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: F46801EE-66D4-4C2A-A0E0-D0D00AEE707F
3. Except for the changes specifically set forth herein, all other terms and conditions of the Original Agreement shall remain in full force and effect.
IN WITNESS WHEREOF, the parties have caused this Amendment No. 1 to be executed on the respective dates set forth below.
“CITY”
CITY OF LAKE ELSINORE, a municipal
corporation
“CONTRACTOR”
Excel Landscape, Inc., a Corporation
City Manager
Date:
Jose Alfaro, Sr.
Date:
ATTEST:
City Clerk
APPROVED AS TO FORM:
City Attorney
Assistant City Manager
DocuSign Envelope ID: F46801EE-66D4-4C2A-A0E0-D0D00AEE707F 8/22/2022 | 4:53 PM CDT8/22/2022 | 2:54 PM PDT
Attachments: Exhibit A-1 – Contractor ’s Proposal
DocuSign Envelope ID: F46801EE-66D4-4C2A-A0E0-D0D00AEE707F
EXHIBIT A-1
CONTRACTOR ’S PROPOSAL
[ATTACHED]
DocuSign Envelope ID: F46801EE-66D4-4C2A-A0E0-D0D00AEE707F EL LANDSCAPE 710 Rimpau Ave. Suite 108.Corona, CA92879-5724 (951 ) 735-9650 Fax (951 ) 735-0469. Lic # 694553
April 1,2022
City of Lake Elsinore
130 S Main St.
Lake Elsinore, CA 92530
Dear Rick,
This letter is to express our interest in renewing our existing Landscape Maintenance contract with the City for an additional year. We will honor our current maintenance contract amount, with the exception of the unit cost pricing for extra work. Due to unforeseen cost increases to material and labor, we are requesting an adjustment to the extra work pricing. Please see the attached worksheet for the proposed price adjustments. I look forward to hearing from you.
Sincerely,
Tapu,CW
Jason Alfaro,
Project Manager
DocuSign Envelope ID: F46801EE-66D4-4C2A-A0E0-D0D00AEE707F il.
Turf ilaintenance (All Turf Areasl
'l . Mowing (lncluding Bagging of Clippings)
2. Edging
3. String Trimming
4. Aerification (Core/3")
5. Aerification (Deep Tine/6")
6. Weed Removal (Manual)
7. Pest Control (Manual)
8. Fertilization (Placement Only)
9. Materials (Fertilizer, Soil Amends)
10. Over seeding of Sports turf (Soccer Field, Football Field) 1 1 . Over seeding of Sports turf (Baseball Field)
12. Over seeding of General use turf areas
13. Artificial Turf areas
General Landscape Maintenance (Planters and SloDe Areas)
1. Edging (Ground Cover)
2. Trimming (Shrubs, Ground Cover)
3. Pruning/Shrubs, Vines, Roses
4. Pruning/Trees (To 18')
5. Weed Removal (Manual)
6. Pest Control (Manual)
7. Fertilization (Placement Only)
8. Vegetation Removal
9. Materials (Fertilizer, Soil Amends)
Plant ilaterial (lnstalled. All Areasl
1. Annual Color (4" Container)
2. Ground Cover
3. One (1) Gallon
4. Five (5) Gallon
5. Fifteen (15) Gallon
6. 24" Box Tree
7. Seeded Turf
8. Sodded Turf
9. Hydroseed
10. Soil Preparation (Existing Area)
1 1 . Soil Preparation (New Area)
12. Wood Mulch
ADDENDA NO, l &2&3
EXHIBIT *8"
CITY OF LAKE ELSINORE
LANOSCAPE MAINTENANCE EXTRA WORK
PRICE SHEET
Unit Cost
$i-!-:-!-9
$l-:-:-!-3
$l-l-:-9-9
$ q!e!c sq. ft.
$ r.,l/A sq. ft.
sq*. Per nun HR'
litrcll+t. Per man HR.
liic!#t. Per man HR.
$srote_per man hr.
