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MJR Electric - 2016 Agreement - Change Order No. 1Ltty of 0i1rov Public Works Department - Engineering Division 7351 Rosanna St., Gilroy, CA 95020 Phone (408) 846 -0451, Fax (408) 846 -0429 CHANGE ORDER NO. 1 To contract for: Open Agreement for miscelaneous electncal work City Project No. N/A Contractor: MJR Electric Contract Date' Feb 26th, 2016 This order shall become effective when it has been signed by the Director of Public Works, City Engineer. Project Description of Work Install 3 GFI receptacles for 20A 120v dedicated circuits for future coffee machines for City Hall break room. Provide & install all required conduit and wiring. Supply and install 3 new LED overhead lights in PD parking garage over ADA parking spaces. Retrofit 7 flourescent down lights at PD above stairs. At Wheeler supply and install 9 wall mounted LED lights and 3 pole mounted LED lights on existing light poles. Perform work on mutually agreed upon date. All requirements of the original Contract Documents shall apply to the above work except as specifically modified by this Change Order. The contract time shall not extend unless expressly provided for in this Change Order By signing this Change Order, Contractor acknowledges and agrees that the adjustments to cost and time contained herein are in full satisfaction and accord, and are accepted as payment in full, for any and all costs and expenses associated with this Change Order, (the "Extra Work "), including but not limited to labor, materials, overhead and profit, delay, disruption, loss of efficiency and any and all other direct and /or indirect costs or expenses associated with the Extra Work and hereby waives any right to claim any further cost and time impacts at any time during and after completion of the Contract associated with the Extra Work ► All Extra Work authorized under this Change Order must be billed separately from the original contract. All bills for work done under this Change Order shall reference this Change Order No. 1. Original Contract Price Previous Change Orders Total to Date This Change Order Total Change Orders to Date Revised Contract Price Cost Percentage $15,000.00 50.00 0.00% $15,000.00 $34,900.00 $34,900.00 232.67% $49,900.00 I (We) agree to make the above change subject to the terms of this Change Order for a NET INCREASE not too exce' 00.00. CONTRACTOR By ?A%L Date RECOMMENDED BY: �G -:'� ✓ I� /��� �(,I /jl L uc' n M r Date Constr ACCEPTED BY L /0-12-1-7 Project Engineer /Project Manager Date l4ti4 Public Works Director Date 0 JA14M �M4=_rr MJR Proposal #2908 October 2, 2017 City of Gilroy 7351 Rosanna St. Gilroy, CA 95020 Attn: Walter Dunckel Re: Lunch Room Receptacles and Police Station Lighting Project Scope: 1) Install (3) GFI Receptacles and 20 amp 120V dedicated circuits for future coffee machines 2) Supply and install (3) new LED lights, in Parking Garage, above ADA parking spaces 3) Retrofit (7) existing fluorescent down lights, with LED, above stairs on second floor ceiling A) Provide conduit and wiring, from panel, to new GFI receptacles. Add circuit breakers. B) Erect scaffold and provide aerial lift to access light fixtures. Remove existing fluorescent lamps and ballasts and retrofit fixtures to LED Included: Materials, Labor, equipment, insurance and taxes Not Included: Any item not listed in the scope above, including: • Permit or fees • Patching or painting of walls Labor $12,450 Lift and scaffold $ 850 Materials 1,755 Total $16,805 Please contact me for further information. Respectfully, Mike Rauschnot Accepted aA Date 22 �-111O# b V IN (Pricing is guaranteed for 30 days from the proposal date as listed above - prices are subject to change thereafter) P.O. Box 668, Morgan Hill, CA 95038 Office: (408) 846 -6300 Fax: (408) 846 -6500 CA License Number 439357 Q 4M, ELECTiZ IC MJR Proposal #2909 October 2, 2017 City of Gilroy 7351 Rosanna St. Gilroy, CA 95020 Attn: Walter Dunckel Re: Wheeler Gym Removal of wood Trellis structure project Project Scope: Supply and install new lighting, to replace existing lighting on Trellis A) East building: Add (3) wall lights B) North building: Add (4) wall lights C) West building: Add (2) wall lights and (3) lights mounted on existing poles Included: Materials, Labor, equipment, insurance and taxes Not Included: Any item not listed in the scope above, including: • Permit or fees • Painting of exposed conduit • Disconnect or demo of existing electrical conduit, wiring and fixtures. Project: $18,945 Please contact me for further information. Respectfully, Mike Rauschnot Accepted Date 1�� P O # 1�0101. 