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HomeMy WebLinkAboutS&J Builders and Restoration Services Inc; 2022-08-08; PWM23-1910FACPWM23-1910FAC Faraday File Area Floor Demo - Cont. No. 4750 Page 1 of 14 City Attorney Approved 1/20/2020 CITY OF CARLSBAD MINOR PUBLIC WORKS CONTRACT FARADAY FILE AREA FLOOR DEMO; CONT. NO. 4750 This agreement is made on the ______________ day of _________________________, 2022, by the City of Carlsbad, California, a municipal corporation, (hereinafter called "City"), and S&J Builders and Restoration Services, Inc., a California corporation whose principal place of business is 10815 Wheatlands Ave., Suite J, Santee, CA 92071 (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 Lauren Milliken (City Project Manager). PAYMENT. The City shall withhold retention as required by Public Contract Code Section 9203. WAGE RATES. The general prevailing rate of wages for each craft or type of worker needed to execute the Contract shall be those as determined by the Director of Industrial Relations pursuant to Sections 1770, 1773 and 1773.1 of the Labor Code. Pursuant to Section 1773.2 of the Labor Code, a current copy of the applicable wage rates is on file in the Office of the City Engineer. Contractor shall not pay less than the said specified prevailing rates of wages to all workers employed by him or her in execution of the Contract. Contractor shall be responsible for insuring compliance with provisions of section 1777.5 of the Labor Code and section 4100 et seq. of the Public Contracts Code, "Subletting and Subcontracting Fair Practices Act." The City Engineer is the City's "duly authorized officer" for the purposes of section 4107 and 4107.5. The provisions of Part 7, Chapter 1, of the Labor Code commencing with section 1720 shall apply to the Contract for work. DocuSign Envelope ID: 32AB3CCA-07A6-42D4-A01A-C6AD9D1B2BDE 8th August PWM23-1910FAC Faraday File Area Floor Demo - Cont. No. 4750 Page 2 of 14 City Attorney Approved 1/20/2020 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. 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 (5) 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: _________Gracie Wilson_______________ 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 DocuSign Envelope ID: 32AB3CCA-07A6-42D4-A01A-C6AD9D1B2BDE PWM23-1910FAC Faraday File Area Floor Demo - Cont. No. 4750 Page 3 of 14 City Attorney Approved 1/20/2020 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 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. 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. /// /// /// /// /// /// DocuSign Envelope ID: 32AB3CCA-07A6-42D4-A01A-C6AD9D1B2BDE PWM23-1910FAC Faraday File Area Floor Demo - Cont. No. 4750 Page 4 of 14 City Attorney Approved 1/20/2020 CONTRACTOR’S INFORMATION. S&J Builders and Restoration Services, Inc. 10815 Wheatlands Ave., Suite J (name of Contractor) 689944 (street address) Santee, CA 92071 (Contractor’s license number) Class B, C36 2/29/2024 (city/state/zip) 619-449-2014 (license class. and exp. date) 1000018498 6/30/2023 (telephone no.) swilson@sandjbuild.com (DIR registration number and exp. date) (e-mail address) /// /// /// /// /// /// /// /// /// /// /// /// DocuSign Envelope ID: 32AB3CCA-07A6-42D4-A01A-C6AD9D1B2BDE PWM23-1910FAC Faraday File Area Floor Demo - Cont. No. 4750 Page 5 of 14 City Attorney Approved 1/20/2020 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 S&J BUILDERS AND RESTORATION SERVICES, INC., a California corporation CITY OF CARLSBAD, a municipal corporation of the State of California By: By: (sign here) Gracie Wilson CEO, President & Secretary Paz Gomez, Deputy City Manager, Public Works, as authorized by the City Manager (print name/title) By: (sign here) (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: _____________________________ Assistant City Attorney DocuSign Envelope ID: 32AB3CCA-07A6-42D4-A01A-C6AD9D1B2BDE PWM23-1910FAC Faraday File Area Floor Demo - Cont. No. 4750 Page 6 of 14 City Attorney Approved 