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Construction Services Agreement; August 202 5
AGREEMENT FOR CONSTRUCTION SERVICES
THIS AGREEMENT FOR CONSTRUC TION SERVICES is made an d entered into this 26th day of August 2025 by and between the CITY OF LANCASTER , a municipal corporation and charter city, (“City”), an d ACCO ENGINEER ED SYSTEMS, a California Corporation (“Co ntractor”) (collectively, sometimes referred to hereinafter as the “Parties”).
RECITALS
WHEREAS, the City desires to engage Contractor to perform certain services, as provided herein, identified as:
MOAH Chiller Replacement Project (THE “SERVICES”)
WHEREAS, the principal members of Contractor are qualified and duly registered/ licensed under
the laws of the State of California, and Contractor desires to accept such engagement; NOW, THEREFORE, the parties agree as follows:
1. Parties to the Agreement.
The parties to this Agreement are:
A. CITY: CITY COF LANCASTER
B. CONTRACTOR: ACCO ENGINEERED SYSTEMS
2. Notices. All written notices required by or related to this Agreement shall be sent by Certified Mail, Return Receipt Requested, postage prepaid and addressed as listed below. Neither party to this Agreement shall refuse to accept such mail; parties to this Agreement shall promptly inform the other party of any changes of address. All notices required by this Agreement are effective on the day of receipt, unless otherwise indicated herein.
CITY City Lancof aster
Attn: Trolis Niebla, City Manager
44933 North Fern Avenue
Lancaster, California 93534
CONTRACTOR ACCO ENGINEERED SYSTEMS
Attn: Hugh Palmer, Assistant Secretary/Risk Manager
888 East Walnut Street
Pasadena, CA 91101
[email protected]
3. Successors and Assigns. The terms hereof shall be binding upon and inure to the benefit of the successors and assigns of the parties hereto; provi ded, however, that no pa rty hereto shall assig n any of the benefits and burdens hereunder, whether voluntarily or by operation of law, without prior written consent of the other party, and any such assignments without said consent shall be void. - 2 -
Construction Services Agreement; August 2025
4. Description of Work. The City hereby engages Contractor, and Contractor accepts such engagement, to perform the technical and professional services set forth in the “Scope Of Work", attached hereto as Exhibit “A” and incorporated herein by reference. Contractor shall perform and complete, in a manner satisfactory to the City, all work and servic es set forth in Exhibit “A.” The City Manager or his designee shall have the right to review and inspect the work during the course of its performance at such times as may be specified by the City Manager, or his designee.
5. Obligations of the City.
A. The
City shall pay Contractor an amount not to exceed $193,420.97 for all work necessary to complete the Services, as described in the Contractor's Price Proposal, attached hereto as Exhibit "B". Payments shall be due within thirty (3 0) days following submittal of an invoice detailing the services performed, as set forth in Exhibit “A”.
B. No payment made hereunder by the City to Contractor, other than the final payment, shall be construed as an acceptance by the City of any work or materials, nor as evidence of satisfactory performance by Contractor of its obligations under this Agreement.
C. The City shall be allowed to withhold retention in th e amount no less than 5% (five percent) which shall be paid within 30 days upon approval from City Council.
6. Obligations of the Contractor.
A. Contractor shall perform as required by th is Agreement and in accordance with the Scope Of Work set forth in Exhibit "A".
B. Contractor shall be responsible for payment of all employees’ wages and benefits, and shall comply with all require ments pertaining to employer’s lia bility, workers’ compensation, unemployment insurance, and Social Security.
C. Contractor shall not subcontract any of the work requ ired to perform the Services without the express prior written approval of the City.
D. Contractor shall procure bonds per the following guidelines and as set forth in Exhibit "C". The Contract Bonds (Performance & Maintenance Bond and Labor and Material Bond) "shall be duly executed by a responsible corporate surety, authorized to issue such bonds in the State of California and secured through an authorized agent with an office in California." Said bonds shall be secured by an "admitted surety insurer" (as defined in the California Code of Civil Procedure Section 995.120, or successor statute) who can either: (i) meet the minimum rating of A-:VII in the latest edition of the Best's Key Rating Guide Property-Casualty; or (ii) provide the following documentation as mandated by the California Code of Civil Procedure Section 995.660, or successor statute:
7. Hold Harmless and Indemnification. Contractor agrees to indemnify and hold harmless the City, its elected officials, officers and employees, from and against any and all third party claims, losses, obligations, or liabilities whatsoever, including reasonable attorney’s fees, incurred to the extent arising out of or related to Contractor’s negligent or willful wrongful acts, errors or omissions, or those of its employees or agents. Contractor agrees to defend the City, its officers and employees, using counsel of the City’s choosing, from and against any and all claims covered by the indemnity in the preceding sentence.
8. Amendments.
Any amendment, modification, or variation from the terms of this Agreement shall be in writing and shall be effective only upon mutual written approval by the City and Contractor.
(1) The original, or a certified copy, of the unrevoked appointment, power of attorney, bylaws, or other instrument entitling or authorizing the person who executed the bond to do so. (2) A certified copy of the certificate of authority of the insurer issued by the Insurance Commissioner. (3) Evidence that the certificate of authority of the insurer has not been surrendered, revoked, canceled, annulled, or suspended or, in the event that it has, that renewed authority has been granted. (4) Copies of the insurer's most recent annual statement and quarterly statement filed with the Department of Insurance pursuant to Article 10 (commencing with Section 900) of Chapter 1 of Part 2 of Division 1 of the Insurance Code.
9. Payment of Prevailing Wage.
A. The State of California, Department of Industrial Relations, has ascertained the general prevailing rate of wages and employer payments for health and welfare, vacation, pension, and similar purposes applicable to the work to be done. These rates shall be the minimum wage rates for this project. These rates are on file with the City and copies will be made available to any interested party upon
request.
