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HomeMy WebLinkAboutItem No. 14 Tri-Star Electric Amend No. 4Text File City of Lake Elsinore 130 South Main Street Lake Elsinore, CA 92530 www.lake-elsinore.org File Number: ID# 17-764 Agenda Date: 8/14/2018 Status: Consent AgendaVersion: 1 File Type: ReportIn Control: City Council / Successor Agency Agenda Number: 14) Page 1 City of Lake Elsinore Printed on 8/9/2018 REPORT TO CITY COUNCIL To:Honorable Mayorand Members of the City Council From:Grant Yates, City Manager Prepared By: Catherine Eakins –Administrative Assistant Date:August 14, 2018 Subject:Amendment No. 4to Extend the Term and Adjust Compensation of theTri- Star Electric’s Agreement for Contractor Services (On-call)in FY18-19 Recommendation Approve andauthorize the City Manager to execute Amendment No. 4to extend the contract withTri-Star Electricfor on-call contractor services, an additional 12-term, for anot to exceed contract amount of $30,000, in such final form as approved by the City Attorney. Background A contract with Tri-Star Electric executed on July1, 2016 for on-call contractor servicesin the amount of $5,000, was amended three time, for a contract a totalamount of $55,000.The original contract offered the option of extending three(3) additional 12-month terms.If approved, Amendment No. 4will be the second extension to the contract. Discussion Tri-Star Electric hasproven to a reliable contractor in providing on-call contractor services for unexpected work performed on an emergency basis or with very short notice. Staff is requesting to extend the contract an additional 12-month term, for a contracttotal not to exceed amount of $30,000 for FY 18/19. Fiscal Impact Funding is available in the FY 2018-19Public Works Operations budget. Exhibits Tri-Star Electric –Exhibit A -Amendment No.4 Tri-Star Electric –Exhibit B -Amendment No.3 Tri-StarElectric –Exhibit C -Amendment No.2 Tri-Star Electric –Exhibit D -Amendment No.1 Tri-Star Electric –Exhibit E -Original Agreement City of Lake Elsinore Tri-Star Electric –Amendment #4 Page 1 7/1/2018 AMENDMENT NO. 4 TO AGREEMENTFOR CONTRACTORSERVICES(ON-CALL) TRI-STAR ELECTRIC Electrician Services This Amendment No. 4to Agreement for ContractorServices (“Amendment No. 4”) ismade and entered into as of May 24,2018by andbetween the City of Lake Elsinore,a municipal corporation(“City), andJohn Sclifo doing business as Tri-Star Electric, (“Contractor”). RECITALS A.The City and Contractorhave entered into that certain Agreement for Contractor Services(On-Call)dated as of July 1, 2016(the “Original Agreement”). Except as otherwise defined herein, all capitalized terms used herein shall have the meanings set forth for such terms in the Original Agreement.The Original Agreement provided for compensation to Consultant in an amountof$5,000. B.Amendment No. 1 dated September 6, 2016 increased the compensation award by $15,000, for a not to exceed amount of $20,000. C.Amendment No. 2 dated January 1, 2017 increased the compensation award by $10,000, for a not to exceed amount of $30,000. D.Amendment No.3 extendedand increase the compensation by $25,000, for a not to exceed total amount of $55,000in FY17-18. E. The parties now desire to extend the contract for an additional 12-month term,with a compensationawardamount not to exceed $30,000 in FY18-19. NOW, THEREFORE, inconsideration of the mutual covenants and conditions set forth herein, City and Consultant agree as follows: 1.Section 2, subpart C, Term, of the Original Agreement is hereby amended to add the following: Unless earlier terminated as provided elsewhere in the Original Agreement, this Amendment No. 4shall continue in full force and effect for a period of twelve (12)months, commencing on May 24, 2018and ending on June 30, 2019. 2.The first paragraph of Section 3, Compensationand Cost of Living Adjustment, ofthe Original Agreement is hereby amended to read in its entirety as follows: Compensation to be paid to the Contractorshall be in accordance with the fees set forth in the Contractor’sProposal (Exhibit A to the Original Agreement).In no event shall Contractor’s compensations exceed Thirty Thousand Dollars ($30,000) for Fiscal Year 2018-2019 without additional written authorization from the City. City of Lake Elsinore Tri-Star Electric –Amendment #4 Page 2 7/1/2018 Notwithstanding any provision of Contractor’sProposal to the contrary, out of pocket expenses set forth in Exhibit A of the Original Agreement shall be reimbursed atcost without an inflator or administrative charge. Payment by City under this Agreement shall not be deemed a waiver of defects, even if such defects were known to the City at the time of payment. 2.Except for the changes specifically set forth herein, all other terms and conditions of the Original Agreement shall remain in full force and effect. WITNESS WHEREOF,the parties have caused this Amendment No. 4to be executed on the respective dates set forth below. “CITY” CITY OF LAKE ELSINORE, a municipal corporation Grant Yates, City Manager Date: ATTEST: City Clerk APPROVED AS TO FORM: City Attorney “CONTRACTOR” John Sclifo doing business as Tri-Star Electric John Sclifo, Owner Date: AMENDMENT NO. 3 TO AGREEMENT FOR CONTRACTOR SERVICES (ON-CALL) TRI.STAR ELECTRIC Electrician Services This Amendment No. 3 to Agreement for Contractor Services ("Amendment No. 3") is made and entered into as of May 23, 2017, by and between the City of Lake Elsinore, a municipal corporation ("City), and John Sclifo doing business as Tri-Star Electric, ("Contracto/'). RECITALS A. The City and Contractor have entered into that certain Agreement for Contractor Services (On-Call) dated as of July 1, 2016 (the "Original Agreement"). Except as otherwise defined herein, all capitalized terms used herein shall have the meanings set forth for such terms in the Original Agreement. The Original Agreement provided for compensation to Consultant in an amount of $5,000. B. Amendment No. 1 dated September 6, 2016 increased the compensation award by $'15,000, for a not to exceed amount of $20,000. C. Amendment No. 2 dated January 1, 2017 increased the compensation award by 10,000, for a not to exceed amount of $30,000. D. The parties now desire to extend and increase the compensation by $25,000, for a not to exceed total amount of $55,000. NOW, THEREFORE, in consideration of the mutual covenants and conditions set forth herein, City and Consultant agree as follows: 1. Section 2, subpart C, Term, of the Original Agreement is hereby amended to add the following: Unless earlier terminated as provided elsewhere in the Original Agreement, this Amendment No. 3 shall continue in full force and effect for a period of thirteen (13) months, commencing on May 23, 2Q17 and ending on June 23, 2018. 2. The first paragraph of Section 3, Compensation and Cost of Living Adjustment, of the Original Agreement is hereby amended to read in its entirety as follows: Compensation to be paid to the Contractor shall be in accordance with the fees set forth in the Contractor's Proposal (Exhibit A to the Original Agreement). ln no event shall Contractor's compensations exceed Fifty- five Thousand Dollars ($55,000) for Fiscal Year 2016-2017 through Fiscal Year.2017-2018 without additional written authorization from the CitY' Notwithstanding any provision of Contractor's Proposal to the contrary, out of pocket expenses set forth in Exhibit A of the Odginal Agreement shall be reimbursed at cost without an inflator or administrative charge. Tri Star - CC Approved Amendment No 3 5 23 2017 5123t2017 1 Payment by City under this Agreement shall not be deemed a waiver of defects, even if such defects were known to the City at the time of payment. 2. Except for the changes specifically set forth herein, all other terms and conditions of the Original Agreement shall remain in full force and effect. WITNESS WHEREOF, the parties have caused this Amendment No. 3 to be executed on the respective dates set forth below. o"t", 6/2t//t o",", e/O//J- CITY' CITY OF LAKE ELSINORE, a municipal corporation APPROVED AS TO FORM: Tri Star - CC Approved Amendment No 3 5 232017 5t23t2017 CONTRACTOR' John Sclifo doing business as TriStar Electric City Attorney Attachments: Amendment No. 2 Amendment No. 1 Original Agreement John Sclifo, Owner 2 Tri-Star Electric 30805 Calvado Court Temecula, CA 92592 95t-699-9641 NAME / ADDRESS Citv of Lake Elsinore 130 South Main Street Lake Elsinore, Ca. 92530 C/O Julian Perez Estimate DATE ESTIMATE NO 5fi8t2016 ua7 PROJECT Pricing ITEM DESCRIPTION Total Standard Service Call: Emergency Service Call: Boom Truck Standard Service Call: 2 hour minimum: Boom Truck Emergency Serryice Call: 2 hour minimum: Parts & Equipment mark up: 207" 95.00 150.00 300.00 400.00 0.00 Wc apprcciatc your business.Fax 95f -699-0641 Total $e4s.oo SIGNATURE CERTIFICATE OF LIABILITY INSURANCE O 1 988-2015 ACORO CORPORATTON. Al! rlghts reserwd. The ACORD nam6 and logo are reglstered marks of ACORD ftinted by KMC on June 07, 201 7 at 03:07PM THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORilIATION ONLY AND CONFERS NO R]GHTS UPON THE CERTIFICATE HOLOER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AiIEND, EXTENO OR ALTER THE COVERAGE AFFORDED BY THE POLICTES BELOW. THIS CERTIFICATE OF INSlJRANCE DOES NOT CONSTTTUTE A CONTRACT BETVI/EEN Tt{E ISSU|NG TNSURER(S), AUTHORTZEO REPRESENTATIVE OR PRODUCER, AND THE CERTIFIGATE HOLDER, lf the certificdo holder is an ADDITIONAL INSURED, the policy(ies) rnrst have ADDITIONAL INSURED pro-sions or be enUorsea