$j-!-jj-Per man hr.(Labor only)
$ !9"1" sq. ft.
$_ge!t_l_tI
$sggte_sq. ft. (min.40,000 sq. ft.)
$ orot" _sq. ft. (min.5,000 sq. ft.)
$ ouoie_Sq. fr. (min. 1 ,000 sq. ft.)
$ o,"G_sq. ft. (min. 1 ,000 sq. ft.)
a4 5 00 l.ll..lr*. Per rnan HR.
Cq# Per man HR.$t_:___ 00
$_1_:_: fq$ Per man HR.
$ q!q" each
$j-l-:L9-Per man hr.
$ r-!j-Per man hr.
$ !!99 _.eq# Per rnan HR.
sq. ft.
$ c""t - 15%
$aL:-LL-each
$l_9_:9_9_flat
$f-1-:-L1-eacn
$al:_t 1_each
$j-1L-0 l-each
$1L1_:_L1_each
$ qge sq. ft.
$ Ouote .sq. ft.
$ !!919
sq.ft.
sq. ft.
sq. ft.$ !y9!9
00 ilt.
B-1
$I-:9-cu.Yd.
t.
DocuSign Envelope ID: F46801EE-66D4-4C2A-A0E0-D0D00AEE707F lV. lrrioation Svstem Maintenance
'1. lnspection
2. Repair (Main Line, Lateral Line, Sprinklers)
3. Parts
$11_:_o 1_per hr.
$j_1_:_o 1_per hr.
$!!e!ll!t
V. General P*t Control
'1. Written Recommendation by PCA g ouoLeach
2. Qualified Applicator (QAC) $:j_:_:jlper hr.
3. Trained Applicator $1LLL_per hr.
4. Material $ ouoc _
B-2
DocuSign Envelope ID: F46801EE-66D4-4C2A-A0E0-D0D00AEE707F
EL LANDSCAPE
City of Lake Elsinore
Grand ave.
Lake Elsinore, California 92530
Estimate #10098
From Excel Landscape South
(800) 734-9650
1185 Magnolia Ave. E400
Corona CA, 92879
Bill To Downtown Main st
130 South Main St.
Lake Elsinore, California 92530
Sent On 05/03/2022
Job Title Medians in the Grand. Planting
Job Number 7721
Location Medians in the grand ave
PRODUCT/ SERVICE DESCRIPTION QTY. UNIT PRICE TOTAL
Rose 5 gallon 5 gallon rose installed (red yucca)
Plant 5 gallon 5 gallon plant installed (Little Johns)
Plant 5 gallon 5 gallon plant installed (westringia mandi ) Plant 5 gallon 5 gallon plant installed (Raphiolepis)
Plant 5 gallon 5 gallon plant installed (pyracantha )
This quote is valid for the next 30 days, after which values may be subject to change.
224 $25.00 $5,600 .00
190 $25.00 $4,750.00
146 $25.00 $3,650.00
77 $25.00 $1 ,925.00
14 $25.00 $350 .00
Total [_- $16,275.00 I
DocuSign Envelope ID: F46801EE-66D4-4C2A-A0E0-D0D00AEE707F
EL LANDSCAPE
City of Lake Elsinore
Lincoln ave
Lake Elsinore, California 92530
Estimate #10099
From Excel Landscape South
(800) 734-9650
1185 Magnolia Ave. E400
Corona CA, 92879
Bill To Downtown Main st
130 South Main St.
Lake Elsinore, California 92530
Sent On 05/05/2022
Job Title Lantern hill LN ( planting)
Job Number 7721
Location Lantern hill LN.
PRODUCT / SERVICE DESCRIPTION QTY. UNIT PRICE TOTAL
Irrigation Labor
Mulch
Material
Plant 5 gallon
Plant 5 gallon
Irrigation Labor
1 yard Cover mulch installed
Drip hose. 9 GPH 18" space ( 200 ft Roll)
5 gallon plant installed(Litter Johns)
5 gallon plant installed (Red yucca)
This quote is valid for the next 30 days, after which values may be subject to change .
