HomeMy WebLinkAbout2015 CON Best Window Tinting - Window Tinting ServicesSHORT FORM SERVICES AGREEMENT
BY AND BETWEEN
THE CITY OF NATIONAL CITY
AND
BEST WINDOW TINTING, INC.
THIS AGREEMENT is entered into this 1st day of July, 2015, by and between the CITY
OF NATIONAL CITY, a municipal corporation (the "CITY"), and BEST WINDOW TINTING,
INC. (the "CONTRACTOR").
NOW, THEREFORE, CITY agrees to engage CONTRACTOR to perform the services
set forth herein in accordance with the following terms and conditions:
1. Description of Services. CONTRACTOR shall provide City -Wide on -site
window tinting as needed for our fiscal year ending June 30, 2016, and as directed by Rick.
Hernandez, the City's Facilities Maintenance Supervisor
2. Length of Agreement. The duration of this agreement is through June 30, 2016.
3. Compensation. The total compensation to CONTRACTOR for providing the
services set forth herein shall not exceed an annual total cost of $ 4,000.00. The compensation
for CONTRACTOR'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 CONTRACTOR.
5. Termination. CITY may terminate this Agreement at any time by providing a one
(1) day written notice to CONTRACTOR.
6. Independent Contractor. It is agreed that CONTRACTOR is an independent
Contractor, and all persons working for or under the direction of CONTRACTOR are
CON TRACTOR'S agents, servants and employees, and said persons shall not be deemed agents,
servants, or employees of CITY.
7. Insurance. CONTRACTOR shall obtain:
A. 0 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 owned, non -owned,
and hired vehicles ("any auto").
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.
D. Workers' compensation insurance in an amount sufficient to meet
statutory requirements covering all of CONTRACTOR'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.
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 CITYshall not
contribute to any loss under said insurance. Said policies shall provide for thirty (30) days prior
written notice to the CITY 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 and employees as additional
insureds, and separate additional insured endorsements shall be provided.
G. 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.
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 City's Risk Manager. In the event coverage is provided by non -admitted
"surplus lines" carriers, they must be included on the most recent California 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 CITY's 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 CITY 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 CITY.
K. Insurance certificates must specify certificate holder as:
City of National City
ATTN: Risk Manager
1243 National City Blvd
National City, CA 91950-4301
8. Hold Harmless. CONTRACTOR shall defend, indemnify, and hold CITY, its
Officers, employees, and agents harmless from any liability for damage or claims of same,
including but not limited to personal injury, property damage and death, which may arise from
CONTRACTOR, or CONTRACTOR'S subcontractors, agents or employees' operations under
this Agreement. CITY shall cooperate reasonably in the defense of any action, and
CONTRACTOR shall employ competent counsel, reasonably acceptable to the City Attorney.
9. 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 CONTRACTOR.
10. Business License. CONTRACTOR must possess or shall obtain business license
from National City Finance Department before beginning work.
Revised August 2014 2
11. Miscellaneous Provisions.
A. 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.
B. 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.
C. 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.
D. Exhibits and Schedules. The Exhibits and Schedules attached hereto are
hereby incorporated herein by this reference for all purposes.
E. 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.
F. 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.
G. Applicable Law. This Agreement shall be governed by and construed in
accordance with the laws of the State of California. The CONTRACTOR shall comply with all
laws, including federal, state, and local laws, whether now in force or subsequently enacted.
H. 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.
1. Successors and Assigns. This Agreement shall be binding upon and shall
inure to the benefit of the successors and assigns of the parties hereto.
1. 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, this Agreement is executed by CITY and by CONTRACTOR
on the date and year first above written.
Revised August 2014 3
CITY OF NATIONAL CITY
B y:�
Leslie Deese, City Manager
CONTACT INFORMATION
CITY OF NATIONAL CITY
1243 National City Boulevard
National City, CA 91950-4301
Phone: (619)336- 4585
Fax: (619)336-4397
Contact: Rick Hernandez
Title: Facilities Supervisor
Dep.: Public Works
Email: rickh@nationalcityca.gov
BEST WINDOW TINTING INC.
(Corporation - signatures of two corporate officers required)
(Partnership - one signature)
(Sole proprietorship - one signature)
(Name)
(Print)
V9
(Title)
By: )1114.- r
(Name)
i; k yeiej
(Print)
(Title)
BEST WINDOW TINTING INC.
