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Resurfacing Specialists Inc; 2018-08-10; PWM19-498GS
DOC# 2018-0436104 111111111111 lllll 111111111111111111111111111111 IIIII IIIII 1111111111111 RECORDED REQUESTED BY CITY OF CARLSBAD Oct 19, 2018 11:13AM OFFICIAL RECORDS Ernest J. Dronen burg, Jr., AND WHEN RECORDED PLEASE MAIL TO: SAN DIEGO COUNTY RECORDER FEES $0 00 (SB2 Atkins $0.00) PAGES 1 City Clerk City of Carlsbad 1200 Carlsbad Village Drive Carlsbad, California 92008 Space above this line for Recorder's use. PARCEL NO: NOTICE OF COMPLETION Notice is hereby given that: 204-100-06-00 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 August 13, 2018. 6. The name of the contractor for such work or improvement is Resurfacing Specialist, 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 Name: Senior Center Fitness Room Moisture Barrier, Agreement No. PWM19-498GS. 8. The street address of said property is 799 Pine Ave, in the City of Carlsbad. CITY OF CARLSBAD Jt,~ ~ City Manage~ VERIFICATION OF CITY CLERK I, the undersigned, say: I am the City Clerk o e Ci y of Carlsbad, 1200 Carlsbad Village Drive, Carlsbad, California, 92008; the City of said City on ~ 2018, 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 9 c_J--. / ] , 2018, at Carlsbad, California. ~T:m7::Km?zi.,___ Word\Masters\Forms\Notice of Completion (City) ~ARBARA ENGLESON U l..ity Clerk 3/9/98 3go CITY OF CARLSBAD ACCEPTANCE OF PUBLIC IMPROVEMENTS COMPLETION OF PUBLIC IMPROVEMENTS Resurfacing Specialist, Inc. has completed the contract work required for PWM19-498GS - Senior Center fitness Room Moisture Barrier. City forces have inspected the work and found it to be satisfactory. The work consisted of: IMPROVEMENTS 1300 SF Uzyn Floor Moisture Barrier $9,750.00 VALUE CERTIFICATION OF COMPLETION OF IMPROVEMENTS Date ' 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. Date APPROVED AS TO FORM: CELIA BREWER, City Attorney By£ifl1Q4: Deputy City Attorney Q \Public Works\PW Common\Agreements & Contracts\Contracts\2019 Contracts\MINOR PUBLIC WORKS\Resurfacing Specialists\API -Senior Center Fitness Room Moisture Barrier.doc PWM19-498GS CITY OF CARLSBAD MINOR PUBLIC WORKS CONTRACT SENIOR CENTER FITNESS ROOM MOISTURE BARRIER; CONT. NO. 47381 This agreement is made on the l D~ day of ___ ------==-,.-+---'-----' 2018, by the City of Carlsbad, California, a municipal corporation, (hereinafter called "Cit , and Resurfacing Specialists, Inc, a California corporation whose principal place of business is 9984 Scripps Ranch Blvd Suite 376, San Diego, CA 92131 (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: Brian Bacardi (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. Carlsbad Senior Center Floor Replacement Cont. No. 47381 Page 1 of 6 City Attorney Approved 9/27 /16 PWM19-498GS 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 subcontractor 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. Carlsbad Senior Center Floor Replacement Cont. No. 47381 Page 2 of 6 City Attorney Approved 9/27 /16 PWM19-498GS 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. Ill Ill Ill Ill Ill Ill Ill Resurfacing Specialists, Inc. (name of Contractor) 649114 (Contractor's license number) C15 -Flooring and Floor Covering 12/31/19 (license class. and exp. date) 1000049534 (DIR registration number) 6/30/19 (DIR registration exp. date) Carlsbad Senior Center Floor Replacement Cont. No. 47381 Page 3 of 6 9984 Scripps Ranch Blvd Suite 376 (street address) San Diego, CA 92131 (city/state/zip) 619-571-2004 (telephone no.) N/A (fax no.) billkelly393@gmail.com (e-mail address) City Attorney Approved 9/27/16 ... PWM19-498GS 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 RESURFACING SPECIALISTS, INC., a California corporation By: // / ~ J,,-. , tAJ a{,_ {_, CL e//t By: (sign here) \ William G Kelly / President (print name/title) William G Kelly / CFO / Secretary (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.._§_ 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 BY:~U~··~-~ Deputy City Attorney Carlsbad Senior Center Floor Replacement Cont. No. 47381 Page 4 of 6 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 _s'o.rr) d; ticJV } on:J../;~ t)2..tl~ 1 '2 ~, £ before me, l2th'Hll (Here Insert name and title of the officer) personally appeared _____________________ _ who proved to me on the basis of satisfactory evidence to be the person($) whose namekS) is.tare subscribed to the within instrument and acknowledged_ to me that he/she#hey executed the same in his/het=t#leir authorized capacity(ies), and that by his/hetf&leir signaturelS') on the instrument the person(f), 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. Notary Public Signature (Notary Public Seal) REKHA KOTHARI COMM. #2208408 z Notary Public · California 5 San Diego County - Comm. ires . 28, 2021 · INSTRUCTIONS FOR CO:MPLETING THIS FOR1f ADDITIONAL OPTIONAL INFORMATION Thisformcomplieswith c111rentCaliforniastatutesregarding11otmywordingand, 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 1 /1 C O l -fl ,,.,-t'""\~fl :'7 as the wording does not require the California notary to violate Califomia nota1y Cn'4 0 'r Cl K 5 l:.>H o1 J().., (U0 ~ !all'. (Title or description of attached document) • State and County information must be the State and County where the document /!1" 'f1. t> L-,. ~ ..,nµ. s , tJAJ-r R/1-er signer{s) personally apJ?eared before the notary public forac1cnow1edgment. . ',(_"' 9 ;-. \.V (_. ,-.. -L,., . • Date of notarization must be the date that the signer(s) personally appeared which (Title or description of attached document continued) must also be the same date the acknowledgment is completed. Number of Pages __ Document Date ___ _ CAPACITY CLAIMED BY THE SIGNER D Individual (s) D Corporate Officer (Title) D Partner(s) 0 Attorney-in-Fact o Trustee{s) o Other _________ _ • 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 fonns (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 fonn. • Signature of the notary public must match the.signaiure on file with the office of the county clerk. •!• Additional infonnation 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. C~O, CFO, Secretary). 2015 Version WVJw.NotaryClasses.com 800-873-9865 • Securely attach this document to the signed document with a staple. PWM 19-498GS 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 Business Name and Address DIR Registration License No., %of be Subcontracted No. Classification & Total Expiration Date Contract None Total% Subcontracted: 0% The Contractor must perform no less than fifty percent (50%) of the work with its own forces Carlsbad Senior Center Floor Replacement Cont. No. 47381 Page 5 of6 City Attorney Approved 9/27/16 PWM 19-498GS EXHIBIT B Carlsbad Senior Center Floor Replacement Contractor to provide all tools, materials and labor to grind, repair cracks, fill joints, apply Uzin 460 & 150 for 1300 sf floor at Carlsbad Senior Center located at 799 Pine A~enue, Carlsbad, CA 92008. Scope of Work: • After the existing flooring material has been removed by others, contractor will apply plastic protection for dust control to all door openings. • Use dust-controlled equipment to grind the existing surface. • Repair all cracks, fill all joints and vacuum clean. • Apply Uzin 460 epoxy moisture vapor retarder barrier. • Apply a 1 /8 thick coating of Uzin 150 underlayment. Finished