Date: 5 · 33· 0d
6 15
200
31 22
$60.00
$50.00
$0.32
$22.00
$25.00
,---
Total
$360.00
$750.00
$64.00
$682 .00
$550.00
$2,4os.oo I
DocuSign Envelope ID: F46801EE-66D4-4C2A-A0E0-D0D00AEE707F
EL LANDSCAPE
City of Lake Elsinore
Mission Trail median
Lake Elsinore, California 92530
Estimate #10094
From Excel Landscape South
(800) 734-9650
1185 Magnolia Ave. E400
Corona CA, 92879
Bill To Downtown Main st
130 South Main St.
Lake Elsinore, California 92530
Sent On 05/02/2022
Job Title Mission trail median planting
Job Number 7721
Location Mission trail median
PRODUCT / SERVICE DESCRIPTION QTY. UNIT PRICE TOTAL
Plant 5 gallon 5 gallon plant installed (raphs)
This quote is valid for the next 30 days, after which values may be subject to change.
Date: 6 · o-3 · Do
57 $25.00 $1,425.00
Total L $1,425.00 I
DocuSign Envelope ID: F46801EE-66D4-4C2A-A0E0-D0D00AEE707F ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED?
INSR ADDLSUBRLTR INSDWVD
PRODUCER CONTACTNAME: FAXPHONE(A/C, No):(A/C, No, Ext):E-MAILADDRESS:INSURER A :INSURED INSURER B :INSURER C :INSURER D :INSURER E :INSURER F :
POLICY NUMBERPOLICY EFFPOLICY EXPTYPE OF INSURANCELIMITS(MM/DD/YYYY)(MM/DD/YYYY)
AUTOMOBILE LIABILITY
UMBRELLA LIABEXCESS LIABWORKERS COMPENSATIONAND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
AUTHORIZED REPRESENTATIVE
EACH OCCURRENCE$DAMAGE TO RENTEDCLAIMS-MADEOCCUR $PREMISES (Ea occurrence)MED EXP (Any one person)$PERSONAL & ADV INJURY$GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE$PRO-POLICYLOC PRODUCTS - COMP/OP AGGJECT OTHER: $COMBINED SINGLE LIMIT$(Ea accident)ANY AUTO BODILY INJURY (Per person)$OWNEDSCHEDULEDBODILY INJURY (Per accident)$AUTOS ONLYAUTOSHIREDNON-OWNEDPROPERTY DAMAGE$AUTOS ONLYAUTOS ONLY(Per accident)$OCCUR EACH OCCURRENCECLAIMS-MADEAGGREGATE$DEDRETENTION$ PEROTH-STATUTEERE.L. EACH ACCIDENTE.L. DISEASE - EA EMPLOYEE$If yes, describe underE.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGENAIC #
COMMERCIAL GENERAL LIABILITY
Y / NN / A(Mandatory in NH)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INACCORDANCE WITH THE POLICY PROVISIONS.
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVE 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 onthis certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
COVERAGESCERTIFICATE NUMBER:REVISION NUMBER:
CERTIFICATE HOLDERCANCELLATION
© 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03)
CERTIFICATE OF LIABILITY INSURANCEDATE (MM/DD/YYYY)
$
$$$$
The ACORD name and logo are registered marks of ACORD
8/18/2022
License # 0M63276(951) 368-0700(951) 368-070723434Excel Landscape, Inc.1185 Magnolia Ave., #E400Corona, CA 9287934630 A 1,000,000XXA01334210048/1/20228/1/2023500,0005,0001,000,0003,000,0002,000,0001,000,000A XXA01334210018/1/20228/1/2023Comp/Coll Ded1,0003,000,000A A01334210058/1/20218/1/20223,000,0000B EXWC3186254/1/20224/1/20231,000,000Y 1,000,0001,000,000 * 30 days notice of cancellation to the certificate holder.Job # 7721Re: All landscape operations performed by or on behalf of the named insured.The City of Lake Elsinore, The Community Redevelopment Agency of the City of Lake Elsinore (RDA), Its directors, officers & employees are named as additional insured.
City of Lake ElsinoreAttn: Public Works Department521 N. Langstaff StreetLake Elsinore, CA 92530 EXCELAN-01ASHUNN
Gallant Risk and Insurance Services, LLC4160 Temescal Canyon Rd. Suite 214Corona, CA 92883Middlesex Insurance CompanyOak River Insurance Company X
X XXXXXX
DocuSign Envelope ID: F46801EE-66D4-4C2A-A0E0-D0D00AEE707F POLICY NUMBER:
© Insurance Services Office, Inc., 2008
COMMERCIAL GENERAL LIABILITYCG 24 04 05 09
WAIVER OF TRANSFER OF RIGHTS OF RECOVERYAGAINST OTHERS TO USThis endorsement modifies insurance provided under the following:COMMERCIAL GENERAL LIABILITY COVERAGE PARTPRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PARTSCHEDULEName Of Person Or Organization:Any person or organization from whom you are required towaive your right to recover under a written contract oragreement in effect prior to any loss or damage Information required to complete this Schedule, if not shown above, will be shown in the Declarations.The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV - Conditions:We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products-completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above.
A0133421004
DocuSign Envelope ID: F46801EE-66D4-4C2A-A0E0-D0D00AEE707F © Insurance Services Office, Inc., 2012
POLICY NUMBER:COMMERCIAL GENERAL LIABILITYCG 20 37 04 13THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONSThis endorsement modifies insurance provided under the following:COMMERCIAL GENERAL LIABILITY COVERAGE PARTPRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PARTSCHEDULEName Of Additional Insured Person(s)Or Organization(s)Location And Description Of Completed OperationsAny person or organization you are required to add as anadditional insured under a written contract or agreementin effect prior to any accident, injury, loss or damage All locations and jobs performed that have a written contract, agreement or permit Information required to complete this Schedule, if not shown above, will be shown in the Declarations.A.Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products-completed operations hazard".However: 1.The insurance afforded to such additional insured only applies to the extent permitted by law; and2.If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insuredwill not be broader than that which you are required by the contract or agreement to provide for such additional insured.
B.With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance:1.Required by the contract or agreement; or 2.Available under the applicable Limits of Insurance shown in the Declarations;whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations.
A0133421004
DocuSign Envelope ID: F46801EE-66D4-4C2A-A0E0-D0D00AEE707F
A0133421
Middlesex Insurance Company
© Insurance Services Office, Inc., 2012
POLICY NUMBER: COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
CG 20 10 04 13
Name Of Additional Insured Person(s)
Or Organization(s) Location(s) Of Covered Operations
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Section II - Who Is An Insured is amended to
include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only
with respect to liability for "bodily injury",
"property damage" or "personal and advertising
injury" caused, in whole or in part, by:
1. Your acts or omissions; or
2. The acts or omissions of those acting on your
behalf;
in the performance of your ongoing operations for
the additional insured(s) at the location(s)
designated above.
However:
1. The insurance afforded to such additional
insured only applies to the extent permitted by
law; and
2. If coverage provided to the additional insured
is required by a contract or agreement, the
insurance afforded to such additional insured
will not be broader than that which you are
required by the contract or agreement to
provide for such additional insured.
B. With respect to the insurance afforded to these
additional insureds, the following additional
exclusions apply:
This insurance does not apply to "bodily injury" or
"property damage" occurring after:
1. All work, including materials, parts or
equipment furnished in connection with such
work, on the project (other than service,
maintenance or repairs) to be performed by or
on behalf of the additional insured(s) at the
location of the covered operations has been
completed; or
2. That portion of "your work" out of which the
injury or damage arises has been put to its
intended use by any person or organization
other than another contractor or
subcontractor engaged in performing
operations for a principal as a part of the same
project.
