HomeMy Public PortalAboutC-20-045 - Turnix Corporation dba First Choice Fire Protection, Fire ExtinguishersAGREEMENT FOR CONTRACT SERVICES
BETWEEN THE CITY OF CARSON AND
TURNIX CORPORATION DBA FIRST CHOICE FIRE PROTECTION
t THIS AGREEMENT FOR CONTRACT SERVICES (herein "Agreement") is made and
entered into this -:7— day of March, 2020 by and between the CITY OF CARSON, a California
V municipal corporation ("City") and TURNIX CORPORATION, a California corporation doing
business as First Choice Fire Protection ("Consultant"). City and Consultant are sometimes
hereinafter individually referred to as "Party" and hereinafter collectively referred to as the
"Parties."
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 Eight Thousand Three Hundred Thirty Five Dollars ($8,335.00) ("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,
01007 ON 11636971 1
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 subcontractor contracts. Subcontractor
charges shall also be detailed by such categories. Consultant stall 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 Maieure. 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
01007,00011636971 1 -1)-
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 bel 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" ).
4. COORDINATION OF WORK
4.1 Representative of Consultant. Danette Bencomo, Lead Administrator, 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. Thomas Barrett, Acting Building Maintenance
Supervisor, such 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 Against 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 assigncd 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 Independent 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 term 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:
01007.cKMu636e71.1 -3-
(a) Commercial_.. General Liability 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 $1,000,001.00 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 or equivalent). 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
01OD7.WO11636971.1 -4-
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.
Tile 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 VIl 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, employee~, agents, subcontractors, invitees.
or any individual or entity for which Consultant is legally liable ("indemnitors"), or arising from
Consuhant'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 a, signs of Consultant and shall survive termination of this Agreement.
6. RECORDS, REPORTS, AND RELEASE OF INFORINIATION
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.
ORM}7 i1 M16.16971 1 -.5.
6.3 Confidentiality and Release of Information.
(a) All information gained or work product produced by Consultant in
performance of this Ag�eement 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 the
"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.
01007 0001!636971 1 -6-
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 mal 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
01007 0001/636971 1 -7-
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 -liability of City 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 Inteeration: 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
0IM7.OWI/636971 1 -8-
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 I091 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(), omission(s) or other conduct resulting in such payment of
money, consideration, or other thing of value will render this Agr ment void and of no force or
effect.
Consultant's Authorized Initia - -
8.1 l Co orate 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.
01007 0001/636971 1 -9-
[Signatures on the following page.]
nux>7 n0011636471 1 -10-
IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the date
and year first -above written.
APPROVED AS TO FORM:
ALESHIRE & WYNDER, LLP
Sunny K. Soltani, City Attorney
[rill
CITY:
18TV"►�4MV.
City Manager
CONSULTANT:
TURNIX CORPORATION,
corporation doing business a
Protection /
Name: Louis Halper
Title: President
corporation
4 i California
rst Choice Fire
By:
Title:
Address: 550 Patricia Place, Suite E
Gardena, CA 90248
Two corporate officer signatures required when Consultant is a corporation, with one signature
required from each or the following groups: 1) Chairman of the Board, President or any Vire President; and
Z) 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.
01007.0001/636971 1
CALIFORNIA ALL-PURPOSE I CKNOWLEDGMENT
A notary Public or other officer completing this certificate verifies only the identity of the individual who signed
the document to which this certificate is attached, and not the truthfulness, accuracy or validity of that document.
