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State License319072.621742.29885 Second St., UnitsA& B, Lake Elsinore,CA92532. (951) 674-6974. Fax (951) 674-7287 TO
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TRANSMITTAL
DATED: May 08,2025
City of Lake Elsinore
Request For Proposals/General Contractor Services/On-Call & Minor Construction DESCRIPTION:
Heating, Ventilation, Air Conditioning repair maintenance and installation services as well as indoor air quality control.
Principal Location: 29885 Second Street, srE A & B, Lake Elsinore, cAg2532 Personnel No.# 8
NATE Certification
Project Experience and Client Reference:
Project:Inland Empire Autism Center
l93l4Jesse Lane Ste 200 & 250
Riverside, CA
Proj ect: Southland Hematology
25190 Hancock Ave, Ste A
Murrieta, CA92562
Client: Workman Constructor
25835 Jefferson Ave
Murrieta, CA92562
)CERTIFICA SATITE CE URANINS ON COMPEN WORKERSI
AUTOMOBILE INSURANCE CERTIFICATE 1
(CATETIFI CERCE INSURAN LIABILITY GENERALI)
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1) CITY OF LAKE ELSINORE BUSINESS LICENSE
COST PROPOSAL SHEETiSERVICE CALL RATES I
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HEATING.AIR CONDITIONING SPECIALISTS
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State License 319072. 621742. 29885 Second St., Units A & B, Lake Elsinore, CAg2532. (951) 674-6974. Fax (951) 674-7297 Project:RD Construction
32097 Corydon Road
Lake Elsinore, CA 92532
Client: RD
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CITY oF
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REQUEST FOR PROPOSALS
GENERAL CONTRACTOR SERVICES
ON.GALL & MINOR CONSTRUCTION
April 2025
City of Lake Elsinore
Administrative Services Department
130 South Main Street
Lake Elsinore, California 92530
CITY OF
LLSINO
f)REAM EXTREME
April 30, 2025
REQUEST FOR PROPOSALS
The City of Lake Elsinore, hereinafter referred to as the City, is inviting proposals from licensed and qualified general contractors ("Contractor") to provide on-call, minor construction, as needed and/or emergency repair services (1'Services") for the City. The Contractor will provide full range construction, maintenance and repair services that may include but is not limited to installations, routine maintenance, service calls, supplies, and emergency services. lt is the City's intent to award multiple contracts to different Contractors who can provide 24 hour-a-day,7 day-a-week, on-call support on an as needed basis.
Time Schedule:
The following is the City's tentative schedule for the selection of a qualified contractor:
1. Request for Proposal Aprit 30, 2025
2. Deadline for Questions May 8, 202s, no later than 2:00 p.m.
3. Deadline for submitting RFP May 15, 202s, no later than 2:00 p.m.
4. Review and Evaluation May 16,2025
5. Optional lnterview if Required To Be Determined
6. Tentative Award and Start Date May 28,2025
NOTICE lS HEREBY GIVEN THAT THE CITY OF LAKE ELSINORE, hereinafter referred to as "the City" or "City," will receive through the bid management system PlanetBids prior to the deadline established above qualification proposals for the on-call contractor services an+Auileflqg inspe€t€reendee+by licensed contractors.
Deadline for submitting RFP: May 15, 2025, at 2:00 PM via e-Procurement system PlanetBids
Submittal of response by fax is not acceptable. All questions technical, commercial, or contractual in nature shall be submitted via PlanetBids. Contact with City of Lake Elsinore personnel other than through the question-and-answer process in PlanetBids is not authorized and may be grounds for elimination from the selection process.
It is the sole responsibility of the contractor to ensure that the qualification submittal is received in the proper time through PlanetBids by the date and time hereinabove set forth. The electronic bid management system will not accept late submittals. All contractors shall comply with Federal, State and local laws applicable thereto.
All questions shall be directed to the Q&A section on the e-Procurement System PlanetBids. No phone calls. All questions regarding this RFP must be put in writing and submitted through the e-Procurement system PlanetBids by May 8,2025, no later than 2:00 p.m. Submittal of questions by fax or email is not acceptable.
Sincerely,
Jason Simpson
Assistant City Manager
lntroduction
The purpose of this RFP is to solicit proposals responses from qualified general contractors for miscellaneous minor construction and repair services for the City on an as needed and on a24 hour- a-day, 7 day-a-week, and on-call basis. The City intends to award a contract to qualified contractors that have a history of successfully performing miscellaneous minor construction and repair services.
Background
The City of Lake Elsinore encompasses 42 square miles, with a diverse population of 56,718 residents, and is located about 85 miles north of San Diego. The City was incorporated in 1888 as a General Law City and is governed under the City Council/City Manager form of government. The City contracts out fire and police services and has approximately 85 full time benefited employees in 6 departments (City Manager, Assistant City Manager, Community Development, Public Works, and Lake, Parks and Recreation).
Qualification Content & Format
The prospective contractor(s) shall provide the City with the following information:
1. Cover letter - Signed letter by an individual authorized to negotiate on behalf of the contractor and must be binding for a term of 120 days from the date of submittal to the City.
2. A description of the contractor's area of expertise, organizational structure, location of principal offices, number of personnel available to perform the work, employee qualifications, cost proposal based on scope of services as set forth in Attachment "A" and other pertinent business information.
3. Related project experience and client references.
4. The names of any sub-contractors to be utilized, along with their relevant experience and work resumes, contractor licensing, and insurances.
5. Fee information as outlined in Attachment "A" Cost Proposal Sheet - General Minor Construction and Maintenance Services.
6. City's Contractor Services Agreement - ldentify any sections of the City's standard Contractor service agreement contract (Attachment 'B') that pose concerns and would require negotiation/modification in order to be acceptable to contractor. lf no concerns are identified, contractor will be deemed to have accepted the form of the agreement. lnstructions, Conditions, & Legal Requirements
1. Price. Provide pricing on all requirements as outlined in Attachment "A". lf there are discrepancies between services, labor, materials and maintenance costs, the City reserves the right to clarify pricing with the affected contractor. The City of Lake Elsinore has outlined the requirements herein in as much detail as is currently known. Please provide any exceptions, additional information, or suggestions that will aid in the City's selection process (attachments are acceptable).
