HomeMy WebLinkAbout2017 CON Rayzist Photomask DBA Honor Life - Engraving Services (2)SHORT FORM SERVICES AGREEMENT
BY AND BETWEEN
THE CITY OF NATIONAL CITY
AND
RAYZIST PHOTOMASK, INC.
DBA HONOR LIFE, INC.
THIS AGREEMENT is entered into this 21 st day of August, 2017, by and between the
CITY OF NATIONAL CITY, a municipal corporation (the "CITY"), and RAYZIST
PHOTOMASK, INC. DBA HONOR LIFE, INC., a California corporation (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 engraving services,
more particularly described in Exhibit "A", at the City of National City's Veteran's Wall of
Honor for the current fiscal year ending June 30, 2018, and as directed by the City's Veteran's
Wall of Honor Program Coordinator, currently Lauren Maxilom.
2. Length of Agreement. The duration of this Agreement is from August
21, 2017 through June 30, 2018.
3. Compensation. The total compensation to CONTRACTOR for providing the
services set forth herein shall not exceed an annual cost of $5,000.00. 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 one
(1) day's 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. n 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 either
$1,000,000 per occurrence and $2,000,000 aggregate, or $1,000,000 per occurrence and
$2,000,000 aggregate with a $2,000,000 umbrella policy, covering all bodily injury and property
damage arising out of its operations, work, or performance under this Agreement. The policy
shall name the CITY and its officers, agents, employees, and volunteers as additional insureds,
and a separate additional insured endorsement shall be provided. The general aggregate limit
must apply solely to this "project" or "location". The "project" or "location" should be noted
with specificity on an endorsement that shall be incorporated into the policy.
D. Workers' compensation insurance in an amount sufficient to meet
statutory requirements covering all of 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 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, employees, and volunteers
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:VII
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 91950-4397
8. Indemnification and Hold Harmless. The CONTRACTOR agrees to
defend, indemnify and hold harmless the City of National City, its officers, officials, agents,
Standard Short Form Agreement
Page 2 of 5 City of National City and
Revised July 2017 Honor Life, Inc.
employees, and volunteers 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 performance or other obligations under this Agreement; provided, however,
that this indemnification and hold harmless shall not include any claims or liability arising from
the established sole negligence or willful misconduct of the CITY, its agents, officers employees,
or volunteers. CITY will cooperate reasonably in the defense of any action, and CONTRACTOR
shall employ competent counsel, reasonably acceptable to the City Attorney.
The indemnity, defense, and hold harmless obligations contained herein shall
survive the termination of this Agreement for any alleged or actual omission, act, or negligence
under this Agreement that occurred during the term of this Agreement.
8. 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.
9. Business License. CONTRACTOR must possess or shall obtain business license
from National City Finance Department before beginning work.
10. 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. To the extent any exhibits,
schedules, or provisions thereof conflict or are inconsistent with the terms and conditions
contained in this Agreement, the terms and conditions of this Agreement will control.
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
Standard Short Form Agreement
Page 3 of 5 City of National City and
Revised July 2017 Honor Life. Inc.
party hereto shall be of any effect unless it is in writing and executed by the party to be bound
thereby.
I. 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. Subcontractors or SubCONTRACTORs. The CITY is engaging the
services of the CONTRACTOR identified in this Agreement. The CONTRACTOR shall not
subcontract any portion of the work, unless such subcontracting was part of the original proposal
or is allowed by the CITY. In the event any portion of the work under this Agreement is
subcontracted, the subcontractor(s) shall be required to comply with and agree to, for the benefit
of and in favor of the CITY, both the insurance provisions in Section 7 and the indemnification
and hold harmless provision of Section 8 of this Agreement.
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)
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.
CITY OF NATIONAL CITY
Leslie Deese, City Manager
APPROVED AS TO FORM:
gil ' oms ones
Attorney
Standard Short Form Agreement
Revised July 2017
RAYZIST PHOTOMAST, INC.
DBA HONOR LIFE, INC.
(Corporation - signatures of two corporate officers required)
By: -.6/1A4
By:
(Name)
�ocfW'1 _,t 1. 6e<s'
(Print)
Goo
(Name)
�15
(Print)
(Title)
Page 4 of 5 City of National City and
Honor Life, Inc.
CONTACT INFORMATION
CITY OF NATIONAL CITY
1243 National City Boulevard
National City, CA 91950-4397
Phone: (619) 336-4289
Fax: (619) 336-4327
Contact: Lauren Maxilom
Title:
Dep.:
Email:
Management Analyst II
City Manager's Office
LMaxilom@nationalcityca.gov
HONOR LIFE, INC.
955 Park Center Drive
Vista, CA 92081
Phone: (760) 535-0546
Fax: (760) 727-2451
Contact: Mark Heddy
Title: Honor Life Sales
Email: mheddy@honorlife.com
Taxpayer I.D. No.: 86-0502712
Standard Short Form Agreement Page 5 of 5 City of National City and
Revised July 2017 Honor Life, Inc.
