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Agreement_2018-03-15_Orkin Services of California_Service Address 9167 La Rosa Drive, Temple City
Orkin Services of California, Inc. Commercial Services Agreement THIS AGREEMENT IS CONTINGENT UPON THE APPROVAL AND SIGNATURE OF A REPRESENTATIVE , Add 41oaccotunt'0027339594 OF ORKIN MANAGEMENT, WHO HAS AUTHORITY TO EXECUTE IT ON BEHALF OF ORKIN. ROUTS q I GRID p Cuslorner Name Dale Ya iF Billing Address 9701L„TwaIN City ? I _ _ _ State c— _ Zip Code 91. Phone tlzar xasnrl I. INTENT A This agreement is intended to conslilute a mutual understanding between Oho Cu:lump) and ORKIN PEST CONTROL B The speolicakons indicate services to be rendered by O•kan at Iho buildirrg(sl and premises of the Customer located at (service added 9167 L. A... C-. T—Fk Cry, CA 91M IF— a Wdny PN. J Rn,) County Nal �oi4ipi" _ Is this wilhin city limits eJ Yes J No Li Fond Safety with GM OA IJ Health Care L Health Care With GM QA U Pharmaceutical with GM OA lJ Element If SCOPE AND NATURE OF WORK A Oflun agrees to proltae traryfcd TOP I" helical rAMIK Li Flow1mA k CzmuT*n AMk w Rolf ww hYq P Pharaoh Cul Al Cunni Sol rT F 49 rl Octal I I ACpryme• Cow Nouiraluer 4`1 Fty P`Wm.snty ar T 1 Omar a mica nlemrs the panodic hraumfri.I* help CeF&W.Copitlat Lha lorijulAd pada 8°IYite Cannel Boaranlnd 19e t0rge!eb pada *01 Isar rplt ter owl A Ph ey du, Orkin Ylvl mtAlkl, u 00 Oil umler nab Ti3off Gpel;Mee altedmd ha la to mrd Ircmpngpad Into his Agfdernalu.'Add-li l MIIINy rJ✓•srge leCIbIred Iv i mrer Ihesa ants B Sormtce EacluelDRs- 1. Sganr0141tlu r{lw A. pSe3i9 Diet Tho Curtain it undinslandn !nal rhlr Agremrnarn does mi nraOr Carpenl0r Allis. File Ants, Bed Rugs. or Masqulta.s. Senkr for toes. fiits req wires a Cl rAle Agr I'll Or Addendum. The Je*lMment of n.:oitaram.ageeampnl r odd ondum can rM be waved by the Cuswmrr Or any umpT!°yaaar agoill QT Orkin. 2. A4d11tanpL,£x&iirslIXL*' Res Agraomerl don MI Cover Brown {i.ciume Spirit is or Wald nT any mold bill carkllyaps This oxcluskan cal%not be wallred by Icy CU3lmlnar or any aAfpbtl or egmai of Orsini III. CUSTOMER OBLIGATIONS A This Cushman Shill saline!all nacassady dooprrdhon lOanWTe ralxllM9an from peri i9rvKae; Ir,CtusImmp,"apabilrty of premises; appropriate sanitation, collective conslrucl ion measures. B. Whonaver ci ddbnrcorAveNe its the breading NOW howbdlage 01 pa;ry ca,erad by Ihls A9femhlnd are repented to the Customer in willing by Orkin, the Cuslamor shall lake the necessary slaps to correcl such condmons. Failuro df and U'uslwer to hike necss*Hy, ktspv In mraeq wch smvLboir i t.1knu Orkn of Ilpobyprirank uri,lei the. triple Guarantee attached hereto and knicurpoarod into this Agreement. C Tho Cuslomer Is tenArplibto fa e p muw.Cgeng wllh AP perio n in Ii% premkea about the tiextaparl and the natuld et lar re3 O"Cl d raerelJndar: nuKeeytr, The Crralomer ackattswlti total 11 bas ritz mlorni or rids CaTIMA calad to 044 kt14nulrg any anlmmdnon 11 4" have. that afry Iwrsa•n In the Ixarclwa have arty modlcalcorldtron or conarllarty hitch mry b. alltltivd b1' flu wlVc" inn lstrisAad by ihs; agreemepl. D 5mwldd Ilia CurlOrner oittovrr Ikny loryatad pasts ow" iAa Teem Of ibis A(gad l 1. MOO rilusl fellow IID'. Ook, ab:a nolincil and docurAan[efldn pracesye7" set out ht trio M14H d sury co, Voldad W orkln. E Failure or'be CullartW to Wit nacasllrry xlegr In Mel drlrkLtmx laptmfld hu II cl to alhelYrasa wrrmNy wall 111, Gsmrunn it {ybrrydipnm mb Wle" Orkrl Or 11F gtNigatiplla fy,d°.- the F60- Culiruitea ane m1 permit Orkin, at IIs d screJ ton, to PelmirWEa INA Agfta l W1lh Laity (60) diyi Witten notloo- IY. SERVICE SCHEDULE A Orkin semce representative shall service the Customer :service frequency) e, 1 Time 0 2 Times ❑ 4 Times per month ❑ Other All areas requiring attention shall be Irealed m order to achieve klsecl and rodenl eradication, B Orkin representatives shall make addACmal vises and aeatmenl as they aro deemed necessary at no addd:onal charge. Such —ce visits shaft also be made plomplly when requested by a des,gnaled represehtalive o! the Customer. V. TERMSOF AGREEMENT A TAI: ngrccmrnl WWII bo 94e-CTIYa rur a pill or A 1 L 2 1 A a y0arr aria reap renew hath aam mri W month lhnaal{er unhl 1wrbinated syetlher pMy Upon st.rydays' iniddn eaEca. B. For mulftp!e yxa Agreements, Ina MOrl %twice charge hid nal Inrav IN tw hxP Year, miter I!1A Inhinl Ifealmonl TAsteallOr aril hx Rt nrarb mWbpla yaw agrsam9nts. Orkin She'l nova the rgFA to increase the selvlcs Charges m'Iectlyp inyl mm arlar ilia etrAml-sry data of the inllird ara►hnenl C The Customer eckiwWedgal Ilial ills ltmmx and condl his bafwaed the Cummer and Clhim wo I"a staled 1n Itis CirmirRas of Aervicw Agrentromf wW III Ki !flans aim Yb Wief in mi. Or pwyisaru it Awil. Any .1 •llarq,d 1e those Irms and mndllians must be 4 4 wwtiad Addendum Cipri4 fry each party 0 QA.n will se to 49,Vd of obilguliens afrdar the T.rielI ru—nlae and Orlon miry lermindto Ike AgreOTnant In slaty IBB) days wallah haute, K any 0 llia06ti91tlnns mr 1nrlh In IRs Agreomall aro not mel by ft 0-314 Vr or In the fit l W a chappa in elate ar Pal 41 law Ilial mAien ANY affil OJkin'k ObV41tains mortar Inas Ari reamel wrol xr. Orkin miry farm rants II K tun61 prk-m iG M"-SibAin f►ro ro DCII vl GOO kICIIJ4 rip Corthq.rakea, *'WM5L liras, 1lpa011, or hW-&JI9 Of mePonal change 111 clrovrna[enle s, irreluakmg, b(4 riot tmr ltld to mE:a 01 Will. Ell 1140 ImaralhlMl!iy td nalslk kiss, m vdraF supplies from Odle any. seulrirs, li MY PaIll Cf pal 11smol, of lhfa Agra stir l is farad W be IndN•d or WlealorCekye. 