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HomeMy WebLinkAboutPlanes Boats and Automobiles LTD dba PBA LTD; 2020-11-12; PWM21-1308TRANPW M21-13081 RAN CITY OF CARLSBAD MINOR PUBLIC WORKS CONTRACT MERWIN DRIVE OUTFALL MODIFICATION; CONT. NO. 6624 This agreement is made on the t7,-& day of ov evAlvi , 2020, by the City of Carlsbad, California, a municipal corporation, (hereinafter called "City"), and Planes, Boats & Automobiles Ltd., a California corporation, dba PBA LTD., whose principal place of business is 2029 E. Mission, Escondido, CA 92027 (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: Daniel ZimnV (City Project Manager) PAYMENT. The City shall withhold retention as required by Public Contract Code Section 9203. WAGE RATES. The general prevailing rate of wages for each craft or type of worker needed to execute the Contract shall be those as determined by the Director of Industrial Relations pursuant to Sections 1770, 1773 and 1773.1 of the Labor Code. Pursuant to Section 1773.2 of the Labor Code, a current copy of the applicable wage rates is on file in the Office of the City Engineer. Contractor shall not pay less than the said specified prevailing rates of wages to all workers employed by him or her in execution of the Contract. Contractor shall be responsible for insuring compliance with provisions of section 1777.5 of the Labor Code and section 4100 et seq. of the Public Contracts Code, "Subletting and Subcontracting Fair Practices Act." The City Engineer is the City's "duly authorized officer" for the purposes of section 4107 and 4107.5. The provisions of Part 7, Chapter 1, of the Labor Code commencing with section 1720 shall apply to the Contract for work. A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, unless currently registered and qualified to perform public work pursuant to Section 1725.5. This project is subject to compliance monitoring and enforcement by the Department of Industrial Relations. 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. MERWIN DRIVE OUTFALL MODIFICATION CONT. NO. 6624 Page 1 of 8 City Attorney Approved 1/20/2020 PWM21 -1 308TRAN 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 subco actor from participating in contract bidding. Signature: Print Name: Lvviy 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. MERWIN DRIVE OUTFALL MODIFICATION CONT. NO. 6624 Page 2 of 8 City Attorney Approved 1/20/2020 PWM21 -1 308TRAN 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 ten (10) 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. PBA LTD. 2029 E. Mission Ave. (name of Contractor) 816826 (street address) Escondido, CA 92027 (Contractor's license number) A & B- 1 /31 /21 (city/state/zip) 760-801-5238 (license class, and exp. date) 1000018273 (telephone no.) 760-729-7913 (DIR registration number) 6/30/22 (fax no.) kevin.pbalimited@gmail.com (DIR registration exp. date) (e-mail address) MERWIN DRIVE OUTFALL MODIFICATION CONT. NO. 6624 Page 3 of 8 City Attorney Approved 1/20/2020 CITY OF CARLSBAD, a municipal corporation of the State of California By: Paz Go z, Deputy City Ma Works, authorized by er, Public ty Manager By: (sign here) (sign here) By: PW M2 1-1 308T RAN 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 Planes Boats and Automobiles, Ltd., a California corporation, dba PBA LTD k(zotv-J ZoLigi VP (print name/title) tic Zokei—ly Eec_ (print name/title) If required by City, proper notarial acknowledgment of execution by Contractor must be attached. If a corporation, Agreement must be signed by one corporate officer from each of the following two groups: Group A Group B Chairman, Secretary, President, or Assistant Secretary, Vice-President CFO or Assistant Treasurer Otherwise, the corporation must attach a resolution certified by the secretary or assistant secretary under corporate seal empowering the officer(s) signing to bind the corporation. APPROVED AS TO FORM: CELIA A. EW R, City Attorney BY: Assistant City Attorney MERWIN DRIVE OUTFALL MODIFICATION CONT. NO. 6624 Page 4 of 8 City Attorney Approved 1/20/2020 WITNESS my fficial seal. Signatu gnature of Notary Public CALITT ACKNO EL C...:1,1, CIVIL CODE § 1189 • •,..1`,Ifi~i.•41. ,'•;.:.f•-,Xt.-1•9-1043.147"-te,.`,4.•_..r.,,,,k•le.7:Wroe•Zleit,•,i,W,Atai.l.,/ti"1•ViWRI.s•tall•tARC/Eri-s,•/.WFW,i.it•Ifkr... 