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HomeMy WebLinkAboutAmendment No. 2 - Excel Landscape DocuSign Envelope ID:CA9803C9-8259-48BE-8CC6-05BDDCB16DFF —c-9p❑veope w:t$ZAfULAS-UZ3lY42FB-e45A-2339328AEF28 AMENDMENT NO.2 TO AGREEMENT FOR CONTRACTOR SERVICES Excel Landscape,Inc. Annual Citywide Landscape Maintenance Services This Amendment No.2 to Agreement for Contractor Services is made and entered into as of 4/25/2023,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. Amendment No.1 was approved on July 12,2022,to increase the compensation in an amount of Two Hundred Sixty-Six Thousand Three Hundred dollars($266,300). 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 2. NOW,THEREFORE, in consideration of the mutual covenants and conditions set forth herein,City and Contractor agree as follows: 1. Section 1,Scope of Services,of the Original Agreement is hereby amended to add the following: Contractor shall also perform the services described in Contractor 's Proposal(attached to this Amendment No.2 as Exhibit A-2). Contractor shall provide such services at the time,place,and in the manner specified in Exhibit A-2,subject to the direction of the City through its staff that it may provide from time to time. 2. Section 3,Compensation,of the Original Agreement is hereby amended to read in its entirety as follows: Notwithstanding the foregoing,for purposes of Amendment No.2 and the term thereof,compensation to be paid to Contractor shall be in accordance with the Schedule of Charges set forth in Contractor's Proposals (referenced collectively as Exhibit A-1 to Amendment No.1 and Exhibit A-2 of Amendment No.2).In no event shall Contractor's compensation related to Contractor's Proposals exceed Three Hundred Fifty-Three Thousand dollars($353,000)for the fiscal year commencing the July 1,2023 through June 30,2024 without additional written authorization from the City. DocuSign Envelope ID:CA9803C9-8259-48BE-8CC6-05BDDCB16DFF DocuSign Envelope ID:B2A70EA5-023D-42FB-B45A-2339328AEF28 Notwithstanding any provision of Contractor 's Proposal to the contrary, out of pocket expenses set forth in Contractor's Proposals, 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. 3. Pursuant to Section 2(c) of the Original Agreement, the City hereby elects to extend the term of the Original Agreement by 12 months until June 30, 2024, and Contractor acknowledges and consents to such extension. 4. Except for the changes specifically set forth herein, all other terms and conditions of the Original Agreement, as amended, shall remain in full force and effect. 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 Excel Landscape, Inc. a Corporation corporation L_Docus'g,ned by: S6V, (MpS6 , DocuSigned by: City Manager Jose Alfaro, Sr. 5/31/2023 � 4:56 PM PDT Date: 5/31/2023 6:45 PM CDT Date: ATTEST: DocuSigned by: F ln ;�a- —1 F City Clerk APPROVED AS TO FORM: DocuSigned by: City Attorney DocuSigned by: 'l��} s6V,1&hV, Assistant City Manager Attachments: Exhibit A-2 —Contractor's Proposal DocuSign Envelope ID:CA9803C9-8259-48BE-8CC6-05BDDCB16DFF DocuSign Envelope ID:B2A70EAr023D-42FB-B45A-2339328AEF28 EXHIBIT A-2 CONTRACTOR'S PROPOSAL [ATTACHED] DocuSign Envelope ID:CA9803C9-8259-48BE-8CC6-05BDDCB16DFF DocuSign Envelope ID: B2A70EA5-023D-42FB-B45A-2339328AEF28 tst�mate #10308 From Excel Landscape Scum Fxe-CEL LANDSCAPE %® 734 9650 1185 Magnolia Arc ZsJi Coror•a CA, Zi 7o =;i To iowrrtoAn Moir- st City of Lake Elsinore 1 ?0 �Zn,,M klair Sr Dovvntow� vas^ st -aKe =►s,nore Cafrorr-,a 9253C 130 Sauttt Main St Sent On 02 22 2023 `ake Elsinoro. California Jot; Tine Ccmiii certcr .fob Number 7 721 _ocavor Famil f centEr . .ODSERVICE CITY. PRICE Pant 1 gallon One gallon plant installed 1100 $12,00 $13,200 00 Irrigation Labor Irrigation Labor 16 $75.00 $1 ,200.00 Mulch 1 yard Cover mulch installed 50 $45.00 $2,250M Tree Removal Small tree removal and flush cut 7 $150.00 $1.050 00 Plant 5 gallon (Iceberg rose' 5 gallon plant installed 40 S35.00 $1 ,400 00 Labor Standard Labor 32 $45 00 $1 ,440 00 Material 1812 with mp rotator nozzle 46 $30.00 $1 ,380 00 Material Pvc pipe 3/4 800 $C.95 $760 00 Material Pvc fittings 1 $25C 00 $250 00 Total $22,930.00 Price does nor !rc+i.ce anti ~eolacemen, of reigavor va'ves irr gat on ,;uvtro+ter. or 1v+r ng This o.jota s ^ c� V(s 'Ies "ati oe sUo}eC, 'a c`�ange Signature: Date: / s 2 7 DocuSign Envelope ID:CA9803C9-8259-48BE-8CC6-05BDDCB16DFF DocuSign Envelope ID:B2A70EA5-023D-42FB-B45A-2339328AEF28 Estimate #10345 risviA From Excel Landscape South 9-4^%P E LLANDSCAPE (800)734-9650 1185 Magnolia Ave.E400 Corona CA,92879 Bill To Downtown Main st City of Lake Elsinore 130 South Main St. Canyon Hills Sports Park Lake Elsinore,California 92530 34360 Canyon Hills Rd Sent On 04/07,2023 Lake Elsinore,California 92532 Job Title Palm tree irrigation repair due to construction damage Job Number 7721 Location Canyon Hills Sports Park palm trees PRODUCTDESCRIPTION OTY. UNIT PRICE TOTAL : Material Rain Bird bubbler.25 GPM 24 $45.00 $1,080.00 Material Schedule 40 3/4 in PVC pipe 80 $0.95 $76.00 Material Misc pvc fittings 1 $150.00 $150.00 Labor Standard Labor 12 $45.00 $540.00 Irrigation Labor Irrigation Labor 12 $75.00 $900.00 Total $2,74&00 This quote is valid for the next 30 days,after which values may be subject to change. Signature: Date: DocuSign Envelope ID:CA9803C9-8259-48BE-8CC6-05BDDCB16DFF ELLANDSCAPE 710 Rimpau Ave.Suite 108•Corona,CA92879-5724 (951)735-9650 Fax(951)735-0469•Lic#694553 May 15, 2023 City of Lake Elsinore Attn: Rick De Santiago 130 S Main St. Lake Elsinore, CA 92530 Mr. Rick De Santiago, Thank you for the opportunity to maintain the streetscapes for the City Of Lake Elsinore for the last several years. At this time Excel Landscape would like to express our interest in extending the current agreement for an additional year. Due to increased labor and material costs of over 6% for the last 2 years, we would respectfully request a 6% increase of the total contract amount to help cover these increased costs. The contract amounts are as outlined below: Lake Elsinore Streetscapes Current monthly contract amount- $17,775.00 Increased monthly contract amount- $18,841.50 Increase per month - $1066.50 We look forward to continue serving your city. Please feel free to contact me if you have any questions. Respectfully, a"" a Jason Alfaro Project Manager DocuSign Envelope ID:CA9803C9-8259-48BE-8CC6-05BDDCB16DFF DocuSign Envelope ID:F3C27O1E-B255-4FF6-A60302F847CD86D9 CITY OF LADE LSI NOKE - DREAM EXTREME May 30,2023 Excel Landscape Attn:Jason Alfaro 710 Rimpau Ave.Suite 108 Corona,CA 92879 RE:RATE INCREASE Dear Mr.Alfaro: This letter serves as a notice of acceptance regarding your 6%increase due to the unforeseen cost increases to material and labor on your Annual Contract dated April 25,2023,and ending June 30,2024. Current monthly contract amount-$17,775.00 Increased monthly contract amount-$18,841.50 Increase per month-$1,066.50 If you have any questions regarding this matter,please contact Carla Khalil,Management Analyst Department of Public Works at(9S1)674-5170 ext.364. Sincerely, FZS�q��a er � "�AM1A2Otby (/u(K�tA)"o'n 414 5 Shannon uc ley Assistant City Manager DocuSign Envelope ID:CA9803C9-8259-48BE-8CC6-05BDDCB16DFF DocuSign Envelope ID:B2A70EA5-023D-42FB-B45A-2339328AEF28 ADDENDA NO. 1 &2&3 EXHIBIT "B" CITY OF LAKE ELSINORE LANDSCAPE MAINTENANCE EXTRA WORK PRICE SHEET I. Turf Maintenance(All Turf Areas) Unit Cost 1. Mowing (Including Bagging of Clippings) $4 5 0 0 9" Per man HR. 2. Edging $4 s 0 0 IirreerR Per man HR. 3. String Trimming $4 5 0 0 Iineerlt.Per man HR. 4. Aerification (Core/3") $Quote sq. ft. 5. Aerification (Deep Tine/6") $NIA sq. ft. 6. Weed Removal (Manual) $Quote per man hr. 7. Pest Control(Manual) $7 s o o per man hr.