4 shad "I alrocl lila faldlly fu enMeeeahiidy o: may alhar pars Ot tats Aylen mi Pddemd, hnsse.er, ih at as I0 me pmWirph an MEnu1TKNNwyR9ITRATKIN. r( u0 seri mil rl r"Jllmblp the wbrilalpr horn corrumting an wistialien pnxeddv,g As s crass. rapra 111NOWIP of D'wAla R110mrey Rene(el SKIM ILICUnd Its be .Aval;d W .nunforce able then Ind nintrely, at Ibis MELIIATIO.NIARRif rwriDN paragraph 51137 no daill Its hs delated (lam INS Apreame il. VL PAYMENT A The cost of the services described herein shall be S 1910° _ _ plus lax at S ° for the initial Montt and 510°6 -- plus lax of S° per month Iherealler for a period of ( 11 ) "I'll You w a Inslve a monthly invoice. Paylnsnl shag ✓,e duo upon Pil l of invoice. VII. MATERIALS A The materials used shall conform to Federal, Stale and total laws and ordinances and shall no accoplaWe to the Cuslamer. B the malertisrs That t>8 Irsad M ae apdancn will, U fobsi ' Gild ipacrli0atlelw. VIII. LIMITATION OF LIABILITY: Tho Cmiomo' Oximmrty re!earss Orkin Irons limbllky Icr any Cfafm Int primanat mlwry ItnClisding %Ikig. TT mtes Plum tea arms, aprdafa, w ami of her peaial or prdpeTly damage (Io insluds fall imuctare oil Corllatecausal by any pada Th- The Cusmogr ioer e@* tial utiml ria w6mr5lumts shall Olsln unat rim liable ler aasy amlt 4reafer I rlrl ria aml paid by Ilia CLSIOtner 10 Chhm for that sarlrces Ip he proylded. fn no OW151 Will Orkin be aasponribtw tar Dar sspuonlLil damages FOR toss W sty@ Of property. Any claim by th0 Cum wmmr for damages muss no mode In Ymi6rig mthinole (1) trial 1a4 lh.sne dent AI Isle w rI w llbe lijaimme wAwmd II(. EQUIPMENT REPLACEMENT A The CwWmeragleea To Lla the teased etytriyors•rt v Cukin grovTdld eglJys:nw11141se 'Eq rpmkml'f m a p;apor manaae And Vprlrt the rancapallnn of chic Apeemenl to la(u,n it a Equipn+erll to good cvWilipn. Vsuah wear and laid rxrAprad All Equprwnl (rrhich rrlehldas ea(PeM banter equ HMnMf, Cl*llNA S. or m1"I l haps) That I* damAged. Inst n' dualroyed On tin LUsto'" Aremd[s las FOOmed Sud charged to Iia Cv*wmer Chargus will be 111 amwdsxa wrlh this cueen: aaTslirig enu;bmeol costs S Olrim %hall r0 inn Awn Nwlp rii Pill rami mnilott Upurl Ia1mllwlavl Of flys Adruambnl fur a,ny reawo. the Gm ibrnor avIl to maks Iia (owed xGmpar"i-6 avr6aa0;n ID G,Ism. At Oriln'e dimfellop, Orkin may Ir. a lawful mannel and wllhoul breach 01 (ha Peeca, ed ter upon lila Cuslamar'y pratill take possession of ani ramgya the 'eased eumponerd. Orkin wa .0 be rosponifi ly for any derange to the Cuslemsr's uropaAv upon romaval 6t Iris Ios)ed edrnpa"Als es cepl ruck damage m1aty eaua0d by OAIWc negligence. Y INSURANCE: Upcn rcgL sst. Ork„ "I lurnlsh Irl Tho ['JrsJoar ea a camicRle Of ilrllhlay msur.nre ror.rage is aifel %I. CH EMLCAI, INFORMATION WARM NO: V,nlul all pU%iIc:dn rime Sol 064 whlcn mat' be prase nl nor a snarl hma filer applicatlpn. A: yyur!Lp� req. ail, al will frruvkle InhrfAlat Aar Abel lbs cievYcao 4 be u*ed In Irominq the phi misea KIP. MEDIAT(ONIAf1RITRATIUPI; ANY (;ON FROM E R SY AR CLAIM ARISING OUT OF OR REI. AT ING TO TRIS AGREEMENT, CA THE SERVICES PERFORMED BY OR KIN UNDER TH IS. AG RE E ME N1 GR ANY OTHER AGHEENE NT, RE GARULE58 OF Ill rHER 1HE rON fROVENSY OR (:LA tM AROSE BERG ILL OR AFTER THE EXECUTION. TRANSFER OR ACCEPTARrrE OF THIS AGREEMENT, I IELLIAiNG BUT NOT LIMP TCD To ANY TORT AND STAT Ut0f,+ CLAWS, AND ANY CLAIMS FDR PE ILSONAL OR BODILY INAJRY OR DNAAGE To REAL tin PERSONAL PRC PEITTy. SHALL BE SET TiEO BY BINDING Al RA TION. UNLESS THE PARI IES AO REE PAYMENT SUMMARY (mrludes M pestO Ity, O odor 0 actiryme' alar neulrBllZer 13 other . carr.. nil v.,1— CHECK THOSE THAT APPLY OTHERVIISF, THE AROURATM SHALL BE AGNIPil ER EO 1INDER I P1f RULES OF THE AMERICAN ARD ITRAI ION ASSOCTA PON I'AAAj AND SHALL BE CON DU.GTED BY AAA. IF ADMINISTERED UNDER rNE AAA RUIL ES, A CLAIM 43HALL BE OF T ERIJ Ill UNDER THE AAA SUP PLEMENNTARY PROCEDURES PON CONSUMER•RECAIEO DISPU TITS IN CA9E9 WHERE SUGH PROCEDURES ARE APPLICAMf. ANY 1) THEN CON TRCIV15il OR CLAIM SHALI BE DE TfRMIll UNDER THE AAA CVMMhRVPAL AfSBITRAI ION RULES IHE CUSTOMER AND ORUIN AGRf E IMAT THE ARBITIIA TOR SHALL FGLt.OV1 THE SUBSTAlil LAW, INCLUDING THE PERMS Ah 1) C!LINDICONS OF If IIS AGREEMENT. THE ARUITRATOR:S POYJERS TO CONDUCT ANY ARBITRATI CN PROCE.EOING UNDER THIS AGREEMENT SHALL BE LIMITED AS FO LLCWS; ANY A RelT8A NON PAW FED. NG UNDER Irk Its AGREEMENT WILL NOT BE CONSOLIDATED OR JOINED WITH ANY ACT!GN Ohl LEGAL, PROO EEDI NG UNDER ANY OTHER AGREEMENT OR Will ING ANY ATT LER PRE MIRES- All WILL NO PHOCEEO AS A GLASS AC f ION, PRIVATE ATTORNEY GENERAL ACT IObf OR SIMILAR REPRESENTATIVE AfYMN EITHER PARTY HAS THE RIGHT TO REQUIRE A. PANEL OF THREE lay AFIWTRATOnS, BUT IN THE ABSENCE OF THE PARTIES' AGNEEAiENY. THE AZOUESTMG FARTY SHALL RE HICSYONSOLE FOR THE COST L* 1HE AUDITiONAL ARBII RATORS. ETHER PARTY MAY REQUEST AT ANY TIME PR101T TO THE HEARING THAT THE AWArib BE ACCOMPAN IEO BY A REASONED OPINION. 