DocuSign Envelope ID: B2A70EA5-023D-42FB- B45A-233932BAEF28 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 mean ings set forth for such terms in the Original Agreement.
B. The Origina l 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 condit ions 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 follow ing:
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 forego ing, 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 Proposa ls (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 Contracto r'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 author ization from the City.
DocuSign Envelope ID: CA9803C9-8259-48BE-8CC6-C5BDDCB16DFF DocuSign Envelope ID: B2A70EA5-023D-42FB-B45A-23393 28AEF2 8 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 inflater 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"
CITY OF LAKE ELSINORE, a municipal
corporation
City Manager
Date: _____ __ _
ATTEST:
City Clerk
APPROVED AS TO FORM:
City Attorney
Assistant City Manager
"CONTRACTOR"
Excel Landscape, Inc. a Corporation
Jose Alfaro, Sr.
Date: ________ _
Attachments: Exhibit A-2 - Contractor 's Proposal
DocuSign Envelope ID: CA9803C9-8259-48BE-8CC6-C5BDDCB16DFF 5/31/2023 | 6:45 PM CDT
5/31/2023 | 4:56 PM PDT
DocuSign Envelope ID: B2A70EA5-023D-42FB-B45A-2339328AEF28 EXHIBIT A-2
CONTRACTOR'S PROPOSAL
[ATTACHED]
DocuSign Envelope ID: CA9803C9-8259-48BE-8CC6-C5BDDCB16DFF DocuSign Envelope ID: B2A70EA5-023D-42FB-B45A-2339328AEF28
EL LANDSCAPE
City of Lake Elsino re
Dotm ow,, tvain s
t 30 Soutt1 Main St
ake Elsinore , Californ,a 92530
Estimate #10308
From Excel Landscape Sou th
8J0) 734-9650
185 Magnolia Ave E40C
Corora CA, 32879
Bill - o Down O'-'n Mair st
130 South ~~•"' St
a e !=lsnore. Calt•orr,a 92530
Sent On 02 22 2023
Job Title c amil/ center
Job um ber 7721
ocauon Fam,I1 center
PRODUCT ! SERVICE DESCRIPTION OTV . UNIT PRICE TOTAL
Plant 1 gallon One gallon plant installed
Irrigation Labor Irrigation Labor
Mulch 1 yard Cover mulch installed
Tree Removal Small tree removal and flush cut
Plant 5 gallon (Iceberg rose) 5 gallon plant installed
Labor Standard Labor
Material 1812 with mp rotator nozzle
Material Pvc pipe 3/4
Material Pvc fittings
Price does no incl Loe a"} reolacemen of 1r"1gat1on 1, alves irr gal on :or u o•ler. or w1rng
h,s o..;ote s v , ,c va es nia oe suo1ec to
~"'lange
Signature : Date:
1100 $12.00 $13,200.00
16 $75.00 $1,200 .00
50 $45.00 $2,250.00
7 $150.00 $1 ,050.00
40 $35.00 $1 ,400.00
32 $45.00 $1 ,440.00
46 $30.00 $1,380 .00
800 $0.95 $760.00
1 $250.00 $250.00
Tota l $22,930.00
DocuSign Envelope ID: CA9803C9-8259-48BE-8CC6-C5BDDCB16DFF DocuSign Envelope ID: B2A70EA5-023D-42FB-B45A-2339328AEF28
EL LANDSCAPE
City of Lake Elsinore
Canyon Hills Sports Par
34360 Canyon Hills Rd
Lake Elsinore. California 92532
Estimate #10345
From E xcel Landscape Sout h
(800) 734-9650
1185 Magnolia Ave. E400
Corona CA. 92879
8111 To Downtown Main st
130 South Main St
Lake Elsinore, California 92530
Sent On 04/07 2023
Job Title Palm tree Irngation repair due to
construction damage
Job umber 7721
Location Canyon Hills Sports Par palm trees
PRODUCT I SERVICE DESCRIPTION QTY. UNIT PRICE TOTAL
Material
Material
Material
Labor
Irrigation Labor
Rain Bird bubbler .25 GPM
Schedule 40 3/4 in PVC pipe
Misc pvc fittings
Standard Labor
Irrigation Labor
This quote is valid for the next 30 days. after which values may be subiect to change
Signature : _________ _ Date: _____ _
24 80
12 12
$45.00
$0.95
$150.00
$45.00
$75.00
Total
$1 ,080.00
$76.00
$150.00
$540.00
$900.00
I $2,746.00
DocuSign Envelope ID: CA9803C9-8259-48BE-8CC6-C5BDDCB16DFF Et LANDSCAPE Ave. Suite 108 c492879-5724
(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 additionalyear. 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
lncreased 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,
Sototr Ctlk "o
Jason Alfaro
Project Manager
DocuSign Envelope ID: CA9803C9-8259-48BE-8CC6-C5BDDCB16DFF DocuSign Envelope ID: F3C2701 E-B255-4FF6- A603-02 F847CD86D9
CI TY OF A
LAKE 6 1siNOR£
~ DREAM E;(TREME
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 (951) 674-5170 ext. 364.
