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HomeMy WebLinkAbout2016 CON Stanley Access Technologies - Door RepairServiceSHORT FORM SERVICES AGREEMENT BY AND BETWEEN THE CITY OF NATIONAL CITY AND STANLL{Y ACCESS TECHNOLOGIES LLC THIS AGREEMENT is entered into this 28 day of April, 2016, by and between the CITY OF NATIONAL CITY, a municipal corporation (the "CITY"), and STANLEY ACCESS TECHNOLOGIES, a LLC (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 door repair, replacement and material as -needed for the fiscal year ending June 30, 2016 and is directed by Arturo Gonzalez, the City's Facilities Maintenance Supervisor. 2. Length of Agreement. The schedule is set forth below: 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 $5000.00 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 CONTRACTOR'S agents, servants and employees, and said persons shall not be deemed agents, servants, or employees of CITY. 7. Insurance. CONTRACTOR shall obtain: A. (1 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 f�L 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. F. 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 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. 1. 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 Public Works Department 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. Revised August 2014 2 if' 10. Business License. CONTRACTOR must possess or shall obtain business license from National City Finance Department before beginning work. 11. Miscellaneous Provisions. A. Corn toparts. 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. I 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. 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. J. 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 taany 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 CITY OF NATIONAL CITY B Leslie Deese, City Manager STANLEY ACCESS TECHNOLOGIES LLC (Corporation — signatures of two corporate officers required) (Partnership — one signature) (Sole proprietorship — one signature) rcki.tir L t k (Pril il) (\1k )C&o (Title) % tj CONTACT INFORMATION CITY OF NATIONAL CITY 1243 National City Boulevard National City, CA 91950-4301 Phone: (619)336-4585 Fax: (619)336-4397 Contact: Arturo Gonzalez Title: Facilities Maintenance Supervisor Dep.: Engineering/Public Works Email: arturog@nationalcityca.gov (Print) Contract Administrator (Title) STANLEY ACCESS TECHONOLOGIES Phone: 858-431-5943 Fax: 858-558-9003 Contact: Title: Service Dispatch Supervisor Email: ainy.codiamat@sbdinc.com sbdinc.com Taxpayer I.D. No.: 56-2550553 Revised August 2014 4 Stanley Access fxt'iiiJ ,X' STANDARD LABOR 2016 SERVICE RATES $91.00 PR HR (1 HR MINIMUM) STANDARD TRAVEL $91.00 PR HR (1 HR MINIMUM) OVERTIME/EMERGENCY LABOR $136.50 PR HR (1HR MINIMUM) OVERTIME/EMERGENCY TRAVEL $136.50 PR HR (I I IR MINIMUM) DOUBLETIMEIHOLIDAY LABOR $182.00 PR HR (1I-1R MINIMUM) DOUBLETIME(HOLIDAY TRAVEL $182.00 PR HR (IHR MINIMUM) BUSINESS HOURS ARE MONDAY— FRIDAY FROM 7A111 TO 3:30 PM WARRANTY CALLS DO NO7' APPLY AFTER NORMAL BUSINESS HOURS. ANY CALLS COMING IN AFTER 1141J ARE SUBJECT TO EMERGENCY RA7'ES SAME DAY SERVICE IS SUBJECT TO BRANCH DISCRETION. FOR SERVICE PLEASE CALL 858-431-5940. THIS NUMBER WILL RING OVER TO OUR 24HR CALL CENTER FOR YOUR CONVENIENCE. 1-888-366-7444 - 24HR CALL CENTER 1 thank you in advance for allowing us to serve you. Amy L. Codiamat Service Dispatch Supervisor Stanley Access Inc. 8380 Camino Santa Fe, Ste. 100 San Diego, CA. 92121 858-431-5943 phone 858-558-9003 fax amy.codiatnat@sbdinc.com sbdinc.com Legal Name Registration Number County City Registration Date Expiration Date STANLEY ACCESS, INC. 1000000971 OUT OF STATE INDIANAPOLIS 06/16/2015 06/30/2016 A� 0® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 05/03/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION 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 MARSH USA, INC. 20 CHURCH STREET, 8TH FLOOR HARTFORD, CT 06103 Attn: stanleyblackanddecker.certrequest@marsh.com J72800-SAT-GAWU-16-17 ACODI CONTACT NAME: PHONE (A/C.. No. Ext): (A/C, No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Hartford Fire Insurance Co 19682 INSURED STANLEY ACCESS TECHNOLOGIES, LLC STANLEY ACCESS, INC. 1000 STANLEY DRIVE NEW BRITAIN, CT 06053 INSURER B : Hartford Underwriters Insurance Company 30104 INSURER C : N/A N/A INSURER D : Twin City Fire Insurance Company 29459 INSURER E : Hartford Casualty Insurance Company 29424 INSURER F : Trumbull Insurance Company 27120 COVERAGES CERTIFICATE NUMBER: NYC-008182251-04 REVISION NUMBER:4 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 INSR LTRINSD TYPE OF INSURANCE ADDL SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY 02 CSE J77030 04/01/2016 04/01/2017 EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE X OCCUR DAMAGE RENTED PREMISES O(Ea occurrence) $ 2,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L X AGGREGATE POLICY OTHER: LIMIT APPLIES JECT PER: LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,500,000 PROD-COMP/OP OCC $ 2,500,000 A B AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS NON-OWNED OS ED AUTOS 02 CSE J77023 (AOS) 02 CSE J77024 (HI) 04/01/2016 04/01/2016 04/01/2017 04/01/2017 COMBINED SINGLE LIMIT (Ea accident) $ 2,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ D E F B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N N / A 02 WBR J77021 (ND, WI) 02 XWE J77022 ( NY, QH) " 02 WN J77020 (AOS) 02 WN J77020 (HI) 04/01/2016 04/01/2016 04/01/2016 04/01/2016 04/01/2017 04/01/2017 04/01/2017 04/01/2017 x PER STATUTE OTH ER E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYEE $ 2,000,000 E.L. DISEASE - POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) THE CITY OF NATIONAL CITY, ITS ELECTED OFFICIALS, OFFICERS, AGENTS, EMPLOYEES AND VOLUNTEERS ARE INCLUDED AS ADDITIONAL INSURED UNDER THE ABOVE GENERAL LIABILITY POLICY, AND AUTOMOBILE LIABILITY BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF THE STANLEY ACCESS TECHNOLOGIES OPERATIONS OR WORK FOR THE CERTIFICATE HOLDER, AND ONLY WHERE STANLEY ACCESS TECHNOLOGIES HAS AGREED TO PROVIDE THIS COVERAGE IN A WRITTEN CONTRACT. NO INSURED STATUS APPLIES FOR THE SOLE NEGLIGENCE OF THE ADDITIONAL INSURED FOR ITS OWN ACTS OR OMISSIONS OR THOSE OF ITS EMPLOYEES OR ANYONE ELSE ACTING ON ITS BEHALF. SEE ADDITIONAL PAGES FOR TEXT. CERTIFICATE HOLDER CANCELLATION THE CITY OF NATIONAL CITY ATTN: PUBLIC WORKS DEPARTMENT 1243 NATIONAL CITY BLVD. NATIONAL CITY, CA 91950 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 of Marsh USA Inc. Manashi Mukherjee _M.Au.ors*.: .tc_r.r.ad-ec- ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: J72800 ACORD® LOC #: Hartford ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY MARSH USA, INC. NAMED INSURED STANLEY ACCESS TECHNOLOGIES, LLC STANLEY ACCESS, INC. 1000 STANLEY DRIVE NEW BRITAIN, CT 06053 POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE• Certificate of Liability Insurance WORKERS COMP Trumbull Insurance Company for AOS including AK,AL,AR,AZ,CA,CO,CT,DC,DE,FL,GA,IA, ID,IL,IN,KS,KY,LA,MA,MD,ME,MN,MI,MO,MS,MT,NC,NE,NH,NJ,NM,NV,NY,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VA,VT,WA,WV and WY, "Excess WC SIR for NY and OH is $2,000,000 for subsidiaries with payroll in those states and as on file with State WC Board. CONTINUED FROM DESCRIPTION SECTION: (WAIVER: WC) WE WILL WAIVE ANY RIGHT OF RECOVERY WE MAY HAVE AGAINST ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER. THE GENERAL LIABILITY POLICY DOES NOT CONTAIN A SEPARATE "PER LOCATION" OR "PER PROJECT AGGREGATE"; HOWEVER THERE IS EXCESS INSURANCE IN PLACE OVER THE "EACH OCCURRENCE" AND "GENERAL AGGREGATE" LIMITS. ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 02 CSE J77030 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II - Who Is An Insured Is amended to include as an additional Insured: 1. Any person or organization, when you have agreed in writing in a contract or agreement that such person or organization be added es an additional insured on your policy; and 2. Any other person or organization you are contractually required to add as an additional insured under the contract or agreernont described in Paragraph 1. above. when you have agreed in a written contract or written agreement to provide insurance such as is afforded under this policy for such person(s) or organization(s) B. Tho Insurance provided to the additional insured is limited as follows: 1. This coverage Is provided only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury' caused, in whole or in part, by your acts or omissions or the acts or omissions of trios° acting on your behalf: a. In the performance of your ongoing operations for such additional insured; or b. In connection with "your wcek* for the additional insured and included within the "products -completed operations hazerd". 2. Tho Insurance provided to the additional insured applies: a. Only if the "bodily injury" or "properly damage" occurs, or the "personal and advertising injury" offense is committed. (1) During the policy period; (2) Subsequent to the execution of such writ= contract or writlen agreement. and (3) Prior to the expiration of the period of time that the written contract or written agreement requires such insurance be provided to the additional insured; b. Only to the extent permitted by law. and c. Will nol be broader than that which you are required by the contract or agreement to provide for such additional insured. C. With respect to the insurance provided te any person or organization qualifying as an additional insured under thls endorsement. the following additional exclusions are added to Paragraph 2.. Exclusions of Section I - Coverage A - Bodily Injury And Property Damage Liability and Paragraph 2., Exclusions of Section t - Coverage B - Personal And Advertising Injury Liability: This insurance does not apply to; 1. "Body injury", "property damage" or "personal and advertising injury.' arising out of the rendering of, or the failure to render. any professional architectural, engineering or surveying services, including: (a) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (b) Supervisory, inspection, architectural or engineering activities. 