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HomeMy WebLinkAboutCALIFORNIA PROFESSIONAL ENGINEERING, INC.OgURANCE ON FILE WORK MAY PROCEED UN I IL INSURANCE EXPIRES _ tiI Itiv CLERK O • COUNCIL A-2019-174 ® D TE. CT O _A'EMENT TO PROVIDE STREET LIGHT MAINTENANCE SERVICES rn-RwR ,� THISZUAGREEMENT is made and entered into this 2nd day of October, 2019 by and between M ,c,\�A\ 0tVLCalifornia Professional Engineering, Inc. ("Contractor"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California ("City"). RECITALS A. On June 20, 2019, the City issued Request for Proposal No. 19-042, by which it sought a contractor to provide street light maintenance services. B. Contractor submitted a responsive proposal that was selected by the City. Contractor represents that it is able and willing to provide the services described in the scope of work that was included in RFP No. 19-042. C. In undertaking the performance of this Agreement, Contractor represents that it is knowledgeable in its field and that any services performed by Contractor under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional contracting firm in the field. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the parties agree as follows: 1. SCOPE OF SERVICES Contractor shall perform the services that were described in the scope of work that was included in RFP No. 19-042 and that is attached as Exhibit A. Contractor's proposal is attached as Exhibit B and incorporated in full. 2. COMPENSATION a. City agrees to pay, and Contractor agrees to accept as total payment for its services under this Agreement, the rates and charges identified in Exhibit C. The total sum to be expended under the term of this Agreement, including any extension periods, shall not exceed $2,259,684. This sum is comprised of (1) the amount of $1,259,684 for the fast year of this Agreement and (2) $250,000 annually for all additional years, including any extension periods, if any. b. Payment by City shall be made within forty-five (45) days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. Payment need not be made for work which fails to meet the standards of performance set forth in the Recitals and Scope of Work, which may reasonably be expected by City. Page 1 of 8 3. TERM This Agreement shall commence on the date first written above and terminate on October 1, 2022, unless terminated earlier in accordance with Section 17, below. The term of this Agreement may be extended for up to two 1-year periods upon a writing executed by the City Manager and City Attorney. 4. PREVAILING WAGES Contractor is aware of the requirements of California Labor Code Section 1720, et seq., and 1770, et seq., as well as California Code of Regulations, Title 8, Section 16000, et seq., ("Prevailing Wage Laws"), which require the payment of prevailing wage rates and the performance of other requirements on "public works" and "maintenance" projects. If the services being performed are part of an applicable "public works" or "maintenance" project, as defined by the Prevailing Wage Laws, and the total compensation is $1,000 or more, Contractor agrees to fully comply with such Prevailing Wage Laws. Contractor shall defend, indemnify and hold the City, its elected officials, officers, employees and agents free and harmless from any claim or liability arising out of any failure or alleged failure to comply with the Prevailing Wage Laws. 5. INDEPENDENT CONTRACTOR Contractor shall, during the entire term of this Agreement, be construed to be an independent contractor and not an employee of the City. This Agreement is not intended nor shall it be construed to create an employer -employee relationship, a joint venture relationship, or to allow the City to exercise discretion or control over the professional manner in which Contractor performs the services which are the subject matter of this Agreement; however, the services to be provided by Contractor shall be provided in a manner consistent with all applicable standards and regulations governing such services. Contractor shall pay all salaries and wages, employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. 6. OWNERSHIP OF MATERIALS This Agreement creates a non-exclusive and perpetual license for City to copy, use, modify, reuse, or sublicense any and all copyrights, designs, and other intellectual property embodied in plans, specifications, studies, drawings, estimates, and other documents or works of authorship fixed in any tangible medium of expression, including but not limited to, physical drawings or data magnetically or otherwise recorded on computer diskettes, which are prepared or caused to be prepared by Contractor under this Agreement ("Documents & Data"). Contractor shall require all subcontractors to agree in writing that City is granted a non-exclusive and perpetual license for any Documents & Data the subcontractor prepares under this Agreement. Contractor represents and warrants that Contractor has the legal right to license any and all Documents & Data. Contractor makes no such representation and warranty in regard to Documents & Data which were provided to Contractor by the City. City shall not be limited in any way in its use of the Documents and Data at any time, provided that any such use not within the purposes intended by this Agreement shall be at City's sole risk. Page 2 of 8 7, INSURANCE Prior to undertaking performance of work under this Agreement, Contractor shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: a. Commercial General Liability Insurance. Contractor shall maintain commercial general liability insurance naming the City, its officers, employees, agents, volunteers and representatives as additional insured(s) and shall include, but not be limited to protection against claims arising from bodily and personal injury; including death resulting therefrom and damage to property, resulting from any act or occurrence arising out of Contractor's operations in the performance of this Agreement, including, without limitation, acts involving vehicles. The amounts of insurance shall be not less than the following: single limit coverage applying to bodily and personal injury, including death resulting therefrom, and property damage, in the total amount of $1,000,000 per occurrence; with $2,000,000 in the aggregate. Such insurance shall (a) name the City, its officers, employees, agents, volunteers and representatives as additional insured(s); (b) be primary with respect to insurance or self-insurance programs maintained by the City; and (c) contain standard separation of insureds provisions, b. Business automobile liability insurance, or equivalent form, with a combined single limit of not less than $1,000,000 per occurrence. Such insurance shall- include coverage for owned, hired and non -owned automobiles. C. Workers' Compensation Insurance. In accordance with the California Labor Code; Contractor, if Contractor has any employees, is required to be insured against liability for workers' compensation or to undertake self-insurance, Prior to commencing the performance of the work under this Agreement, Contractor agrees to obtain and maintain any employer's liability insurance with limits not less than $1,000,000 per accident. d. If Contractor is or employs a licensed professional such as an architect or engineer; Professional liability (errors and omissions) insurance, with a combined single limit of not less than $1,000,000 per claim with $2,000,000 in the aggregate. e. The following requirements apply to the insurance to be provided by Contractor pursuant to this section: (i) Contractor shall maintain all insurance required above in full force and effect for the entire period covered by this Agreement. (ii) Certificates of insurance shall be furnished to the City upon execution of this Agreement and shall be approved by the City. (iii) Certificates and policies shall state that the policies shall not be cancelled or reduced in coverage or changed in any other material aspect; by Contractor, without thirty (30) days prior written notice to the City. (iv) Contractor shall supply City with a fully executed additional insured endorsement. Page 3 of 8 £ If Contractor fails or refuses to produce or maintain the insurance required by this section or fails or refuses to famish the City with required proof that insurance has been procured and is in force and paid for, the City shall have the right; at the City's election, to forthwith terminate this Agreement. Such termination shall not affect Contractor's right to be paid for its time and materials expended prior to notification of termination. Contractor waives the right to receive compensation and agrees to indemnify the City for any work performed prior to approval of insurance by the City. 8. INDEMNIFICATION Contractor agrees to defend, and shall indemnify and hold harmless the City, its officers; agents, employees,, contractors, special counsel, and representatives from liability: (1) for personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims for personal injury, including death, and claims for property damage, which may arise from the negligent operations of the Contractor or its subcontractors, agents, employees, or other persons acting on their behalf which relates to the services described in section 1 of this Agreement; and (2) from any claim that personal injury, damages, just compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects arising from this Agreement, This indemnity and hold harmless agreement applies to all claims for damages,, just compensation, restitution, judicial or equitable relief suffered, or alleged to have been suffered, by reason of the events referred to in this Section or by reason of the terms of, or effects, arising from this Agreement. The Contractor further agrees to -indemnify, hold harmless, and pay all costs for the defense of the City; including fees and costs for special counsel to be selected by the City, regardingany action by a third party challenging' the validity of this Agreement, or asserting that personal injury, damages, just compensation, restitution, judicial or equitable relief due to personal or property rights arises by reason of the terms of, or effects arising from this Agreement. City may make all reasonable decisions with respect to its representation in any :legal proceeding. Notwithstanding the foregoing, to the extent Contractor's services are subject to Civil Code Section 2782,8, the above indemnity shall be limited, to the extent required by Civil Code Section 2782.8, to claims that arise of, pertain to, or relate to the negligence, recklessness, or willful misconduct of the. Contractor. 9. INTELLECTUAL PROPERTY INDEMNII+ICATION Contractor shall defend, indemnify and hold harmless the City, its officers, agents, representatives, and employees against any and all liability, including costs, and attorney's fees, for infringement of any United States' letters patent; trademark, or copyright contained in the work product or documents provided by Contractor to the City pursuant to this Agreement. 10. RECORDS Contractor shall keep records and invoices in connection with the work to be performed under this Agreement, Contractor shall maintain complete and accurate records with respect to the costs incurred under this Agreement and any services, expenditures, and disbursements charged to the City for a minimum period of three (3) years, or for any longer period required by Page 4 of 8 law, from the date of final payment to Contractor under this Agreement, All such records and invoices shall be clearly identifiable,. Contractor shall allow a representative of the City to examine, audit, and make transcripts or copies of such records and any other documents created pursuant to this Agreement during regular business hours. Contractor shall allow inspection of all work, data, docunments, proceedings, and activities related to this Agreement for a period of three (3) years from the date of -final payment to Contractor under this Agreement. 