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HomeMy WebLinkAboutCHAMBERS GROUP, INC. (8) A-2023-194-02A MAYOR t ACTING CITY MANAGER Valerie Amezcua Alvaro Nunez MAYOR PRO TEM '_ '` CITY ATTORNEY Thai Viet Phan = 1 Sonia R.Carvalho COUNCILMEMBERS "- iift. 1;'* ' CITY CLERK Phil Bacerra r_ .- Jennifer L.Hall Johnathan Ryan Hernandez �" Jessie Lopez , , David Penaloza - Benjamin Vazquez CITY OF SANTA ANA INSURANCE ON FILE PLANNING AND BUILDING AGENCY WORK MAY PROCEED 20 Civic Center Plaza•P.O.Box 1988 UNTIL INSURANCE EXPIRES Santa Ana,California 92702 5 I I z1 (9bd- www.santa-ana.orq CITY CLERK DATE: June 18,2024 D vo,A-C.0) 1)1 I;t1.9-0 Chambers Group,Inc. ra "" v`c 3151 Airway Ave., Suite F208 Costa Mesa,CA 92626 Re: California Environmental Quality Act(CEQA)Peer Review for the Saigon Reform Presbyterian Church Project Pursuant to Section 1 ("Scope of Services") of Agreement No. A-2023-194-02 entered into by Chambers Group, Inc.("Consultant")and the City of Santa Ana,dated November 7,2023,Consultant hereby accepts this Letter Agreement for an assignment for on-call environmental and planning services for the project listed above. City recognizes that Consultant began services, consistent with the terms of the Agreement, on March 5,2024 and completed the services on May 31,2024 as provided in Consultant's proposal dated January 30,2024,attached hereto as Exhibit A to this letter agreement. Compensation is subject to Section 2 of the Agreement and the total compensation for this assignment shall not exceed$11,168.All other terms and conditions of said Agreement remain unchanged and in full force and effect. If you have any questions regarding this project,please contact Heidi Jacinto in the Planning and Building Agency at(714)667-2725 or HJacinto@santa-ana.org. Sincerely, Minh Thai CHAMBERS GROUP, INC. Executive Director Mike McEntee Planning&Building Agency Principal APPROVED AS TO FORM: Sonia R. Carvalho City Attorney J e Montoya Assistant City Attorney SANTA ANA CITY COUNCIL Valene Amezcua Thai Viet Phan Benjamin Vazquez Jessie Lopez Phil Bacerra Johnathan Ryan Hemandez David Penaloza Mayor Mayor Pro Tern,Ward 1 Ward 2 Ward 3 Ward 4 Ward 5 Ward 6 vamezcuaasanta-ana.orq Iphan5 santa-ana.orq 6vazquezresanta-ana.orq jessielooezCalsanta•ana.orq phacerraiBlsantaana.orq jrvanhemandezlesanta-ana.orq dpenalozansanta-ana.orq Saigon Reform Presbyterian Church EXHIBIT A CHAMBERS City of Santa Ana GROUP June 12,2024 64389_REV 1 Heidi Jacinto,Assistant Planner II 20 Civic Center Plaza Santa Ana, CA 92701 Subject: CEQA Exemption Peer Review for the Saigon Reform Presbyterian Church Dear Heidi Jacinto, We would like to thank you for reaching out to Chambers Group to provide this proposal to peer review the California Environmental Quality Act (CEQA) exemption and technical studies for the construction of a worship building, the Saigon Reform Presbyterian Church (Project/Proposed Project), to be located at 5321 West McFadden Avenue in the City of Santa Ana (City) (Project site).The Project site was previously developed with a church and was destroyed by a fire in 2005.There are two office buildings,surface parking, landscaping, and a previous church foundation remaining on site. The proposed development of Saigon Reform Presbyterian Church consists of a 6,000-square-foot worship building, a 2,665-square-foot multipurpose building, exterior modifications, the creation of a new driveway, reconfiguration of the parking lot, and rehabilitation of the onsite landscaping. We understand that a CEQA infill exemption, Air Quality and Greenhouse Gas (GHG) Evaluation, and Focused Traffic Impact Study were prepared for the Proposed Project.The purpose of conducting this peer review is to provide a legally adequate, unbiased, qualified, and objective "Third Party" review of the Notice of Exemption (NOE) and associated air quality,greenhouse gas, and traffic studies.The results of the peer review will serve as an informational document for the Proposed Project proponent,the public,the City staff,the Planning Commission, and the City Council. Technical review of the air quality,energy, GHG, and traffic reports will be reviewed by the following subconsultants: • Vista Environmental-Air Quality and GHG Evaluation • General Technologies and Solutions(GTS)—Focused Traffic Impact Study Should further detailed technical reviews be necessary, a revised scope will be provided. Chambers Group can commence work on this project as soon as we receive written notice to proceed (NTP). We will accomplish the scope of work as described below. Scope of Work The Third-Party peer review, which will include a review of the CEQA Categorical Exemption (CE) and associated technical studies for the Proposed Project, will be conducted to meet the statutory requirements of CEQA. Chambers Group's team is divided into two primary components:overall CEQA adequacy review and Subject Matter Expert(SME) review. The Chambers Group team consisting of environmental planners, biologists, and cultural resources specialists will provide a CEQA adequacy review of the documents' respective sections, supervision of the SMEs' review, and examine the document from the aspect of overall policy considerations, analysis, and CEQA compliance. SMEs will perform an adequacy review of their