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HomeMy WebLinkAboutALLIANCE ENVIRONMENTAL GROUP, LLCMAYOR Miguel A. Pulido MAYOR PRO TEM Juan Villages COUNCILMEMBERS Phil Bacerra Cecilia Iglesias David Penaloza Vicente Sanniento Jose Solorio �urlktfw,.- %ORKMAYWrPjj(jc,: CLERK OF COUNCIL DATE: 0: P r csasllv�c cVtjWS Jr April 1, 2020 CITY OF SANTA ANA CITY MANAGER'S OFFICE 20 Civic Center Plaza • P.O. Box 1988 Santa Ana, California 92702 www.santa-ana.ora South Coast Air Quality Management District 21865 Copley Drive Diamond Bar, CA. 91765 TO WHOM THIS MAY CONCERN: A-2020-059 CITY MANAGER Kristine Ridge CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Daisy Gomez The City of Santa Ana has hired a firm to perform asbestos clean-up at the City -owned property located at 625 South Cypress. Due to ongoing break-ins and vandalism, we are experiencing a public nuisance and health hazard. During the latest break in, the vagrant broke through the concrete Flooring and dug tunnels under the property. The disturbed flooring tested positive for asbestos, creating a contamination issue. The homeless individual suffers from mental illness and has been arrested several times but continues to find ways back into the property through the roof or tunnels. To prevent public health issues to the neighbors and future break-ins, we request you waive the 10-day grace period and allow Alliance Environmental to proceed with the abatement. If you have any questions about this request or clean-up, please contact Ron Ono, Administrative Services Manager, at (714) 231-6116; or by e-mail at rono(a-_)santa-ana.orp. Thank you for your understanding and immediate attention to this request. Sincerely, Kristine Ridge City Manager SANTA ANA CITY COUNCIL Miguel A. Pulido Juan Villages Vicente Sarmienla David Penaloza Jose Selene Phil eacerra Cecilia Iglesias Mayor Mayor Pro Tom, Ward 5 Wartl 1 Ward 2 Ward 3 Ward 4 Ward S moulidoft.nta-ana.org vilegasgsantaana.oro vsarmento(dsanta-ana one doenalozardsanla-ana.oro solcdoOsanta-ana.org obao.,raAsenta-anaorg aolesniOdsanla-ana.oro A-2020-059 Work Authorization 990 West Tenth Street, Azusa, CA 91702 Ph: 714-507-4080 Fx: 714-864-3798 Lic. # 716538 - D.O.S.H. # 630 Project: City of Santa Ana - Firehouse "Property" Address: 625 South Cypress Avenue Citv: Santa Ana State: CA Zip:92701-5831 Contact: Ron Ono Work No.: (714) 647-5400 Mobile No.: Home No.: Claim Number: Customer ❑X Billing Party El City of Santa Ana www.alliance-enviro.com info@alliance-envim.com Address: 20 Civic Center Plaza Citv: Santa Ana State: CA Zip:92701-4058 Contact: Ron Ono Phone No.: 714-647-5400 Fax No.: Email: rono@santa-ana.org Scheduled Start Date: Scheduled Completion Date: Total Bid Amount: $86,779.33 Deposit Required: $0.00 Balance Due on Completion: $86,779.33 SCOPE OF WORK (Description of Project, Materials to be Used, and/or Equipment to be Installed) 1. Notify required local regulatory agency prior to job start if applicable. 2. Isolate work areas. 3. Set up the shower decontamination system adjacent to work area(s). 4. Run negative air filtration during the abatement and monitor air in the work area(s). Scope of Work Remove and dispose of approx. 8000 s/f of asbestos contaminated debris. Remove and dispose of approx. 2000 s/f of contaminated dirt. Remove and dispose of approx. 2803 s/f of asbestos vinyl floor tile. Remove and dispose of approx. 260 s/f of linoleum floor covering. Chemically remove and dispose of approx. 3063 s/f of asbestos mastic floor glue. Wet wipe and hepa vacuum approx. 17853 s/f of exposed hard surface areas. 6. Transport, manifest and dispose of waste at an EPA landfill. 7. Remove containment and equipment upon final inspection and/or clearance. In the event that an insurance company issues a check to the owner for payment for services performed by Alliance, please endorse the check and forward it to Alliance upon the completion of the job. Temp004CRH-2 Pagel of 6 Please Initial: Notes: 1. UNLESS OTHERWISE NOTED IN THIS CONTRACT, Homeowner or tenant is ultimately responsible to ensure that all personal items are removed from the work area prior to the arrival of Alliance. In the event that a third party company is contracted to remove the contents from that area, and not all necessary items are removed prior to Alliance's arrival, a cancellation fee or content manipulation charge to the homeowner or tenant may apply as outlined in the following paragraph. In order to prevent these charges, homeowner is responsible to ensure all necessary content manipulation has been completed or to notify Alliance of any changes prior to Alliance's arrival. 