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HomeMy WebLinkAbout2020 CON Rayzist Photomask Inc DBA Honor Life Inc - Engraving ServicesFIRST AMENDMENT TO THE AGREEMENT BY AND BETWEEN THE CITY OF NATIONAL CITY AND RAYZIST PHOTOMASK, INC. DBA HONOR LIFE, INC. THIS FIRST AMENDMENT TO THE AGREEMENT is entered into this 1st day of June, 2020, by and between the CITY OF NATIONAL CITY, a municipal corporation ("CITY"), and RAYZIST PHOTOMASK, INC., DBA HONOR LIFE, INC., a California corporation (the "CONTRACTOR"). RECITALS WHEREAS, the CITY and the CONTRACTOR entered into an Agreement on February 18, 2020 ("the Agreement"), wherein the CONTRACTOR agreed to provide engraving services at the City of National City's Veteran's Wall of honor for a not -to -exceed amount of $2,000; and WHEREAS, the parties desire to amend the Agreement to increase the not -to -exceed amount by $500, for a total not -to -exceed amount of $2,500. AGREEMENT NOW, THEREFORE, the parties hereto agree that: 1. The February 18, 2020 Agreement shall be amended to increase the not -to -exceed amount by $500, for a total not -to -exceed amount of $2,500. C zoi3_ 01 2. The parties further agree that, with the foregoing exception, each and every term and provision of the February 18, 2020 Agreement 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 By: Bra ston, City Manager APPROVED AS TO FORM: i First Amendment- FY20 Agreement Page 2 of 2 June 2020 RAYZIST PHOTOMASK, INC., DBA HONOR LIFE CORPORATION, A CALIFORNIA CORPORATION (Signatures of two corporate officers required) By: ici ia4— (Name) eiiGJ J.6/et- (Print) ame) Ravoly Willis (Print) (Title) City of National City and Honor Life FIRST AMENDMENT TO THE AGREEMENT BY AND BETWEEN THE CITY OF NATIONAL CITY AND RAYZIST PHOTOMASK, INC. DBA HONOR LIFE, INC. THIS FIRST AMENDMENT TO THE AGREEMENT is entered into this 1st day of June, 2020, by and between the CITY OF NATIONAL CITY, a municipal corporation ("CITY"), and RAYZIST PHOTOMASK, INC., DBA HONOR LIFE, INC., a California corporation (the "CONTRACTOR"). RECITALS WHEREAS, the CITY and the CONTRACTOR entered into an Agreement on February 18, 2020 ("the Agreement"), wherein the CONTRACTOR agreed to provide engraving services at the City of National City's Veteran's Wall of honor for a not -to -exceed amount of $2,000; and WHEREAS, the parties desire to amend the Agreement to increase the not -to -exceed amount by $500, for a total not -to -exceed amount of $2,500. AGREEMENT NOW, THEREFORE, the parties hereto agree that:.. 1. The February 18, 2020 Agreement shall be amended to increase the not -to -exceed amount by $500, for a total not -to -exceed amount of $2,500. /// /// /// /// /// /// /// /// /// /// RAYZPHO-01 HZHANG2 AWRO' CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 3/24/2020 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 elle, .filet If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A staternbqi`i this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER License # 0757776 HUB International Insurance Services Inc. 1525 Faraday Avenue, Suite 200 Carlsbad, CA 92008 NAME CT Kathy Sebiane -- (A/C,NE No, Ext): (760) 707-5654 FAX (A/X, No): ADDSS: kathy.sebiane@hubinternational.com INSURER ) AFFORDING COVERAGE NAIC # INSURER A : Travelers Property Casualty Company of America 25674 INSURED Rayzist Photomask, Inc. DBA Honor Life, American Memorial Services, Inc. Edelia & Randy Willis 955 Park Center Dr. Vista, CA 92081 INSURER B : INSURER C : INSURER D : INSURER E : INSURERF: : ., 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 WHIf3?:f TF,3/ CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE','`'ds'j, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER M'POLICY EFF (MMIDDYYI POLICY EXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR Y-630-3E629203-TIL-20 3/1/2020 3/1/2021 DAMAGE TO RENTED PREMISES PREMISES (Ea occurrence) $ X Per Project endt MED EXP (Any one person) $ 10,00f) PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X JECT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: EBL AGG $ 2:300,006 AUTOMOBILE LIABILITY COMBINEDA SINGLE LIMIT (Ea accident) $ 1,0G0,il0:: X ANY AUTO BA-8L596134-20-14-G 3/1/2020 3/1/2021 BODILY INJURY (Per person) $ OWNED AUTOSOONLY SCHEDULED AUTOS BODILY INJURY (Per accident) $ — X AUTOS X yy Ep AUUTOS (Per PROPERTYtDAMAGE �_ -" " ONLY ONLY $ UMBRELLA LIAB OCCUR EACH OCCURRENCE � :.t i $ - _ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION $ $ A WORKERS COMPENSATION X STATUTE OTH- ER ' AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N UB-2N91956A-20-14-G 3/1/2020 3/1/2021 E.L. EACH ACCIDENT 1,000,00'. $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) N / A E.L. DISEASE - EA EMPLOYEE 1,00(`,�i0yt $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000i,000 $ A A Commercial Property Commercial Property Y-630-3E629203-TIL-20 Y-630-3E629203-TIL-20 3/1/2020 3/1/2020 3/1/2021 3/1/2021 Building Bus Pers Prop 4,000,000 2423,775 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is requi ed) Proof of Insurance =' CERTIFICATE HOLDER CANCELLATION City of National City 1243 National City Boulevard National City, CA 91950 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFOG., THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED ?. ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED(///REPRESENTATIVEEP� Y/tl/E�'�u%GLtr� zedi__ ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights rr,gerw d. The ACORD name and logo are registered marks of ACORD te•-+1 RAYZP H O-01 ACOR p• 4.-- - CERTIFICATE OF LIABILITY INSURANCE SSONG, DI DATE (MINDYYYY) 2/4/202.0 _ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLt3ER:INIIS 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 FIOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 Ileu of such endorsement(s). PRODUCER License # 0767776 HUB International Insurance Services Inc. 1525 Faraday Avenue, Suite 200 Carlsbad, CA 92008 MiecT Kathy Sebiane veNE , No, E„ty (760) 707-5654 I FAX, No Mass: kathy.sebianecl hubinternational.com INSURER(S) AFFORDING COVERAGE NAIL 8 INSURER A :Travelers Property Casualty Company of America 25674 L2 C INSURED Rayzist Photomask, Inc. DBA Honor Life, American Memorial Services, Inc. Edelia & Randy Willis 955 Park Center Dr. Vista, CA 92081 INSURER B; iitii INSURER C; ,--•:.�i INSURER D• , 2t.2CL INSURER E: 1 kY:Jr'�4i* ='-GL:( : INSURERF: • VISION NUMBER: Vvv LI\nVLV v-,. ,,. ...... - ....... ��... 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 POLIC ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TR_ A TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF IMMIDD/YYYY) POLICY EXP M/DDNYYYI -- - - LIMITS X COMMERCIAL GENERAL LIABILITY Y-630-3E629203-TIL-19 3/1/2019 3/1/2020 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED DAMAGES IEa ppcurrenC61 $ 300,000 I CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 1 O,'000 x Per Project endt PERSONAL & ADV INJURY $ . 1 ‘000;000' GENERAL AGGREGATE $ 2,000;000 GEN'LAGGREGATELIMITAPPLIESPER: POLICY OTHER. X LOC PRODUCTS - COMP/OP AGG $ 2;0O0'D00. EBL AGG $ 2,000,000 A AUTOMOBILE X — — LIABILRY ANY AUTO OWNED AUTOS ONLY AIIRR���� UT03 ONLY — _ _AUTOS SCHEDULED AUTOS gN{��/y►�Ep ONLY BA-8L596134-19-14-G 3/1/2019 3/1/2020 fEo ecB�I INEDtSINGLE LIMIT 0,000 $ 00• BODILY INJURY (Per person) $ BODILY INJURY (Per aocldenQ $ PROPERTY DAMAGE accident) $ _(Per 4 UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DEC RETENTION$ A WORKER LIABILITY PENSATION AND EMPLOYERS YIN ANY PROPRIETOR /PARTNER/EXECUTIVE RFFICER=MEMBER EXCLUDED? (Mandattory in NH) If yes, descrbo tndor DESCRIPTION OF OPERATIONS below N 1 A UB-2N91956A-19-14-G 3/1/2019 3/1/2020 PER p ER E.L. EACH ACCIDENT 1..0.00,000' $ E.L. DISEASE -EA EMPLOYEE 1,000 �IOO $ ipp_ E.L. DISEASE - POLICY LIMIT $ hr�Qcl!L�OQ A A Commercial Property Commercial Property Y-630-3E629203-TIL-19 Y-630-3E629203-TIL-19 3/1/2019 3/1/2019 3/1/2020 3/1/2020 Building Bus Pers Prop ta'f3q'(`;"-O- - _ . F;,� ,;r 7/11 f,1 -; L- DESCRIPTION OF OPERATIONS! LOCATIONS 1' VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Proof of Insurance CERTIFICATE HOLDER City of National City 1243 National City Boulevard National City, CA 91950 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED GCFQR4 4 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERLD_ li!J ACCORDANCE WITH THE POLICY PROVISIONS.>) +`?.?j er3�4 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Policy #Y-630-3E629203-TIL-20 COMMERCIAL. GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. XTEND ENDORSEMENT FOR MANUFACTURERS AND WHOLESALERS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART GENERAL DESCRIPTION OF COVERAGE — This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to this Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general coverage deqcxiption only. Read all the provisions of this endorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A WholsAn Insured —Unnamed Subsidiaries B. Who is An Insured — Employees And Volunteer Workers — Bodily Injury To Co -Employees And Co -Volunteer Workers C. Who Is An Insured — Newly Acquired Or Formed Limited Liability Companies D. Blanket Additional Insured — Broad Form Vendors E Blanket Additional Insured — Controlling Interest F. Blanket Additional Insured — Mortgagees, Assignees, Suresors Or Receivers G. Blanket Additional Insured — Governmental Entities — Permits Or Authorizations Relating To Premises PROVISIONS A. WHO IS AN INSURED — UNNAMED SUBSIDIARIES The following is added to SECTION II — WHO IS AN INSURED: Any of your subsidiaries, other than a partnership or joint venture, that is not shown as a Named Insured in the Declarations is a Named Insured if: a. You are the sole owner of, or maintain an ownership interest of more than 50% in, such subsidiary on the first day of the policy period; and b. Such subsidiary is not an insured under similar other insurance. No such subsidiary is an insured for "bodily injury' or "property damage" that occurred, or "personal and advertising injury" caused by an offense committed: H. Blanket Additional Insured — Governmental Entities — Permits Or Authorizations Relating To Operations I. Blanket Additional Insured — Grantors Of Franchi—es J. Incidental Medical Malpractice K. Medical Payments — Increased Limit L. Blanket Waiver Of Subrogation M. Contractual Liability — Railroads a. Before you maintained an ownership interest of more than 50% in such subsidiary; or b. After the date, if any, during the policy period that you no longer maintain an ownership interest of more than 50% in such subsidiary. For purposes of Paragraph 1. of Section II —Who Is An Insured, each such subsidiary will be deemed to be designated in the Declarations as: a. A limited liability company; b. An organization other than a partnership, joint venture or limited liability company; or c. A trust; as indicated in its name or the documents that govern its structure. CG D4 58 0219 © 2017 The Travelers Indemnity Company. All rights reserved. Page 1 of 5 Includes copyrighted material of Insurance Services Office, Inc. with Its permission COMMERCIAL GENERAL LIABILITY B. WHO IS AN INSURED — EMPLOYEES AND VOLUNTEER WORKERS — 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: Paragraphs (1)(a), (b) and (c) above do not apply to "bodily injury" to a co -"employee" while 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 workers" while performing duties related to the conduct of your business. C. WHO IS AN INSURED — NEWLY ACQUIRED OR FORMED LIMITED LIABILITY COMPANIES The following replaces Paragraph 3. of SECTION II— WHO IS AN INSURED: 3. Any organization you newly acquire or form, other than a partnership or joint venture, and of which you are the sole owner or in which you maintain an ownership interest of more than 50%, will qualify as a Named Insured if there is no other similar insurance available to that organization. However: a. Coverage under this provision is afforded only. (1) Until the 180th day after you acquire or form the organization or the end of the policy period, whichever is earlier, if you do not report such organization in writing to us within 180 days after you acquire or form it, or (2) Until the end of the policy period, when that date is later than 180 days after you acquire or form such organization, if you report such organization in writing to us within 180 days after you acquire or form it; b. Coverage A does not apply to "bodily injury" or "property damage' that occurred before you acquired or formed the organization; and c. Coverage B does not apply to "personal and advertising injury" arising out of an offense committed before you acquired or formed the organization. For the purposes of Paragraph 1. of Section II — Who Is An Insured, each such organization will be deemed to be designated in the Declarations as: Page 2 of 5 a. A limited liability company; b_ An organization, other than a partnership, joint venture or limited liability company; or c. A trust; as indicated in its name or the documents that govern its structure. D. BLANKET ADDITIONAL INSURED — BROAD FORM VENDORS The following is added to SECTION II — WHO IS AN INSURED: Any person or organization that is a 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 respect to liability for "bodily injury" or "property damage" that a. Occurs subsequent to the signing of that contract or agreement; and b. Aries out of "your products" that are distributed or sold in the regular course of such vendor's business. The insurance provided to such vendor is subject to the following provisions: a. The limits of insurance provided to such vendor will be the minimum limits that you agreed to provide in the written contract or agreement, or the limits shown in the Declarations, whichever are less. b. The insurance provided to such vendor does not apply to: (1) Any express warranty not authorized by you or any distribution or sale for a purpose not authorized by you; (2) Any change in "your products" made by such vendor; Repackaging, unless unpacked solely for the purpose of inspection, demonstration, testing, or the substitution of parts under instructions from the manufacturer, and then repackaged in the original container; (4) Any failure to make such inspections, adjustments, tests or servicing as vendors agree to perform or normally undertake to perform in the regular course of business, in connection with the distribution or sale of "your products"; (3) © 2017 The Travelers Indemnity Company. All rights reserved. CG D4 58 02 19 Includes copyrighted material of Insurance Services Office, Inc. with its permission (5) Demonstration, installation, servicing or repair operations, except such operations performed at such vendor's premises in connection with the sale of "your products"; or (6) "Your products" that, after distribution or sale by you, have been labeled or relabeled or used as a container, part or ingredient of any other thing or substance by or on behalf of such vendor. Coverage under this provision does not apply to: a. Any person or organization from whom you have acquired "your products", or any ingredient, part or container entering into, accompanying or containing such products; or b. Any vendor for which coverage as an additional insured specifically is scheduled by endorsement. E BLANKET ADDITIONAL INSURED CONTROLLING INTEREST 1. The following is added to SECTION II - WHO IS AN INSURED: Any person or organization that has financial control of you is an insured with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" that ariees out of: a. Such financial control; or b. Such person's or organization's ownership, maintenance or use of premix leased to or occupied by you. The insurance provided to such person or organization does not apply to structural alterations, new construction or demolition operations performed by or on behalf of such person or organization. 2. The following is added to Paragraph 4. of SECTION II — WHO IS AN INSURED: This paragraph does not apply to any premiscc owner, manager or lessor that has financial control of you. F. BLANKET ADDITIONAL INSURED - MORTGAGEES, ASSIGNEES, SUCCESSORS OR RECEIVERS The following is added to SECTION II - WHO IS AN INSURED: Any person or organization that is a mortgagee, assignee, successor or receiver 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 respect to its CG D4 58 02 19 COMMERCIAL GENERAL LIABILITY liability as mortgagee, assignee, successor or receiver for "bodily injury, "property damage' or "personal and advertising injury" that: a. Is "bodily injury' or "property damage" that occurs, or is "personal and advertising injury" caused by an offense that is committed, subsequent to the signing of that contract or agreement; and b. Arises out of the ownership, maintenance or use of the premi scs for which that mortgagee, assignee, successor or receiver is required under that contract or agreement to be included as an additional insured on this Coverage Part The insurance provided to such mortgagee, assignee, successor or rnrPiver is subject to the following provisions: a. The limits of insurance provided to such mortgagee, assignee, successor or receiver will be the minimum limits that you agreed to provide in the written contract or agreement, or the limits shown in the Declarations, whichever are Ics-. b. The insurance provided to such person or organization does not apply to: (1) Any "bodily injury' or "property damage" that occurs, or any "personal and advertising injury' caused by an offense that is committed, after such contract or agreement is no longer in effect; or (2) Any "bodily injury', "property damage" or "personal and advertising injury' arising out of any structural alterations, new construction or demolition operations performed by or on behalf of such mortgagee, assignee, successor or receiver. G. BLANKET ADDITIONAL INSURED - GOVERNMENTAL ENTITIES - PERMITS OR AUTHORIZATIONS RELATING TO PREMISES The following is added to SECTION II — WHO IS AN INSURED: Any govemmental entity that has issued a permit or authorization with respect to premi.,cs owned or occupied by, or rented or loaned to, you and that you are required by any ordinance, law, building code or written contract or agreement to include as an additional insured on this Coverage Part is an insured, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" arising out of the existence, ownership, use, maintenance, repair, construction, erection or removal of any of the following for which that governmental entity has © 2017 The Travelers Indemnity Company. All rights reserved, Page 3 of 5 Includes copyrighted material of Insurance Services Office, Inc. with its permission COMMERCIAL GENERAL LIABILITY icsiied such permit or authorization: advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoist away openings, sidewalk vaults, elevators, street banners or decorations. H BLANKET ADDITIONAL INSURED — GOVERNMENTAL ENTITIES — PERMITS OR AUTHORIZATIONS RELATING TO OPER- ATIONS The following is added to SECTION II — WHO IS AN INSURED: Any govemmental entity that has issued a permit or authorization with respect to operations performed by you or on your behalf and that you are required by any ordinance, law, building code or written contract or agreement to include as an additional insured on this Coverage Part is an insured, but only with respect to liability for "bodily injury', "property damage" or "personal and advertising injury" arising out of such operations. The insurance provided to such governmental entity does not apply to: a. Any "bodily injury', "property damage" or "personal and advertising injury" arising out of operations performed for the govemmental entity; or b. Any "bodily injury' or "property damage" included in the "products -completed operations hazard'. I. BLANKET ADDITIONAL INSURED — GRANTORS OF FRANCHISES The following is added to SECTION II — WHO IS AN INSURED: Any person or organization that grants a franchise to you is an insured, but orily with respect to liability for "bodily injury', "property damage" or "personal and advertising injury" arising out of your operations in the franchise granted by that person or organization. If a written contract or agreement exists between you and such additional insured, the limits of insurance provided to such insured will be the minimum limits that you agreed to provide in the written contract or agreement, or the limits shown in the Declarations, whichever are less. J. INCIDENTAL MEDICAL MALPRACTICE 1. The following replaces Paragraph b. of the definition of "occurrence" in the DEFINITIONS Section: b. An act or omission committed in providing or failing to provide "incidental medical servine ", first aid or "Good Samaritan services" to a person, unless you are in the business or occupation of providing professional health care services. 2. The following replaces the last paragraph of Paragraph 2.a.(1) of SECTION II — WHO IS AN INSURED: Unless you are in the business or occupation of providing professional health care services, Paragraphs (1)(a), (b), (c) and (d) above do not apply to "bodily injury" arising out of providing or failing to provide: "Incidental medical services" by any of your "employees" who is a nurse, nurse assistant, emergency medical technician, paramedic, athletic trainer, audiologist, dietitian, nutritionist, occupational therapist or occupational therapy assistant, physical therapist or speech - language pathologist; or (b) First aid or "Good Samaritan services" by any of your "employees" or "volunteer workers", other than an employed or volunteer doctor. Any such "employees" or "volunteer workers" providing or failing to provide first aid or "Good Samaritan services" during their work hours for you will be deemed to be acting within the scope of their employment by you or performing duties related to the conduct of your business. 3. The following replaces the last sentence of Paragraph 5. of SECTION III — LIMITS OF INSURANCE: For the purposes of determining the applicable Each Occurrence Limit, all related ads or omissions committed in providing or failing to provide "incidental medical services", first aid or "Good Samaritan services" to any one person will be deemed to be one "occurrence". 4. The following exclusion is added to Paragraph 2., Exclusions, of SECTION I — COVERAGES — COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY: Sale Of Pharmaceuticals "Bodily injury' or "property damage" arising out of the violation of a penal statute or ordinance relating to the sale of pharmaceuticals committed by, or with the knowledge or consent of, the insured. (a) Page 4 of 5 ® 2017 The Travelers Indemnity Company. All rights reserved. CG D4 58 02 19 Includes copyrighted material of Insurance Services Office, Inc. with its permission 5. The following is added to the DEFINITIONS Section: "Incidental medical services" means: a. Medical, surgical, dental, laboratory, x-ray or nursing service or treatment, advice or instruction, or the related fumishing of food or beverages; or b. The furnishing or dispensing of drugs or medical, dental, or surgical supplies or appliances. 6. The following is added to Paragraph 4.b., Excess Insurance, of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: 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 ariscs out of providing or failing to provide "incidental medical services" to any person to the extent not subject to Paragraph 2.a.(1) of Section 11 — Who Is An Insured_ K. MEDICAL PAYMENTS — INCREASED LIMIT The following replaces Paragraph 7. of SECTION III — LIMITS OF INSURANCE: 7. Subject to Paragraph 5. above, the Medical Expense Limit is the most we will pay under Coverage C for all medical expenses because of "bodily injury' sustained by any one person, and will be the higher of: CG D4 58 0219 COMMERCIAL GENERAL LIABILITY a. $10,000; or b. The amount shown in the Declarations of this Coverage Part for Medical Expense Limit. L 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 LIABILITY CONDITIONS: If the insured has agreed in a contract or agreement to waive that insureds right of recovery against any person or organization, we waive our right of recovery against such person or organization, but only for payments we make because of: a. "Bodily injury" or "property damage" that occurs; or b. "Personal and advertising injury" caused by an offense that is committed; subsequent to the execution of the contract or agreement. M. CONTRACTUAL LIABILITY — RAILROADS 1. The following replaces Paragraph c. of the definition of "insured contract" in the DEFINITIONS Section: c. Any easement or license agreement; 2. Paragraph f.(1) of the definition of "insured contract" in the DEFINITIONS Section is deleted. © 2017 The Travelers Indemnity Company. All rights reserved. Page 5 of 5 Includes copyrighted material of Insurance Services Office, Inc. with its permission TRAVELERSJ ONE TOWER SQUARE HARTFORD CT 06183 WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 04 03 06 (01) — 003 POLICY NUMBER: us-2,1162841-17-14-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 will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us,) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. THE ADDITIONAL PREMIUM FOR THIS ENDORSEMENT SHALL BE 3.00% OF THE CALIFORNIA WORKERS' COMPENSATION PREMIUM OTHERWISE DUE ON SUCH REMUNERATION. SCHEDULE PERSON OR ORGANIZATION JOB DESCRIPTION CITY OF NATIONAL CITY ONGOING SERVICE/MAINTENANCE CONTRACT DATE OF ISSUE: 03-27-17 STASSIGN: Page 1 of 1 Date: CONTRACT TRANSMITTAL FORM (Attach as Cover Sheet to Documents dropped off to City Clerk's Office) 9/17/2020 Engineering/Public Works From (Dept.): Tirza Gonzales Submitted by (First & Last Name): Vendor: Rayzist Photomask Inc. dba Honor Life, Inc. Resolution: YES / NO Resolution No. (if applicable): 2 3 4 Originals Provided to City Clerk (Select Quantity) ® 0 0 0 Department has Copy / Duplicate Original Vendor has Copy / Duplicate Original