HomeMy WebLinkAboutC-5112 - Agreement for Repair Services for Carrol Beek Roof ReplacementAGREEMENT FOR REPAIR SERVICES
WITH MIDWEST ROOFING AND SOLAR CORPORATION
FOR CARROL BEEK ROOF REPLACEMENT
1 THIS AGREEMENT FOR R PAIR SERVICES ( "Agreement ") is made and
ventered into as of this 23r day of "AV , 2012 ( "Commencement Date ") by and
between the CITY OF NEWPORT 'BEACH, a California municipal corporation and
charter city ( "City "), and MIDWEST ROOFING AND SOLAR CORPORATION, a
California Corporation ( "Contractor "), whose principal place of business is 1305 W.
132nd Street, Gardena, CA 90247 and is made with reference to the following:
RECITALS
A. City is a municipal corporation duly organized and validly existing under the laws
of the State of California with the power to carry on its business as it is now being
conducted under the statutes of the State of California and the Charter of City.
B. City requires roof replacement at the Carroll Beek Center.
C. City desires to engage Contractor to replace the roof at the Carroll Beek Center
('Project ").
D. Contractor has examined the location of all proposed work, carefully reviewed
and evaluated the specifications set forth by the City for the Project, and is
familiar with all conditions relevant to the performance of services and has
committed to perform all work required for the price specified in this Agreement.
NOW, THEREFORE, it is mutually agreed by and between the undersigned
parties as follows:
1. TERM
The term of this Agreement shall commence on the Commencement Date, and shall
terminate on June 30, 2012, unless terminated earlier as set forth herein.
2. SCOPE OF SERVICES
2.1. City and Contractor acknowledge that the above Recitals are true and
correct and are hereby incorporated by reference. Contractor shall perform all the work
described in the Scope of Services attached hereto as Exhibit A and incorporated
herein by this reference ( "Services" or "Work "). As a material inducement to the City
entering into this Agreement, Contractor represents and warrants that Contractor is a
provider of first class work and Contractor is experienced in performing the Work
contemplated herein and, in light of such status and experience, Contractor covenants
that it shall follow the highest professional standards in performing the Work required
hereunder and that all materials will be of good quality. For purposes of this
Agreement, the phrase "highest professional standards" shall mean those standards of
practice recognized by one or more first -class firms performing similar work under
similar circumstances.
2.2. Contractor shall perform everything required to be performed, and shall
provide and furnish all the labor, materials, necessary tools, expendable equipment and
all utility and transportation services necessary for the Project.
3. TIME OF PERFORMANCE
3.1. Time is of the essence in the performance of Services under this
Agreement and the Services shall be performed to completion in a diligent and timely
manner. The failure by Contractor to perform the Services in a diligent and timely
manner may result in termination of this Agreement by City.
3.2. Notwithstanding the foregoing, Contractor shall not be responsible for
delays due to causes beyond Contractor's reasonable control. However, in the case of
any such delay in the Services to be provided for the Project, each party hereby agrees
to provide notice to the other party so that all delays can be addressed.
3.3. Contractor shall submit all requests for extensions of time for performance
in writing to the Project Administrator as soon as reasonably possible, but no event later
than ten (10) calendar days after the start of the condition that purportedly causes a
delay. The Project Administrator shall review all such requests and may grant
reasonable time extensions for unforeseeable delays that are beyond Contractor's
control.
3.4. For all time periods not specifically set forth herein, Contractor shall
respond in the most expedient and appropriate manner under the circumstances, by
telephone, fax, hand - delivery or mail.
4. COMPENSATION
4.1. As full compensation for the performance and completion of the Project as
required by the Scope of Services and Fee Schedule attached hereto as Exhibit A, City
shall pay to Contractor and Contractor accepts as full payment the sum Seven
Thousand, Eight Hundred Seventy Dollars and 00/100 ($7,870.00). Contractor shall
not receive any additional compensation unless approved in advance by the City in
writing. The City shall make progress payments as the Work proceeds based on the
percentage of Work completed. City shall pay Contractor no later than thirty (30) days
after approval of the progress invoices by City staff.
4.2. Notwithstanding any other provision of this Agreement, when payments
made by City equal 90% of the maximum amount provided for in this Agreement, no
further payments shall be made until City has accepted the final Work under this
Agreement.
5. ADMINISTRATION
This Agreement will be administered by the Public Works Department. Tom Sandefur,
Associate Civil Engineer, or his designee shall be the Project Administrator and shall
MIDWEST ROOFING AND SOLAR CORPORATION Page 2
have the authority to act for City under this Agreement. The Project Administrator or his
authorized representative shall represent City in all matters pertaining to the Services to
be rendered pursuant to this Agreement.
6. TYPE AND INSTALLATION OF MATERIALS /STANDARD OF CARE
6.1. Contractor shall use only the standard materials described in Exhibit A in
performing Services under this Agreement. Any deviation from the materials described
in Exhibit A shall not be installed unless approved in advance by the Project
Administrator.
6.2. All of the Services shall be performed by Contractor or under Contractor's
supervision. Contractor represents that it possesses the personnel required to perform
the Services required by this Agreement, and that it will perform all Services in a
manner commensurate with highest professional standards. All Services shall be
performed by qualified and experienced personnel who are not employed by City, nor
have any contractual relationship with City.
7. RESPONSIBILITY FOR DAMAGES OR INJURY
7.1. City and all officers, employees and representatives thereof shall not be
responsible in any manner for any loss or damage to any of the materials or other things
used or employed in performing the Project or for injury to or death of any person as a
result of Contractor's performance of the Services required hereunder; or for damage to
property from any cause arising from the performance of the Project by Contractor, or
its subcontractors, or its workers, or anyone employed by either of them.
7.2. Contractor shall be responsible for any liability imposed by law and for
injuries to or death of any person or damage to property resulting from defects,
obstructions or from any cause arising from Contractor's Work on the Project, or the
Work of any subcontractor or supplier selected by the Contractor.
7.3. To the fullest extent permitted by law, Contractor shall indemnify, defend
and hold harmless City, its City Council, boards and commissions, officers, agents,
volunteers, and employees (collectively, the "Indemnified Parties ") from and against any
and all claims (including, without limitation, claims for bodily injury, death or damage to
property), demands, obligations, damages, actions, causes of action, suits, losses,
judgments, fines, penalties, liabilities, costs and expenses (including, without limitation,
attorney's fees, disbursements and court costs) of every kind and nature whatsoever
(individually, a Claim; collectively, "Claims'), which may arise from or in any manner
relate (directly or indirectly) to any breach of the terms and conditions of this
Agreement, any Work performed or Services provided under this Agreement including,
without limitation, defects in workmanship or materials or Contractor's presence or
activities conducted on the Project (including the negligent and /or willful acts, errors
and /or omissions of Contractor, its principals, officers, agents, employees, vendors,
suppliers, consultants, subcontractors, anyone employed directly or indirectly by any of
them or for whose acts they may be liable or any or all of them).