711E AWATO FICNUEREO BY TifE Mi131TRAMNIS! Sf IAL -I- BE FWAL AND BINOING OV ALL PARTIES, ExcitpT Il OT'A PAs1TY MAY WITHIN 90 DAYS OF: THE GRI OINAI. AWARD kEOUEST AN ARRIT RA I. APPEAL TG AN APPEAL TRIBUNAL. CONSTITUTED IN Ti JF SAME NUMBER AhID BY THE SAME PROCESS AS THE INITIAL AAaI1NA1`GRIS]. THE APPEALING PART-' SHALL BE RE SPONSIeLE. FOR THE FILING FEE AND OTHER ARB? f RAT!ON FEf_S AND COLS TS SUFL)E ,T TO AWARD BY THF APPEAL TRIM INAL UNDER APF LICAB LE LAW. 711C APPEAL TRIBUNAL SHALL REVIEW ALL OUESRONS OF I.AW ANG FACT Ur113ER A CLEARLY ERTIONEGUS STANOARU THE AWARD 1]4: 1 HE APPEAL TRIBUNAL SI -ALL UE FINAL AND HINafND. JUDGMENT NAy RF ENTERED ON THE AWARD IN ANY COURT HAVING JURISDICTION THEREOF. CUSIOMER AND ORKIN ACKNOWLEDGE AND AGREE THAT TRIS ARBITRATION PROVISION IS MADE PURSUANT rD A 1 HANSAC LION *VOLVING nfTERSTAT'E COMMERCE AND SHALL RF GOVERNED BY THE FEDERAL ARBITRATION ACT, BEFORE HAVING RECOUFISE TO ARBITRATION.. CUSTOMER AND ORKIN EACH AGREES TO TRY IN GOOD FAITH TO SEFfLE ANY CONTROVERSY OR CLAIM SY AT LEASI FOUR 14) HUJnOF MEDIATION ADMINISTERED UNDER THE AAA COPAME RCIAL LAE DIATJQN RULES WITH ORI IN AGREEING TO PAY THE COSTS OF THE MEGIAT11N XIII, AMOUNT R MITTEP: $ Ill;7 Cash El Check I 6A iii) Complete Easy Payment Farm l7 P.O Number uA ..,haat R17 it L) bhp p anal. arra<R.a,. Branch Sueel Address e oil Cerllfrcalurr a I ail see r al] 0-9— _ _ 9m� Wench 1N. C11Y��r! Zip Cede THISAGREk Evi V RpFBYORIKIIN MANAGEMENTuaie aura h hlNriedv rdslen o Dal rPuvomrr`n Sg5sll 04r9 162529 RE -912D16 IlldrillA LOCATION Customer Email: ymonroy@templecity.us \rv� S Ill 14, tP )XI Commercial Customer Service Record Fill out anv special instructions for Your Orkin Technician. Enter Messages to Print on Service Ticket: Every other month service. GPC interior + exterior Directions: 10 Fwy exit Citrus south, left on Larkwood right on Inman Nearest Cross Street- Larkwood Medical: Na Preferred Range of Service: Date(s): M—F Time(s): days Pets: N a Special tnstructions: Every other month service. GPC interior + exterior II COMMERCIAL SERVICES Time In 10 Time Out 1035 Dale 3/15/18 Marcos Ramirez Inspector- Print Name cr'Tr FLOOR LEVEL INSPECTION REPORT } L C 4 ti vo.. CUSTOMER INFORMATION Name NJPA \ Temple City Adores, 9701 Las Tunas Dr Store N Temple. City _,,,.,(626)285-2171 Manager Sayo is the contact LOCATION INFORMATION Name 710 Ph. N.866-580-1813 Pest Specialist _ _ _ _____ _ ._ Rt. # ___ Svc. Time 2_aX3 llrequcrlcy Monthly nrcr•Dmv Ar—rinm oirnirrocn 1. Interior Rats Rats in the building. ✓� 2. Trim back any vegetation from touching the building by a minimum 3. 4. 5. F71F7 of 3 feet. Seal or screen any roof vents. Sayo will have both done. Remove any unneeded clutter. 6. F7 F1 F Organize all materials and {products. 7. g, Interior q Rats M./Fj Orkin will conduct a rodent trapping clean out and service the 9. r7jr7 r7n the building monthly to help control pests. 10. r7l F77 I I. Exterior ✓ r7 Rats F M-7 Area is known to have rodents. Please keep the area clean of any 12. food debris and vegetation from touching the building. 1a. Orkin will service the area to help control pests from entering the building - 14. Exterior 15, ✓ Additional Comments Dues Customer Have: Inspector Signature 200352 REV. 0212012 YES NO YES NO Hands Free Flushing ® Drain Odor Present Resh•oom Odor Control Floor Drains Clem Flying Insect Traps M E' Door Sweeps Needed 0 M Floor Care Program in place 0 Dunlpster Odor Present Customer Signatwe ORKIN Customer Email:Ayirlanroy@templecily.us COPY DISTRIBUTION: WHITE - CUSTOMER CANARY- CUSTOMER FILE PINK - T �CHNICI Iv COPY INITIAL INSPECTION OBSERVATIONS City Of Temple City MONTHLY INTERIOR & EXTERIOR COMMENTS / NOTES Rodent infestation in the building. Excessive amount of rodent droppings in the southeast room where rodents are eating grass seeds out of a bag. Two proposals within. Proposal #1 is for a one time fee for intensive rodent trapping of the interior of the building only. Orkin will setup multiple types of rodent traps to catch the rodents. Initial service Orkin will setup traps, then Orkin will return once every 7 to 10 days for two services to rebait, relocate traps and remove any caught rodents. The last service Orkin will return to move any caught rodents and remove the traps. NJPA: Memeber. Proposal #2 is for a monthly service. Orkin will install 2 exterior rodent control bait stations, one multi catch Tin Cat, four rodent control glue board trapper tunnels and four T -Rex snap traps. Orkin will return once every 7 to 10 days for two services to rebait, relocate traps and remove any caught rodents. Orkin will then service once monthly. MONTHLY INTERIOR & EXTERIOR CUSTOMER ACTION NEEDED Recommended to Sayo at time of inspection to screen the vents on the roof and trim back the tree on the northeast side by a minimum of three feet from touching the roof or building. Recommend removing or organizing some of the clutter in the building. ,_!f)li':ef `:;LjI,ullli Page 10 of 14 © 2017 Orkin, LLC INSPECTION REPORT City Of Temple City Graph Business Name: City Of Temple City Service Address: 9167 La Rosa Drive Temple City, CA 91780 Account Manager: Marcos Ramirez Date: March 15, 2018 9— Trim back tree Y a ExterW T RexRestroom T Rex Monthly !n.terior & Exterior a Wed" Restroom Ivy vegetation T Rex o �To�v o Bait Station Count: 2 Tin Cat Count: 1 Pest Monitor Count: 0 Fly Light Count: 0 Door Sweep Count: 0 Air Curtain Count: 0 Restroom Care Count: 0 Actizyme Dispenser Count: 0 Actizyme Odor Control Count: 0 Pheromone Trap Count: 0 Glue Trap Count: 4 Page 5 of 14 © 2017 Orkin, LLC MAP LEGEND © Bait Station 1 \ Door Glue Trap F*] Tin Cat Tree Active Infestation Roof Rat Rodent Pest Coverage Includes: Ants: excluding Carpenter, Fire, Pharaoh Ants and Raspberry Ants; Bees: nests will be knocked down up to 8 feet high; if lift equipment is needed, or the nest belongs to Honey Bees or other protected species, there will be additional costs to cure; Birds: nests will be knocked down up to 8 feet high, provided the nest does not belong to a protected species; if other control methods such as Spikes, Netting, Hot Foot, Window Slides, Trapping/Relocation or Eagle Eyes are needed, there will additional cost to cure,- Cockroaches ure;Cockroaches Flies: OE 30 if necessary in drains,- Occasional rains;Occasional Invaders: Centipedes, Crickets, Earwigs, Ground Beetles, Millipedes and Pillbugs; Rodents: Rats & Mice; Spiders: excluding Black & Brown Widow & Brown Recluse; Stored Product Pests: included provided the infestation is local & can be treated by sanitation, vacuuming & pheromone traps; if infestation is widespread & fumigation and/or fogging is necessary, there will be additional costs to cure; Ancillary Services Bed Bugs: $100.00/hour + materials; price determined by size of area to be treated, infestation & total man hours to complete. Separate Agreement with specific Terms and Conditions. Fleas: $100.00/hour + materials; price determined by size of area to be treated, infestation and total man hours to complete. Mosquito Service: $100.00/hour + materials; Termite Eradication: $7,00/linear foot, Minimum $450.00. Separate Agreement with Specific Terms and Conditions. Wildlife Control: $275.00/service, Minimum 2 services. Humane Trapping and Drop —Off to Shelter will be additional costs to cure. Page 6 of 14 © 2017 Orkin, LLC Monthly Interior & Exterior: Active Infestation Monthly Interior & Exterior: MISC - Trim back tree 1 Interior INITIAL INSPECTION IMAGES City Of Temple City Monthly Interior & Exterior: Roof Rat Rodent Monthly Interior & Exterior: MISC - Trim back tree Interior Page 7 of 14 Monthly Interior & Exterior: MISC - Ivy vegetation Interior Interior s�. © 2017 Orkin, LLC ORKIN a Interior Exterior Exterior Interior Exterior Page 8of14 INITIAL INSPECTION IMAGES Interior Exterior City Of Temple City © 2017 Orkin, LLC PROPOSAL #2 INVESTMENT SUMMARY City Of Temple City SERVICE DESCRIPTION Orkin will install 2 exterior rodent control bait stations, one interior multi catch Tin Cat device, four Trapper Tunnel glue boards and four temporary T -Rex rodent control snap traps. Orkin will service the building for general crawling insects. Building has a current rodent infestation. Orkin will initially setup all the equipment and conduct up to 3 follow up services within the first month to catch, rebait, relocate and move caught rodents. This cost is reflected on the initial cost for the first month. Recurring monthly services will include general crawling pests treatments. PEST CONTROL SERVICE TYPE FREQUENCY Standard Monthly (M) EQUIPMENT TYPE FREQUENCY COUNT Bait Stations @ $12.00 each Monthly (M) 2 Tin Cats @ $11.00 each Monthly (M) 1 Glue Boards @ No Charge Monthly (M) 4 T -Rex Rodent Snap Traps @$2.00 each Monthly (M) 4 INVESTMENT " Total Initial Month ..................... ------ 1. ............ $488.00 PerService Visit ..................... ..... . . . .I ............. .............................. $110.00 Annual........ ........................................ --- ........................................ .. $1,698.00 NJPA Initial: $393 " Quote excludes tax and replacement cost of pest control equipment Per service: $90 1st annual: $1,383 Page 14 of 14 @ 2017 Orkin, LLC Ki - FIN IZAM nITI-NI FL4L%%UNI'-%Lk . GMIL\T Entity Dashboard Entih, OlenieN\ • Entih Registration Entity Overview • Core Data _ . sertions Orkin 2018 System for Award Management Valid Entity Registration Reps It CerLs • PSC Cs Repo Service Contract Report BioPreferred Report • Exclusions Active Exclusions • Inactive Exclusions Entity- Registration Summary DUNS: 002509420 Name: Orkin. LLC n Doing Business As: Orkin Pest Control Business Type: Business or Organization last Updated By: Deborah Toth Registration Status: Acdve artitallon - v Farplr an Date: r2�o�jzm8 Exclusion Summary Active Exclusion Records? No M0000©©0©M Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. 