corresponding sections of the document and associated technical reports to confirm the legal adequacy of the analysis and provide recommendations and suggested edits to the documents. The peer review will consist of an analysis of all pertinent resources related to the technical document needed. Chambers Group will prepare a comment matrix that will indicate deficiencies or questions to clarify or bring a particular document into conformance with CEQA. Our scope assumes one single round of review, a review of responses to the comment matrix,and two rounds of comments.Should additional rounds be required,a separate scope and cost will be prepared. We assume we will receive the following documents from the City and/or Project Applicant: • CEQA Exemption Memorandum and NOE Est 1979 www.chambersgroupinc.com Saigon Reform Presbyterian Church CHAMBERS City of Santa Ana GROUP • Air Quality,GHG Evaluation,and Focused Traffic Impact Study Reports Project Management hours have been incorporated into this scope of work. Project Management tasks cover communication and coordination with the City, coordination with staff for the completion of impact analysis, and Project progress and budget monitoring.Attendance at any City or public meetings,including Planning Commission and City Council meetings,is not included.Should the Project require further coordination than anticipated,or if attendance at public meetings is requested, Chambers Group can attend on a time and materials basis. Assumptions • This scope does not include any onsite survey, testing, data recovery, analysis, monitoring, reporting, or similar programs. • The cost assumes peer review of documents/reports prepared as noted in the RFP. If any additional technical studies require peer review,or if there are significant changes required after the first round of review, an updated scope and cost will be necessary. • This scope assumes no more than two rounds of review, and one virtual meeting lasting no more than 1 hour to discuss the comments. • This scope assumes that all necessary project information to support the analysis will be received. • If the project description, site plan, or technical studies are revised beyond addressing comments,any revisions to the comments will be done under a separate estimate. • This assumes the CEQA Exemption Memorandum and NOE does not exceed 50 pages in text and no other technical studies are received. COSts The services described in each task will be performed on a fixed-fee basis.This estimate was determined based on the information provided in the RFP, and the expected level of effort to review and provide suggested revisions/analysis, and assumptions provided above. For contract information, refer to master agreement,A-2023-194-02. TASK COST ESTIMATED SCHEDULE Task 1:CEQA Exemption Memorandum $5,556.00 Upon receipt of all documentation, Task 2:Air Quality and GHG Evaluation $1,127.00 preliminary review comments will be Task 3:Focused Traffic Impact Studyprovided within 2 weeks. ff p $4,485.00 Responses to the comments received TOTAL $11,168.00 from the City or Project Applicant will be reviewed within 1 week. 040 2 Est as"d339 1;"ili‘'1979 www.chambersgroupinc.com ____..--...41 CHAMGRO-01 RENAS `4��R� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 5/10/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER License#0M10410 j CCONT•CT Armstrong/RobitaillelRiegle Business and Insurance Solutions Dig A; N oig� �_ OAng i-e FAX 1500 Quail St,Suite#100 (A/C,No):(949)861-9429 Newport Beac1•I CA 92660 • /� �� ACe gp.ceve _INSURER(5r)1�AF�FO�RIDING CO^V�ERAGE _ NAIC#�a @/ �m D17370 INSUREDge _07II • ER B_Key_Risk Insurance Company 10885. Chambers Group Inc. '-4WJRER c:Insurance_ Co of the West 27847 3151 Airway Ave,Suite F208 INSURER 0: Costa Mesa,CA 92626 - - INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD IMM/DD/YYYYI (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR ECP2026303-16 5/12/2024 5/12/2025 DAMAGES iroNci D 100,000 X X PREMISES R occurrence) $ _ MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ _ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY x PEA LOC PRODUCTS-COMP/OPAGG $ 1,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ X ANY AUTO BAP2037737-12 5/12/2024 5/12/2025 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS pBODILY INJURYp (Per accident) $ X AUTOS ONLY _X. AUUTO ONLYY (Perr accident AMAGE $ $ A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 X EXCESS LIAB CLAIMS-MADE FFX2026322-16 5/12/2024 5/12/2025 AGGREGATE $ 10,000,000 DED RETENTIONS $ C WORKERS COMPENSATION X STATUTE OTH- ER AND EMPLOYERS'LIABILITY YIN WSD 5055233 04 5/12/2024 5/12/2025 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE _E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Pollution Liability ECP2026303-16 5/12/2024 5/12/2025 Limit 1,000,000 A Professional Liab. ECP2026303-16 5/12/2024 5/12/2025 Limit 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Santa Ana,officers,agents,employees,and volunteers are included as additional insured per the attached form. Waiver of Subrogation applies to the General Liability policy per the attached form. Primary/Non-Contributory wording applies to the General Liability policy per the attached form.30 Day Notice of Cancellation with the exception of 10 days for non-payment of premium. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBFD POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREO\ City of Santa Ana ACCORDANCE WITH THE POLICY PR( Risk ManagemattDtviston Risk Management Division .-"'. 20 Civic Center Plaza 2, REViEwm&APPROVED BY: Santa Ana,CA 92702 AUTHORIZED REPRESENTATIVE 1I,, 1. A' A6evda 7)aw � •., �4�' Risk Management Specialist I ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF SUBROGATION (TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US) AUTOMATIC STATUS - COVERAGE A, B & D Policy Number Policy Effective Date Policy Expiration Date Endorsement Effective Date ECP2026303-16 5/12/2024 5/12/2025 5/12/2024 This endorsement modifies insurance provided under the following: ENVIRONMENTAL COMBINED POLICY I. The following is added to Paragraph 17. Subrogation of SECTION VII—CONDITIONS: We waive any right of recovery against any person(s) or organization(s) because of payments we make under COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY, COVERAGE B — PERSONAL AND ADVERTISING INJURY LIABILITY, and COVERAGE 0—CONTRACTORS POLLUTION LIABILITY under this policy. Such waiver by us applies only if: 1. The insured has agreed in writing in a contract or agreement with such person(s) or organization(s) to waive its right of recovery; and 2. The insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This waiver does not apply in any jurisdiction where such waiver is held to be illegal or against public policy or in any situation where the person(s) or organization(s) against whom subrogation is to be waived is found to be solely negligent. This endorsement does not apply to any person(s) or organization(s) designated in a SCHEDULE of person(s) or organization(s) against whom rights of recovery have been waived. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. "=E Risk Management Divt ion 3`RiF REVIEWED&APPROVED 8Y: ai A Acavielo Risk Management Specialist z ECP 1260 01 21 Includes copyrighted material of Insurance Services Office,Inc., used with its permission. Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -- OWNERS, LESSEES OR CONTRACTORS AUTOMATIC STATUS -COMPLETED OPERATIONS - COVERAGE A, D.1 & D.4 Policy Number Policy Effective Date Policy Expiration Date Endorsement Effective Date ECP2026303-16 05/12/2024 5/12/2025 5/12/2024 This endorsement modifies insurance provided under the following: ENVIRONMENTAL COMBINED POLICY I. SECTION III—WHO IS AN INSURED is amended to include as an additional insured: 1. Any person or organization for whom you have performed operations when you and such person or organization have agreed in writing in a contract or agreement, in effect during this policy period, that such person or organization be added as an additional insured on this policy; and 2. Any other person or organization you are explicitly required to add as an additional insured under the contract or agreement described in Paragraph 1.above. Such contract or agreement must be executed and in effect prior to the performance of your work included in the products-completed operations hazard which is the subject of such contract or agreement. Such person(s)or organization(s) is an additional insured only with respect to liability for bodily injury or property damage under SECTION I — COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY, Coverage D.1 — Contractors Pollution Legal Liability and Coverage D.4—Microbial Substance Contractors Pollution Liability, directly caused by your work performed for the additional insured described in Paragraph 1. or 2.above, and included in the products-completed operations hazard. However, the insurance afforded to such additional insured described above: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured; and c. Will not extend beyond that which is provided to you in this policy. II. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: a. Bodily injury or property damage arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: (1) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (2) Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the occurrence which caused the bodily injury or property damage involved the rendering of, or the failure to render any professional architectural, engineering or surveying services. III. With respect to the insurance afforded to these additional insureds, the following is added to SECTION V— LIMITS OF INSURANCE: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement described in Paragraph 1.1.; or 2. Available under the applicable limits of insurance; Risk Atonement Mist= whichever is less. o�! `, = REVIEWED&APPROVED BY: This endorsement shall not increase the applicable limits of insurance. '` '' Affp Ace, oigramms Risk Management Specialist I IV. With respect to the insurance afforded to these additional insureds, the following / 44, ECP 1248 01 21 Includes copyrighted material of Insurance Services Office,Inc., used with its permission. Page 1 of 2 REPORTING, DEFENSE, SETTLEMENT& COOPERATION: 1. Duties --Additional Insured An additional insured must see to it that: a. We are notified in writing as soon as practicable of an occurrence which may result in a claim or suit; b. We receive written notice of a claim or suit as soon as practicable; and c. A request for defense and indemnity of the claim or suit will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured, if the contract or agreement requires that this coverage be primary and noncontributory. V. SECTION VII—CONDITION 10.