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7.4. Notwithstanding the foregoing, nothing herein shall be construed to
require Contractor to indemnify the Indemnified Parties from any Claim arising from the
sole negligence or willful misconduct of the Indemnified Parties. Nothing in this
indemnity shall be construed as authorizing any award of attorney's fees in any action
on or to enforce the terms of this Agreement. This indemnity shall apply to all claims
and liability regardless of whether any insurance policies are applicable. The policy
limits do not act as a limitation upon the amount of indemnification to be provided by the
Consultant.
7.5. Contractor shall perform all Project Work in a manner to minimize public
inconvenience and possible hazard, to restore other work areas to their original
condition and former usefulness as soon as possible, and to protect public and private
property. Contractor shall be liable for any private or public property damaged during
the performance of the Project Work.
7.6. To the extent authorized by law, as much of the money due Contractor
under and by virtue of the Agreement as shall be considered necessary by City may be
retained by it until disposition has been made of such suits or claims for damages as
aforesaid.
7.7. The rights and obligations set forth in this Section shall survive the
termination of this Agreement.
8. INDEPENDENT CONTRACTOR
City has retained Contractor as an independent contractor and neither Contractor nor its
employees are to be considered employees of the City. The manner and means of
conducting the Work are under the control of Contractor, except to the extent they are
limited by statute, rule or regulation and the express terms of this Agreement. No civil
service status or other right of employment shall accrue to Contractor or its employees.
Contractor shall have the responsibility for and control over the means of performing the
Work, provided that Contractor is in compliance with the terms of this Agreement.
Anything in this Agreement that may appear to give City the right to direct Contractor as
to the details of the performance or to exercise a measure of control over Contractor
shall mean only that Contractor shall follow the desires of City with respect to the results
of the Services.
9. COOPERATION
Contractor agrees to work closely and cooperate fully with City's designated Project
Administrator and any other agencies that may have jurisdiction or interest in the Work
to be performed. City agrees to cooperate with the Contractor on the Project.
10. INSURANCE
10.1. Without limiting Contractor's indemnification of City, and prior to
commencement of Work, Contractor shall obtain, provide and maintain at its own
expense during the term of this Agreement, policies of insurance of the type and
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amounts described below and in a form satisfactory to City. The cost of such insurance
shall be included in Contractor's bid.
10.2. Coverage and Limit Requirements.
10.2.1. Workers' Compensation. Contractor shall maintain Workers'
Compensation Insurance providing statutory benefits and employer's liability insurance
with limits of at least one million dollars ($1,000,000) each type for Contractor's
employees in accordance with the laws of the State of California, Section 3700 of the
Labor Code. In addition, Contractor shall require each subcontractor to similarly
maintain Workers' Compensation Insurance and Employer's Liability Insurance in
accordance with the laws of the State of California, Section 3700 for all of the
subcontractor's employees. The insurer issuing the Workers' Compensation insurance
shall amend its policy by endorsement to waive all rights of subrogation against City, its
elected or appointed officers, agents, officials, employees and volunteers. Contractor
shall submit to City, along with the required certificate of insurance, a copy of such
waiver of subrogation endorsement.
10.2.2. General Liability. Contractor shall maintain commercial general
liability insurance in an amount not less than one million dollars ($1,000,000) per
occurrence, two million dollars ($2,000,000) General Aggregate and two million dollars
($2,000,000) Products and Completed Operations Aggregate for bodily injury, personal
injury, and property damage, including without limitation, blanket contractual liability.
Coverage shall be at least as broad as that provided by Insurance Services Office form
CG 00 01. None of the policies required herein shall be in compliance with these
requirements if they include any limiting endorsement that has not been first submitted
to City and approved in writing.
10.2.3. Automobile Liability. Contractor shall maintain automobile
insurance covering bodily injury and property damage for all activities of the Contractor
arising out of or in connection with Work to be performed under this Agreement,
including coverage for any owned, hired, non -owned or rented vehicles, in an amount
not less than one million dollars ($1,000,000) combined single limit for each accident.
10.2.4. Builders Risk. For Agreements or Contracts with
Construction /Builders Risk property exposures, Contractor shall maintain Builders Risk
insurance or an installation floater as directed by City, covering damages to the Work
for "all risk" or special form causes of loss with limits equal to one hundred percent
(100 %) of the completed value of contract, with coverage to continue until final
acceptance of the Work by City. At the discretion of City, the requirement for such
coverage may include additional protection for Earthquake and /or Flood. City shall be
included as an insured on such policy, and Contractor shall provide the City with a copy
of the policy.
10.3. Other Insurance Provisions or Requirements.
10.3.1. Evidence of Insurance. Contractor shall provide certificates of
insurance to City as evidence of the insurance coverage required herein, along with a
waiver of subrogation endorsement for workers' compensation and an additional
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insured endorsement for general liability. Insurance certificates and endorsements
must be approved by City's Risk Manager prior to commencement of performance or
issuance of any permit. Current evidence of insurance shall be kept on file with City at
all times during the term of this Agreement. All of the executed documents referenced in
this Agreement must be returned within ten (10) working days after the date on the
"Notification of Award," so that the City may review and approve all insurance and bond
documentation. City reserves the right to require complete, certified copies of all
required insurance policies, at any time.
10.3.2. General liability insurance provisions. Primary and excess or
umbrella liability policies are to contain, or be endorsed to contain, the following
provisions:
103.2.1. City, its elected or appointed officers, agents, officials,
employees, and volunteers are to be covered as additional insureds as respects: liability
arising out of activities performed by or on behalf of Contractor, including the insured's
general supervision of Contractor; products and completed operations of Contractor;
premises owned, occupied or used by Contractor. The coverage shall contain no
special limitations on the scope of protection afforded to City, its elected or appointed
officers, officials, employees, agents or volunteers. Contractor shall submit to City a
copy of the additional insured endorsement along with the required certificates of
insurance.
10.3.2.2. Contractor's insurance coverage shall be primary
insurance and /or primary source of recovery as respects City, its elected or appointed
officers, agents, officials, employees and volunteers as respects to all claims, losses, or
liability arising directly or indirectly from the Contractor's operations or services provided
to the City. Any insurance or self- insurance maintained by City, its officers, officials,
employees and volunteers shall be excess of the Contractor's insurance and shall not
contribute with it.
