Rojas Flores Landscape, Inc. Page: 1 First Amendment
Lands cape Maintenance, Various L ocations P.W. No. 06-22-19
F IRST AMENDMENT TO AGREEMENT
Th
is First Amendment of the Agreement, entered into this _____ day of September 2024, by and between the CITY OF ALAMEDA, a municipal corporation (hereinafter "City") and ROJAS FLORES LANDSCAPING, INC., a California corporation whose address is 1096 Fleming Av, San Jose, CA 95127, (hereinafter "Provider"), is made with reference to the following:
R
ECITALS:
A. On January 23, 2023, an agreement was entered into by and between City and Provider (hereinafter "Agreement") in an amount not to exceed $825,369 for Landscape Maintenance Services, Various Locations.
B. Whereas, the City Council authorized the City Manager to execute this First Amendment to the Agreement on September 17, 2024.
C. City and Provider desire to modify the Agreement on the terms and conditions set forth herein.
NOW, THEREFORE, it is mutually agreed by and between the undersigned parties as follows:
1. Paragraph 2, SERVICES TO BE PERFORMED, of the Agreement is modified to read as follows:
Provider agrees to do all necessary work at its own cost and expense, to furnish all labor, tools, equipment, materials, except as otherwise specified, and to do all necessary work included in Exhibit A-1 as requested. The Provider acknowledges that the work plan included in Exhibit A-1 is tentative and does not commit the City to request Provider to perform all tasks included therein
2. Paragraph 3, COMPENSATION TO PROVIDER, is modified to read as follows:
a. By the 7th day of each month, Provider shall submit to the City an invoice for the total amount of work done the previous month. Pricing and accounting of charges are to be according to the fee schedule as set forth in Exhibit A-1 and incorporated herein by this reference. Extra work must be approved in writing by the City Manager or his/her designee prior to performance. b. T
he total five-year compensation for the original agreement and the first amendment shall not exceed $1,277,726 with not to exceed amounts as listed for the following fiscal years:
F
Y 2023 total compensation shall not exceed $97,185
FY 2024 total compensation shall not exceed $200,201
FY 2025 total compensation shall not exceed $363,077
FY 2026 total compensation shall not exceed $407,434
FY 2027 total compensation shall not exceed $209,829
Docusign Envelope ID: AEB271EB-28F1-4B1E-88F8-FCE595F09BCB Exhibit 2
Rojas Flores Landscape, Inc. Page: 2 First Amendment
Landscape Maintenance, Various Locations P.W. No. 06-22-19
Use of contingency shall be for items of work outside the original scope and requires prior written authorization by the City.
4. Except as expressly modified herein, all other terms and covenants set forth in the Agreement shall remain the same and shall be in full force and effect.
Signatures on following page
Docusign Envelope ID: AEB271EB-28F1-4B1E-88F8-FCE595F09BCB Rojas Flores Landscape, Inc. Page: 3 First Amendment
Landscape Maintenance, Various Locations P.W. No. 06-22-19
IN WITNESS WHEREOF, the parties hereto have caused this modification of Agreement to be executed on the day and year first above written.
ROJAS FLORES LANDSCAPE, INC. CITY OF ALAMEDA
A California Corporation A Municipal Corporation
________________________
Edgar H. Rojas Jennifer Ott
President/Treasurer City Manager
RECOMMENDED FOR APPROVAL
____________________
Erin Smith
Public Works Director
APPROVED AS TO FORM:
City Attorney
______________________
Len Aslanian
Assistant City Attorney
Docusign Envelope ID: AEB271EB-28F1-4B1E-88F8-FCE595F09BCB
Exhibit A-1 Landscape Maintenance Services, Various Locations PW 06-22-19, Original Scope Charge Code Unit
Estimated
Quantitiy Unit Price Annual Cost
Estimated
Quantitiy Unit Price Annual Cost
Estimated
Quantitiy Unit Price Annual Cost
A.1
WEEKLY - Pathway/Parkways/Planter Strip-
Maintenance: LS 12 $6,148.00 $73,776.00 12 $6,332.44 $75,989.28 6 $6,522.41 $39,134.48 Site A Public Parkways 28141530-52140
Sea Plane Lagoon Ferry Terminal 28141530-52140
Buena Vista Avenue Extension Parkway 26941570-52140
Clement Avenue Extension Parkway 26941570-52140
Sherman Stret Extension Parkway 26941570-52140
Harbor Way Parkway Maitland - Doolittle Driveway
Parkways, Medians 26941570-52140
Bay Edge Road Aughinbaugh Way-Harbor Bay
Parkways, Medians 26941570-52140
Mitchel Street Parkway 27941530-52140
Singleton Street Parkway 26941570-52140
A.1
BIWEEKLY SITES
Bioswales/Sidewalk/Concrete Median LS 12 $2,756.00 $33,072.00 12 $2,838.68 $34,064.16 6 $2,923.84 $17,543.04 Site A Bioswales 28141530-52140
Seaplane Lagoon Bioswales 28141530-52140
Buena Vista Avenue Bioswales 26941570-52140
Clement Avenue Extension Bioswales 26941570-52140
Sherman Street Bioswales 26941570-52140
Mitchell Street Bioswales 27941530-52140
Singleton Street Bioswales 26941570-52140
Main Street and West Atlantic Ave Concrete Median 26941570-52140 A.3 CAT/RAMP 26941570-52140 LS 12 $2,862.00 $34,344.00 12 $2,947.86 $35,374.32 6 $3,036.30 $18,217.77
IRRIGATION REPAIRS
A.4 300 Heads 300 $42.40 $12,720.00 300 $43.67 $13,101.60 150 $44.98 $6,747.32 A.5 40 Irrigation Repairs 40 $106.00 $4,240.00 40 $109.18 $4,367.20 20 $112.46 $2,249.11 A.6 50 Irrigation Valves 50 $159.00 $7,950.00 50 $163.77 $8,188.50 25 $168.68 $4,217.08 A.7 EXTRA WORK LS 1 $21,200.00 $21,200.00 1 $21,836.00 $21,836.00 0.5 $22,491.08 $11,245.54 SUBTOTAL $187,302.00 $192,921.06 $99,354.35
CONTINGENCY $18,730.20 $19,292.11 $9,935.43
TOTAL $206,032.20 $212,213.17 $109,289.78
AUTHORIZED SPEND AMOUNT $206,207.00 $212,393.00 $109,383.00 Fiscal Year 24/25 Fiscal Year 25/26 Fiscal Year 26/27 (July 1- December 31) Item Description
1 Exhibit A1
Docusign Envelope ID: AEB271EB-28F1-4B1E-88F8-FCE595F09BCB Exhibit A-1 Landscape Maintenance Services, Various Locations PW 06-22-19, Additional Scope and Budget, Effective October 1, 2024 Charge Code Unit
Estimated
Quantitiy Unit Price Annual Cost
Estimated
Quantitiy Unit Price Annual Cost
Estimated
Quantitiy Unit Price Annual Cost
B.1 Island Drive - Doolittle to Grand Pavilion 26941570-52140 LS 9 $162.00 $1,458.00 12 $166.86 $2,002.32 6 $171.87 $1,031.19 B.2 Island Drive - Grand Pavilion to Robert Davey 26941570-52140 LS 9 $162.00 $1,458.00 12 $166.86 $2,002.32 6 $171.87 $1,031.19 B.3 Island Drive - Robert Davey to Oyster Shoals 26941570-52140 LS 9 $162.00 $1,458.00 12 $166.86 $2,002.32 6 $171.87 $1,031.19 B.4 Island Drive - Oyster Shoals to Maitland 26941570-52140 LS 9 $162.00 $1,458.00 12 $166.86 $2,002.32 6 $171.87 $1,031.19 B.5 Island Drive - Maitland to Garden 26941570-52140 LS 9 $162.00 $1,458.00 12 $166.86 $2,002.32 6 $171.87 $1,031.19 B.6 Island Drive - Garden to Mecartney 26941570-52140 LS 9 $162.00 $1,458.00 12 $166.86 $2,002.32 6 $171.87 $1,031.19 B.7
Mecartney-55 Bus Stop/Auburn Concrete
Median 26941570-52140 LS 9 $162.00 $1,458.00 12 $166.86 $2,002.32 6 $171.87 $1,031.19 B.8 Mecartney Island - Starbucks 26941570-52140 LS 9 $162.00 $1,458.00 12 $166.86 $2,002.32 6 $171.87 $1,031.19 B.9 Mecartney - and Sharon Road 26941570-52140 LS 9 $162.00 $1,458.00 12 $166.86 $2,002.32 6 $171.87 $1,031.19 B.10 Mecartney - Auburn to Island Dr. 26941570-52140 LS 9 $162.00 $1,458.00 12 $166.86 $2,002.32 6 $171.87 $1,031.19 B.11 Mecartney - Auburn to Belmont 26941570-52140 LS 9 $162.00 $1,458.00 12 $166.86 $2,002.32 6 $171.87 $1,031.19 B.12 Mecartney - Belmont to Ironwood 26941570-52140 LS 9 $162.00 $1,458.00 12 $166.86 $2,002.32 6 $171.87 $1,031.19 B.13 Mecartney - Ironwood to Baywood 26941570-52140 LS 9 $162.00 $1,458.00 12 $166.86 $2,002.32 6 $171.87 $1,031.19 B.14 Mecartney - Baywood to Baywalk 26941570-52140 LS 9 $162.00 $1,458.00 12 $166.86 $2,002.32 6 $171.87 $1,031.19 B.15 Mecartney - Baywalk to Aughinbaugh 26941570-52140 LS 9 $162.00 $1,458.00 12 $166.86 $2,002.32 6 $171.87 $1,031.19 B.16 Mecartney - Aughinbaugh Extension 26941570-52140 LS 9 $162.00 $1,458.00 12 $166.86 $2,002.32 6 $171.87 $1,031.19 B.17 Robert Dayey Jr. - Aughinbaugh to Oyster Pond 26941570-52140 LS 9 $162.00 $1,458.00 12 $166.86 $2,002.32 6 $171.87 $1,031.19 B.18 Robert Dayey Jr. - Oyster Pond to Puddingstone 26941570-52140 LS 9 $162.00 $1,458.00 12 $166.86 $2,002.32 6 $171.87 $1,031.19 B.19
Robert Dayey Jr. - Puddingstone to Packet
Landing 26941570-52140 LS 9 $162.00 $1,458.00 12 $166.86 $2,002.32 6 $171.87 $1,031.19 B.20 Robert Dayey Jr. - Packet landing to Ilsand 26941570-52140 LS 9 $162.00 $1,458.00 12 $166.86 $2,002.32 6 $171.87 $1,031.19 B.21 Packet landing Road (Earhart) 26941570-52140 LS 9 $162.00 $1,458.00 12 $166.86 $2,002.32 6 $171.87 $1,031.19 B.22 Union Pacific - Tilden & Blanding 26941570-52140 LS 9 $216.00 $1,944.00 12 $222.48 $2,669.76 6 $229.15 $1,374.93 B.23 Tri Homes Stargell Ave 27941530-52140 LS 9 $1,472.00 $13,248.00 12 $1,516.16 $18,193.92 6 $1,561.64 $9,369.87 B.24 Clement Av Bioswales, Broadway to Willow 26941570-52140 LS 9 $1,472.00 $13,248.00 12 $1,516.16 $18,193.92 6 $1,561.64 $9,369.87 B.25 City Hall West 60341590-52140 LS 9 $1,472.00 $13,248.00 12 $1,516.16 $18,193.92 6 $1,561.64 $9,369.87 B.26
Alameda Point Adaptive Reuse 4 Blocks - W
Tower, Saratoga, Midway and Pan Am 28141530-52140 LS 9 $1,472.00 $13,248.00 12 $1,516.16 $18,193.92 6 $1,561.64 $9,369.87 B.27 W Midway and Saratoga Parking Lot 28141530-52140 LS 6 $1,300.00 $7,800.00 12 $1,339.00 $16,068.00 6 $1,379.17 $8,275.02 B.28
2015 Grand Site - Grand- Fortmann Street to
Ellen Craig Avenue 26941570-52140 LS 9 $1,472.00 $13,248.00 12 $1,516.16 $18,193.92 6 $1,561.64 $9,369.87 B.29
5th Street from Mitchell Avenue to Mariner
Avenue 27941530-52140 LS 9 $1,012.00 $9,108.00 12 $1,042.36 $12,508.32 6 $1,073.63 $6,441.78 B.30
Shoreline Drive Bike Path Broadway to
Westline Drive 26941570-52140 LS 9 $1,240.00 $11,160.00 12 $1,277.20 $15,326.40 6 $1,315.52 $7,893.10 B.31 One Time Cleanup 26941570-52140 LS 1 $15,000.00 $15,000.00 0 $15,450.00 $0.00 0 $15,913.50 $0.00 B.32 Irrigation Repairs LS 1 $15,000.00 $15,000.00 1 $15,450.00 $15,450.00 1 $15,913.50 $7,956.75 $156,870.00 $195,040.80 $100,446.01AUTHORIZED SPEND
Fiscal Year 24/25 (October 1-June 30) Fiscal Year 25/26 Fiscal Year 26/27 (July 1- December 31) Item Description
1 Exhibit A1
2 Docusign Envelope ID: AEB271EB-28F1-4B1E-88F8-FCE595F09BCB 1001486 132849.12 03-16-2016
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:
CONTACT
(A/C, No):
FAX
E-MAIL
ADDRESS:
PRODUCER
(A/C, No, Ext):
PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
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).
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.
OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBR
WVD
ADDL
INSD
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. $
$
$
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOSAUTOS ONLY
NON-OWNED
SCHEDULEDOWNED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below
If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
ER
OTH-
STATUTE
PER
LIMITS(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY)
POLICY EFF
POLICY NUMBERTYPE OF INSURANCELTR
INSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB $EACH OCCURRENCE
$AGGREGATE
$
OCCUR
CLAIMS-MADE
DED RETENTION $
$PRODUCTS - COMP/OP AGG
$GENERAL AGGREGATE
$PERSONAL & ADV INJURY
$MED EXP (Any one person)
$EACH OCCURRENCE
DAMAGE TO RENTED
$PREMISES (Ea occurrence)
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO-
JECT LOC
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
06/21/2024
State Farm Insurance
Anita Shahbazian- Agent
6950 SANTA TERESA BLVD. STE A
SAN JOSE, CA 95119
Brian Serian
408-224-3737 408-365-1183
[email protected]
ROJAS FLORES LANDSCAPE INC
1096 FLEMING AVE
SAN JOSE, CA 95127-3663
UNITED STATES
25143
A
X X Listed Below
1,000,000
1,000,000
1,000,000
481 0221-A11-05B ---> 1998 Chevrolet 3500 Dmp Sgl ---> 07/11/2023 - 01/11/2025 471 1785-A15-05A -> 2016 Ram 3500 Pickup -> 01/15/2023 - 01/15/2025 513 9832-B16-05A ---> 2018 Ram 2500 Pickup ------------> 02/16/2023 - 02/16/2025 511 7985-A15-05 -----> 2016 Victory Trailer Trl Util --------> 01/15/2023 - 01/15/2025 513 9830-B16-05 -----> 2021 Ram 1500 Pickup -------------> 02/16/2023 - 02/16/2025 511 7988-A15-05 -----> 2021 Carmt Trailer Trl Util ----------> 01/15/2023 - 01/15/2025 523 8894-C18-05A ---> 2024 Bmw X5 M Sport Wg ---------> 09/18/2023 - 09/18/2024 City of Alameda
Public Works Department Alameda Point, Building 1
950 West Mall Square.Room 110 Alameda, CA 94501
State Farm Fire and Casualty Company
Docusign Envelope ID: AEB271EB-28F1-4B1E-88F8-FCE595F09BCB 8/14/2024
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:
CONTACT
(A/C, No):
FAX
E-MAIL
ADDRESS:
PRODUCER
(A/C, No, Ext):
PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
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).
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.
OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBR
WVD
ADDL
INSD
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. $ $
$
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOSAUTOS ONLY
NON-OWNED
SCHEDULEDOWNED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below
If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
ER
OTH-
STATUTE
PER
LIMITS(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY)
POLICY EFF
POLICY NUMBERTYPE OF INSURANCELTR
INSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB $EACH OCCURRENCE
$AGGREGATE
$
OCCUR
CLAIMS-MADE
DED RETENTION $
$PRODUCTS - COMP/OP AGG
$GENERAL AGGREGATE
$PERSONAL & ADV INJURY
$MED EXP (Any one person)
$EACH OCCURRENCE
DAMAGE TO RENTED
$PREMISES (Ea occurrence)
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO-
JECT LOC
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
10/02/2023
Automatic Data Processing Insurance Agency, Inc.
1 Adp Boulevard
Roseland NJ 07068
Automatic Data Processing Insurance Agency, Inc.
1-800-524-7024
Rojas Flores Landscape (a Corp)
1096 Fleming Ave
San Jose CA 95127
Technology Insurance Company, Inc. 42376
3240153
A Y N TWC4301754 09/24/2023 09/24/2024 1,000,000
1,000,000
1,000,000
City of Alameda
Public Works Department Alameda Point, Building 1
950 West Mall Square.Room 110 Alameda, CA 945
Docusign Envelope ID: AEB271EB-28F1-4B1E-88F8-FCE595F09BCB Melody Espinoza
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:
CONTACT
(A/C, No):
FAX
E-MAIL
ADDRESS:
PRODUCER
(A/C, No, Ext):
PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
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).
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.
OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBR
WVD
ADDL
INSD
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. $ $
$
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOSAUTOS ONLY
NON-OWNED
SCHEDULEDOWNED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below
If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
ER
OTH-
STATUTE
PER
LIMITS(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY)
POLICY EFF
POLICY NUMBERTYPE OF INSURANCELTR
INSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB $EACH OCCURRENCE
$AGGREGATE
$
OCCUR
CLAIMS-MADE
DED RETENTION $
$PRODUCTS - COMP/OP AGG
$GENERAL AGGREGATE
$PERSONAL & ADV INJURY
$MED EXP (Any one person)
$EACH OCCURRENCE
DAMAGE TO RENTED
$PREMISES (Ea occurrence)
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO-
JECT LOC
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
07/24/2024
KYC Insurance Services, LLC
17777 Center Court Dr
Cerritos CA 90703
Alma Munoz
562-473-4080 (562) 473-4074
[email protected]
ROJAS FLORES LANDSCAPE INC
1096 Fleming Ave
San Jose CA 95127
Hiscox Insurance Company Inc 10200
A
✖
✖
✖
Y P100.630.353.4 10/07/2023 10/07/2024
2,000,000
100,000
5,000
2,000,000
2,000,000
2,000,000
Alameda Parks Department is named as additional insured as per CGL E5421 CW (02/14) with respect to General Liability when required by written contract.
City of Alameda
Public Works Department Alameda Point, Building 1
950 West Mall Square.Room 110 Alameda, CA 945
Docusign Envelope ID: AEB271EB-28F1-4B1E-88F8-FCE595F09BCB Hiscox Insurance Company Inc.
Policy Number:
Named Insured:
Endorsement Number:
Endorsement Effective:
THIS ENDORSEMENT CHANGES THE POLICY. PL EASE READ IT CAREFULLY.
CGL E5421 CW (02/14) Includes copyrighted material of Insurance Services Office, Inc., with its permission.
ADDITIONAL INSURED – AUTOMATIC STATUS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
A. Section II – Who Is An Insured is amended
to include as an additional insured any per-
son(s) or organization(s) for whom you are
performing operations or leasing a premises
when you and such person(s) or organiz a-
tion(s) have agreed in writing in a contract or
agreement that such person(s) or organiz a-
tion(s) be added as an additional insured on
your policy. Such person or organization is
an additional insured only with respect to li a-
bility for "bodily injury", "property damage" or
"personal and advertising injury" caused, in
whole or in part , by your acts or omissions or
the acts or omissions of those acting on your
behalf:
1. In the performance of your ongoing oper a-
tions; or
2. In connection with your premises owned by or
rented to you.
A person's or organization's status as an add i-
tional insured under this endorsement ends
when your operations or lease agreement for
that additional insured are completed.