—Other Insurance is amended by the addition of the following which supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to a person(s) or organization(s) included as an additional insured under this endorsement provided that: 1. The additional insured person(s) or organization(s) is a Named Insured under such other insurance; and 2. You have agreed in writing in a contract or agreement, in effect during this policy period,that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured person(s) or organization(s). Such contract or agreement must be executed and in effect prior to the performance of your work included in the products-completed operations hazard which is the subject of such contract or agreement. However, this provision does not apply if the other insurance available to the person(s) or organization(s) included as an additional insured is Owners and Contractors Protective Liability, Railroad Protective Liability, or similar project- specific, primary insurance. VI. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a SCHEDULE of additional insureds, and which endorsement applies to that designated additional insured. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. nanagenentDM,s[on (`< REVIEWED&APPROVED 8v: Risk Management Specialist ia ECP 1248 01 21 Includes copyrighted material of Insurance Services Office,Inc., used with its permission. Page 2 of 2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -- OWNERS, LESSEES OR CONTRACTORS AUTOMATIC STATUS — ONGOING OPERATIONS —COVERAGE A, B, D.1 & D.4 Policy Number Policy Effective Date Policy Expiration Date Endorsement Effective Date ECP2026303-16 05/12/2024 5/12/2025 5/12/2024 This endorsement modifies insurance provided under the following: ENVIRONMENTAL COMBINED POLICY I. SECTION III—WHO IS AN INSURED is amended to include as an additional insured: 1. Any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement, in effect during this policy period, that such person or organization be added as an additional insured on this policy; and 2. Any other person or organization you are explicitly required to add as an additional insured under the contract or agreement described in Paragraph 1.above. Such contract or agreement must be executed and in effect prior to the performance of your work which is the subject of such contract or agreement. Such person(s)or organization(s) is an additional insured only with respect to liability for bodily injury or property damage under SECTION I — COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY, Coverage D.1 — Contractors Pollution Legal Liability and Coverage D.4—Microbial Substance Contractors Pollution Liability,or personal injury or advertising injury under SECTION I -COVERAGE B—PERSONAL AND ADVERTISING INJURY LIABILITY directly caused by: a. Your acts or omissions; or b. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured described in Paragraph 1.or 2.above. However, the insurance afforded to such additional insured described above: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured, and c. Will not extend beyond that which is provided to you in this policy. A person's or organization's status as an additional insured under this endorsement ends when your operations for the person or organization described in Paragraph 1.above are completed. II. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: a. Bodily injury, property damage or personal and advertising injury arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: (1) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (2) Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the occurrence which caused the bodily injury or property damage, or the offense which caused the personal and advertising injury, involved the rendering of, or the failure to render any professional architectural, engineering o\ / b. Bodily injury or property damage occurring after: "°""".,,o Risk M tagentROVEviston a?% \,x REVIEWED&APPROVED BY: (1) All work, including materials, parts or equipment furnished in connection with su ,f �� `, ;; A than service, maintenance or repairs)to be performed by or on behalf of the additii ,� � Risk Management Specialist of the covered operations has been completed; or / ECP 1246 01 21 Includes copyrighted material of Insurance Services Office, Inc., used with its permission. Page 1 of 2 (2) That portion of your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. III. With respect to the insurance afforded to these additional insureds, the following is added to SECTION V — LIMITS OF INSURANCE: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement described in Paragraph 1.1.; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. IV. With respect to the insurance afforded to these additional insureds, the following is added to SECTION VI— REPORTING, DEFENSE, SETTLEMENT& COOPERATION: 1. Duties --Additional Insured An additional insured must see to it that: a. We are notified in writing as soon as practicable of an occurrence or offense which may result in a claim or suit; b. We receive written notice of a claim or suit as soon as practicable; and c. A request for defense and indemnity of the claim or suit will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured, if the contract or agreement requires that this coverage be primary and noncontributory. V. SECTION VII—CONDITION 10.