Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
AMERICAN WRECKING, INC.
IRSbjI �t°(VtLID: 440EC5ED-7173-4C14-A8C2-CB4E1C47BF65 WORK MAY PROCEED UNTIL INSURANCE EXPIRES 'a. 1 • Zo�L CLERK OF COUNCIL A-2022-065-04 D TE. REEMENT WITH AMERICAN WRECKING, INC., TO PROVIDE ON -CALL AY 2 ZUZ'i� DEMOLITION SERVICES FOR THE CITY OF SANTA ANA AN"wtA.)(.P)7 THIS AGREEMENT is made and entered into on this Yd day of May, 2022 by and between American Wrecking, Inc., a California corporation ("Contractor"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California ("City"). RECITALS A. On January 13, 2022, the City issued Request for Proposal No. 22-007, by which it sought a qualified contractor to provide on -call demolition services for the City's Public Works Agency. B. Contractor submitted a responsive proposal that was among those 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 22-007. 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 consulting 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. 22-007, which is attached as Exhibit A, and as more specifically delineated in.Contractor's proposal, which is attached as Exhibit B and incorporated in full. 2. COMPENSATION a. City neither warrants nor guarantees any minimum or maximum compensation to Contractor under this Agreement. Contractor shall be paid only for actual services performed under this Agreement at the rates and charges identified in Exhibit C. Contractor is one of four (4) contractors selected to provide demolition services on an on -call basis under RFP 22-007. The total compensation for these services provided by all such contractors selected under RFP 22-007 shall not exceed the shared aggregate amount of Two Million Dollars and Zero Cents ($2,000,000) during the term of the Agreement, including any extension periods. b. Payment by City shall be made within 45 days (forty-five) 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 which may reasonably be expected by City. DocuSign Envelope ID: 440EC5ED-7173-4C14-A8C2-CB4E1C47BF65 3. TERM This Agreement shall commence on the date first written above and terminate on April 14, 2025, unless terminated earlier in accordance with Section 16, below. The term of this Agreement may be extended for two (2) one-year periods upon a writing executed by the City Manager and City Attorney. 4. PREVAILING WAGES Contractor is aware of the requirements of California Labor Code Section 1720, et seq., and 1770, et seq., as well as California Code of Regulations, Title 8, Section 16000, et seq., ("Prevailing Wage Laws"), which require the payment of prevailing wage rates and the performance of other requirements on "public works" and "maintenance" projects. If the services being performed are part of an applicable "public works" or "maintenance" project, as defined by the Prevailing Wage Laws, and the total compensation is $1,000 or more, Contractor agrees to fully comply with such Prevailing Wage Laws. Contractor shall defend, indemnify and hold the City, its elected officials, officers, employees and agents free and harmless from any claim or liability arising out of any failure or alleged failure to comply with the Prevailing Wage Laws. 5. INDEPENDENT CONTRACTOR Contractor shall, during the entire term of this Agreement, be construed to be an independent contractor and not an employee of the City. This Agreement is not intended nor shall it be construed to create an employer -employee relationship, a joint venture relationship, or to allow the City to exercise discretion or control over the professional manner in which Contractor performs the services which are the subject matter of this Agreement; however, the services to be provided by Contractor shall be provided in a manner consistent with all applicable standards and regulations governing such services. Contractor shall pay all salaries and wages, employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. 6. OWNERSHIP OF MATERIALS This Agreement creates a non-exclusive and perpetual license for City to copy, use, modify, reuse, or sublicense any and all copyrights, designs, and other intellectual property embodied in plans, specifications, studies, drawings, estimates, and other documents or works of authorship fixed in any tangible medium of expression, including but not limited to, physical drawings or data magnetically or otherwise recorded on computer diskettes, which are prepared or caused to be prepared by Contractor under this Agreement ("Documents & Data"). Contractor shall require all subcontractors to agree in writing that City is granted a non-exclusive and perpetual license for any Documents & Data the subcontractor prepares under this Agreement. Contractor represents and warrants that Contractor has the legal right to license any and all Documents & Data. Contractor makes no such representation and warranty in regard to Documents & Data which were provided to Contractor by the City. City shall not be limited in any way in its use of the Documents and Data at any time, provided that any such use not within the purposes intended by this Agreement shall be at City's sole risk. DocuSign Envelope ID: 440EC6ED-7173-4C14-A8C2-CB4E1C47BF65 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 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 aggregatelimit 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. Broader Coverage: if 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 20 37 if a later edition is used). DocuSign Envelope ID: 440EC5ED-7173-4C14-ABC2-CB4E1C47BF65 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 01 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 waiverof subrogation, but this provision applies regardless of whether or not the City has received a waiver of subrogation endorsement from the insurer. 5. Self -Insured Retentions: Self -insured retentions must be declared to and approved by the City. The City may require the Contractor 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): 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. DocuSign Envelope ID: 440EC5ED-7173-4C14-A8C2-CB4E1C47BF65 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 Cityreserves 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 the risk, prior experience, insurer, coverage, or other special circumstances. 8. INDEMNIFICATION Contractor agrees to defend, and shall indemnify and hold harmless the City, its officers, agents, employees, contractors, special counsel, and representatives from liability: (1) for personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims for personal injury, including death, and claims for property damage, which may arise from the negligent operations of the Contractor, its subcontractors, agents, employees, or other persons acting on its 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 out of, pertain to, or relate to the negligence, recklessness, or willful misconduct of the Contractor. 9. INTELLECTUAL PROPERTY INDEMNIFICATION Contractor shall defend and indemnify the City, its officers, agents, representatives, and employees DocuSign Envelope ID: 440EC5ED-7173-4C14-A8C2-CB4E1C47BF65 against any and all liability, including costs, for infringement of any United States' letters patent, trademark, or copyright infringement, including costs, contained in the work product or documents provided by Contractor to the City pursuant to this Agreement. 10. RECORDS Contractor shall keep records and invoices in connection with the work to be performed under this Agreement. Contractor shall maintain complete and accurate records with respect to the costs incurred under this Agreement and any services, expenditures, and disbursements charged to the City for a minimum period of three (3) years, or for any longer period required by 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. It. CONFIDENTIALITY If Contractor receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Contractor agrees that it shall not use or disclose such information except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of like importance, but in no event less than reasonable care. "Confidential Information" shall include all nonpublic information. Confidential information includes not only written information, but also information transferred orally, visually, electronically, or by other means. Confidential information disclosed to either party by any subsidiary and/or agent of the other party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is, through no fault of the Contractor disclosed in a publicly available source; (c) is in rightful possession of the Contractor without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or (e) is independently developed by the Contractor without reference to information disclosed by the City. 12. CONFLICT OF INTEREST CLAUSE Contractor covenants that it presently has no interests and shall not have interests, direct or indirect, which would conflict in any manner with performance of services specified under this Agreement. 13. 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. DocuSign Envelope ID: 440EC5ED-7173-4C74-A8C2-CB4E1C47BF65 14. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Contractor, 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 is not embodied herein. 15. ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Contractor, Contractor may not assign, transfer, delegate, or subcontract any interest herein without the prior written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the City's ability to have any of the services which are the subject to this Agreement performed by City personnel or by other contractors retained by City. 16. 