2. Buildino Code. All services provided by the Contractor shall be performed in strict accordance with the City of Lake Elsinore Building Code.
3. Nesotiate Terms. The City reserves the right to negotiate terms and specifications/scope of work with the highest ranked contractor. lf an agreement cannot be negotiated, the City reserves the right to negotiate with any other contractor.
4. Assiqnment and Subcontractins. The parties recognize that a substantial inducement to City for entering into this Agreement is the reputation, experience and competence of Contractor. Contractor shall be fully responsible to City for all acts or omissions of any subcontractors. Assignments of any or all rights, duties or obligations of the Contractor: under this Agreement will be permitted only with the express consent of the City. Contractor shall not subcontract any portion of the work to be performed under this Agreement without the written authorization of the City. lf City consents to such subcontract, Contractor shall be fully responsible to City for all acts or omissions of those subcontractors. Nothing in this Agreement shall create any contractual relationship between City and any subcontractor nor shall it create any obligation on the part of the City to pay or to see to the payment of any monies due to any such subcontractor other than as otherwise is required by law.
All subcontractors to the prime contractor must be preapproved by the City.
5. OSHA and CaIOSHA Standards & Requirements. Selected contractor is required to comply with all existing State and Federal labor laws. Selected contractor is also responsible for complying with all OSHA and Cal OSHA standards and requirements. lf contractor out-sources any work or job to a subcontractor, it will be the prime contractor's responsibility to ensure all subcontractors meet the requirements as stated in this RFP.
6. Final Contract. Services will be sought by the most competitively priced and qualified proposal.
Although price is of prime consideration, it is not the sole determining factor. The City reseryes the right to select the appropriate contractor based on qualifications and proposals. The determination of the most qualified and most competitively priced proposal may involve all or some of the following factors: price, thoroughness of the proposal package, previous experience and performance; out-sourced work; other costs; and other objective factors which are reasonable . The City reserves the right to select a contractor to perform all of the work identified in the RFP, or only selected portions based on price and/or other factors. The City prefers a contractor that can provide services in most of the multiple disciplinary general contractor areas identified in the scope of work.
7. Collusion. Any evidence or collusion among contractors acting illegally to restrain freedom of competition by agreement to propose fixed price, or otherwise, will render the proposal of such contractors void.
8. Permits & Licensino. The permits and licensing required is as follows:
The Proposer shall obtain all required permits and licenses, including a City Business License, from the CITY necessary to conduct contracting work in the City of Lake Elsinore. Associated fees are the responsibility of the Proposer.
The individual or firm must be licensed by the Contractors State License Board (CSLB) to perform general contractor services. Contractor must possess and maintain a valid State of California General Building Contractor License (B) during the term of the Contract. Contractor shall also provide any other applicable licenses (e.9., C-10, C-20, C-36) and certifications. A copy of the Contractor's license is to be submitted to City with the proposal.
9. 2417 Contact lnformation. The contractor shall provide a local telephone number where service personnel can be reached on an "on call" basis twenty-four (24) hours a day, seven (7) days per week. This telephone number will be made available to all authorized personnel designated by the City.
10. Client References. The contractor shall submit a list of at least four (4) client references that have purchased similar services from the contractor. Contractor shall provide company name, contact name and phone number for each reference.
11. Contract Term & Extensions. The term of the contract shall commence upon award of the contract and continue through June 30, 2018. The City reserves the option to extend the contract(s) for an additionalthree (3) years. No price adjustments will occur during the flrst thirty- six (36) months of this agreement. Upon request of the contractor and agreement by the City, the item prices may be adjusted by the amount equal to the increase or decrease, during the previous twelve (12) months, in the Riverside, San Bernardino ALL Urban Consumers lndex to determine the percentage of increase or decrease, the term "previous twelve months" shall mean the twelve (12) month period ending June 30th of that year, or if not available, the prior month.
12.Contractors Gosts. The City will not reimburse contractors for any costs involved in the preparation and submission of proposals. Furthermore, this RFP does not obligate the City to accept or contract for any expressed or implied services.
13. Public Record. All submitted proposals and information included therein or attached thereto shall become public record upon contract award.
Scopr of REoUTRED Srnvrcrs
'This RFP includes several trade areas which are commonly utilized by Cities. These identified maintenance service areas are not intended to be all inclusive but rather a general listing of the most common maintenance areas requiring routine and frequent maintenance and repair. Also, it shall be noted that certain maintenance may require scheduled preventive maintenance work. The below maintenance areas are representative of the work solicited in this RFP:
Minor Gonstruction
Plumbing
Goncrete and Masonry
Painting
lrrigation Repair
Dry Wall
Garpentry
Electrical
HVAC
Roofing
Repair
Finish Wood Working
Services included in the aforementioned list depending on the nature of the work, may or may not require payment of the prevailing wage rate and, therefore, should be proposed based on Department of lndustrial Relations (DlR) requirements. Attachment A contains the cost proposal sheet and shall be completed for the services each contractor can provide.
Contractors may be awarded various projects and tasks as may arise through the issuance of tasUwork order, and minor construction proposals based on the location and nature of the services required and the qualifications and resources of the Contractor and often in competition with other contractors who have also entered into a similar agreement with the City. The Contractor agrees to provide all necessary expertise and services to professionally and diligently perform the work authorized by task/work orders and or minor construction agreements to be issued by the City.
Assigned work shall be agreed upon in quantity and price and approved by the City before work can commence. lt is anticipated that this contract will result in multiple awards to more than one Contractor. Actual contractor usage will vary and be based upon ability and need. The City will award contracts based upon the best interest of the City.
PnoposAl SuaNr trrAl EvnluRTtoN
Criteria to be used to evaluate the submittals will include, but not be limited to:
Degree to which each proposal submittal responds to the needs of the City and this request (approach responsiveness, preciseness, thoroughness, etc.) Evidence of the ability to provide services in a prompt, thorough and professional manner a
o
a
aExperience, reputation, and backgrounds of those who will be providing services forthe City Hourly rate(s) for each work category your company can satisfy within the scope of services Attachment A.
ATTncHMENTS
Attachment A: Cost Proposal Sheet - General Maintenance Services Attachment B: City of Lake Elsinore Agreement for Contract Services Attachment "A"
Cost Proposal Sheet - General Maintenance Services
Please provide the fee quotes as follows (lnclude a schedule of rates by classification hourly rates):
ln the column labeled "Bidder Notes" mark each maintenance area beginning with 1 to 1 1 (1=most preferred area,11= least preferred area). Please attach additional pages if necessary.
