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2017 CON Geraldo Cortez DBA National City Electric - Electric Services
FIRST AMENDMENT TO THE AGREEMENT BY AND BETWEEN THE CITY OF NATIONAL CITY AND GERALDO CORTEZ, AN INDIVIDUAL D.B.A. "NATIONAL CITY ELECTRIC" THIS FIRST AMENDMENT TO THE AGREEMENT is entered into this 30th day of November, 2017, by and between the CITY OF NATIONAL CITY, a municipal corporation ("CITY"), and GERALDO CORTEZ, an individual, D.B.A. "NATIONAL CITY ELECTRIC" (the "CONTRACTOR"). RECITALS WHEREAS, The CITY and the CONTRACTOR entered into an Agreement on July 3, 2017 ("the Agreement"), wherein the CONTRACTOR agreed to provide City-wide, on -site electrical maintenance, including, but not limited to repairs and remodeling as -needed, for a not - to -exceed amount of $10,000; and WHEREAS, the parties desire to amend the Agreement to increase the not -to -exceed amount by $10,000, for a total not -to -exceed amount of $20,000. AGREEMENT NOW, THEREFORE, the parties hereto agree that the Agreement entered into on July 3, 2017, shall be amended to increase the not -to -exceed amount by $10,000, for a total not-t- exceed amount of $20,000. The parties further agree that with the foregoing exception, each and every term and provision of the Agreement dated July 3, 2017, shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to the Agreement on the date and year first above written. CITY OF NATIONAL CITY B Leslie Deese, City Manager APPROVED AS TO FORM: By: Angil P. Morris -Jones Cit orney Bv: ` oberto M. Contreras Deputy City Attorney GERALDO CORTEZ, AN INDIVIDUAL D.B.A. "NATIONAL CITY ELECTRIC' By: Ge Ido Cortez, 0 Exhibit A National City Electric PO Box 1375 National City, CA 91951 Phone (619) 857-0397 Fax (619) 651-8881 Email: ncelectricl@gmail.com License C-10 #843770 05 5/2017 City of National Ctty 1243 National City Blvd. National City, CA 9150 Att: Arturo Gonzalez In reference to our service we provide to the city of National City. Our hourly rates are as follows: $110 Per Man Hour ( These rates are for normal business hours: Monday -Friday 8:00AM-4:30PM ) $135 Per Man Hour (Overtime Rate: After 4:30PM Monday -Friday, Weekends, and Holidays) $135 Per Man Hour: Prevailing Wages• ( These rates are for normal business hours: Monday - Friday 8:00AM-4:30PM ) These rates are portal to portal. An electrical contractor places, installs, erects or connects any electrical wires, fixtures, appliances, apparatus, raceways, conduits, solar photovoltaic cells or any part thereof, which generate, transmit, transform or utilize electrical energy in any form or for any purpose. We appreciate your business and look forward to serving you. Sincerely, G r Id° Cortez, 0 ner City of National City Page Legal Name Registration Number County City Registration Date Expiration Date GERALDO CORTEZ 1000040894 SAN DIEGO NATIONAL CITY 06/13/2017 06/30/2018 ACt RL' CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 11/21/2017 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 is an ADDITIONAL INSURED. the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER INSURED CSS INSURANCE SERVICES 40 THIRD AVENUE CHULA VISTA, CA 91910 License #: 0181019 GERALDO CORTEZ DBA: NATIONAL CITY ELECTRIC PO BOX 1375 NATIONAL CITY, CA 91951-1375 COVERAGES CERTIFICATE NUMBER nnnnnnnn_ CONTACT NAME: Daniel E. McKenna PHONE (A/C No Ext): E-MAIL ADDRESS: (619)427-2662 cwc, No): (619)427-0468 dan@californiaspecialservices.com INSURER(S) AFFORDING COVERAGE INSURER A : U.S. SPECIALTY INSURANCE COMPANY California Auto Insurance Company 138342 INSURER B INSURER C : NAIC # INSURER D : INSURER E : INSURER F : 'xi- V .JR../lN I UrviOEN: l i 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. f -43I TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF 1 POLICY EXP (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A f X ^COMMERCIAL GENERAL LIABILITY Y U17AC94422-01 09/28/2017 09/28/2018 EACH OCCURRENCE ; $ 1 000 000 ' CLAIMS -MADE I OCCUR DAMAGE TO RENTED ,— — PREMISES (Ea occurrence) $ 100,000 MED EXP (Any 5,000 one person) I $ PERSONAL & ADV INJURY I 1 000 000 LGEN'LAGGREGATE D MIITAPPLIESPER: $ GENERAL AGGREGATE 1 $ 2,000,Q00 1 X, POLICY JI JECT LOC PRODUCTS - COMP/OP AGG I $ 2, 000 000 ' ' OTHER: 1 $ B `AUTOMOBILE LIABILITY BA040000018556 10/29/2017 10/29/2018 COMBINED SINGLE LIMIT I $ (Ea accident) 1 000,000 X ANY AUTO _ OWNED SCHEDULED BODILY INJURY (Per person) f $ � AUTOS ONLY ___ HIRED AUTOS NON -OWNED BODILY INJURY (Per accident) i $ AUTOS ONLY — AUTOS ONLY PROPERTY DAMAGE (Per accident) $__ A X 1 UMBRELLA LIAB X O OCCUR Y U17AC94422-01 09/28/2017 09/28/2018 EACH OCCURRENCE j $ 2,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE 2,000,000 1 1 DED 7 1 RETENTION $ I $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/ N 1 PER I STATUTE I ERH I ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A E.L. EACH ACCIDENT $ (Mandatory in NH) If yes, describe under E.L. DISEASE - EA EMPLOYEE] $ D DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT I $ A CONTRACTORS PERS PRO U17AC94422-01 09/28/2017 ' 09/28/2018 STANDARD PACKAGE DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CITY OF NATIONAL CITY ITS ELECTED OFFICERS, AGENTS, EMPLOYEES & VOLUNTEERS n rr�rr-...ear ..... ...-... CANCELLATION CITY OF NATIONAL CITY 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 t21,.1✓i /i)/ ACORD 25 (2016/03) (DEM) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Printed by DEM on November 21, 2017 at 10:03AM POLICY NUMBER: U17AC94422-01 COMMERCIAL GENERAL !ABILITY HCS 04 06 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFU LY. PRIMARY AND NONCONTRIBUTORY AND BLANK T WAIVER OF SUBROGATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART A. PRIMARY AND NON-CONTRIBUTORY TO OTHER INSURANCE With respect to any person or organization that is an additional insured under this Coverage Part, the following is added to paragraph 4. of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: If you have agreed in writing in a contract or agreement that this insurance is primary and non- contributory relative to an additional insured's own insurance, then this insurance is primary and we will not seek contribution from that other insurance. For the purpose of this endorsement, the additional insured's own insurance means insurance on which the additional insured is a Named Insured. When this endorsement is attached to the policy it supersedes all other insurance conditions within. HCS 040 06 10 13 B. WAIVER OF SUBGROGRATION — BLANKET Under SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, The Transfer Of Rights Of Recovery Against Other To Us Condition is amended by the addition of the following: We waive any right of recovery we r{iay have against any person or organization because of payments we make for injury or damage arising out of: a. Your ongoing operations; or b. "Your work" included in the "products - completed operations hazard". However, this waiver applies only when ,you have agreed in writing to waive such rights ofl recovery in a contract or agreement, and only if the contract or agreement: a. Is in effect or becomes effective during the term of this policy; and b. Was executed prior to loss. Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of "t POLICY NUMBER: U17AC94422-01 COMMERCIAL GENERAL LIABILITY CG 2010 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -- OWNERS, LESSEES CONTRACTORSOR -- SCHE.DULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Any person or organization for whom you are performing operations during the policy period when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Location(s) Of Covered Operati Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) desig- nated above. CG 20 10 07 04 ons B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equip- ment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the locati n of the covered operations has been complet d; or 2. That portion of "your work" out of vyhich the injury or damage arises has been put to its in- tended use by any person or organiza#ion other than another contractor or subcontr..ctor en- gaged in performing operations for a principal as a part of the same project. © ISO Properties, Inc., 2004 Page 1 of 1 POLICY NUMBER: U17AC94422-01 COMMERCIAL GENERAL LIABILITY CG20370704 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED - OWNERS, LESSEES SEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Any person or organization, when you and such parties have agreed in writing in a contract or agreement pertaining to "your work" performed during the policy period. This additional insured coverage does not apply to "excluded residential construction". "Excluded residential construction" means: a) the ground -up construction of any building whose units will be individually owned and titled; and, b) "your work" performed on the conversion of any building into a condominium or townhome. Location And Description Of Completed Operations Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section it — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property dam- age" caused, in whole or in part, by "your work" at the location designated and described in the sched- ule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". CG20370704 © ISO Properties, Inc., 2004 Page I of 1 HCC Named Insured: NATIONAL CITY ELECTRIC Policy Number: U16AC94422-00 Insurer U.S. Specialty Ins Co —Admitted Carrier Endorsement Effective Date: 03/29/2017 Change Endorsement Number: 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY GENERAL CHANGE ENDORSEMENT The following endorsement modifies policy terms provided by the above listed policy number. Form CG 24 04 05 09 — Waiver Of Transfer Of Rights Of Recovery Against Others To Us — Scheduled Person or Organization is added to the policy with the following scheduled information: Name of Person(s) or Organizations): CITY OF NATINAL CITY ITS ELECTED OFFICERS AGENTS, & EMPLOYEES 1243 NATIONAL CITY BLVD NATIONAL CITY CA 91950 Location: 1243 NATIONAL CITY BLVD NATIONAL CITY CA 91950 Description of Operations: Commercial Electrical repair/remodel work ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED HCS 060 08 11 12 Page 1 of 1 POLICY NUMBER: U16AC94422-00 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: CITY OF NATIONAL CITY ITS ELECTED OFFICERS, AGENTS, & EMPLOYEES 1243 NATIONAL CITY BLVD NATIONAL CITY CA 91950 Location: 1243 NATIONAL CITY BLVD NATIONAL CITY CA 91950 Description of Operations: Commercial Electrical repair/remodel work Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products -completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 0 POLICYHOLDER COPY STATE LonnF1-N1, M0N I N SUPA NT E FUND ISSUE DATE: 04-19-2017 P.O. BOX 8192, PLEASANTON, CA 94588 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE CITY OF NATIONAL CITY 1243 NATIONAL CITY BLVD NATIONAL CITY CA 91950-4301 SC GROUP: POLICY NUMBER: 9 157220-2017 CERTIFICATE ID: 2 CERTIFICATE EXPIRES: 04-19-2018 04-19-2017/04- 19-2018 This is to certify that we have issued a valid Workers' Compensation insurance, policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 10 days advance written notice to the employer. We will also give you 10 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or after the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. i"/ V Authorized Representative President and CEO UNLESS INDICATED OTHERWISE BY ENDORSEMENT, COVERAGE UNDER THIS POLICY EXCLUDES THE FOLLOWING: THOSE NAMED IN THE POLICY DECLARATIONS AS AN INDIVIDUAL EMPLOYER OR A HUSBAND AND WIFE EMPLOYER; EMPLOYEES COVERED ON A COMPREHENSIVE PERSONAL LIABILITY INSURANCE POLICY ALSO AFFORDING CALIFORNIA WORKERS' COMPENSATION BENEFITS; EMPLOYEES EXCLUDED UNDER CALIFORNIA WORKERS' COMPENSATION LAW. EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #2570 ENTITLED WAIVER OF SUBROGATION EFFECTIVE 2017-04-19 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. THIRD PARTY NAME: CITY OF NATIONAL CITY EMPLOYER CORTEZ, GERALDO DBA: NATIONAL CITY ELECTRIC PO BOX 1375 NATIONAL CITY CA 91951 [P1C,HO] (REV.7-2014) PRINTED : 07-24-2017 WAIVER OF SUBROGATION NOTICE Enclosed is your copy of a certificate of insurance on which the certificate holder required a waiver of subrogation: 1. Please be advised that a waiver of subrogation requires that a 3% surcharge will be applied by State Fund ONLY to the premium assessed on the payroll of your employees earned while engaged in work for that certificate holder who requested the waiver. (Note: if you have no employee payroll on that job, then there is no charge.) 2. To apply the 3% surcharge, you must also agree to maintain accurately segregated payroll records for employees engaged in work on job/s for the certificate holder who has the waiver. The payroll records are subject to verification by an auditor. Example: Payroll for job: Sample Rate: Regular Premium equals: Surcharge: $5,000.00 13 . 30 0 $ 665.00 3.000 Additional Waiver charge: $ 19.95 Total premium equals $ 684.95 (665.00 + 19.95) „,,,,,, uuU///Ui 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 December 7, 2017 Mr. Geraldo Cortez National City Electric P.O. Box 1375 National City, CA 91950 Dear Mr. Cortez, On November 30th, 2017, a First Amendment to an Agreement was entered into between the City of National City and Gerald Cortez, D.B.A. "National City Electric”. We are enclosing for your records a fully executed original First Amendment to the Agreement. Michael R. Dalla, CMC City Clerk Enclosure