surface will be installation ready and a 10-year warranty from the Uzyn Corporation will cover all material and installation costs of the new floor covering system. Moisture content testing to be done by others prior to installation of new floor covering system. All work to performed during off hours at prevailing wage rates. JOB QUOTATION ITEM UNIT QTY DESCRIPTION NO. 1 SQ. 1300 Install moisture barrier & underlayment FT. *Includes taxes, fees, expenses and all other costs. Carlsbad Senior Center Floor Replacement Cont. No. 47381 Page 6 of 6 PRICE $9,750 TOTAL* $9,750 City Attorney Approved 9/27/16 Exhibit "B" PWM19-498GS 9984 Scripps Ranch Blvd Suite 376 San Diego CA 92131 • CA State License 649114 Email: billkelly393@gmail.com WORK PROPOSAL Date:7 /5/18 To; Michael O'Brian, Public Works Supervisor City of Carlsbad Email: Michael.obrian@carls bad ca. gov Cell: 619-571-2004 Scope of Work proposed for 13 00 sq. ft. of interior concrete surface at the Carlsbad Senior Center, 799 Pine Ave. Carlsbad Ca 92008. • After the existing flooring material has been removed by others, Resurfacing Specialists will apply plastic protection for dust control to all door openings. • Using dust-controlled equipment we will grind the surface. • We will repair all cracks and fill all joints • We will then apply the U zyn 460 epoxy moisture barrier. • We will complete the installation by applying a 1/8 thick coating ofUzyn 150 underlayment Finished surface will be installation ready and a 10-year warranty from the U zyn Corporation will cover all material and installation costs of the new floor covering system. • Cost: $7.50 a sq. ft. or $9,750.00 Price includes prevailing wage rates and working during off hours. But does not include any bonding fees should they be required. Bill Kelly, President, Resurfacing Specialists Inc. www.resurfacingspecialists.com Applications: High-performance levelling and smoothing compound suitable for use on all common substrates within building construction. For the subsequent installation of all floor coverings, wood flooring as well as ceramics and natural stone. Pumpable, for interior application. Suitable for: Iii-Subsequent installation of textile and resilient floor covering of all types such as textile flooring, PVC/CV flooring, luxury floor covering, rubber flooring, linoleum, cork, Enomer (chlorine-free) flooring (e.g. Upofloor Life- line®), PUR flooring (e.g. WPT PURline®) Iii-Subsequent installation of wood flooring Iii-Subsequent installation of ceramics and natural stone floor coverings Iii-Heavy-duty in residential, commercial and industrial areas, e.g. in hospitals, high-traffic shopping malls, industrial shops, etc. Iii-Hot water underfloor heating Iii-Loads from chair castors according to DIN EN 12 529 from 1 mm compound thickness Provides the highest possible level of emission safety and con- tributes towards creating a healthy room climate. Marked with the "Blue Angel" for low-emission floor covering ad- hesives and other installation materials according to RAL-UZ 113. UZIN I A Brand of Uzin Un AG ( € 07e1 U:r.inUUAO 0...-tr.0.3 .,_,. lh 13 01102100,1.01 EH 13813:2002 c.m.-.-.-~ for IUti.tr-111:N .,,,,__ EN 13413: CT-Cl5-F7 Ruction to nre A1n ...,_., CT ..... ,. --c.m,,,.... -C35 FMnr•~ F7 Composition: Special cements, mineral aggregates, polyvinyl acetate copolymers and high-performance liquefiers and additives. Iii-Superior flow characteristics Iii-Very smooth surface Iii-Up to 10 % less adhesive consumption Iii-Highly absorbent Iii-Low chromate content Iii-EM ICODE EC 1 R PLUS /Very low-emission Iii-RAL-UZ 113/very low-emission and hence eco-friendly Technical specifications: Packaging: Pack size: Shelf life: Required water quantity: Colour: Consumption: paper bag 25 kg min. 6 months approx. 6.5 litres per 25 kg bag grey Approx. 1.5 kg/m2 powder per mm layer thickness Minimum working temperatures: 10°C at ground level Ideal working temperature: 15 -25 °C at ground level Working time: 20 -30 minutes* Set to foot traffic: After 1 - 2 hours* Ready for covering: after approx. 15 hours* Fire classification: A 1fl acc. to DIN EN 13 501-1 • At 20 •c and 6S % relative humidity. See also "Ready for covering". DE I Uzin Utz AG I DieselstraBe 3 I DE-B9079 Ulm I Telefon +49 (0)731 4097-0 I Telefax +49 (0)731 4097-214 I E-Mail info@uzin.com I Internet www.uzin.com GBI Uzin Ltd. I Unit 2, Mitchell Court I Central Parle, Rugby, Warwickshire I CV23 0UY I Phone +44 (0)1 788 530 080 I Fax +44 (0)1788 536 508 I E-mail info@luzin.co.uk I Internet www.uzin.co.uk UZIN NC 170 LevelStar Extended applications: Suitable for use on: .., Cementitious screeds, calcium sulphate screeds or con- crete .., Substrates with well-bonded residues of adhesives and smoothing compounds .., New, firm ly bolted chipboard P4 -P7 or OSB 2 -OSB 4 panels .., Existing ceramic and natural stone coverings, Terrazzo or similar .., New (and dependent on age) old mastic asphalt IC 10 and IC 15 as well as scraping levelling on fine asphalt con- crete .., Magnesia and xylolite screeds .., Precast screed, gypsum fibre boards Product benefits / features: UZIN NC 170 LevelStar is a high-quality, premium levelling compound with innovative raw material technology. As a result of the special composition, the Level Plus Effect produces extremely good flow properties resulting in a very smooth and uniform appearance. It also produces an exceptionally smooth surface which can subsequently reduce the amount of adhesive consumption. Abrasives and tooth profiles also wear less and can be used for longer. UZIN NC 170 LevelStar can be used in heavy-duty areas in new constructions or old buildings. It is quickly ready to withstand high wear and can be used for any thickness from 10 mm when filled out with quartz sand. UZIN NC 170 LevelStar can be used on difficult substrates where the installer wants to deliver perfect results. Application sample: In this historic monastery UZIN NC 170 LevelStar was used on extremely difficult substrates at different thicknesses. The result is a perfect surface, without cracks. On other floors, wear resistant floor coverings were laid on UZIN NC 170 LevelStar. UZIN NC 170 LevelStar Substrate preparation: The substrate must be sound, load-bearing, dry, free from cracks, clean and free from materials (dirt, oil, grease), that would impair adhesion. Cement and calcium sulphate screeds must be abraded and vacuumed. Test the substrate in accordance with applicable standards or notices and report any deficiencies. Any adhesion-reducing or unstable layers, e.g. release agents, loose adhesives, compounds, covering or paint residues, etc. must be removed, e.g. by brushing, abrading, grinding or shot-blasting. Thoroughly vacuum loose material and dust. Use a suitable primer from the UZIN Product Guide according to the type and condition of the substrate. Allow any primers that are applied to dry completely. The product data sheets of the other products used must be observed. Application: 1. Pour approx. 6.5 litres of cold, clean water into a clean container. Sprinkle in contents of sack (25 kg) while thoroughly stirring at the same time and mix to form a thick lump-free consistency. Use a drill or mixer fitted with a UZIN Mixing Paddle. 