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. On Date personally personally appeared klAtr14. Here Insert Name and Title of the Officer l*J!J19-a14740t7 - N am e(0 of Signer( State of California County of Pieei d before me, who proved to me on the basis of satisfactory evidence to be the person(s) whose name(g) is/ete subscribed to the within instrument and acknowledged to me that he/se/thy executed the same in his/her/their authorized capacity(ies), and that by his/hefgtheir signature(on the instrument the person), or the entity upon behalf of which the person(g) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. ribdbisogike•oauuaia•aamllboo"k°"'I DAREN VASS NOTARY PUI3UC-CAUFORNIA COMM, #2264054 SAIMAS SAN DIEGO COUNTY 4ir "r13% My Comm. Expires Movembet 21,2022 Place Notaty Seal Above 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 ITitle or Type of Document: Me ocument Date: 1°1314) ir WV-5 Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: El Corporate Officer - Title(s): 0 Corporate Officer - Title(s): CI Partner - 111 Limited El General CI Partner - El Limited El General C7 Individual CI Attorney in Fact 0 Individual 0 Attorney in Fact ElTrustee CI Guardian or Conservator CI Trustee El Guardian or Conservator Cl Other: 111 Other: Signer Is Representing: Signer Is Representing: \ \ 1,4 \ L.,'4\1•44,&4\,,,AWIs&"4",, \ \ <Y,•: f‘Va,":\ ©2014 National National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 PWM21-I308TRAN EXHIBIT A LISTING OF SUBCONTRACTORS BY GENERAL CONTRACTOR Set forth below is the full name and location of the place of business of each sub-contractor whom the Contractor proposes to subcontract portions of the Project in excess of one-half of one percent of the total bid, and the portion of the Project which will be done by each sub-contractor for each subcontract. NOTE: The Contractor understands that if it fails to specify a sub-contractor for any portion of the Project to be performed under the contract in excess of one-half of one percent of the bid, the contractor shall be deemed to have agreed to perform such portion, and that the Contractor shall not be permitted to sublet or subcontract that portion of the work, except in cases of public emergency or necessity, and then only after a finding, reduced in writing as a public record of the Awarding Authority, setting forth the facts constituting the emergency or necessity in accordance with the provisions of the Subletting and Subcontracting Fair Practices Act (Section 4100 et seq. of the California Public Contract Code). If no subcontractors are to be employed on the project, enter the word "NONE." SUBCONTRACTORS Portion of Project to be Subcontracted Business Name and Address DIR Registration No. License No., Classification & Expiration Date % of Total Contract e.-- WO 10= _ Total % Subcontracted: The Contractor must perform no less than fifty percent (50%) of the work with its own forces. MERWIN DRIVE OUTFALL MODIFICATION CONT. NO. 6624 Page 5 of 8 City Attorney Approved 1/20/2020 PW M21 -1 308TRAN EXHIBIT B MERWIN DRIVE OUTFALL MODIFICATION CONTRACT NO. 6624 Merwin Drive Outfall Modification Plan Provided in Attachment B JOB QUOTATION ITEM NO. UNIT QTY DESCRIPTION , PRICE 1 LS 1 Raise existing D-Box, block off swale entrance, install two-12" SC 40 pipes from existing swale and install gravel swale. (See Attachment A) $58,800 TOTAL* $58,800 *Includes taxes, fees, expenses and all other costs. MERWIN DRIVE OUTFALL MODIFICATION CONT. NO. 6624 Page 6 of 8 City Attorney Approved 1/20/2020 Bond Number: UCSX372X3303 Premium: $1,911.00 PWM21-1308TRAN EXHIBIT C LABOR AND MATERIALS BOND WHEREAS, the City Council of the City of Carlsbad, State of California, has awarded to Planes Boats and Automobiles, LTD., a California corporation, dba PBA LTD (hereinafter designated as the "Principal"), a Contract for: MERWIN DRIVE OUTFALL MODIFICATION CONTRACT NO. 6624 in the City of Carlsbad, in strict 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 all of which are incorporated herein by this reference. WHEREAS, Principal has executed or is about to execute said Contract and the terms thereof require the furnishing of a bond, providing that if Principal or any of its subcontractors shall fail 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, PLANES, BOATS & AUTOMOBILES, LTD., dba PBA LTD, as Principal, (hereinafter designated as the "Contractor"), and United Surety Insurance Company as Surety, are held firmly bound unto the City of Carlsbad in the sum of fifty-eight thousand eight hundred dollars ($58,800), said sum 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, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH that if the Contractor or his/her subcontractors fail 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 California 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, withheld, 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 respect to the work and labor, that the Surety will pay for the same, and, also, in case suit is brought upon the bond, reasonable attorney's fees, to be fixed by the court consistent with California Civil Code section 9554. This bond shall inure to the benefit of any of the persons named in California Civil Code section 9100, so as to give a right of action to those persons or their assigns in any suit brought