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HomeMy WebLinkAboutCALIFORNIA BARRICADE RENTALS, INC..INSURANCE ON FILE WORK MAY PROCEED A- 2 0 2 2 -049 UNTIL I� RANCE7F�(AIRES CLERK OF COUNCIL DATE: N AGREEMENT WITH CALIFORNIA BARRICADE RENTALS, INC., TO PROVIDE w TRAFFIC CONTROL EQUIPMENT AND SERVICES TO THE CITY OF SANTA ANA M ® THIS AGREEMENT is made and entered into this 5th day of April 2022, by and between >_ California Barricade Rentals, Inc., dba as California Barricade, a California corporation ("Contractor"), and the City of Santa Ana, a charter city and municipal corporation organized and e�xiisting under the Constitution and laws of the State of California ("City"). O r9QWKF(kV16 eeA�; \I RECITALS A. On December 20, 2021, the City issued Request for Proposal No. 21-139, by which it sought a qualified contractor to provide traffic control equipment and services for the City's Parks, Recreation, and Community Services Agency. B. Contractor submitted a responsive proposal that was selected by the City. Contractor represents that it is able and willing to provide the services described in the scope of work that was included in RFP 21-139. 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 on -call basis, and at the City's sole discretion, Contractor shall perform the services described in the scope of work that was included in RFP No. 21-139, which is attached as Exhibit A and the portion of Contractor's proposal outlining the manner in which it will provide services attached as Exhibit B. All Exhibits are incorporated by reference as though completely set forth herein. 2. COMPENSATION a. City neither warrants nor guarantees any minimum 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 C, attached hereto and incorporated by reference. The annual compensation for services provided under RFP No. 21-139 shall not exceed Fifty Thousand Dollars and Zero Cents ($50,000) with a total Agreement amount not to exceed One Hundred Fifty Thousand Dollars and Zero Cents ($150,000). 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 April 1, 2022 and terminate on March 31, 2025, unless terminated earlier in accordance with Section 16, below. 4. 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. 5. 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. 6. INSURANCE Prior to undertaking performance of work under this Agreement, Contractor shall maintain and shall require, its subcontractors, if any, to obtain and maintain insurance as described below: a. Minimum Scope and Limit of Insurance 1. Commercial General Liability (CGL): Insurance Services Office Form CG 00 01 covering CGL on an "occurrence" basis, including products and completed operations, property damage, bodily injury and personal & advertising injury with limits no less than $2,000,000 per occurrence. If a general aggregate limit applies, either the general aggregate limit shall apply separately to this project/location (ISO CG 25 03 or 25 04) or the general aggregate limit shall be twice the required occurrence limit. 2. Automobile Liability: ISO Form Number CA 00 01 covering any auto (Code 1), or if Contractor has no owned autos, hired, (Code 8) and non -owned autos (Code 9), with a limit no less than $1,000,000 per accident for bodily injury and property damage. 3. Workers' Compensation: as required by the State of California, with Statutory Limits, and Employer's Liability Insurance with limit of no less than $1,000,000 per accident for bodily injury or disease. 4. Professional Liability: 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 $2,000,000 per claim with $2,000,000 in the aggregate. 5. Broader Coverage: if the Contractor maintains broader coverage and/or higher limits than the minimums shown above, the City requires and shall be entitled to the broader coverage and/or the higher limits maintained by the Contractor. Any available insurance proceeds in excess of the specified minimum limits of insurance and coverage shall be available to the City. b. Other Insurance Provisions Additional Insured Status: The City, its officers, officials, employees, and volunteers are to be covered as additional insureds on the CGL policy with respect to liability arising out of work or operations performed by or on behalf of the Contractor including materials, parts, or equipment furnished in connectionwith such work or operations. General liability coverage can be provided in the form of an endorsement to the Contractor's insurance (at least as broad as ISO Form CG 20 10 11 85 or if notavailable, through the addition of both CG 20 10, CG 20 26, CG 20 33, or CG 20 38; and CG 2037 if a later edition is used). 2. Primary Coverage: For any claims related to this contract, the Contractor's insurance coverage shall be primary coverage at least as broad as ISO CG 20 Of 04 13 as respects the City, its officers, officials, employees, and volunteers. Any insurance or self- insurance maintained by the City, its officers, officials, employees, or volunteers shall be excess of the Contractor's insurance and shall not contribute with it. 3. Notice of Cancellation: Each insurance policy required above shall provide that coverage shall not be canceled, except with notice to the City. 4. Waiver of Subrogation: Contractor hereby grants to City a waiver of any right to subrogation that any insurer of said Contractor may acquire against the City by virtue of the payment of any loss under such insurance. Contractor agrees to obtain any endorsement that may be necessary to affect this waiver of subrogation, but this provision applies regardless of whether or not the City has received a waiver of subrogation endorsement from the insurer. Self -Insured Retentions: Self -insured retentions must be declared to and approved by the City. The City may require theContractor to purchase coverage with a lower retention or provide proof of ability to pay losses and related investigations, claim administration, and defense expenses within the retention. The policy language shall provide, or be endorsed to provide, that the self -insured retention may be satisfied by either the named insured or City. 6. Acceptability of Insurers: Insurance is to be placed with insurers authorized to conduct business in the state with a current A.M. Best's rating of no less than A:VII, unless otherwise acceptable to the City. 7. Claims Made Policies (applicable only to professional liability): i. The Retroactive Date must be shown, and must be before the date of the contract or the beginning of contract work. ii. Insurance must be maintained and evidence of insurance must be provided for at least five (5) years after completion of the contract of work. iii. If coverage is canceled or non -renewed, and not replaced with another claims -made policy form with a Retroactive Date prior to the contract effective date, the Contractor must purchase "extended reporting" coverage for a minimum of five (5) years after completion of work. 8. Verification of Coverage: Contractor shall furnish the City with original Certificates of Insurance including all required amendatory endorsements (or copies of the applicable policy language effecting coverage requiredby this clause) and a copy of the Declarations and Endorsement Page of the CGL policy listing allpolicy endorsements to City before work begins. However, failure to obtain the required documents prior to the work beginning shall not waive the Contractor's obligation to provide them. The City reserves the right to require complete, certified copies of all required insurance policies, including endorsements required by these specifications, at any time. 9. Subcontractors: Contractor shall require and verify that all subcontractors maintain insurance meeting all the requirements stated herein, and Contractor shall ensure that City is an additional insured on insurance required from subcontractors. 10. Special Risks or Circumstances: City reserves the right to modify these requirements, including limits, based on the nature of therisk, prior experience, insurer, coverage, or other special circumstances. INDEMNIFICATION Contractor agrees to defend, and shall indemnify and hold harmless the City, its officers, agents, employees, contractors, special counsel, and representatives from liability: (1) for personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims for personal injury, including death, and claims for property damage, which may arise from the negligent operations of the Contractor or its subcontractors, agents, employees, or other persons acting on their behalf which relates to the services described in section 1 of this Agreement; and (2) from any claim that personal injury, damages, just compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects arising from this Agreement. This indemnity and hold harmless agreement applies to all claims for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to have been suffered, by reason of the events referred to in this Section or by reason of the terms of, or effects, arising from this Agreement. The Contractor further agrees to indemnify, hold harmless, and pay all costs for the defense of the City, including fees and costs for special counsel to be selected by the City, 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 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. 