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(s) completed as of such date, and in such case such work product shall be the property of the City unless prohibited by law, and Contractor consents to the City's use thereof for such purposes as the City deems appropriate. b. Payment need not be made for work which fails to meet the standard of performance specified in the Recitals of this Agreement. 17. 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, not shall any waiver constitute a continuing waiver unless the writing so specifies. DocuSign Envelope ID: 44DEC5ED-7173-4C14-A8C2-CB4E1C47BF65 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 tern 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. MISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature herein below has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. b. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. 21. 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 With courtesy copies to: Nabil Saba Executive Director, Public Works Agency DocuSign Envelope ID: 446EC5ED-7173-4C14-A8C2-CB4E1C47BF65 City of Santa Ana 20 Civic Center Plaza (M-21) P.O. Box 1988 Santa Ana, California 92702 Fax:714-647-5635 To Contractor: Carlos Galaviz, President American Wrecking, Inc. 2459 Lee Avenue El Monte, CA 91733 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 time frames, weekends, federal, state, County or City holidays shall be excluded. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: XDaisy Gomez Clerk of the Council APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney By,:-�-�'�=zy Brarfdo-n Salvatierra Deputy City Attorney RECOMMENDED FOR APPROVAL: N��4hh Nabil Saba Executive Director Public Works Agency CITY OF (S�ANTA ArNA `t s ,Y `— -t-D- Kristine Ridge City Manager AMERICAN WRECKING, INC.: EUocuSigned by: /1, aaLak� F a v Carlos Galaviz President DocuSign Envelope ID: 440EC5ED-7173-4C14-A8C2-CB4E1C47BF65 EXHIBIT A DocuSign Envelope ID; 440EC5ED-71734C14-A8C2-CB4E1C47BF65 Appendix ATTACHMENT 1: SCOPE OF WORK SCOPE OF WORK Introduction and Background: The City of Santa Ana is issuing this Request for Proposals (RFP) to seek a qualified Demolition contractor(s) to provide demolition, including asbestos abatement and hazardous materials removals, services for the City of Santa Ana on an as -needed basis. From the proposals received, it is the City's goal to select one or more firms to enter into agreement(s). Approximately 30 residential and commercial properties along Warner Avenue, Fairview Avenue and Bristol Street will need to be demolished by early of 2023. The total demolition services needed for this On -call contract(s) is valued at approximately $2,000,000. The total amount to be expended shall be shared among all contractors selected for award to provide these services. Scope of Services: Contractor is responsible for the payment of all applicable permits required to conduct the below scope of services. The On -Call contractor shall respond with a task order quote within 5 working days of receiving the request for a task order quote. Selection of a contractor to perform each task order shall consider past work completion performance. Demolition: Contractor is responsible for demolishing and disposal/recycling of all improvements, including but not limited to: foundations and footings, slabs, basement, detached garage, landscaping, fencing, walls trees and all miscellaneous to clear site complete. Contractor is also responsible for grading the parcel for drainage, importing and exporting fill dirt or aggregate base as needed, capping all water and sewer lines, and compacting to 90% density. Prior to submitting all on -call proposals, the Contractor shall visit the subject project site (including coordinating with the City for access inside the building) and obtain any necessary as-builts to define an appropriate scope of work. All work is to be done in accordance with all applicable federal, state and local regulations, standards and codes governing demolition and any other trade work done in conjunction with the demolition. Copies of all demolition permits, water and sewer cap inspection approval and a letter of completion should be submitted for City's files prior to the Contractor receiving payment. The Contractor shall supply all necessary labor, materials, services, insurance, permits, and equipment to carry out the work in accordance with all applicable federal, state, and local regulations. The Contractor at all times shall keep the Project site free from accumulation of waste materials or rubbish caused by the Contractor's operations. At the completion of each trade of the work, and at final completion prior to contractor submitting the final invoice, Contractor shall remove all waste materials, and rubbish from and about the project as well as tools, construction equipment, machinery, and surplus materials. DocuSign Envelope ID: 440EC6ED-7173-4C14-A8C2-CB4E1C47BF66 Contractor shall hand deliver a City provided work notice letter to adjacent resident owners at least one week prior to the demolition work. Asbestos Abatement: The work described herein consists of removal and disposal of ALL asbestos containing materials (ACM -friable or nonfriable) and subsequent cleaning of the sites in accordance with all applicable federal, state and local regulations, standards and codes governing asbestos and any other trade work done in conjunction with the abatement. Results of any testing that identify asbestos containing materials will be provided by the City. It is the responsibility of the Contractor to determine if any additional asbestos removal is required in addition to the surveys. Copies of all notifications must be submitted to City including, abatement contractor's license, map and/or clear documentation specifying asbestos containing materials abated; completed waste manifests; and a completion letter indicating that all asbestos containing materials from these properties have been abated and properties are ready to be demolished. Lead Removal: The Contractor shall take all necessary precautions and follow all Occupational Safety & Health Administration (OSHA')s guidelines required in the handling of lead contained materials if any are detected. Please refer to the Lead Hazard Evaluation Report which will be provided to the Contractor prior to on -call bid. Rat and/or Vermin Abatement: Contractor, prior to performing demolition, is responsible for providing rat and/or vermin abatement. As part of the demolition completion package, written certification will be provided to the City, stating that such work was performed, and that the structures were free of infestation prior to the demolition taking place. Erosion Control: Contractor shall prepare erosion and sediment control plan immediately after award of the contract for the approval of the Engineer. The plan shall be prepared per the applicable guidelines described in the latest version of the Orange County Program Construction Runoff Guidance Manual (httl2:Hocwatersheds.com/documents/bmn/constructionactivities). The Contractor shall submit the plans for review and shall make the necessary revisions to the plans as directed by the City. The plans shall be prepared by a Civil Engineer licensed in the State of California. The City may waive the requirement of licensed Civil Engineer if the Contractor can satisfactorily prove to the City that the person preparing the erosion control plan is qualified in the field of erosion control. The Contractor shall keep a copy of the erosion control plan on -site for the duration of the contract and shall provide all necessary control devices to implement all necessary measures as shown on the plan. The erosion control plan shall remain in effect until approval to remove is granted by the City. DocuSlgn Envelope ID: 440EC5ED-7173-4C14-ABC2-CB4E1C47BF65 All erosion control materials shall be available on -site and stockpiled at a convenient location to facilitate rapid construction of temporary devices when rain is eminent. Fee Proposal Contractor shall submit a fee proposal as described below in a sealed fee envelope. This fee proposal shall be based on ON -CALL DEMOLITION SERVICES for the sample project site described below. The proposal will be used for fee comparison and evaluation purposes. Furthermore, this fee proposal will become part of Exhibit B of the Contract Agreement and will be used to compare with an actual task order quote requested by the City. Fee proposal shall include: o Description of work (summarized scope of services) o Fee (per spreadsheet below) o Schedule (from date of receiving a Notice to Proceed to task order completion) SUBJECT PROJECT SITE DESCRIPTION: The subject sample project site, which was already demolished, is for comparison and evaluation purposes only. The sample project is located at 1301 W llth Street, Santa Ana, CA 92703. The following is a brief description of the sample project site. Please refer to Appendix - Attachment 4 for full project site description and Asbestos, Lead -Based Paint/Universal Waste Survey. The building is one story residential structure with stucco over wood framing exterior walls with brick fascia construction with the following approximate dimensions: - Main Dwelling Area: 1,685 sf - Garage: 390 sf - Covered Patio: 275 sf - Total Area: 2,350 sf - Total Land Area: 6,970 sf Contractor is responsible for demolishing all improvements, including: 