Attention is directed to the provisions of Section 1777.5 (Chapter 1411, Statutes of 1968) and Section 17 77.6 of the Labor Code concerning the employment of apprentices by the CONTRACTOR or any subcontractor under him.
Section 1777.5, as amended, requires the CONTRACTOR or subcontractor employing tradesmen in any apprenticeable occupation to apply to the joint apprenticeship committee nearest the site of the pu
blic works project and which administers the apprenticeship program in that trade for a certificate of approval. The certificate will also fix the ratio of apprentices to journeymen that will be used in the performance of the contract. The ratio of apprentices to journey men in such cases shall not be less than
one to five except:
Construction Services Agreement; August 2025
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(A) When unemployment in the area of coverage by the joint apprenticeship committee has exceeded an average of 15% in the 90 days prior t o the request
for certificate; or
(B)
When the number of apprentices in training in the area exceeds a ratio of one to five; or
(C) When the trade can show that it is replacing at least 1/30 of its membership through appr
enticeship training on an annual basis statewide or locally; or (D) When the CONTRACTOR provides evidence that he employs registered apprentices on all of his contracts on an annual average of not less than one apprentice to eight journeymen.
The CONTRACTOR is required to make contributions to funds established for the admin istration of apprenticesh
ip programs if CONTRACTOR employs registered apprentices or journeymen in any apprenticeab
le trade on such contracts and if other contractors on the public works site are making such contributions.
The C
ONTRACTOR and any subcontractor under them shall comply with the requirements of Section 1777.5 and Section 1777.6 in the employment of apprentices. Information relative to apprenticeship standards, wage schedules, and other requirements may be obtained from the Director of Industrial R
elations, ex officio the Administrator of Apprenticeship, San Francisco, California, or from the Division of Apprenticeship Standards and its branch offices.
B. The provisions of subsection A above shall be included in all solicitations or adv
ertisements placed by or on behalf of CONTRACTOR for personnel to perform any services under th
is Agreement. City shall have access to all documents, data and records of CONTRACTOR and its subcontractors for purposes of determining compliance with the Prevailing Wage provisions of this Sectio
n.
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Construction Services Agreement; August 2025
10. Non-Discrimination and Equal Employment Opportunity.
A. In the performance of this Agreement, Contractor shall not discriminate against any employee, subcontractor, or applicant for employment because of race, color, religion, ancestry, sex, natio
nal origin, physical or mental disability or age. Contractor will take affirmative action to ensure that subcontractors and applicants are employed, and that employees are treated during employment without regard to their race, color, religion, ancestry, sex, national origin, physical or mental disability or age.
Affirmative action relating to employment shall include, but no t be limited to the following: employment,
upgrading, demotion or transfer; recruitment; layoff or termination; rates of pay or other forms of compensation; and selection for training including apprenticeship.
B.
The provisions of subsection A above shall be included in all solicitations or advertisements placed by or on behalf of Contractor for personnel to perform any services under this Agreement. The City shall have access to all documents, data and records of Contractor and its subcontractors for purposes o
f determining compliance with the equal employment opportunity and non- discrimination provisions of this Section.
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Construction Services Agreement; August 2025
12. Termination.
A. For Convenience. The City may terminate this Agreement at any time without cause
by giving thirty (30) days written notice to the oth er party of such termination and specifying the effective date thereof. In the event of termination of this Agreement, Contractor will be paid for work completed through the date of termination within thirty (30) days following submittal of a final invoice.
B. For Cause. If Contractor fails to per form the services called for by this Agreement or so fails to make progress as to endanger perform ance of this Agreement in accordance with its terms, Contractor shall correct such failure within ten (10) days (or such longer period that the C ity may authorize in writing
) after receipt of notice from the City specifying such failure. Should the failure not be corrected within this time period, the C ity may immediate
ly terminate the Agreement by written notice to
Contractor.
C. In the event of termination, whether for convenience or cause , reports, plans, studies and other documents (collect ively, “docu
ments”) related to the Services shall become the City’s property. Contractor shall provide all documents to the City that have not y et been within ten (10) calendar days after termination of the Agreement.
13. Independent Contractor. Contractor is an independent Contractor and shall have no power or authority to incur any debt, obligation or liability on behalf of the City. It is expressly understood between the Parties to this Agreement that no employee/employer relationship is intended.
11. Term; Effective Date. This Agreement sh all become effective and shall be in full force and effect upon the execution of the Agreement by the City and the Contractor. This Agreement shall continue in full force and effect for Twelve (
12) months, unless the Agreement is sooner terminated in accordance with this Agreement;
provided, however, that the City and the Contractor may mutually agree in writing to extend the Term of this Agreement.
of this Agreement the following coverage and limits of insurance, which shall be maintained with insurers listed “A-, VIII” or better in the Best’s Key Rating Guide:
14. Insurance .
A. The Contractor, at its expense, shall maintain in effect at all times during the term $2,000,000
Commercial General Liability
Each Occurrence
Per Project General Aggregate $5,000,000
Including Products/Completed Operations; Contractual Liability/Independent Contractors; Property Damage
(Coverage shall be at le ast as broad as ISO form CG2010 11/85 or CG2010 07/04 and CG2037 07/04 combined, or an equivalent providing ongoing and completed operations) -6 -
Construction Services Agreement; August 2025
Commercial Automobile Liability
Combined Single Limit per Accident for
Bodily Injury and Property Damage $5,000,000
(Coverage shall be at least as broad as ISO form CA00 01) Workers Compensation
As Required by the State of California Statutory Limits Employers’ Liability
Each Accident $1,000,000
Bodily Injury by Disease $1,000,000
Each Employee $1,000,000
(A Waiver of Subrogation must be provided on behalf of the Certificate Holder for the Workers Compensation & Employers’ Liability policies)
B. The Contractor’s insurance shall apply se parately to each insured against whom claim is made or suit is brought, except with respect to the limits of the insured’s liability.
C. Any deductibles or self-insurance retentions must be declared and approved by the
City. At the City’s option, either the insurer sh all reduce or eliminate such deductibles or self-insured retentions as respects the City insured entitie s or the insurer shall proc ure a bond guaranteeing payment of losses an
d related investigations, claim administration and defense expenses.
D. All insurance shall be primary and non-cont ributory as respects the City insured entities. Any insurance or self-insurance maintained by the City insured entities shall be in excess of the Contractor’s insurance and shall not contribute with it.
E. Contractor shall furnish the City with Cer tificates of Insurance and with original endorsements effecting coverage requi red by this Agreement. Certificates of Insurance shall meet the following requirements:
(1) Show that the insurance policy has been endorsed to state that coverage shall not be suspended, voided, cancelled, reduced in coverage or in limits except after 30 days’ prior written notice (10 days’ written notice for non-payment) to the City of Lancaster.
(2) List in the “Descriptions of Operations/Locations/Vehicles” section:
“
MOAH Chiller Replacement Project"
"The City of Lancaster, its elected officials, officers, employees and volunteers are included as additional
covered parties, but only insofar as the operations under this contract are concerned.”
(3) List in the “Certificate Holder” section
:
The City of Lancaster, 44933
Fern Avenue, Lancaster, California 93534.
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Construction Services Agreement; August 2025
15. Ownership of Documents. All plans, specifications, reports, studies, maps and other documents prepared or obtained by C ontractor in the course of performing the work and are required by this Agreement to be d elivered to the City shall be th e pro perty of the City. Basic sketches, charts, computations and similar data prepared or obtai ned by Contractor under this Agreemen t shall, upon request, be made available to City without
restriction
or limitation on their use.
16. Data Provided to Contractor. City shall provide to Contractor, without charge, all data, including reports, r
ecords, maps and other information, now in the City’s possession which may facilitate the timely performance of the
work described in Exhibit "A".
17. Contractor’s Warranties and Representations.
Contractor warrants and represents to City as follows:
A. Contractor has not employed or retained any person or entity, other than a bona fide employee working ex
clusively fo
r Contractor, to solicit or obtain this Agr eement.
B. Contractor has not paid or agreed to pay any person or entity, other than a bona fide employee working exclusively for Contractor, any fee, commission, percentage, gift, or any other consideration conting
ent upon or re sulting from the execution of this Agreement. Upon any breach o r violation of this warr anty, City shall have the right, in its sole disc retion, to terminate this Agreement without further liability, or, in the alternative, to deduct from any sums payable hereunder the full amount or value of any such fee, commission, percentage or gift.
C. Contractor has no knowledge that any officer or employee of the City has any interest, whether contractual, noncontractual, financial, proprietary, or otherwise, in this transaction or in the business of the Contractor, and that if any such interest comes to the knowledge of Contractor at any time, a complete written
disclosure of such interest will be made to City, even if such interest would not be deemed a prohibited “conflict of interest” under applicable laws.
D. Upon the execution of this Agreement, Contractor has no interest, direct or indirect, in any transaction or business entity which would conflict with or in any manne r hinder the performance
of services and work required by this Agreement, nor shall an y such interest be acquired during the term of this Agreement.
18. Resolution of Disputes.
A. Disputes regarding the
interpr etation or application of any provisions of
this Agreement
shall, to the extent reasonably feasible, be resolved through good faith negotiations between the parties.
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Construction Services Agreement; August 2025
B. If the parties cannot resolve the dispute through good f aith negotiations, either party may give Notice of Dispute
to the other party. The Notice of Dispute shall state the nature of the dispute and the corrective action necessary to remedy the dispute.
After Notice of Dispute, the parties shall first attempt to resolve any disputes by mediation. The parties shall agree
on a single mediator. Mediation shall be conducted in Lancaster, California. Each party shall pay its own attorneys’ fees and the costs of mediation shall be split equally between the parties.
If the dispute has not been resolved by mediation within 45 days after Notice of Dispute, or the parties are unable to agree to a mediator, within 15 days after Notice of Dispute, then, the dispute may, upon agreement of the parties be resolved by binding arbitration.
C. If any action at law or in equity is brought to enfor ce or interpret any provisions of this Agreement, the prevailing party in such action shall be entitled to reasonable attorney’s fees, cost and necessary disbursements, in addition to such other relief as may be sought and awarded.
19. Exhibits.
The following exhibits to which reference is made in this Agreement are deemed incorporated herein in their entirety:
20. Governing Law
This Agreement shall be governed by the laws of the State of California.
Exhibit “A”
Exhibit "B"
Exhibit "C"
Scope of Work
Contractor's Price Proposal
Performance and Labor Bo
nds
[Signatures begin on following page]
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Construction Services Agreement; August 2025
21. Levine Act
For use with Licenses, Permits, POs, and RFPs
California Levine Act Statement
California Government Code Section 84308, commonly referred to as the "Levine Act," prohibits any Lancaster official from participating in any action related to a contract or application if he or she receives any political contributions totaling more than $250 within the previous twelve months, and for twelve months following the date a final decision is rendered.
The Levine Act also requires a Lancaster City official who has received such a contribution to disclose the contribution on the record of the proceeding.
Current Lancaster City Council Members are listed at:
htt ps: //www. cit yo flan ca sterca. o rg /gave r nm en t/ city-a ffi ci a Is/city-co u n c i I-copy Current Planning Commissioners are listed at:
https://www.cityoflancasterca.org/government/commissions-appointments/planning Proposers are responsible for accessing this link to review the names prior to answering the following questions.
1. Have you or your company, or any agent/board member on behalf of you or your company/entity, made any political contributions of more than $250 to any Lancaster City Council Member or other city official in the 12 months preceding the date of the submission of your proposal or application, or the anticipated date of any Council action?