Complete Address:
17 Hammond, Suite 411
Irvine, CA. 92618
Phone 1 800- 272-1700
Fax 1 949-930-6209
Contact: Mike Rogers
Title: Vice President
Email: mrogers@windowtinting.net
Taxpayer I.D. No 330459771.
Revised August 2014 4
PR
ACORD
CERTIFICATE OF LIABILITY INSURANCE
7/31/2015
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.
ATE tMWOO/YYyr)
MPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(es) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsernent(s).
"ER Venture Pacific Insurance Services, Inc
27201 Puerta Real Suite #270
Mission Viejo, CA 92691
wAw yentuiepacifiCInsui nor! com Lai OD 1 020'e
INSURED
Best Window Tinting, Inc and Best Custom Garage
Coatings, Inc
17 Hammond, Suite 411
Irvine CA 92618
CO RAGES
• -
CONTACT
NAME: Venture Pacific Insurance Services, Inc.
PHONE FAX
(ACC, Ntt, 949i297-4900 fi49-297-4911
ADDRESS'
INSURERiS: AFECIRGING C;i0YEK,AUE NAIC
INSURER A f..R j SE.:Linty 24082
INSURER • American Fire 6. Casual 24066
INSURER C
INI3URER
INSURER E
INSURER
1-SCVIJIL,Jr51 NUPiltittt:
I HIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PER]
INDICATED. NOTWTHSTANDING ANY REQUiRE0.1ENT TERM OR CONDEI ION OF ANY CONTRACT OR OTHER DOCUMENT %MTH RESPECT TO WHIC:H THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT -ro ALL THE TERMS
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LiMiTS SHOWN MAY HAVE BEEN REDUCED 3Y PAID CLAIMS
INSR ADO!. SUBR POLICY EH- POUCY EXP ' LT R TYPE OF INSURANCE INSO WYO._ POLICY NUMBER INIMiDERYYYY1 (MM/OENYYYY1 LIMITS
. .. .
A / COMMERCIAL GENERAL LIABILITY / 6KS55622458 4/11,2015 4/11/2016 1„,,,e..“ OCCURRENCE. 5 1,000,000
,..L.AiNtS PAADE .,/ OCCtirt twokie' to REN-iTo
F'REMISE5,{E4 a:curter vat 500,000
MED EXP IAtt,,,, one ottr.wt-ti 15,000
. ........
FEHsorot s ,.IN INJURY 5 1,000,000
LiLtit L AGGREGATit I. "MIT APPLIES "Li,
f40,. GENLRAL AGGREGATE 3 2,000,000
. _
pcLIOY ,1L,C LOC rita5D1.15TS -COMP/OP 50, t, $ 2000,000
,
0 n-a7:A $
, AU romoaiLE UABILITY riAS564i132 ,i-1,3 41111.201-`, 411 li2016 cDMEPNEDt,t ,SINGLE LIMO,,
Itia itccaonn 1,000,000
ANY AUTO BODILY INJURY I'Pr r...?,,v,-1', 3
ALL OWNED ' SCHEDULED
AUTOS AUTOS BODILY IINJUR'e CP0. .46/04560II S
NON.ENVNED
1 HIRED AU1OS , V_ AUTOS PROPERTY DAMAGE $
„TR, acrxIont) ,
0 UMBRELLA LAU c crictip. ESA56462706 4/11/2015 411.1/201EArd-I OCCONRENCE 5 1,000,000
..
