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HomeMy WebLinkAboutExcel Landscape CSA Annual Citywide Landscape Maintenance Services Amendment No. 1 07-12-2022 DocuSign Envelope ID: F46801EE-66D4-4C2A-AOEO-DODOOAEE707F AMENDMENT 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: F46801 EE-66D4-4C2A-AOEO-DODOOAEE707F 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" "CONTRACTOR" CITY OF LAKE ELSINORE, a municipal Excel Landscape, Inc., a Corporation corporation DocuSigned by: DocuSigned by: oaw City Manager Jose Alfaro, Sr. Date: 8/22/2022 1 2:54 PM PDT Date: 8/22/2022 4:53 PM CDT ATTEST: DocuSigned by: City erk APPROVED AS TO FORM: pDocuSigned by: pp ee' Yla26R2��PitbOG� City orney DocuSigned by: Luu t.aw l_, Assistant City Manager DocuSign Envelope ID: F46801 EE-66D4-4C2A-AOEO-DODOOAEE707F Attachments: Exhibit A-1 —Contractor's Proposal DocuSign Envelope ID: F46801 EE-66D4-4C2A-AOEO-DODOOAEE707F EXHIBIT A-1 CONTRACTOR'S PROPOSAL [ATTACHED] DocuSign Envelope ID: F46801EE-66D4-4C2A-AOEO-DODOOAEE707F C ELLANDSCAPE 710 RimpauAve_ 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, 'J"o& CI4a#v- Jason Alfaro, Project Manager DocuSign Envelope ID: F46801 EE-66D4-4C2A-AOEO-DODOOAEE707F 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 o ° 9" Per man HR. 2. Edging $4 5 ° o {�,per man HR. 3. String Trimming $4 s o ° {� per man HR. 4. Aerifcation (Core/3") $Quote sq. ft. 5. Aerification (Deep Tine/6") $N/A sq. ft. 6. Weed Removal (Manual) $Quote per man hr. 7. Pest Control (Manual) $7 5 . o o per man hr.(Labor only) 8. Fertilization (Placement Only) $Quote sq. ft. 9. Materials (Fertilizer, Soil Amends) $Cost+15% 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 Landscape Maintenance Planters and Slope Areas 1. Edging (Ground Cover) $4 5 ° 0 liFY961F�t. Per than HR. 2. Trimming (Shrubs, Ground Cover) $4 5 0 0 Per man HR. 3. Pruning/Shrubs, Vines, Roses $4 5 0 0 �y..g� Per man HR, 4. Pruning/Trees (To 18') $Quote each 5. Weed Removal (Manual) $4 5 0 ° per man hr. 6. Pest Control (Manual) $7 5 ° ° per man hr. 7. Fertilization (Placement Only) $Quote Per man HR. 8. Vegetation Removal $QQuoe sq ft 9. Materials (Fertilizer, Soil Amends) $ t 15% III. Plant Material (Installed, All Areas) 1. Annual Color(4" Container) $3 0 0 ° each 2. Ground Cover $3 0 0 0 flat 3. One (1) Gallon $1 2 o o each 4. Five (5) Gallon $2 8 ° ° each 5. Fifteen (15) Gallon $1 5 0 - 0 0 each 6. 24" Box Tree $2 7 5 ° 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 $3 0 . o ° cu. yd. B-1 DocuSign Envelope ID: F46801 EE-66D4-4C2A-AOEO-DODOOAEE707F IV. Irrioation System Maintenance 1. Inspection $7 5 0 o per hr. 2. Repair(Main Line, Lateral Line, Sprinklers) $7 5 0 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 o per hr. 3. Trained Applicator $7 5 0 0 per hr. 4. Material $Quote B-2 DocuSign Envelope ID: F46801 EE-66D4-4C2A-AOEO-DODOOAEE707F Estimate #10098 LANDSCAPE From Excel Landscape South V�C� (800)734-9650 1185 Magnolia Ave.E400 Corona CA,92879 Bill To Downtown Main st City of Lake Elsinore 130 South Main St. Lake Elsinore,California 92530 Grand ave. 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/ • TOTAL Rose 5 gallon 5 gallon rose installed(red yucca) 224 $25.00 $5,600.00 Plant 5 gallon 5 gallon plant installed(Little Johns) 190 $25.00 $4,750.00 Plant 5 gallon 5 gallon plant installed(westringia mandi) 146 $25.00 $3,650.00 Plant 5 gallon 5 gallon plant installed(Raphiolepis) 77 $25.00 $1,925.00 Plant 5 gallon 5 gallon plant installed(pyracantha) 14 $25.00 $350.00 Total $16,275.00 This quote is valid for the next 30 days,after which values may be subject to change. Signatu Date:_ DocuSign Envelope ID: F46801 EE-66D4-4C2A-AOEO-DODOOAEE707F Estimate #10099 LANDSCAPE From Excel Landscape South (800)734-9650 1185 Magnolia Ave.E400 Corona CA,92879 Bill To Downtown Main st City of Lake Elsinore 130 South Main St.Lake Elsinore,California 92530 Lincoln ave Lake Elsinore,California 92530 Sent On 05/05/2022 Job Title Lantern hill LN (planting) Job Number 7721 Location Lantern hill LN. PRODUCT • QTY. UNIT PRICE TOTAL Irrigation Labor Irrigation Labor 6 $60.00 $360.00 Mulch 1 yard Cover mulch installed 15 $50.00 $750.00 Material Drip hose.9 GPH 18"space(200 It Roll) 200 $0.32 $64.00 Plant 5 gallon 5 gallon plant installed(Litter Johns) 31 $22.00 $682.00 Plant 5 gallon 5 gallon plant installed(Red yucca) 22 $25.00 $550.00 Total $2,406.00 This quote is valid for the next 30 days,after which values may be subject to