1441 (Pricing is guaranteed for 30 days from the proposal date as listed above - prices are subject to change thereafter) P.O. Box 668, Morgan Hill, CA 95038 Office: (408) 846 -6300 Fax: (408) 846 -6500 CA License Number 439357 AlCOROa d� CERTIFICATE OF LIABILITY INSURANCE FIANCE DATE (MM/DD/YYYY) ,D/,220,7 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A Statement on this _certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE. P.O. BOX 328 CONTACT CLIENT CONTACT CENTER NAME_ PHOE A CNNo E :t : 888 - 333 -4949 FAX No): 507 - 4464664 E -MAIL ADDRESS. CLI ENTCONTACTCENTEROIFEDI NS.COM OWATONNA, MN 55060 INSURERS) AFFORDING COVERAGE NAIC it 08/14/2018 INSURER A: FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 315 -542 -1 INSURER B: MJR ELECTRIC INC INSURER C: GEN'L NPOLICY PO BOX 668 INSURER D: $1,000,000 MORGAN HILL, CA 95038 -0668 INSURER E: $2,000,000 PRODUCTS - COMP /OP AGO INSURER F: COVERAGES CERTIFICATE NUMBER: 207 REVISION NUMBER. 2 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 DL S SUER POLICY NUMBER POLICY EFF I IV POLICY EXP I 1 LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR Y N 9080246 08/14/2017 08/14/2018 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrencei $100,000 WED EXP (Any one person) E_ XCLUDED GEN'L NPOLICY PERSONAL& ADV INJURY $1,000,000 AGGREGATE LIMIT APPLIES PER [:1 EC LOC J OTHER_ GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP /OP AGO $2,000,000 A AUTOMOBILE LIABILITY X ANY AUTO SCHEDULED OWNED AUTOS ONLY AUTOS HIRED AUTOS ONLY NON -OWNED AUTOS ONLY N N 9080246 08/14/2017 08/14/2018 COMBINED SINGLE LIMIT Ea accidentl $1,000,000 BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE Per acndon A X UMBRELLA LIAB EXCESS LIAR X OCCUR CLAIMS -MADE N N 9080247 08/14/2017 08/14/2018 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 DED RETENTION WORKERS COMPENSATION Y/N AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER /MEMBER EXCLUDED (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below N / A PER STATUTE OTH- ER E L EACH ACCIDENT E L DISEASE - EA EMPLOYEE E L DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) RE: 7851 CARMEL ST, GILROY CA 95020 CITY OF GILROY, ITS OFFICERS, OFFICIALS, AND EMPLOYEES ARE NAMED AS ADDITIONALLY INSURED CERTIFICATE HOLDER CANCELLATION 315 -542 -1 2072 CITY OF GILROY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 7351 ROSANNA ST THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN GILROY, CA 95020 -6141 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD FED COPY ' POLICY NUMBER. 9080246 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 SCHEDULE - - -- -- ------ ---------------------------------------------- - -------------------------------------- ---- -- -- -- -- --- - --- Name Of Additional Insured Person(s) Or Organizations: Location(s) Of Covered CITY OF GILROY fee IL-F-40-0039 7351 ROSANNA ST GILROY CA 95020 Ared to complete this ............ ....... --------------------- If not shown above, will be shown in the Declarations. A. 5ec*m II - Who Is An Insured is amended to include as an additional insured the person(s) or orgatitzation(s) shown in the Schedule, but only with respect to liability for 'bodily injury ", 'properly damage" or 'personal and advertising injury' caused in whole or in part, by, 1. Your acts or oinissions, of 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 contrail 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. MJR ELECTRIC MC PO BOX 668 MORGAN HILL CA 95038 B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage' occurring after. 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed or 2. That portion of "your work` out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project :n Insurance Services Office, Inc., 2012 Page 1 of 2 CG 20 1004 13 Policy Number. 9080246 Transaction Effective Date. 19-12 -2017 `EED00PY C. With respect to the insurance afforded to ,these 2, /Available under the app €icablo Limiits of additional insureds, the following is added, to Insurance shown in tiie beclarations; Section tit - Umits Of insurance: whichever Is less. If coverage provided to the additional insured is This endorsement shall not Increase the required by a contract or agreerrienl. the most we applicable " Limits of Insurance shown in the will pay on behalf of the additional insured is-the Declarations. amount of insurance: 1_. Required by the contract or agreement-, or 'Page 2 of 2 CG 2010 0413 © Insurance Services Office, Inc., 2012 Policy Number. 9080246 Transaction Effective Rate: 10- 12-2017 FED.COPY EXTENSION ENDORSEMENT Extension - CG 2010 - CITY OF GILROY ANY COVERAGE PROVIDED BY THIS ENDORSEMENT APPLIES ONLY-TO ELECTRICAL SERVICE WORK AT 7651 CAR_MEI ,_ST, GILROYCA 95020 OF THE CERTHOLDER. ADDITIONAL INSUREDS ALSO, JNCLUff'CITY6F -GILROY, ITS OFFICERS, OFFICIALS, AND EMPLOYEES, ARE NAMED AS ADDITIONALLY INSURED. -IL-F-40-0039 (05-10) Poficy+ Number 9080246 Transaction Effective Date. 10-12-2617