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HomeMy WebLinkAboutAESCOINSURANCE NOT ON FILE WORK MAY NOT PROCEE CLERK OF COUNCIL, ATE: MAY o 2 2018 vv A LV) CITY OF SANTA ANA PUBLIC WORKS AGENCY 20 We Center Plaza, M36 9 P.O, Box 1988 Sante Ana, California 02702 wmsanta-ana,orn March 6,'201 Is AESCO Attn: Adam Chamna 17882, Georgetown Lane Huntington Beach, CA 92647 Re: Extension 2f Ctansaltanf Agreement Na, A42416-111 Dear Mr, Charnaw. A-2016-111-01 CITY MANAGER Ravi Godinez 11 CITY ATTORNEY Sonia R. Carvaft CLERK OF THE COUNCIL Merle D. HLhar Pursuant to Section 3 ("Term') of Agreement No. A-2016-111 entered into by AESCO and the City of Santa Ana, dated May 4, 2016, the time period of said Agreement is hereby extended for an additional one (1) year period from May 4, 2018 to May 3, 2019, 'lie Insurance certificates are required to be extended and/or renewed to cover this extension. AA other terms and conditions of said Agreement remain unchanged and in full force and effect. Sincerel Edwin"William" Cal P.E. Acting Executive Director, Public Works Agency CITY OF SANTA ANA Raul Godiftez 11 City manager AESCO ATTEST Mara D. Huizar Clerk ofthe Council APPROVPD AS TO FORM Name-, Kay Alabed M. funk Title: President Assistant City Attorney SANTA ANA CITY COUNCIL MWO & pwdo Wdiela Marian 'A ata sam4elYa9 im sa;a RDZMBesa&k Juan Wegas SW Tff*om Meyer Mayor Pro Tem, Wd2 Wadi wxd 3 Wald 4 Wards wwd 6 mauifdr.RAsanla-ana ora yryr,�ggina,lasenia-ena ora all-ma"r - a - yamlowm W-Qd� Amaqb �aa wLqg�-- 4g�'Qw CERTIFICATE OF LIABILITY INSURANCE 71512017YYY' 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 pollcy(les) 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 LAURIE BRENNAN HAUCK 9114 Adams Ave #182 Huntington Beach, CA 92646 OC98533 N NTAGT PHONE (702)629-6700 - F AX 702)629-6701 �renco ao .com INSURERS AFFORDING COVERAGE NAICM INSURERBurlin ton Insurance company INSURED Assoc, Inc. 17782 Georgetown Lane Huntington Beach, Ca 92647 (714)375-3830 INSURERS: The Hartford 66. UZU2ERD.Hcuston Casualty Company NSURERD:T a Hartfor Ns INSURER GVVt"UtS GERfIFIGATF NIIMRFR- oo nolnni u 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN h4 SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BYPAID CLAIMS, INaX OR TYPE OF INSURANCE Is MIC 0 LIMITS GENERAL LIABILITY EACH OCCURRENCE $2 QQQ QQQ, T COMMERCIAL GENERAL LIABILITY 7AMMES $ ZOO QQ, CLAIMS -MAGE OCCUR MEOEXP An ono arsana § 5000 A x Y 154BW40150 6/24/2017 6/24/2018 PERSONAL 6ADVINJURY 1210001000. GENERAL AGGREGATE 52,000.;000.. GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS - COMrvoP AGO s2,000,000. - PROM $ LOG AUTOMOBILE LIABILITY 7,119,50FMOUELIMIT $ r r X ANYAUTO ALLOWNED SCHEDULED n 72UECTQ777Q 7/7/20177/7/ZO1B BODILY INJURY Farperaan) s B AUTOS AUTOS �{ y 9001LY INJURY ) (Per accident $ X HIRED AUTOS X NON-OWNEDAUT A UMBRELLA LIAR OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS -MADE AGGREGATE DED T. W1100O,000 WORKERS COMPENSATIONANDEMPLOYERS'LIABILITYy�/�ANY PROPRIETORIPARTNER/EXECUTIVE r-�•1 72WECKU6780 4/11/2017 /11/2818b ACCIDENT(Mandatory OFFICERIMEMBER EXCLUDED? {I—II in NH) unde'R'1E2 r If yea.9ESC N/AE.L.EACH E.L. DISEASE -EA EMPLOYEE E.L. DISEASE - POLICYIT 1 , Q IPa 0 ATI N C Professional Liab. HCC 17 22635 07/09/1707/09/18 $2,000,000.per claim $2,000,000. aggregate DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (Atlach ACORD 101,AddiOonal Re dened Schedule, if mora space le required) RE: RFP15-055 Geotechnical, special inspection & material testing A-2011-057-01 for inspection & testing services A-2016-111 for inspection & testing services Certificate holder is named as an additional insured per the a tacd form. Primary/Non Contributory wording applies per the atta REVIEWED BY: EUNICE HEREDIA (PG j OF City of Santa Ana Its Officers, Employees, Agents Volunteers and Representatives 20 Civic Center Plaza Santa Ana, Ca 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.. ©19j/5-2010 ACORD CORPORATION. All ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD reserved. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, AMENDMENT OTHER INSURANCE (PRIMARY AND NON-CONTRIBUTORY COVERAGE) This endorsement modifies insurance provided under the fall owing: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS -COMPLETED OPERATIONS LIABILITY COVERAGE PART Schedule of Additional Insured(s): Any person or organization named in an Additional Insured endorsement attached to this policy with whom you have agreed, in a written contract, that such person or organization should be provided primary and non-contributory coverage, but only when such written contract Is fully executed prior to an "occurrence" in which coverage is sought under this policy. A. Paragraph C. of this endorsement replaces cover under the applicable Coverage Part to paragraph 4. Other Insurance of Section IV- which this endorsement is modifying, this Commercial General Liability Conditions, but insurance Is primary and non-contributory, only with respect to the Insurance afforded to the However, this endorsement: additional insured(s) scheduled above. 1. Applies only when you are required by contract, agreement or permit to provide rah C. of this endorsement replaces B. Paragraph P p primary and non-contributory coverage for paragraph 4. Other Insurance of Section IV- the additional insured, provided such written Products -Completed Operations Liability contract, agreement or permit is fully Conditions, but only with respect to the executed prior to an 'occurrence" in which insurance afforded to the additional insured(s) coverage is sought under this policy, and scheduled above, 2. Does not apply to any claim, loss or liability due to the sole negligence of the additional C. Other Insurance insured, Notwithstanding other valid and collectible insurance available to the insured for a loss we IFG-G-0094 02 12 Includes copyrighted material of Pagel of i ISO Properties, Inc., with permission REVIEWED BY: EUNICE NEREDIA tPGZAF,�j ) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, AUTOMATIC ADDITIONAL INSUREDS ENDORSEMENT CONSTRUCTION OR SERVICE CONTRACTS (TENDER OF ANY LOSS TO OTHER AVAILABLE INSURANCE, AND EXCLUSION OF EMPLOYEE INJURY) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM A. Section II - Who Is An Insured Is amended to Include as an additional insured any person(s) or organization(s) with whom you agree, by virtue of a written construction or service contract, written construction or service agreement or permit (all of these hereinafter called Contract), that qualifies as an "insured contract" as defined by the policy, to name as an additional insured with respect to liability arising out of your ongoing operations performed on the project or service specified in the Contract, Including acts or omissions of the additional insured in connection with the general supervision of such operations. Except as provided above, this insurance does not apply to any "bodily injury", "property damage" or "personal and advertising injury" arising out of or resulting from the neglect or negligence of the additional insured beyond the general supervision of your ongoing operations. Insurance afforded by this endorsement applies provided the "bodily injury', "property damage" or "personal and advertising injury" occurs subsequent to the execution of the Contract and further provided that the "bodily injury", "property damage" or "personal and advertising injury" arises from "your work" during the policy term. 1. An "employee' of any insured, or a person hired to do work for or on behalf of any Insured or a tenant of any Insured, that arises out of and in the course of: a. Employment by any insured; or b. Performing duties related to the conduct of any insured's business; or The spouse, child, parent, brother or sister of that "employee" as a consequence of Paragraph 1. above. These exclusions apply: 1. Whether an insured may be liable as an employer or in any other capacity; and 2. To any obligation to share damages with or repay someone else who must pay damages because of the injury. C. The following is added to Section til — Limits Oflnsurance: Coverage for liability assumed by the Named Insured in a Contract shall only be to the extent D of the negligence or fault of the Named Insured according to applicable principles of comparative fault and/or in accordance with applicable law. B. With respect to the insurance afforded to these additional Insureds, the following