2. Pour out the mix onto the substrate and distribute evenly with a smoothing trowel or the UZIN Screed Rake, notch size R 2. The flow and surface can be improved by removing air using the UZIN Spike Roller. Where possible, apply to the desired thickness in one coat. Consumption information: Thickness Approx. Approx. coverage Consumption per 25 kg sack 1mm 1.Skg/m2 16.6 m2 3 mm 4.5 kg/mZ 5.5 m2 10mm 15.0kg/m2 1.6 m2 lll!il~!Mlfit Extending UZIN NC 170 LevelStar: Thickness Ideal additive amount 10-20 mm 30 % quartz sand 0.8 (8 kg sand /25 kg powder) 20-50 mm 50 % quartz sand 2.5 (12.5 kgsand/25 kg powder) The water factor must be adapted according to sand, thick- ness and moisture content. Readiness for covering: Thickness Readiness for covering 3mm 15 hours• 5mm 24 hours• 10mm 48 hours• 20mm 72 hours• • At 20 •c and 65 % relative humidity. Practica l Notes: Absorption capacity of levelling compounds settrn~~rce f-0"-·9---------------~ E E c, -..c z:;; CC ·-0 C>.O '-'~ Cc, "'.t: 1n "' 'iii . ~] C>N C) 0.. Low setting force 0.8 0,7 0,6 0,5 0,4 0,3 0,2 0,1 0,0 UZIN NC 170 levolStar Conventional cementitious levelling compound The absorbency of the new premium levelling compound is approximately twice as high as conventional levelling compounds. The open time of the adhesive during the laying is considerably reduced in comparison. The installer of the covering can therefore work faster and the overall appearance of the finished floor covering surface is very smooth and flat. UZIN NC 170 LevelStar ,Si#"; Important notes: Ill-Shelf life at least 6 months in original packaging when stored in dry conditions. Carefully and tightly re-seal opened packag- ing and use the contents as quickly as possible. Ill-Optimum conditions at 15 -25 •c and relative humidity below 65 %. Low temperatures, high humidity, high thickness, non-absorbent or blocked substrates will delay setting, drying and readiness for covering. High temperatures, low humidity and absorbent substrates accelerate setting, drying and readiness for covering. In summer, store in cool conditions and use cold water. Ill-Expansion, movement and wall connection joints resulting from the substrate must be taken up. Fit UZIN Foam Expan- sion Strips to any adjoining rising structures to prevent ingress of the compound into the connection joints. Expan- sion strips are generally necessary for thicknesses over 5 mm. On wooden substrates the expansion strip must be completely removed after levelling work. Ill-Pumpable with continuously mixing screw pumps, e. g. from m-tec, P.F.T., and others. Ill-The substructure of wooden floors must be dry to prevent damage due to dampness through rotting or mould formation. Adequate ventilation or rear-ventilation must be provided especially when installing impermeable flooring, e.g. by removing the existing expansion strip or by installing special skirting with vent openings. Ill-Minimum thickness for resistance to castors is 1 mm. On non-absorbent surfaces, such as old screeds with a full cover of old, waterproof adhesive residues, apply 2 -3 mm Ill-When applying in several coats, allow compound to dry completely, 'prime with UZIN PE 360 and when this is dry apply the next coat. The second coat must not exceed the thickness of the first one. Ill-The minimum thickness beneath wood flooring is 2 mm. Ill-For thicknesses above 10 mm or on moisture-sensitive (calcium sulphate screeds) or weak substrates (adhesive residues), use epoxy-resin primers, such as UZIN PE 460, gritted. Ill-On weak older substrates with several layers of adhesive or levelling compound the use of gypsum-based levelling compounds such as UZIN NC 110 or UZIN NC 115 is pre- ferred. Ill-For new asphalt screeds thicknesses up to max. 5 mm and for older asphalt screeds with old layers attached thicknesses up to max. 3 mm are permissible. For greater thicknesses gypsum-based levelling compounds such as UZIN NC 110 or UZIN NC 115 should be used. Ill-With new firmly bolted chipboards P4 -P7 or OSB 2 -OSB 4 panels thicknesses up to max. 3 mm are permitted. Ill-Do not use in exterior or wet areas. Ill-Protect freshly smoothed areas from draughts, direct sunlight and sources of heat. Cementitious compound layers on soft or tacky substrates tend to form cracks. These soft or tacky layers must therefore be removed as much as possible before applying smoothing compounds. Leaving such compound layers open too long also promotes such cracking and should therefore be avoided. l!!!iJ~!lJJijfjt Ill-Do not use as wearing floor covering or wearing surface; always apply a top covering. Ill-UZIN NC 170 LevelStar has the approval as shipbuilding equipment product by the maritime authority association "See 'Berufsgenossenschaft Hamburg", module B and module D. Certificates are available upon request. The permissible thickness is 20 mm. USCG-No. for the system is 164.1 06/ EC0736/11 3.113. Ill-Do not use as a screed or as a wearing surface -a surface covering or coating must always be applied. Ill-Follow the generally acknowledged rules of the trade and the technology for the installation of wood flooring and floor covering of the respective applicable standards (e.g. EN, DIN, C-Norm, SIA, etc.). -DIN 18 365 "Working with floor coverings", C-Norm B 2236 -DIN 18 356 "Working with wood flooring", O-Norm B 2218 -DIN 18 352 "nte and slab work" -TKB publication "Assessment and preparation of substrates for floor covering and wood flooring installation" -BEB publication "Assessment and preparation of substrates" -TKB publication "Technical description and processing of cementitious floor levelling compounds" Protection of the workplace and the environment: Contains cement, low in chromate acc. Regulation (EC) No 1907/2006 (REACH). Keep out of the reach of children! Use nitrile impregnated cotton-gloves. During mixing wear a suitable dustmask. Thorough ventilation must be ensured during and after the installation and drying time of the product. Drinking, eating and smoking are prohibited during the installation. After contact with eyes or skin, wash immediately with plenty of water. Rinse tools with water and soap immediately after use. Pro- duces no physiological or ecological risk when fully cured. Basic prerequisites for best possible indoor air quality following floor covering work are conformity to standards of the working conditions, as well as thoroughly dry substrate, primer and smoothing compound. For allergy information, call +'49 (0)731 '4097·0 (Germany). Disposal: Do not allow dispersal into drains, sewers or ground. Empty paper bags are recyclable. Collect waste material, mix with water and allow to harden, then dispose as Con- struction Waste. The above information is based on our experience and careful investigations. The variety of associated materials and different construction and working conditions cannot be indi· vidually checked or influenced by us. The quality of your work depends, therefore, on your own professional judgement and product usage. If in doubt, conduct a small test or obtain technical advice. Observe the installation recommendations of the covering manufacturer. The publication of this Product Data Sheet invalidates all previous Product Information. The respective updated version of this datasheet can be found on our Homepage under www.uzin.com. 02.15 I LD Epoxy primer for damp or weak surfaces Description: Low odour, epoxy resin primer as a barrier against moisture up to 5 CM-% on cement screeds and concrete. An