Any person or organization you are required to add as
an
additional insured under a written contract or
agreement
in effect prior to any accident, injury, loss or damage All locations per written contract, agreement or permit Description:
All jobs performed that have a written contract,
agreement or permit
A0133421004
DocuSign Envelope ID: F46801EE-66D4-4C2A-A0E0-D0D00AEE707F C. With respect to the insurance afforded to these
additional insureds, the following is added to
Section III - Limits Of Insurance:
If coverage provided to the additional insured is
required by a contract or agreement, the most we
will pay on behalf of the additional insured is the
amount of insurance:
1. Required by the contract or agreement; or
2. Available under the applicable Limits of
Insurance shown in the Declarations;
whichever is less.
This endorsement shall not increase the
applicable Limits of Insurance shown in the
Declarations.
© Insurance Services Office, Inc., 2012 CG 20 10 04 13Page 2 of 2 A0133421
Middlesex Insurance Company
DocuSign Envelope ID: F46801EE-66D4-4C2A-A0E0-D0D00AEE707F Named Insured:Endorsement Effective Date:
Name(s) Of Person(s) Or Organization(s):
POLICY NUMBER: A0133421001COMMERCIAL AUTOCA 04 44 10 13THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.WAIVER OF TRANSFER OF RIGHTS OF RECOVERYAGAINST OTHERS TO US (WAIVER OF SUBROGATION)This endorsement modifies insurance provided under the following:AUTO DEALERS COVERAGE FORMBUSINESS AUTO COVERAGE FORMMOTOR CARRIER COVERAGE FORMWith 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.
SCHEDULEAny person or organization from whom you are required towaive your right to recover under a written contract oragreement in effect prior to any loss or damageInformation required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. © Insurance Services Office, Inc., 2011
Excel Landscape Inc08/01/2022
DocuSign Envelope ID: F46801EE-66D4-4C2A-A0E0-D0D00AEE707F POLICY NUMBER:
SCHEDULE
COMMERCIAL AUTOCA 76 01 06 15THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.DESIGNATED INSURED - PRIMARY AND NONCONTRIBUTORY - COVERED AUTOS LIABILITY COVERAGEThis endorsement modifies insurance provided under the following:BUSINESS AUTO COVERAGE FORMMOTOR CARRIER COVERAGE FORMAUTO DEALERS COVERAGE FORMWith 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 IncEndorsement Effective Date:08/01/2022 Name Of Person(s) Or Organization(s):Any person or organization you are required to add as anadditional insured under a written contract or agreementin 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 InsuranceThis insurance is primary to and will not seek contribution from any other auto insurance issued to the person or organization in the schedule under your policy provided that:(1)The person or organization is a Named Insured under such other insurance; and(2)Prior to the “accident” you have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the person or organization.
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
A0133421001
DocuSign Envelope ID: F46801EE-66D4-4C2A-A0E0-D0D00AEE707F
CITY OF LAKE ELSINORE
TO BE POSTED IN A CONSPICUOUS PLACE
Business Name:
Business Location:
Owner Name(s):
BUSINESS LICENSE NO.
Issue Date: Expiration Date:
BUSINESS LICENSE
THIS IS YOUR LICENSE • NOT TRANSFERABLE
710 RIMPAU STE 108 Business Type:
CORONA, CA 92879
EXCEL LANDSCAPE, INC.
1185 MAGNOLIA AVE STE E-400
CORONA, CA 92879-3218
This business license is issued for revenuepurposes 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 t he state, county, feder al government, or any other governmental agency.
Administrative Services - Licensing
130 South Main Street, Lake Elsinore, CA 92530
PH (951 ) 674-3124
EXCEL LANDSCAPE, INC.
JOSE ALFARO
LANDSCAPING CONTRACTOR
004404
5/1/2022 4/30/2023
Starting January 1, 2021, Assembly Bill 1607 requires the prevention of gender-based discrimination of business establishments. A full notice is available in English or other languages by going to: https://www.dca.ca.gov/publications/ DocuSign Envelope ID: F46801EE-66D4-4C2A-A0E0-D0D00AEE707F