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HomeMy WebLinkAboutSouth Bay Shredding, Inc. - On-Site Shredding Services and Monthly Shredding Bin Rental - 2026Docusign Envelope ID: E09B522C-4998-4536-9A48-10C451518773 SHORT FORM SERVICES AGREEMENT BY AND BETWEEN THE CITY OF NATIONAL CITY AND SOUTH BAY SHREDDING INC. THIS AGREEMENT is entered into by and between the CITY OF NATIONAL CITY, a municipal corporation ("CITY"), and SOUTH BAY SHREDDING INC., a California corporation ("CONSULTANT"). NOW, THEREFORE, CITY agrees to engage CONSULTANT to perform the services set forth herein in accordance with the following terms and conditions: 1. DESCRIPTION OF SERVICES. CONSULTANT shall provide as -needed on - site shredding services and monthly shredding bin rental and pick-up services for the departments listed below, as directed by the City Clerk's Office. Shredding bin rental for the following departments, as needed: City Manager's Office Finance Department City Attorney's Office Fire Dept. — Admin. City Clerk's Office Housing Dept. Community Development Human Resources Community Services Engineering & Public Works 2. EFFECTIVE DATE AND LENGTH OF AGREEMENT. This Agreement shall not become effective and binding until fully executed by both the CITY and CONSULTANT. The duration of this Agreement is from the effective date through February 15, 2027. This Agreement may be extended by mutual agreement upon the same terms and conditions for an additional one (1) year term. The parties may exercise up to three (3) one-year extensions. Any extension of this Agreement must be approved in writing by the City Manager. 3. COMPENSATION. The total compensation to CONSULTANT for providing the services set forth herein shall not exceed $48,000.00. The compensation for CONSULTANT'S work shall be based upon and not exceed the rates given in Exhibit "A" (the labor rates) without prior written authorization from CITY. 4. PAYMENT SCHEDULE. CITY will make payment within thirty (30) days of receiving and approving a billing statement for the satisfactorily completed services of CONSULTANT. 5. ACCEPTABILITY OF WORK. The CITY shall, with reasonable diligence, determine the quality or acceptability of the work, the manner of performance, and/or the compensation payable to the CONSULTANT. 6. INDEPENDENT CONTRACTOR It is agreed that CONSULTANT is an independent CONSULTANT, and all persons working for or under the direction of Standard Short Form Agreement Page 1 of 7 City of National City and Revised January 2024 South Bay Shredding Inc. Docusign Envelope ID: E09B522C-4998-4536-9A48-10C451518773 CONSULTANT are CONSULTANT's agents, servants, and employees, and said persons shall not be deemed agents, servants, or employees of CITY. 7. DRUG FREE WORKPLACE. The CONSULTANT agrees to comply with the CITY's Drug -Free Workplace requirements. Every person awarded a contract by the CITY for the provision of services shall certify to the CITY that it will provide a drug -free workplace. Any subcontract entered into by the CONSULTANT pursuant to this Agreement shall contain this provision. 8. NON-DISCRIMINATION PROVISIONS. The CONSULTANT shall not discriminate against any employee or applicant for employment because of age, race, color, ancestry, religion, sex, sexual orientation, marital status, national origin, physical handicap, or medical condition. The CONSULTANT will take positive action to insure that applicants are employed without regard to their age, race, color, ancestry, religion, sex, sexual orientation, marital status, national origin, physical handicap, or medical condition. Such action shall include, but not be limited to, the following: employment, upgrading, demotion, transfer, recruitment or recruitment advertising, layoff or termination, rates of pay or other forms of compensation, and selection for training, including apprenticeship. The CONSULTANT agrees to post in conspicuous places available to employees and applicants for employment any notices provided by the CITY setting forth the provisions of this non-discrimination clause. 9. EMPLOYEE PAYMENTS AND INDEMNIFICATION. 10.1 PERS Eligibility Indemnification. If CONSULTANT's employee(s) providing services under this Agreement claims, or is determined by a court of competent jurisdiction or the California Public Employees Retirement System ("PERS") to be eligible for enrollment in PERS of the CITY, CONSULTANT shall indemnify, defend, and hold harmless CITY for the payment of any employer and employee contributions for PERS benefits on behalf of the employee as well as for payment of any penalties and interest on such contributions which would otherwise be the responsibility of the CITY. CONSULTANT's employees providing service under this Agreement shall not: (1) qualify for any compensation and benefit under PERS; (2) be entitled to any benefits under PERS; (3) enroll in PERS as an employee of CITY; (4) receive any employer contributions paid by CITY for PERS benefits; or (5) be entitled to any other PERS-related benefit that would accrue to a CITY employee. CONSULTANT's employees hereby waive any claims to benefits or compensation described in this Section 10. This Section 10 applies to CONSULTANT notwithstanding any other agency, state, or federal policy, rule, regulation, law, or ordinance to the contrary. 