-
eXCESS UASI CLAIMSiMAEE
AGGRECA I E . $
„ DO"..) (4ill:N.1'10N 3
3
WORKERS COMPENSATION PER , 01' tit -
AM) EMPLOYERS' LIABILITY oTAI t. l- , Y 1 N ER
ANY r''.:1; PR73RIPAR1NER;;XECUT!ai ---
OriF,L LH/MI:MEER ENE: IJCFErt ._......] N / A E i EAZIt ACC:LIEN I 5
at (Mandory in NW
It vem, ,Ioacrak, L0001 E t OtSEA5E EA EMPLOYEE 3
ITc-SCRIPTION Ol- OPERATIONS cittiot, E 1. DISEASE - POLICY LIMIT 3
DESCRIPTION 06 OPERATIONS 1 LOCATIONS / VEHICLES CACORD Id 1, Allthuonal PernaMe Sthoolult, may ba attached If mom spec* ia payullmJ)
The City or Na:lonai City, its eiected officials , officers, agent, and eiriployees aie additional insured un General Liability and Auto Liability,
per attached endersments
f.'1,1-.0T-Ir,11-, •h-r, ]
-
CANCELLATION
The City at National City
attn: Finance Dept./ Purchasing Division
1243 National City f3lvd,
National City CA 919 50
ACORD 25 (2014411)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AS THDRIZED REPRESENTATIVE
James BJilon
LEI 1988-2014 ACORD CORPORATION. All rights reserved
The ACORD name and logo are registered marks of ACORD
)0 .0:,:26 :6-16 PEW Ualla t'andow /Gar ogo MAUS P60 V01_61) 6/01)2015 9;33,09 Am ' 0-450 ot 4
nnaTtatttar.406111rAMAOS614ialnele
POLICY NUMBER; 13KS5662468
COMMERCIAL GENERAL LIABILITY
CG 2G 10 04 13
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 LIAMLITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s) Or Organieution(s):
ANY PERSON OR ORGANIZATION WHEN YOU
AND SUCH PERSON OR ORGAN ZAT I ON
17 HAKMOND
SUITE 411
IRVINE, CA 92618
Location(s) Of Covered Operations
ANY LOCATION AT WHICH YOU PERFORM WORK DESCRIBED
WR I I NG IN THE CONTRACT, AGREEMENT OR PERMIT FOR A
PERSON OR ORGANIZATION THAT HAS BEEN QUALIFIED AS
Information required to complete this Schedule, it not shown above, will he shown in the Dcclarations,
A. Section If - Who Is An Insured is amended to
include as an additional insured the peon(
or organization(s) shc.pwri in the Schedule, but
only with respect to liability for 'bodily in-
jury, ' property damage" or "personal and
advertising injury" caused, in whole or in
part, by:
I. Your acts or omissions; or
2. The acts or omissions of those acting on
your behalf;
the performance of your ongoing
operutons for the additional Insured(s) at the
iocatron(s) designated above.
However:
1. The insurance afforded to such additional
insured only applies to the extent permit-
ted by law; and
2, If coverage provided to the additional in-
sured is required by a contract or agree-
ment, 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 insureo.
B. With respect to tho insurance afforded to
these additional insureds, the following addi-
tional exclusions apply:
This insurance does not apply to "bodily in
Jury " 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
insure(*) at the location of the covered
operations has hoer completed; or
2. That portion of "your work" out of which
the injury or damage erises has been put
to its intended use by any person or or-
ganization other than another contractor
or subcontractor engaged in performing
operations for a principal as a part of the
same project.
CG 20 10 04 13 insurance Services Office, Inc., 2012
7/.31/2QZ, 9,33 At4 1.1"r1
Page 1 of 2
C. With respect to me insurance afforded to
these additional insureds, the following is
added to Section HI - Limits Of insurance:
If coverage provided to the additional insured
is required by a contrai or agreement, the
most we will pay on behalf of the additional
insured is the amount of insurance:
1. Required by the contract oi agreement;
Or
2. Available under the applicable Limits of
Insurance shown in the Declarations,
whichever is less.
This endorsement shall not increase the ap-
plicable Limits of Insurance shown in the Dec-
$arations
Page 2 of 2
(.4 Insurance Services Office, Inc., 2012 CG 20 10 04 13
zio0.2a25 PKGArme wIndow/Garaso ' MaLreen Phl:e4 101/21.$ 5.1.,” AM fP7.1 Pa5e 1 of 4
VIVIMAM4141,x1,,. PIN 49,,,,,CrAtorri.161r11,1111....V.44P10410406k.l*Hettntfitia,Zrar,414.119,41.1,....1.1MMOIRAIMIWINA**011440410...! 4+, ,aukAawardta
POLICY NUMBER: BKS56622468
COMMERCIALCOMMERCAL GENERAL LIABILITY
CG 20 37 04 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY,
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - COMPLETED OPERATIONS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PHODUCTSICDMPLETEO OPERATIONS LIABILITY COVERAGE
"ART
SCHEDULE
Name Of Additional Insured Person(s) Or Organization(s)
ANY PERSON OR ORGANIZATION WHEN YOU
AND SUCH PERSON OR ORGANIZATION
17 HAMMOND
SUITE 411
IRVINE, CA 92618
Location And Description Of Completed Operations
ANY LOCATION AT WCH YOU PERFORMED WORK
DESCRIBED IN WRITING IN THE CONTRACT, AGREEMENT OR
PERMIT FOR A PERSON OR ORGANIZATION THAT HAS BEEN
ANY LOCATION AT WHICH YOU PERFORMED WORK DESCRIBED
IN WRITING IN THE CONTRACT, AGREEMENT OR PERMIT
FOR A PERSON OR ORGAN I ZAT I ON THAT HAS BEEN
Information required to complete this Schedule, if not shown above, will be shown in the Declarations,
A. SectionI - Who Is An Insured is amended to
include as en additional insured the person(s)
or oroanizet/on(s) shown in the Schedule, but
only with respect to liability for 'bodily in-
jury" or "property damage" caused, in whole
or in part, by your work" at the location des-
ignated and i.itscribed in the Schedule of this
endorsement performed for that additional
insured end included in the "products -com-
pleted operations hazard".
However:
1. The insurance afforded to such additional
insured only applies to the extent permit.
led by law, and
if coverage provided to the additional in-
sured is required by a contract or agree-
ment, 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 II - 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 agreernPnt;
or
2, Available under the applicable Limits of
Insurance shown in the Declarations;
whichever is less.
This endorsement shall not increase the ap-
plicable Limits of Insurance shown in the Dec-
larations.
CG 20 37 04 13 Q..' insurance Services Office, Inc., 2012
2,,AD25.2-b pmfum WindOw/Garao MatIrgan 7/111205 9,11,0 » P.OV Pa!ie 4 4
Page 1 of 1
ACC) Rd
CERTIFICATE OF LIABILITY INSURANCE
DATE (MMDDTYYYY)
jai/2015
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: It the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGRATION 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 OnPoint Underwriting inc.
8390 E Crescent Pkwy, Suite 200
Greenwood Village. CO 80111
INSURED
Barrett Business Services, Inc LICIF
BEST WINDOW TINTING, INC.
17 HAMMOND SUITE 411
IRVNE, CA 12618
CONTACT NAME: Steven McCornb
PHONE (NC, No Ext): (360)828-0644 FAX (NC, NO): (360) 828-0699
EMAIL ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC
INSURER A: ACE American Insurance Ccrnpany 22667
INSURER B.
INSURER C
INSURER D.
INSURER F:
INSURER
COVERAGES
CERTIFICATE NUMBER:
REA I N NU
ER
THiS IS TO CERTIFY*IRAT THE POLICIES OF INSL I AN(,',E LISTED 3ELOVJ I'AVE 1 EN 155060 TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.
NOTWITHSTAND/M9 ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT CR OTHER DOCUMENT WITH RESPECT TO WHICH 'THIS CERTIFICATE MAY l'iE
ISSUES OR MAY PERTAIN. Tl-iE INSOP,ANCE AFFoRcED BY THE POLICIES DESCRIBED I IEREfN is SUBJECT TO ALL THE TERMS, EXC.!, I iETIC1NFt AND CONDI TICNS OF
SUCH POLICIES LIMITS SHOWN MAY ,LAVE BEEN REDUCED BY PAID CLAIMS,
INS
I.TR
TYPE OF INSU N E
ADIDL
NSR
St/BR
POLICY NU ER
POLICY EFF
IMMIULNYYYY)
POLICY EXP
1 iDONYYYI
LIMIT'S
GENERAL LIABILITY
,73"i'.1‘.1E-iCIA, CIHNERAl, LIAiL
. .
Ci AIM S, iiiArk. 01, :.tilt
1.-AL'i ITCa..CE
S
D.MAC1DAMAGE ro RE.NTED PREiMiSFTJ ;Ea
oc-curence)
s
MEi) EXP (Any one porsoril
'
l'E IIS ". 8 AOV t,i,Itifi'f
GENII AI;(II7F-GAIF Liktir APP,..iES FI'f'..
Pi].) 1 '..::,;
ECT
GENERAL AGGREGATE
'IRODIJCITS - compop AGG
AUTOMOBILE LIABILITY
ANY AUTO
,A1 ., OWNED AuT ' SUIIEDULEL) AUTZTS
I IIHED AUTOS NON -OWNED P.,...(Tos
. L
c0A0FPNED SINGLE LIMIT
(ED accidort1
3QI)1,_Y hi.it.110 (Piir parson
$
F./:10ILY NJURY i1Prir accidcrili
t-
I' ,.DPEtiTTY hAtIAGF
UMBRELLA LIAB OCCI.Ifil
EXCESS LIA1.1 i ri :CI ot
)II) REI( )N 5
EACH OCCURRENCE
AGGRF ',.',AT
S
A
Vi'ORKERS COMPFN$A I 'ON A' lrl.IPIOYI 3
0,I4.911,.TY
RWC
C48526956
Coverod alatos'
CA,
02,15116
11'1/(1112016
V wr.srciu. i...iiii.