GENERAL MAINTENANCE SERVICES WAGE RATES
Bidder Notes
(Attached if Needed)
lnigation
Repair
Roofing
DryWall
Sheet Metal
Painting
l{o t/zHP. $325.00 s2s0.00 $17s.00 ll10.00
HVAC
Concrete and
Masonry
Electrical
Plumbing
Finish Wood
Working
Carpentry
Prevailing
Wage Rate
Non-
Prevailing
Wage Rate
Prevailing
Wage Rate
Prevailing
Wage Rate
Non-
Subcontractor
Services
Yes/ No
Unit of
Measure
(Hourly,
T"Hour
Etc...)
*"Emergency and After
Hours Rate
"Normal Business Hours
Rate Construction
&
Maintenance
Area
Material Markup: 30% (percentXPRE-PAID ITEMS WHOLESALE) *Normal Business Hours: 7:30 a.m. to 5:30 p.m. (Monday - Friday) **Emergency and After Hours Service. 5:30 p.m. to 7:30 a.m. (Weekends and Holidays) Attachment "B"
AGREEMENT FOR CONTRACTOR SERVICES
AMBER AIR CONDITIONING, INC.
ON.CALL SERVICES
This Agreement for Contractor Services (On-Call) (the "Agreement") is made and entered into as of May 1, 2025 by and between the City of Lake Elsinore, a municipal corporation (the "City") and Amber Air Conditioning, lnc., a Corponation (the "Contractor").
RECITALS
A. The City has determined that it requires the following services:
Maintenance/minor construction and repair trade areas commonly utilized by the city:
HVAC and electrical related work.
B. The City has prepared a request for a proposals and Contractor has submitted to City a proposal, dated tMay 1 ,2025, both of which are attached hereto as Exhibit A (collectively, the "Contractor's Proposal") and incorporated herein, to provide services and related work to the City pursuant to the terms of this Agreement.
C. Contractor possesses the skill, experience, ability, background, certification and knowledge to perform the services and related work described in this Agreement on the terms and conditions Agreement.
AGREEMENT
1. Scooe of Services. Contractor shall perform the services and related work described in Contractor's Proposal (Exhibit A). Contractor shall provide such services and related work at the time, place, and in the manner specified in Contractor's Proposal (Exhibit A), subject to the direction of the City through its staff that it may provide from time to time. Contractor acknowledges that the Scope of Services provides for 24 hour-a-day,7 day-a-week, on-call and minor construction support on an as needed basis.
2. Time of Performance.
a. Time of Essence. Time is of the essence in the performance of this Agreement. The time for completion of the services and related work to be performed by Contractor is an essential condition of this Agreement. Contractor shall prosecute regularly and diligently the services and related work contemplated pursuant to this Agreement consistent with Contractor's Proposal (Exhibit A) and shall provide, furnish and pay all labor, materials, necessary tools, expendable equipment, and alltaxes, utility and transportation services required to perform such the services and related work.
b. Performance Schedule. Contractor shall commence the services and related work pursuant to this Agreement upon receipt of a written notice to proceed and shall perform all services and related work within the time period(s) established in the Contractor's Proposal (Exhibit A). When requested by Contractor, extensions to the time period(s) specified may be approved in writing by the City Manager.
c. Term and Comoliance with TaskA//ork Order System. Unless earlier terminated as provided elsewhere in this Agreement, this Agreement shall continue in full force and effect for a period commencing on Click or tap to enter a date. and ending Click or tap to enter a date.. The City may, at its sole discretion, extend the term of this Agreement on a 12-month basis not to exceed 2 additional twelve (12) month renewal terms by giving written notice thereof to Contractor not less than thirty (30) days before the end of the contract term, such notice to be exercised by the City Manager.
Contractor hereby agrees and acknowledges that any and all work or services performed pursuant to this Agreement shall be based upon the issuance of a TaskA//ork Order by the City. Contractor acknowledges that it is not guaranteed any minimum or specific amount of work or services as allwork or services shall be authorized through a Task/Work Order issued by the City.
3. Comoensation. Compensation to be paid to Contractor shall be in accordance with the fees set forth in Contractor's Proposal (Exhibit A), which is attached hereto and incorporated herein by reference. ln no event shall Contractor's annual compensation exceed Click or tap here to enter text. (Click or tap here to enter text.) 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 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.
4. Method of Pavment. Contractor shall promptly submit billings to the City describing the services and related work performed during the preceding month to the extent that such services and related work were performed. Contractor's bills shall be segregated by project task, if applicable, such that the City receives a separate accounting for work done on each individual task for which Contractor provides services. Contractor's bills shall include a brief description of the services performed, the date the services were performed, the number of hours spent and by whom, and a description of any reimbursable expenditures. City shall pay Contractor no later than forty-five (45) days after receipt of the monthly invoice by City staff.
5. Backoround Checks. At any time during the term of this Agreement, the City reserves the rightto makean independent investigation intothe background of Contractor's personnelwho perform work required by this Agreement, including but not limited to their references, character, address history, past employment, education, social security number validation, and criminal or police records, for the purpose of confirming that such personnel are lawfully employed, qualified to provide the subject service or pose a risk to the safety of persons or property in and around the vicinity of where the services will be rendered or City Hall. lf the City makes a reasonable determination that any of Contractor's prospective or then current personnel is deemed objectionable, then the City may notifo Contractor of the same. Contractor shall not use that personnel to perform work required by this Agreement, and if necessary, shall replace him or her with a suitable worker.
6. Susoension or Termination.
a. The City may at any time, for any reason, with or without cause, suspend or terminate this Agreement, or any portion hereof, by serving upon the Contractor at least ten (10) days prior written notice. Upon receipt of such notice, the Contractor shall immediately cease all work under this Agreement, unless the notice provides otherwise. lf the City suspends or terminates a portion of this Agreement, such suspension or termination shall not make void or invalidate the remainder of this Agreement.
b. ln the event this Agreement is terminated pursuant to this Section, the City shall pay to Contractor the actual value of the work performed up to the time of termination, provided that the work performed is of value to the City. Upon termination of the Agreement pursuant to this Section, the Contractor will submit an invoice to the City, pursuant to Section entitled "Method of Payment" herein.
