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HomeMy WebLinkAbout2008 CON CDC V.A. Electric - Street Banners InstallationAGREEMENT BY AND BETWEEN THE COMMUNITY DEVELOPMENT COMMISSION OF THE CITY OF NATIONAL CITY AND V. A. Electric THIS AGREEMENT is entered into this 11 day of September, 2008, by and between the COMMUNITY DEVELOPMENT COMMISSION OF THE CITY OF NATIONAL CITY, a community development commission ("CDC"), and A-Z Signs, ("CONTRACTOR") RECITALS WHEREAS, the CDC desires to employ CONTRACTOR to provide street banners installation and hardware; and WHEREAS, the CDC has determined that the CONTRACTOR produces printed products and is qualified by experience and ability to perform the services desired by the CDC, and the CONTRACTOR is willing to perform such services. NOW, THEREFORE, THE PARTIES HERETO DO MUTUALLY AGREE AS FOLLOWS: 1. ENGAGEMENT OF CONTRACTOR. The CDC hereby agrees to engage the CONTRACTOR and the CONTRACTOR hereby agrees to perform the services hereinafter set forth in accordance with all terms and conditions contained herein. The CONTRACTOR represents that all services required hereunder will be performed directly by the CONTRACTOR or under direct supervision of the CONTRACTOR. 2. SCOPE OF SERVICES. The CONTRACTOR will perform services as set forth in the attached Exhibit "A", incorporated herein by reference. The CONTRACTOR shall be responsible for all research and reviews related to the work and shall not rely on personnel of the CDC for such services, except as authorized in advance by the CDC. 3. PROJECT COORDINATION AND SUPERVISION. Angelita Palma hereby is designated as the Project Coordinator for the CDC and will monitor the progress and execution of this Agreement. The CONTRACTOR shall assign a single Project Director to provide supervision and have overall responsibility for the progress and execution of this Agreement for the CONTRACTOR.Vidal Angel thereby is designated as the Project Director for the CONTRACTOR. 4. COMPENSATION AND PAYMENT. The compensation for the CONTRACTOR shall be based on one payment covering actual work performed. Billings shall include labor classifications and materials. The total cost for all work described in Exhibit "A" shall not exceed$4,040,00, as described in Exhibit "A " (the Base amount). An invoice will be processed for payment and remitted within thirty (30) days from receipt of invoice, provided that work is accomplished consistent with Exhibit "A" as determined by the CDC. processed for payment and remitted within thirty (30) days from receipt of invoice, provided that work is accomplished consistent with Exhibit "A" as determined by the CDC. The CONTRACTOR shall maintain all books, documents, papers, accounting records, and other evidence pertaining to costs incurred and shall make such materials available at its office at all reasonable times during the term of this Agreement and for three (3) years from the date of final payment under this Agreement, for inspection by the CDC and for furnishing of copies to the CDC, if requested. 5. ACCEPTABILITY OF WORK. The CDC shall decide any and all questions which may arise as to the quality or acceptability of the services performed and the manner of performance, the acceptable completion of this Agreement and the amount of compensation due. In the event the CONTRACTOR and the CDC cannot agree to the quality or acceptability of the work, the manner of performance and/or the compensation payable to the CONTRACTOR in this Agreement, the CDC or the CONTRACTOR shall give to the other written notice. Within ten (10) business days, the CONTRACTOR and the CDC shall each prepare a report which supports their position and file the same with the other party. The CDC shall, with reasonable diligence, determine the quality or acceptability of the work, the manner of performance and/or the compensation payable to the CONTRACTOR. 6. LENGTH OF AGREEMENT. Completion dates or time durations for specific portions of the Project are set forth in Exhibit "A". 7. DISPOSITION AND OWNERSHIP OF DOCUMENTS. The Memoranda, Reports, Maps, Drawings, Plans, Specifications and other documents prepared by the CONTRACTOR for this Project, whether paper or electronic, shall become the property of the CDC for use with respect to this Project, and shall be turned over to the CDC upon completion of the Project, or any phase thereof, as contemplated by this Agreement. Contemporaneously with the transfer of documents, the CONTRACTOR hereby assigns to the CDC and CONTRACTOR thereby expressly waives and disclaims, any copyright in, and the right to reproduce, all written material, drawings, plans, specifications or other work prepared under this agreement, except upon the CDC's prior authorization regarding reproduction, which authorization shall not be unreasonably withheld. The CONTRACTOR shall, upon request of the CDC, execute any further document(s) necessary to further effectuate this waiver and disclaimer. The CONTRACTOR agrees that the CDC may use, reuse, alter, reproduce, modify, assign, transfer, or in any other way, medium or method utilize the CONTRACTOR's written work product for the CDC's purposes, and the CONTRACTOR expressly waives and disclaims any residual rights granted to it by Civil Code Sections 980 through 989 relating to intellectual property and artistic works. Any modification or reuse by the CDC of documents, drawings or specifications prepared by the CONTRACTOR shall relieve the CONTRACTOR from liability under Section 14 but only with respect to the effect of the modification or reuse by the CDC, or for any liability to the CDC should the documents be used by the CDC for some project other than what was expressly agreed upon within the Scope of this project, unless otherwise mutually agreed. 