EXHIBIT A
City of National City
Donor Wall Engraving
D and 12th War Memorial
HonorLife
Memorable quality & service for an unforgettable life.
Proposal
Onsite plaque engraving
August 4, 2017
Honor Life proposes to engrave on existing plaques onsite in National City at the D
and 12th War Memorial wall.
• 8" x 4" plaques - quantity 4 x $35.00 each = $140.00
• 8 " x 8" plaques - quantity 42 x $65.00 each = $2,730.00
• Trip Charge - $500.00 per day
• Total - $3,370.00 (one day trip charge)
Terms - balance due in full upon completion of work
955 Park Center Dr. Vista, CA 92081 / 800-585-5768 / honorlife.com
RAYZPHO-01 KNELSON2
CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY)
5/11/2017
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 la an ADDITIONAL INSURED, the poiicy(Ies) must have ADDITIONAL INSURED provrs!ons or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and cond!tIons of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in Ilea of such endorsement(s).
PRODUCER License # 0757776
Carlsbad, CA - MMA - HUB International Insurance Services Inc.
1803 Wright Place
Suite 280
Carlsbad, CA 92008
INSURED
Rayzist Photomask, Inc.
DBA Honor Life. American Memorial Services, Inc.
Edelia & Randy Willis
955 Park Center Dr.
Vista, CA 92081
COVERAGES CERTIFICATE NUMBER:
THIS 1S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR C
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANC
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN
INSR
,FACT Kimberly D Nelson
PHONE
(NC, No, Eery
�pIFAX
(A/C, No):
ADR u: Ki)nberly.D.Neison@hubinternatlonal.com
INSURER(S) AFFORDING COVERAGE
INSURER A Travelers Property Casualty Company of America
INSURER B :
INSURER C :
INSURER 0 :
INSURER E:
INSURER F :
NAIC N
25674
REVISION NUMBER:
BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
ONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
E AFFORDED BY THE POLIC ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR TYPE OF INSURANCE ADDINSQ- WVO L 9UB
POLICY NUMBER POLICY EFF POLICY EXP
A
X COMMERCIAL GENERAL LIABILITY
A
A
CLAIMS -MADE I X J OCCUR
GE AGGREGATE LIMIT APPLIES PER:
POLICY j I I LOC
X]
OTHER:
AUTOMOBILE UABILITY
X ANY AUTO
OWNED
AUTOSIE�ONLY
AUTOS ONLY
UMBRELLA UAB
EXCESS UAB
SCHEDULED
AUOde
OCCUR
CLAIMS -MADE
DED
RETENTION $
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
(AMandatory In EXCLUDED"
11 yes, describe under
DESCRIPTION OF OPERATIONS below
A Commercial Property
A Commercial Property
630 3E629203 17
BA-94978435.17
IMMIDD/YYYYI IM MIDD/YrrY)
03/01/2017
03/01/2017
03/01/2018
03/01/2018
UMITS
EACH OCCURRENCE
DAMAGE
OIto RENTED
MED EXP (Any one person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
EBL AGG
COMBINED SINGLE LIMIT
(Ee ancidenll
BODILY INJURY (Per person)
BODILY INJURY (Per accident)
(PROPERTY DAMAGE
EACH OCCURRENCE
AGGREGATE
$ 1,000,000
100,000
$ 5,000
$ 1,000,000
$ 2,000,000
2,000,000
$ 2,000,000
$
$
1,000,000
YIN
NIA
X UB2J162841
630 3EE629203 17
630 3E629203 17
03/01/2017
03/01/2017
03/01/2017
03/01/2018
03/01/2018
03/01/2018
X S7ATUTE_L__IH-
El.EACH ACCIDENT
E. DISEASE - EA EMPLOYEE
E.L DISEASE - POLICY LIMIT
Bldg
Bus Pers Prop
$
$
1,000,000
1,000,000
,000,000
3,300,000
2,000,000
The City of NatiOPERATIONS
nal City Sits elected officials, off (ACORD
agents,eemployeeess and volunteerattached
ar'e included as Additional Insured with respects to General Liability
& Commercial Auto per forms CGD037 0405 & CGD458 0713. Waiver of subrogation applies for Workers Compensation.
CERTIFICATE HOLDER
Clty of National Clty
c/o Risk Manager
1243 National City Boulevard
National City, CA 91950-4397
ACORD 25 (2016/03)
CANCELLATION
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 RFPRESENTATrVE
01988-2016 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
TRAVELERS
ONE TOWER SQUARE
HARTFORD CT 06183
WORKERS COMPENSATION
AND
EMPLOYERS LIABILITY POLICY
ENDORSEMENT WC 04 03 06 (01) — 0o3
POLICY NUMBER: IIB-211162841-17-I4-G
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS
ENDORSEMENT-CALIFORNIA
We have the right to recover our payments from anyone liable for an injury covered by this policy. We win 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 3.00% OF THE CALIFORNIA WORKERS'
COMPENSATION PREMIUM OTHERWISE DUE ON SUCH REMUNERATION.