7. Plans. Reoorts. Documents
a. Ownershio of Documents. All plans, studies, documents and other writings prepared by and for Contractor, its officers, employees and agents and subcontractors in the course of implementing this Agreement, except working notepad internal documents, shall become the property of the City upon payment to Contractor for such work, and the City shall have the sole right to use such materials in its discretion without further compensation to Contractor or to any other party.
Contractor shall, at Contractor's expense, provide such reports, plans, studies, documents and other writings to City upon written request. City shall have sole determination of the public's rights to documents under the Public Records Act, and any third-party requests of Contractor shall be immediately referred to City, without any other actions by Contractor. b. Licensino of lntellectual Prooertv. This Agreement creates a nonexclusive and perpetual license for City to copy, use, modify, reuse, or sublicense any and all copyrights, designs, and other intellectual property embodied in plans, specifications, studies, drawings, estimates, and other documents or works of authorship fixed in any tangible medium of expression, including but not limited to, physical drawings or data magnetically or otherwise recorded on computer diskettes, which are prepared or caused to be prepared by Contractor under this Agreement ("Documents & Data"). Contractor shall require that all subcontractors agree in writing that City is granted a nonexclusive and perpetual license for any Documents & Data the subcontractor prepares under this Agreement. Contractor represents and warrants that Contractor has the legal right to license any and all Documents & Data. Contractor makes no such representation and warranty in regard to Documents & Data, which were prepared by design professionals otherthan Contractor or provided, to Contractor by the City. City shall not be limited in any way in its use of the Documents & Data at any time, provided that any such use not within the purposes intended by this Agreement shall be at Gity's sole risk. c. Confidentialitv. All ideas, memoranda, specifications, plans, procedures, drawings, descriptions, computer program data, input record data, written information, and other Documents & Data either created by or provided to Contractor in connection with the performance of this Agreement shall be held confidential by Contractor. Contractor shall not, without the prior written consent of City, use such materials for any purposes other than the performance of the services under this Agreement. Nor shall such materials be disclosed to any person or entity not connected with the performance of the services under this Agreement. Nothing furnished to Contractor, which is otherwise known to Contractor or is generally known, or has become known, to the related industry shall be deemed confidential. Contractor shall not use City's name or insignia, photographs relating to project forwhich Contractor's services are rendered, or any publicity pertaining to the Contractor's services under this Agreement in any magazine, trade paper, newspaper, television or radio production or other similar medium without the prior written consent of City.
8. Contractor's Books and Records.
a. Contractor shall maintain any and all ledgers, books of account, invoices, vouchers, canceled checks, and other records or documents evidencing or relating to charges for services, or expenditures and disbursements charged to City for a minimum period of three (3) years, or for any longer period required by law, from the date of final payment to Contractor to this Agreement. b. Contractor shall maintain all documents and records which demonstrate performance under this Agreement for a minimum period of three (3) years, or for any longer period required by law, from the date of termination or completion of this Agreement. c. Any records or documents required to be maintained pursuant to this Agreement shall be made available for inspection or audit, at any time during regular business hours, upon written request by the City Manager, City Attorney, City Auditor or a designated representative of these officers. Copies of such documents shall be provided to the City for inspection at City Hall when it is practical to do so. Otherwise, unless an alternative is mutually agreed upon, the records shall be available at Contractor's address indicated for receipt of notices in this Agreement. d. \fy'here City has reason to believe that such records or documents may be lost or discarded due to dissolution, disbandment or termination of Contractor's business, City may, by written request by any of the above-named officers, require that custody of the records be given to the City and that the records and documents be maintained in City Hall. Access to such records and documents shall be granted to any party authorized by Contractor, Contractor's representatives, or Contractor's successor-i n-i nterest.
9. lndeoendent Contractor.
a. Contractor is and shall at alltimes remain as to the City a wholly independent contractor pursuant to California Labor Code Section 3353. The personnel performing the services under this Agreement on behalf of Contractor shall at all times be under Contractor's exclusive direction and control. Neither City nor any of its officers, employees, or agents shall have control over the conduct of Contractor or any of Contractor's officers, employees, or agents, except as set forth in this Agreement. Contractor shall not at any time or in any manner represent that it or any of its officers, employees, or agents are in any manner officers, employees, or agents of the City.
Contractor shall not incur or have the power to incur any debt, obligation, or liability whatsoever against City, or bind City in any manner.
b. Notwithstanding any other federal, state and local laws, codes, ordinances and regulations to the contrary, Contractor and any of its employees, agents, and subcontractors providing service under this Agreement shall not qualify for or become entitled to, and hereby agree to waive any claims to, any compensation, benefit, or any incident of employment by City, including but not limited to eligibility to enroll in PERS as an employee of City and entitlement to any contribution to be paid by City for employer contribution and/or employee contributions for PERS benefits.
10. PERS Elioibilitv lndemnification. ln the event that Contractor or any employee, agent, or subcontractor of Contractor providing services under this Agreement claims or is determined by a court of competent jurisdiction or the California Public Employees Retirement System (PERS) to be eligible for enrollment in PERS as an employee of the City, Contractor shall indemnify, defend, and hold harmless City for the payment of any employee and/or employer contributions for PERS benefits on behalf of Contractor or its employees, agents, or subcontractors, as well as for the payment of any penalties and interest on such contributions, which would othenrvise be the responsibility of City.
11. lnterests of Contractor. Contractor (including principals, associates and management employees) covenants and represents that it does not now have any investment or interest in real property and shall not acquire any interest, direct or indirect, in the area covered by this Agreement or any other source of income, interest in real property or investment which would be affected in any manner or degree by the performance of Contractor's services hereunder. Contractor further covenants and represents that in the performance of its duties hereunder no person having any such interest shall perform any services under this Agreement.
Contractor is not a designated employee within the meaning of the Political Reform Act because Contractor:
a. will conduct research and arrive at conclusions with respect to his/her rendition of information, advice, recommendation or counsel independent of the control and direction of the City or of any City official, other than normal agreement monitoring; and b. possesses no authority with respect to any City decision beyond rendition of information, advice, recommendation or counsel. (FPPC Reg. 18700(a) (2).)
12. Abilitv of Contractor. Gity has relied upon the training and ability of Contractor to perform the services hereunder as a material inducement to enter into this Agreement. Contractor shall therefore provide properly skilled personnel to perform all services under this Agreement. All work performed by Contractor under this Agreement shall be in accordance with applicable legal requirements and shall meet the standard of quality ordinarily to be expected of competent contractors in Contractor's field of expertise.
13. Comoliance with Laws.
a. Contractor shall comply with all local, state and federal laws and regulations applicable to the services required hereunder, including any rule, regulation or bylaw governing the conduct or performance of Contractor and/or its employees, officers, or board members. b. Contractor represents that it has obtained and will maintain at all times during the term of this Agreement all professional and/or business licenses, certifications and/or permits necessary for performing the services described in this Agreement, including a City business license.
14. Licenses. Contractor represents and warrants to City that it has the licenses, permits, qualifications, insurance and approvals of whatsoever nature, which are legally required of Contractor to practice its profession. Contractor represents and warrants to City that Contractor shall, at its sole cost and expense, keep in effect or obtain at all times during the term of this Agreement, any licenses, permits, insurance and approvals which are legally required of Contractor to practice its profession.
Contractor shall maintain a City of Lake Elsinore business license.
15. lndemnitv. Contractor shall indemnify, defend, and hold harmless the City and its officials, officers, employees, agents, and volunteers from and against any and all losses, liability, claims, suits, actions, damages, and causes of action arising out of any personal injury, bodily injury, loss of life, or damage to property, or any violation of any federal, state, or municipal law or ordinance, to the extent caused, in whole or in part, by the willful misconduct or negligent acts or omissions of Contractor or its employees, subcontractors, or agents, by acts for which they could be held stricily liable, or by the quality or character of their work. The foregoing obligation of Contractor shall not apply when (1) the injury, loss of life, damage to property, or violation of law arises from the sole negligence or willful misconduct of the City or its officers, employees, agents, or volunteers and (2) the actions of Contractor or its employees, subcontractor, or agents have contributed in no part to the injury, loss of life, damage to property, or violation of law. lt is understood that the duty of Contractor to indemnify and hold harmless includes the duty to defend as set forth in Section 2778 of the California Civil Code. Acceptance by City of insurance certificates and endorsements required under this Agreement does not relieve Contractor from liability under this indemnification and hold harmless clause. This indemnification and hold harmless clause shall apply to any damages or claims for damages whether or not such insurance policies shall have been determined to apply. By execution of this Agreement, Contractor acknowledges and agrees to the provisions of this Section and that it is a material element of consideration.
16. lnsurance Reouirements
a. lnsurance. Contractor, at Contractor's own cost and expense, shall procure and maintain, for the duration of the contract, unless modified by the City's Risk Manager, the following insurance policies.
i. Workers' Compensation Coveraqe. Contractor shall maintain Workers' Compensation lnsurance and Employer's Liability lnsurance for his/her employees in accordance with the laws of the State of California. ln addition, Contractor shall require each subcontractor to similarly maintain Workers'Compensation lnsurance and Employer's Liability lnsurance in accordance with the laws of the State of California for all of the subcontractor's employees. Any notice of cancellation or non-renewal of all Workers' Compensation policies must be received by the City at least thirty (30) days prior to such change. The insurer shall agree to waive all rights of subrogation against City, its officers, agents, employees and volunteers for losses arising from work performed by Contractor for City. ln the event that Contractor is exempt from Worker's Compensation lnsurance and Employer's Liability lnsurance for his/her employees in accordance with the laws of the State of California, Contractor shall submit to the City a Certificate of Exemption from Workers Compensation lnsurance in a form approved by the City Attorney.
ii. General Liabilifu Coveraoe. Contractor shall maintain commercial general liability insurance in an amount not less than one million dollars ($1,000,000) per occurrence for bodily injury, personal injury and property damage. lf a commercial general liability insurance form or other form with a general aggregate limit is used, either the general aggregate limit shall apply separately to the work to be performed under this Agreement or the general aggregate limit shall be at least twice the required occurrence limit. Required commercial general liability coverage shall be at least as broad as lnsurance Services Office Commercial General Liability occurrence form CG 0001 (ed. 11l88) or lnsurance Services Office form number GL 0002 (ed. 1/73) covering comprehensive General Liability and lnsurance Services Office form number GL 0404 covering Broad Form Comprehensive General Liability. No endorsement may be attached limiting the coverage.
iii. Automobile Liabilitv Coveraoe. Contractor shall maintain automobile liability insurance covering bodily injury and property damage for all activities of the Contractor arising out of or in connection with the work to be performed under this Agreement, including coverage for owned, hired and non-owned vehicles, in an amount of not less than one million dollars ($1,000,000) combined single limit for each occurrence. Automobile liability coverage must be at least as broad as Insurance Services Office Automobile Liability form CA 0001 (ed. 12lg}) Code 1 ("any auto"). No endorsement may be attached limiting the coverage. b. Endorsements. Each general liability and automobile liability insurance policy shall be with insurers possessing a Best's rating of no less than A:Vll and shall be endorsed with the following specific language :
i. Notwithstanding any inconsistent statement in any required insurance policies or any subsequent endorsements attached thereto, the protection offered by all policies, except for Workers' Compensation, shall bear an endorsement whereby it is provided that, the City and its officers, employees, servants, volunteers and agents and independent contractors, including without limitation, the City Manager and City Attorney, are named as additional insureds. Additional insureds shall be entitled to the full benefit of all insurance policies in the same manner and to the same extent as any other insureds and there shall be no limitation to the benefits conferred upon them other than policy limits to coverages.
ii. This policy shall be considered primary insurance as respects the City, its elected or appointed officers, officials, employees, agents and volunteers. Any insurance maintained by the City, including any self-insured retention the City may have, shall be considered excess insurance only and shall not contribute with it. iii. This insurance shall act for each insured and additional insured as though a separate policy had been written for each, except with respect to the limits of liability of the insuring company.
iv. The insurer waives all rights of subrogation against the City, its elected or appointed officers, officials, employees or agents.
v. Any failure to comply with reporting provisions of the policies shall not affect coverage provided to the City, its elected or appointed officers, officials, employees, agents or volunteers.
vi. The insurance provided by this Policy shall not be suspended, voided, canceled, or reduced in coverage or in limits except after thirty (30) days written notice has been received by the City.
c. Deductibles and Self-lnsured Retentions. Any deductibles or self-insured retentions must be declared to and approved by the City. At the City's option, Contractor shall demonstrate financial capability for payment of such deductibles or self-insured retentions. d. Certificates of lnsurance. Contractor shall provide certificates of insurance with original endorsements to City as evidence of the insurance coverage required herein. Certificates of such insurance shall be filed with the City on or before commencement of performance of this Agreement. Current certification of insurance shall be kept on file with the City at all times during the term of this Agreement.