lf SUBROGATION 1S WAVED, subject to tho torms and conditions of tho polacy, crtdn policies mqy reqrire at ondorsomont. A statsmont on this certificate doss not confor certificata holder in lieu of such Stromsoe lnsurance Agency 24910 Las Brisas Road, Ste {{7 Murrieta, CA 92562 License #: 0D06577 John Sclifo DBA: Tri Star Electric 30805 Calvado Court Temecula, CA 92592 THlslSTocERTlFYTHATTHEPoLlclEsoFlNsJRAhlcELlSTEDBELo^/HAVEBEENIgSUEDToTHElNgJRED1,li{M59affi INDICATED. NOTWTHSTANDING AIY REOUIREMB\IT, TERM OR CONOITION OF ANY CONTRACT OR OTHER DoCUMENTWTH RESPECT To wHIcIITHISCERTIFICATEMAYBEISSUEDORMAYPERTAIN, THE INS.JRANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TOALL THE TERMS, EXCLUSIONS A}ID @NDITIONS OF SUCH POLICIES. LIMITS SHOV\N MAY HAVE BEEN REDUCEO BY PAID CI.AIMS. t TYPEOF II.ISI.RAI€€POLICT M''BER POUCY EFF POLICY EXP flM'DtyYT/YY]LIMITS A CO MMEROAL G ENEML LIABUTY-l onrtroo. Ixl o".u* Y B1S56665833 {J8,t13nO16 o&ngmfi EACH OCCURRENCE s 1.000.000 DAMAUE ]O RENIEIJ PREIVISES (Ea tr.urence)$ 100.000 MED EXP (Any one person)$ 5.000 PERSONAL & ADV INJURY 1.000.000 L AGGREGATE LIMIT APPLIES PER. o.,.,l-l H.oi l-l .o. GENERAL AGGREGATE 2.000.000 PRODJCTS. COMP/OP AGG s 2.000.000 At,TOMOB|LEUABILITY ANY AUTO OVIAIED ALnosoNr Y I I HIRED AUTos oNLY IIft SCHEDULED AUTOS NON.OYVI'JED ruTOS ONLY CUMtsINED SINGLE LIMIT Ea accrd€nt)$ l BODILY INJURY (Per person)$ BODILY INJURY (Per accidenr)I l PROPEFTY DAMAGE( Per acident)$ LTIBRE-IALIAB I lo.*o E(cEssuAB I . o,r.ro., EACH OCCURRENCE AGGREGAIE $ o.o I I RETENToN$ rcRGRS COMPENSANON A€ETTLOYERS LIAB|UTY ANY PROPRTETOR/PA*A'A,**""'U' T4 oFFtcERATEtvBEF EXCLUDEDT I I(ilandattry in l+l) lf yes, dscnbe under DFSaRIPTION atr O*PATlnNs bllw N'A IPER I IOI}r.ISTATI]IFI IFP EL EACH ACODRIT Et OSEASE. EAEMPLOYEI $ L DSEASF. R)I ICY I IMIT $ DEaiCRmON OF OPERATIOiIS, LOCATIONS T\rEHCI-ES (ACORD 1Ol, AddtmC Rsnrrk Schs(Ug nq, b. &hed itmm spq@ is r.qdroOCertlflcateholderlsherebynamedasaddltlonalinsuredascoveredbythegeneralllabltityioll;y. City of Lake Elsinore 130 S. Main Street Lake Elsinore, CA 92530 SHOULD Al{Y OF THE ABOVE DESCRTBED POLICIES BE CANCELLEO BEFORE THE EXPIRATION OATE THEREOF, NOTICE YULL BE OELTI/EREO IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 (2016/03) I c CER'TIFICATE HOLDER CANCELLATION COVERAGES CERTIFICATE NUMBER: s44195 REVISION NUMBER: COfi.i]'CERTIFICATE OF LIABILITY INSURANCE DAIE (MM'DDTYYYY) 09/07/2016 TH]S CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HoLDERJHIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AIiEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE lSSUtNc INSURER(S), AUTHORTZED REPRESENTATIVE OR PRODUCER, AND THE CERNFICATE HOLDER. IMPORTAilT: lf the certificate holder is an the terms and conditions of the policy, certain polacies may require an endoEement. A statement on this certificate doGs not confer rightsto the cettificate holder in lieu of such endorsement(s). PROOUCER Automatic Data Processing lnsurance Agency, lnc. t Adp Boulevard Roseland, NJ 07068 NAME: IONE I FAX c. No. Ertl: i lalc, tto): E.MAIL ADORESS: rNsuRER(S) AFFOROTNG COVERAGE NAIC # INSURER A . Twin City Fir€ lBunnce Company 29459 INSURED JOHN A SCLIFO DBA: Tri-star Electric 30805 CALVADO CT Temecula, CA 92592 INSURER B: INSURER C : INSURER D : INSTJRER E : INSURER F THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE L INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICHTHISCERTIFICATEMAYBEISSUEDORMAYPERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHO!\N MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSH LTR TYPE OF INSURANCE tNso wvD POLICY NUMBER POLICY EFF rMM/DO/YYYYI POLICY EXP( MM/DDIYYYYI LIMNrli MERCIAL GENEML LIAEILITY LATMS-MADE fl o".r* EACH OCCURRENCE $ IJAMAGE TO RENTED PREMISES (Ea murence)$ MEO EXP (Any one pe6on)b l PERSONAL & AOV INJURY GEN'L AGGREGATE LIMIT APPLIES PER-l o.,., E fry; [l ,-o" GENERAL AGGREGATE $ PRODUCTS . COMP/OP AGG s AU'TOMOBILE UABILITY I o^, ^ rroInuovweo f- scHEDULEoIAUTOSIiAUTOS n,r.o^uros L ]I8l**.=oti COMBINED SINGLE LIMIT( Ea accident)$ BODILY INJURY (Per peEon)$ BODILY INJURY (Ptr accidenr)$ PROPERry DAMAGE( Per aGident) UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS.MADE EACH OCCURRENCE $ AGGREGATE $ oeo | ] nererurror.rs $ A AND EMPLOYERS' LIABILITY NIA N 76WEGOU6809 10to'U2016 10t01t2017 Y ]PER I ]OTH.,\ ISTATIJTE IFR ANY PROPRIETOR/PARTNER/EXECUTIVE l"..- oFFICER/MEMBEREXCLUDED? | Y I ttlanoiiorvlri -nxi - Ll lf yes, d€scribe under DESCRIPIION OF OPERATTONS betM E,L, EACH ACCIDENT s 1,000,000 E,L, DISEASE. EA EMPLOYEI 5 1,000,000 E,L, DISEASE. POLICY LIMIT $ {,000,000 oEscRlPT|oNoFoPERAno{s,LocAnolslwxrcues1aconolor,AddltlomlRem't"s"t,"oul.,.*yffi CERTIFICATE HOLDER CANCELLATION City Of Lake Elsinore 521 North Langstaff Lake Elsinore, CA 92530 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEDBEFORETHEEXPIRATIONDATETHEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE t rr-* t ACORD ACORD 2s (2O14tO1l The ACORD name and logo are registered marks of ACORD rights lt lll Policy Number: 8A040000022277 Effective Date: 06105120'17 ZMERCURY^ J.INSURANCE Renewa! Declarations BUSIN ESS AUTO DECLARATIONS lssued By: California Automobile lnsurance Company P.O. Box 10730 Sa nta Ana, CA 927 77-07 30 Billing: (888) 637 -217 6 Claims: (800) 503-3724 Agent: GRANITE MOUNTAIN INS INC 24630 WASHINGTON AVE STE 103 MURRIETA, CA92562 Agent Number: 045230 Phone: (951) 451-8135 Named lnsured: JOHN SCLTFO DBA TRt STAR ELECTRTC Mailing Address: 30805 Calvado Ct, Temecu la, CA 92592-6024 Policy Period: From 06/A5/2017 to 06/05/2018 at 12:01 AM Standard Time at your mailing address Form of Business: lndividual/Sole proprietorship Total Policy Premium: 56,L79.28 This policy may be subject to final audit. ln return for the payment of the premium, and subject to all the terms of this policy, we agree with you to provide the insurance as stated in this policy. ENDORSEMENTS ATTACHED TO THIS POLICY lL 00 17 11 98 - Common Policy Conditions lL 00 21 09 08 - Nuclear Energy Liability Exclusion lL 00 03 09 08 - Calculation of Premium CA 00 01 03 10 - Business Auto Coverage Form CA 01 21 02 99 - Limited Mexico Coverage CA 01 43 05 07 - California Changes lL027009 72 - California Changes - Cancellation and CA2394 03 06 - Silica or Silica Related Dust Exclusion U-245 - Auto Body Repair Consumer Bill of Rights MCA85101213-CA - Broadening Endorsement CA 04 25 05 07 - California lndividual Named lnsured MCA20760112 - Exclusion of Named Driver CA2L54 09 09 - California Uninsured Motorists - Bodily MCADSO3O112-CA Page 1 of4 OOlO5l2O1712:01 AM PT Policy Number: Effective Date: B,4040000022277 0610512017 . ZITE$SIilTI This policy provides only those coverages where a charge is shown in the premium column below. Each of these coverages will apply only to those "autos" shown as covered "autos". "Autos" are shown as covered "autos" for a particular coverage by the entry of one or more of the symbols from the Covered Autos Section of the Business Auto Coverage Form next to the name of the coverage. Coverages Coverage Symbo! Iimit The Most We Will Pay For Any One Accident Or Loss Premium tiability 7,8,9 Sl,ooo,ooo csL 54,44o Medical Payments Uninsured Motorists Bodily lnjury 7 s250,000 csL s2s8 Uninsured Motorists Property Damage Rejected Comprehensive 7,8 Actual Cash Value Or Cost Of Repair, Whichever ls Less, Minus Deductible Shown in ITEM THREE For Each Covered Auto, But No Deductible Applies To Loss Caused By Fire Or Lightning. See ITEM FOUR For Hired Or Borrowed Autos. s218 Specified Causes of Loss Actual Cash Value Or Cost Of Repair, Whichever ls Less, Minus Deductible Shown in ITEM THREE For Each Covered Auto For Loss Caused By Mischief Or Vandalism. See ITEM FOUR For Hired Or Borrowed Autos. Collision 7,8 Actual Cash Value Or Cost Of Repair, Whichever ls Less, Minus Deductible Shown in ITEM THREE For Each Covered Auto. See ITEM FOUR For Hired Or Borrowed Autos. S78s Towing and Labor See ITEM THREE LIMIT Shown For Each Disablement of An Auto. Premium For ITEM FOUR (Hired Auto Coverage)Sr2s.oo Premium For ITEM FIVE (Non-Ownership tiability)s173.00 Premium For Endorsements Srzs.oo Miscellaneous Fees and Expense California Consumer Services and Fraud program Fees $s.ze Total Policy Premium 56,179.28 MCADSO3O112-CA Page 2 of 4 ITEM TWO SCHEDUTE OF COVERAGES AND COVERED AUTOS PolicyNumber: 8AM0000022277 Effective Date: OOlOSl2017 . ZITsffiI{,TX Covered Auto No. Description VIN Garaging Cost New City ST Zip Code Vehicle Equip. I 200s cHEVRoLET 4s00 w45042 J88C4816s57013560 Temecula CA 92s92 s32,e28 s20,000 2 2006 cHEVROLET 4500 W45042 4KBC4B1UX6J800534 Temecula CA 92592 s3o,7s6 s10,000 3 2OO2 FORD F.SERIES SUPER DUTY 1FDXF46F82ED13571 Temecula CA 92592 s26,L70 Covered Auto No. Radius ln Miles)Usage Special !ndustry Class Loss Payee L Up to 50 Service Use 2 Up to 50 Service Use 3 Up to 50 Service Use covERAGES, PREMIUMS, LlMtTS, AND DEDUCTIBLES Absence of a deductible or limit entry in any column below means that the limit or deductible entry in the corresponding ITEM TWO column applies instead.) Covered Auto No. Liability Premium Auto Medical Payments Premium UM Bodily lnjury Premium UM Property Damage Premium Comprehensive Deductible Premium 1 S1,480 Sao s1,oo0 57s 2 s1,480 Sse s1,000 Szs 3 s1,480 Seo S1,ooo Sos Covered Auto No. Specified Causes Of Loss Collision cDw Premium Towing & Labor Deductible Premium Deductible Premium Limat Per Disablement Premium 1 s1,000 s2e9 2 s1,000 s2se 3 S1,ooo Sraz Covered Auto No. Rental Reimbursement Auto Loan/Lease Gap Premium