10.3.2.3. Contractor's insurance shall apply separately to each
insured against whom claim is made or suit is brought, except with respect to the limits
of the insurer's liability.
10.4. Acceptable Insurers. All insurance policies shall be issued by an
insurance company currently authorized by the Insurance Commissioner to transact
business of insurance in the State of California, with an assigned policyholders' Rating
of A- (or higher) and Financial Size Category Class VII (or larger) in accordance with the
latest edition of Best's Key Rating Guide, unless otherwise approved by the City's Risk
Manager.
10.5. Notice of Cancellation. Contractor agrees to oblige its insurance broker
and insurers to provide to City with 30 days notice of cancellation (except for
nonpayment for which 10 days notice is required) or nonrenewal of coverage for each
required coverage except for builder's risk insurance. The builder's risk policy will
contain or be endorsed to contain a provision providing for 30 days written notice to City
of cancellation or nonrenewal, except for nonpayment for which 10 days notice is
required.
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10.6. Self- Insured Retentions. Contractor agrees not to self - insure or to use any
self- insured retentions on any portion of the insurance required herein and further
agrees that it will not allow any indemnifying party to self- insure its obligations to City. If
contractor's existing coverage includes a self- insured retention, the self- insured
retention must be declared to City. City may review options with the contractor, which
may include reduction or elimination of the self- insured retention, substitution of other
coverage, or other solutions. Contractor agrees to be responsible for payment of any
deductibles on their policies.
10.7. Timely Notice of Claims. Contractor shall give City prompt and timely
notice of any claim made or suit instituted arising out of or resulting from Contractor's
performance under this agreement.
10.8. Waiver. All insurance coverage maintained or procured pursuant to this
agreement shall be endorsed to waive subrogation against City, its elected or appointed
officers, agents, officials, employees and volunteers, or shall specifically allow
Contractor or others providing insurance evidence in compliance with these
requirements to waive their right of recovery prior to a loss. Contractor hereby waives its
own right of recovery against City, and shall require similar written express waivers and
insurance clauses from each of its subcontractors.
10.9. Enforcement of Agreement Provisions. Contractor acknowledges and
agrees that any actual or alleged failure on the part of the City to inform Contractor of
non - compliance with any requirement imposes no additional obligations on the City nor
does it waive any rights hereunder.
10.10. Requirements not Limiting. Requirements of specific coverage features or
limits contained in this Section are not intended as a limitation on coverage, limits or
other requirements, or a waiver of any coverage normally provided by any insurance.
Specific reference to a given coverage feature is for purposes of clarification only as it
pertains to a given issue and is not intended by any party or insured to be all inclusive,
or to the exclusion of other coverage, or a waiver of any type.
10.11..City's Remedies. City shall have the right to order the Contractor to stop
Work under this Agreement and /or withhold any payment(s) that become due to
Contractor hereunder until Contractor demonstrates compliance with the requirements
of this article. In the alternative, City may purchase the required coverage and charge
Contractor the cost of the premiums or deduct the cost from Contractor's payments.
10.12. Coverage not Limited. All insurance coverage and limits provided by
contractor and available or applicable to this agreement are intended to apply to the full
extent of the policies. Nothing contained in this agreement or any other agreement
relating to the city or its operations limits the application of such insurance coverage.
10.13. Coverage Renewal. Contractor will renew the coverage required here
annually as long as Contractor continues to provide any Services under this or any
other contract or agreement with the City. Contractor shall provide proof that policies of
insurance required herein expiring during the term of this Agreement have been
renewed or replaced with other policies providing at least the same coverage. Proof that
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such coverage has been ordered shall be submitted prior to expiration. A coverage
binder or letter from Contractor's insurance agent to this effect is acceptable. A
certificate of insurance and /or additional insured endorsement as required in these
specifications applicable to the renewing or new coverage must be provided to City
within five days of the expiration of the coverages.
11. PREVAILING WAGES
Pursuant to the applicable provisions of the Labor Code of the State of California, not
less than the general prevailing rate of per diem wages including legal holidays and
overtime Work for each craft or type of workman needed to execute the Work
contemplated under the Agreement shall be paid to all workmen employed on the Work
to be done according to the Agreement by the Contractor and any subcontractor. In
accordance with the California Labor Code (Sections 1770 et seq.), the Director of
Industrial Relations has ascertained the general prevailing rate of per diem wages in the
locality in which the Work is to be performed for each craft, classification, or type of
workman or mechanic needed to execute the Agreement. A copy of said determination
is available by calling the prevailing wage hotline number (415) 703 -4774, and
requesting one from the Department of Industrial Relations. The Contractor is required
to obtain the wage determinations from the Department of Industrial Relations and post
at the job site the prevailing rate or per diem wages. It shall be the obligation of the
Contractor or any subcontractor under him /her to comply with all State of California
labor laws, rules and regulations and the parties agree that the City shall not be liable
for any violation thereof.
12. SUBCONTRACTING
City and Contractor agree that subcontractors may be used to complete the Work
outlined in the Scope of Work provided the Contractor obtains City approval prior to the
subcontractor performing any work. Contractor shall be fully responsible to City for all
acts and omissions of the subcontractors. Nothing in this Agreement shall create any
contractual relationship between City and subcontractor nor shall it create any obligation
on the part of City to pay or to see to the payment of any monies due to any such
subcontractor other than as otherwise required by law.
13. WITHHOLDINGS
City may withhold payment to Contractor of any disputed sums until satisfaction of the
dispute with respect to such payment. Such withholding shall not be deemed to
constitute a failure to pay according to the terms of this Agreement. Contractor shall not
discontinue Work as a result of such withholding. Contractor shall have an immediate
right to appeal to the City Manager or his /her designee with respect to such disputed
sums. Contractor shall be entitled to receive interest on any withheld sums at the rate of
return that City earned on its investments during the time period, from the date of
withholding of any amounts found to have been improperly withheld.
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14. CONFLICTS OF INTEREST
14.1. The Contractor or its employees may be subject to the provisions of the
California Political Reform Act of 1974 (the "Act "), which (1) requires such persons to
disclose any financial interest that may foreseeably be materially affected by the Work
performed under this Agreement, and (2) prohibits such persons from making, or
participating in making, decisions that will foreseeably financially affect such interest.
14.2. If subject to the Act, Contractor shall conform to all requirements of the
Act. Failure to do so constitutes a material breach and is grounds for immediate
termination of this Agreement by City. Contractor shall indemnify and hold harmless
City for any and all claims for damages resulting from Contractor's violation of this
Section.
15. NOTICES
15.1. All notices, demands, requests or approvals to be given under the terms of
this Agreement shall be given in writing, to City by Contractor and conclusively shall be
deemed served when delivered personally, or on the third business day after the
deposit thereof in the United States mail, postage prepaid, first -class mail, addressed as
hereinafter provided. All notices, demands, requests or approvals from Contractor to
City shall be addressed to City at:
Attn: Thomas Sandefur, Associate Civil Engineer
City of Newport Beach
3300 Newport Blvd.
PO Box 1768
Newport Beach, CA 92658
Email: tandefur@newportbeachca.gov
Phone: 949 - 644 -3312
Fax: 949 - 644 -3318
15.2. All notices, demands, requests or approvals from City to Contractor shall
be addressed to Contractor at:
Attn: Robert Poxon, Senior Project Manager
MIDWEST ROOFING AND SOLAR CORPORATION
1305 W. 132nd Street,
Gardena, CA 90247
Email: rp.midwestroofingandsolar @gmail.com
Phone: 310 -213 -7663
Fax: 310- 515 -1403
16. NOTICE OF CLAIMS
16.1. Unless a shorter time is specified elsewhere in this Agreement, before
making its final request for payment under the Agreement, Contractor shall submit to
City, in writing, all claims for compensation under or arising out of this Agreement.
Contractor's acceptance of the final payment shall constitute a waiver of all claims for
MIDWEST ROOFING AND SOLAR CORPORATION Page 9
compensation under or arising out of this Agreement except those previously made in
writing and identified by Contractor in writing as unsettled at the time of its final request
for payment. The Contractor and the City expressly agree that in addition to all claims
filing requirements set forth in the Agreement, the Contractor shall be required to file
any claim the Contractor may have against the City in strict conformance with the Tort
Claims Act (Govt. Code §§ 900 et seq.).
17. TERMINATION
17.1. In the event that either party fails or refuses to perform any of the
provisions of this Agreement at the time and in the manner required, that party shall be
deemed in default in the performance of this Agreement. If such default is not cured
within a period of two (2) calendar days, or if more than two (2) calendar days are
reasonably required to cure the default and the defaulting party fails to give adequate
assurance of due performance within two (2) calendar days after receipt of written
notice of default, specifying the nature of such default and the steps necessary to cure
such default, the non - defaulting party may terminate the Agreement forthwith by giving
to the defaulting party written notice thereof.
17.2. Notwithstanding the above provisions, City shall have the right, at its sole
discretion and without cause, of terminating this Agreement at any time by giving seven
(7) calendar days prior written notice to Contractor. In the event of termination under
this Section, City shall pay Contractor for Services satisfactorily performed and costs
incurred up to the effective date of termination for which Contractor has not been
previously paid. On the effective date of termination, Contractor shall deliver to City all
materials purchased in performance of this Agreement.
18. STANDARD PROVISIONS
18.1. Compliance with all Laws. Contractor shall at its own cost and expense
comply with all statutes, ordinances, regulations and requirements of all governmental
entities, including federal, state, county or municipal, whether now in force or hereinafter
enacted.
18.2. Waiver. A waiver by City of any term, covenant, or condition in the
Agreement shall not be deemed to be a waiver of any subsequent breach of the same
or any other term, covenant or condition.
18.3. Integrated Contract. This Agreement represents the full and complete
understanding of every kind or nature whatsoever between the parties hereto, and all
preliminary negotiations and Agreements of whatsoever kind or nature are merged
herein. No verbal Contract or implied covenant shall be held to vary the provisions
herein.
18.4. Conflicts or Inconsistencies. In the event there are any conflicts or
inconsistencies between this Agreement and the Exhibits attached hereto, the terms of
this Agreement shall govern.
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18.5. Amendments. This Agreement may be modified or amended only by a
written document executed by both Contractor and City and approved as to form by the
City Attorney.
18.6. Effect of Contractor's Execution. Execution of this Agreement by
Contractor is a representation that Contractor has visited the Project Site, has become
familiar with the local conditions under which the Work is to be performed, and has
taken into consideration these factors in submitting its Project Proposal and Scope of
Work.
18.7. Controlling Law and Venue. The laws of the State of California shall
govern this Agreement and all matters relating to it and any action brought relating to
this Agreement shall be adjudicated in a court of competent jurisdiction in the County of
Orange.
18.8. Equal Opportunity Employment. Contractor represents that it is an equal
opportunity employer and it shall not discriminate against any subcontractor, employee
or applicant for employment because of race, religion, color, national origin, handicap,
ancestry, sex or age.
18.9. Interpretation. The terms of this Agreement shall be construed in
accordance with the meaning of the language used and shall not be construed for or
against either party by reason of the authorship of the Agreement or any other rule of
construction which might otherwise apply.
18.10. Severability. If any term or portion of this Agreement is held to be invalid,
illegal, or otherwise unenforceable by a court of competent jurisdiction, the remaining
provisions of this Agreement shall continue in full force and effect.
18.11. No Attorney's Fees. In the event of any dispute or legal action arising
under this Agreement, the prevailing party shall not be entitled to attorney's fees.
18.12. Counterparts. This Agreement may be executed in two or more
counterparts, each of which shall be deemed an original and all of which together shall
constitute one and the same instrument.
[SIGNATURES ON NEXT PAGE]
MIDWEST ROOFING AND SOLAR CORPORATION Page 11
IN WITNESS WHEREOF, the parties have caused this Agreement to be
executed on the dates written below.
APPROVED AS TO FORM:
CITY ATTORNEY'S OFFICE
Date: z- LI 1 i
By: f
Aaron C. Ha p
City Attorney
ATTEST: �f z31
Date: /
By.
Leilani I. Brown
City Clerk
Attachment:
CITY OF NEWPORT BEACH,
A Califorr}ra mp• nicipal corporation
Date:
:n G. Badum
Works Director
CONSULTANT: MIDWEST ROOFING
AND SOLAR CORPORATION, a
California Corporation
Date:
V
By: I/
Darren Ta'ngen
Owner
Date:
ByQ
Delcia Banner
Executive Secretary
[END OF SIGNATURES]
Exhibit A - Scope of Services and Fee Schedule
MIDWEST ROOFING AND SOLAR CORPORATION Page 12
EXHIBIT A
SCOPE OF SERVICES AND FEE SCHEDULE
MIDWEST ROOFING AND SOLAR
1305 W. 132nd Street, Gardena, CA 90247 (310) 515 -1464, Far (310) 515 -1403, Lic. 9769615
Bringing Midwest Values & Integrity to Southern California for Over 30Fears
Date: March, 22. 2011
Customer: City of Newport Job Address: 115 Agate Ave.