10.2 Limitation of CITY Liability. The payment made to CONSULTANT under this Agreement shall be the full and complete compensation to which CONSULTANT and CONSULTANT's officers, employees, agents, and subcontractors are entitled for performance of any work under this Agreement. Neither CONSULTANT nor CONSULTANT's officers, employees, agents, and subcontractors are entitled to any salary or wages, or retirement, health, leave, or other fringe benefits applicable to CITY employees. The CITY will not make any federal Standard Short Form Agreement Page 2 of 7 City of National City and Revised January 2024 South Bay Shredding Inc. Docusign Envelope ID: E09B522C-4998-4536-9A48-10C451518773 or state tax withholdings on behalf of CONSULTANT. The CITY shall not be required to pay any workers' compensation insurance on behalf of CONSULTANT. 10.3 Indemnification for Emplo e�vments. CONSULTANT agrees to defend and indemnify the CITY for any obligation, claim, suit, or demand for tax, retirement contribution including any contribution to PERS, social security, salary or wages, overtime payment, or workers' compensation payment which the CITY may be required to make on behalf of (1) CONSULTANT, (2) any employee of CONSULTANT, or (3) any employee of CONSULTANT construed to be an employee of the CITY, for work performed under this Agreement. This is a continuing obligation that survives the termination of this Agreement. 10. INSURANCE. CONSULTANT shall obtain: A. ❑ If checked, Professional Liability Insurance (errors and omissions) with minimum limits of $1,000,000 per occurrence. B. Automobile Insurance covering all bodily injury and property damage incurred during the performance of this Agreement, with a minimum coverage of $1,000,000 combined single limit per accident. Such automobile insurance shall include scheduled vehicles. The policy shall name the CITY and its officers, agents, employees, and volunteers as additional insureds, and a separate additional insured endorsement shall be provided. C. Commercial General Liability Insurance, with minimum limits of either $2,000,000 per occurrence and $4,000,000 aggregate, or $1,000,000 per occurrence and $2,000,000 aggregate with a $2,000,000 umbrella policy, covering all bodily injury and property damage arising out of its operations, work, or performance under this Agreement. The policy shall name the CITY and its officers, agents, employees, and volunteers as additional insureds, and a separate additional insured endorsement shall be provided. The general aggregate limit must apply solely to this "project" or "location". The "project" or "location" should be noted with specificity on an endorsement that shall be incorporated into the policy. D. Workers' Compensation Insurance in an amount sufficient to meet statutory requirements covering all of CONSULTANT'S employees and employers' liability insurance with limits of at least $1,000,000 per accident. In addition, the policy shall be endorsed with a waiver of subrogation in favor of the CITY. Said endorsement shall be provided prior to commencement of work under this Agreement. If CONSULTANT has no employees subject to the California Workers' Compensation and Labor laws, CONSULTANT shall execute a Declaration to that effect. Said Declaration shall be provided to CONSULTANT by CITY. E. The aforesaid policies shall constitute primary insurance as to the CITY, its officers, employees, and volunteers, so that any other policies held by the CITY shall not contribute to any loss under said insurance. Said policies shall provide for thirty (30) days prior written notice to the CITY's Risk Manager, at the address listed in subsection G below, of cancellation or material change. F. Said policies, except for the professional liability and workers' compensation policies, shall name the CITY and its officers, agents, employees, and volunteers as additional insureds, and separate additional insured endorsements shall be provided. Standard Short Form Agreement Page 3 of 7 City of National City and Revised January 2024 South Bay Shredding Inc. Docusign Envelope ID: E09B522C-4998-4536-9A48-10C451518773 G. The Certificate Holder for all policies of insurance required by this Section shall be: City of National City c/o Risk Manager 1243 National City Boulevard National City, CA 91950-4397 H. If required insurance coverage is provided on a "claims made" rather than "occurrence" form, the CONSULTANT shall maintain such insurance