upon the bond. Surety stipulates and agrees that no change, extension of time, alteration or addition to 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. MERWIN DRIVE OUTFALL MODIFICATION CONT. NO. 6624 Page 7 of 8 City Attorney Approved 1/20/2020 PBA LTD (Princi (SEAL) By: (Signature) CELIA A. EWER City Attorney By: PWM21 -1 308TRAN In the event that Contractor is an individual, it is agreed that the death of any such Contractor shall not exonerate the Surety from its obligations under this bond. SIGNED AND SEALED, this 2nd day of November , 2020 ketio Ooneriy VP (Print Name & Title) United Surety Insurance Company (SEAL) (Surety) (Sig riture Kelly A. Specht, Attorney-in-Fact (Print Name & Title) By: (SEAL AND NOTARIAL ACKNOWLEDGEMENT OF SURETY — ATTACH ATTORNEY-IN-FACT CERTIFICATE) APPROVED AS TO FORM: Assist nt City Attorney MERWIN DRIVE OUTFALL MODIFICATION CONT. NO. 6624 Page 8 of 8 City Attorney Approved 1/20/2020 ' . .. .Si .. • hSi,Sc,-I,,- -1 ,,-, t California All-Purpose Certificate of Acknowledgment , 7: .. 7- .i. 1 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the ; 4 [ document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. 5 r(' ?. State of California _ s.s. - County of Orange -_-_ 5 On November 2, 2020 before me, Bethany Mercer, Notary Public , 5 Name of Notary Public, Iiil,f 5 3 personally appeared Kelly A. Specht 2 Hai 11: ,:i :;i•crlic,-,- ( I) ; ( 5 .. _ , who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) :E. . 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 PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is „ , BE-HAVY mERCER ± , true and correct. .,.'7/ _ ...,A , Noia-v pLb.,, - Caifornia - ; , Commission = 2207129 ES .aiFri .,..,nd official seal. " My COM17. Expi7es „L.: 27. 2021 • ..-- ,:aL..a. - • !; ii. =, - _ ' 'TIONAL ; • INFORMATION 5 Although the info mation in this section I not ,quired by law, it could prevent fraudulent removal and reattachment of T. this acknowledg ent to an unauthorize document and may prove useful to persons relying on the attached document. 5! : Descri.tion o Attached Docu ent ' .•• ; The preceding Ce ,, ificate of Acknow dgment is attached to a z \, ,. •( document titled/for e purpose • Method of Signer Identification Proved to me on the basis of satisfactory evidence: , Payment Bond#UCSX3 303 , 0 form(s) of identification El] credible witness(es) -.: = containing 2 pages, and dated November 2, 2020 . Notarial event is detailed in notary journal on: ; , Page # Entry # 7; F: The signer(s) capacity or authority is/are as: LI— Individual(s) Notary contact: : , X Attorney-in-fact 4, E Corporate Officer(s) Other_ , ; '.; 0 Additional Signer rj Signer(s) Thumbprints(s) I, , El Guardian/Conservator •,' ET; Partner - Limited/General 0 Trustee(s) - fri Other: 7. ---- ,- , . representing: 5 ,.. United Surety Insurance Company z = z , as,I,,. —, I 1:1,t,li NI , W:4444111 4 SI], ,4 1,444, I 44 Ai N•r., ....44.,441.1114,11 VI SI 1.,, I. I 4 •14.,4. r ,4 14.Nt , I 4, ALI,I. 4 I 0,1.1,104,11 I ., .1%,/, LI ) 4:411 51,51 IS,,1UI 1 4.NILMil © 2009-20'15 Notary Learning Center - All Rights Reserved You can purchase copies ol this form from our web site at www.TheNotarysSr.ore.corn ApP.E.‘"• • SEAL SEAL j SCAL J, . , " Corporate Seals THOMAS P. CARRIGAN, JR. Notary Public, Commonwealth of Massachusetts My Commission Expires October 31, 2025 SEAL • .2(10 A/61/444,44,&,. Corporate Seals Robert F. Thomas, Chief Operating Officer UNITED CASUALTY AND SURETY INSURANCE COMPANY US Casualty and Surety Insurance Company United Surety Insurance Company POWER OF ATTORNEY Agency No. 171372 KNOW ALL MEN BY THESE PRESENTS: That United Casualty and Surety Insurance Company, a corporation of the State of Nebraska, and US Casualty and Surety Insurance Company and United Surety Insurance Company, assumed names of United Casualty and Surety Insurance Company (collectively, the Companies), do by these presents make, constitute and appoint: Kelly A. Specht, Kandis Gregory, Richard P. Ford, Thomas C. Buckner, Michael Herranen, Bethany Mercer its true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above, with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver any and all bonds, recognizances, undertakings or other instruments or contracts of suretyship to include riders, amendments, and consents of surety. This Power of Attorney shall expire without further action on December 31", 2023. This Power of Attorney is granted under and by authority of the following resolutions adopted by the Board of Directors of the Companies at a meeting duly called and held on the 1" day of July, 1993: Resolved that the President, Treasurer, or Secretary be and they are hereby authorized and empowered to appoint Attorneys-in-Fact of the Company, in its name and as its acts to execute and acknowledge for and on its behalf as Surety any and all bonds, recognizances, contracts of indemnity, waivers of citation and all other writings obligatory in the nature thereof, with power to attach thereto the seal of the Company. Any such writings so executed by such Attorneys-in-Fact shall be binding upon the Company as if they had been duly executed and acknowledged by the regularly elected Officers of the Company in their own proper persons. That the signature of any officer authorized by Resolutions of this Board and the Company seal may be affixed by facsimile to any power of attorney or special power of attorney or certification of either given for the execution of any bond, undertaking, recognizance or other written obligation In the nature thereof; such signature and seal, when so used being hereby adopted by the Company as the original signature of such officer and the original seal of the Company, to be valid and binding upon the Company with the same force and effect as though manually affixed. IN WITNESS WHEREOF, the Companies have caused this instrument to be signed and their corporate seals to be hereunto affixed, this 1st day of August, 2019. UNITED CASUALTY AND SURETY INSURANCE COMPANY US Casualty and Surety Insurance Company United Surety Insurance Company 0 Joel R. Chachkes, Treasurer Commonwealth of Massachusetts County of Suffolk ss: On this 1st day of August, 2019, before me, Thomas P. Carrigan, Jr., a notary public, personally appeared Joel R. Chachkes, Treasurer of United Casualty and Surety Insurance Company, US Casualty and Surety Insurance Company and United Surety Insurance Company, who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person(s), or the entity on behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the Commonwealth of Massachusetts that the foregoing paragraph is true and correct. WITNESS my hand and seal (Seal) Thomas P. Carrigan, Jr., Notary P lic Commission Expires: 10/31/2025 I, Robert F. Thomas, Chief Operating Officer of United Casualty and Surety Insurance Company, US Casualty and Surety Insurance Company and United Surety Insurance Company do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney, executed by said Companies, which is still in full force and effect; furthermore, the resolutions of the Board of Directors, set out in the Power of Attorney are in full force and effect In Witness Whereof, I have hereunto set my hand and affixed the seals of said Companies at Boston, Massachusetts this day of TO CONFIRM AUTHENTICITY OF THIS BOND OR DOCUMENT EMAIL: CONFIRMBOND@UNITEDCASUALTY.COM WITNESS my hand apd official seal. Signature nature of Notary Public cp.LrrT7 [-J" 1"!' ALL -77777777 ACK1C7'11.ED H177 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 f County of '914 911A On before me, Date Here Insert Name and Title of the Officer personally appeared ILIPA! - Name(0 of Signer( who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/qte subscribed to the within instrument and acknowledged to me that he/se/thy executed the same in his/her/their authorized capacity(ies), and that by his/hef/their signature(Won the instrument the person(), or the entity upon behalf of which the person(g) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. trailliaama radmikSS COMM. 02264054 NOTARY PUBLIC-CALIFORNIA SAN DIEGO COUNTY My Comm. Expires November 21, 20U Place Notary Seal Above 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: 1,477.4-4 11*Kv"I1k"-c tO Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: 0 Corporate Officer - Title(s): 0 Partner - 0 Limited El General 0 Individual 0 Attorney in Fact 0 Trustee 0 Guardian or Conservator 0 Other: Signer Is Representing: Signer's Name: LI Corporate Officer - Title(s): 0 Partner - 0 Limited 0 General 0 Individual LI Attorney in Fact 0 Trustee Ei] Guardian or Conservator 0 Other: Signer Is Representing: AWK..S4W4S.VASY,4:St*:\ \ 10,4,4\ ty,-eNte3v.,0\ ©2014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 ATTACHMENT A CONTRACTOR'S PROPOSAL LTD PROPOSAL TO: FROM: Danny Zimny Kevin Doherty COMPANY: DATE: City of Carlsbad OCTOBER 20,2020 TO NO. OF PAGES INCLUDING COVER: Merwin Drive Improvements 2 PHONE NUMBER: RE: (760) 801-5238 City Wide Drain Improvements #6608 NOTES/COMMENTS: Scope of Work: Raise existing D-Box & Block off swale entrance Install 2— 12 inch SC 40 Drain pipes from existing swale to silting pond Install gravel swale No survey Water and penults by Carlsbad Total Labor <Prevailing wages>, equipment and materials = $58,800.00 DIR filing included Thank you, Xevin Doherty PBA, Ltd (760) 801-5238 2029 E. MISSION AVE, ESCONDIDO CA 92027 PH: 760/801-5238 LICENSE # 816826 /1S6, 436,6,/i, PROJECT SITE (MERWIN DRIVE STORM DRAIN IMPROVEMENTS) Ls(NcH CT LOCATION MAP NOT TO SCALE OCTOBER 2020 SHEET INDEX Title Sheet, Vicinity Map, and Location Map 1 Profile and Details 2 Plan 3 NOTE: CONTRACTOR SHALL LOCATE ALL EXISTING UTILITY VALVE BOXES, MANHOLES, VAULTS, SEWER CLEANOUTS, STORM DRAIN GRATES, INLETS AND SURVEY MONUMENT BOXES AND PROTECT IN PLACE. pima FIF. 0.