C /O: Tom Sanderfur Newport Beach Ca. 92663
Phone: 949 - 644 -3312
Fax: 949 - 644 -3318
From: Robert Poxon Phone #310 -213 -7663
CAREFULLY REMOVE ALL OLD ROOFING AND INSTALL 30
YEAR (DIMENSIONAL SHINGLE ON PITCHED SECTION.
INSTALL A.P.P. MODIFIED RUBBER ON FLAT SECTION.
Preparation:
L Carefully remove all old roofing and haul away
2. Inspect deck and replace rotted wood AS PER CITY CODE.
Roofing:
1. Install Non - Perforated 1516. Felt Base to all surfaces -Two inch lap towards eaves.
2. Install new drip edge perimeter metal; COLOR - WHITE, BROWN OR CHARCOAL.
3. Install Starter Course at Eaves and Rakes.
4. Install new pipe and vent flashings.
5. Install Class A -Fire Retardant Fiberglass Shingle using 4 nails per shingle allowing for manufacturer
Specifications Exposure.
6. Install new "High Profile" matching hip and ridge.
Flat Section:
1. Install cant strip at all 90 degree angles.
2. Supply and install 28 lb. U.S. Intee Ultra base, or equivalent, fiberglass base sheet.
A) Side laps to be 3" minimum.
B) End laps to be 6" minimum.
C) Nails along side laps to be 9" on centered intervals, all hand nailed.
D) Two rows of nails down center at 18" staggered intervals.
3. Install starter layer of smooth modified rubber under perimeter metal. (If applicable.)
4. Install flashing metal at all pipes (28 gauge), all metal to be primed using an asphalt primer.
A) Coat with aluminum sealant to protect from ultraviolet degradation.
5. Target sheets- Installation of smooth rubber around all pipe penetrations. ( If applicable. )
6. Install Zincalume Steel Perimeter Metal with 1/4" Lip. Metal nailed and sealed at all laps.
7. Install Smooth Surface Modified Rubber Base flashing at all curbs.
8. Install APP Modified Torch -Down Rubber.
A) Side laps to be 4" minimum.
B) End laps to be 6" minimum.
City of Newport Beach
Page 2 of 2
Final Details:
1. Seal all pipes and vents with plastic roof mastic and cotton webbing.
2. Paint all pipes and vents with aluminum fibrous paint, protect from UN rays.
3. All roof related debris will be cleaned up and hauled away.
PRICEs $7870.00 PLUS PERMIT
CERTIFICATE OF INSURANCE
CHECKLIST
(City of Newport Beach
This checklist is comprised of requirements as outlined by the City of Newport Beach. *
Date Received: 4/11/2012 Dept. /Contact Received From:
Date Completed: 4/11/2012 Sent to:
Company /Person required to have certificate:
Type of contract:
Tania
Joel Griffin By: Tea Xia
Haupt Industries dba Nlidwest Roofing & Solar
All Other
I. GENERAL LIABILITY
EFFECTIVE /EXPIRATION DATE: 9/15/2011- 9/15/2012
A.
INSURANCE COMPANY: First Mercury Insurance Co
B.
AM BEST RATING (A-: VII or greater): A, XIII
C.
ADMITTED Company (Must be California Admitted):
Is Company admitted in California?
® Yes ❑ No
$1,000,000/$2,000,000
D.
LIMITS (Must be $1 M or greater): What is limit provided?
for Occurrence /Aggregate
E.
ADDITIONAL INSURED ENDORSEMENT — please attach
® Yes ❑ No
F.
PRODUCTS AND COMPLETED OPERATIONS (Must
include): Is it included? (completed Operations status does
not apply to Waste Haulers or Recreation)
® Yes ❑ No
G.
ADDITIONAL INSURED FOR PRODUCTS AND
COMPLETED OPERATIONS ENDORSEMENT (completed
Operations status does not apply to Waste Haulers)
N Yes ❑ No
H.
ADDITIONAL INSURED WORDING TO INCLUDE (The City
its officers, officials, employees and volunteers): Is it
included?
N Yes ❑ No
I.
PRIMARY & NON - CONTRIBUTORY WORDING (Must be
included): Is it included?
N Yes ❑ No
J.
CAUTION! (Confirm that loss or liability of the named insured
is not limited solely by their negligence) Does endorsement
include "solely by negligence' wording?
❑ Yes ® No
K.
ELECTED SCMAF COVERAGE (RECREATION ONLY):
N N/A ❑ Yes ❑ No
L.
NOTICE OF CANCELLATION:
❑ N/A N Yes ❑ No
11. AUTOMOBILE
LIABILITY
EFFECTIVE/EXPIRATION DATE: 5/24/2011 -5/24 -2012
A.
INSURANCE COMPANY: American States Insurance Co
B.
AM BEST RATING (A-: VII or greater) A, XV
C.
ADMITTED COMPANY (Must be California Admitted):
Is Company admitted in California?
N Yes ❑ No
D.
LIMITS (Must be $1M min. BI & PD and $500,000 UM, $2M min
for Waste Haulers): What is limits provided?
$1,000,000
E
LIMITS Waiver of Auto Insurance / Proof of coverage (if individual)
(What is limits provided ?)
N/A
F.
PRIMARY & NON - CONTRIBUTORY WORDING (For Waste
Haulers only):
® N/A ❑ Yes ❑ No
G.
HIRED AND NON -OWNED AUTO ONLY:
❑ N/A ❑ Yes N No
H.
NOTICE OF CANCELLATION:
❑ N/A N Yes ❑ No
111. WORKERS' COMPENSATION
EFFECTIVE /EXPIRATION DATE: 12/31/2011- 12/31/2012
A.
INSURANCE COMPANY: American Zurich Insurance Company
B.
AM BEST RATING (A-: VII or greater): A +XV
C.
ADMITTED Company (Must be California Admitted):
® Yes
❑ No
D.
WORKERS' COMPENSATION LIMIT: Statutory
® Yes
❑ No
E.
EMPLOYERS' LIABILITY LIMIT (Must be $1M or greater)
$ $1,000,000
F.
WAIVER OF SUBROGATION (To include): Is it included?
® Yes
❑ No
G.
SIGNED WORKERS' COMPENSATION EXEMPTION FORM:
® N/A ❑ Yes
❑ No
H.
NOTICE OF CANCELLATION:
❑ N/A ® Yes
❑ No
ADDITIONAL COVERAGE'S THAT MAYBE REQUIRED
IV. PROFESSIONAL LIABILITY
V POLLUTION LIABILITY
V BUILDERS RISK
® N/A ❑ Yes ❑ No
® N/A ❑ Yes ❑ No
® N/A ❑ Yes ❑ No
HAVE ALL ABOVE REQUIREMENTS BEEN MET? ® Yes ❑ No
IF NO, WHICH ITEMS NEED TO BE COMPLETED?