additional exclusions apply: This insurance does not apply to any "bodily injury" to: BG -G-305 10 09 The most we will pay in behalf of the additional Insured is the Limits of Insurance required under the Contract for "bodily injury", "property damage" or "personal and advertising Injury", but in no event will we pay more than the available Limits of Insurance afforded by this policy.. With respect to Insurance afforded to these additional insureds, the following is added to Paragraph 4. Other Insurance of Section IV — Commercial General Liability Conditions: If other valid and collectible insurance is available to the additional insured for a loss we cover under Coverage A or B, then the additional insured must also tender any loss to each such other insurance. Should such other insurance apply, then this insurance is excess over any other such insurance. Includes copyrighted material of ISO Properties, Inc., with its permission. Page 1 of 1 REVIEWED 6Y_v EUNICE HEREDIA (PGSj OF,,j ) POLICY NUMBER: 72 UEC T07770 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED AND RIGHTS OF RECOVERY AGAINST OTHEJ This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM k Any person or organization whom you are required by contract to name as additional insured Is an "insured" for LIABILITY COVERAGE but only to the extent that person or organization qualifies as an "Insured" under the WHO IS AN INSURED provision of Section 11- LIABILITY COVERAGE, B. For any person or organization for whom you are required by contract to provide a waiver of subrogation, the Loss Condition - TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US is applicable. Form HA 9913 01 67 Printed in U.S.A. A It� REVIEWED BY: EUNICE H7EREDIA (PG O 6 W1194��� 7 mm OTHERS rr'CALIFORNIA Policy Number: 72 WEC R06780 Endorsement Number: Effective Data: 09/11/17 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: AESCO INC. 17782 GEORGETOWN LN HUNTINGTON BEAC, CA 92697 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.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be premium otherwise due on such remuneration. Person or Organization ANY PERSON OR ORGANIZATION FROM WHOM YOU ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT TO OBTAIN THIS WAIVER OF RIGHTS FROM US, CITY OF ARCADIA,, ITS OFFICIALS OFFICERS AND EMPLOYEES 290 W HUNTINGTON DR ARCADIA, CA 91007 5 % of the California workers' compensation AS REQUIRED BY WRITTEN CONTRACT, SOIL TESTING n t Countersigned by _ J ; Authorized Representative Form WC OA 03 06 (1) Printed in U.S.A. Process Date: 02/18/17 REVIEWED 6Y: Policy Expiration Date: 04/11/18 - -I lc J[ CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 7/6/2018 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(les) 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 LAURIE BRENNAN HAUCK 9114 Adams Ave #182 Huntington Beach, CA 92646 CONTACT NAME: PHONE F (702)-6700629 aAXNe:(702)629-6701 E-MAIL JDrenco@aol.com ADDRESS: GENERAL LIABILITY OC98533 INSURERS AFFORDING COVERAGE NAIC# INSURERA: Burlington Insurance Company INSURED Aesco, Inc. INSURER B: The Hartford 19666 17782 Georgetown Lane INSURER C: Houston Casualty Company Huntington Beach, Ca 92647 INSURER D: The Hartford (714) 375-3830 INSURER E: INSURER F COVERAGES CFRTIFICATF NLIMBFR RFVIRION NIIMRFR- 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 BYPAID CLAIMS. INSR LTR TYPE OF INSURANCE AUUL15UbK INSR WVD POLICYNUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $2 000 000. X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 100 000. MED EXP An one erson $ 5000 CLAIMS -MADE r X r OCCUR 1 PERSONAL& ADV INJURY s2,000, 000. A y 15413W46127 6/24/2018 6/24/2019 X GENERAL AGGREGATE s2,000,000. GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS - COMP/OP AGG s2'000,000. POLICY 7 PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT0,000. Ea accident i BODILY INJURY (Per person) $ X'� ANYAUTO 72UECT(� 7770 Q '] / /20187/7/2019 B ALL OWNED SCHEDULED AUTOS AUTOS }{ jt BODILY INJURY (Per accident) $ X HIRED AUTOS �{ NON -OWNED AUTOS PROPERTY DAMAGE $ Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LAB CLAIMS -MADE DED I I RETENTION WORKERS COMPENSATION - OTH- }{ I WC STATUTORY AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE 1�1 e 72WECKU6780 4/11/2018 /11/2019 I FIR E.L. EACH ACCIDENT $ 1,000,000 D OFFICER/MEMBER EXCLUDED? ILJI NIA E.L. DISEASE - EA EMPLOYEE $ 1,000,0 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below 1 0 0 0,500 E.L. DISEASE -POLICY LIMIT r C Professional Liab. HCC 1823089 07/09/1807/09/19$2,000,000 per claim $2,000,000. aggregate DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: RFP15-055 Geotechnical, special inspection & material testing A-2011-057-01 for inspection & testing services A-2016-111 for inspection & testing services Certificate holder is named as an additional insured per the atta hed form. Primary/Non Contributory wording applies per the attached form REVIEWED BY: EUNICE HEREDIA (PG OF } (`FRTIPI(:OTF wni r1FR rAKlr FI I ATIr)KI City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Its Officers, Employees, Agents ACCORDANCE WITH THE POLICY PROVISIONS. Volunteers and Representatives AUTHORIZESENTATIVE 20 Civic Center Plaza Santa Ana, Ca 92701 a as %*y 1988-201IFACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 154BW46127 COMMERCIAL GENERAL LIABILITY CG 20 37 0413 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 SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations Any owner, lessee or contractor with whom you Any and all of your locations and completed have agreed, in a written contract, that such person operations or organization should be added as an additional insured on your policy, provided such written contract is fully executed prior to an 'occurrence" in which coverage is sought under this policy. Information required to complete this Schedule, if not shown above will be shown in the Declarations. A. Section II — Who Is An Insured is amended to 2. If coverage provided to the additional insured is Include as an additional insured the person(s) or required by a contract or agreement, the organization(s) shown in the Schedule, but only insurance afforded to such additional insured will with respect to liability for "bodily injury" or not be broader than that which you are required "property damage" caused, in whole or in part, by by the contract or agreement to provide for such "your work" at the location designated and additional insured. 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 CG 20 37 04 13 U Insurance Services Office, Inc., 2012 Page 1 of 1 REVIEwEC? aY., EUNICE HE REDIA (r�G , of .} POLICY N UMBER: 154BW46127 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any person or organization with whom you have agreed, in a written contract to waive the transfer of rights of recovery against others to us, provided such written waiver is fully executed prior to an 'occurrence" in which coverage is sought under this policy. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragreph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV— Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 0 REVfEWED f3Y:AAA EUNICE HEREDIA (PC OF } THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT - OTHER INSURANCE (PRIMARY AND NON-CONTRIBUTORY COVERAGE) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART Schedule of Additional Insured(s): Any person or organization named in an Additional Insured endorsement attached to this policy with whom you have agreed, in a written contract, that such person or organization should be provided primary and non-contributory coverage, but only when such written contract is fully executed prior to an 'occurrence" in which coverage is sought under this policy. A. Paragraph C. of this endorsement replaces paragraph 4. Other Insurance of Section IV - Commercial General Liability Conditions, but only with respect to the insurance afforded to the additional Insured(s) scheduled above. B. Paragraph C. of this endorsement replaces paragraph 4. Other Insurance of Section IV - Products -Completed Operations Liability Conditions, but only with respect to the insurance afforded to the additional insured(s) scheduled above. C. Other Insurance However, this endorsement: 1. Applies only when you are required by contract, agreement or permit to provide primary and non-contributory coverage for the additional insured, provided such written contract, agreement or permit is fully executed prior to an 'occurrence" In which coverage is sought under this policy, and 2. Does not apply to any claim, loss or liability due to the sole negligence of the additional insured. Notwithstanding other valid and collectible All other terms and conditions of this Policy insurance available to the insured for a loss we remain unchanged. cover under the applicable Coverage Part to which this endorsement is modifying, this insurance is primary and non-contributory. IFG-G-0094 0317 Includes copyrighted material of ISO Properties, Inc., with its permission. Page 1 of 1 COMMERCIAL GENERAL LIABILITY CG 20 33 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II — Who Is An Insured is amended to include as an additional insured any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an additional insured 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. However, the insurance afforded to such additional insured: 1. Only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person's or organization's status as an additional insured under this endorsement ends when your operations for that additional insured are completed. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: 1. "Bodily injury", "property damage" or "personal and advertising Injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily Injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. CG 20 33 0413 © Insurance Services Office, Inc., 2012 Pa e 1 of 2 REUEEwED BY: Eli[[CE HRECk[A (PqF } 2. "Bodily injury" or "property damage" occurring after: a. 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 b. 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. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement you have entered into with the additional insured; 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. Page 2 of 2 0 Insurance Services Off' REVIEWED BY: EUNICE HEREDIA (PG O ) POLICY NUMBER: 72 UEC TQ7770 THIS ENDORSEMENT CHANGES POLICY. PLEASE READ . {:....R. IT CAREFULLY. ADDITIONAL INSURE ,ii' O i AND OTHERSRIGHTS OF RECOVERY AGAINST This endorsement modifies Insurance provided under the following: BUSINESS AUTO) COVERAGE FORA A. Any person or organization whom you are required by contract to name as additional Insured is an "insured" for LIABILITY COVERAGE but only to the extent that person or organization qualifies as an "insured" under the WHO IS AN INSURED provision of Section II - LIABILITY COVERAGE. B. For any person or organization for whom you are required by contract to provide a waiver of subrogation, the Loss Condition - TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US is applicable. Forms HA 9913 01 07 Printed in U.S.A. Policy Number. 72 WEC KU6780 Endorsement Number: Effective Date: 04/11/18 Effective hour is the same as stated on the Information Page of the policy, Named Insured and Address: AESCO INC. 17782 GEORGETOWN LN HUNTINGTON BEAC CA 92647 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.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described In the Schedule. The additional premium for this endorsement shall be 2 % of the California workers' compensation premium otherwise due on such remuneration. 60«�:ffiI€1� 103�� Any person or organization from whom you are required by written contract or agreement to obtain this waiver of rights from us Form WC 04 03 06 (1) Printed in U.S.A. Process Date: 03/02/18 Policy Expiration Date: 04111119 - -I lc J[ CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 7/6/2018 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(les) 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 LAURIE BRENNAN HAUCK 9114 Adams Ave #182 Huntington Beach, CA 92646 CONTACT NAME: PHONE F (702)-6700629 aAXNe:(702)629-6701 E-MAIL JDrenco@aol.com ADDRESS: GENERAL LIABILITY OC98533 INSURERS AFFORDING COVERAGE NAIC# INSURERA: Burlington Insurance Company INSURED Aesco, Inc. INSURER B: The Hartford 19666 17782 Georgetown Lane INSURER C: Houston Casualty Company Huntington Beach, Ca 92647 INSURER D: The Hartford (714) 375-3830 INSURER E: INSURER F COVERAGES CFRTIFICATF NLIMBFR RFVIRION NIIMRFR- 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 BYPAID CLAIMS. INSR LTR TYPE OF INSURANCE AUUL15UbK INSR WVD POLICYNUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $2 000 000. X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 100 000. MED EXP An one erson $ 5000 CLAIMS -MADE r X r OCCUR 1 PERSONAL& ADV INJURY s2,000, 000. A y 15413W46127 6/24/2018 6/24/2019 X GENERAL AGGREGATE s2,000,000. GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS - COMP/OP AGG s2'000,000. POLICY 7 PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT0,000. Ea accident i BODILY INJURY (Per person) $ X'� ANYAUTO 72UECT(� 7770 Q '] / /20187/7/2019 B ALL OWNED SCHEDULED AUTOS AUTOS }{ jt BODILY INJURY (Per accident) $ X HIRED AUTOS �{ NON -OWNED AUTOS PROPERTY DAMAGE $ Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LAB CLAIMS -MADE DED I I RETENTION WORKERS COMPENSATION - OTH- }{ I WC STATUTORY AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE 1�1 e 72WECKU6780 4/11/2018 /11/2019 I FIR E.L. EACH ACCIDENT $ 1,000,000 D OFFICER/MEMBER EXCLUDED? ILJI NIA E.L. DISEASE - EA EMPLOYEE $ 1,000,0 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below 1 0 0 0,500 E.L. DISEASE -POLICY LIMIT r C Professional Liab. HCC 1823089 07/09/1807/09/19$2,000,000 per claim $2,000,000. aggregate DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: RFP15-055 Geotechnical, special inspection & material testing A-2011-057-01 for inspection & testing services A-2016-111 for inspection & testing services Certificate holder is named as an additional insured per the atta hed form. Primary/Non Contributory wording applies per the attached form REVIEWED BY: EUNICE HEREDIA (PG OF } (`FRTIPI(:OTF wni r1FR rAKlr FI I ATIr)KI City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Its Officers, Employees, Agents ACCORDANCE WITH THE POLICY PROVISIONS. Volunteers and Representatives AUTHORIZESENTATIVE 20 Civic Center Plaza Santa Ana, Ca 92701 a as %*y 1988-201IFACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 154BW46127 COMMERCIAL GENERAL LIABILITY CG 20 37 0413 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 SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations Any owner, lessee or contractor with whom you Any and all of your locations and completed have agreed, in a written contract, that such person operations or organization should be added as an additional insured on your policy, provided such written contract is fully executed prior to an 'occurrence" in which coverage is sought under this policy. Information required to complete this Schedule, if not shown above will be shown in the Declarations. A. Section II — Who Is An Insured is amended to 2. If coverage provided to the additional insured is Include as an additional insured the person(s) or required by a contract or agreement, the organization(s) shown in the Schedule, but only insurance afforded to such additional insured will with respect to liability for "bodily injury" or not be broader than that which you are required "property damage" caused, in whole or in part, by by the contract or agreement to provide for such "your work" at the location designated and additional insured. 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 CG 20 37 04 13 U Insurance Services Office, Inc., 2012 Page 1 of 1 REVIEwEC? aY., EUNICE HE REDIA (r�G , of .} POLICY N UMBER: 154BW46127 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any person or organization with whom you have agreed, in a written contract to waive the transfer of rights of recovery against others to us, provided such written waiver is fully executed prior to an 'occurrence" in which coverage is sought under this policy. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragreph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV— Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 0 REVfEWED f3Y:AAA EUNICE HEREDIA (PC OF } THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT - OTHER INSURANCE (PRIMARY AND NON-CONTRIBUTORY COVERAGE) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART Schedule of Additional Insured(s): Any person or organization named in an Additional Insured endorsement attached to this policy with whom you have agreed, in a written contract, that such person or organization should be provided primary and non-contributory coverage, but only when such written contract is fully executed prior to an 'occurrence" in which coverage is sought under this policy. A. Paragraph C. of this endorsement replaces paragraph 4. Other Insurance of Section IV - Commercial General Liability Conditions, but only with respect to the insurance afforded to the additional Insured(s) scheduled above. B. Paragraph C. of this endorsement replaces paragraph 4. Other Insurance of Section IV - Products -Completed Operations Liability Conditions, but only with respect to the insurance afforded to the additional insured(s) scheduled above. C. Other Insurance However, this endorsement: 1. Applies only when you are required by contract, agreement or permit to provide primary and non-contributory coverage for the additional insured, provided such written contract, agreement or permit is fully executed prior to an 'occurrence" In which coverage is sought under this policy, and 2. Does not apply to any claim, loss or liability due to the sole negligence of the additional insured. Notwithstanding other valid and collectible All other terms and conditions of this Policy insurance available to the insured for a loss we remain unchanged. cover under the applicable Coverage Part to which this endorsement is modifying, this insurance is primary and non-contributory. IFG-G-0094 0317 Includes copyrighted material of ISO Properties, Inc., with its permission. Page 1 of 1 COMMERCIAL GENERAL LIABILITY CG 20 33 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II — Who Is An Insured is amended to include as an additional insured any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an additional insured 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. However, the insurance afforded to such additional insured: 1. Only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person's or organization's status as an additional insured under this endorsement ends when your operations for that additional insured are completed. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: 1. "Bodily injury", "property damage" or "personal and advertising Injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily Injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. CG 20 33 0413 © Insurance Services Office, Inc., 2012 Pa e 1 of 2 REUEEwED BY: Eli[[CE HRECk[A (PqF } 2. "Bodily injury" or "property damage" occurring after: a. 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 b. 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. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement you have entered into with the additional insured; 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. Page 2 of 2 0 Insurance Services Off' REVIEWED BY: EUNICE HEREDIA (PG O ) POLICY NUMBER: 72 UEC TQ7770 THIS ENDORSEMENT CHANGES POLICY. PLEASE READ . {:....R. IT CAREFULLY. ADDITIONAL INSURE ,ii' O i AND OTHERSRIGHTS OF RECOVERY AGAINST This endorsement modifies Insurance provided under the following: BUSINESS AUTO) COVERAGE FORA A. Any person or organization whom you are required by contract to name as additional Insured is an "insured" for LIABILITY COVERAGE but only to the extent that person or organization qualifies as an "insured" under the WHO IS AN INSURED provision of Section II - LIABILITY COVERAGE. B. For any person or organization for whom you are required by contract to provide a waiver of subrogation, the Loss Condition - TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US is applicable. Forms HA 9913 01 07 Printed in U.S.A. Policy Number. 72 WEC KU6780 Endorsement Number: Effective Date: 04/11/18 Effective hour is the same as stated on the Information Page of the policy, Named Insured and Address: AESCO INC. 17782 GEORGETOWN LN HUNTINGTON BEAC CA 92647 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.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described In the Schedule. The additional premium for this endorsement shall be 2 % of the California workers' compensation premium otherwise due on such remuneration. 60«�:ffiI€1� 103�� Any person or organization from whom you are required by written contract or agreement to obtain this waiver of rights from us Form WC 04 03 06 (1) Printed in U.S.A. Process Date: 03/02/18 Policy Expiration Date: 04111119