8. 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. 9. RECORDS Contractor shall keep records and invoices in connection with the work to be performed under this Agreement. Contractor shall maintain complete and accurate records with respect to the costs incurred under this Agreement and any services, expenditures, and disbursements charged to the City for a minimum period of three (3) years, or for any longer period required by law, from the date of final payment to Contractor under this Agreement. All such records and invoices shall be clearly identifiable. Contractor shall allow a representative of the City to examine, audit, and make transcripts or copies of such records and any other documents created pursuant to this Agreement during regular business hours. Contractor shall allow inspection of all work, data, 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. 10. 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. 11. 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. 12. 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 Parks, Recreation, and Community Services Agency City of Santa Ana 20 Civic Center Plaza (M-23) P.O. Box 1988 Santa Ana, CA 92702 To Contractor: California Barricade Rentals, Inc. 1550 E. Saint Gertrude Place Santa Ana, CA 92705 Attn: David Tangitau, President A party may change its address by giving notice in writing to the other party. Thereafter, any communication shall be addressed and transmitted to the new address. If sent by mail, communication shall be effective or deemed to have been given three (3) days after it has been deposited in the United States mail, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent by fax, communication shall be effective or deemed to have been given twenty-four (24) hours after the time set forth on the transmission report issued by the transmitting facsimile machine, addressed as set forth above. For purposes of calculating these timeframes, weekends, federal, state, County or City holidays shall be excluded. 13. 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 terms and conditions hereof, shall not bind or obligate Contractor or the City. Each party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any party, which are not embodied herein. 14. 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 that are the subject to this Agreement performed by City personnel or by other contractors retained by City. 15. 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. 16. 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 that fails to meet the standard of performance specified in the Recitals of this Agreement. 17. NON-DISCRIMINATION Contractor shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, gender identity, gender expression, gender, medical conditions, genetic information, or military and veteran status, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, teaching, training, utilization, promotion, termination or other employment related activities or any services provided 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. 18. 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. 19. PROFESSIONAL LICENSES Contractor shall, throughout the term of this Agreement, maintain all necessary licenses, permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State of California, the City of Santa Ana and all other governmental agencies. Contractor 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 termination of this Agreement. 20. NUSCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature herein below has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify City fully, including reasonable costs and attoiney's fees, for any injuries or damages to City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. b. All exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: Clerk of the APPROVED AS TO FORM SONIA R. CARVALHO City Attorney By: randon Salvafierra Deputy City Attorney FOR APPROVAL CITY OF SANTA ANA stine Ridge City Manager CALIFORNIA BARRICADE David Tangitau President Executive Director Parks, Recreation, and Community Services Agency EXHIBIT A Appendix ATTACHMENT 1-E SCOPE OF WORK SERVICE: TRAFFIC CONTROL EQUIPMENT The City is seeking a company with the capacity to provide traffic control equipment for various events. Below is a sample listing of equipment provided for previous large-scale events. • 7-Arrow Boards 1-Message Board 100-Pedestrian Barricades • 100-Parade Barricades • 49-Water-Filled K-Rails • 35-Type I Barricades • 45-Type III Barricades • 166-Signs on Type I Barricades • 40-Signs on Type III Barricades • 15-Traffice Control Technicians • 1-Water truck to fill K-Rails Traffic control plans will be specific for individual events and the contractor is expected to work with various city departments, particularly the Santa Ana Police department and Planning and Building Agency. EXHIBIT B Attachment 3-7 MANNER FOR PERFORMING SERVICES OUTLINE 1. Client initiates event a. Call or email comes in b. Plan is provided or requested 2. Vendor assesses required service a. Physical site review b. Review of plans or equipment list i. Design of plan if requested c. Engagement with client for additional information 3. Pre -event meeting a. Attend all pre -event meetings scheduled by client b. Engage in questions and receiving of directives 4. Finalization of exact scope a. Vendor and client agree, and have a clear understanding of the scope 5. Event specific proposal a. Vendor provides proposal b. Client accepts proposal I. Issuance of purchase order 6. Vendor engages with water delivery service a. Secure event date b. Communicate volume 7. Vendor's preparation of equipment a. Assess for adequate inventory b. Inspection for cleanliness and maximum reflectivity c. Load and secure equipment for transport to deliver, or pre -stage 8. Vendor pre -stages event (if needed) a. Drop equipment in strategic locations for expeditious set-up on event day 9. Event day a. Timely placement of delivered, or pre -staged equipment b. Drive through completed setup I. Adjust placement ii. Add more equipment if needed c. Notify client set-up is complete 10. Pick-up a. Mobilize technicians for timely pickup b. Dispatch adequate number of trucks c. Drive through event area to ensure all equipment is picked up 11. Vendor's issuance of invoice a. Review field documents for accuracy b. Issue accurate and timely invoice c. Address client questions if any 12. Post event meeting a. Attend wrap-up meeting post event b. Engage in feedback, and suggestions for future success c. Express appreciation to all who participated in the execution of the event EXHIBIT C Appendix ATTACHMENT 3-8-E FEESCHEDULE SERVICE: TRAFFIC CONTROL EQUIPMENT City may request equipment or services during the term of the agreement at prices identified in the price listing. If a requested item is not listed on the price listing the city will negotiate a price with the company. Include a picture of each equipment item listed below. Equipment Unit Price Equipment Unit Price Water -Filled K-Rails $4.00 each Water truck to fill K-Rails $750.00 minimum* Type I Barricades $.40 each Pedestrian Barricades $4.00 each Type III Barricades Parade Barricades $2.75 each $3.00 each Traffic Control Technicians Traffic Control Technicians Overtime (per hour) $105.00 per hour (per hour) $145.00 per hour * The unit price for water truck service depends on the quantity of barriers per event. Certification - I certify that I have read, understand and agree to the terms and conditions of this Request for Proposals. I have examined the Scope of Services and am familiar with the scope of work locations. I am familiar with all the existing conditions and limitation that may impact work requests. I understand and agree that I am responsible for reporting any errors, omissions or discrepancies to the City for clarification prior to the submission of my proposal, Proposal Item Price - The proposer warrants that the prices, terms and conditions quoted will be valid for a period of 120 days from the date the proposal is due, in order to allow time to award an agreement. David Tangitau President Printed Name of Authorized Agent Title 01/1712022 Signature of Authorized Agent Date City of Santa Ana RFP 21-139 Page 39 ACORU® CERTIFICATE OF LIABILITY INSURAN E "�n rno22 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS U N TE Hot . ER. IS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AF9nDED BY THE HA iLmedo BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE I UI U 3 0HIff 7ED REPRESENTATIVE OR PRODUCE AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ins) must have ADDITIONAL IN R D pmv elons or tv: enirc m2�dd.,,, If SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may require an endoreemeAt A statemeil 606:50 -07' this certificate tines not confer rt hts to the certificate holder In lieu of such endomoment s . PRODUCER ELMCO INSURANCE, INC. 1906 N. Main Street CONTACT ELMCO INSURANCE, INC. ' A/CNNo. Exl : (714) 973-1438 No ; (71d) 973-0811 Santa Ana CA 92706-2779 EMAIL eomact@Elmwlnsumnee.com ADDRESS INSURER(S) AFFORDING COVERAGE NAIC # Agency Lica: 0509747 INSURER A: SCOTTSDALE INSURANCE COMPANY 41297 INSURED CALIFORNIA BARRICADE RENTALS INC. 1550 E. SAINT GERTRUDE PLACE INSURER B: INFINITY SELECT INSURANCE COMPANY 20260 INSURER C: TRISURA SPECIALTY INSURANCE COMPANY 16188 INSURER D: STATE COMPENSATION INSURANCE FUND 36076 SANTA ANA CA 92705 INSURER E: WESTCHESTER SURPLUS LINES INSURANCE CO 10172 INSURER F: HISCOX INSURANCE COMPANY INC 10200 GOVERAGES GERTIFICATE NOMRER: 7n949 REVISION NIJMRER- 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 SUCHPOLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADUL 1118111 eUBR IWO POLICY NUMBER POLICY EFF DATE(MEUOD/Y11 PDLIOY EXP DATB(MM DNY) LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR X X BCS0039369 07/01121 07/01/22 EACH OCCURRENCE $ 1000000 DAMAGE TO RENTED PREMISES Ea ocrurancs $ 100000 MED EXP (Any one person) g PERSONAL a ADV INJURY $ 1000000 GEN'L AGGREGATE LIMIT APPLIES PER: ]q POLICY ❑ PRI E] LOC OTHER: GENERALAGGREGATE $ 2000000 PRODUCTS-COMP/OP AGG $ 2000000 EMPLOYEE BENEFITS $ 1000000 S AUTOMOBILE LIABILITY ANY AUTO OWNED r7 SCHEDULED AUTOS ONLY AUTOS HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY X X 604-61015-8309-001 07/01/21 07101/22 COMBINEDSINGLE LIMIT g 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per acdden0 $ X PROPERTY DAMAGE (Per ao iderd) $ It C UMBRELLA LIA EXCESS LIAR X OCCUR CWMS-MADE 1 TXS0001452-02 07/01/21 07/01/22 1 EACH OCCURRENCE $ 5,000,000 X AGGREGATE It 5,000,000 IDED1 IRETENTION $ $ D WORKEPSCOMPOMT[ON AND EMPLOYERS' LIABILITY AtIYPROPRIETOR/PAaTNBRIEXECI1rrvE YIN OFFICER/u MBai EXCLUDEDI (uaww.'1nml) IIm� r DESCRI"MNOFCFE TIONSWI. NIA X 9063608-21 07/01/21 OTMW22 X PE" oTw E.L. EACH ACCIDENT $ 1,000,000 E.L DISEASE -EA EMPLOYEE $ 1,000,000 E.L.DISEASE POLICY LIMIT $ 1.000,000 E F POLLUTION LIABILITY PROFESSIONAL LIABILITY G73640124001 MPL1863490.21 07/01/21 07/01/21 07/01122 07JO1122 Each Pollution Conditic Each Claim n $1,000,000 $2,000A00 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If mare space la required) See Attached Supplement CERTIFICATE HOLDER City of Santa An Risk Management Division 20 Civic Center Plaza 4th Floor Santa Ana, CA 92702 Attention: Certificate # 9 .26 01 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY lPRO/OVIS/IIOONSS Richard CampoliLic # r " Dh&zn ®1988-2015 ACORD C01%REYItwED & APPROVED Br.The ACORD name and logo are registered marks of ACORDA41u Aaa44 Risk Management Specialist SUPPLEMENT TO CERTIFICATE OF LIABILITY INS #70212 FBA 7E2022 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS The City of Santa Ana, Risk Management, it's officers, employees, agents, representatives, and volunteers are named as additional Insured per form CG 2012 12 19 on the GL policy. Primary and Non -Contributory wording applies. Waiver of Subrogation In Favor of The City of Santa Ana per form CG 24 04 12 19. Additional Insured, Primary & Non -Contributory Wording, and Waiver of Subrogation applies per form (50461AIS01, 800PNCV01, 50461SWF01) on the Auto policy. Waiver of Subrogation on the WC Policy per form #10217 Certificate of Insurance shall provide thirty (30) day prior written notice of cancellation per attached form UTS4109 (2.11). Those usual to the Insured's operations. Cedi e Rlak Tf arugm,enf D[Wston Re EwED&APPRwm BY. �'. A-�u Acevdv ® Risk Management Specialist POLICY NUMBER: BCS0039369 COMMERCIAL GENERAL LIABILITY CG 20 12 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision: CITY OF SANTA ANA RISK MANAGEMENT DIVISION 20 CIVIC CENTER PLAZA, 4TH FLOOR SANTA ANA, CA 92702 CITY OF SANTA ANA, RISK MANAGEMENT, ITS OFFICERS, EMPLOYEES, AGENTS, REPRESENTATIVES, AND VOLUNTEERS 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 any state or governmental agency or subdivision or political subdivision shown in the Schedule, subject to the following provisions: 1. This insurance applies only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization. However. a. The insurance afforded to such additional Insured only applies to the extent permitted by law; and b. 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. Page 8 of 11 2. This insurance does not apply to: a. "Bodily injury", "property damage" or "personal and advertising Injury" arising out of operations performed for the federal government, state or municipality, or b. "Bodily injury" or "property damage" included within the "products -completed operations hazard". 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 insuranoe; whichever Is less. This endorsement shall not Increase the applicable limits of insurance. ® Insurance Services Office, Inc., 2018 IIt9" co" RAMroWwdDW [cm REVIEWED&APPRW BY: Alu"4da �' Ruk Management Spenallst COMMERCIAL GENERAL LIABILITY CG 20 01 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. CG 20 01 0413 ©Insurance Services Office, Inc., 2012 S, \: xiekMm ngmnaLLDiulsf RtnexreoS AvvRov®err. RBk Management Specialist POLICY NUMBER: BCS0038628 COMMERCIAL GENERAL LIABILITY CG 24 0412 19 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: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS SCHEDULE Name Of Person(s) Or Organization(s): ANY PERSON OR ORGANIZATION FOR WHOM THE INSURED HAS AGREED TO WAIVE RIGHTS OF RECOVERY, PROVIDED SUCH AGREEMENT IS MADE IN WRITING AND PRIOR TO THE LOSS. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. CG 24 04 12 19 © Insurance Services Office, Inc., 2018 � � gi "MotaganenEDWron REtnEweofi Arrxovmarov®av: i. A� Aeweio ` RA Management SpedAist Customer service: (800) 722-3391 Infinity Commercial Auto 11700 Great Oaks Way, Suite 450 Alpharetta, GA 30022 Underwritten by: Infinity Select Insurance Company Claims Service: (800) 334-1661 ADDITIONAL NAMED INSURED ENDORSEMENT City of Santa Ana Risk Management Divisi 20 Civic Center Plaza, 4th Floor Santa Ana, CA 92702 Policy ID Number Expiration Date 504-61015-8309.001 07/01/2022 12:01 a.m. Named insured California Barricade Rentals Inc This endorsement is attached to and forms a part of the listed policy. No changes will be effective prior to the time changes are requested. a ry- =�'Additional Insured '�''t City of Santa Ana Risk Management Divisi Part A - Liability Coverage, is changed as follows: The definition of insured is changed to include the additional insured named above. Adding an insured will not increase the limit of our liability. The insurance provided by this endorsement will be excess over any other valid and collectible insurance. All other parts of this Policy remain unchanged. ADDL INSURED COPY 50461AIS01 EN RhleM�cganwitDMelmt _ o 'oNM1,a; Ihl WM&APrROV®ar. . ` 01 Risk Management Specialist 0 Customer Service: (800) 722-3391 Infinity Commercial Auto 11700 Great Oaks Way, Suite 450 Alpharetta, GA 30022 Underwritten by: Infinity Select Insurance Company Claims Service: (800) 334-1661 PRIMARY AND NONCONTRIBUTORY ENDORSEMENT 504-61015-8309-001 1 07/01/2022 12:01 a..m. City of Santa Ana Risk Management Divisij 20 Civic Center Plaza, 4th Floor ; Santa Ana, CA 92702 California Barricade Rentals Inc This endorsement is attached to and farms a part of the listed policy. The following endorsement applies only if Form Number 500PNCV01 appears on your Declarations Page. This endorsement modifies the insurance provided under your COMMERCIAL AUTO POLICY. PART A — LIABILITY COVERAGE OTHER INSURANCE — PART A ONLY The following is added to this section: The coverage afforded under your Commercial Auto Policy is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: a. You have agreed in writing in a contract or agreement that the coverage afforded under your Commercial Auto Policy would be primary and would not seek contribution from any other insurance available to such additional insured; and b. Such additional insured is a named insured under such other insurance. ALL OTHER TERMS, LIMITS, CONDITIONS, AND PROVISIONS OF THE POLICY REMAIN UNCHANGED. ■ 1111 10I:40RO 41=1 611I11a104Isms DlAslm R EmVitaM & Ag R tRov A,ksAewalo Risk Management Specialist KEMPER Auto MINPINITY Infinity Commercial Auto 11700 Great Oaks Way, Suite 450 Alpharetta, GA 30022 Underwritten by: Infinity Select Insurance Company Customer Service: 800-722-3391 Claims Service: 800-334-1661 WAIVER OF SUBROGATION CALIFORNIA Copy To Policy ID Number I Expiration Date California Barricade Rentals Inc 504-61015-8309-001 07/01/2022 12:01 AM 1550 E Saint Gertrude PI Named Insured Santa Ana, CA 92705 California Barricade Rentals Inc This endorsement Is attached to and forms a part of the listed policy. No changes will be effective prior to the time changes are requested. In return for your premium payment shown below, we agree that our rights of subrogation or rights of recovery under the policy will not apply against the following person or organization: City of Santa Ana Risk Management Divisi 20 Civic Center Plaza, 4th Floor Santa Ana, CA 92702 Additional premium in the amount of $25.00 will be retained by us regardless of any early termination of this endorsement or the policy. All other policy provisions remain unchanged. 50461SWF01 Amend Date: 02/09/2022 =uuru:rr'2� Riskmmaganad DiWelan Rt EwED & APPRQVe] BY: R+•frr Auvolo �' Risk Management Spedalist ENDORSEMENT AGREEMENT WAIVER OF SUBROGATION BLANKET BASIS HOME EFFECTIVE JULY 1, 2021 AT 12.01 A.M. FRANCFRANCISC0 ALLEFFECTIVE DATESARE AND EXPIRING JULY 1, 2022 AT 12.01 A.M. AT 1201 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME CALIFORNIA BARRICADE RENTALS, INC 1550 E SAINT GERTRUDE PL SANTA ANA, CA 92705 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. THE ADDITIONAL PREMIUM FOR THIS ENDORSEMENT SHALL BE 2.00% OF THE TOTAL POLICY PREMIUM. SCHEDULE PERSON OR ORGANIZATION ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER JOB DESCRIPTION BLANKET WAIVER OF SUBROGATION 9063608-21 RENEWAL NA 3-67-17-77 PAGE 1 OF NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS OF THIS ENDORSEMENT. 1 COUNTERSIGNED AND ISSUED AyTSSAAfNFRFRANCISCO-- 11UNE 8, 2021 YfNNCRMv�cgemRovEc) r. ,n REv�EwEo 6 ARrRovm Br. AUTHORIZED REPRESENT IVE PRESIDENT ANO CE °I, INS', A«j:sA�w�dR SCiF FORM 102SY IREV_7-10141 �. 01 Risk Management Specialist yi SCOTFSDAI.E INSURANCE COWANYO Attached to and forming a part of Policy No. Bcs0039359 Named Insured CALIFORNIA Endorsement Effective Date 07-01-21 12*01 A. PA, Standard Time THIS ENDORSENENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY AMENDMENT OF CANCELLATION NOTICE TO FIRST NAMED INSURED AND SCHEDULED PARTY(IES) The following Conditions are added to the Cancellation Condition: 1. If we cancel this policy for any reason other than nonpayment of premium, we will mail written notice of cancellation to the first Named Insured and to any party(tes) at their designated mailing address(es), shown in the Schedule below, at least 30 days before the effective date of cancellation. 2 If we tail to mall such notice as indicated in 1. above, any coverage afforded to the party(fes) will re- main In effect: a. For the number of days shown in 1. above from the date a written notice of cancellation is actually nailed; b. Until the effective date of replacement coverage Is obtained elsewhere by the first Named Insured; or c. Until the terndnation date requested by the Named Insured, whichever occurs first SCHEDULE Name and Address of Parly(les): CITY OF SANTA ANA RISK MANAGEMENT DIVISION 20 CIVIC CENTER PLAZA, 4TH FLOOR SANTA ANA, CA 92702 CITY OF SANTA ANA, RISK MANAGEMENT, IT'S OFFICERS, EMPLOYEES, AGENTS, REPRESENTATIVES, AND VOLUNTEERS UTS4109 (2-11) AUTHORIZED REPRESEWATNE DATE Page 1 of 1 L=WCopy Ilse .. p�REVEWM'sD _. - Risk Mrnagement Spetlkist 01 A Digitally signed AcoR10` CERTIFICATE OF LIABILITY INf1��e by A 6J2y2o2 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFER NO RIGHTS UPON TFF,,E OLDER. THIS CERTIFIBELOWCTH S CERTIFICATEATE DOES NOT FOFnATIVELY OR INSURANCE DOESATIVELY AMEND, NOT CONSTITUTEEA CONTRAEND hM 1 111r�BiS�J��Ii S), A�UYHOORRIZET REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. 1 1 :32:35-071001 _ IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATIuN IS WANED, 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 cedI icate holder in Ileu of such endorsement(&). PRODUCER Phone: (714) 973-1436 Fax: (714) 973 0311 ELMCO INSURANCE, INC. 1906 N. MAIN STREET SANTA ANA CA 92706-2779 coNEAcr ELMCO INSURANCE, INC. PXONE 714 9T3-1436 FAX T14 973-0811 No Fxl : ( No : ( } E-"'tA'E contact@Elmcoinsurance.com INSURER(S) AFFORDING COVERAGE NAIC # Agency Lid#:0509747 INSURER : SCOTTSDALE INSURANCE COMPANY 41297 INSUREDINSURER CALIFORNIA BARRICADE RENTALS INC. e : INFINITY SELECT INSURANCE COMPANY 20260 INSURER : TRISURA SPECIALTY INSURANCE COMPANY 16188 1550 E. SAINT GERTRUDE PLACE SANTA ANA CA 92706 INSURER D: STATE COMPENSATION INSURANCE FUND 35076 INSURER E : WESTCHESTER SURPLUS LINES INSURANCE CC, 10172 INSURER : HISCOX INSURANCE COMPANY INC 10200 COVERAGES CERTIFICATE NUMBER: 71107 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES_ LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY ExP wym LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I� OCCUR Y X BCS0039983 07101/22 07/01/23 EACH OCCURRENCE $ 1,000,000 DAMAGE100,000 IS PREMISES a eceuranoa $ MED. EXP (Any one person) $ EXCLUDED PERSONAL & ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ❑ PRO- ❑ LOC JECT OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMPIOP AGO $ 2,000,000 EMPLOYEE BENEFITS $ 1,000,000 B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS AUTOS SCHEDULED HIRED AUTOS X NON -OWNED AUTOS Y X 604-61015-8309-001 07101/22 07/01/23 (Eaacd errt) SINGLE $ 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Par ecd 7 $ $ C UMBRELLA LIAB EXCESS LWe X OCCUR CLAIMS -MADE TXS0001452-03 07/01122 07101/23 EACH OCCURRENCE $ 6,000,000 X AGGREGATE $ 5,000,000 DED I IRETENTION $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPR[ETORlPARTNERfpCECUTIVE YIN 'MandaOFFICtoryIn N ER EXCLUDED? (Mandatory In NH) II yes, desafbo under RIPTION OF OPERATION DESCS below N # A 931316422 07/01/22 07/01123 X TA UTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1 000 000 � � E.L. DISEASE -POLICY LIMIT $ 1� 000� 000 E F POLLUTION LIABILITY PROFESSIONAL LIABILITY G73540124002 MPL1863490.22 07/01/22 07101/22 07101/23 07/01/23 Each Pollution Condition $1,000,000 Each Claim $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) SEE SUPPLEMENTAL CERTIFICATE INFORMATION CERTIFICATE HOLDER CANCELLATION City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Risk Management Division THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. 4th Floor AUTHORIZED REPRESENTATIVE Santa Ana, CA 92702 1' Risk Mwwgelncr& DMsicn Attention: REVIEWED & APPRQVm BY: ACORD 25 (2014101) c 1988-2014 ACORD t A+ju,` The ACORD name and logo are registered marks of ACORD Risk Management Specialist DATE SUPPLEMENT TO CERTIFICATE OF LIABILITY INS # 71107 JUN222022 DESCRIPTION OF OPERATIONS, LOCATIONS, VEHICLES The City of Santa Ana, Risk Management, it's officers, employees, agents, representatives, and volunteers are named as additional Insured per form CG 20 12 12 19 on the GL policy. Primary and Non -Contributory wording applies. Waiver of Subrogation in Favor of The City of Santa Ana per form CG 24 04 12 19, Additional Insured, Primary & Non -Contributory Wording, and Waiver of Subrogation applies perform (60461AIS01, 600PNCV01, 50461SWF01) on the Auto policy. Waiver of Subrogation on the WC Policy per form #10217 Certificate of Insurance shall provide thirty (30) day prior written notice of cancellation per attached form UTS-410g (2-11). Those usual to the Insured's operations. Risk Mmaganent DMslan E tl' RE1/IELC/ED & APPRO VED BY. Risk Management Specialist COMMERCIAL GENERAL LIABILITY CG 20 3812 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -- OWNERS, LESSEES OR CONTRACTORS -- AUTOMATIC STATUS FOR OTHER PARTIES WHEN REQUIRED IN WRITTEN CONSTRUCTION AGREEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II — Who Is An Insured is amended to include as an additional insured: 1. Any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy; and 2. Any other person or organization you are required to add as an additional insured under the contract or agreement described in Paragraph 1. above. Such person(s) or organization(s) is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: a. Your acts or omissions; or b. The acts or omissions of those acting on your behalf, in the performance of your ongoing operations for the additional insured described in Paragraph 1. or 2. above. However, the insurance afforded to such additional insured described above: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person's or organization's status as an additional insured under this endorsement ends when your operations for the person or organization described in Paragraph 1. above are completed. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: 1. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of, or the failure to render, any professional architectural, engineering or surveying services. 2. "Bodily injury" or "property damage" occurring after: a. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or CG 20 3812 19 © Insurance Services Office, Inc., 2018 E 3 0 Risk Mowgarmi Division REVIEWED & APPRovm BY: kzv44 �1" Risk Management Specialist b. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement described in Paragraph A.1.; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. Page 2 of 2 © Insurance Services Office, Inc., 2018 Risk Dlvislan isµ f REMEWED & APPROVm BY: &I '�- ---' Risk Management Specialist POLICY NUMBER: BCS0039983 COMMERCIAL GENERAL LIABILITY CG 20 37 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations ANY PERSON OR ORGANIZATION WHEN ALL LOCATIONS REQUIRED BY WRITTEN CONTRACT OR AGREEMENT, EXECUTED PRIOR TO THE OCCURRENCE TO WHICH THIS INSURANCE APPLIES, THAT SUCH PERSON OR ORGANIZATION BE ADDED AS AN ADDITIONAL INSURED ON YOUR POLICY Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section 11 — 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. CG 20 37 12 19 © Insurance Services Office, Inc., 2018 Rkk Maragenwil DiMSIM REVIEWED & APPROVEDBY: ��'� Risk Management Specialist 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; whichever is less. This endorsement shall not increase the applicable limits of insurance. Risk MmaganmtDMslan F � REVIEWED & APPROVED BY. Page 2 of 2 © Insurance Services Office, Inc., 2018 Risk Management Specialist COMMERCIAL GENERAL LIABILITY CG 20 01 1219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the additional insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and CG 20 01 1219 © Insurance Services Office, Inc., 2018 RAMougmaifDivislon REVIEWED & APPROVED BT - R IM-2 Risk Management Specialist POLICY NUMBER: BCS0039983 COMMERCIAL GENERAL LIABILITY CG 24 04 12 19 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: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS Name Of Person(s) Or Organization(s): ANY PERSON OR ORGANIZATION FOR WHOM RECOVERY, PROVIDED SUCH AGREEMENT IS to SCHEDULE THE INSURED HAS AGREED TO WAIVE RIGHTS OF MADE IN WRITING AND PRIOR TO THE LOSS The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. CG 24 04 12 19 ©insurance Services Office, Inc., 2018 _oR,M a RiskMmwganaaDivisim REVIEWED & RPPROVID BY. z ''—�-� Rfsk Management Specialist Infinity Commercial Auto F2 11700 Great Oaks Way, Suite 450 Alpharetta, GA 30022 Underwritten by: Infinity Select Insurance Company Customer Service: (800) 722-3391 CWms Service: (800) 334-1661 504-61017-56911-001 07/01/2023 12:01 a.m. City of Santa Ana 20 Civic Center Plaza 4th Floo Santa Ana, CA 92702 CALIFORNIA BARRICADE RENTALS This endorsement is attached to and forms a part of the listed policy. No changes will be effective prior to the time changes, are requested, gonva/ sw- R /N,"M I'd" City of Santa Ana Part A - Liability Coverage, is changed as follows: The definition of insured is changed to include the additional insured named above, Adding an insuredwill not increase the limit of our liability. The insurance provided by this endorsement will be excess over any other valid and collectible insurance. All other parts of this Policy remain unchanged. ADDL INSURED COPY R"MmuiganeritDimsian , REVIEWED & APPROVIED BY. 50461AIS01, EN 4p Aezv,,4 Risk Management Specialist V — Q KEMPER Auto MINFINITY Infinity Commercial Auto 11700 Great Oaks Way, Suite 450 Alpharetta, GA 30022 Underwritten by: Infinity Select Insurance Company Customer Service: 800-722-3391 Claims Service: 800-334-1661 WAIVER OF SUBROGATION CALIFORNIA Copy To Policy ID Number Expiration Date CALIFORNIA BARRICADE RENTALS 504-61017-5691-001 07/01/202312:01 AM 6481 Coronado Ave Named Insured Long Beach, CA 90805 California Barricade Rentals This endorsement is attached to and forms a part of the listed policy. No changes will be effective prior to the time changes are requested. In return for your premium payment shown below, we agree that our rights of subrogation or rights of recovery under the policy will not apply against the following person or organization: City of Santa Ana 20 Civic Center Plaza 4th Floo Santa Ana, CA 92702 Additional premium in the amount of $25.00 will be retained by us regardless of any early termination of this endorsement or the policy. All other policy provisions remain unchanged. 50461SWF01 Amend Date: 06/21/2022 Risk Management Division o RENEWED & APPRQVm BY: ` .r-� Risk Management Specialist Infinity Commercial Auto P2 11700 Great Oaks Way, Suite 450 Alpharetta, GA 30022 Underwritten by: Infinity Select Insurance Company Customer Service: (800) 722-3391 Claims Service: (800) 334-1661 P" I " "I D "N b'/"' _e 504-61017-5691 -001 O7/01/2023 12:01 a..m. City of Saints Ana 2,0 Civic Center Plaza 4th Roo Santa Ana, CA 92702 r u California Barricade Rentals This endorsement is attached to and forms a part of the listed policy. The following endorsement applies only if Form Number 500PNCV01 appears on your Declarations Page. This endorsement modifies the insurance provided under your COMMERCIAL AUTO POLICY. PART A — LIABILITY COVERAGE OTHER INSURANCE — PART A ONLY The following is added to this section: The coverage afforded under our Commercial Auto Policy is primary to and will not seek contribution from any other insurance available your an additional insured under your policy provided that: a. You have agreed in writing in a contract or agreement that the coverage afforded under your Commercial Auto Policy would be primary and would not seek contribution Prom any other insurance available to such additional insured; and b. Such additional insured is a named insured under such other insurance. ADDL INSURED COPY RAMmagana&Dmsian REMEWED & APPROVIED BY.- A-p Risk Management Specialist y Mw.,,. ow W.Al�jrA"UM HOME OFFICE SAN FRANCISCO ALL EFFECTIVE DATE$ ARE AT 12:01 AM PACIFIC STA.NDARO TWE OR THE TIME INC"CATM) AT PACIFIC STANDAP0 TIM;� CALIFORNIA BARRICADE RENTALS, INC 1550 F SAINT GERTRUDE PL SANTA ANA, CA 92705 PM HAVE THE RIGHT TO 5ECOVER OUR PAY14ENTS FROM ANYONE LIABLE FOR AN ZNJTJRY COVERED BY THIS POLICY. WE Tdq7TL NOT BNFORCE OUR RIGHT AGAINST THE PERSON OR ORC.ANIZATION NAMED IN THE SCHZDULE. THIS AGRIZERENT APPLIEZ5 ONLY 'TO THE EXTaTT THAT YOU PERFORM 7-7ORK U-NDER A WRITTEN CONTRACT THAT REQUIRES YOU TO OBTAIN T141S AGREEMENT FRM-f US. THE ADDITIONAL PREMIUM YOR THIS ENDORSFMFNT SHALL, BE 2.00OF THE TOTAL POLICY PREMIMI. PERSON OR ORGANIZATION ARTY PERSON OR ORGANIZAT70' T IVOR 1014 TRE NAMZD INSURED aM AGREED BY WRITTEN CONTRACT TO FURNISH THIS T%TA 1 VER JOB DESCRIPTION BLANKET 11KALIVER OF SUBROGATION RENEWAL NA 3-67-17-77 PAR 1 OF NOTHING IN THIS ENDORSEMENT CONTAINED $tIALL SL HELD TO VARY, ALTER, WAIVE OR EXTSNO ANY OF THE TTERPAS, CONDITIONS, AGREEMENTS, OR LIMITATiOrIS OF THIS POiJCY OTHER THAN AS STATED. NOTI-IING IN THIS POUCY SNALL SE, FIELD TO VARY, AL,7513,, WAIVE OR LIMIT THE TIFFINIS, CONDITIONS, AGREENIE-NTS (18 LIMITAT!ONS OF THIS ENDORSEMENT COUPITERSIGNED AND ISSUED A*r SAN FRANCISCO� /zy AL171',C ,"ICIJT k01MA FQ7 A RiakMwwgvneritDivision PRESIDENF AND CED REVIEWED & APPROVED BY. A4-ju Aezv,,4 IfisK Management Specialist v A� SCOTTSDALE INSURANCE COMPANSiO ENDORSEMENT NO. Attached to and forming a part of Endorsement Effective Date 0 7 — 01— 2 2 Policy No. BCS 0 0 3 9 9 8 3 12:01 A.M., Standard Time Named Insured CALIFORNIA BARRICADE RENTALS Agent No. 04743 11 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT OF CANCELLATION NOTICE TO FIRST NAMED INSURED AND SCHEDULED PARTY(IES) The following Conditions are added to the Cancellation Condition: 1. If we cancel this policy for any reason other than nonpayment of premium, we will mail written notice of cancellation to the first Named Insured and to any party(ies) at their designated mailing address(es), shown in the Schedule below, at least 30 days before the effective date of cancellation. 2. If we fail to mail such notice as indicated in 1. above, any coverage afforded to the party(ies) will re- main in effect: a. For the number of days shown in 1. above from the date a written notice of cancellation is actually mailed; b. Until the effective date of replacement coverage is obtained elsewhere by the first Named Insured; or c. Until the termination date requested by the Named Insured, whichever occurs first. SCHEDULE Name and Address of Party(es): CITY OF SANTA ANA RISK MANAGEMENT DIVISION 20 CIVIC CENTER PLAZA, 4TH FLOOR SANTA ANA, CA 92702 CITY OF SANTA ANA, RISK MANAGEMENT, IT'S OFFICERS, EMPLOYEES, AGENTS, REPRESENTATIVES, AND VOLUNTEERS UTS-41Og (2-11) AUTHORIZED REPRESENTATIVE DATE Risk Mmwge ienEDivision Page 1 of 1 ; / e REVIEWED & APPROVED BY. Insured Copy Risk Management Specialist 1551 N. Tustin Avenue Suite 450 Santa Ana, CA 92705 Phone: 714-689-0101 CONFIRMATION OF COVERAGE BOUND (BINDER CONFIRMATION) Richard Campoli Jun 21, 2022 Elmco Insurance Inc. 1905 N Main Street Santa Ana, CA 92706 Re: California Barricade Rentals, Inc. Policy #:TXS0001452-03 Effective: 7/1/2022 to 7/1/2023 A -. 