Audio, Visual, & Data Equipment Total Vehicle PremiumMaximumPayment Each Covered Auto Premium Limit Premium L s1,940.00 2 S1,94o.oo 3 s1,821.00 MCADSO3O112.CA Page 3 of4 TEM THREE PolicyNumber: 8A040000022277 Effective Date: 0610512017 -Zl[E$F"t{,tI TOTAT PREMIUMS Liability 54,44O Medical Payments Uninsured Motorists Bodily lnjury 52s8 Uninsured Motorists Propefi Damage Collision Deductible Waiver Comprehensive s218 Specified Causes of Loss Collision s78s Rental Reimbursement Loan/Lease Gap Audio, Visual and Data Electronic Equipment ITEM FOUR SCHEDUIr OF HIRED OR BORROWED COVERED AUTO COVERAGE AND PREMIUMS Cost of hire means the total amount you incur for the hire of "autos" you don't own (not including "autos" you borrow or rent from your partners or "employees" or their family members). Cost of hire does not include charges for services performed by motor carriers of property or passengers. Estimated Annual Cost Of Hire Liability Coverage Physical Damage Coverage TOTAIITEM FOUR PremiumPremiumlimitOflnsurancePremium lf Any Szs Actual Cash Value Or Cost Of Repair, Whichever ls Less, Minus 5500 Deductible For Each Covered Auto. Sso S12s ITEM FIVE SCHEDUTE FOR NON.OWNERSH!P TIABILITY Number Of Employees (lncluding Volunteers)Total ITEM FIVE Premium 0-10 s173 ADDITIONAT INFORMATION Discounts a a a a Years ln Business Auto Pay - EFT Discount Personal Auto Policy Multi-Line Driver lnformation Listed Drivers Excluded Drivers JOHN SCLIFO APRIL SCLIFO HAYDEN YENCHE Other Endorsements Premium Broadening Endorsement Srzs MCADSO3O112-CA Page 4 of 4 AMENDMENT NO. 2 TO AGREEMENT FOR CONTRACTOR SERVICES (ON-CALL) TRI-STAR ELECTRIC Electrician Services This Amendment No. 2 to Agreement for Professional Services ("Amendment No. 2") is made and entered into as of January 1, 2017 by and between the City of Lake Elsinore, a municipal corporation ("City), and John Sclifo doing business as Tri-Star Electric, ("Contractor"). RECITALS A. The City and Contractor have entered into that certain Agreement for Contractor Services (On-Call) dated as of July 1, 2016 (the "Original Agreement"). Except as otherwise defined herein, all capitalized terms used herein shall have the meanings set forth for such terms in the Original Agreement. B. The Original Agreement provided for compensation to Consultant in an amount $5,000. C. Amendment No. 1 dated September 6, 2016 increased the compensation award by $15,000, for a not to exceed amount of$20,000. D. The parties now desire to increase the compensation by $10,000 for such services as set forth in this Amendment No 2. NOW, THEREFORE, in consideration of the mutual covenants and conditions set forth herein, City and Consultant agree as follows: 1. The first paragraph of Section 3, Compensation, of the Original Agreement is hereby amended to read in its entirety as follows: Compensation to be paid to the Contractor shall be in accordance with the fees set forth in the Contractor's Proposal (Exhibit A to the Original Agreement). In no event shall Contractor's compensations exceed Thirty Thousand Dollars ($30,000) per Fiscal Year without additional written authorization from the City. Notwithstanding any provision of Contractor's Proposal to the contrary, out of pocket expenses set forth in Exhibit A of the Original Agreement shall be reimbursed at cost without an inflator or administrative charge. Payment by City under this Agreement shall not be deemed a waiver of defects, even if such defects were known to the City at the time of payment. 2. Except for the changes specifically set forth herein, all other terms and conditions of the Original Agreement shall remain in full force and effect. Amendment No 2-Tri Star docx 1 � � J: q \ \ � \ � ) ] } IN WITNESS WHEREOF, the parties have caused this Amendment No. 2 to be executed on the respective dates set forth below. "CITY" "CONTRACTOR" CITY OF LAKE ELSINORE, a municipal John Sclffo doing business as Tri-Star corporation Electric GrarW�06tes, City Manager John Sciifa, Owner Date: /I/�f - Date: Z 911—)— el ATTEST: City er APPROVED AS TO FORM: City Attorney Attachments: Original Agreement Amendment No. 1 Amendment No 2 •Td Star.dou }Z q )} }{ is )\ - � � = � 9.e. »: . . . . . . . v. . . � � A. � � m 6 \) /) 2« A,l . .x s: ©�. .� . : .. m � » �.: . . . . , � j � ) � � \ { . { ( � { � { Tri-Star Electric Estimate 30805 Calvado Court Temecula, CA 92592 DATE ESTIMATE NO. 951-699-9641 5/18/2016 1407 NAME/ADDRESS City of Lake Elsinore 130 South Main Street Lake Elsinore, Ca.92530 C/O Julian Perez PROJECT Pricing ITEM DESCRIPTION Total 1 Standard Service Call: 95.00 2 Emergency Service Call: 150.00 3 Boom Truck Standard Service Call: 2 hour minimum: 300.00 4 Boom Truck Emergency Service Call: 2 hour minimum: 400.00 5 Parts & Equipment mark up: 20% 0.00 i We appreciate your business.Fax 951-699-0641 Total $945.00 SIGNATURE s. if i$ i '£ c S } T t 3 3 F i S 4 F Fr P t DATE(MWDDWYY) A1C"R1:> CERTIFICATE OF LIABILITY INSURANCEF0910712016 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: Ifthe certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER . Stromsoe Insurance Agency PHONE C star Pritchett Pnx . l __ 24910 Las Brisas Road,Ste 117 L iQ q,MAIL.Enl_ 951)600.5751 [A(C�PJa);(9 1)677 Murrieta,CA 92562 _91 DRE=_ cr�rstal RM AFFORDING License#•OD06577 INSURERS AFFORDING COVERAGE NAZI:t[ INSURER A: Insurance INSURED SURER B: John Sclifo - DBA:TOStar Electric INSURER C: 30805 Calvado Court INSURERD Temecula,CA 92592 INSURER E, JNSURER F- COVERAGES CERTIFICATE NUMBER: 00000000-365841 REVISION NUMBER: 54 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. _ INSR LTR TYPE OF INSURANCE AOI]L fiUvnT BR POLICY NUMBER ` POLIC EFF POLI EXP LIMITS A COMMERCIAL GENERAL LIABILITY Y BLS56665833 OB/1312016 08/13/2017 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE i n l OCCUR PREMISES(Eg%ctirlancel $ 100,000 MED EXP(Anyone person) $ 5,000 PERSONAL&ADV INJURY_ GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 ][ POLICY JPERO LOC PRODUCTS-COMPIOP AG_G $ 2,000,000 "R $ AUTOMOBILELIABILITY come�f9R.A?C..] '� I. $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED O DAMAGE $ AUTOS ONLY AUTOS ONLY $ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ _ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YYY�rr NNN ER - - ANYPROPRIETOWPARTNER/EXECUTIVE NIA EL EACH ACCIDENT $ OFFICERMI EMBER EXCLUDED? (Mandatory In NH) E L DISEASE-EA EMPLOYE $ Mes,descnbe under LI WIPTION OF OPERATJONS Wow E L DISEASE-POLICY MIT $ DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Certificate holder Is hereby named as additional insured as covered by the general liability policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Lake Elsinore ACCORDANCE WITH THE POLICY PROVISIONS. 130 S. Main Street Lake Elsinore,CA 92530 AUT DRIZ9DREPRESENTATIVE CKP ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Printed by CKP on September 07,2016 at 11:11AM � \; . . . §: 1 . . . . , . . . . . - . . . / . . . . . / . .. . . . � : ] . $ . � : � . � 2 2 ti \l J` ± \, N •yj DATE(MMIDDIYYYY) A+C"Rt7 CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER CONTACT Lora J Nowlin NAME: Granite Mountain Insurance Agency,Inc. PHONE 951 46i-8135 UA X 657 1 g7gg 24630 Washington Ave.Suite 103 ucxru i_ MnLL Murrieta,CA 92562 ADDRE$4— License#: OG19699 INSURER(S)AFFORDING COVERAGE NAIC 8 _ INSURER A: John Sclifo DBA:Tri-Star Electric 38342 INSURED INSURER B - John Sclifo WSURER C: DBA:Tri-Star Electric 30805 Calvado Ct INSURER D: Temecula,CA 92592-6024 INSURER E: i COVERAGE$$ CERTIFICATE NUMBER: 0000000-0 REVISION NUMBER: 1 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, IpOpL,SUBRI POLICY EFF POLICY EXP LIMITS TR TYPE OF INSURANCE _ _���I wvn I POLICY NUMBER 11MM10D/YYYYl I,MwDDfYY - COMMERCIALGENERALLIABILITY LAC F I OC CURRENC E s 1)AMAUF nJ 119NIED $ CLAIMS-MADE OCCUR nRFM1SE$tfe anlunrain e1 MED EXP(Any unu,p"+s ) s PERSONAL d,ADV INJURY S GEN'LAGGREGATE LIMIT APPLIES PER. I GENERAL AGGREGATE $ POLICY I JPES. LOC PRODUCTS-COMP1OPAr.G; $ OTHER. _ _ _ _ I $ - - — AUTOMOBILE LIABILITY COMBINED SI N�GLE LIM I7 A BA0400000222777 0610512076 0610512017 (Eoa0pddlXl i$ X ANY AUTO BODILY INJURY iPer person) i s 250,000 OWNED SCHEDULED BODILY INJURY(Per accidenl)I$ 500,000 AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ 100,000 AUTOS ONLY N AUTOS ONLY (Per ac.0enl) 5 UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS MADE AGGREGATE s QED E RFTENTIONS - PER $ - WORKERS COMPENSATION 1STATUTE .ER" i AND EMPLOYERS'LIABILITY YIN t ANY PROPRIETOR/PARTNERIEXECUTIVE ❑ NIA'. EL EACH ACCIDENT `S OFFICER/MEMBER EXCLUEXCLUDED' . I (Mandatory In NH) E L DISEASE-EA EMPLOYEE S If yes,describe under DESCRIPTION OF OPERATIONS below __ E L DISEASE-POLICY LIMIT $ I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Lake Elsinore ACCORDANCE WITH THE POLICY PROVISIONS. 