alter- native damp-proofing on concrete or cement screeds in direct contact with ground moisture or on new concrete slabs with high residual moisture -also for priming or surface strengthening of all standard building industry substrates, both absorbent and non-absorbent. Also for use as an epoxy mortar when combined with UZIN Special Fillers XS. For interior and exterior use. Suitable for: Iii-damp-proofing against high residual moisture up to 5 CM-% and 6 % by weight on unheated cement screeds and concrete Iii-surface hardening on weak, porous or cracked sub- strates Iii-priming of existing surfaces that are dense or open-pored Iii-producing epoxy repair mortars or epoxy screeds Iii-heavy duty use in domestic, commercial and industrial locations Iii-exposure to castor wheels in accordance with DIN EN 12 529 UZIN I A Brand of Uzin Utz AG LEED contributing product Binder: Polyamine cured epoxy resin. Iii-Reduced odour during application Iii-High barrier-effect against moisture Iii-Improved surface wetting properties Iii-Water-and frost-resistant Iii-System component in PAH decontamination Iii-Solvent-free Iii-EMICODE EC 1 R PLUS/Very low emission Technical Data: Packaging: metal combi-can Packsize (A/B): 5 kg, 10 kg Shelf life: min. 12 months Colour (A/8) wet/ dry: transparent/ brownish Hazard factors: see .,Protection of the Workplace and the Environment" Mixing ratio: A : B = 1.9 : 1 parts by weight Pot life: 25 -30 minutes* Consumption: 200-600 g/m2 per coat Working temperature: min. 10 °Cat floor level and + 3 °C above dew point Foot traffic /further coating: temperature: 10°C/50°F 20°C/68°F 30°C/86°F time: 21 hrs. 8 hrs. S hrs. Final strength: after 3 -S days• *At 20 •c /68 °F and 65 % relative humidity. DE I Uzin Utz AG I DieselstraBe 3 I DE-89079 Ulm I Telefon +49 (0)731 4097-0 I Telefax +49 (0)731 4097-214 I E-Mail info@uzin.com J lntemet www.uzin.com GB I Uzin Ltd. I Unit 2. Mitchell Court I Central Park, Rugby, Warwickshire I CV23 OUY I Phone +44 (0)1788 530 080 I Fax +44 (0) 1788 536 508 I E-mail info@luzin.co.uk I Internet www.uzin.co.uk UZIN PE 460 Areas of Use: Suitable for/ on: ..,. providing a barrier against high residual moisture in non-heated, cement-based substrates such as e.g. cement screeds, concrete slabs or bonded constructions in direct contact with ground moisture up to 5 CM-% and 6 % by weight. ..,. surface strengthening or priming of dry, mineral surfaces, including or weak, even heated substrates. For cement-, calcium sulphate-, magnesia-, and stone-wood-screeds, concrete, chipboard P4 -P7, OSB 2 -OSB 4 boards and pre-finished screed sections . ..,. priming of ceramics and natural stone, reconstituted stone, terrazzo, metal (obtain technical advice), coatings and seal-coats (sanded until matt). ..,. priming of substrates with well bonded residues of bitumen-based or water-soluble adhesives, paints or levelling compounds (including spent sulphite adhesive residues). ..,. prim ing prior to application of epoxy-, PUR or silane- based adhesives. ..,. producing a reaction resin mortar, when mixed with UZIN XS, for filling holes and surface damage. Prime the surfaces and apply the mixed epoxy mortar wet-in-wet onto the primer. ..,. for the shut-off of dry mature and prove surfaces to protect from moisture. cement from thin-and medium- bed mortars at subsequent laying of large format tiles or laying in the middle bed process. UZIN Epoxy-Colourant UZIN Product Properties/ Benefits: UZIN PE 460 has been proven over many years as a reliable barrier-primer in new and old building work. Thanks to its new raw material formulation, the epoxy primer is very low emission and is certified in accordance with EMICODE EC 1 R PLUS. Under normal conditions, it hardens around 20 % faster and functions reliably and permanently even at low temperatures . Together with the correct UZIN accessories, all relevant tools of the trade are available to the user to ensure a reliable and professional installation. Substrate Preparation: The substrate must be load-bearing, have adequate tensile and compressive strength, be clean and free from materials (dirt, oil, grease) that would impair adhesion. Test the sub- strate in accordance with applicable standards and notices and report any deficiencies . Remove any soft or weakly bonded layers, e.g. separating agents, loose residues of adhesive, levelling compound, coatings, sealers, care products or paint, etc. by brushing, abrading, grinding or shot-blasting. Other substrate sur- faces should be mechanically keyed. For very smooth or extremely hard surfaces, e.g. power-floated concrete or hard magnesia screeds, shot-blasting is required. Dense, smooth and metal surfaces should be degreased and abraded. On metal surfaces, pre-test for adhesion strength. Thoroughly vacuum off all loose material and dust. Always allow primers to dry completely. Refer to the Product Data Sheets for other products used. UZIN Quartz Sand 0.8 Fine Sand ~--Nylon Fibre Roller UZIN Epoxy-Accelerator ---+ Roller bracket UZIN PE 460 Application: 1. Before use, allow the combi-cans to come to room temperature. Punch several times through the plastic plug and the floor of the upper container (hardener B). Allow the hardener to drain completely into the lower container (resin A). Remove the empty upper container and thoroughly blend the components with the UZIN spiral mixer (A). Decant the mixed material into an oval bucket and mix briefly once again. 2. Immediately apply an even coat of the primer onto the substrate with the UZIN Nylon Fibre Roller (B). On smooth surfaces, it can be spread with a B2 notched trowel and then evenly rolled out using the fibre roller. Ensure a fully sealed coat. Allow for the limited working time. 3. When the first coat is dry to accept foot traffic, but within 48 hours, apply the second coat using cross- strokes. To visually differentiate between the coats, mix approx. 1 % of UZIN Epoxy-Colourant into the second coat (C). Then fully scatter-coat with UZIN Fine Sand 0.8 (approx. 3 kg/m2) to form a dry excess (D). 4. in case of using UZIN PE 460 as a moisture barrier an UZIN PE 280 as a Primer the minimum quantity of UZIN PE 460 has to be 500 g/m2 in one layer. 5. Clean tools immediately after use with UZIN VE 124. Hardened material can only be removed by mechanical means. When hardened, sweep off loose sand and vacuum. Application Chart: Consumption according to surface condition and resin temperature, application with the UZIN Nylon Fibre Roller: Substrate Consumption Rough, shot-blasted or ground 3OO -6OOg/m2• surfaces Lightly shot-blasted surfaces, approx. 500 g/mz• application with 82 notched trowel Sanded surfaces, old adhesive 250-350 g/m2* residues Smooth, dense and non-absorbent 200-250 g/m2• surfaces Barrier-coat on a new, trowelled approx. 350 g/m2/1st coat• and smoothed cement screed approx. 250 g/m2/2nd coat• 'At 20 'C/68 "F and 65 % relative humidity and acclimatised containers. At lower temperatures, material consumption is increased. Practical Note: To accelerate the setting process, up to max. 4 % of UZIN Epoxy-Accelerator can be added to the primer. Application of the following coat can then be carried out earlier than without the accelerator, ideally the same day. In the following diagrams, the working time and setting time are shown depending on accelerator quantity and temperature. Working TI me addition of Epoxy-Accelerator in % by weight e 1o•c 20 •c • 3o•c SO 'f 68 'F 86 'F :1~. 20 40 60 80 100 120 time in minutes Set to Foot Traffic addition of Epoxy-Accelerator in % by weight e 10 ·c 2o·c e30 •c SO "F 68 'F 86 'F 21 h o+-~~~.....,~----~~~~~~~~~"'--~~-10 12 14 16 18 10 22 24 time in hours An addition of 2 % allows two coats to be applied within one day. Caution: at 4 % accelerator quantity, the working time is drastically reduced. Only use this quantity in conjunc- tion with adequate experience and lower temperatures! UZIN PE 460 Important Notes: Ill-Shelf life min. 12 months in original containers when stored in relatively cool conditions. Ill-Optimum application conditions are 15 -20 °C/ 59 -68, floor and container temperature above 15 °C / 59 °F and rela- tive humidity under 65 %. Low temperatures will extend and high temperatures will shorten the working and setting times. Ill-Caution: epoxy materials can become extremely hot in the container after mixing. Therefore, apply immediately, do not leave unattended after mixing and remove the container to outdoors to allow residue to react. Ill-As a damp-proofing barrier up to 5 CM-% under mineral levelling compounds, a two-coat application is required. Does not replace damp-proofing in accordance with DIN 18195, Part 4. Ill-A surface barrier-coat cannot be applied on moisture-sensitive substrates or old cement screeds with levelling compound residues and in direct contact with ground moisture. Ill-For barrier-coats on cement screeds or concrete slabs with incorporated underfloor heating or concrete core cooling, obtain technical advice. Ill-For coating over old mastic asphalt or mixed surfaces with different old finishes, the use of the reaction resin product UZIN KR 410 in combination with UZIN Fine Sand 0.8 is also recommended. Ill-For direct adhesion of wood flooring onto ungritted UZIN PE 460, UZIN reaction resin adhesives must be used within 48 hours. Ill-For use in PAH decontamination, please refer to the detailed system recommendations and notes on the internet {www.uzin.de). Ill-For coating on metal, prepare a test area and obtain technical advice. Ill-Do not mix part quantities! Ill-When mixed with e.g. UZIN Epoxy-Accelerator and /or UZIN Epoxy-Colourant is no longer guaranteed, the emission class EC 1 R PLUS. Ill-Follow the generally acknowledged rules of the trade and of technology for the installation of floor covering and wood flooring of the respective applicable national standards { e.g. EN, DIN, 0-Norm, SIA, etc.). The following apply as well or are recommended for special consideration: -DIN 18 365 "Working with floor coverings", 6-Norm B 2236 -DIN 18 356 "Working with wood flooring", 0-Norm B 2218 -DIN 18 352 "Working with tiling and natural stone" -TKB publication "Assessment and preparation of substrates for floor covering and parquet installation" -BES publication "Assessment and preparation of substrates" -Publication by the Federal Association for Surface Heating and Cooling "Interface co-ordination for heated floor con- structions" Protection of the Workplace and the Envi ronment: Solvent-free. Non flammable. Comp. A: Contains epoxy resin: Irritant. Comp. B: Contains amine hardener. Corrosive. Both components: May cause irritations or bums to eyes, skin or respiratory system. May cause sensitisation by skin contact. Use barrier cream, protective gloves and safety-goggles. After contact with skin, wash immediately with plenty of water and soap. In case of contact with eyes, rinse immediately with plenty of water and seek medical advice. In liquid form, "'hazardous to the environment·, therefore do not allow into drains, water courses or landfill. Observe safety information on product label as well as safety data sheet. Once cured, has a neutral odour and presents no physiological or ecological risk. Does not contaminate the indoor air quality with either formaldehyde or other volatile com- pounds. EMICODE EC 1 R PLUS -very low emission. Disposal: Where possible, collect product residues and re-use. Do not empty into drains, sewers or ground. Empty, scraped and drip-free metal containers are recyclable. Liquid residues as well as containers with liquid residues are special waste, those with mixed and cured residues are Construction Waste. Therefore collect waste material, mix both components and allow to harden, then dispose as Construction Waste. The above information is based on our experience and care(ul investigations. The variety of associated materials and different construction and working conditions cannot be indi- vidually checked or influenced by us. The quality of your work depends, therefore, on your own professional judgement and product usage. If in doubt, conduct a small test or obtain technical advice. Observe the installation recommendations of the covering manufacturer. The publication of this Product Data Sheet invalidates all previous Product Information. The respective updated version of this datasheet can be found on our Homepage under www.uzin.com. 09.14 I LD UZIN PE 460. FAST PAIN RELIEF FOR MOISTURE RELATED HEADACHES. -....... _ -.J •• UZIN. YOUR FLOOR. OUR PROMISE. · THE PERFECT REMEDY FOR PROBLEM FLOORS. UZIN PE 460 is a 2-component, fast curing epoxy resin moisture vapor retarder, suitable for concrete substrates with high residual moisture. UZIN PE 460 can also be used as a surface hardener for absorbent substrates and as a bonding agent UZIN PE 460 Application _.--, I UZIN Moisture Mitigation System UZIN PE 460 Moisture Vapor Retarder is one product in the UZIN Moisture Mitigation System. When used with UZIN PE 280 Super-Fast Primer and UZIN NC 170 LevelStar Premium Self-Leveling Compound, this system offers you not only peace of mind, but also a lifetime warranty against moisture vapor related failures when proper1y installed.* •subject to certain requirements. UZIN PE 460 Moisture Vapor Retarder 2-component epoxy resin moisture vapor retarder and surface hardening primer for concrete substrates with high residual moisture. UZIN PE 280 Super-Fast Primer 1-component dispersion primer with carbon fiber technology for smooth and dense surfaces. Produces a rough, well- keyed surface and provides ideal adhesion over various substrates. UZIN NC 170 LevelStar Premium Self Leveling Compound Premium low-stress, cement-based leveling and smoothing compound Provides an extremely hard, smooth finish without depth limitations. "When I need a reliable product for moisture mitigation. I always look to UZIN for the answer. From technical support to site representation. I know UZIN will deliver on their . ,, promise. Don Carrier, Freedom Flooring, LLC UZIN I A brand of UFLOOR Systemg Inc / 14509 E 33rd Place. Uni! GI Aurora CO 80011 Phone 720 374 4810 Fax 720 374 2113 / rnfo@ufloorsystems com ' w·ww uz,n us os 2010 1 dds 1911 UFLOOR Uzin Utz AG SYSTEMS IIBllt WOLF=F= PALLMANN I Brands of Uzin Utz AG limited 10 Year Warranty Based on the information received and our knowledge of the materials to be installed, UFLOOR Systems is able to warrant that the system and products proposed are suitable for the occupational use we have been informed it is to be subjected. We warrant that the above stated products will be free from manufacturing defects and are of a suitable quality that if the requirements and procedures stated within our information and data sheets, together with the local and nationally set standards are followed, the system will perform to a reasonable standard for a period of 10 years from the date of initial application. UFLOOR Systems shall not be liable for damages caused by improper application, maintenance or circumstances beyond our control. UFLOOR Systems shall not be liable for incidental or consequential damages. This warranty assumes that all previous substrates and the materials used to construct them have been supplied and installed to the same standards. Any deficiencies in site conditions, existing substrates, construction, or installation methods, problems caused by poor quality workmanship or specification, or situations that are outside of our knowledge or control are not warranted. UFLOOR Systems reserves the right to withdraw our warranty or implied warranty if it is discovered that any of the above have or may have occurred. The UFLOOR Systems warranty is limited to the cost of materials and reasonable labor charges. UFLOOR Systems shall be given prompt access to the site in order to assess any claimed damages. UFLOOR Systems does not warrant any effect this repair may have on the aesthetics of the installation. UFLOOR Systems Inc. Matthias Liebert President March 2015 UFLOOR Systems Inc. I A Company of Uzin Utz Group 14509 E 33· Place, Unit G, Aurora, CO 80011 I Phone 1.720.374.4810 I Fax 1.720.37~.2113 I Email info@ufloorsystems.comIInternetwww.ufloorsystems.com 1911 Uz.in Utz AG ll'BIII we~ PALLMANN I Brands of Uzin Uu AG Limited 10 Year Warranty General: UFLOOR SYSTEMS The attached recommendations are to be used solely for guidance. They are given in good faith and are, in turn, based on information obtained or given at the time of writing. They are supplementary to, and should be read in conjunction with, the relevant local or national standards for installation, published UZIN Product Data Sheets/Material Safety Data Sheets and instructions on the product packaging. Any quoted compressive strengths are indicative of the products when mixed in accordance with UZIN recommendations. The Company reserves the right to change any information without notice. Guarantees: Guarantees are given in respect to the quality of products supplied, their fitness for the purpose recommended and their compatibility with other components in the overall flooring construction. However, varying site conditions and methods of use influence the practical application of the products. Their success is also dependent upon the professional judgement of the user and his/her conformity to proper trade practices and compliance with relevant local or national standards of installation, which are factors outside the Company's control. Interpretation: The Company accepts no responsibility for any interpretation of the recommendations given other than that intended by the Company at the time of writing. Where there is alternative interpretation or doubt as to the precise meaning of any word, phrase or terminology used, clarification should be sought from the Company prior to implementing the recommendations. Inspection: When an UZIN representative gives recommendations as a result of inspection, no responsibility can be taken for factors outside their knowledge, factors outside the reasonable scope of the Company's involvement as a manufacturing supplier or for factors which could not reasonably be detected or foreseen at the time of that inspection. Atmospheric Conditions: Atmospheric site conditions should be consistent and in accordance with the relevant local or national standard for installation, approx. 60-752F air temperature, greater than 592F subfloor temperature, less than 65% Relative Humidity (RH) air that is moving and changing regularly or as otherwise required by the manufacturer of the floor finish product(s). Any stated setting, drying or curing times assumes optimum conditions. Wastage: In any recommended consumption or coverage guidance, no allowance is made for product wastage, which is subject to variable factors outside the knowledge and control of the Company. Safety and Disposal: During the handling and use of any UZIN products, where applicable, it is necessary to wear the correct Personal Protective Equipment (PPE). Please see the individual UZIN Product Data Sheets/Material Safety Data Sheets and/or the product packaging for specific requirements. Dispose of empty containers, packaging and any waste product according to the local regulations for waste handling of that material. Crack inducing, construction or movement Joints: In a bonded flooring system, any joints in the base construction must be brought through the surface finish and must be filled with compressible joint filler and/or covered with a proprietary profile. However, UFLOOR Systems Inc. assumes no responsibility for the design of the floor construction. The Client, Project Manager, Engineer or other responsible party must give any instruction at variance with the above. Power float Concrete/Mortar Beds Subfloor constructions of densely compacted concrete are generally unsuitable for directly adhered floor coverings/finishes requiring an absorbent surface and a maximum residual moisture content of 75% RH or less (6" of concrete, drying from one face, will take in excess of 1 year to dry, in good drying conditions). In most cases, where the slab construction cannot be re-designed or project time lines will not allow sufficient drying, it is essential to allow for mechanical surface preparation and a bonded, surface-applied moisture mitigation system. Mortar beds based on Ordinary Portland Cement, applied in thickness's above 2" (S0mm) will also take a considerable amount of time to dry, so a surface-applied moisture mitigation system should investigated and considered. Note: if any part of the enclosed specification is not understood, or if any of the required conditions cannot be met, the project must be stopped until all issues are resolved. Any work carried out while there are unresolved questions cannot and will not be warranted by UFLOOR Systems Inc. UFLOOR Systems Inc. J A Company of Uzin Utz Group 14509 E 33· Place, Unit G, Aurora, CO 80011 I Phone 1.720.3 74.4810 I Fax 1. 720.3 7 4.2113 J Email info@ufioorsystems.com J Internet www.ufioorsystems.com 106822 Resurfacing Specialists, Inc. Certificate Of Insurance Page (1 of 2) 8/3/2018 3:07:02 PM ~ ACORD8 CERTIFICATE OF LIABILITY INSURANCE I DA TE (MM/DD/YYYY) ~ 8/3/2018 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($), 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 endorsementlsl. PRODUCER CONTACT NAME: r..tJgN~O ext'· (800) 688-1984 l FAX iAJc Nol: 877-826-9067 E-MAIL BIN Insurance Holdings, LLC ADDRESS: 30 N. LaSalle, 25th Floor, Chicago, IL 60602 INSURER(SI AFFORDING COVERAGE NAIC# INSURER A: Alain SDecialtv Insurance Comnanv 17159 INSURED INSURER B: Resurfacing Specialists, Inc. INSURERC: 9984 Scripps Ranch Blvd, San Diego, CA, 92131 INSURER D: INSURER E: 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF .~~~J%~, LTR ,.,en ,.n,n POLICY NUMBER IMM/DD/YYYYI LIMITS ./ COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 f----------~ CLAIMS-MADE 0 OCCUR DAMAGE TO RENTED f----------PREMISES IEa occurrence\ $ 1,000,000 MED EXP (Any one person) $ 5.000 ~ A Yes CIP351238 6/12/2018 6/12/2019 PERSONAL & ADV INJURY $ 1.000,000 f---------- GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 ~ DPRO-DLoc $ 2,000,000 POLICY JECT PRODUCTS -COMP/OP AGG OTHER: $ AUTOMOBILE LIABILITY ~~~~~~~~t?NGLE LIMIT $ - ANY AUTO BODILY INJURY (Per person) $ -ALL OWNED ~ SCHEDULED AUTOS AUTOS BODIL y INJURY (Per accident) $ --NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS /Per accident\ $ --$ UMBRELLA LIAB H OCCUR EACH OCCURRENCE $ -EXCESS LIAB CLAIMS-MADE AGGREGATE $ OED I I RETENTION$ $ WORKERS COMPENSATION I PER I I OTH- AND EMPLOYERS' LIABILITY STATUTE ER YIN ANY PROPRIETOR/PARTNER/EXECUTIVE D N/A E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE -EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E L DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Carlsbad is named as Additional Insured as their interests may appear in regards to general liability. Should any of the above described policies be cancelled before the expiration date, the issuing insurer will endeavor to mail 30 days written notice (1 O days notice if due to non-payment) to the certificate holder named below, but failure ID do so shall impose no obligation or liability of any kind upon the insurer, its agents or representatives. 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 c/o EXIGIS Insurance Compliance Services ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 4668 -ECM #35050 New York, NY 10163-4668 AUTHORIZED REPRESENTATIVE ~~--1~ I © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 106822 Resurfacing Specialists, Inc. Certificate of Insurance Page (2 of 2) 8/3/2018 3:07:02 PM AGENCY CUSTOMER ID: 106822 ---------------------LO C #: -------- ADDITIONAL REMARKS SCHEDULE Page of L----' nsureon -- AGENCY NAMED INSURED Resurfacing Specialists, Inc. POLICY NUMBER 9984 Scripps Ranch Blvd San Diego, CA 92131 CARRIER I NAICCODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM 15 A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE City of Carlsbad is named as Additional Insured as their interests may appear in regards to general liability. Should any of the above described policies be cancelled before the expiration date, the issuing insurer will endeavor to mail 30 days written notice (1 O days notice if due to non-payment) to the certificate holder named below, but failure to do so shall impose no obligation or liability of any kind upon the insurer, its agents or representatives. -- ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY CG 20 33 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS -AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AG REEM ENT 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 or- ganization for whom you are performing opera- tions 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 re- spect to liability for "bodily injury", "property dam- age" 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 re- quired by the contract or agreement to provide for such additional insured. A person's or organization's status as an addi- tional insured under this endorsement ends when your operations for that additional insured are completed. B. With respect to the insurance afforded to these ad- ditional insureds, the following additional exclu- sions apply: This insurance does not apply to: 1. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the ren- dering of, or the failure to render, any profes- sional architectural, engineering or surveying services, including: a. The preparing, approving, or failing to prepare or approve, maps, shop draw- ings, opinions, reports, surveys, field or- ders, 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 "occur- rence" which caused the "bodily injury" or "prop- erty damage", or the offense which caused the "personal and advertising injury", involved the ren- dering of or the failure to render any professional architectural, engineering or surveying services. CG 20 33 04 13 Copy rig ht, Insurance Services Office, Inc., 2012 Page 1 of2 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 serv- ice, maintenance or repairs) to be per- formed 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 or- ganization 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 Sec- tion Ill -Lim its Of Insurance: The most we will pay on behalf of the additional in- sured 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 Insur- ance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page2of2 Copyright, Insurance Services Office, Inc., 2012 CG20330413 POLICY NUMBER: CIP351238 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: ANY PERSON OR ORGANIZATION WITH WHOM THE INSURED HAS AGREED TO WAIVE RIGHTS OF RECOVERY, PROVIDED SUCH AGREEMENT IS MADE IN WRITING AND PRIOR TO THE LOSS Information reauired to comolete 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 NUMBER CIP351238 COMMERCIAL GENERAL LIABILITY CG 25 03 05 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Project(s): LOCATIONS AS REQUIRED BY SPECIFIC WRITTEN CONTRACT Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. For all sums which the insured becomes legally obligated to pay as damages caused by "occur- rences" under Section I -Coverage A, and for all medical expenses caused by accidents under Section I -Coverage C, which can be attributed only to ongoing operations at a single designated construction project shown in the Schedule above: 1. A separate Designated Construction Project General Aggregate Limit applies to each des- ignated construction project, and that limit is equal to the amount of the General Aggre- gate Limit shown in the Declarations. 2. The Designated Construction Project General Aggregate Limit is the most we will pay for the sum of all damages under Coverage A, except damages because of "bodily injury" or "property damage" included in the "pro- ducts-completed operations hazard", and for medical expenses under Coverage C regard- less of the number of: a. Insureds; b. Claims made or "suits" brought; or c. Persons or organizations making claims or bringing "suits". 3. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the Designated Con- struction Project General Aggregate Limit for that designated construction project. Such payments shall not reduce the General Ag- gregate Limit shown in the Declarations nor shall they reduce any other Designated Con- struction Project General Aggregate Limit for any other designated construction project shown in the Schedule above. 4. The limits shown in the Declarations for Each Occurrence, Damage To Premises Rented To You and Medical Expense continue to apply. However, instead of being subject to the General Aggregate Limit shown in the Decla- rations, such limits will be subject to the applicable Designated Construction Project General Aggregate Limit. CG 25 03 05 09 Copyright, Insurance Services Office, Inc, 2008 Page 1 of2 B. For all sums which the insured becomes legally obligated to pay as damages caused by "occur- rences" under Section I -Coverage A, and for all medical expenses caused by accidents under Section I -Coverage C, which cannot be attrib- uted only to ongoing operations at a single desig- nated construction project shown in the Schedule above: 1. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the amount available under the General Aggregate Limit or the Products-completed Operations Aggregate Limit, whichever is applicable; and 2. Such payments shall not reduce any Desig- nated Construction Project General Aggre- gate Limit. C. When coverage for liability arising out of the "products-completed operations hazard" is pro- vided, any payments for damages because of "bodily injury" or "property damage" included in the "products-completed operations hazard" will reduce the Products-completed Operations Aggregate Limit, and not reduce the General Ag- gregate Limit nor the Designated Construction Project General Aggregate Limit. D. If the applicable designated construction project has been abandoned, delayed, or abandoned and then restarted, or if the authorized contract- ing parties deviate from plans, blueprints, de- signs, specifications or timetables, the project will still be deemed to be the same construction project. E. The provisions of Section Ill -Limits Of Insurance not otherwise modified by this endorsement shall continue to apply as stipulated. Page 2 of2 Copyright, Insurance Services Office, Inc., 2008 CG 25 03 05 09 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 79 Ed. 02-14 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT • CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while en- gaged in the work described in the Schedule. The additional premium for this endorsement is$ 100. oo Schedule Person or Organization City of Carlsbad := 1635 Faraday Ave, Carlsbad, CA 92008 ProjP.r.t. Lor.at.ion: 8P.nior CP.nt.P.r, 7gg PinP. AvP., Carlsbad, CA 92008 Job Description Installation of moisture vapor barrier system This endorsement changes the fX)licy 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 04/14/2018 Policy Effective State Policy No. XWS (19) 57 94 90 05 Insured RESURFACING SPECIALISTS INC Endorsement No. 0002 Premium See Schad Insurance Company Ohio Security Insurance Company 19291 WC 99 06 79 (Ed. 02-14) Countersigned by ________ _ © 2014 Liberty Mutual Insurance.All rights reserved. lndudes copyrighted material of WCIRB,with its permission. ACORD® CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) ~ 8/1/2018 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 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 ~2:rcT Customer Service Department Pike Insurance Services rA~~NJo. ~•ti: (800) 411-7453 I FAX /A/C Nol: (800) 991-7453 ·-3910 Vista Way #107 i~lJ~ss,certificates@pikeinsuranceservices.com INSURER(S) AFFORDING COVERAGE NAIC# Oceanside CA 92056 INSURER A :Infinity Commercial Auto 11738 INSURED INSURER B: Resurfacing Specialists, Inc. INSURER C: ... 9974 Scripps Ranch Blvd Suite 376 INSURER D: INSURER E: San Diego CA 92131 INSURER F: COVERAGES CERTIFICATE NUMBER:18-19 BA Master REVISION NUMBER· THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR , .. ~~ .... ,~ POLICY NUMBER CMM/DD/YYYYl CMM/DD/YYYYl LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ ~ D CLAIMS-MADE D OCCUR DAMAGE TO RENTED PREMISES /Ea occurrence\ $ I ~ MED EXP (Any one person) $ PERSONAL & ADV INJURY ~ $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ Fl DPRO· DLOC PRODUCTS · COMP/OP AGG POLICY JECT $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 /Ea accident\ ~ A ANY AUTO BODILY INJURY (Per person) $ ~ ALL OWNED ~ SCHEDULED AUTOS AUTOS X 504-61005-6658-001 7/7/2018 7/7/2019 BODILY INJURY (Per accident) $ ~ ~ X NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS IPer accident) >-- Medical oavments $ 5,000 UMBRELLA LIAB H OCCUR EACH OCCURRENCE $ ~ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ .. $ WORKERS COMPENSATION I PER I I OTH- AND EMPLOYERS' LIABILITY STATUTE ER Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE D E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L. DISEASE · EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE · POLICY LIMIT $ DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) City of Carlsbad/CMWD c/o EXIGIS Insurance Compliance Services is named as Additional Insured per the attached Endorsement. *Additional Insured status is subject to all policy terms, exclusions and conditions* 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 c/o EXIGIS Insurance Compliance Services ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 4668 -ECM #35050 New York, NY 10163-4668 AUTHORIZED REPRESENTATIVE Travis Coleman/CYNR --- © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) INS025 (201401) The ACORD name and logo are registered marks of ACORD Customer Service: (800) 722-3391 Infinity Commercial Auto 11700 Great Oaks Way, Suite 450 Alpharetta, GA 30022 Underwritten by: Infinity Select Insurance Company Claims Service: (800) 334-1661 ADDITIONAL NAMED INSURED ENDORSEMENT City of Carlsbad/CMWD c/o Exigis Ins Compliance Services PO Box 4668 -ECM #35050 New York, NY 10163-4668 Resurfacing Specialists, Inc. This endorsement is attached to and forms a part of the listed policy. No changes will be effective prior to the time changes are requested. City of Carlsbad/CMWD c/o Exigis Ins Compliance Services Part A -Liability Coverage, is changed as follows: The definition of insured is changed to include the additional insured named above. Adding an insured will not increase the limit of our liability. The insurance provided by this endorsement will be excess over any other valid and collectible insurance. All other parts of this Policy remain unchanged. ADDL INSURED COPY AMEND DATE: 08/01/2018 50461AIS01 ENDORSEMENT: 3-3 ACORD8 CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/00/YYYY) ~ 08/08/2018 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 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 Nii'.ME~"' PHONE I FAX Automatic Data Processing Insurance Agency, Inc. IAJC No Ext): (AJC No): E-MAIL 1 Adp Boulevard ADDRESS: Roseland, NJ 07068 INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: Ohio Security Insurance Company 24082 INSURED INSURER B: RESURFACING SPECIALIST, INC. INSURERC: 9984 Scripps Ranch Blvd, Suite 376 San Diego, CA 92131 INSURER O: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 954953 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE IADDL ISUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER IMM/0D/YYYY) IMM/DD/YYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ - CLAIMS-MADE D OCCUR DAMAGE TO t-<c" 1 cu PREMISES /Ea occurrence\ $ - MED EXP (Any one person) $ - PERSONAL & ADV INJURY $ - GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ =l DPRO-DLOC PRODUCTS -COMP/OP AGG $ POLICY JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ /Ea accident\ - ANY AUTO BODILY INJURY (Per person) $ --ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ --NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS /Per accident\ $ -- $ UMBRELLA LIAB H OCCUR EACH OCCURRENCE $ - EXCESS LIAB CLAIMS-MADE AGGREGATE $ OED I I RETENTION$ $ WORKERS COMPENSATION X I ~~fTuTE I I OTH-ANO EMPLOYERS' LIABILITY ER Y/N 1,000,000 A ANY PROPRIETOR/PARTNER/EXECUTIVE ~ y XWS57949005 04/14/2018 04/14/2019 E L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L. DISEASE -EA EMPLOYEE $ 1,000,000 ~lsc:i(tf~~ ofoPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) This certificate of insurance includes a Waiver of Subrogation in favor of the certificate holder. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Carlsbad ACCORDANCE WITH THE POLICY PROVISIONS. 1200 Carlsbad Village Drive Carlsbad, CA 92008 AUTHORIZED REPRESENTATIVE I --n-i_ }11)1<...;__ A© 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD