Won-Door - 2015 AgreementAGREEMENT FOR SERVICES
(For contracts of $5,000 or less — NON- DESIGN OR NON - ENGINEERING TYPE CONTRACTOR)
This AGREEMENT made this 22 day of April, 2015, between:
CITY: City of Gilroy, having a principal place of business at
7351 Rosanna Street, Gilroy, California
and CONTRACTOR: WON -DOOR CORPORATION, having a principal place of business at
1865 South 3480 West Salt Lake City, UT. 84104.
ARTICLE I. TERM OF AGREEMENT
This Agreement will become effective on April 22 °`t- 2015 and will continue in effect
through June 30`x' . 2015 unless terminated in accordance with the provisions of Article 7 of this
Agreement.
ARTICLE 2. INDEPENDENT CONTRACTOR STATUS
It is the express intention of the parties that CONTRACTOR is an independent contractor
and not an employee, agent, joint venturer or partner of CITY. Nothing in this Agreement shall
be interpreted or construed as creating or establishing the relationship of employer and employee
between CITY and CONTRACTOR or any employee or agent of CONTRACTOR. Both parties
acknowledge that CONTRACTOR is not an employee for state or federal tax purposes.
CONTRACTOR shall not be entitled to any of the rights or benefits afforded to CITY'S
employees, including, without limitation, disability or unemployment insurance, workers'
compensation, medical insurance, sick leave, retirement benefits or any other employment
benefits. CONTRACTOR shall retain the right to perform services for others during the term of
this Agreement.
ARTICLE 3. SERVICES TO BE PERFORMED BY CONTRACTOR
Specific Services
CONTRACTOR agrees to: Perform the services as outlined in Exhibit "A" within the
time periods described therein.
Method of Performing Services
CONTRACTOR shall determine the method, details and means of performing the above -
described services. CITY shall have no right to, and shall not, control the manner or determine
the method of accomplishing CONTRACTOR'S services.
.y
4851.9718- 0fi97v1
ARTICLE 5. OBLIGATIONS OF CONTRACTOR
Tools and Instrumentalities
CONTRACTOR shall supply all tools and instrumentalities required to perform the
services under this Agreement at its sole cost and expense. CONTRACTOR is not required to
purchase or rent any tools, equipment or services from CITY.
Licenses
CONTRACTOR shall possess a State of California Contractor's license in the
appropriate category for performing services under this Agreement. CONTRACTOR shall
obtain a City of Gilroy Business License.
Workers' Compensation
CONTRACTOR agrees to provides workers' compensation insurance for
CONTRACTOR'S employees and agents and agrees to hold hartnless, defend with counsel
acceptable to CITY and indemnify CITY, its officers, representatives, agents and employees
from and against any and all claims, suits, damages, costs, fees, demands, causes of action,
losses, liabilities and expenses, including without limitation attorneys' fees, arising out of any
injury, disability, or death of any of CONTRACTOR'S employees.
Indemnification of Liability, Duty to Defend
A. As to all liability, to the fullest extent permitted by law, CONTRACTOR shall
defend, through counsel approved by CITY (which approval shall not be unreasonably withheld),
indemnify and hold hannless CITY, its officers, representatives, agents and employees against
any and all suits, damages, costs, fees, claims, demands, causes of action, losses, liabilities and
expenses, including without limitation attorneys' fees, arising or resulting directly or indirectly
from any act or omission of CONTRACTOR or CONTRACTOR'S assistants, employees or
agents, including all claims relating to the injury or death of any person or damage to any
property.
insurance
In addition to any other obligations under this Agreement, CONTRACTOR shall, at no
cost to CITY, obtain and maintain throughout the term of this Agreement: (a) Commercial
Liability Insurance on a per occurrence basis, including coverage for owned and non - owned .
automobiles, with a minimum combined single limit coverage of 51,000,000 per occurrence for
all damages due to bodily injury, sickness or disease, or death to any person, and damage to
property, including the loss of use thereof. As a condition precedent to CITY'S obligations
under this Agreement, CONTRACTOR shall furnish written evidence of such coverage (naming
CITY, its officers and employees as additional insureds on the Comprehensive Liability
insurance policy referred to in (a) immediately above via a specific endorsement) and requiring
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thirty (30) days written notice of policy lapse or cancellation, or of a material change in policy
teens.
Assignment
Notwithstanding any other provision of this Agreement, neither this Agreement nor any
duties or obligations of CONTRACTOR under this Agreement may be assigned or subcontracted
by CONTRACTOR without the prior written consent of-'CITY, which CITY may withhold in its
sole and absolute discretion.
State and Federal Taxes
As CONTRACTOR is not CITY'S employee, CONTRACTOR shall be responsible for
paying all required state and federal taxes. Without limiting the foregoing, CONTRACTOR
acknowledges and agrees that:
*CITY will not withhold FICA (Social Security) from CONTRACTOR'S payments;
*CITY will not make state or federal unemployment insurance contributions on
CONTRACTOR'S behalf;
*CITY will not withhold state or federal income tax from payment to CONTRACTOR,
*CITY will not make disability insurance contributions on behalf of CONTRACTOR;
*CITY will not obtain workers' compensation insurance on behalf of CONTRACTOR.
ARTICLE 6. OBLIGATIONS OF CITY
Cooperation of City
CITY agrees to respond to all reasonable requests of CONTRACTOR and provide
access, at reasonable times following receipt by CITY of reasonable notice, to all documents
reasonably necessary to the performance of CONTRACTOR'S duties under this Agreement.
Assignment
CITY may assign this Agreement or any duties or obligations thereunder to a successor
governmental entity without the consent of CONTRACTOR. Such assignment shall not release
CONTRACTOR from any of CONTRACTOR'S duties or obligations under this Agreement.
events:
ARTICLE 7. TERMINATION OF AGREEMENT
Termination on Occurrence of Stated Events
"Phis Agreement shall terminate automatically on the occurrence of any of the following
1. Bankruptcy or insolvency of either party;
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LAC104706083
2. Sale of the business of either party;
3. Death of either party.
Termination by City for Default of CONTRACTOR
Should CONTRACTOR default in the performance of this Agreement or materially
breach any of its provisions, CITY, at CITY'S option, may terminate this Agreement by giving
written notification to CONTRACTOR. For the purposes of this section, material breach of this
Agreement shall include, but not be limited to the following:
1. Not performing any of its services professionally and /or timely.
2. CONTRACTOR'S breach of any of its representations, warranties or
covenants contained in this Agrrcement.
CONTRACTOR shall be entitled to payment only for work satisfactorily completed
through the date of the termination notice, as reasonably determined by CITY, provided that such
payment -shall not exceed the amounts set forth in this Agreement for the tasks described on
Exhibit "B" which have been fully, competently and timely rendered by CONTRACTOR.
Notwithstanding the foregoing, if CITY terminates this Agreement due to CONTRACTOR'S
default in the performance of this Agreement or material breach by CONTRACTOR of any of its
provisions, then in addition to any other rights and remedies CITY may have, CONTRACTOR
shall reimburse CITY, within ten (10) days after demand, for any and all costs and expenses
incurred by CITY in order to complete the tasks constituting the scope of work as described in
this Agreement, to the extent such costs and expenses exceed the amounts CITY would have
been obligated to pay CONTRACTOR for the performance of that task pursuant to this
Agreement.
Termination for Failure to Male Agreed -Upon Payments
Should CITY fail to pay CONTRACTOR all or any part of the compensation set forth in
Article 4 of this Agreement on the date due, then if and only if such nonpayment constitutes a
default tinder this Agreement, CONTRACTOR, at the CONTRACTOR'S option, may tcnninate
this Agreement if such default is not remedied by CITY within thirty (30) days after demand for
such payment is given by CONTRACTOR to CITY.
Transition After Termination
Upon termination, CONTRACTOR shall immediately stop work, unless cessation could
potentially cause any damage or harm to person or property, in which case CONTRACTOR shall
cease such work as soon as it is sate to do so. CONTRACTOR shall incur no further expenses in
connection with this Agreement. CONTRACTOR shall promptly deliver to CITY all work done
toward completion of its services, and shall act in such a manner as to facilitate any new
CONTRACTOR'S assumption of duties.
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ARTICLE 8. GENERAL PROVISIONS
Notices
Any notice to be given hereunder by either party to the other may be effected either by
personal delivery in writing or by mail, registered or certified, postage prepaid with return receipt
requested. Mailed notices shall be addressed to a party at the address appearing below such
party's signature below, but each party may change the address by written notice in accordance
with this paragraph. Notices delivered personally will be deemed delivered as of actual receipt;
mailed notices will be deemed delivered as of three (3) days after mailing.
Entire Agreement of the Parties
This Agreement supersedes any and all prior a n-eements, either oral or written, between
the parties hereto with respect to the rendering of services by CONTRACTOR for CITY and
contains all the covenants and agreements between the parties with respect to the rendering of
such services in any manner whatsoever. Each party to this Agreement acknowledges that no
representations, inducements, promises or agreements, orally or otherwise, have been made by
any party, or anyone acting on behalf of any party, which are not embodied herein, and that no
other agreement, statement or promise not contained in this Agreement shall be valid or binding.
Any modification of this Agreement will be effective only if it is in writing signed by both
parties.
Partial invalidity
If any provision in this Agreement is held by a court of competent jurisdiction to be
invalid, void or unenforceable, the remaining provisions will nevertheless continue in full force
without being impaired or invalidated in any way.
Americans With Disabilities Act of 1990
Throughout the term of this Agreement, the CONTRACTOR shall comply fully with all
applicable provisions of the Americans With Disabilities Act of 1990 ( "the Act ") in its current
form and as it may be amended from time to time. The Contractor shall also require such
compliance of all subcontractors performing work under this Agreement, subject to the
prohibition against assignment and subcontracting contained in Article 5 above: The
CONTRACTOR shall defend with counsel acceptable to CITY, indemnify and hold harmless the
CI'T'Y OF GILROY, its officers, employees, agents and representatives from an(] against all suits,
claims, demands, damages, costs, causes of action, losses, liabilities, expenses and fees,
including without limitation attorneys' fees, that may arise out of any violations of the Act by the
CONTRACTOR, its subcontractors, or the officers, employees, agents or representatives of
either.
4851.9718 -06970
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Compliance With Laws
The CONTRACTOR shall keep itself informed of all State and National laws and all
municipal ordinances and regulations of the CITY which in any manner affect those engaged or
employed in the work, or the materials used in the work, or which in any way affect the conduct
of the work, and of all such orders and decrees of bodies or tribunals having any jurisdiction or
authority over the same. Without limiting the foregoing, CONTRACTOR agrees to observe the
provisions of the Municipal Code of the CITY OF GILROY, obligating every contractor or
subcontractor under a contract or subcontract to the CITY OF GILROY for public works or for
,,00ds or services to refrain from discriminatory employment or subcontracting practices on the
basis of the race, color, sex, religious creed, national origin or ancestry of any employee,
applicant for employment, or any potential subcontractor.
Attorneys' Fees
If any action at law or in equity, including an action for declaratory relief, is brought to
enforce or interpret the provisions of this Agreement, the prevailing party will be entitled to
reasonable attorneys' fees, which may be set by the court in the same action or in a separate
action brought for that purpose, in addition to any other relief to which that party may be
entitled.
Governing Law and Venue
This Agreement shall be governed by and construed in accordance with the laws of the
State of California without regard to the conflict of laws or provisions of any jurisdiction. The
exclusive jurisdiction and venue with respect to any and all disputes arising hereunder shall be in
state and federal courts located in Santa Clara County, California.
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Executed at Gilroy, California, on the date and year first above written.
CONTRACTOR:
7r —
WON -DOOR CORPO�R,AATTION
By: lung o. sac
(Print Name)
Address for Notices:
1865 South 3480 West
Salt Lake City, UT. 84104
Social Security or Taxpayer
Identification Number:
8 7 0 2 6 2 9 8 9
4851- 9718 -06970
LAM04706083
CITY:
TyILROY
S 1
-S-
(Print Namc)
Address for Notices:
7351 Rosanna Street
Gilroy, CA 95020
Attn: City Administrator
Approved as to Fonn:
City Attorney
EXHIBIT "A"
SCOPE OF SERVICES
Replace faulty main logic control board on accordion fire door.
II. NOTICE TO PROCEED /COMPLETION OF SERVICE
A. NOTICE TO PROCEED
CONTRACTOR shall commence services upon delivery to CONTRACTOR of written
Notice to Proceed.
B. COMPLETION OF SERVICES
When CITY determines that CONTRACTOR has satisfactorily completed all of the
services defined under this Agreement, CITY shall give CONTRACTOR written Notice of Final
Acceptance, and CONTRACTOR shall not incur any further costs hereunder. CONTRACTOR
may request this determination of completion when, in its opinion, it has satisfactorily completed
all of the services under this Agreement, and if so requested, CITY shall make this determination
within two (2) weeks of such request, or if CITY determines that CONTRACTOR has not
satisfactorily completed all of such services, CITY shall so inform CONTRACTOR within this
two (2) week period.
111. SCHEDULE
Replace logic control board as soon as possible
1V. DIRECT EXPENSES
Direct expenses are charges and fees not included in the Scope of Services described
above. CITY shall be obligated to pay only for those direct expenses which have been
previously approved in writing by CITY. CONTRACTOR shall obtain written approval from
CITY prior to incurring or billing of direct expenses.
Copies of pertinent financial records, including invoices, will be included with the
submission ofbilling(s) tier all direct expenses.
III. GENERAL PROVISIONS
A. STANDARD OF WORKMANSHIP
CONTRACTOR represents and warrants that it has the qualifications, skills and licenses
necessary to perform the services, and its duties and obligations, expressed and implied,
contained herein, and CITY expressly relics upon CONTRACTOR'S representations 'and
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warranties regarding its skills, qualifications and licenses. CONTRACTOR shall perform such
services and duties in conformance to and consistent with the standards generally recognized as
being employed by professionals in the same discipline in the State of California.
B. RESPONSIBILITY OF CONTRACTOR
CONTRACTOR shall be responsible for the professional quality, technical accuracy, and
the coordination of the services furnished by it under this Agreement. The CITY'S review,
acceptance or payment for any of the services required wider this Agreement shall not be
construed to operate as a waiver of any rights under this Agreement or of any cause of action
arising out of the perfonmance of this Agreement, and CONTRACTOR shall be and remain
liable to CITY in accordance with applicable law for all damages to CITY caused by
CONTRACTOR'S negligent performance of any of the services furnished under this Agreement.
C. RIGHT OF CITY TO INSPECT RECORDS OF CONTRACTOR
CITY, through its authorized employees, representatives or agents, shall have the right, at
any and all reasonable times, to audit the books and records (including, but not limited to,
invoices, vouchers, canceled checks, time cards, etc.) of CONTRACTOR for the purpose of
verifying any and all charges made by CONTRACTOR in connection with this Agreement.
CONTRACTOR shall maintain for a minimum period of three (3) years (from the date of final
payment to CONTRACTOR), or for any longer period required by law, sufficient books and
records in accordance with standard accounting practices to establish the correctness of all
charges submitted to CITY by CONTRACTOR, all of which shall be made available to CITY at
the CITY's offices within five (5) business days after CITY'S request.
D. NO PLEDGING OF CITY'S CREDIT.
Under no circumstances shall CONTRACTOR have the authority or power to pledge the
credit ofCITY or incur any obligation in the name of CITY.
E. OWNERSHIP OF MATFIZIAL.
All rnatcrial (including information developed on computer(s)) prepared (or caused to be
prepared) under this Agreement shall be the property of CITY.
F. NO THIRD PARTY BENEFICIARY.
This Agreement shall not be construed or deemed to be an agreement for the benefit of
any third party or parties, and. no third party or parties shall have any claim or right of action
hereunder for any cause whatsoever.
G. WAIVER.
CONTRACTOR agrees that waiver by CITY of any one or more of the conditions of
performance under this Agreement shall not be construed as waiver(s) of any other condition of
performance under this Agreement.
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LAC104706083
H. AMENDMENTS.
No alterations or changes to the terms of this Agreement shall be valid unless made in
writing and signed by both parties hereto.
CONFLICT OF INTEREST.
CONTRACTOR certifies that to the best of its knowledge, no CITY employee or office
of any public agency interested in this Agreement has any pecuniary interest in the business of
CONTRACTOR and that no person associated with CONTRACTOR has any interest that would
constitute a conflict of interest in any manner or degree as to the execution or performance of
this Agreement.
J. CAPTIONS.
Tile captions of the various sections, paragraphs and subparagraphs of this Agreement are
for convenience only and shall not be considered nor referred to for resolving questions or
interpretation.
4851.9718.06970
LAC10 4 7 0 608 3
EXHIBIT "B"
PAYMENT SCHEDULE
Payment not to exceed $2,000 to be made upon satisfactory completion.
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WONDO10 OP ID: KL
CERTIFICATE OF LIABILITY INSURANCE
0 055
1 D5/1 Z /2(1212/Y015
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, "AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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).
PRODUCER
Universal Business Insurance
P O Box 709210
Sandy, UT 84070
Jeffery G. Shields
CONTACT
NAME:
PHONE FAX
Af No Ext : AIC No):
.MA L
ADDRESS:
630SD803652
10/01/2014
10/0112015
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A: *Travelers Indemnity Co of Am.
25666
MED EXP (Any one person)
INSURED Won Door Corporation
INSURERS: *Travelers Property Casualty
25674
1865 South 3480 West
Salt Lake City, UT 84104
INSURER C: Great American Insurance Co.
16691
INSURER D: *Travelers Pro a & Casualty
25674
INSURER E:
$ 2,000,00_
INSURER F:
B
AUTOMOBILE
COVERAGES CERTIFICATE NUMBER: I REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
POLICY NUMBER
P EF
MM/OD/YYYY
O CY EXP
MM/DDMlYY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE � OCCUR
X
630SD803652
10/01/2014
10/0112015
EACH OCCURRENCE
$ 1,000,00_
PREMISES Ea occurrence)
$ 300,00
MED EXP (Any one person)
$ 5,00
PERSONAL & ADV INJURY
$ 1,000,00
GENERAL AGGREGATE
$ 2,000,00"
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY X PRO LOC
PRODUCTS - COMPIOP AGG
$ 2,000,00_
$
B
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
HIRED AUTOS X NON -OWNED
AUTOS
8105D803652
1010112014
10/01/2015
COMBINED SINGLE LIMIT
Ea accident
--
1,000,00
X
BODILY INJURY (Per person)
$
I
BODILY INJURY (Per accident)
$
X',
PROPERTY DAMAGE
PER ACCIDENT
C
X 1
UMBRELLA LIAB
EXCESS LIAR
X
OCCUR
CLAIMS MADE
TUU559573211
10/01/2014
10/01/2015
EACH OCCURRENCE
$ 25,000,00
AGGREGATE
$ 25,000,00
DIED '.: X. I RETENTION'$ 0
$
D
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER /EXECUTIVE YIN '
OFFICERIMEMBER EXCLUDED? a
(Mandatory In NH)
If yS describe -under
DESCRIPTION OF OPERATIONS below
NIA
A
UB5D803652.- ALL STATES
10/0112014
10/01/2015
X WC STATU= 0TH -
E.L. EACH ACCIDENT
$ 1,000,00
E.L. DISEASE - EA EMPLOYEE
I $ 1,000,00
E.L. DISEASE - POLICY LIMIT
$ 1,000,00
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required)
Service Agreement: Annex Fire Door Repair
(see additional certificate wording)
City of Gilroy
Its Officers, Officials, &
Employees
7351 Rosanna Streeet
ACORD 25 (2010/05)
GILRO -0
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE. POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
C 1988 -2010 ACORD
The ACORD name and logo are registered marks of ACORD
TION. All rights reserved.
Won Door Corporation
COMMERCIAL GENERAL LIABILITY
POLICY NUMBER 6305D803652 ISSUE DATE: 10 -01 -14
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifies Insurence provided under the following:
COMMERCIAL GENF tAL LIABILITY COVERAGE PART
SCHEDULE
Names of Additional insured Person.(s) or Organization (s):
City of Gilroy, Its Officers, Officials & Employees
Location of Covered Operations:
Annex Fire Door Repair
7351 Rosanna Street, Gilroy, CA 9502U
(Information required to complete this Schedule, if not shown above, will be shown In the Declarations.)
A. Section 11— Who Is An Insured Is amended to In-
clude as an additional insured the person(s) or
organization(s) shown In the Schedule, but anly
with respect to liability for "bodily Injury", "property
damage ", "personal Injury" or "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) desig-
nated above.
S. With respect to the insurance afforded to these
additional insureds, the following additional exclu-
sions apply:
This insurance does not apply to "bodily Injury" or
"property damage" occurring, or "personal injury"
or "advertising. injury' arlsing out of an offense
committed, after: ,
1. All work, Including materials, parts or equip-
ment furnished in connection with such work,
on the project (other than service, mainte-
nance or repalrs) to be performed by or on
behalf of the additional insured(s) at the loca-
tion of the covered operations has been com-
pleted; or
2. That portion of "your work" out of which the
injury or damage arises has been put to its in-
tended use by any person or organization
other than anothbr contractor or subcontrac-
tor engaged In performing operations for a
principal as a part of the same project
CG D3 51 03 05 Copyright 2005 The St. Paul Travelers Gompanles, Inc. All rights reserved. Page t of 1
Includes copyrighted material of Insurance Services Office, Inc. with Its permission.
Wan Door Corporation
COMMERCIAL GENERAL LIABILITY
POLICY NUMBER: 6305D803652 ISSUE DATE: 10 -01 -14
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
SCHEDULE
Name Of Additional Insured Person(s) Or Organization(s):
City of Gilroy, Its Officers, Officials & Employees
Location And Description Of Completed Operations
Annex Fire Door Repair
7351 hosanna Street, Gilroy, CA 9502V
Information required to compiete this Schedule, if not shown above, will be shown in the Declarations.
Section Il — Who Is An Insured is amended to in-
clude as an additional insured the person(s) or or-
gantzatlon(s) shown in the Schedule, but only with
respect to liability for "bodily injury" or "property dam-
age" caused, in whole or in part, by'jrour worts" at the
location designated and described In the schedule of
this endorsement performed for that additional In-
sured and included in the "products - completed opera-
tions hazard ".
CG 20 37 07 04 0 ISO Properdes, Inc., 2004 Page 1 of t
Z