Loading...
HomeMy Public PortalAboutC-20-022 - Airwest Air Conditioning and Heating Inc., Audio Visual Air ConditioningI AGREEMENT FOR CONTRACT SERVICES N BETWEEN THE CITY OF CARSON AND AIRWEST AIR t� CONDITIONING AND HEATING, INC, 0 THIS PROFESSIONAL SERVICES AGREEMENT (herein "Agreement") is made and entered into this 'Nday of trig, 2020, by and between the CITY OF CARSON, a _ l California municipal corporation ("City") and AIRWEST AIR CONDITIONING AND HEATING, INC., a California Corporation (herein "Consultant"). NOW, THEREFORE, the parties hereto agree as follows: 1. SERVICES OF CONSULTANT 1.1 Scope of Services. In compliance with all of the terms and conditions of this Agreement, the Consultant shall perform the work or services set forth in the "Scope of Services" attached hereto as Exhibit "A" and incorporated herein by reference. Consultant warrants that it has the experience and ability to perform all work and services required hereunder and that it shall diligently perform such work and services in a professional and satisfactory manner. 1.2 Compliance With Law. All work and services rendered hereunder shall be provided in accordance with all ordinances, resolutions, statutes, rules, and regulations of the City and any Federal, State or local governmental agency of competent jurisdiction. 1.3 Licenses Permits Fees and Assessments. Consultant shall obtain at its sole cost and expense such licenses, permits, and approvals as may be required by law for the performance of the services required by the Agreement. 1.4 Special Requirements. Additional terms and conditions of this Agreement, if any, which are made a part hereof are set forth in the "Special Requirements" attached hereto as Exhibit `B" and incorporated herein by this reference. In the event of a conflict between the provisions of Exhibit "B" and any other provisions of this Agreement, the provisions of Exhibit "B" shall govern. 2. COMPENSATION 2.1 Contract Sum. For the services rendered pursuant to this Agreement, Consultant shall be compensated in accordance with the "Schedule of Compensation" attached hereto as Exhibit "C" and incorporated herein by this reference, but not exceeding the maximum contract amount of THIRTEEN THOUSAND SIX HUNDRED SIXTY Dollars ($11&L0.00) 60.00) ("Contract Sum"). 2.2 Invoices. Each month Consultant shall furnish to City an original invoice for all work performed and expenses incurred during the preceding month in a form approved by City's Director of Finance. By submitting an invoice for payment under this Agreement, Consultant is certifying compliance with all provisions of the Agreement. The invoice shall detail charges for all necessary and actual expenses by the following categories: labor (by sub -category), travel, materials, equipment, supplies, and sub -contractor contracts. 01007-0001/633110.1 Sub -contractor charges shall also be detailed by such categories. Consultant shall not invoice City for any duplicate services performed by more than one person. City shall independently review each invoice submitted by the Consultant to determine whether the work performed and expenses incurred are in compliance with the provisions of this Agreement. Except as to any charges for work performed or expenses incurred by Consultant which are disputed by City, City will use its best efforts to cause Consultant to be paid within forty five (45) days of receipt of Consultant's correct and undisputed invoice; however, Consultant acknowledges and agrees that due to City warrant run procedures, the City cannot guarantee that payment will occur within this time period. In the event any charges or expenses are disputed by City, the original invoice shall be returned by City to Consultant for correction and resubmission. Review and payment by the City of any invoice provided by the Consultant shall not constitute a waiver of any rights or remedies provided herein or any applicable law. 2.3 Additional Services. City shall have the right at any time during the performance of the services, without invalidating this Agreement, to order extra work beyond that specified in the Scope of Services or make changes by altering, adding to or deducting from said work. No such extra work may be undertaken unless a written order is first given by the Contract Officer to the Consultant, incorporating therein any adjustment in (i) the Contract Sum for the actual cost of the extra work, and/or (ii) the time to perform this Agreement, which said adjustments are subject to the written approval of the Consultant. Any increase in compensation of up to ten percent (10%) of the Contract Sum but not exceeding a total contract amount of Five Thousand Dollars ($5,000) or in the time to perform of up to ninety (90) days may be approved by the Contract Officer. Any greater increases, taken either separately or cumulatively, must be approved by the City Council. No claim for an increase in the Contract Sum or time for performance shall be valid unless the procedures established in this Section are followed. 3. PERFORMANCE SCHEDULE 3.1 Time of Essence. Time is of the essence in the performance of this Agreement. 3.2 Schedule of Performance. Consultant shall commence the services pursuant to this Agreement upon receipt of a written notice to proceed and shall perform all services within the time period(s) established in the "Schedule of Performance" attached hereto as Exhibit "D" and incorporated herein by this reference. When requested by the Consultant, extensions to the time period(s) specified in the Schedule of Performance may be approved in writing by the Contract Officer but not exceeding thirty (30) days cumulatively. 3.3 Force Majeure. The time period(s) specified in the Schedule of Performance for performance of the services rendered pursuant to this Agreement shall be extended because of any delays due to unforeseeable causes beyond the control and without the fault or negligence of the Consultant, including, but not restricted to, acts of God or of the public enemy, unusually severe weather, fires, earthquakes, floods, epidemics, quarantine restrictions, riots, strikes, freight embargoes, wars, litigation, and/or acts of any governmental agency, including the City, if the Consultant shall within ten (10) days of the commencement of such delay notify the Contract Officer in writing of the causes of the delay. The Contract Officer shall ascertain the facts and the extent of delay, and extend the time for performing the services for the period of the enforced delay when and if in the judgment of the Contract Officer such delay is justified. The Contract Officer's determination shall be final and conclusive upon the parties to this Agreement. In no event shall Consultant be entitled to recover damages against the City for any delay in the performance of this Agreement, however caused, Consultant's sole remedy being extension of the Agreement pursuant to this Section. 3.4 Term. Unless earlier terminated in accordance with Article 7 of this Agreement, this Agreement shall continue in full force and effect until completion of the services but not exceeding one (1) year from the date hereof, except as otherwise provided in the Schedule of Performance (Exhibit "D'D. 4. COORDINATION OF WORK 4.1 Representative of Consultant. David Dretzka is hereby designated as being the representative of Consultant authorized to act on its behalf with respect to the work and services specified herein and make all decisions in connection therewith. All personnel of Consultant and any authorized agents shall be under the exclusive direction of the representative of Consultant. Consultant shall utilize only competent personnel to perform services pursuant to this Agreement. Consultant shall make every reasonable effort to maintain the stability and continuity of Consultant's staff and subcontractors, and shall keep City informed of any changes. 4.2 Contract Officer. Kevin Kennedy, Information Technology Manager, or such other person as may be designated by the City Manager, is hereby designated as being the representative the City authorized to act in its behalf with respect to the work and services specified herein and to make all decisions in connection therewith ("Contract Officer"). 4.3 Prohibition A ainst Subcontracting or Assignment. Consultant shall not contract with any entity to perform in whole or in part the work or services required hereunder without the express written approval of the City. Neither this Agreement nor any interest herein may be assigned or transferred, voluntarily or by operation of law, without the prior written approval of City. Any such prohibited assignment or transfer shall be void. 4.4 Ind_ ependent Consultant. Neither the City nor any of its employees shall have any control over the manner, mode or means by which Consultant, its agents or employees, perform the services required herein, except as otherwise set forth. Consultant shall perform all services required herein as an independent contractor of City with only such obligations as are consistent with that role. Consultant shall not at any time or in any manner represent that it or any of its agents or employees are agents or employees of City, or that it is a member of a joint enterprise with City. 5, INSURANCE AND INDEMNIFICATION 5.1 Insurance Coverages. The Consultant shall procure and maintain, at its sole cost and expense, in a form and content satisfactory to City, during the entire tern of this Agreement including any extension thereof, the following policies of insurance which shall cover all elected and appointed officers, employees and agents of City: (a) Commercial General Liabilfty Insurance Occurrence Form CG0001 or equivalent), A policy of comprehensive general liability insurance written on a per occurrence basis for bodily injury, personal injury and property damage. The policy of insurance shall be in an amount not less than $1,000,000.00 per occurrence or if a general aggregate limit is used, either the general aggregate limit shall apply separately to this contract/location, or the general aggregate limit shall be twice the occurrence limit. (b) Worker's Compensation Insurance. A policy of worker's compensation insurance in such amount as will fully comply with the laws of the State of California and which shall indemnify, insure and provide legal defense for the Consultant against any loss, claim or damage arising from any injuries or occupational diseases occurring to any worker employed by or any persons retained by the Consultant in the course of carrying out the work or services contemplated in this Agreement. (c) Automotive Insurance Form CA 0001 Ed 1/87 including "any auto" and endorsement CA 0025 ore uivalent . A policy of comprehensive automobile liability insurance written on a per occurrence for bodily injury and property damage in an amount not less than either (i) bodily injury liability limits of $100,000 per person and $300,000 per occurrence and property damage liability limits of $150,000 per occurrence or (ii) combined single limit liability of $1,000,000. Said policy shall include coverage for owned, non -owned, leased, hired cars, and any other automobile. (d) Professional Liability. Professional liability insurance appropriate to the Consultant's profession. This coverage may be written on a "claims made" basis, and must include coverage for contractual liability. The professional liability insurance required by this Agreement must be endorsed to be applicable to claims based upon, arising out of or related to services performed under this Agreement. The insurance must be maintained for at least 5 consecutive years following the completion of Consultant's services or the termination of this Agreement. During this additional 5 -year period, Consultant shall annually and upon request of the City submit written evidence of this continuous coverage. (e) Additional Insurance. Policies of such other insurance, as may be required in the Special Requirements in Exhibit "B". (f) Subcontractors. Consultant shall include all subcontractors as insureds under its policies or shall furnish separate certificates and certified endorsements for each subcontractor. All coverages for subcontractors shall be subject to all of the requirements stated herein. 5.2 General Insurance Requirements. All of the above policies of insurance shall be primary insurance and shall name the City, its elected and appointed officers, employees and agents as additional insureds and any insurance maintained by City or its officers, employees or agents may apply in excess of, and not contribute with Consultant's insurance. The insurer is deemed hereof to waive all rights of subrogation and contribution it may have against the City, its officers, employees and agents and their respective insurers. The insurance policy must specify that where the primary insured does not satisfy the self-insured retention, any additional insured may satisfy the self-insured retention. All of said policies of insurance shall provide that said insurance may not be amended or cancelled by the insurer or any party hereto without providing thirty (30) days prior written notice by certified mail return receipt requested to the City. In the event any of said policies of insurance are cancelled, the Consultant shall, prior to the cancellation date, submit new evidence of insurance in conformance with this Section 5.1 to the Contract Officer. No work or services under this Agreement shall commence until the Consultant has provided the City with Certificates of Insurance, additional insured endorsement forms or appropriate insurance binders evidencing the above insurance coverages and said Certificates of Insurance or binders are approved by the City. City reserves the right to inspect complete, certified copies of and endorsement to all required insurance policies at any time. Any failure to comply with the reporting or other provisions of the policies including breaches or warranties shall not affect coverage provided to City. The insurance required by this Agreement shall be satisfactory only if issued by companies qualified to do business in California, rated "A" or better in the most recent edition of Best Rating Guide, The Key Rating Guide or in the Federal Register, and only if they are of a financial category Class VII or better, unless such requirements are waived by the City's Risk Manager or other designee of the City due to unique circumstances. 5.3 Indemnification. To the full extent permitted by law, Consultant agrees to indemnify, defend and hold harmless the City, its officers, employees and agents ("Indemnified Parties") against, and will hold and save them and each of them harmless from, any and all actions, either judicial, administrative, arbitration or regulatory claims, damages to persons or property, losses, costs, penalties, obligations, errors, omissions or liabilities whether actual or threatened (herein "claims or liabilities") that may be asserted or claimed by any person, firm or entity arising out of or in connection with the negligent performance of the work, operations or activities provided herein of Consultant, its officers, employees, agents, subcontractors, invitees, or any individual or entity for which Consultant is legally liable ("indemnitors"), or arising from Consultant's or indemnitors' reckless or willful misconduct, or arising from Consultant's or indemnitors' negligent performance of or failure to perform any term, provision, covenant or condition of this Agreement, except claims or liabilities occurring as a result of City's sole negligence or willful acts or omissions. The indemnity obligation shall be binding on successors and assigns of Consultant and shall survive termination of this Agreement. 6. RECORDS, REPORTS, AND RELEASE OF INFORMATION 6.1 Records. Consultant shall keep, and require subcontractors to keep, such ledgers, books of accounts, invoices, vouchers, canceled checks, reports, studies or other documents relating to the disbursements charged to City and services performed hereunder (the "books and records"), as shall be necessary to perform the services required by this Agreement and enable the Contract Officer to evaluate the performance of such services and shall keep such records for a period of three years following completion of the services hereunder. The Contract Officer shall have full and free access to such books and records at all times during normal business hours of City, including the right to inspect, copy, audit and make records and transcripts from such records. 6.2 Reports. Consultant shall periodically prepare and submit to the Contract Officer such reports concerning the performance of the services required by this Agreement or as the Contract Officer shall require. 6.3 Confidentiality and Release of Information. (a) All information gained or work product produced by Consultant in performance of this Agreement shall be considered confidential, unless such information is in the public domain or already known to Consultant. Consultant shall not release or disclose any such information or work product to persons or entities other than the City without prior written authorization from the Contract Officer. (b) Consultant shall not, without prior written authorization from the Contract Officer or unless requested by the City Attorney, voluntarily provide documents, declarations, letters of support, testimony at depositions, response to interrogatories or other information concerning the work performed under this Agreement. Response to a subpoena or court order shall not be considered "voluntary" provided Consultant gives the City notice of such court order or subpoena. (c) If Consultant provides any information or work product in violation of this Agreement, then the City shall have the right to reimbursement and indemnity from Consultant for any damages, costs and fees, including attorney's fees, caused by or incurred as a result of Consultant's conduct. (d) Consultant shall promptly notify the City should Consultant be served with any summons, complaint, subpoena, notice of deposition, request for documents, interrogatories, request for admissions or other discovery request, court order or subpoena from any party regarding this Agreement and the work performed thereunder. The City retains the right, but has no obligation, to represent Consultant or be present at any deposition, hearing or similar proceeding. Consultant agrees to cooperate fully with the City and to provide the City with the opportunity to review any response to discovery requests provided by Consultant. 6.4 Ownership of Documents. All studies, surveys, data, notes, computer files, reports, records, drawings, specifications, maps, designs, photographs, documents and other materials (the "documents and materials") prepared by Consultant in the performance of this Agreement shall be the property of the City and shall be delivered to the City upon request of the Contract Officer or upon the termination of this Agreement, and Consultant shall have no claim for further employment or additional compensation as a result of the exercise by the City of its full rights of ownership use, reuse, or assignment of the documents and materials hereunder. Moreover, Consultant with respect to any documents and materials that may qualify as "works made for hire" as defined in 17 U.S.C. § 101, such documents and materials are hereby deemed "works made for hire" for the City. 7. ENFORCEMENT OF AGREEMENT AND TERMINATION 7.1 California Law. This Agreement shall be interpreted, construed and governed both as to validity and to performance of the parties in accordance with the laws of the State of California. Legal actions concerning any dispute, claim or matter arising out of or in relation to this Agreement shall be instituted in the Superior Court of the County of Los Angeles, State of California. In the event of litigation in a U.S. District Court, venue shall lie exclusively in the Central District of California, in the County of Los Angeles, State of California. 7.2 Disputes; Default. In the event that Consultant is in default under the terms of this Agreement, the City shall not have any obligation or duty to continue compensating Consultant for any work performed after the date of default. Instead, the City may give notice to Consultant of the default and the reasons for the default. The notice shall include the timeframe in which Consultant may cure the default. This timeframe is presumptively thirty (30) days, but may be extended, if circumstances warrant. During the period of time that Consultant is in default, the City shall hold all invoices and shall, when the default is cured, proceed with payment on the invoices. If Consultant does not cure the default, the City may take necessary steps to terminate this Agreement under this Article. 7.3 Leval Action. In addition to any other rights or remedies, either party may take legal action, in law or in equity, to cure, correct or remedy any default, to recover damages for any default, to compel specific performance of this Agreement, to obtain declaratory or injunctive relief, or to obtain any other remedy consistent with the purposes of this Agreement. Notwithstanding any contrary provision herein, Consultant shall file a statutory claim pursuant to Government Code Sections 905 et. seq. and 910 et. seq., in order to pursue any legal action under this Agreement. Except with respect to rights and remedies expressly declared to be exclusive in this Agreement, the rights and remedies of the parties are cumulative and the exercise by either party of one or more of such rights or remedies shall not preclude the exercise by it, at the same or different times, of any other rights or remedies for the same default or any other default by the other party. 7.4 Termination Prior to Expiration of Term. This Section shall govern any termination of this Contract except as specifically provided in the following Section for termination for cause. The City reserves the right to terminate this Contract at any time, with or without cause, upon thirty (30) days' written notice to Consultant, except that where termination is due to the fault of the Consultant, the period of notice may be such shorter time as may be determined by the Contract Officer. In addition, the Consultant reserves the right to terminate this Contract at any time, with or without cause, upon sixty (60) days' written notice to City, except that where termination is due to the fault of the City, the period of notice may be such shorter time as the Consultant may determine. Upon receipt of any notice of termination, Consultant shall immediately cease all services hereunder except such as may be specifically approved by the Contract Officer. Except where the Consultant has initiated termination, the Consultant shall be entitled to compensation for all services rendered prior to the effective date of the notice of termination and for any services authorized by the Contract Officer thereafter in accordance with the Schedule of Compensation or such as may be approved by the Contract Officer. In the event the Consultant has initiated termination, the Consultant shall be entitled to compensation only for the reasonable value of the work product actually produced hereunder, but not exceeding the compensation provided therefore in the Schedule of Compensation Exhibit "C". In the event of termination without cause pursuant to this Section, the terminating party need not provide the non -terminating party with the opportunity to cure pursuant to Section 7.2. 7.5 Termination for Default of Consultant. If termination is due to the failure of the Consultant to fulfill its obligations under this Agreement, City may, after compliance with the provisions of Section 7.2, take over the work and prosecute the same to completion by contract or otherwise, and the Consultant shall be liable to the extent that the total cost for completion of the services required hereunder exceeds the compensation herein stipulated (provided that the City shall use reasonable efforts to mitigate such damages), and City may withhold any payments to the Consultant for the purpose of set-off or partial payment of the amounts owed the City as previously stated. 8. MISCELLANEOUS 8.1 Covenant Against Discrimination. Consultant covenants that, by and for itself, its heirs, executors, assigns and all persons claiming under or through them, that there shall be no discrimination against or segregation of, any person or group of persons on account of race, color, creed, religion, sex, gender, sexual orientation, marital status, national origin, ancestry, or other protected class in the performance of this Agreement. Consultant shall take affirmative action to ensure that applicants are employed and that employees are treated during employment without regard to their race, color, creed, religion, sex, gender, sexual orientation, marital status, national origin, ancestry, or other protected class 8.2 Non-liabilily of Cily Officers and Employees No officer or employee of the City shall be personally liable to the Consultant, or any successor in interest, in the event of any default or breach by the City or for any amount, which may become due to the Consultant or to its successor, or for breach of any obligation of the terms of this Agreement. 8.3 Notice. Any notice, demand, request, document, consent, approval, or communication either party desires or is required to give to the other party or any other person shall be in writing and either served personally or sent by prepaid, first-class mail, in the case of the City, to the City Manager and to the attention of the Contract Officer (with her/his name and City title), City of Carson, 701 East Carson, Carson, California 90745 and in the case of the Consultant, to the person(s) at the address designated on the execution page of this Agreement. Either party may change its address by notifying the other party of the change of address in writing. Notice shall be deemed communicated at the time personally delivered or in seventy- two (72) hours from the time of mailing if mailed as provided in this Section. 8.4 Integration, Amendment. It is understood that there are no oral agreements between the parties hereto affecting this Agreement and this Agreement supersedes and cancels any and all previous negotiations, arrangements, agreements and understandings, if any, between the parties, and none shall be used to interpret this Agreement. This Agreement may be amended at any time by the mutual consent of the parties by an instrument in writing. 8.5 Severability. In the event that part of this Agreement shall be declared invalid or unenforceable by a valid judgment or decree of a court of competent jurisdiction, such invalidity or unenforceability shall not affect any of the remaining portions of this Agreement which are hereby declared as severable and shall be interpreted to carry out the intent of the parties hereunder unless the invalid provision is so material that its invalidity deprives either party of the basic benefit of their bargain or renders this Agreement meaningless. 8.6 Waiver. No delay or omission in the exercise of any right or remedy by non -defaulting party on any default shall impair such right or remedy or be construed as a waiver. A party's consent to or approval of any act by the other party requiring the party's consent or approval shall not be deemed to waive or render unnecessary the other party's consent to or approval of any subsequent act. Any waiver by either party of any default must be in writing and shall not be a waiver of any other default concerning the same or any other provision of this Agreement. 8.7 Attorneys' Fees. If either party to this Agreement is required to initiate or defend or made a party to any action or proceeding in any way connected with this Agreement, the prevailing party in such action or proceeding, in addition to any other relief which any be granted, whether legal or equitable, shall be entitled to reasonable attorney's fees, whether or not the matter proceeds to judgment. 8.8 Interpretation. The terms of this Agreement shall be construed in accordance with the meaning of the language used and shall not be construed for or against either party by reason of the authorship of this Agreement or any other rule of construction which might otherwise apply. 8.9 Counterparts. This Agreement may be executed in counterparts, each of which shall be deemed to be an original, and such counterparts shall constitute one and the same instrument. 8.10 Warranty & Representation of Non -Collusion. No official, officer, or employee of City has any financial interest, direct or indirect, in this Agreement, nor shall any official, officer, or employee of City participate in any decision relating to this Agreement which may affect his/her financial interest or the financial interest of any corporation, partnership, or association in which (s)he is directly or indirectly interested, or in violation of any corporation, partnership, or association in which (s)he is directly or indirectly interested, or in violation of any State or municipal statute or regulation. The determination of "financial interest" shall be consistent with State law and shall not include interests found to be "remote" or "noninterests" pursuant to Government Code Sections 1091 or 1091.5. Consultant warrants and represents that it has not paid or given, and will not pay or give, to any third party including, but not limited to, any City official, officer, or employee, any money, consideration, or other thing of value as a result or consequence of obtaining or being awarded any agreement. Consultant further warrants and represents that (s)he/it has not engaged in any act(s), omission(s), or other conduct or collusion that would result in the payment of any money, consideration, or other thing of value to any third party including, but not limited to, any City official, officer, or employee, as a result of consequence of obtaining or being awarded any agreement. Consultant is aware of and understands that any such act(s), omission(s) or other conduct resulting in such payment of money, consideration, or other thing of value will render this Agreement void and of no force or effect. Consultant's Authorized Initials 8.11 Corporate Authority. The persons executing this Agreement on behalf of the parties hereto warrant that (i) such party is duly organized and existing, (ii) they are duly authorized to execute and deliver this Agreement on behalf of said party, (iii) by so executing this Agreement, such party is formally bound to the provisions of this Agreement, and (iv) the entering into this Agreement does not violate any provision of any other Agreement to which said party is bound. This Agreement shall be binding upon the heirs, executors, administrators, successors and assigns of the parties. [Signatures on the following page.] IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the date and year first -above wri - ATTES use-Aldana, City Clerk APPROVED AS TO FORM: & WYNDER, LLP CITY: CITY F SON, m ' • al co Sharon L. Landers, City Manager CONSULTANT: AIRWEST AIR CONDITIONING AND HEATING, IN ., a California corporation By: Name: p*W P- C . Title: pi2aEsr 7— By: By: Name: P►t 1-44am J .-[=rzwT kA Title: C6R p. Address: 1886 S. Santa Cruz Street Anaheim, CA 92805 Two corporate officer signatures required when Consultant is a corporation, with one signature required from each of the following groups: 1) Chairman of the Board, President or any Vice President; and 2) Secretary, any Assistant Secretary, Chief Financial Officer or any Assistant Treasurer. CONSULTANT'S SIGNATURES SHALL BE DULY NOTARIZED, AND APPROPRIATE ATTESTATIONS SHALL BE INCLUDED AS MAY BE REQUIRED BY THE BYLAWS, ARTICLES OF INCORPORATION, OR OTHER RULES OR REGULATIONS APPLICABLE TO CONSULTANT'S BUSINESS ENTITY. CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy or validity of that document. STATE OF CALIFORNIA I,% COUNTY OF L-99 NCELW Drlkl M4 tt On �,� , 2020 before me, r 1ld +�� , personally a ared 9dw'cl_ IDit �Lk%. , proved to me on the basis of satisfactory evi nce to be the pe4sonWwhose n i subscribed to the within instrument and �Kk,n wled ed to me that e executed the same in i r authorized capacity(if, and that by �I;g signature on a instrument the person', or the entity upon behalf of which the person(kacted, cuted the instrument. 1 certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official IAN DELGADO �- COMM ... 2176963 U ~Q' NOTARY PUBLIGCAtIFQRNIA -I Signature: � _ m „ ORANGE COUNTY tJ My ` mM E* Deoemw 24, = OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER ❑ INDIVIDUAL CORPORATE OFFICER TITLE(S) ❑ PARTNER(S) ❑ LIMITED ❑ GENERAL ❑ ATTORNEY-IN-FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER SIGNER IS REPRESENTING: (NAME OF PERSON(S) OR ENTITY(IES)) L_ DESCRIPTION OF ATTACHED DOCUMENT TITLE OR TYPE OF DOCUMENT NUMBER OF PAGES DATE OF DOCUMENT SIGNER(S) OTHER THAN NAMED ABOVE CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT IA notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy or validity of that document. l STATE OF CALIFORNIA COUNTY OF *EL -S6 aY4Ay � I pp �(j�a.rY oval. On 01 2020 before me, R J , personally a ared � rt 7 r , proved to me on the basis of satisfactory eviden o be the on* whose names i Lf subscribed to the within instrument and ac wliedged to me that h)p+� executed the same in h' a authorized ca aci p ty�, and that by I�e d signature on the nstrument the person(; or the entity upon behalf of which the person(} -acted, executed the instrument. I certify under PENALTY OF PERJURY under the Iaws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and officia al. Signature: IAN DELGADO COMM ... 2176963 U NOTARY PUBLIC -CALIFORNIA -{ m ORAItiGE COUNTY W My TOP Exp. December 24, 2020 OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT ❑ INDIVIDUAL 52 CORPORATE OFFICER _40 - ..._ TITLE OR TYPE OF DOCUMENT TITLE(S) ❑ PARTNER(S) ❑ LIMITED ❑ GENERAL NUMBER OF PAGES ❑ ATTORNEY-IN-FACT ❑ TRUSTEE(S) ❑ GUARDIANICONSERVATOR ❑ OTHER DATE OF DOCUMENT SIGNER IS REPRESENTING: (NAME OF PERSON(S) OR ENTITY(IES)) SIGNER(S) OTHER THAN NAMED ABOVE , l.i��' mer'" � .— ._1 MP A!*V�, nk EXHIBIT "A" SCOPE OF SERVICES I. Consultant will perform the following services (unless otherwise specified, all services relate to work to be performed in the audio-visual room located on the 2"d floor of City's City Hall, adjacent to the City Council Chambers): General: Install a new ductless split air conditioning system. The work shall include the following: A. Fan Coil: Furnish and install a new cassette fan coil in ceiling. B. Condenser: Furnish and install a new condenser on roof of City Hall. Provide new condenser supports. C. Refrigerant piping: Furnish and install new refrigerant piping from condenser to evaporator coil. D. Condensate piping: Furnish and install new condensate piping from fan coil to an approved receptor. E. Controls: Furnish and install a new wired thermostat. F. Electrical: Electrical power to condenser shall be provided by others. Consultant shall provide power to fan coil. G. Commissioning: Fine-tune system to ensure that it is operating at its maximum potential. H. Warranty: Provide manufacturer's warranty of all parts and one-year labor warranty on equipment. Manufacturer's warranties provided by Consultant include a 7 -year warranty for the compressor and a 5 -year warrant for all parts. IL As part of the Services, Consultant will prepare and deliver the following tangible work products to the City: A. System to be installed: Fujitsu 36RGLXC, 3.0 Ton, 17.5 SEER, R-41 OA Refrigerant. III. In addition to the requirements of Section 6.2, during performance of the Services, Consultant will keep the City updated of the status of performance by delivering the following status reports: A. Verbal or written status reports on the progress of work as requested by Contract Officer. IV. All work product is subject to review and acceptance by the City, and must be revised by the Consultant without additional charge to the City until found satisfactory and accepted by City. V. Consultant will utilize the following personnel to accomplish the Services: A. QAW10 pj2>+=KA B• VIgVIr1 YnuRRA~Y c. EXHIBIT "B" SPECIAL REQUIREMENTS (Superseding Contract Boilerplate) (new text shown in bold italics, deleted text in strikedweugh) I. A new Section 1.5, "Familiarity with Work," is added to the Agreement, to read in its entirety as follows: "1.5 Familiarity with Work. (a) By executing this Agreement, Consultant warrants that Consultant (i) has thoroughly investigated and considered the scope of services to be performed, (ii) has carefully considered how the services should be performed, and (iii) fully understands the facilities, difficulties and restrictions attending performance of the services under this Agreement. Consultant warrants that Consultant has or will investigate the site and is or will be fully acquainted with the conditions there existing, prior to commencement of services hereunder. (b) Consultant shall promptly, and before the following conditions are disturbed, notify the City, in writing, of any: (i) material Consultant believes may be hazardous waste as defined in Section 25117 of the Health & Safety Code required to be removed to a Class I, II, or III disposal site in accordance with existing law; (ii) subsurface, unknown or latent conditions, materially different from those indicated; or (iii) unknown physical conditions at the site of any unusual nature, different from those ordinarily encountered and generally recognized as inherent in services of the character provided for in this Agreement, and will materially affect the performance of the services hereunder. (c) City shall promptly investigate the conditions, and if it finds that the conditions do materially differ, or do involve hazardous waste, and cause a decrease or increase in Consultant's cost of, or the time required for, performance of any part of the services, shall issue a change order per Section 1.8 of this Agreement. (d) In the event that a dispute arises between City and Consultant whether the conditions materially differ, or involve hazardous waste, or cause a decrease or increase in Consultant's cost of, or time required for, performance of any part of the services, Consultant shall not be excused from any scheduled completion date set, but shall proceed with all services to be performed under the Agreement. Consultant shall retain any and all rights provided either by contract or by law, which pertain to the resolution of disputes and protests between the contracting parties." II. A new Section 1.6, "Warranty," is added to the Agreement, to read in its entirety as follows: 6L1.6 Warranty Consultant warrants all work under the Agreement (which for purposes of this Section shall be deemed to include unauthorized work which has not been removed and any non- conforming materials incorporated into the Services) to be of good quality and free from any defective or faulty material and workmanship. Consultant agrees that for a period of one year (or the period of time specified elsewhere in the Agreement or in any guarantee or warranty provided by any manufacturer or supplier of equipment or materials incorporated into the Services, whichever is later) after the date of final acceptance, Consultant shall, within ten (10) days after being notified in writing by the City of any defect in the work or non-conformance of the work to the Agreement, commence and prosecute with due diligence all services necessary to fulfill the terms of the warranty at its sole cost and expense. Consultant shall act as soon as requested by the City in response to an emergency. In addition, Consultant shall, at its sole cost and expense, repair, remove and replace any portions of the work (or work of other contractors) damaged by its defective work or which becomes damaged in the course of repairing or replacing defective work. For any work so corrected, Consultant's obligation hereunder to correct defective work shall be reinstated for an additional one-year period, commencing with the date of acceptance of such corrected work. Consultant shall perform such tests as the City may require to verify that any corrective actions, including, without limitation, redesign, repairs, and replacements comply with the requirements of the Agreement. All costs associated with such corrective actions and testing, including the removal, replacement, and reinstitution of equipment and materials necessary to gain access, shall be the sole responsibility of Consultant. All warranties and guarantees of subcontractors, suppliers and manufacturers with respect to any portion of the work, whether express or implied, are deemed to be obtained by Consultant for the benefit of the City, regardless of whether or not such warranties and guarantees have been transferred or assigned to the City by separate agreement and Consultant agrees to enforce such warranties and guarantees, if necessary, on behalf of the City. In the event that Consultant fails to perform its obligations under this Section, or under any other warranty or guaranty under this Agreement, to the reasonable satisfaction of the City, the City shall have the right to correct and replace any defective or non -conforming work and any work damaged by such work or the replacement or correction thereof at Consultant's sole expense. Consultant shall be obligated to fully reimburse the City for any expenses incurred hereunder upon demand." III. A new Section 1.7, "Prevailing Wages," is added to the Agreement, to read in its entirety as follows: "1.7 Prevailing Wages. Consultant is aware of the requirements of California Labor Code Section 1720, et seq., and 1770, of seq., as well as California Code of Regulations, Title 8, Section 1600, et seq., ("Prevailing Wage Laws"), which require the payment of prevailing wage rates, that Consultant and all subcontractors be registered with and pay the registration fee to the Department of Industrial Relations ("DIIV), Consultant be subject to the monitoring and enforcement by the DIR, and the performance of other requirements on "Public Works" and "Maintenance" projects. If the services are being performed as part of an applicable "Public Works" or "Maintenance" project, as defined by the Prevailing Wage Laws, and if the total compensation is $1,000 or more, Consultant agrees to fully comply with such Prevailing Wage Laws. City shall provide Consultant with a copy of the prevailing rates of per diem wages in effect at the commencement of this Agreement. Consultant shall make copies of the prevailing rates of per diem wages for each craft, classification or type of worker needed to execute the services available to interested parties upon request, and shall post copies at the Consultant's principal place of business and at the project site. Consultant shall defend, indemnify and hold the City, its elected and appointed officials, officers, employees and agents free and harmless from any claim or liability arising out of any failure or alleged failure to comply with the Prevailing Wage Laws." IV. A new Section 3.5, "Inspection and Final Acceptance," is hereby added to the Agreement, to read in its entirety as follows: "3.5 Inspection and Final Acceptance. City may inspect and accept or reject any of Consultant's work under this Agreement, either during performance or when completed. City shall reject or finally accept Consultant's work within forty-five (45) days after submitted to City. City shall accept work by a timely written acceptance, otherwise work shall be deemed to have been rejected. City's acceptance shall be conclusive as to such work except with respect to latent defects, fraud and such gross mistakes as to amount to fraud. Acceptance of any work by City shall not constitute a waiver of any of the provisions of this Agreement including, but not limited to, Articles 1 and 5, pertaining to warranty and indemnification and insurance, respectively." V. A new Section 7.6, "Liquidated Damages," is hereby added to the Agreement, to read in its entirety as follows: "Since the determination of actual damages for any delay in performance of this Agreement would be extremely difficult or impractical to determine in the event of a breach of this Agreement, Consultant shall be liable for and shall pay to City the sum of Eight Hundred Dollars ($800.00) as liquidated damages for each working day of delay in the performance of any service required hereunder, as specified in the Schedule of Performance (Exhibit "DD. City may withhold from any monies payable on account of services performed by Consultant any accrued liquidated damages." EXHIBIT "C" SCHEDULE OF COMPENSATION I. Consultant shall perform the Services for the lump sum of $13,660 II. A retention of ten percent (10%) shall be held from each payment as a contract retention to be paid as a part of the final payment upon satisfactory completion of services. (NOT APPLICABLE) III. Within the budgeted amounts for each Task, and with the approval of the Contract Officer, funds may be shifted from one Task subbudget to another so long as the Contract Sum is not exceeded per Section 2.1, unless Additional Services are approved per Section 2.3 (NOT APPLICABLE). IV. The City will compensate Consultant for the Services performed upon submission of a valid invoice. Each invoice is to include: A. Line items for all the work performed and the applicable rate. B. Line items for all materials and equipment properly charged to the Services. C. Line items for all other approved reimbursable expenses claimed, with supporting documentation. D. Line items for all approved subcontractor labor, supplies, equipment, materials, and travel properly charged to the Services. V. The total compensation for the Services shall not exceed $13,660.00, as provided in Section 2.1 of this Agreement. I. H. EXHIBIT "D" SCHEDULE OF PERFORMANCE Consultant shall perform all services timely in accordance with the following schedule: Days to Perform Deadline Date A. All services (i.e. 3 3 days from Contract completed Officer's installation of Request/Notice to system per Exh. Proceed "A") Consultant shall deliver the following tangible work products to the City by the following dates: A. Completed installation of the system as set forth in Exhibit "A": Within three days of Contract Officer's Request/Notice to Proceed. The Contract Officer may approve extensions for performance of the services in accordance with Section 3.2. f -o✓. D A� Jfl CERTIFICATE OF LIABILITY INSURANCE '� DATEimmNDDmrm 2/13/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER_ THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: tf the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Shank i Associates 10091 Park Run brine CONTAGIAubri e NAMED PHONE (702) B78-2820 IF� No I7a:1o70-rasa n DRESS.aubrieQswartsmanning.com Suite 200 Las Vegas MV 89145 INSURED INS S AFFORDING COVERAGE NAIL 1 IISURERA:BDI Global Insurance Company 41343 INSURER B: Airwest Air Conditioning and Beating, Inc. INSURER C: 1885 S. Santa Cruz Street RNSURERD: INSURER E 1,000,000 Anaheim CA 92805 INSURER I!: VVYCr%M%2r_a CER11FiCAIt NUMBEK:20-21 Master REVISION NUMBER: THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTVNTHSTANDING 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. {NSR TYPE OF INSURANCESUER POLICY EFF POLICY EXP LTR POLICY NUMBER MM MM Limits X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 A CLAMS -MADE 10 OCCUR DAMAG ORE PREM{ s a.+c�s 100,000 X Y OG20XD000740500 2/2/2020 2/2/2021 MED EXP (Any one person) S 5,000 PERSONAL E ACV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 X POLICYECT _LDC PRODUCTS-COMPIOPAGG S 2,000,000 OTHER: f AUTOMOa{LE LIABILITYCOMBINED SINGLE LIMIT f • accident 1,000,000 A X ANYAUTO BODILY INJURY (Per pemon) S ALL OS SCHEDULED AUTOS AUTOS X [:020X0000710500 2 2/2020 / 2/2/2021 BODILY INJURY (Per atcidad) S X HIREDAUTDS X ED AUTOS AUTOS PROPERTY DAMAGE (Ear accident)S Medical payments S 5,000 UMBRELLALIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS -MADE AGGREGATE S DEO I I RETENTION S S VMRKERS COMPENSATION PER OTH- ANDEMPLOYERS' LJABIITY YIN STATUTE ER E.L EACH ACCIDENT S ANY PROPRIETOR,PARTNERIF,XECUTNE OFFICEWMEMBEREXCLUDED? ❑ NIA E.L. DISEASE - EA EMPLOYEE S {Mandatory in NH) I yes, describe order E -L INSEAsE - POLICY LIMIT S DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS N LOCATIONS I VEHICLES (ACORD 101, AddNieml Remade schedule, may be attached it more span is requited) Re: All Operations. City of Carson is named as Additional Insured with regards to the General Liability and commercial automobile liability coverage where required by contract, subject to policy terms and conditions, per form Ni CA AI 2003 05-14, CG2010 04/13 and CC2037 04/13. Waiver of Subrogation applies to the Imo. per form CG2404 05/09. CERTIFICATE HOLDER CANrFI I ATInN City of Carson 701 E Carson Street Carson, CA 90745 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL 8E DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE im Shank/JO 988-2014 AGUKU z5 (2014101) The ACORD name and logo are registered marks of ACORD INS025 (201401) reserved. POLICY NUMBER: GG20X000074 04 00 CA HDI GLOBAL INSURANCE COMPANY COMMERCIAL AUTO Ni CA All 2003 (05 14) (Blkt) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM This endorsement changes the policy effective on the inception date of theolicunless another date is indicated below. _ Endorsement effective Named Insured I Countersigned by Airwest Air Conditioning And Heating, inc. (Authorized Representative) WHO IS AN INSURED (under Section 11— Liability Coverage, A.11 is amended to include as an "insured' the person or organization shown in the Schedule with respect to the operation, maintenance, or use of a covered "auto" you own it 1) You are obligated to add that person or organization, as an additional insured to this policy by: a_ an expressed provision of an "insured contract', or written agreement; or b, an expressed condition of a written permit issued to you by a governmental or public authority; and 2) The "bodily injury" or "property damage" is caused by an 'accident" which takes place after: a. You executed the 'Insured contract" or written agreement; or b_ The permit has been issued to you. SCHEDULE Blanket as required by an expressed provision of an "insured contract", or written agreement; or an expressed condition of a written permit issued to you by a governmental or public authority and effective during the policy period as stated on the policy declarations. NI CA Al 2003 (05 14) (Blkt) Page 1 of 1 POLICY NUMBER: GG20XO00074 04 00 CA COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 (Blkt) WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Blanket as required by written contract and effective during the policy period as stated on the policy declarations. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products -completed operations hazard". This waiver applies only to the person or organ- ization shown in the Schedule above. CG 24 04 05 09 (Blkt) 0 Insurance Services Office, Inc., 2008 Page 1 of 1 POLICY NUMBER: GG20X000074 04 00 CA COMMERCIAL GENERAL LIABILITY CG 20 37 0413 (Blkt) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations Blanket as required by written contract and effective Primary Insurance applies: It is agreed that such during the policy period as stated on the policy insurance as is afforded by this policy for the benefit declarations, of the additional insured shown shall be primary Insurance, and any other insurance maintained by the additional insured(s) shall be excess and noncontributory as respects any claim, loss or liability allegedly arising out of the operations of the named insured or its subcontractors, provided however that this insurance will not apply to any claim loss or liability which is determined to be solely the result of the additional insured's negligence or solely the additional Insured's responsibility. This insurance also does not apply to any structure intended to be occupied as a private residence, not including apartments. [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 organizations) 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_ CG 20 37 04 13 (Blkt) -�) Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: GG20XO00074 04 00 CA COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 (Blkt) 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 Name Of Additional Insured Person(s) Or Organization(s) Locations Of Covered Operations Blanket as required by written contract and effective Primary Insurance applies: It is agreed that such during the policy period as stated on the policy insurance as is afforded by this policy for the declarations. benefit of the additional insured shown shall be primary insurance, and any other insurance maintained by the additional insured(s) shall be excess and noncontributory as respects any claim, loss or liability allegedly arising out of the operations of the named insured or its subcontractors, provided however that this insurance will not apply to any claim loss or liability which is determined to be solely the result of the additional insured's negligence or solely the additional insured's responsibility. 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. y1. 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. Wth 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. CG 20 10 04 13 (Blkt) O Insurance Services Office, Inc., 2012 mage 1 of 2 C. With respect to the insurance afforded to these 2. Available under the applicable Limits of Insurance additional insureds, the following is added to Section shown in the Declarations; III — Limits Of Insurance: whichever is less. If coverage provided to the additional insured is This endorsement shall not increase the applicable required by a contract or agreement, the most we will Limits of Insurance shown in the Declarations, pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 20 10 04 13 (Blkt) AC D® CERTIFICATE 4F LIP THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONL CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITL REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the the terms and conditions of the policy, certain policies may require an r certificate holder In lieu of such endorsamantrsl- PRODUCER Golden Capital Insurance 21250 Calrfa St Ste #113 Woodland Hills, CA 91367 Phone: (818) 664-6985 Fax L) INSURED AIRWEST AIR CONDITIONING AND HEATING INC 1886 SOUTH SANTA CRUZ STREET Anaheim CA 92805- BILITY INSURANCE DATE(MMIDDA-YYY) 02/14/2020 I AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES TE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to ndorsement. A statement on this certificate does not confer rights to the CONTACT AME: Mike Shirazi N PHONE (618)6$4-6985 FAX E-MAIL AIC Not: ADDRESS: service®goldencapitalins.com INSU 5 AFFORDING COVERAGE NAIL 0 wsURERA: OAK RIVER INSURANCE COMPANY 34630 INSURER e . INSURER C : INSURER D. INSURER E, INSURER F + COVERAGES CERTIFICATE NUMBER: REVISION NUMBER.- THIS 1S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUR INDICATED. NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIM TYPE OF INSURANCE b POUCVEFF POLICYEXP POLICY NUMBER MM MMIDp COMMERCIAL GENERAL LIABILITY ffYYYi CWMSMADE ❑ OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 0 JECT E] LOC OTHER AUTOMOBILE LIABILITY ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS HIREDAUTOS NON -OWNED AUTOS UMBRELLA LIAR ! OCCUR EXCESS LIAa r 1. —.. A WORKER$ COMPENSATION AND EMPLOYERS' LIASILITY Y ANY PROPRIETORIPARTNERIEXECUTNE E OFFICERIMEMSER EXCLUDEW L (Mandatory In NHI If yes. desoi6e undo IA X I AIWC034008 1 1111412019! 11114/2020 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACnRD 101, Additional Remarks Sehadu4, may be attached if more space Is mqui CSLB #733715 Waiver of subrogation applies in favor of City of Carson per attached endorsement. City of Carson 701 E Carson Street, Carson, CA 90745 ED NAMED ABOVE FOR THE POLICY PERIOD DOCUMENT WITH RESPECT TO WHICH THIS D HEREIN IS SUBJECT TO ALL THE TERMS, S. LIMITS EACH OCCURRENCE S A A 7b7WW PREMFSESaaccumno) S MED EXP Airy one !2wI s PERSONAL d ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS -COMPIOPAGG S S COMBINED SINGLE LIMIT a .deem S Et BODILY INJURY (Per person) $ BODILY INJURY (Per accident) S PROPERTY DAMAGE s PC Bab t f EACH OCCURRENCE S AGGREGATE s s X STATUTE EORTIi. I? G EACH A =DENT s 1,000,000 EL. DISEASE -EA EMPLOYE 3 1,000,000 EL. DISEASE-POUCY UMrt S 1 000 000 sd) 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 �I rrr01Q r.Jl'r:l �i�/l O 1968-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD AC"VR17 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) `�2/13/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER. AND THE CERTIFICATE HOLDER IMPORTANT If the certificate holder Is an ADDITIONAL INSURED, the Policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terns 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). PROCaIcER WNI NAME: Aubris Kemp Shank i Associates PHONE (702)878-2820FAX et. Na I7o2}e70-12e2 10041 Park Run Drive EMAIL ADDRESS, Suite 200 INSUREFSI AFFORDING COVERAGE NAIL / Las Vegas NV 891 5 INSURERA.HDI Global Insurance Comport 41343 INSURED INSURER B Airwast Air Conditioning and seating, Inc. INSURER C: 1986 S. Santa Crux Sheet: INSURER O: Anaheim CA 92845 1INSURER F. COVERAGES CERTIFICATE NUMBER.20-21 Master REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSU}iAW;F- LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOC 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. !7R TYPE OF INSURANCE Sugg POLICY NUMBER M4,�irY mymnYEXP lyYM LIMITS X COMMERCWLGENERALLIABILITY EACH OCCURRENCE S A CWMS•MADE a OCCUR PREMISES IEa L.L. X Y GG20X00007e0500 2/2/244 2/2/2021 MED EXP (Any one Person) S PERSONAL 6 ADV INJURY S GENIAGGREGATE UMITAPPLIES PER: POLICY E� G F--1 LOC ffANL MOBetLnYAYAUTOAOWNEDSCHEDULED AAUT09 GG20XO0007405DO 717I1a20 2/2/2021 HIREDAUTOS X AUTOS UMBRELLA LIAR OCCUR EXCESS UA9 ,., .,..,. MRL(ERS COMPENSATION AND EMPLOYERS' IJABiUTY Y + N ANY PROPRIETOROARTIWMFxtCUnVE M OFFICEREMBERE>XCLUDID? ❑ NWA (MandataryIn NH) It yes, d*naft under ��• �.�.nnrrcl�nVcs i 3 COMWNEOSINGLEUMIT 3 �B Odd I IOULY INJURY (Per Pmm) 3 BOOM INJURY (Per accident) 3 PROPERTY DAMAGE 3 I Pe+ EL EACH s -EA EMPLOYEE i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD SDI, Additlonal Remarks Schedule, may be attached H mon apace is required) Re: All Operations. City of Carson is named as Additional Insured with regards to the General Liability coverage where required by contract, subject to policy terms and conditions, per Form CG2010 04/13 and CG2037 04/13. Waiver of Subrogation applies as per form CG2404 05/09. CERTIFICATE HOLDER CANCELLATION 1,000,000 100,000 5,000 1,000,000 2,000.000 2,000,000 1,000,000 s,00D SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Carson THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 701 E Carson Street ACCORDANCE WITH THE POLICY PROVISIONS. Carson, CA 90745 AUTHORIZED REPRESENTATTVE Tim Shank/jo ACORD 25 (2014101) The ACORD name and lags are registered marks of ACORD INS025 (201404 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC990410C (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 manual premium, with a minimum initial charge of $350, then applying all other pricing factors for the policy to this calculated charge 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. Job Description Waiver Premium (prior to adjustments) All CA Operations 614.00 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 Effective: 11/14/2019 Policy No • AIWC034008 Endorsement No.: Insured: Premium $ Insurance Company: Oak River Insurance Company Countersigned by WC990410C (Ed. 01-19) ���'{�' CERTIFICATE 4F LIA THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANC CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTE BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A { REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the cartificate holder is an ADDITIONAL INSURED, the poll the terns and conditions of the Policy, certain policies may require an end certificate holder in lieu of such endorsement(s). PRODUCER Shank & Associates 10091 Park Run Drive Suite 200 Las Vegas KV 89145 rNSURE13 Aizxest Air Conditioning and Heating, Inc. 1886 S. Santa Cruz Street Anaheim 31LITY INSURANCE DATE(MMIDDmrrY) 2/13/2020 CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS ND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES ONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED Wes) must be endorsed. If SUBROGATION IS WAIVED, subject to irsement A statement on this certificate does not confer rights to the CONTACI NAYS Aubrie Xemp PHO"E t702)ala-2820 FAX E`t r 1JC N.L. AD0433. aubriellswartsmanning.com WSU 3 AFFORTNNG COVERAGE NAS � WSURERA-.RDI Global Insurance Company 41343 INSURER e IN5URER C INSURER D INSURER E: CA 92805 1INSURER F: COVERAGES CERTIFICATE NUMBER:20-21 Master REV -•--•--------- THIS i5 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAM INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUM CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, NBR LTR TYPE OF INSURANCE POLICY NUMBER FPI OI.ICY EFF IPOLICY EXP X COMMI:RCUl1 GENERAL LIABILITY T - A CLAIMS4 ADE ❑X OCCUR UMBRELLA UAB OCCUR EXCESS LIAe .,— X I Y I01201t00oo741asoo AND EYPLOYERTLIABILITY YIN ANY PROPRIETORlPARTNEmEmcuvVE OFFICEPIMEIABER EXCLUDED? ❑ NIA (Mandatory is NH) It yes• desnibe tatter DG20X000074 o50o 2/2/2020 I 2/2/2021 2/2/2020 1 7/2/2021 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if male space is requered) Re: All Operations. City of Carson is named as Additional Insured with regards to coverage where required by Contract, subject to policy terms and conditions, per CO2037 04/13. Waiver of Subrogation applses as per form CG2404 05/09. CERTIFICATE HOLDER City of Carson 701 E Carson Street Carson, CA 90745 CANCELLATION nvwro�n: ED ABOVE FOR THE POLICY PERIOD ENT WITH RESPECT TO WHICH THIS IS SUBJECT TO ALL THE TERMS, LIMITS EACH OCCURRENCE $ 1,000,000 OO PREWSESEa ecaEM2! S 100,000 MED EXP (Any ane Person) $ 5, 000 PERSONAL & ADV INJURY S 1,000,000 GENERAL AGGREGATE s 2,000,000 PRODUCTS •COMPUOPAGG S 2,000,000 S COMLELIMIT-JEa y 1,0D0,000 BODILY INJURY (Por Penang y BODILY INJURY (Per accident) s PROPERFYDAMAGE S Per aerideat Medal pay nh S 5,000 EACH OCCURRENCE S AGGREGATE S 7 PERU TH- 57ATUTE ER EL EACH ACCIDENT s EL DISEASE • EA EMPLOYEE s E -L DISEASE - POLICY UMrr s the General Liability :orm CC2010 04/13 and 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 rim Shank/,la -2;-Xjl ©1888-2014 ACORD CORPORATION. Aft rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INSDZ5 In u01 i GENL AGGREGATE UMITAPPLIEs PER. X POLICY E] ELo-T M LOC OTHER AUTOMOBILE LIABILfTY A X ANYAUTLI EO SCHEDULED UA F NON-DYMED X HIREDAUTOS AUTOS UMBRELLA UAB OCCUR EXCESS LIAe .,— X I Y I01201t00oo741asoo AND EYPLOYERTLIABILITY YIN ANY PROPRIETORlPARTNEmEmcuvVE OFFICEPIMEIABER EXCLUDED? ❑ NIA (Mandatory is NH) It yes• desnibe tatter DG20X000074 o50o 2/2/2020 I 2/2/2021 2/2/2020 1 7/2/2021 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if male space is requered) Re: All Operations. City of Carson is named as Additional Insured with regards to coverage where required by Contract, subject to policy terms and conditions, per CO2037 04/13. Waiver of Subrogation applses as per form CG2404 05/09. CERTIFICATE HOLDER City of Carson 701 E Carson Street Carson, CA 90745 CANCELLATION nvwro�n: ED ABOVE FOR THE POLICY PERIOD ENT WITH RESPECT TO WHICH THIS IS SUBJECT TO ALL THE TERMS, LIMITS EACH OCCURRENCE $ 1,000,000 OO PREWSESEa ecaEM2! S 100,000 MED EXP (Any ane Person) $ 5, 000 PERSONAL & ADV INJURY S 1,000,000 GENERAL AGGREGATE s 2,000,000 PRODUCTS •COMPUOPAGG S 2,000,000 S COMLELIMIT-JEa y 1,0D0,000 BODILY INJURY (Por Penang y BODILY INJURY (Per accident) s PROPERFYDAMAGE S Per aerideat Medal pay nh S 5,000 EACH OCCURRENCE S AGGREGATE S 7 PERU TH- 57ATUTE ER EL EACH ACCIDENT s EL DISEASE • EA EMPLOYEE s E -L DISEASE - POLICY UMrr s the General Liability :orm CC2010 04/13 and 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 rim Shank/,la -2;-Xjl ©1888-2014 ACORD CORPORATION. Aft rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INSDZ5 In u01 i 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 rim Shank/,la -2;-Xjl ©1888-2014 ACORD CORPORATION. Aft rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INSDZ5 In u01 i ,4 CERTIFICATE OF LIABILITY INSURANCE°AT;;"4en';" 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 1S 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 NAfM1E CT Mike Shirazi Golden Capital Insurance PHaNE (818)651-6985 2125D Califa St Ste #113 E -M n°L ESW Wo odHills. CA 91367 AODRETrs:,,,. ®g pitalins.CDm serviceoldencaland Phone: (818) 654-6985 Fa)c L—) `�� _ INSIIRIDM(SIAFFORDING COVERAGE _ NAICr INSURERA: OAK RIVER INSURANCE COMPANY 34630 - INSURED — INsurtEAe; AIRWEST AIR CONDITIONING AND HEATING INC INSURER c. � ----� � - --- 1886 SOUTH SANTA CRUZ STREET suRERo: n�- — -- -- Anaheim CA 92808- L`lSURER E' — -- -MADE OCCUR INSURER F GOVEKAGE5 CERTIFICATE NUMRER' M6V1CTnu all IMAM 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 POLIMES DESCRIBED HEREIN 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. --- - IL1R TYPE OF r11gMNCE �� POLICY NUMBER PMOLICY EFF PO CY E> - — LIMITS COMMERCIAL GENERAL LIABILITY I CLAIMS 0 EACH OCCURRENCE f �i fORR=---- .�.--- -MADE OCCUR EMIS@¢,LEeacarrenrr) MEO EXP (Any ane person) _ S Ir ERSON&&ADV INJURY f UMrf APPLIES PER; 4 OEMLAGGREGATE GENERAL AGGREGATE S PRO - ❑ ElPRO- POLICY JECT LOC PRODUCTS-COMP19PAGG S r OTHER: S AUTOMOBILE UABtLRY COMBINED SINGLE IT S ANY AUTO i S BODILY INJURY (Per person)ALL OWNED AUTOS D AUTOS I BODILY INJURY (Per aociderri) S I HIREDAt1TO5 � NONAUTOgWNED PROPERTYDAAIApE S ----- 2Ptt amdent -- � UMBRELLA LIAR Ji OCCUR EACH OCCURRENCE EXCESS LIAR- ' CLAIMS -MADE AGGREGATE S ` OED RETENTIONS... ---- A WORKERS GOMPENSATIO14 AND EMPLOYERS' LIABILITY X AIWC034008 11114!2019 1t/14/2020 '-- T71. sART IT.E ERS YIN ANY PROPRIETOR/PARTNtaM t6IJTr41< OFFICERIMEMBER EXCLUDEW N I A I +E.LOISEASE ..,�_ . E -L. EACH ACCIDENT f 1.000,000 (MandataryIn NH} If yyea, desoibe undq - EA EMPLOYE S 1,000.000 -- DESCRIPTIONOFOPERATIONSbeLow i- E.LDISEASE -POLICY LIMIT,_ S 1,000,000 k DESCRIPTION OF OPERATIONS I LOCATIONS r VEHICLe3 (ACORD 101, Additional Rsmsrks SchedWe, msy be attached if mon space Is ngolmd) CSLB #733715 Waiver of subrogation applies in favor of City of Carson per attached endorsement. City of Carson 701 E Carson Street, Carson, CA 90745 ACORD 25 (2014101) 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 sr r•TOh t.�llYGiLI * 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Mar ve zu uu,1 be Airwest 714.97$_7779 P.8 POLICY NUMBER: GG20XU00074 os oo CA COMMERCIALAUTO CA 04 44 10 13 (AutoBlIOWaiver) 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 cinder 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. Named Insured: Airwest Air Conditioning And Heatingr Inc. Endorsement Effective Date - SCHEDULE Blanket where required by written contract in the 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. CA 04 44 10 13 (AutoBlktWaiver) © Insurance Services office, Inc., 2011 Page 1 of 1