130 South Main Street Lake Elsinore,CA 92530 AUTHORIZED REPRESENTATIVE LJ N ©I?V-206 A ORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marV of ACORD Printed by LJN on October 20,2016 at 01:34PM STATE OF CALIFORNIA AUTOMOBILE INSURANCE LIABILITY IDENTIFICATION CARD POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE BA040000022277 06/05/2016 06/05/2017 California Automobile Insurance Company NAIC#38342 This Insurance complies with CVC 516056.516500.5 NAMED INSURED JOHN SCUFO DBA TRI STAR ELECTRIC YEAR MAKE MODEL VIN 2000 FORD F-SERIES SUPER DUTY 1FDXF46F4YEB06400 AGENT: GRANITE MOUNTAIN INS INC AGENTS PHONE NUMBER: (931)461-8133 TO REPORT A CLAIM,24 HOURS A DAY,7 DAYS A WEEK PLEASE CALL(800)503-3724 STATE OF CALIFORNIA AUTOMOBILE INSURANCE LIABILITY IDENTIFICATION CARD POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE BA040000022277 06/05/2016 06/05/2017 California Automobile Insurance Company NAIC#38342 This Insurance complies with CVC 516056.516500.5 NAMED INSURED JOHN SCLIFO DBA TRI STAR ELECTRIC YEAR MAKE MODEL VIN 2005 CHEVROLET 4500 W45042 JSBC4616SS7013SSO AGENT: GRANITE MOUNTAIN INS INC AGENT'S PHONE NUMBER: (951)461-8135 TO REPORT A CLAIM,24 HOURS A DAY,7 DAYS A WEEK PLEASE CALL(800) 503-3724 STATE OF CALIFORNIA AUTOMOBILE INSURANCE LIABILITY IDENTIFICATION CARD POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE BA040000022277 06/05/2016 06/05/2017 California Automobile Insurance Company NAIC#38342 This insurance complies with CVC S16056.S16500.5 NAMED INSURED JOHN SCLIFO DBA TRI STAR ELECTRIC YEAR MAKE MODEL VIN 2000 FORD F-SERIES SUPER DUTY 1FDXF46F4YEB06400 AGENT: GRANITE MOUNTAIN INS INC AGENT'S PHONE NUMBER: (951)461-8135 TO REPORT A CLAIM,24 HOURS A DAY,7 DAYS A WEEK PLEASE CALL(800)503-3724 STATE OF CALIFORNIA AUTOMOBILE INSURANCE LIABILITY IDENTIFICATION CARD POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE BA040000022277 06/05/2016 06/05/2017 California Automobile Insurance Company NAIC#38342 This insurance complies with CVC S16056.S16500.5 NAMED INSURED JOHN SCLIFO DBA TRI STAR ELECTRIC YEAR MAKE MODEL VIN 2005 CHEVROLET 4500 W45042 J8BC4616557013560 AGENT: GRANITE MOUNTAIN INS INC AGENT'S PHONE NUMBER: (951)461-8135 TO REPORT A CLAIM,24 HOURS A DAY,7 DAYS A WEEK PLEASE CALL(800)503-3724 F 2 �p't Y � q e y 4 F : sF s S ;5 i CERTIFICATE OF LIABILITY INSURANCE DAT9/07/2016 Y) A�C'QRD ice - o /o7/ o1 s 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 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 NAME:CT Automatic Data Processing Insurance Agency,Inc. _laC Nor_Ext)., IaC•No): 1 Adp Boulevard ADDRIESS: Roseland,NJ 07068 INSURER(S)AFFORDING COVERAGE _ NAIC# INSURER A: Twin City Fire Insurance Company 29459 INSURED JOHN A SCLIFO INSURER B: DBA:Tri-star Electric INSURER C: _ 30805 CALVADO CT INSURER D: Temecula,CA 92592 INSURER E i INSURER F: COVERAGES CERTIFICATE NUMBER: 544195 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. INSfi -- A00 t31 POLICY EFF '" POLICY E7(P LIMITS LTR TYPE OF INSURANCE INSO WVD POLICY NUMBER MMJDDIYYYY MMlDDJYYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ �.__. OAMAGETCfINTFI'l C ,CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ R. POLICY PRO _ JECT LOC PRO DUCTS-COMP/OP AGG $ OTHEA; $ AUTOMOBILE LIABILITY COMBINED E LIMIT �e acc dent) _ L- $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS "Y�ROPERTti' MA E $NON-OWNED HIRED AUTOS AUTOS ,(Per aocidenl UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DIED RETENTION$ $ WORKERS COMPENSATION XPER AND EMPLOYERS'LIABILITY STATUTE ER OTH ANY PROPRIETOR/PARTNERJEXECUTIVE +�Y/N� E-L.EACH ACCIDENT $ 1,000,000 A OFFICERWEMBEREXC.LUDE[ L� NIA N 76WEGDU6809 10/01/2016 10/01/2017 ---- 1,000,000 (Mandatory In NH) E L DISEASE-EA EMPLOYE If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Of Lake Elsinore ACCORDANCE WITH THE POLICY PROVISIONS. 521 North Langstaff Lake Elsinore,CA 92530 AUTHORIZED REPRESENTATIVE A@ 1988-2.014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD t } T v r �t 4 F _S : S _^l L AMENDMENT NO. 1 TO AGREEMENT FOR CONTRACTOR SERVICES (ON -CALL) TRI -STAR ELECTRIC Electrician Services This Amendment No. 1 to Agreement for Professional Services ( "Amendment No. 1 ") is made and entered into as of September 6, 2016 by and between the City of Lake Elsinore, a municipal corporation ( "City), and John Sclifo doing business as Tri -Star Electric, ( "Contractor"). RECITALS A. The City and Contractor have entered into that certain Agreement for Contractor Services (On -Call) dated as of July 1, 2016 (the "Original Agreement "). Except as otherwise defined herein, all capitalized terms used herein shall have the meanings set forth for such terms in the Original Agreement. B. The Original Agreement provided for compensation to Consultant in an amount 5,000. C. The parties now desire to increase the compensation for such services as set forth in this Amendment No 1. NOW, THEREFORE, in consideration of the mutual covenants and conditions set forth herein, City and Consultant agree as follows: 1. The first paragraph of Section 3, Compensation, of the Original Agreement is hereby amended to read in its entirety as follows: Compensation to be paid to the Contractor shall be in accordance with the fees set forth in the Contractor's Proposal (Exhibit A to the Original Agreement). In no event shall Contractor's compensations exceed Twenty Thousand Dollars ($20,000) per Fiscal Year without additional written authorization from the City. Notwithstanding any provision of Contractoras Proposal to the contrary, out of pocket expenses set forth in Exhibit A of the Original Agreement shall be reimbursed at cost without an inflator or administrative charge. Payment by City under this Agreement shall not be deemed a waiver of defects, even if such defects were known to the City at the time of payment. 2. Except for the changes specifically set forth herein, all other terms and conditions of the Original Agreement shall remain in full force and effect. Amendment No. 1 Tri -Star Electric 7/1/2016 IN WITNESS WHEREOF, the parties have caused this Amendment No. 1 to be executed on the respective dates set forth below. CITY" CITY OF LAKE ELSINORE, a municipal corporation Grant Yate , ity Manager Date: A /-f ATTEST: City Clerk APPROVED AS TO FORM: City Attorney Attachments: Original Agreement CONTRACTOR" John Sclifo doing business as Tri -Star Electric Jo Sclifo, Owner EXHIBIT A CONTRACTOR'S PROPOSAL ATTACHED] EXHIBIT A Tri -Star Electric 30805 Calvado Court Temecula, CA 92592 951- 699 -9641 NAME /ADDRESS City of Lake Elsinore 130 South Main Street Lake Elsinore, Ca. 92530 C/O Julian Perez ITEM DESCRIPTION Estimate DATE ESTIMATE NO, 5/18/2016 1407 PROJECT Pricing Tatal 1 Standard Service Call: 95.00 2 Emergency Service Call: 150.00 3 Boom Truck Standard Service Call: 2 hour minimum; 300.00 4 Boom Truck Emergency Service Call: 2 hour minimum: 400.00 5 Parts & Equipment mark up: 20% 0.00 We appreciate your business.Fax 951 - 699 -0641 Total 945.00 SIGNATURE cQ zt CERTIFICATE OF LIABILITY INSURANCE DATE(MMI °°"""' 0910712416 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME, Crystal Pritchett Stromsoe Insurance Agency PHONE 851 600.5751 F X (951)677 -6265 24910 Las Brisas Road, Ste 117 tL stal siaonline.com Murrieta, CA 92562 License #: OD06577 INSURE S AFFORDING COVERAGE "CO ^ AnO^ INSURED INSURER 8: John Sclifo INSURER C: DBA: Tri Star Electric 30805 Calvado Court INSURER D: Temecula, CA 92592 INSURER E: _. INSURER F: rn»conr_cc resanc rerr atirnneaKn• nnnnnnnn_'ARA9A4 RF \ASIAN h111MAI=R• AA 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. INSra TYPE OF INSURANCE AnOL SuBli POLICY NUMBER POL.IC7 FF f O.EXP LIMITSYNILrNNYY A X COMMERCIAL GENERAL LIABILITY Y Lake Elsinore, CA 92530 BLS56665833 08113/2016 08/13/2017 EACHEACH O NCEE 1,000,000 CLAIMS-MADE 51 OCCUR PREMISES "uoccurronc 100,000 MED EXP (Anyone person) 5,000 PERSONAL & ADV INJURY 1,000,000 GEN`L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2.00 000 PRODUCTS - COMP /OP AGG 2,000,000XPOLICY PRO- F LOC OTHER: AUTOMOBILE LIABILITY Ee r ccINED5ING LIMitleM BODILY INJURY (Per person) ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON-OWNEDd1AUTOSONLYAUTOSONLY BODILY INJURY (Per accident) 9 PCRfY DMAAGE UMBRELLA UAB HCLAIMS-MADE OCCUR EACH OCCURRENCE AGGREGATEEXCESSLIAB DED I I NTENTIP WORKERS COMPENSATION PER OTH' SIAIIJ11E ERANDEMPLOYERS' LIABILITY ANY PROPRIETORlPARTNEP/EXECUTIVE E.L. EACH ACCIDENT OFFI CERIM EM BER EXCLU DED7 Mandatory in NH) NIA E.L DISEASE - EA EMPLOYEE. E1. DISEASE - POLICY LIMIT Mes, describe under SCRIPTIONOFOPERATIONS.belrn DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Certificate holder is hereby named as additional Insured as covered by the general liability policy. rr -a I crrnT unl n!*a r ahtrm I ATIr)N 1988 -2015 ACORD CORPORATION. All rignts reserve0. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Printed by CKP on September 07, 2016 at 11:11 AM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION'DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Lake Elsinore ACCORDANCE WITH THE POLICY PROVISIONS. 130 S. Main Street AILFFHORIZED REPRESENTATIVELakeElsinore, CA 92530 CKP 1988 -2015 ACORD CORPORATION. All rignts reserve0. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Printed by CKP on September 07, 2016 at 11:11 AM STATE OF CALIFORNIA AUTOMOBILE INSURANCE LIABILITY IDENTIFICATION CARD POLICY NUMBER EFFECTIVE DATE BA040000022277 06/05/2016 California Automobile Insurance Company This insurance complies with CVC S16056.S16500,5 NAMED INSURED JOHN SCLIFO DBA TRI STAR ELECTRIC YEAR MAKE 2000 FORD MODEL F- SERIES SUPER DUTY AGENT: GRANITE MOUNTAIN INS INC AGENTS PHONE NUMBER: (951) 461 -8135 EXPIRATION DATE 06/05/2017 NAIC # 38342 VIN 1FDXF46F4YEB06400 TO REPORT A CLAIM, 24 HOURS A DAY, 7 DAYS A WEEK PLEASE CALL (800) 503 -3724 STATE OF CALIFORNIA AUTOMOBILE INSURANCE LIABILITY IDENTIFICATION CARD POLICY NUMBER EFFECTIVE DATE BA040000022277 06/05/2016 California Automobile Insurance Company This insurance complies with CVC S16056.S16500.5 NAMED INSURED JOHN SCLIFO DBA TRI STAR ELECTRIC YEAR MAKE 2005 CHEVROLET MODEL 4500 W45042 AGENT: GRANITE MOUNTAIN INS INC AGENT'S PHONE NUMBER: (951) 461 -8135 EXPIRATION DATE 06/05/2017 NAIC # 38342 VIN J8BC4616557013560 TO REPORT A CLAIM, 24 HOURS A DAY, 7 DAYS A WEEK PLEASE CALL (800) 503 -3724 CERTIFICATE OF LIABILITY INSURANCE DAT DI 0 55 /19//19/ 201166 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(les) must be endorsed. It S013ROGATION 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 endomement(s). CONTA PRODUCER NAME: PAXPHONEj (A/C, No): Automatic Data Processing Insurance Agency, Inc. (A?raHo. elt): - - E -MAIL 1 Adp Boulevard ADDRESS: -- Roseland, NJ 07068 INSURERS) AFFORDING COVERAGE NAIC p INSURER A; Twin City Fire Insurance Company _ 29459 INSURED JOHN A SCLIFO INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INSURER B - DBA: Tri -star Electric TYPE OF INSURANCE ADDL' SUGR POLICY EFF POLICY E %P LTR iNSD POLICY NUMBER IM 1 rYYYY MMIDDIiYYY LIMITS INSURER C. 30805 CALVADO CT INSURER D: Temecula, CA 92592 EACH OCCURRENCE $ CLAIMS -MADE OCCUR INSURER E: rw1nar o r`CDTICICATC IIIIMRFI7• 49A224 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. TYPE OF INSURANCE ADDL' SUGR POLICY EFF POLICY E %P LTR iNSD POLICY NUMBER IM 1 rYYYY MMIDDIiYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGET6RENTED -- PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ I GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ I POLICY PRO LOG PRODUCTS - COMP /OP AGG $ JECT _ I I$ OTHER G D L L I 3 AUTOMOBILE LIABILITY Ea. accHlanl)- 7 BODILY INJURY (Per person) ANY AUTO SACOEDULED BODILY INJURY (Per accident) ALL OWNED NON -OWNED PROPERTY DAMAGE $ Par accident)__ HIRED AUTOS _ ` AUTOS Vf S UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB I CLAIMS -MADE AGGREGATE IOU I 1 D - RETENTIONS WORKERS COMPENSATION STATUTE CEIRTH AND EMPLOYERS' LIABILITY Y / N 1,000,000ELEACHACCIDENT $ A ANY PROPRIETORIPARTNERIEXECUTIVEOFFICER /MEMBEREXCLUDED? Y NIA N 76WEGDU6809 10/01/2015 10/0112016 1,000,000EAEMPLOYEE) $ Mandatory in NH) E L DISEASE - ilfyypsas describeunclsr E. L. DISEASE POLICY LIMIT i $ 1,000,000 DESCRIPTION OF OPERATIONS below 4CII I I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) CERTIFICATE HOLDER City Of Lake Elsinore 521 North Langstaff Lake Elsinore, CA 92530 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE A4 1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD FY 2016_17 Agreement for On-call Electrical Contract Services rev.docx Page 1 AGREEMENT FOR CONTRACTOR SERVICES (ON-CALL) TRI-STAR ELECTRIC Electrician Services This Agreement for Contractor Services (On-Call) (the “Agreement”) is made and entered into as of July 1, 2016 by and between the City of Lake Elsinore, a municipal corporation (‘‘City") and John Sclifo doing business as Tri-Star Electric ("Contractor"). RECITALS A. The City has determined that it requires the following services: On-Call electrician services. B. The Contractor has submitted to City a quote, dated 5/18/2016 which is attached hereto as Exhibit A (the “Contractor’s Proposal”) and incorporated herein, to provide services and related work to the City pursuant to the terms of this Agreement. C. Contractor possesses the skill, experience, ability, background, certification and knowledge to perform the services and related work described in this Agreement on the terms and conditions described herein. D. City desires to retain Contractor to perform the services and related work as provided herein and Contractor desires to provide such services and related work as set forth in this Agreement. AGREEMENT 1.Scope of Services. Contractor shall perform the services and related work described in Contractor’s Proposal (Exhibit A). Contractor shall provide such services and related work at the time, place, and in the manner specified in Contractor’s Proposal (Exhibit A), subject to the direction of the City through its staff that it may provide from time to tim e. Contractor acknowledges that the Scope of Services provides for 24 hour-a-day, 7 day-a-week, on-call support on an as needed basis. 2.Time of Performance. a.Time of Essence. Time is of the essence in the performance of this Agreement. The time for completion of the services and related work to be performed by Contractor is an essential condition of this Agreement. Contractor shall prosecute regularly and diligently the services and related work contemplated pursuant to this Agreement consistent with Contractor’s Proposal (Exhibit A) and shall provide, furnish and pay all labor, materials, necessary tools, expendable equipment, and all taxes, utility and transportation services required to perform such the services and related work. b.Performance Schedule. Contractor shall commence the services and related work pursuant to this Agreement upon receipt of a written notice to proceed and shall perform all services and related work within the time period(s) established in the Contractor’s Proposal (Exhibit A). When requested by Contractor, extensions to the time period(s) specified may be approved in writing by the City Manager. C. Terra and Compliance with Task/Work Order System. Unless earlier terminated as provided elsewhere in this Agreement, this Agreement shall continue in full force and effect for a period of 12- months, commencing on July 1, 2016 and ending on June 30, 2017. The City may, at its sole discretion, extend the term of this Agreement on a 12 -month basis not to exceed three (2) additional 12 -month renewal terms by giving written notice thereof to Contractor not less than thirty (30) days before the end of the contract term, such notice to be exercised by the City Manager. Contractor hereby agrees and acknowledges that any and all work or services performed pursuant to this Agreement shall be based upon the issuance of a Task/Work Order by the City. Contractor acknowledges that it is not guaranteed any minimum or specific amount of work or services as all work or services shall be authorized through a Task/Work Order issued by the City. 3. Compensation and Cost of Living Adlustment. Compensation to be paid to Contractor shall be in accordance with the fees set forth in Contractor's Proposal (Exhibit A), which is attached hereto and incorporated herein by reference. In no event shall Contractor's compensation exceed five thousand dollars ($5,000) per Fiscal Year, without additional written authorization from the City. Notwithstanding any provision of Contractor's Proposal to the contrary, out of pocket expenses set forth in Exhibit A shall be reimbursed at cost without an inflator or administrative charge. Payment by City under this Agreement shall not be deemed a waiver of defects, even if such defects were known to the City at the time of payment. The compensation paid to Contractor may be adjusted on each July 1 following the first anniversary of the commencement of the term of this Agreement, provided that The request for cost of living adjustment shall be presented to the City no later than June 1 st of a particular year and, if approved by the City, will become effective on July 1 st of that year. Any adjustment will be based on the Los Angeles- Riverside - Orange County Consumer Price Index (CPI) but in no event shall the price adjustment exceed five percent (5 %). 4. Method of Payment. Contractor shall promptly submit billings to the City describing the services and related work performed during the preceding month to the extent that such services and related work were performed. Contractor's bills shall be segregated by project task, if applicable, such that the City receives a separate accounting for work done on each individual task for which Contractor provides services. Contractor's bills shall include a brief description of the services performed, the date the services were performed, the number of hours spent and by whom, and a description of any reimbursable expenditures. City shall pay Contractor no later than forty -five (45) days after receipt of the monthly invoice by City staff. 5. Suspension or Termination. a. The City may at any time, for any reason, with or without cause, suspend or terminate this Agreement, or any portion hereof, by serving upon the Contractor at least ten 10) days prior written notice. Upon receipt of such notice, the Contractor shall immediately cease all work under this Agreement, unless the notice provides otherwise. If the City suspends or terminates a portion of this Agreement such suspension or termination shall not make void or invalidate the remainder of this Agreement. Page 2 b. In the event this Agreement is terminated pursuant to this Section, the City shall pay to Contractor the actual value of the work performed up to the time of termination, provided that the work performed is of value to the City. Upon termination of the Agreement pursuant to this Section, the Contractor will submit an invoice to the City, pursuant to Section entitled "Method of Payment" herein. 