(Laaor only) 8. Fertilization (Placement Only) $Quote sq. ft. 9. Materials(Fertilizer, Soil Amends) $Cost+ 1 5% 10. Over seeding of Sports turf(Soccer Field, Football Field) $Quote sq. ft. (min. 40,000 sq. ft.) 11. Over seeding of Sports turf(Baseball Field) $Quote sq. ft. (min. 5,000 sq. ft.) 12. Over seeding of General use turf areas $Quote sq. ft. (min. 1,000 sq. ft.) 13.Artificial Turf areas $Quote sq. ft. (min. 1,000 sq. ft.) II. General Landscane Maintenance(Planters and Slope Areas) 1. Edging (Ground Cover) $4 5 0 0 Wwwokk Per man HR. 2. Trimming (Shrubs, Ground Cover) $4 s 0 0 6446_ Per man HR. 3. Pruning/Shrubs, Vines, Roses $4 5 0 0 aGO.A._ Per man HR. 4. Pruning/Trees(To 18') $Quote each 5. Weed Removal (Manual) $4 s o o per man hr. 6. Pest Control(Manual) $7 5 o o per man hr. 7. Fertilization (Placement Only) $Quote . Per man HR. 8. Vegetation Removal $mote sq. ft. 9. Materials(Fertilizer, Soil Amends) $cost+ 15% III. Plant Material (Installer),All Areas) 1. Annual Color(4" Container) $3 0 0 o each 2. Ground Cover $3 0 0 o flat 3. One(1) Gallon $1 2 0 o each 4. Five (5) Gallon $2 8 0 0 each 5. Fifteen (15) Gallon $1 5 0 o o each 6. 24" Box Tree $2 7 5 0 o each 7. Seeded Turf $Quote sq. ft. 8. Sodded Turf $Quote sq. ft. 9. Hydroseed $Quote sq. ft. 10. Soil Preparation (Existing Area) $Quote sq. ft. 11. Soil Preparation (New Area) $Quote sq. ft. 12. Wood Mulch $5 0 - 0 0 cu. yd. B-1 DocuSign Envelope ID:CA9803C9-8259-48BE-8CC6-05BDDCB16DFF DocuSign Envelope ID:B2A70EA5-023D-42FB-B45A-2339328AEF28 IV. Irrigation System Maintenance 1. Inspection $7 5 o o per hr. 2. Repair(Main Line, Lateral Line, Sprinklers) $7 5 o o per hr. 3. Parts $cost+15% V. General Pest Control 1. Written Recommendation by PCA $Quote each 2. Qualified Applicator(QAC) $1 2 5 . 0 0 per hr. 3. Trained Applicator $7 5 . o o per hr. 4. Material $Quote B-2 DocuSign Envelope ID:CA9803C9-8259-48BE-8CC6-05BDDCB16DFF DocuSign Envelope ID:B2A70EA5-023D-42FB-B45A-2339328AEF28 EXCELAN-01 ASH NN 'ate R� CERTIFICATE OF LIABILITY INSURANCE DAT DIYYYY( 3/31 31/2/2023 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 License#OM63276 N M ACT Gallant Risk and Insurance Services,LLC PHONE FAX 4160 Temescal Canyon Rd.Suite 214 (X.No, Ed):(951)368-0700 Ate,No:(951)366-0707 Corona,CA 92883 INSURE S AFFORDING COVERAGE NAIL X INSURER A:Middlesex Insurance Company 23434 INSURED INSURER B:StarStone National Insurance Company 25496 Excel Landscape,Inc. INSURERC: 1185 Magnolia Ave.,#E400 INSURER D: Corona,CA 92879 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE AWL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRA X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR X X A0133421004 8/1/2022 8/1/2023 DAMAGE TO RENTED $ 600,000 MED EXP(Any one $ 5,000 PERSONAL 3ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 POLICY[K JECT El LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 X ANY AUTO X X A0133421001 8/1/2022 8/1/2023 BODILY INJURY Per erson $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY E BODILY INJURY Per accident $ AUTOS ONLY AUOTO-S ONLDY PReOPEca ntDAMAGE $ Comp(Coll Ded 1,000 A UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 3,000,000 X EXCESS LIAB CLAIMS-MADE A0133421005 811/2022 8/1/2023 AGGREGATE $ 3,000,000 DED J X J RETENTION$ 0 Follow Form B 1 WORKERS COMPENSATION X PTER AT OR AND EMPLOYERS'LIABILITY T10231326 4/1/2023 4/1/2024 1,000,000 ,ANY PROPRIETORIPARTNERIEXECUTIVE YIN NIA E.L.EACH ACCIDENT $ OFFICEtP MEM ER EXCLUDED? (Mandatory In H) E.L.DISEASE-EA EMPLOYE $ 1,000,000 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,rmy be attached If more apace Is required) 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 8:employees are named as additional insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Lake Elsinore THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN tY ACCORDANCE WITH THE POLICY PROVISIONS. Attn:Public Works Department 521 N.Langstaff Street Lake Elsinore,CA 92530 AUTHORIZED REPRESENTATIVE fticrciQ-Slticc;•-csti ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID:CA9803C9-8259-48BE-8CC6-05BDDCB16DFF DocuSign Envelope ID:B2A70EA5-023D-42FB-B45A-2339328AEF28 POLICY NUMBER: A0133421004 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. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 A0133421 07/29/2022 Middlesex Insurance Company 1 00001 0000000000 22210 0 N 9b1287de-3P2d-4a17-9741-58ca38b87b89 DocuSign Envelope ID:CA9803C9-8259-48BE-8CC6-05BDDCB16DFF DocuSign Envelope ID:B2A70EA5-023D-42FB-B45A-2339328AEF28 POLICY NUMBER: A0133421004 COMMERCIAL GENERAL LIABILITY CG 20 37 0413 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) Location And Description Of Completed Or Organization(s) Operations Any person or organization you are required to add as All locations and jobs performed that have a written an contract, agreement or permit 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. Section II - Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section III - Limits Of Insurance: with respect to liability for "bodily injury" or If coverage provided to the additional insured is "property damage"caused, in whole or in part, by required by a contract or agreement, the most we "your work" at the location designated and will pay on behalf of the additional insured is the described in the Schedule of this endorsement amount of insurance: performed for that additional insured and included in the "products-completed operations hazard". 1. Required by the contract or agreement; or However: 2. Available under the applicable Limits of 1. The insurance afforded to such additional Insurance shown in the Declarations; insured only applies to the extent permitted by whichever is less. law; and This endorsement shall not increase the 2. If coverage provided to the additional insured applicable Limits of Insurance shown in the is required by a contract or agreement, the Declarations. insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 37 0413 © Insurance Services Office, Inc., 2012 Page 1 of 1 A0133421 07/29/2022 Middlesex Insurance Company 1 00001 0000000000 22210 0 N dab9b575-ce7d-4dd9-bOb7-3d9b59910411 DocuSign Envelope ID:CA9803C9-8259-48BE-8CC6-05BDDCB16DFF uocu5ign tnvelope iu:e2AiutA5-023u-42F&B45A-233932BAEF28 POLICY NUMBER: A0133421004 COMMERCIAL GENERAL LIABILITY CG 20 10 0413 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 Name Of Additional Insured Person(s) Or Organizations) Location(s)Of Covered Operations Any person or organization you are required to add as All locations per written contract,agreement or permit an Description: additional insured under a written contract or All jobs performed that have a written contract, agreement agreement or permit 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. Section II -Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s)or additional insureds, the following additional organization(s)shown in the Schedule, but only exclusions apply: with respect to liability for "bodily injury", This insurance does not apply to"bodily injury"or property damage" or"personal and advertising "property damage"occurring after: injury"caused,in whole or in part,by: 1. Your acts or omissions;or 1. All work, including materials, parts equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs)to be performed by or in the performance of your ongoing operations for on behalf of the additional insured(s)at the the additional insured(s) at the location(s) location of the covered operations has been designated above. completed;or However: 2. That portion of"your work"out of which the 1. The insurance afforded to such additional injury or damage arises has been put to its insured insurance applies to the extent permitted b intended use by any person or organization Y pP P Y other than another contractor or law;and subcontractor engaged in performing 2. If coverage provided to the additional insured operations for a principal as a part of the same is required by