2. In the event that the work area is not ready for abatement, the homeowner or tenant will be responsible for payment of either $70.00 per man per hour to manipulate contents (contents exclusions in subsection 3, titled exclusions, apply) or a $250 cancellation fee. In the event of a cancellation, the job will be rescheduled for the soonest opening once the work areas are prepared for abatement. Customer Initial: Payment notice: t. In the event that the homeowner is paying Alliance directly, payment is due and payable immediately upon completion of the job. z. In the event that an insurance company issues a check to the owner for payment for services performed by Alliance, the homeowner is responsible to issue payment to Alliance for full contract amount. a. In the event that an insurance company denies all or part of the claim, the homeowner is ultimately responsible for payment for the full contract amount. Customer Initial: DEPOSIT may not exceed $1,000 or 10 percent of Contract Amount, whichever is less. Customer shall pay Alliance the Deposit prior to Alliance scheduling work. In the event of failure to pay any of the amount due in this invoice, all collection costs and/or attorney fees in the collection of any such amount will be paid by the Customer. Interest at the rate of 1.5% per month, or the maximum rate allowed by law whichever is less, will be charged on accounts past due more than 30 days. In the event of failure to pay any of the amount due, all collection costs and/or attorney fees in the collection of any such amount will be paid by the Customer. In the event that an insurance company issues a check to the owner for payment for services performed by Alliance, please endorse the check and forward it to Alliance upon the completion of the job. Some of the services performed by Alliance require the use of EPA approved chemicals. It is the Customer's responsibility to notify Alliance of any potential health concerns or known sensitivity to chemicals. I have read and understand that if I have concerns I am to notify Jeremie McPhail. City Managers Signature on Page 5 Any and all hazardous waste fees are to be paid by the generator, not Alliance Environmental Group, Inc. This is including but not limited to ALL generator fees from the State Board of Equalization and Department of Toxic Customer acknowledges and authorizes Alliance to sign the Hazardous Waste Manifest "on behalf of" the generator. Customer Initial: The Stale Board of Equalization will assess a fee for each generator that produces nve tons or more or nazamous waste. i ms assesseu ,ee -s ,,.,, Included in this contract amount. Please be aware that if you generate more than five tons of hazardous waste, the BOE will bill you the required fee. Current fees are as follows: Generator Size: Fee: Generator Size: Fee: Less than 5 tons/year $0.00 25 but less than 50 tons/year $1,913.00 5 but less than 25 tons/year $239.00 50 but less than 250 tons/year $4,783.00 Contact your AEG Project Manager/Estimator (Jeremie McPhail) for assistance in approximating your Generator Fee. Notice: Recent lead laws require that any pre 1978 structure where lead paint will be disturbed must have the paint tested or it will be presumed positive. Alliance Environmental Group, L-C. strongly recommends that these painted surfaces be tested for lead content prior to performing work. If Alliance Environmental Group, L-C. has not been provided lead testing results, it will be assumed that all surfaces contain lead. Alliance Environmental Group, Inc. will profile and characterize these materials for the proper handling and disposal. Pending results of the lead profile characterization, additional disposal cost may be charged at a price to be determined by Alliance Environmental Group, L-C. Temp004CRH-2 Page 2 of 6 Please Initial: CONTRACT Alliance Environmental Group, Inc. (hereinafter referred to as "Alliance"), and the undersigned homeowner or tenant (hereinafter referred to as 'Customer') agree as follows: The previous page and above portion of this page are incorporated herein as part of the Contract between the parties. 1. SCOPE OF WORK: In consideration of the payment specified above, Alliance is hereby authorized to furnish all labor, materials, and equipment necessary to perform removal and disposal of asbestos, lead, mold, and/or other materials and/or to perform hazardous remediation of hazardous materials, all as specified in the above agreed Scope of Work, in material compliance with applicable laws and regulations. Alliance agrees to use reasonable best efforts to complete the Scope of Work. However, Customer acknowledges and agrees that this Agreement is for Alliance's effort and not for any particular results. ALLIANCE MAKES NO REPRESENTATION OR WARRANTY THAT THE WORK DESCRIBED IN THE SCOPE OF WORK WILL RESULT IN THE ELIMINATION OF ASBESTOS, LEAD, MOLD, AND/OR OTHER HAZARDOUS MATERIALS CONTAMINATION ("HAZARDS CONTAMINATION") FROM THE AREAS DESCRIBED IN THE SCOPE OF WORK OR THAT SUCH HAZARDS CONTAMINATION WILL NOT REAPPEAR IN SUCH AREAS OR OTHER AREAS OF THE PROPERTY. ALLIANCE MAKES NO REPRESENTATION OR WARRANTY REGARDING HAZARDS CONTAMINATION IN AREAS, INCLUDING ADJOINING AREAS, NOT SPECIFIED IN THE SCOPE OF WORK, NOR THAT SUCH HAZARDS CONTAMINATION WILL NOT MIGRATE TO AREAS DESCRIBED IN THE SCOPE OF WORK FOLLOWING COMPLETION OF OR DURING THE SCOPE OF WORK. Without limiting the foregoing, Customer specifically waives and releases Alliance from any claim for damages on account of work recommended by Alliance but not accepted by Customer or Insurer, and for any consequential, incidental or punitive damages, or for loss of use, property or profits of whatever kind arising out of or in connection with performance of Scope of Work. 2. START DATE AND COMPLETION DATE: California Law requires that Contractor start this project within (20) days of execution of this Contract subject to Alliance's ability to obtain permits and Customers ability to obtain financing if Customer is buying the property in question, subject to delay caused by any processing and obtaining permits may required which may extend Start Date and correspondingly delay the Completion Date. 3. EXCLUSIONS: Any work that is not specifically included in Scope of Work shall not be any part of this Contract. Removal of inaccessible asbestos, mold, or lead -containing materials is not covered in the Contract amount and additional charges will apply if materials must be removed to uncover same. Doors, lights, ceiling fans, curtains and other items may need to be removed by Alliance to perform work and Alliance does NOT rebuild or reinstall these items.Plumbing supply lines may be faulty and may need to be replaced. This cost is not covered in the Contract Amount. Contents and appliances need to be removed from work area prior to abatement. Additional costs will be applied if contents need to be removed, unless otherwise stated in the Scope of Work. Unless otherwise stated in the Scope of Work, the cost of third party clearance testing is not part of the Contract Amount. 4. DAMAGE: Incidental damage to doors, door casings, windows, window sills, baseboards, walls, wallpaper, wood, paneling, painted surfaces, and to contents or Customer personal items left in work area may occur as a result of work performed, including but not limited to taping plastic barriers to walls and other surfaces. Every reasonable attempt will be made to minimize such occurrences. Alliance shall not pay/reimburse for, nor does it do any, repairs, repainting, rebuilding or replacement of such "incidental damages, and such is not included in the Scope of Work. Due to odors caused by chemicals used for mastic removal, the work areas will be razor scraped to remove the majority of mastic but residual mastic may be left after scraping and will be sealed with an E.P.A. approved encapsulant. 5. SITE ACCESS: Customer agrees to ensure that prior to any work undertaken by Alliance, the site of the work, the area from which the work is controlled, and any storage area used by Alliance in connection with the work (collectively referred to hereinafter as the "Site"), shall be vacated and remain closed to all persons (other than ALLIANCE employees) for the duration of the project. In the event that any individual other than ALLIANCE employees enters the Site, Customer agrees that ALLIANCE shall not be held liable for any claims, including, without limitation, any claims relative to asbestos, lead, mold and/or hazardous remediation exposure arising there from. 6. DIFFERING SITE CONDITIONS: If ALLIANCE encounters subsurface, latent, unusual or unknown physical conditions in the work area differing materially from those indicated in its initial inspection or the Scope of Work, ALLIANCE will promptly notify Customer or Insurer. If such conditions cause an increase in the cost of, or the time required for, performance of the Scope of Work, appropriate equitable adjustments in Scope of Work, price and completion date shall be made. 7. EXTRA WORK AND CHANGE ORDERS: Customer and Alliance, or Insurer (defined below) and Alliance, may change the Scope of Work at any time and from time to time, including changes in scope, methods, scheduling or performance requirement, but no such change shall be effective unless and until an agreed written Change Order is made and executed, including appropriate adjustments to the overall price and completion date of the Scope of Work. Subject to the following, if Alliance undertakes additional or different work notwithstanding the absence of a Change Order, it will not operate as a waiver of this provision, and Alliance will nevertheless be entitled to appropriate equitable adjustments to the price and completion date terms of the Scope of Work. All phone quotes are subject to field verification. Extra work and Change Orders become part of the Contract once the order is prepared in writing and signed by the parties. The Change Order must describe the scope of the extra or change, the cost to be added or subtracted from the contract, and the effect the order will have on the schedule of progress payments, if any. Change Orders required by the building department at the jobsite shall be considered incorporated into the contract without being signed by both parties. 8. ELIMINATION OF CONDITIONS: Customer acknowledges that it, and not Alliance, is responsible for the elimination of any and all conditions from the Property that may cause or contribute to re -contamination by Mold or other Irritants, including but not limited to standing water, faulty plumbing, leaks, dampness from condensation, damaged wood, roof leaks, direct wood to soil contact, improperly protected exterior wood surfaces, landscaping above foundation grade line, and improperly installed irrigation. Temp004CRH-2 Page 3 of 6 Please Initial: 9. UTILITIES; STORAGE: Customer agrees to provide to Alliance, free of charge, reasonable use of water, and storage space necessary for the proper undertaking and completion of the Services at the Property. 10.FORCE MAJEURE: Alliance shall not be deemed to default nor be liable for damages for any failure or delay in performance of its work which arise out of causes beyond its reasonable control. Such causes may include, without limitation, acts of God, acts of terrorists or terrorist organizations, the public enemy, acts of government in either its sovereign or contractual capacity, fires, floods, earthquakes, epidemics, quarantine restrictions, strikes, freight embargoes, material shortages, or unusual severe weather. In the event work by Alliance is delayed by such causes, the completion date will be extended accordingly. 11.MECHANICS LIEN WARNING: Anyone who helps improve your property, but who is not paid, may record what is called a mechanics' lien on your property. A mechanics' lien is a claim, like a mortgage or home equity loan, made against your property and recorded with the county recorder. Even if you pay your contractor in full, unpaid subcontractors, suppliers, and laborers who helped to improve your property may record mechanics' liens and sue you in court to foreclose the lien. If a court finds the lien is valid, you could be forced to pay twice or have a court officer sell your home to pay the lien. Liens can also affect your credit. To preserve their right to record a lien, each subcontractor and material supplier must provide you with a document called a "20-day Preliminary Notice." This notice is not a lien. The purpose of the notice is to let you know what the person who sends you the notice has the right to record a lien on your property if he or she is not paid. BE CAREFUL. The Preliminary Notice can be sent up to 20 days after the subcontractor starts work or the supplier provides material. This can be a big problem if you pay your contractor before you have received the Preliminary Notices. You will not get Preliminary Notices from your prime contractor or from laborers who work on your project. The law assumes that you already know they are improving your property. PROTECT YOURSELF FROM LIENS. You can protect yourself from liens by getting a list from your contractor of all the subcontractors and material suppliers that work on your project. Find out from your contractor when these subcontractors started work and when these suppliers delivered goods or materials. Then wait 20 days, paying attention to the Preliminary Notices you receive. PAY WITH JOINT CHECKS. One way to protect yourself is to pay with a joint check. When your contractor tells you it is time to pay for the work of a subcontractor or supplier who has provided you with a Preliminary Notice, write a joint check payable to both the contractor and the subcontractor or material supplier. For other ways to prevent liens, visit CSLB's website at www.cslb.ca.gov <http://www.csib.ca.gov> or call CSLB at 1-800-321-CSLB (2752). Remember, if you do nothing, you risk having a lien placed on your home. This can mean that you may have to pay twice, or face the forced sale of your home to pay what you owe. 12.COMMERCIAL GENERAL LIABILITY INSURANCE (CGL): Alliance carries CGL insurance written by Starr Surplus Lines Insurance Company. You may call the insurance company at (646) 227-6300 to check Alliance's coverage. 13.WORKERS' COMPENSATION INSURANCE: Alliance carries workers' compensation insurance for employees. 14.INFORMATION ABOUT CONTRACTORS STATE LICENSE BOARD (CSLB): See Attached Notice . 