'17. Notices,. Any notice required to be given under this Agreement shall be in writing and either served personally or sent prepaid, first class mail. Any such notice shall be addressed to tne other party at the address set forth below. Notice shall be deemed communicated within 48 hours from the time of mailing if mailed as provided in this section. lf to CityCity of Lake Elsinore
Attn: City Manager
130 South Main Street
Lake Elsinore, CA 92530
With a copy to:City of Lake Elsinore
Attn: City Clerk
130 South Main Street
Lake Elsinore, CA 92530
lf to Contractor:Amber Air Conditioning. Inc.
Attn: Phil lVlinnis/Ecward Lamberi
29885 Second Streei, STE A & B
Lake Eisinore. CA 92532
18. Assionment and Subcontractino. The parties recognize that a substantial inducement to City for entering into this Agreement is the reputation, experience and competence of Contractor.
Contractor shall be fully responsible to City for all acts or omissions of any subcontractors.
Assignments of any or all rights, duties or obligations of the Contractor under this Agreement will be permitted only with the express consent of the City. Contractor shall not subcontra-t any portion of the work to be performed under this Agreement without the written authorization of the bity. lt City consents to such subcontract, Contractor shall be fully responsible to City for all acts or omissions of those subcontractors. Nothing in this Agreement shall create any contractual relationship between City and any subcontractor nor shall it create any obligation on the part of the City to pay or to see to the payment of any monies due to any such subcontractor other than as otherwise is required by law.
19. Waiver. Waiver of a breach or default under this Agreement shall not constitute a continuing waiver of a subsequent breach of the same or any other provision under this Agreement.
20. Litioation Exoenses and Attornevs' Fees. lf either party to this Agreement commences any legal action against the other party arising out of this Agreement, the prevailing party shall be entitled to recover its reasonable litigation expenses, including court costs, expert witness fees, discovery expenses, and attorneys' fees.
21. Mediation. The parties agree to make a good faith attempt to resolve any disputes arising out of this Agreement through mediation prior to commencing litigation. The parties shall mutually agree upon the mediator and share the costs of mediation equally. lf the parties are unable to agree upon a mediator, the dispute shall be submitted to JAMS or its successor in interest. JAMS shall provide the parties with the names of five qualified mediators. Each party shall have the option to strike two of the five mediators selected by JAMS and thereafter the mediator remaining shall hear the dispute. lf the dispute remains unresolved after mediation, either party may commence litigation.
22. Prohibited lnterests. Contractor maintains and warrants that it has not employed nor retained any company or person, other than a bona fide employee working solely for Contractor, to solicit or secure this Agreement. Further, Contractor warrants that it has not paid nor has it agreed !o p"y any company or person, other than a bona fide employee working solely for Contractor, any fee, commission, percentage, brokerage fee, gift or other consideration contingent upon or resulting from the award or making of this Agreement. For breach or violation of this wairanty, City shall hav6 the right to rescind this Agreement without liability. For the term of this Agreement, no member, officer or employee of City, during the term of his or her service with City, shall have any direct interest in this Agreement, or obtain any present or anticipated material benefit arising theiefrom.
23. Eoual Opoortunitv Emolovment. Contractor represents that it is an equal opportunity employer and it shall not discriminate against any subcontractor, employee or applicant foi employment because of race, religion, color, national origin, handicap, ancestry, sex or age. Such non-discrimination shall include, but not be limited to, all activities related to initial emfloyment, upgrading, demotion, transfer, recruitment or recruitment advertising, layoff or termination.
24. Prevailinq Wages. Contractor is aware of the requirements of California Labor Code Section 1720, et seq., and 1770, et seq., as well as California Code of Regulations, Tiile 8, Section 16000, et seq., ("Prevailing Wage Laws"), which require the payment of prevailing wage rates and the performance of other requirements on "public works" and "maintenance" projects-. Contractor agrees to fully comply with all applicable federal and state labor laws (including, without limitation, if applicable, the Prevailing Wage Laws). lt is agreed by the parties that, in connection with the work or services provided pursuant to this Agreement, Contractor shall bear all risks of payment or non- payment of prevailing wages under California law, and Contractor hereby agrees to defend, indemnify, and hold the City, and its officials, officers, employees, agents, and volunteers, free and harmless from any claim or liability arising out of any failure or alleged failure to comply with the Prevailing Wage Laws. The foregoing indemnity shall survive termination of this Agreement.
25. Severabilitv. lf any term or portion of this Agreement is held to be invalid, illegal, or otherwise unenforceable by a court of competent jurisdiction, the remaining provisions of tnls Agreement shall continue in full force and effect.
26. Controllino Law Venue. This Agreement and all matters relating to it shall be governed by the laws of the State of California and any action brought relating to this Agreement shall be held exclusively in a state court in the County of Riverside.
27. Authoritv to Enter Aoreement. Contractor has all requisite power and authority to conduct its business and to execute, deliver, and perform the Agreement. Each party warrants that the individuals who have signed this Agreement have the legal power, right, and authority to make this Agreement and to bind each respective party. The City Manager is authorized to enter into an amendment or otherwise take action on behalf of the City to make the following modifications to the Agreement: (a) a name change; (b) grant extensions of time; (c) non-monetary changes in the scope of services; and/or (d) suspend or terminate the Agreement.
28. Counteroarts. This Agreement may be executed in several counterparts, each of which shall constitute one and the same instrument and shall become binding upon the parties when at least one copy hereof shall have been signed by both parties hereto. ln approving this Agreement, it shall not be necessary to produce or account for more than one such counterpart.