Sincerely,
~r::=M~
Shlii'ri'li'Wsilc~le y
Assistant City Manager
DocuSign Envelope ID: CA9803C9-8259-48BE-8CC6-C5BDDCB16DFF DocuSign Envelope ID: B2A70EA5-023D-42FB-B45A-2339328AEF28 I.
II.
ADDENDA NO. 1 & 2 & 3
EXHIBIT "B"
CITY OF LAKE ELSINORE
LANDSCAPE MAINTENANCE EXTRA WORK
PRICE SHEET
Turf Maintenance (All Turf Areas) Unit Cost
1. Mowing (Including Bagging of Clippings) $ 4 5 0 0
2. Edging $ 4 5 0 0
3. String Trimming $ 4 5 0 0
4. Aerification (Core/3") $Quote
5. Aerification (Deep Tine/6") $NIA
6. Weed Removal (Manual) $Quote
7. Pest Control (Manual) $ 7 5 . 0 0
8. Fertilization (Placement Only) $Quote
9. Materials (Fertilizer , Soil Amends) $Cost + 15%
10. Over seeding of Sports turf (Soccer Field, Football Field) $Quote 11 . Over seeding of Sports turf (Baseball Field) $Quote
12. Over seeding of General use turf areas $Quote
13. Artificial Turf areas $Quote
General LandscaR! Maintenance (Planters and SloR! Areas)
1. Edging (Ground Cover) $ 4 5 0 0
2. Trimming (Shrubs, Ground Cover) $4 5 0 0
3. Pruning/Shrubs , Vines , Roses $ 4 5 0 0
4. Pruning/Trees (To 18') $0uote
5. Weed Removal (Manual) $ 4 5 . 0 0
6. Pest Control (Manual) $ 7 5 . 0 0
7. Fertilization (Placement Only) $Quote
8. Vegetation Removal $Quote
9. Materials (Fertilizer , Soil Amends) $Cost + 15%
Ill. Plant Material (Installed, All Areas)
1. Annual Color (4" Container) $ 3 0 0 0
2. Ground Cover $ 3 0 0 0
3. One (1) Gallon $ 1 2 0 0
4. Five (5) Gallon $ 2 8 0 0
~ Perman HR.
lir ,ear ft. rer man HR.
liflleer ft. Per man HR
sq. ft.
sq. ft.
per man hr.
per man hr.(Labor only)
sq. ft.
sq. ft. (min. 40,000 sq. ft.)
sq. ft. (min. 5,000 sq. ft.)
sq. ft. (min. 1,000 sq. ft.)
sq. ft. (min. 1,000 sq. ft.)
lilllHF fl Per man HR.
........ Perman HR.
~ Perman HR.
each
per man hr.
per man hr.
.. ,. fl, Perman HR.
sq. ft.
each
flat
each
each
5. Fifteen (15) Gallon $ 1 5 0 0 0 each
6. 24" Box Tree $ 2 7 5 . 0 0 each
7. Seeded Turf $Quote sq. ft.
8. Sodded Turf $Quote sq. ft.
9. Hydroseed $Quote sq. ft.
10. Soil Preparat ion (Existing Area) $Ouote sq. ft.
11 . Soil Preparation (New Area) $Ouote sq. ft.
12. Wood Mulch $ 5 0 . 0 0 cu. yd.
8-1
DocuSign Envelope ID: CA9803C9-8259-48BE-8CC6-C5BDDCB16DFF DocuSign Envelope ID: B2A70EA5-023D-42FB-B45A-2339328AEF28 IV. Irrigation System Maintenance
1. Inspection
2. Repair (Main Line, Lateral Line, Sprinklers}
3. Parts
V. General Pest Control
1. Written Recommendation by PCA
2. Qualified Applicator (QAC}
3. Trained Applicator
4. Material
8-2
$ 7 5 . 0 0
$ 7 5 .0 0
$ Cost+ 15%
per hr.
per hr.
$~O~u~~~e ___ each
$ 1 2 s . o o per hr.
$ 7 s . o o per hr.
$Ouote
DocuSign Envelope ID: CA9803C9-8259-48BE-8CC6-C5BDDCB16DFF DocuSign Envelope ID: 82A70EA5-023D-42FB-B45A-2339328AEF28 ~ EXCELAN-01 ASHIINN
ACORD ' CERTIFICATE OF LIABILITY INSURANCE I
DA TE (MMIDDIYYYY)
~ 3/31/2023
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 riahts to the certificate holder in lieu of such endorsement(s).
PRODUCER License # 0M63276 S2t!.!~CT
Gallant Risk and Insurance Services, LLC ri:,~:o, Ext) : (951) 368-0700 I FAX 4160 Temescal Canyon Rd. Suite 214 (A/C, No):(951) 368-0707 Corona, CA 92883 ~~~ .....
INSURERISl AFFORDING COVERAGE NAIC#
INSURER A: Middlesex Insurance Comoanv 23434
INSURED INSURER B : StarStone National Insurance Comoanv 25496 Excel Landscape, Inc. INSURERC :
1185 Magnolia Ave., #E400 INSURERD :
Corona, CA 92879
INSURERE :
INSURERF :
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.
I~~ TYPE OF INSURANCE 1~.?.Pk I~ POLICY NUMBER POLICYEFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 ~
□ CLAIMS-MADE [!] OCCUR DAMAGE TO RENTED 500,000 X X 1Ao133421004 8/1/2022 8/1/2023 co,""~'"',.,,_ $ MEO EXP (Any one~~, $ 5,000
~
1,000,000 PERSONAL & ADV INJURY $
~
3,000,000 R 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY [!] ~rg: □ LOC PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER : $
A COMBINED SINGLE LIMIT ( 1,000,000 ~TOMOBIL£ LIABILITY IF• ..... A•"" ~ ANY AUTO
- X X 1Ao133421001 8/1/2022 8/1/2023 BODILY INJURY /Per =,wnl (
OWNED SCHEDULED
BODILY INJURY /Per accidenll $ AUTOS ONLY .__ AUTOS .__ rp~~~d°Z.t?AMAGE ~LRT'WsoNLY .__ ~ar~ii1~ $ .__
Comp/Coll Ded 1,000 (
A UMBRELLA LIAB ~ OCCUR EACH OCCURRENCE $ 3,000,000 .__ IA0133421005 8/1/2022 8/1/2023 3,000,000 X EXCESSLIAB CLAIMS-MADE AGGREGATE $ OED I X I RETENTION$ 0 Follow Form (
B WORKERS COMPENSATION X I ~¥:ruTE I I 2JH-
AND EMPLOYERS' LIABILITY YIN T10231326 4/1/2023 4/1/2024 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE [!] E.L. EACH ACCIDENT $ NIA 1,000,000 p~:~ai~l~i~1 EXCLUDED? E.L. DISEASE - EA EMPLOYEF $ If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT ( 1,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICL£S (ACORD 101, Addltlonal Remarks Schedule, may be attached If more apace la 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 & 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 ACCORDANCE WITH THE POLICY PROVISIONS.
Attn: Public Works Department
521 N. Langstaff Street
Lake Elsinore, CA 92530 AUTHORIZED REPRESENTATIVE
Amue- stu.uc.n,
I
ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION . All rights reserved.