4" thick concrete slab foundation and footings to a depth of 3', and all surrounding landscaping. Contractor is also responsible for clearing the site, grading the parcel for drainage, capping all sewer lines, and compacting to 90% density. Erosion control to include importing and exporting fill dirt as needed, installing straw waddles around site perimeter, topping site with 1" base course to prevent wind erosion, and installing nimble plates for the duration of the demolition. Price provided below shall be based solely on the information provided hereon and shall be an all- inclusive price and shall include all items listed and cover all items or work identified above and Appendix - Attachment 4 to deliver a clear site with no remaining improvements. DocuSign Envelope ID: 440EC5ED-7173-4C14-A8C2-CB4E1C47BF65 Company Name: 1301 W 11" Street, Santa Ana, CA Item Description Cost Permitting Engineering Site Fencing for Duration of Demolition Canopy BMP's/Erosion Control Plan Asbestos/Hazardous Stabilization and Abatement (on a separate sheet, provide a detail cost for this sump sum amount) Universal Waste Disposal Interior Demolition Exterior Wall/Building/Foundation Demolition Siteworlc Demolition Landscape and Trees Removal and Clearing Vermin Abatement (Assume preseng Bee Colony Abatement Assume resent) Other describe...) Total Price Samantha Digitally signed by 1., '. Samantha M. Lambert 112.05.12 M. Lambert Dat4:18-07'00' 11:44:18 -OTDO' Goi CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 5/9/2022 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an. ADDITIONAL INSURED, the polley(los) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In Ileu of such endorsement a . PRODUCER Phone: (707)996-2912 Fax: (707)996-7912 Apollo General Insurance Agency, Inc. (1) P. 0. Box 1508 Sonoma, California 95476 NOT Ieritee Carpenter HONE FAX AX Mich ' odE . jerilew @ apgen.eom INSURER S AFFORDINO COVERAOE NAIOH SURERAI Everest Usual Insurance Company 16044 INSURED INSURERS: Everest Indemnity insurance Company TOSS] American Wrecking, lnc, INSURER c 1 State Compensation Insurance Fund Of California 35076 2459 Lee Avenue South El Monte, CA 91733 INSURER D: Tokio Marino Specialty Insurance Company 23850 INSURER E 1 INSURER F: COVERAGES CERTIFICATE NUMBER: 1248 REVISION NUMEFRI 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, INR T pEOF INSURANCE DO R OLIOYNUMBER POOipYFF MM oom—MP LIMITS A ✓ COMMERCIALGENERAL DABILITY CLAIMS -MADE E OCCUR CF40LO1371.221 4/28/2022 4/28/2023 FACHOCCURRENCE $ 1,000,000 ESE Eccune It 300,0 0 MED FXP (Any oneperson) $ ✓ Y PERSONAL &AOV INJURY $ 1,000,000 AGGREGATE UMIT APPLIES PER: POLICY O YPO F1 LCC GBNERALAGGREGATE $ 2,000,000 GENL PRODU(TTS-COMPIOPAGG $ 2,000,000 $ OTHE14: B gUTOMOBILELIABILItt ✓ ANYAUTO C174CA01390-211 9/1/2021 9/1/2022 EO COMBINED SINGLE LIMIT § 1,000,000 BODILY INJURY (Per person) § ✓ OWNED SCHEDULED HIRED ONLY LION-OMED AUTOS ONLY ✓ AUTOS ONLY ✓ Y BODILY INJURY (Per Accident ) § eFeedR�Y IMAGE $ $ B ✓ UMBRELLA LIAR EXCESS LIAR ✓ OCCUR CLAIMS -MADE ✓ Y �XCIIIX01101-221 4/28/2022 4/28/2023 EACHOCCURRENCE $ 5,000,000 AGGREGATE $ S,000,OOO BED ETENTION CWORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETORIPARTNERIEXECUTIVE YIN OFFICE RIMEMBEREXCLUDED4 (Mandatory In NH) if yyes dascdbe Untler DESCRIPTION OF OPERATIONS bow NIA y 9161690.21 10/1/2021 10/1/2022 ✓ R E EL, EACH ACCIDENT § 1,000,000 El, DISEASE -EA EMPLOYE § 11000,000 E.L. DISEASE -POLICY LIMIT S 1,000,000 D Pollution Liability ✓ Y PPK2381628 2/18/2022 2/18/2023 Perocmmaaca 5,000,000 Por AavtcAsb; 5,000,00 DESCRIPTION OF OPERATIONS LOCATIONS / VEHICLES (ACOND iel, Additional Remarks Schedule, maybe attached If more space Is required) Re: Operations of the Named Insured. City of Banta Ana, its officers, employees, agents, and volunteers are hereby named as Additional Insured, if required by written contract, per endorsement hereto. waiver of Subrogation is provided, as required by written contract with the insured as respects coverage evidenced herein. Coverage evidenced herein is primary and non-contributory. A 30-day written notice shall be mailed to the certificate holder at the address provided herein, should a described policy(s) be cancelled before the expiration date thereof; 10-day notice for non-payment of premium. Holder's Nature of Interest: Additional Insured SHOULD ANY OF THE ABOVE DESCRIBED POL City of Santa Ana THE! EXPIRATION DATE THEREOF, NOTIC ACCORDANCE WITH THE POLICY PROVISIONS, Risk Management Division 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE �,�, Santa Ana, CA 92702 ////J o [ ©1988.2016 ACOR 0RPOI ACORD 26 (2016/03) The ACORD name and logo are registered marks of ACORD reserved. POLICY NUMBER: CF4GLo1371.221 COMMERCIAL. GENERAL LIABILITY CIS 2012 0413 This endorsement modifies Insurance provided under the following: CQMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE state Or Governmental Agency Or Subdivision Or Political Subdivision; ANY STATE OR GOVERNMENTAL AGENCY OR SUBDIVISON OR POLITICAL SUBDIVISION AS REQUIRED BY WRITTEN CONTRACT WITH THE NAMED INSURED. THE WRITTEN CONTRACT MUST BE SIGNED PRIOR TO THE DATE OF THE "BODILY INJURY", "PROPERTY DAMAGE", OR "PERSONAL AND ADVERTISING INJURY". A. Section If — 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. CG 2012 0413 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, "Bodli Injury" or "property damage" Included within the "products completed operations hazard". S. With respect to ,the Insurance afforded to these additional Insureds, the following Is added to Section III — Limits Of Insurance: If coverage provided to the additional Insured Is required by a contract or agreement the most we will pay on behalf of the additional Insured is the amount of Insurance: 1. Required by the contract or agreement;. or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever Is less, This endorsement shall not applicable Limits of Insurance Declarations. © Insurance Services Office, Inc„ 2012 INSURED COPY Increase the sh " aEverrtvdlN"w�taw AMR 'Mlk.ahlRdBR"1rni34pCmISM Page 1 of 1 POLICY NUMBER; cF4GLo1371.221 COMMERCIAL GENERAL LIABILITY CG 2010 0413 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY, ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS -- SCHEDULED PERSON OR 'ORGANIZATION - This endorsement modifies Insurance provided under the following; COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured persons) Any person or organization that entered Into a. written contract with the Named Insured requiring such persons) or organization(s) to be named as an additional Insured with respect to the Named Insured's performance.of operations at any looatlon on behalf of such person(s) or.organ)zation(s), A. Section 11 — Who Is An Insured Is amended to Include as an additional Insured the persons) or organizatlon(s) shown in the Schedule, but only with respect to liability for "bodfly Injury", "property damage" or "personal and advertising injury, - caused, In whale or in part, by, 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; . In the performance of your ongoing operations for the additional Insureds) at the locatlon(s) designated above. However; 1, The `Insurance afforded to such addltlonal Insured only applies to the extent permitted by law; and 2. If covarage 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. S. With respect to the insurance afforded to these additional Insureds, the following additional exclusions apply: This Insurance.does not apply to "bodily Injury" or "Property damage" occurring after; I. 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 Insureds) at the location of the covered operations, hhas been completed; or 2. That portion of "your work" out of which the Injury or damage arises has been put to its Intended use by. any person or'organlzation other than another contractor or subcontractor engaged In performing operations for a Principal as a part of the same project. a v�eveow pph Mamagcrntnt SUperwcar CG 20 10 04 13 © Insurance Services Office, Inc., 2012 page 1 of 2 C. With respect to the Insurance afforded to these additional Insureds, the following Is added to -Section III — Limits Of Insurance: If coverage provided to the additional Insured is required by a contract or agreement, the most we will pay on behalf of the additional Insured is the amount of Insurance: 1. Required by the contract or agreement; or 2, Available under the applicable LImfts of Insurance shown In the Declarations; whichever Is less, This endorsement shall not increase the applicable Limits of Insurance shown In the Declarations, �3' xianauamamsa�r REW��IUEuWEo�N'PROYFb a+.' . � �'Mlk.RhlmryCmFhCSu[Krt%t9f Page 2 of 2 0Insurance Services Office, Inc., 2012 CG 2010 04 13 POLICY NUMBER; CF4GLO1371-221 CONIMERCIAL GENERAL LIABILITY CO 20 37 0413 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. ADDITIONAL INSURED _ OWNERS, LESSEES OR CONTRACTORS — COMPLETED OPrzRATI®NS. This, endorsement modifies Insurance provided under the following; COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE A WRITTEN, CONTRACT WITH SUCH PERSON(S) OR BE NAMED AS AN A. Section If — Who Is An Insured Is amended to Include as an additional Insured the person(s) or orrgganlzation(s) shown In the Schedule, but only wlih respect to liability for "bodily Injury" or "property damage" caused, In whole or In part, by Zour work" at the location designated and scrlbed 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 additlonal Insured only applies to the extent permitted by law; and 13, With respect to the Insuranceafforded to these additional Insureds, the following Is added to 8ectlon 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 contractor agreement; or 2,Avallable under the applicable Limits of Insurance shown In the Declarations; whichever Is Tess. This endorsement shall not Increase the Declarations.picablLimits of Insurance shown in the CG 20 37 04 13 9-0 FOR SUCH R ANY 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. © Insurance Services Office, Inc., 2012 INSURED COPY xw awaa. cow rebk at"n.