1. We are pleased to confirm the attached binder for (Excess) being offered with Trisura Specialty Insurance Company. This carrier is Non -Admitted in the state of CA. Please note that this binder is based on the coverage, terms and conditions as stated in the attached binder, which may be different from those requested in your original submission. As you are the representative of the Insured, it is incumbent upon you to review the terms of this binder carefully with your Insured, and reconcile any differences from the terms requested in the original submission. CRC Insurance Services, Inc. disclaims any responsibility for your failure to reconcile with the Insured any differences between the terms bound as per the attached and those terms originally requested. This coverage may not be bound without a fully executed CRC brokerage agreement. NOTE: If insured is located outside your resident state, you must hold appropriate non-resident license prior to binding. Mailing Address: 1550 East Saint Gertrude Place Santa Ana, CA 92705 Physical Address: 1550 East Saint Gertrude Place, Santa Ana, CA 92705 Coverage as bound per the attached. Premium and Commission are as follows: Premium: $25,500.00 TRIA Premium: -REJECTED Broker Fee $700.00 Company Policy Fee $250.00 Surplus Lines Tax $772.50 Stamping Office Fee $64.38 Total: $27,286.88 Broker Fees & Policy Fees are Fully Earned at Binding Commission: 10% RAMwiagemadDiMsian E REVIEWED & APPROVED BY. e Aeevaa '�--'Risk Management Specialist If Non Admitted the following applies: California Tax Filings are the responsibility of: ( ) Your Agency (xxx ) CRC Upon requesting quotes and/or placement for the coverage listed herein, the producing retail broker hereby confirms that he/she has performed any and all diligent searches, as may be required by statute, for coverage through licensed carriers or other means of placement, and as necessary maintain proof of declination. Where allowed by governing statutes, "diligent effort" may not require an actual physical search and declination on each risk, but may be based on the retail producing broker's own experience, opinion and overall knowledge of acceptability in the admitted marketplace. CRC does not issue any certificates of insurance. It is the responsibility of the issuing party Elmco Insurance Inc., to issue COls according to the insurance policy in reference. CRC does not check or review any COI they receive. All copies of COls received will be destroyed at time of receipt. Financing Insurance Premiums Premium financing budgets insurance payments and improves liquidity for other business objectives: working capital, business growth, business expansion. If your clients choose to pay their insurance in monthly installments, it's fast and easy with AFCO Credit Corporation, which is an affiliate of CRC, providing premium financing solutions for companies across the United States. You can learn more about how premium financing works and how it can expand your relationship with your clients by emailing afcodirect c@afco.com; or call toll -free 877-317-6437, option 1. Additional information is available at,https:LZwww.afco.com/partners/crc.htmi. Should you have any questions, please feel free to contact our office. Sincerely, Joshua Katcef 949-681-1200 JKatcef@crcgroup.com 10148240 CONFIDENTIAL RAMuaigmadDlMsian iW REVIEWED & APPROVED BY. e eev'� Risk Management Specialist The insurance policy that you have purchased is being issued by an insurer that is not licensed by the State of California. These companies are called "nonadmitted" or "surplus line" insurers. The insurer is not subject to the financial solvency regulation and enforcement that apply to California licensed insurers. The insurer does not participate in any of the insurance guarantee funds created by California law. Therefore, these funds will not pay your claims or protect your assets if the insurer becomes insolvent and is unable to make payments as promised. The insurer should be licensed either as a foreign insurer in another state in the United States or as a non -United States (alien) insurer. You should ask questions of your insurance agent, broker, or "surplus line" broker or contact the California Department of Insurance at the toll -free number 1-800-9274357 or internet website www.insurance.ca.gov. Ask whether or not the insurer is licensed as a foreign or non -United States (alien) insurer and for additional information about the insurer. You may also visit the NAIC's internet website at wvwv.naic.org. The NAIC—the National Association of Insurance Commissionersis the regulatory support organization created and governed by the chief insurance regulators in the United States. Foreign insurers should be licensed by a state in the United States and you may contact that state's department of insurance to obtain more information about that insurer. You can find a link to each state from this NAIC internet website: https:Hnaic.org/state_web_map.htm. For non -United States (alien) insurers, the insurer should be licensed by a country outside of the United States and should be on E o NKREVIEWED & APPROVED BY: P Aavaa '�--'Risk Management Specialist the NAIC's International Insurers Department (IID) listing of approved nonadmitted non -United States insurers. Ask your agent, broker, or "surplus line" broker to obtain more information about that insurer. California maintains a "List of Approved Surplus Line Insurers (LASLI)." Ask your agent or broker if the insurer is on that list, or view that list at the internet website of the California Department of Insurance: wvwv.insurance.ca.gov/01-consumers/120-company/07- lasMash cfm. If you, as the applicant, required that the insurance policy you have purchased be effective immediately, either because existing coverage was going to lapse within two business days or because you were required to have coverage within two business days, and you did not receive this disclosure form and a request for your signature until after coverage became effective, you have the right to cancel this policy within five days of receiving this disclosure. If you cancel coverage, the premium will be prorated and any broker's fee charged for this insurance will be returned to you. D-2 (Effective January 1, 2020) E o NKREVIEWED & APPROVED BY: P Aavaa '�--'Risk Management Specialist Subject: Binder Insurance Company: TrisuraSpecialty Insurance Company (Non`admitted).rated A-N|by�M. Best Named Insured: California Barricade Rentals, Inc. Mailing Address. Santa Ana, CA Coverage. Excess Liability Occurrence Effective Dates: 7/0112022-7/0112023 Policy Number. TXSO001452-03 Limits: $5.080.000 Each Occurrence $5,000,000 General Aggregate Premium: Premium Exc|udingTRUPR4 $35,500 Premium for TR|PR4 $RE,JECTED Premium Total $25.500 Rate: Flat Charge Premiums are Minimum and Deposit. Minimum Retained Premium: 25% Policy Fee: $250 Terms and Conditions Policy Forms: Commercial Excess Liability Declarations Page Forms & Endorsements Schedule Excess Liability Coverage Form Named Insured Endorsement Exclusion- War Liability Exclusion- Organic Pathogen Exclusion- Access orDisclosure ofConfidential orPersonal Information Exclusion- Silica orRelated Dust Exclusion- Recording and Distribution of Material or Information in Violation of Statutes or Common Law Exclusion-ER|8A Exclusion- Liability Arising out ofLead Exclusion- Employment Related Practices Exclusion- 0oinaured/UmderinaupadMotorists urNoFault Exclusion- Aircraft Products and Grounding Liability Exclusion- Aircraft Including Unmanned Aircraft Liability Exclusion- Pre Existing Damage Exclusion- Metal Gas Exclusion- Pmfeasiumm|Liabft/Ermnsand Omissions Exclusion- Cross Suits | e7Landers Street, San Francisco, CA 94114 REviEWED & APPROVED BY. Hi5k Management Specialist Exclusion- Care, Custody orControl- Real orPersonal Property Economic and Trade Sanction Clause Exclusion Intellectual Property Exu|makom—BedmnicDaxe&CyberRiek Unimpaired Aggregate Endorsement Exclusion —Occupational Disease Limitation ofCoverage — Underlying Gub|imi(oEndorsement Nuclear Energy Liability Exclusion Endorsement Claims Reporting Notice General Service ofSuit Swrp|moLimooNcoifimabon—CA Independent Contractors Restriction Contractors Limitation