Approved:
Agent of Alliant Insurance Services
Broker of record for the City of Newport Beach
4 -13 -12
Date
RISK MANAGEMENT APPROVAL REQUIRED (Non- admitted carrier rated less than _
Self Insured Retention or Deductible greater than $ ) ❑ N/A ❑ Yes ❑ No
Reason for Risk Management approval /exception /waiver:
Approved:
Risk Management
" Subject to the terms of the contract.
Date
ACC- ,?•'n'i" CERTIFICATE OF LIABILITY INSURANCE
YI
O('jLl('G
CERTIFICATE 91.AY BE ISSUED OR MAY PERT!-.'K THE INSURANCE AFFORDED BY THE POLICIES
IZ(112
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
.A
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY MEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES 140T CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the cuRilicate holder is an ADDITIONAL INSURED, the policy(ies) must he endorsed. If SUBROGATION IS WAIVED, subject to
the torms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate bolder in lieu of such endoi soment(51.
PRODUCER
CONTACT
Hark van :4Bfi
UD 4:4:1:5 Of Florida, inc.
Pea:c °N`O Fa17: (80337 293 -3ti00 Ext. 62 IA,c.:1o): (8821 225 -4045
E -LV n. --
ffpReNs:
3000 Bayport Dive: Suile 300
Tampa FL 331107
rvsUP.E.4151_.FFORDWG COVERAGE NAICs
_ —.__-
wsunail: Amadcan Zurich Insurance l.Ompdny 140142_
RSURED
I�.•SI URER B: i
V :4rkAfLT.'OUsinv'ss Se: vices. Inc. Labor C.b:ilmotor, for leased viorkers 10'
—
r :cd:•fesl Roofing_: and Solm. Inc.
IN5uR SAC: j
— —
'1401 V'lesl Ste 600
I INSURER U
B:EdenlDO. FL 34205 -07CS
I nsursER e_ i _ _
:,ia X;.•i. ?D
II:SUP.EP. P:
COVERAGES CERTIFICATE NUMBER: 11F1.0 79 8 1 5004 REVISION NUMRPR-
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREU NAMED ABOVE FOR THE. POLICY PERICD
INDICATED, r• M', %11TFISTANLIII.'G ANY REQUIREMENT, TEFW. OR CONDITION OF ANY CONTRACT OR OTHER DOCUP:lENT VVITH RESPECT TO WH:CH THIS
CERTIFICATE 91.AY BE ISSUED OR MAY PERT!-.'K THE INSURANCE AFFORDED BY THE POLICIES
DESCRIBED HEREIN IS SUBJECT 1'0 ALL THE
EXCLUSION'S AND CONDITIONS CF SUCH POLICIES. U1d17S SFO'AV.AAY RAVE BEEN REDUCED BY PAID CLAIMS-
man —PULL GiaR; POLICY EFF
LID: TYPE Of LVSN'.ASCE IIrcRR'C /Yal POLICY :iUN9ER Id11JrDD'YYYYI ,IMMVDDIW1
PPOLIC'! EXP — —�
) LIMITS
CENCRALLIAGILfY
PaCHOCruersi -I.G= Is
CCWV.Ei.. _s._R+L.aY:
i
PEFISA&i.l a+.DY IGJUnY 7s 1
GEHEiW.L AWREur_i,E. a
. I+L P :C.=. °_i= Ir.B: :.'Ol_Ci P °_2 - I
'Ph' : :CGCfS.::�ar✓'OP �'� i_.__
-RC-
P
.I
AUTOI.IOGILE LIAGGJIT
COV.E;HE-3r:. :GcC _INIT
�uur_mli
_ I
_ _
+CO.LY :VIURYIPU; :rso :,t --
eULEO
dGT : :Y INJURY G :r acuExa;IS —
Au,05'Da
--
:
:,ia X;.•i. ?D
Pk::F <Tf DA:JnC° _- -T—
Mavm� -Lre., ._—
UMBRELLA LIAR F.
I -
�— EXCESS LITD— :..IL4 ?d1A_�E
• M.C. iRE1- r.r0'::
WCRRERSCOMPENSATmn I
X ; _STATU- jOTi �
1 AHD E &IPLOYEnS' LIAOILFY Y: is
3Y
: ofr= a ?PhiF,iClc:".F.cLER.p :[CJTIva= I,,; I
H =ICEFl; =s9E'r nIA 9PW666 -01 :12131,1201.1
I=t-ci C'-.: CIDE:T _ 1.0'-10!000
1,.131 ?2072 • ` ' ' ' - -
: aP s.;ca :� ,C
` Pr :�naalop In rlHl j
E.L_Cl E -gB c} _11PLGi' -r.. 5 1.0101J00
I D °Rfa :i +T'C`L� {= EBAI G•:S tecv I I
I EL fY<E^jE- FCL4.'.1 LllAlr { 5 1.]']0,00L'
I i
Location Coverage Period: 12!31;2011
I
12131f20121 Client,,' 0536:5
I
DESCRIPTION OF OPERATIMS r LOCA-RONS I VEARCLE5 IA:Inall ACORO 101, AdJWQ,1a1 Ren—'- 5cll Wule, II mora aP+ce b
t,Vu,,d)
Midwest P.00fsc and Soiar.:nc, I It Agate: ,e
Co•:enae c. crA.lde:l Ix 1305 Y`t i3211d SU <EI Ne : :aort Beach, CA
IP[dC enxuyee; <-
Gardena, c=
I
leaz1ea! ec n.a: nc1 .92n.
u;con;:ac;cr c',
C]1y at raempon BRecF,
:i3C0 P:ev:poa .Iva
Newpol: Eeach. CA 92663
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 2E CANCELLED BEFORE
THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN
ACCORDANCE V:RH THE POLICY PROVISIONS.
AVT::ORRED REPRESENTATIVE
/ r V
G 1980 -2010 ACORD CORPORATION. All rights reserved.
ACORO 25 (2010!05) The ACORD name and logo are registered marks of ACORD
WORKERS' COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT — CALIFORNIA
WC 04 0306
,Ed. 4-34,
VVe have the right to recover our payments Irom anyone liable for anJnjury covered by this policy. We will not enforce our
right against the person or organ¢ation narned in the schedule (This agreement applies only to the extent that you per-
form work under a written contract that regaires you to obtain this agreement from us.;
You must mainlain payroll records accurately Segregating the remuneration oiyour employees while engaged in the work
descrhed in the Schedule.