15.INSURANCE TRANSACTION AND INSURANCE AUTHORIZATION TO RELEASE FUNDS: When Contract for Scope of Work is between Alliance and Customer's insurance company ("Insurer'), Customer shall nevertheless be jointly and severally liable with Insurer to pay Alliance all amounts due to Alliance. Customer's signature on this Contract grants Alliance the Customer's power of attorney to sign/endorse Insurer checks and/or drafts payable to the Customer, including as result of Customer's claim to Insurer for property damages, concerning or intended to be in payment for Alliance's work. Customer agrees checks from Insurer will be sent directly to Alliance. NOTICE OF INFORMATION ABOUT CONTRACTORS STATE LICENSE BOARD CSLB is the state consumer protection agency that licenses and regulates construction contractors. You may contact CSLB for information about the licensed contractor you are considering, including information about disclosable complaints, disciplinary actions and civil judgments that are reported to CSLB. Use only licensed contractors. If you file a complaint against a licensed contractor within the legal deadline (usually four years), CSLB has authority to investigate the complaint. If you use an unlicensed contractor, CSLB may not be able to help you resolve your complaint. Your only remedy maybe in civil court, and you maybe liable for damages arising out of any injuries to the unlicensed contractor or the unlicensed contractor's employees. For more information: VISIT: CSLB's website at www.csib.ca.gov. CALL: CSLB at 1-800-3321-CSLB (2752). WRITE: CSLB at P.O. Box 26000, Sacramento, CA 95826. Temp004CRH-2 Page 4 of 6 Please Initial: . YOU, THE CUSTOMER, ARE ENTITLED TO A COMPLETELY FILLED IN COPY OF THIS CONTRACT, SIGNED BY BOTH YOU AND ALLIANCE, BEFORE ANY WORK MAY BE STARTED. . YOU, THE CUSTOMER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR EXPLANATION OF THIS RIGHT. Customer signature below is acknowledgement that Customer has received THREE-DAY RIGHT TO CANCEL form. THIS CONTRACT WILL NOT BECOME BINDING ON THE PARTIES UNTIL ACCEPTED BY AN AUTHORIZED REPRESENTATIVE OF ALLIANCE, AT ALLIANCE'S OFFICES. CUSTOMER: Dated: Print Name: Kristine Ridge, City Manager (Printed Name) Approved as to Form: Attest: kfin M. Funk Daisy Gomez Assistant City Attorney Clerk of the Council Corporate Office Temp004CRH-2 990 W. Tenth Street, Azusa, CA 91702 Page 5 of 6 ALLIANCE ENVIRONMENTAL GROUP, LLC.: Recommended for Approval: "'I- vlze6� sa udloff Executive Director Parks, Recreation, and Community Services Agency Ph. 626-633-3500 Fax: 626-633-3599 Please Initial e-mail: info@allaince-enviro.com - web address: www.alliance-enviro.com - lie. 9716538 - D.O.S.H. #630 Corporate: 990 West Tenth Street, Azusa, CA 91702 - Tel: 625-633-3500 - Fax: 626-633-3599 This form letter will only be used in the event that Alliance receives a 3rd party check issued to your mortgage company. Mortgage Company Name: Address: City, State, Zip: Attn: Loss Draft Department RE: Borrower Name(s): Ron Ono Property Address: 625 South Cypress Avenue Proerty City, State, Zip: Santa Ana, CA 92701-5831 Loan# AUTHORIZATION TO RELEASE INFORMATION FROM MORTGAGE COMPANY Dear Sir or Madam, This is to authorize you to release any and all information concerning the above referenced loan to Ramona Bostic at Alliance Environmental Group, Inc. at their request. Alliance Environmental Group, Inc. is the contractor assisting us with submittal of an invoice payment. Please release any information to this contractor in the future without any further authorization until complete invoice amount is paid in full. If you need additional information, please contact them at 626-633-3500 and speak to Ramona Bostic. Home Owner's Signature Temp004CRH-2 Page 6 of 6 Please Initial: NOTICE OF RIGHT TO CANCEL Project: City of Santa Ana Enter Date of Transaction: You, the Buyer, have the right to cancel this contract within three (3) business days. You may cancel by e-mailing, mailing, faxing, or delivering a written notice to the contractor at the contractor's place of business by midnight of the third business day after you received a signed and dated copy of the contract that includes this notice. Include your name, your address, and the date you received the signed copy of the contract and this notice. If you cancel, the contractor must return to you anything paid within 10 days of receiving the notice of cancellation For your part, you must make available to the contractor at your residence, in substantially as good condition as you received it, any goods delivered to you under the contract or sale. Or, you may, if you wish, comply with the contractor's instructions on how to return the goods at the contractor's expense and risk. If you do make the goods available to the contractor and the contractor does not pick them up within 20 days of the date of your notice and cancellation, you may keep them without any further obligation. If you fail to make the goods available to the contractor, or if you agree to return the goods to the contractor and fail to do so, then you remain liable for performance of all obligations under the contract. To cancel this transaction, mail or deliver a signed and dated copy of this cancellation notice, or any other written notice, or send a fax, to Alliance, 990 W. Tenth Street, Azusa, California 91702, fax 626-633-3599 or e-mail to info@alliance-enviro.com, not later than midnight, three days from today. If you do decide to cancel via e-mail, please add'CANCELLATION' to the subject line. I herby cancel this transaction. (Date). South Coast Air Quality Management District Rule 1403 Procedure 5 Content/Property Release/Waiver This release/waiver applies to non -building materials (building contents, personal property, etc.) that have been deemed "asbestos contaminated" by a Certified Asbestos Consultant (CAC) in a Procedure 5 Clean -Up Plan submitted to the SCAQMD for Review and Approval. This release/waiver is required to be signed by the property owner if the CAC identifies asbestos -contaminated non -building materials, and the Procedure 5 Clean -Up Plan will not be approved if it is not signed by the contents/property owner and included. Asbestos is a naturally occurring mineral fiber that has properties of tensile strength and fire resistance. Asbestos has been a useful product in building materials. Some amounts of asbestos fibers are present virtually everywhere in local outdoor environments. Use of asbestos was never banned in the manufacturing building materials and products in the United States. Asbestos fibers that were used in the building materials of your structure were disturbed. Your personal property has been exposed to asbestos, and has been deemed contaminated as a result. Specialized cleaning may reduce the levels of asbestos on/in your contents/possessions. Even after specialized cleaning is performed and scientific testing indicates that levels of asbestos are reduced or are low, your contents/personal property are not guaranteed to be 100% free of asbestos fibers. Exposure to asbestos can present an increased risk for lung disease, asbestosis, lung cancer, and Mesothelioma. Health effects from the exposure to asbestos may not surface for as many as 30 to 40 years. The Procedure 5 Clean -Up Plan for this project will not be approved unless the owner of asbestos -contaminated personal property initials all of the items below that apply, and signs the waiver/release. I understand that my personal property has been contaminated with asbestos and cannot be 100% decontaminated, and wish to have these asbestos -contaminated items disposed properly. Even though my personal property cannot be 100% decontaminated, I understand the information presented above and I wish to accept my personal property and contents after specialized cleaning by a Licensed Asbestos Contractor that is registered with DOSH is performed and scientific testing by a State Certified Asbestos Consultant has been completed and met the clearance criteria. I understand that my personal property have been deemed asbestos -contaminated, and I wish to accept my personal property and contents as is. By signing below, the owner of the personal property and/or contents (as defined in the Procedure 5 Clean -Up Plan) hereby releases the abatement contractor and its employees, the Certified Asbestos Consultant company and their employees, and the South Coast Air Quality Management District, its executive officers and employees, from any and all claims, suits, liability and future liabilities involved with and related to asbestos as it applies to the personal belongings and contents. Signature: Kristine Ridge, City Manager Printed Name: 20 Civic Center Plaza, Santa Ana, CA Address: Date: Yl17&z� A0i EI CERTIFICATE OF LIABILITY INSURANCE 6/10/2020 DATE (""'DD""") 4/8/2020 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 endorsemem(s). PRODUCER LOCKTON COMPANIES 3657 BRIARPARK DRIVE, SUITE 700 Houston TX T7042 CONTACT ac No E=t : M c No E-NAIL ADDRESS INSURERISI AFFORDING COVERAGE INSURER A: Stems 1us ineshisuranceCompany 13604 INSURED Alliance Environmental Group, UC 1444909 990 West Tenth Street Azusa CA 91702 INSURER B : Starr Indemnity & Liability Company 38318 IN D : Zurich American Insurance Company 16535 Cr1VFRAr:F4 CFRTIFICATF NIIMRFR• 1AAR4AAQ RFVIRION NtIMRFR- XXXXXXX 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. TYPE OF INSURANCE AOOL WvpSUBR POLICY NUMBER ftwM Ilmsm LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 1000065722191 6/10/2019 6/10/2020 EACH OCCURRENCE 1000000 CLAIMS-MADEMOCCUr1 ,,// / / V AMA ET REMED 300000 MED EXP An one rson 50,000 PERSONAL A ADV INJURY $ 1 000 000 GENT AGGREGATE LIMIT APPLIES PER POLICV[K]JEECCT LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMPIOP AGG s 2000000 $ OTHER B AUTOMOBILE LIABILITY Y Y SISIPCA08264419 6/10/2019 6/10/2020 OMBINED SINGLE LIMIT $ 1,000,000 }( BODILY INJURY Per person) $ Y_KY (}[]{}( gppNWWyra�A J�TO EpU AUTOS ONLY ANUUTT�O�BWLED AUTOS ONLY AUTOS ONLD / ! ✓ BODILY IWURY(Par acddent $ ){ {iQoc PpcO RTY DAMAGE $ XXXXXiCX }{ Medical Pa $ 5,000 Comp & Coll UMBRELLA LIMB EXCESS LIM OCCUR CLAMS NOT APPLICABLE EACH OCCURRENCE $ XXY—X= AGGREGATE $ XXX}[j= DED I I RETENTION$ $ C WORKERS COMPENSATION AND EMPLOYERTUABILITY YIN ANY PROPRIETOP/PARTNEREXEUrIVE OFFICERu"WER E%CLUDEDa (Viye�v.iem MNH) DESCRIrMtONUO OPERATIONS Eebv N/A Y WC186804$-00 1/29/2020 / �/ 1/29/2021 / ,/ i{ I STRTUTE I OT L. EACHACCJDE /1l1/� $IOOOOW EL. NS M-EA EMPLOYEE (000000 .p ICY IT 1 QQQ ODD A Contractors Pollution Y Y 1000065722191 6AO/2019 6/10/2020 ✓ Per Occlmerce:$1,000,000 Agpgpw: $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, mry, be attached N more space is required) THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER, APPLICABLE TO THE CARRIERS LISTED AND THE POLICY TERM(S) REFERENCE All policies include a blanket notice of cancellation in certificate holders endorsement, providing for 30 days' advance notice if the pohcy is cancelled by the company other than for nonpayment of premium, 10 days' notice if the policy is cancelled for nonpayment of premium. Notice is sent to certificate holders with nutting addresses on file witB the agent or the company. The endorsement does not provide for notice of cancellation if the named insured requests cancellation �2EVIEWED & APPROV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE T '�NE EXPRUTION DATE THEREOF, NOTICE WILL BE DELIVERED IN MCCORDANCE ISI( Lay RMANACIEMENT NVIS WITH THE POLICY PROVISIOD NS. ON 16683669 ✓/o AUTHORIZED REPRESENTATIVE City of Santa Ana AP 9 2020 Risk Management Division 20 Civic Center Plaza, 4th floor Santa Ana CA92702 ANgiEACEVEdo 120161031 C11q ll.2015 ACORD CORPORATICM. All ria his reserved V The ACORD name and logo are registered marks of ACORD Attachment Code : D544488 Master ID: 1444909, Certificate ID: 16683669 Professional Liability Policy No.: 1000065722191 Policy Term: 6/10/2019 - 6/10/2020 Insurer: Starr Surplus Lines Insurance Company Limits: $1,000,000 Each Claim $1,000,000 Aggregate REVIEWED & APPROVED By Risk MANAGEMENT DivisiON AP 2020 ANgiE ACEVEdo Attachment Code: D543064 Master ID: 1444909, Certificate ID: 16683669 *Starr Surplus Lines Insurance Company Chicago, IL 1-646-227-6300 Primary and Non-contributory, Additional Insured and Waiver of Subrogation Policy Number: 1000065722191 Effective Date: 6/10/2019 at 12:01 A.M. Named Insured: Alliance Environmental Holdings, LLC This endorsement modifies the insurance coverage form(s) listed below that have been purchased by you and evidenced as such on the Declarations page. Please read the endorsement and respective policy(ies) carefully. Commercial General Liability Coverage Form Owners and Contractors Protective Liability Coverage Form Products/Completed Operations Liability Coverage Form Contractors Pollution Liability Coverage Form Professional Liability Coverage Form Site Pollution Liability Coverage Form SCHEDULE Where Required By Written Contract A. SECTION 11 - WHO IS AN INSURED is amended to include as an insured the person or organization shown in the schedule of this endorsement, but only with respect to liability arising out of "your work" for that insured by or for you. B. As respects additional insureds as defined above, this insurance also applies to "bodily injury" or "property damage" arising out of your negligence when the following written contract requirements are applicable: 1. Coverage available under this coverage part shall apply as primary insurance. Any other insurance available to these additional insured's shall apply as excess and not contribute as primary to the insurance afforded by this endorsement. 2. We waive any right of recovery we may have against these additional insured's because of payments we make for injury or damage arising out of "your work" done under a written contract with the additional insured. 3. The term insured is used separately and not collectively, but the inclusion of more than one insured shall not increase the limits or coverage provided by this insurance. Insureds and Agents are advised that certificates of insurance should be used only to provide evidence of insurance in lieu of an actual copy of the applicable insurance policy. Certificates should not be used to amend, expand or otherwise alter the terms of the actual policy. All other terms and conditions of this Policy remain unchanged. Signed for STARR SURPLUS B"AAERRO +tl[NY By Risk MANAGEMENT DivisiON Sa�-e APR' 2020 Steve Blakey, Presid emiah E. Ginsburg, GeneraWounsel SL 023 (06111) ANGIE ACEVEdo Page t of 1 Copyright ® C. V. Starr 6 Company and Starr Surplus Lines Insurance Company. All dghts reserved. Includes copyrighted material of IW Properdss, Inc., used with Is permission. Attachment Code: D543996 Master ID: 1444909, Certificate ID: 16683669 POLICY NUMBER: 1000065722191 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization s : Location(s) Of Covered Operations Where Required By Written Contract Where Required By Written Contract Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: CG 20 10 0413 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. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. REVIEWED & APPROVED By Risk MANAGEMENT DiivlsiON 24, © Insuranc lcAt Inc., 2012 Page 1 of 1 Attachment Code : D543997 Master ID: 1444909, Certificate ID: 16683669 POLICY NUMBER: 1000065722191 COMMERCIAL GENERAL LIABILITY CG 20 37 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization s : Location And Description Of Completed Operations Where Required By Written Contract I Where Required By Written Contract Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage' caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. REVIEWED & APPROVED By RISK MANAGEMENT DNtSiON J o s 2020 ANCtIE ACEVEdO CG 20 37 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 Attachment Code: D543060 Master ID: 1444909, Certificate ID: 16683669 Dallas, TX 1-866-519-2522 Additional Insured — Where Required Under Written Contract or Written Agreement Endorsement Policy Number: SISIPCA08264419 Effective Date: 6/10/2019 at 12:01 A.M. Named Insured: Alliance Environmental Holdings, LLC This endorsement modifies the insurance coverage form(s) listed below that have been purchased by you and evidenced as such on the declarations page. Please read the endorsement and respective policy(ies) carefully. Business Auto Coverage Form kWRIZI.11:14101410110MU _Fi�:7�i�•lYt9_�:7�1�1�A� It is hereby agreed that SECTION II — COVERED AUTOS LIABILITY COVERAGE, A. Coverage, 1 Who Is An Insured, is amended to include the following: d. Any person or organization whom you become obligated to include as an additional insured under this policy, as a result of any written contract or written agreement you enter into which requires you to furnish insurance to that person or organization of the type provided by this policy, but only with respect to liability arising out of use of a covered "auto". However, the insurance provided will not exceed the lesser of: (1) The coverage and/or limits of this policy, or (2) The coverage and/or limits required by said written contract or written agreement. All other terms and conditions of this Policy remain unchanged. Steve Blakey, President ane Nehemiah E. Ginsburg, General Couffisel Chief Executive Officer REVIEWED & APPROVED By Risk MANAGEMENT DIVISION APR P, 9 2020 SICA 1016 (04/14) L NA Page I of I ANGiE ACEVEdo Copyright V Starr Indemnity & Liability Company. All rights reserved. Includes copyrighted material of ISO Properties, Inc., used with its permission. Attachment Code: D544287 Master ID: 1444909, Certificate ID: 16683669 POLICY NUMBER: SISIPCA08264419 COMMERCIAL AUTO CA 04 44 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Alliance Environmental Holdings, LLC Endorsement Effective Date: 6/10/2019 SCHEDULE Name(s) Of Person(s) Or Organization(s): Blanket where required by a written contract. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. REVIEWED & APPROVED By Risk MANAGEMENT DIVISION AP p 2020 CA 04 44 10 13 © Insurance Sergjgh dgnc., 2011 Page 1 of 1 Attachment Code: D544681 Master ID: 1444909, Certificate ID: 16683669 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule All persons and/or organizations - other than manufacturers of asbestos, manufacturers whose component parts include asbestos, or distributors of a product that contains asbestos - that are required by written contract or written agreement with you, executed prior to the accident or loss, that waiver of subrogation be provided under this policy for work performed by you for that person and/or organization. Endorsement Effective: 1/29/2020 Insured: Alliance Environmental Holdings, LLC Policy No.: WC 1868045-00 WC 00 03 13 (Ed. 4-84) i 1983 National Council on Compensation Insurance. REVIEWED & APPROVED By Risk MANA4EMENT DIViS10N APR( 2020 ANftiE ACmdo Attachment Code: D544681 Master ID: 1444909, Certificate ID: 16683669 WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT— CALIFORNIA This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy.) This endorsement, effective on 1/29/2020 at 12:01 A.M. standard time, forms a part of (DATE) Policy No. WC 1868045 - 00 Endorsement No. of the (NAME OF INSURANCE COMPANY) issued to Premium (if any) $ Authorized Representative We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be % of the California workers' compensation pre- mium otherwise due on such remuneration. Schedule Person or Organization Job Description All persons and/or organizations — other than manufacturers of asbestos, manufacturers whose component parts include asbestos, or distributors of a product that contains asbestos — that are required by written contract or written agreement with you, executed prior to the accident or loss, that waiver of subrogation be provided under this policy for work performed by you for that person and/or organization. Insured: Alliance Environmental Holdings, LLC REVIEWED & APPROVED By Risk MANAGEMENT DivisiON WC 252 (4-84) W 2020 WC 04 03 06 (Ed. 4-84) Confidential \ Personal Data — ANCtiE ACEVEdO Page 1 of 1