DYES If yes, please identify the Council Member(s)/city official(s):
2. Do you or your company/entity, or any agency on behalf of you or your company/entity, anticipate or plan to make any political contribution of more than $250 to any Lancaster City Council Member or other city official in the 12 months following any Council action related to your proposal or application? □ YES If yes, please identify the Council Member(s) /city official(s):
(Please note that if this is a contract lasting more than one (1) year that you must update this form if there are any contributions made after the contract is awarded) Answering yes to either of the two questions above does not preclude the Lancaster City Council from awarding a contract or approving an application or any subsequent action. It does however, preclude the identified Council Member (s) from participating in any actions related to your proposal or application . ., I i '1. I i,o 'l.,�
Date Signature of authorized individual
11-U O 1:i,.5 l>1e-e,('-e J. 5 11�5
Company/Applicant Name
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Construction Services Agreement; August 2025
IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed and attested by their respective officers thereunto duly authorized.
CITY OF LANCASTER
LANCASTER, CALIFORNIA
By:
Trolis Niebla, City Manager
Contractor: ACCO ENGINEERED SYSTEMS
By:
Hugh Palmer, Assistant Secretary/Risk Manager
ATTEST:
City Clerk
APPROVED AS TO FORM:
City Attorney
CONTRACT SUBMISSION APPROVAL:
__________________________________________
Department Head
________
________
RM
Dated: __________________________________________
Dated: _________________________________________
EXHIBIT “A”
SCOPE OF WORK
The work to be performed under this contract shall include:
A. “Scope Of Work”
ACCO ENGINEERED SYSTEMS | 265 McCormick Ave | Costa Mesa, CA 92626 City of Lancaster
Musuem Chiller Replacement
665 W Lancaster Blvd,
Lancaster CA 93534
August 4, 2025
RE: City of Lancaster
Lancaster Community Center
1 | P a g e
Mechanical Services
949-205-9511 Cell
265 McCormick Ave
Costa Mesa, CA 92626
August 4, 2025
Mr. Jeffrey Cox
Maintenance Supervisor
Email: [email protected]
Phone: (661) 576-8631
Subject:
ACCO Engineered Systems is pleased to provide the following proposal for the installation of one (1) new air-cooled chiller for the Lancaster Museum of Art and History. ACCO will provide our full construction resources for this project to ensure that all construction timelines are accommodated.
MECHANICAL SCOPE
1. Isolate power source and LOTO chiller.
2. Isolate water source to chiller and properly drain.
3. Pipe off existing supply and return pipe runs from chiller
4. Disconnect and remove existing low voltage BMS connections.
5. Utilizing a crane demo and remove existing chiller
6. Utilizing a crane provide and install one (1) new chiller. a. Property mount new chiller to existing I-beam using structural attachments.
7. Pipe in existing return and supply pipe runs to new chiller.
8. Return electrical power source and water source back to unit.
9. Connect low-voltage BMS connections to unit.
10. Start-up, test and check system for proper operations.
11. Make any recommendations to customer before departure
12. All work to be performed during normal business hours.
Mechanical Clarifications:
1. Work to be completed during after-hours.
2. Work will be under prevailing wages
3. Structural improvements/upgrades.
4. Temporary Cooling
5. ACCO will perform work on the above equipment only.
6. If additional repairs are needed, ACCO will submit supplemental proposal for review and approval
PRICING:
Total per ezIQC
RE: City of Lancaster
Lancaster Community Center
2 | P a g e
Mechanical Services
949-205-9511 Cell
265 McCormick Ave
Costa Mesa, CA 92626
Proposal Terms:
This proposal is valid for 30 days unless otherwise indicated. Thank you for this opportunity to quote this project and we look forward to working with you. Should you have any questions or require additional information, please call.
Respectfully,
ACCO Engineered Systems
Andy Lufkin
Project Manager
(818) 730-5845
Daniel Cazares
Sales Engineer
(714) 417-3248
EXHIBIT “B”
CONTRACTOR'S PRICE PROPOSAL
A. Contractor's Price Proposal - Summary
B. Contractor's Price Proposal - Detail
4.00 Contractor's Price Proposal - Summary
Owner PO #:
Lancaster Museum of
Art Air-Cooled Chiller Replacement
146198.00
CA-R7-HVAC-101723-AESIQC Master Contract #:
Work Order #:
Title:
Re:
August 06, 2025Date:
Proposal Value:
Contractor: ACCO Engineered Systems
$193,420.97
$198,420.97Chiller Replacement Pricing non stock
-$5,000.00discount for stock; price pending stock availability Proposal Total
Thisl total represents the correct total for the proposal. Any discrepancy between line totals, sub-totals and the proposal total is due to rounding.
$193,420.97
The Percentage of NPP on this Proposal: %
8/6/2025
Contractor's Price Proposal - Summary
5.00 Contractor's Price Proposal - Detail
Lancaster Museum of Art Air-Cooled Chiller Replacement
146198.00
CA-R7-HVAC-101723-AESIQC Master Contract #:
Work Order #:
Owner PO #:
Title:
Re:
August 06, 2025Date:
Proposal Value:
Contractor: ACCO Engineered Systems
$193,420.97
(Excludes)Equip. MaterialLabor
Line TotalDescriptionUOMMod.ItemSect.