1/20/2020 EXHIBIT A LISTING OF SUBCONTRACTORS BY GENERAL CONTRACTOR Set forth below is the full name and location of the place of business of each subcontractor 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 subcontractor for each subcontract. NOTE: The Contractor understands that if it fails to specify a subcontractor 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 Type of Work 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 50% of the work with its own forces. DocuSign Envelope ID: 32AB3CCA-07A6-42D4-A01A-C6AD9D1B2BDE ZERO NONE ZERONONENONENONE PWM23-1910FAC Faraday File Area Floor Demo - Cont. No. 4750 Page 7 of 14 City Attorney Approved 1/20/2020 EXHIBIT B Faraday File Area Floor Demo Contractor to provide all materials, tools and labor necessary to remove elevated floor section of the first floor of the Faraday Center located at 1635 Faraday Ave, Carlsbad, CA 92008. All work and materials to be consistent with the Contractor’s proposal dated July 9, 2022, and is attached to this agreement as Exhibit C. The scope of work shall consist of: • Install containment barrier • Demolition and disposal of existing carpet and cove base at specified area • Demolition and disposal of mortar bed and all debris • Clean up of work area Notes: • Prep work and containment barrier to take place during normal business hours • Demolition and clean up to take place during after hours JOB QUOTATION ITE M NO. UNI T QT Y DESCRIPTION PRICE 1 LS 1 • Demo elevated floor at file area. • Haul off all debris. • Includes all prep and clean up work. $17,654.10 TOTAL* $17,654.10 *Includes taxes, fees, expenses and all other costs. DocuSign Envelope ID: 32AB3CCA-07A6-42D4-A01A-C6AD9D1B2BDE PWM23-1910FAC Faraday File Area Floor Demo Page 8 of 14 EXHIBIT C DocuSign Envelope ID: 32AB3CCA-07A6-42D4-A01A-C6AD9D1B2BDE S&.J Builders and Restoration Services Inc I 0815 Wheatlands Ave Suite J Santee, CA 92071 619-449-20[4 619-449,0887 fax Lie 689944 Client: City of Carlsbad -Faraday Property: 1635 Faraday Ave Carlsbad , CA 92008 Operator: SWlLSON Estimator: Scan Wilson Position: Scnio1 Estimator Company: S&J Builders Business: I 0815 Whcatlands Ave Suite J Sontcc, CA 92071 Reference: Company: City of Carlsbad Type of Estimate: Date Entered: Date Est. Completed: Price List: Labor Efficiency: Estimate: T cnatt Improvement 7/9/2022 7/9/2022 Date Assigned: 6/29/2022 Date Job Completed: SJSD?WPWSJSD2 I Restoration/Service/Remodel CITYOFCARLSBAD-FD-DF Business: (442) 252-1165 Business: (619) 449-2014 x 106 E-mail: swilson@sandjbuild.com Sean Wilson from S&.J Builders met with Lauren Milliken on site on .June 30, 2022 aod requested a bid the removal of a elevated platform on the first noor. City Staff will remove racks and sliding filing cabinets unit and City vendor will be installing the carpet. We would like to thank you for the opportunity to provide you with this COST PROPOSAL FOR Elevated platform demo. The total cost for the repairs detailed in the following proposal is $ 17,654.10. The attached estimate details the specific work to he completed. Additional work outside of that specified in this estimate will be through separate proposal(s) and/or change order(,) detailing the additionaVchanged scope of work as well as the terms and pricing of those changes. Repairs will be scheduled after a signed contract is receh•ed by S&.J Builders and a PO is issued by the city. Proposal includes prevailing wages. Unless noted othen,ise, the customer is required to provide heat, water and electricity on.site for the duration of this project. The customer is re.sponsible for providing continuous access to the project are.a during normal business hours, Friday, 7:30 am -4:10 pm for the containment and after hours Saturday or Sunday 7:30 -S pm for demo and clean up. This estimate does not include hazardous material testing or abatement unless specifically detailed in the following estimate. This estimate is ,•:did for 30 days from 7/9/2022. If you have any questions about this estimate., please contact Sean \Vilson to discuss those questions. Respectfully, Sean Wilson PWM23-1910FAC Faraday File Area Floor Demo Page 9 of 14 EXHIBIT C (Continued) DocuSign Envelope ID: 32AB3CCA-07A6-42D4-A01A-C6AD9D1B2BDE -___ ..._..._ S&.I Builders and Restoration Services Inc I 081 5 Wheadands Ave Suite J Santee, CA 92071 619-449-2014 619-449-0887 fax Lic689944 CITYOFCARLSBAD-FD-DF 7/9/2022 Page: 2 PWM23-1910FAC Faraday File Area Floor Demo Page 10 of 14 EXHIBIT C (Continued) DocuSign Envelope ID: 32AB3CCA-07A6-42D4-A01A-C6AD9D1B2BDE S&.I Builders and Restoration Services Inc I 0815 Wheadands Ave Suite J Santee, CA 92071 619-449-2014 619-449-0887 fax Lic689944 CITYOFCARLSBAD-FD-DF De.mo £.levated Floor DESCRIPTIO N Main Le,·el I. Racks and filing cabinets removal -Excluded [ EXCLUDED ) 2. Containment Barrier/Airlock/Decon. Chamber S&J to set UJ> conl9inment on a Friday d uring regular working hours 7:30 am -4 J>m. 3. Peel & seal zipper 4. Neg:. air fan/Air scrub.-Large (per 24 hr period)-No morjt. 5. Ducting -flexible -12" round 6. Filter (for air scrubber and containment wall) 7. Add for HEPA filter (for neg. air machine/vacuum) 8. Remove Cove base molding: -rubber or vinyl, 4" high 9. Tear out gluedn.cp1,cut/bag -after hours 10. Tear out non-salv underlayment & bag -after hours 11. Tear out cabine-t rails -After hours 12. Remove Mortar bed for rails 13. Plastic con1rac1or debris bag 14. General Demolition -per hour-After hours Labor to take down containment and haul all de,hris hags out of the building. 15. HEPA Vacuuming -De1ailed -(PER SF) 16. Floor prep -Excluded [EXCLUDED ) Floor prep by other contra(tor 17. carpet tile -Excluded [ EXCLUDED ) Flooring replacement by other city ,·endor. 18. Cove base molding -rubber or vinyl, 4" high -Excluded [ EXCLUDED) 19. Texture drywall -smooth / skim coat -Excluded [EXCLUDED] Base of wall repair do to original base elevation. 20. Paint the surface area -two coats [ EXCLUDED ] Pony wall painting excluded General DESCRIPTION 21. Content Manipulation [ BY CITY ] 22. Asbestos test fee -full service survey -base fee 23. Asbestos test fee -full service survey -per sample 24. Ha2ardous Ma1erial Remediation (Asbestos) ( EXCLUDED ) 25. Commercial Supervision/ Project Management -per h:>ur CITYOFCARLSBAD-FD-DF 7/9/2022 Height: JO' QTY 1.00 EA 1,440.00 SF 2.00 EA 3.00 DA 8.00 LF 2.00 EA 1.00 EA 44.67 LF 796.56 SF 796.56 SF 178.67 LF 268.00 SF 50.00 EA 12.00 HR 796.56 SF 796.56 SF 796.56 SF 44.67 LF 46.00 SF 223.33 SF QTY 1.00 EA 1.00 EA 9.00 EA 1.00 EA 8.00 HR Page: 3 PWM23-1910FAC Faraday File Area Floor Demo Page 11 of 14 EXHIBIT C (Continued) DocuSign Envelope ID: 32AB3CCA-07A6-42D4-A01A-C6AD9D1B2BDE S&.I Builders and Restoration Services Inc 10815 Wheadands Ave Suite J Sanlt:e, CA 92071 619-449-2014 619-449-0887 fa, Lic689944 DESCRIPTION CONTINUED -Ce,11eral 26. Haul debris -per picl..-up true~ load -including dump fees 27, Bond [ EXCLUDED ) Grand T01al Grand Total Areas: 446.67 SF Walls 796.56 SF Floor 0.00 SF Long Wall 796.56 Floor Area 571.67 E.~terior Wall Arei 0.00 Surface Area 0.00 Total Ridge Length CITYOFCARLSBAD-FD-DF Sean Wilson Senior Estimator 796.56 SF Ceiling 88.51 SY Flooring 0.00 SF Short Wall 811.44 T01al Area 125.00 Ex1erior Perime1er of Walls 0.00 Number of Squares 0.00 Toial Hip Length $17,654.10 1,243.22 SF Walls and Ceiling 44.67 LF Floor Perime-ter 44.67 LF Ceil. Perime-ter 446.67 Interior Wall Area 0.00 Total Perimeter Leng1h 719/2022 QTY 3.00 EA 1.00 EA Page:4 PWM23-1910FAC Faraday File Area Floor Demo Page 12 of 14 EXHIBIT C (Continued) DocuSign Envelope ID: 32AB3CCA-07A6-42D4-A01A-C6AD9D1B2BDE S&.J Builders and Restoration Services Inc 3 5 1081S Whe--at:ands Ave SujtcJ Sa.nlee, CA 92071 619-449-201< 619-449-088; fax Lic689944 CITYOFCARLSBAD-FD-DF 2 4 719/2022 Page: 5 PWM23-1910FAC Faraday File Area Floor Demo Page 13 of 14 EXHIBIT C (Continued) DocuSign Envelope ID: 32AB3CCA-07A6-42D4-A01A-C6AD9D1B2BDE Main Level -----ir,------11 Demo Elevated Floor CITYOFCARl.SBAD-FD-DF 7/9'2022 Main Level Page: 6 PWM23-1910FAC Faraday File Area Floor Demo Page 14 of 14 EXHIBIT C (Continued) DocuSign Envelope ID: 32AB3CCA-07A6-42D4-A01A-C6AD9D1B2BDE q 0 ! •! a lij ii , Ii 1 It ! ii ; 11 ! ;j11 5i Ii 4 ii ti t, a ~ 1n1 I Ii § • )i -5§ ~ ~U~I e ~~ c::: ~ ~ ~ 0 ~a<> 0 .an _J O◊ LL ti IQ1 ~ ~ e ! I I I I I I I ~1 I I I I I I ~• I 18 b n ia ~ u •§ i~ h • ~ I i ~ i! ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED? INSR ADDL SUBRLTRINSD WVD PRODUCER CONTACTNAME: FAXPHONE(A/C, No):(A/C, No, Ext): E-MAILADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH-STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 2/22/2022 12203 S & J Builders And Restoration Services, Inc. 10815 Wheatlands Ave. Ste. J Santee, CA 92071 38342 12537 10855 11260 31453 A 1,000,000 X 00122993 0 10/15/2021 10/15/2022 100,000 5,000 Ded $5K 1,000,000 2,000,000 2,000,000 1,000,000B BA040000032483 3/1/2022 3/1/2023 2,000,000C BTN2118064 10/15/2021 10/15/2022 2,000,000 D X SJWC350306 1/1/2022 1/1/2023 1,000,000 1,000,000 1,000,000 E Pollution Liability ENP0006552 01 10/15/2021 per occ$1,000,000/ag 2,000,000 F Bailees 60497187 10/10/2021 10/10/2022 Bailees 250,000 Re: All Projects with the City As respects General Liabiliy 'The City of Carlsbad' is additional insured when required by written contract per attached endorsements. Cancellation Clause applies per attached policy language. Waiver of Subrogation applies with respects to Workers Compensation. City of Carlsbad/CMWD c/o EXIGIS Insurance Compliance Services P.O. Box 947 Murrieta, CA 92564 S&JBUIL-01 SCARLILE JPL Insurance Group, Inc. 3033 Fifth Ave. #325 San Diego, CA 92103 Amy Brinkley amy@jplinsurance.com James River Insurance California Automobile Ins Co. United Specialty Insurance Co. Cypress Insurance Company Lloyds of London Financial Pacific Insurance Co X 10/15/2022 X X X X X X X DocuSign Envelope ID: 32AB3CCA-07A6-42D4-A01A-C6AD9D1B2BDE ACORD" I ~ I ~ □ □ ~ ~ ~ □ □ ~ ~ ~ ~ ~ ~ ~ ~ H I I I I I □ ~~ I POLICY NUMBER: 00087718-1 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 20 10 07 04 © ISO Properties, Inc.,2004 Page 1 of 1 ADDITIONAL INSURED OWNERS, LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s):Location(s) Of Covered Operations Where required by written contract or written agreement All operations of the Named Insureds 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) desig- nated above. B.With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1.All work, including materials, parts or equip- ment 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 in- tended use by any person or organization oth- er than another contractor or subcontractor engaged in performing operations for a princi- pal as a part of the same project. POLICY NUMBER: 00122993 0 DocuSign Envelope ID: 32AB3CCA-07A6-42D4-A01A-C6AD9D1B2BDE □ COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 20 37 07 04 © ISO Properties, Inc.,2004 Page 1 of 1 ADDITIONAL INSURED OWNERS, LESSEES OR CONTRACTORS COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location And Description Of Completed Opera- tions Where required by written contract or written agreement All operations of the Named Insureds Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II Who Is An Insured is amended to include as an additional insured the person(s) or organiza- tion(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 desig- nated and described in the schedule of this endorse- ment performed for that additional insured and included in the "products-completed operations hazard". POLICY NUMBER: 00122993 0 NUMBER: DocuSign Envelope ID: 32AB3CCA-07A6-42D4-A01A-C6AD9D1B2BDE □ THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AP2104US 10-12 Page 1 of 2 COMMON POLICY CONDITIONS All Coverage Parts in this policy are subject to the following Conditions. 1. CANCELLATION AND NON-RENEWAL A. The first Named Insured shown in the Declarations may cancel this policy by mailing or delivering to us advance written notice of cancellation. B. We may cancel this policy by mailing or delivering to the first Named Insured written notice of cancellation at least: (1) 10 days before the effective date of cancellation if we cancel for nonpayment of premium; or (2) 30 days before the effective date of cancellation if we cancel for any other reason. C. We will mail or deliver our notice to the first Named Insured’s last mailing address known to us. D. Notice of cancellation will state the effective date of cancellation. The policy will end on that date. E. If this policy is cancelled, we will send the first Named Insured any premium refund due. If we cancel, the refund will be pro rata unless cancellation is due to non payment of premium, in which case the refund may be less than pro rata. If the first Named Insured cancels, the refund may be less than pro rata. The cancellation will be effective even if we have not made or offered a refund. F. If notice is mailed, proof of mailing will be sufficient proof of notice. If we elect not to renew this policy, we shall mail written notice to the First Named Insured at the address shown in the Declarations. Such written notice of non-renewal shall be mailed at least 30 days prior to the end of the policy term. 2. CHANGES This policy contains all the agreements between you and us concerning the insurance afforded. The first Named Insured shown in the Declarations is authorized to make changes in the terms of this policy with our consent. This policy’s terms can be amended or waived only by endorsement issued by us and made a part of this policy. 3. TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US If the insured has rights to recover all or part of any payment we have made under this policy, those rights are transferred to us. The insured must do nothing after loss to impair them. At our request, the insured will bring suit or transfer those rights to us and help us enforce them. 4. REPRESENTATIONS By accepting this policy, you agree: A.The statements in the Declarations are accurate and complete; B. Those statements are based upon representations you made to us; and C. We have issued this policy in reliance upon your representations. 5. SERVICE OF SUIT It is agreed that in the event of the failure of this Company to pay any amount claimed to be due hereunder, this Company will submit to the jurisdiction of any court of competent jurisdiction within the United States of America and will comply with all requirements necessary to give such Court jurisdiction and all matters arising hereunder shall be determined in accordance with the law and practice of such Court. It is further agreed that service of process in such suit may be made upon the Company’s President, or his nominee, at the address shown on the Declarations page of this policy, and that in any suit instituted against any one of them upon this policy, this Company will abide by the final decision of Policy # 00122993 0 DocuSign Envelope ID: 32AB3CCA-07A6-42D4-A01A-C6AD9D1B2BDE Endorsement Effective: Policy No.: Insured: WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 04 10 C (Ed. 01-19) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA BLANKET BASIS We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) The additional premium for this endorsement shall be calculated by applying a factor of 2% to the total manualpremium, with a minimum initial charge of $350, then applying all other pricing factors for the policy to this calculatedcharge to derive the final cost of this endorsement. This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule Blanket Waiver Person/Organization Blanket Waiver – Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. Waiver Premium (prior to adjustments) This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement No.: Premium $ Insurance Company: WC 99 04 10 C Countersigned by ______________________________________ (Ed. 01-19) Job Description All CA Operations Cypress Insurance Company SJWC350306 1789.00 01/01/2022 DocuSign Envelope ID: 32AB3CCA-07A6-42D4-A01A-C6AD9D1B2BDE