HomeMy WebLinkAbout2020 CON Tinosa Incorporated - Breathing Air System Compressor ServicesSHORT FORM SERVICES AGREEMENT
BY AND BETWEEN
THE CITY OF NATIONAL CITY
AND
TINOSA INCORPORATED
THIS AGREEMENT is entered into this first day of December, 2020, by and between the
CITY OF NATIONAL AL CITY a municipal corporation (the "CITY"), and TINOSA
INCORPORATED, , a California corporation (the "CONTRACTOR").
NOW, THEREFORE, CITY agrees to engage CONTRACTOR to perform the services
set forth herein in accordance with the following terms and conditions:
I . Description of Services. CONTRACTOR shall provide services as outlined in
attached proposal, Exhibit "A", for breathing air system compressor services to include the
changing and replacement of compressor oil filters, cartridges, and belts. CONTRACTOR shall
also take quarterly air samples and post results. Breathing apparatus cylinders shall be
hydrostatically tested per Department of Transportation specifications.
Length of Agreement. The schedule is set forth below:
a) The duration of this Agreement is from December 1 St 2020 through November
30th, 2021
. Compensation. The total compensation to CONTRACTOR for providing the
services set forth herein shall not exceed an annual cost of ,,. The compensation for
CONTRACTOR'S work shall be based upon and not exceed the rates given in Exhibit "A" (the
labor rates) without prior written authorization from CITY.
4. Payment Schedule. CITY will make payment within thirty (30) days of
receiving and approving a billing statement for the satisfactorily completed services of
CONTRACTOR.
, Termination. CITY may terminate this Agreement at any time by providing one
(I) day's written notice to CONTRACTOR.
6. Independent Contractor. It is agreed that CONTRACTOR is an independent
Contractor, and all persons working for or under the direction of CONTRACTOR are
CONTRACTOR'S agents, servants and employees, and said persons shall not be deemed agents,
servants, or employees of CITY.
7. Insurance. CONTRACTOR shall obtain:
A. 1 If checked, Professional Liability Insurance (errors and omissions)
with minimum limits of $1,000,000 per occurrence,.
B. Automobile insurance covering all bodily injury and property damage
incurred during the performance of this Agreement, with a minimum coverage of $1,000,000
combined single limit per accident. Such automobile insurance shall include any auto and
scheduled autos owned, non -owned, and hired vehicles. The policy shall name the CITY and its
officers, agents, employees, and volunteers as additional insureds, and a separate additional
insured endorsement shall be provided.
C. Commercial General Liability Insurance, with minimum limits of
1,0 0,0 0 per occurrence and $2,000,000 aggregate, covering all bodily injury and property
damage arising out of its operations, work, or performance under this Agreement. The policy
shall name the CITY and its officers, agents, employees, and volunteers as additional insureds,
and a separate additional insured endorsement shall be provided. The general aggregate limit
must apply solely to this "project" or "location". The "project" or "location" should be noted
with specificity on an endorsement that shall be incorporated into the policy.
D. Workers' compensation insurance in an amount sufficient to meet`
statutory requirements covering all of CONTRACTOR'S employees and employers' liability
insurance with limits of at least $1,000,000 per accident. In addition, the policy shall be endorsed
with a waiver of subrogation in favor of the CITY. Said endorsement shall be provided prior to
commencement of work under this Agreement.
If C NSU TANT has no employees subject to the California Workers'
Compensation and Labor laws, CONSULTANT shall execute a Declaration to that effect. Said
Declaration shall be provided to CONSULTANT by CITY.
E. The aforesaid policies shall constitute primary insurance as to the CITY,
its officers, employees, and volunteers, so that any other policies held by the CITY shall not
contribute to any loss under said insurance. Said policies shall provide for thirty 0 days prior
written notice to the Mrs Risk Manager, at the address listed in subsection G below, of
cancellation or material change. .
F. Said policies, except for the professional liability and workers'
compensation policies, shall name the CITY and its officers, agents, employees, and volunteers
as additional insureds, and separate additional insured endorsements shall be provided.
