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HomeMy WebLinkAboutSURETECK INDUSTRIAL & COMMERCIAL SERVICES, INC.INSURANCE NOT ON FILE WORK MAY Uff PROCEED CLERK OF COUNCIL DATE: SEP 2 7 2019 N-2019-197 �A`0 AGREEMENT TO PROVIDE ON -CALL DEBRIS REMOVAL SERVICES t k�ro �Zr HIS AGREEMENT is made and entered into this _ day of September, 2019 by and between Sureteck Industrial & Commercial Services, 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. The City desires to retain a contractor to provide debris removal services on an on - call basis at various locations throughout the City in order to address the impacts of homelessness. B. Contractor represents that it is able and willing to provide such services to the City. 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 On an as -needed basis, and at the City's sole discretion, Contractor shall perform the services described in the scope of work that is attached as Exhibit A and incorporated in full. 2. COMPENSATION a. City neither warrants nor guarantees any minimum or maximum compensation to Contractor under this Agreement. Contractor shall be paid only for actual services performed under this Agreement at the rates and charges identified in Exhibit B. The total sum to be expended during the term of this Agreement, including any extension periods, shall not exceed $250,000. 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. 3. TERM This Agreement shall commence on the date first written above and continue for a period of one year, unless terminated earlier in accordance with Section 17, below. The term of this Pa-e 1 of 9 Agreement may be extended for up to one year 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. Ifthe 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 filly 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. 7. INSURANCE Prior to undertaking performance of work under this Agreement, Contractor shall maintain Page 2 of 8 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 (e) 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. Worker's Compensation Insurance. In accordance with the California Labor Code, Contractor, if Contractor has any employees, is required to be insured against liability for worker's 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. C. 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. f. If Contractor fails or refuses to produce or maintain the insurance required by this section or fails or refuses to furnish the City with required proof that insurance has Page 3 of 8 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 inj ury, 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 operations of the Contractor or its subcontractors, agents, employees, or other persons acting on their behalf which relates to the services described in section I 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 fiirther 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, regarding any 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 terns 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. INTELLECTUAL PROPERTY INDEMNIFICATION 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. 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 law, from the date of final payment to Contractor under this Agreement. All such records and invoices shall be clearly identifiable, Contractor shalt allow a representative of the City to examine, audit, and make transcripts or copies of such records and any other documents created Page 4 of 8 pursuant to this Agreement during regular business hours, Contractor shall allow inspection of all work, data, documents, 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 information 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 apply to 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 have interests, 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 manner 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 Fax 714-647-6956 Executive Director Public Works Agency City of Santa Ana 20 Civic Center Plaza (M-21) Page 5 of 8 P.O. Box 1988 Santa Ana, CA 92702 To Contractor: Suretek Industrial and Commercial Services, Inc. 860 E. Cottonwood Street Ontario, CA 91761 Attn: Gino Sotelo, 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 now 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 any purchase order or other instrument that are inconsistent with, or in addition to, the terns 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 similar, nor shall any waiver constitute a continuing waiver unless the writing so specifies. Page 6 of 8 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, pennits, 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 shall 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 tennination of this Agreement. 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 Fagg 7 of 8 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: ,4 Daisy GomezClerk of the Council APPROVED AS TO FORM SONIA R. CARVALHO City Attorney By: D14/IV• J# M. Funk Assistant City Attorney RECOMMENDED FOR APPROVAL 44 Ln�a t1k Fuad S. Sweiss, PE, PLS Executive Director Public Works Agency CITY OF SANTA ANA sz" Kristine Ridge City Manager CONTRACTOR 5 Nye- / / N 0 S /ri'c1 A Title: I)XC�/0 7- Page 8 of 8 REQUESTCITY OF SANTA ANA FOR r, FISCAL YEAR 2019-20 The City of Santa Ana is seeking competitive quotes from contractors to maintain and perform HOMELESS ENCAMPMENT AND DEBRIS CLEAN UP SERVICES on City right-of-way, City owned properties (i.e. lots, culverts/channels, embankments, Santiago Creek), railroads or private areas designated by City Staff with the goal of keeping public spaces free of debris and open for safe use by the public. Work to be performed will include, but not be limited to, sections that are unimproved, run underneath streets, and lower than grade or sloped. MJJJK�rx 211111101• r • City intends to award contract(s) up to $250,000 for each individual for this service until expended. III. TYPES OF SERVICES Contractor shall remove transient/homeless encampments that may include, but is not limited to tents, soiled clothing, blankets, human feces, hypodermic needles, and items listed above. Clean up multiple encampment sites shall be scheduled or on an on -call basis. Work will consist of surveying sites, collecting debris, dismantling temporary structures, removing trash, and disposing of all debris at a local facility specified by the City. Jobsites can be in heavy foliage, embankments, train tracks, creeks and other areas requiring alertness to the environment and pre -planning to prevent injury or illness. a. Contractor shall remove unwanted natural or environmental materials including, but not be limited to, bio-waste, dirt, nests, hypodermic needles, silt, feces, grime and similar. b. Removal and disposal of debris/rubbish, including: c. Trees, out brush, dead trees, tree limbs, and similar materials, d. Furniture, mattresses, appliances, scrap metals, junk, automobile parts or machinery, tires, televisions and other electronic devices, e. Structure demolition, including wood frame, concrete, asphalt, bricks or other construction debris, f. Garbage, litter, cardboard, metal cans, glass, feces, fruit/vegetable matter, City of Santa Ana Public Works Agency T� Request for Quotes for Homeless Encampment and Debris Clean Up Services 1of17 g. Hand sweeping (or blowing) of streets, alleys, sidewalks and similar areas. 2. Contractor may be required to occasionally perform confined space clean up for entry into designated areas. 3. Contractor maybe assigned to work alongside Santa Ana Police Department and Social Services/Outreach Support Workers when clearing transient/homeless encampments. 4. Immediately contact the City of Santa Ana Police Department in the event that weapons are found. Under most, circumstances, the City's Police Department will have confiscated weapons and illegal contraband prior to the arrival of the Contractor. Contractor may be required to post City provided "Notice to Clean or Remove Property" signs at the work site prior to the commencement of each removal project as established in the work -scope and as directed by City representative. Depending on circumstances, this posting may occur 24-hours from the date of the clean up or as determined by the Projects Manager. Contractor shall photograph posted notices to document time and location of posting as instructed by Projects Manager and City. & Contractor may be required to bag and identify personal property left behind at clean up sites and transport them to a place designated by the Projects Manager or City. Guidelines for property identification will be provided by the City. Such items include but are not limited to items in good repair such as organized backpacks, clean and clearly identified medication, eye glasses in good condition, wallets, handbags, jewelry, operating watches, non -soiled duffel bags, and non -soiled and organized bedrolls. A. Furnish all labor, equipment, materials and supplies (including trash bags and any other supplies necessary), tools, services and special skills required to perform all services listed above on City streets, alleys, and various locations and other related services as set forth in the Scope of Services and in keeping with the highest standards of quality and performance. B. Cooperate fully with all authorities regarding any investigations of the preceding activities. Submit a completed report to Projects Manager by the next business day following work completed under this contract. Work shall be assigned by the City Projects Manager (or Inspector, Santa Ana Police Department or other City Designated Person) and shall be on an As -Needed or on a Set Schedule basis, subject to budget appropriation availability and changes by the Projects Manager. Work hours and staffing may be increased based on funding availability. The Projects Manager will work with the Contractor to prepare the most effective and productive schedules and work assignments. City of Santa Ana Public Works Agency Request for Quotes for Homeless Encampment and Debris Clean Up Services 2of17 Contractor's regularly assigned activities shall be performed from 7:00 a.m, to 3:30 p.m., Monday through Friday and alternative hours during Early Morning, Late Night, Overnight, and Weekends. The schedule shall be provided by the Projects Manager. Deviation from these hours/days shall not be permitted without the prior consent or direction of the Projects Manager except for emergencies. VIL CHEW SIZE Crew Unit Size(s) will vary based on task and assignment and as determined between Contractor and Projects Manager. Contractor shall provide the necessary staff/workers to perform work as specified in this Scope of Services. Contractor must have the ability to provide the necessary workers based on the amount AS -NEEDED and SET SCHEDULED assignments. At a minimum, Contractor shall perform the assigned tasks with the following: A. Two(2)Laborer — Laborer performs the necessary tasks to complete the required services on an AS -NEEDED and SET SCHEDULED basis, B. Additional Laborers may be reouired and requested as needed and per assignment from the Projects Manager. A. Quality Assurance Perform all work according to all current applicable codes, industry -standards, and to the highest quality commensurate with required work 1. Ensure that all work is done only by experienced and professional personnel arriving at the project site(s) as scheduled and all work is performed in a skillful and workmanlike manner. 2. All services shall be subject to the inspection and approval of City either by Projects Manager or designee prior to acceptance and approval for payment. B. Compliance with Laws: 1. It shall be the Contractor's responsibility to attain the appropriate Contractor License Requirement if applicable. Contractor shall perform all work performed in connection to this project in full compliance with all applicable standards, laws, statutes, restrictions, ordinances, requirements, rules and regulations of municipal, state, county and federal agencies applicable to the services provided. City of Santa Ana Public Works Agency Request for Quotes for Homeless Encampment and Debris Clean Up Services 3of17 A. Contractor shall remove and dispose of all weeds, litter, and debris generated during the performance of this contract from the work areas the same day it is generated. The use of the City Municipal Corporate Yard location will be allowed for the disposal of weeds and debris generated under this agreement and will be at no charge to the City. B. Disposal tickets, receipts or similar documentation produced by the disposal site indicating tonnage disposed of will be required as part of the invoicing and for payment by the City based on the price in Exhibit A. C. All debris, excess material, and parts, including those materials that could inflict injury (e.g., nails, wire, wood, etc.), shall be cleaned up continuously as work progresses and removed at the completion of the job and/or at the end of each work day. X. ECIUIPMENT The Contractor shall perform all work necessary to complete the provisions of this contract in a satisfactory manner. The Contractor shall furnish all equipment, tools, materials, supplies, supervision and labor necessary to complete the work. It is mandatory that the equipment and tools identified below be readily available. All equipment shall be designed and used so as to properly protect all sidewalks, curbs, streets, and other improvements from damage. All tractors, back -hoes, loaders, and equipment will be operational, operated by qualified operators, maintained by the Contractor's expense and time. Loader Vehicle-- Minimum 3 cubic yard loader with scrap grapple loader bucket or equivalent clamp bucket (including operator). Loader vehicle maybe required depending on the clean up services needed perjobsite. Equipment must be made available when needed forscheduled work and stored at Contractor's own storage facility. City staff will provide advanced notice when needed. Back -Hoe Vehicle with scrap grapple loader bucket or equivalent clamp bucket (including operator). Back -hoe vehicle maybe required depending on the clean up services needed per jobsite. Equipment must be made available when needed for scheduled work City staff will provide advanced notice when needed. Contractor shall furnish all labor, equipment, materials (including trash bags), tools, services, and special skills required to perform weed and debris removal services and other related services as set forth in these specifications and in keeping with the highest standards of quality and performance. Contractor shall ensure that all equipment, materials, supplies, and consumables meet or exceed all applicable manufacturer's published specifications and industry standards corresponding to required work as specified herein. City of Santa Ana Public Works Agency Request for Quotes for Homeless Encampment and Debris Clean Up Services 4of17 A. Documentation — As Requested by the City 1. Digital Photo Sampler Report a) Take before -and -after photos of items, areas, or incidents that Contractor responds to by using the City mobile application or other specific method by the City. b) Maintain these photos electronically and make them available for inspection by City at any time and shall include location, description, etc, before or after, date and time of photo taken with timestamp. uwnnff• • .