Endorsement Exclusion- Exterior Insulation and Finish System Exo|oeioo-ResidemUa|Cnnotruotion Exclusion- Subsidence Exc|mmioo-NmwYorkCommtroc#nnorContnaofing Exclusion- Tainted Drywall Exo|uakom-Beu,nomagmeuiuFieldmmndBectmmnmgnoUuRodiabon Exclusion- Communicable Dimmoum Exclusion ofCertified Acts ofTerrorism Disclosure Pursuant toTerrorism Risk Insurance Act Nuclear, Biological, urChemical Exclusion Underlying Schedule: General Liability Carrier: Scottsdale Effective Dates: 7/1122-23 Limits: $1,008.000 Each Occurrence $2.000.000 Gonond Aggregate $2.000'080 Prod ucVCnmp|etedOpo $1.000.000 Por»onm|/Advertiuing|njury Automobile Liability Carrier: Infinity Effective Dams: 7/1/22'23 Limits: $1.000.008 C8L Employers Liability Carrier: State Fund Effective Dates: 7/1/22-23 Limits: $1.000.880 Each Accident $1.000.000 Disease Each Employee $1.000.000 Disease Policy Limit Liability Company: Effective Dates: Subjectivities: ° Subject tvSigned AC0PDApplication. ~ Subject to Signed Terrorism form. " Furnish copies ofunderlying policies within 00days nfeffective date. ^ Subject to review and approval of 5 years currently valued, hard copy, company loss runs, ° Subject tocopies ofacceptable MVRsfor all auto driven risks. ° We will require surplus lines confirmation. Broker will boresponsible for all surplus lines filings and taxes. ^ Flat cancellations are not permitted amany binders. ° Binders are subject tothe minimum retained premium. • Primary carrier(s) must have 'A-Vl'or better A.M. Best Rating. • Underlying policies must have defense costs in addition to the limits of liability. • Subject to conditions outlined in proposal. • Copies of all underlying policies to be received within 60 days. This binder is for informational purposes only. The actual coverages, terms and conditions offered herein may be more restrictive than those requested on your application. RAMamigmwdDhisian REVIEWED & APPROVED BY. A4+e Aeevaa Risk Management Specialist 9% 0�� .......... 1 1 1 CRC - Santa Ana Pay Online: https://apps.crcgroup.com/pay PO Box 95236 Grapevine, TX 76099-9752 Accounting Customer Service Number 1 844-630-0089 Accounting Site: https://www.crcgroup.com/More/Accounting Bill To: AGT25124 Attn: Richard Campoli Elmco Insurance Inc. Submission No: 10148240 1905 N Main Street Santa Ana, CA 92706 AB Agent: CSR: Dennis Martirez Jr. Producer: Joshua Katcef AGT25124 dmartirez@crcgroup.com JKatcef@crcgroup.com INVOICE Invoice Date: Invoice Number: Page: 06/21 /2022 4812664 1 Insured: California Barricade Rentals, Inc. INVOICE PAYMENT Payment Due On: 07/21/2022 DBA: Insurance Company: Policy Number: Effective: Expires: Trisura Specialty Insurance Company TXS0001452-03 (REN: TXS0001452-02) 07/01/2022 07/01/2023 Type of Transaction Renewal Business Line of Business EXCESS LIABILITY Comp ID M4024 Amount $25,500.00 Comm($) $2,550.00 Net Due $22,950.00 Broker Fee EXCESS LIABILITY IRVN $700.00 $0.00 $700.00 Company Policy Fee EXCESS LIABILITY M4024 $250.00 $0.00 $250.00 Surplus Lines Tax EXCESS LIABILITY CATAX $772.50 $0.00 $772.50 Stamping Office Fee EXCESS LIABILITY CASOF $64.38 $0.00 $64.38 Amount Invoiced: Comm % Commission Total Net Due $ 27,286.88 10.00 $ 2,550.00 $ 24,736.88 Note: RAMuaigmadDlMsian E REVIEWED & APPROVED BY. e Aeevaa Agency Bill er RfskManagement Specialist Exclusion- Care, Custody mControl- Real mPersonal Property Economic and Trade Sanction Clause Exclusion Intellectual Property Exclusion — Electronic Data &CyberRisk Unimpaired Aggregate Endorsement Exu|mmium—Oouopahoma|Dimmamo L|mitatiomufCoweraga—UndedyimgSuWim|taEndoraemamt Nuclear Energy Liability Exclusion Endorsement Claims Reporting Notice General Service ofSuit Surp|uaLioemMxtification—CA Independent Contractors Restriction Contractors Limitation Endorsement Exclusion- Exterior Insulation and Finish System Exclusion- Residential Construction Exclusion- Subsidence Exo|uoium-NamYorkCanatruc*iunnrContraotinQ Enc|msiom-TmintodDryweU Exclusion- Electromagnetic Fields and Electromagnetic Radiation Exclusion- Communicable Disease Exclusion ofCertified Acts ofTerrorism Disclosure Pursuant toTerrorism Risk Insurance Act Nuclear, Biological, orChemical Exclusion Underlying Schedule: General Liability Carrier: Scottsdale Effective Dates: 74/22-28 Limbs: $1,000.000 Each Occurrence $2�00,000 General Aggregate $2.000.000 Prodwnt/Cnmp|etedOpn $1.080.080 Persona |A\dvoraingInjury Automobile Liability Carrier: Infinity Effective Dates: 7/1/22-23 Employers Liability Carrier: State Fund Effective Dates: 7/1/22-23 Limits: $1.000.000 Each Accident $1,080,000 Disease Each Employee $1,000,000 Disease Policy Limit Liability Company: Effective Dates: SoNectivities: ° Subject to, Signed ACORDApplication. ~ Subject |nSigned Terrorism form. ^ Furnish copies ofunderlying policies within 08days nfeffective date. ~ Subject to review and approval of 5 years currently valued, hard copy, company loss runs. ° Subject zocopies ofacceptable MVBsfor all auto driven risks. ^ VVewill require surplus lines confirmation. Broker will beresponsible for all surplus lines filings and taxes. ^ Flat cancellations are not permitted omany binders. ° Binders are subject tothe minimum retained premium. REviEwED & APPROVED BY. VrLanders Street, San Francisco, CAm4114 DATE (MM/DDIYYYY) ACORO' CERTIFICATE OF LIABILITY INSURANCE 06/25/2024 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 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 Phone: (714) 973-1436 Fax: (714) 973-0811 CONTACT EL O.INSU1RNCE, I C. ELMCOINSURAN INC. NAME: PHONE // 4 A 636 E CHAPMAN NU A/C W. I i): 1 n a i e E-MAIL Contact mcoinsuran .com ORANGE CA 92 E-MAIL s _ INSURER(SIndrAFFORDI COVERAGE NAIC # Agency Llc#: 0509747 INSURER INSURED CALIFORNIA BARRICADE RENTALS INC. INSURE B 'NFINITY 1550 E. SAINT GE RUDE PLACE INSU ZRC Q SANTA ANACA 5 JRERE cevedo 4SUIN' W ST SURER E HE INSURER F I �I COVERAGES CERTIFICATE NUMBER: 76907 41276 INSURANCE COMPANY 1 20260 .T) Ilad"FkAE CQNY7 6188 SURPLUS LIN 10172 10046 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 ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE LTR ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DDIYYYYI POLICY EXP (MMIDDfYYYY1 LIMITS A I X COMMERCIAL GENERAL LIABILITY X X BCS2001609 07/01/24 07/01/25 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE 1 I� OCCUR DAMAGE TO RENTED PREMISES(Ea occurence) $ 100,000 MED. EXP (Any one person) $ EXCLUDED PERSONAL & ADV INJURY $ 1,000,000 GEN'L X AGGREGATE LIMIT APPLIES PER: POLICY JECT PRO- LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: EMPLOYEE BENEFITS $ 1,000,000 B AUTOMOBILE LIABILITY X X 50011184701 07/01/24 07/01/25 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIREDAUTOS X NON -OWNED AUTOS BODILY INJURY (Per ( ) $ X PROPERTY DAMAGE (per accident) $ C UMBRELLA LIAB X OCCUR TXS000255500 07/01/24 07/01/25 EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS -MADE X AGGREGATE $ 5,000,000 �DED I RETENTION $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A X 931316424 07/01/24 07/01/25 X ST TUTE ERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below G73540124004 07/01/24 07/01/25 E.L. DISEASE -POLICY LIMIT $ 1,000,000 E POLLUTION LIABILITY 1 Each Pollution Condition $1,000,000 F PROFESSIONAL LIABILITY 010H066384524 07/01/24 07/01/25 Aggregate Limit $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached illmore space is required) SEE SUPPLEMENTAL CERTIFICATE INFORMATION L;tKilhll;Alt NULUtK (;AN(;tLLAIIUN City of Santa Ana Risk Management Division 20 Civic Center Plaza 4th Floor Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBFn POLICIES RIF CANCELLED RFFORF THE EXPIRATION DATE THEREOF, ACCORDANCE WITH THE POLICY PROV o "� ,"�F R1AMwwgm 7dDivis(on AUTHORIZED REPRESENTATIVE i REVIEWED & APPROVED BY. Risk Management Specialist Attention: ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD TION. All rights res DATE SUPPLEMENT TO CERTIFICATE OF LIABILITY INS # 76907 JUN252024 DESCRIPTION OF OPERATIONS, LOCATIONS, VEHICLES The City of Santa Ana, Risk Management, it's officers, employees, agents, representatives, and volunteers are named as additional insured per form CG 20 38 12 19, CG 20 37 12-19, & CG 20 12 12-19 on the GL policy. Primary and Non -Contributory wording applies per form CG 20 01 12 19. Waiver of Subrogation in Favor of The City of Santa Ana per form CG 24 04 12-19. Additional Insured, Primary & Non -Contributory Wording, and Waiver of Subrogation applies per forms (50461AIS01, 500PNCV01, 50461SWF01) on the Auto policy. Waiver of Subrogation on the WC Policy per form #10217 Certificate of Insurance shall provide thirty (30) day prior written notice of cancellation per attached form UTS-410g (2-11). Professional Liability - $2,000,000 per occurrence and $2,000,000 aggregate $5,000,000 Excess to follow the GL, AUTO, WC per the attahced Dec Pages. Those usual to the insured's operations. Risk ManagmuxtDMsian % REVIEWED & APPROVED BY. ® Risk Management Specialist COMMERCIAL GENERAL LIABILITY CG 20 38 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS FOR OTHER PARTIES WHEN REQUIRED IN WRITTEN CONSTRUCTION AGREEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II — Who Is An Insured is amended to include as an additional insured: 1. Any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy; and 2. Any other person or organization you are required to add as an additional insured under the contract or agreement described in Paragraph 1. above. Such person(s) or organization(s) is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: a. Your acts or omissions; or b. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured described in Paragraph 1. or 2. above. However, the insurance afforded to such additional insured described above: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person's or organization's status as an additional insured under this endorsement ends when your operations for the person or organization described in Paragraph 1. above are completed. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: 1. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of, or the failure to render, any professional architectural, engineering or surveying services. 2. "Bodily injury" or "property damage" occurring after: a. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or N E RAMougementDhisian o" '' K REVIEWED &/APPROVED BY. °. Risk Management Specialist CG 20 38 12 19 © Insurance Services Office, Inc., 2018 b. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement described in Paragraph A.1.; or 2. Available under the insurance; whichever is less. This endorsement shall applicable limits of insurance applicable limits of not increase the RAMougementDMsian REVIEWED & APPROVED BY. fT Risk Management Specialist Page 2 of 2 © Insurance Services Office, Inc., 2018 POLICY NUMBER: BCS2001609 COMMERCIAL GENERAL LIABILITY CG 20 37 12 19 THIS ENDORSEMENT CHANCES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURE® - 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 Organizations Location And Description Of Completed Operations ANY PERSON OR CRGANI ZATI CN VVEN ALL LOCATIONS REQUIRED BY VR TTEN CONTRACT OR AGREEMENT, EXECUTED PH OR TO THE OCCURRENCE TO VVI CH THIS INSURANCE APPL I ES, THAT SUCH PERSON OR CRG4NI ZATI ON BE ADDED AS AN ADDI TI CNAL I NSURED ON YOUR POLI CY. 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. oR,N F RA ManagementDMslcrn REVIEWED & APPROVED BY. = J Risk Management Specialist CG 20 37 12 19 © Insurance Services Office, Inc., 2018 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; whichever is less. This endorsement shall not increase the applicable limits of insurance. RA Management DMslcrn 4++ll LL REVIEWED & APPROVED BY. fF RL ® Risk Management Specialist Page 2 of 2 © Insurance Services Office, Inc., 2018 POLICY NUMBER: BCS2001609 COMMERCIAL GENERAL LIABILITY CG 24 04 12 19 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: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS SCHEDULE e Of Person(s) Or Organization(s): PERSON OR ORGANI ZATI ON FOR VVOM THE I NSURED HAS AGREED TO V1AI VE RI G TS Oc )VERY, PROM DED SUCH AGREEIVENT I S MADE I N VRI TI NG AND PRI OR TO THE LOSS Iflnformation required to complete this Schedule, if not shown above will be shown in the Declarations. i The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. CG 24 04 12 19 © Insurance Services Office, Inc., 2018 oR,N F RAMmugementD'Msian REVIEWED & APPROVED BY. = J Risk Management Specialist COMMERCIAL GENERAL LIABILITY CG 20 01 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the This insurance is primary to and will not seek additional insured. contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and RA ManagementDMslcrn %Y�lL x REVIEWED & APPROVED BY. Ag,�z Acevedo Risk Management Specialist CG 20 01 12 19 © Insurance Services Office, Inc., 2018 M ENDORSEMENT AGREEMENT ANC WAIVER OF SUBROGATION BLAI KET BASIS Page 1 HOME OFFICE SAN FRANCISCO 9313164-24 ALL EFFECTIVE DATES "BNAL AT 12:01 AM PACIFIC STANDARD TIME THE TIME INDICATED ATT Y EFFECTIVE Jul 1, 2024 AT 12:01 AM. Southern PACIFIC STANDARD TIME AND EXPIRING July 1, 2025 AT 12:01 AM 3671777 CAUFORNIA BARRICADE RENTALSI?NC 1550 E SN NT GB7rR JDE FL S4NTA ANA, CA 92705 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. THE ADDITIONAL PREMIUM FOR THIS ENDORSEMENT SHALL BE 2.00 OF THE TOTAL POLICY PREMIUM. PERSON OR ORGANIZATION ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER C! rvL+TITTT _ V JOB DESCRIPTION BLANKET WAIVER OF SUBROGATION NOTHING IN THIS ENDORSEMENT SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS ABOVE STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS IN THIS ENDORSEMENT COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: June 24, 2024 eA4 AUTHORIZED REPRESENTATIVE 2572 SCIF FORM 10217 (REV. 4 - 2010) q' J RA Mougmuxt DMsIcrn �a %REVIEWED & APPROVED BY: PRESIDENT AND CEO o� A--p AaN 44 Risk Management Specialist KEMPERAuto COMMERCIAL Customer Service: (800) 722-3391 Copy To CITY OF SANTA ANA 20 Civic Center Piz, FI 4 Santa Ana, CA 92701 Kemper Auto Commercial 11700 Great Oaks Way, Suite 450 Alpharetta, GA 30022 Underwritten by: Infinity Select Insurance Company WAIVER OF SUBROGATION Policy ID Number 50011184701 Claims Service: (800) 334-1661 Expiration Date 07/01/2025 12:01 a.m. Named Insured CALIFORNIA BARRICADE RENTALS, INC. This endorsement is attached to and forms a part of the listed policy. No changes will be effective prior to the time changes are requested. In return for your premium payment shown below, we agree that our rights of subrogation or rights of recovery under the policy will not apply against the following person or organization: CITY OF SANTA ANA (name of person or organization) Additional premium in the amount of $250.00 will be retained by us regardless of any early termination of this endorsement or the policy. All other policy provisions remain unchanged. Risk Management Division % REVIEWED & APPROVED BY: Risk Management Specialist ADDL INSURED COPY AME 50461 SWF01 ENDORSEMENT: 3-1 KE6WPER Auto COMMERCIAL Customer Service: (800) 722-3391 Copy To Kemper Auto Commercial 11700 Great Oaks Way, Suite 450 Alpharetta, GA 30022 Underwritten by: Infinity Select Insurance Company Claims Service: (800) 334-1661 PRIMARY AND NONCONTRIBUTORY ENDORSEMENT CITY OF SANTA ANA 20 CIVIC CENTER PLAZA 4TH FLOO SANTA ANA, CA 92702 Policy ID Number Expiration Date 50011184701 07/01/2025 12:01 a.m. Named Insured CALIFORNIA BARRICADE RENTALS, INC. This endorsement is attached to and forms a part of the listed policy. The following endorsement applies only if Form Number 500PNCV01 appears on your Declarations Page. This endorsement modifies the insurance provided under your COMMERCIAL AUTO POLICY. PART A — LIABILITY COVERAGE OTHER INSURANCE — PART A ONLY The following is added to this section: The coverage afforded under your Commercial Auto Policy is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: a. You have agreed in writing in a contractor agreement that the coverage afforded under your Commercial Auto Policy would be primary and would not seek contribution from any other insurance available to such additional insured; and b. Such additional insured is a named insured under such other insurance. ALL OTHER TERMS, LIMITS, CONDITIONS, AND PROVISIONS OF THE POLICY REMAIN UNCHANGED. Risk Managmuxt DMsian % REVIEWED & APPROVED BY: — Risk Management Specialist ADDL INSURED COPY AM 500PNCV01 ENDORSEMENT: 3-1 KEMPERAuto COMMERCIAL Customer Service: (800) 722-3391 Copy To Kemper Auto Commercial 11700 Great Oaks Way, Suite 450 Alpharetta, GA 30022 Underwritten by: Infinity Select Insurance Company Claims Service: (800) 334-1661 ADDITIONAL NAMED INSURED ENDORSEMENT CITY OF SANTA ANA 20 CIVIC CENTER PLAZA 4TH FLOO SANTA ANA, CA 92702 Policy ID Number Expiration Date 50011184701 07/01/2025 12:01 a.m. Named Insured CALIFORNIA BARRICADE RENTALS, INC. This endorsement is attached to and forms a part of the listed policy. No changes will be effective prior to the time changes are requested. Additional Insured CITY OF SANTA ANA Part A - Liability Coverage, is changed as follows: The definition of insured is changed to include the additional insured named above. Adding an insured will not increase the limit of our liability. The insurance provided by this endorsement will be excess over any other valid and collectible insurance. All other parts of this Policy remain unchanged. Risk ManagmuxtDiviaian % REVIEWED & APPROVED BY: t -- p AaN44 Risk Management Specialist ADDL INSURED COPY 50461AIS01 ENDORSEMENT: 3-1