The ACORD name and logo are registered marks of ACORD
DocuSign Envelope ID: CA9803C9-8259-48BE-8CC6-C5BDDCB16DFF 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
A013342 1
Middlesex Insurance Company
1 00001 0000000000 22210 0 N
© Insurance Services Office, Inc., 2008
9b1287de-312d-4a17-9741 -58ca38b87b89
07/29/2022
DocuSign Envelope ID: CA9803C9-8259-48BE-8CC6-C5BDDCB16DFF 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
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 Ill - 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.
CG20370413
A0133421
© Insurance Services Office, Inc., 2012 Page 1 of 1
07/29/2022 Middlesex Insurance Company
1 00001 0000000000 22210 0 N dab9b575-ce7d-4dd9-b0b7-3d9b59910411 DocuSign Envelope ID: CA9803C9-8259-48BE-8CC6-C5BDDCB16DFF DocuSign Envelope ID: 82A70EA5-02 3D--42FB-B45A-2339328AEF28 POLICY NUMBER: A0133421004 COMMERCIAL GENERAL LIABILITY CG 2010 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 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
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.
CG20100413
A0133421
© Insurance Services Office, Inc., 2012 Page 1 of 2
Middlesex Insurance Company
DocuSign Envelope ID: CA9803C9-8259-48BE-8CC6-C5BDDCB16DFF DocuSign Envelope ID: 82A70EA5-023D-42FB-B45A-233932 8AEF28 C. With respect to the insurance afforded to these
additional insureds, the following is added to
Section Ill - 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.
A01~3421
© Insurance Services Office, Inc., 2012 CG20100413
Middlesex Insurance Company
DocuSign Envelope ID: CA9803C9-8259-48BE-8CC6-C5BDDCB16DFF DocuSign Envelope ID: B2A70EA5-023D-42FB-B45A-2339328AEF28 POLICY NUMBER: A0133421001 COMMERCIAL AUTO
CA 04441013
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 th is 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
Name(s) Of Person(s) Or Organization(s):
SCHEDULE
Any person or organizat ion 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 04441013
A013342 1
Middlesex Insurance Company
1 00001 0000000000 22210 0 N
© Insurance Services Office , Inc., 2011
0b4a9ea6 -53fa-4cde -9f54-f29054 d2dac2
07/29/2022
DocuSign Envelope ID: CA9803C9-8259-48BE-8CC6-C5BDDCB16DFF DocuSign Envelope ID: B2A70EA5-023D-42FB-B45 A-2339328AEF28 POLICY NUMBER: A0133421001 COMMERCIAL AUTO
CA 76 01 0615
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 organizalion(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
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 contrac t or agreement that this
insurance would be primary and would not
seek contribut ion from any other insurance
available to the person or organization.
CA 76 010615
A0 133421
Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 07/29/2022 Middlesex Insurance Company with its permission. 1 00001 0000000000 22210 0 N 4c9cb5b1-a664-4e05-b1 88-f7802c569abd DocuSign Envelope ID: CA9803C9-8259-48BE-8CC6-C5BDDCB16DFF DocuSign Envelope ID: B2A70EA5-023D-42FB-B45A-2339328AEF28
BUSINESS LICENSE
This business license is issued for revenue purposes only and does not grant authorization to operate a business. This business license is issued without verification that the holder is subject to or exempted from licensing by the state , county , federal government , or any other governmental agency .
Business Name: EXCEL LANDSCAPE , INC.
Business Location: 710 RIMPAU STE 108
CORONA , CA 92879
Owner Name(s): JOSE ALFARO
EXCEL LANDSCAPE, INC.
1185 MAGNOLIA AVE STE E-400
CORONA , CA 92879-3218
CITY OF LAKE ELSINORE
Administrative Services - Licensing
130 South Main Street, Lake Elsinore , CA 92530
PH (951) 674-3124
BUSINESS LICENSE NO. 004404
Business Type: LANDSCAPING CONTRACTOR
Issue Date: 5/1/2023 Expiration Date: 4/30/2024
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 DocuSign Envelope ID: CA9803C9-8259-48BE-8CC6-C5BDDCB16DFF