coverage for three years after expiration of the term (and any extensions) of this Agreement. In addition, the "retro" date must be on or before the date of this Agreement. I. Insurance shall be written with only insurers authorized to conduct business in California which hold a current policy holder's alphabetic and financial size category rating of not less than A:VII according to the current Best's Key Rating Guide, or a company of equal financial stability that is approved by the City's Risk Manager. In the event coverage is provided by non -admitted "surplus lines" carriers, they must be included on the most recent List of Approved Surplus Line Insurers ("LASLI") and otherwise meet rating requirements. J. This Agreement shall not take effect until certificate(s) or other sufficient proof that these insurance provisions have been complied with, are filed with, and approved by the CITY's Risk Manager. If the CONSULTANT does not keep all insurance policies required by this Section 11 in full force and effect at all times during the term of this Agreement, the CITY may treat the failure to maintain the requisite insurance as a breach of this Agreement and terminate the Agreement as provided herein. K. All deductibles and self -insured retentions in excess of ten -thousand dollars ($10,000) must be disclosed to and approved by the CITY. CITY reserves the right to modify the insurance requirements of this Section 11, including limits, based on the nature of the risk, prior experience, insurer, coverage, or other special circumstances. L. If the CONSULTANT maintains broader coverage or higher limits (or both) than the minimum limits shown above, the CITY shall be entitled to the broader coverage or higher limits (or both) maintained by the CONSULTANT. Any available insurance proceeds in excess of the specified minimum limits of insurance and coverage shall be available to the CITY. 11. TERMINATION. CITY may terminate this Agreement at any time by providing one (1) day's written notice to CONSULTANT. 12. BUSINESS LICENSE. CONSULTANT must possess or shall obtain a business license from the National City Finance Department before beginning work. 13. PREVAILING WAGES. State prevailing wage rates may apply to work performed under this Agreement. State prevailing wages rates apply to all public works contracts as set forth in California Labor Code, including but not limited to, Sections 1720, 1720.2, 1720.3, 1720.4, and 1771. CONSULTANT is solely responsible to determine if state prevailing wage rates apply and, if applicable, pay such rates in accordance with all laws, ordinances, rules, and regulations. Standard Short Form Agreement Page 4 of 7 City of National City and Revised January 2024 South Bay Shredding Inc. Docusign Envelope ID: E09B522C-4998-4536-9A48-10C451518773 14. ADMINISTRATIVE PROVISIONS. A. Computation of Time Periods. If any date or time period provided for in this Agreement is or ends on a Saturday, Sunday, or federal, state, or legal holiday, then such date shall automatically be extended until 5:00 p.m. Pacific Time of the next day which is not a Saturday, Sunday, or federal, state, or legal holiday. B. Counterparts. This Agreement may be executed in multiple counterparts, each of which shall be deemed an original, but all of which, together, shall constitute but one and the same instrument. C. Captions. Any captions to, or headings of, the sections or subsections of this Agreement are solely for the convenience of the parties hereto, are not a part of this Agreement, and shall not be used for the interpretation or determination of the validity of this Agreement or any provision hereof. D. No Obligations to Third Parties. Except as otherwise expressly provided herein, the execution and delivery of this Agreement shall not be deemed to confer any rights upon, or obligate any of the parties hereto, to any person or entity other than the parties hereto. E. Exhibits and Schedules. The Exhibits and Schedules attached hereto are hereby incorporated herein by this reference for all purposes. To the extent any exhibits, schedules, or provisions thereof conflict or are inconsistent with the terms and conditions contained in this Agreement, the terms and conditions of this Agreement will control. F. Amendment to this Agreement. The terms of this Agreement may not be modified or amended except by an instrument in writing executed by each of the parties hereto. G. Assignment & Assumption of Rights. CONSULTANT shall not assign this Agreement, in whole or in part, to any other party without first obtaining the written consent of CITY. H. Waiver. The waiver or failure to enforce any provision of this Agreement shall not operate as a waiver of any future breach of any such provision or any other provision hereof. I. Applicable Law. This Agreement shall be governed by and construed in accordance with the laws of the State of California. The venue for any legal action arising under this Agreement shall be in either state or federal court in the County of San Diego, State of California. The CONSULTANT shall comply with all laws, including federal, state, and local laws, whether now in force or subsequently enacted. J. Audit. If this Agreement exceeds ten -thousand dollars ($10,000), the parties shall be subject to the examination and audit of the State Auditor for a period of three (3) years after final payment under the Agreement, per Government Code Section 8546.7. K. Entire Agreement. This Agreement supersedes any prior agreements, negotiations, and communications, oral or written, and contains the entire agreement between the parties as to the subject matter hereof. No subsequent agreement, representation, or promise made by either party hereto, or by or to an employee, officer, agent, or representative of any party hereto shall be of any effect unless it is in writing and executed by the party to be bound thereby. L. Successors and Assigns. This Agreement shall be binding upon and shall inure to the benefit of the successors and assigns of the parties hereto. M. Subcontractors or Subconsultants. The CITY is engaging the services of the CONSULTANT identified in this Agreement. The CONSULTANT shall not subcontract any portion of the work, unless such subcontracting was part of the original proposal or is allowed by the CITY. In the event any portion of the work under this Agreement is subcontracted, the Standard Short Form Agreement Page 5 of 7 City of National City and Revised January 2024 South Bay Shredding Inc. Docusign Envelope ID: E09B522C-4998-4536-9A48-1 OC451518773 subcontractor(s) shall be required to comply with and agree to, for the benefit of and in favor of the CITY, both the insurance provisions in Section I I and the indemnification and hold harmless provision of Section 9 of this Agreement. N. Construction. The parties acknowledge and agree that (i) each party is of equal bargaining strength, (ii) each party has actively participated in the drafting, preparation and negotiation of this Agreement, (iii) each such party has consulted with or has had the opportunity to consult with its own, independent counsel and such other professional advisors as such party has deemed appropriate, relative to any and all matters contemplated under this Agreement, (iv) any rule or construction to the effect that ambiguities are to be resolved against the drafting party shall not apply in the interpretation of this Agreement, or any portions hereof, or any amendments hereto. IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the date and year written below. CITY OF N TIONAL CITY B} L Aleja drd Hernandez, Acting City Manager APPROVED AS TO FORM: By:`�� Heidi Skinner Interim City Attorney Date: L SOUTH BAY SHREDDING INC. (Corporation — signatures of two corporate officers required) (Partnership or Sole proprietorship — one signature) S and by: i B ay o ma Owner Date: 3/25/2026 By: (Name) (Title) Date: Standard Short Form Agreement Page 6 of 7 City of National City and Revised January 2024 South Bay Shredding Inc. Docusign Envelope ID: E09B522C-4998-4536-9A48-10C451518773 CONTACT INFORMATION CITY OF NATIONAL CITY City Clerk's Office 1243 National City Boulevard National City, CA 91950-4397 Phone: (619) 336-4225 Contact: Shelley Chapel Title: City Clerk Dep.: City Clerk's Office Email: schapel amationalcityca.gov SOUTH BAY SHREDDING INC. 303 W 35t' St. Suite A National City, CA 91950 Phone: (619) 706-1754 Fax: Contact: Ray Molina Title: President Email: southbayshredding@gmail.com Taxpayer I.D. No.: 88-3189143 Standard Short Form Agreement Page 7 of 7 City of National City and Revised January 2024 South Bay Shredding Inc. Docusign Envelope ID: E09B522C-4998-4536-9A48-10C451518773 SOUTH BAY " Shredding 303 W 35`h St Suite A National City CA 91950 (619)706-1754 Effective Date: 2/1/2026 Pricing Sheet On -Site Purge (One Time) Per Box Cost of On -Site Shredding $4.50 Regular Frequency (On -Site) Per Bin Charge (Bi-Weekly) $37.00 per bin (Bi-Weekly) Notes: Regular frequency accounts will be shredded On -Site, One Time purges will also be shredded On -Site at a new rate of $4.50 per box. No Hidden fees or surcharges will be added to this pricing. Prepared For: Tonya Hussain Company: The City of National City Address: 1243 National City Blvd National City CA 91950 Phone: (619)336-4415 Prepared By: Raymundo Molina Docusign Envelope ID: E09B522C-4998-4536-9A48-10C451518773 FDATE (MMIDD/YYYY) A� Rom® CERTIFICATE OF LIABILITY INSURANCE 03/17/2026 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Blanca Montejano Vianca's Insurance & Financial Services Group, Inc 737 3rd Ave Suite B Chula Vista, CA 91910 INSURED SOUTH BAY SHREDDING INC 303 W 35TH ST SUITE A NATIONAL CITY, CA 91950-0000 NAME. AHONN r.ti. 619-799-9443 F,v°'Xc_ Net: 619-259-5487 INSURERS AFFORDING COVERAGE NAIC # INSURER A: Burlington Insurance Company 23620 INSURER B : Progressive Insurance 24260 INSURER C : DUAL 32727 INSURER D : Evanston Insurance Company 35378 INSURER E : Sequoia Insurance Company 22985 �KHT/ d e7e1'e17 N d ri ll l d ral'er III a. I I I IT,1:121 :7 :LTA f.9 re7 JIII JIIp, ftft THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I LTR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MM/DDY /YYYY MMIDD/YYYY LIMITS x ICOMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1 OOO O00 CLAIMS -MADE �X OCCUR DAMAGE TO PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 A X X 7986010724 12/17/2025 12/17/2026 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 x POLICY JECT PRO ❑ LOC PRODUCTS- COMP/OP AGG $ Incl. In Gen. Agg. $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO B OWNED x SCHEDULED AUTOS ONLY AUTOS 00563009 01/242026 07/24/2026 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 3,000,000 D EXCESS LIAB EZXS3234501 02/01/2026 02/01/2027 x HCLAIMS-MADE AGGREGATE $ DED RETENTIONS $ E WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBEREXCLUDED9 ❑ (Mandatory In NH) N/A QWP1524817 02/24/2026 02/24/2027 STERERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000-000 If Yes, describe under DESCRIPTION OF OPERATIONS below C CYBER COVERAGE CANCY800526-00 05/19/2025 05/19/2026 $2,000,000 Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) ULK I II-IUA I t MULUtK t AN%.t LL/i I IUN San Diego County 1600 Pacific Hwy, Rm 151, San Diego, CA 92101 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 ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Docusign Envelope ID: E09B522C-4998-4536-9A48-10C451518773 ACOREP 16..� AGENCY CUSTOMER ID: LOC #: ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED VIANCAS INSURANCE & FINANCIAL SERVICES SOUTH BAY SHREDDING INC 303 W 35TH ST SUITE A NATIONAL CITY, CA 91950-0000 POLICY NUMBER 00563009 CARRIER NAIC CODE EFFECTIVE DATE: 01/24/2026 United Financial Casualty Company 11770 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Additional Coverages Insurance coverage(s) Limits ............................................................................................................................................................................................................ Uninsured/Underinsured Motorist $30,000/$60,000 Description of Location/Vehicles/Special Items Scheduled autos only ............................................................................................................................................................................................................ 2014 FRHT16M 1FVACXDT3EHFT3176 Collision $1,000 w/Waiver Ded Comprehensive $1,000 Ded ............................................................................................................................................................... 2011FRHT16M 1FVACXBSI6DAX7739 Collision $1,000 w/Waiver Ded Comprehensive $1,000 Ded ........................................................................................................................................................................................................... . 2018 CHEVROLET CITY EXPRESS VA 3N63MOYN6JK691544 Collision $1,000 w/Waiver Ded Comprehensive $1,000 Ded ........................................................................................................................................................................................................... . 2020 INTERNATIONAL MV607 3HAEUMMLOLL139599 Collision $1,000 Ded Comprehensive $1,000 Ded ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Docusign Envelope ID: E09B522C-4998-4536-9A48-10C451518773 POLICY NUMBER: 798BO10724 COMMERCIAL GENERAL LIABILITY CG 20 10 12 19 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 City of National City 1243 National City Blvd. National City, CA 91950 City of National City, its elected officials, officers, agents, and employees. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 12 19 0 Insurance Services Office, Inc., 2018 Page 1 of 2 Docusign Envelope ID: E09B522C-4998-4536-9A48-10C451518773 C. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. Page 2 of 2 © Insurance Services Office, Inc., 2018 CG 2010 1219 Docusign Envelope ID: E09B522C-4998-4536-9A48-10C451518773 -- CALIFORNIA NATIONAL CITY IN CORPORAT k:D City of National City INSURANCE REQUIREMENTS FOR TRANSPORTATION, TRAFFIC CONTROL AND ENGINEERING PERMITS (Please forward to your Insurance Agent) National City Municipal Section 1.32.010 (Permits —Insurance Requirements): Prior to the issuance of a building permit, encroachment permit, or any other permit issued by their respective departments, the director of building and safety or city engineer may require an applicant for such a permit to file a certificate of insurance evidencing coverage for bodily injury and property damage liability. b Professional Liability Insurance (errors and omissions) with minimum limits of $1 M per occurrence (if applicable) b Commercial General Liability coverage with limits of at least $2M per occurrence/$4M aggregateor in the alternative limits of at least $1 M per occurrence/$2M aggregate with $2M umbrella or excess coverage: • Must include separate endorsement adding as additional insureds. "The City of National City, its elected officials, officers, agents, and employees". The actual endorsements or policy language regarding automatic additional insureds must be provided. • General aggregate limits must apply solely to this "project" or "location". This "project" or "location" must be identified with specificity on a separate endorsement. Should the location not have a specific address, the location may be noted at "Throughout the City of National City." • "Blanket endorsement such as "... by written contract... " or "... by agreement... " are not acceptable. • The policy number must be reflected on each of the attached endorsements. b Commercial Auto Liability coverage with limits of at least $1 M, Combined Single Limit • Must include "any" auto, or "owned, non -owned and hired autos." • Must include separate endorsement adding as additional insureds. "The City of National City, its elected officials, officers, agents and employees". The actual endorsements or policy language regarding automatic additional insureds mustbe provided. b Workers' Compensation coverage to meet CA statutory limits, plus employers' liability coverage of $1 M per accident • Must include separate Workers' Compensation Waiver of Subrogation in favor of the "City of National City". If there are no employees subject to Workers Compensation law, submit a signed Declaration (provided on next page). b All endorsements where noted "Countersigned" must be signed where indicated. b Deductibles or SIRs (Self -Insured Retention) in excess of $10,000 must be disclosed. b CERTIFICATE HOLDER: City of National City, C/O Risk Manager, 1243 National City Boulevard, National City, CA 91950-4301 Insurance Document Submittal. Provide your Certificate of Liability Insurance and Supporting Endorsements to the City Engineer that has been assigned to the processing of your application. Any follow-up inquiries should be directed to your assigned City Engineer. Mail Certificates and Endorsements to: City of National City, C/O Risk Manager 1243 National City Boulevard, National City, CA 91950-4301 Revised 5-7-2020 Docusign Envelope ID: COC8211D-586B-8B37-8353-8CCF86F12A6D Docusign Envelope ID: E09B522C-4998-4536-9A48-1 OC451518773 CALIFORNIA - NATIONAL CIT, V f IV C Oft POR AT k'.O City of National City (To be submitted only when there are no employees subject to Workers' Compensation) DECLARATION AND ADDENDUM TO ALL CONTRACTS AWARDED TO: South Bay Shredding Inc (Company Name) For the purpose of inducing the City of National City to go forward with any contracts awarded to South Bay Shredding Inc (Company), I declare asfollows: I, Raymundo Molina (name) , President (title), am authorized to execute this document on behalf of company) with respect to compliance with the California Workers' Compensation and Labor laws. All work required will be performed personally and solely by volunteers of South Bay Shredding Inc (company), who are independent contractors. If, however, South Bay Shredding Inc (company) shall ever be required to hire employees or Subcontractors to perform this contract, South Bay Shredding Inc (company) shall obtain Workers' Compensation Insurance and/or provide proof of Workers' Compensation Insurance coverage to the City of National City. This document constitutes a declaration by South Bay Shredding Inc (company) against its financial interest, relative to any claims which may be asserted under the California Workers' Compensation and/or Labor laws against the City of National City relating to any bid or contract awarded South Bay Shredding Inc (company). South Bay Shredding Inc (company) will defend, indemnify, and hold harmless the City of National City, its officers and employees, from any and all claims and liability, including Workers' Compensation claims and liability that may be asserted or established by any party in the event it hires an employee in violation of this addendum or if a volunteer of the organization makes a claim against or alleges liability of the City of National City for Workers' Compensation, and it will further indemnifythe City of National City, its officers and employees, for all damages the City thereby suffers. I agree that these declarations shall constitute an addendum to any bid or contract awarded to: South Bay Shredding Inc (company), SOUTH BAY SHREDDING INC Dated: 4/2/2026 20 25 (Insert company name in all caps) F igned by: By:/ ( lgna ure o crtliorized Representative) Raymundo Molina President (Natne and Title) Revised 5-7-2020