6. Ownership of Documents. All plans, studies, documents and other writings prepared by and for Contractor, its officers, employees and agents and subcontractors in the course of implementing this Agreement, except working notepad internal documents, shall become the property of the City upon payment to Contractor for such work, and the City shall have the sole right to use such materials in its discretion without further compensation to Contractor or to any other party. Contractor shall, at Contractor's expense, provide such reports, plans, studies, documents and other writings to City upon written request. City acknowledges that any use of such materials in a manner beyond the intended purpose as set forth herein shall be at the sole risk of the City. City further agrees to defend, indemnify and hold harmless Contractor, its officers, officials, agents, employees and volunteers from any claims, demands, actions, losses, damages, injuries, and liability, direct or indirect (including any and all costs and expenses in connection therein), arising out of the City's use of such materials in a manner beyond the intended purpose as set forth herein. a. Licensing of Intellectual Propel. This Agreement creates a nonexclusive and perpetual license for City to copy, use, modify, reuse, or sublicense any and all copyrights, designs, and other intellectual property embodied in plans, specifications, studies, drawings, estimates, and other documents or works of authorship fixed in any tangible medium of expression, including but not limited to, physical drawings or data magnetically or otherwise recorded on computer diskettes, which are prepared or caused to be prepared by Contractor under this Agreement ( "Documents & Data "). Contractor shall require that all subcontractors agree in writing that City is granted a nonexclusive and perpetual license for any Documents & Data the subcontractor prepares under this Agreement. Contractor represents and warrants that Contractor has the legal right to license any and all Documents & Data. Contractor makes no such representation and warranty in regard to Documents & Data which were prepared by design professionals other than Contractor or provided to Contractor by the City. City shall not be limited in any way in its use of the Documents & Data at any time, provided that any such use not within the purposes intended by this Agreement shall be at City's sole risk. b. Confidentiality. All ideas, memoranda, specifications, plans, procedures, drawings, descriptions, computer program data, input record data, written information, and other Documents & Data either created by or provided to Contractor in connection with the performance of this Agreement shall be held confidential by Contractor. Such materials shall not, without the prior written consent of City, be used by Contractor for any purposes other than the performance of the services under this Agreement. Nor shall such materials be disclosed to any person or entity not connected with the performance of the services under this Agreement. Nothing furnished to Contractor which is otherwise known to Contractor or is generally known, or has become known, to the related industry shall be deemed confidential. Contractor shall not use City's name or insignia, photographs relating to project for which Contractor's services are rendered, or any publicity pertaining to the Contractor's services under this Agreement in any magazine, trade paper, newspaper, television or radio production or other similar medium without the prior written consent of City. Page 3 7. Contractor's Books and Records. a. Contractor shall maintain any and all ledgers, books of account, invoices, vouchers, canceled checks, and other records or documents evidencing or relating to charges for services, or expenditures and disbursements charged to City for a minimum period of three (3) years, or for any longer period required by law, from the date of final payment to Contractor to this Agreement. b. Contractor shall maintain all documents and records which demonstrate performance under this Agreement for a minimum period of three (3) years, or for any longer period required by law, from the date of termination or completion of this Agreement. C. Any records or documents required to be maintained pursuant to this Agreement shall be made available for inspection or audit, at any time during regular business hours, upon written request by the City Manager, City Attorney, City Auditor or a designated representative of these officers. Copies of such documents shall be provided to the City for inspection at City Hall when it is practical to do so. Otherwise, unless an alternative is mutually agreed upon, the records shall be available at Contractor's address indicated for receipt of notices in this Agreement. d. Where City has reason to believe that such records or documents may be lost or discarded due to dissolution, disbandment or termination of Contractor's business, City may, by written request by any of the above -named officers, require that custody of the records be given to the City and that the records and documents be maintained in City Hall. Access to such records and documents shall be granted to any party authorized by Contractor, Contractor's representatives, or Contractor's successor -in- interest. 8. Independent Contractor. It is understood that Contractor, in the performance of the work and services agreed to be performed, shall act as and be an independent contractor and shall not act as an agent or employee of the City. 9. PERS Eligibility Indemnification. In the event that Contractor or any employee, agent, or subcontractor of Contractor 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 as an employee of the City, Contractor shall indemnify, defend, and hold harmless City for the payment of any employee and /or employer contributions for PERS benefits on behalf of Contractor or its employees, agents, or subcontractors, as well as for the payment of any penalties and interest on such contributions, which would otherwise be the responsibility of City. Notwithstanding any other federal, state and local laws, codes, ordinances and regulations to the contrary, Contractor and any of its employees, agents, and subcontractors providing service under this Agreement shall not qualify for or become entitled to, and hereby agree to waive any claims to, any compensation, benefit, or any incident of employment by City, including but not limited to eligibility to enroll in PERS as an employee of City and entitlement to any contribution to be paid by City for employer contribution and /or employee contributions for PERS benefits. 10. Interests of Contractor. Contractor (including principals, associates and management employees) covenants and represents that it does not now have any investment or interest in real property and shall not acquire any interest, direct or indirect, in the area covered Page 4 by this Agreement or any other source of income, interest in real property or investment which would be affected in any manner or degree by the performance of Contractor's services hereunder. Contractor further covenants and represents that in the performance of its duties hereunder no person having any such interest shall perform any services under this Agreement. Contractor is not a designated employee within the meaning of the Political Reform Act because Contractor: a. will conduct research and arrive at conclusions with respect to his /her rendition of information, advice, recommendation or counsel independent of the control and direction of the City or of any City official, other than normal agreement monitoring; and b. possesses no authority with respect to any City decision beyond rendition of information, advice, recommendation or counsel. (FPPC Reg. 18700(a)(2).) 11. Ability of Contractor. City has relied upon the training and ability of Contractor to perform the services hereunder as a material inducement to enter into this Agreement. Contractor shall therefore provide properly skilled personnel to perform all services under this Agreement. All work performed by Contractor under this Agreement shall be in accordance with applicable legal requirements and shall meet the standard of quality ordinarily to be expected of competent contractors in Contractor's field of expertise. 12. Compliance with Laws. Contractor shall use the standard of care in its profession to comply with all applicable federal, state and local laws, codes, ordinances and regulations. 13. Licenses. Contractor represents and warrants to City that it has the licenses, permits, qualifications, insurance and approvals of whatsoever nature which are legally required of Contractor to practice its profession. Contractor represents and warrants to City that Contractor shall, at its sole cost and expense, keep in effect or obtain at all times during the term of this Agreement, any licenses, permits, insurance and approvals which are legally required of Contractor to practice its profession. Contractor shall maintain a City of Lake Elsinore business license. 14. Indemnity. Contractor shall indemnify, defend, and hold harmless the City and its officials, officers, employees, agents, and volunteers from and against any and all losses, liability, claims, suits, actions, damages, and causes of action arising out of any personal injury, bodily injury, loss of life, or damage to property, or any violation of any federal, state, or municipal law or ordinance, to the extent caused, in whole or in part, by the willful misconduct or negligent acts or omissions of Contractor or its employees, subcontractors, or agents, by acts for which they could be held strictly liable, or by the quality or character of their work. The foregoing obligation of Contractor shall not apply when (1) the injury, loss of life, damage to property, or violation of law arises from the sole negligence or willful misconduct of the City or its officers, employees, agents, or volunteers and (2) the actions of Contractor or its employees, subcontractor, or agents have contributed in no part to the injury, loss of life, damage to property, or violation of law. It is understood that the duty of Contractor to indemnify and hold harmless includes the duty to defend as set forth in Section 2778 of the California Civil Code. Acceptance by City of insurance certificates and endorsements required under this Agreement does not relieve Contractor from liability under this indemnification and hold harmless clause. This indemnification and hold harmless clause shall apply to any damages or claims for damages whether or not such insurance policies shall have been determined to apply. By execution of this Agreement, Contractor Page 5 acknowledges and agrees to the provisions of this Section and that it is a material element of consideration. 15. Insurance Re uirements. a. Insurance. Contractor, at Contractor's own cost and expense, shall procure and maintain, for the duration of the contract, unless modified by the City's Risk Manager, the following insurance policies. i. Workers' Compensation Coverage. Contractor shall maintain Workers' Compensation Insurance and Employer's Liability Insurance for his /her employees in accordance with the laws of the State of California. 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 for all of the subcontractor's employees. Any notice of cancellation or non - renewal of all Workers' Compensation policies must be received by the City at least thirty (30) days prior to such change. The insurer shall agree to waive all rights of subrogation against City, its officers, agents, employees and volunteers for losses arising from work performed by Contractor for City. In the event that Contractor is exempt from Worker's Compensation Insurance and Employer's Liability Insurance for his /her employees in accordance with the laws of the State of California, Contractor shall submit to the City a Certificate of Exemption from Workers Compensation Insurance in a form approved by the City Attorney. ii. General Liability Coverage. Contractor shall maintain commercial general liability insurance in an amount not less than one million dollars ($1,000,000) per occurrence for bodily injury, personal injury and property damage. If a commercial general liability insurance form or other form with a general aggregate limit is used, either the general aggregate limit shall apply separately to the work to be performed under this Agreement or the general aggregate limit shall be at least twice the required occurrence limit. Required commercial general liability coverage shall be at least as broad as Insurance Services Office Commercial General Liability occurrence form CG 0001 (ed. 11/88) or Insurance Services Office form number GL 0002 (ed. 1/73) covering comprehensive General Liability and Insurance Services Office form number GL 0404 covering Broad Form Comprehensive General Liability. No endorsement may be attached limiting the coverage. iii. Automobile Liability Coverage. Contractor shall maintain automobile liability insurance covering bodily injury and property damage for all activities of the Contractor arising out of or in connection with the work to be performed under this Agreement, including coverage for owned, hired and non -owned vehicles, in an amount of not less than one million dollars ($1,000,000) combined single limit for each occurrence. Automobile liability coverage must be at least as broad as Insurance Services Office Automobile Liability form CA 0001 (ed. 12/90) Code 1 ( "any auto "). No endorsement may be attached limiting the coverage. b. Endorsements. Each general liability and automobile liability insurance policy shall be with insurers possessing a Best's rating of no less than A:VII and shall be endorsed with the following specific language: Page 6 i. The City, its elected or appointed officers, officials, employees, agents and volunteers are to be covered as additional insured with respect to liability arising out of work performed by or on behalf of the Contractor, including materials, parts or equipment furnished in connection with such work or operations. ii. This policy shall be considered primary insurance as respects the City, its elected or appointed officers, officials, employees, agents and volunteers. Any insurance maintained by the City, including any self- insured retention the City may have, shall be considered excess insurance only and shall not contribute with it. iii. This insurance shall act for each insured and additional insured as though a separate policy had been written for each, except with respect to the limits of liability of the insuring company. iv. The insurer waives all rights of subrogation against the City, its elected or appointed officers, officials, employees or agents. V. Any failure to comply with reporting provisions of the policies shall not affect coverage provided to the City, its elected or appointed officers, officials, employees, agents or volunteers. vi. The insurance provided by this Policy shall not be suspended, voided, canceled, or reduced in coverage or in limits except after thirty (30) days written notice has been received by the City. C. Deductibles and Self- Insured Retentions. Any deductibles or self- insured retentions must be declared to and approved by the City. At the City's option, Contractor shall demonstrate financial capability for payment of such deductibles or self- insured retentions. d. Certificates of Insurance. Contractor shall provide certificates of insurance with original endorsements to City as evidence of the insurance coverage required herein. Certificates of such insurance shall be filed with the City on or before commencement of performance of this Agreement. Current certification of insurance shall be kept on file with the City at all times during the term of this Agreement. 16. Notices. Any notice required to be given under this Agreement shall be in writing and either served personally or sent prepaid, first class mail. Any such notice shall be addressed to the other party at the address set forth below. Notice shall be deemed communicated within 48 hours from the time of mailing if mailed as provided in this section. If to City: City of Lake Elsinore Attn: City Manager 130 South Main Street Lake Elsinore, CA 92530 With a copy to: City of Lake Elsinore Attn: City Clerk 130 South Main Street Lake Elsinore, CA 92530 Page 7 If to Contractor: Tri -Star Electric Attn: John Sclifo 30805 Calvado Court Temecula, Ca 92592 17. Entire Agreement. This Agreement constitutes the complete and exclusive statement of Agreement between the City and Contractor. All prior written and oral communications, including correspondence, drafts, memoranda, and representations, are superseded in total by this Agreement. 18. 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. 19. Assignment and Subcontracting. The parties recognize that a substantial inducement to City for entering into this Agreement is the reputation, experience and competence of Contractor. Contractor shall be fully responsible to City for all acts or omissions of any subcontractors. Assignments of any or all rights, duties or obligations of the Contractor under this Agreement will be permitted only with the express consent of the City. Contractor shall not subcontract any portion of the work to be performed under this Agreement without the written authorization of the City. If City consents to such subcontract, Contractor shall be fully responsible to City for all acts or omissions of those subcontractors. Nothing in this Agreement shall create any contractual relationship between City and any subcontractor nor shall it create any obligation on the part of the City to pay or to see to the payment of any monies due to any such subcontractor other than as otherwise is required by law. 20. Waiver. Waiver of a breach or default under this Agreement shall not constitute a continuing waiver of a subsequent breach of the same or any other provision under this Agreement. 21. 5everability. 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. 22. Controlling Law Venue. This Agreement and all matters relating to it shall be governed by the laws of the State of California and any action brought relating to this Agreement shall be held exclusively in a state court in the County of Riverside. 23. Litigation Expenses and Attorneys' Fees. If either party to this Agreement commences any legal action against the other party arising out of this Agreement, the prevailing party shall be entitled to recover its reasonable litigation expenses, including court costs, expert witness fees, discovery expenses, and attorneys' fees. 24. Mediation. The parties agree to make a good faith attempt to resolve any disputes arising out of this Agreement through mediation prior to commencing litigation. The parties shall mutually agree upon the mediator and share the costs of mediation equally. If the parties are unable to agree upon a mediator, the dispute shall be submitted to JAMS or its successor in interest. JAMS shall provide the parties with the names of five qualified mediators. Each party shall have the option to strike two of the five mediators selected by JAMS and thereafter the mediator remaining shall hear the dispute. If the dispute remains unresolved after mediation, either party may commence litigation. Page 8 25. Execution. This Agreement may be executed in several counterparts, each of which shall constitute one and the same instrument and shall become binding upon the parties when at least one copy hereof shall have been signed by both parties hereto. In approving this Agreement, it shall not be necessary to produce or account for more than one such counterpart. 