PERSON OR ORGANIZATION
CITY OF NATIONAL CITY
SCHEDULE
JOB DESCRIPTION
ONGOING SERVICE/MAINTENANCE
CONTRACT
DATE OF ISSUE: 03-27-17 STASSIGN: Page i of
•
o=
CARRY
o=
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boei GS
Policy #630 3E629203 17
COMMERCIAL GENERAL LIA8ILiTY
THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY.
XTEND ENDORSEMENT FOR COMMERCIAL INDUSTRIES
This endorsement modifies Insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
GENERAL bESCR1PTION OF COVERAGE — This endorsement broadens coverage.. However, Overage for any
injury, damage or medical expanses described In any of the provisions of thls endorsement May be excluded or
limited by another endorsement to tills Coverage Part, and these coverage broadening provisions do not apply to
the extent that coverage is .excluded or limited by such eiz endorsement. The fellowin'g listing is a general cover-
age description only. Limitations and,excluslons may epply to these coverages. Read all the provisions of this en-
dorsement and the rest Of your policy carefijIiy to determine right,&,. duties, and what. Is and IS not covered.
A, Broadened Named insured J. Bodily Injury To Co -Employees And Co -Volunteer
B. Blanket Additional Insured — Broad Form Vendors Workers
C. Damage To Premises Rented To Yoti K. Aircraft Chartered With Crew
• Perils of .fire., explosion, Lightning, Smoke, L. Non -Owned Watercraft — Increased From 25. Feet
water To 50 Feet
• Limit Increased to $300;000 M. Increased Supplementary Paynlerits
D. Blanket Waiver Of Subrogation Cost of bail bonds increased to $2,500
E: 2tanket Addltionel Insured — Owners. Managers • Loss of eamings increased to $500 erda
Or 1_esters Of Premises P y
F. Blanket Additional Insured — Lessors Of Leased N. Medical Payments - Increased Limit.
Equipment O. Knowledge And Notice Of Ooeurrence Or Offense
G. lncidenlal Medical Malpractice P. Unintentional Omission
H. Personal Injury —Assumed By Contract Q. Reasonable Force — Bodily injury Or Properly
1. Amended Bodily Injury Definition Darnage
PROVISIONS,
A. BROADENED NAMED INSURED
1. The following is added to SECTION 1I — WHO
IS AN iNSURED:.
Any organization, other than a partnership pr
joint venture, Over which you maintain owner-
ship or majority interest on the effective date
of the policy qualifies as a Named insured.
:However, coverage for any such organization
will cease as of the date during the Pilaf, .Pe-
riod that you no bnger:mal'etain ownership of,
or majority Iftterest.In, such orgarezation.
2. The following replace' Paragraph 4.a. of
SECTION 11- WHO IS AN :INSURED.
a. Coverage under this provision is afforded
only .until the 1801h day after you acquire
or form the organization or the end 0 the
policy period, whichever is earlier, unless
reported in writing to us within.180 days.
CG D4 58 07 13
B. BLANKET ADDITIONAL INSURED — BROAD
FORM VENDORS
The following is added to. SECTION Ii - WHO IS
AN INSURED:
Any person or organization that is n. vendor and
that you. have agreed in a written contract or
agreement to include as an additional insured on
this Coverage .Part is an insured, but only with re-
spect to liability for "bodily Injury" or "property
darnage"that:
a. Is caused by an "occurrence" that takes place
after you have signed and executed that con-
tract or agreement; and
b. Arises out of "your products' which are dis-
tributed or sold in the regular course of such
vendor's business.
The insurancie provided to such vendor Is subject
to the following provisions:
C 2013 The Travelers Indemnity Company AR rights reserved. Page 1 of 7
Includes Copyrighted material of insurance Services Office; Inc. With Rs permission:
COIUIMERCIAL-GENERAL LIABILITY
a. The limits Of insurance provided to Such von-
der will be the ltrnits which you agreed to pro-
vide in the written contract or agreement, or
the taints Shown in the Deciarsttohs of this
Coverage Part, whichever are less.
b. The :insurance provided ie. such vendor does
not apptyto:
(1) "Bodily injury" or "property damage" for
which the vendor. is obligatedto pay
damages by reason of the assurnption of
;liability in a contract or .agreement. This
exeluston does .not apply to liability tear
demoges that the vendor would have in
the absence of the Contract or.agreernent,
(2) Any express warranty unauthorized by
you;
(3) Any physical or chemical :c innge in "your
products" madeintentionally by such
vendor;
(4) Repackaging, unless unpacked solely for
the purpose Of inspection, demonstration,
testing, or the substitution of parts under
instructions Train the manufacturer., end
then repai kaged in the original container;
My failure to Make such inspections, ad-
justments, tests or :servicing as vendors
agree to perform or norrnally.undertake to
perform in the regular course of business,
in connection. with the distribution or sale
of "your products":
(6) Demonstration, installation_, seNtciI g or
repair :operations, except Such operations
perfgrreed at such venders premises in
connection With the sale of "your prod -
acts'`; or
(7) "Your products" which, oiler distribution or
sale by you, have been labeied or rela-
beled or .used as a container, part or in-
gredient of any other thing or substance
by orfor such vendor
Coverage under:this provision does not applyto:
a. Any persorr or organization from whom you
have acquired "your :products", or any i:ftgre-
dient, part or container entering into, accom-
panying or containing such products, or
b, Any vendor f.Rr Which .coverage as an addi-
tional insured specifically is. scheduled by en-
dorsement.