Chiller Replacement Pricing non stock
01 22 16 00 0002 Reimbursable FeesReimbursable Fees will be paid to the contractor for eligible costs as directed by Owner. Insert the appropriate quantity to adjust the base cost to the actual Reimbursable Fee. If there are multiple Reimbursable Fees, list each one separately and add a comment in the "note" block to identify the Reimbursable Fee (e.g. sidewalk closure, road cut, various permits, extended warranty, expedited shipping costs, etc.). A copy of each receipt, invoice, or proof of payment shall be submitted with the Price Proposal. 1 $4,271.29EA
Installation =x x 4,271.29
FactorUnit PriceQuantity Total
1.00 1.1000 3,882.99
PAYMENT AND PERFORMANCE BONDS PER SOURCEWELL AGREEMENT 2% OF $194,149.68= $3,882.99
01 22 23 00 1159 50 To 55 Ton Lift, Truck Mounted Hydraulic Crane With Full-Time Operator2 $5,275.39DAY Installation =x x 5,275.39
FactorUnit PriceQuantity Total
2,624.57 1.3400 1.50
crane will be onsite to remove and repalce the failing air cooled chiller 01 71 13 00 0009 >40 To 70 Ton Lift Move On/Off Cost, Hydraulic CraneIncludes delivery and pickup.
3 $1,525.38EA
Installation =x x 1,525.38
FactorUnit PriceQuantity Total
1,138.34 1.3400 1.00
Set up and demobilization of crane
05 05 21 00 0019 7/8" Vertical Fillet Weld4 $4,781.12LF Installation =x x 4,781.12
FactorUnit PriceQuantity Total
142.72 1.3400 25.00
connection of the new pipe materials to the new chiller 23 09 23 11 0670 Tropicalization OptionProtective varnish applied to organic material, and internal body cavities are painted. Inhibits fungus growth. 5 $6,054.17EA
Installation =x x 6,054.17
FactorUnit PriceQuantity Total
1,129.51 1.3400 4.00
protective coating on coils
23 09 23 53 0003 EMCS Site Inspection Of Existing Facilities6 $2,034.98HR Installation =x x 2,034.98
FactorUnit PriceQuantity Total
189.83 1.3400 8.00
Disconnect Reconnect BMS
23 09 23 53 0006 EMCS System Software Programming And Graphics Programming7 $3,520.02HR Installation =x x 3,520.02
FactorUnit PriceQuantity Total
164.18 1.3400 16.00
Disconnect Reconnect BMS
23 09 23 53 0012 EMCS Pre-Functional TestsPriced per controller. Task used after warranty period only.
8 $324.01PNT
Installation =x x 324.01
FactorUnit PriceQuantity Total
24.18 1.3400 10.00
Disconnect Reconnect BMS
8/6/2025
Contractor's Price Proposal - Detail
Contractor's Price Proposal - Detail Continues..
Work Order Title:
Work Order Number: 146198.00
Lancaster Museum of Art Air-Cooled Chiller Replacement
Chiller Replacement Pricing non stock
23 09 23 53 0013 EMCS Functional Performance Tests (Field Based Tests / Trend Analysis)Priced per controller. Task used after warranty period only. 9 $427.59PNT
Installation =x x 427.59
FactorUnit PriceQuantity Total
31.91 1.3400 10.00
Disconnect Reconnect BMS
23 09 23 53 0017 EMCS Field TestPriced per point.10 $1,805.38PNT Installation =x x 1,805.38
FactorUnit PriceQuantity Total
134.73 1.3400 10.00
Disconnect Reconnect BMS
23 09 23 53 0018 EMCS Field Checkout And StartupPriced per point.11 $1,805.38PNT Installation =x x 1,805.38
FactorUnit PriceQuantity Total
134.73 1.3400 10.00
Disconnect Reconnect BMS
23 09 23 53 0019 EMCS Field CommissioningPriced per point.12 $1,805.38PNT Installation =x x 1,805.38
FactorUnit PriceQuantity Total
134.73 1.3400 10.00
Disconnect Reconnect BMS
23 09 23 53 0020 EMCS Field Balance SupportPriced per controller.13 $0.00EA Installation =x x 0.00
FactorUnit PriceQuantity Total
115.43 1.3400 0.00
Disconnect Reconnect BMS
23 09 23 53 0280 Chiller Optimization Program14 $11,740.81EA Installation =x x 11,740.81
FactorUnit PriceQuantity Total
8,761.80 1.3400 1.00
The new air cooled chiller willbe able to modulate and improve the efficiency through the optimized chiller sequencing
23 21 13 23 0383 4" Schedule 40 Welded Plain End Black Steel Pipe And Fitting AssemblyIncludes all hangers and all fittings (couplings, elbows, tees and reducer fittings). All hangers are complete assemblies. Not for use where detail is available.
15 $4,005.93LF
Installation =x x 3,618.00
FactorUnit PriceQuantity Total
108.00 1.3400 25.00
Demolition x x = 387.93 11.58 1.3400 25.00
new pipe as needed for new chiller supply and return pipe 23 64 26 13 0002 70 Ton Packaged Air-Cooled Rotary-Screw Water Chiller16 $149,044.14EA Installation =x x 143,418.23
FactorUnit PriceQuantity Total
107,028.53 1.3400 1.00
Demolition x x = 5,625.91 4,198.44 1.3400 1.00
• Hermetic Scroll Compressors (QTC3)
With R-454B refrigerant
Including the following: (SEE PRICING OPTIONS AND DETAILS BELOW FOR EXACT OFFERING) • Air cooled condenser coil with coated coils
• Scroll compressors
• R-454B refrigerant
• Microprocessor Control Center with Native Communications (BACnet (MS/TP), Modbus and N2 • Ckt Breaker Disconnect
• Wire/Louvered Enclosure Panels – options included on stock chillers • Neoprene Isolators – option included on stock chillers • Control Power Transformer – option included on stock chillers • Low Ambient Kit to 0 degrees F – option included on the stock chillers • Service Isolation Valve Option included on stock chillers • Hot Gas Bypass – 1 Circuit Option
$198,420.97Subtotal for Chiller Replacement Pricing non stock discount for stock; price pending stock availability
8/6/2025
Contractor's Price Proposal - Detail
Contractor's Price Proposal - Detail Continues..
Work Order Title:
Work Order Number: 146198.00
Lancaster Museum of Art Air-Cooled Chiller Replacement
discount for stock; price pending stock availability
01 22 16 00 0002 Reimbursable FeesReimbursable Fees will be paid to the contractor for eligible costs as directed by Owner. Insert the appropriate quantity to adjust the base cost to the actual Reimbursable Fee. If there are multiple Reimbursable Fees, list each one separately and add a comment in the "note" block to identify the Reimbursable Fee (e.g. sidewalk closure, road cut, various permits, extended warranty, expedited shipping costs, etc.). A copy of each receipt, invoice, or proof of payment shall be submitted with the Price Proposal. 17 -$5,000.00EA
Installation =x x -5,000.00
FactorUnit PriceQuantity Total
1.00 1.0000-5,000.00
Discount for in-stock chiller replacement; pricing valid for stock chiller only; if not approved while stock option is still available chiller will have 10 week lead time
-$5,000.00Subtotal for discount for stock; price pending stock availability Proposal Total
This total represents the correct total for the proposal. Any discrepancy between line totals, sub-totals and the proposal total is due to rounding.
$193,420.97
The Percentage of NPP on this Proposal: %
8/6/2025
Contractor's Price Proposal - Detail
Subcontractor Listing
146198.00
Lancaster Museum of Art Air-Cooled Chiller Replacement
CA-R7-HVAC-101723-AESIQC Master Contract #:
Work Order #:
Owner PO #:
Title:
Re:
August 06, 2025Date:
Proposal Value:
Contractor: ACCO Engineered Systems
$193,420.97
%DutiesName of Contractor Amount
No Subcontractors have been
selected for this Work Order
0.00$0.00
6.00
8/6/2025
Subcontractor Listing
EXHIBIT "C"
PERFORMANCE BOND
KNOW ALL MEN BY THESE PRESENTS: THAT WHEREAS, the City of Lancaster, County of Los Angeles, State of California, on August 26, 2025, has awarded to ACCO Engineered Systems, hereinafter designated as the "Principal," a contract to provide MOAH Chiller Replacement Project, per EZIQC Contract No.: CA-R7- HVAC-101723-AES, together with appurtenances thereto; and WHEREAS, said Principal is required under the terms of said contract to furnish a bond for the faithful performance of said contract;
NOW THEREFORE, we, ACCO Engineered Systems as Principal, and «Surety» as Surety, are held and firmly bound unto the City of Lancaster, California, hereinafter called the Contracting Agency in the penal sum of one hundred percent (100%) of the amount of One Hundred Ninety-three Thousand Four Hundred Twenty Dollars and Ninety-seven Cents ($193,420.97) lawful money of the United States of America, for payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors, jointly and severally, firmly by these presents.
THE CONDITION OF THE OBLIGATION IS SUCH THAT, if the hereby bonded Principal, his or its heirs, executors, administrators, successors, or assigns, shall in all things stand to and abide by and well and truly keep and perform all the undertakings, terms, covenants, conditions and agreements in the said contract and any alteration thereof, made as therein provided, all within the time and in the manner therein designated and in all respects according to their true intent and meaning, then this obligation shall become null and void, otherwise it shall be and remain in full force and effect. The obligation of Surety hereunder shall continue so long as any obligation of Principal remains.
FURTHER, the said Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration or modification of the Contract Document or of the work to be performed thereunder, shall in any way affect its obligation on this bond, and it does hereby waive notice of any such change, extension of time, alteration or modification of the Contract Documents or of work to be performed thereunder.
IN WITNESS WHEREOF, one (1) original of this instrument, which shall for all purposes be deemed an original thereof, has been duly executed by the Principal and Surety herein named on the ________ day of ____________________, 20___.
The name and corporate seal of each corporate party being hereto affixed and these presents duly signed by its undersigned representative pursuant to authority of its governing body. «Contractor»
Principal
«Surety»
By:
By:
LABOR AND MATERIAL BOND
KNOW ALL MEN BY THESE PRESENTS: THAT WHEREAS, the City of Lancaster, County of Los Angeles, State of California, on August 26, 2025 has awarded to ACCO Engineered Systems, hereinafter designated as the "Principal," a contract for the construction of MOAH Chiller Replacement Project, per EZIQC Contract No.:
CA-R7-HVAC-101723-AES, together with appurtenances thereto, and WHEREAS, said Principal is required to furnish a bond in connection with said contract providing that if said Principal, or any of his or its subcontractors, shall fail to pay for any materials, provisions, provender, or other supplies or equipment used in, upon or about the performance of the work contracted to be done, or for any work or labor done thereon of any kind, the Surety of this bond will pay the same to the extent hereinafter set forth;
NOW THEREFORE, we, ACCO Engineered Systems as Principal, and «Surety» as Surety, are held and firmly bound unto the City of Lancaster, California, hereinafter called the "Contracting Agency" in the penal sum of hundred percent (100%) of bid One Hundred Ninety-three Thousand Four Hundred Twenty Dollars and Ninety-seven Cents ($193,420.97) lawful money of the United States of America, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators and successors, jointly and severally, firmly by these presents.
THE CONDITION OF THIS OBLIGATION IS SUCH THAT if said principal, his or its heirs, executors, administrators, successors or assigns, shall fail to pay for any materials, provisions, provender, or other supplies or equipment used in, upon, for or about the performance of the work contracted to be done, or for amounts due under applicable State law for any work or labor thereon of any kind, and provided that the persons, companies or corporations so furnishing said materials, provisions, provender, or other supplies, equipment, appliances or power used in, upon, for or about the performance of the work contracted to be executed or performed, or any persons, company or corporation renting or hiring teams, Surety
implements, machinery or power, for or contributing to said work to be done, or any person who performs work or labor upon the same, or any person who supplies both work and material therefor, shall have complied with the provisions of applicable State law, then said Surety will pay the same in or to an amount not exceeding the amount hereinabove set forth, and also will pay in case suit is brought upon this bond, such reasonable attorney’s fees as shall be fixed by the court, awarded and taxes as in the above mentioned Statute provided. The bond shall insure to the benefit of any and all persons, companies and corporations entitled to file claims under applicable State law, so as to give a right of action to them or their assigns in any suit brought upon this bond.
FURTHER, the said Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration or modification of the Contract Documents or of the work to be performed thereunder shall in any way affect its obligations on this bon d, and it does hereby waive notice of such change, extension of time, alteration or modification of the Contract Documents or of work to be performed thereunder.
IN WITNESS WHEREOF, one (1) original of this instrument, which shall for all purposes be deemed an original thereof, has been duly executed by the Principal and Surety herein named on the ________ day of ____________________, 20___.
The name and corporate seal of each corporate party being hereto affixed and these presents duly signed by its undersigned representative pursuant to authority of its governing body. «Contractor»
Principal
By:
«Surety»
Surety
By:
ABLOP Holder Identifier : 7777777707070700077763616065553330763716557305557707452136663517300073641576047221130772415546166455307526411732230152075626371764323300750403355223675207344015752274130077727252025773110777777707000707007 6666666606060600062606466204446200622200604224220006000204040262202062202260422620020600020406226202206020004262240020062200260622400200622220606204022206220204040220420066646062240664440666666606000606006 Certificate No : 570109650580
CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY )
12/04/2024
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATI ON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AM END, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE P OLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONST ITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AU THORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
PRODUCER
Aon Risk Insurance Services West, Inc.
Los Angeles CA Office
707 Wilshire Boulevard
Suite 2600
Los Angeles CA 90017-0460 USA
PHONE
(A/C. No. Ext):
E-MAIL
ADDRESS :
INSURER(S) AFFORDING COVERAGE NAIC #
(866) 283-7122
INSURED 33600 LM Insurance Corporation INSURER A :
23035 Liberty Mutual Fire Ins Co INSURER B :
24066 American Fire & Casualty Co INSURER C :
INSURER D :
INSURER E :
INSURER F :
FAX
(A/C. No .): (800) 363-0105
CONTACT
NAME:
ACCO Engineered Systems, Inc.
888 East Walnut Street
Pasadena CA 91101 USA
COVERAGES CERTIFICATE NUMBER : 570109650580 REVISION NUMBER :
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE L ISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A BOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH R ESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSUR ANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS S UBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES . LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS . Limits shown are as requested
POLICY EXP
(MM /DD /YYYY )
POLICY EFF
(MM /DD /YYYY )
SUBR
WVD
INSR
LTR
ADDL
INSD POLICY NUMBER TYPE OF INSURANCE LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
POLICY LOC
EACH OCCURRENCE
DAMAGE TO RENTED
PREMISES (Ea occurrence )
MED EXP (Any one person )
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP /OP AGG
X
X
X X
GEN 'L AGGREGATE LIMIT APPLIES PER :
$2,000,000
$1,000,000
$5,000
$2,000,000
$4,000,000
$4,000,000
B 10/01/2024 10/01/2025 Y TB2661067353034
PRO-
JECT
OTHER :
AUTOMOBILE LIABILITY
ANY AUTO
OWNED
AUTOS ONLY
SCHEDULED
AUTOS
HIRED AUTOS
ONLY
NON-OWNED
AUTOS ONLY
BODILY INJURY ( Per person)
PROPERTY DAMAGE
(Per accident)
X
BODILY INJURY (Per accident)
$5,000,000 B 10/01/2024 10/01/2025 Y COMBINED SINGLE LIMIT (Ea accident)
AS2-661-067353-024
EXCESS LIAB
X OCCUR
CLAIMS-MADE AGGREGATE
EACH OCCURRENCE
DED
$5,000,000
$5,000,000
10/01/2024 UMBRELLA LIAB C 10/01/2025 EUA2563708502
RETENTION
X
E.L. DISEASE-EA EMPLOYEE
E.L. DISEASE-POLICY LIMIT
E.L. EACH ACCIDENT
$1,000,000
X OTH-
ER
PER STATUTE A 10/01/2024 10/01/2025
$1,000,000
Y / N
(Mandatory in NH)
ANY PROPRIETOR / PARTNER / EXECUTIVE
OFFICER/MEMBER EXCLUDED? N / A
Y
N
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
If yes, describe under
DESCRIPTION OF OPERATIONS below
$1,000,000
WA566D067353014
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) [RE: Operations of the Named Insured.]
[AI: City of Lancaster, its elected officials, officers, employees and volunteers] are included as Additional Insured with respect to the General Liability and Automobile Liability Policies; granted a Waiver of Subrogation for the Workers' Compensation Policy as required by written contract but limited to the operations of the insured under the said contract.CANCELLATION CERTIFICATE HOLDER
AUTHORIZED REPRESENTATIVE
City of Lancaster
44933 Fern Avenue
Lancaster CA 93534 USA
ACORD 25 (2016/03)
©1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCE LLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS .
CG 20 10 04 13 © ISO Properties, Inc., 2012 Page 1 of 2 POLICY NUMBER: TB2-661-067353-034 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13
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
A. Sec
tion 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 p ut 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.
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.
CG 20 10 04 13 © Insurance Services Office, Inc., 2012 Page 2 of 2
SCHEDULE
Name Of Additional Insured Person(s)
Or Organization(s) Location(s) Of Covered Operations
All persons or organizations with whom you have entered into a written contract or agreement, prior to an
"occurrence" or offense, to provide additional insured status.
All locations as required by a written contract or
agreement entered into prior to an "occurrence" or
offense.
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
CG 20 37 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: TB2-661-067353-034 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13
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
SCHE
DULE
Name Of Additional Insured Person(s)
Or Organization(s) Location And Description Of Completed Operations All persons or organizations with whom you have
entered into a written contract or agreement, prior to an "occurrence" or offense, to provide additional insured
status
All locations as required by a written contract or agreement entered into prior to an "occurrence" or offense.
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Sec
tion 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 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.
CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 POLICY NUMBER: AS2-661-067353-024 COMMERCIAL AUTO
CA 20 48 10 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED INSURED FOR
COVERED AUTOS LIABILITY COVERAGE
This
endorsement modifies insurance provided under the following:
AUTO
DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
Wit
h 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 does not alter coverage provided in the Coverage Form.
SCHE
DULE
Name Of Person(s) Or Organization(s):
Any person or organization whom you have agreed in writing to add as an additional insured, but only to coverage and minimum limits of insurance required by the written agreement, and in no event to exceed either the scope of coverage or the limits of insurance provided in this policy Information required to complete this Schedule, if not shown above, will be shown in the Declarations .
Each per
son 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 Paragraph A.1. of Section II –
Covered Autos Liability Coverage in the Business
Auto and Motor Carrier Coverage Forms and
Paragraph D.2. of Section I – Covered Autos
Coverages of the Auto Dealers Coverage Form.
LIM 99 04 03 14 © 2014 Liberty Mutual Insurance. All rights reserved.
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
Policy Number TB2-661-067 353-034
Iss
ued by Liberty Mutual Fire Insurance Co.
THI
S ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
NOTI
CE OF CANCELLATION OR MATERIAL REDUCTION IN COVERAGE TO THIRD PARTIES This
endorsement modifies insurance provided under the following:
BUSI
NESS AUTO COVERAGE PART
MOTOR CARRIER COVERAGE PART
GARAGE COVERAGE PART
TRUCKERS COVERAGE PART
EXCESS AUTOMOBILE LIABILITY INDEMNITY COVERAGE PART
SELF-INSURED TRUCKER EXCESS LIABILITY COVERAGE PART
COMMERCIAL GENERAL LIABILITY COVERAGE PART
EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
LIQUOR LIABILITY COVERAGE PART
COMMERCIAL LIABILITY – UMBRELLA COVERAGE FORM
Schedule
Name of Other Person(s) /
Organization(s):
Email Address or mailing address: Number Days Notice:
Per schedule on file with broker Per schedule on file with broker 30 days A. If w
e cancel this policy for any reason other than nonpayment of premium, or make a material reduction in coverage, we will notify the persons or organizations shown in the Schedule above. We will send notice to the email or mailing address listed above at least 10 days, or the number of days listed above, if any, before the cancellation becomes effective. In no event does the notice to the third party exceed the notice to the first named insured.
B. This
advance notification of a pending cancellation or material reduction of coverage is intended as a courtesy only. Our failure to provide such advance notification will not extend the policy cancellation date nor negate cancellation of the policy.
All
other terms and conditions of this policy remain unchanged.
Policy Number: Issued By:
Schedule
LIM 99 01 05 11© 2011, Liberty Mutual Group of Companies. All rights reserved.Page 1 of 1Includes copyrighted material of Insurance Services Office, Inc.with its permission.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.NOTICE OF CANCELLATION TO THIRD PARTIESThis endorsement modifies insurance provided under the following:BUSINESS AUTO COVERAGE PARTMOTOR CARRIER COVERAGE PARTGARAGE COVERAGE PARTTRUCKERS COVERAGE PARTEXCESS AUTOMOBILE LIABILITY INDEMNITY COVERAGE PARTSELF-INSURED TRUCKER EXCESS LIABILITY COVERAGE PARTCOMMERCIAL GENERAL LIABILITY COVERAGE PARTEXCESS COMMERCIAL GENERAL LIABILITY COVERAGE PARTPRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PARTLIQUOR LIABILITY COVERAGE PART Name of Other Person(s)/ Email Address or mailing Number Organization(s): address: Days Notice:
A.If we cancel this policy for any reason other than nonpayment of premium, we will notify the persons or organizations shown in the Schedule above. We will send notice to the email or mailing address listed above at least 10 days, or the number of days listed above, if any, before the cancellation becomes effective. In no event does the notice to the third party exceed the notice to the first named insured.B.This advance notification of a pending cancellation of coverage is intended as a courtesy only. Our failure to provide such advance notification will not extend the policy cancellation date nor negate cancellation of the policy.All other terms and conditions of this policy remain unchanged.
AS2-661-067353-024Liberty Mutual Fire Insurance Co.
Per schedule on file with brokerPer schedule on file with broker30 WM 90 18 06 11 © 2011 Liberty Mutual Group of Companies Page 1 of 1 Ed. 06/01/2011 All Rights Reserved
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
NOTICE OF CANCELLATION TO THIRD PARTIES
A. If w
e cancel this policy for any reason other than nonpayment of premium, we will notify the persons or organizations shown in the Schedule below. We will send notice to the email or mailing address listed below at least 10 days, or the number of days listed below, if any, before cancellation becomes effective. In no event does the notice to the third party exceed the notice to the first named insured.
B. This
advance notification of a pending cancellation of coverage is intended as a courtesy only. Our failure to provide such advance notification will not extend the policy cancellation date nor negate cancellation of the policy.
SCHE
DULE
Nam
e of Other Person(s) / Email Address or mailing address: Number Days Notice:
Organization(s):
Per schedule on file with broker Per schedule on file with broker 30 days All
other terms and conditions of this policy remain unchanged.
Effective Date 10/01/2024 Premium $
Issued by LM Insurance Corp.
For attachment to Policy No. WA5-66D-067353-014
Issued to
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
WC 00 03 13
© 1983 National Council on Compensation Insurance, Inc. Page 1 of 1 Ed. 4/1/1984
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. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us. ) This
agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
Sched
ule
Where
required by contract or written agreement prior to loss and allowed by law.
Effective Date 10/01/2024 Premium
Issued by: LM Insurance Corp.
For attachment to Policy No WA5-66D-067353-014
Issued to: ACCO Engineered Systems, Inc.