�9emmtS"Mraso,- Page 1 of 1 P011ay Number; CF401,01371-221 COMMERCIAL GENERAL LIABILITY ECG 04 707 0216 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY, GENERAL L-IA131LITY ENHANCEMENT ENt)ORSEMEN'T.. This endorsement modifies Insurance provided under the following; COMMERCIAL GENERAL LIABILITY COVERAGE FORM The following Is a summary of the Limits of Insurance and additional coverage provided by this endorsement. For complete details on specific coVerago, please rater to poifoy language In thio' endorsement and the underlying Commercial General Liability Coverage Porm. A. Non•Owned Wateroraft Paragraph g.(2) under Paragraph 2. Exclusions of Section I — Coverage A Bodily Injury And Property Damage Liability Is replaced by the following; (2) A watercraft you do not own that is; (a) Less than 80 feet long; and (b) Not being used to'carry persons or properly for a charge; D. Supplementary Payments— Increased Limits Paragraphs Ch. and 1.d, under Supplementary Payments - Coverages A And B of section I - coverages are replaced by the following; b.. Up to $1000 for cost of ball bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies, We do not have to furnish these bonds, d. All reasonable expenses Incurred by the Insured at our request to assist us Yn the Investigation or defense of the claim or "suit Including actual loss of earnings up to $600 a day because of tune off from work. C. Newly Acquired Organizations - Extended Coverage Paragraph 3,a. under Section II - Who is An Insured Is replaced by the following; A. Coverage under this provision Is afforded only until the 180th day after you acquire gr form the organization or the end of the policy period, whichever Is earlier; D, Subsidiaries As Insureds The fallowing Is added to section 11—Who Is An Insured:' 4. Any subsidiary company In which you own s financial Interest of more than 60°!- as of the effective date of this endorsement is Included as a Named Insured: However, such organization Is not a Named Insured; a. If It Is a partnership, Joint venture or limited liability company; b, if there Is other similar Insurance available to It; c, If there to other almllar Insurer, be avallable. to it, but for the t VA°r'd> the Insurance or the exhaustlo aearraaav�s of Insurance; or ° 'AmY ntana2smercesupa+ice ECG 04 767 02'16 Copyright, Everest Reinsurance Company, 2016 Page 1 of 2 Q Includes copyrighted material of Insurance Services Office. Inc. used with Its permission INSUND COPY d, After you cease to own a flnanclal Interest 'of more than 60%, E. Fire Damage To promises Rented To You - Increased Limits Paragraph _6,_ under Section Ill - Limits of -insurance is replaced by the following: 6, BMW to Paragraph 6. above, the most we will pay under Coverage A for damages because of "properly damage, to any one occupied byhyou witch perornission of temporarily Is the greater of a, $600,000; or b, The Damage To Premises Rented To You Limit shown In the Declarations, F.Notice To Company The following Is added to Condition 2, Duties in The Rvont Of Occurrence, Offanse, claim or Suit under section IV - Commercial General Liability Conditions: e, Your failure to first notlfy us of a claim will nct Invalidate coverage under this pglfoy If the lose was Inadvertently reported to another Insurer, 'However, °you must report any such "odcurrence to us within a reasonable time once you become aware of such error, G. Unintentional, Failure To Disclose Hazards Condition 6, Representations under Section IV� Commercial General. LIabllity, Conditions Is rgpiaoed by the following: '6-R•ep'resentatfolts- - - - - Sy acoegting this policy, you agree: a. The statements In the Declarations are accurate and complete; b, Those statements • are based upon representstions. you made to us; and a. We have Issued this Policy In reliance upon your representation$, Any unintentional error or omission in the description of, or failure to completely describe, any premises or operations You -Intend to be covered . by this Coverage Pad, will not Invalidate or affect coverage for those Promises or operations, However, you must report any such error or omission to us as soon as reasonably possible after Its discovery, H, Waiver Of Subrogation The following Is added to Condition 6. Transfer of Rights Of Recovery Against Others To Us of section IV - Commercial General Liability Condikions: We waive any right of recovery we may have against any person or organization because of Ise of your ope ations or "your or don eunder a written agreement that requires you to waive your rights of recovery, The written agreement must be made prior to the date of the "ocourrence", Page 2 of 2 Copyright, Everest Relnsuranos company, 2016 Includes copyrighted malerlat of Insurance Services office, Inc. used with Its permission INSUREDCOPY xDk .. aEVIflY�Elja NPROV®6Y: A ECG 04 767 0216 El Policy # CF4GL01371-221 American Wrecking, Inc, COMMERCIAL GENERAL LIABILITY CO 20 010413 THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY, This endorsement modlfles Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED 0KRATIONS 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 oontributlon from any other Insurance available to an additional Insured under your policy provided that: (1) The additional Insured 18 a Named Insured under such other Insurance; and CO 20 01 04 ,13 (2) You have agreed in writing In a contract or agreement that this Insurance would be primary end would not seek contribution from any other Insurance availabld to the addltlonal Insured, O Insurance Services office, Inc„ 2012 INSURED COPY RIAeDL»genneidpNAd?n Mal ROWE . 1RVIlWEO&MrgW®aw Piyk b4nn, nementSUpervtsae Pa _ POLICY NUMBER: CF4CA01390-211 American Wrecking, Inc. COMMERCIAL AUTO CA 20 48 10 13 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY, DESIGNATED INSURED FOR COVERE®.AUTOS LIABILITY COVERAGE This endorsement modifies Insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement, This endorsement Identifies person(s) or organization(s) who are "Insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided In the Coverage Form. This endorsement changes the polloy effective on Ihelnceptlon date of thepolloy unless another date la Indicated below. Named Insured: Endorsement Effective Date: SCHEDULE Name Of Persons) Or Organlzation(s): ALL PERSONS OR ORGANIZATIONS AS REQUIRED BY WRITTEN CONTRACT WITH THE NAMED INSURED. THE WRITTEN CONTRACT MUST BE SIGNED .PRIOR TO THE DATE OF THE "ACCIDENT" Each person or organization shown In the Schedule Is an 'Insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an 'Insured" under the Who Is An Insured provision contained In Paragraph Al, of Section II — Covered Autos Llablllly Coverage In the Business Auto and Motor Carrier Coverage Forms and Paragraph 0.2, of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form, CA 20 48 1013 © Insurance Services Office, Inc., 2011 MUREa CON jy' xskr.w��aaas�E � �"h� I�/IEWEU S.PPPE�4EDa1: '&I,k fvfanrAsvne"t Supe!Nsa Pagel of 1 Poll'cy # CF4CA01390.211 American Wrecking, Inc. COMMERCIALAUTO ECA 24 03 0214 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. 11141161 17, AGAINST OTHERS TO US This endorsement modifies Insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM SCHEDULE Name of Person or Organization: ALL PERSONS OR ORGANIZATIONS AS REQUIRED BY WRITTEN CONTRACT WITH THE NAMED INSURED, THE WRITTEN CONTRACT MUST EE SIGNED PRIOR TO THE DATE OF THE "ACCIDENT". (If no entry appears above, Information required to complete this endorsement will be shown In the Declarations as applicable to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition Is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown In the Schedule'above because of payments we make for an 'accident" or "loss", provided that you are required under a written agreement to waive your rights of recovery. The written agreement must be made prior to the date of the "accident" or "loss This waiver applies only to the person or organization shown In the Schedule above. RWrMMIVnenemc t� Rtilayso$MNSWEnaw ai EGA 24 803 0214 Copyright, Everest Reinsurance Company, 2014 Page 1 0'eisk Mb Tnanlsuacrncue Includes copyrighted material of Insurance Services Office, Inc., used with Its permission, INSURED COPY Policy # CF4CA01390.211 American Wrecking, Inc. COMMERCIAL AUTO ECA 24 500 04 94 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY -- OTHER INSURANCE CONDITION - BLANKET This endorsement modifies Insurance provided under the following: BUSINESS AUTO COVERAGE PART Paragraph c, of the Other Insurance General Condition Is replaced by the following: c. Regardless of the provisions of paragraph a. above, this Coverage Form's Liability Coverage Is primary and we will not seek contribution from any other Insurance far any liability assumed under an "Insured contracf" that requires liability to be assumed on a primary noncontributory basis, Additionally, only the coverage and limit or insurance requirements of the "Insured contract" shall apply, and In no event shall those requirements exceed the coverage and limits of Insurance provided under this policy. sy aukMaugenntro�tdon 7�v�wmCMrRovmaw. ECA 24 e09 0414 Copyright, Everest Reinsurance Company, 2014 F 41WtN(9kkiP"as�«,a,rsva"�.a� Includes copyrighted material of Insurance services office, Inc„ used with Its permission INSURMCOPY too 6h6m, 9, N'T . A('AOMP NT NA 4-36-90-87 . g"Qpd I %AV PATIkS Ana TIMAJUDROA4.011 EFFECTIVE OCTOBER 1, 2022 AT 12.01 A.M. AND EXPIRING OCTOBER 1, 2022 AT 12.01 A.M. AMERIMN WRECKING, TXC- 2459 LEE AVE, SOUTH EL MONTE, CA 91733 V ,, � I -ik 14 1v E HAVV - "R RIGHVTO MCOVER OUR':VAYMNTS VRObI .'MYONA• �;mtn kw; WtWtftt". ixw�w. I ve'" Y. P,: XO X" Wl". Vido 40, P. OP. MAIR A TART X P 4to 10 i a. wo siluls"T 0 m Or I V v"OR, wnol� THE, 4AW MUD xok� OTI I I 'I iti:W' 1ALD, ' 10 v MY, ALTOS , I AN �g R t! T'k,oit U ITAVIWEI bfvTkllg sw T115 r .. .." '�. � .1 'i. . .' . ay 6TIlerl: IA AT4D, N mis.p.1,10 A P 4, 114 1! 1! �H L Dd 11 0 TO v Ay WAIV9.09" T NPIT1014s, Augmui4T. On L ITATIONtI OF TNI$V4DOh8 FNT. COUNTERSIGNED AN6 ISSURD AT SAN FRANCISCO, OCTOBER 1, 2021 AUTHoR17uD np.mRsOrr. ,IV 'Ivrt PAc6105N.T b47 qRQ holp vow toly? RISV4�*kl4l Ull 217 D� F�T12M8/2025 MD/YYYY) CERTIFICATE 4F LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: It the certificate holder Is an ADDITIONAL INSURED,the policy((es)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Phone: (707)996-2912 CONTACT lerilee Carpenter Fax; (707)996-7912 NAME: I Apollo General Insurance Agency,Inc.(I) PHONE FAAJC No):. I P.O.Box 1508 EMAIL jerileec@apgen.com ADDRESS.• Sonoma,California 95476 INSURERS AFFORDING COVERAGE NAIC N INSURER A: Everest Indemnity Insurance Company 10851 INSURED INSURER B: Everest National Insurance Company 10120 American Wrecking,Inc. INSURER c: State Compensation Insurance Fund Of California 35076 2459 Lee Avenue INSURER D: Tokio Marine Specialty Insurance Company 23850 South El Monte,CA 91733 INSURER E INSURER F; 1 COVERAGES CERTIFICATE NUMBER:1558 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 TYPE OF INSURANCE ADDL SUER POLICY NUMBER PMIDDY EFF MMl00 EXP LIMITS LTR ✓ COMMERCIAL GENERAL LIABILITY CF4GL01371-251 4/28/2025 4/28/2026 EACHOCCURRENCE S 1,000,000 A CLAIMS-MADE OCCUR OAEMI ES Ea occurrence S 300,000 TO RENTED V Y MED EXP(My oneperson) $ ' PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE g 2,000,000 POLICY a JEGT LOC PRODUCTS-COMPIOPAGG S 2,000'000 OTHER: S AUTOMOBILELIABILITY CF4CA01390-251 9/1/2025 9/1/2026 Ea e1W1IdeI1,sINGLE LIMIT S 1,000,000 B ✓ ANY AUTO 130DILY INJURY(Per person) S OWNED F UTOSULED ✓ �( BODILY INJURY(Per eccident) S AUTOS ONLY AS r/ HIRED ✓ NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per acaden1 S UM13RELLALIAB ✓ OCCUR XWSEX00092-251 4/28/2025 4/28/2026 EACHOCCURRENCE $ 5,000,000 A ✓ EXCESSLIABCLAIMS•MADE AGGREGATE S 5,000,000 ` DED RETENTION$ ✓ Y $ WORKERS COMPENSATION �/ PER OTH- C AND EMPLOYERS'LIABILITY 9I61690.24 10/1/2024 10/1/2025 ER ANYPROPRMTOPJPARTNERIEXECUTIVE YIN E.L.EACH ACCIDENT $ 1+000,000 OFFICER1MEMnEREXCLUDED? NIA Y 1'000,000 E (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ € If s,descr ibe under 1,000,00') DESCRIPTION OF OPERATIONS below E.L.DISEASE•POLICY LIMIT $ E D Pollution Liability '� Y PPK2657314.001 2/18/2025 2/18/2026 PerrnddcoL 5,000,000 F A=egate: 5,000,00 If€k DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarke Schedule,may be attached It more spate Is required) i Re: Operations of the Named Insured. City of Santa Ana, its officers, employees, agents, and volunteers are hereby i named as Additional Insured, if required by written contract, per endorsement hereto. Waiver of Subrogation is provided, as required by written contract with the insured as respects coverage evidenced herein. Coverage evidenced herein is primary and non-contributory. A 30-day written notice shall be mailed to the certificate holder at the address provided herein, should a described policy(s) be cancelled before the expiration date thereof; 10-day notice for non-payment of premium. 11 1 CERTIFICATE HOLDER CANCELLATION Holder's Nature of Interest:Additional Insured SHOULD ANY OF THE ABOVE DESCRIBED POLICIES t31:CANCELLED BEFORE City of Santa Ana,M-93 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana,CA 92702 AUTHORIZEAREPRESEN TIVE 411y .. 01988.2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Tu Tran Digitally signed by APPROVED Tu Tran Nguyen Date:2025.09.04 By Tu Tran Nguyen at 3:47 pm,Sep 04,2025 I Nguyen 15:48:31-07'00' i E E{ E E POLICY NUMBER:C)a 4GL01371251 COMMERCIAL GENERAL LIABILITY CG 2012 0413 I THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. E I 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: ANY STATE OR GOVERNMENTAL AGENCY OR SUBDIVISON OR POLITICAL, ; SUBDIVISION AS REQUIRED BY WRITTEN CONTRACT WITH THE NAMED INSURED. THE WRITTEN CONTRACT MUST BE SIGNED PRIOR TO THE DATE OF THE "BODILY INJURY", "PROPERTY DAMAGE", OR "PERSONAL AND ADVERTISING INJURY" . Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to 2. This Insurance does not apply to: include as an additional insured any state or a. "Bodily injury", "property damage" or governmental agency or subdivision or political "personal and advertising injury"arising out subdivision shown in the Schedule, subject to the of operations performed for the federal following provisions: government, state or municipality; or 1. This Insurance applies only with respect to b. "Bodily injury" or "property damage" operations performed by you or on your behalf included within the "products-completed for which the state or governmental agency or operations hazard subdivision or political subdivision has issued B. With respect to the insurance afforded to these a permit or authorization. additional insureds, the following is added to However: Section III —Limits Of Insurance: a. The Insurance afforded to such additional If coverage provided to the additional insured is reqquired by a contract or agreement, the most we insured only applies to the extent permitted will pay on behalf of the additional insured is the by law; and amount of insurance: 3 b. If coverage provided to the additional 1. Required by the contract or agreement; or Insured is required by a contract or 2. Available under the applicable Limits of agreement, the insurance afforded to such Insurance shown in the Declarations; additional insured will not be broader than whichever is less. that which you are required by the contract or agreement to provide for such additional This endorsement shall not increase the insured. applicable Limits of Insurance shown in the Declarations. E I E E CG 2012 0413 © Insurance Services Office, Inc., 2012 Page 1 of 1 INSURED COPY ; I POLICY NUMBER; CF4GL01371-251 i 3 COMMERCIAL GENERAL LIABILITY EGG 04 767 02 16 E THIS INDORSEMENT CHANGES THE POLICY. PLUASE READ IT CAREFULLY. GENERAL LIABILITY ENHANCEMENT ENDORSEMENT This endorsement modifies Insurance provided under the following, COMM513CIAL GENERAL LIABILITY COVERAGE FORM j The following is a summary of the Limits of Insurance and additional coverage provided by this E endorsement. For complete details an specific coverage,please refer to policy language In this endorsement and the underlying commercial General Liability Coverage Form. Coverage Applicable Enhancement Non-Owned Watercraft Less Than 60 Feet I f Supplementary Payments-•Ball Hands $1,000 SunDlementa Payments--Loss Of Earnings $500 per day Newly Acquired organizations--Extended Coverage 180 days Subsidiaries As Insursds Included Fire Damage To Premises Rented To You $600,000 Notice To Company—Duties In The Event Of Broadened Occurrence clalm Or Suit Waiver Of Subro anon Broadened Unintentional Failure To Disclose Haxards Broadened A. Non-Owned Watercraft G. Newly Acquired Organizations—Extended Paragraph 9.(2) under Paragraph 2. Exclusions coverage of Section 1 -- Coverage A l3odlly Injury And paragraph 3.a. under Section it -- Who Is An Property Damage Liability Is replaced by the Insured Is replaced by the following: following: a. Coverage under this provision Is afforded only (2) A watercraft you do not awn that Is: until the 1801h day after you acquire of form (a) Less than 60 feet long;and the organization or the and of the policy period, whichever Is earlier; (b) Not being used to carry persons or property D. Subsidlaries As Insureds for a charge; The following Is added to section 11—Who Is An 6. supplementary Payments—increased Limits Insured: Paragraphs 1.b. and 14 under Supplementary ,4. Any subsidiary company In which you own a Payments coverages A And 8of Section I— flnonclal Interest of more than 60% as of the Coverages are replaced by the following: effective date of this endorsement Is Included 3 b. Up to $1000 for cost of ball bonds required as a Named Insured. However, such i because of accldents or traffic Iaw violations organization Is not a Named Insured: f arising out of the use of any vehicle to which a. If it is a partnership,joint venture or limited the Bodlly Injury Ltabllily Coverage applies.We liability company; do not have to furnlsh these bonds. d. All reasonable expenses Incurred by the b, If there Is other similar Insurance available Insured at our request to assist us in the to II; Investigation or defense of the claim or"suit', c. If there Is other similar Insurance that would Including actual loss of earnings up to $600 a be available to It, but for the termination of day because of time off from work. the insurance or the exhaustion of Its Ilmlts of Insurance;or i EGG 04 767 02 16 Copyright,Everest Reinsurance Company,2010 Page 1 of 2 d Includes copyrighted material of Insurance Services Office, Inc. } used with Its permtsslon lfasua�ocarr � I( • � E E� E I d. After you cease to own a financial Interest G. unintentional Failure To Disclose Hazards of more than 60%. Condition 6,representations under Section IV— 9. Piro Damage To Premises Rented To You— Commercial General liability Conditions Is � Inargased Limits replaced by the fallowing: r Paragraph 6. under Section III — Limits of 6, representations Insurance Is replaced by the following; { 6, Subject to Paragraph 5, above, the most we SY accepting this policy,you agree: will pay under Coverage A for damages it. The statements In the Declarations are because of °properly damage" to any one accurate and complete; premises while rented to you or temporarily b. Those statements are based upon occupied by you with permission of the owner representations you made to us;and Is the greater of: c. We have Issued this policy In reliance upon a, $600.000;or your representations. b. The Damage To Premises Rented To You Any unintentional error or omisslon in the Limit shown In the Declarations. description of,or failure to completely describe, i P,Notleo To company any premises or operations you Intend to be The following Is added to Condition 2, butles In covered by this Coverage Part, will not The Event Of Occurrence, Offense, Claim Or Invalidate or affect coverage for those Suit under Section IV — Commercial General premises or operations. However, you must Liability Conditions: report any such error or omission to us as soon as reasonably possible after its discovery, a. Your failure to first notify us of a claim will not H. Waiver 3ubro anon Invalidate coverage under this polio if the loss g was Inadvertently reported to another Insurer, The I❑Ilowing Is added to Condition 8,Transfer Of i However, you must report any such Rights Of Recovery Against Others To Us of "occurrence" to us within a reasonable ilme Section IV Commercial General Liability once you become aware of such error. Conditions: We waive any right of recovery we may have against any person or organization because of payments we make for Injury or damage arising out DI your operations or"your work"done under a i written agreement that requires you to waive your rights of recovery,The written agreement must be E made prior to the date of the"occurrence". 4 i I i i i 1 jr Ik 1 I i J ` ' If i E Pa®e 2 of 2 Copyright, Everest Reinsurance Company,2046 SCG 04 76102 16 Includes copyrighted material of Insurance Services Office, lnc. J used with its permission ( ]] rNBUfl�CgPY � I 1 I i POLICY NUMBER: CF4GL01371-251 i i i i COMMERCIAL MINERAL LIABILITY CG 20 01 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. j l PRIMARYAND NONCONTRIBUTORY - OTHER INSURANCE CONDITION { 9 This endorsement modifies insurance provided under the following: j i COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART i 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 I contrary; primary and would not seek contribution Primary And Noncontrlbutery 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 s to an additional Insured under your policy provided that: (1) The additional Insured Is a Named Insured under such other Insurance;and 1 3 F 5 f 1 1 f t } 3 F f i r i • E s j CG 20 01 0413 0 Insurance Services Office, Inc.,2012 Page 1 of 1 E INSURED COPY ' I I€ I Policy#CF4CA01390-251 COMMERCIAL AUTO CA 20 48 10 13 i i THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. I DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE E This endorsement modifies insurance provided under the following: � b I ; AUTO DEALERS COVERAGE FORM f BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s)or organization(s)who are"Insureds"for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. x This endorsement changes the policy effective on the inception date of the policy unless another date Is indicated below. s Named Insured: f Endorsement EffbdWe Date: i SCHEDULE I 5 Name Of Person(s) Or Organization(s): r ALL PERSONS OR ORGANIZATIONS AS REQUIRED BY WRITTEN CONTRACT WITH THE z � NAMED INSURED. THE WRITTEN CONTRACT MUST BE SIGNED PRIOR TO THE DATE OF THE "ACCIDENT" . i f r Information required to complete this Schedule if not shown above will be shown in the Declarations. Each person or organization shown In the Schedule is an "insured"for Covered Autos Liability Coverage, but i only to the extent that person or organization qualifies i as an "Insured" under the Who Is An Insured provision contained in Paragraph A.I. of Section II — Covered Autos Liability Coverage In the Business 1 Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. I i 3 i i i CA 20 48 10 13 ®Insurance Services Office, Inc.,2011 Page 1 of 1 WSUREo CCPY I ' I 1 1 i Policy#CF4CA01390-25i COMMERCIAL AUTO ' ECA 24 509 04 14 I THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. i PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION - BLANKET This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE PART j Paragraph c. of the Other Insurance General Condition is replaced by the following: c. Regardless of the provisions of Paragraph a. above, this Coverage Form's Liability Coverage Is primary and we will not seep contribution from any other insurance for any liability assumed under an "insured contract' that requires liability to be assumed on a primary noncontributory basis. Additionally, only the coverage and limit of insurance requirements of the "insured contract" shall apply, and in no event shall those requirements exceed the coverage and limits of insurance provided under this policy. i i i F i 3 E I I i I E E I E E� i E E E E E t f ECA 24 509 04 14 Copyright, Everest Reinsurance Company, 2014 Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., used with its permission 1 INSUREO COPY i I Policy#CF4CA01390-251 COMMERCIAL AUTO ECA 24 503 02 14 THIS ENDORSEMENT CHANGES THE, POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: i I AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM I SCHEDULE Name of Person or Organization: ALL PERSONS OR ORGANIZATIONS AS REQUIRED BY WRITTEN CONTRACT WITH THE NAMED INSURED. THE WRITTEN CONTRACT MUST BE SIGNED PRIOR TO THE DATE OF THE"ACCIDENT". i i i 1 (If no entry appears above, Information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) i The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition Is amended by the addition of the following; i We waive any right of recovery we may have against the person or organization shown In the Schedule above t because of payments we make for an "accident" or 'loss", provided that you are required under a written agreement to waive your rights of recovery. The written agreement must be made prior to the date of the `accident`or"loss".This waiver applies only to the person or organization shown In the Schedule above. E } i i i s 1 i I 1 ECA 24 503 02 14 Copyright, Everest Reinsurance Company,2014 Page 1 of 1 O Includes copyrighted material of Insurance Services Office, Inc., used with Its permission. INSURED COPY k ENDORSEMENT AGREEMENT STATE WAIVER OF SUBROGATION REP 09 `INSURANCS BLANKET BASIS 9161690-24 ; FUND RENEWAL NA HOME OFFICE 4-56-90-87 SAN FRANCISCO EFFECTIVE OCTOBER 1, 2024 AT 12 . 01 A.M. PAGE 1 OF 1 ALL EFFECTIVE DATES ARE AND EXPIRING OCTOBER 1 , 2025 AT 12 . 01 A.M. AT 12:01 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME AMERICAN WRECKING, INC. 2459 LEE AVE SOUTH EL MONTE, CA 91733 A 1 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 JOB DESCRIPTION ANY PERSON OR ORGANIZATION BLANKET WAIVER OF FOR WHOM THE NAMED INSURED SUBROGATION HAS AGREED BY WRITTEN j CONTRACT TO FURNISH THIS WAIVER i I I I NOTHING IN THIS ENDORSEMENT SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY i 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 SAANFRFRANCISCO: OCTOBER 2, 2024 2572 AUTHORIZED REPRESENT IVE PRFSII]FNT AND ( F() CITY OF SANTA ANA Risk Management a division of Human Resources Managing Risk through Awareness and Action AFFIDAVIT OF EXEMPTION FOR PROFESSIONAL LIABILITY INSURANCE I Maria Esquer Re resentative(" p "),attest that I am an authorized (Name and Title of Vendor Representative) representative of American Wrecking, Inc. ("Company"), and (Consultant/Company Name) possess the authority to legally bind Company. In my capacity as Representative of Company, I represent and confirm the following, as relates to the agreement between Company and City of Santa Ana, agreement number A-2022-065-04 ("Agreement")to provide On-Call Demolition Services ("Services"): (Services to be provided under agreement/contract) During the course and scope of Company's agreement with the City of Santa Ana, Company will not use the services of an expert necessitating professional liability/errors &omissions liability insurance coverage in the performance of Services to, for, or on behalf of City of Santa Ana. If at any time it is found that Company is not adhering to any and/or all of the statements in this document and does not maintain the minimum professional liability insurance coverage as required in the Agreement, it will be considered a breach of Agreement rendering the Agreement null and void and Company will be fully liable for any and all damages. Maria Esquer Digitally signed by Maria Esquer Date: 2025.03.13 10:44:35-07'00' 3/13/2025 Signature Date Maria Esquer Print Name Project Coordinator Title (626) 350-8303 - maria@americanwreckinginc.com Contact Information,i.e.,Telephone Number and/or Email Address Affidavit of Exemption for Professional Liability Insurance 11.12.2024 DATE(MMIDDlYYYY) .4coRo CERTIFICATE OF LIABILITY INSURANCE F4/28/2026 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS i CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES 3 BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. I 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 fleu of such endorsements. PRODUCER Phone: (707)996-2912 T Jerilee Carpenter Fax: (707)996-7912 NAME: Apollo General Insurance Agency,Inc.(1) PHONE ac Ne P.O.Box 1508 E-MAIL DD SS: Jerileec@apgen.com Sonoma,California 95476 INSURERS AFFORDING COVERAGE NAIC9 INSURER A; Everest Indemnity Insurance Company 10851 I INSURED INSURER a: Everest National Insurance Company 10120 American Wrecking,Inc. INSURER C: State Compensation Insurance Fund Of California 35076 2459 Lee Avenue INSURER D: Tokio Marine Specialty Insurance Company 23850 South El Monte,CA 91733 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1594 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 TYPE OF INSURANCE ADDL SUER POL€CY EFF POLICY EXP LIMITS LTR POLICYNUMBER MMIDDIYYYY MMIDD ✓ COMMERCIALGENERALLIABILITY CF40LO1371-261 4/28/2026 4/28/2027 EACHOCCURRENCE S 1,000,000 A CLAIMS-MADE FI OCCUR PREMISET EaEoccu ence $ 344,400 5000 ✓ MED EXP Any oneperson $ ' PERSONAL BADVINJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JEC LOG PRODUCTS-COMPIOPAGG $ 2,000,000 OTHER: S AUTOMOBILE LIABILITY CF4CA01390-251 9/1/2025 9/l/2026 Eaa SINGLE LIMIT $ 1,000,000 B ✓ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ ✓ r/ HIRED ✓ NONOWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident 3 UMBRELLA LIAB ✓ OCCUR XW5EX00092-261 4/28/2026 4/28/2027 EACHOCCURRENCE $ 2,000,000 A ✓ EXCESS LIAR Z 004 CLAIMS-MADE AGGREGATE $ > ,OOO BED I RETENTION$ ✓ $ WORKERS COMPENSATION 9161690-25 40/4/2025 l0/1/2026 '� STATUTE OR" C ANO EMPLOYERS'LIABIL€TY ANYPROPRIETORIPARTNERIEXECUTIVE YIN e000 040 ❑ NIA E.L.EACH ACCIDENT $ 1 OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,desaibe under 1 000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ D Pollution Liability ✓ PPK2657314-002 2/18/2026 2/18/2027 Pe Incident 5,000,000 Per AAWekate: 5,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more apace Is required) Re: Contract A-2022-065-04. Operations of the Named Insured. City of Santa Ana, its officers, employees, agents, and volunteers are hereby named as Additional Insured, if required by written contract, per endorsement hereto. waiver of Subrogation is provided, as required by written contract with the insured as respects coverage evidenced herein. Coverage evidenced herein is primary and non-contributory. A 30-day written notice shall be mailed to the certificate holder at the address provided herein, should a described policy(s) be cancelled before the expiration date thereof; 10--day notice for non-payment of premium. i APPROVED CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 9:54 am,May 11,2026 Holder's Nature of Interest:Additional Insured s SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City OFSanla Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attention: Public Works Agency AUTHORIZEDREPRESEN TIME IP estgn Engineering I 20 Civic Center Plaza,M-36 Santa Ana,CA 92702 "/ O 1988-2016 ACORD CORPORATION. All rights reserved. I ACORD 26(2016103) The ACORD name and logo are registered marks of ACORD l f I DATE(MFAMONYYY) AG'QRl3� CERTIFICATE OF LIABILITY INSURANCE 5/6/2026 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements. PRODUCER Phone: f707)996-29t2 CONTACT Jerilee Carpenter Fax: f707)996-79t2 NAME: Apollo General Insurance Agency,Inc.{I) PHON£ AJ No: P.O.Box 1508 ADDRESS: jerileecQapgen.com SOnonia,California 95476 INSURER[SJ AFFORDING COVERAGE NA4G 0 INSURER A: Axis Surplus Insurance Company 26620 INSURED INSURER B: Mt.Hawley Insurance Company 37974 American Wrecking,Inc. INSURERC: II 2459 Lee Avenue INSURER D: South El Monte,CA 91733 INSURER E: j INSURER F: I COVERAGES CERTIFICATE NUMBER:1595 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. ILTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MIOLICBY EFF M EXP-MO LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR PREMISES Ee occu ence $ MED EXP Any one person $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑PECT RO ❑LOC PRODUCTS-COMPIOPAGG $ J OTHER: 3 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Par accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY P r n S UMBRELLALIAB ✓ OCCUR P-001-001962897 4/28/2026 4/28/2027 EACH OCCURRENCE 3 3,000,000 A ✓ EXCESS LIAR 3 000,000 CLAIMS MADE ✓ 2nd Layer AGGREGATE S DEG RETENTION S 3 { WORKERS COMPENSATION E AND EMPLOYERS'LIABILITY YIN PER ATUTE ERH- ANYPROPRIETORIPARTNER/EXECUTIVE El N f A E.L.EACH ACCIDENT $ OFFICERIMEMBEREXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ !k If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ B Pollution Liability ✓ MXL0442876 2/18/2026 2/18/2027 F&haa 5,000,000 2nd layer XS Euh rncident 5,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101.Addtttonar Remarks Schedule,may be attached If more space Is required) i Re: Contract A-2022-065-04. j RE: Excess Liability is Follow Form to Primary policies and the 1st layer Excess policy. Excess Pollution Liability is Follow Form to Primary Pollution policy. i APPROVED By Tu Tran Nguyen at 9:54 am,May 11,2026 CERTIFICATE HOLDER CANCELLATION Holdees Nature of Interest:Additional Insured SHOULC!ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Arta THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attention: Public Works Agency CIP/Design Engineering AUTHORiZEDREPRESENUTNE 20 Civic Center Plaza,M-36 f�j//v Santa Ana,CA 92702 4"y/"." ©1988-2015 ACORD CORPORATION, All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD I 3 E POLICY NUMBER: Cl;4GL01371-261 COMMERCIAL GENERAL LIABILITY CG 2012 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - STATE OR GOVERNMENTAL 5 AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS f This endorsement modifies Insurance provided under the following: # COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE ` i State Or Governmental Agency Or Subdivision Or Political Subdivision: ANY STATE OR GOVERNMENTAL AGENCY OR SUBDIVISON OR POLITICAL SUBDIVISION AS REQUIRED BY WRITTEN CONTRACT WITH THE NAMED INSURED. THE WRITTEN CONTRACT MUST BE SIGNED PRIOR TO THE DATE OF THE "BODILY INJURY", "PROPERTY DAMAGE", OR "PERSONAL AND ADVERTISING INJURY" . € t s Information required to complete this Schedule, If not shown above,will be shown In the Declarations. € A Section II — Who Is An Insured is amended to 2. This insurance does not apply to: include as an additional insured any state or a. "Bodily injury", "property damage" or governmental agency or subdivision or political "personal and advertising in'ury"arising out subdivision shown in the Schedule, subject to the of operations performed for the federal } following provisions: government,state or municipality; or 1, This Insurance applies only with respect to b. "Bodily Injury" or 'property damage" operations performed by you or on your behalf included within the 'products-completed for which the state or governmental agency or operations hazard". subdivision or political subdivision has issued B. With respect to the insurance afforded to these a permit or authorization, additional insureds, the following is added to Section III—Limits Of Insurance: However: If coverage provided to the additional Insured is a. The insurance afforded to such additional required by a contract or agreement, the most we insured only applies to the extent permitted will pay on behalf of the additional insured is the # by law;and amount of insurance: b. If coverage provided to the additional 1. Required by the contract or agreement; or Insured is required by a contract or 2. Available under the applicable Limits of i agreement, the insurance afforded to such Insurance shown in the Declarations; additional Insured will not be broader than whichever is less. that which you are required by the contract or agreement to provide for such additional This endorsement shall not Increase the Insured. applicable Limits of Insurance shown in the Declarations. E CG 2012 0413 © Insurance Services Office, Inc., 2012 Page 1 of 1 W8URED COPY i Policy Number: CF4GLQ1371-261 ADDITIONAL INSURED _ OWNERS, LESSEES OR CONTRACTORS -- SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Locations Of Covered Operations 1 ANY PERSON OR ORGANIZATION THAT ENTERED ANY LOCATION FOR WHICH THE INTO A WRITTEN CONTRACT WITH THE NAMED NAMED INSURED WORK IS INSURED REQUIRING SUCH PERSON(S)OR PERFORMED FOR SUCH PERSON(S)OR ORGANIZATION(S)TO BE INCLUDED AS AN ORGANIZATION (S) ADDITIONAL INSURED WITH RESPECT TO THE NAMED INSURED'S PERFORMANCE OF r OPERATIONS AT ANY LOCATION ON BEHALF OF SUCH PERSON(S)OR ORGANIZATION(S). F A. Section 11 -- Who is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for"bodily injury", "property This insurance does not apply to "bodily Injury" or damage "personal personal and advertising injury" °property damage"occurring after: i caused,In whole or in part, by: 1< Your acts or omissions;or 1. All work, including materials, parts or equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the proje�F- (other than service, behalf; maintenance or repala. to be performed by or j in the performance of your ongoing operations for on behalf of the ad dlonal insured(s) at the the additional Insured(s) at the location(s) location of the covered operations has been designated above. completed, or However: 2. That portion of "your work" out of which the injury or damage arises has been put to its 1. The insurance afforded to such additional intended use by any person or organization insured only applies to the extent permitted by other than another contractor or subcontractor law; and engaged in performing operations for a (. 