The additional premium for this endorsement shall be 50 of the California workers' compensation premium
otherwise due on such remuneration.
Person or Organization
IN FAVOR OF:
Ciiv of Newport Beach
S160 Ne,,pon Bo- ;d
.Abmpaa 3each. CA W563
SCHEDULE
Job Description
115.4,, ate Ave
Hev,pcn Beach. CA
This endorsement changes the policy to which it is attached and is efiective on the date issued unless other;•;ise slated.
(The information below i� required only when this ondorseniont is issued subsequent to preparation of the policy.)
Encors=_ :1enl Effective: 5 _:31;201 ; Pok- y Pa: v: c r:7 -ou- 356-01 Endorsement No:
Insured: s,y,,.10 : ��: n,,ires5 Services. Inc. La.h *r Cor;nztor. ur leasedvorkers to Mid':ve;t
Roofing aril Snlat, ICO.
I'!SUrFnCc COITtpam': 5jaar:car. Zurich I.nsur ncs Ccmpan,• Coumersigred by
WC 04 03 06
Copyright 1933 National Council on Compensation Insurance �j"��.+'<'
09 %113: "ill2 1.ii :US FAN
e 001; OIIG
ACORD CERTIFICATE F
I I j NSURANICE
DATE(I:IDD'(YYTI
s
4A1
o41o3no1z
j PRODUCE(:
310 -798 -0232 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
GARY KELLEY
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
KELLEY INSURANCE SERVICES
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
I 1C01 HERMOSA AVE STE 201
I
HERMOSA BEA.0 H, CA 90259
I INSURERS AFFORDING COVERAGE N All C :
_-
liisuaeo HA.DPT INDUSTRIES OBA E11DWEST ROOFING & 1 WSU :RERA: FIRST MERCURY INSURANCE GO
SOLAR. INC, MIDWEST ROOFING CO INC
ININND: AMERICAN STATES INSURANCE CO I 6
7365 W1EST 132ND STREET
: D:suaERc FIRST MERCURY INSURANCE GO 1 C
GARDENA CA 90247 ID 629192
—
_ BeSUSER> .
COVERAGES
THE POLICIES OF II ".SURA'ICE JSTE7 UE! OW HAVE SEEN ISSUED TO THE INSURED NAMEC ABOVE. FOR THE POLICY PERi001NDICP.TED. r4DTJilTHS'TANDING
ANY REOUIREhIENT, rERNI OR CCAOITION OF ANY CONTRACT OR OTHER DOCUMENT VVITH RESPECT TO VWCH
THIS CERTIFICATE !.1AY BE ISSUED OR
MAY PERTAIU, THE INSURA.ICE AFFORDED BY TF.E POLICIES DESCRIBED HEREIN IS SUSJHCT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLIGIES.AGGUEGATC LIMITS SHOW`! 14AY FAVE SEEN REOUCCO BY PAIL CLAIMS.
WSR AAG i .�_.. _._- __- ..._..__..
LTR IL%flD POLICY NUMBER I POp �T I+uFFCCi14C Ppt.l(:A V�IQFP�ATIOV
LIMITS
LIABILJfliU9CRS
I G[T :GR.0 UADn.IiY I )
EACHOCCURR::NCE i 3 1000000
A X r CONIVERCIALCENEIU! UA2MITY I FCGL042771-0 01'15/11 9i'1512012
EAI_E wm t s 50009
JCLRAfRIAnCE C {,CURT I
IeEV [:(P(Any DIltl PSrPP1 '$ SGDD
' BLANKET CONTRACTUAL
' I XI`NP.IVER OP I � � PERSONAL LhDVItiJURY is 1000600
XjOLAN_KEl' I i
GENERAL AGGREGATE ;S 2000000
I GEE: ?A3GREvhiF. ;IS'AT AFYUES FER :; I
PROLUCTS, LOM AOP ACG IS 2600000
PR0
•
I ,wlomcnELr unumirY
I. -_
B X X1ANY AUTO D1 C'1353876 -2 5/2412011, 512412012
COHRF£OSII:GLE L!1.'li 1000000
E. a..anl) I5
BCCIL."fA RY
i I I A'J_GN'Y.EDAUTO'a
I I �' a::FEULT.eOiYJTGS i °
—
ryerpe ,tnj ! _
I j
X I f!IREO:J1'CL
I -'
^OD!LY G =URY
I_PnrncitlnRD i
� . Idi4.JtYKE =ALTG9 i
E
--
FRO ?!Rl'Cn!.1hG'_
' I
I
I IPMdfY.OEII: 1 -
I224 AGE Lllll J Y i I
!A`3NLY. EFACCIDEVL 1S
ANTI AUTO 1
_
OTHERTF: FJI EAACC.
I
IAUTO:IVLY:
I
AGG £ I
1 EXCESSRIAIDRELA LIABILITY
I EICIIOCcuRnEIICE S 2000000
C ' ii G:. -J R ' I CLAVC. LURE FCEX042655 I 9T'2612011 912012012
FrG
s
C- DUCT. IKE
"p-
I --
WOP,IIERS COMPENSATION AND
I '�CRiATW' CTW ;i
-JRx L.lE1TSi ER
EMPLOTERS'LVUULITy
-
i
A : " RROFRc7O R:P.0.Rl N ?R :EX CIJ :f :E
A_HArCIDENT 5 ..__
'
CERLIHAJLR E :tCLb OE01
'e.l. DISEASE +EA E6EPLCYEEI 5
r•IInp, JCPa :N matt
' CCCCIf L °F.3d i101A:ol:':. _ I
"
E.L. 01 &6 \SES rPOLI : :Y LI511T ' S
OTHER I
I
1
1
DESCRIP7014 OF OPERATIONS I LOC,V IONS l VSIIICLESIEXCLUSIUNS ADDED BYEUDOR50,1ENTISPECIAL PROVISIONS
CITY OF NEWPORT BEACH IS :NAI.,lED ADDITIONAL INSUREDS ON THE GENERAL LIABILITY POLICY AND EXCESS LIABILITY POLICY
I PER ATTACHED PER AI TACHED C1320371001, CG20331001, CG24041093 AND FIAIC GL -2031 (1012010)
INSURANCE IS PRIMARY NON
CONTRIBUTORY.
