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HomeMy WebLinkAboutExcel Landscape - Amendment No. 1AMENDMENT NO. 1 TO AGREEMENT FOR CONTRACTOR SERVICES Excel Landscape, Inc. Annual Citywide Landscape Maintenance Services This Amendment No. 1 to Agreement for Contractor Services is made and entered into as of 7/12/2022, by and between the City of Lake Elsinore, a municipal corporation (“City), and Excel Landscape, Inc., a Corporation (“Contractor”). RECITALS A. The City and Contractor have entered into that certain Agreement for Contractor Services dated as of 10/27/2020, (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 Contractor in an amount of Two Hundred Thirteen Thousand Three Hundred dollars ($213,300). C. Contractor has notified the City of unforeseen cost increases in material and labor and has requested an adjustment to the extra work pricing. In addition, City requires Contractor services in additional locations. D. The Parties now desire to amend the scope of services and increase the payment 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 Contractor agree as follows: 1. Section 3, Compensation, of the Original Agreement is hereby amended to read in its entirety as follows: “Compensation to be paid to Contractor shall be in accordance with the fees set forth in Contractor's Proposal which is attached to the Original Agreement as Exhibit A and amended by this Amendment No. 1 in accordance with Exhibit A-1 attached hereto and incorporated herein by reference. In no event shall Contractor's annual compensation exceed Two Hundred Thirteen Thousand Three Hundred Dollars ($266,300) per fiscal year commencing the Fiscal Year July 1, 2022 through June 30, 2023 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 to the Original Agreement and Exhibit A-1 attached hereto 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. Contractor’s Proposal attached to the Original Agreement as Exhibit A is hereby amended as set forth in Exhibit A-1 attached hereto and incorporated by reference herein to substitute the updated Price Sheet for Landscape Maintenance Extra Work (Exhibit “B” to Contractor’s Proposal) and to include the additional services set forth therein. DocuSign Envelope ID: F46801EE-66D4-4C2A-A0E0-D0D00AEE707F 3. Except for the changes specifically set forth herein, all other terms and conditions of the Original Agreement shall remain in full force and effect. 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 “CONTRACTOR” Excel Landscape, Inc., a Corporation City Manager Date: Jose Alfaro, Sr. Date: ATTEST: City Clerk APPROVED AS TO FORM: City Attorney Assistant City Manager DocuSign Envelope ID: F46801EE-66D4-4C2A-A0E0-D0D00AEE707F 8/22/2022 | 4:53 PM CDT8/22/2022 | 2:54 PM PDT Attachments: Exhibit A-1 – Contractor ’s Proposal DocuSign Envelope ID: F46801EE-66D4-4C2A-A0E0-D0D00AEE707F EXHIBIT A-1 CONTRACTOR ’S PROPOSAL [ATTACHED] DocuSign Envelope ID: F46801EE-66D4-4C2A-A0E0-D0D00AEE707F EL LANDSCAPE 710 Rimpau Ave. Suite 108.Corona, CA92879-5724 (951 ) 735-9650 Fax (951 ) 735-0469. Lic # 694553 April 1,2022 City of Lake Elsinore 130 S Main St. Lake Elsinore, CA 92530 Dear Rick, This letter is to express our interest in renewing our existing Landscape Maintenance contract with the City for an additional year. We will honor our current maintenance contract amount, with the exception of the unit cost pricing for extra work. Due to unforeseen cost increases to material and labor, we are requesting an adjustment to the extra work pricing. Please see the attached worksheet for the proposed price adjustments. I look forward to hearing from you. Sincerely, Tapu,CW Jason Alfaro, Project Manager DocuSign Envelope ID: F46801EE-66D4-4C2A-A0E0-D0D00AEE707F il. Turf ilaintenance (All Turf Areasl 'l . Mowing (lncluding Bagging of Clippings) 2. Edging 3. String Trimming 4. Aerification (Core/3") 5. Aerification (Deep Tine/6") 6. Weed Removal (Manual) 7. Pest Control (Manual) 8. Fertilization (Placement Only) 9. Materials (Fertilizer, Soil Amends) 10. Over seeding of Sports turf (Soccer Field, Football Field) 1 1 . Over seeding of Sports turf (Baseball Field) 12. Over seeding of General use turf areas 13. Artificial Turf areas General Landscape Maintenance (Planters and SloDe Areas) 1. Edging (Ground Cover) 2. Trimming (Shrubs, Ground Cover) 3. Pruning/Shrubs, Vines, Roses 4. Pruning/Trees (To 18') 5. Weed Removal (Manual) 6. Pest Control (Manual) 7. Fertilization (Placement Only) 8. Vegetation Removal 9. Materials (Fertilizer, Soil Amends) Plant ilaterial (lnstalled. All Areasl 1. Annual Color (4" Container) 2. Ground Cover 3. One (1) Gallon 4. Five (5) Gallon 5. Fifteen (15) Gallon 6. 