'TORY I ,MITS ; I!
ANY PRORRilDRIPARTNERi EXECUTIVi- Y
OF3-,CFRiNi0A111-Fi EXCLUDED?
I. , I,A 14 ACC;CILVI
i).00(1,000
E L DISEASE . CA t,AP,OYEE
2 C( ci,)Cci
(Mandatory in NH) II via, deSC,t1, lffWgr
DE SCRtPTION OE OPERATIONS two,...
r , 1)136'A-$E - POLICY LIP.111
112 LA)(7,,..1T1
DESCRIPTiON OF Or'EFIA I iONS / LOCATIONS 1 ilEtilet.F3 (Attach ACTOR() 101 Addiiianya HcItorl. 5 Scheatn i it rt,Oft, apacc, ts niiia;
In CH event or any payment unoer this policy for a Loss for which the named insured has Waiveo th right of recovery r a written contract en erect into prio
the Loss. insurer hereby agrees to also waive our right or recovery but only with respect to such Loss.
C RTPCATE HOLDER
'ANCELLATION
•
The City of National City Attn: Finance Dept., Purchasing
Division
1243 Nationa( City Blvd.
National Ci1y CA 91950
SHOULD ANY OF THE ABOVE
EXPIRATION DATA THEREOF.
POLICY PROVISIONS
AUTHORIZED REPRESENTATIVE
Richard Poling
DESCRIBED POLICIES
NOTICE WILL BE
BE CANCELLED BC -FORE THE
DELIVERED IN ACCORDANCE WITH THE
ACORD 25 (2010105)
c) 1988-2010 ACORD CORPORATION. AI! rights reserved.
The ACORD name and logo are registered marks of ACORD.
AGENCY
OnPoint Underwriting Inc.
POLICY NUMBER
RWC C48526986
AGENCY CUSTOMER ID:
LOC: #:
ADDITIONAL REMARKS SCHEDULE Page 2 of
NAMED INSURED
Barrett Business Services, Inc.
8100 NE Parkway, Suite 200
Vancouver WA 98662
CARRIER
ACE American Insurance Company
NAIC COOE
22667
EFFECTIVE DATE. 02/15/15
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 25 FORM TITLE: Certificate at LiabilUy 01/14)
CERTIFICATE HOLDER: The City of National City Attn: Finance Dept„ Purchasing Division
ADDRESS: 1243 National City Blvd. National City CA 91950
iver . f SubrogalAon in favor ot : The City of National City
ACORD 101 (2008/01)
988-2010 ACORD CORPORATION All rights reserveci.
The ACORD name and logo are registered marks of ACORD.
ito
INISIMMeallisimo. 11101111.1.0..
arausimillapialkalliMMUNIN
immenomiliwilltiailielearaf.
MM. A11.1111111111110111 MOW
1110111110111111111141110 11111111111011MONIM illiMmONieillimilk am"
11111111100•111111110,10111111116Mial 1111101101111111.111 ono
IMIMINOMMIIMNIMMINIMININON voinasselairis MIMI
MINN 411101101.1//////a 911111111M/1 10111111W
011111111111111110111111111.11.1 NOM
Wiiiii100,111111110
WINDOW TINTING, INC.
Our labor rates are Prevailing Wage - $42,00 per hour.
Address: 17 Hammond, #411 Irvine, CA 92618
Contact: Mike Rogers / Vice President
17 H.ammard Suite 411 Irvina, C 00/2721700 • Fax 949/9306209 www.wiNowtirning.,net
/
CITY OF NATIONAL CITY
Office of the City Clerk
1243 National City Blvd., National City, California 91950
619-336-4228 phone / 619-336-4229 fax
Michael R. Dalla, CMC - City Clerk
November 18, 2015
Mr. Mike Rogers
Best Window Tinting, Inc.
17 Hammond, Suite 411
Irvine, CA 92618
Dear Mr. Rogers,
On July 1st, 2015, an Agreement was entered into between the City of National City and
Best Window Tinting, Inc.
We are enclosing for your records a fully executed original Agreement.
Michael R. Dalla, CMC
City Clerk
Enclosure