11. CONFIDENTIALITY If Contractor receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Contractor agrees that it shall not use or disclose such information except in the performance of this Agreement, and :further agrees to exercise the same degree of care it uses to protect its own information of like importance, but in no event less than reasonable care; "Confidential Information" shall include all nonpublic information. Confidential information includes not only written information, but also in transferred orally, visually, electronically, or by other means. Confidential information disclosed to either party by any subsidiary and/or agent of the other party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure shall not applyto any information that (a) has been disclosed in publicly available sources; (b) is, through no fault of the Contractor disclosed in a publicly available source; (c) is in rightful possession of the Contractor without an obligation of confidentiality; (d) is required to, be disclosed by operation of law; or (e) is independently developed by the Contractor without reference to information disclosed by the City. 12. CONFLICT OF INTEREST CLAUSE Contractor covenants that it presently has no interest and shall not haveinterests, direct or indirect, which would conflict in any manner with performance of services specified under this Agreement. 13. NOTICE Any notice, tender, demand, delivery, or other communication pursuant to this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or mailed by first class or certified mail, postage prepaid, or sent by fax or other telegraphic communication in the marmer provided in this Section, to the following persons: To City: Clerk of the City Council City of Santa Ana 20 Civic Center Plaza (M-30) P.O.Box 1988 Santa Ana, CA 92702-1988 Executive Director Public Works Agency City of Santa Ana Page 5 of 8 20 Civic Center Plaza (M-21) P.O. Sox 1988 Santa Ana, CA 92702 To Contractor: California Professional Engineering, Inc. 929 Otterbein Ave, Unit La Puente, CA 91748, Attn: Van Nguyen, President A party may change its address by giving notice in writing to the other party. Thereafter, any communication shall be addressed and transmitted to the new address; If sent by mail, communication shall be effective or deemed to have been given three (3) days after it has been deposited in the United States mail, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent by fax, communication shall be effective or deemed to have been given twenty-four (24) hours after the time set forth on the transmission report issued by the transmitting facsimile machine, addressed as set forth above, For purposes of calculating these timeframes, weekends, federal, state, County or City holidays shall be excluded. 14. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete And exclusive statement between the City and Contractor regarding the subject matter herein, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terms of this Agreement and any attachments hereto, the terms of this Agreement shall; prevail.. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Contractor. The parties agree that any terms or conditions of anypurchase order or other instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not bind or obligate Contractor or the City. 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. 15. ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Contractor, Contractor may not assign, transfer; delegate, or subcontract any interest herein without the prior written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the City's ability to have any of the services which are the subject to this Agreement performed by City personnel or by other Contractors retained by City. 16. WAIVER No waiver of breach, failure of any condition, or any right or remedy contained in or granted by the provisions of this Agreement shall be effective unless it is in writing and signed by the party waiving the breach, failure, right or remedy. No waiver of any breach, failure or right, or remedy shall be deemed a waiver of any other breach, failure, right or remedy, whether or not Page 6 of 8 similar, nor shall any waiver constitute a continuing waiver unless the writing so specifies. 17. TERMINATION This Agreement may be terminated by the City upon thirty (30) days written notice of termination. In such event, Contractor; shall be entitled to receive and the City shall pay Contractor compensation for all services performed by Contractor prior to receipt of such notice of termination, subject to the following conditions: a, As a condition of such payment, the Executive Director may require Contractor to deliver to the City all work product completed as of such date, and in such case such work product shall be the property of the City unless prohibited by law, and Contractor consents to the City's use thereof for such purposes as the City deems appropriate. b. Payment need not be made for work which fails to meet the standard of performance specified in the Recitals of this Agreement. 18. NON-DISCRIMINATION Contractor shall not discriminate because of race, color, creed, relation, sex, marital status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, training, utilization, promotion, termination or other employment related activities or in connection with any activities under this Agreement. Contractor affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 19, JURISDICTION -VENUE This Agreement has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the State of California. Both parties further agree that Orange County, California, shall be the venue for any action or proceeding that may be brought or arise out of, in connection with or by reason of this Agreement. 20. PROFESSIONAL LICENSES Contractor shall; throughout the term of this Agreement, maintain all necessary licenses; permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State of California, the City of Santa Ana. and all other governmental agencies. Contractor $ball notify the City immediately and in writing of its inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. Page 7 of 8 21. MISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature herein below has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. b. All exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: Clerk of the Council APPROVED AS TO FORM SONIA R. CARVALHO City Attorney IV. J M. Funk Assistant City Attorney RECOMMENDE OR APPROVAL vSr Fuad S. Sweiss, E, S Executive Director Public Works Agency CITY OF SANTA ANA Kris�� City Manager CONTRACTOR California Professional Engineering, Inc. Name: Van Wguyen Title: President Page 8 of 8 EXHIBIT A Appendix ATTACHMENT 1 Corr Or WORK CITY OF SANTA ANA REQUEST FOR PROPOSALS FOR STREET :LIGHT MAINTENANCE REP NO.. 19-042 i. PURPOSE The City of Santa Ana is seeking an experienced contractor to perform preventative and extraordinary Street Light maintenance services. I1. STREET LIGHT MAINTENANCE 1. Scope Of We Contractor shallfurnish all tools,, equipment, apparatus, facilities,; labor; services and materials, and perform all work necessary to maintain street lighting facilities in a good and professional manner in accordance with the spccifications gontained h, MSlin. All said labor, services, materials, and equipment shall, be furnished and said work performed and completed by the Contractor as an independent contractor, subject to the inspection and approval of the City's Executive Director of Public Works Agency, or inspectors or their representatives 2. Service Personnel The Contractor shall provide qualified service personnel to maintain and to service all series street lights and equipment described in Section 3. Work on the City's series street lighting circuits shall be supervised and performed by a lead street light technician with a minimum of five (5) years experience as a high voltage technician. The technician shall troubleshoot, diagnose and perform all electrical connections. The Contractor shall include street lighting maintenance personnel's qualifications in the proposal. During the term of the contract the City will notify the Contractor, in the City's sole opinion, if personnel proposed for any maintenance are not qualified to work on these: systems. 3. .Modifications to System The City reserves the right to add or delete sections or circuits of Street Lights as they are added or deleted from the City system. 4, Extraordinary Maintenance (a) The failure or malfunction of street lights may be considered extraordinary maintenance. (b) Any upgrading, repair work, or any installation solicited by the City, shall be considered as extraordinary. Any extraordinary maintenance requests from the City of Santa Ana REP 19-042 Page Al-1 City shalt be confirmed by the Contractor as to the time of and number of personnel dispatched: The Contractor shall contact the Street Light Management Section regarding any extraordinary maintenance work found to be beyond requested repairs and sock prior approval before the work is scheduled. Contractor shall notify Public Works Agency (PUPA) Dispatch Office at 714- 647-3380 each day prior to crews being dispatched by Contractor (i) No underground work shall be performed prior to completion of Underground Service Alert (USA) markings. (ii) An electrical permit may need to be obtained prior to any additions to the City's street light or other electrical system. (iii)AII extraordinary work completed by Contractor shall be invoiced time and material as specified on Contractor's bid proposal (c) Contractor shall respond to requests by City for extraordinary work within 24 hours of the request. Work shall start in a timely manner. Contractor shall dispatch personnel, materials and equipment on a daily basis until work is completed unless conditions donot allow work to be performed. (d) City shall pay for such extra ordinary repairs required as follows: (i) Materials. The City shall pay to the Contractor for any materials used in extraordinary maintenance at Contractor's cost from the supplier plus the percentage specified in the Contractor's bid proposal All materials and parts shall be new or have the approval of the Street Light Management Section if otherwise. The City has the right to inspect the Contractor's records to verify any material costs used in extraordinary maintenance. The City may provide replacement poles and fixtures.. (ii) Direct Labor: Contractor shall furnish a monthly report of hours spent in extraordinary maintenance of street light and appurtenances per address. City shall pay the Contractor for such hours of extraordinary maintenance performed at the io1 b site address at the rates specified on the Contractor's bid proposal. Crews shall be dispatched so as to maximize work performed. Said hourly rates shall be the total cost to the City. Rates shall include all compensation for wages, profit, overhead, any fringe benefits such as employer payments to, or on behalf of worker for health and welfare, insurance, worker's compensation, pension, vacation, sick leave or any local; State, Federal or union tax or assessment. (iii)Equiprnent. City shall pay Contractor for equipment used in extraordinary maintenance on an hourly basis rate as specified in the Contractor's bid proposal. Equipment shall be dispatched so as to maximize work performed • The Contractor's listing of per day equipment