a contract or agreement, the project. insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 10 0413 ©Insurance Services Office,Inc.,2012 Page 1 of 2 A0133421 Middlesex Insurance Company DocuSign Envelope ID:CA9803C9-8259-48BE-8CC6-05BDDCBI6DFF DocuSign Envelope ID:B2A70EA5-023D-42FB-B45A-2339328AEF28 C. With respect to the insurance afforded to these 2. Available under the applicable Limits of additional insureds, the following is added to Insurance shown in the Declarations; Section III -Limits Of Insurance: whichever is less. If coverage provided to the additional insured is This endorsement shall not increase the required by a contract or agreement, the most we applicable Limits of Insurance shown in the will pay on behalf of the additional insured is the Declarations. amount of insurance: 1. Required by the contract or agreement; or Page 2 of 2 ©Insurance Services Office, Inc., 2012 CG 20 10 04 13 A0133421 Middlesex Insurance Company DocuSign Envelope ID:CA9803C9-8259-48BE-8CC6-05BDDCB16DFF DocuSign Envelope ID: B2A70EA5-023D-42FB-B45A-2339328AEF28 POLICY NUMBER: A0133421001 COMMERCIAL AUTO CA04441013 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. Named Insured: Excel Landscape Inc Endorsement Effective Date: 08/01/2022 SCHEDULE Name(s) Of Person(s) Or Organization(s): 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. CA 04 44 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 A0133421 07/29/2022 Middlesex Insurance Company 1 00001 0000000000 22210 0 N Ob4a9ea6-53fa-4cde-9f54-f29054d2dac2 DocuSign Envelope ID:CA9803C9-8259-48BE-8CC6-05BDDCB16DFF uu—ign tnwiope iu:n[ArutAO-UZCu ;dhtf-b4bA-23393213AEF20 POLICY NUMBER: A0133421001 COMMERCIAL AUTO CA 76 0106 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 SCHEDULE 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 B. Primary And Noncontributory Insurance Schedule is an "insured" for Covered Autos This insurance is primary to and will not seek Liability Coverage, but only to the extent that contribution from any other auto insurance issued person or organization qualifies as an "insured" to the person or organization in the schedule under the Who Is An Insured provision contained under your policy provided that: in: (1) Paragraph A.I.of Section II-Covered Autos (1)The person or organization is a Named Insured Liability Coverage in the Business Auto and under such other insurance;and Motor Carrier Coverage Forms;or (2)Prior to the "accident' you have agreed in (2) Paragraph D.2.of Section I-Covered Autos writing in a contract or agreement that this insurance would be primary and would not Coverages of the Auto Dealers Coverage seek contribution from any other insurance Form. available to the person or organization. CA 76 0106 15 Includes copyrighted material of Insurance Services Office,Inc., Page 1 of 1 A0133421 with its permission. 07/29/2022 Middlesex Insurance Company 1 00001 0000000000 22210 0 N 4c9 d5bl-M64d 5-b1ee-9602c 9abd DocuSign Envelope ID:CA9803C9-8259-48BE-8CC6-05BDDCB16DFF DocuSign Envelope ID: B2A70EA5-023D-42FB-B45A-2339328AEF28 BUSINESS LICENSE CITY OF LAKE ELSINORE This business license is issued for revenue purposes only and does not grant authorization Administrative Services - Licensing to operate a business. This business license is issued without verification that the holder is 130 South Main Street, Lake Elsinore, CA 92530 subject to or exempted from licensing by the state, county, federal government, or any PH (951) 674-3124 other governmental agency. Business Name: EXCEL LANDSCAPE, INC. BUSINESS LICENSE NO. 004404 Business Location: 710 RIMPAU STE 108 Business Type: LANDSCAPING CONTRACTOR CORONA, CA 92879 Owner Name(s): JOSE ALFARO Issue Date: 5/1/2023 Expiration Date: 4/30/2024 EXCEL LANDSCAPE, INC. 1185 MAGNOLIA AVE STE E-400 CORONA, CA 92879-3218 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/ TO BE POSTED IN A CONSPICUOUS PLACE THIS IS YOUR LICENSE • NOT TRANSFERABLE