C. DAMAGE TO PREMISES RBNTEb TO YOU
1. The following replacesthe last 'paragraph of
Paragrapi, 2., Exclusions, of SECTION t —
CflVERAGES - COVERAGE A BODILY IN-
(5)
JURY AND PROPERTY DAMAGE LIABIL-
!TY:
Exclusions c, through n- do not apply to dam-
age to premises while rented to you, or tem-
porarily occupied by you with permission of
the owner; caused by:
a. Fire;
b, Explosion;
c. Lightning;
d. Smoke' resulting from such fire, explosion,
or ightning; .or
e. Water,
A separate limit of insurance applies to such
damage to premises as described in Para-
graph 6. of Section III- Limits Of insurance..
This insurance does not .apply to damage to
premises while rented to you, or temporarily
occupied by you with permission ` of the
owrier, caused by:
a. Rupture, bursting, or operation ,of pres-
sure relief devices;
b. Rupture or bursting .due to expansion or
swelling of the contents of any building or
structure, paused by or resulting from wa-
ter;
c. Explosion of steam boilers, steam pipes,
steam engines, orsteam turbines,
2. The following replaces Paragraph 6. ,of SEC-
TION 111— LIMITS OF INSURANCE:
Subject to S, above, the. carnage To Prem-
ises Rented To You Limit is the most we .wilt
pay under Coverage A for damages because
of "property damage" to any one premises
While rented to you, or temporarily occupied
by you with permission of the: owner, caused
by fire;; explosion, lightning smoke resulting
from such fire; explosion, or lightning; or wa-
ter The manage To Premises Rented To'
You Limit will apply to .411 damage prbxi'rnately
caused by the :same "Occurrence"; whether
Such damage results from fire; explosion;
lightning; .smoke resulting from such fire, ex:
plo>,ion, or lightning; water; or any corrlbina-
tion of any of these.
The Damage To Pretnises. Rented To You
Limit will be the higher of
a. 630O,000, or
b. The amount shown on the _Declarations of
this Coverage Part for .Damage To Prem-
ises Rented To You Limit,
Page 2 of .7 t°d 2013 me TrnVerers Indemnity Company. All rights reserved. CO D4 68 07 13
Inctudes copynghttd material of Insurance Services Office, lnc. with its permission,
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onommir
wr-
oOf NI WWI
=.
beef Se
3. The following replaces Paragraph a. of the
definition 'of'"insured contract" In site DEFINI-
TIONS Section:
a. A contract for alease of premises_ How
ever, that portion of the contract for a
lease of 'premises that: Inderitnlfies any
person or organization for damage to
premises while .rented to you; or tempo -
rarity occupied by you with permission of
the owner, caused by:
(1) Fire;
(2) Explosion;
(3) Lightning;
(4) Smoke resulting Rein such fire, ex,
pitsion; orlightning; rir
(5) Water.
is not an "Insured contract";
4. The following replaces Paragraph 4.b.(1)(b)
of SECTION; IV - C:O:MMERCIAL GENERAL
LIABILITY CONDITIONS:
(b) That is insurance fee premises reeled to
you, or temporarily occupied by you With
the permission of the owner;
D. BLANKET WAIVER OF SUBROGATION
The following is added to Paragraph 8., Transfer
Of Rights Of Recovery Against: Others To Us,
of SECTION IV COMMERCIAL. GENERAL LI-
ABILITY CONDITIONS:
We waive any right of recovery we may have
ageinMt any person or organization because of
payments we make for injury or damage arising
out of premises owned or occupied by or tented
or loaned 10 you origoing operations, performed
by you or on your behalf, done under ,a enntract
with that person or organization; "your work"; or
"your products". We waive this right where you
have agreed to do so as part of a written contract,
executed by you prior to loos.
E. BLANKET ADDITIONAL INSURED OWNERS,
MANAGERS OR LESSORS .OF PREMISES
The fotowing Is. added to SECTION. II - WHO IS
AN INSURED:
Any person or orgariiiatlon that is a premises
owner, riteneger or 1es>;or and that you have
agreed In a written 'contract or agreement to
name es an additional inured on this Coverage
Part is an Insured; but only with respect to liability
for 'bodily injury% "property damage", "personal
Injury` or `advertising injltry'that
CG D458'0713
COMMERCIAL, GENERAL LIABILITY
a. is "bodily injury° Or "property damage" caused
by an "Occurrence" that takes place, or "per-
sonei injury' or "advertising Injury caused by
an Offense that is committed, after you have
signed lied executed that :contract or agree-
ment; and.
b: Arises out .of the .ownership, maintenanceor
use of that part of any premises leased to
you.
The insurance provided to such premises owner,
manager or lessor Is sublect to the following pro-
visions:
e. The limits of lrnserence provided to such
premisesowner, manager or lessor witl be
the limits w1rlch you .agr+eed to provide in the
written. Contract or agreement, or the limits
,showni nn the :Declarations; of this Coverage
Part,: whichever are lass,
b. The insurance provided to such premises
owner, manager or lessor does not apply to:
(1) "Bodily injury" or "property damage
caused by an "occurrence" that takes
. place, or °personal injury" or "advertising
Jnjury" caused by an offense that Is com-
mitted, after you cease to be a tenant in
that premises; or
(2) Structural :alterations, new construction or
demolition operations performed by or on
behalf of such premises owner, manager
or lessor..
c. The insurance provided to such premises
owner, manager or lessor Is excess over any
Valid and collectible other insurance available
to such premises owner, manager or lessor,
unless you have ?greed in a written contract
for this 'insurance to apply on a :primary or
contributory basis.
IY. BLANKET ADDITIONAL INSURED LESSORS
OF LEASED EQUIPMENT
The following; Is added 40 SECTION it — WHO is
AN INSURE;
Any person or organization that is an equipment
lessor and that you have agreed in a written con-
tract er agreement to include as an additional In-
sured on this Coverage Fart Is an insured, but
only with respect to liability for `bodily Injury'',
"property damage", °personal injury" or "advertis-
ing injury" that:
a. is "bodily injury" or "property damage" caused
by an "occurrence" that takes place, or per
sonal injury' or "advertising injury" caused by
an offense that is committed, after you have
C 2°13'The Travelers Jndemnity Company; A1l.rights reserved.
includes copyrighted materiel of Insurance Services Office, Ind. with Its permission_
Page 3 of 7
COIVIMERCIAL GENERAL LIAlallrrY
signed and executed that contract or agree -
Merit; and
b. is tiatiaed, In whole- or in pail, by YOOr acts or
omissions in the maintenance, operation or
use by you of equipment [eased to you by
such equipment feeSer
The Insurance provided to such equipment lessor
is subject to the following provisions:
a. The limits of insurance provided to such
equipment le.ssOr will be the limits Which you
agreed to provide in the written contract or
agreeMent, or the limits shown on the Decla,
1`211011$ of this Coverage :Part, whichever are
less
b. The insUranCe .PrOVided to. such eqUipment
lessor does not apply to any 'bodily Injury" or
°property damage?caused by an "occurrenoe"
that takes place, or "personal injury" or "ad,
vertiaing Injuiy" caused by an Offeriso that is
conirnitted, after the equipment lease expires.
The Insurance provided to Such equIpMent
lessor is excess Over any valid and OCillectible
other Insurance available to such eaulPrnent
lessor, wriest you have agreed in a Written
contract for this insurande to apply ori a On -
Mary or centributbry basis,
G. INCIDENTAL MEDICAL MALPRACTICE
1. The following is added to the definition of "oc-
currence" in the DEFINITIONS Section;
Unless you are in the business or bCoupation
of prOviding professional health care servIdes,
"occurrence " MS means an act or omission
con-IMMO in providing Or failing to provide
"Molt:lento] medical services' to a person.
2. The following is added to the DEFINITIONS
Section:
"incideptal medical services" means:
a. Medical, surgical, dental, labOratorYt xry
or nursing service or Ireatinent, advice or
instruction, or the related furnishing of
food or beverages;
b. The fumiShing or dlapertsing of drugs or
rnedital, dental, or surgical supplies or
appliances;
c. First aid; or
d. " .Good Samaritan services".
0900 Samaritan services" Means any erner-
eonoy MeCilpal services for which no corripen-
Whin IS demanded or receiVed.
c.
Page 4 of 7
3. The following is added to Paragraph2.a.(1) of
SECTION 11— WHO IS AN INSURED:
Unlessyou are In the business or occupation
of providing professiOnal health care services,
Paragraphs 11)(a), (b), (c) end (d) abOve tin
not apply to. any "bodily. Injury" arising but of
any providing or felling to provide ineidentai
medical servicee by any of your "employees;
other than an •ernployed doctor. Any such
'employees" providing or Nang to provide
"Incidental medical services" during their work
hours for you will. be deemed to be acting
within the scope of their employment by you
or peiforining duties related to the conduct of
'.y�urfrs1ness.
4. The following exClusion is added 'to. Para-
graph 2., Exclusions, bf s,EcTioN — COV-
ERAGES COVERAGE A BODILY INJURY
AND PROPERTY DAMAGE.LIABILITY:
Sale Of Pharttl4cwaticala
Bodily injury" or 'property damage" arising
out of the willful violation of a penal statute or
ordinance relating to the sale of pharmeceuti,
ails Committed by, or with the knowledge or
tionsent of, the insured.