rates shall constitute total rates to be paid by City when specified equipment is used. • As used herein per day shall mean the furnishing at the site of extraordinary maintenance work the equipment specified. The per -day rate shall be independent of the length of time the equipment is in the City. City of Santa Ana RFP 19-642 Page Al-2 » No additional compensation shall be paid for transporting the equipment to or from the job site (e) The Contractor shall submit weekly reports, when repairs are in progress, in a format approved by Street Light Management, and shall be submitted (in addition to hard copy) in Windows Excel spreadsheet. Weekly reports shall include arrival and departure times, dates and ;addresses of the repairs, service personnel dispatched, types of repairs made, and all materials and equipment used for each day worked. Weekly reports shall be submitted by Monday the - following week. (f) The Contractor shall provide to the Street Light Management Section As -Built Maps of all work performed on a_form approved by the City. As Buihs shall indicate the address and description of all repairs made including installation of pull boxes, splices and connections, etc. As Builts shall be submitted following each day's work performed. (g) Emergency Services Twenty-four hours per day, seven days per week, emergency service shall be provided by Contractor upon City's, call with a response time of less than two hours under normal circumstances, to make immediate or temporary repairs to City owned series and multiple street light pole or service knock downs or damage caused by vehicle collision, acts of God, vandals, or as required because of a public safety hazard, The Contractor shall respond to emergency calls when directed by the City and dispatch high voltage technician and equipment. The Contractor shall so conduct his operations as to cause the least possible obstruction and inconvenience to public traffic. Contractor shall maintain and make available to the City, a local telephone number where Contractor can be contacted twenty-four hours per tray. SUMMAF[Y REPORTS 1, Street T iaht System Months Reports Monthly reports shall include extraordinary maintenance repairs with As -built maps for series street lighting. 2. Database for Maintenance Work (a) At the City's Option, the Contractor will be required to utilize the City's computerized system (Cityworks) to record ALL maintenance work performed on the street light system. (i) The City uses a computerized, asset/work order system (Cityworks) to record all work performed against City owned assets: The Cityworks system is a web based application and available for download using an iOS or Android device. (ii) The City will provide training and instruction to the Contractor on the use of the Cityworks System, (iii)The Contractor will be required to obtain a cellular/Wi-Fi enabled Apple branded device to perform the required data entry in the field. The Contractor City of Santa Ana RFP 19.042 Page Al-3 will be solely responsible for maintaining the device in working order to complete the required data entry for the City. (iv)The Contractor will be required to obtain a cellular internet data plan cost using one of the following carriers (AT&T wireless, Verizon, T-Mobile or Sprint). IV INVOICES 1. TheContractor shall prepare separate invoices for routine maintenance and extraordinary maintenance. 2. For extraordinary maintenance billing (a) The Contractor shall prepare a general invoice to include all extraordinary billings that is less than $500 per streetlight. (b) The Contractor shall prepare .a separate invoice for each location when extraordinary billing is in excess of $500 per streetlight. (c) The Contractor shall prepare a separate invoice if requested by the Contract Administrator, 3. The Contractor will be required to provide City staff with cellularlWI-FI enabled Apple branded smart phones for daily communications and for City staff to perform the required Cityworks data entry in the field, 4, Payment shall not be made to the Contractor until the required reports and As-Builts have been properly submitted for work completed. V. INVOICES SUBMITTAL The Contractor shall submit all reports and invoices in both paper and Microsoft Excel electronic file format to the City: Street Light Maintenance City of Santa Ana 20 Civic Center Plaza, M-21 Santa Ana, CA 92701 VI. STANDARD SPECIFICATIONS All work on street light system shall conform to the City's eurrent standard plans and specifications. VII. FEE SCHEDULE In addition to Section 111.133 (Submittal Requirements: Pee Proposal) fee schedule shall be structured per Attachment 4 Proposal Item Pricing. City of Santa Ana RFP 19.042 Page At-4 EXHIBIT E cu ./ E 9 \ ccCN . � . : a Ek : CW % . cc � 2 / ca Do cn \ MINUTES OF THE ANNUAL MEETING OF SHAREHOLDERS AND DIRECTORS CALIFORNIA PROFESSIONAL ENGINEERING; INC, The annual meeting of the shareholders of the above named California Corporation was duly held at the principal office of the corporation located at 929 Otterbein Avenue, Unit E, La Puente, CA, 91748, USA on March 5, 2019. The Director present was VAN TAN NGUYEN. President acting as Chairman, same being VAN TAN NGUYEN, The Chairman then presented and read to the meeting a Waiver of Notice of Meeting, subscribed by all of the Directors of the Corporation, Upon motion duly made, it was: Resolved, that the Chairman be requested to cause the same to be spread at length upon the minutes. Resolved, that the following persons were nominated and thereupon elected to the position opposite their names to serve until their successors are elected and qualified: VAN NGUYEN, PRESIDENT VAN NGUYEN, SECRETARY PHUONG-THAO NGUYEN, CHIEF FINANCIAL. OFFICER (CFO) Resolved, that the above persons elected may sign all binding, contractual documents on behalf of the Corporation, The President, Secretary, and Treasurer thereupon: assumed their respective offices.. The President then presented and read the minutes of the annual meeting of shareholders of this Corporation, and the same were; on motion duly made seconded and unanimously carried, to all aspects ratified and adopted by this Board of Directors. There being no further business to come before the meeting, upon motion duly made, seconded and unanimously carried; the same was adjourned. are approved: VAN NGUYEN, Secretary (corporate seal) California Professional Engineering, Inc. BOARDMEETING OF DIRECTORS OF CALIFORNIA rwp A meeting of the Board of Directors of California Professional Engineering, Inc. was held on July 19 2019, whereby a resolution was passed authorize Van Nguyen to sign on behalf of the corporation, by his signature to enter into all and all contractual obligations on behalf of this corporation. See attached jurat. 929 Otterbein Avenue, Unit E. La Puente, CA 917481 Ph (626) 810-1338 Fax'. (626) 810-1322 1 Ernail van@cpengineeringina.com JURAT State of California Count of Los Angeles SS. y JJJJJJ Subscribed and sworn to (or affirmed) before me on this day of „20H, by proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. L@ ALIZIXMGZ�YEN COMM, N2211346 NOTARv WBIJC CALIPORNLI: LOSANUELES COUNTY + .Comm Exp AUG.25 2021. NOTARY'SSIONATURE W A notary public or other office completing this certificate verities only the identity of the indYidual who signed the document. to which this certiticale is attached. and not the truthfulness_ arruranv nr vAidifv of fhar dneumnnf OPTIONAL INFORMATION The information below is optional. However, it may prove valuable and could prevent fraudulent attachment of this form to an unauthorized document. CAPACITY CLAIMED BY SIGNER (PRINCIPAL) ❑ INDIVIDUAL [y]X CORPORATE OFFICER - IZ 1" ❑ PARTNER(S) TITLE($) ❑ ATTORNEY -IN -FACT ❑ TRUSTEE(S) ❑ OLTARDIAN/CONSERVATOR. ❑ OTHER:. DESCRIPTION OFATTACIIED DOCOI1 ENT TITLE OR TYPE OF DOCUMENT NUMBER OP PAGE$ DATE OF DOCUMENT OTHER ABSENT.SIGNER (PRINCIPAL) IS REPRESENTING: RIGHT NAME OF PERSON($) OR ENTITY(IES) THUMBPRINT OF -- SIGNER 1 1 > ar.ro+o-a t�r<arar# x+ssst,:rwrss-ew.F.o<,rw.rs�rra�,rr.�m.sa.rsYr�rro 101/200a NOT.RYBONDS,SUPPLIESXNDFOR,WSATHTTP:l/WWASVALLEY-SIFRIZA.COM 9)2CO5.2M8VALLEY-SIERRA1N91)RANC6 • :i 4z California Professional Engineering, Inc. • • California Professional Engineering, Ines material pricing is based on a six-month period from date of bid, Should material price increase after the six-month period, please; allow unit pricing revisions, Van Nguyen 929 Otterbein Avenue Unit E La Puente, CA 91748 626-810.1338 van@cpen.olneerinainc.com 929 Otterbein Avenue, Unit E. La Puente, CA 91748 1 Ph: (626) 810.1338 Fax: (626) 810-13221 Email: estlmating@epengineeringlnc.com California Professional Engineering, Inc. -9"-al y. 2?c.yoscd a AC-A-�t — ATTENTION: City of Santa Ana REFERENCE: Intended Key Personnel 9!! tor Testing System Design. Experience 118 Years within Construction Industry. Ensure project is carried out smoothly and effectively, utilizing maximum production and minimum tlme.Senior Estimator. _. _. i p ms an biological ciences, Studying extendedConstruction Management Including Accounting, CPM, Estimating, ror and Employment and Managing Employee Relations. 5 Years within Construction Industry, Supervised multiple County/City/Caltrans jobs successfully from project procurement 'uction stages until completion/close out; Addressed any discrepancies from Site to Plan. Senior Project Manager, 100'foTlima I—ocatton { nce 110 Years within Construction Industry, Supervised multiple Counly%City/Caltrins jobs successfully from project procurement construction stages until completion/close out: Addressed any discrepancies from Site to Plan. Alicia Nguyen = Payroll Adm"inistrator I 100%Time Ailocatioti , ,. T Education I Studied Nursing and Accounting. Studying extended Construction Management including Accounting, CPM, Estimating, Legalities, Labor and Employment and Managing Employee Relations. Experience 14 Years within Construction industry. Administered Bids, Executed Payroll and Labor Compliance Documents. Project coordination and procurement, For additional information, please do not hesitate to contact our office at the numbers listed below. California Professional Engineering, Inc, 929 Otterbein Avenue, Unit E. La Puente, CA 917481 Ph: (626) 810-1338 Fax; (626) 810.13221 Email: estimatingftpengineeringlnc.com California Professional Engineering, Inc. 0 Understanding of Needs California Professional Engineering, Inc. acknowledges the following notations in the submittal of the subject proposal, Should any street light(s) be knocked down, in need of repair or maintenance, at any during the day or might, CPEs crew will be out to the jobsite to relocate/remove the pole, in order to maintain public • safety for pedestrians and vehicular traffic as deemed necessary per the City's instructions, In the event that'a street light needs to be relocated and/or the hazardous incident occurs after standard working hours, CPE's crews shall be onsite to relocate the street light post/components after the City brings matters to our attention, It is anticipated that the day after, CPE's Grew will return to the jobsite to repair the street light accordingly. Van Nguyen 929 Otterbein Avenue Unit E Le Puente, CA 91748 626-810-1338 vanO.cDenaineennoinc.com' 929 Ottarbein Avenge, Unit E. La Puente. CA 917481 Ph; t626) 810-1338 Fax: (626) 810-13221 End: estimating@cpengineeriiiginc.com California Professional Engineering, Inc.3 -DLLM zt %� vaxd r/icctat:os,�- =4 k Traffic Signal References County of Los Angeles Department of Public Works Aviation Blvd j 1181h StrootlNorthrup Grumman Avenue to Ocean Drive #TSM0010190 Originai Contract Amount, $1,352,897 25 Final Contract Amount: $1A15.076.67 Approximate StantEnd Dates; September 2016 —April' 2018 Brief Description of Work Traffic Signal installatkinlModifications at multiple intersections along Aviation Blvd including new traffic signal poles and vehicultiopedestrian traffic gear. new controller cabinets with new foundations, new service; pedestals with new foundations, battery backup installation, video detection system installation, safety lighting installation emergency vehicle preemption installation, now ads compliant curb ramps, new striping and markings, loop detection systems, new underground conduit and pullbox installatlon, SCE underground substructures, concretelasphaft improvements, etc, Florence Final Approximate StarttEnd Dates: August 2017 — September 2018 Brief Description of Work Traffic Signal InstaUationlMpdifications at multiple intersections along Florence Avenue including new traffic signal poles and vehloalaripedestrfan traffic gear, new controller Cabinets with new foundations, new service pedestals with new foundations, battery backup Installation video detection system installation, safety lighting installation, emergency vehicle preemption instaallaton new ada compliant curb ramps, new striping and markings, loop detection systems new underground conduit and pullbox installation, SCE underground substructures, concrete/asphalt improvements, etc, Colima Road i Camino Email: JZARA@dpw,lacounty.gov Approximate Start/End Dates: January 2017 — October 2018 Brief Description of Work: Traffic Signal instaltationlMoUijications at multiple intersections along Colima Road includingnow traf(Ic signal poles and vehicularlpedestrian traffic gear, new controller cabinets with new foundations, new serviae pedestals with new foundations, lottery backup installation video detection "system installation safety lighting installation, emergency vehicle preemption installation new site compliant Curb ramps new striping and markings, loop detections systems, new underground conduit and pullbox installation SGE underground substructures, SCE underground substructures, coneretelesphaltimprovements :etc, Countyof Los Angeles Department of Public Works Florence -Firestone Community Safe Routes to School# RDC0016046 Original Contract Amount. $708,395 78 Final Contract Amount. $733.074.89 Contact: Robert Eisenhamer Main; 626,468,3166 Email: REISENHA@dpw lacoumy,gov 929 otterbein Avenue, Unit E. i a Puente, CA 91 W 1 Ph (626) 810-1338 Fax: (626) 810-1322 1 Email: estimating@cpengineeringino.ccm January 17. 2019 Page 2 Approximate Start/End Dates: October 2017— March 2018. Brief Description of Work. Traffic Signal tnstallati'onlModffications at multiple intersections including new traffic signal poles and vehicularlpedestrian traffic gear, new controller cabinets with new foundations, new service pedestals with now foundations, battery backup Installation, video detection system installation; safety lighting Installation, emergency vehicle preemption installation new ads compliant curb ramps now striping and markings; loop detection systems new underground conduit and pullbox'irristallation, SCE underground substructures, concretelasphalt improvements eta City of t)ranaa Left Turn Phasing Signal Modificationsi Chapman Avenue & Cannon Street#HSIPL5079(079) SP-3868 Left Turn Phasing Signal Modification Batavia Street & Collins Avenue#HSIPL5073(081) SP•3870 Original Contract Amount; $599,999,00 Final Contract Amount: $608,424 00 Contact Medei Lianes Main: 714.744,5535 Email; mllanes@cityoforange:org Approximate Stan/End Crates: April 2018'_--October 2018 Brief Description of Work: Traffic Signal tnstailationlModr'iloations Including new traffic signal poles and uehlcular$edestrian traffic goal; new controller cabinets with new foundations, new service pedestals with new foundations, battery backup installation, video detection system installation, safety lighting installation, emergency vehicle preemption Installation, new ado compliant curb ramps, new striping and markings, loop detection systems, CCTV, new underground conduit and pul/box installation, SCE underground substructures, conoretalesphaltimprovemants, etc. City -of Orange Tustin Street and Vanowen Avenue Traffic Signal Modification#SP-3927 Original Contract Amount. $355,156.00 Final Contract Amount $386,200,60 Contact Medal 1-lanes Maier; 714.744.5535 Email: mllanes@a cltyoforange:org Approximate Start/End Dates: August 2016 - October 2016 Brief Description of Work Traffic Signal InstaifationlModiflcations including new traffic signal poles and vehicularlpedestrian traffic gear, new: controller Cabinets with new foundations, new service pedestals with new foundations battery backup, installation, 'video detection system installation, safety lighting installation emergency vehicle preemption installation new ode compliant curb ramps new striping and markings; loop detection systems CCTV, new underground conduit and _pullbox installation SCE underground substructures, concretelasphalt improvements, etc. Citv:of Santa Ana Traffic Signal Modifications on: 171" Street at English Street i MacArthur Boulevard at Plaza drive#15.6834 Edinger Avenue at Sullivan Street i Westminster Avenue at Clinton Street Original Contract Amount. $865,319.00 Final Contract Amount $872,755.00 Contact: Michael Ortiz Main: 714,647,5624 Email MOhz@_santa-ana,org Approximate Start/End Dates: January 2017 — December 2017 Brief Description of Work: Traffic Signal InstallationlModificatians at various intersections including new traffic signal poles and vehouriaripodestrian traffic gear, new controller cabinets with now foundations, new service pedestals with new foundations. battery backup installation video detection system installation, safety lighting installation, emergency vehicle preemption installation, new ads compliant curbrarnps, new striping and markings CCTVloop detection systems, new underground conduitand pullbox installation, SCE underground substructures, concratelasphalt Improvements, etc, City of Santa Ana Safe Routes to School Enhancements for Heninger Elementary #16.6870 Original Contract Amount: $417,341,50 January 17,.2019 Page 3 Finai Contract Amount: $429,508,89 Contact. Michael Ortiz Main:.714.647,5624 Email: MOaiz@santa-ana.org Approximate StarllEnd Dates: January 2017-December `2017 Brief Description of Work. Traffic Signal installationiModifications at Heninger Elementary including new traffic signal poles and vehicutarlpedesbran traffic gear, new controller cabinets with new foundations, new service pedestals with new foundations. battery bac%rp installation video detection system installation, safety lighting installation, emergency vehicle preemption installation, new ads compliant curb ramps, new striping and markings loop detection systems, new underground conduit and pullbox installation, SCE Underground substructures, concretelesphattimprovements etc, City of Westminster Traffic Signal Modifications Various Locations (4Intersections) #2373 Original Contract Amount $525AX00 Final Contract Amount; $543 508,69 Contact: Bill Pham Main. 714,54&3457 Email: hpham@westminster•ca:goy Approximate:Stad7End Dates: May 2017.- November 2017 Brief Description of Work, Traffic Signal installationlModifications at various intersections including new traffic signal poles and vehiculaflpedestdan trado gear new controller cabinets with new foundations, new service pedestals with new foundations, battery backup installation video detection system installation, safety lighting installation, emergency vehicle preemption installation, new acla compliant curb ramps, new stnping and markings loop detection systems, new underground conduit and pullbox installation, SCE underground substructures, concretelesphalt improvements, etc. City of Burbank Safe Routes to School Cycle 8 Project #1378 Original Contract Arnount: $865,319.00 Final Contract Amount: $941,32.1.69 Contact:. Jonathan Yee Main: 818,2 8 3969 Approximate Start/End Dales: June 2016 - October 2016 Brief Description of Work: Traffic Signal instaNationlModificaBons at various intersections including new traffic signal poles and vehicu€anpederstnan traffic gear, new controller cabinets with new foundations new service pedestals with hew foundations battery backup installation, video defection system installation, safety lighting installation, ,emergency vehicle preemption installation, new ads compliant curb ramps, new striping and markings, loop detection systems new underground conduit and pullbox installation SCE underground substructures, concrete/asphalt improvements, etc, City of Ceres Traffic Signal Interconnect Part 14 Original Contract Amount: $312,862,50 Final Contract Amount. $339,226,87 Contact: Samir Royal Main: 209,538,5617 Email: Samir;royai@d.ceres,ca.us Approximate Start/End Oates: July 2017 - October 2617 Brief Description of Work: Traffic Signal fnstallation%Modifications at various intersections including vehicularlpridestuan traffic gear, new co`ntrotlercabfnets with new foundations, new service pedestals with new foundations battery backup installation video detection system installation, safety lighting installation, emergency vehicle, preemption installation, loop detection systerns, new underground conduit and pullbox installation; SCE underground substructures, concretelasphaltimprovements,, etc. Cit of Ba ersiiatd Traffic Signal interconnect Part 14 Janucuy l7 2019 Page 4 Original Contract Amount: $462,027.50 Final Contract Amount $466,397.80 Oonlact Joe Catalan Males 661.826.8597 Email: Catalan@bakersfielcicity.us Approximate Start/End Dates: June 2016 - October 2016 Brief Description of Woik Installation of conduit. fiber optic cable, models, networking equipment, other fiber optic equipment, and surge suppression of equipment along Stockdate Highway from Allen Road to Coffee Road. Area #C6.0067 y Area #CB-4076 Final Contract Amount: $458,048.00 Contac:L Ivan Mendoza Main: 562,254,9351 Email: ivanmmendoza@aol.com Approximate Start/End Dates: August 2018- October2018' Brief Description of Work: Tra'ffio Signallnstaflation/Modifications including new traffic signal poles and Vol iaular/pedestrian traffic Veal; new controller cabinets with new foundations new service pedestals with new foundations battery backup installation, video detection system installation, safety lighting installation, emergency vehicle preemption installation now ada compliant curb ramps, new striping and markings, loop detection systems, new underground conduit and pullbox installation, SCE underground substructures. concretelasphatt Improvements, etc. dccimentlost modified 11,220.2018 929 Otterbein Ave., Unit E La Puente, CA 91748 Ph: (626) 810-1338 Fax: (626) 8104322 www,cpengineeringinc.com Street Lighting -Job References Design — Build High Voltage Streetlight System Rewiring Amount: $547,044.66 Owner: City of Santa;Ana Project Manager: Tyrone Chesanek Email: tchesanek@sonto-ano,org Contact Phone #: (714) 647,5690 Fax ,#, (714) 647.5622 Status: Completed Approximate Start/End Dates: Feb 2015-March 2016 Description of Supplies, Equipment, or Services Provided: Convert High Voltage Wiring to Law Voltage Wiring, Design,/Build, Installation of Lighting Fixtures; and Conduit, Installation of Sport Field Lighting System Amount: $65,501.00 Owner: City of Huntington Park Project Manager: Josette Espinosa Email: fespinosa@hpco.gov Contact Phone #: (323) 584-6216 Fax #: (323) 588.4577 Status:. Completed Approximate Start/End Dates: Dec 2015-Jan 2016 Description of Supplies, Equipment, or Services Provided: Installation of Conduit&. Wiring; Pull Box, Sports Field Lighting Fixtures, and Lighting Poles. Firestone Blvd Improvement Project Amount: $409,305.58 Owner: City of Downey Project Manager: Keith Hoey Page I of 3 6ocan enl Last