} ♦ 0 A. Contractor Laborer Employees Ensure that all Contractor employees performing work in conjunction with this service are always courteous, professional, competent, and do not cause any undue disturbances. 2. Contractor staff and representative shall maintain the highest level of professional standards in uniforms, politeness, and interaction with the public and City personnel. Contractor staff must present a neat, well-groomed appearance at all times. 3. Remove any employee who is determined by City to be incompetent, working inefficiently, disorderly, intemperate, or otherwise objectionable immediately removed from work under this agreement and replace with a satisfactory replacement. 1. Contractor shall provide and maintain clean uniforms for all Contractor employees under this contract at Contractor expense and must bear Contractor's company name or other acceptable designation type approved by the Projects Manager. 2. Must wear appropriate safety vest or safety color shirt at all times while working for the City. Invoices are to be submitted on the first day of each month, or as deemed necessary by the Projects Manager. The invoice shall identify the hours worked and/or location cleaned. Disposal tickets, receipts or similar documentation indicating tonnage disposed of will be required as part of the invoicing. Contractor shall mail all invoices to: CITY OF SANTA ANA PUBLIC WORKS AGENCY MAINTENANCE SERVICES DIVISION Projects Manager —Arturo Rodriguez 220 South Daisy Avenue Santa Ana, CA 92703 City of Santa Ana Public Works Agency Request for Quotes for Homeless Encampment and debris Clean Up Services 5of17 e-mail: arodrIauez0santkqaa.or ,q phone: (714) 647-3303 XIV. RESPONSE -TIMES muss A. Emergency 1. Emergency: 1 -hour response to site from time of contact for anything that is or could harm life or property. I 2, Contractor's representative assigned to this contract must be equipped with a cellular phone, with the capability to respond when contacted (phone call or e-mail) within 30 minutes, but not later than one (1) hour of notification. Contractor's representative to direct crew to respond to and address emergency within one (1) hour after directive given. All work performed under this contract shall be performed in a manner as to provide maximum safety to the public and staff where applicable, complywith all safety standards related to personal protective equipment (PPE) required by CAL -OSHA or other applicable Local, State and Federal safety regulatory agencies. 1. Comply with all applicable local, state, federal regulations and requirements. 2. Transport, store, apply, dispose of all bio-waste and hazardous materials as required by law. 3. Remove from the work site and properly dispose of all spent materials, hazardous materials, debris, and the like on a daily basis. Do NOT accumulate waste materials unless the Projects Manager otherwise allows. 4. Minimize contamination from materials, wastes, spills, or residues at the jobsite to street, drainage facilities, or adjoining property by wind or runoff. 1. Signs used for handling traffic during the course of this contract shall be in accordance with the "Work Area Traffic Control Handbook" (WATCH), published by Building News, Inc., and made a part of these special provisions. The method in which signs, barriers, and warning devices are used during the work shall be in accordance with the publication mentioned. A copy of said publication is on file in the Public Works Agency. 2. The City reserves the right to issue restraint or cease and desist order to the Contractor or when unsafe or harmful acts are observed or reported relative to the performance of the work under this contract. City of Santa Ana Public Works Agency Request for Quotes for Homeless Encampment and Debris Clean Up Services 6 of 17 XVI. COMMUNICATIONS Contractor shall provide his crew with a cellular phone to allow direct communication with City staff at Contractor expense. The City shall require contract staff to utilize a technological device, such as a smartphone, tablet, laptop or similar device at Contractor expense, to assist with the City's Asset Management and Work Order System. Such device will be utilized to perform basic data input and respond to work orders from the City. Operation of the software system shall include, but is not limited to, monitoring and responding to real-time work order service requests and taking before and after photos of work performed. City reserves the right to periodically inspect and audit Contractor's accounting procedures and supporting documentation in conjunction with the performance of the Scope of Services. XVIII. CONTRACT TERMINATION The City reserves the right to terminate contract, without penalty, for cause immediately orwithout cause after 30-days written notice thereof is delivered to the Contractor either personally or by mail addressed as shown on the quote. If the Contractorfails to meet the specifications of this contract for a period of 15 cumulative days, the City may at its option terminate the balance of this contract by written notice of termination to the Contractor. Notice of such termination shall take effect 15 days after such notice is mailed. The Contractor may request termination of the contract when conditions during the contract make it impossible to perform or when prevented from proceeding with the contract by act of God, by law or official action of a public authority or in the event on nonpayment by the City. Such request will require ninety (90) days written notice prior to contract termination date requested. 9 s 0 City of Santa Ana authorized contractors will be required to have identification signage on all vehicles at all tirnes while working in an official capacity for the City. Such signage shall be of a professional manner and maintained neat in appearance, free of graffiti, easily identifiable and in sound condition. All costs associated with the fabrication of such signage shall be borne by the contractor, Contact City Staff prior to ordering. Signape Ty and Material Shall Be; • Plastic with Magnetic Backing. Painted on Vehicle or similar (Taped Signs Not allowed). Such Sionacie Shall State: City of Santa Ana Public Works Agency Request for Quotes for Homeless Encampment and Debris Clean Up Services 7of17 Authorized Contractor City of Santa Ana and Name of Contractor and Contractor Telephone Number Signaae Letter Minimum Size: • 2-inches for: Authorized Contractor City of Santa Ana • 1-inch for all other information XXI. INDEMNITY AND INSURANCE— Indemnification Defense Hold Harmless 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 Tenant, its residents, subcontractors, agents, employees, or other persons acting on its behalf which relates to the services described in the Scope of Services; 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 Contract. 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 Contract 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, regarding any 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 Contract. City may make all reasonable decisions with respect to its representation in any legal proceeding. The Director of the Department of Industrial Relations of the State of California has ascertained the prevailing rate of per diem wages in dollars, based on a working day of eight hours, for each craft or type of worker or mechanic needed to execute any construction or maintenance contract, which may be awarded by Public Works. The current prevailing wage rates as adopted by the Director of the Department of Industrial Relations are incorporated herein by reference and may be accessed at http://www.dir.ca.gov/ (General Prevailing Wage determination made by the Director of Industrial Relations / Pursuant to California Labor Code Part 7, Chapter 1, Article 2, Section 1770, 1773 and 1773.1). The Contractor is required to pay the prevailing wage rate referred to above and is responsible for selecting the craft/classification of workers which will be required to perform this service in accordance with the Contractor's method of performing the work. Pursuant to Section 1775 City of Santa Ana Public Works Agency Request for Quotes for Homeless Encampment and Debris Clean Up Services 8of17 of the Labor Code (State of California) Contractor shall forfeit $50 for each calendar day, or portion thereof, for each worker paid less than the stipulated prevailing wage rates for any public work done under this Contract or by any subcontractor. Prevailing Wage Compliance and Monitoring Contractor is aware of the requirements of the California Labor Code Section 1720, at seq., and 1770, at 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 requirement on "public works" and "maintenance" projects. Since the services are being performed as part of an applicable "public works" or "maintenance" project, as defined by Prevailing Wage Laws and since the total compensations is #1,000 or more, Contractor agrees to fully comply with such Prevailing Wage Laws. City shall provide contractor with a copy of the prevailing rates of per diem wages in effect at the commencement of this Agreement/Contact. Contact shall make copies of the prevailing rates of per diem wages for each craft, classification or type of worker needed to execute the Services available to interested parties upon request, and shall post copies at the Contractor's principal place of business and at the job site. 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, XXIII. LICENSES & PERMITS Contractor's License: In accordance with California Public Contracting Code § 3300, the City requires Contractors to possess a valid California Class C-27 — Landscaping Contractor's License at the time quotes are opened and to maintain this and all other applicable licenses and certifications required to perform the work specified herein. Business License: Each prime contractor and subcontractor shall obtain and pay for a Santa Ana Business License. Detailed information concerning business license may be obtained from the Finance and Management Services Agency, (714) 647-5447. All permits and fees required by all other Agencies having jurisdiction over any part of the work shall be obtained and paid for by the Contractor, unless otherwise noted on the Plans or in the Special Provisions. The awarded Contractor shall conduct all aspects of its operations in compliance with all state and federal laws and regulations. City of Santa Ana Public Works Agency Request for Quotes for Homeless Encampment and Debris Clean Up Services 9of17 WIN i v. CITY OF A A / A PUBLIC WORKS STATEMENTQUOTE PROPOSER ITEM PRICING EXHIBIT A Certification 1 certify that I have read, understand and agree to the terms and conditions of this quote. I have examined the Scope of Services and am familiar wIth the scope of work and 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 quote, Quote Item Price Pricing shall be based on the items listed below and described in the Scope of Services. Fee muUst be supplies travel mirage, 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. The City has tha o tion- r hose an�rpvide materials. Special material will be purchased and/or by the City or the City will reimburse the Contractor after authorization by City, fi c! L(%�i -C- d K. /1V %-) PJI- I A k V ee14146<d`IA4 tt1G 1 L LEGAL NAME OF COMPANY (1 BUSINESS ADDRESS 117le PHONE AND FAX NUMBER MEOWL TITLE ` /-; e h DATE D fc..�� f �iSG� / _/✓1,..$�/�TC�%�C.�..IU.2�%G—C'c�. �/JM FEDERAL IDENTIFICATION NUMBER OR TAX ID (IF APPLICABLE) EMAIL ADDRESS TYPE AND CONTRACTOR ID NUMBER a A r• � A •* s r• '� City of Santa Ana Public Works Agency Request for Quotes for Homeless Encampment and Debris Clean Up Services 11 of 17 CITY OF SANTA ANA PUBLIC WORKS AGENCY e• Y.:� . . 1 ! f. ! � HOMELESS ENCAMPMENT AND DEBRIS CLEAN UP SERVICES ITEM # QUOTE. ITEM DESCRIPTION QUANTITY UNIT UNIT PRICE Crew Laborer 9. (Hourly Rate shall Not include 1 HOUR $) V markup for disposal charge) ADDITIONAL ITEMS ANDSF�tV-(CAS j/�S �I r=hFD} ITEM QUOTE ITEM DESCRIPTION UNIT UNIT PRICE Equipment— Loader 2. (With Operator) HOUR 'As $ /81 S' Ra uestedlAs Directed Equipment m Back Hoe 3. (With Operator) HOUR $ j "As Requested/As Directed �� DEBRIS DISPt55AL CHARGE (A� �IEEDEDI 4. DEBRIS DISPOSAL CHARGE TON $ ?