STATE OF CALIFORNIA
COUNTY OF LOS ANGELES `
On tJ/. 2030 before me. •>46
iersonlay appeared A��proved
to me on
the basis of satisfactory evidence to be the person(/ whose names(>j islarr subscribed n instrument and
acknowledged to me that heh4hefrhtT executed the same in his/ke it authorized capacity(ies), and that by
hisllwfAheir signature(oifon the instrument the person( or the entity upon behalf of which the person(Sj acted,
executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is
true and correct.
prBBlc L FOSTER
11
WITNESS my hand and official seal. '"" + nota-yPublic- Cali!arn.j
`• r e'- ~ tos Angle, Ccunty `>
� 4 'A'' A t
Signature: /.ALL i3![/y}:., C mrriEsion:It5�Gi3
� �('fr)'i toy {:o m fap iCi Ndf .5,.0.1
OPTIONAL
Thouuh 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
SIGNER IS REPRESENTING:
(NAME OF PERSON(S) OR ENTITY(IES))
01(X)7.0(X)1163697 1.1
DESCRIPTION OF ATTACHED DOCUMENT
TITLE OR YPE OF DOCUMENT
NUMBER OF PAGES
c�
DATE OF DOCUMENT
SIGNER(S) OTHER THAN NAMED ABOVE
TITLE(S)
❑
PARTNER(S) ❑ LIMITED
❑ GENERAL
❑
ATTORNEYAN-PACT
❑
TRUSTEE(S)
❑
GUARDIAN/CONSERVATOR
❑
OTHER
SIGNER IS REPRESENTING:
(NAME OF PERSON(S) OR ENTITY(IES))
01(X)7.0(X)1163697 1.1
DESCRIPTION OF ATTACHED DOCUMENT
TITLE OR YPE OF DOCUMENT
NUMBER OF PAGES
c�
DATE OF DOCUMENT
SIGNER(S) OTHER THAN NAMED ABOVE
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
COUNTY OF L05 ANGELES
On L3� 2020 before me, fpersona appeared proved to me on
[tic basis ol'satisfactory evidence to k- the personA whose namesV) ishwLf subscribed to the within instrument and
acknowledged to me that Itr/slte/t4wy executed the same in 4ti�/iterA4eir authorized capacitylieq), and that by
lv�-Whcr/their signature(4 on the instrument the person(0, or the entity upon behalf of which the personal acted.
executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is
true and correct.
Aft Oft ft J% OR
DEMEt FOSTER
WITNESS my hand and official seal _ rt3ta,yPu6.c Cat,rorna
•; e' � l~ Los Ange el County
653
Signature: ._ Comm. SS on a �1'a:15"'2021
69y Camm E&P ies
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))
01 0{)7.(X1)1/6]6971. t
DESCRIPTION OF ATTACHED DOCUMENT
4 ct da&,tLLj-L
TITLE TYPE OF DOCUMENT
NUMBER OF PAGES
JL
DATE OF DOCUMENT
SIGNER(S) OTHER THAN NAMED ABOVE
EXHIBIT "A"
SCOPE OF SERVICES
I. Consultant will perform the following Services:
TASK A. Annual maintenance for 310 fire extinguishers
TASK B. Six year services on Dry Chemical Extinguisher
TASK C. Hydrotest Dry Chemical Extinguisher
TASK D. Hydrostatic testing of K Class Extinguisher
TASK E. ABC Dry Chemical — per pound, replace as needed
TASK F. K Class Extinguisher refill, replace as needed
TASK G. Pressure Gauge, replace as needed
TASK H. 0 Rings, replace as needed
TASK I. Pull Pins, replace as needed
TASK J. Valve Stems, replace as needed
TASK K. Collar Verification Ring (included), replace as needed
TASK L. Yellow Monthly Inspection Tag — address, as needed
All such services will be performed at the following Iocations:
A. City Hall, 701 E. Carson Street
B. Carson Community Center, 801 E. Carson Street
C. Corporate Yard/Fleet Services, 2410 E. Dominguez Street
D. Veterans Sports Complex/Carriage Crest, 22400 Moneta Avenue
E. North Park Facilities/Pools, 17400 Lysander Drive
F. South Park Facilities/Pools, 21141 Orrick Avenue
H. As part of the Services, Consultant will prepare and deliver the following tangible
work products to the City:
N/A
03007 00011635971 1 A-1
III. In addition to the requirements of Section 6.2, during performance of the Services,
Consultantill keep the City updated of the status of performance by delivering the
following status reports:
A final report identifying that all City owned fire extinguishers are in compliance with
L.A. County Building &l=ire Codes
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. Louis Halper
B. Danette Bencomo
C. Gary Hcld
01007 0MI/636471 1
EXHIBIT `B"
SPECIAL REQUIREMENTS
(Superseding Contract Boilerplate)
N/A
01007IXH11/636971 1 B-1
EXHIBIT "C"
SCHEDULE OF COMPENSATION
I. Consultant shall perform the following Services at the following rates:
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.