ilpdnted 4-$ 2016 Email: khoey@downeyco.org Contact Phone M (562) 622 5898 Fax #: (562) 904-7296 Status: Completed Approximate Start/End Dates:. April 2014-August 2014 Description of Supplies, Equipment, or Services Provided: Installation of Conduit & Wiring/Conductors, Pull Boxes, Pedestals, LED Fixtures, and Light Poles. Street Light in Lieu Amount: $244,716.35 Owner: City of Ontario" Project Manager: Johnson Hua Email: Jhua@ci.ontario,ca.us Contact phone #: (909) 395-2131 Fax#; (909,1395,2122 Status: Completed Approximate Start/End Dates, Jon 2014-April 2014 Description of Supplies, Equipment, or Services Provided: Installation of Conduit& Wiring/Conductors, Pullboxes, Pedestals„ LED Fixtures, and Light Poles. Old Towne Street Lighting Improvements Amount: $453,145.00 Owner: City of orange Project Manager: Medel Lianes Email: milones@cityoforange,org Contact Phone #:(714)744 5535 Fax #: (714) 744-5573 Status: Completed Approximate Start/End Dates; Jan 2012-Apri12012 Description of Supplies, Equipment, or Services Provided: Installation of Conduit, Pullboxes, Pedestals, Street Lights w/Fixtures, and Light Poles: Installation of Street Lighting on Mountain Street from Craig Ave Amount: $335166.00 Owner: City of Pasadena Project Manager: Chris Hernandez Email: cehernandez@cityofpasodena.net Contact Phone #: (626) 744 4303 Fax #: (626) 396-7931 Status: Completed Approximate Start/End Dates: Jan 2012-May 2012 Description of Supplies, Equipment, or Services Provided: Installation of Conduit, Street Light Pullboxes, LED lamps, Post Top Concrete Streetlights, Street Light Conductors, and Modify Existing Street light Feed Point. Page 2 of 3 Uncionew Last Updated 4 5-20Lb Street Light Installation — Guinida Lane Amount: $20Z345.50 Owner; City of Anaheim Project Manager: Mork Brownrigg Email: mbronwrigg@anaheim;net Contact Phone#: (714) 765-4300 Ext. 4596 Fax #; (714) 765-5225 Status: Completed Approximate Start/End Dates:; Aug 2011-March 2012 Description of Supplies, Equipment, or Services Provided: Installation of Conduits, Wirings, Service, Foundations, Street Light Poles, and Luminaires. Page 3 of 3 DUcitinem Lav tjlxlpled 4.5-2016 -w 9cazL!jE 7?4 y o scrLscd.— Scope of Services and Schedules Activity Duration Replace damaged streetlight 2-4 hours depending on foundation damage, anchor bolt damage, etc Replace conduit After the legal time allowed from underground ser ice alert. pothole,(1 day), bare conduit 500' ?- 700 the next day Replace dead existing tuminaire with material on hand 1.2 hours Replace Foundation 1 day to pour, 7 days after to install street light Van Nguyen 929Otterbein Avenue Unit E La Puente, CA 91748 626-810.1338 vanftengineerihdinc com 929 Otterpein Avenue, Unit E La PUBnt8, CA 917481 Ph (626) 810-1338 Fax (626) 810-13221 Ein�T esgmating acpengineeiiiiginc.aom uAppeA dix ATTA01MT 34; " 'N-COLLUSit} ENN AFFWOIT , CE'RTXRXCA:TXONS N NON-COLLUS10 AFFID� (Title 23 United States Code Section 112 and Public Contract Come Section 7106) To the CITY OF SANTA ANA DEPARTMENT OF PUBLIC WORKS 1n accordance with Title 23 United States Code Section 112 and Public Contract Code 7106 the BIDDER declares that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation, that the bid is genuine and not collusive or sham; that the BIDDER has not directly or indirectly induced or solicited any other BIDDER to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived or agreed with any BIDDER or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the BIDDER has not in any manner, directly or indirectly, sought by agreement; overhead communication,fit or cost element it the price, or of that of any other fthe BIDDER or any BIDDER, or to Fix any anyoneprice pro pri ,IIDDER, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid ore true; and, further, that the BIDDER has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to'any corpreadon,parMership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Note: The stove Nan -collusion Affidavit is part of the Proposal, Signing this Proposal on the signature, portion thereof shall air monstitutc signtaturq of this Non -collusion Affidavit, BIDDERS are cautioned that Signed State of California County of Subscribed and sworn to (or affirmed) before me on this day of , 20 , by proved to me on the basis of satisfactory evidence to be the persons} who appeared beforemo. f F Notary Public Signature Notary Public Seal City of Santa Ana RFP Page A3-1 JURAT State of California Courtly of Los Angeles SS. Subscribed and sworn tto, t(or affirmed) before me on this L _— day of �- " 201_ , by proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. ALICIA NGUYEN CQMM 1F 22113A6 2q NOTARY PUBLIC 04ALIPORNIA i LOS ANGELES COUNTY Y Comm. Ex ,AUG. .25.2021 A notary public or other office completing this certificate verifies only the idWity of the individual who signed the document to which this certificate is attached. and not the truthfulness, accuracy, or validity of that document. OPTIONAL INFORMATION The information below is optional. However, it may prove valuable and could prevent fraudulenta(tachmept of this form to an unauthorized documenL CAPACITY CLAIMED BY SIGNER (PRINCIPAL) DESCRIPTION OFATTACHED DOCUMENT 4 ❑ INDIVIDUAL d CORPORATE V I q OFFICER u TrFLE OR TYPE OF 6( CUMENr q ❑ PARTNER(S) mLEls q r q ❑ ATTORNEY -TN -PACT } I r ❑ TRUSTEE(S) NUMB ER OF PAGES i ❑ GUARDIAN/CONSERVATOR ❑ OTHER: D'ATEOPDOCUMENT r q r q r q _ q OTHER r b .ABSENT SIGNEll (PRINCIPAL)ISREPRESENTING: RIGHT i NAME OPPERSONIS) OR E'N'rtTY(IESj THUMBPRINT 4 OF r SIGNER r r r r i J01/ (M NOT.ARYEONDS, SUPPLIES AND FORMS ATHTTP:/M'W1VVALLPXS]FliIIA,COM b92W5-2008VALLEY-SIERR'AINSU?tANCF' Appendix ATTACHMENT 3-2. NON -LOBBYING CERTIFICATION CERTIFICATIONS The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her knowledge and belief, that: 2. If any funds other than federal appropriated funds have been paid orwill be paid to any person for influencing or attempting to influence any officer or etaployee of any federal agency, a Member of This certification is a material representation of fact upon which reliance was placed when this transaction was wade or entered into. Submission of this certification is a prerequisite for making or entering Into this transaction imposed by Section 1352, Title 31, U. S, Code. Any person who fails to file the required certification shall be sutoect to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such sub recipients shall certify, and disclose accordingly. Signed and Printed Name: Title Date Clty of Santa Ana RFP Page A3-2 h : Appendix:.:. ATTACHMENT 3-3: NON-DlkS IMINATION CERTIT+ICATION CERTIFICATIONS The undersigned consultant or corporate officer, during the performance of this contract; certifies as follows:+ 1. 'The Consultant shall not discriminate against any employee or applicant for employment because of race, color, religion, sex, or national origin. The Consultant shall take affirmative action to erasure that applicants are employed, and that employees are treated during employment without, regard to their race, color, religion, sex, or national origin, ,Such action shall include, but not be limited "to, the following: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The Consultant agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided setting forth the provisions of this nondiscrimination clause. 2. The Consultant shall, in all solicitations or advertisements for employees placed 'by or on behalf of the Consultant, state that all qualified applicants will receive consideration for employment -without regard to race, color, religion, sex, or national origin; I The Consultant shall send to each labor union or representative of workers with which he/she has a collective bargaining agreement or other contract or understanding, a notice to be provided advising the said labor union or workers' representatives of the Consultant's commitments under this section, and shall post copies of the notice in conspicuous places available to employees and applicants for employment 4, The Consultantshall comply with all provisions' of Executive Order 11246 of September 24, 1965, and of the rules, regulations, and relevant orders of the Secretary of Labor; 5. The Consultant shall furnish all information and reports required by Executive Order 11246 of September 24, 1965, and by rules, regulations, and orders of the Secretary of Labor, or pursuant thereto, and will permit access to his/her books, records, and accounts by the administering agency and the Secretary of Labor for purposes of investigation, to ascertain compliance with such rules, regulations, and orders. 6, In the event of the Consultant's non-compliance with the nondiscrimination clauses of this contract or with any of the said rules, regulations, or orders, the contract may be canceled, terminated, or suspended in whole or in part and the Consultant may be declared ineligible for further Government contracts or federally assisted construction contracts in accordance with procedures authorized in Execution Order 11246 of September 24, 1965, and such other sanctions may be imposed and remedies invoked as provided in Executive Order 11246 of September 24, 1965, or by rule, regulations, or order of the Secretary of Labor, or as otherwise provided bylaw. 7 ha provisions Consultant shllinclude cle 1h portion 7f the to sentence subcontract preceding paragraph (1) and p paragraphs O g O' every or purchase order unless exempted City of Santa Ana RFP Page AM by rules, regulations, or orders of the Secretary of Labor issued pursuant to Section 204 of Executive Order 11246 of September 24, 1965, so that such provisions will be binding upon each subcontract or purchase order as the administering agency may direct as means of enforcing such provisions, including sanctions for noncompliance; provided, however, that in the event the Consultant becomes involved in, or is threatened with, litigation with a sub -consultant or vendor as a ;result of such direction by the administering agency, the Consultant may request that the United States enter into such litigation to protect the interests of the United States', 8. Pursuant to California Labor Code Section 1735, as added by Chapter 60 Stats. 1939; and as amended, No discrimination shall be trade in the employment of persons upon public works because of race, religious creed, color, national origin, ancestry, physical handicaps, mental condition, marital status, or sex of such persons, except as provided in Section 1420, and any consultant of public works violating this Section is subject y allthe,pcnaltip imposed for a violation of the Chapter. Signed; Title: Finn: Date Page nJ �nc, EXHIBIT C Appendix ATTACHMENT 4 PROPOSAL ITEM PRICINC PROPOSERS CERTIFICATION and PROPOSAL ITEM PRICING Certification - I certify that I have read', understand and agree to the terms and conditions of this Requestfor Proposals. Ihave examined the Scope of Services (Appendix -Attachment 1) and am familiar with the scope of work locations. I am familiar with all the existing conditions and limitation that may impact work requests. I understand and agree that I am responsible for reporting any errors, omissions or discrepancies to the City for clarification prior to the submission of my proposal Proposal Item Price . Pricing shall be based on hourly cost, time and materials basis for services described in Attachment I- Scope of Services. Fee must be inclusive of all costs, including but not limited to, direct and indirect costs for labor, overhead, incidental supplies, travel mileage, and fuel. Any special materials will be purchased by the contractor only after discussed and authorized by the City projects manager or designee in writing. Labor .t Item Description Hourly Hourly Overtime Hourly Doubletime 1 Laborer e . � 1 -3o 2 Apprentice os 90- %t Vo l . 3 Journeyman ap• , 7 "•— ono 4 Foreman f2 •sue fz Zl . M Material '', Item Description Unit Unit Price 5 2" Conduit PVC Schedule40 LF 6 # 8 AWG Wire (Copper) LF 7 # 10 AWG Wire (Copper) 1-1- 8 # 12AWG Wire (Copper) LF —� 9 # 6AWG Overhead Wire Aluminum LF 10 Meter Pedestalper COSA Standard EA c7 ' =� 11 _____ Streetl' ht Pole per Sid 1126A Double King)g) EA 12 Streetli ht Pole per Std 1126E (Single King)EA 13 1 Streetii ht Poleper Std 1126H (Marblelite) EA 0 Equipment Item Description Hourly Rate Daily Rate 14 Service Truck pp 15 50` Boom Truck 16 Crane Truck DC> CONTINUED ON THE NEXT PAGE City of Santa Ana RFP 19-042 Page A4-1 Equipment Item Description Haud Rate Dailv Rate 17 Jack Hammer Compressor p Q- 1s Traffic Control &rD p, t tj 19 Arrow Board 5 20 Boring Rig oo DC In addition, proposers shall provide breakdown details supporting the above costs. City of Santa Ana RFP 19.042 Page A4-2 C CALIFORPRO CERTIFICATE OF LIABILITY INSURANCE If the: Carl ON IS WAI doeanet CO t 4 0252 336. a, Suits too California: Professional Engineering Inc. 929 Otterbetn Avenue, .Unit ..E La Puente, CA 91748.1440 UMBRELLA OCCUR I LOc 2/29t2919 � 212s/202o" VOEDULEEOp P021 NLY 7atl 4N261807 511912019. SC19/2020 E CLAIMS -MADE Z11p16N4477019NF 212# 2126/2020 10,000 n .uTlve M WA 3NO99943 ifS/19(2019 —' SM912020 } I cyay 6602K972383 2/26/2019 2/26/2020 Le 6602KO72383 2/26/2019 2/26/2020 LI nONs i VEHICLES (ACORD Tat, Atltliboaal ROMMOS Schedule, may be aaachedir mom spaco Is 001uko4j -P NO.:`19.042. DATE IMM@OA'YYy( Its officers, employees, agents, volunteers and representatives areadditional insureds as respects to: General Liability per form. 0413. This Insurance is primary with respect to. insurance or self-insurance programs maintained by the City of Santa Ana as respects form GG20010413. - 30 days Witten notice of cancellation or reduction in coverage or change in any other material aspect, by Contractor, to the City of Santa Ana,. ICATE NOLDER AN ELLAT ON 12EVIEWED & APP OVER O k MANAr1 'T EMENT' I,}� D ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE. City Of Santa Ana Y XPIRATION DATE THEREOF NOTICE WILL BE. DELIVERED IN 20 Civic Center Plaza (M•30) ACCORDANCE WITH THE POLICY PROVISIONS. PA Box 1988 az�'� Santa Ana,. CA 92702.1988 AUTHORIZED REPRESENTATIVE zs 12016/93t THA M. I A ©1988-2015 A The ACORD name and logo are registered marks of ACORD on rights reserved. POLICY NUMSFR;fS19CGL23954ljC This endorsement modifies insurance provided under thefotlowhig: k Hawever; 1, The Insurance afforded to such additional Insured only applies to the Went 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, CG 20 37 0413 1-2 Ct MME-IRCIA€. OSNERAL LIABJUTY CG 20 37 04 13 1 Required by the contract or agreement; or Z Available under the appllooble Limits of Insurance ahown inthe Declarations; whichever is loss: This endorsement shall not increase the applicable - Limits of Insurance shown in the Declarations: Office, Inc- 2€12 Page 1 of i POLICY NUMBI_R;IslgCGL239541IC COMMERCIAL GENERAL LIABiCI'I'Y CO 20 10 OA 15 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE R AD IT CAREFULLY, ADDITIONAL INSURED � OWNERSILESSEES OR CONTRACTORS - SCHEDULED PERSON CAR ORGANIZATION This endorsement modifies Insurance providod under the fottowing; COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section It • Who is An Insured Is amended to Include san.additional Insu*fhe person(s) or Organization(a) shown in the Schedule, but only with respect to liability for "bodily injury", *operiy damage" or "personal and advertising injury - caused, in whole or impart, by: 1, Your acts or omissions; or Z The acts Or Omissions of those acting on your behalf', in the performance Of Your ongoing operations for the additional insureds) 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 8. `WiiLr additespnhsInsurance afforded to Lhasaironalecttoede the following additional ssclusions apply; This insurance does notapply to "bodily injury+or "property damage" occurring after 1. Z CG 2010 0413 -F- l� Insurance Services Office, Inc,,2t712 T Page 1 of 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. G, With respect to the insurance afforded to these additional insureds, the follovfjdg is added to SBciion M-LimitsOf Insurance: It coverage provided to the additional insured is vVillll pay y on requiredof additionalnuredhe contract thior agreement, the nis te r mount Of insurance. 1 Acquired by the contract or a8reemenk or Z Available under the applicable Limits of Insurance shay n in the. Declarations, whicheverls Pass, This endorsement Shell notincrease the applicable Limits of insurance shown in the QaGlarations. CG 2010 0413 ' (-5 Insurance Services Office, Inc:, 2012 Page 2 of 2 POLICY t3UMSSIt:I51g0GL23grAl IC 0OWIMERCIAL OENEPAL l IABILRY CG 20 01 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, This osadorsetnent modifies insurance provided.under the following: the following is added to the Other Insurance Condition and supersedes any provision to the oaorary Primary And Noncontributory Insurance This insurance is, Primary to and will not =-seek - contribution from anly other Insurance available to an additional insured under your policy- " provided that (1) The additional insured is a Named insured under such other -Insurance and CC 20 014413 (2) You Have agreed in writing in a,contract or agFeement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. 0Insurance. Services office, inc,, 2012 Pagel of 1 �1 CALIFORPRO C RL DAT01YYYY1 51181278/2020 CERTIFICATE OF LIABILITY INSURANCE 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 endorsemen s . PRODUCER License # 0252636 VW CT Patty Ebeling United Agg@nCIeS 3257 E. GUasti Ave, Suite 100 Ontario, CA 91761 PNONE FAX Arc, xo, EMI: (909 295-3299 Arc. No :(929) 296-7377 E'"I . pa driainC.COm INSURE S AFFORDING COVERAGE NMCC INSURERA: Navl atorsSpecialty Insurance Company 36056 INSURED INSURER 8:The Travelers Indemnity Company of Connecticut 25682 INSURER C:RSUI Indemnity Company 22314 California Professional Engineering Inc. 19062 San Jose Avenue La Puente, CA 91748 I INSURER D: Travelers Property Casualty Company of America 25674 INSURER E INSURER F COVERAGES CFRTIFICATF NI IMRFG• DcammQM NI I M13ED. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE 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. WSN TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POUCYEXP La1rfS A X COMMERCIAL GENERAL LIABILITY / CLAIMS -MADE OCCUR✓ Owner's & Contractor X CE20CGL2395411C 2J2612020 5119/2021 EACHOCCURRENCE E 1,000.000 PREMISEOAMAGETO S(Fa aEj E 50,000 X MEY EXP An one rson E PERSONALS ADV INJURY 1,000,000 GENLAGGREGATE LIMIT APPLIES PER, OPOLICY JECT LOC GENERAL AGGREGATE 2,000,00 PRODUCTS -COMPUP AGG E 2,000,000 OTHER. B AUTOMOBxE X LIABILITY ✓ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUUTµOpSWryE 8104N2618072026G 5/19/2020 ./ 5/191202) COMBINED SINGLE LIMIT E 1,000,000 BODILY INJURY Pw arson E BODILY INJURY Per a¢1den1 X DOPER I AMAGE AUTOS ONLY X AUTOS ONLY Ma" Aseaa X NO °etl X C UNIBRELLALIAB EXCESS LIA9 X OCCUR CLAIMS -MADE NHA248864 212612020 5119/2021 EACH OCCURRENCE S 10,000,000 X AGGREGATE E 10,000,000 LIED I X I RETENTIONS 10,000 D WORKERS COMPENSATION ANDEMPRIETORPARTLITT ANY PROPRIEltr EXCLUDE EXECUTIVE Y I❑N WqpnlIc RIMEMg�p EXCLUOE09 (r.Mntla[ory In NH)/ o Yes, tlescdte Vnder DESCRIPTION OF OPERATIONS Cekw NIA UB3NO999432026G 611912020 5119120jt X PER OTM- E.L. EACH ACCIDENT E 1,000,000 EL DISEASE -EA EMPLOYE 1'000'000 E.L. DISEASE -POLICY LIMIT E 1,000,000 D Contractor Equipment 7P299189600 2126/2020 511912021 LeasedlRented 100,000 D Installation Floater 7P299189600 2/26/2020 5119/2021 Limit 250,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ACORD 101, Additional Remarks SCM uk, may EB aaaclwd I more spate Is re4uXe4) RE: Street Light Maintenance. RFP NO.: 19-042. The City of Santa Ana, its officers, employees, agents, volunteers and representatives are additional insureds as respects to General Liability per form CG20100413 & CG20370413. This insurance is�primary with respect to insurance or self-insurance programs maintained by the City of Santa Ana as respects to General Liability per form CG20010413. ✓ `At least 30 days written notice of cancellation or reduction in coverage or change in any other material aspect, by Contractor, to the City of Santa Ana. City of Santa Ana 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana, CA 92702-1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 207o THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN L ACCORDANCE WITH THE POLICY PROVISIONS. ANgiE ACEVEdO AUTHORIZED REPRESENTATIVE ACUKU ZD (ZU16/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER. CE20CGL2395411C COMMERCIAL GENERAL LIABILITY CG 20 01 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be primary contrary: and would not seek contribution from any other Primary And Noncontributory Insurance insurance available to the additional insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and REVIEWED & APPROVED By Risk MA%)?.r,FMFNT [}jVISiON J 0 9 2Z."J ANGiE.ACEVEdO CG 20 0104 13 0 Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: CE20CGL239541IC COMMERCIAL GENERAL LIABILITY CG20370413 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 Com leted Oicerations 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. Information required to complete this Schedule, 0 not shown above, will he shown in the Declarations. A. Section 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. REVIEWED & APPROVED By Risk MANAGEMENT DivisiON JU� 2020 ANgiE ACEVEdo CG 20 37 04 13 Q Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: CE20CGL239541IC 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 Persons) Or Organization(s) Locations) Of Covered Operatlons Any person or organization for whom you are performing operations during the policy period 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. Irtfom?atfon required to complete this Schedule, If not shown above, will be shown in the Declarations. A. Section 0 - 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 behalt 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 CG 20 10 04 13 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 REVIEWED & APPROVED By RISk MANAGEMENT DiViSION gJ�U�N� �� 2020 © Insurance Serve"lAiOffice EdOg012W Page 1 of 2 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, C. Wrth respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: It coverage provided to the additional insured is required by a contractor 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 CG 2010'04`13 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. REVIEWED & APPROVED By Risk MANAGEMENT DIVISION JU^ 2020 0 Insurance Seervices Office Inc., 2012 Page 2 of 2 Francine R. Digitally signed by Francine R. Villareal Villareal Date: 2021.06.2913:26-15-07'00' CALIFORPRO CARLOSD ,d►coRO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 6/29/2021 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 License # 0262636 CONTACT Patty Ebeling PHONE FAX (A/C, No, Ext): (909) 295-3299 (A/C, No): (929) 295-7377 United Agencies 3267 E. Guasti Ave, Suite 100 Ontario, CA 91761 E-MAIL patty@drisinc.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Navigators Specialty Insurance Company 36056 INSURED INSURER B: Travelers Property Casualty Company of America 25674 INSURERC: RSUI Indemnity Company 22314 California Professional Engineering Inc. INSURER D : 19062 San Jose Avenue La Puente, CA 91748 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 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 ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR X CE21CGL2396411C 6/19/2021 6/19/2022 DAMAGE TO RENTED PREMISES Ea occurrence 50,000 $ X MED EXP (Any one Derson $ Owner's & Contractor PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY � JECT F LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 $ X BODILY INJURY Perperson) $ ANY AUTO 4N261807 6/19/2021 6/19/2022 OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X PROPERTY DAMAGE Per accident) ccident $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY Deductible $0 X C UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 X AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE NHA261660 6/19/2021 6/19/2022 DED I X RETENTION $ 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE FYI OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA 3NO99943UBO 6/19/2021 6/19/2022 X PER OTH- STATUTE ER E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE- EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000,000 $ B Contractor Equipment 7P2991896600 6/19/2021 6/19/2022 Leased/Rented 100,000 B Installation Floater 7P2991896600 6/19/2021 6/19/2022 Limit 250,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Santa Ana, its officers, employees, agents, and volunteers are additional insureds with regard to liability and defense of suits arising from the operations and uses performed by on or behalf of the named insured per attached forms CG20100413 & CG20370413. With respect to claims arising out of the operations and uses performed by on or behalf of the named insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insureds per attached form CG20010413. This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the company's limits of liability. The inclusion of any person or organization as an insured shall not affect any right which such person or organization would have as a claimant if not so included per form NPC7110811. SEE ATTACHED ACORD 101 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE ,�oRaN� RisieManagementDiviaian REVIEWED & APPROVED BY.- ACORD 25 (2016/03) ©1988-2015 ACORD C �. The ACORD name and logo are registered marks of ACORD Risk Management Analyst AGENCY CUSTOMER ID: CALIFORPRO LOC #: 1 CARLOSD ACORO ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY United Agencies License # 0262636 NAMED INSURED 1California Jose A enueEngineering Inc. La Puente, CA 91748 POLICY NUMBER EE PAGE 1 CARRIER EE PAGE 1 NAIC CODE SEE P 1 EFFECTIVE DATE: SEE PAGE 1 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Description of Operations/LocationsNehicles: "With resepect to the additional insureds (the City of Santa Ana, its officers, employees, agents, and volunteers), this insurance shall not be cancelled, or materially reduced in coverage or limits except after thirty (30) days written notice has been given to the City of Santa Ana, Public Works Agency, 20 Civic Center Plaza, Ross Annex, M-93, Santa Ana, CA 92701. ACORD 101 (2008/01) © 2008 ACORD CO The ACORD name and logo are registered marks of ACORD HORaN RiskMmagementDivisian REVIEWED & APPROVED BY.- -A } z Risk Management Analyst RSUI INDEMNITY COMPANY This Endorsement Changes The Policy. Please Read It Carefully. CALIFORNIA CHANGES — CANCELLATION AND NONRENEWAL This endorsement modifies insurance provided under the following: Commercial Excess Liability Policy Section IV., CONDITIONS, item 4. Cancellation, is deleted and replaced by the following: 4. Cancellation and Nonrenewal a. The first Named Insured shown in the Declarations may cancel this policy by mailing or delivering advance written notice of cancellation to us. b. All Policies in Effect For 60 Days Or Less If this policy has been in effect for 60 days or less, and is not a renewal of a policy we have previously issued, we may cancel this policy by mailing or delivering to the first Named Insured at the mailing address shown in the policy and to the producer of record, advance written notice of cancellation, stating the reason for cancellation at least: (1) 10 days before the effective date of cancellation if we cancel for: (a) Nonpayment of premium; or (b) Discovery of fraud by any insured or his or her representative or you or your representative in pursuing a claim under this policy. (2) 30 days before the effective date of cancellation if we cancel for any other reason. c. All Policies In Effect For More Than 60 Days If this policy has been in effect for more than 60 days, or is a renewal of a policy we issued, we may cancel this policy only upon the occurrence, after the effective date of the policy, of one or more of the following: (1) Nonpayment of premium, including payment due on a prior policy we issued, and due during the current policy term covering the same risks. (2) Discovery of fraud or material misrepresentation by any insured or his or her representative in obtaining this insurance or you or your representative in pursuing a claim under this policy. (3) A judgment by a court or an administrative tribunal that you have violated a California or Federal law, having as one of its necessary elements an act which materially increases any of the risks insured against. (4) Discovery of willful or grossly negligent acts or omissions, or of any violations of state laws or regulations establishing safety standards, by you or your representative which materially increases any of the risks insured against. (5) Failure by you or your representative to implement reasonable loss control requirements, agreed to by you as a condition of policy issuance, or which were precedent to our use of particular rate or rating plan, if that failure materially increases any of the risks insured against. This endorsement effective 2/26/2020 forms part of Policy Number NHA248864 issued to California Professional Engineering Inc by RSUI Indemnity Company RSG 33022 1208 Includes copyrighted material of Insurance Services Office, Inc., with its © ISO Properties, Inc., 2007 HORaN RiskMwag me dDMsian REVIEWED & APPROVED BY.- o z f P1. M44441 Risk Management Analyst (6) A determination by the Commissioner of Insurance that the: (a) Loss of, or changes in, our reinsurance covering all or part of the risk would threaten our financial integrity or solvency; or (b) Continuation of the policy coverage would place us in violation of California law or laws of the state where we are domiciled; or threaten our solvency. (7) A change by you or your representative in the activities or property of the commercial or industrial enterprise, which results in a materially added, increased or changed risk, unless the added, increased or changed risk is included in this policy. (8) A material change in limits, type or scope of coverage, or exclusions in one or more of the underlying policies. (9) Cancellation or nonrenewal of one or more of the underlying policies where such policies are not replaced without lapse. (10)A reduction in financial rating or grade of one or more insurers, insuring one or more underlying policies based on an evaluation obtained from a recognized financial rating organization. We will mail or deliver advance written notice of cancellation, stating the reason for cancellation, to the first Named Insured, at the mailing address shown in the policy, and to the producer of record at least 10 days before the effective date if we cancel for nonpayment of premium or discovery of fraud; or 30 days before the effective date if we cancel for any other reason listed in paragraph c., above. d. When We Do Not Renew Subject to the provisions below, if we elect not to renew this policy, we will mail or deliver written notice stating the reason for nonrenewal to the first Named Insured shown in the Declarations and to the producer of record, at least 60 days, but not more than 120 days, before the expiration or anniversary date. We will mail or deliver our notice to the first Named Insured, and to the producer of record, at the mailing address shown in the policy. RSG 33022 1208 Includes copyrighted material of Insurance Services Office, Inc., with its © ISO Properties, Inc., 2007 HORaN RiskMmaganedDMsian REVIEWED & APPROVED BY.- o z f P1. M44441 Risk Management Analyst POLICY NUMBER: CE21 CGL239541 IC 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 SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations 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. 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 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 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. CG 20 37 04 13 © Insurance Services Office, Inc., 2012 �oRaN } z RiskMmWmedDMsfan REVIEWED & APPROVED BY: f R. V;&wd Risk Management Analyst required by the contract or agreement to provide for such additional insured. CG 20 37 04 13 © Insurance Services Office, Inc., 2012 �oRaN 3 RiskMmWmedDMsfan REVIEWED & APPROVED BY.- z Risk Management Analyst POLICY NUMBER: CE21CGL2395411C 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 Organization(s) Locations Of Covered Operations Any person or organization for whom you are performing operations during the policy period 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. 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 B 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 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. CG 20 10 04 13 © Insurance Services Office, Inc., 2012 �oRaN } z RiskMmWmentDMsian REVIEWED & APPROVED BY.- p R. Vj&wd Risk Management Analyst 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. C. With respect to the insurance afforded to these 2. Available under the applicable Limits of Insurance additional insureds, the following is added to shown in the Declarations; Section III - Limits Of Insurance: whichever is less. If coverage provided to the additional insured is This endorsement shall not increase the applicable required by a contract or agreement, the most we Limits of Insurance shown in the Declarations. will pay on behalf of the additional insured is the amount of insurance: 1.Required by the contract or agreement; or CG 20 10 04 13 © Insurance Services Office, Inc., 2012 �oRaN } z RAMmagzmentcMsiun REVIEWED & APPROVED BY.