8. INDEPENDENT CONTRACTOR. Both parties hereto in the performance of this Agreement will be acting in an independent capacity and not as agents, employees, 2 partners or joint venturers with one another. The CONTRACTOR is not an employee of the CDC and are not entitled to any of the rights, benefits, or privileges of the CDC's employees, including but not limited to retirement, medical, unemployment, or workers' compensation insurance. This Agreement contemplates the personal services of the CONTRACTOR, and it is recognized by the parties that a substantial inducement to the CDC for entering into this Agreement was, and is, the professional reputation and competence of the CONTRACTOR and its employees. Neither this Agreement nor any interest herein may be assigned by the CONTRACTOR without the prior written consent of the CDC. Nothing herein contained is intended to prevent the CONTRACTOR from employing or hiring as many employees, or subCONTRACTORs, as the CONTRACTOR may deem necessary for the proper and efficient performance of this Agreement. All agreements by CONTRACTOR with its subCONTRACTOR(s) shall require the subCONTRACTOR to adhere to the applicable terms of this Agreement. 9. CONTROL. Neither the CDC nor its officers, agents or employees shall have any control over the conduct of the CONTRACTOR or any of the CONTRACTOR's employees except as herein set forth, and the CONTRACTOR expressly agrees not to represent that the CONTRACTOR or the CONTRACTOR's agents, servants, or employees are in any manner agents, servants or employees of the CDC, it being understood that the CONTRACTOR, its agents, servants, and employees are as to the CDC wholly independent CONTRACTORs and that the CONTRACTOR's obligations to the CDC are solely such as are prescribed by this Agreement. 10. COMPLIANCE WITH APPLICABLE LAW. The CONTRACTOR, in the performance of the services to be provided herein, shall comply with all applicable State and Federal statutes and regulations, and all applicable ordinances, rules and regulations of the City of National City, whether now in force or subsequently enacted. The CONTRACTOR, and each of its subCONTRACTORs, shall obtain and maintain a current City of National City business license prior to and during performance of any work pursuant to this Agreement. 11. LICENSES, PERMITS. ETC. The CONTRACTOR represents and covenants that it has all licenses, permits, qualifications, and approvals of whatever nature that are legally required to practice its profession. The CONTRACTOR represents and covenants that the CONTRACTOR shall, at its sole cost and expense, keep in effect at all times during the term of this Agreement, any license, permit, or approval which is legally required for the CONTRACTOR to practice its profession. 12. STANDARD OF CARE. A. The CONTRACTOR, in performing any services under this Agreement, shall perform in a manner consistent with that level of care and skill ordinarily exercised by members of the CONTRACTOR's trade or profession currently practicing under similar conditions and in similar locations. The CONTRACTOR shall take all special precautions necessary to protect members of the public from risk of harm arising out of the nature of the work and/or the conditions of the work site. B. Unless disclosed in writing prior to the date of this agreement, the CONTRACTOR warrants to the CDC that it is not now, nor has it for the five (5) years preceding, been debarred by a govemmental agency or involved in debarment, arbitration or litigation proceedings concerning the CONTRACTOR's professional performance or the furnishing of materials or services relating thereto. 3 C. The CONTRACTOR is responsible for identifying any unique products, treatments, processes or materials whose availability is critical to the success of the project the CONTRACTOR has been retained to perform, within the time requirements of the CDC, or, when no time is specified, then within a commercially reasonable time. Accordingly, unless the CONTRACTOR has notified the CDC otherwise, the CONTRACTOR warrants that all products, materials, processes or treatments identified in the project documents prepared for the CDC are reasonably commercially available. Any failure by the CONTRACTOR to use due diligence under this sub -paragraph will render the CONTRACTOR liable to the CDC for any increased costs that result from the CDC's later inability to obtain the specified items or any reasonable substitute within a price range that allows for project completion in the time frame specified or, when not specified, then within a commercially reasonable time. 13. CONFIDENTIAL INFORMATION. The CDC may from time to time communicate to the CONTRACTOR certain confidential information to enable the CONTRACTOR to effectively perform the services to be provided herein. The CONTRACTOR shall treat all such information as confidential and shall not disclose any part thereof without the prior written consent of the CDC. The CONTRACTOR shall limit the use and circulation of such information, even within its own organization, to the extent necessary to perform the services to be provided herein. The foregoing obligation of this Section 13, however, shall not apply to any part of the information that (i) has been disclosed in publicly available sources of information; (ii) is, through no fault of the CONTRACTOR, hereafter disclosed in publicly available sources of information; (iii) is already in the possession of the CONTRACTOR without any obligation of confidentiality; or (iv) has been or is hereafter rightfully disclosed to the CONTRACTOR by a third party, but only to the extent that the use or disclosure thereof has been or is rightfully authorized by that third party. The CONTRACTOR shall not disclose any reports, recommendations, conclusions or other results of the services or the existence of the subject matter of this Agreement without the prior written consent of the CDC. In its performance hereunder, the CONTRACTOR shall comply with all legal obligations it may now or hereafter have respecting the information or other property of any other person, firm or corporation. CONTRACTOR shall be liable to CDC for any damages caused by breach of this condition, pursuant to the provisions of Section 14. 14. INDEMNIFICATION AND HOLD HARMLESS. The CONTRACTOR agrees to defend, indemnify, and hold harmless the Community Development Commission of the City of National City, its officers and employees, against and from any and all liability, loss, damages to property, injuries to, or death of any person or persons, and all claims, demands, suits, actions, proceedings, reasonable attorneys' fees, and defense costs, of any kind or nature, including workers' compensation claims, of or by anyone whomsoever, resulting from or arising out of the CONTRACTOR's negligent performance of this Agreement. 15. INSURANCE. The CONTRACTOR, at its sole cost and expense, shall purchase and maintain, and shall require its subCONTRACTORs, when applicable, to purchase and maintain throughout the term of this agreement, the following insurance policies: D 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. 4 C. Commercial general liability insurance, with minimum limits of $1,000,000 per occurrence/$2,000,000 aggregate, covering all bodily injury and property damage arising out of its operations under this Agreement. Additional insured commercial general libilibty endorsements in favor of the City and CDC are required. D. The aforesaid policies shall constitute primary insurance as to the CDC, its officers, employees, and volunteers, so that any other policies held by the CDC shall not contribute to any loss under said insurance. Said policies shall provide for thirty (30) days prior written notice to the CDC of cancellation or material change. E. Said policies, except for the professional liability and workers' compensation policies, shall name the CDC and its officers, and agents as additional insureds, and separate additional insured endorsements shall be provided. F. If required insurance coverage is provided on a "claims made" rather than "occurrence" form, the CONTRACTOR 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. G. Any aggregate insurance limits must apply solely to this Project. H. Insurance shall be written with only California admitted companies which hold a current policy holder's alphabetic and financial size category rating of not less than A VIII according to the current Best's Key Rating Guide, or a company equal financial stability that is approved by the National City Risk Manager. In the event coverage is provided by non -admitted "surplus lines" carriers, they must be included on the most recent Califomia List of Eligible Surplus Lines Insurers (LESLI list) and otherwise meet rating requirements. I. 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 National City Risk Manager. If the CONTRACTOR does not keep all of such insurance policies in full force and effect at all times during the terms of this Agreement, the CDC may elect to treat the failure to maintain the requisite insurance as a breach of this Agreement and terminate the Agreement as provided herein. J. All deductibles and self -insured retentions in excess of $10,000 must be disclosed to and approved by the CDC. 16. LEGAL FEES. If any party brings a suit or action against the other party arising from any breach of any of the covenants or agreements or any inaccuracies in any of the representations and warranties on the part of the other party arising out of this Agreement, then in that event, the prevailing party in such action or dispute, whether by final judgment or out -of -court settlement, shall be entitled to have and recover of and from the other party all costs and expenses of suit, including attorneys' fees. For purposes of determining who is to be considered the prevailing party, it is stipulated that attomey's fees incurred in the prosecution or defense of the action or suit shall not be considered in determining the amount of the judgment or award. Attorney's fees to the prevailing party if other than the CDC shall, in addition, be limited to the amount of attomey's fees incurred by the CDC in its prosecution or defense of the action, irrespective of the actual amount of attomey's fees incurred by the prevailing party. 5 17. MEDIATION/ARBITRATION. If a dispute arises out of or relates to this Agreement, or the breach thereof, the parties agree first to try, in good faith, to settle the dispute by mediation in San Diego, Califomia, in accordance with the Commercial Mediation Rules of the American Arbitration Association (the "AAA") before resorting to arbitration. The costs of mediation shall be borne equally by the parties. Any controversy or claim arising out of, or relating to, this Agreement, or breach thereof, which is not resolved by mediation shall be settled by arbitration in San Diego, California, in accordance with the Commercial Arbitration Rules of the AAA then existing. Any award rendered shall be final and conclusive upon the parties, and a judgment thereon may be entered in any court having jurisdiction over the subject matter of the controversy. The expenses of the arbitration shall be bome equally by the parties to the arbitration, provided that each party shall pay for and bear the costs of its own experts, evidence and attomeys' fees, except that the arbitrator may assess such expenses or any part thereof against a specified party as part of the arbitration award. 18. TERMINATION. A. This Agreement may be terminated with or without cause by the CDC. Termination without cause shall be effective only upon 60-day's written notice to the CONTRACTOR. During said 60-day period the CONTRACTOR shall perform all services in accordance with this Agreement. B. This Agreement may also be terminated immediately by the CDC for cause in the event of a material breach of this Agreement, misrepresentation by the CONTRACTOR in connection with the formation of this Agreement or the performance of services, or the failure to perform services as directed by the CDC. C. Termination with or without cause shall be effected by delivery of written Notice of Termination to the CONTRACTOR as provided for herein. D. In the event of termination, all finished or unfinished Memoranda Reports, Maps, Drawings, Plans, Specifications and other documents prepared by the CONTRACTOR, whether paper or electronic, shall immediately become the property of and be delivered to the CDC, and the CONTRACTOR shall be entitled to receive just and equitable compensation for any work satisfactorily completed on such documents and other materials up to the effective date of the Notice of Termination, not to exceed the amounts payable hereunder, and less any damages caused the CDC by the CONTRACTOR's breach, if any. Thereafter, ownership of said written material shall vest in the CDC all rights set forth in Section 6. E. The CDC further reserves the right to immediately terminate this Agreement upon: (1) the filing of a petition in bankruptcy affecting the CONTRACTOR; (2) a reorganization of the CONTRACTOR for the benefit of creditors; or (3) a business reorganization, change in business name or change in business status of the CONTRACTOR. (The rest of this page was intentionally left blank.) 6 19. NOTICES. All notices or other communications required or permitted hereunder shall be in writing, and shall be personally delivered; or sent by overnight mail (Federal Express or the like); or sent by registered or certified mail, postage prepaid, return receipt requested; or sent by ordinary mail, postage prepaid; or telegraphed or cabled; or delivered or sent by telex, telecopy, facsimile or fax; and shall be deemed received upon the earlier of (i) if personally delivered, the date of delivery to the address of the person to receive such notice, (ii) if sent by ovemight mail, the business day following its deposit in such ovemight mail facility, (iii) if mailed by registered, certified or ordinary mail, five (5) days (ten (10) days if the address is outside the State of Califomia) after the date of deposit in a post office, mailbox, mail chute, or other like facility regularly maintained by the United States Postal Service, (iv) if given by telegraph or cable, when delivered to the telegraph company with charges prepaid, or (v) if given by telex, telecopy, facsimile or fax, when sent. Any notice, request, demand, direction or other communication delivered or sent as specified above shall be directed to the following persons: To the CDC: To the CONTRACTOR: Angelita Palma, Community Development Commission of the City of National City 1243 National City Boulevard National City, CA 91950-4301 Vidal Angel V.A. Electric 750 My Way San Diego, CA 92154 Notice of change of address shall be given by written notice in the manner specified in this Section. Rejection or other refusal to accept or the inability to deliver because of changed address of which no notice was given shall be deemed to constitute receipt of the notice, demand, request or communication sent. Any notice, request, demand, direction or other communication sent by cable, telex, telecopy, facsimile or fax must be confirmed within forty-eight (48) hours by letter mailed or delivered as specified in this Section. 20. CONFLICT OF INTEREST AND POLITICAL REFORM ACT OBLIGATIONS. During the term of this Agreement, the CONTRACTOR shall not perform services of any kind for any person or entity whose interests conflict in any way with those of the CDC. The CONTRACTOR also agrees not to specify any product, treatment, process or material for the project in which the CONTRACTOR has a material financial interest, either direct or indirect, without first notifying the CDC of that fact. The CONTRACTOR shall at all times comply with the terms of the Political Reform Act and the National City Conflict of Interest Code. The CONTRACTOR shall immediately disqualify itself and shall not use its official position to influence in any way any matter coming before the CDC in which the CONTRACTOR has a financial interest as defined in Govemment Code Section 87103. The CONTRACTOR represents that it has no knowledge of any financial interests that would require it to disqualify itself from any matter on which it might perform services for the CDC. ❑ If checked, the CONTRACTOR shall comply with all of the reporting requirements of the Political Reform Act and the National City Conflict of Interest Code. Specifically, the CONTRACTOR shall file a Statement of Economic Interests with the City Clerk 7 of the City of National City in a timely manner on forms which the CONTRACTOR shall obtain from the City Clerk. The CONTRACTOR shall be strictly liable to the CDC for all damages, costs or expenses the CDC may suffer by virtue of any violation of this Paragraph 21 by the CONTRACTOR. 21. MISCELLANEOUS 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. 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. 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. H. Applicable Law. This Agreement shall be govemed by and construed in accordance with the laws of the State of Califomia. I. 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. J. Successors and Assigns. This Agreement shall be binding upon and shall inure to the benefit of the successors and assigns of the parties hereto. K. 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) each party and such parry's counsel and advisors have reviewed this Agreement, (v) each party has agreed to enter into this Agreement following such review and the rendering of such advice, and (vi) 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. (Signature page to follow.) 8 IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the date and year first above written . COMMUNITY DEVELOPMENT COMMISSION OF THE CID? OF NATIONAL CITY ," /, i', L 117 LP By: Brad Rawls n, Executive Director APPROVED AS TO FORM: George H. Eiser, III Legal Counsel V.A. Signs (Sole proprietorship — one signature) Vidal Angel Owner/Operator 9 Exhibit "A" 1. Specifications Remove old banners, if applicable, and discard. Install new banners and brackets at the following locations: • On Highland Avenue from Division Street to 24°i Street install 66 banners and replace up to 66 brackets. • On 12th Street from NC Boulevard to "D" Avenue install 24 banners and replace up to 24 brackets. • On Civic Center Drive from Wilson to National City Boulevard install 40 banners and replace up to 40 brackets. • On Plaza Boulevard from Highland Avenue to Harbison install 47 banners and replace up to 47 brackets. • On National City Boulevard from 12th Street to 14`f' Street install 13 banners and replace up to 13 brackets. • On Bay Marina Drive place every 4th pole install 12 banners and replace up to 12 brackets. Work is to be completed by September 16, 2008. 2. Compensation The City shall compensate the Contractor for work to be preformed in the not to exceed amount of Four Thousand and Forty dollars ($4,040.00) for the work described above. The publisher will provide the city with an invoice, net 30 days, upon installation of street banners. Exhibit "A" 1 of 1 . Policy Number 6340017512 00 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMON POLICY CHANGE ENDORSEMENT Endorsement No. 001 LINCOLN GENERAL INSURANCE COMPANY Named Insured VIDAL ANGEL Effective Date: 0 8- 2 6- 0 8 DBA: V A ELECTRIC 12:01 A.M., Standard Time Agent Name SNAPP & ASSOCIATES INSURANCE SERVICES Agent No. 041241 This endorsement will not be used to decrease coverages, increase rates or deductibles or alter any terms or conditions of coverage unless at the sole request of the insured. COVERAGE PART INFORMATION —Coverage parts affected by this change as indicated by x below. X Commercial Property Commercial General Liability Commercial Crime Commercial Inland Marine D E© fO\\J SEP 1 9 SNAPP & ASSOCIATES L 2008 T NO CHARGE SAN DIEGO, CA The following item(s): Insured's Name Insured's Mailing Address Policy Number Company 1 Effective/Expiration Date ' Insured's Legal Status/Business of Insured Payment Plan Premium Determination Additional Interested Parties Coverage Forms and Endorsements Limits/Exposures Deductibles Covered Property/Location Description Classification/Class Codes Rates Underlying Exposure/Insurance is (are) changed to read (See Additional Page(s)} THE FOLLOWING ADDITIONAL INTEREST (ADDL INSURED) HAS BEEN ADDED TO THE POLICY: _ 1243 NATIONAL CITY BLVD NATIONAL CITY, CA 91950-0000 THE FOLLOWING FORM(S) HAS BEEN ADDED: LG CG 20 10 02-06 ADDITIONAL INSURED -OWNERS, LESS OR CONTRT The above amendments result in a change in the premium as follows: This premium does not include taxes and surcharges. X No ❑ To be Adjusted at Additional NO CHARGE ReturnNO CHARGE Tax and Surcharge Changes Additional Return Countersigned By: AUTHORIZED AGENT CW-CHANGEDESC (1/97) Producer Copy POLICY NUMBER: 6340017512 00 COMMERCIAL GENERAL LIABILITY LG CG 20100206 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION INCLUDING PRIMARY COVERAGE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person(s) or Organization(s); Location(s)of covered operations; Additional Insured(s) Address: THE CITY OF NATIONAL CITY RE: ALL PROJECTS EXCEPT ROOFING, FRAMING FOUNDATION WORK AS A SUB -CONTRACTOR, FOR THIS ADDITIONAL INSURED, DURING THIS POLICY TERM. 1243 NATIONAL CITY BLVD NATIONAL CITY, CA USA 91950-0000 (If no entry appears above, 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 insured the person(s) or organiza- tion(s) shown in the Schedule, but only with re- spect to liability for "bodily injury", "property darn - age" 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. B. With respect to the insurance afforded to these additional insureds, the following exclusions ap- ply: 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 ser- vice, maintenance or repairs) to be per- formed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or LG CG 20100206 (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 or- ganization other than another contractor engaged in performing operations for a principal as part of the same project. C. The insurance afforded by the policy to the Addi- tional Insured(s) listed in the Schedule for the de- scribed location(s) is primary insurance. Any other insurance or self-insurance maintained by the Addi- tional Insured(s) is excess of this insurance and shall not contribute to it. Contains Copyrighted Material of the Insurance Services Office, Inc Page 1 of 1 ❑ 2004 Producor Copy Policy Number: 6340017512 00 VIDAL ANGEL DBA: V A ELECTRIC 750 MY WAY SAN DIEGO CA 92154 ATTACHED ARE DOCUMENTS FOR THE FOLLOWING NAMED INSURED: VIDAL ANGEL DBA: V A ELECTRIC 750 MY WAY SAN DIEGO CA 92154 09-12-08 Insured Copy Named Insured Agent Name Policy Number 6340017512 00 COMMON POLICY CHANGE ENDORSEMENT Endorsement No. 001 LINCOLN GENERAL INSURANCE COMPANY VIDAL ANGEL DBA: V A ELECTRIC SNAPP & ASSOCIATES INSURANCE SERVICES Effective Date: 0 8- 2 6- 0 8 12:01 A.M., Standard Time Agent No. 041241 POLICY CHANGES ENDORSEMENT DESCRIPTION (CONT'D) ALL OTHER TERMS AND CONDITIONS REMAIN THE SAME REMOVAL PERMIT If this policy includes the Commercial Property Coverage Part, the following applies with respect to the Coverage Part: If Covered Property is removed to a new location that is described on this Policy Change, you may extend this insurance to include that Covered Property at each location during the removal. Coverage at each location will apply in the proportion that the value at each location bears to the value of all Covered Property being removed. This permit applies up to 10 days after the effective date of this Policy Change; after that, this insurance does not apply at the previous location. CW-CHANGEDESC (01 /97) Roducer Copy POLICY NUMBER: 6340017512 00 COMMERCIAL GENERAL LIABILITY LGCG20100206 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION INCLUDING PRIMARY COVERAGE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person(s) or Organization(s); Location(s)of covered operations; Additional Insured(s) Address: THE CITY OF NATIONAL CITY RE: ALL PROJECTS EXCEPT ROOFING, FRAMING FOUNDATION WORK AS A SUB -CONTRACTOR, FOR THIS ADDITIONAL INSURED, DURING THIS POLICY TERM. 1243 NATIONAL CITY BLVD NATIONAL CITY, CA USA 91950-0000 (If no entry appears above, 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 insured the person(s) or organiza- tions) shown in the Schedule, but only with re- spect to liability for "bodily injury", "property darn - age" 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. B. With respect to the insurance afforded to these additional insureds, the following exclusions ap- ply: 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 ser- vice, maintenance or repairs) to be per- formed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or LGCG20100206 (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 or- ganization other than another contractor engaged in performing operations for a principal as part of the same project. C. The insurance afforded by the policy to the Addi- tional Insured(s) listed in the Schedule for the de- scribed location(s) is primary insurance. Any other insurance or self-insurance maintained by the Addi- tional Insured(s) is excess of this insurance and shall not contribute to it. Contains Copyrighted Material of the Insurance Services Office, Inc Page 1 of 1 ❑ 2004 Insured Copy Policy Number 6340017512 00 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMON POLICY CHANGE ENDORSEMENT Endorsement No. 001 LINCOLN GENERAL INSURANCE COMPANY Named Insured VIDAL ANGEL Effective Date: 0 8 -26-08 DBA: V A ELECTRIC 12:01 A.M., Standard Time Agent Name SNAPP & ASSOCIATES INSURANCE SERVICES Agent No. 041241 This endorsement will not be used to decrease coverages, increase rates or deductibles or alter any terms or conditions of coverage unless at the sole request of the insured. COVERAGE PART INFORMATION — Coverage parts affected by this change as indicated by x below. X r Commercial Property Commercial General Liability NO CHARGE Commercial Crime Commercial Inland Marine The following item(s): Insured's Name Insured's Mailing Address Policy Number Company Effective/Expiration Date Insured's Legal Status/Business of Insured Payment Plan Premium Determination Additional Interested Parties Coverage Forms and Endorsements Limits/Exposures Deductibles Covered Property/Location Description Classification/Class Codes Rates Underlying Exposure/Insurance is (are) changed to read {See Additional Page(s) } THE FOLLOWING ADDITIONAL INTEREST (ADDL INSURED) HAS BEEN ADDED TO THE POLICY: - 1243 NATIONAL CITY BLVD NATIONAL CITY, CA 91950-0000 THE FOLLOWING FORM(S) HAS BEEN ADDED: LG CG 20 10 02-06 ADDITIONAL INSURED -OWNERS, LESS OR CONTRT The above amendments result in a change in the premium as follows: This premium does not include taxes and surcharges. X No ❑ To be Adjusted at , Additional NO CHARGE ReturnNO CHARGE Tax and Surcharge Changes Additional Return Countersigned By: AUTHORIZED AGENT CW-CHANGEDESC (1 /97) Insured Copy Named Insured Agent Name Policy Number 6340017512 00 COMMON POLICY CHANGE ENDORSEMENT Endorsement No. 001 LINCOLN GENERAL INSURANCE COMPANY V IDAL ANGEL Effective Date: 0 8- 2 6- 0 8 DBA: V A ELECTRIC 12:01 A.M., Standard Time SNAPP & ASSOCIATES INSURANCE SERVICES Agent No. 041241 POLICY CHANGES ENDORSEMENT DESCRIPTION (CONT'D) ALL OTHER TERMS AND CONDITIONS REMAIN THE SAME REMOVAL PERMIT If this policy includes the Commercial Property Coverage Part, the following applies with respect to the Coverage Part: If Covered Property is removed to a new location that is described on this Policy Change, you may extend this insurance to include that Covered Property at each location during the removal. Coverage at each location will apply in the proportion that the value at each location bears to the value of all Covered Property being removed. This permit applies up to 10 days after the effective date of this Policy Change; after that, this insurance does not apply at the previous location. CW-CHANGEDESC (01 /97) Insured Copy ACORD„, CERTIFICATE OF LIABILITY INSURANCE OP ID AS` DATE(MM/DD/YYYY) VAELE-1 I 09/11/08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Snapp & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Insurance Services , Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 438 Camino del Rio So. #112 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW San Diego CA 92108 Phone: 619-908-3100 Fax:619-908-3110 INSURERS AFFORDING COVERAGE . NAIC # INSURED INSURER A Lincoln General Insurance Co INSURER U V.A. Electric ------. INSURER C Vidal Angel 750 My Way San Diego CA 92154 INSURER U ---_. INSURER E. COVERAGES THE POLICIES ANY REQUIREMENT, MAY PERTAIN, POLICIES. AGGREGATE I LTR DDT! NSRD OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS POLICY -eFFTC T(VE 'POLICY EXRIRM DATE (MMIDD/YY) DATE (MM/DDIYY) LIMITS OR OF SUCH TYPE OF INSURANCE POLICY NUMBER A • GENERAL LIABILITY X iCOMMERC;ALGENERAL LAN! ITV CLAIMS MADE I j[ OCCUR • -_ — - _ GEN'L AGGREGATE LIMIT APPLIES PER l PROJECT ---- _ , POLICY I I LOC 6340017512 08/26/08 I i 08/26/09 . EACH OCCURRENCE I S 1, 000 , 000 "-DA14TAGE TO RENTEC- PREMISES (Ea occurence; -- --" t$ 100,000 S 5 , 000 MED EXP (Anyone person) PERSONAL C ADV INJURY S 1 , 000 , 000 S 2 , OOO , OOO $ Included GENERAL AGGREGATE rPROCUCTS . COM?/CP AGG AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUlOS I NON -OWNED AUTOS I COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person; BODILY INJURY I (Per accident) $ PROPERTY DAMAGE (Per accident) _ GARAGE LIABILITY LANY AUTO AUTO ONLY • EA ACCIDENT , $ $ OTHER THAN EA ACC AUTO ONLY AGG $ EXCESSIUMBRELLA I LIABILITY ' OCCUR ^ . CLAIMS MADE CEDUCTIBLE RETENTION $ EACH OCCURRENCE S S AGGREGATE IV $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? 11 yes, describe under SPECIAL PROVISIONS below - WCSTATLH-. lTORY LIMITSU 1 . ERT E L EACH ACCIDENT S ...—... . --- ., $ --- ... I E L. DISEASE • EA EMPLOYE -- -- --- - --- -- E.L. DISEASE • POLICY LIMIT S OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS Re: Operations of the named insured subject to the terms and conditions of the policy. The City of National City, its elected officials, officers, agents and employees are named additional insured endorsement to be issued by carrier. 10* days notice of cancellation in the event of nonpayment of premium. CERTIFICATE HOLDER CANCELLATION CITYATT City Attorney's Office 1243 National City Blvd National City CA 91950-4301 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 * DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. A ZED EPRE TSiII(E ACORD 25 (2001/08) © ACORD CORPORATION 1988 ACORD,„ CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 9/11/2008 PRODUCER Estep Ins & Fin Srvs, LLC 3914 Murphy Canyon Rd Ste A242 San Diego, CA 92123 858-571-9400 858-571-2747 INSURED Lopez Sign Manufacturer 3284 F st San Diego, ca 92102 guy@estepinsurance.com THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURER A. Nationwide Insurance I\SURER B. INSURER C INSURER D. INSURER E. NAIC # COVERAGES THE POLICIES OF INSURANCE LISTED BELOW ANY REQUIREMENT, TERM OR CONDITION MAY PERTAIN, THE INSURANCE AFFORDED POLICIES. AGGREGATE LIMITS SHOWN MAY INSR ADD'1T LTR INSRIA TYPE OF INSURANCE HAVE BEEN ISSUED TO THE INSURED OF ANY CONTRACT OR OTHER BY THE POLICIES DESCRIBED HEREIN HAVE BEEN REDUCED BY PAID POLICY NUMBER NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH CLAIMS. POLICY EFFECTIVE i POLICY EXPIRATION : LIMITS DATE IMM/DD/YY) DATE (MM/DDNYI - 1 GENERAL LIABILITY ' EACH OCCURRENCE 1 $ 1 000000 I A COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 300000 PREMISES (Ea occurence) $ i I CLAIMS MADE I I OCCUR MED EXP (Any one person) $ 1 000 i ACP 2503570914 07/31/2008 07/31/2009 PERSONAL B ADV INJURY _ ____ $ 1000000 GENERAL AGGREGATE $ 2000000 : GEN'L AGGREGATE LIMIT APPLIES PER: --1 PRODUCTS - COMP/OP AGG S 2000000 POLICY I jEa • I LOC AUTOMOBILE LIABILITY i � - COMBINED SINGLE LIMIT s500,000 ANY AUTO (Ea accident) A J ALL OWNED AUTOS ACP 2503570914 07/31/2008 • 07/31/2009 BODILY INJURY S SCHEDULED AUTOS (Per person) -.- HIRED AUTOS BODILY INJURY S NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT 1 S ANY AUTO OTHER THAN EA ACC I $ AUTO ONLY: AGG :S EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ ] OCCUR L CLAIMS MADE AGGREGATE S — DEDUCTIBLE ^ $ RETENTION $ $ ' WORKERS COMPENSATION AND WC STATU- O • TORY LIMITS . I. ER ER . . . EMPLOYERS' LIABIUTY • ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT ' $ E. L. DISEASE - EA EMPLOYEE' $ OFFICER/MEMBER EXCLUDED? 8 yes. descnbe under 1 SPECIAL PROVISIONS below E L DISEASE - POLICY LIMIT i 5 OTHER I II 1 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Sign Manufacturer Certificate Holder is Added as Additional Insured: The City Of National City, Its Elected Officials, Officers, agents and employees 1243 Nation CERTIFICATE HOLDER CANCELLATION The City Of National City 1243 National City Blvd National City, CA. 91950-4301 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Guy Estep ACORD 25 (2001/08) ©ACORD CORPORATION 1988 Produced using Farts Boss Web salt re. wnw.FarrsBosaoonx ® Irrpessiee Pubesling 800-208-1977 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08) ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID AS VAELE-1 DATE (MM/DD/YYYY) 09/11/08 PRODUCER Snapp & Associates Insurance Services, Inc. 438 Camino del Rio So. #112 San Diego CA 92108 Phone:619-908-3100 Fax:619-908-3110 INSURED V.A. Electric Vidal Angel 750 My Way San Diego CA 92154 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE NAIC # INSURER A Lincoln General insurance Co INSURER B. INSURER C. INSURER D INSURER E COVERAGES THE POLICIES ANY REQUIREMENT, MAY PERTAIN, POLICIES. TNSR ADD'L: LTR INSRC AGGREGATE -- OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. OR OF SUCH TYPE OF INSURANCE I POLICY NUMBER Y EFFECTIVE POLICY EXPIRATION DATE (MMIDD/YY) DATE (MM/DDIYY) LIMITS GENERAL LIABILITY I EACH OCCURRENCE151,000,000 A X- COMMERCIALGENERALLIABILITY , 6340017512 08/26/08 08/26/09 —DAfdtAGE TO RENTED- PREMISES (Ea occurence) $ 100,000 I CLAIMS MADE " J OCCUR MED EXP (Any one person) . $ 5j , 0 0 0 PERSONAL & ACV INJURY ' $ 1, 000 , 000 GENERAL AGGREGATE S 2,000,000 -- GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG ' S Included PRO- 1 POLICYI. JECT I LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) 1 ANY AUTO BODILY INJURY -- $ ALL OWNED AUTOS _ SCHEDULED AUTOS (Per person) HIRED AUTOS -_ BODILY INJURY NON -OWNED AUTOS (Per accident) $ ._ PROPERTY DAMAGE _-. ._.. (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC l $ AUTO ONLY AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR L . CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ - $ IA rH- WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ORY LIIL-MITS ER TORT LIMITS - ER _— ANY PROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED E.L. DISEASE - EA EMPLOYE $ If yes, descnbe under ..--- ---- . E L DISEASE - POLICY LIMIT . SPECIAL PROVISIONS below I $ OTHER I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS Re: Operations of the named insured subject to the terms and conditions of the policy. The City of National City, its elected officials, officers, agents and employees are named additional insured endorsement to be issued by carrier. 10* days notice of cancellation in the event of nonpayment of premium. CERTIFICATE HOLDER CANCELLATION CITYATT City Attorney' s Office 1243 National City Blvd National City CA 91950-4301 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 * DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. A ZED EPRE$iyGy. © ACORD CORPORATION 1 1 .411 General Insura'ice Age icy, inc. 701 B Street, Suite 2100 San Diego, CA 92101-8197 Tol 800.903.5489 I Fax 760.710.6979 www.ArrowheadGrp.com CA License #0699809 ARROWHEAD' Commercial Division SPECIALTY CONTRACTORS PACKAGE PROGRAM ADDITIONAL INSURED FAX LINE 760.710.6979 Policyholder Name: VIDAL ANGEL Endorsement #: 74188Z REQUEST FOR ADDITIONAL INSURED COVERAGE Policy #: 634(1017512. Submission Date: 0911/2008 Policy Effective Date: 08/26/2008. Lease or Project Start Date: 09'03/2(X/8 Is the project a continuation on a renewal? r Yes F7 No Additional Insured Name(s): The City of National City Additional insured Address: 1243 National City Blvd. National City. CA 91950 Additional Insureds Relationship to Policyholder: Public Entity ! Permits r Yes r No Multiple Project Locations? If yes, indicate territory, description of work done, avg. job cost and expected frequency of jobs: National City r Yes r No Does the work involve any NEW WORK on Tract I tomes, Condominiums/Town I lomes, or Apartments including 2-4 family dwellings, Apartment/Loft/Condo Conversions, duplex or triplex or multi-thmily housing? Project(s) description / Type of facility including Commercial Occupancy: Other, Lirehtina for banners on city nronerty Specific Work Being Pertitrmed for the Additional Ins: Install lighting, for banners Work Sub -contracted to Others (if any): one. Please indicate which coverage(s) you would like to add: r I.G CG 20 10 02 06 - New Form (No charge, includes primary wording) r OR r CG 20 37 07 04 (5250.00 per entity/project ur S t.50,/5250 various project charges will apply) rPrimary Wording (S35.00 each Al and project) Waiver of Subrogation (charge: S250 for all General Contractors, S 100 for all others) Producer Nantc: Arksttn Siari Code: 041241 Phone:1619)908-3100 OR r Olhcr: Agency Name: Snavn .r Associates Insurance Scrviceg fax: )11919(15-3110 Email ;trksans'asnaaains.cont FOR OFFICE USE ONLY F �! Not Approved Approved UW w:ooksey Form LG ('C, 20 10 02 06 tv_ I)ale: 09/ 1 1:2(10X Lsc multiple pngcc l xordmg •"All projects except nwlmg. framing found:loon ,souk as a scb-contraaur for this Additional Ir.s;ired donne. this policy tern.` A.I. Charge: 111.00 COML 07/31/2008 TO 07/31/2009 31 7M58226 1GBJC34K4PE169318 CHEV VA . 00/00/0000AF 2007 1993 07/03/2008 37Y G 2 A 15000 $415 3iUG R LOPEZ GEORGE WASHINGTON 324 F ST SAN DIEGO CA 92102 1ffil262520e122002'65C SAE OF CAL1FORN!A DEPARIMEN Of MOTOR V1.1 InATFO REGISTRATION CARD READ REVERSE SIDE - IMPORTANT INSTRUCTIONS Nationwide'. On Your .Side Quote Ntinfucr. ACP 25035701)14 ,1. S C. 1 C J. • George I opei Lopez Sign Manutacture • FsEM.:,v117 -E IHE RACKING TC'7 APPLYING STICKER TC LICEN EPLA • s:LEN SoRFACE -'.;CRAPE OFF ACCUMULATED STICKERS ;STICKER 2 P:Jr STICKER ON REAR LICENSE PLAIE ta4-yr,DR7 Yr. E..•• This itipt! ALL Dii,ERS _...._ int CAL 1A0000 I ; HE CAUSORNI4111 j SAM 123 Truc•,, "LI:tors Veflicies . 1",(4,,I1r-?(SG,..$ Veh+ele WP,Oht of b DO"; 0! Mere —MUST App,y Sticker Yo F.rent PlifjC Rav mond 1meil A.CFNCV 0-10 I Schedule vehicic (7arAing i err:%,ry Vehicle ypc ‘i tintin iStaterd Amount) t...ategory Size Use Hi'elAge Class Code Business Auto i 993 UHEVY Tlil 1jFiJ•34K=Ii=E: St san !I)? _ 6 041 Truck I luck Tractin I 0,0Uti NOT OTHERWISE. CI .ASSIH Other Light rrucir - 10.000 ( iVW1 Locai Service Linder ?5 01 19901 Coverage witrt i-sHrerty DdduetitA: Medical Payments tioctity !Jed uctitIe $ 5(itt rruniuni S 988.00 S61.00 Vehicle t Premium S 1,084.00 ►- CALIFORNIA NATIONAL cfl'y JJ;1gl 7NCORPORAT BD 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: V - f} • E 1 c vt-�—► c. (Company Name) For the purpose of inducing the City of National City to go forward with any contracts awarded to V A-• l-cc*r c (company name), I declare as follows: I, V/- Pr• EI -a✓c•4-r►c. (name) , Owv,.-cr onel O p.crok} Ifle), am an independent contractor for the purposes of the California Workers' Compensation and Labor laws. I will hire no employees other than my parents, spouse, or children for work required for any bid or contract awarded to my company. All work required will be performed personally and solely by me, my parents, spouse, or children. If, however, I shall ever be required to hire employees or Subcontractors to perform this contract, I 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 me against my financial interest, relative to any claims I should assert under the California Workers' Compensation and/or Labor laws against the City of National City relating to any bid or contract awarded / • t (company name). I 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 I hire an employee in violation of this addendum, and I will further indemnify the City of National City, its officers and employees, for all damages the City thereby suffers. agree that these declarations shall constitute an addendum to any bid awarded to: V- A- (company name). Dated: l — l 0 — , 20 69a E 1 •c c. i s (Company) By: (Signature of Authorized ' presentative) C /.-.-vG,G( ff ©fett,l,l (Name and Title) Vidal Angel, owner/operator of V.A. Electric will be using Lopez Washington, owner Lopez Sign Manufacturer, truck a 1993 Chevy VIN 1GBJC34K4PE169318 with the license plate number 7M58226, for installation of banners for the City of National City. Vidal Angel Owner/Operator V.A. Electric Sign L ez Washingt n (A) opez Sign Manufacturer Date: % _ l / — O Date: 4*-- CALIFORNIA NATONALrr_ 18DV INCORPORATED OFFICE OF THE CITY CLERK 1243 National City Blvd., National City, CA 91950 619-336-4228 phone • 619-336-4229 fax V. A. ELECTRIC Street Banners Installation and Hardware Angelita Palma (CDC) Forwarded Copy of the Contract to the Vendor