change. Signa � Date: 6 a� DocuSign Envelope ID: F46801 EE-66D4-4C2A-AOEO-DODOOAEE707F Estimate #10094 LANDSCAPE From Excel Landscape South (800)734-9650 1185 Magnolia Ave.E400 Corona CA,92879 Bill To Downtown Main st City of Lake Elsinore 130 South Main St. Lake Elsinore,California 92530 Mission Trail median Lake Elsinore,California 92530 Sent On 05/02/2022 Job Title Mission trail median planting Job Number 7721 Location Mission trail median PRODUCT/ • OTY. UNIT PRICE TOTAL , Plant 5 gallon 5 gallon plant installed(raphs) 57 $25.00 $1,425.00 Total $1,425.00 This quote is valid for the next 30 days,after which values may be subject to change. Signa Date: _&a3-90 DocuSign Envelope ID: F46801 EE-66D4-4C2A-A0E0-D0D00AEE707F EXC ELAN-01 AS H U N N ,4co�zo. CERTIFICATE OF LIABILITY INSURANCE FDATE(MMIDDIYYYY) 8/18/2022 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 CONTACT NAME: Gallant Risk and Insurance Services,LLC PHONE FAX 4160 Temescal Canyon Rd.Suite 214 (A/C,No,Ext): (951)368-0700 No):(951)368-0707 Corona,CA 92883 ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A:Middlesex Insurance Company 23434 INSURED INSURER B:Oak River Insurance Company 34630 Excel Landscape,Inc. INSURER C: 1185 Magnolia Ave.,#E400 INSURER D: Corona,CA 92879 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MM DD YYY MM DD YYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR A0133421004 8/1/2022 8/1/2023 DAMAGE TO RENTED 500,000 X X PREMISES Ea occurrence $ MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 POLICY X PECOT- ❑ LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY COBINED SINGLE LIMIT 1,000,000 Ea M accident $ X ANY AUTO X X A0133421001 8/1/2022 8/1/2023 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (per., Per accident $ Comp/Coll Ded $ 1,000 A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 X EXCESS LIAB CLAIMS-MADE A0133421005 8/1/2021 8/1/2022 AGGREGATE $ 3,000,000 DED X RETENTION$ 0 $ B WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER YIN EXWC318625 4/1/2022 4/1/2023 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE ] N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) 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 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 Y ACCORDANCE WITH THE POLICY PROVISIONS. Attn:Public Works Department 521 N.Langstaff Street Lake Elsinore,CA 92530 AUTHORIZED REPRESENTATIVE ,4vu cce-SGuutivr, ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID: F46801 EE-66D4-4C2A-AOEO-DODOOAEE707F POLICY NUMBER: A0133421004 COMMERCIAL GENERAL LIABILITY CIS 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-3f2d-4a17-9741-58ca38b87b89 DocuSign Envelope ID: F46801 EE-66D4-4C2A-AOEO-DODOOAEE707F 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 04 13 © 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: F46801EE-66D4-4C2A-AOEO-DODOOAEE707F POLICY NUMBER: A0133421004 COMMERCIAL GENERAL LIABILITY CG20100413 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 Organization(s) 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. All work, including materials, parts or 1. Your acts or omissions; or 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 injury or damage arises has been put to its 1. The insurance afforded to such additional intended use by any person or organization insured only applies to the extent permitted by 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 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 A0133421 Middlesex Insurance Company DocuSign Envelope ID: F46801 EE-66D4-4C2A-AOEO-DODOOAEE707F 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: F46801EE-66D4-4C2A-AOEO-DODOOAEE707F 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 Organ ization(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: F46801 EE-66D4-4C2A-AOEO-DODOOAEE707F POLICY NUMBER: A0133421001 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 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.1. 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 Coverages of the Auto Dealers Coverage insurance would be primary and would not seek contribution from any other insurance Form. available to the person or organization. CA 76 01 06 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 4c9cb5b1-a664-4e05-b188-f7802c569abd DocuSign Envelope ID: F46801EE-66D4-4C2A-AOEO-DODOOAEE707F 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: 5/1/2022 Expiration Date: 4/30/2023 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