24" Box Tree 7. Seeded Turf 8. Sodded Turf 9. Hydroseed 10. Soil Preparation (Existing Area) 1 1 . Soil Preparation (New Area) 12. Wood Mulch ADDENDA NO, l &2&3 EXHIBIT *8" CITY OF LAKE ELSINORE LANOSCAPE MAINTENANCE EXTRA WORK PRICE SHEET Unit Cost $i-!-:-!-9 $l-:-:-!-3 $l-l-:-9-9 $ q!e!c sq. ft. $ r.,l/A sq. ft. sq*. Per nun HR' litrcll+t. Per man HR. liic!#t. Per man HR. $srote_per man hr. $j-!-jj-Per man hr.(Labor only) $ !9"1"sq. ft. $_ge!t_l_tI $sggte_sq. ft. (min.40,000 sq. ft.) $ orot" _sq. ft. (min.5,000 sq. ft.) $ ouoie_Sq. fr. (min. 1 ,000 sq. ft.) $ o,"G_sq. ft. (min. 1 ,000 sq. ft.) a4 5 00 l.ll..lr*. Per rnan HR. Cq# Per man HR.$t_:___00 $_1_:_:fq$ Per man HR. $ q!q"each $j-l-:L9-Per man hr. $ r-!j-Per man hr. $ !!99 _.eq# Per rnan HR. sq. ft. $ c""t - 15% $aL:-LL-each $l_9_:9_9_flat $f-1-:-L1-eacn$al:_t 1_each$j-1L-0 l-each $1L1_:_L1_each $ qge sq. ft. $ Ouote .sq. ft. $ !!919 sq.ft. sq. ft. sq. ft.$ !y9!9 00 ilt. B-1 $I-:9-cu.Yd. t. DocuSign Envelope ID: F46801EE-66D4-4C2A-A0E0-D0D00AEE707F lV. lrrioation Svstem Maintenance '1. lnspection 2. Repair (Main Line, Lateral Line, Sprinklers) 3. Parts $11_:_o 1_per hr. $j_1_:_o 1_per hr. $!!e!ll!t V. General P*t Control '1. Written Recommendation by PCA g ouoLeach 2. Qualified Applicator (QAC) $:j_:_:jlper hr. 3. Trained Applicator $1LLL_per hr. 4. Material $ ouoc _ B-2 DocuSign Envelope ID: F46801EE-66D4-4C2A-A0E0-D0D00AEE707F EL LANDSCAPE City of Lake Elsinore Grand ave . Lake Elsinore , California 92530 Estimate #10098 From Excel Landscape South (800) 734-9650 1185 Magnolia Ave . E400 Corona CA, 92879 Bill To Downtown Main st 130 South Main St. Lake Elsinore , California 92530 Sent On 05/03/2022 Job Title Medians in the Grand . Planting Job Number 7721 Location Medians in the grand ave PRODUCT/ SERVICE DESCRIPTION QTY . UNIT PRICE TOTAL Rose 5 gallon 5 gallon rose installed (red yucca) Plant 5 gallon 5 gallon plant installed (Little Johns) Plant 5 gallon 5 gallon plant installed (westringia mandi ) Plant 5 gallon 5 gallon plant installed (Raphiolepis) Plant 5 gallon 5 gallon plant installed (pyracantha ) This quote is valid for the next 30 days, after which values may be subject to change . 224 $25.00 $5,600.00 190 $25.00 $4,750.00 146 $25.00 $3 ,650.00 77 $25.00 $1 ,925.00 14 $25 .00 $350.00 Total [_-$16,275.00 I DocuSign Envelope ID: F46801EE-66D4-4C2A-A0E0-D0D00AEE707F EL LANDSCAPE City of Lake Elsinore Lincoln ave Lake Elsinore , Cal ifornia 92530 Estimate #10099 From Excel Landscape South (800) 734-9650 1185 Magnolia Ave . E400 Corona CA , 92879 Bill To Downtown Main st 130 South Main St. Lake Elsinore, California 92530 Sent On 05/05/2022 Job Title Lantern hill LN ( planting) Job Number 7721 Location Lantern hill LN. PRODUCT / SERVICE DESCRIPTION QTY. UNIT PRICE TOTAL Irrigation Labor Mulch Material Plant 5 gallon Plant 5 gallon Irrigation Labor 1 yard Cover mulch installed Drip hose. 9 GPH 18" space ( 200 ft Roll) 5 gallon plant installed(Litter Johns) 5 gallon plant installed (Red yucca) This quote is valid for the next 30 days , after wh ich values may be subject to change . Date: 5 · 33· 0d 6 15 200 31 22 $60.00 $50.00 $0.32 $22.00 $25.00 ,--- Total $360.00 $750.00 $64.00 $682.00 $550.00 $2,4os.oo I DocuSign Envelope ID: F46801EE-66D4-4C2A-A0E0-D0D00AEE707F EL LANDSCAPE City of Lake Elsinore Mission Trail median Lake Elsinore , California 92530 Estimate #10094 From Excel Landsc ape South (800) 734-9650 1185 Magnolia Ave . E400 Corona CA , 92879 Bill To Downtown Main st 130 South Main St. Lake Elsinore, California 92530 Sent On 05/02/2022 Job Title Mission trail median planting Job Number 7721 Location Mission trail median PRODUCT / SERVICE DESCRIPTION QTY. UNIT PRICE TOTAL Plant 5 gallon 5 gallon plant installed (raphs) This quote is valid for the next 30 days , after which values may be subject to change. Date: 6 · o-3 · Do 57 $25.00 $1,425.00 Total L $1,425.00 I DocuSign Envelope ID: F46801EE-66D4-4C2A-A0E0-D0D00AEE707F ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH- STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. 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). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 8/18/2022 License # 0M63276 (951) 368-0700 (951) 368-0707 23434 Excel Landscape, Inc. 1185 Magnolia Ave., #E400 Corona, CA 92879 34630 A 1,000,000 X X A0133421004 8/1/2022 8/1/2023 500,000 5,000 1,000,000 3,000,000 2,000,000 1,000,000A X X A0133421001 8/1/2022 8/1/2023 Comp/Coll Ded 1,000 3,000,000A A0133421005 8/1/2021 8/1/2022 3,000,000 0 B EXWC318625 4/1/2022 4/1/2023 1,000,000 Y 1,000,000 1,000,000 * 30 days notice of cancellation to the certificate holder. Job # 7721 Re: All landscape operations performed by or on behalf of the named insured. The City of Lake Elsinore, The Community Redevelopment Agency of the City of Lake Elsinore (RDA), Its directors, officers & employees are named as additional insured. City of Lake Elsinore Attn: Public Works Department 521 N. Langstaff Street Lake Elsinore, CA 92530 EXCELAN-01 ASHUNN Gallant Risk and Insurance Services, LLC 4160 Temescal Canyon Rd. Suite 214 Corona, CA 92883 Middlesex Insurance Company Oak River Insurance Company X X X X X X X X DocuSign Envelope ID: F46801EE-66D4-4C2A-A0E0-D0D00AEE707F POLICY NUMBER: © Insurance Services Office, Inc., 2008 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any person or organization from whom you are required to waive your right to recover under a written contract or agreement in effect prior to any loss or damage Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV - Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products-completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. A0133421004 Page 1 of 1CG 24 04 05 09 07/29/2022A0133421 Middlesex Insurance Company 00001 0000000000 22210 0 N1 9b1287de-3f2d-4a17-9741-58ca38b87b899b1287de-3f2d-4a17-9741-58ca38b87b89 DocuSign Envelope ID: F46801EE-66D4-4C2A-A0E0-D0D00AEE707F © Insurance Services Office, Inc., 2012 POLICY NUMBER:COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations Any person or organization you are required to add as an additional insured under a written contract or agreement in effect prior to any accident, injury, loss or damage All locations and jobs performed that have a written contract, agreement or permit Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A.Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products-completed operations hazard". However: 1.The insurance afforded to such additional insured only applies to the extent permitted by law; and 2.If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B.With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1.Required by the contract or agreement; or 2.Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. A0133421004 Page 1 of 1CG 20 37 04 13 07/29/2022A0133421 Middlesex Insurance Company 00001 0000000000 22210 0 N1 dab9b575-ce7d-4dd9-b0b7-3d9b59910411dab9b575-ce7d-4dd9-b0b7-3d9b59910411 DocuSign Envelope ID: F46801EE-66D4-4C2A-A0E0-D0D00AEE707F Page 1 of 2CG 20 10 04 13 A0133421 Middlesex Insurance Company © Insurance Services Office, Inc., 2012 POLICY NUMBER:COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE CG 20 10 04 13 Name Of Additional Insured Person(s) Or Organization(s)Location(s) Of Covered Operations Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A.Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1.Your acts or omissions; or 2.The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1.The insurance afforded to such additional insured only applies to the extent permitted by law; and 2.If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B.With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1.All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2.That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. Any person or organization you are required to add as an additional insured under a written contract or agreement in effect prior to any accident, injury, loss or damage All locations per written contract, agreement or permit Description: All jobs performed that have a written contract, agreement or permit A0133421004 DocuSign Envelope ID: F46801EE-66D4-4C2A-A0E0-D0D00AEE707F C.With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1.Required by the contract or agreement; or 2.Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. © Insurance Services Office, Inc., 2012 CG 20 10 04 13Page 2 of 2 A0133421 Middlesex Insurance Company DocuSign Envelope ID: F46801EE-66D4-4C2A-A0E0-D0D00AEE707F Named Insured: Endorsement Effective Date: Name(s) Of Person(s) Or Organization(s): POLICY NUMBER: A0133421001 COMMERCIAL AUTO CA 04 44 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. SCHEDULE Any person or organization from whom you are required to waive your right to recover under a written contract or agreement in effect prior to any loss or damage Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. © Insurance Services Office, Inc., 2011 Excel Landscape Inc 08/01/2022 Page 1 of 1CA 04 44 10 13 07/29/2022A0133421 Middlesex Insurance Company 00001 0000000000 22210 0 N1 0b4a9ea6-53fa-4cde-9f54-f29054d2dac20b4a9ea6-53fa-4cde-9f54-f29054d2dac2 DocuSign Envelope ID: F46801EE-66D4-4C2A-A0E0-D0D00AEE707F POLICY NUMBER: SCHEDULE COMMERCIAL AUTO CA 76 01 06 15 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED - PRIMARY AND NONCONTRIBUTORY - COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM AUTO DEALERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated. Named Insured:Excel Landscape Inc Endorsement Effective Date:08/01/2022 Name Of Person(s) Or Organization(s): Any person or organization you are required to add as an additional insured under a written contract or agreement in effect prior to any accident, injury, loss or damage Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A.Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in: (1)Paragraph A.1. of Section II - Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms; or (2)Paragraph D.2. of Section I - Covered Autos Coverages of the Auto Dealers Coverage Form. B.Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other auto insurance issued to the person or organization in the schedule under your policy provided that: (1)The person or organization is a Named Insured under such other insurance; and (2)Prior to the “accident” you have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the person or organization. Includes copyrighted material of Insurance Services Office, Inc., with its permission. A0133421001 Page 1 of 1CA 76 01 06 15 07/29/2022A0133421 Middlesex Insurance Company 00001 0000000000 22210 0 N1 4c9cb5b1-a664-4e05-b188-f7802c569abd4c9cb5b1-a664-4e05-b188-f7802c569abd DocuSign Envelope ID: F46801EE-66D4-4C2A-A0E0-D0D00AEE707F CITY OF LAKE ELSINORE TO BE POSTED IN A CONSPICUOUS PLACE Business Name: Business Location: Owner Name(s): BUSINESS LICENSE NO. Issue Date: Expiration Date: BUSINESS LICENSE THIS IS YOUR LICENSE • NOT TRANSFERABLE 710 RIMPAU STE 108 Business Type: CORONA, CA 92879 EXCEL LANDSCAPE, INC. 1185 MAGNOLIA AVE STE E-400 CORONA, CA 92879-3218 This business license is issuedfor revenue purposes only anddoes not grant authorization to operate a business. This business license is issuedwithout verificationthat the holder is subject to or exempted from licensing by the state, county, federal government, or any other governmental agency. Administrative Services - Licensing 130 South Main Street, Lake Elsinore, CA 92530 PH (951) 674-3124 EXCEL LANDSCAPE, INC. JOSE ALFARO LANDSCAPING CONTRACTOR 004404 5/1/2022 4/30/2023 Starting January 1, 2021, Assembly Bill 1607 requires the prevention of gender-based discrimination of business establishments. A full notice is available in English or other languages by going to: https://www.dca.ca.gov/publications/ DocuSign Envelope ID: F46801EE-66D4-4C2A-A0E0-D0D00AEE707F