JOB 115 AGATE AVE NEWPORT BEACH CA
TE
CITY OF NE!VPORT BEACH
3300 NEiNPORT BLVD
NEWPORT BEACH CA 92663
ATT TOIA
SHCVLO ANY OF THE ABOVE DESCRIDED POLICIES BE CANCELLED DEFORE THE EXPIRATION
OkW. THEREOF, T.IE MUMS (SURER YHa {.?JEyFAygg40 IAAIL 30 DAYS V.- Mr,,'ER
NOTICE TO DIE CERTIFICATE IIOLDLR NAMEO TO THE LEFT, FfUTYMLVRG- AY°690-0MLL
PcPess ^ ^wn- u.p�l —to -uPQI- Ga Ts:.n^�
04:43:2012 L0: 09 FAX
Q 003%006
COMMERCIAL GENERAL LIABILITY
THH3 ENDQRUc €u9EA1T CHANGES THE POLICY. PLE!A5E READ r�� j I++T CAREFUL Y.
�fl� f�i1�.�rryy���is��� n�,k"���`n� 6�!) f ��[raaa �C��'����g2:I3atl� �[�n ;� y,�gg�y� �rP�� g
J Z 0.".',, !S.� EeJJ ".I: 6I�., 4 h i "� 7 L'� cry} . $ ,'~„� z., a � 4'U a �ftS a �{, i ? i! Y P'S 1 2r 5 H �$ `k6 Nd
This endorsement modifies insurance provided under the follow: ing:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
A. Suction 11 — Who Is An Insured is amended to
b. "Bodily irijuy" or "property damage"
Include as an Insured any person or organization
occurring after:
for whom you are performing operations when you
(1) All wor'r„ including materials, parts or
and such porsen or organization have agreed in
equipment furnished in connection with
writing In a contract or agreement that such person
such work, on the project (other than
or organization be added as an additional Insured
service, maintenance or repairs) to be
on your policy, Such person or organizeiior, is an
performed by or on behalf of the
addldonal insured only with respect to liability
additional insured(s) at the situ of the
arising out of your ongoing operations performed
covered operations has been completed;
for that Insured. A porson's or organization's status'
or
as an insured under -thin endorsement ends when
(2) That portion of "your work" out of which
your operations for that insured are completed.
the injury or damage arlses has been put
E. With respect 'to the Insurance afforded to these
to is Intended use by any person or
additional insureds, the following additional
organization other than another
exclusions apply:
contractor or subcontractor engaged in
^., Ex lusions
performing operations for a principal as a
This insurance does not apply to:
part of the same project.
a. "bodily injury ", "property damage" cr
"personal and advartlsing Injury" arising out
of the rendering a,, or the failure to render,
anyprofessionat architectural, engineering or
surveying services, including:
(1) The preparing, approving, or failing to
prepare or approve, maps, shop
drawings, opinions, reports, surveys, field
order:, change orders or drawings and
specifications; and
(;Zr Supervisory, inspection, architectural or
engineering acuvlges.
CG 20 S3 10 01
O !SO Properties, )nc., 2000 Pape h of t O
04/03/201.� L6:09 FAX
t . NN'l T ft. f AC T 0 R S - C 0 M PLIE M OPERA IO.M..8
V" 004 %0116
This endorement modl8as insurance provided under the folla,nng:
COMMERCIAL GENEPAL LIABILI I ( COVERAGE P(IRT i
SCHEDULE
oi OCC„�+'- �tCaStiri): - :. -. -.. _ .•. _ __ .
IAny U'Wner, Lessee of Contractor you ma me agreed fo_a(:d aS an ao'eniormi Insurvo f
By Wittori Contract Prlor To An "occurrence' Or Offense.
Lome& -'l rl(i Pe o iptiaii of Gomplelod G?aoratlons:
I
,
Premit;m: j
k
(if no entry apl�a s above, Iniomnatlon required to compute this endo sement'NII be shown in the Owc!aratlons
<s anplIcz fo to this andarament)
secg,o;, it— 1414`ho I-) bin insured Is amended to include as an insure', the person or organization shp +m in the
Sr hedulo, but only whh.r �spsst to !iabid)ly arising rut of °),our vrork- at-the tocatlon designated and dpseribed in
tho scinedule of this ends scY ent pe lamed for that Insured and Ineluded in the
'productsoomplotedaopertlons
t rzarc�'.
Pzge 4 of 1
CP 1-0 3; 1ti Ol C ISO Properties. ;r:., 2x00
f
Od: 03: COL Ill: 10 F:13 0003100a
TrHISENGORSEMEi f CHANGES THE POLICY. PLEASE READ ITC.AREFULLY.
This endowment modilos insurance prodded under the foliming:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
To the e ientihat this irsuranco is sgo;ded to any ad40onal Insured under this poll y, such InSUldnce shall eppl{y as
primary
and nctconhibutingviM any ina Wane carted by =ucb additional insured, as required by r.•ilten contract.
Nothing heroin conlaned chall bo hold to valve, vary, sltor or ornend any conditionror provision of the policy other loan as above
stated.
This endOT OMOutfanns a part-ofL4c Policy to which attached, effective on Ihg Inceptlondateof the Pdicy untess Aervaise
stated hefola
ri hs {ollmirp infomingon is reyui rd only crh n lha endorsamerd is Issued subsequent to praparotion of the Policy.0
Endorsem an, cfNciva Policy No. FCGL042771 -0 Endorsement No.
Named Insured
W.UPT INDUSTRIES DBA ,MIDVIEST ROO FING Countersigned by
SOLAR INC, ivIIDWEST ROOFING CO INC '
FM IC-GL-2031(1012010)
ir- �u1 %•en iz its:to VAN
PdlicyW.=Ler: FGGL042771 -0
�ooa;oor
COMMERCIAL 0ENERAF LIABILITY
Wi24 041.093
TH41S.EINUORSEMENT CHAMGES THE POLICY, PLEASE READ ITCAREFlit,_LY.
OF � iGH S OF RISC VER
he %G A U -S O T I-iIE RS" ` OC US
This endorsement mod Mee insurance provid,i under thefdla.:ing:
COb9YERCOL GENERAL LIABILITY COVERAGE PART
It is hereby agreed that SECTION IV— COMMERCLAL GENERAL LIABILITY CONDITIONS, item 8. Transfer Of
P.igltiz Of Recovery Against Others To Us, is mcdlfied as follows;
schedui=:
Name of person or Orcganiza ?ion: Any person or organization you have a9feed to waive any right of rgcovery by
Written Contract, Prior To An "occurrence' Or Offense
We waive any right of rgcovery we may have against the pr -xson or orgenizatim shown in the Schgdule. above
be,mms of paUnants vie maka for Injury or damago artsrE out of your:oncgaing operations or "your wor(" dons
undo a contact vrili) that Ipemcn cr organization. This waiver applies or hj to the person or organization shom in
the Schsduleabove.
GGZ4M 10 R3