1 am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part 11, later. Sign Signature of Here I U.S. person ► Date ► General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9. Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following. • Form 1099 -INT (interest earned or paid) • Form 1099 -DIV (dividends, including those from stocks or mutual funds) • Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition) • Form 1099-C (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later. Cat. No. 10231X Form W-9 (Rev. 11-2017) � Request for Taxpayer Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid Give Form to Form (Rev. November 2017) Identification Number and Certification the requester. Do not Department of the Treasury send to the IRS. Internal Revenue Service ► Go to www.irs.gov/FormW9 for instructions and the latest information. or Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and I Employer identification num I Name (as shown on your income tax retalrn). Name is required on this line; do not leave this line blan, F—T-7 Orkin, LLC I I I I 2 Businoss name/disregarded entity name, if different from above Orkin, Orkin Pest, Orkin Exterminating co 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the 4 Exemptions (codes apply only to ca following seven boxes. certain entities, not individuals; see CL C ❑ Individual/sole proprietor or ❑ C Corporation ❑ S Corporation ❑ Partnership ❑ Trust/estate instructions on page 3): N d) e single -member LLC Exempt payee code (if any) CL 2 ® Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) ►. C p Y Note: Check the appropriate box in the line above for the tax classification of the single -member owner. Do not check Exemption from FATCA reporting w LLC if the LLC is classified as a single -member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is disregarded from code (if any) a not the owner for U.S. federal tax purposes. Otherwise, a single -member LLC that S2 w is disregarded from the owner should check the appropriate box for the tax classification of its owner. w Other (see instructions) ► (Applies fo accounts mainlined oufs,de the U S) y5 Address (number, street, and apt. or suite no.) See instr Porg�ox 638898 Fiequestsi s name and address (optional) 2170 Piedmont Road NE 6 City, state, and ZIP code Atlanta, GA 30324-4135 Cincinnati, OH 45263-8898 7 List account number(s) here (optional) M0000©©0©M Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. 1 am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part 11, later. Sign Signature of Here I U.S. person ► Date ► General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9. Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following. • Form 1099 -INT (interest earned or paid) • Form 1099 -DIV (dividends, including those from stocks or mutual funds) • Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition) • Form 1099-C (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later. Cat. No. 10231X Form W-9 (Rev. 11-2017) Taxpayer Identification Number {TINj Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid social security number backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Instructions for Part I, later. For other — m - entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. or Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and I Employer identification num Number To Give the Requester for guidelines on whose number to enter. F—T-7 I I I I M0000©©0©M Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. 1 am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part 11, later. Sign Signature of Here I U.S. person ► Date ► General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9. Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following. • Form 1099 -INT (interest earned or paid) • Form 1099 -DIV (dividends, including those from stocks or mutual funds) • Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition) • Form 1099-C (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later. Cat. No. 10231X Form W-9 (Rev. 11-2017) A4- `- CERTIFICATE OF LIABILITY INSURANCE Page 1 of 1 12;15/2017 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(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Willis of Tennessee, Inc. PHONE FAX c/o 26 century Blvd. - NrNG_1 xT). 8_77945-T378 ip� ,Nq}; $$8=467-2378 P.O. Box 305191 E-MAIL Gerti.£icateafwillis_.o4m Nashville, TN 37230-5191 -ADDRESS- If��gqMMgqGGEE .. PKEMISEeoccurence) 5 2 000,000 INSURER(SlAFFORDINGCOVERAGE _ NAIC# MEDEXP (Any oneperson) I� 10,000 INSURERA: Old Republic Insurance Company 24147-002 INSUREQ INSURER B:ACE Property and Casualty Insurance Compa',20699-001 Orkin, LLC _ PRO POLICY $ JECT PRO FI LOC Orkin Services of California, Inc. INSURERC:New Hampshire Insurance Company 23841-001 Orkin Pest Control / Orkin Commercial Services A AUTOMOBILE LIABILITY MWTB 312033 1/1/2018 1/1/2019 2170 Piedmont Road INSURERD:National Union Fire Ins Co of Pittsburgh 19445-002 Atlanta, GA 30324 INSURER E: INSURER F: COVFRAGFS CFRTIFICATF Mi IFARPM. i, t.II lI4ARco• 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. IN5R, ADDL�SUBR POLICY EFF POLICY EXP I TR TYPE OF INSURANCE POLICYNUMBBR IMM, LIMITS A X COMMERCIAL GENERAL LIABILITY '•MWZY 312034 /1/2018 1/1/2019 I EACHOCCURRENCE 16 2, 000. 