G. The Certificate Holder for all policies of insurance required by this
Section shall be:
City of National City
c/o Risk Manager
1243 National City Boulevard
National City, CA 91950-4397
H. If required insurance coverage is provided on a "claims made" rather than
"occurrence" form, the CONTRACTOR. shall maintain such insurance coverage for three years
after expiration of the term (and any extensions) of this Agreement. In addition, the "retro" date
must be on or before the date of this Agreement.
I. Insurance shall be written with only insurers authorized to conduct
business in California which hold a current policy holder's alphabetic and financial size category
rating of not less than A:VII according to the current Best's Key Rating Guide, or a company of
equal financial stability that is approved by the City's Risk Manager. In the event coverage is
provided by non -admitted `surplus lines" carriers, they must be included on the most recent List
of Approved Surplus Line Insurers ("LASLI")and otherwise meet rating requirements. i
J. This Agreement shall not take effect until certificates or other sufficient
proof that these insurance provisions have been complied with, are filed with, and approved by
the C ITY' s Risk Manager. If the CONTRACTOR does not keep all insurance policies required
Standard Short Form Agreement
Page 2 of 7 City of National City and
Revised May 2019 Tinosa Incorporated
by this Section 7 in full force and effect at all times during the term of this Agreement, the CITY
may treat the failure to maintain the requisite insurance as a breach of this Agreement and
terminate the Agreement as provided herein.
K. All deductibles and self -insured retentions in excess of $10,000 must be
disclosed to and approved by the CITY. CITY reserves the right to modify the insurance
requirements of this Section 7, including limits, based on the nature of the risk, prior experience,
insurer, coverage, or other special circumstances.
L. If the C NTRACTOR maintains broader coverage or higher limits (or
both) than the minimum limits shown above, the CITY shall be entitled to the broader coverage
or higher limits (or both) maintained by the CONTRACTOR. Any available insurance proceeds
in excess of the specified minimum limits of insurance and coverage shall be available to the
CITY.
8. Indemnification and Hold harmless. To the maximum extent provided by law,
the CONTRACTOR agrees to defend, indemnify and hold harmless the City of National City, its
officers, officials, agents, employees, and volunteers against and from any and all liability, loss,
damages to property, injuries to, or death of any person or persons, and all claims, demands,
suits, actions, proceedings, reasonable attorneys' fees, and defense costs, of any kind or nature,
including workers' compensation claims, of or by anyone whomsoever, resulting from or arising
out of the .CONTRACTOR'S performance or other obligations under this Agreement; provided,
however, that this indemnification and hold harmless shall not include any claims or liability
arising from the established sole negligence or willful misconduct of the CITY, its agents,
officers employees, or volunteers. CITY will cooperate reasonably in the defense ofany action,
and CONTRACTOR shall employ competent counsel, reasonably acceptable to the City
Attorney.
The indemnity, defense, and hold harmless obligations contained herein shall
survive the termination of this Agreement for any alleged or actual omission, act, or negligence
under this Agreement that occurred during the term of this Agreement.
. EMPLOYEE AYM 1 TS AND INDEMNIFICATION.
9.1 PERS. Eligibility Indemnification. If CONTRACTOR's employee(s) providing
services under this Agreement claims, or is determined by a court of competent jurisdiction or
the California Public Employees Retirement System ("PERS") to be eligible for enrollment in
PERS of the CITY, CONTRACTOR shall indemnify, defend,, and hold harmless CITY for the
payment of any ,employer and employee contributions for PERS benefits on behalf of the
employee as well as for payment of any enalties and interest on such contributions which would
otherwise be the responsibility of the CITY.
CONTRACTOR'S employees providing service under this Agreement shall not:(1)
qualify for any compensation and benefit under PERS; 2 be entitled to any benefits under
PERS; enroll in PERS as an employee of CITY; receive any employer contributions paid
by CITY for PERS benefits; or be entitled to any other PERS-related benefit that would
Standard Short Form Agreement Page 3 of 7 City of National City and
Revised May 2019 Tinosa Incorporated
accrue to a CITY employee. CONTRACTOR's employees hereby waive any claims to benefits
or compensation described in this Section 9. This Section 9 applies to CONTRACTOR
notwithstanding any other agency, state or federal policy, rule, regulation, law or ordinance to
the contrary.
9.2 Limitation of CITY Liability. The payment made to CONTRACTOR under this
Agreement shall be the full and complete compensation to which CONTRACTOR and
CONTRACTOR's officers, employees, agents, and subcontractors are entitled for performance
of any work under this Agreement. Neither CONTRACTOR nor CONTRACTOR's officers,
employees, agents, and subcontractors are entitled to any salary or wages, or retirement, health,
leave or other fringe benefits applicable to CITY employees. The CITY will not make any
federal or state tax withholdings on behalf of CONTRACTOR. The CITY shall not be required
to pay any workers' compensation insurance on behalf of CONTRACTOR.
9.3 Indemnification for Emploree Payments. CONTRACTOR agrees to defend and
indemnify the CITY for any obligation, claim, suit, or demand for tax, retirement contribution
including any contribution to PERS, social security, salary or wages, overtime payment, or
workers' compensation payment which the CITY may be required to make on behalf of(1)
CONTRACTOR, 2 any employee of CONTRACTOR, or any employee of
CONTRACTOR construed to be an employee of the CITY, for work performed under this
Agreement. This is a continuing obligation that survives the termination of this Agreement.
10. Acceptability of Work. The CITY shall, with reasonable diligence,
determine the quality or acceptability of the work, the manner of
performance, and/or the compensation payable to the CONTRACTOR.
11. Business License. CONTRACTOR must possess or shall obtain business
license from National City Finance Department before beginning work.
12. Prevailing Wages. State prevailing wage rates may apply to work
performed under this Agreement. State prevailing wages rates apply to all public works contracts
as set forth in California Labor Code, including but not limited to, Sections 1720, 1720.2,
1 20. , 1 20. , and 1771. CONTRACTOR is solely responsible to determine if State prevailing
wage rates apply and, if applicable, pay such rates in accordance with all laws, ordinances, rules,
and regulations.
13. Administrative Provisions.
A. Computation of Time Periods. If any date or time period provided for in
this Agreement is or ends on a Saturday, Sunday or federal, state or legal holiday, then such date
shall automatically be extended until 5:00 p.m. Pacific Time of the next day which is not a
Saturday, Sunday or federal, state, or legal holiday.
B. Counterparts. This Agreement may be executed in multiple counterparts,
each of which shall be deemed an original, but all of which, together, shall constitute but one and
the same instrument.
C. Captions. Any captions to, or headings of, the sections or subsections of
this Agreement are solely for the convenience of the parties hereto, are not a part of this
Standard Short Form Agreement
Page 4 of 7 ity of National City and
Revised May 2019 Tinosa Incorporated
Agreement, and shall not be used for the interpretation or determination of the validity of this
Agreement or any provision hereof.
ID. No Obligations to Third Parties. Except as otherwise expressly provided
herein, the execution and delivery of this Agreement shall not be deemed to confer any rights
upon, or obligate any of the parties hereto, to any person or entity other than the parties hereto.
E. Exhibits and Schedules. The Exhibits and Schedules attached hereto are
hereby incorporated herein by this reference for all purposes. To the extent any exhibits,
schedules, or provisions thereof conflict or are inconsistent with the terms and conditions
contained in this Agreement, the terms and conditions of this Agreement will control.
F. Amendment to this Agreement. The terms of this Agreement may not be
modified or amended except by an instrument in writing executed by each of the parties hereto.
G. Assignment & Assumption `'Rights. CONTRACTOR shall not assign
this Agreement, in whole or in part, to any other party without first obtaining the written consent
of CITY.
H. Waiver. The waiver or failure to enforce any provision of this Agreement
shall not operate as a waiver of any future breach of any such provision or any other provision
hereof.
Applicable Law. This Agreement shall be governed by and construed in
accordance with the laws of the State of California. The venue for any legal action arising under
this Agreement shall be in either state or federal court in the County of San Diego, State of
California. The CONTRACTOR shall comply with all laws, including federal, state, and local
laws, whether now in force or subsequently enacted.
J. Audit, If this Agreement exceeds ten -thousand dollars 10,000, the
parties shall be subject to the examination and audit ofthe State Auditor for a period of three (3)
years after final payment under the Agreement, per Government Code Section 8546.7.
K. Entire Agreement. This Agreement supersedes any prior agreements,
negotiations and communications, oral or written, and contains the entire agreement between the
parties as to the subject matter hereof. No subsequent agreement, representation, or promise
made by either party hereto, or by or to an employee, officer, agent, or representative of any
party hereto shall be of any effect unless it is in writing and executed by the art to be bound
party
thereby.
L. Successors and Assigns. This Agreement shall be bindingupon and shall
inure to the benefit of the successors and assigns of the parties hereto.
M. Subcontractors or Subconsultants. The CITY is engaging the services of
the CONTRACTOR identified in this Agreement. The CONTRACTOR shall not subcontract
any portion of the work, unless such subcontracting was part of the original proposal or is
allowed by the CITY. In the event any portion of the work under this Agreement is
subcontracted, the subcontractor(s) shall be required to comply with and agree to, for the benefit
of and in favor of the CITY, both the insurance provisions in Section 7 and the indemnification
and hold harmless provision of Section 8 of this Agreement.
N. Construction.' The parties acknowledge and agree that W each party is of
equal bargaining strength, (ii) each party has actively participated in the drafting,preparation and
negotiation of this Agreement, iil each such party has consulted with or has had the opportunity
to consult with its own, independent counsel and such other professional advisors as such party
has deemed appropriate, relative to any and all matters contemplated under this Agreement, (iv)
any rule or construction to the effect that ambiguities are to be resolved against the drafting party
Standard Short Form Agreement Page 5 of 7
City of National City and
Revised May 2019 Tinosa Incorporated
shall not apply in the interpretation of this Agreement, or any portions hereof, or any
amendments hereto.
IN WITNESS WHEREOF, this Agreement is executed by CITY and by CONTRACTOR
on the date and year first above written.
CITY OF NATIONAL CITY
By:
Brad Raulston, City Manager
APPROVED AS TO FORM:
Angil P. Morris Jones
City Attorney
By:
Nicole Pedone
Senior Assistant City Attorney
Standard Short Font Agreement
TINOSA INCORPORATED
(Corporation — stgnatures of two corporate officers required)
(Partnership or Sole proprietors/zip — one signature)
wrinoct eel:v(2 lin
Ciro
(Title)
Page 6 of 7 City of National City and
Revised May 2019 Tinosa Incorporated
ONTACT 0/FORMATION
CITY OF NATIONAL CITY
1243 National City Boulevard
National City, CA 91950-4397
Phone: (619)
Fax: (619) 336-4662
Contact: Jeff Bogle
Title: Fire Captain
Dep.: Fire Department
Email: j bog1enatio a1eityca. ov
Standard Short Form Agreement
r
TINOSA INCORPORATED
6151 Progressive Ave, Ste. 300
San Diego. 92154
Phone: 19- 9 - 0
Fax: 619-690-7448
Contact: Tim Kiley
Title: Vice President
Email:
Taxpayer I.D. No.:
Page 7o7
1
City of National City and
Revised May 2019 Tinosa Incorporated
1
Aca CERTIFICATE
OF
LIABILITY
INSURANCE
, DATE W" IDS
111 1 0 0
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 INSURERS), AUTHORIZED
_- REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(lea) 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 -
Encircle Insurance Services, Inc. dba: ISU Insurance
ServicesC
2525 Camino Del Rio South, Suite 100
San Diego CA 10 i1=ADDRSs---
P
-- Agency Lic#: OB 7816
CONTACT '
NAM: Olivia Rodriguez
PHONE
No. Ext): (619) 937-4000
FAX
IAIC, No): 5 ) S3T�400'I
E-MAIL oIivia@isuenclrcle.corn
1NSURER(S) AFFORDING COVERAGE
NAIC
INSURER A: BURLINGTON INSURANCE COMPANY
23620
INSURED
TJNO A, INC.
6151 PROGRESSIVE DR # 300
SAN DIEGO CA 92154
'INSURER B: INFINITY SELECT INSURANCE GROUP
22268
INSURER C: OAK RIVER INSURANCE COMPANY
34630
INSURER D:
INSURER E:
INSURER F:
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.
[MR
LTR
TYPE OF INSURANCE �IIVSRD
I ADI L
SLIDR
WVD
POLICY NUMBER
POLICY EFF
DATE (MNI/DDNYY)
POLICY EXP
DATE (MINDDIYY)
-
UMITS
X
COMMERCIAL GENERAL LIABILITY
905BW49131
1 /31119
1 1 11 0
EA HOCCURRENCE
190QQ110
-
DAMAGE TO RENTED
PREMISES (Ea occurer�c
100000
CLAIMS MADE X
OCCUR
MED FRCP (Any one person)
s 1000
PERSONAL & AD'! INJURY
1000000
1
GENERAL AGGREGATE
$ 2000000
GEN'L
AGGREGATE LIMIT APPLIES PER:
POLICY
PRO- JET
LOC
PRODUCTS-COMPIOP AGO
2000000
OTHER:
BAUTOMOBILE
LIABlure
11172020
11118/ 0
111181 1
COMBINED SINGLE LIMIT
aocfdent�
Eaa acc!
$ 1,000,000
— -
XI
ANY AUTO
BODILY INJURY (Per person)
OWNED
AUTOS ONLY
j
1
SCHEDULED
AUTOS
BODILY INJURE (Per ardent)
PROPERTY DAMAGE
(Per accident)
HIRED
AUTOS ONLY
NON -OWNED
AUTOS ONLY
UMBRELLA LI
'OCCUR
1
EACH OCCURRENCE
EXCESS LIAR F1CLJMS-.MADE
AGGREGATE
$
DEDI
1RETENTI_OI
-
(DESCRIPTION
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/E} ECUTIVE
OFFICER/MEMBER EXCLUDED?
Mandatary in till)
Y!N
El
NIA
T1 C018880
-1,000,000
11/08/ 0 ,
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11/081 1
I T TLI
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ER
E.L. EACH ACCIDENT1,000,000
E.L. DISEASE -EA EMPLOYEE
$ 11900,000
$
EL. DISEASE -POLICY LlA+ll�` '
If yes. describe under
OF OPERATIONS bS w
I
DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (ACORD 101i Additional Remarks Schedule, may be attached If more space is required)
THE CITY OF NATIONAL CITY, ITS ELECTED OFFICIALS, OFFICERS, AGENTS AND EMPLOYEES ARE NAMED AS ADDITIONAL INSURED WITH
RESPECTS TO GENERAL LIABILITY ONLY AS THEIR INTERESTS MAY APPEAR. WAIVER OF SUBROGATION APPLIES TO THE WORKERS'
COMPENSATION. .
*30 DAY NOTICE OF CANCELLATION (*10 DAY NOTICE FOR NON-PAYMENT OF PREMIUM)
r
t
CERTIFICATE HOLDER
CANCELLATION
CITY OF NATIONAL CITY
C/O RISK MANAGER
1243 NATIONAL CITY BLVD.
NATIONAL CITY, CA 91950
Attention:
k
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICYPROVISTONS.
Paul M. CaccamiseLlc # 067960
0......._21
ACORD 25 (01610) Certificate # 29413
CI 1988-2015 ACORD CORPORATION. All right reserved.
The ACORD name and logo are registered marks of ACORD
POLICY NUMBER 905BW49131 COMMERCIAL CIAL GENERAL LIABILITY
CG 2010 0413
THIS ENDORSEMENT EI T CHAT ES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED -OWNERS, LESSEES OR
CONTRACTORS -SCHEDULED 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)
Location(s) Of Covered Operations
Where specified by fully executed written contract.
CITY OF NATIONAL CITY
}
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Section 11 — 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 Iocation(s)
designated above.
However:
er:
1. The insurance afforded to such additional
insured only applies to the extent permitted
by law; and
2. If coverage provided to the additional insured
is required' by a contract or agreement, the
insurance afforded to such additional insured
will not be broader than that which you are
required by the contract or agreement to
provide for such additional insured.
CG 2010 041
:1
B. With respect to the insurance afforded to these
additional insureds, the following additional
exclusions apply:
This insurance does not apply to ¢bodily injury" or
"property damage" occurring after
1. 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
2. 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 another contractor or
subcontractor- engaged in performing
operations for a principal as a part of the
same project.
Insurance Services Office, inc., 2012 Page 1 of
Named Insured: TINOSA, INC.
Policy Number: 04- 1014- 11-001
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
COMMERCIAL AUTO
BA 99 04 06 18
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, maintenance or use of the additional insured's "autos."
Additional Insured When Required by Contract (a) The limits of insurance specified in
the written contract or written
agreement; or
(b) The Limits of Insurance shown in
the Declarations
(I)
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
Subsequent to the execution of such
written contract, and
Prior to the expiration of the period
of time that the written contract
requires such insurance be provided
to the additional insured.
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:
•
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 i
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 1n 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
WORKERS ERS OMPEN TION AND EMPLOYERS LIABILITY INSURANCE POLICY
WC990410C
(Ed. 91-19 .
WAIVER F OUR RIGHT TO RECOVER VER FROM OTHERS ENDORSEMENT-CALIFORNIA
BLANISET BASIS
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 calculated by applying a factor of 2% to the total manual
premium, with a minimum initial charge of 0, then applying all other pricing factors for the policy to this calculated
charge to derive the final cost of this endorsement:
This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
Schedule
Blanket Waiver
•
Persn!rganiation Blanket Waiver — Any person or organization for whom the Named Insured has
agreed by written contract to furnish this waiver.
•
Job Description
All CA Operations
•
Waiver Premium (prior to adjustments)
350.00
t.
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: 1 1/08/ 0 0 Policy No.: TIW 122408 Endorsement No.:
Insured: Premium
InsuranceCompany: Oak River Insurance Company
Countersigned by
WC990410C
(Ed. 01-19)
BAUER
COMPRESSORS
ginli Quality. Our DNA
October 20, 2020
To: Whom It May Concern
Ref: Bauer Compressors, Inc. sales and Service Authorization
To Whom It May Concern,
Please accept this letter as confirmation that Tinosa LLC is a factory authorized Bauer
Compressors, Inc. sales and service distributor. Bauer has appointed Tinosa LLC to have
responsibility for an Area of Primary Responsibility, which includes your area. We have
had a long standing relationship with Tinosa LLC and find them to be a highly focused and
customer driven organization. They have the capability of providing sales and service
support on all breathing air products manufactured by Bauer Compressors Inc. In addition,
Tinosa LLC has an inventory of most service spare parts. Listed is their respective contact
information:
Tinosa LLC
6151 Progressive Ave.
San Diego, CA 92154
Att: Ti rn Kiley
Tel 1 -60-7440
This appointment is valid until October 20, 2021 or until advised in writing, whichever
comes first.
Please feel free to contact me if I can provide any additional information or answer any
questions for you.
Sincerely,
Vice President of Sales, Breathing Air Products
BAUER COMPRESSORS Inc. 11328 Azalea Garden Road 1Norfolk, VA 23502 I U.S.A. I A Member of BAUER GROUP
O
6151 Progressive Ave., Ste. .410 5asi Diego, CA 9 154
(619) 90- 440, FAX (619) 90- 4 , wwwatinosaincicom.
A State of California Small Business
October 20, 2020
National City Fire Department
Attn: Jeff Bogle Quote No. T 0B 4
You requested a quote for the following Breathing Air System Services
(Labor Rate =$1 0.0 hr):
Compressor Maintenance
1. Change Compressorbil and Filter
. Replace Compressor intake Filter
3. Check Compressor V-belt
. Replace Compressor Purification Cartridges
. Check Compressor for leaks Operational Test
Material 300.00
{Sales Tax 8.75% $26.25
Labor — (2) Hrs $ 300.00
Breathing Apparatus Testing
1. Hydrostatically Test (DOT) (78)
BA Cylinders x $ 25.00 ea $ 1,950.00
Municipality Breathing Air Program — National City (P/N MBAP-NC)
1. Quarterly Air Samples with 3Rd Party nal sl
2. Posting of Sampling Results and all Required N FPA Signage
3. Hard and Electronic pi s of all Testing Results and Maintenance
Performed provided to the Department
4. 3rd Party Record Kepping for (5) Years (TINIOSA)
MBAP-NC Program by TINOSA
1.
t (1) x $ 1,250.00 1,250.00
Quote Total
If you have any questions please call.,
Sincerely,
Vanessa Davis
General Manager
$ ,8 . 5