NIA
II1. Within the budgeted amounts for each Task, and with the approval of the Contract
Officer, funds may be shifted from one Task suhbudget to another so long as the
Contract Sum is not exceeded per Section 2.1, unless Additional Services are
approved per Section 2.3.
IV. The City will compensate Consultant for the Services performed upon submission of
a valid invoice, in accordance with Section 2.2. Each invoice is to include:
A. Line items for all the work performed, the number of hours worked, and the
hourly rate.
C-1
01007.(%)U 11636971 1
QUANTITY
COST
SUB -BUDGET
A. Task A
310
$9.00
$2,790.00
B. Task B
150
$11.00
$1,650.00
C. Task C
150
$14.00
$2,100.00
D. Task D
10
$28.00
$280.00
E. Task E
100
$4.50
$450.00
F. Task F
2
$289.00
$578.00
G. Task G
20
$9.95
$199.00
H.Task H
20
$1.95
$39.00
I. Task I
20
$2.50
$50.00
J. Task J
20
$9.95
$199.00
K. Task K
0
$0.00
$0.00
L. Task L
0
$2.00
$0.00
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.
NIA
II1. Within the budgeted amounts for each Task, and with the approval of the Contract
Officer, funds may be shifted from one Task suhbudget to another so long as the
Contract Sum is not exceeded per Section 2.1, unless Additional Services are
approved per Section 2.3.
IV. The City will compensate Consultant for the Services performed upon submission of
a valid invoice, in accordance with Section 2.2. Each invoice is to include:
A. Line items for all the work performed, the number of hours worked, and the
hourly rate.
C-1
01007.(%)U 11636971 1
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 $8,335.00, as provided in
Section 2.1 of this Agreement.
VI. Consultant's billing rales for all personnel are attached as Exhibit C-1.
NIA
41007.00011636971 1
I EXHIBIT "D"
SCHEDULE OF PERFORMANCE
I. Consultant shall perform all Services timely in accordance with the following
schedule:
Days to Perform Deadline Date
All Tasks 30 days 30 days from
Notice to
Proceed
M Consultant shall deliver the following tangible work products to the City by the
following dates.
A final report identifying that all City owned fire extinguishers are in compliance with
L.A. County Building & Fire Codes
Ill. The Contract Officer may approve extensions for performance of the Services in
accordance with Section 31.
D -I
01007 4061/63697 1. t
TURNCHO-01 BELENS
CERTIFICATE 4F LIABILITY INSURANCE DAT t1JYYYY)
2/14121412020
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 HO DER.
IMPORTANT: I1 the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION 15 WAIVED, subject to the terms and conditions of the pollcy, certain policies may require ars endorsement. A statement on
this certificate does not confer rights to the certificate holder In lieu of such andorsemantisi.
PRODUCER " —
OA Insurance Services
130 Vantis
Suite 250
411so Viejo, CA 82656
INSURED
T'umix dba First Choice Flre Protection
550 Patrice Place, XE
Gardena, CA 90248
AX
ert); (949) 297-5534 52029 IA1CC, Nab (949) 297-5960
., Cheryi.Perkovich@toausaxa,m
INSURERIS) AFFORDING COVERAGE
MAIC X
INSURER A : Crum & Forster Specialty Insurance Company
44520
WSURER a: United Financial Casualty Company
11770
kNSURER C: Scottsdale Insurance Company
41297
INSURERO:Insurance Company of the West
27847
INSURER E
CLAIMS -MADE X OCCUR X X GLO.583885 71112019 711!2020 pD MA E T RENToencet S
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE 85EN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSR TYPE OF INSURANCE AOOLLTRSD_ SUBFi POLICY NUMBERPOLICY EFF POUCY EXP UM(75
A X COMMERCIAL GENERAL LIA83UTY EACH OCCURRENCE S
1,000,000
CLAIMS -MADE X OCCUR X X GLO.583885 71112019 711!2020 pD MA E T RENToencet S
100,000
MEOEXP Any we person) S
5,000
PERSONAL A ADV INJURY S
1,000,000
GENL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $
2,000,000
X POLICY jy LOC PRODUCTS COMPJOP AGG S
2,000,000
OTHER. POLICY AGG s
5,000,000
B AUTOMOBILE LIABILITY COMBp INNEED'IS NGLE LIMIT s
(EDANY
1,50(),000
AUTO 08434309.1 12/10/2019 1711012020 BODILY INJURY tear penan S
OtNINFO
X AUTOS LED
AAUTO5 ONLY BODILY INJURY.tPer ecadanr} f
� @� {p] �yyy Ep
AUips ONLY -IISM ONLY (F em enlI) E
er s
X Comp Dad $250 X Cat Dad S500
S
C UMBRELLA UAB X OCCUR EACH OCCURRENCE $
5,000,000
X EXCESS LIAR CLAIMS -MADE XLS0110648 71112019 71112020 AGGREGATE S
5,000,000
CEI? RETENTION S S
D WORKERSCOMPHNSATION X PER OTH•
AND EMPLOYERS L AORM STATUTE ER
YIN
ANY PROPRIETOR,,PARTNERIEXECUTNE X WSD 5049203 00 71112019 7/1/2020 E L EACH ACCIDENT S
FICEpJMpN Y NIA
1,000,000
EXCLUDED'
endatoryin %7
II n. dasc�be under E L DISEASE . EA EMPLOYEE f
1,000 000
r
RIPTI N OF CP E RATIONS Wow E L OISEASE - PS211CY LlMa S
1,000,000
A E&O Liability GLO-583585 7/1/2019 711/2020 Endorsement
1,000,000
DESCRIPTION OF OPERATIMS J LOCATIONS f VEHICLES (ACORD 101, Additional Henurk& Schadole reey be ahchod It mon speca Is ngWnd)
Certificate Holder(s) is Included as Additional Insumd(s) with respect to General Liability as required by written contract (per form OCG2010 04113 8 ITCG2037
04113). Policy is Primary and Non-Contribulory as respects General Liability as required by written contract (per form NCFSIC•GL-1002 1012015). Waiver of
Subrogation applies as respects General Liability (per fort #CG2404 05109) and Workers Compensation as required by written contract (per form
NWC990637).
30 Day Notice of Cancellation with 10 Day Notice for Non -Payment of Premium In accordance with the policy provisions.
SEE ATTACHED ACORD 101
CERTIFICATE HOLDER ceuc�t I Artnu
ACURD 25 (2015103) m 1968-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD ,� �Qt-�-
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE VWLL BE DELIVERED IN
ACCORDANCE WITH TF1E POLICY PROVISIONS.
City of Carson
701 E Carson Street
AUTHORD:ED REPRESENTATIVE
ACURD 25 (2015103) m 1968-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD ,� �Qt-�-
AGENCY CUSTOMER ID: TURNCHO-01
LOC: 1
AC40RO
ADDITIONAL REMARKS SCHEDULE
- AGENcr License 0 0E677611 NAmFo wsuRw
JOA Insurance Services Tumfx dba First Choice Fire Protection
550 Patrice Place SE
? POUCY NUMBER Gardena, CA 90248
EE PAGE 1
CARRIER NA1C CODE
EE PAGE 1 y _ SEE P 1 EFFECrne DATE= SF.fG 1
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER; AC9RD.23 FORM TITLE: CanlOcate of t.tabipty insuranca
SELENS
Page 1 of 1
Description of QperationslLocationsNehicles:
Certificate Holder(s); City of Carson, its elected and appointed officers, employees, volunteers and agents
'"chis Certificate of Insurance voids and supersedes certificate issued on 12111119-
-;C O—RD
2111119_
0 2008 ACORD CORPORATION. All rights reserved.
The AC ORO name and logo are registered marks of ACORD
COMMERCIAL GENERAL LIABILITY
CG 20 33 04 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY_
ADDITIONAL INSURED -- OWNERS, LESSEES OR
CONTRACTORS - AUTOMATIC STATUS WHEN
REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU
This endorsement modifies insurance provided under the following -
COMMERCIAL GENERAL LIABILITY COVERAGE PART
A. Section II — Who Is An Insured is amended to
include as an additional insured any person or
organization for whom you are performing
operations when you and such person or
organization have agreed in writing in a contract or
agreement that such person or organization be
added as an additional insured on your policy.
Such person or organization is an additional
insured only with respect to liability for "bodily
injury", "property damage" or "personal and
advertising injury" caused, in whole or in part, by:
1. Your acts or omissions; or
2. The acts or omissions of those acting on your
behalf;
in the performance of your ongoing operations for
the additional insured.
However, the insurance afforded to such
additional insured:
1. Only applies to the extent permitted by law;
and
2. Will not be broader than that which you are
required by the contract or agreement to
provide for such additional insured_
A persons or organization's status as an
additional insured under this endorsement ends
when your operations for that additional insured
are completed.
B. With respect to the insurance afforded to these
additional insureds, the following additional
exclusions apply:
This insurance does not apply to:
1. "Bodily injury", "property damage" or "personal
and advertising injury" arising out of the
rendering of, or the failure to render, any
professional architectural, engineering or
surveying services, including:
a. The preparing, approving, or failing to
prepare or approve, maps, shop drawings,
opinions, reports, surveys, field orders,
change orders or drawings and
specifications: or
b. Supervisory, inspection, architectural or
engineering activities.
This exclusion applies even if the claims against
any Insured allege negligence or other wrongdoing
in the supervision, hiring, employment, training or
monitoring of others by that insured, if the
"occurrence" which caused the "bodily injury" or
"property damage", or the offense which caused
the "personal and advertising injury", Involved the
rendering of or the failure to render any
professional architectural, engineering or
surveying services.
CG 20 33 0413 0 Insurance Services Office, Inc , 2012 Page 1 of 2
2. "Bodily injury" or "property damage" occurring
after.
a. All work, including materials, l 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
b. That portion of "your work" out of which the
injury or damage arises has been put to its
intended use by any person or organizal'on
other than another contractor or
subcontractor engaged in performing
aperalions for a principal as a part of the
same project.
C. With respect to the insurance afforded to these
additional insureds, the following is added to
Section III — Limits Of Insurance.
The most we will pay on behalf of the additional
insured is the amount of insurance:
1. Required by the contract or agreement you
have entered into with the additional insured,
or
2. Avai able 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.
Page 2 of 2 0 Insurance Services Office, Inc., 2012 CG 20 33 04 113
POLICY NUMBER: GLO-583885 COMMERCIAL GENERAL LIABILITY
i CG 20 37 04 13
THIS ENDORSE ENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
I
ADDITIONAL INSURED -- OWNERS, LESSEES OR
CONTRACTORS - COMPLETED OPERATIONS
This endorsement modifies insurance provided under the following.
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s)
Or Organization(s)
Location And Description Of Completed Operations
Any person or organization you have agreed in a written
Premises covered under this policy when required by
contract to add as an additional insured on your policy
vvrillen contract executed prior to the "bodily injury",
rovided the written contract is executed prior to the
property damage" or "personal and advertising injury
bodily injury" "property damage" or "personal and
dvertisin injury".
Information required to complete this Schedule, if not shown above, will be shown in the Declarations
A. Section 11 — Who Is An Insured is amended to
include as an additional insured the person(s) or
organization(s) shown in the Schedule but only
with respect to liability for "bodily injury" or
"property damage" caused, in whole or in part, by
"your work" at the location designated and
described in the Schedule of this endorsement
performed for that additional insured and
included in the "products -completed operations
hazard".
However.
1. The insurance afforded to such additional
insured only applies to the extent permitted
by law, and
2. If coverage provided to the additional insured
is required by a contract or agreement, the
insurance afforded to such additional insured
will not be broader than that which you are
required by the contract or agreement to
provide for such additional insured
B. With respect to the insurance afforded to these
additional insureds, the following is added to
Section III — Limits Of Insurance:
If coverage provided to the additional insured is
required by a contract or agreement, the most we
will pay on behalf of the additional insured is the
amount of insurance:
1. Required by the contract or agreement: or
2. Available under the applicable Limits of
Insurance shown in the Declarations
whichever is less.
This endorsement shall not increase the applicable
Limits of Insurance shown in the Declarations
CG 20 37 0413 - 001 0 Insurance Services Office, Inc., 2012 Page 1 of i
THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY
P (MARY AND NONCONTRIBUTORY -
OTHER INSURANCE CONDITION
This endorsement modifies insurance provided under the following -
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART
The following is added to the Other Insurance Condition and supersedes any provision to the contrary -
Primary And Noncontributory Insurance
This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under
this policy provided that:
(1) The additional insured is a Named Irsured under such other insurance, and
(2) You have agreed in writing in a contract or agreement pr'or to the injury or damage that Ihis insurance would be primary
and would not seek contribution from any other insurance available to the additional insured.
However, the Insurance provided under this endorsement will not apply beyond the extent required by such contract or
agreement
ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED.
This endorsement forms a part of the Policy to which attached. effective on the nception date of the Policy unless otherwise
stated herein.
(The following information is required only when this endorsement is issued subsequent to preparation of the Policy.)
Endorsement effective 7/1/2019 Policy No. GLO-583885 Endorsement No.
Named Insured Turnix Corporation
Countersigned by
dba: First Choice Fire Protection
CFSIC-GL-1 41]2(1012015 )
POLICY NUMBER- COMMERCIAL GENERAL LIABILITY
CG 24 04 06 09
WAIVER OF TRANSFER OF RIGHTS OF RECO, ERY
AGAINST OTHERS TO US
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
SCHEDULE
Name Of Person Or Organization:
City of Carson
701 E Carson Street
Carson CA 90745
Information required to complete this Schedule if not shotim above, wil be shovm In the Declarations
The fo_low ng is added to Paragraph S. Transfer Of
Rights Of Recovery Against Others To Us of
Section IV —Conditions:
We wave any right of recovery we may have against
the person or organization shown in the Schedule
alcove because of payments we make for Injury or
damage ansing out of your ongoing operalicns or
"your work" done under a contract vAth that penmen
or organization and included in the "products -
completed operations hazard". This waver app'ies
only to the person or organization shown n the
Schedule above
CO 24 04 05 09 0 Insurance Services Office, Inc, 2008 Page 1 of 1 13
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 37
(Ed. 5-02)
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT CALIFORNIA
We have the right to recover our payments from anyone liable for an injury covered by this policy We will not
enforce our right against the person or organization named in the Schedule (This agreement applies only to the
extent that you perform work under a written contract that requires you to obtain this agreement from us.)
You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the
work described in the schedule
The additional premium for this endorsement shall be 5% of the California Workers' Compensation premium
otherwise due on such remuneration, subject to a minimum premium of $50 00.
Person or Organization
Any person or organization for which this
Waiver is required, by contract
Policy Number- WSJ 5049203 00
Endorsement Effective: 07/01/2019
issue Date 07/01/2019
WC 99 06 37
(Ed. 5-02)
Schedule
Job Description
All California Operations, where required by
contract
insured Turnix Corporation, dba: First Choice Fire Protection
Coverage Provided by Insurance Company of the West
Countersigned by