26. Authority to Enter Agreement. Contractor has all requisite power and authority to conduct its business and to execute, deliver, and perform the Agreement. Each party warrants that the individuals who have signed this Agreement have the legal power, right, and authority to make this Agreement and to bind each respective party. The City Manager is authorized to enter into an amendment or otherwise take action on behalf of the City to make the following modifications to the Agreement: (a) a name change; (b) grant extensions of time; (c) non - monetary changes in the scope of services; and /or (d) suspend or terminate the Agreement. 27. Prohibited Interests. Contractor maintains and warrants that it has not employed nor retained any company or person, other than a bona fide employee working solely for Contractor, to solicit or secure this Agreement. Further, Contractor warrants that it has not paid nor has it agreed to pay any company or person, other than a bona fide employee working solely for Contractor, any fee, commission, percentage, brokerage fee, gift or other consideration contingent upon or resulting from the award or making of this Agreement. For breach or violation of this warranty, City shall have the right to rescind this Agreement without liability. For the term of this Agreement, no member, officer or employee of City, during the term of his or her service with City, shall have any direct interest in this Agreement, or obtain any present or anticipated material benefit arising therefrom. 28. 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. Such non - discrimination shall include, but not be limited to, all activities related to initial employment, upgrading, demotion, transfer, recruitment or recruitment advertising, layoff or termination. 29. Prevailing Wages. Contractor is aware of the requirements of California Labor Code Section 1720, et seq., and 1770, et seq., as well as California Code of Regulations, Title 8, Section 16000, et seq., ( "Prevailing Wage Laws "), which require the payment of prevailing wage rates and the performance of other requirements on "public works" and "maintenance" projects. Contractor agrees to fully comply with all applicable federal and state labor laws (including, without limitation, if applicable, the Prevailing Wage Laws). It is agreed by the parties that, in connection with the work or services provided pursuant to this Agreement, Contractor shall bear all risks of payment or non - payment of prevailing wages under California law, and Contractor hereby agrees to defend, indemnify, and hold the City, and its officials, officers, employees, agents, and volunteers, free and harmless from any claim or liability arising out of any failure or alleged failure to comply with the Prevailing Wage Laws. The foregoing indemnity shall survive termination of this Agreement. 30. Execution. This Agreement may be executed in several counterparts, each of which shall constitute one and the same instrument and shall become binding upon the parties when at least one copy hereof shall have been signed by both parties hereto. In approving this Agreement, it shall not be necessary to produce or account for more than one such counterpart. Signatures on next page] Page 9 IN WITNESS WHEREOF, the parties have caused this Agreement to be executed on the date first written above. CITY" CITY OF LAKE ELSINORE, a municipal corporation M/1- Va Yates, 'ty ia geerr ATTEST: I W-0-i AP ROVED AS TO FORM: City Attorney Attachments: Exhibit A — Contractor's Proposal CONTRACTOR" JOHN SCLIFO dba TRI -STAR ELECTRIC ng EXHIBIT A CONTRACTOR'S PROPOSAL ATTACHED] EXHIBIT A Tri -Star Electric 30805 Calvado Court Temecula, CA 92592 951- 699 -9641 NAME /ADDRESS City of Lake Elsinore 130 South Main Street Lake Elsinore, Ca. 92530 C/O Julian Perez ITEM DESCRIPTION Estimate DATE ESTIMATE NO. 5/18/2016 1407 PROJECT Pricing Total 1 Standard Service Call: 95.00 2 Emergency Service Call: 150.00 3 Boom Truck Standard Service Call: 2 hour minimum: 300.00 4 Boom Truck Emergency Service Call: 2 hour minimum: 400.00 5 Parts & Equipment mark up: 20% 0.00 We appreciate your business.Fax 951- 699 -0641 Total SIGNATURE 945.00 to DATE (MM/DD/YYYY) ACCar(RC] CERTIFICATE OF LIABILITY INSURANCE 11/10/2015 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(Ees) must 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 Flghlg:w DanlelleDeBolt Stromsoe Insurance Agency PHONE AXmmemem (951)800 -5761 I AIC No };(951)677 -6265 24910 Las Brisas Road, Ste 117 s -MA(L Murrieta, CA 92562 Agn ss: lnsuT &Ia©nline.com License #: OD06577 _ ^L INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER B : John Sclifo DBA: Tri Star Electric INSURER C: 30805 Calvado Court - INSURER D Temecula, CA 92592 1NSURERE: _ INSURER F: COVERAGES CERTIFICATE NUMBER: 00000000- 365841 REVISION NUMBER: 37 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. 118R TYPE OF INSURANCE r7DL SUBR POLICY NUMBER MMIDDY MMInDfYYYY LIMITS LTR A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 0 OCCUR Y AUTHORIZED_ REPRESENTATIVE BLS56665833 08/1312015 08/13/2016 EACH OCCURRENCE 1,000,000 ENTED P I accunenca 100,000 MED EXP (Any one person) 5,000 PERSONAL & ADV INJURY 1,000,000 3ENERAL AGGREGATE 2,000,000GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG I 2,000,000XPOLICYEIiCTFILOC OTHER- AUTOMOBILE LIABILITY C a MBIN£D SINGLE LIMIT Ea ecaderFt BODILY INJURY (Per person) ANY AUTO BODILY INJURY (Per accident) ALL OWNED SCHEDULED AUTOS AUTOSNON -OWNED HIREDAUTOS AUTOS IFROP YICIAMAGE UMBRELLA LIAB OCCUR EACH OCCURRENCE AGGREGATEEXCESSLIARCLAIMS -MADE DED RETENTION $ WORKERS COMPENSATION PER ER - AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A Mandatory In NH) E.L.. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L DISEASE- POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Certificate holder is hereby named as additional insured as covered by the general liability policy. C_FRTIFIr:ATF HOLDER CANCELLATION 1988 -2014 ACORD CURPURATIUN. An rights reservea. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Printed by DRD on November 10, 2015 at 01:27PM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Lake Elsinore ACCORDANCE WITH THE POLICY PROVISIONS. 130 S. Main Street AUTHORIZED_ REPRESENTATIVELakeElsinore, CA 92530 j (DRD 1988 -2014 ACORD CURPURATIUN. An rights reservea. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Printed by DRD on November 10, 2015 at 01:27PM POLICY NUMBER BA040000022277 STATE OF CALIFORNIA AUTOMOBILE INSURANCE LIABILITY IDENTIFICATION CARD EFFECTIVE DATE 06/05/2016 California Automobile Insurance Company This insurance complies with CVC S16056.S16500.5 NAMED INSURED JOHN SCLIFO DBA TRI STAR ELECTRIC YEAR MAKE 2000 FORD MODEL F- SERIES SUPER DUTY AGENT: GRANITE MOUNTAIN INS INC AGENT'S PHONE NUMBER: (951) 461 -8135 POLICY NUMBER BA040000022277 EXPIRATION DATE 06/05/2017 NAIC # 38342 VIN 1FDXF46F4YEB06400 TO REPORT A CLAIM, 24 HOURS A DAY, 7 DAYS A WEEK PLEASE CALL (800) 503 -3724 STATE OF CALIFORNIA AUTOMOBILE INSURANCE LIABILITY IDENTIFICATION CARD EFFECTIVE DATE 06/05/2016 California Automobile Insurance Company This insurance complies with CVC S16056.S16500.5 NAMED INSURED JOHN SCLIFO DBA TRI STAR ELECTRIC YEAR MAKE 2005 CHEVROLET MODEL 4500 W45042 AGENT: GRANITE MOUNTAIN INS INC AGENT'S PHONE NUMBER: (951) 461 -8135 EXPIRATION DATE 06/05/2017 NAIC # 38342 VIN J8BC4616557013560 TO REPORT A CLAIM, 24 HOURS A DAY, 7 DAYS A WEEK PLEASE CALL (800) 503 -3724 DATE (MM /DD /YYYY) 4 Q CERTIFICATE OF LIABILITY INSURANCE 05/19/2016 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 certiflcate holder is an ADDITIONAL INSURED, the policy(les) must 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). CONTACT PRODUCER NAME: _ PHONE Automatic Data Processing Insurance Agency, Inc. (A/.C,No,Ext)_ I %A1C,Haj E -MAIL 1 Adp Boulevard ADDRESS: _ Roseland, NJ 07068 INSURER(S) AFFORDING COVERAGE NAIC # INSURED JOHN A SCLIFO DBA: Tri-Star Electric 30805 CALVADO CT Temecula, CA 92592 INSURER A: Twin City Fire Insurance Company INSURER B INSURER C: INSURER D: INSURER E: INSURER F: rnvCOAr_CC L"CDTICIr`ATP KII IMRFR• 444224 REVISION NUMBER: 29459 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. INSR TYPE OF INSURANCE ADDL SUER' POLICY EFF POLICY EXP LIMITS LTR 1 D WVD POLICY NUMBER MM /DDIYYYY MMIDD /YYYY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Of Lake Elsinore COMMERCIAL GENERAL LIABILITY 521 North Langstaff EACH OCCURRENCE DAMAGE TO RENTED CLAIMS -MADE OCCUR PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY AGGREGATE LIMIT APPLIES PER: GEN'L GENERAL AGGREGATE POLICY PR LOC PRODUCTS - COMP /OP AGG OTHER AUTOMOBILE LIABILITY Ea accident). SINGLE ANY AUTO BODILY INJURY (Per person) ALL OWNED SCHEDULED AUTOSAUTOS NON -OWNED HIRED AUTOS AUTOS BODILY INJURY (Per accident) ROPERTY aAMAGE Parecc de t UMBRELLA LIAB OCCUR EACH OCCURRENCE AGGREGATEEXCESSLIARCLAIMS -MADE DED I I RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER /EXECUTIVE Y/ N OFFICER /MEMBER EXCLUDED? , Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A X R STATUTE ER E L EACH ACCIDENT N 76WEGDU6809 10/01/2015 10/01/2016 E -L DISEASE - EA EMPLOYE E.L DISEASE - POLICY LIMIT 1,000,000 1 000,0001 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) COTICIP`ATC Uf11 r1CG r_AIUf -FI I ATI"N Ivoo -Au 19 M wmv VVI t"v1Y/'111v,.. nn nynw cac, ....+. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Of Lake Elsinore ACCORDANCE WITH THE POLICY PROVISIONS. 521 North Langstaff AUTHORIZED REPRESENTATIVELakeElsinore, CA 92530 Ivoo -Au 19 M wmv VVI t"v1Y/'111v,.. nn nynw cac, ....+. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD