Loading...
HomeMy WebLinkAboutSeaside Heating and Air Conditioning Inc; 2019-05-20; PWM19-788GSRECORDED REQUESTED BY CITY OF CARLSBAD AND WHEN RECORDED PLEASE MAIL TO: City Clerk City of Carlsbad 1200 Carlsbad Village Drive Carlsbad, California 92008 DOC# 2019-0234557 1111111111111111111111111111ll111111111111111111111111111 IIIII IIII IIII Jun17,2019 11:12AM OFFICIAL RECORDS Ernest J Dronenburg, Jr, SAN DIEGO COUNTY RECORDER FEES. $0 00 (SB2 Atkins. $0 00) PAGES 1 Space above this line for Recorder's use. PARCEL NO: 212-130-31-00 NOTICE OF COMPLETION Notice is hereby given that: 1. 2. 3. 4. 5. 6. 7. 8. The undersigned is owner of the interest or estate stated belo~_i!1..,,t~e+prpperty hereinafter described. The full names of the undersigned are City of Carlsbad, a munic1pale,o,-p-..... ~,h'-·,. The full address of the undersigned is 1200 Carlsbad Village Drive, Carlsbad, California 92008. The nature of the title of the undersigned is: In fee. A work or improvement on the property hereinafter described was completed on May 24, 2019. The name of the contractor for such work or improvement is Seaside Heating & Air Conditioning. The property on which said work or improvement was completed is in the City of Carlsbad, County of San Diego, State of California, and is described as follows: Project No. PWM19-788GS, Project Name: Faraday Center AC-46 Replacement. The street address of said property is 1635 Faraday Ave., Carlsbad, CA 92008, in the City of Carlsbad. VERIFICATION OF CITY CLERK I, the undersigned, say: I am the City Clerk of the City of Carlsbad, 1200 Carlsbad Village Drive, Carlsbad, California, 92008; the City Manager of said City on J"v fl e I~ , 20.li_, 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 "Jvne 13 , 2011_, at Carlsbad, California. CllY OF CARLS~ _, ____ ~""""""---~-"=~6-=-'----,1--'' I-LL...L..E....>,ec ......... lQ'-'--( Ga tnt z I De~11f 1Ji BARBARA ENGLESON ' fJ C1T"f City Clerk ,.,/ C}e1 ✓ Q:\Public Works\General Services\Agreements & Contracts\Seaside Heating & Air Conditioning\Faraday Center\Faraday Center AC-46 Replacement -PWM19- ?BBGSINOC\2.NOC -Faraday Center AC-46 Replacement -PWM19-788GS.docx CITY OF CARLSBAD ACCEPTANCE OF PUBLIC IMPROVEMENTS COMPLETION OF PUBLIC IMPROVEMENTS Seaside Heating & Air Conditioning has completed the contract work required for PWM19-788GS -Faraday Center AC-46 Replacement. City forces have inspected the work and found it to be satisfactory. The work consisted of: IMPROVEMENTS Remove and replace existing Faraday Center AC- 46 with new Carrier unit. VALUE $10,128 CERTIFICATION OF COMPLETION OF IMPROVEMENTS hoff, Public Works Manager 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. ~ Scott Chadwick, Date APPROVED AS TO FORM: CELIA BREWER, City Attorney Q \Public Works\General Services\Agreements & Contracts\Seaside Heating & Air Cond,tioning\Faraday Center\Faraday Center AC-46 Replacement . PWM19- 788GS\NOC\3.API -Faraday Center AC-46 Replacement -PWM19-788GS.docx PWM19-788GS Faraday Center AC-46 Replacement; Cont. No. 4720 Page 1 of 17 City Attorney Approved 9/27/16 CITY OF CARLSBAD MINOR PUBLIC WORKS CONTRACT FARADAY CENTER AC-46 REPLACEMENT; CONT. NO. 4720 This agreement is made on the ______________ day of _________________________, 2019, by the City of Carlsbad, California, a municipal corporation, (hereinafter called "City"), and Seaside Heating & Air Conditioning, a California corporation whose principal place of business is 1359 Rocky Point Drive, Oceanside, CA 92056 (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: Charles Balteria (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. DocuSign Envelope ID: AD3A4583-02D0-4766-AC84-62D17C5DE8CC 20th May PWM19-788GS Faraday Center AC-46 Replacement; Cont. No. 4720 Page 2 of 17 City Attorney Approved 9/27/16 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: __Charles Balcar_____________________ 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. DocuSign Envelope ID: AD3A4583-02D0-4766-AC84-62D17C5DE8CC PWM19-788GS Faraday Center AC-46 Replacement; Cont. No. 4720 Page 3 of 17 City Attorney Approved 9/27/16 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 thirty (30) working days after receipt of Notice to Proceed. Completion: Contractor agrees to complete work within sixty (60) working days after receipt of Notice to Proceed. CONTRACTOR’S INFORMATION. Seaside Heating & Air Conditioning, Inc. 1359 Rocky Point Drive (name of Contractor) 790514 (street address) Oceanside, CA 92056 (Contractor’s license number) C-20, C-38, C-4 1/31/21 (city/state/zip) 760-643-1100 (license class. and exp. date) 1000005586 (telephone no.) 760-842-5642 (DIR registration number) 6/30/19 (fax no.) cb@seasidehvac.com (DIR registration exp. date) (e-mail address) /// /// /// /// /// /// /// DocuSign Envelope ID: AD3A4583-02D0-4766-AC84-62D17C5DE8CC PWM19-788GS Faraday Center AC-46 Replacement; Cont. No. 4720 Page 4 of 17 City Attorney Approved 9/27/16 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, SEASIDE HEATING & AIR CONDITIONING, INC., a California corporation CITY OF CARLSBAD, a municipal corporation of the State of California By: By: (sign here) Jay Sebring / President, Secretary Paz Gomez, Deputy City Manager, Public Works as authorized by the City Manager (print name/title) By: (sign here) Charles Balcar / CFO (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, President, or Vice-President 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: _____________________________ Deputy City Attorney DocuSign Envelope ID: AD3A4583-02D0-4766-AC84-62D17C5DE8CC PWM19-788GS Faraday Center AC-46 Replacement; Cont. No. 4720 Page 5 of 17 City Attorney Approved 9/27/16 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 Total % Subcontracted: _______________ The Contractor must perform no less than fifty percent (50%) of the work with its own forces DocuSign Envelope ID: AD3A4583-02D0-4766-AC84-62D17C5DE8CC 0 x x x x x x x xx x PWM19-788GS Faraday Center AC-46 Replacement; Cont. No. 4720 Page 6 of 17 City Attorney Approved 9/27/16 EXHIBIT B Faraday Center AC-46 Replacement Contractor to provide all tools, materials and labor to remove and replace Faraday AC-46 with a new Carrier M#48KCLA05A2A6-0A0A0 (or equivalent) at the Faraday Center, 1635 Faraday Ave, Carlsbad CA, 92008. Scope of Work shall consist of all items mentioned in the contractor’s proposal dated April 4, 2019 and is attached to this document as Exhibit “C”. Notes: • Contractor to remove and dispose of all replaced equipment. • Contractor to test and verify operation of system. JOB QUOTATION ITEM NO. UNIT QTY DESCRIPTION PRICE 1 LS 1 Faraday Center AC-46 Replacement $10,128 TOTAL* $10,128 *Includes taxes, fees, expenses and all other costs. DocuSign Envelope ID: AD3A4583-02D0-4766-AC84-62D17C5DE8CC PWM19-788GS Faraday Center AC-46 Replacement - Cont. No. 4720 Page 7 of 17 EXHIBIT C DocuSign Envelope ID: AD3A4583-02D0-4766-AC84-62D17C5DE8CC PWM19-788GS Faraday Center AC-46 Replacement - Cont. No. 4720 Page 8 of 17 EXHIBIT D Materials DocuSign Envelope ID: AD3A4583-02D0-4766-AC84-62D17C5DE8CC PWM19-788GS Faraday Center AC-46 Replacement - Cont. No. 4720 Page 9 of 17 DocuSign Envelope ID: AD3A4583-02D0-4766-AC84-62D17C5DE8CC PWM19-788GS Faraday Center AC-46 Replacement - Cont. No. 4720 Page 10 of 17 DocuSign Envelope ID: AD3A4583-02D0-4766-AC84-62D17C5DE8CC PWM19-788GS Faraday Center AC-46 Replacement - Cont. No. 4720 Page 11 of 17 DocuSign Envelope ID: AD3A4583-02D0-4766-AC84-62D17C5DE8CC PWM19-788GS Faraday Center AC-46 Replacement - Cont. No. 4720 Page 12 of 17 DocuSign Envelope ID: AD3A4583-02D0-4766-AC84-62D17C5DE8CC PWM19-788GS Faraday Center AC-46 Replacement - Cont. No. 4720 Page 13 of 17 DocuSign Envelope ID: AD3A4583-02D0-4766-AC84-62D17C5DE8CC PWM19-788GS Faraday Center AC-46 Replacement - Cont. No. 4720 Page 14 of 17 DocuSign Envelope ID: AD3A4583-02D0-4766-AC84-62D17C5DE8CC PWM19-788GS Faraday Center AC-46 Replacement - Cont. No. 4720 Page 15 of 17 DocuSign Envelope ID: AD3A4583-02D0-4766-AC84-62D17C5DE8CC PWM19-788GS Faraday Center AC-46 Replacement - Cont. No. 4720 Page 16 of 17 DocuSign Envelope ID: AD3A4583-02D0-4766-AC84-62D17C5DE8CC PWM19-788GS Faraday Center AC-46 Replacement - Cont. No. 4720 Page 17 of 17 DocuSign Envelope ID: AD3A4583-02D0-4766-AC84-62D17C5DE8CC CERTIFICATE HOLDER © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) AUTHORIZED REPRESENTATIVE CANCELLATION DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE LOCJECTPRO-POLICY GEN'L AGGREGATE LIMIT APPLIES PER: OCCURCLAIMS-MADE COMMERCIAL GENERAL LIABILITY GENERAL LIABILITY PREMISES (Ea occurrence)$DAMAGE TO RENTED EACH OCCURRENCE $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $RETENTIONDED CLAIMS-MADE OCCUR $ AGGREGATE $ EACH OCCURRENCE $ UMBRELLA LIAB EXCESS LIAB DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) INSRLTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)LIMITS WC STATU-TORY LIMITS OTH-ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ $ ANY PROPRIETOR/PARTNER/EXECUTIVE If yes, describe underDESCRIPTION OF OPERATIONS below (Mandatory in NH)OFFICER/MEMBER EXCLUDED? WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED HIRED AUTOS NON-OWNEDAUTOSAUTOS AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE $ $ $ $ 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 THISCERTIFICATE 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 ADDL WVD SUBR N / A $ $ (Ea accident) (Per accident) 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). The ACORD name and logo are registered marks of ACORD COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: INSURED PHONE(A/C, No, Ext): PRODUCER ADDRESS:E-MAIL FAX(A/C, No): CONTACTNAME: NAIC # INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : INSURER(S) AFFORDING COVERAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Wood Gutmann &Bogart Insurance BrokersLicense#067926315901RedHillAve.,Suite 100TustinCA92780 Rachelle Williams 714-824-8349 714-573-1770 rwilliams@wgbib.com Middlesex Insurance Company 23434 SEASI-1 Insurance Company of the West 27847SeasideHeating&Air Conditioning,Inc.1359 Rocky Point Dr.Oceanside CA 92056-5864 193656203 A X 1,000,000 500,000 X 1,000,000 3,000,000 2,000,000 A0112596004 9/18/2018 9/18/2019 X 5,000 A 1,000,000 X X X X Comp$500Ded X Coll $500Ded A0112596004 9/18/2018 9/18/2019 A X X 3,000,000 X NIL A0112596004 9/18/2018 9/18/2019 B Y WSD502592005 3/1/2019 3/1/2020 1,000,000 1,000,000 1,000,000 THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE 3/5/2019 X RE:Dove Library HVAC Actuator and Valve Replacement,BID NO.PWS18-101TRAN,PROJECT NO.4030 City of Carlsbad/CMWD c/o EXIGIS Insurance Compliance Services is named as additional insured on the General Liability per attached CG 20 10 04 13 andCG20370413andAutopertheattachedCG20481013.Waiver of Subrogation applies to the General Liability per attached CA 24 04 05 09,on the AutoperattachedCA04441013andtheWorkersCompensationperattachedWC990634. City of Carlsbad/CMWDc/o EXIGIS Insurance Compliance ServicesP.O.Box 4668 -ECM #35050NewYorkNY10163-4668 Page 1 of 1CG 20 37 04 13 09/14/2018A0112596 Middlesex Insurance Company © Insurance Services Office, Inc., 2012 POLICY NUMBER:COMMERCIAL GENERAL LIABILITY 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 CG 20 37 04 13 Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed 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 shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Any person or organization you are required to add as an additional insured under a written contract or agreement in effect prior to any accident, injury, loss or damage Jobsites as described in contracts. Codes per the General Liability Declaration Page A0112596004 00001 0000000000 18257 0 N1 20ea0047-333c-4159-83d5-a46983646cd020ea0047-333c-4159-83d5-a46983646cd0 0027020044346714803492056586459 Page 1 of 1CA 20 48 10 13 09/14/2018A0112596 Middlesex Insurance Company POLICY NUMBER: Named Insured: Endorsement Effective Date: SCHEDULE Name of Person(s) or Organization(s): © Insurance Services Office, Inc., 2011 COMMERCIAL AUTO CA 20 48 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Seaside Heating & Air Conditioning Inc Any person or organization from whom you are required to waive your right to recover under a written contract or written agreement in effect prior to any loss or damage Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II - Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I - Covered Autos Coverages of the Auto Dealers Coverage Form. A0112596001 09/18/2018 00001 0000000000 18257 0 N1 aae0f1ce-f6a8-42d9-8fad-dc231d1a54e3aae0f1ce-f6a8-42d9-8fad-dc231d1a54e3 0027020044346714803992056586459 Named Insured: Endorsement Effective Date: Name(s) Of Person(s) Or Organization(s): COMMERCIAL AUTO CA 04 44 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. The Transfer Of Rights Of Recovery Against Others To Us Condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. POLICY NUMBER: A0112596001 SCHEDULE Information required to complete this Schedule, if not shown above, will be shown in the Declarations. © Insurance Services Office, Inc., 2011 Any person or organization from whom you are required to waive your right to recover under a written contract or written agreement in effect prior to any loss or damage Seaside Heating & Air Conditioning Inc 09/18/2018 Page 1 of 1CA 04 44 10 13 09/14/2018A0112596 Middlesex Insurance Company 00001 0000000000 18257 0 N1 434ad744-f868-45ac-895a-3ab7d1052de1434ad744-f868-45ac-895a-3ab7d1052de1 0027020044346714803992056586459 Page 1 of 2CG 20 10 04 13 09/14/2018A0112596 Middlesex Insurance Company © Insurance Services Office, Inc., 2012 POLICY NUMBER:COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE CG 20 10 04 13 Name Of Additional Insured Person(s) Or Organization(s)Location(s) Of Covered 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", "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(s) at the location(s) designated above. 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 additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1.All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2.That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. Any person or organization from whom you are required to waive your right to recover under a written contract or written agreement in effect prior to any loss or damage Where required by written contract executed prior to loss Description: Codes per the General Liability Declaration Page. A0112596004 00001 0000000000 18257 0 N1 68d95a5b-e88d-4932-acab-33f0965555c068d95a5b-e88d-4932-acab-33f0965555c0 0027020044346714803692056586459 C.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 shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. © Insurance Services Office, Inc., 2012 CG 20 10 04 13Page 2 of 2 09/14/2018A0112596 Middlesex Insurance Company Page 1 of 1CG 24 04 05 09 09/14/2018A0112596 Middlesex Insurance Company © Insurance Services Office, Inc., 2008 POLICY NUMBER: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 A0112596004 Name Of Person Or Organization: Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Any person or organization from whom you are required to waive your right to recover under a written contract or written agreement in effect prior to any loss or damage 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. 00001 0000000000 18257 0 N1 d140c973-0dee-41b9-818d-e1ed0308ff8fd140c973-0dee-41b9-818d-e1ed0308ff8f 0027020044346714803692056586459