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HomeMy WebLinkAboutCosco Fire Protection Inc; 2020-08-26; PWM21-1168FACDocuSign Envelope ID: 74415A6A-FEC6-4596-85D1-E28AF0B8EE58 August26th DocuSign Envelope ID: 74415A6A-FEC6-4596-85D1-E28AF0B8EE58 DocuSign Envelope ID: 74415A6A-FEC6-4596-85D1-E28AF0B8EE58 DocuSign Envelope ID: 74415A6A-FEC6-4596-85D1-E28AF0B8EE58 DocuSign Envelope ID: 74415A6A-FEC6-4596-85D1-E28AF0B8EE58 DocuSign Envelope ID: 74415A6A-FEC6-4596-85D1-E28AF0B8EE58 DocuSign Envelope ID: 74415A6A-FEC6-4596-85D1-E28AF0B8EE58 PWM21-1168FAC -Exhibit "B" continued Exclusions: •Fire Protection Engineer.•Working in areas with hazardous material, as defined by OSHA.•Working ove1time, afterhours, during holidays, or weekends.•Any work associated with fire hose cabinets, Knox box, and extingt1ishers.•Fire watch if required.•Draining fire sprinkler system by any other means than what existing conditions allow.•Upgrades or modifications to the existing overhead fire sprinkler system for the additional pressure loss of thenew RPDA backflow.•Soil compaction testing.•Disinfection of fire sprinkler system.•Removal of large bush at corner of building where underground piping enters building.•Repair or replacing landscape.•Removing or resetting boulders.•Backflow security cage.•Trenching deeper than 5' below grade. Backflow Bid: Total (Senior Center Buildiug);_ $39,716.00 $45,370.00 l, Fire Alarm Bid:$5,654.00 Thank you for the opportunity to provide this quotation. This quote is valid for 30 days. Sincerely, �1/(o Page 8 of 10 DocuSign Envelope ID: 74415A6A-FEC6-4596-85D1-E28AF0B8EE58 DocuSign Envelope ID: 74415A6A-FEC6-4596-85D1-E28AF0B8EE58 DocuSign Envelope ID: 74415A6A-FEC6-4596-85D1-E28AF0B8EE58 DocuSign Envelope ID: 74415A6A-FEC6-4596-85D1-E28AF0B8EE58 DocuSign Envelope ID: 74415A6A-FEC6-4596-85D1-E28AF0B8EE58 -@ DATE (MM/DD/YYYY:ACORD CERTIFICATE OF LIABILITY INSURANCE ‘a8 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),AUTHORIZEDREPRESENTATIVEORPRODUCER,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 CONTACTMarshUSAInc.NA FAXg“6 Ottawa Avenue NW {ACNo,Ext):i (AIC,No): uleGrand Rapids,Ml 49503 ADDRESS:Attn:grandrapids.certrequest@marsh.com INSURER(S)AFFORDING COVERAGE NAIC # CN108159189-MX-GAW-20-21 SDiego INSURERA :HDI Global insurance Company 41343INSURED0FireProtection,Inc INSURER :ACE American Insurance Company 22667 4990 Greencraig Lane INSURER C :N/A NIASanDiego,CA 92123 INSURER D: INSURER : ,INSURER :COVERAGES CERTIFICATE NUMBER:CHI-009209689-03 REVISION NUMBER:3 THIS iS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATEMAYBEISSUEDORMAYPERTAIN,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 REDUCEDBYPAID CLAIMS. INSR ADDL|SUBR|POLICY EFF POLICY EXPLTRTYPEOFINSURANCEINSDwvpPOLICYNUMBER(MM/DDIYYYY)|(MM/DDIYYYY)LIMITSAXCOMMERGIALGENERALLIABILITYX'GLD1447203 01/01/2020 01/01/2021 EACH.OCCURRENCE $2,000,000DAMAGETORENTEDCLAIMS-MADE OCCUR PREMISES(Ea occurrence)$1,000,000 MED EXP (Any one person)$10,000 PERSONAL&ADVINJURY $2,000,000 GEN'L AGGREGATE LIMITAPPLIES PER:GENERALAGGREGATE $2,000,000 POLICY [x 58aESr [|vLoc PRODUCTS -COMP/OP AGG|$2,000,000 OTHER:$COMBINED SINGLE LIMITBAUTOMOBILELIABILITYISAH2528956001/01/2020 |01/01/2021 FONMent)$1,000,000 X ANY AUTO BODILY INJURY (Per person)$OWNED SCHEDULED 5ONDONLY|ScHeD BODILY INJURY(Peraccident)$ X HIRED X NON-OWNED PROPERTY DAMAGE $“|AUTOS ONLY AUTOS ONLY (Per accident)$ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED ||RETENTION $$B [WORKERSCOMPENSATION X |WLRC66042492 01/01/2020 101/01/2027 x |PERTE ||grANDEMPLOYERS'LIABILITY YIN Includes Stop GANYPROPRIETOR/PARTNER/EXECUTIVE cludes stop Gap E.L.EACHACCIDENT $1,000,000OFFICER/MEMBER EXCLUDED?NIA(Mandatory in NH)E.L.DISEASE -EA EMPLOYEE|$1,000,000ifyes,describe under 1,000,000DESGRIPTIONOFOPERATIONSbelowE.L.DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS /VEHICLES (ACORD101,Additional Remarks Schedule,may be attached if more spaceis required) Re:All Operations City of Carlsbadis/are included as additional insuredwhere required by written contract with respect to GeneralLiability.This insurance is primary and non-contributoryoverany existing insurance andlimited to liability arising out of the operations ofthe namedinsured subjectto policy terms and conditions.Waiver ofsubrogation is applicable where required by written contractand subjectto policyterms and conditions. CERTIFICATE HOLDER CANCELLATION City of Carisbad/CMWD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFOREcloEXIGISInsuranceComplianceServicesTHEEXPIRATIONDATETHEREOF,NOTICE WILL BE DELIVERED INPOBox4668-ECM#35050 ACCORDANCEWITH THEPOLICY PROVISIONS.New York,NY 10163-4468 AUTHORIZEDREPRESENTATIVEofMarshUSAInc. Scott Pell oeOe ©1988-2016 ACORD CORPORATION.All rights reserved. ACORD25(2016/03)The ACORD nameand logoare registered marks of ACORD POLICY NUMBER GLD 1447203 HDI GLOBAL INSURANCE COMPANY IL At 4001 (06 11) THIS ENDORSEMENT CHANGESTHE POLICY.PLEASE READ IT CAREFULLY. NAMED INSURED ENDORSEMENT The Named Insured is amended to read as follows: MX HOLDINGS,US INC.MINIMAX FIRE SOLUTIONS,INC.COSCO FIRE PROTECTION,INC.FLAMEX,INC.CEP,INC..MINIMAX CHINA FIRE PROTECTION SYSTEM,INC.LIMITEDFIRETROLPROTECTIONSYSTEMSCO.,CFP FIRE PROTECTION SYSTEMS,INC.DBA ARIZONA FIRE AND SECURITYKLISTER,LLC.FIRE CALL,INC.FIRETROL PROTECTION SYSTEMS,INC.FIRETROL PROTECTION SYSTEMS,INC D/B/A ARIZONA FIRE &SECURITYPREDOMONTSOUND&SIGNAL,INC.CFP FIRE PROTECTION,INC. All other terms and conditions remain the same. THIS ENDORSEMENT MUST BE ATTACHED TO A CHANGE ENDORSEMENT WHEN ISSUED AFTER THE POLICY IS WRITTEN. Page 1 of 1 IL Al 4004 (06 11) Neer Agent NameAgentNo. HDI Global Insurance Company Named Insured MX HOLDINGS US, ENDORSEMENT INC. MARSH USA INC.OF MI (GRAP)POQ2082030 | “Policy Number GLD1447203 Effective Date:01-01-20 12:01 A.M.,Standard Time This Endorsement Changes The Policy.Please ReadIt Carefully. BLANKET ADDITIONAL INSURED -OWNERS,LESSEES ORCONTRACTORS-SCHEDULED PERSON OR ORGANIZATIONCG20101001VERSION AS PER THE WRITTEN CONTRACT (IF NO ENTRY APPEARS ABOVE,INFORMATION REQUIRED TO COMPLETE THISENDORSEMENTWILLBESHOWNINTHEDECLARATIONSASAPPLICABLETOTHISENDORSEMENT.) A.SECTION ll —WHO IS AN INSURED [S AMENDED TO INCLUDEASANINSUREDTHEPERSONORORGANIZATIONSHOWNINTHE SCHEDULE,BUTONLYWITHRESPECTTOLIABILITYARISINGOUTOFYOURONGOINGOPERATIONSPERFORMEDFORTHATINSURED.B.WITH RESPECT TO THE INSURANCE AFFORDED TO THESEADDITIONALINSUREDS,THE FOLLOWING EXCLUSION IS ADDED:2.EXCLUSIONSTHISINSURANCE DOES NOT APPLY TO “BODILY INJURY"OR "PROPERTY DAMAGE”OCCURRING AFTER: (1)ALL WORK,INCLUDING MATERIALS,PARTS OR EQUIPMENTFURNISHEDINCONNECTIONWITHSUCHWORK,ON THE PROJECT (OTHER THANSERVICE,MAINTENANCE OR REPAIRS)TO BE PERFORMED BY OR ON BEHALF OFTHEADDITIONALINSURED(S)AT THE SITE OF THE COVERED OPERATIONS HASBEENCOMPLETED;OR(2)THAT PORTION OF "YOUR WORK”OUT OF WHICH THE INJURYORDAMAGEARISESHASBEENPUTTOITSINTENDEDUSEBYANY PERSON ORORGANIZATIONOTHERTHANANOTHERCONTRACTORORSUBCONTRACTORENGAGEDINCERECRMINGOPERATIONSFORAPRINCIPALASAPARTOFTHESAME MAN-GL (01/02) eee Policy Number GLD1447203 ENDORSEMENT ,HDI Global Insurance Company Named insured MX HOLDINGS US,INC.Effective Date:01-01-20 12:01 A.M.,Standard Time Agent Name MARSH USA INC.OF MI (GRAP)Agent No.P02082030 This Endorsement Changes The Policy.Please Read it Carefully. BLANKET ADDITIONAL INSURED -OWNERS,LESSEES,ORCONTRACTORS-COMPLETED OPERATIONSCG20371001 AS PER THE WRITTEN CONTRACT (IF NO ENTRY APPEARS ABOVE,INFORMATION REQUIRED TO COMPLETETHISENDORSEMENTWILLBESHOWNINTHEDECLARATIONSASAPPLICABLETOTHISENDORSEMENT.) SECTION Ii —WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN INSUREDTHEPERSONORORGANIZATIONSHOWNINTHESCHEDULE,BUT ONLY WITHRESPECTTOLIABILITYARISINGOUTOF"YOUR WORK"AT THE LOCATIONDESIGNATEDANDDESCRIBEDINTHESCHEDULEOFTHISENDORSEMENTPERFORMEDFORTHATINSUREDANDINCLUDEDINTHE"PRODUCTS-COMPLETEDOPERATIONSHAZ-ARD". MAN-GL(01/02) Le ———————— Workers’Compensation and Employers’Liability Policy Named insured Endorsement NumberMXHOLDINGSUS,INC. 153 TECHNOLOGY DRIVE SUITE 200 Policy Number IRVINE CA = 92618 Symbol:WLR Number:C66042492 Policy Period Effective Date of Endorsement01-01-2020 TO 01-01-2021 01-01-2020 Issued By (Name of Insurance Company)ACE AMERICAN INSURANCE COMPANY Insert the policy number.The remainder of the information is to be completed onlywhen this endorsementis issued subsequent to the preparation of the policy. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSENENT 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 theextentthatyouperformworkunderawrittencontractthatrequiresyoutoobtainthisagreementfromus. This agreement shail not operate directly or indirectly to benefit any one not named in the Schedule. Schedule ANY PERSON OR ORGANIZATION AGAINST WHOM YOU HAVE AGREED TO WAIVE YOUR RIGHT OF RECOVERYINAWRITTENCONTRACT,PROVIDED SUCH CONTRACT WAS EXECUTED PRIOR TO THE DATE OF LOSS. For the states of CA,UT,TX,refer to state specific endorsements. This endorsementis not applicable in KY,NH,and NJ. The endorsement does not apply to policies in Missouri where the employeris in the construction group of code classifications.According to Section 287.150(6)of the Missouri statutes,a contractual provision purporting to waive subrogation rights against public policy and void where one party to the contract is an employerin the construction group of codeclassifications. For Kansas,use of this endorsementis limited by the Kansas Fairness in Private Construction Contract Act(K.S.A.. 16-1801 through 16-1807 and any amendments thereto)and the Kansas Fairness in Public Construction Contract Act(K.S.A 16-1901 through 16-1908 and any amendments thereto).According to the Acts a provision in a contract for private or public construction purporting to waive subrogation rights for losses or claims covered or paid by liability or workers compensation insurance shall be against public policy and shall be void and unenforceable except that,subject to the Acts,a contract may require waiver of subrogation for losses or claims paid by a consolidated or wrap-up insurance program. Authorized Representative WC 00 03 13 (11/05)Ptd.U.S.A.Copyright 1982-83,National Council on Compensation Workers’Compensation and Employers’Liability Policy Named Insured Endorsement Number MX HOLDINGS US,INC.153 TECHNOLOGY DRIVE SUITE 200 Policy Number Policy Period Effective Date of Endorsement01-01-2020 TO 01-01-2021 01-01-2020 Issued By (Nameof Insurance Company)|ACE AMERICAN INSURANCE COMPANYInsertthepolicynumber.The remainderof the informationis to be completed only whenthis endorsementis issuedsubsequent to the preparation ofthe policy. CALIFORNIA WAIVER OF.OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement applies only to the insurance provided by the policy because California is shown in Item 3.A.of the Information Page. Wehave 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,but this waiver applies only with respect to bodily injury arising out of the operations described in the Schedule,where you are required by a written contract to obtain this waiver from us. You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the , work described in the Schedule. Schedule 1.()Specific Waiver Nameof person or organization: (X )Blanket WaiverAnypersonor organization for whom the Named Insured has agreed by written contract to furnish this waiver. 2.Operations: ALL OPERATIONS CONDUCTED BY AN INSURED PURSUANT TO SUCH WRITTEN CONTRACT 3.Premium: The premium chargefor this endorsement shall be 1.0 percentof the California premium developed on payroll in connection with work performed for the above person(s)or organization(s)arising out of the operations described. 4.Minimum Premium:$9 Authorized Representative WC90 03 75 (05/18)