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2020 CON SWCS Inc. - Civic Center Boiler Replacement, CIP No. 19-52
OWNER - CONTRACTOR AGREEMENT CIVIC CENTER BOILER REPLACEMENT PROJECT, CIP NO. 19-52 This Owner -Contractor Agreement ("Agreement") is made by and between the City of National City, 1243 National City Boulevard National City, California 91950 and SWCS, Inc. ("Contractor"), 11653 Riverside Drive, Suite 153, Lakeside, CA 92040, on the 29th of January, 2020, for the construction of the above referenced Project. In consideration of the mutual covenants and agreements set forth herein, the Owner and Contractor have mutually agreed as follows: 1. CONSTRUCTION The Contractor agrees to do all the work and furnish all the labor, services, materials and equipment necessary to construct and complete the Project in a turn -key manner in accordance with this Agreement and all documents and plans referenced in Exhibit "A", (hereinafter "Contract Documents"), in compliance with all relevant Federal, State of California, County of San Diego and City of National City codes and regulations, and to the satisfaction of the Owner. 2. CONTRACT PRICE Owner hereby agrees to pay and the Contractor agrees to accept as full compensation for constructing the project in accordance with these Contract Documents in an amount not to exceed the contract price as set forth in Exhibit "B" attached hereto and incorporated herein by reference. Payments to the Contractor shall be made in the manner described in the Special Provisions. 3. TIME FOR PERFORMANCE Time is of the essence for this Agreement and the Contractor shall construct the project in every detail to a complete and turn -key fashion to the satisfaction of the Owner within the specified duration set forth in the Special Provisions. 4. NON-DISCRIMINATION In the performance of this Agreement, the Contractor shall not refuse or fail to hire or employ any qualified person, or bar or discharge from employment any person, or discriminate against any person, with respect to such person's compensation, terms, conditions or privileges of employment because of such person's race, religious status, sex or age. S. AUTHORIZED OWNER REPRESENTATIVES On behalf of the Owner, the Project Manager designated at the pre -construction meeting shall be the Owner's authorized representative in the interpretation and enforcement of all Work performed in connection with this Agreement. 6. WORKERS' COMPENSATION INSURANCE a) By my signature hereunder, as Contractor, I certify that I am aware of the provisions of Section 3700 of the Labor Code, which requires every employer to be insured against liability for Workers' Compensation or to undertake self-insurance in accordance with the provisions of that Code, and I will comply with such provisions before commencing the performance of the Work of this Agreement. b) The Contractor shall require each subcontractor to comply with the requirements of Section 3700 of the Labor Code. Before commencing any Work, the Contractor shall cause each subcontractor to execute the following certification: "I am aware of the provisions of Section 3700 of the Labor Code, which requires every employer to be insured against liability for worker's compensation or to undertake self-insurance in accordance with the provisions of that Code, and I will comply with such provisions before commencing the performance of the Work of this Agreement." 7. ENTIRE AGREEMENT; CONFLICT The Contract Documents comprise the entire agreement between the Owner and the Contractor with respect to the Work. In the event of conflict between the terms of this Agreement and the bid of the Contractor, then this Agreement shall control and nothing herein shall be considered as an acceptance of the terms of the bid conflicting herewith. 8. MAINTENANCE OF AGREEMENT DOCUMENTATION Contractor shall maintain all books, documents, papers, employee time sheets, accounting records and other evidence pertaining to costs incurred and shall make such materials available at its office at all reasonable times during the term of this Agreement and for three (3) years from the date of final payment under this Agreement, for inspection by Owner and copies thereof shall be furnished to Owner if requested. 9. INDEPENDENT CONTRACTOR At all times during the term of this Agreement, Contractor shall be an independent contractor and shall not be an employee, agent, partner or joint venturer of the Owner. Owner shall have the right to control Contractor insofar as the results of Contractor's services rendered pursuant to this Agreement; however. Owner shall not have the right to control the means by which Contractor accomplishes such services. 10. LICENSES AND PERMITS Contractor represents and declares to Owner that: it has all licenses, permits, qualifications and approvals of whatever nature which are legally required to practice its profession. Contractor represents and warrants to Owner that Contractor shall, at its sole cost and expense, keep in effect at all times during the term of this, Agreement, any licenses, permits, qualifications or approvals which are legally required for Contractor to practice its profession. 11. GOVERNING LAW, VENUE This Agreement and the Contract Documents shall be construed under and in accordance with the laws of the State of California, and the appropriate venue for any action or proceeding arising from this Agreement and'/or the Contract Documents shall be had in the Superior Court of San Diego, Central Branch. 12. COUNTERPARTS This Agreement may be executed in any number of counterparts, each of which shall for all purposes be deemed to be an original. 13. FALSE CLAIMS. Contractor acknowledges that if a false claim is submitted to the Owner, it may be considered fraud and Contractor may be subject to criminal prosecution. Contractor acknowledges that the False Claims Act, California Government Code sections 12650, et seq., provides for civil penalties where a person knowingly submits a false claim to a public entity. These provisions include within their scope false claims made with deliberate ignorance of the false information or in reckless disregard of the truth or falsity of the information. In the event the Owner seeks to recover penalties pursuant to the False Claims Act, it is entitled to recover its litigation costs, including attorneys' fees. Contractor hereby acknowledges that the filing of a false claim may the Contractor to an administrative debarment proceeding wherein Contractor may be prevented from further bidding on public contracts for a period of up to five (5) years. I have read and understood all of the provisions of this Section 15, above: (Initial) (Initial) 14. AGREEMENT MODIFICATION This Agreement and the Contract Documents may not be modified orally or in any manner other than by an amendment in writing and signed by the Owner and the Contractor. IN WITNESS WHEREOF this Agreement is executed as of the date first written above. Owner: Brad Rfiufston City Manager, City of National City APPROVED AS TO FORM: By: A is -Jo es City o ey (owner/officer signature) Gerald Smith, President/Secretary Print name and title fo' iature if a corporati -phanie Smith, Vice President/Treasurer Print name and title Pending 1/28/2020 Contractor's City Business License No. 967347 State Contractor's License No. and Class 11653 Riverside Drive, Suite 153 Business street address Lakeside, CA 92040 City, State and Zip Code EXHIBIT A CONTRACT DOCUMENTS Owner/Contractor Agreement Bid Schedule Addenda Plans Special Provisions (Specifications) San Diego County Regional Standard Drawings City of National City Standard Drawings Standard Specifications for Public Works Construction and Regional Supplements (Greenbook) State Standard Specifications State Standard Plans California Building, Mechanical, Plumbing and Electrical Codes Permits issued by jurisdictional regulatory agencies Electric, gas, and communications companies specifications and standards Sweetwater Authority specifications and standards Specifications, standards and requirements of MTS, BNSF, SANDAG, Port of San Diego and all other agencies that may be adjacent and/or affected by the project. EXHIBIT B CONTRACT PRICE (NOTE - TO BE COMPLETED TO CONFORM WITH BID SCHEDULE ITEMS) Exhibit B Bid Sheet National City Civic Center Boiler Replacement, CIP No. 19-52 Item # Item Description (S) Indicates Specialty Item Quantity Unit Unit Price Amount 1 Mobilization/demobilization 1 LS $8,598.00 $8,598.00 2 Demolish existing boilers and associated components 1 LS $2,318.00 $2,318.00 3 Demolish existing system pumps 1 LS $580.00 $580.00 4 Install new boilers and associated components 1 LS $66,202.00 $66,202.00 5 Install new system pumps 1 LS $5,795.00 $5,795.00 National City Civic Center Boiler Replacement Total: $83,493.00 CORPORATE CERTIFICATE I, Gerald Smith certify that I am the Secretary of the Corporation named as Contractor in the foregoing Contract; that Gerald Smith , who signed said contract on behalf of the Contractor, was then President of said Corporation; that said contract was duly signed for and in behalf of said Corporation by authority of its governing body and is within the scope of its corporate powers. I, Gerald Smith certify that I am the Secretary of the Corporation named as Contractor in the foregoing Contract; that Gerald Smith , who signed said contract on behalf of the Contractor, was then President of said Corporation; that said contract was duly signed for and in behalf of said Corporation by authority of its governing body and is within the scope of its corporate powers. Corporate Seal: PARTNERSHIP CERTIFICATE STATE OF N/A ) ) ss COUNTY OF On this day of , 20 , before me, the undersigned, a Notary Public in and for said County and State, personally appeared: (Notary Seal) known to me to be of the partners of the partnership that executed the within instrument, and acknowledged to me that such partnership executed the same. Signature: Name (Type or Print): (Notary Public in and for said County and State) My Commission expires: Executed in Tnplicate Bond No 6131007855 Premium: $1,202.00 PERFORMANCE BOND WHEREAS, the City Manager of the City of National City, on the 29t' day of January. 2020, has awarded SWCS, Inc., hereinafter designated as the "Principal", the CIVIC CENTER BOILER REPLACEMENT PROJECT, CIP NO. 19-52. WHEREAS, said Principal is required under the terms of said contract to furnish a bond for the faithful performance of said contract. NOW, THEREFORE, we, the Principal and United States Fire Insurance Company as surety, are held and firmly bound unto the City of National City, hereinafter called the "City", in the penal sum of Eighty Three Thousand, Four Hundred Ninety Three ($83,493.00) awful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators and successors, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT if the above bounden Principal, his/her or its heirs, executors, administrators, successors or assigns, shall in all things stand to and abide by, and well and truly keep and perform the covenants, conditions and agreements in the said contract any alteration thereof made as therein provides, on his or their part, to be kept and performed at the time and in the amount therein specified, and in all respects according to their true intent and meaning, and shall indemnify and save harmless the City of National City, its officers, agents, employees, and volunteers as therein stipulated, then this obligation shall become null and void; otherwise it shall be and remain in full force and virtue. And the said Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the contract or to the work to be performed herein or the specifications accompanying the same shall in any wise affect its obligations on this bond, and it does hereby waive notice of any such change, extension of time, alteration or additions to the terms of the contract or to the work or to the specifications. In the event suit is brought upon this bond by the City and judgment is recovered, the surety shall pay all costs incurred by the City in such suit, including a reasonable attorney's fee to be fixed by the Court. IN WITNESS WHEREOF three identical counterparts of this instrument, each of which shall for all purposes be deemed an original thereof, have been duly executed by the Principal and Surety above named, on the 28th day of January , 20 20 . SWCS, Inc U ted States Fire Insurance Company (SEAL) dba uthwest Const ct (SEAL) (SEAL) Tara Bacon, Attomey-in-Fact A.0124:di/th Surety Principal Servi s (SEAL) EAL) (SEAL) ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of San Diego On 1/29/2020 before me, Samantha Smith, Notary Public (insert name and title of the officer) personally appeared Gerald Smith who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature .- (Seal) SAMANTHA SMITH Notary Public - California San Diego County Commission # 2286053 My Comm. Expires Apr 23, 2023 PERFORMANCE BOND ATTORNEY -IN -FACT ACKNOWLEDGEMENT OF SURETY STATE OF COUNTY OF ) ) 55 **SEE ATTACHE CKNOWLEDGEMENT** On this day of , 20 , before me, undersigned, a Notary Public in and for said County and S - e, personally appeared known to me to be the person whose name is subscribed to the within trument as the attorney -in -fact of the , the corporation named as Surety in said instrument, and ackno dged to me that he subscribed the name of said corporation thereto as Sur , and his own name as attorney -in -fact. NOTE: Signat - of those executing for ety must be properly acknowledged. NOTE: The Attorney -in -fact must attach a certified copy of the Power of Attorney. Signature: Name (Type or Print): Notary Public in and for said County and State My Commission expires: CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of San Diego On January 28, 2020 before me, Maria Hallmark, Notary Public (insert name and title of the officer) personally appeared Tara Bacon who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of Califomia that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signatu (Seal) MARIA HALLMARK Notary Public - California .c.sy San Diego County Commission # 2161086 _ _ My Comm. Expires Aug 22_2020 POWER OF ATTORNEY UNITED STATES FIRE INSURANCE COMPANY PRINCIPAL OFFICE - MORRISTOWN, NEW JERSEY 48033 KNOW ALL MEN BY THESE PRESENTS: That United States Fire Insurance Company, a corporation duly organized and existing under the laws of the state of Delaware. has made. constituted and appointed, and does hereby make, constitute and appoint: Tara Bacon. Dale Harshaw, Minna Huovila, Kyle King, John R. Qualin, Geoffrey Shelton each, its true and lawful Attomey(s)-In-Fact, with full power and authority hereby conferred in its name, place and stead. to execute. acknowledge and deliver: Any and all bonds and undertakings of surety and other documents that the ordinary course of surety business may require, and to bind United States Fire Insurance Company thereby as fully and to the same extent as if such bonds or undertakings had been duly executed and acknowledged by the regularly elected officers of United States Fire Insurance Company at its principal office, in amounts or penalties not exceeding: Fifty Million Dollars (850,000,000). This Power of Attorney limits the act of those named therein to the bonds and undertakings specifically named therein, and they have no authority to bind United States Fire Insurance Company except in the manner and to the extent therein stated. This Power of Attorney revokes all previous Powers of Attorney issued on behalf of the Attorneys -In -Fact named above and expires on January 31, 2020. This Power of Attorney is granted pursuant to Article IV of the By -Laws of United States Fire Insurance Company as now in full force and effect, and consistent with Article III thereof, which Articles provide, in pertinent part: Article IV, Execution of Instruments - Except as the Board of Directors may authorize by resolution, the Chairman of the Board, President, any Vice -President, any Assistant Vice President, the Secretary, or any Assistant Secretary shall have power on behalf of the Corporation: (a) to execute, affix the corporate seal manually or by facsimile to. acknowledge, verify and deliver any contracts, obligations, instruments and documents whatsoever in connection with its business including, without limiting the foregoing, any bonds, guarantees, undertakings, recognizances, powers of attorney or revocations of any powers of attorney, stipulations. policies of insurance, deeds, leases, mortgages, releases. satisfactions and agency agreements; (b) to appoint, in writing. one or more persons for any or all of the purposes mentioned in the preceding paragraph (a), including affixing the seal of the Corporation. Article III, Officers. Section 3.11. Facsimile Signatures. The signature of any officer authorized by the Corporation to sign any bonds, guarantees. undertakings, recognizances, stipulations. powers of attomey or revocations of any powers of attorney and policies of insurance issued by the Corporation may be printed, facsimile, lithographed or otherwise produced. In addition. if and as authorized by the Board of Directors. dividend warrants or checks, or other munerous instruments similar to one another in form, may be signed by the facsimile signature or signatures. lithographed or otherwise produced. of such officer or officers of the Corporation as from time to time may be authorized to sign such instruments on behalf of the Corporation. The Corporation may continue to use for the purposes herein stated the facsimile signature of any person or persons who shall have been such officer or officers of the Corporation, notwithstanding the fact that he may have ceased to be such at the time when such instruments shall be issued. IN WITNESS WHEREOF. United States Fire Insurance Company has caused these presents to be signed and attested by its appropriate officer and its corporate seal hereunto affixed this 10th day of March, 2016. UNITED STATES FIRE INSURANCE COMPANY Anthony R. Slimowicz, Executive Vice President State of New Jersey} County of Morris } On this 10th day of March 2016, before me. a Notary public of the State of New Jersey, came the above named officer of United States Fire Insurance Company, to me personally known to be the individual and officer described herein. and acknowledged that he executed the foregoing instrument and affixed the seal of United States Fire Insurance Company thereto by the authority of his office. SONIA SCALA NOTARY PLBLIC OF NEW JERSEY Sonia Scala (Notary Public) MY COMMISSION EXPIRES 3/25/2024 No. 2163686 I. the undersigned officer of United States Fire Insurance Company, a Delaware corporation, do hereby certify that the original Power of Attorney of which the foregoing is a full, true and correct copy is still in force and effect and has not been revoked. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the corporate seal of United States Fire Insurance Company on January 28, 2020. UNITED STATES FIRE INSURANCE COMPANY Peter M. Quinn, Senior Vice President Executed in Triplicate PAYMENT BOND Bond No 6131007855 Premium included in Performance Bond WHEREAS, the City Manager of the City of National City, on the 29th day of January. 2020, has awarded SWCS, Inc., hereinafter designated as the "Principal", the CIVIC CENTER BOILER REPLACEMENT PROJECT, CIP NO. 19-52 WHEREAS, said Principal is required by Chapter 5 (commencing at Section 3225) and Chapter 7 (commencing at Section 3247), Title 15, Part 4, Division 3 of the California Civil Code to furnish a bond in connection with said contract; NOW, THEREFORE, we, the Principal and United States Fire Insurance Company as surety, are held and firmly bound unto the City of National City, hereinafter called the "City", in the penal sum of Eighty Three Thousand, Four Hundred Ninety Three ($83,493.00) lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators and successors, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH that if said Principal, his/her or its subcontractors, heirs, executors, administrators, successors, or assigns, shall fail to pay any of the persons named in Section 3181 of the California Civil Code, or amounts due under the Unemployment Insurance Code with respect to work or labor performed by any such claimant, or for any amounts required to be deducted, withheld, and paid over to the Franchise Tax Board from the wages of employees of the Contractor and his subcontractors pursuant to Section 18806 of the Revenue and Taxation Code, with respect to such work and labor the Surety will pay for the same in an amount not exceeding the sum hereinafter specified, and also, in case suit is brought upon this bond, a reasonable attorney's fee, to be fixed by the Court. This Bond shall inure to the benefit of any of the persons named in Section 3181 of the California Civil Code, so as to give a right of action to such persons or their assigns in any suit brought upon this bond. It is further stipulated and agreed that the Surety on this bond shall not be exonerated or released from the obligation of this bond by any change, extension of time for performance, addition, alteration or modification in, to, or of any contract, plans, specifications, or agreement pertaining or relating to any scheme or work of improvement hereinabove described or pertaining or relating to the furnishing of labor, materials, or equipment therefore, not by any change or modification of any terms of payment or extension of the time for any payment pertaining or relating to any scheme or work of improvement hereinabove described, nor by any rescission or attempted rescission of the contract, agreement or bond, nor by any conditions precedent or subsequent in the bond attempting to limit the right of recovery of claimants otherwise entitled to recover under any such contract or agreement or under the bond, nor by any fraud practiced by any person other than the claimant seeking to recover on the bond and that this bond be construed most strongly against the Surety and in favor of all persons for whose benefit such bond is given, and under no circumstances shall Surety be released from liability to those for whose benefit such bond has been given, by reason of any breach of contract between the owner of Public Entity and original contractor or on the part of any obliges named in such bond, but the sole conditions of recovery shall be that claimant is a person described in Section 3110 or 3112 of the California Civil Code, and has not been paid the full amount of his claim and that Surety does hereby waive notice of any such change, extension of time, addition, alteration or modification herein mentioned. IN WITNESS WHEREOF three identical counterparts of this instrument, each of which shall for all purposes be deemed an original thereof, have been duly executed by the Principal and Surety above named, on the 28th day of January , 20 20 . States Fire Insura'Company (SEAL) (SEAL) (SEAL) Tara Bacon, Attorney -in -Fact Surety CS. Inc. h, Cons Principal (SEA ) ) (SEAL) ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of San Diego On 1/29/2020 before me, Samantha Smith, Notary Public (insert name and title of the officer) personally appeared Gerald Smith who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signatu (Seal) SAMSMITH �� Notary PublicANTNA - California San Diego County e Commission rt 2286053 My Comm. Expires Apr 23. 2023 STATE OF ATTORNEY -IN -FACT ACKNOWLEDGEMENT OF SURETY COUNTY OF ) ss ) **SEE ATTACHE CKNOWLEDGEMENT" On this day of , 20 , before me, ' e undersigned, a Notary Public in and for said County and State, •ersonally appeared know• o me to be the person whose name is subscribed to the within instrument .s the attorney -in -fact of the , the corporation named as Surety in said instrument, and acknowledged to m- at he subscribed the name of said corporation thereto as Surety, and his own . me as attorney -in -fact. NOTE: Signature of those exe .ting for Surety must • - properly acknowledged. Signatu Name (Type or Print): (Notary Public in and for said County and State) My Commission expires: ATTACH ALL BONDS NOTE: The Attorney -in -fact must attach a certified copy of the Power of Attorney. CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of San Diego On January 28, 2020 before me, Maria Hallmark, Notary Public (insert name and title of the officer) personally appeared Tara Bacon who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signat (Seal) MARIA HALLMARK Notary Public - California San Diego County Commission # 2161086 My Comm. Expires Aug 22, 2020 POWER OF ATTORNEY UNITED STATES FIRE INSURANCE COMPANY PRINCIPAL OFFICE - MORRISTOWN, NEW JERSEY 48033 KNOW ALL 11IEN BY THESE PRESENTS: That United States Fire Insurance Company, a corporation duly organized and existing under the laws of the state of Delaware, has made, constituted and appointed, and does hereby make, constitute and appoint: Tara Bacon, Dale Harshaw, Minna Huovila, Kyle King, John R. Quaint., Geoffrey Shelton each, its true and lawful Attomey(s)-In-Fact. with full power and authority hereby conferred in its name, place and stead. to execute, acknowledge and deliver: Any and all bonds and undertakings of surety and other documents that the ordinary course of surety business may require, and to bind United States Fire Insurance Company thereby as fully and to the same extent as if such bonds or undertakings had been duly executed and acknowledged by the regularly elected officers of United States Fire Insurance Company at its principal office, in amounts or penalties not exceeding: Fifty Million Dollars ($50,000,000). This Power of Attorney limits the act of those named therein to the bonds and undertakings specifically named therein, and they have no authority to bind United States Fire Insurance Company except in the manner and to the extent therein stated. This Power of Attorney revokes all previous Powers of Attorney issued on behalf of the Attomeys-In-Fact named above and expires on January 31, 2020. This Power of Attorney is granted pursuant to Article IV of the By -Laws of United States Fire Insurance Company as now in full force and effect, and consistent with Article III thereof, which Articles provide, in pertinent part: Article IV, Execution of Instruments - Except as the Board of Directors may authorize by resolution, the Chairman of the Board, President, any Vice -President, any Assistant Vice President, the Secretary, or any Assistant Secretary shall have power on behalf of the Corporation: (a) to execute, affix the corporate seal manually or by facsimile to, acknowledge, verify and deliver any contracts, obligations, instruments and documents whatsoever in connection with its business including, without limiting the foregoing, any bonds, guarantees, undertakings, recognizances, powers of attorney or revocations of any powers of attorney, stipulations. policies of insurance, deeds, leases. mortgages, releases. satisfactions and agency agreements: (b) to appoint, in writing, one or more persons for any or all of the purposes mentioned in the preceding paragraph (a), including affixing the seal of the Corporation. Article III, Officers, Section 3.11. Facsimile Signatures. The signature of any officer authorized by the Corporation to sign any bonds, guarantees. undertakings. recognizan ces, stipulations, powers of attorney or revocations of any powers of attorney and policies of insurance issued by the Corporation may be printed, facsimile, lithographed or otherwise produced. In addition, if and as authorized by the Board of Directors, dividend warrants or checks, or other numerous instruments similar to one another in form, may be signed by the facsimile signature or signatures. lithographed or otherwise produced, of such officer or officers of the Corporation as from time to time may be authorized to sign such instruments on behalf of the Corporation. The Corporation may continue to use for the purposes herein stated the facsimile signature of any person or persons who shall have been such officer or officers of the Corporation, notwithstanding the fact that he may have ceased to be such at the time when such instruments shall be issued. IN WITNESS WHEREOF, United States Fire Insurance Company has caused these presents to be signed and attested by its appropriate officer and its corporate seal hereunto affixed this 10th day of March, 2016. UNITED STATES FIRE INSURANCE COMPANY Anthony R. Slimowicz, Executive Vice President State of New Jersey} County of Morris } On this 10th day of March 2016, before me, a Notary public of the State of New Jersey, came the above named officer of United States Fire Insurance Company. to me personally known to be the individual and officer described herein, and acknowledged that he executed the foregoing instrument and affixed the seal of United States Fire Insurance Company thereto by the authority of his office. SONIA SCALA NOTARY PLBLIC OF NEW JERSEY Sonia Scala (Notary Public) MY COMMISSION EXPIRES 3/25/2024 No. 2163686 I, the undersigned officer of United States Fire Insurance Company, a Delaware corporation, do hereby certify that the original Power of Attomey of which the foregoing is a full. true and correct copy is still in force and effect and has not been revoked. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the corporate seal of United States Fire Insurance Company on January 28, 2020. UNITED STATES FIRE INSURANCE COMPANY Peter M. Quinn, Senior Vice President Client#: 1762451 303SWCSINC ACORD, CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 2/11/2020 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER McGriff Insurance Services 750 B Street Suite 2400 San Diego, CA 92101 619 231-1010 INSURED SWCS Inc. DBA: Southwest Construction Services 11653 Riverside Drive Ste 153 Lakeside, CA 92040 CONTACT Marie Guerard PHONE 619 231-1010 E-MAIL ADDRESS: FAX (NC 6192369134 INSURER(S) AFFORDING COVERAGE INSURER A : Great American Assurance Company INSURER B : Great American Alliance Insurance Co. INSURER C : Insurance Company of the West INSURER D : AmGUARD Insurance Company INSURER E : INSURER F : NAIC A 26344 26832 27847 42390 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. INSRR TYPE OF INSURANCE ADDL INSR SUBR MD POLICY NUMBER POLICY EFF jMMIDD/YYYY) POLICY EXP (MM/DD/YYYY) LIMBS A X COMMERCIAL GENERAL LIABILITY GLP2969884 02/10/2020 02/10/2021 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X OCCUR PREMISES( EaEoccurrence) $50,000 X BI/PD Ded:5,000 MED EXP (Any one person) $ PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY X JECOT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: $ D AUTOMOBILE LIABILITY SWAU006997 06/30/2019 06/30/202Oi (ECOMBINaaccident) ED SINGLE LIMIT $1,000,000 ANY AUTO BODILY INJURY (Per person) $ OWNED AUTOS ONLY X _ SCHEDULED AUTN-OOS BODILY INJURY (Per accident) $ X HIRED AUTOS ONLY X NOWNED AUTOS ONLY PROPERTY DAMAGE (Per accident) $ $ B UMBRELLALIAB X OCCUR UMB2969885 02/10/2020 02/10/2021 EACH OCCURRENCE $4,000,000 X EXCESS LIAB CLAIMS -MADE AGGREGATE $4,000,000 DED X RETENTION $10000 $ `+ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WSD504208401 06/30/2019 06/30/2020 X PER STATUTE OTH- FR ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A E.L. DISEASE - EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate is subject to policy limits, conditions and exclusions. Re: CIP No. 19-52 Civic Center Boiler Replacement, 801 Civic Center Drive, National City, CA 91950. City of National City, its elected officials, officers, employee, agents, representatives, consultants, contract employees and volunteers are named additional insured(AL/GL)per captioned operations of the named insured. Coverage is primary and non contributory. Waiver of subrogation applies(AL/GL/WC). CERTIFICATE HOLDER 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 ACORD 25 (2016/03) 1 of 1 #S25184867/M25184377 © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD MGGUE Policy:SWAU006997 COMMERCIAL AUTO BA 99 04 06 18 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED WHEN REQUIRED BY CONTRACT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This provision does not apply in regard to any ownership, Additional Insured When Required by Contract (1) Paragraph A.1. — WHO IS AN INSURED — of Section II — Liability Coverage is amended to add: d. When you have agreed, in a written contract or written agreement, that a person or organization be added as an additional insured on your business auto policy, such person or organization is an "insured", but only to the extent such person or organization is liable for "bodily injury" or "property damage" caused by the conduct of an "insured" under paragraphs a. or b. of Who Is An Insured with regard to the ownership, maintenance or use of a covered "auto." The insurance afforded to any such additional insured applies only if the "bodily injury" or "property damage" occurs: (1) During the policy period, and (2) Subsequent to the execution of such written contract, and (3) Prior to the expiration of the period of time that the written contract requires such insurance be provided to the additional insured. (2) How Limits Apply If you have agreed in a written contract or written agreement that another person or organization be added as an additional insured on your policy, the most we will pay on behalf of such additional insured is the lesser of: maintenance or use of the additional insured's "autos." (3) (a) The limits of insurance specified in the written contract or written agreement; or (b) The Limits of Insurance shown in the Declarations. Such amount shall be a part of and not in addition to Limits of Insurance shown in the Declarations and described in this Section. Additional Insureds Other Insurance If we cover a claim or "suit" under this Coverage Part that may also be covered by other insurance available to an additional insured, such additional insured must submit such claim or "suit" to the other insurer for defense and indemnity. However, this provision does not apply to the extent that you have agreed in a written contract or written agreement that the insurance is primary and non- contributory with the additional insured's own insurance. (4) Duties in The Event Of Accident, Claim, Suit or Loss If another person or organization is added as an additional insured on your policy, the additional insured shall be required to comply with the provisions in A. Loss Conditions 2. — Duties In The Event Of Accident, Claim, Suit Or Loss — of SECTION IV — BUSINESS AUTO CONDITIONS, in the same manner as the Named Insured. BA 99 04 06 18 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1 Policy:SWAU006997 GUARD GR UP INSURANCE a Berkshire Hathaway company ZZ GU Comp • Businessowr,ers • Auto • Umbrella Dpai COMMERCIAL AUTO BA99020908 BLANKET WAIVER OF SUBROGATION This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. SECTION IV - BUSINESS AUTO CONDITIONS, A. Loss Conditions, 5. Transfer Of Rights Of Recovery Against Others To Us is amended by adding the following: We waive any right of recovery we may have against any person or organization with whom you have a written contract that requires such waiver because of payments we make for damages under this Coverage Form. BA 99 02 09 08 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1 Policy #GLP2969884 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Schedule CG 20 37 (Ed 07 04) Name of Additional Insured Person(s) or Organization(s): Location and Description of Completed Operations: Any person or organization "Your work" performed by the insured that "you" and such person or during this policy period when required organization have agreed in writing by written contract. in a contract that such person or organization be added as an addi- tional insured on "your" policy, but only for "your work" performed by the insured during this policy period when required by wriiten contract. Additional Premium: Included Information required to complete this Schedule, if not shown above, will be shown in the Declarations. 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" or "property damage' caused, in whole or in part, by "your work" at the location designated and described in the schedule of this endorsement performed for that Additional Insured and included in the "products -completed operations hazard." Copyright, ISO Properties, Inc., 2004 CG 20 37 (Ed. 07/04) PRO (Page 1 of 1) Great American Assurance Company Policy #GLP2969884 CG 20 33 (Ed. 07 04) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU 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 any person or organization for whom you are performing operations 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 In- sured on your policy. Such person or or- ganization is an Additional Insured only with respect to liability for "bodily injury," "prop- erty damage" or "personal and advertising in- jury" 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 oper- ations for the Additional Insured. A person's or organization's status as an Ad- ditional Insured under this endorsement ends when your operations for that Additional In- sured are completed. B. With respect to the insurance afforded to these Additional Insureds, the following addi- tional exclusions apply: This insurance does not apply to: 1. "Bodily injury," "property damage" or "per- sonal 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 draw- ings and specifications; or b. supervisory, inspection, architectural or engineering activities. 2. "Bodily injury," or "property damage" oc- curring after: a. all work, including materials, parts or equipment 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 location of the covered operations has been completed; or b. that portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than an- other contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 20 33 (Ed. 07/04) XS Copyright, ISO Properties, Inc., 2004 Great American Assurance Company Policy #GLP2969884 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY NON-CONTRIBUTORY INSURANCE ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM GAC 3649CG (Ed. 11 06) This insurance is primary to any other insurance held by third parties with respect to work performed by you under written contractual agreements with such third parties and any other insurance which may be available to such third parties shall be non-contributory. GAC 3649CG (Ed. 11/06) XS Policy #GLP2969884 CG 24 04 (Ed 05 09) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 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: Any person or organization for whom or on whose behalf "you" are performing operations when "you" and such person or organization have agreed in writing in a contract to waive any right of recovery "we" may have against such person or organization 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. Copyright, ISO Properties, Inc., 2008 CG 24 04 (Ed. 05/09) PRO (Page 1 of 1) WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 34 (Ed. 8-00) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - BLANKET 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). The additional premium for this endorsement shall be 3% of the total California Workers' Compensation premium otherwise due. Schedule Person or Organization Job Description Any person/organization when required by All California Operations. written contract. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 06/30/19 Policy No. WSD 5042084 01 Endorsement No. Insured SWCS Inc Premium IncId Insurance Company Insurance Company of the West Countersigned By WC 99 06 34 (Ed. 8-00) Form W-9 (Rev. December2014) Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification Give Form to the requester. Do not send to the IRS. Print or type See Specific Instructions on page 2. 1 Name (as shown on your income tax retum). Name is required on this line; do not leave this line blank. SWCS, Inc. 2 Business name/disregarded entity name, if different from above Southwest Construction Services, Inc. 3 Check appropriate box for federal tax classification; check only one of the following seven boxes: ❑ Trust/estate ► 4 Exemptions certain instructions Exempt payee Exemption code (if any) rMF1,as to accounts (codes apply only to sinot individuals; see oann page 3): code (if any) Individual/sole proprietor or C Corporation F3 S Corporation Partnership single -member LLC [i Limited liability company. Enter the tax classification (C=C corporation, S=S corporation. P=partnership) Note. For a single -member LLC that is disregarded, do not check LLC; check the appropriate box in the tax classification of the single -member owner. III Other (see instructions) ► from FATCA reporting the line above for maintained outside the vs.) 5 Address (number, street and apt. or suite no.) 11653 Riverside Drive, Suite 153 Requester's name and address (optional) 6 City, state, and ZIP code Lakeside, CA 92040 7 List account number(s) here (optional) Part I - Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3. Note. If the account is in more than one name, see the instructions for line 1 and the chart on page 4 for guidelines on whose number to enter. Part ll Social security number or Employer identification number 4 5 3 0 7 5 8 5 1 Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. I am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that 1 am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments o er than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions on page 3. ,i/ Sign Signatur4of Here U.S. person ►, j • Date ► 1/28/2020 General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. Information about developments affecting Form W-9 (such as legislation enacted after we release it) is at www.irs.govllw9- Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information retum. Examples of information returns include, but are not limited to, the following: • Form 1099-INT (interest earned or paid) • Form 1099-DIV (dividends, including those from stocks or mutual funds) • Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition) • Form 1099-C (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. 1f you do not retum Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding? on page 2. By signing the filled -out form, you: 1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued), 2. Certify that you are not subject to backup withholding, or 3. Claim exemption from backup withholding if you are a U.S. exempt payee. If applicable, you are also certifying that as a U.S. person, your allocable share of any partnership income from a U.S. trade or business is not subject to the withholding tax on foreign partners' share of effectively connected income, and 4. Certify that FATCA code(s) entered on this form (if any) indicating that you are exempt from the FATCA reporting, is correct. See What is FATCA reporting? on page 2 for further information. Cat. No. 10231X Form W-9 (Rev. 12-2014) Nina Valencia From: National City Support <nationalcity@hdlgov.com> Sent: Tuesday, January 28, 2020 10:46 AM To: Estimating Subject: City of National City - Your Business License Application Has Been Received Thank you for submitting your City of National City business license application. We are currently processing the application for SWCS, Inc. at 11653 RIVERSIDE DR STE 153 in LAKESIDE, CA. If any additional information is required, a tax specialist from our office will contact you. Please allow up to 1 to 3 business days for your application to be reviewed and processed. Once processed, you will receive a separate email detailing the steps required to establish a business license account and obtain your license. You will also receive instructions on how to pay your business license taxes and fees online. If you have any questions please contact our offices by phone at (619) 382-2596, or by email at NationalCity@HdLgov.com. The Business Support Center hours of operation are Monday -Friday, 8:00 am - 5:00 pm (PST). Thank you for doing business in the City of National City! Best Regards, City of National City HdL Business Support Center 1 1/28/2020 Review and Submit Guest Home Report a Problem Getting Started - Registration + Contacts + Review / Submit Business License Online Application Registration Information Business Name (DBA) SWCS, Inc. Business Name (Legal Name) SWCS, Inc. Business Address 11653 RIVERSIDE DR STE 153, LAKESIDE, CA 92040-2371 Mail Address 11653 RIVERSIDE DR STE 153, LAKESIDE, CA 92040-2371 Business Type Contractor - General (Based Out Of City) Business Description Construction General Contractor Ownership Type Corporation Start Date in National City 02/03/2020 Business Phone (619) 258-9944 Cell Phone (619) 258-9944 Fax (619) 258-9946 Website www.swcs-inc.com Email Address estimating@swcs-inc.com State Sales Tax (Resale) 4 Federal Employee IDx 45-3075851 State Employee ID# 008-2672-7 Contact Preference Email SIC Code 1521001 State Licensed Contractors State License # 967347 Active State License Type B, C20, D28, D34 State License Expire Date 11/30/2021 Additional Information Stormwater ID Type - Based on your SIC code, your business is required to have a Stormwater Permit issued by the State Water Board. Please select the permit type. Stormwater Number - Please provide the number for the type specified. If you selected "Other," provide a reason. In -City Commercial Businesses: Enter the Sq Ft of the building your business occupies In -City Healthcare Facilities: Enter the Number of Beds Business by Vehicle: Enter the Number of Vehicles Enter the Number of Vending/Video Machines 5 0 Enter the Number of Rental Units 0 Owners and Contacts Officer Gerald Smith (619) 258-9944 11653 RIVERSIDE DR STE 153 LAKESIDE, CA 92040-2371 Emergency Contact Nina Valencia (619) 258-9944 x311 11653 RIVERSIDE DR STE 153 https://nationalcity.hdlgov.com/Apply/Apply3 1/2 7 /LtNLULU Review ana boomlt LAKESIDE, CA 92040-2371 Signature and Declaration I hereby declare under penalty of perjury that the information to be provided for this application is true and correct. Provide your digital signature above in order to indicate your agreement to these terms. Your digital signature can be any combination of letters, numbers, spaces and/or punctuation marks placed between two forward slash " / " symbols. Examples of acceptable signatures include /john doe/, /jd/, and /555-9123/. Digital Signature: Preparer Name: Preparer Phone: Gerald Smith slash. Nina Valencia (619) 258-9944 x311 Pw+erect by HdL Please enter your signature starting and ending with a https://nationalcity.hdlgov.com/Apply/Apply3 2/2 CALIFORNIA NATIONAL cry BUSINESS LICENSE ATTEN t uN : As a result of the City's transition to a new business tax license processing Ar system, mailing of renewal notices for 2020 business tax licenses has been delayed until late January. However, per Resolution of the City Council of the City of National City, the delinquency date for payment of the tax for the year 2020 has been extended by thirty-one days. Businesses submitting completed applications together with full payment for renewal of their business tax licenses by April 1. 2020 will not be considered delinquent. THIS DOCUMENT HAS A TRUE WATERMARK AND VISIBLE FIBERS DISCERNIBLE FROM BOTH SIDES 123711 BUSINESS LICENSE CERTIFICATE CITY OF NATIONAL CITY PURSUANT TO CITY ORDINANCE THIS LICENSE IS HEREBY GRANTED FOR THE TERM & PURPOSE STATED BUS DESCRIPTION CONTRACTOR/INSTALL HONEVM-L4FORNIA --Date of Expiration BUSINESS ADDRESS 4564 ALVARADO CAN a� RD STE B NATIONAL INCORponATEn BUSINESS NAME ATTN MAILING ADDRESS NON TRANSFERABLE R & R CONTROLS INC 4564 ALVARADO CANYON RD STE B SAN DIEGO, CA 92120-4311 POST IN A CONSPICUOUS PLACE 12/31/2019 City Manager THIS DOCUMENT IS ALTERATION PROTECTED AND REFLECTS FLUORESCENT FIBERS UNDER UV LIGHT KEEP FOR YOUR RECORDS BUSINESS TAX RECEIPT License No 123711 SB1186 $4 00 A S50 OD TOTAL $54.00 Guest Find Account 3 Submit Payment 3 Receipt Business License Online Payment PRINT THIS PAGE FOR YOUR RECORD Thank you for your payment Payment Date: 2/10/2020 9:52:32 AM Confirmation #: 000016 (3775256708) Account Information Account # 09048019 Expire Date 12/31/2020 Name SWCS, INC. Address 11653 RIVERSIDE DR STE 153 City LAKESIDE Phone (619) 258-9944 Summary Standard Input Balance Due Contractor (Outside) A & B Licensed 1.00 $75.00 State CASp Fee (AB1379) 1.00 $4,00 Total Balance Due $79.00 Payment Information Credit Card # Payment Amount Powered by HdL x6632 $79.00 Home Report a Problem Receipt https:!/nationalcity.hdlgov.comi RenewiRenew5 Guest Home Report a Problem Find Account 4 Account 9 Calculation + Payment + Receipt Business License Online Renewal 5.4ur. Return 09023359 R & R CONTROLS INC PRINT THIS PAGE FOR YOUR RECORD Your business license renewal has been successfully submitted, Please allow up to 3 weeks for your new business license to arrive. Notice: Under federal and state law, compliance with disability access laws is a serious and significant responsibility that applies to all California building owners and tenants with buildings open to the public. You may obtain information about your legal obligations and how to comply with disability access laws at the following agencies: The Division of the State Architect or The DNpart rent Of RehatAta n or The California Commission on Disability Access. Submission Dat, 2/7/2020 Confirmation W 000232 (3775103974) Account Information Account# 09023359 Expire Date 12/31/2020 Name R & R CONTROLS INC Address 4564 ALVARADO CANYON RD STE B City SAN DIEGO Phone (619) 516-1880 Summary Standard Input Amount ;or/Subcontractor (Oustide) C or D Licensers 1 $50.00 State of California (CASp AB-1379 Fee) 1 $4.00 Total Due $54.00 Payment Information (,r;?c71t car(I Payment Amount x4495 $54.00 After printing or saving this page for your records, you may close this browser window/tab. Powered by 1 of 2 2/7/2020, 10:45 AM Date: CONTRACT TRANSMITTAL FORM (Attach as Cover Sheet to Documents dropped off to City Clerk's Office) sld2 7 /2 0 From(Dept.): (/ h. hC/j m Submitted by (First & Last Name): Vendor: Resolution: YES / NO 13- Resolution No. (if applicable): 2 3 4 Originals Provided to City Clerk (Select Quantity) 000 7Department has Copy / Duplicate Original Vendor has Copy / Duplicate Original