*. hp Mt Palm IDA,. 2110400602600 0081100 ALM (800)422-4133 000000 (060) (119)547-2020 , MBE (GEE) (619)854-8626 1:)/ 11400 WARNER CABLE CORMUNICATIMIS (780)438-7741 i RT "AS BUILT" 111LE DATE P.E. EXP. AT&T (780)806-21339 COAL TOLL FREE STY Cf CARLSBAD (STREETS AND S1DF0/ DRAIN) (780)434-2980 0/f t.* . 1-800,22-01. 9 a IF...town: 11111 00 CARLSBAD (SR% (760)438-2720 MD (700)438-3891 UNDERGROLIRO SERVICE kLEAT OF SOOFFIERN MORAN, REVIEWED BY: INSPECTOR DATE SHEET I CITY OF CARLSBAD ENGINEERING DEPARTMENT SHEETS 3 MEN WIN DRIVE DRAINAGE IMPROVEMENTS TITLE SHEET, VICINITY MAP, AND LOCATION MAP Olnktaily srg ned br APPROVED HOSSEIN AJIDEH ....,,,,, ,, Hossern Alideh n.. mill -I .Or 10/27/20 ENGINEERING MANAGER PEC 75991 E10.1RA 6/30/22 DATE DAN BY AA_ PROJECT NO. 6608 DRAWING NO. *#-# DATE INMAL REVISION DESCRIPTION DATE INMAL DATE INITIAL CHKD BY: ,IF ENGINEER OF WORK OMR APPROVAL CITY APPROVAL RI/ND BY: ..02___ CONSTRUCTION PLANS FOR CITYWIDE DRAINAGE IMPROVEMENT PROGRAM - MER WIN DRIVE DRAINAGE IMPROVEMENTS - PROJECT NO. 6608 SAW4* Th : 411 vetimemPi FAN0Ay A MERVVIN DRIVE PROJECT SITE P tit *1 fl !Z, 11W14° VICINITY MAP NOT TO SCALE CITY OF CARLSBAD CARLSBAD, CALIFORNIA CITY COUNCIL MATT HALL -MAYOR KEITH BLACKBURN - MAYOR PRO-TEM PRIYA BHAT-PATEL - COUNCIL MEMBER CORI SCHUMACHER - COUNCIL MEMBER REFERENCE DRAWINGS: 1) 335-7A EVANS POINT GRADING PLANS (CT 91-3) 2) 363-3 KELLY RANCH VILLAGE E (CT 96-03) SCOTT CHADWICK CITY MANAGER EXISTING TYPE F CATCH BASIN 37.18' RIM INSTALL NEW OPENING ON EASTERN EDGE (37.3' 1E) PR ROCK SWALE FL 37.1' 33.29' FL IN 32.95' FL OUT INSTALL 18-IN STEEL PLATE (MANUFACTURED BY PIPELINE PRODUCTS OR APPROVED EQUIVALENT) (SEE STEEL PLATE DETAIL ON SHEET 2 OF THESE PLANS) PLY wgmermr-,42-‘,/7- PR MODIFIED CONCRETE TERMINUS (MATCH EX RIM) EX CONCRETE CHANNEL PR TRANSITION FROM CONCRETE CHANNEL TO 2-12" DIA. PVC PR 2-12" DIA. PVC CONCRETE ENCASEMENT 36.0' IE EXISTING OPENING ON SOUTHERN EDGE (36.06' 1E) TO BE SEALED WITH CONCRETE CX 18" R 4-h" HOLES FOR ANCHORS i" THICK BLIND FLANGE WITH 4-5/8" HOLES ROLLED i" PLATE TO FIT 18" OD CONCRETE PIPE STEEL PLATE DETAIL SCALE; 1" = 1 EXISTING GROUND i INSTALL LIGHT WEIGHT NON-WOVEN GEO TEXTILE FILTER FABRIC ROCK SWALE LAYER WITH 3" DIA. (MIN) ROCK LINING ROCK SWALE 3" THICK GRAVEL FILTER LAYER (SEE NOTE 4 BELOW) SCALE: 1" = 1' NOTES 1. ROCK LINING TO BE INSTALLED TO FORM A STABLE STRUCTURE WITH A MINIMUM OF VOIDS, AND EACH PLACED IN CONTACT VOTH ADJACENT ROCKS. 2. ROCK UNING SHALL BE SOUND, DENSE, ABS DURABLE ANGULAR ROCK WITH A MINIMUM SPECIFIC GRAVITY OF 2.6. 3. ROCK LINED CHANNELS LARGER THAN THE DIMENSIONS SHOWN, OR ON SLOPES STEEPER THAN 5% SHALL BE DESIGNED BY A CIVIL ENGINEER. 4. GRAVEL FILTER MATERIAL SHALL BE A MIXTURE OF CLEAN, WASHED SAND AND GRAVEL, COMPRISED OF MATERIALS LESS THAN 1 r DIA. IN SIZE. 5. FILTER FABRIC SHALL BE UGHT WEIGHT, NON—WOVEN GEOTECTLE LEGEND FIE/ ELEVATEN FL FLEW SHE RCP REINFORCED CONO2E1E PIPE EN EWING PR PROPOSED IE INVERT ELEVAllON —RAISE RIM OF TYPE F CATCH BASIN (PR RIM 38.43') GENERAL NOTES T. NO REVISIONS WILL BE MADE TO THESE PLANS WITHOUT THE WRITTEN APPROVAL OF THE CITY ENGINEER, NOTED WITHIN THE REVISION BLOCK, ON THE APPROPRIATE SHEET OF THE PLANS AND TITLE SHEET. EROSION CONTROL & STORMWATER MANAGEMENTS NOTES 1. IN CASE EMERGENCY WORK IS REQUIRED, CONTRACTOR WILL PROVIDE A CONTACT NAME & PHONE NUMBER BEFORE CONSTRUCTION COMMENCES. 2. ACCESS FOR FIRE AND OTHER EMERGENCY VEHICLES SHALL BE MAINTAINED TO THE PROJECT SITE AT ALL TIMES DURING CONSTRUCTION. 2. EQUIPMENT AND WORKERS FOR EMERGENCY WORK SHALL BE MADE AVAILABLE AT ALL TIMES DURING THE RAINY SEASON. ALL NECESSARY MATERIALS SHALL BE STOCKPILED ON SITE AT CONVENIENT LOCATIONS TO FACIUTATE RAPID CONSTRUCTION OF TEMPORARY DEVICES WHEN RAIN IS EMINENT. 3. THE CONTRACTOR SHALL CONFORM TO LABOR CODE SECTION 6705 BY SUBMITTING A DETAIL PLAN TO THE CITY ENGINEER AND/OR CONCERNED AGENCY SHOWING THE DESIGN OF SHORING, BRACING SLOPING OR OTHER PRONSIONS TO BE MADE OF WORKER PROTECTOR FROM THE HAZARD OF CAVING GROUND DURING THE EXCAVATION OF SUCH TRENCH OR TRENCHES OR DURING THE PIPE INSTALLATION THEREIN. THIS PLAN MUST BE PREPARED FOR ALL TRENCHES FIVE FEET (5') OR MORE IN DEPTH AND APPROVED BY THE CITY ENGINEER AND/OR CONCERNED AGENCY PRIOR TO EXCAVATION. IF THE PLAN VARIES FROM THE SHORING SYSTEM STANDARDS ESTABUSHED BY THE CONSTRUCTION SAFETY ORDERS, IITLE 8 CALIFORNIA ADMINISTRATIVE CODE, THE PLAN SHALL BE PREPARED BY A REGISTERED ENGINEER AT THE CONTRACTORS EXPENSE. A COPY OF THE OSHA EXCAVATION PERMIT MUST BE SUBMITTED TO THE INSPECTOR PRIOR TO EXCAVATION. 4. ALL OPERATIONS CONDUCTED ON THE SITE OR ADJACENT THERETO, INCLUDING WARMING UP, REPAIR, ARRIVAL, DEPARTURE OR OPERATION OF TRUCKS, EARTHMOVING EQUIPMENT, CONSTRUCTION EQUIPMENT AND ANY OTHER ASSOCIATED GRADING EQUIPMENT SHALL BE LIMITED TO THE PERIOD BETWEEN 8:00 A.M. AND 5:00 P.M. EACH DAY, MONDAY THRU FRIDAY AND NO EARTHMOVING OR GRADING OPERATIONS SHALL BE CONDUCTED ON WEEKENDS OR HOLIDAYS UNLESS APPROVED BY THE CITY ENGINEER. (A LIST OF CITY HOLIDAYS IS AVAILABLE AT THE ENGINEERING DEPARTMENT COUNTER.) 5. ALL OFF—SITE HAUL ROUTES SHALL BE SUBMITTED BY THE CONTRACTOR TO THE CITY ENGINEER FOR APPROVAL TWO FULL WORKING DAYS PRIOR TO BEGINNING OF WORK. THE CONTRACTOR SHALL BE RESPONSIBLE FOR ANY DEBRIS OR DAMAGE OCCURRING ALONG THE HAUL ROUTE OR ADJACENT STREETS AS A RESULT OF THE GRADING OPERATION. 6. THE EXISTENCE AND LOCATION OF UTILITY STRUCTURES AND FACIUTIES SHOWN ON THE CONSTRUCTION PLANS WERE OBTAINED BY A SEARCH OF THE AVAILABLE RECORDS. ATTENTION IS CALLED TO THE POSSIBLE EXISTENCE OF OTHER UTILITY FACILITES OR STRUCTURES NOT SHOWN OR IN A LOCATION DIFFERENT FROM THAT SHOWN ON THE PLANS. THE CONTRACTOR IS REQUIRED TO TAKE DUE PRECAUTIONARY MEASURES TO PROTECT THE UTILITIES SHOWN ON THE PLANS AND ANY OTHER EXISTING FACILITIES OR STRUCTURES NOT SHOWN. 7. THE CONTRACTOR SHALL VERIFY THE LOCATION OF ALL EXISTING FACILITIES (ABOVEGROUND AND UNDERGROUND) WITHIN THE PROJECT SITE SUFFICIENTLY AHEAD OF THE CONSTRUCTION TO PERMIT THE RENSIONS OF THE CONSTRUCTION PLANS IF IT IS FOUND THAT THE ACTUAL LOCATIONS ARE IN CONFLICT WITH THE PROPOSED WORK. B. THE CONTRACTOR SHALL NOTIFY AFFECTED UllUTY COMPANIES (SEE BELOW) AT LEAST TWO FULL. WORKING DAYS PRIOR TO STARTING CONSTRUCTION NEAR THEIR FACILITIES AND SHALL COORDINATE WORK WITH A COMPANY REPRESENTATIVE. N. SAWCUT ALL EDGEUNES WHEN EXCAVATING INTO EXISTING CONCRETE AND ASPHALT SURFACES. 3. THE CONTRACTOR SHALL RESTORE ALL EROSION CONTROL DEVICES TO WORKING ORDER TO THE SATISFACTION OF THE CITY ENGINEER Al- iLIP EACH RUN—OFF PRODUCING RAINFALL. 4. THE CONTRACTOR SHALL INSTALL ADDITIONAL EROSION CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY ENGINEER DUE TO UNCOMPLETED GRADING OPERATIONS OR UNFORESEEN CIRCUMSTANCES WHICH MAY ARISE. 5. THE CONTRACTOR SHALL BE RESPONSIBLE AND SHALL TAKE NECESSARY PRECAUTIONS TO PREVENT PUBLIC TRESPASS ONTO AREAS WHERE IMPOUNDED WATERS CREATE A HAZARDOUS CONDITION. 6. GRADED AREAS AROUND THE PROJECT PERIMETER MUST DRAIN AWAY FROM THE FACE OF THE SLOPE AT THE CONCLUSION OF EACH WORK DAY. 7. ALL REMOVABLE PROTECTIVE DEVICES SHALL BE IN PLACE AT THE END OF EACH WORKING DAY WHEN THE FIVE (5) DAY RAIN PROBABIUTY FORECAST EXCEEDS FORTY PERCENT (40%). SILT AND OTHER DEBRIS SHALL BE REMOVED AFTER EACH RAINFALL ON REQUEST, THE CONTRACTOR MUST PROVIDE PROOF OF THIS CAPABILITY THAT IS ACCEPTABLE TO THE CITY ENGINEER. N. ALL GRAVEL BAGS SHALL BE BURLAP TYPE WITH INCH MINIMUM AGGREGATE. B. MATERIAL NEEDED TO INSTALL STANDBY BMPs NECESSARY TO COMPLETELY PROTECT THE EXPOSED PORTIONS OF THE SITE FROM EROSION, AND TO PREVENT SEDIMENT DISCHARGES, MUST BE STORED ON SITE. AREAS THAT HAVE ALREADY BEEN PROTECTED FROM EROSION USING PHYSICAL STABIUZATON OR ESTABUSHED VEGETATION STABILIZATION BMPs AS DESCRIBED BELOW ARE NOT CONSIDERED TO BE "EXPOSED" FOR PURPOSES OF THIS REQUIREMENT. TO. DEPLOYMENT OF PHYSICAL OR VEGETATION EROSION CONTROL BMPs MUST COMMENCE AS SOON AS GRADING AND/OR EXCAVATION IS COMPLETED FOR ANY PORTION OF THE SITE. THE CONTRACTOR MAY NOT CONTINUE TO RELY ON THE ABILITY TO DEPLOY STANDBY BMP MATERIALS TO PREVENT EROSION OF GRADED AREAS THAT HAVE BEEN COMPLETED. 11. THE AREA THAT CAN BE CLEARED OR GRADED AND LEFT EXPOSED AT ONE TIME IS LIMITED TO THE AMOUNT OF ACREAGE THAT THE CONTRACTOR CAN ADEQUATELY PROTECT PRIOR TO A PREDICTED RAINSTORM. 12. ALL BMPs MUST BE MAINTAINED. IF A SELECTED BMP FAILS, IT MUST BE REPAIRED AND IMPROVED, OR REPLACED WITH AN ACCEPTABLE ALTERNATIVE AS SOON AS IT IS SAFE TO DO SO. THE FAILURE OF A BMP SHOWS THAT THE BMPs, AS INSTALLED, WAS NOT ADEQUATE FOR THE CIRCUMSTANCES IN WHICH IT WAS USED AND SHALL BE CORRECTED OR MODIFIED AS NECESSARY. REPAIRS OR REPLACEMENTS MUST THEREFORE PUT A MORE EFFECTIVE BMP IN PLACE. STREET NOTES T. ALL UNDERGROUND UTILITIES AND LATERALS SHALL BE INSTALLED PRIOR TO CONSTRUCTION OF CURBS, CROSS GUTTERS OR SURFACING OF STREETS. 2. ALL SURVEY MONUMENTS AND POINTS 11-IAT ARE DISTRIBUTED BY THIS WORK SHALL BE REESTABLISHED, PERPETUATED, AND DOCUMENTED PER THE PROFESSIONAL LAND SURVEYORS ACT. A-A CATCH BASIN PROFILE SCALE: 0.75" = UNORGRCUND SERVILE ALERT (800)422-4133 • 90000 (082) (618)547-2020 SOME (ELEC) (618)854-9685 DI , TINE WARNER CABLE COMMUNICAllONS (780)430-7741 RT "AS BUILT" TITLE DATE Pl. EXP. 1" AT&T (760)808-9209 ti6 ,.' .* MIL TOLL FREE CITY OF CARLSBAD (STREETS AND ST0124 ORNN) (790)434-2980 1-SO0-422-4133 04,V,B. ^rerorp Mgr OTT 02 0889060 (SENER) 030)438-2720 DAM (7E0)438-3891 UNDERGROUND SERVED ALERT OF SOUTHERN CALIFORNIA REVIEWED BY: INSPECTOR DATE SHEET 2 CITY OF CARLSBA.D ENGINEERING DEPARTMENT SHEETS 3 MER WIN DRIVE DRAINAGE IMPROVEMENTS PROFILE AND DETAILS APPROVED HOSSEIN AJIDEH Ho,sse,,,0045.,,,E7 10/27/20 ENGINEERING MANAGER PEC 75991 DTPIRES 6/30/22 DATE OWN BY: _BB_ PROJECT NO. DRAWING NO. DATE INMAL REVISION DESCRIPTION DATE INMAL DATE INITIAL CHKD BY: JO ENGINEER OF WORK OTHER APPROVAL 6608 CITY APPROVAL RVWD BY: _fa_ \ ealianku,,,CP,Nrn OrginVERWM—Inrporwmr0,.....Va l-ProGeA. PlatladN, Bs*. FE810/16,202Z 50 25* UNDERGROUND 0101101 70211 000422-4133 SICK (GAS) (319)547-2020 21502(ELEC) 019)654-M6 DI , TINE WARNER CABLE COLOWNICATIONS (780)4313-7741 • RI 167N, "AS BUILT" TILE DATE P.E. EXP. 0181 (750)800-1809 DAL ToLL FREE OTT OF CARLSBAD (STREETS AND STORM GRAS) (750)434-2980 1.800-02,4133 Viitt. "XNE'rou'r OTT OF CARLSBAD (SENIM (730)435-2725 DM (750)432-3891 UNDERGROUND SIERVICE 00011 01 SOUTHERN CALIFORNIA REVIEWED BY: INSPECTOR DATE SHEET 3 CITY OF CARLSBAD ENGINEERING DEPARTMENT SHEETS 3 MER WIN DRIVE DRAINAGE IMPROVEMENTS PLAN APPROVED HOSSEIN AJIDEH troMn ITN.. IVRNII 2195 000.10,01 10/27/20 ENGINEERING MANAGER PEC 75991 MIRES 6/30/22 DATE , OWN BY: _BA_ PROJECT NO. 6608 DRAWING NO. DATE INITIAL REVISION DESCRIPTION DATE NEAL DATE INFRAL CHKD BY: JE ENGINEER OF WORK RVWD BY. _07.___ OTHER APPROVAL OTT APPROVAL Flot, By Corn. 50 701*0785/012 BASIS OF COORDINATES & ELEVATIONS NMI EIS OSSI.SS EPOCH) 11-18.3 Z114 A IRON PIPE ANN 0310 01214230 "0L08-10.1 IS for 01 151 NORTHEAST ENO OF 8211010 5321.3000 OR 2.5 mconiusr or INE END CF PAVEMENT N merman. E 6214150.311. ELEV. 50.501 DIMES 20) RECORD CF SURVEY 17271 PROPMTY IMES. RIGHT-OF-WAY LAMM AND EASEMENT LRAM 910. HEREON DERE ESTABLISHED FROM AVAILABLE RECORCI NAPS MO ASS....19CFCS HAM NO TYRE REPORTS on. FOR THIS PRMECT. 9ELECT RECORD NONUNION-IS 5310 1121 INTO 1111 PROLES" COORDINATE SYSTEN TO ORIENTATE RECONO MAPS. WARRIOR AND DISTANCES TANEN FRC*/ THIS ORAYMIG MERRIMENT A BEST FIT CCDPEATICH CF RECORO DATA RIESE FROMM IMES. 53111-OF-SAY DRIES, AND EISEMENT UNM ARE MIMED TO BE MED FOR A GRAPHIC REPRESENTATION ONLY. BRIAN FULLER N SANDRA HUERTA APRODB-162-11 EVANS POINT HOA APtt212-132-01 SEE INSET 8533 355153 BPS; 208-152-10 CARLSBAD CANTERBURY ASSOOAT InA LEGEND PL../ ZS' MSC STAMPED FCL59-100 LS EMS. ON DRAINAGE MON DART ON THE NMI SIDE OF PALMER WAY. 10OF EASIER, OF COUGAR COVE N ISSII667.591, E 02180.317CIT INSTALL NEW OPENING TO F TYPE CATCH BASIN ON EASTERN EDGE I.E.= 37.3' 37' BEGINNINM OF g.ROCK ALE 45 DEG. BEND PR CONCRC.CHANNEL TRANSITION T02" DIA. PVC ..,., EXISTING PVC SEWER N % PR MODIFIED CONCRETE CHANNEL TERMINUS -- MATCH TO EXISTING GRADE PR MODIFIED CONCRETE CHANNEL OUTLET I.E.= 36.0' EADOSED TREE ROOA PR ROCK WALE' 'ART 371.1', I.E. END11.36. 1 6" IPEEP, 6' WIO IN. (SEE DETAIL SHEK*2) I PROTECT WETLAND TREES IN PLACE 8" PVC TOP=37.051 I.E.= 36.6' (S WALE) PROTECT SLOPE AT OUTLET WITH RIP—RAP PR HEADWALL I.E.= 35.5' (PIPES) EX 18" RCP PR 2-12" PVC PIPES (SIDE—BY—SIDE) 2% MIN, ENCASED IN CONCRETE SLOPE, I.E. 1 PR MODIFIED TYPE F CATCH BASIN SEAL EXISTING OPENING TO F TYPE CATCH BASIN ON EASTERN EDGE (IE 36.06') CERTIFICATE HOLDER CANCELLATION City of Carlsbad/CMWD c/o EXIGIS Insurance Compliance Services PO BOX 4668 -ECM #35050 New York NY 10163-4668 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACC" 149 CERTIFICATE OF LIABILITY INSURCE DATE (MM/DDNYYY) 10/21/2020 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 E360 INSURANCE SERVICES 16542 Ventura Blvd #300 Encino CA 91436 CONTACT NAME: Mahan Karimian PHONE (888) 862-6750 FAX (A/C, No): (888) 256-0809 E-MAIL ADDRESS: Mahall@e360II1SUfanCe.COM INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: BENCHMARK INSURANCE COMPANY 41394 INSURED P.B.A. LTD. (Planes, Boats, and Autos) 2029 E. Mission Ave Escondido CA 92027 INSURER e : NATIONAL GENERAL 29742 INSURER C: NAUTILUS INSURANCE COMPANY 17370 INSURER 0: STATE FUND 35076 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: • - --- — - - - - —•----- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUER WVD POLICY NUMBER POLICY EFF (MM/DD)YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y BIC5020353 10/12/2020 10/12/2021 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ 50,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L X AGGREGATE POLICY OTHER: LIMIT APPLIES PRO-JECT PER: LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 B AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY V 0-Ni SCHEDULED AUTOS NON-OWNED AUTOS ONLY Y 2006201912 03/07/2020 03/07/2021 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ C X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS-MADE AN075317 03/13/2020 10/12/2021 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 DED RETENT ON $ $ D WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N y N/A 9219205-20 09/30/2020 09/30/2021 X PER ER 0TH- EL. EACH ACCIDENT $ 1,000,000 EL. DISEASE - EA EMPLOYEE $ 1,000,000 EL. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONSIVEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Carlsbad/CMWD is Included as Additional Insured In Respects to the Commercial General Liability Policy. Waiver of Subrogation in Respects to the Workers Compensation Policy. 10 Days Notice of Cancellation for Non-Payment of Premium, 30 Days for all other Cancellation. © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: BIC5020353 COMMERCIAL GENERAL LIABILITY EFFECTIVE: 10/12/2020 CG 29 88 10 93 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: OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: (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 (Section IV) is amended by the addition of the following: We waive any rights of recovery we may have against the person or organization shown in the Schedule above because of payments we make for "bodily injury" or "property damage" arising out of your ongoing operations. This waiver applies only to the person or organization shown in the Schedule above. CG 29 88 10 93 Copyright, Insurance Services Office, Inc., 1992 Page 1 of 1 0 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - PRIMARY AND NONCONTRIBUTORY - AUTOMATIC STATUS WHEN REQUIRED IN A WRITTEN CONTRACT OR 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 any person or organization when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured, but only for "occurrences" or coverages not otherwise excluded in the Coverage Part to which this endorsement applies. 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. B. Status as an additional insured for the person or organization to which this endorsement applies: 1. Commences during the policy period and after such written contract or agreement has been executed; and 2. Ends when: a. Your ongoing operations for that additional insured are completed; b. The contractor's contract or agreement is terminated; or c. Your policy cancels or expires; whichever occurs first C. With respect to the insurance afforded to the additional insured, the following additional exclusions apply: This insurance does not apply to: 1. "Bodily injury", "property damage", "personal and advertising injury" or medical payments arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: a. The preparing, approving, or failure 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. L805 (10/19) Includes copyrighted material from Insurance Services Office, Inc., with its permission. Page 1 of 2 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 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. D. With respect to the insurance afforded to the additional insured, 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; whichever is less. This endorsement shall not increase the applicable limits of insurance. E. The following is added to 4.a. of Other Insurance of Section IV - Commercial General Liability Conditions: If required in a written contract, the Coverage Part to which this endorsement applies is primary and noncontributory in the event of an "occurrence" caused, in whole or in part, by your acts or omissions, or the acts or omissions of those acting on your behalf that occurs while performing ongoing operations for the additional insured. All other terms and conditions remain unchanged. L805 (10/19) Includes copyrighted material from Insurance Services Office, Inc., with its permission. Page 2 of 2 COMMERCIAL GENERAL LIABILITY CG 20 33 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN A WRITTEN CONSTRUCTION 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 or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured. 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 your operations for that additional insured 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. CG 20 33 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 2 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 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 III — 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; whichever is less. This endorsement shall not increase the applicable limits of insurance. Page 2 of 2 0 Insurance Services Office, Inc., 2018 CG 20 33 12 19 POLICY NUMBER: BIC5020353 COMMERCIAL GENERAL LIABILITY EFFECTIVE: 10/12/2020 CG 20 37 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations ALL INSURED'S CONTRACTED CLIENTS ALL CALIFORNIA OPERATIONS Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products-completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III— Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. CG 20 37 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1