- Risk Management Analyst COMMERCIAL GENERAL LIABILITY CG 20 01 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be primary contrary: and would not seek contribution from any other Primary And Noncontributory Insurance insurance available to the additional insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and CG 20 01 04 13 © Insurance Services Office, Inc., 2012 �oRaN } z a Risk MmagzmenteMsiun REVIEWED & APPROVED BY: p R. W&Wd Risk Management Analyst POLICY NUMBER: CE21 CGL239541 IC COMMERCIAL GENERAL LIABILITY NPC 711 08 11 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. GENERAL AGGREGATE LIMIT PER PROJECT WITH AN OVERALL GENERAL AGGREGATE CAP This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Projects: All Projects Overall General Aggregate Cap: $5,000,000 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. For all sums which the insured becomes legally a. Insureds; obligated to pay as damages caused by "occur- b. Claims made or "suits" brought; or rences" under COVERAGE A (SECTION 1), and for all medical expenses caused by accidents c. Persons or organizations making claims or under COVERAGE C (SECTION 1), which can be bringing "suits". attributed only to ongoing operations at a single 3. Any payments made under COVERAGE A for designated construction project shown in the damages or under COVERAGE C for medical Schedule above: expenses shall reduce the Designated Con- 1. A separate Designated Construction Project struction Project General Aggregate Limit for General Aggregate Limit applies to each des- that designated construction project. Such ignated construction project, and that limit is payments shall not reduce the General Ag- equal to the amount of the General Aggregate gregate Limit shown in the Declarations nor Limit shown in the Declarations. Subject to shall they reduce any other Designated Con - the application of the General Aggregate Limit struction Project General Aggregate Limit for to each of your projects, the maximum any other designated construction project amount we will pay under the General Aggre- shown in the Schedule above. gate Limit for all claims arising from all 4. The limits shown in the Declarations for Each projects is the Overall General Aggregate Cap Occurrence, Fire Damage and Medical Ex - shown in the Schedule above. pense continue to apply. However, instead of 2. The Designated Construction Project General being subject to the General Aggregate Limit Aggregate Limit is the most we will pay for the shown in the Declarations, such limits will be sum of all damages under COVERAGE A, subject to the applicable Designated Con - except damages because of "bodily injury" or struction Project General Aggregate Limit. "property damage" included in the "products - completed operations hazard", and for medi- cal expenses under COVERAGE C regard- less of the number of: NPC 711 08 11 �oRaN } z RiskMmWmerdDMaian REVIEWED & APPROVED BY: p R. Vj&wd Risk Management Analyst B. For all sums which the insured becomes legally obligated to pay as damages caused by "occur- rences" under COVERAGE A (SECTION 1), and for all medical expenses caused by accidents under COVERAGE C (SECTION 1), which cannot be attributed only to ongoing operations at a sin- gle designated construction project shown in the Schedule above: 1. Any payments made under COVERAGE A for damages or under COVERAGE C for medical expenses shall reduce the amount available under the General Aggregate Limit or the Products -Completed Operations Aggregate Limit, whichever is applicable; and 2. Such payments shall not reduce any Desig- nated Construction Project General Aggre- gate Limit. C. When coverage for liability arising out of the "products -completed operations hazard" is pro- vided, any payments for damages because of "bodily injury" or "property damage" included in the "products -completed operations hazard" will reduce the Products -Completed Operations Ag- gregate Limit, and not reduce the General Aggre- gate Limit nor the Designated Construction Project General Aggregate Limit. Page 2 of 2 D. If the applicable designated construction project has been abandoned, delayed, or abandoned and then restarted, or if the authorized contract- ing parties deviate from plans, blueprints, de- signs, specifications or timetables, the project will still be deemed to be the same construction project. E. The provisions of Limits Of Insurance (SECTION III) not otherwise modified by this endorsement shall continue to apply as stipulated. �oRaN } z RAMmaganadDMsiun REVIEWED & APPROVED BY: F R. Vj&wd Risk Management Analyst RSUI INDEMNITY COMPANY This Endorsement Changes The Policy. Please Read It Carefully. CALIFORNIA CHANGES — CANCELLATION AND NONRENEWAL This endorsement modifies insurance provided under the following: Commercial Excess Liability Policy Section IV., CONDITIONS, item 4. Cancellation, is deleted and replaced by the following: 4. Cancellation and Nonrenewal a. The first Named Insured shown in the Declarations may cancel this policy by mailing or delivering advance written notice of cancellation to us. b. All Policies in Effect For 60 Days Or Less If this policy has been in effect for 60 days or less, and is not a renewal of a policy we have previously issued, we may cancel this policy by mailing or delivering to the first Named Insured at the mailing address shown in the policy and to the producer of record, advance written notice of cancellation, stating the reason for cancellation at least: (1) 10 days before the effective date of cancellation if we cancel for: (a) Nonpayment of premium; or (b) Discovery of fraud by any insured or his or her representative or you or your representative in pursuing a claim under this policy. (2) 30 days before the effective date of cancellation if we cancel for any other reason. c. All Policies In Effect For More Than 60 Days If this policy has been in effect for more than 60 days, or is a renewal of a policy we issued, we may cancel this policy only upon the occurrence, after the effective date of the policy, of one or more of the following: (1) Nonpayment of premium, including payment due on a prior policy we issued, and due during the current policy term covering the same risks. (2) Discovery of fraud or material misrepresentation by any insured or his or her representative in obtaining this insurance or you or your representative in pursuing a claim under this policy. (3) A judgment by a court or an administrative tribunal that you have violated a California or Federal law, having as one of its necessary elements an act which materially increases any of the risks insured against. (4) Discovery of willful or grossly negligent acts or omissions, or of any violations of state laws or regulations establishing safety standards, by you or your representative which materially increases any of the risks insured against. (5) Failure by you or your representative to implement reasonable loss control requirements, agreed to by you as a condition of policy issuance, or which were precedent to our use of particular rate or rating plan, if that failure materially increases any of the risks insured against. This endorsement effective 05/19/2021 forms part of Policy Number NHA251650 issued to California Professional Engineering Inc by RSUI Indemnity Company RSG 33022 1208 Includes copyrighted material of Insurance Services Office, Inc., with its © ISO Properties, Inc., 2007 HORaN RiskMmWmentDMsian REVIEWED & APPROVED BY.- o z f P1. M44441 Risk Management Analyst (6) A determination by the Commissioner of Insurance that the: (a) Loss of, or changes in, our reinsurance covering all or part of the risk would threaten our financial integrity or solvency; or (b) Continuation of the policy coverage would place us in violation of California law or laws of the state where we are domiciled; or threaten our solvency. (7) A change by you or your representative in the activities or property of the commercial or industrial enterprise, which results in a materially added, increased or changed risk, unless the added, increased or changed risk is included in this policy. (8) A material change in limits, type or scope of coverage, or exclusions in one or more of the underlying policies. (9) Cancellation or nonrenewal of one or more of the underlying policies where such policies are not replaced without lapse. (10)A reduction in financial rating or grade of one or more insurers, insuring one or more underlying policies based on an evaluation obtained from a recognized financial rating organization. We will mail or deliver advance written notice of cancellation, stating the reason for cancellation, to the first Named Insured, at the mailing address shown in the policy, and to the producer of record at least 10 days before the effective date if we cancel for nonpayment of premium or discovery of fraud; or 30 days before the effective date if we cancel for any other reason listed in paragraph c., above. d. When We Do Not Renew Subject to the provisions below, if we elect not to renew this policy, we will mail or deliver written notice stating the reason for nonrenewal to the first Named Insured shown in the Declarations and to the producer of record, at least 60 days, but not more than 120 days, before the expiration or anniversary date. We will mail or deliver our notice to the first Named Insured, and to the producer of record, at the mailing address shown in the policy. RSG 33022 1208 Includes copyrighted material of Insurance Services Office, Inc., with its © ISO Properties, Inc., 2007 HORaN RiskMmaganedDMsian REVIEWED & APPROVED BY.- o z f P1. M44441 Risk Management Analyst COMMON POLICY CONDITIONS All Coverage Parts included in this policy are subject to the following conditions: A. CANCELLATION D. INSPECTIONS AND SURVEYS 1. The first Named Insured shown in the We have the right but are not obliged to: Declarations may cancel this policy by mailing 1. Make inspections and surveys at any time; or delivering to us advance written notice of 2. Give you reports on the conditions we find; cancellation. and 2. We may cancel this policy by mailing or delivering to the first Named Insured written notice of cancellation at least a. 10 days before the effective date of cancellation if we cancel for nonpayment of premium; or b. 30 days before the effective date of cancellation if we cancel for any other B. C. reason. 3. We will mail or deliver our notice to the first Named Insured-s last mailing address known to us. 4. Notice of cancellation will state the effective date of cancellation. The policy period will end on that date. 5. If this policy is cancelled, we will send the first Named Insured any premium refund due. If we cancel, the refund will be pro rata. If the first Named Insured cancels, the refund may be less than pro rata. The cancellation will be effective even if we have not made or offered a refund. 6. If notice is mailed, proof of mailing will be sufficient proof of notice. CHANGES This policy contains all the agreements between you and us concerning the insurance afforded. The first Named Insured shown in the Declarations is authorized to make changes in the terms of this policy with our consent. This policy-s terms can be amended or waived only by endorsement issued by us and made a part of this policy. EXAMINATION OF YOUR BOOKS AND RECORDS We may examine and audit your books and records as they relate to this policy at any time during the policy period and up to three years afterward. E. F. 3. Recommend changes. Any inspections, surveys, reports or recommendations relate only to insurability and the premiums to be charged. We do not make safety inspections. We do not undertake to perform the duty of any person or organization to provide for the health or safety of workers or the public. And we do not warrant that conditions: 1. Are safe or healthful: or 2. Comply with laws, regulations, codes or standards. This condition applies not only to us, but also to any rating, advisory, rate service or similar organization which makes insurance inspections, surveys, reports or recommendations. PREMIUMS The first Named Insured shown in the Declarations: 1. Is responsible for the payment of all premiums, and 2. Will be payee for any return premiums we pay. TRANSFER OF YOUR RIGHTS AND DUTIES UNDER THIS POLICY Your rights and duties under this policy may not be transferred without our written consent except in the case of death of an individual Named Insured. If you die, your rights and duties will be transferred to your legal representative but only while acting within the scope of duties as your legal representative. Until your legal representative is appointed, anyone having proper temporary custody of your property will have your rights and duties but only with respect to that property. In Witness Whereof, we have caused this policy to be executed and attested, and, if required by state law, this policy shall not be valid unless countersigned by our authorized representative. Emily B. Miner, Secretary Stanley A. Galanski, President NIC GL PJ (01-07) Includes copyrighted material of Insurance Services Office, Inc., with its premission. Copyright, Insurance Services Office, Inc., 1982, 1983 HORaN } z a Risk ManagzmentDMsian REVIEWED & APPROVED SY.- p Z W&Wd Risk Management Analyst