000 CLAIMS -MADE ][ OCCUR Pell-ticide/FIex?icide If��gqMMgqGGEE .. PKEMISEeoccurence) 5 2 000,000 ���Xjjj MEDEXP (Any oneperson) I� 10,000 X Coverage PERSONAL&ADV INJURY 6 2 OOO 1 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE ;5 2, QQ Q,,0DO _ PRO POLICY $ JECT PRO FI LOC . PRODUCTS-COMP/OPAGG :S 2, OOO, OOO OTHER: 'S A AUTOMOBILE LIABILITY MWTB 312033 1/1/2018 1/1/2019 COMHINEp.STNGLELIMIT (EaaaiitTeru} $ 3,000,000 ANYAUTO BODILY INJURY(Per person) S X OWNED 5CHE13ULEL} AUTOS ONLY AUTOS BODILY INJURY Per accident ( 1 S X HIREDX NON -OWNED Parr dent) E .. .. AUTOS ONLY AUTOS ONLY cc S 5 B X UMBRELLA LIAB X OCCUR XOO G27927683 003 1/1/2018 1/1/2019 EACH OCCURRENCE 5 5, 0.0_0, 0.0.0 EXCESS LIAB CLAIMS -MADE AGGREGATE f 5,000,000 DED X ;{ETENTIONS 50, 000 $ C WORKERS COMPENSATION WC 013778955 1/1/2018 1/1/2019 X PER AND AND EMPLOYERS' LIABILITY Y I N STATUTE ANY PROPRIETOR/PARTNER/EXECUTIVE,N/A EL EACH ACC IDENT $ 2,000,00 OFFICER/MEMBER EXCLUDED? I' I-,-.-sNH) E.L DISEASE - EA EMPLOYEE S 2,000,000 Ifyes, describe under - DESCRIPTION OF OPERATIONS below E.L DISEASE -POLICY LIMIT $ 2,000,000 D Excess Workers Comp XWC 4595562 1/1/2018 1,/1J2019 E.L.Each Accident 1$2,000,000 Limit WC Cover is Statutory I E.L.Disease-Ea Em p $2,000,000 Limit I E.L.Disease-Pol.Lilst$2,000,000 Limit DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Orkin will provide a Contract Specific Certificate of Insurance upon notice of a contract award. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Evidence _ l Coll:5156979 TD1:2182031 Cert:2!�-M§132 Oc1988-2n15ACORnCORPORATION All rinhtgresarvPd ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ADDITIONAL COVERAGE SCHEDULE COVERAGE LIMITS POLICY TYPE: Contractors Pollution $10,000,000 Each Occurrence CARRIER: Allied World Assurance Company (USA) $10,000,000 Policy Limit POLICY TERM: 01/01/2018 — 01/01/2019 POLICY NUMBER: 0306-2978 POLICY TYPE: Pest Control Professional Liability $2,000,000 Each Claim CARRIER: Old Republic Insurance Company $2,000,000 Aggregate POLICY TERM: 01/01/2018 — 01/01/2019 POLICY NUMBER: MWZY 312034 POLICY TYPE: Commercial Property Real & Personal Property, Stock, B&M, and CARRIER: AXIS Insurance Company Improvements & Betterments $100,000,000 US POLICY TERM: 0 1/0 1/2018 — 01/01/2019 Operations POLICY NUMBER: MAF62720518 Equipment Included $2,000,000 Business Interruption Rollins, Inc. Policy Term: 1/1/2018 to 1/1/2019 Workers' Compensation and Employers Liability Policies Coverage Policy Number Work Comp/EL WC013778949 Work Comp/EL WC013778955 Carrier New Hampshire Ins. Co. - covers state of ME New Hampshire Ins. Co. - covers states of AL,AR,CO,CT,DE, HI, IA, ID, IN, KS, LA,MD, MI,MN,MO,MS,MT,NE, NH,NM,NV,OK,OR,RI,SC,SD,TN, TX,WV Work Comp/EL WC013778950 American Home Assurance Company covers state of CA Work Comp/EL WC013778951 New Hampshire Ins. Co. - covers states of MA and W I - This policy also provides Stop Gap coverage for ND, WA, WY Work Comp/EL WC013778952 New Hampshire Ins Co. - covers states of NJ & PA Work Comp/EL WC013778953 Work Comp/EL WC013778954 New Hampshire Ins. Co. - covers state of IL, KY, NC, NY, UT & VT New Hampshire Ins. Co. - covers state of AZ & VA Excess Work XWC4595562 National Union Fire Insurance Comp/EL Company of Pittsburgh, PA and coverage applies to the qualified self insured states: OH & GA Excess Work XWC4595563 National Union Fire Insurance Comp/EL Company of Pittsburgh, PA and coverage applies to the qualified self insured stats: FL WC Coverage EL Limits Statutory $2,000,000 Bodily Injury by Accident - Each AccidenU$2,000,000 Each Employee Bodily Injury by Disease/$2,000,000 Policy Limit Bodily Injury by Disease Statutory $2,000,000 Bodily Injury by Accident - Each AccidenU$2,000,000 Each Employee Bodily Injury by Disease/$2,000,000 Policy Limit Bodily Injury by Disease Statutory $2,000,000 Bodily Injury by Accident - Each Accident/$2,000,000 Each Employee Bodily Injury by Disease/$2,000,000 Policy Limit Bodily Injury by Disease Statutory $2,000,000 Bodily Injury by Accident - Each AccidenU$2,000,000 Each Employee Bodily Injury by Disease/$2,000,000 Policy Limit Bodily Injury by Disease Statutory $2,000,000 Bodily Injury by Accident - Each AccidenU$2,000,000 Each Employee Bodily Injury by Disease/$2,000,000 Policy Limit Bodily Injury by Disease Statutory $2,000,000 Bodily Injury by Accident- Each Accident/$2,000,000 Each Employee Bodily Injury by Disease/$2,000,000 Policy Limit Bodily Injury by Disease Statutory $2,000,000 Bodily Injury by Accident - Each Accident/$2,000,000 Each Employee Bodily Injury by Disease/$2,000,000 Policy Limit Bodily Injury by Disease Statutory $2,000,000 Bodily Injury by Accident - Each Accident/$2,000,000 Each Employee Bodily Injury by Disease/$2,000,000 Policy Limit Bodily Injury by Disease Statutory $2,000,000 Bodily Injury by Accident - Each Accidentt$2,000,000 Each Employee Bodily Injury by Disease/$2,000,000 Policy Limit Bodily Injury by Disease I Commercial Payment Options COMMERCIAL SERVICES Add to account #27339594 Please Verify Billing Address & Contact Information Company NameNJPA 1 Temple City Attention to. Saye Elizalde Billing Address 9701 Las Tunas Dr Service Rate: s9000 Custorrit-r PO # Temple City Ca 91780 Billing Telephone: tam) 285-2171 Fax' Billing Contact Person: Yansy Monroy itle:E-mail -Title:- E-mailAddress: ymonroy@lempiecity us Please Verify Service Address & Contact Information (IF DIFFERENT): Service Narr e: NJPA % Temple Gly (Parks & Recreation) Service Address: 9167 La Rosa Drive (Front building) Temple City Ca 91780 Service Telephone: (OW) 285-2171 Fax: Service Contact Pprsflrl:sayo Elizalde Title: Park Maintenance Lead Worker Please Initial One of the Following Payment Methods: Easy Pay Easy Payment Program • You ran pay for your serulce with a crOdil card or bank check card by coining our EasyPay Easy Payment Program Understand that you will pay In full for the initial service. Then your credit card or bank check card will be automatically charged monthly beginning In (month). Preferred Charge Date (on or after the 61h of the month): I (we) understand that while a service may or may not be performed every month, the monthly charge is one twelfth of the annualized fee for that service. Automatic Payment Program - You can pay for your service with your credit card or bank check card by joining our Automatic Payment Program. Complete the authorixatiorl below and your credit card or bank check card (displaying the Visa, MasterCard or Mscover logo) will be charged when your service is rendered. Save 41A by Paying a Year in Advance - The easiest way to pay for your service is to pay for the entire year in advance with a single payment fNRfAL If you choose this option. Orkin will give you a 4% discount on the present rate. HERE Pre -Bill (Pay Net 30 Days) - Orkin will pre -bill at the beginning of each month This statement will show the month's scheduled services plus any past due amount. (Please verify billing Information.) Pay Your Specialist - Our specialists can take your payment in the form of a check or cash after your service has been completed to your satisfaction Payment for Initial Service: _Credit Card Check at Time of Sale Other (Customer has the option to change payment options at any time) Atr t'ONIA I IC PAVNIIrN-T itLIT14 0RI7AT10N - For VaNyPay 0R 'kuloNay ! (wc) ullibrize our credit card or hank cluck curd comilmy on file with Orkin to tender payment to OR KIN for services rendered. when it is chchrged. and to post the payment to our Rccutmt. Orkin acCutlN Vixa, NlmterCard and Discover. ❑ Card on File ❑ New Card Entered into BOSS Nlobile Orkin is authorized to initiate debit entries against our credit card or bank check card account listed here liter the regularly scheduled services as listed above. I (we) authorize the credit card or bank check card company to accept any debit entries initiated by Orkin to be debited from the account. I (we) have the right to cancel this nutontalic payment authorization by submitting to Orkin written notice 30 days in advance of the intended termination of this authorization. nis authorization will remain in effect until Orkin has received that written notification of termination. It is the custotiieCs responsibility to copy or nobly the credit card or bank check card company that this authorization is being cancelled. Cancellation or The autu)natic payment authorization does not cancel the ptst ebttlwl service agreement or IS: customer's responsibilities thereunder•. f )a1e4f97F8 For Office Use Only Administered by . FM1001 Rev 0318 Siunalure Date _ ❑ one time []recurring Customer Email: ymonroy@templecity.us P R E C I S I O N PROTECTION Q 1 JpA AWARDED CONTRACT it 110,9,E-061% Prepared For City Of Temple City NJPA Member # 72567 March 23, 2018 Deborah A Toth Government Business Development Manager 770-220-6165 dtothQroIlins.com Marcos Ramirez Orkin Commercial Services 626-757-2075 mramirelPorkin.com AF J1, '4 71" © 2017 Orkin, LLC PEST CONTROL World's Best CHEMICAL PESTICIDE NOTICE COUNTY: LosAageles DATE. 4/4118 Dear Customer: Thank you for selecting ORKIN PEST CONTROL to perform your pesticide application requirements. In accordance with the laws and regulations of the State of California we are required to provide you with the following information prior to application of pesticides to your property. Please take a few moments to read and become familiar with the content. "State law requires that you be given the following information: CAUTION—PESTICIDES ARE TOXIC CHEMICALS. Structural Pest Control Companies are registered and regulated by the Structural Pest Control Board and apply pesticides which are registered and approved for use by the California Department of Pesticide Regulation. Registration is granted when the state finds that based on existing scientific evidence, there are no appreciable risks if proper use conditions are followed or that the risks are outweighed by the benefits. The degree of risk depends upon the degree of exposure, so exposure should be minimized." Check (✓) box that applies The pests to be controlled are: ants, roaches, silverfish, rats, mice. SEE YOUR ORKIN SERVICE AGREEMENT FOR ANY OTHER PESTS TO BE CONTROLLED, The pesticides to be used are: 0 Exciler (pyrethrins) LD Maxforce Fly Spot Bait (imidacloprid) * Fastrac (bromethalin) * Cykick/Cykick (cyfluthrin) 0 Advance Dual Choice 360A LD Delta Dust (deltamethrin) mi Phantom (chlorfenapyr) l* Boric Acid i3 Talstar Pro (bifenthrin) Termidor (fipronil) Q Advion Cockroach Bait Gel (indoxacarb) LD Talstar PL (bifenthrin) Genlrol IGR (hydroprene) L* Tri Die Dust (pyrethrin) 0 Final (brodifacoum) Precor IGR (methoprene) 0 Avert (abamectin) ID Mother Earth D (diatomaceous earth) L Siege PBS (hydramethylnon) L* Liquatox (sodium diphacinone) :0 Tempo SC (cyfluthrin) Pyrethrin 0 Precor 2000 (methoprene) 0 Premise Foam (imidacloprid) 0 Bedlam (sumithrin) 0 Contrac (bromadiolone) 0 First Strike (difehialone) Maxforce (hydramethylnon) 0 EcoPCO ACU (2-phenethyl propionate) ❑ Other (specify) ❑ Other (specify) ❑ Other (specify) If within 24 hours following application you experience symptoms similar to common seasonal illness comparable to the flu, contact your physician or the poison control center and your pest control operator immediately. (Other symptoms not typical of influenza): Bleeding, eye irritation, skin irritation. For further information contact any of the following: ORKIN PEST CONTROL for Health Questions — County Health Dept. for Application Information — County Agriculture Commissioner for Regulatory Information — Structural Pest Control Board, Sacramento or write to: Structural Pest Control Board, 2005 Evergreen Street, Suite 1500, Sacramento, California 95815 916.561.8708 800.737.8188. REV 9/2016 PEST I acknowledge receipt of a chemical pesticide notice prior to any pesticide application. 414/18 `•% Ei� 4/4118 Inspector Signature Date Customer Signature Date LOCATION ORKIN COMMERCIAL SERVICES TRIPLE GUARANTEE (D 2x24 Response Guarantee When you see a pest, you need service right away -365 days a year. Orkin makes it easy with a direct priority line to our national customer service department and to your local branch. We'll respond to your request within 2 hours and if needed have someone on-site at your facility within 24 hours — guaranteed. 2 Reimbursement Guarantee* Should your company be fined by a regulatory agency due solely to a pest infestation, Orkin will reimburse you for the amount of those fines that are paid. RESTAURANT AND HOSPITALITY PRECISION PROTECTION"' CUSTOMERS: Should your customer see a roach, rat or mouse in your establishment after 60 days of service, Orkin will: • Repay, either you or the customers as appropriate, the reasonable charges incurred by the customer at time of sighting, • Invite the customer back as Orkin's guest for a meal or room charge, as appropriate. FOOD SAFETY PRECISION PROTECTION TI CUSTOMERS: As a Food Safety Precision Protection customer, we stand behind you during your food safety audits. In the unlikely event that you fail your third -party food safety audit solely due to the pest management portion, Orkin will immediately develop and implement an action plan to address gaps noted by the auditor and will pay for that auditing company to come back and re-audityour facility within 60 days of the initial audit. 360° Satisfaction Guarantee With Orkin, your satisfaction is guaranteed on all sides with three unique 60 -day guarantees. Ao- 60 days complimentary service if you're not satisfied with the way we begin our service — After you choose Orkin, we provide a 60 -day guarantee of our service. If you're not satisfied after the first 60 days, we reimburse you in full. 4�,- 60 days complimentary service if you're not satisfied at any time thereafter — At any time, if you are not completely satisfied with results of your regularly scheduled service, Orkin will provide complimentary service for up to 60 days until you're satisfied. 40- 60 days complimentary regular service by another provider if you're still not satisfied — If you are still dissatisfied after 60 days of Orkin's complimentary service and you wish to cancel our service, we will pay for the first 60 days of regular service by another provider of your choice. 4Mh8 d � _ _ 414!18 ORKIN REPRESENTATIVE DATE CUSTOMER DATE 4� PEST CONTROL DOWN TO A SCIENCE.' LOCATION " See agreement for details. SCOPE OF SERVICE City Of Temple City SERVICE AREA: MONTHLY INTERIOR & EXTERIOR Monthly . Inspection of all interior areas for pest activity and/or conditions conducive for pests. • Inspection of all exterior areas for pest activity and/or conditions conducive for pests. • Inspection and maintenance of all interior rodent devices. • Inspection and maintenance of all exterior rodent devices. • Crawling insect treatment in response to pest activity in interior areas. • Crawling insect treatment in response to pest activity in exterior areas. • Inspection of pest activity monitor(s) for any pest activity. • Placement of pest activity monitor(s) to gauge any present or future pest activity. • Rodent trapping T -Rex snap traps One -Time • Installation of rodent devices in necessary interior areas. • Installation of rodent devices in necessary exterior areas. 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