E. The following Is added to Paragraph 5. of
SECTION 111— LIMITS OF INSURANCE:
For the purposes of determining the applica-
ble -Each Occurrence Limit, all related acts or
omissions committed in the providing or fail-
ing to provide "incidental medics( services" to
any one parson will be considered one "oc-
currence".
G. The following is added to Paragraph 4.b., Ex-
cess Ifisurance, of SECTION IV — COM-
MERCIAL GENERAL LIABILITY CONDI-
TIONS:
This insurance is excess over any valid and
collectible other Insurance, whether primary,
excess; .contingent or on any other basis, that
is available to any of your "employees" for
"bodily injury" that arises .out of pmvicang er
falling to provide "incidental Medical services"
tO any person to the extent not subject to
Paragraph 2.a.(1} of SECTION II WHO IS
AN INSURED.
H. PERSONAL INJURY — ASSUMED BY CON-
TRACT
I. The f011owing replaces:Exclusion e., Contrac-
tual Liability; in Paragraph 2. of SECTION I
— COVERAGES — COVERAGE B:PER-
SONAL AND ADVERTISING INJURY
ABILITY;
0 201S The Travelers Indemnity Company. All rights reterveti. CO D4 58 01 13
hclUdeE copyrighted material of Inauranoe Services ()Moe, Inc. with Its permission.
u
•
008107
e. Contractual Liability
"Personal injury" or "advertising injury" for
which the insured Is: obligated to pay
damages by reason of the assumption of
liability in a contract or agreement_ This
exclusion does not apply to:
(1) Liability for damages that the insured
would have in the a'Iasenoe of the
contract br 8greereirt; or
(2) Liability for damages because of
`personal Injury" assumed in a con-
tract'Or agreement that is an "insured
0Ontraet", provided that the "personal
injury Is caused by an offense cqm-
rnttted subsequent to the execution of
the Centred or agreement, Solely for
the purposes of liability essurYtl in
an "insured contract". reasonable at-
tomeys fees and necessary litigation
expenses incurred by yr for a party
other than an insured will; be deemed
to be damages because of "personal
injury"; provided that:
(a) Liability tosuch party for, or for
the cost of; that patter's defense
has also been assumed in the
same 'Insured contract"; and
(b) Such attorney fees and: litigation
expenses are for :defense of that
party aealnst 0 We or alternative
dispute resokition proceeding in
Which damages to which this in-
surance applies are alleged.
2. The following replaces the third sentence of
Paragraph 2. of ,SUPPLEMENTARY PAY
MENTS — COVERAGES A AND 13:
Notwithstanding the provis►ons'of Paragraph
2:1j,(2) of Section I — Coverage A — Bodily In-
jury And Property Damage Liability or Pere -
'graph 2.e. ofSection 1 Coverage B — Per-
sona. and Advertising Injury ;Liability, such
payments will not be deemed to be damages
because of "bodily injury', 'property damage"
or "personal injury", and will not reduce the
limits of insanities.
S. The following. replaces Paragraph 2.d. of
SUPPLEMENTARY PAYMENTS — COVER-
AGES A AND B:
d. The allegations in the "suit" and the in-
formation we know about the `"occur-
rence" or -offense are.such that no:conflict
appears to.. exist between the interests of
CGp4sit 0713
COMMUMERCIAL GENERAL LIABILITY
the inetired and the interests of the rn-
dem:nitee;
4. The following replaces the first subparagraph
of Paragraph f. of the definition of "insured
contract" in the DEFINITIONS. Section:
f. That part of any other contractor.agree-
ment pertaining to your business (incled
ing ari tndemelfication of a rrn ntelpauty in
connection with work performed for a
nunialpal y) under wheel you assume the
tort liability :of another party le pay for
"bodily injury," "property damage" or ".per-
sonal injury" to a third person or organiza-
tion. Tort liability Means a liability that
Would be irnposed by law to the absence
of any contract or agfeernent.
I. AMENDED BODILY INJURY DEFINITION
The following replaces the :definition of -"bodily in -
Jury" in the DEFINITIONS Section:
"Bodily injury" means bodily injury, mental an-
guisth, mental injury, shock, fright, disability, hu-
miliation, sickness or disease sustained by a per-
son, including death resulting from any of these at
any time.
J. BODILY INJURY TO CO -EMPLOYEES AND
CO -VOLUNTEER WORKERS
The following is added to Paragraph 2.a.(1) of
SECTION II — WHO IS AN INSURED:
Paragraph (1)(a) ebbve does not apply to "bodily
Injury' to a co -"employee" in the course of the co -
employee's employment by you or performing
duties related to the conduct of your :business, or
to "bodily injury" to your other "volunteer wor'kerri"
while performing duties: related to the conduct of
your business:
K. AIRCRAFT CHARTERED WITH CREW
The following is added to Exclusion g., Aircraft,
Auto Or Watercraft, in Paragraph 2. of SECTION
I —. COVERAGES — COVERAGE A BODILY IN-
JURY AND PROPERTY DAMAGE LIABILITY:
This exccsion does not apply to an aircraft that
is
(a) Chartered with crew to any insured;
(b) Net owned by any insured; and
(c) Not being used to carry any person rr prop-
etty for a charge
L. NON -OWNED WATERCRAFT
1. The following replaces Paragraph (2) of Ex-
tluslon g., Aircraft, Auto Or Watercraft; in
Paragraph 2; of SECTION I COVERAGES
— COVERAGE A BODILY INJURY AND
PROPERTY DAMAGE LIABi LJTY
2018 The Travelers Indemnity Company. Al rights reserved. Page 5 of 7
Includes _copyrighted Material or insurance Services Oftice, Inc. with its permission.
COMMERCIAL GENERAL LIABILITY
12) A waterpraft you (10' net own that it:
(a) Fifty feet long ar less; and
(b) Notbeing used to carry any person or
ProPEAY for a Print%
2. The following is added to Paragraph 2. Of
SECTION 11WHO IS AN INSURED
Any person or organization that, valh your ex-
press or Implied consent either uses or is re-
sponsible for the use of a Watercraft that you
do not own that is:
(1) Fifty feet long qr.:less; and
(2) Not being OSed to carry: any person or
• propertyfor a charge.
M. INCREASED SUPPLEMENTARY PAYMENTS
1. The following replaces Paragraph 1.b. -of
SUPPLEMENTARY PAYMENTS — COVER-
AGES A AND 8 of SECTION I — COVER..
AGES
b. Up to $2,500 for cost of ball bonds re-
quired because of accidents or traffic law
violations arising out of the use of any
vehicle to which the Bodily injury Liability
Coverage applies. We do not have to fur-
nish these bonds.
2. The following reptaces Paragraph 1.d. of
SUPPLEMENTARY PAYMENTS - COVER-
AGES A AND. Er of SECTION I - COVER-
AGES;
d. All :reasonable expenses incurred by the
insured at our request to assist us in the
investigation or defense of the claim ar
including actual low of earnings up
to $600 a day because of time off from
work.
N. MEDICAL PAYMENTS - INCREASED LIMIT
The following replaces Paragraph 7. of SECTION
111 - LIIVIITS OPINSLIRANCE.
7. Subject to S. above, the Medical Expense
Unlit is the most we wilt pay under Coverage
C. for all -memosl expenses because of 'bod-
ily injury" sustained by, any one person, and
will be the higher of:
(a) $1P,000.
(b) The amount shown on the Declarations of
this Coverage Part for Medical Expense
Lithe.
O. KNOWLEDGE AND NOTICE OF OCCUR-
RENCE OR OFFENSE
The following is added to ParagraPh 2., Duties In
The Event of Occurrence, Offense, Claim or
Suit, of SECTION TV — COMMERCIAL GEN-
ERAL LIABILITY CONDMONS:
Pege 6 of 7
e. The following provisions apply to Paragraph
•p. above, but only for the purposes of the in-
surance provided under this *Coverage Part to
you or any Insured listed in Paragraph 1. ar 2.
of Seddon II Who Is An insured;
(1) Notiee to us of such "occurrence" or of-
fense mtist be given as soon as practica-
ble only after the "occurrence" or offense
is known to you (if you are an individual),
any of your partners or members who is
an individual (if you are a partnership. or
Ant Ventura), any of your managers who
is an Individual (if you are a limited liability
company), any of your 'trustees Who is an
Individual (if you are, a trust), any of your
'executive officers" or directors (If you are
an organization other than a partnership,
joint venture, limitedliability company or
trust) or any "employee" ,atIthorized by
you to give notice of an "occumnice or
offense.
(2) If you are a partnership, joint venture, lim-
ited liability company or trust, and none of
your partners, ,joint venture members,
managers or trustees are individuals, no-
tice to us of such 'occurrence or offense
must be given as soon as practicable only
after the "occurrence" or offense is known
by:
(a) Any Individual who is:
(i) A partner or member of any part-
nership or pint venture;
(ii) A manager of:any Ilrniteri liability
company;
(I(i) A trustee of any trust; or
(iv) Ari exeoutive officer or director of
any other organization;
that Is your partner, joint Venture
member, manager or twatee; or
(b) Any "employee' authorized try such
partnership, Joint venture, limited li-
ability company; trust or other organi-
zation to give notice of an "occur-
rence" or offense,
(3) Notice to us of such "occurrence" or of
-
tense will be deemed to be given as soon
as Practicable if it is given good faith as
soon a$ practicable to yout- workers'
compensation inturer, This :applies only if
you subsequently give notice to us of the
"occurrence".or offense as soon as prac-
ticable after any of the persons described
in Paragraphs e,(1) or (2) above discOv-
2013 The Travelers IhdemnIty, Company, AU righta reserved. CG 04 S8 07 13
Includes copyrighted material of Insurance Set -vales Moe, In. with its permisson.
Wig
10
C
0
imnimmen
i�
O�
lR�r'rr+
r�LEJ
a�
entitle
ors that the "occurrence° or offense may
result in sums to which the insurance
provided ender this Goveratle Part spay
apply,
However, ,if this policy Includes an endorse -
Melt that provides :limited coverage for "bod-
ily injury" or "property damage° or pollution
cots arising out of a .discharge, release or
escape of "pollutants" Which contains a re-
quirement that the discharge, release or es-
gape of "pollutants" must be reported to us
within a specific number of days after its
abrupt commencement, this Paragraph e.
does riot aired that regi irehlent.
P. 1111:1tNTENTJONA1.. OMISSION
The following is added to Paragraph 6., Repre-
sentations, of SECTION IV COMMERCIAL
GENERAL LIABILITY CONDITIONS
The unintentional omission of, or unintentional er-
ror in, any information provided by you which we
relied upon in issuing this policy will not prejudice
G`OMMFRC1AL'GENERAL LIABILITY
your rights under this insurance, However, this
provision does not affect our right to collect addi<
3 onai prerniu m or to exercise our rights of cancel-
lation or norirenewal in c:W. trine with applica-
ble Insuran ie laws or regulations.
O. REASONABLE FORCE — BODILY INJURY OR
PROPERTY DAMAGE
The fellowitig replaces Exclusion a., Expected Or
Intended injury., ID Paragraph 2: of SECTION 1—
COVEItAGES - .COVERAGE A BODILY IN-
JURY AND PROPERTY DAMAGE LIABILITY:
a. Expected or Intended Injury or Damage
"Bodily injury" or "property damage' .expected
or Intended from the standpoint of the In-
sured; This exclusion does not apply to "bed -
fly injury' or "property damage" resulting from
the use of reasonable force to prated any
person or property.
CO D4 58 07 13 ib 201.3 The Travelers Indemnity Company. All rights reserved. Page 7 of 7
Includes copyrighted material of Insurance SQrvldes Office, Inc. with its permission.
Policy # 630 3E629203 17
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
OTHER INSURANCE ADDITIONAL INSUREDS
This endorsement modes insurance provided under the following: •
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PROVISIONS
COMMERCIAL GENERAL LIABILITY CONDITIONS
(Section IV), Paragraph 4. (Other Insurance), is
amended as follows:
1. The following is added to Paragraph a. Primary
Insurance:
However, if you specifically agree in a written con-
tract or written agreement that the insurance pro-
vided to an additional insured under this
Coverage Part must apply on a primary basis, or
a primary and non-contributory basis, this insur-
ance is primary to other insurance that is avail-
able to such additional insured which covers such
additional insured as a named insured, and we
will not share with that other insurance, provided
that:
a. The "bodily Injury" or "property damage" for
which coverage is sought occurs; and
CGi30370405
b. The "personal Injury" or "advertising injury" for
which coverage is sought arises out of an of-
fense committed
subsequent to the signing and execution of that
contract or agreement by you.
2. The first Subparagraph (2) of Paragraph b. Ex-
cess insurance regarding any other primary in-
surance available to you is deleted.
3. The following is added to Paragraph b. Excess
Insurance, as an additional subparagraph under
Subparagraph (1):
That is available to the insured when the insured
is added as an additional insured under any other
policy, including any umbrella or excess policy.
Copyright 2005 The St. Paul Travelers Companies, Inc. All rights reserved. Page 1 of 1
�CtiO L Cj
August 28, 2017
Mr. Mark Heddy
Rayzist Photomask, Inc.
dba Honor Life, Inc.
955 Park Center
Vista, CA 92081
Dear Mr. Heddy,
CITY OF NATIONAL CITY
Office of the City Clerk
1243 National City Blvd., National City, California 91950
619-336-4228
Michael R. Dalla, CMC - City Clerk
On August 21, 2017, an Agreement was entered into between the City of National City
and Rayzist Photomask, Inc., D.B.A. "Honor Life, Inc.".
We are enclosing for your records a fully executed original Agreement.
Sincerely,
AUJI
Michael R. Dalla, CMC
City Clerk
Enclosure
�CtiO L Cj
August 28, 2017
Mr. Mark Heddy
Rayzist Photomask, Inc.
dba Honor Life, Inc.
955 Park Center
Vista, CA 92081
Dear Mr. Heddy,
CITY OF NATIONAL CITY
Office of the City Clerk
1243 National City Blvd., National City, California 91950
619-336-4228
Michael R. Dalla, CMC - City Clerk
On August 21, 2017, an Agreement was entered into between the City of National City
and Rayzist Photomask, Inc., D.B.A. "Honor Life, Inc.".
We are enclosing for your records a fully executed original Agreement.
Sincerely,
AUJI
Michael R. Dalla, CMC
City Clerk
Enclosure