�, /J�� City of Santa Ann Public Works Agency Request for Cuotes for Homeless Encampment and Debris Clean Up Services 12 of 17 this Agreement, and shall indemnify City hilly, 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: Daisy Gomez Clerk of the Council APPROVED AS TO FORM SONIA R. CARVALHO City Attorney By: J! M. Funk Assistant City Attorney Fuad S. Sweiss, PE, PLS Executive Director Public Works Agency CITY OF SANTA ANA Kristine Ridge City Manager CONTRACTOR W., A Title: I)A CC / d Page 8 of 8 SURET-1 OP ID: I ACC�KQ CERTIFICATE OF LIABILITY INSURANCE DATE(MM �--� 09/261201 YY) 2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(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 951-680-9600 co TACT Diana Castanon Daisy Trudeau Ins. Services P�I+e 951-680-9600 Fax 888-261-N54 CA Lie. #OL52222 G No E tarc, No); 5015 Canyon Crest Dr. Ste. 207 land aiS u t3a1JIRS.COitt Riverside, CA 92507 Daisy Trudeau INSURERS AFFORDING COVERAGE -^^ NAIC INSURED Sureteck Industrial & Commercial Services, Inc 860 E Cottonwood St. Ontario, CA 91761 INSURER A:AmGUARD Insurance Co. INSURERe:Ohio Security Insurance Co INSURERC:Oak River Insurance Company INSURER D : INSURER E : INSURER F: 34630 i.:UVlr#S Ulr:i Srt F'IC I 1Z NUIVItS411: KtZvl11JlU�+ Jx.gntser[: 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 ADDL SUB POLICY EFF POLICY EXP VTR TYPE OF INSURANCE INSD WVO POLICY NUMBER MbPDFrraL (MMIDDNYYYI LIMITS E X TCOMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000 CLAIMS -MADE ❑X OCCUR X BLS56935915 03/01/2019 03/01/2020 �B MGEraPENTED 500,QOq AGGREGATE LIMIT APPLIES PER: POLICY Q JPP& LOC A AUTOMOBILE LIABILITY ANY AUTO AUTEO ONLY WNED X AUTNOpS�UyLEEDp X AUTOS ONLY X PN,UOTOS ONLY UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS -MADE DED RETENTION $ C AND EMPLKERSOY RSELIABILITY YIN AANY PROR/PRIIETgO�RIPARTNERIEXECUTIVE IL (Mandatory In N R EXCLUDED? l N! A If ves. describe under MED EXP (Any oneperson) 15,000 PERSONAL & ADV INJURY 1,000,000 GENERAL AGGREGATE 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 06/19/2019 06/19/2020 COME31f0. iNGLE LIMIT 1,000,000 BODIL Y INJURY fPer Derson) $ UWC929095 11112212018 1 11/22/2019 I EL EACH ACCIDENT E.L DISEASE -EA EMPLOYEE 1 $ 1,000,0001 E L DISEASE - POLICY LIMIT 1 $ 1,000,000 8C N ❑ E TIO ! LOCATIO S WICLES CORD 1O5 I nal emsrlEs Schv uln m b attached If more space Is required) di3y a °an a �Lr a, o °icers, age�tt"�s, emp oyees, &F` 0 un eers are inclNed as additional insured as respec s to General Liability perform CG8810 0413, REVIEWED & APPROVED where required by written contract. Primary wording/ Non-contributory By RISK MANACtEMENT DIVISION appiles per form C08810 0413. "Supersedes certificate issued 9120119 SEP 3 0 ?Oil �► MMUmmmor.mofa1\I CITYSAI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City ACCORDANCE WITH THE POLICY PROVISIONS. Risk Management Division 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE 4th floor ^` Santa Ana, CA 92702 �[ ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY CG 88 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL GENERAL LIABILITY EXTENSION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART INDEX SUBJECT PAGE NON -OWNED AIRCRAFT 2 NON -OWNED WATERCRAFT 2 PROPERTY DAMAGE LIABILITY - ELEVATORS 2 EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) 2 MEDICAL PAYMENTS EXTENSION 3 EXTENSION OF SUPPLEMENTARY PAYMENTS - COVERAGES A AND B 3 ADDITIONAL INSUREDS -BY CONTRACT, AGREEMENT OR PERMIT 3 PRIMARY AND NON-CONTRIBUTORY- ADDITIONAL INSURED EXTENSION 5 ADDITIONAL INSUREDS -EXTENDED PROTECTION OF YOUR "LIMITS OF INSURANCE" 6 WHO IS AN INSURED - INCIDENTAL MEDICAL ERRORSIMALPRACTICE AND WHO IS AN INSURED -FELLOW EMPLOYEE EXTENSION -MANAGEMENT EMPLOYEES 6 NEWLY FORMED OR ADDITIONALLY ACQUIRED ENTITIES 7 FAILURE TO DISCLOSE HAZARDS AND PRIOR OCCURRENCES 7 KNOWLEDGE OF OCCURRENCE, OFFENSE, CLAIM OR SUIT 7 LIBERALIZATION CLAUSE 7 BODILY INJURY REDEFINED 7 EXTENDED PROPERTY DAMAGE 8 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US - 8 WHEN REQUIRED IN A CONTRACT OR AGREEMENT WITH YOU REVIEWED & APPROVED By RISk MANAGEMENT DIVISION fiEP301iAm 209 r� FRANCINE R. VILLAREAL © 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance services Office, Inc ,with its permission. Page 1 of 8 With respect to coverage afforded by this endorsement, the provisions of the policy apply unless modified by the endorsement. A. NON -OWNED AIRCRAFT Under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury And Property Damage Liability, exclusion g. Aircraft, Auto Or Watercraft does not apply to an aircraft provided: 1. It is not owned by any insured; 2. It is hired, chartered or loaned with a trained paid crew; 3. The pilot in command holds a currently effective certificate, issued by the duly constituted authority of the United States of America or Canada, designating her or him a commercial or airline pilot; and 4. It is not being used to carry persons or property for a charge. However, the insurance afforded by this provision does not apply if there is available to the insured other valid and collectible insurance, whether primary, excess (other than insurance written to apply specifically in excess of this policy), contingent or on any other basis, that would also apply to the loss covered under this provision. B. NON -OWNED WATERCRAFT Under Paragraph 2. Exclusions of Section I -Coverage A - Bodily Injury And Property Damage Liability, Subparagraph (2) of exclusion g. Aircraft, Auto Or Watercraft is replaced by the following: This exclusion does not apply to: (2) A watercraft you do not own that is: (a) Less than 52 feet long; and (b) Not being used to carry persons or property for a charge. C. PROPERTY DAMAGE LIABILITY - ELEVATORS 1. Under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury And Property Damage Liabil- ity, Subparagraphs (3), (4) and (6) of exclusion j. Damage To Property do not apply if such "property damage" results from the use of elevators. For the purpose of this provision, elevators do not include vehicle lifts. Vehicle lifts are lifts or hoists used in automobile service or repair operations. 2. The following is added to Section IV - Commercial General Liability Conditions, Condition 4. Other Insurance, Paragraph b. Excess Insurance: The insurance afforded by this provision of this endorsement is excess over any property insurance, whether primary, excess, contingent or on any other basis. D. EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) If Damage To Premises Rented To You is not otherwise excluded from this Coverage Part: 1. Under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury and Property Damage Liability: a. The fourth from the last paragraph of exclusion j. Damage To Property is replaced by the follow- ing: Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" (other than damage by fire, lightning, explosion, smoke, or leakage from an automatic fire protection system) to: (i) Premises rented to you for a period of 7 or fewer consecutive days; or (ii) Contents that you rent or lease as part of a premises rental or lease agreement for a period of more than 7 days. Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" to contents of premises rented to you for a period of 7 or fewer consecutive days. A separate limit of insurance applies to this coverageR0/tbeWWd&iAWAGW4A)- Limits of Insurance. By Risk MANAGEMENT DiviSiON © 2013 Liberty Mutual Insurance 3 0 019 CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., it age 2 of 8 FRANCINE R. VILLAREAL b. The last paragraph of subsection 2. Exclusions is replaced by the following: Exclusions c. through n. do not apply to damage by fire, lightning, explosion, smoke or leakage from automatic fire protection systems to premises while rented to you or temporarily occupied by you with permission of the owner. A separate limit of insurance applies to Damage To Premises Rented To You as described in Section III - Limits Of Insurance. 2. Paragraph 6. under Section III - Limits Of Insurance is replaced by the following: 6. Subject to Paragraph 5. above, the Damage To Premises Rented To You Limit is the most we will pay under Coverage A for damages because of "property damage" to: a. Any one premise: (1) While rented to you; or (2) While rented to you or temporarily occupied by you with permission of the owner for damage by fire, lightning, explosion, smoke or leakage from automatic protection sys- tems; or b. Contents that you rent or lease as part of a premises rental or lease agreement. 3. As regards coverage provided by this provision D. EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) - Paragraph 9.a. of Definitions is replaced with the following: 9.a. A contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire, lightning, explosion, smoke, or leakage from automatic fire protection systems to premises while rented to you or temporarily occupied by you with the permission of the owner, or for damage to contents of such premises that are included in your premises rental or lease agreement, is not an "insured contract". E. MEDICAL PAYMENTS EXTENSION If Coverage C Medical Payments is not otherwise excluded, the Medical Payments provided by this policy are amended as follows: Under Paragraph 1. Insuring Agreement of Section I - Coverage C - Medical Payments, Subparagraph (b) of Paragraph a. is replaced by the following: (b) The expenses are incurred and reported within three years of the date of the accident; and F. EXTENSION OF SUPPLEMENTARY PAYMENTS - COVERAGES A AND B 1. Under Supplementary Payments - Coverages A and B, Paragraph 1.b. is replaced by the following: b. Up to $3,000 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. 2. Paragraph 1.d. is replaced by the following: d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or "suit', including actual loss of earnings up to $500 a day because of time off from work. G. ADDITIONAL INSUREDS -BY CONTRACT, AGREEMENT OR PERMIT 1. Paragraph 2. under Section II - Who Is An Insured is amended to include as an insured any person or organization whom you have agreed to add as an additional insured in a written contract, written agreement or permit. Such person or organization is an additional insured but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused in whole or in part by: a. Your acts or omissions, or the acts or omissions of those acting on your behalf, in the performance of your on going operations for the additional insured that are the subject of the written contract or written agreement provided that the "bodily injury" or "property damage" occurs, or the "per- sonal and advertising injury" is committed, substegu�,i�. _#� �gnpq ,g) l bwritten contract or written agreement; or �tV W U At` Y By RISK MANAGEMENT DIViSiON 2013 Liberty Mutual InsuranceSE J Lei 1�7 CG 88 10 04 13 Includes copyrighted material of InsuranceServlceF In I is m i t. Page 3 of 8 F'R1ANCINE R. VIL REAL b. Premises or facilities rented by you or used by you; or c. The maintenance, operation or use by you of equipment rented or leased to you by such person or organization; or d. Operations performed by you or on your behalf for which the state or political subdivision has issued a permit subject to the following additional provisions: (1) This insurance does not apply to "bodily injury", "property damage", or "personal and ad- vertising injury' arising out of the operations performed for the state or political subdivision; (2) This insurance does not apply to "bodily injury" or "property damage" included within the "completed operations hazard". (3) Insurance applies to premises you own, rent, or control but only with respect to the following hazards: (a) The existence, maintenance, repair, construction, erection, or removal of advertising m --=- signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, " hoist away openings, sidewalk vaults, street banners, or decorations and similar expo- sures; or (b) The construction, erection, or removal of elevators; or o � (c) The ownership, maintenance, or use of any elevators covered by this insurance. 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 insur- ance afforded to such additional insured will not be broader than that which you are required by n the contract or agreement to provide for such additional insured. With respect to Paragraph 1.a. above, a person's or organization's status as an additional insured under this endorsement ends when: (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. With respect to Paragraph 1.b. above, a person's or organization's status as an additional insured under this endorsement ends when their written contract or written agreement with you for such premises or facilities ends. With respects to Paragraph 1.c. above, this insurance does not apply to any "occurrence" which takes place after the equipment rental or lease agreement has expired or you have returned such equipment to the lessor. The insurance provided by this endorsement applies only if the written contract or written agreement is signed prior to the "bodily injury" or "property damage". We have no duty to defend an additional insured under this endorsement until we receive written notice of a "suit" by the additional insured as required in Paragraph b. of Condition 2. Duties In the Event Of Occurrence, Offense, Claim Or Suit under Section IV - Commercial General Liability Condi- tions. REVIEWED & APPROVED By Risk MANAGEMENT DIVISION 0 2019 © 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 4 of 8 2. With respect to the insurance provided by this endorsement, the following are added to Paragraph 2. Exclusions under Section I - Coverage A - Bodily Injury And Property Damage Liability: This insurance does not apply to: a. "Bodily injury' or "property damage" arising from the sole negligence of the additional insured. b. "Bodily injury" or "property damage" that occurs prior to you commencing operations at the location where such "bodily injury" or "property damage" occurs. c. "Bodily injury", "property damage" or "personal and advertising injury' arising out of the render- ing of, or the failure to render, any professional architectural, engineering or surveying services, including: (1) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (2) Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occur- rence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of, or the failure to render, any professional architectural, engineering or surveying services. d. "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. e. Any person or organization specifically designated as an additional insured for ongoing operations by a separate ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS endorsement is- sued by us and made a part of this policy. 3. 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: a. Required by the contract or agreement; or b. 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 Declaratio ns. H. PRIMARY AND NON-CONTRIBUTORY ADDITIONAL INSURED EXTENSION This provision applies to any person or organization who qualifies as an additional insured under any form or endorsement under this policy. Condition 4. Other Insurance of SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS is amend- ed as follows: a. The following is added to Paragraph a. Primary Insurance: If an additional insured's policy has an Other Insurance provision making its policy excess, and you have agreed in a written contract or written agreement to provide the additional insured coverage on a primary and noncontributory basis, this policy shall be primary and we will not seek contribution from the additional insured's policy for damages we cover. o<tViL1WrD & APPROVED By Risk MANACIEMENT DIVISION all 0 2019 © 2013 Liberty Mutual Insura CG 88 10 04 13 Includes copyrighted material of Insurance Services CUice, fnd., Page 5 of 8 FRANCINE R. VILLAREAL b. The following is added to Paragraph b. Excess Insurance: When a written contract or written agreement, other than a premises lease, facilities rental contract or agreement, an equipment rental or lease contract or agreement, or permit issued by a state or political subdivision between you and an additional insured does not require this insurance to be primary or primary and non-contributory, this insurance is excess over any other insurance for which the addi- tional insured is designated as a Named Insured. Regardless of the written agreement between you and an additional insured, this insurance is excess over any other insurance whether primary, excess, contingent or on any other basis for which the additional insured has been added as an additional insured on other policies. I. ADDITIONAL INSUREDS - EXTENDED PROTECTION OF YOUR "LIMITS OF INSURANCE" This provision applies to any person or organization who qualifies as an additional insured under any form or endorsement under this policy. 1. The following is added to Condition 2. Duties In The Event Of Occurrence, Offense, Claim or Suit: An additional insured under this endorsement will as soon as practicable: e a. Give written notice of an "occurrence" or an offense that may result in a claim or "suit" under this insurance to us; o b. Tender the defense and indemnity of any claim or "suit" to all insurers whom also have insurance available to the additional insured; and c. Agree to make available any other insurance which the additional insured has for a loss we cover under this Coverage Part. d. We have no duty to defend or indemnify an additional insured under this endorsement until we receive written notice of a "suit" by the additional insured. 2. The limits of insurance applicable to the additional insured are those specified in a written contract or written agreement or the limits of insurance as stated in the Declarations of this policy and defined in Section III - Limits of Insurance of this policy, whichever are less. These limits are inclusive of and not in addition to the limits of insurance available under this policy. J. WHO IS AN INSURED - INCIDENTAL MEDICAL ERRORS / MALPRACTICE WHO IS AN INSURED - FELLOW EMPLOYEE EXTENSION - MANAGEMENT EMPLOYEES Paragraph 2.a.(1) of Section II -Who Is An Insured is replaced with the following: (1) "Bodily injury' or "personal and advertising injury": (a) To you, to your partners or members (if you are a partnership or joint venture), to your members (if you are a limited liability company), to a co -"employee" while in the course of his or her employ- ment or performing duties related to the conduct of your business, or to your other "volunteer workers" while performing duties related to the conduct of your business; (b) To the spouse, child, parent, brother or sister of that co -"employee" or "volunteer worker" as a consequence of Paragraph (1) (a) above; (c) For which there is any obligation to share damages with or repay someone else who must pay damages because of the injury described in Paragraphs (1) (a) or (b) above; or (d) Arising out of his or her providing or failing to provide professional health care services. However, if you are not in the business of providing professional health care services or providing profes- sional health care personnel to others, or if coverage for providing professional health care ser- vices is not otherwise excluded by separate endorsement, this provision (Paragraph (d)) does not apply. Paragraphs (a) and (b) above do not apply to "bodily injury" or "personal and advertising injury" caused by an "employee" who is acting in a supervisory capacity for you. Supervisory capacity as used herein means the "employee's" job responsibilities assigned by you, includes the direct supervision of other "employ- ees" of yours. However, none of these "employees" are insureds for "bodily injury" or "personal and REVIEWED & APPROVED By Risk MANArFMrNT n;,a ON © 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office,! ids wr}ssion. Page 6 of 8 11 LU,J FRANC:INF R VILLAREAL� advertising injury" arising out of their willful conduct, which is defined as the purposeful or willful intent to cause "bodily injury" or "personal and advertising injury", or caused in whole or in part by their intoxica- tion by liquor or controlled substances. The coverage provided by provision J. is excess over any other valid and collectable insurance available to your "employee". K. NEWLY FORMED OR ADDITIONALLY ACQUIRED ENTITIES Paragraph 3. of Section II -Who Is An Insured is replaced by the following: 3. Any organization you newly acquire or form and over which you maintain ownership or majority interest, will qualify as a Named Insured if there is no other similar insurance available to that organization. However: a. Coverage under this provision is afforded only until the expiration of the policy period in which the entity was acquired or formed by you; b. Coverage A does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization; and c. Coverage B does not apply to "personal and advertising injury" arising out of an offense committed before you acquired or formed the organization. d. Records and descriptions of operations must be maintained by the first Named Insured. No person or organization is an insured with respect to the conduct of any current or past partnership, joint venture or limited liability company that is not shown as a Named Insured in the Declarations or qualifies as an insured under this provision. L. FAILURE TO DISCLOSE HAZARDS AND PRIOR OCCURRENCES Under Section IV -Commercial General Liability Conditions, the following is added to Condition 6. Repre- sentations: Your failure to disclose all hazards or prior "occurrences" existing as of the inception date of the policy shall not prejudice the coverage afforded by this policy provided such failure to disclose all hazards or prior "occurrences" is not intentional. M. KNOWLEDGE OF OCCURRENCE, OFFENSE, CLAIM OR SUIT Under Section IV - Commercial General Liability Conditions, the following is added to Condition 2. Duties In The Event of Occurrence, Offense, Claim Or Suit: Knowledge of an "occurrence", offense, claim or "suit" by an agent, servant or "employee" of any insured shall not in itself constitute knowledge of the insured unless an insured listed under Paragraph 1. of Section II - Who Is An Insured or a person who has been designated by them to receive reports of "occurrences", offenses, claims or "suits" shall have received such notice from the agent, servant or "employee". N. LIBERALIZATION CLAUSE If we revise this Commercial General Liability Extension Endorsement to provide more coverage without additional premium charge, your policy will automatically provide the coverage as of the day the revision is effective in your state. O. BODILY INJURY REDEFINED Under Section V - Definitions, Definition 3. is replaced by the following: 3. "Bodily Injury" means physical injury, sickness or disease sustained by a person. This includes mental anguish, mental injury, shock, fright or death that results from such physical injury, sick- ness or disease. REVIEWED & APPROVED By Risk MANAGEMENT DIVISION S P 3 0 2019 © 2013 Liberty Mutual Insu CG 88 10 04 13 Includes copyrighted material of Insurance Services r --Al-Page 7 of 8 P. EXTENDED PROPERTY DAMAGE Exclusion a. of COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY is replaced by the following: a. Expected Or Intended Injury "Bodily injury" or "property damage" expected or intended from the standpoint of the insured. This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or property. Q. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US - WHEN REQUIRED IN A CONTRACT ORAGREEMENT WITH YOU ® Under Section IV - Commercial General Liability Conditions, the following is added to Condition 8. Trans- e fer Of Rights Of Recovery Against Others To Us: We waive any right of recovery we may have against a person or organization because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a " contract with that person or organization and included in the "products -completed operations hazard" provided: 1. You and that person or organization have agreed in writing in a contract or agreement that you waive such rights against that person or organization; and o 2. The injury or damage occurs subsequent to the execution of the written contract or written agree- ment. REVIEWED & APPROVED By RISk MANACJEMENT DIVISION SJ 3 0 2019 FRANCINE R. VILLAREAL © 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc.,with its permission Page 8 of 8 POLICY NUMBER: SUAU014314 Date: 06/24/2019 ITEM TWO Schedule Of Coverages And Covered Autos COMMERCIAL AUTO CADS031013 This policy provides only those coverages where a charge is shown in the premium column below. Each of these coverages will apply only to those "autos" shown as covered "autos". "Autos" are shown as covered "autos" for a particular coverage by the entry of one or more of the symbols from the Covered Autos section of the Business Auto Coverage Form next to the name of the coverage. Covered Coverages Autos Limit Premium Covered Autos 7,8,9 $ 1,000,000 $ 33,408.00 Liability Separately Stated In Each Personal $ Personal Injury Protection Injury Protection Endorsement (Or Equivalent Minus No-fault Coverage) $ N/A Deductible Added Personal Separately Stated In Each Added $ Injury Protection Personal Injury Protection (Or Equivalent Endorsement Added No-fault Coverage) NJ Pedestrian $ Personal Injury Protection Property Protection Separately Stated In The Property Insurance Protection Insurance Endorsement (Michigan Only) Minus $ Deductible For Each Accident Auto Medical 7 $ 5,000 $ 1,688.00 Payments Each Insured Medical Expense Separately Stated In The Medical And Expense And Income Loss Benefits Income Loss Endorsement Benefits (Virginia Only) $ 1,418.00 Uninsured Motorists 7 $ 1,000,000 - Bodily Injury $ Uninsured Motorists $ - Property Damage $ Underinsured $ Motorists (When Not Included In Uninsured Motorists Coverage REVIEWED & APPROVED By Risk MANACEMIENT DIVISION s 3o za�9 Includes copyrighted mate ria Page 3 of 45 Insurance Services Office, Inc., used 101VANeg"Nil-_ A7F�1 SUMMARY OF INSURANCE Prepared:9/27/2019 Page 1 For Sureteck Industrial & Commercial Services, Inc 860 E Cottonwood St. Ontario, CA 91761 951-529-7556 Coverage Amount Company Policy No Eff Exp Premium Business Auto AmGUARD Insurance Co. SUAU014314 06/19/19 06/19/20 Liability CSL 1,000,000 Medical Payments Ea Per 5,000 Uninsured Motorists CSL 1,000,000 Underinsured Motorists CSL 1,000,000 Hired Auto Physical Damage Comprehensive Deductible 1,000 Collision Deductible 1,000 Endorsements, Forms, Conditions. DOC Coverage for Gino Sotelo Garcia See Attached Vehicle Schedule REVIEWED APPR VED By Risk MANAGEMENT DiViSiON .SE P 3 0 2019 FRANCINE R. VILLAREAL 0 N 0 0 0 0 0 0 0 0 0 0 0 O 0 O 0 0 0 0 0 O O O O O 0 o O o 0 0 W r O cp O W CO V O (h A W N — O (D co V O (h A W N N 8 N N 8 N N N N N N N NO I'jC O O O O O D D D O O OW OCD mNN O OO 0)D V (O --A (DOVW V O N T 0 p p T T 0000 'n 0 p 0 T 0 T 0 T T 0o T 0 T 0 T T T T T 00000Eo T � m D y 5, O o I a a a ce a n a a a n n a a a a a � W w fD p (D p rn p n D m 0 0 n o Tl m ZJ T T m ZJ T T -n -n T T T 0 T 0 T K� („ ��� V) O N !� W W ch W W O 0 0 !D o Co O O O O r O K o C O ID 1 , 1 N � - y a Lt (n � A. � 0 m w ' m cn -n tj -n NJ -n 71 { 3 T W p m� T W T T T T T T T m m Z T T ci C T T n :0 X T T T X T�- C p a N co N p -�p'C N c N Duo A T f�l o m (D 0 ao w * m N x F.i O0 (°G D m .i x m A� °r� < x X V -nNj m jTD00 T� LO co W V W O Oo (j N ch A A ■/�� W O Lhh (D CO COA A O N w w O (D N V A W S� � T (Oh A 01 N O V N V j A W w 4 to A? (OD (h l., ? V (D W O 0 Z 'p Q 1 D D O O (� C) z D D C� x D D D O D O D O D O 53 3_ G] 0 (D D R G w Pw, < C<<< c3 c D C1 o' o 0 0' m m (� FD' (D m c CD (� (� O 0 n m 0 0 (� (� O (� D O D (� (� 0 O 0 D 0 0 r o2 aD D D D D D D D D D D D D D �p (D CD (D (D (D cm) m rn mrn (D (�jrnm CD rnrnrnmrnrn (D (D A N 0 0 0 0 (D o 0 0 0 v m 0 0 0 0 0 0 N N N N T O N N N N N N N N N N O N � 0 61 N W N N N 8 0 V (h V V N O 9 O O _ _ W (h O O O O O O z X X X X X X X X X X X X X X X X X X X X M r N Q N T 9 X X X X X X X X X X X X X X X X X X X X (D n 'D X X X X X X X X X X X X X X X X X X X X C 0 0 0 0 o 0 0 0 0 0 0 o O o 0 0 0 0 0 0 0 0 0 0 O 0 0 0 C. O O 0 0 O O o 0 0 0 0 0 00 0 0 0 0 0 0 00 O 0 O o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o 0 O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0(D 0 0 0 0 = 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 CC REVIEWED & APPR D By RISK MANAGEMENT DI ON FRANCINE R. VILLAREAL IL 02 70 09 12 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CALIFORNIA CHANGES - CANCELLATION AND NONRENEWAL This endorsement modifies insurance provided under the following: CAPITAL ASSETS PROGRAM (OUTPUT POLICY) COVERAGE PART COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART CRIME AND FIDELITY COVERAGE PART EMPLOYMENT -RELATED PRACTICES LIABILITY COVERAGE PART EQUIPMENT BREAKDOWN COVERAGE PART FARM COVERAGE PART LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART A. Paragraphs 2. and 3. of the Cancellation Common Policy Condition are replaced by the following: 2. 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: a. 10 days before the effective date of cancellation if we cancel for: (1) Nonpayment of premium; or (2) Discovery of fraud by: (a) Any insured or his or her representative in obtaining this insurance; or (b) You or your representative in pursuing a claim under this policy. b. 30 days before the effective date of cancellation if we cancel for any other reason. 3. All Policies In Effect For More Than 60 Days a. 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: (a) Any insured or his or her representative in obtaining this insurance, or (b) 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. REVIEWED & APPROVED By RU MA^lAs,o-rtVAT Divisi®N SEE Ok FRANCINE R. VILLAREAL IL 02 70 09 12 © Insurance Services Office, Inc., 2012 Page 1 of 4 (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 increase 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 conditions precedent to our use of a particular rate or rating plan, if that failure materially increases any of the risks insured against. (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: (i) Place us in violation of California law or the 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 the policy. b. 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: (1) 10 days before the effective date of cancellation if we cancel for nonpayment of premium or discovery of fraud; or (2) 30 days before the effective date of cancellation if we cancel for any other reason listed in Paragraph 3.a. B. The following provision is added to the Cancellation Common Policy Condition: 7. Residential Property This provision applies to coverage on real property which is used predominantly for residential purposes and consisting of not more than four dwelling units, and to coverage on tenants' household personal property in a residential unit, if such coverage is written under one of the following: Commercial Property Coverage Part Farm Coverage Part — Farm Property — Farm Dwellings, Appurtenant Structures And Household Personal Property Coverage Form a. If such coverage has been in effect for 60 days or less, and is not a renewal of coverage we previously issued, we may cancel this coverage for any reason, except as provided in b. and c. below_ b. We may not cancel this policy solely because the first Named Insured has: (1) Accepted an offer of earthquake coverage; or (2) Cancelled or did not renew a policy issued by the California Earthquake Authority (CEA) that included an earthquake policy premium surcharge. However, we shall cancel this policy if the first Named Insured has accepted a new or renewal policy issued by the CEA that includes an earthquake policy premium surcharge but fails to pay the earthquake policy premium surcharge authorized by the CEA. c. We may not cancel such coverage solely because corrosive soil conditions exist on the premises. This restriction (c.) applies only if coverage is subject to one of the following, which exclude loss or damage caused by or resulting from corrosive soil conditions: (1) Commercial Property Coverage Part — Causes Of Loss — Special Form; or (2) Farm Coverage Part — Causes Of Loss Form — Farm Property, Paragraph D. Covered Causes Of Loss — Special. REVIEWED & APPROVED By Risk MMAGEMENT DivisION SE 3 0 2"' FRANCINE R. VILLAREAL Page 2 of 4 0 Insurance Services Office, Inc., 2012 IL 02 70 09 12 C. The following is added and supersedes any provisions to the contrary: Nonrenewal Subject to the provisions of Paragraphs C.2. and C.3. 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. 2. Residential Property This provision applies to coverage on real property used predominantly for residential purposes and consisting of not more than four dwelling units, and to coverage on tenants' household property contained in a residential unit, if such coverage is written under one of the following: Commercial Property Coverage Part Farm Coverage Part — Farm Property — Farm Dwellings, Appurtenant Structures And Household Personal Property Coverage Form a. We may elect not to renew such coverage for any reason, except as provided in b., c. and d. below. b. We will not refuse to renew such coverage solely because the first Named Insured has accepted an offer of earthquake coverage. However, the following applies only to insurers who are associate participating insurers as established by Cal. Ins. Code Section 10089.16. We may elect not to renew such coverage after the first Named Insured has accepted an offer of earthquake coverage, if one or more of the following reasons applies: (1) The nonrenewal is based on sound underwriting principles that relate to the coverages provided by this policy and that are consistent with the approved rating plan and related documents filed with the Department of Insurance as required by existing law; (2) The Commissioner of Insurance finds that the exposure to potential losses will threaten our solvency or place us in a hazardous condition. A hazardous condition includes, but is not limited to, a condition in which we make claims payments for losses resulting from an earthquake that occurred within the preceding two years and that required a reduction in policyholder surplus of at least 25% for payment of those claims; or (3) We have: (a) Lost or experienced a substantial reduction in the availability or scope of reinsurance coverage; or (b) Experienced a substantial increase in the premium charged for reinsurance coverage of our residential property insurance policies; and the Commissioner has approved a plan for the nonrenewals that is fair and equitable, and that is responsive to the changes in our reinsurance position. c. We will not refuse to renew such coverage solely because the first Named Insured has cancelled or did not renew a policy, issued by the California Earthquake Authority, that included an earthquake policy premium surcharge- d. We will not refuse to renew such coverage solely because corrosive soil conditions exist on the premises. This restriction (d.) applies only if coverage is subject to one of the following, which exclude loss or damage caused by or resulting from corrosive soil conditions: (1) Commercial Property Coverage Part — Causes Of Loss — Special Form; or (2) Farm Coverage Part — Causes Of Loss Form — Farm Property, Paragraph D. Covered Causes Of Loss — Special. 3. We are not required to send notice of nonrenewal in the following situations: a. If the transfer or renewal of a policy, without any changes in terms, conditions or rates, is between us and a member of our insurance group. REV&WEU &. APPROVED Risk Byi�4liP' 1 f rFPn ni%/jS10N 5 3020191 FRANCINE R. VILLAREAL IL 02 70 09 12 0 Insurance Services Office, Inc., 2012 Page 3 of 4 b. If the policy has been extended for 90 days or less, provided that notice has been given in accordance with Paragraph 0.1. c. If you have obtained replacement coverage, or if the first Named Insured has agreed, in writing, within 60 days of the termination of the policy, to obtain that coverage. d. If the policy is for a period of no more than 60 days and you are notified at the time of issuance that it will not be renewed. e. If the first Named Insured requests a change in the terms or conditions or risks covered by the policy within 60 days of the end of the policy period. f. If we have made a written offer to the first Named Insured, in accordance with the timeframes shown in Paragraph CA., to renew the policy under changed terms or conditions or at an increased premium rate, when the increase exceeds 25%. REVIEWED & APPROVED By RU MANr,GEMENT DIVISION SEP 3 0 2019 F lANGNE R. VILLARFAC Page 4 of 4 0 Insurance Services Office, Inc., 2012 IL 02 70 09 12 COMMON POLICY CONDITIONS All Coverage Parts included in this policy are subject to the following conditions. A. CANCELLATION 1. The first Named Insured shown in the Declarations may cancel this policy by mailing or delivering to us advance writ- ten notice of cancellation. 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 nonpay- ment of premium; or b. 30 days before the effective date of cancellation if we cancel for any oth- er reason, 3. We will mail or deliver our notice to the first Named Insured's last mailing ad- dress known to us. 4. Notice of cancellation will state the effec- tive date of cancellation. The policy pe- riod will end on that date. 5. If this policy is cancelled, we will send the first Named Insured any premium re- fund due. If we cancel, the refund will be pro rata. If the first Named Insured can- cels, 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. B. CHANGES This policy contains all the agreements be- tween 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. IL 00 17 11 98 D. INSPECTIONS AND SURVEYS 1. We have the right to: a. Make inspections and surveys at any time; b. Give you reports on the conditions we find, and c. Recommend changes. 2. We are not obligated to make any inspec- tions, surveys, reports or recommenda- tions and any such actions we do under- take relate only to insurability and the premiums to be charged. We do not make safety inspections. We do not un- dertake 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: a. Are safe or healthful; or b. Comply with laws, regulations, codes or standards. 3. Paragraphs 1. and 2. of this condition ap- ply not only to us, but also to any rating, advisory, rate service or similar organiza- tion which makes insurance inspections, surveys, reports or recommendations. 4. Paragraph 2. of this condition does not apply to any inspections, surveys, reports or recommendations we may make rela- tive to certification, under state or mu- nicipal statutes, ordinances or regula- tions, of boilers, pressure vessels or elevators. E. PREMIUMS The first Named Insured shown in the Dec- larations: 1. Is responsible for the payment of all pre- miums; and 2. Will be the payee for any return premi- ums we pay. C. EXAMINATION OF YOUR BOOKS AND RECORDS F 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. TRANSFER OF YOUR RIGHTS AND DUTIES UNDER THIS POLICY Your rights and duties under this policy may not be transferred without our written con- s { t '_ "PW"Oof an individ- u Y i S 0 2019� IL 00 17 11 98 Copyright, Insurance services Office, FI ANC NEE oR. VILLAr�.EF+L Page 1 of 2 If you die, your rights and duties under this policy will be transferred to your legal repre- sentative 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. REVIEWED & APPROVED By Risk NjArjAaFMFNT DivisioN SEP 3 0 2019 H ANCINE R. VILLAREAL IL 00 17 11 98 Copyright, I nsu ra nce Services off ice, Inc., 1998 Page 2 of 2 SURET-1 OP ID: I ACC�KQ CERTIFICATE OF LIABILITY INSURANCE DATE(MM �--� 09/261201 YY) 2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(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 951-680-9600 co TACT Diana Castanon Daisy Trudeau Ins. Services P�I+e 951-680-9600 Fax 888-261-N54 CA Lie. #OL52222 G No E tarc, No); 5015 Canyon Crest Dr. Ste. 207 land aiS u t3a1JIRS.COitt Riverside, CA 92507 Daisy Trudeau INSURERS AFFORDING COVERAGE -^^ NAIC INSURED Sureteck Industrial & Commercial Services, Inc 860 E Cottonwood St. Ontario, CA 91761 INSURER A:AmGUARD Insurance Co. INSURERe:Ohio Security Insurance Co INSURERC:Oak River Insurance Company INSURER D : INSURER E : INSURER F: 34630 i.:UVlr#S Ulr:i Srt F'IC I 1Z NUIVItS411: KtZvl11JlU�+ Jx.gntser[: 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 ADDL SUB POLICY EFF POLICY EXP VTR TYPE OF INSURANCE INSD WVO POLICY NUMBER MbPDFrraL (MMIDDNYYYI LIMITS E X TCOMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000 CLAIMS -MADE ❑X OCCUR X BLS56935915 03/01/2019 03/01/2020 �B MGEraPENTED 500,QOq AGGREGATE LIMIT APPLIES PER: POLICY Q JPP& LOC A AUTOMOBILE LIABILITY ANY AUTO AUTEO ONLY WNED X AUTNOpS�UyLEEDp X AUTOS ONLY X PN,UOTOS ONLY UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS -MADE DED RETENTION $ C AND EMPLKERSOY RSELIABILITY YIN AANY PROR/PRIIETgO�RIPARTNERIEXECUTIVE IL (Mandatory In N R EXCLUDED? l N! A If ves. describe under MED EXP (Any oneperson) 15,000 PERSONAL & ADV INJURY 1,000,000 GENERAL AGGREGATE 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 06/19/2019 06/19/2020 COME31f0. iNGLE LIMIT 1,000,000 BODIL Y INJURY fPer Derson) $ UWC929095 11112212018 1 11/22/2019 I EL EACH ACCIDENT E.L DISEASE -EA EMPLOYEE 1 $ 1,000,0001 E L DISEASE - POLICY LIMIT 1 $ 1,000,000 8C N ❑ E TIO ! LOCATIO S WICLES CORD 1O5 I nal emsrlEs Schv uln m b attached If more space Is required) di3y a °an a �Lr a, o °icers, age�tt"�s, emp oyees, &F` 0 un eers are inclNed as additional insured as respec s to General Liability perform CG8810 0413, REVIEWED & APPROVED where required by written contract. Primary wording/ Non-contributory By RISK MANACtEMENT DIVISION appiles per form C08810 0413. "Supersedes certificate issued 9120119 SEP 3 0 ?Oil �► MMUmmmor.mofa1\I CITYSAI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City ACCORDANCE WITH THE POLICY PROVISIONS. Risk Management Division 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE 4th floor ^` Santa Ana, CA 92702 �[ ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY CG 88 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL GENERAL LIABILITY EXTENSION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART INDEX SUBJECT PAGE NON -OWNED AIRCRAFT 2 NON -OWNED WATERCRAFT 2 PROPERTY DAMAGE LIABILITY - ELEVATORS 2 EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) 2 MEDICAL PAYMENTS EXTENSION 3 EXTENSION OF SUPPLEMENTARY PAYMENTS - COVERAGES A AND B 3 ADDITIONAL INSUREDS -BY CONTRACT, AGREEMENT OR PERMIT 3 PRIMARY AND NON-CONTRIBUTORY- ADDITIONAL INSURED EXTENSION 5 ADDITIONAL INSUREDS -EXTENDED PROTECTION OF YOUR "LIMITS OF INSURANCE" 6 WHO IS AN INSURED - INCIDENTAL MEDICAL ERRORSIMALPRACTICE AND WHO IS AN INSURED -FELLOW EMPLOYEE EXTENSION -MANAGEMENT EMPLOYEES 6 NEWLY FORMED OR ADDITIONALLY ACQUIRED ENTITIES 7 FAILURE TO DISCLOSE HAZARDS AND PRIOR OCCURRENCES 7 KNOWLEDGE OF OCCURRENCE, OFFENSE, CLAIM OR SUIT 7 LIBERALIZATION CLAUSE 7 BODILY INJURY REDEFINED 7 EXTENDED PROPERTY DAMAGE 8 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US - 8 WHEN REQUIRED IN A CONTRACT OR AGREEMENT WITH YOU REVIEWED & APPROVED By RISk MANAGEMENT DIVISION fiEP301iAm 209 r� FRANCINE R. VILLAREAL © 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance services Office, Inc ,with its permission. Page 1 of 8 With respect to coverage afforded by this endorsement, the provisions of the policy apply unless modified by the endorsement. A. NON -OWNED AIRCRAFT Under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury And Property Damage Liability, exclusion g. Aircraft, Auto Or Watercraft does not apply to an aircraft provided: 1. It is not owned by any insured; 2. It is hired, chartered or loaned with a trained paid crew; 3. The pilot in command holds a currently effective certificate, issued by the duly constituted authority of the United States of America or Canada, designating her or him a commercial or airline pilot; and 4. It is not being used to carry persons or property for a charge. However, the insurance afforded by this provision does not apply if there is available to the insured other valid and collectible insurance, whether primary, excess (other than insurance written to apply specifically in excess of this policy), contingent or on any other basis, that would also apply to the loss covered under this provision. B. NON -OWNED WATERCRAFT Under Paragraph 2. Exclusions of Section I -Coverage A - Bodily Injury And Property Damage Liability, Subparagraph (2) of exclusion g. Aircraft, Auto Or Watercraft is replaced by the following: This exclusion does not apply to: (2) A watercraft you do not own that is: (a) Less than 52 feet long; and (b) Not being used to carry persons or property for a charge. C. PROPERTY DAMAGE LIABILITY - ELEVATORS 1. Under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury And Property Damage Liabil- ity, Subparagraphs (3), (4) and (6) of exclusion j. Damage To Property do not apply if such "property damage" results from the use of elevators. For the purpose of this provision, elevators do not include vehicle lifts. Vehicle lifts are lifts or hoists used in automobile service or repair operations. 2. The following is added to Section IV - Commercial General Liability Conditions, Condition 4. Other Insurance, Paragraph b. Excess Insurance: The insurance afforded by this provision of this endorsement is excess over any property insurance, whether primary, excess, contingent or on any other basis. D. EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) If Damage To Premises Rented To You is not otherwise excluded from this Coverage Part: 1. Under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury and Property Damage Liability: a. The fourth from the last paragraph of exclusion j. Damage To Property is replaced by the follow- ing: Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" (other than damage by fire, lightning, explosion, smoke, or leakage from an automatic fire protection system) to: (i) Premises rented to you for a period of 7 or fewer consecutive days; or (ii) Contents that you rent or lease as part of a premises rental or lease agreement for a period of more than 7 days. Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" to contents of premises rented to you for a period of 7 or fewer consecutive days. A separate limit of insurance applies to this coverageR0/tbeWWd&iAWAGW4A)- Limits of Insurance. By Risk MANAGEMENT DiviSiON © 2013 Liberty Mutual Insurance 3 0 019 CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., it age 2 of 8 FRANCINE R. VILLAREAL b. The last paragraph of subsection 2. Exclusions is replaced by the following: Exclusions c. through n. do not apply to damage by fire, lightning, explosion, smoke or leakage from automatic fire protection systems to premises while rented to you or temporarily occupied by you with permission of the owner. A separate limit of insurance applies to Damage To Premises Rented To You as described in Section III - Limits Of Insurance. 2. Paragraph 6. under Section III - Limits Of Insurance is replaced by the following: 6. Subject to Paragraph 5. above, the Damage To Premises Rented To You Limit is the most we will pay under Coverage A for damages because of "property damage" to: a. Any one premise: (1) While rented to you; or (2) While rented to you or temporarily occupied by you with permission of the owner for damage by fire, lightning, explosion, smoke or leakage from automatic protection sys- tems; or b. Contents that you rent or lease as part of a premises rental or lease agreement. 3. As regards coverage provided by this provision D. EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) - Paragraph 9.a. of Definitions is replaced with the following: 9.a. A contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire, lightning, explosion, smoke, or leakage from automatic fire protection systems to premises while rented to you or temporarily occupied by you with the permission of the owner, or for damage to contents of such premises that are included in your premises rental or lease agreement, is not an "insured contract". E. MEDICAL PAYMENTS EXTENSION If Coverage C Medical Payments is not otherwise excluded, the Medical Payments provided by this policy are amended as follows: Under Paragraph 1. Insuring Agreement of Section I - Coverage C - Medical Payments, Subparagraph (b) of Paragraph a. is replaced by the following: (b) The expenses are incurred and reported within three years of the date of the accident; and F. EXTENSION OF SUPPLEMENTARY PAYMENTS - COVERAGES A AND B 1. Under Supplementary Payments - Coverages A and B, Paragraph 1.b. is replaced by the following: b. Up to $3,000 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. 2. Paragraph 1.d. is replaced by the following: d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or "suit', including actual loss of earnings up to $500 a day because of time off from work. G. ADDITIONAL INSUREDS -BY CONTRACT, AGREEMENT OR PERMIT 1. Paragraph 2. under Section II - Who Is An Insured is amended to include as an insured any person or organization whom you have agreed to add as an additional insured in a written contract, written agreement or permit. Such person or organization is an additional insured but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused in whole or in part by: a. Your acts or omissions, or the acts or omissions of those acting on your behalf, in the performance of your on going operations for the additional insured that are the subject of the written contract or written agreement provided that the "bodily injury" or "property damage" occurs, or the "per- sonal and advertising injury" is committed, substegu�,i�. _#� �gnpq ,g) l bwritten contract or written agreement; or �tV W U At` Y By RISK MANAGEMENT DIViSiON 2013 Liberty Mutual InsuranceSE J Lei 1�7 CG 88 10 04 13 Includes copyrighted material of InsuranceServlceF In I is m i t. Page 3 of 8 F'R1ANCINE R. VIL REAL b. Premises or facilities rented by you or used by you; or c. The maintenance, operation or use by you of equipment rented or leased to you by such person or organization; or d. Operations performed by you or on your behalf for which the state or political subdivision has issued a permit subject to the following additional provisions: (1) This insurance does not apply to "bodily injury", "property damage", or "personal and ad- vertising injury' arising out of the operations performed for the state or political subdivision; (2) This insurance does not apply to "bodily injury" or "property damage" included within the "completed operations hazard". (3) Insurance applies to premises you own, rent, or control but only with respect to the following hazards: (a) The existence, maintenance, repair, construction, erection, or removal of advertising m --=- signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, " hoist away openings, sidewalk vaults, street banners, or decorations and similar expo- sures; or (b) The construction, erection, or removal of elevators; or o � (c) The ownership, maintenance, or use of any elevators covered by this insurance. 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 insur- ance afforded to such additional insured will not be broader than that which you are required by n the contract or agreement to provide for such additional insured. With respect to Paragraph 1.a. above, a person's or organization's status as an additional insured under this endorsement ends when: (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. With respect to Paragraph 1.b. above, a person's or organization's status as an additional insured under this endorsement ends when their written contract or written agreement with you for such premises or facilities ends. With respects to Paragraph 1.c. above, this insurance does not apply to any "occurrence" which takes place after the equipment rental or lease agreement has expired or you have returned such equipment to the lessor. The insurance provided by this endorsement applies only if the written contract or written agreement is signed prior to the "bodily injury" or "property damage". We have no duty to defend an additional insured under this endorsement until we receive written notice of a "suit" by the additional insured as required in Paragraph b. of Condition 2. Duties In the Event Of Occurrence, Offense, Claim Or Suit under Section IV - Commercial General Liability Condi- tions. REVIEWED & APPROVED By Risk MANAGEMENT DIVISION 0 2019 © 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 4 of 8 2. With respect to the insurance provided by this endorsement, the following are added to Paragraph 2. Exclusions under Section I - Coverage A - Bodily Injury And Property Damage Liability: This insurance does not apply to: a. "Bodily injury' or "property damage" arising from the sole negligence of the additional insured. b. "Bodily injury" or "property damage" that occurs prior to you commencing operations at the location where such "bodily injury" or "property damage" occurs. c. "Bodily injury", "property damage" or "personal and advertising injury' arising out of the render- ing of, or the failure to render, any professional architectural, engineering or surveying services, including: (1) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (2) Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occur- rence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of, or the failure to render, any professional architectural, engineering or surveying services. d. "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. e. Any person or organization specifically designated as an additional insured for ongoing operations by a separate ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS endorsement is- sued by us and made a part of this policy. 3. 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: a. Required by the contract or agreement; or b. 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 Declaratio ns. H. PRIMARY AND NON-CONTRIBUTORY ADDITIONAL INSURED EXTENSION This provision applies to any person or organization who qualifies as an additional insured under any form or endorsement under this policy. Condition 4. Other Insurance of SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS is amend- ed as follows: a. The following is added to Paragraph a. Primary Insurance: If an additional insured's policy has an Other Insurance provision making its policy excess, and you have agreed in a written contract or written agreement to provide the additional insured coverage on a primary and noncontributory basis, this policy shall be primary and we will not seek contribution from the additional insured's policy for damages we cover. o<tViL1WrD & APPROVED By Risk MANACIEMENT DIVISION all 0 2019 © 2013 Liberty Mutual Insura CG 88 10 04 13 Includes copyrighted material of Insurance Services CUice, fnd., Page 5 of 8 FRANCINE R. VILLAREAL b. The following is added to Paragraph b. Excess Insurance: When a written contract or written agreement, other than a premises lease, facilities rental contract or agreement, an equipment rental or lease contract or agreement, or permit issued by a state or political subdivision between you and an additional insured does not require this insurance to be primary or primary and non-contributory, this insurance is excess over any other insurance for which the addi- tional insured is designated as a Named Insured. Regardless of the written agreement between you and an additional insured, this insurance is excess over any other insurance whether primary, excess, contingent or on any other basis for which the additional insured has been added as an additional insured on other policies. I. ADDITIONAL INSUREDS - EXTENDED PROTECTION OF YOUR "LIMITS OF INSURANCE" This provision applies to any person or organization who qualifies as an additional insured under any form or endorsement under this policy. 1. The following is added to Condition 2. Duties In The Event Of Occurrence, Offense, Claim or Suit: An additional insured under this endorsement will as soon as practicable: e a. Give written notice of an "occurrence" or an offense that may result in a claim or "suit" under this insurance to us; o b. Tender the defense and indemnity of any claim or "suit" to all insurers whom also have insurance available to the additional insured; and c. Agree to make available any other insurance which the additional insured has for a loss we cover under this Coverage Part. d. We have no duty to defend or indemnify an additional insured under this endorsement until we receive written notice of a "suit" by the additional insured. 2. The limits of insurance applicable to the additional insured are those specified in a written contract or written agreement or the limits of insurance as stated in the Declarations of this policy and defined in Section III - Limits of Insurance of this policy, whichever are less. These limits are inclusive of and not in addition to the limits of insurance available under this policy. J. WHO IS AN INSURED - INCIDENTAL MEDICAL ERRORS / MALPRACTICE WHO IS AN INSURED - FELLOW EMPLOYEE EXTENSION - MANAGEMENT EMPLOYEES Paragraph 2.a.(1) of Section II -Who Is An Insured is replaced with the following: (1) "Bodily injury' or "personal and advertising injury": (a) To you, to your partners or members (if you are a partnership or joint venture), to your members (if you are a limited liability company), to a co -"employee" while in the course of his or her employ- ment or performing duties related to the conduct of your business, or to your other "volunteer workers" while performing duties related to the conduct of your business; (b) To the spouse, child, parent, brother or sister of that co -"employee" or "volunteer worker" as a consequence of Paragraph (1) (a) above; (c) For which there is any obligation to share damages with or repay someone else who must pay damages because of the injury described in Paragraphs (1) (a) or (b) above; or (d) Arising out of his or her providing or failing to provide professional health care services. However, if you are not in the business of providing professional health care services or providing profes- sional health care personnel to others, or if coverage for providing professional health care ser- vices is not otherwise excluded by separate endorsement, this provision (Paragraph (d)) does not apply. Paragraphs (a) and (b) above do not apply to "bodily injury" or "personal and advertising injury" caused by an "employee" who is acting in a supervisory capacity for you. Supervisory capacity as used herein means the "employee's" job responsibilities assigned by you, includes the direct supervision of other "employ- ees" of yours. However, none of these "employees" are insureds for "bodily injury" or "personal and REVIEWED & APPROVED By Risk MANArFMrNT n;,a ON © 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office,! ids wr}ssion. Page 6 of 8 11 LU,J FRANC:INF R VILLAREAL� advertising injury" arising out of their willful conduct, which is defined as the purposeful or willful intent to cause "bodily injury" or "personal and advertising injury", or caused in whole or in part by their intoxica- tion by liquor or controlled substances. The coverage provided by provision J. is excess over any other valid and collectable insurance available to your "employee". K. NEWLY FORMED OR ADDITIONALLY ACQUIRED ENTITIES Paragraph 3. of Section II -Who Is An Insured is replaced by the following: 3. Any organization you newly acquire or form and over which you maintain ownership or majority interest, will qualify as a Named Insured if there is no other similar insurance available to that organization. However: a. Coverage under this provision is afforded only until the expiration of the policy period in which the entity was acquired or formed by you; b. Coverage A does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization; and c. Coverage B does not apply to "personal and advertising injury" arising out of an offense committed before you acquired or formed the organization. d. Records and descriptions of operations must be maintained by the first Named Insured. No person or organization is an insured with respect to the conduct of any current or past partnership, joint venture or limited liability company that is not shown as a Named Insured in the Declarations or qualifies as an insured under this provision. L. FAILURE TO DISCLOSE HAZARDS AND PRIOR OCCURRENCES Under Section IV -Commercial General Liability Conditions, the following is added to Condition 6. Repre- sentations: Your failure to disclose all hazards or prior "occurrences" existing as of the inception date of the policy shall not prejudice the coverage afforded by this policy provided such failure to disclose all hazards or prior "occurrences" is not intentional. M. KNOWLEDGE OF OCCURRENCE, OFFENSE, CLAIM OR SUIT Under Section IV - Commercial General Liability Conditions, the following is added to Condition 2. Duties In The Event of Occurrence, Offense, Claim Or Suit: Knowledge of an "occurrence", offense, claim or "suit" by an agent, servant or "employee" of any insured shall not in itself constitute knowledge of the insured unless an insured listed under Paragraph 1. of Section II - Who Is An Insured or a person who has been designated by them to receive reports of "occurrences", offenses, claims or "suits" shall have received such notice from the agent, servant or "employee". N. LIBERALIZATION CLAUSE If we revise this Commercial General Liability Extension Endorsement to provide more coverage without additional premium charge, your policy will automatically provide the coverage as of the day the revision is effective in your state. O. BODILY INJURY REDEFINED Under Section V - Definitions, Definition 3. is replaced by the following: 3. "Bodily Injury" means physical injury, sickness or disease sustained by a person. This includes mental anguish, mental injury, shock, fright or death that results from such physical injury, sick- ness or disease. REVIEWED & APPROVED By Risk MANAGEMENT DIVISION S P 3 0 2019 © 2013 Liberty Mutual Insu CG 88 10 04 13 Includes copyrighted material of Insurance Services r --Al-Page 7 of 8 P. EXTENDED PROPERTY DAMAGE Exclusion a. of COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY is replaced by the following: a. Expected Or Intended Injury "Bodily injury" or "property damage" expected or intended from the standpoint of the insured. This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or property. Q. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US - WHEN REQUIRED IN A CONTRACT ORAGREEMENT WITH YOU ® Under Section IV - Commercial General Liability Conditions, the following is added to Condition 8. Trans- e fer Of Rights Of Recovery Against Others To Us: We waive any right of recovery we may have against a person or organization because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a " contract with that person or organization and included in the "products -completed operations hazard" provided: 1. You and that person or organization have agreed in writing in a contract or agreement that you waive such rights against that person or organization; and o 2. The injury or damage occurs subsequent to the execution of the written contract or written agree- ment. REVIEWED & APPROVED By RISk MANACJEMENT DIVISION SJ 3 0 2019 FRANCINE R. VILLAREAL © 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc.,with its permission Page 8 of 8 POLICY NUMBER: SUAU014314 Date: 06/24/2019 ITEM TWO Schedule Of Coverages And Covered Autos COMMERCIAL AUTO CADS031013 This policy provides only those coverages where a charge is shown in the premium column below. Each of these coverages will apply only to those "autos" shown as covered "autos". "Autos" are shown as covered "autos" for a particular coverage by the entry of one or more of the symbols from the Covered Autos section of the Business Auto Coverage Form next to the name of the coverage. Covered Coverages Autos Limit Premium Covered Autos 7,8,9 $ 1,000,000 $ 33,408.00 Liability Separately Stated In Each Personal $ Personal Injury Protection Injury Protection Endorsement (Or Equivalent Minus No-fault Coverage) $ N/A Deductible Added Personal Separately Stated In Each Added $ Injury Protection Personal Injury Protection (Or Equivalent Endorsement Added No-fault Coverage) NJ Pedestrian $ Personal Injury Protection Property Protection Separately Stated In The Property Insurance Protection Insurance Endorsement (Michigan Only) Minus $ Deductible For Each Accident Auto Medical 7 $ 5,000 $ 1,688.00 Payments Each Insured Medical Expense Separately Stated In The Medical And Expense And Income Loss Benefits Income Loss Endorsement Benefits (Virginia Only) $ 1,418.00 Uninsured Motorists 7 $ 1,000,000 - Bodily Injury $ Uninsured Motorists $ - Property Damage $ Underinsured $ Motorists (When Not Included In Uninsured Motorists Coverage REVIEWED & APPROVED By Risk MANACEMIENT DIVISION s 3o za�9 Includes copyrighted mate ria Page 3 of 45 Insurance Services Office, Inc., used 101VANeg"Nil-_ A7F�1 SUMMARY OF INSURANCE Prepared:9/27/2019 Page 1 For Sureteck Industrial & Commercial Services, Inc 860 E Cottonwood St. Ontario, CA 91761 951-529-7556 Coverage Amount Company Policy No Eff Exp Premium Business Auto AmGUARD Insurance Co. SUAU014314 06/19/19 06/19/20 Liability CSL 1,000,000 Medical Payments Ea Per 5,000 Uninsured Motorists CSL 1,000,000 Underinsured Motorists CSL 1,000,000 Hired Auto Physical Damage Comprehensive Deductible 1,000 Collision Deductible 1,000 Endorsements, Forms, Conditions. DOC Coverage for Gino Sotelo Garcia See Attached Vehicle Schedule REVIEWED APPR VED By Risk MANAGEMENT DiViSiON .SE P 3 0 2019 FRANCINE R. VILLAREAL 0 N 0 0 0 0 0 0 0 0 0 0 0 O 0 O 0 0 0 0 0 O O O O O 0 o O o 0 0 W r O cp O W CO V O (h A W N — O (D co V O (h A W N N 8 N N 8 N N N N N N N NO I'jC O O O O O D D D O O OW OCD mNN O OO 0)D V (O --A (DOVW V O N T 0 p p T T 0000 'n 0 p 0 T 0 T 0 T T 0o T 0 T 0 T T T T T 00000Eo T � m D y 5, O o I a a a ce a n a a a n n a a a a a � W w fD p (D p rn p n D m 0 0 n o Tl m ZJ T T m ZJ T T -n -n T T T 0 T 0 T K� („ ��� V) O N !� W W ch W W O 0 0 !D o Co O O O O r O K o C O ID 1 , 1 N � - y a Lt (n � A. � 0 m w ' m cn -n tj -n NJ -n 71 { 3 T W p m� T W T T T T T T T m m Z T T ci C T T n :0 X T T T X T�- C p a N co N p -�p'C N c N Duo A T f�l o m (D 0 ao w * m N x F.i O0 (°G D m .i x m A� °r� < x X V -nNj m jTD00 T� LO co W V W O Oo (j N ch A A ■/�� W O Lhh (D CO COA A O N w w O (D N V A W S� � T (Oh A 01 N O V N V j A W w 4 to A? (OD (h l., ? V (D W O 0 Z 'p Q 1 D D O O (� C) z D D C� x D D D O D O D O D O 53 3_ G] 0 (D D R G w Pw, < C<<< c3 c D C1 o' o 0 0' m m (� FD' (D m c CD (� (� O 0 n m 0 0 (� (� O (� D O D (� (� 0 O 0 D 0 0 r o2 aD D D D D D D D D D D D D D �p (D CD (D (D (D cm) m rn mrn (D (�jrnm CD rnrnrnmrnrn (D (D A N 0 0 0 0 (D o 0 0 0 v m 0 0 0 0 0 0 N N N N T O N N N N N N N N N N O N � 0 61 N W N N N 8 0 V (h V V N O 9 O O _ _ W (h O O O O O O z X X X X X X X X X X X X X X X X X X X X M r N Q N T 9 X X X X X X X X X X X X X X X X X X X X (D n 'D X X X X X X X X X X X X X X X X X X X X C 0 0 0 0 o 0 0 0 0 0 0 o O o 0 0 0 0 0 0 0 0 0 0 O 0 0 0 C. O O 0 0 O O o 0 0 0 0 0 00 0 0 0 0 0 0 00 O 0 O o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o 0 O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0(D 0 0 0 0 = 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 CC REVIEWED & APPR D By RISK MANAGEMENT DI ON FRANCINE R. VILLAREAL IL 02 70 09 12 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CALIFORNIA CHANGES - CANCELLATION AND NONRENEWAL This endorsement modifies insurance provided under the following: CAPITAL ASSETS PROGRAM (OUTPUT POLICY) COVERAGE PART COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART CRIME AND FIDELITY COVERAGE PART EMPLOYMENT -RELATED PRACTICES LIABILITY COVERAGE PART EQUIPMENT BREAKDOWN COVERAGE PART FARM COVERAGE PART LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART A. Paragraphs 2. and 3. of the Cancellation Common Policy Condition are replaced by the following: 2. 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: a. 10 days before the effective date of cancellation if we cancel for: (1) Nonpayment of premium; or (2) Discovery of fraud by: (a) Any insured or his or her representative in obtaining this insurance; or (b) You or your representative in pursuing a claim under this policy. b. 30 days before the effective date of cancellation if we cancel for any other reason. 3. All Policies In Effect For More Than 60 Days a. 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: (a) Any insured or his or her representative in obtaining this insurance, or (b) 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. REVIEWED & APPROVED By RU MA^lAs,o-rtVAT Divisi®N SEE Ok FRANCINE R. VILLAREAL IL 02 70 09 12 © Insurance Services Office, Inc., 2012 Page 1 of 4 (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 increase 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 conditions precedent to our use of a particular rate or rating plan, if that failure materially increases any of the risks insured against. (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: (i) Place us in violation of California law or the 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 the policy. b. 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: (1) 10 days before the effective date of cancellation if we cancel for nonpayment of premium or discovery of fraud; or (2) 30 days before the effective date of cancellation if we cancel for any other reason listed in Paragraph 3.a. B. The following provision is added to the Cancellation Common Policy Condition: 7. Residential Property This provision applies to coverage on real property which is used predominantly for residential purposes and consisting of not more than four dwelling units, and to coverage on tenants' household personal property in a residential unit, if such coverage is written under one of the following: Commercial Property Coverage Part Farm Coverage Part — Farm Property — Farm Dwellings, Appurtenant Structures And Household Personal Property Coverage Form a. If such coverage has been in effect for 60 days or less, and is not a renewal of coverage we previously issued, we may cancel this coverage for any reason, except as provided in b. and c. below_ b. We may not cancel this policy solely because the first Named Insured has: (1) Accepted an offer of earthquake coverage; or (2) Cancelled or did not renew a policy issued by the California Earthquake Authority (CEA) that included an earthquake policy premium surcharge. However, we shall cancel this policy if the first Named Insured has accepted a new or renewal policy issued by the CEA that includes an earthquake policy premium surcharge but fails to pay the earthquake policy premium surcharge authorized by the CEA. c. We may not cancel such coverage solely because corrosive soil conditions exist on the premises. This restriction (c.) applies only if coverage is subject to one of the following, which exclude loss or damage caused by or resulting from corrosive soil conditions: (1) Commercial Property Coverage Part — Causes Of Loss — Special Form; or (2) Farm Coverage Part — Causes Of Loss Form — Farm Property, Paragraph D. Covered Causes Of Loss — Special. REVIEWED & APPROVED By Risk MMAGEMENT DivisION SE 3 0 2"' FRANCINE R. VILLAREAL Page 2 of 4 0 Insurance Services Office, Inc., 2012 IL 02 70 09 12 C. The following is added and supersedes any provisions to the contrary: Nonrenewal Subject to the provisions of Paragraphs C.2. and C.3. 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. 2. Residential Property This provision applies to coverage on real property used predominantly for residential purposes and consisting of not more than four dwelling units, and to coverage on tenants' household property contained in a residential unit, if such coverage is written under one of the following: Commercial Property Coverage Part Farm Coverage Part — Farm Property — Farm Dwellings, Appurtenant Structures And Household Personal Property Coverage Form a. We may elect not to renew such coverage for any reason, except as provided in b., c. and d. below. b. We will not refuse to renew such coverage solely because the first Named Insured has accepted an offer of earthquake coverage. However, the following applies only to insurers who are associate participating insurers as established by Cal. Ins. Code Section 10089.16. We may elect not to renew such coverage after the first Named Insured has accepted an offer of earthquake coverage, if one or more of the following reasons applies: (1) The nonrenewal is based on sound underwriting principles that relate to the coverages provided by this policy and that are consistent with the approved rating plan and related documents filed with the Department of Insurance as required by existing law; (2) The Commissioner of Insurance finds that the exposure to potential losses will threaten our solvency or place us in a hazardous condition. A hazardous condition includes, but is not limited to, a condition in which we make claims payments for losses resulting from an earthquake that occurred within the preceding two years and that required a reduction in policyholder surplus of at least 25% for payment of those claims; or (3) We have: (a) Lost or experienced a substantial reduction in the availability or scope of reinsurance coverage; or (b) Experienced a substantial increase in the premium charged for reinsurance coverage of our residential property insurance policies; and the Commissioner has approved a plan for the nonrenewals that is fair and equitable, and that is responsive to the changes in our reinsurance position. c. We will not refuse to renew such coverage solely because the first Named Insured has cancelled or did not renew a policy, issued by the California Earthquake Authority, that included an earthquake policy premium surcharge- d. We will not refuse to renew such coverage solely because corrosive soil conditions exist on the premises. This restriction (d.) applies only if coverage is subject to one of the following, which exclude loss or damage caused by or resulting from corrosive soil conditions: (1) Commercial Property Coverage Part — Causes Of Loss — Special Form; or (2) Farm Coverage Part — Causes Of Loss Form — Farm Property, Paragraph D. Covered Causes Of Loss — Special. 3. We are not required to send notice of nonrenewal in the following situations: a. If the transfer or renewal of a policy, without any changes in terms, conditions or rates, is between us and a member of our insurance group. REV&WEU &. APPROVED Risk Byi�4liP' 1 f rFPn ni%/jS10N 5 3020191 FRANCINE R. VILLAREAL IL 02 70 09 12 0 Insurance Services Office, Inc., 2012 Page 3 of 4 b. If the policy has been extended for 90 days or less, provided that notice has been given in accordance with Paragraph 0.1. c. If you have obtained replacement coverage, or if the first Named Insured has agreed, in writing, within 60 days of the termination of the policy, to obtain that coverage. d. If the policy is for a period of no more than 60 days and you are notified at the time of issuance that it will not be renewed. e. If the first Named Insured requests a change in the terms or conditions or risks covered by the policy within 60 days of the end of the policy period. f. If we have made a written offer to the first Named Insured, in accordance with the timeframes shown in Paragraph CA., to renew the policy under changed terms or conditions or at an increased premium rate, when the increase exceeds 25%. REVIEWED & APPROVED By RU MANr,GEMENT DIVISION SEP 3 0 2019 F lANGNE R. VILLARFAC Page 4 of 4 0 Insurance Services Office, Inc., 2012 IL 02 70 09 12 COMMON POLICY CONDITIONS All Coverage Parts included in this policy are subject to the following conditions. A. CANCELLATION 1. The first Named Insured shown in the Declarations may cancel this policy by mailing or delivering to us advance writ- ten notice of cancellation. 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 nonpay- ment of premium; or b. 30 days before the effective date of cancellation if we cancel for any oth- er reason, 3. We will mail or deliver our notice to the first Named Insured's last mailing ad- dress known to us. 4. Notice of cancellation will state the effec- tive date of cancellation. The policy pe- riod will end on that date. 5. If this policy is cancelled, we will send the first Named Insured any premium re- fund due. If we cancel, the refund will be pro rata. If the first Named Insured can- cels, 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. B. CHANGES This policy contains all the agreements be- tween 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. IL 00 17 11 98 D. INSPECTIONS AND SURVEYS 1. We have the right to: a. Make inspections and surveys at any time; b. Give you reports on the conditions we find, and c. Recommend changes. 2. We are not obligated to make any inspec- tions, surveys, reports or recommenda- tions and any such actions we do under- take relate only to insurability and the premiums to be charged. We do not make safety inspections. We do not un- dertake 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: a. Are safe or healthful; or b. Comply with laws, regulations, codes or standards. 3. Paragraphs 1. and 2. of this condition ap- ply not only to us, but also to any rating, advisory, rate service or similar organiza- tion which makes insurance inspections, surveys, reports or recommendations. 4. Paragraph 2. of this condition does not apply to any inspections, surveys, reports or recommendations we may make rela- tive to certification, under state or mu- nicipal statutes, ordinances or regula- tions, of boilers, pressure vessels or elevators. E. PREMIUMS The first Named Insured shown in the Dec- larations: 1. Is responsible for the payment of all pre- miums; and 2. Will be the payee for any return premi- ums we pay. C. EXAMINATION OF YOUR BOOKS AND RECORDS F 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. TRANSFER OF YOUR RIGHTS AND DUTIES UNDER THIS POLICY Your rights and duties under this policy may not be transferred without our written con- s { t '_ "PW"Oof an individ- u Y i S 0 2019� IL 00 17 11 98 Copyright, Insurance services Office, FI ANC NEE oR. VILLAr�.EF+L Page 1 of 2 If you die, your rights and duties under this policy will be transferred to your legal repre- sentative 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. REVIEWED & APPROVED By Risk NjArjAaFMFNT DivisioN SEP 3 0 2019 H ANCINE R. VILLAREAL IL 00 17 11 98 Copyright, I nsu ra nce Services off ice, Inc., 1998 Page 2 of 2 l SURET-1 OP 113* CERTIFICATE OF LIABILITY INSURANCE D1112212019ATE Y) 11/22/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must 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 endomemen s . PRODUCER 961-680-9600 Daisy Trudeau Ins. Services CA Lic. #01-52222 cT Diana Castanon PHONE 951.680-9600 FAX 888-Y61-9664 INC. No, Ertl: (AIC, No): dFan—a@daisytruassuine.com 5016 Canyon Crest Dr. Ste. 207 Riverside, CA 92607 Daisy Trudeau 11 SI AFF_QMlblg COVERAGE MAID INSURER A:AnIGUARD Insurance Co. 42390 INSURED Sureteck Industrial & Commercial Services, Inc 860 E Cottonwood St INSURER G: Ohio Security Insurance Co 24082 wSuRERC,Oak River Insurance Company 34630 Ontario, CA 91761 INSURER D: INSURER E : INSURER F: C ERAGES CERTIFICATE NUMBER: REVISIONNUMBER: 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 SUER WVO POLICY NUMBER POLICY EFF-1POUCY EXPMMMUMM „rs B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [A] OCCUR X BLS56936915 03101/2019 03101/2020 EACH OCCURRENCE 11000,000 GETORENTED S 500,000 M P An WS 15,000 PERSONAL ADVINJURY 1,000,000 GENL AGGREGATE pLIRMpIT. APPLIES PER: POLICY ❑X JEGT LOC OTHER: GENERAL AGGREGATE 2,000,000 PRODUCTS -COMPIOP AGG 2,000,000 S A AUTOMOBEELmmm ANY AUTO OWNED SCHEDULED AUTOS ONLY X ANUpT�OByy��p X AUTOS ONLY X A8TOJV61V UAU014314 06119/2019 0611912020 COMBINED SINGLE UNITY S 1,000,000 BODILY INJURY Pm BODILY INJURY PW=ddW $ �PS�ER�1', MAGE Ii UMBRELLA LU1B EXCESSLJAe OCCUR CLAIMS.MADE EACH OCCURRENCE AGGREGATE DED I I RETENTION S C WORKERS COMPENSATION AND EMPLOYERS' LIABAITY ANYRRRIETORTTIIEIECUTVE YIN 8QFlEMEEMMD If1es,tle ivu DESCRIPTION OF OPERATIONS tl . NIACWyQE SUWC036591 11/2212019 11/2020 OTH- X PERTUTE STA E.L. HA ACCIDENT 1,000,000 E.L DISEASE - EA EMPLOY S 1,000,000 E.L. DISEASE -POLICY UMIT S 1,000,000 64 SCRI ERA IIDCATq"I/ VEHICLES CORD 10 onal Ro,naM$SeC P �WeME tlnaoae aqu N,spulned) of alnia°FLna,Toi cars, agents employees, l5,oiunteers areNincilt ��So additional insured as respects to General Liability per form CG8810 0413, where required by written contract Primary wording/ Non-contributory .applies perform CG8810 0413. CITYSAI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana CORDANCE WITH THE POLICY PROVISIONS. Risk Management DivisionREVIEWED & APPRGVLt 20 Civic Center Plaza By RI MANAGEMENT Div! 4th floor pRvm•REPRESENTATNE Santa Ana, CA 92702 I 12 2019 ACORD 25 (2016/03) /\Jl Z © 1988-2015 ACORD CORPORATION. All rights reserved. ThS �IN fM MdfI"firr"istered marks of ACORD oURETECK INDUSTRIAL & COMMERCIAL SERVICES, INC. Surmeck@dispach.com December 12, 2019 City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 To Whom It May Concern: Sureteck Industrial will not hire professional or consultant any third -party company to perform any work. All work will be performed by Sureteck Industrial. If you have any questions please contact our Office Thank you, Gino Garcia S� President REVIEWED & APPROVED lay RISk MANAGEMENT DIVISION 12 1019 860 E. COTTONWOOD ST ONTARIO. CA. 91761 M. LAMBERT (951)809-3373 7 SUHET-1 ACOR CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 03/11/2020 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 endorsements . PRODUCER 951-680-9600 Daisy Trudeau Ins. Services CA Lic. #0L52222 �ADJACT Diana Castanon PHONE 951-680-9600 FAX 888-261-9654 AIC, No, Ext: AIC, No: 5015 Canyon Crest Dr. Ste. 207 Riverside, CA 92507 AOmAiL , diana@daisytrudeauins.com Daisy Trudeau INSURER 5 AFFORDING COVERAGE NAIC It INSURER A, AmGUARD Insurance Co. 42390 INSURED Sureteck Industrial INSURER 5: Ohio Security Insurance Co 24082 & Commercial Services, Inc 860 E Cottonwood St. INSURER C:Oak River Insurance Company 34630 Ontario, CA 91761 INSURER D INSURERE: INSURER F : COVERAGES CFRTIFICATF NIIMRFR- RcvtmnM Antkae5R. 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 LTRIMM TYPE OF INSURANCE ADDLSUBR WenDD POLICY NUMBER POLICY SEE POLICY EXP M 00L LIMITS B X COMMERCMLGENERAL LIABILITY CLAIMS -MADE OCCUR X BLS56935915 03/0112020 03101/2021 EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED S (Ea occurrence) 500,00PREMIS0 • 15,000 MED EXP An ane arson PERSONAL B ADV INJURY li 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY jE LOG OTHER: GENERAL AGGREGATE 21000,000 PRODUCTS - COMP/OP AGG 21000,000 A AUTOMOBILE LIABILITY AUTO OWNED AU�gTEO�S ONLY X AU�T�OSU� AUTOS ONLY X AUTO50NLB SUAU014314 06119/2019 06119/2020 COMBINED SINGLELIMIT BODILY INJURY Per arson 1,000,000 JxANY BO�DILY INJURY Per accident PeOracciRtlent AMAGE UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE DEC) RETENTIONS C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y�x ANY PROPRIETORIPARTNER/EXECUTIVE (MandatoryOFFICERUMIn EIR H)EXCLUDED? LJ (Mandatory d ory in NH) E yes, describe under DESCRIPTION OF OPERATIONS below NIA SUWC036591 11/2212019 11122/2029 X PER —FEOTH- EL EACH ACCIDENT 1,000,000 E.L. DISEASE -EA EMPLOYEE 1,000,000 E.L. DISEASE- POLICY LIMIT 16 11000,000 CRI N OF O ERATIO I LOCATIONS I EHICLES ACORD 10 Addi one Remarks Schedul , m attached if more space is required) I y o ante na, o icers, agen s employees, �. voYLin ears are inciutl9clas additional insured as respects to General Liability per form CG8810 0413, where required by written contract. Primary wording/ Non-contributory REVIEWED &APPROVED applies perform G8810 0413. By Risk MANAGEMENTDIVISION A 1 10 CITYSA1 City of Santa Ana Risk Management Division 20 Civic Center Plaza 4th floor Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD