rectangular Rapid Flashing Beacon Sign Installation; Cont. No. 6070 EXHIBIT "D" Page 9 of 9 Tl. 15. Jf MY 6BA:1NJl-+PCeL ern:;uq:;s AR[ AfSCO\£R£0 Q1tl At;Y 'flRtS ZONE DIJRINC aws7RUC11CW, <Zfll:DANS Ml COSE Mf'CHAID Y AND THE P£1UT1££ KL NOJFY 1H£ TRAHSPa!TA110N DIICC7CR. OP£RA1JONS 1111. NOT RESTART UH1I. 1H£ PERl,fTTEl: HAS Rft:fllm ll!ITIDI AUIHORfTY FROII THE TRAHSPalTA llllH 0/RECTOR n, DO SO. 15. 17. NO aAS1M; SHALL BE COlfoEHCEll lllHOUT A QTY N'PROW EUS1WG PROCRIJI JNDaASIM;PERl,fT_ 18. 1H£ EJaS1ENCC JND LOCA110N OF Ull/TY S111UCIURES AND FACLJ11£S Sl-/011111 ON 1H£ CONSIRUCllllH Pl.ANS IIER£ 08TAIHED BY A SEARCH OF TH£ AVAILABLE R£lXRIS. ATIDmOII IS C>ilED n, 1H£ POSS8.£ Dl1S1£Na: OF OTHER Ull/TY FAC&JTES er! SIJiUC1UIIES NOT SHOIIII OIi IN A LOCA 110N DIFmlfNT f1IOI/ 1HA T SHOIIII ON 1H£ PUNS. 1H£ CONTRJ.CTOR IS R£QUJR£D TO TAK£ DU£ PRECAUT10NARY IIEA5IA!£S 10 PROTE:CT 71£ Ull/11ES SHOftN OH 7flE Pl.ANS AND ANY ono DtlS1IHG FAGIU7£S er! SIJIUCTUR[S NOT -- 19. 11J£,=OONTRACTf!R SHALL lEllf'Y 1H£ LOCA71CW OF ALL DaST1NG FACILJ11£S ~~¾.aa.~~fJ: rf't,Tf Jk~Mi Pl.ANS F IT IS FOUIO 1HA T 71£ AC11JAL LOCA 71CWS ARE IN IXffllCT ,rm 1H£ Pli!l"!lSE) IIOiK. 20. ~~ Hl,U'W' ~Jllk~ftJcfiM QMW)n-Jik FACIJTES JND SHALL COCJilJtjA If ll!J1K •TH A COIIPNIY R£PRESCNTA 111/£ IMJOIGROOND SE1IWC£ AWIT 800;2-41JJ SOGI£ 800 11-7343 AT.tr 800 2-012J 1IE 1WHR CAIi£ 7741 C0JC CCMlfNCIJl(JjS 619 262-1122 QTY OF~~ AN() SJIBI~ 760,2980 ~ ~~~llR .t R£ WAllR) 760 ~ 'U1iCADIA ll4S1f:IMIE1! M1!ifCT 760 75.J-0155 .,,AU.Earos 1M ID! DISTRICT 78 74+-0'80 'tVl£NlfNI 1M lE7! O/S1TIICT 760 75.3-8466 -sL£NA SANITA110N O/S1TIICT (760) :UC '1JJO • AS APPROPRIATE' 21. IN ACCCflDANCE 1H£ QTY S1lBI WA 1lR STAHDARDS AU. STfi?il [JR)JJI /NJ.£TS CONS11!1/C!ED BY 1H/S PWI SHALL INCUt/£ "s1£NQS' BE ADO£D 10 PR01191T ll(ASTf DISCHARG£ DOWIS7Jl£Ut S1EHCII.S SHALL BE A[}()B) n, THE SAnSfAC110H OF 1H£ IIIANSPOllTAT1CW DIRECTOR. • CONSTRUCTION PLANS FOR RECTANGULAR RAPID FLASHING BEACON SIGN INSTALLATION FOR ALI CANTE ROAD AT LAPIS ROAD • crnr OF CARlSlBAlD CARLSBAD, CALIFORNIA VICINITY MAP CITY OF OCEANSIDE 18 PACIFIC OCEAN "DECLARATION OF RESPONSIBLE CHARGE" I HEREBY DECLARE THAT I AU THE ENGINEER OF IKY?K FOR THIS PROLCT, THAT i HA\£ £XERC1SED RESPONSIBLE CHARGE 0\01 Tri£ DESIGN OF TH£ PRO,£CT AS O€FTNffJ /ff SECOON 670.J CF rHC 8USINESS ANO Pf?OFCSSJOVS COO£. ANO TH,ff TH£ DESIGN IS CONSISTENT O!TH CURRENT STANDARDS. I UNDERSTAND THAT THE CHECK OF PROJ:CT DRAO!NGS AND SP£Clf1CA710NS BY THE CJTY OF CARLSBAD OOf:S NOT Rfl./E\£ ME AS ENGINEER OF 00/?K, OF MY RESPONSIBILJOCS FOR PRO.CCT DES/GN. BRM: STC TRAfTIC ADDRESS: 5865 A YENIDA ENCINAS, f142B CITY. ST., CARLSBAD CA 1D..£PHON£ 760-602-4290 * PROJECT LOCATION won TO BE DONE THE UIPROVOIDiT 111'.lRK SkALJ. BE PERFORll£D IN ACCORDANCE Ml1H TH£ FCUOMING DOCU1'£NTS. CURRENT AT THE ml£ OF COISTRUCTIOI. AS DIRECTED BY 1HC 1"ANSPORTA TION 0/RCCTOII. 1 · CARLSBAD IIUMCIPAL COOC 2. CITY OF CARLSBAD DIGINEUlfNG STANDARDS J. 11-115 S£T OF Pl.ANS CXIS11NG STREIT LIGHT POU: EXISTING SIGN ON POU: ______ _ RECTANGUI..AA RAPID Fl.ASHING BEACON ASS'L-- CURB-------------E:DGC OF 5/0CWAJ.J< ________ _ GVTTE:R· ___________ _ ABBREVllTIONS EX EXlS1ING. RS -AHO SALVAGE. TIP T1PICAL ASSV ASSEIB. Y. ~ ' 2 3 PfSCBIPDPN Tiru: SHEIT OETAI. SHEIT AUCAN'!E ROAD AT LAPtS ROAD RRFB AU. STANDARD DRA-1#1£ SAN DEIIO MaCIW. SfMIDMO ~an~~OIIBllllf: ----__ _, __ _ --NI_. IIY or, tJF _..., "ASBUILr" PL---Ill'.___ DATE REVIEVEOBY OISPECTOR DATE BY ·)/,,;<, ~- NICOLAS II. 11/NICILLJ R.C.E. N0.:~746=6~7 _________ _ R£G1STRATJON EXPIRATION DAT£: 12-31-2019 t==t==t================t==t=::1~=::1t:::::1[:r]IC1'1lJ?L'li,1£rBADII~ l-1-::::±:::jt:::::::::::::::::::::::::::t::::t:::~:::::t:::::t WW-,._ Ila BBCTANGUUR RAPID l'LASBING T DIAi. TOLL Fl!EE 8-1-1 ATl."'1'1111)Ql,ff ......... ~U'Cl:...aT,s~CIU'IIIM ... ,. -_,,, RE\1SION DESCRIPTION BEACON SIGN INS'l'.&LL&TION STAti)AR[) NOTES EW SIGNING Ati) STRIPING PLANS 1. TI-£ CONTRACTOR IS RESPONSIBLE FOR INSTALLATION OF ALL SIGNING AND STRIPING. 2. ALL SIGNING, STRIPING Al{) PAVE!.£NT MARKINGS SHALL CONFORM TO THE CALIFORNIA MAN.JAL ON u-t!FORM TRAFFIC CONTROL DEVICES (LATEST VERSION), THE CAL TRANS STANDARD PLANS Al{) SPECIFICATIONS (LATEST VERSION), TI-ESE PLANS At-0 THE SPECIAL PROVISICN;. .3. ALL SIGNING Al'-0 STRIPING IS SWJECT TO THE APPROVAL OF THE TRANSPORTATION DIRECTCR OR HIS REPRESENTATIVE, PRIOR TO INSTALLATION. 4. ANY DEVIATION FRO! TI-£SE PLANS SHALL EIE APPROVED BY THE TRANSPORTATION DIRECTOR OR HIS REPRESENTATIVE PRIOR TO ANY CHANGE IN THE FIELD. 5. ALL STRIPING SHALL EIE REFLECTIVE PER CALTRANS SPECIFICATIONS. STRIPING SHALL BE REPAINTED TWO WEEKS AFTER INITIAL PAINTING. 6. ALL PERMAl'ENT SIGNAGE SHALL BE REFLECTIVE PER ASTM DESIGNATION D4956 AND SHALL USE TYPE IV PRISMATIC REFLECTIVE SHEETING (HIGH INTENSITY PRISMATIC OR EQUAL) UU:SS OTHERWISE SPECIFIED. Rl-1 'STOP", R1-2 '!'!ELD", R2-1 'SPEED LIMIT" AfO STREET NAME SIGNS SHALL USE TYPE IX PRISMATIC Cl.SE-CORNER REFLECTIVE SI-EETING (DIAM<Hl GRADE VIP OR EQUAL). 7. PRIOR TO FINAL ACCEPTANCE OF STREET 11.PROVEMENTS, ALL STREET STRIPING AND MARK11'¥3S WITHIN A 500' PERH.ETER OF THE CONSTRUCTION PROJECT WILL BE RESTORED TO A UKE 1£W" COl'O!TION, IN A MAttt:R MEETING THE APPROVAL OF THE CITY INSPECTOR. 8. EXACT LOCATION OF STRIPING At-0 STOP LIMIT LINES SHALL BE APPROVED BY THE TRANSPrnTATION DIRECTOR OR HIS REPR£S£NTATJVE PRIOR TO INSTALLATION. 9. CONTRACTOR SHALL REMOVE ALL eot,FLICTING PAINTED LINES, MARKINGS ANO PAVEMENT LEGeilS BY GRll'OING. DEBRIS SHALL BE PROl.f'TLY REMOVED BY THE CONTRACTOR. 10. ALL PAVEMENT LEGENDS SHALL BE THE LATEST VERSION OF THE CALTRANS STENCILS. 11. LIMIT LINES Al{) CROSSWALKS SHALL BE FIELD LOCATED. CROSSWALKS SHALL BE HIGH VISIBILITY 'CONTINENTAL" STYLE AND SHALL HAVE 10' INSIDE DIMENSION UNLESS OTI-ERWISE SPECIFIED. 12. ALL CROSSWALKS, LIMIT LINES, STOP BARS, PAVEMENT ARROWS AND PAVEMENT LEGENDS INCLl-OING BIKE LANE LEGOOS At-0 ARROWS SHALL BE THERMOPLASTIC UN...ESS OTHERWISE SPECIFIED. PREFORI.ED Tt-ERMOPLAST!C ARROWS AND LEGENDS SHALL NOT BE ACCEPTABLE. 1.3. SIZE OF Sia.IS SHALL BE BASED UPON THE RECOMMENDED SIGN SIZES FOUND IN THE CALIFORNIA MAt-UAL ON l-NIFORM TRAFFIC CONTROL DEVICES UNLESS OTHERWISE SPECIFIED. 14. SIGN POSTS SHALL BE SQUARE PERFORATED STEEL TUBING WITH BREAKAWAY BASE PER SAN DIEGO REGIONAL STAfOARD DRAWING M-45. 15. Wl-£N A SIGN IS ATTAa-ED TO A POLE, IT SHALL BE MOUNTED USING A STANDARD CITY OF CARLSBAD APPROVED t.lCJU',ITING BRACKET WITH STRAPS. 16. EXISTING SIGNS REMOVED BY Tl-£ CONTRACTOR SHALL BE DELIVERED BY THE CONTRACTOR TO TI-£ CITY CF CARLSBAD PUBLIC WORKS YARD AT 405 OAK AVENJE. 17. ALL SIGNS SHOWN ON Tl-£SE PLANS SHALL BE NEW SIGNS PROVIDED AND INSTALLED BY THE CONTRACTOR EXCEPT THOSE SIGNS SPECIFICALLY SHOWN AS EXISTING TO BE RELOCATED OR TO REMAIN. 18. THE RECTANGLUR RAPID FLASHING BEACON (RRFB) SYSTEM SHALL CONFORM TO THE FEDERAL HIGHWAY ADMINISTRATION INTERIM APPROVAL IA-21 DATED .3/20/2018 AND SHALL BE TAPCO RRFB XL2 OR APPROVED EQUAL. 19. CONTRACTOR SHALL COORDINATE POLE LOCATION WITH THE TRANSPORTATION DIRECTOR PRIOR TO INSTALLATION. 20.CONTRACTOR SHALL FiaD VERIFY SOLAR PAt-EL LOCATION WITH THE TRANSPORTATION DIRECTOR PRICR TO INSTALLAT!(l,l. 21.CONTRACTOR SHALL PROVIDE N::W WIRING TO CONNECT SYSTEMS. NEW WIRING SHALL BE PER MAN.FACTURER SPECIFICATIONS. 22. CAT 5E CABL£ SHALL BE OUTDOOR-RATE/SHIELDED. 2.3. ALL SIGNS Al{) EQU!Pt.£NT SHALL BE MOUIITED USING t• "BAND IT" STEEL FASTENER FOR INST ALLA Tl ON. • 24.W11-2, W16-9P At-0 W16-7P SIGN FACES SHALL BE FLUORESCENT YELLOW GREEN. QUANTITY ESTIMATE !~ ; ~:t: ~~~ <~Ir ~,Nr-,--1----,N-m_&_C_TI_OO_N~-E----,;~~ ' l AL/CANTE RD AT LAPIS RD 2 ' - TOTAL 2 1 - 'NOTE, QUANTITIES ARE PROVIDED FOR TAJ<£-OfT PURPO&S ONLY. SIGN LEGEND W11-2 W16-91' W16-7P R1-5 T DIAL rou. FREE 8-1-1 ATJ.LUrTWOOATS .,_,.. ... ~ ~ "LD'rOf DINJII ~ SIDE MOUNTED SOLAR--..., PANELS WITH CHARGE ', CONTROLLER AND ANTI-THEFT FASTENERS U3IQUITY-~ ~ NANOSTATION US -.._: WIRELESS RADIO 'r- W,,-2 SlGN (36" ' 36")----_ * FLASHING BEACONS~~ W16-7P SIGN (24" X 12") BATTERY AND SYSTEM- ENCLOSURE - PEDESTRIAN PUSH BUTTON--~--ln-1 4" DIAMETER POLE (16' HEIGHT)-----, PER MANUFACTURER SPECIFICATIONS FOUNDATION PER MANUFACTURER SPECIFICATIONS = DETAIL "A" FLASHING DETAIL 2' 3• ~EXISTING 12" IHITE LU£. RElffiE IF -I 1--1--1 : Nfl..ICAILE PER FUN .1 Jn 1111] 51 EXISTING 12" IHITE LIi£. RElffiE Jr -, --•----------•-N'Pl.ICAILE PER FUN 12" IHITE ~IC LIMIT LIi£ DETAIL "B" CONTINENTAL CROSSWALK MARKINGS N.T.S. NOTES: 1. CONTINENTAL CROSSWALK MARKINGS SHALL BE ALIGNED PARALLEL TO THE DIRECTION OF VEHICULAR TRAVEL. t==t=:::1~================t==t:=~==~==1~IC~<l,.~BADIIT) 1--1-:::j:::j:::::::::::::::::::::::::t::::t::::t===~~==~ --.,w JILUB -RECTANGULAR RAPID IUSBING BEACON SIGN INSTAU.iTION -·--!ml:=--.---i ~~ f'u/18 t=::j===j:::::::======::::::::::::t:==t:::t:::~~==~ PE C421IO J,__ niir I----DA-lE......1"'~ ...... =-.,.,....I---RBII-SI-ON--DESCR--IP_TI_ON ____ +-1-_fDA~lE[_t:;-~!;t]:.,~-~-,-:!th,-~~~ 11-ri=f:II ~ ~ 1-:., COOSTRUCTI~ NOTES 2 PI...A(L SIQ-4 A.T 250' FROA ffiOSSIAU< (IJ CONTRACTOR TO f'LRNISH AMJ INSTALL RECTANGULAR RAPID FLASHING BEACON ASSEMBLY (TAPCO RRFB-Xl.2 CR APPROVED EQUAL). SEE DETAIL "A", SHEET 2. IT] fl.RNISH AN) INSTALL SIGN AN) POST PER SDRSD M---45 AS t.OTED ON PLAN. (TI APPLY Tr£RMCPLASTIC WHITE CROSSWALK PER DETAIL "B", SHEET 2. II) APPLY Tf£RW'LAST IC WHITE TR I ANGLE YI ELD LI NE PER CALTRANS ST ANDA RD PLAN A2 4E . II] REMOVE~ $,1,LVAGE EXISTING SIGN(S) ~ POST. (!] REMOVE EXISTING CROSSWALK BY GRil'OING. ' i SIGN LEGEND LAPIS ROAD POSTED SPEED 25MPH 24' 10' \ 20' NOTE: CONTRACTOR SHALL VERIFY POLE LOCATION WITH THE DIRECTOR OF TRANSPORT A TI ON OR HIS REPRESENT AT! VE PRIOR TO POLE INSTALLATION. ~8~~ W11-2 W16-9P W16-7P R1-5 T DIALTOUFlll:E 8-1-1 •T UASf lWD DILTS """""'"' lllaaOIDD-a: Al.m" ~ DJ1lal r;.u,mu, 20 10 0 2D I ~-SCALE: 1 "•20' RE\.'ISION DESCRIPTION --.... --- 40 .... --..,.,_ &O I '~ 11-2 16~"- l~llc~~~ADILL] ----AUCANTE ROAD AT LAPIS ROAD Pl..,.....,. ~,}~A. .--... 1/u./18 ----l'IE•--·-----1=1tt=11 PII0.£1'110. ,~, II01Q I CEN-ENG-01 SSLATER ACORD. CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) ~ 12/05/2018 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 License # OE02096 CONTACT NAME: DiBuduo & DeFendis Insurance Brokers, LLC r.::gN:o, Ext): (559) 432-0222 I FAX P.O. Box 5479 (A/C, No):(559) 431-7941 E-MAIL Fresno, CA 93755-5479 ADDRESS: INSURER/SI AFFORDING COVERAGE NAIC# INSURER A: Llovds of London ~-- INSURED Cen-Pac Engineering, Inc. INSURER B: Nationwide Mutual Insurance Comoanv 23787 Cen-Pac Engineering, Inc. INSURER c : Endurance Risk Solutions Assurance Company C/0 Vicki Madsen INSURER D: Insurance Companv of the West 27847 1467 W. Shaw Avenue INSURER E, Westchester Surplus Lines Ins. Co. Fresno, CA 93711 INSURER F: COVERAGES CERTIFICATE 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. 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 . 1~: TYPE OF INSURANCE ~.?.P.\-:w..~~ POLICY NUMBER .. ~!)LICY EFF _ _POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 ~-~ CLAIMS-MADE [Kl OCCUR ~~~j~U9l~~~Tr~AneP\ 100,000 X X GLL1062700 11/29/2018 11/29/2019 $ MED EXP /Anv one oersonl $ 5,000 - PERSONAL & ADV INJURY $ 1,000,000 ~ ~'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 •PRO-• 2,000,000 POLICY JECT LOC PRODUCTS -COMP/OP AGG $ OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT /Ea accident\ $ 1,000,000 - X ANY AUTO X X ACP3008876980 06/26/2018 06/26/2019 BODILY INJURY /Per oerson l $ ~ OWNED --SCHEDULED ~ AUTOS ONLY -AUTOS BODILY INJURY /Per accident\ $ HIRED NON-OWNED 1P~?~,\Wd1;;:;t?AMAGE $ ~ AUTOS ONLY --AUTOS ONLY $ C X UMBRELLA LIAB M OCCUR EACH OCCURRENCE $ 5,000,000 -EXC30000870000 11/29/2018 11/29/2019 EXCESS LIAB CLAIMS-MADE X X AGGREGATE $ / OED I I RETENTION $ $ 5,000,000 D WORKERS COMPENSATION X I ~f~TLJTE I I OTH-AND EMPLOYERS' LIABILITY ER YIN X WSA504468600 11/29/2018 11/29/2019 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE Ci:] E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? NIA 1,000,000 (Mandatory in NH) E_L_ DISEASE -EA EMPLOYEE $ If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ B Commercial Auto ACP3008876980 06/26/2018 06/26/2019 Rented&Leased Equip 100,000 I E Pollution Liability G7146684A001 12/03/2018 12/03/2019 Per Occurence 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) RE: Where required under written contract or agreement Certificate Holder is named Additional Insured with respect to General Liability per blanket policy form CG20380413, with respect to Auto Liability per attached blanket policy form AC70040316 and with respect to Pollution Liability per attached blanket policy form ENV31000804. Primary & Non-Contributory Wording applies with regard to Auto Liability per attached blanket policy form AC70040316, General Liability per blanket policy form CG20010413, Excess Liability per blanket policy form EXL 13510817 and with respect to Pollution Liability per attached blanket policy form ENV31010804. SEE ATTACHED ACORD 101 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Carlsbad/CMWD THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. c/o EXIGIS Insurance Compliance Services P.O. Box 4668 -ECM #35050 New York, NY 10163-4668 AUTHORIZED REPRESENTATIVE ~ I ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CEN-ENG-01 SSLATER -------------------LO C #: 1 ADDITIONAL REMARKS SCHEDULE AGENCY License # 0E02096 PiBuduo & DeFendis Insurance Brokers, LLC POLICY NUMBER $EE PAGE 1 CARRIER I NAIC CODE $EE PAGE 1 SEEP 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Description of Operations/LocationsNehicles: NAMED INSURED Cen-Pac Engineering, Inc. Cen-Pac Engineering, Inc. C/O Vicki Madsen 1467 W. Shaw Avenue Fresno, CA 93711 EFFECTIVE DATE: SEE PAGE 1 Page 1 of 1 Waiver of Subrogation applies with respect to Auto Liability per attached blanket policy form AC70040316, with respect to General Liability per blanket policy form CG24040509, with respect to Excess Liability per blanket policy form EXL60920813, with respect to Employers Liability per attached blanket policy form WC9906340800 and with respect to Pollution Liability per attached blanket policy form ENV31430305. 30-day advanced Notice of Cancellation applies to General Liability policy form to follow, to Auto Liability policy form IL7002, to Pollution Liability policy form to follow. DiBuduo & DeFendis agrees to provide 30 day advanced Notice of Cancellation in regards to the Employers Liability policy. (DiBuduo & Defendis also agrees to E-mail all 30 day notices to: support@exigis.com). {This certificate cancels and supersedes previous certificate issued 12/03/18} ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL AUTO AC 70 04 0316 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO PROTECTION -PLUS This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM SUMMARY OF COVERAGES A. Effect of This Endorsement B. Temporary Substitute Autos-Physical Damage Coverage C. Employees as Insureds-Nonowned Autos D. Additional Insured by Contract, Permit or Agreement E. Prejudgment Interest Coverage F. Personal Effects and Property of Others Extension G. Expanded Towing Coverage H. Expanded Transortation Expense I. Extra Expense -Stolen Autos J. Emergency Lockout K. Transfer Of Rights Of Recovery Against Others To Us L. Section IV -Business Auto Conditions -Notice of Knowledge of Occurrence AC 70 04 0316 ACP BA 30-0-8876980 Includes copyrighted material of Insurance Services Office, Inc. with its permission L570 18177 INSURED COPY AC7004031600 0001 Page 1 of 3 47 0008723 AC 70 04 0316 A. EFFECT OF THIS ENDORSEMENT Coverage provided under this policy is modified by the provisions of this endorsement. If there is any conflict between the provisions of this endorsement and the provision(s) of any state- specific endorsement also attached to this poli- cy, then the provision(s) of the state-specific endorsement shall apply instead of the provi- sions of this endorsement that are in conflict, but only to the extent of the conflict, and only to the extent necessary to bring such provisions into conformance with the state requirement(s) contained in the provision(s) of the state-specific endorsement. B. TEMPORARY SUBSTITUTE AUTOS PHYSICAL DAMAGE COVERAGE The following is added to paragraph C. Certain Trailers, Mobile Equipment And Temporary Substitute Autos of the -COVERED AUTOS SECTION: If Physical Damage Coverage is provided by this Coverage Form, the following types of vehicles are also covered "autos" for Physi- cal Damage Coverage: Any "auto" you do not own while used with the permission of its owner as a temporary substitute for a covered "auto" you own that is out of service because of its: a. Breakdown; b. Repair; c. Servicing; d. "Loss"; or e. Destruction The coverage that applies is the same as the coverage provided for the vehicle being replaced. C. EMPLOYEES AS INSUREDS -NONOWNED AUTOS The following is added to paragraph A.1 . Who Is An Insured of SECTION II -COVERED AUTOS LIABILITY COVERAGE: d. Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow in your business or your per- sonal affairs. D. ADDITIONAL INSURED BY CONTRACT, PERMIT OR AGREEMENT The following is added to A.1 . Who Is An Insured of SECTION II -COVERED AUTOS LIABILITY COVERAGE: Any person or organization that you are required to name as an additional insured in a written contract or agreement that is executed or signed by you prior to a "bodily injury" or "property damage" occurrence is an "insured" for Covered Autos Liability Coverage. However, with respect to covered "autos", such person or organization is an insured only to the extent that person or organization qualifies as an "insured" under A.1. Who is an Insured of SECTION II -COVERED AUTOS LIABILITY COVERAGE. If specifically required by the written contract or agreement referenced in the paragraph above, any coverage provided by this en- dorsement to an additional insured shall be primary and any other valid and collectible insurance available to the additional insured shall be non-contributory with this insurance. If the written contract does not require this cov- erage to be primary and the additional in- sured's coverage to be non-contributory, then this insurance will be excess over any other val- id and collectible insurance available to the ad- ditional insured. E. PREJUDGMENT INTEREST COVERAGE The following paragraph is added to SECTION II -COVERED AUTOS LIABILITY COVERAGE, Supplementary Payments under item: (7) Prejudgment interest awarded against the "insured" on that part of the judgment we pay. If we make an offer to pay the appli- cable limit of insurance, we will not pay any prejudgment interest based on that period of time after the offer. F. PERSONAL EFFECTS AND PROPERTY OF OTHERS EXTENSION 1. The. Care, Custody or Control Exclusion of the SECTION II -COVERED AUTOS LIABILITY COVERAGE, does not apply to "property damage" to property, other than your property, up to an amount not exceed- ing $250 in any one "accident". Coverage is excess over any other valid and collectible insurance. 2. The following paragraph is added to. Cover- age Extensions of SECTION Ill PHYSICAL DAMAGE COVERAGE: c. We will pay up to $500 for your property that is lost or damaged as a result of a covered "loss", without applying a de- ductible. Coverage is excess over any other valid and collectible insurance. G. EXPANDED TOWING COVERAGE 1 . We will pay up to: a. $1 00 for a covered "auto" you own of the private passenger type, or Page 2 of 3 Includes copyrighted material of Insurance Services Office, Inc. AC 70 04 0316 with its permission ACP BA 30-0-8876980 L570 18177 INSURED COPY AC7004031600 0001 47 0008724 b. $250 for a covered "auto" you own that is not of the private passenger type, for towing and labor costs incurred each time the covered "auto" is disabled. However, the labor must be performed at the place of disablement. 2. This coverage applies only for an "auto" covered on this policy for Comprehensive or Specified Causes of Loss Coverage and Collision Coverages. 3. Payment applies in addition to the otherwise applicable amount of each coverage you have on a covered "auto". H. EXPANDED TRANSPORTATION EXPENSE Paragraph A.4.a. of SECTION Ill -PHYSICAL DAMAGE COVERAGE SECTION is replaced by the following: We will pay up to $50 per day to a maximum of $1000 for temporary transportation expense in- curred by you because of the total theft of a covered "auto" of the private passenger type. We will only pay for those covered "autos" for which you carry Comprehensive or Specified Causes of Loss Coverage. We will pay for tem- porary transportation expenses incurred during the period beginning 48 hours after the theft and ending, regardless of the policy's expiration, when the covered "auto" is returned to use or we pay for its "loss" I. EXTRA EXPENSE -STOLEN AUTOS The following paragraph is added to Coverage Extensions. of SECTION Ill -PHYSICAL DAMAGE COVERAGE: c. We will pay for up to $5,000 for the expense of returning a stolen covered "auto" to you. We will pay only for those covered "autos" for which you carry Comprehensive or Spec- ified Causes of Loss Coverage J. EMERGENCY LOCKOUT PRIVATE PASSENGER VEHICLES We will reimburse you up to $75 for reasonable expense incurred for the services of a locksmith to gain entry into your covered "auto" of the pri- vate passenger type subject to these provisions: 1. Your door key or key entry pad has been lost, stolen or locked in your covered "auto" and you are unable to enter such "auto" , or 2. Your key or key entry pad has been lost AC 70 04 0316 or stolen and you have changed the lock to prevent an unauthorized entry; and 3. Original copies of receipts for services of a locksmith must be provided before reimbursement is payable. K. TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition: We waive any right of recovery we may have against any person or organization to the extent required of you by a written con- tract executed prior to any "accident" be- cause of payments we make for damages under this coverage form. L. NOTICE OF AND KNOWLEDGE OF OCCURRENCE SECTION IV BUSINESS AUTO CONDITIONS, Paragraph A is amended as follows: 6. NOTICE OF AND KNOWLEDGE OF OCCURRENCE a. Your obligation in the Duties in the Event of Accident, Claim, Suit or Loss Condi- tion relative to notification require- ments applies only when the "accident" or "loss" is known to: (1) You, if you are an individual; (2) A partner, if you are a partnership; (3) A member, if you are a limited liability company;or (4) An executive officer or insurance manager, if you are a corporation. b. Your obligation in the. Duties in the Event of Accident, Claim, Suit or Loss Condition relative to providing us with documents concerning a claim or "suit" will not be considered breached unless the breach occurs after such claim or "suit" is known to: (1) You, if you are an individual; (2) A partner, if you are a partnership; (3) A member, if you are a limited liability company; or (4) An executive officer or insurance manager, if you are a corporation. AC70040316 Includes copyrighted material of Insurance Services Office, Inc., with its permission Page 3 of 3 ACP BA 30-0-8876980 L570 18177 INSURED COPY AC7004031600 0001 47 0008725 Policy #GLL 1062700 COMMERCIAL GENERAL LIABILITY CG 20 38 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS-AUTOMATIC STATUS FOR OTHER PARTIES WHEN REQUIRED IN WRITTEN CONSTRUCTION AGREEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II -Who Is An Insured is amended to include as an additional insured: 1. 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; and 2. Any other person or organization you are required to add as an additional insured under the contract or agreement described in Paragraph 1. above. Such person(s) or organization(s) is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: a. Your acts or omissions; or b. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured. However, the insurance afforded to such additional insured described above: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person's or organization's status as an additional insured under this endorsement ends when your operations for the person or organization described in Paragraph 1. above are completed. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: 1. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of, or the failure to render, any professional architectural, engineering or surveying services. 2. "Bodily injury" 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 performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or CG 20 38 0413 © Insurance Services Office, Inc., 2012 Page 1 of 2 b. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section 111-Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement described in Paragraph A.1.; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 20 38 0413 Policy # GLL 1062700 COMMERCIAL GENERAL LIABILITY CG 20 34 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CARE FULL V. ADDITIONAL INSURED -LESSOR OF LEASED EQUIPMENT-AUTOMATIC STATUS WHEN REQUIRED IN LEASE AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II -Who Is An Insured is amended to include as an additional insured any person(s) or organization(s) from whom you lease equipment when you and such person(s) or organization(s) have agreed in writing in a contract or agreement that such person(s) or organization(s) be added as an additional insured on your policy. Such person(s) or organization(s) is an insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your maintenance, operation or use of equipment leased to you by such person(s) or organization(s). However, the insurance afforded to such additional insured: 1. Only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person's or organization's status as an additional insured under this endorsement ends when their contract or agreement with you for such leased equipment ends. B. With respect to the insurance afforded to these additional insureds, this insurance does not apply to any "occurrence" which takes place after the equipment lease expires. C. With respect to the insurance afforded to these additional insureds, the following is added to Section Ill -Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement you have entered into with the additional insured; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. © Insurance Services Office, Inc. Policy # GLL 1062700 COMMERCIAL GENERAL LIABILITY CG 20 01 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. © Insurance Services Office, Inc. POLICY NUMBER: GLL 1062700 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV -Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products- completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 • Policy #EXC30000870000 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. PRIMARY NON-CONTRIBUTORY ENDORSEMENT The Other Insurance Condition is amended to include the following additional provision: When required by written contract or agreement, the insurance provided by this policy is primary insurance and we will not seek contribution from any other insurance available to the person or organization covered as additional insured hereunder unless the other insurance is provided by a contractor, other than you, for the same operations and job location. This endorsement does not change any other provision of the policy. Endurance American Insurance Company Page I of I EXL 1351 0817 Policy #EXC30000870000 WAIVER OF SUBROGATION THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. We agree to waive our right of subrogation against any person or organization to whom or to which you are obligated, prior to any loss, by an "insured contract" to provide such a waiver, but only with respect to "your work", "your product" or facilities owned or used by you. This endorsement does not change any other provision of the policy. Endurance American Insurance Company Page 1 of 1 EXL 6092 08 I 3 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT -BLANKET WC 9906 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 this agreement from us). The additional premium for this endorsement shall be 3 % of the total California Workers' Compensation premium otherwise due. Person or Organization ANY PERSON/ORGANIZATION WHEN REQUIRED BY WRITTEN CONTRACT Schedule Job Description ALL CALIFORNIA OPERATIONS 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.) Endorsement Effective 11/29/2018 Policy No. WSA 5044686 00 Insured CEN-PAC ENGINEERING INC Insurance Company INSURANCE COMPANY OF THE WEST Endorsement No. Premium $ INCL. Countersigned By _____________ _ WC 9906 34 (Ed. 8-00) INSURED Named Insured Endorsement Number Cen-Pac Engineering, Inc Policy Symbol I Policy Number I Policy Period Effective Date of Endorsement CPW G7146684A 001 12/03/2018 to 12/03/2019 12/03/2018 Issued By (Name of Insurance Company) Westchester Surplus Lines Insurance Company Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED ENDORSEMENT OWNERS, LESSEES OR CONTRACTORS-SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE CONTRACTOR'S POLLUTION LIABILITY COVERAGE SCHEDULE: Name of Person or Organization: Any person or organization that is an owner of real property or personal property on which you are performing operations, or a contractor on whose behalf you are performing operations, and only at the specific written request of such person or organization to you, wherein such request is made prior to commencement of operations. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. SECTION II -WHO IS AN INSURED is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations performed for that insured. B. With respect to the insurance afforded to these additional insureds, the following exclusion is added: 2. Exclusions This insurance does not apply to bodily injury or property damage occurring after: (1) All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the site of the covered operations has been completed; or (2) That portion of your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. ENV-3100 (08-04) Includes copyrighted material of Insurance Services Office, Inc. with its permission Page 1 of 1 Named Insured Endorsement Number Cen-Pac Engineering, Inc Policy Symbol I Policy Number I Policy Period Effective Date of Endorsement CPW G7146684A 001 12/03/2018 to 12/03/2019 12/03/2018 Issued By (Name of Insurance Company) Westchester Surplus Lines Insurance Company Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED ENDORSEMENT -OWNERS, LESSEES OR CONTRACTORS (PRIMARY AND NON-CONTRIBUTORY) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE CONTRACTOR'S POLLUTION LIABILITY COVERAGE SCHEDULE: Name of Person or Organization: Any person or organization that is an owner of real property or personal property on which you are performing operations, or a contractor on whose behalf you are performing operations, and only at the specific written request of such person or organization to you, wherein such request is made prior to commencement of operations. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) SECTION II -WHO IS AN INSURED is amended to include: A. SECTION II -WHO IS AN INSURED is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations performed for that insured. B. With respect to the insurance afforded to these additional insureds, the following exclusion is added: 2. Exclusions This insurance does not apply to bodily injury or property damage occurring after: (1) All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the site of the covered operations has been completed; or (2) That portion of your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. The coverage provided hereunder shall be primary and not contributing with any other insurance available to those designated above under any other third party liability policy. ENV-3101 (08-04) Includes copyrighted material of Insurance Services Office, Inc. with its permission Page 1 of 1 Named Insured Endorsement Number Cen-Pac Engineering, Inc Policy Symbol I Policy Number I Policy Period Effective Date of Endorsement CPW G7146684A 001 12/03/2018 to 12/03/2019 12/03/2018 Issued By (Name of Insurance Company) Westchester Surplus Lines Insurance Company Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any person or organization that is an owner of real property or personal property on which you are performing operations, or a contractor on whose behalf you are performing operations, and only at the specific written request of such person or organization to you, wherein such request is made prior to commencement of operations. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition 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 above because of payments we make for injury or damage arising out of your ongoing operations or your work done under a contract with that person or organization and included in the products-completed operations hazard. This waiver applies only to the person or organization shown in the Schedule above. All other terms and conditions remain the same. ENV-3143 (03-05) Includes copyrighted material of Insurance Services Office, Inc. with its permission Page 1 of 1 Lloyd's -Company Profile -Best's Credit Rating Center Lloyd's A.M.Best#:085202 Domiciliary Address One Lime Street London EC3M ?HA, United Kingdom Web: www.lloyds.com Phone: 44-207-327-1000 Fax: 44-207-327-5211 AIIN #: AA 1122000 Best's Credit Ratings Financial Strength Rating View Definition Rating: A (Excellent) Financial Size Category: XV ($2 Billion or greater) Outlook: Stable Action: Effective Date: Initial Rating Date: Affirmed July 12, 2018 October 01, 1997 Long-Term Issuer Credit Rating View Definition Long-Term: Outlook: Action: Effective Date: a+ Stable Affirmed July 12, 2018 Page 1 of 5 Financial llnlng91 Ratin•i ~ A EIQ,llllnt Assigned to insurance companies that have, in our opinion, an excellent ability to meet their ongoing insurance obligations. View additional news, reports and products for this company. http://ratings.ambest.com/CompanyProfile.aspx?ambnum=85202&URatingid=2503 l l 2&b... 12/5/2018 Lloyd's -Company Profile -Best's Credit Rating Center Initial Rating Date: August 12, 2004 u Denotes Under Review Best's Rating AMB Rating Unit Note: This data record represents an AMB Rating Unit and the following Best's Credit Ratings are based on the consolidated financials assigned to this record. Page 2 of 5 AMB# 078649 095926 Company Name Best's FSR Best's ICR Lloyd's Insurance Company (China) Ltd Lloyd's Insurance Company S.A. Best's Credit Rating Analyst Rating Issued by: A.M. Best Europe -Rating Services Ltd. Director-Analytics: Mathilde Jakobsen Senior Director-Analytics: Catherine Thomas Disclosure Information Disclosure Information Form View A.M. Best's Rating Disclosure Form Press Release A A a+ a+ A.M. Best Assigns Credit Ratings to Lloyd's Insurance Company SA; Affirms Credit Ratings of Lloyd's July 12, 2018 Rating History A.M. Best has provided ratings & analysis on this company since 1997. Financial Strength Rating http:/ /ratings.ambest.com/CompanyProfile.aspx?ambnum=85202&URatingld=2503 l 12&b... 12/5/2018 Lloyd's -Company Profile -Best's Credit Rating Center Effective DateRating 7/12/2018 A 7/20/2017 A 7/21/2016 A 7/22/2015 A 7/24/2014 A 7/19/2013 A Long-Term Issuer Credit Rating Effective DateRating 7/12/2018 a+ 7/20/2017 a+ 7/21/2016 a+ 7/22/2015 a+ 7/24/2014 a+ 7/19/2013 a+ Related Financial and Analytical Data The following links provide access to related data records that A.M. Best utilizes to provide financial and analytical data on a consolidated or branch basis. ~MB # Company Name Company Description ~87100 Lloyds Underwriters Represents the Property/Casualty financials for the Canada CAB Branch of this legal entity. Best's Credit Reports Page 3 of 5 ,J.:: .. _ Best's Credit Report -Where applicable, includes Best's Financial Strength Rating and \_ r rationale along with comprehensive analytical commentary, detailed business overview and key financial data. Report Revision Date: 8/3/2018 (represents the latest significant change). '-I..::.. Historical Reports are available in Best's Credit Report Archive. \ . ' . ·--! http:/ /ratings.ambest.com/CompanyProfile.aspx?ambnum=85202&URatingld=25031 l 2&b... 12/5/2018 Lloyd's -Company Profile -Best's Credit Rating Center View additional news, reports and products for this company. Press Releases A.M. Best Revises Outlooks to Negative for Labuan Reinsurance (L) Ltd A.M. Best Assigns Credit Ratings to Folgate Insurance Company Limited A.M. Best Affirms Credit Ratings of Ascot Reinsurance Company Limited A.M. Best Affirms Credit Ratings of Armour Secure Insurance S.A. de C.V. A.M. Best Affirms Credit Ratings of Members of ProSight Specialty Group A.M. Best Affirms Credit Ratings of Lloyd's Syndicate 2010 A.M. Best Affirms Credit Ratings of Lloyd's Syndicate 33 A.M. Best Affirms Credit Ratings of Lloyd's Syndicate 510 Page 4 of 5 Nov 29, 2018 Nov 21, 2018 Nov 09, 2018 Nov 02, 2018 Nov 01, 2018 Sep 21, 2018 Sep 21, 2018 Sep 21, 2018 Sep 14, 2018 A.M. Best Comments on Credit Ratings of The Hanover Insurance Group, Inc. Following Announced Sale of Certain Int'I Subs. Sep 07, 2018 A.M. Best Affirms Credit Ratings of Lloyd's Syndicate 2001 1 2 3 4 5 6 7 8 9 10 ... Page size: 10 Find a Best's Credit Rating Enter a Company Name Advanced Search European Union Disclosures How to Geta Best's Credit Rating Best's Credit Ratings @ Mobile App 175 items in 18 pages A.M. Best -Europe Rating Services Limited (AMBERS), a subsidiary of A.M. Best Rating Services, Inc., is an External Credit Assessment Institution (ECAI) in the European Union (EU). Therefore, Credit Ratings issued and endorsed by AMBERS may be used for regulatory purposes in the EU as per Directive 2006/48/EC. A.M. Best (EU) Rating Services B.V. (AMB-EU), a subsidiary of A.M. Best Rating Services, Inc., is an External Credit Assessment (ECAI) in the EU. Therefore, credit ratings issued and endorsed by AMB-EU may be used for regulatory purposes in the EU as per Directive 2006/48/EC. http://ratings.ambest.com/CompanyProfile.aspx?ambnum=85202&URatingid=25031 l 2&b... 12/5/2018 Lloyd's -Company Profile -Best's Credit Rating Center Page 5 of 5 Australian Disclosures A.M. Best Asia-Pacific Limited (AMBAP), Australian Registered Body Number (ARBN No.150375287), is a limited liability company incorporated and domiciled in Hong Kong. AMBAP is a wholesale Australian Financial Services (AFS) Licence holder (AFS No. 411055) under the Corporations Act 2001. Credit ratings emanating from AMBAP are not intended for and must not be distributed to any person in Australia other than a wholesale client as defined in Chapter 7 of the Corporations Act. AMBAP does not authorize its Credit Ratings to be disseminated by a third-party in a manner that could reasonably be regarded as being intended to influence a retail client in making a decision in relation to a particular product or class of financial product. AMBAP Credit Ratings are intended for wholesale clients only, as defined. Credit Ratings determined and disseminated by AMBAP are the opinion of AMBAP only and not any specific credit analyst. AMBAP Credit Ratings are statements of opinion and not statements of fact. They are not recommendations to buy, hold or sell any securities or any other form of financial product, including insurance policies and are not a recommendation to be used to make investment /purchasing decisions. Important Notice: A.M. 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Best Company, Inc. and/or its affiliates ALL RIGHTS RESERVED. http:/ /ratings.ambest.com/CompanyProfile.aspx?ambnum=85202&URatingld=2503 l l 2&b... 12/5/';,018 Policy ACP3008876980 IL 70 02 0911 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULL V. ADVANCE NOTICE OF CANCELLATION, NONRENEWAL OR COVERAGE REDUCTION OR RESTRICTION PROVIDED BY US This endorsement modifies insurance provided under the following: COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL CRIME COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART COMMERCIAL UMBRELLA LIABILITY POLICY FARM UMBRELLA LIABILITY POLICY LIQUOR LIABILITY COVERAGE PART MERCANTILE UMBRELLA LIABILITY POLICY Person(s) or Organization(s) City of Carlsbad/CMWD c/o EXIGIS Insurance Compliance Services 30 Number of Days Notice ___ _ SCHEDULE Address P .0. Box 4668 -ECM #35050 New York, NV 10163-4668 If this policy is cancelled (other than nonpayment of premium) or nonrenewed or if the coverage provided by this policy is reduced or restricted (except for any reduction in the Limits of Insurance due to claims payments), we will provide written notice to the person(s) or organization(s) listed in the Schedule. We will provide this notice by mail 30 days in advance of any policy cancellation, nonrenewal or coverage reduc- tion or restriction or as indicated in the Number of Days Notice in the Schedule. All terms and conditions of this policy apply unless modified by this endorsement. IL 70 02 0911 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1