29. Entire Aoreement: lncorooration: Conflict. This Agreement contains the entire understanding between the parties relating to the obligations described herein. All prior or contemporaneous understandings, agreements, representations and statements, oral or written, are superseded in total by this Agreement and shall be of no further force or effect. Contractor's Proposal is incorporated only for the description of the scope of services and/or the schedule of performance and no other terms and conditions from such proposal shall apply to this Agreement unless specifically agreed to in writing. ln the event of conflict, this Agreement shall take precedence overthose contained in the Contracto/s Proposal.
30. Amendments. This Agreement may be modified or amended only by a written document executed by both Contractor and City and approved as to form by the City Attorney. lN WTNESS WHEREOF, the parties have caused this Agreement to be executed on the date first written above.
"clTY"
CITY OF LAKE ELSINORE, a municipal
corporation
Grant Yates, City Manager
ATTEST
City Clerk
APPROVED AS TO FORM
CityAttorney
Risk Manager
Attachments: Exhibit A - Contracto/s Proposal
.CONTRACTOR"
Amber Air Conditioning,lnc., a Califomia
Corporation.
fu4^
By:
Its:
Edward Lambert
President
L a6ed
EXHIBIT A
CONTRACTOR'S PROPOSAL
IATTACHEDI
HEATING.AIR CONDITIONING SPECIALISTS
*k almber-+* AtR @@NDtr[@NtNG, !N@,
State License 319072. 621742. 29885 Second St., Units A & B, Lake Elsinore, CA92532. (951) 674-6974. Fax (951) 674-7287 Time
Service Call Rates
ResidentialCommercial
0.5 1.0
1.5 2.0
2.5 3.0
3.5 4.0
4.5 5.0
5.5 6.0
6.5 7.0
7.5 8.0
8.5 9.0
9.5 10.0
89.50 r54.50
2r9.50
284.50
349.50
414.50
479.50
544.50
609.50
674.s0
739.50
804.s0
869.s0
934.50
999.s0
1,064.50
1,r29.50
1,194.50
1,259.50
1,324.50
110.00
185.00
260.00
335.00
410.00
48s.00
s60.00
63s.00
710.00
78s.00
860.00
935.00
1,010.00
1,085.00
1,160.00
7,235.00
1,310.00
1,385.00
1,460.00
1,535.00
NOTE: $65.00 for each additional Y,hour Residential
NOTE: $75.00 for each additional Y,how Commercial
*Holiday/Weekend Rates: S275.00 for first Yzhoar & $150.00 for each additional Yzhour* R-22 Refrigerant $1 55.00/lb R-410A Refrigerant $55.50/lb 407 C Refrigerant $55.50nb
Effective 05/01/2025
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 verlfication that the holder is subject to or exempted from licensing by the state, county, federal government, or any other governmental agency.
THIS 15Y0UR LICENSE . NOTTRAi'ISFERABLE
CIry OF IAKE ETSINORE
lssue Date: 81112024 Expiration Date: 713112025
AMBER AIR CONDITIONING
29885 2ND STA
LAKE ELSINORE, CA 92532
BusinessName: AMBERAIRCONDITIONING
Business Location: 29885 2ND STA
LAKE ELSINORE, CA 92532
Owner Name(s): EDWARD LAMBERT
BUSINESS LICENSE NO. 001458
Business Type HVAC CONTRACTOR
ADMtil tSTRAT|VE SERVtcS-UGilStlt6
130 South Main Street Lake Elsinore, CA 92530
9s1.674.3124
TO BE POSTED IN A CONSPICUOUS PLACE
*F*H"^ii"i,mhffif-'-@
,**621742
g#.* AMBER AIR
* CORP
CONDITIONING INC
cr*ai'roC20
ffi
06i30i2025urwrxcsio'ca'gov
-4 ,qconifCERTIFIGATE OF LIABILITY INSURANCE
THIS CERTIFICATEIS ISSUED AS A MATTER OFINFORMATION ONLY ANDCONFERS NO RIGHTS UPONTHE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY ORNEGATIVELY AMEND, EXTEND OR ALTER THECOVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCEDOES NOT CONSTITUTE A CONTRACTBETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVEOR PRODUCER,AND THE CERTIFICA,TE HOLDER.
RAGESCERTIFICATE NUMBER:REVISION NUMBER:
A
rB
City of Lake Elsinore is named as Additional lnsured under the General Liability as per the attached.
Project: All Projects
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLESAdditional Remarks Schedule, may be attached ifmore space is required) (ACORD 101
DISEASE -
$ E.L, DISEASE - EA
$ E,L. EACH ACCIDENT N/A
AND EMPLOYERS' LIABILITY
ANYPROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
under lf
N
COMPENSATION
AGGREGATE
EACH OCCUR
CLAIMS-IVADE
UMBRELLA LIAB
EXCESS LIAB
$
s
$ BODILY INJURY (Per accident)
$ BODILY INJURY (Per person)
000 $ 3t1t2026 3111202s sPPl 820271 01
ANYAUTO
OWNED
AUTOS ONLY
HIRED
AUTOS ONLYAUTOS ONLY
AUTOS
NON.OWNED
SCHEDULED
AUTOMOBILE LIABILITY
$ - COIVP/OP AGG
s 2,000,000 AGGREGATE
$t PERSONAL & ADV INJURY
$1 IVIED EXPone
$1
$1 OCCURRENCE 3t1t2026 3t1t2025 701 31 31433 COMMERCIAL GENERAL LIABILITY .LATMS-MADE 17 o""r*
GEN'L AGGREGATE LIMIT
PRO-
JEcr I
APPLIES PER:
LOC POLICY
LIMITS
TYPE OF INSURANCE
MAYPAIDCLAIMS. BY REDUCED HAVEBEEN LIMITSSHOWN POLICIES.SUCH DITIONSOF coN AND EXCLUSIONSTHETERMS, TOALL tsSUBJECT EREIN H DESCRIBED EPOLICIESBYTH NSURANCEAFFORDED E PERTAINTH ORMAY SSUBE TEMAYTHIS CERTIFICAWHICHTO RESPECTWITH DOCUMENT OROTHER ANYCONTRACT ITIONOF ORCOND REMENTTERM REQUANY ANDING NOTWITHST NDICATED-CYPERIOD EPOLI FORTH ABOVE NAMED NSURED TOTHE ISSUEDBEEN BELOWHAVE URANCELISTED NS POLtCtESOF TTHE THA CERTIFYISTO THIS 33120 Amber Air Conditionino lnc. 29885 2nd St., Units A?B Lake Elsinore CA 92532
INSURED
INSURER
NAIC #
4-7969 626-2
R_G Business lnsurance Agency, lnc. CDS lnsurance Services 2]01E. FinancialWay, Suite 201 clendora, CA 91741'
Agency License #: 0SES7 29
ofsuch lieutn certificateholder tothe notconfer doeson certificatethisanstatement requ mayA endorsement.rre policies certain policy ofthe andconditions theterms to subjectD, WAIVE TIONts tfSUBROGAorbeendorsed. provisions ADDITIONALmuslhave the anrs holder certificatethe IMPORTANT:
DATE (MM/DD/YYYY)
CE
City of Lake Elsinore
130 South Main Street Lake Elsinore CA 92530
ACORD 25 (20r6103)
TION
o 1988.2015 ACORD
The ACORD name and logo are registered marks of ACORD
84215234 1 25-26 cLlAuLo i Mallene CusLer I 3/3/2A25 2:36:05 pM (pST) I paae 1 of I zrfu_@-U- Roqer Gutierrez
AUTHORIZED REPRESENTATIVE
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WLL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
GORPORATION. All rights reserved
INSURER F:
INSURED
AMBER AIR CONDITIONING, INC.
29885 2ND ST, UNIT A AND B
LAKE ELSINORE,CA92532
INSURER E:
INSURER D:
INSURER C :
INSURER B :
22667 tNsuRERA: Ace American lnsurance Company
PRODUCER
USI lnsurance Services, LLC
2502 N Rocky Point Drive
Tampa, FL 33607
NAIC # INSURER(S) AFFORDING COVERAGE
844-2904908
CONTACT
NAME:
IMPORTANT: lf the certificate holder is an ADDITIONAL INSURED, the SUBROGATION lS WAIVED, subject to the terms and conditions of the certificate does not confer rights to the certificate holder in lieu of such policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. lf policy, certain policies may require an endorsement. A statement on this endorsement(s).
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. TH]S
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 |SSU|NG TNSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
DATE (MM/DD/YYYY)
4t24t2024 CERTIFICATE OF LIABILITY INSURANCEAcct#:2525100 COVERAGESCERTIFICATEREVISION NUMBER:
DESCRIPTIONOFOPERATIONSILOCATIONS/VEHICLES (ACORDl0l,AdditionalRemarksSchedule,maybeattachedifmorespaceiscquired) Policy State = CA
Waiver of Subrogaiion in favor of certifi@te holder when required by written contract Launch Pointe RV Resort, 32040 RiveBide Drive, Lake Elsinore. CA 92530 $ 2,000,000 E.L. DISEASE - POLICY LIMIT
g 2,000,000 E.L. DISEASE - EA EMPLOYEE
g 2,000,000 E.L. EACH ACCIDENT
UIH-Ftr
HEK
STATI ITtr X
611t2025 6t1t2024 c55621 184 X N/A
WORKERS COMPENSATION
AND EMPLOYERS' LIAAILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
lf yes, describe under
DESCRIPTION OF OPERATIONS below
Y/N
A
$ RETENTION S DED
$ AGGREGATE
$ EACH OCCURRENCE OCCUR
CLAIIVS-MADE
UMBRELLA LIAB
EXCESS LIAB
s
$
$ BODILY INJURY (Per accident)
$ BODILY INJURY (Per person)
$ AUTOMOBILE LIABILITY
ANY AUTO
OWNED
AUTOS ONLY
HIRED
AUTOS ONLYAUTOS ONLY
AUTOS
NON-OWNED
SCHEDULED
$
$ PRODUCTS. COIVP/OP AGG
$ GENERAL AGGREGATE
$ PERSONAL & ADV INJURY
MED EXP (Anv one oeEon)
$
UAMAGE I O RENTED
PRFMISFS /Fe ntlranea\
$ EACH OCCURRENCE COMMERCIAL GENERAL LIABILITY
GEN'L AGGREGATE LIIMIT APPLIES PER:
LOC
f__l pno-
I JECT POLICY
OCCUR CLAIMS.MADE
LIMITS POLICY EXP rMM/Dnffit
POLICY EFF
fMM'DD/YYYYI POLICY NUMBER
ADDL
lN<n TYPE OF INSURANCE
INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTMCT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSUMNCE 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 IS TO CERTIFY THAT THE POLICIES OF
AUTHORIZED REPRESENTATIVE
{i-.--o- AA4-uLazA-t
City Of Lake Elsinore
130 S Main Street
Lake Elsinore, CA 92530
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
IN ACCORDANCE WITH THE POLICY PROVISIONS.
@
ACORD 2s (2O16t031The ACORD name and logo are registered marks of ACORD All rights reseryed
CALIFORNIA WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement applies only to the insurance provided by the policy because California is shown in ltem
3.A. of the lnformation Page.
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule, but this waiver applies only with respect to bodily injury arising out of the operations described in the Schedule, where you are required by a written contract to obtain this waiver from us.
You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule.
Schedule
1. ( ) SpecificWaiver
Name of person or organization
(X) Blanket Waiver
Any person or organization for whom the Named lnsured has agreed by written contract to fumish this waiver.
2. Operations:
ALL CALIFORNIA OPERATIONS
3. Premium:
The premium charge for this endorsement shall be1.0percent of the Califomia premium developed on payroll in connection with work performed for the above person(s) or organization(s) arising out of the operations described.
4. Minimum Premium: $0
Qz"aA*;..<
Authorized Agent
lnsert the policy number. The remainder of ihe information is to be completed only This endorsement changes the policy to which it is att?ched and is effective on the when this endorsement is issued subsequent to the preparation ofthe policy. date issued unless otherwise stated.
lssued By (Name of the lnsurance Company)
Ace American lnsurance Company
Effective Date of Endorsement
6t1t2024
Policy Period
6t1t2024 rO 6t1t2025
Policy Number
Symbol: WLR Number: C55621184
Named
AMBER AIR CONDITIONING, INC.
29885 2ND ST, UNIT A AND B
LAKE ELSINORE, CA 92532
Endorsement Number
Workers' Compensation and Employers' Liability Policy
wc 90 03 75 (05/18)