2. If coverage provided to the additional insured is principal as a part of the same project. required by a contract or agreement, the 1 insurance afforded to such additional insured will not be-broader than that which you are j required by the contract or agreement to provide for such additional Insured. i E f I CG 20 10 04 13 ®Insurance Services Office, Inc., 2012 Page 9 of 10 ❑ 1NSURE©CAPY I i I C. With respect to the insurance afforded to these 2. Available under the applicable Limits of additional insureds, the following is added to Insurance shown in the Declarations; Section III—Limits Of Insurance: If coverage provided to the additional insured Is whichever is less. required by a contract or agreement, the most we This endorsement shall not increase the will pay on behalf of the additional insured Is the applicable Limits of Insurance shown in the amount of insurance: Declarations. 1. Required by the contract or agreement; or r � 3 3f 3 I 2 I I I I I i 2 i E Page 10 of 10 ©Insurance Services Office, Inc.,2012 CG 2010 0413 Insuseo COPY i f 3 i i POLICY NUMBER: CF4GL01371-261 COMMERCIAL GENERAL LIABILITY CG 20 37 0413 i 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: I COMMERCIAL GENERAL LIABILITY COVERAGE PART i PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART � I i SCHEDULE Name Of Additional Insured Person(s) Or Or anIzation s Location And Description Of Completed Operations ANY PERSON OR ORGANIZATION THAT ENTERED INTOANy LOCATION rOR WHICH THE NAMED INSURED'S WRITTEN CONTRACT WITH THE NAMED INSURED WORK WAS PERFORMED rOR SUCH PERSONS) OR QUIRING SUCH PERSONS) OR ORGANIZATION(S) ORGANIZATION(S) FOR ANY COMPLETED OPERATION TO BE INCLUDED AS AN ADDITIONAL INSURED. i it } f E E r Information required to complete this Schedule, if not shown above will be shown in the Declarations. i A. Section It — Who Is An Insured is amended to However: Include as an additional insured the person(s) or 1. The insurance afforded to such additional organization(s) shown in the Schedule, but only insured only applies to the extent permitted by with respect to liability for "bodily injury" or law, and "property damage"caused, in whole or in part, by your work" at the location designated and 2. If coverage provided to the additional insured is described in the Schedule of this endorsement required by a contract or agreement, the performed for that additional insured and insurance afforded to such additional insured will included in the "products-completed operations not be broader than that which you are required hazard". by the contract or agreement to provide for such additional Insured. i CG 20 37 0413 ©Insurance Services Office, Inc., 2012 Page 1 of 2 INSURED COPY I I f B. With respect to the insurance afforded to these additional insureds, the following is added to Section Ill—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 i amount of Insurance; 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown In the Declaratlons; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. i T i i i I 4 i i 3 j 3 1 I 1 I I i I i 1 Page 2 of 2 ©Insurance Services Office, Inc., 2012 CG 20 37 0413 13 iNsuREO COPY ' f i Policy Number: CF4GL01371-261 COMMERCIAL GENERAL LIABILITY ECG 04 767 02 16 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. GENERAL LIABILITY ENHANCEMENT ENDORSEMENT This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM 5 The following is a summary of the Limits of Insurance and additional coverage provided by this i endorsement. For complete details on specific coverage, please refer to policy language in this endorsement and the underlying Commercial General Liability Coverage Form, i i Coverage Applicable Enhancement Non-Owned Watercraft Less Than 50 Feet Supplementay Payments—Ball Bonds $1,000 Supplementary Pa ments—Loss Of Earnings $600 per day Newly Acquired Organizations—Extended Covera a 180 days I Subsidiaries As Insureds Included i Fire Damage To Premises Rented To You $500,000 ? F Notice To Company—Duties in The Event Of Broadened Occurrence Claim Or Suit Waiver Of SubrGgation Broadened Unintentional Failure To Disclose Hazards Broadened A. Non-Owned Watercraft C. Newly Acquired Organizations—Extended Paragraph g.(2) under Paragraph 2. Exclusions Coverage of Section I — Coverage A Bodily Injury And Paragraph 3.a. under Section 11 — Who Is An Property Damage Liability is replaced by the Insured is replaced by the following: following: a. Coverage under this provision is afforded only (2) A watercraft you do not own that is: until the 180th day after you acquire or form (a) Less than 50 feet long;and the organization or the end of the policy period, i whichever is earlier; (b) Not being used to carry persons or property D. Subsidiaries As Insureds for a charge; B. Supplementary Payments—Increased Limits The following is added to Section !I -Who Is An Insured; 1 Paragraphs 1.b. and Il.d. under Supplementary Payments — Coverages A And B of Section I — 4. Any subsidiary company in which you own a ; Coverages are replaced by the following: financial Interest of more than 506/o as of the b. u #o $1000 for cost of bail bonds required effective date of this endorsement is included p q as a Named Insured. However, such because of accidents or traffic law violations organization is not a Named Insured: arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We a. If it is a partnership, joint venture or limited do not have to furnish these bonds. liability company; d. All reasonable expenses incurred by the b. If there is other similar insurance available insured at our request to assist us in the to It; Investigation or defense of the claim or "suit", c. If there Is other similar insurance that would i including actual loss of earnings up to $500 a be available to it, but for the termination of I day because of time off from work. the insurance or the exhaustion of Its limits of insurance; or ECG 04 767 02 16 Copyright, Everest Reinsurance Company, 2016 Page 1 of 2 Includes copyrighted material of Insurance Services Office, Inc. used with its permission INSURED 00py i F d. After you cease to own a financial interest G. Unintentional Failure To Disclose Hazards of more than 50%. Condition 6. Representations under Section IV— E. Fire Damage To Premises Rented To You— Commercial General Liability Conditions is ` Increased Limits replaced by the following: Paragraph 6. under Section III — Limits of 6. Representations Insurance is replaced by the following; 6. Subject to Paragraph S. above, the most we SY accepting this policy,you agree: will pay under Coverage A for damages a. The statements in the Declarations are because of `properly damage" to any one accurate and complete; premises while rented to you or temporarily b. Those statements are based upon occupied by you with permission of the owner representations you made to us; and is the greater of: c. We have issued this policy in reliance upon a, $500,000;or your representations. ; b. The Damage To Premises Rented To You Any unintentional error or omission in the Limit shown in the Declarations. description of, or failure to completely describe, E F.Notice To Company any premises or operations you intend to be The following is added to Condition 2. Duties In covered by this Coverage Part, will not i The Event Of Occurrence, Offense, Claim Or invalidate or affect coverage for those Suit under Section IV — Commercial General premises or operations. However, you must Liability Conditions: report any such error or omission to us as soon e. Your failure to first notify us of a claim will not as reasonably possible after its discovery. invalidate coverage under this policy if the loss H. Waiver Of Subrogation was inadvertently reported to another insurer. The following is added to Condition 8.Transfer Of However, you must report any such Rights Of Recovery Against Others To Us of "occurrence" to us within a reasonable time Section IV — Commercial General Liability once you become aware of such error. Conditions: We waive any right of recovery we may have against any person or organization because of payments we make for injury or damage arising out of your operations or"your work"done under a written agreement that requires you to waive your rights of recovery. The written agreement must be made prior to the date of the"occurrence". i i � I I E , €E 4 {! I f fE f I � 1 E 3 I I Page 2 of 2 Copyright, Everest Reinsurance Company, 2016 ECG 04 767 02 16 13 Includes copyrighted material of Insurance Services Office, Inc. used with its permission INSURED COPY 3 I Policy Number: CF4GL01371-261 COMMERCIAL GENERAL LIABILITY CG 20 01 0413 f THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARYAND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies Insurance provided under the following: 3 COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART i The following is added to the Otter 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 Pri nary 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 i provided that: (1) The additional insured is a Named Insured under such other Insurance;and i s i E l I I 4 i f i I r i I € E i } t ! I' f CG 20 010413 ®Insurance Services Office, Inc., 2012 Page 1 of 1 I INSURED COPY i