P100.630.353.4
ROJAS FLORES LANDSCAPE INC
6 10/07/2023
Docusign Envelope ID: AEB271EB-28F1-4B1E-88F8-FCE595F09BCB POLICY NUMBER: U23AC148283-01 COMMERCIAL GENERAL LIABILITY HCS 040 06 10 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
HCS 040 06 10 13 Page 1 of 1
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
PRIMARY AND NONCONTRIBUTORY AND BLANKET
WAIVER OF SUBROGATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
A. PRIMARY AND NON-CONTRIBUTORY TO
OTHER INSURANCE
With respect to any person or organization that is
an additional insured under this Coverage Part,
the following is added to paragraph 4. of
SECTION IV – COMMERCIAL GENERAL
LIABILITY CONDITIONS:
If you have agreed in writing in a contract or
agreement that this insurance is primary and non-
contributory relative to an additional insured’s own
insurance, then this insurance is primary and we
will not seek contribution from that other
insurance. For the purpose of this endorsement,
the additional insured’s own insurance means
insurance on which the additional insured is a
Named Insured.
When this endorsement is attached to the policy it
supersedes all other insurance conditions within.
B. WAIVER OF SUBROGATION – BLANKET
Under SECTION IV – COMMERCIAL GENERAL
LIABILITY CONDITIONS, The Transfer Of
Rights Of Recovery Against Others To Us
Condition is amended by the addition of the
following:
We waive any right of recovery we may have
against any person or organization because of
payments we make for injury or damage arising
out of:
a.Your ongoing operations; or
b.“Your work” included in the “products-
completed operations hazard”.
However, this waiver applies only when you have
agreed in writing to waive such rights of recovery
in a contract or agreement, and only if the contract
or agreement:
a.Is in effect or becomes effective during the
term of this policy; and
b.Was executed prior to loss.
Docusign Envelope ID: AEB271EB-28F1-4B1E-88F8-FCE595F09BCB POLICY NUMBER: U23AC148283-01 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CG 20 10 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 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 for whom you are performing
operations during the policy period when you and such
person or organization have agreed in writing in a contract or agreement that such person or organization be added
as an additional insured on your policy.
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.
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.
Docusign Envelope ID: AEB271EB-28F1-4B1E-88F8-FCE595F09BCB POLICY NUMBER: U23AC148283-01 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 ADDITIONAL INSURED – OWNERS, LESSEES OR
CONTRACTORS – COMPLETED OPERATIONS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s)
Or Organization(s):
Location And Description Of Completed
Operations
Any person or organization, when you and such parties
have agreed in writing in a contract or agreement
pertaining to “your work” performed during the policy
period. This additional insured coverage does not apply to “excluded residential construction". "Excluded
residential construction" means:
a) the ground-up construction of any building
whose units will be individually owned and
titled; and,
b) “your work” performed on the conversion of any
building into a condominium or townhome.
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
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".
Docusign Envelope ID: AEB271EB-28F1-4B1E-88F8-FCE595F09BCB
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Docusign Envelope ID: AEB271EB-28F1-4B1E-88F8-FCE595F09BCB
Docusign Envelope ID: AEB271EB-28F1-4B1E-88F8-FCE595F09BCB
Docusign Envelope ID: AEB271EB-28F1-4B1E-88F8-FCE595F09BCB
Docusign Envelope ID: AEB271EB-28F1-4B1E-88F8-FCE595F09BCB
Docusign Envelope ID: AEB271EB-28F1-4B1E-88F8-FCE595F09BCB
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Docusign Envelope ID: AEB271EB-28F1-4B1E-88F8-FCE595F09BCB
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Docusign Envelope ID: AEB271EB-28F1-4B1E-88F8-FCE595F09BCB
Docusign Envelope ID: AEB271EB-28F1-4B1E-88F8-FCE595F09BCB
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Docusign Envelope ID: AEB271EB-28F1-4B1E-88F8-FCE595F09BCB
Docusign Envelope ID: AEB271EB-28F1-4B1E-88F8-FCE595F09BCB
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Docusign Envelope ID: AEB271EB-28F1-4B1E-88F8-FCE595F09BCB
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Docusign Envelope ID: AEB271EB-28F1-4B1E-88F8-FCE595F09BCB
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Docusign Envelope ID: AEB271EB-28F1-4B1E-88F8-FCE595F09BCB