2. Arty person or organization for whom you have procured separate Commercial General Liability insurance while such insurance 5411 effect regardless of whether the scope of coverage or the limns of insurance of this policy exceed these of such other insurance, or whether or not such other insurance is valid and collectable. D. With respect Id the insurance afforded to these vendors, the following Is added to Section III - Limas Of tneurance And Applicable Deductible - The most we will pay on behalf of the additional insured, and the most you indst reimburse us is the arriCiant o riSuranCe: 1. Required by die cOntreCt dr agreement; or 2. Available under the applicable Limits of Insurance shown in the Declinations, whiC never is loss This endorsement shall net increase the applicable Limits et InSeranGe shcssrl Al the Declarations E, With respect to the insurance provided to any person or organization qualifying as an additional insured ardor this endorSement, Section IV - Commercial General Liability Conditions is arnanded as follows 1, Assistance And Cooperation Of Involved Additional Insureds The following is added to taa Duties In The Event Of Occurrence, Offense Claim Or Suit condition' As soon as practicatiSe, each additional Insured must give tia prompt notice Of arty `CiOcurrenste" or Offense which may resat in a Claim, *Onward ail legal pacers to us, cooperate n the defense of any actions. arid Ottionxise Ceitipty w111i ',obey conditions. 2. The following Is added to Um Other Insurance Condition and supersedes any provision to the conlrary: Primary And Noncontributory insurance This insurance is pnmary la and will aol seek Caireribtreen from any other insurance available le ea additional insured ender this endorSernent, provided that yOU nave agreed in writing in a contract or agreement that this inSurerleie WCited be primary and would not seek contribution moot any other insurance available to the addicts tie insured, 3. If an aaditional instined is subject lo sovereign immunity, we wtiii not raise any (intense involving in any way Jurisdiction of the tribunal, immunity of the authority, governmental nature of the authority, Or the provisions of any statutes respecting 'suits" against an authority withOut the express whiten Cense] it of the authority rorrn GT 20 (g) 2013, The Hartford 0 413 Includes copyrighted material of Insurance Services Office, Inc., with Its permission.) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION TO CERTIFICATE HOLDER(S) This policy is subject to the following additional Conditions: If this policy is cancelled by the Company, other than for nonpayment of premium, notice of such cancellation will be provided to the certificate holder(s) with mailing addresses on file with the agent of record. Such notice will be provided within 30 days of the Company's receipt of certificate holder(s) information from the agent of record. If notice is mailed, proof of mailing to the last known mailing address of the certificate holder(s) on file with the agent of record will be sufficient proof of notice. Any notification rights provided by this endorsement apply only to active certificate holder(s) who were issued a certificate of insurance applicable to this policy's term. Failure to provide such notice to the certificate holder(s) will not amend or extend the date the cancellation becomes effective, nor will it negate cancellation of the policy. Failure to send notice shall impose no liability of any kind upon the Company or its agents or representatives. Form IH 03 10 06 11 Page 1 of 1 © 2011, The Hartford THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA Policy Number: 02 WN J77020 Endorsement Number: Effective Date: 04/01/2016 Effective hour is the same as stated on the Declarations of the policy. Named Insured and Address: STANLEY BLACK & DECKER, INC. 1000 STANLfY DRIVE NEW BR.ITAIN, CT 06053 We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 2 % of the California workers' compensation premium otherwise due on such remuneration. SCHEDULE Person or Organization Job Description ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED HIAS AGRE5D BY WRITTEN CONTRACT TO FURNISH THIS WAIVER. Countersigned by Form WC 04 03 06 Printed in U.S A. Authorized Representative THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED AND RIGHTS OF RECOVERY AGAINST OTHERS This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM A. Any person or organization whom you are required by contract to name as additional insured is an "insured" for LIABILITY COVERAGE but only to the extent that person or organization qualifies as an "insured" under the WHO IS AN INSURED provision of Section II - LIABILITY COVERAGE. B. For any person or organization for whom you are required by contract to provide a waiver of subrogation, the Loss Condition - TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US is applicable. Form HA 99 13 01 87 Printed in U.S.A. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION TO CERTIFICATE HOLDER(S) Policy Number: 02 wig J77020 Endorsement Number: _r Effective Date:04/O1/2016 Effective hour is the same as stated on the Information Page of the policy_ Named Insured and Address: STANLEY BLACK & LIEC:f3R. INC. 1000 STAr1r. r Y OR.I Via NEW BRITAIN, CT O60.t3 If this policy is cancelled by the Company, other than for non-payment of premium, notice of such cancellation will be provided to the certificate holders) with mailing addresses on file with the agent of record. Such notice will be provided within 30 days of the Company's receipt of certificate holder(s) information from the agent of record. If notice is mailed, proof of mailing to the last known mailing address of the certificate holder(s) on file with the agent of record will be sufficient proof of notice. Form WC 99 03 98 Printed in U.S.A. Process Date: Any notification rights provided by this endorsement apply only to active certificate holder(s) who were issued a certificate of insurance applicable to this policy's term. Failure to provide such notice to the certificate hotder(s) will not amend or extend the date the cancellation becomes effective, nor will it negate cancellation of the policy. Failure to send notice shall impose no liability of any kind upon the Company or its agents or representatives. 2011, The Hartford Policy Expiration Date: THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION TO CERTIFICATE HOLDER(S) This policy is subject to the following additional Conditions: If this policy is cancelled by the Company, other than for nonpayment of premium, notice of such cancellation will be provided to the certificate holder(s) with mailing addresses on file with the agent of record. Such notice will be provided within 30 days of the Company's receipt of certificate holder(s) information from the agent of record. if notice is mailed, proof of mailing to the last known mailing address of the certificate holder(s) Form tH 03 10 06 11 on file with the agent of record will be sufficient proof of notice. Any notification rights provided by this endorsement apply only to active certificate holder(s) who were issued a certificate of insurance applicable to this policy's term. Failure to provide such notice to the certificate holder(s) will not amend or extend the date the cancellation becomes effective, nor will it negate cancellation of the policy. Failure to send notice shall impose no liability of any kind upon the Company or its agents or representatives. © 2011, The Hartford Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION TO CERTIFICATE HOLDER(S) This policy is subject to the following additional Conditions: If this policy is cancelled by the Company, other than for nonpayment of premium, notice of such cancellation will be provided to the certificate holder(s) with mailing addresses on file with the agent of record. Such notice will be provided within 30 days of the Company's receipt of certificate holder(s) information from the agent of record. If notice is mailed, proof of mailing to the last known mailing address of the certificate holder(s) on file with the agent of record will be sufficient proof of notice. Any notification rights provided by this endorsement apply only to active certificate holder(s) who were issued a certificate of insurance applicable to this policy's term. Failure to provide such notice to the certificate holder(s) will not amend or extend the date the cancellation becomes effective, nor will it negate cancellation of the policy. Failure to send notice shall impose no liability of any kind upon the Company or its agents or representatives. Form IH 03 10 06 11 Page 1 of 1 © 2011, The Hartford .'„'ORt/RATED May 16, 2016 CITY OF NATIONAL CITY Office of the City Clerk 1243 National City Blvd., National City, California 91950-4397 619-336-4228 phone / 619-336-4229 fax Michael R. Dalla, CMC - City Clerk Mr. Frank Luke Stanley Access Technologies 8380 Camino Santa Fe, Suite 100 San Diego, CA 92121 Dear Mr. Luke, On April 28th, 2016, an Agreement was entered into between the City of National City and Stanley Access Technologies. We are enclosing for your records a fully executed original Agreement. Sincerely, ?ttizieth Michael R. Dalla, CMC City Clerk Enclosure