—Other Insurance is amended by the addition of the following which supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to a person(s) or organization(s) included as an additional insured under this endorsement provided that: 1. The additional insured person(s) or organization(s) is a Named Insured under such other insurance; and 2. You have agreed in writing in a contract or agreement, in effect during this policy period, that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured person(s) or organization(s). Such contract or agreement must be executed and in effect prior to the performance of your work which is the subject of such contract or agreement. However, this provision does not apply if the other insurance available to the person(s) or organization(s) included as an additional insured is Owners and Contractors Protective Liability, Railroad Protective Liability, or similar project- specific, primary insurance. VI. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a SCHEDULE of additional insureds, and which endorsement applies to that designated additional insured. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. \ l Risk Maa genentDiviston 3? REVIEWED&APPROVED BY: ):j 3! °I " f)+Ifte Acwtalo Risk Management Specialist ECP 1246 01 21 Includes copyrighted material of Insurance Services Office,Inc.,used with its permission. Page 2 of 2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION TO DESIGNATED PERSON OR ORGANIZATION Policy Number Policy Effective Date Policy Expiration Date Endorsement Effective Date ECP2026303-16 05/12/2024 5/12/2025 5/12/2024 This endorsement modifies insurance provided under the following: ENVIRONMENTAL COMBINED POLICY The following is added to SECTION VII—CONDITIONS 2. Cancellation: SCHEDULE Number of Days Advance Notice Of Cancellation: Thirty (30) Days Information required to complete this Schedule, if not shown above, will be provided to the Company by the Name and Address of Designated Person(s) or Broker of Record immediately upon our request. Failure to Organization(s): furnish this information promptly, or providing incomplete or inaccurate information will relieve us of our obligations under this endorsement. Additional Premium: $0 In consideration of the payment of an additional premium, and notwithstanding anything contained in the policy to the contrary, it is understood and agreed that if we cancel this policy on or before the expiration date set forth in the Declarations, we will mail or deliver to the first Named Insured at the last known address, and the person(s) or organization(s) at the address designated in the SCHEDULE above, written notice of cancellation not less than the number of days shown in the SCHEDULE before the effective date of cancellation. Proof of mailing of notice shall be sufficient proof of notice. The effective date and hour of cancellation stated in the notice shall be the end of the policy period. This endorsement shall not apply if: 1. We cancel due to non-payment of premium, or 2. The policy is non-renewed for any reason. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. \o Risk MassgementDtvisian o 7 REVIEWED&APPROVED BY: '_ 'I����aP�' Ah:cAce/44 �� Risk Management Specialist ECP 1234 10 21 Includes copyrighted material of Insurance Services Office,Inc.,used with its permission. Page 1 of 1 CHAMGRO-01 RENAS CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 5/12/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER License#OM10410 CONTACT NAME: Armstrong/Robitaille/Riegle Business and Insurance Solutions PHONE FAX -9429 18575 Jamboree Rd,Ste 500 (A/C,No,Ext): (949) 381-7700 No):(949) 861 Irvine,CA 92612-2545 a DDRIESS:arrinfo@aleragroup.com INSURERS AFFORDING COVERAGE NAIC# INSURERA:Nautilus Insurance Company 17370 INSURED INSURER B:Key Risk Insurance Company 10885 Chambers Group Inc. INSURERC:Hartford Underwriters Insurance Company 30104 3151 Airway Ave,Suite F208 INSURER D: Costa Mesa,CA 92626 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MWDD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE DWI X OCCUR ECP2026303-17 5/12/2025 5/12/2026 DAMAGE TO RENTED 100,000 X X PREMISES Ea occurrence $ X Ded:$1,000 MED EXP(Any oneperson) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X JECT1:1 LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: POLLUTION PROFE $ 1,000,000 B AUTOMOBILE LIABILITY CMBINED SINGLE LIMIT 1,000,000 EaO accident $ X ANY AUTO BAP2037737-13 5/12/2025 5/12/2026 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 X EXCESS LIAB CLAIMS-MADE FFX2026322-17 5/12/2025 5/12/2026 AGGREGATE $ 10,000,000 DED RETENTION$ $ C WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N 72WECBR4W3D 5/12/2025 5/12/2026 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Pollution Liability ECP2026303-17 5/12/2025 5/12/2026 Limit 1,000,000 A Professional Liab. ECP2026303-17 5/12/2025 5/12/2026 Limit 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Santa Ana,officers,agents,employees,and volunteers are included as additional insured per the attached form. Waiver of Subrogation applies to the General Liability policy per the attached form. Primary/Non-Contributory wording applies to the General Liability policy per the attached form.30 Day Notice of Cancellation with the exception of 10 days for non-payment of premium. Tu Tran Digitally signed by Tu Tran Nguyen APPROVED Nguyen Date:2025.06.09 By Tu Tran Nguyen at 9:31 am,Jun 09,2025 09:32:23-07'00' CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ty ACCORDANCE WITH THE POLICY PROVISIONS. Planning and Building Agency 20 Civic Center Plaza Santa Ana,CA 92701 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: BAP2037737-13 COMMERCIAL AUTO CA 04 44 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Chambers Group, Inc. Endorsement Effective Date: 05/12/2025 SCHEDULE Name(s) Of Person(s) Or Organization(s): Any Principal wherein such waiver has been included before loss as part of a contractual undertaking by the Named Insured Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. CA 04 44 10 13 ©Insurance Services Office, Inc., 2011 Page 1 of 1 Policy#: BAP2037737-13 COMMERCIAL AUTO CA 04 49 11 16 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. A. The following is added to the Other Insurance B. The following is added to the Other Insurance Condition in the Business Auto Coverage Form Condition in the Auto Dealers Coverage Form and and the Other Insurance - Primary And Excess supersedes any provision to the contrary: Insurance Provisions in the Motor Carrier This Coverage Form's Covered Autos Liability Coverage Form and supersedes any provision to Coverage and General Liability Coverages are the contrary: primary to and will not seek contribution from any This Coverage Form's Covered Autos Liability other insurance available to an "insured" under Coverage is primary to and will not seek your policy provided that: contribution from any other insurance available to 1. Such "insured" is a Named Insured under such an "insured" under your policy provided that: other insurance; and 1. Such "insured" is a Named Insured under such 2. You have agreed in writing in a contract or other insurance; and agreement that this insurance would be 2. You have agreed in writing in a contract or primary and would not seek contribution from agreement that this insurance would be any other insurance available to such primary and would not seek contribution from "insured". any other insurance available to such "insured". CA 04 49 11 16 © Insurance Services Office, Inc., 2016 Page 1 of 1 Policy#: BAP2037737-13 ENDORSEMENT This endorsement forms a part of the policy to which it is attached. Please read it carefully. BUSINESS AUTO -ADDITIONAL INSURED WHEN REQUIRED BY CONTRACTOR AGREEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM Section II—Liability Coverage A.—Coverage, 1. Who is an Insured, is amended to add: d. Any person or organization to whom you become obligated to include as an additional insured under this policy, as a result of any contract or agreement you enter into, excluding contracts or agreements for professional services, which requires you to furnish insurance to that person or organization of the type provided by this policy, but only with respect to liability arising out of your operations or premises owned by or rented to you. However, the insurance provided will not exceed the lesser of: 1. The coverage and/or limits of this policy; or 2. The coverage and/or limits required by said contract or agreement. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. BENV CA 06 09 17 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF SUBROGATION (TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US) AUTOMATIC STATUS-COVERAGE A, B & D Policy Number Policy Effective Date Policy Expiration Date Endorsement Effective Date ECP2026303-17 5/12/2025 5/12/2026 5/12/2025 This endorsement modifies insurance provided under the following: ENVIRONMENTAL COMBINED POLICY I. The following is added to Paragraph 17. Subrogation of SECTION VII- CONDITIONS: We waive any right of recovery against any person(s) or organization(s) because of payments we make under COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE LIABILITY, COVERAGE B - PERSONAL AND ADVERTISING INJURY LIABILITY,and COVERAGE D- CONTRACTORS POLLUTION LIABILITY under this policy. Such waiver by us applies only if; 1. The insured has agreed in writing in a contract or agreement with such person(s) or organization(s) to waive its right of recovery; and 2. The insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This waiver does not apply in any jurisdiction where such waiver is held to be illegal or against public policy or in any situation where the person(s) or organization(s) against whom subrogation is to be waived is found to be solely negligent. This endorsement does not apply to any person(s) or organization(s) designated in a SCHEDULE of person(s) or organization(s) against whom rights of recovery have been waived. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. ECP 1260 01 21 Includes copyrighted material of Insurance Services Office, Inc., used with its permission. Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -- OWNERS, LESSEES OR CONTRACTORS AUTOMATIC STATUS-COMPLETED OPERATIONS-COVERAGE A, D.1 & DA Policy Number Policy Effective Date Policy Expiration Date Endorsement Effective Date ECP2026303-17 05/12/2025 5/12/2026 5/12/2025 This endorsement modifies insurance provided under the following ENVIRONMENTAL COMBINED POLICY I. SECTION III - WHO IS AN INSURED is amended to include as an additional insured 1. Any person or organization for whom you have performed operations when you and such person or organization have agreed in writing in a contract or agreement, in effect during this policy period, that such person or organization be added as an additional insured on this policy; and 2. Any other person or organization you are explicitly required to add as an additional insured under the contract or agreement described in Paragraph 1. above. Such contract or agreement must be executed and in effect prior to the performance of your work included in the products-completed operations hazard which is the subject of such contract or agreement. Such person(s)or organization(s)is an additional insured only with respect to liability for bodily injury or property damage under SECTION I - COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE LIABILITY, Coverage DA - Contractors Pollution Legal Liability and Coverage DA - Microbial Substance Contractors Pollution Liability, directly caused by your work performed for the additional insured described in Paragraph 1. or 2. above, and included in the products-completed operations hazard. However, the insurance afforded to such additional insured described above: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured; and c. Will not extend beyond that which is provided to you in this policy II. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to a. Bodily injury or property damage arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including (1) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (2) Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the occurrence which caused the bodily injury or property damage involved the rendering of, or the failure to render any professional architectural, engineering or surveying services III. With respect to the insurance afforded to these additional insureds, the following is added to SECTION V- LIMITS OF INSURANCE: The most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement described in Paragraph 1.1.,or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. IV. With respect to the insurance afforded to these additional insureds, the following is added to SECTION VI- ECP 1248 01 21 Includes copyrighted material of Insurance Services Office. Inc., used with its permission. Page 1 of 2 REPORTING, DEFENSE, SETTLEMENT &COOPERATION 1. Duties --Additional Insured An additional insured must see to it that: a. We are notified in writing as soon as practicable of an occurrence which may result in a claim or suit; b. We receive written notice of a claim or suit as soon as practicable; and c. A request for defense and indemnity of the claim or suit will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity This provision does not apply to insurance on which the additional insured is a Named Insured, if the contract or agreement requires that this coverage be primary and noncontributory. V. SECTION VII - CONDITION 10. - Other Insurance is amended by the addition of the following which supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to a person(s) or organization(s) included as an additional insured under this endorsement provided that: 1. The additional insured person(s) or organization(s) is a Named Insured under such other insurance; and 2. You have agreed in writing in a contract or agreement.. in effect during this policy period, that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured person(s) or organization(s) Such contract or agreement must be executed and in effect prior to the performance of your work included in the products-completed operations hazard which is the subject of such contract or agreement. However, this provision does not apply if the other insurance available to the person(s) or organization(s) included as an additional insured is Owners and Contractors Protective Liability, Railroad Protective Liability, or similar project- specific, primary insurance VI. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a SCHEDULE of additional insureds, and which endorsement applies to that designated additional insured ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. ECP 1248 01 21 Includes copyrighted material of Insurance Services Office, Inc., used with its permission. Page 2 of 2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -- OWNERS, LESSEES OR CONTRACTORS AUTOMATIC STATUS-ONGOING OPERATIONS-COVERAGE A, B, D.1 & DA Policy Number Policy Effective Date Policy Expiration Date Endorsement Effective Date ECP2026303-17 05/12/2025 5/12/2026 5/12/2025 This endorsement modifies insurance provided under the following ENVIRONMENTAL COMBINED POLICY I. SECTION III - WHO IS AN INSURED is amended to include as an additional insured 1. Any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement, in effect during this policy period, that such person or organization be added as an additional insured on this policy; and 2. Any other person or organization you are explicitly required to add as an additional insured under the contract or agreement described in Paragraph 1. above. Such contract or agreement must be executed and in effect prior to the performance of your work which is the subject of such contract or agreement. Such person(s) or organization(s) is an additional insured only with respect to liability for bodily injury or property damage under SECTION I - COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE LIABILITY, Coverage DA - Contractors Pollution Legal Liability and Coverage DA - Microbial Substance Contractors Pollution Liability, or personal injury or advertising injury under SECTION I - COVERAGE B - PERSONAL AND ADVERTISING INJURY LIABILITY directly caused by a. Your acts or omissions; or b. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured described in Paragraph 1.or 2. above. However, the insurance afforded to such additional insured described above: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured,and c. Will not extend beyond that which is provided to you in this policy A person's or organization's status as an additional insured under this endorsement ends when your operations for the person or organization described in Paragraph 1. above are completed. II. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply This insurance does not apply to a. Bodily injury, property damage or personal and advertising injury arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including (1) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders.. change orders or drawings and specifications; or (2) Supervisory, inspection, architectural or engineering activities This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring employment, training or monitoring of others by that insured, if the occurrence which caused the bodily injury or property damage, or the offense which caused the personal and advertising injury, involved the rendering of, or the failure to render any professional architectural, engineering or surveying services b. Bodily injury or property damage occurring after (1) All work, including materials parts or equipment furnished in connection with such work, on the project (other than service maintenance or repairs)to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or ECP 1246 01 21 Includes copyrighted material of Insurance Services Office,Inc., used with its permission. Page 1 of 2 (2) That portion of your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. III. With respect to the insurance afforded to these additional insureds, the following is added to SECTION V- LIMITS OF INSURANCE The most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement described in Paragraph 1.1.;or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance IV. With respect to the insurance afforded to these additional insureds, the following is added to SECTION VI- REPORTING, DEFENSE, SETTLEMENT&COOPERATION 1. Duties--Additional Insured An additional insured must see to it that: a. We are notified in writing as soon as practicable of an occurrence or offense which may result in a claim or suit; b. We receive written notice of a claim or suit as soon as practicable; and c. A request for defense and indemnity of the claim or suit will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity This provision does not apply to insurance on which the additional insured is a Named Insured, if the contract or agreement requires that this coverage be primary and noncontributory. V. SECTION VII - CONDITION 10. - Other Insurance is amended by the addition of the following which supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to a person(s) or organization(s) included as an additional insured under this endorsement provided that: 1. The additional insured person(s) or organization(s) is a Named Insured under such other insurance;and 2. You have agreed in writing in a contract or agreement, in effect during this policy period, that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured person(s) or organization(s) Such contract or agreement must be executed and in effect prior to the performance of your work which is the subject of such contract or agreement. However, this provision does not apply if the other insurance available to the person(s) or organization(s) included as an additional insured is Owners and Contractors Protective Liability, Railroad Protective Liability, or similar project- specific, primary insurance VI. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a SCHEDULE of additional insureds, and which endorsement applies to that designated additional insured. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. ECP 1246 01 21 Includes copyrighted material of Insurance Services Office,Inc., used with its permission. Page 2 of 2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION TO DESIGNATED PERSON OR ORGANIZATION Policy Number Policy Effective Date Policy Expiration Date Endorsement Effective Date ECP2026303-17 05/12/2025 5/12/2026 5/12/2025 This endorsement modifies insurance provided under the following: ENVIRONMENTAL COMBINED POLICY The following is added to SECTION VII- CONDITIONS 2.Cancellation: SCHEDULE Number of Days Advance Notice Of Cancellation: Thirty (30) Days Information required to complete this Schedule, if not shown above, will be provided to the Company by the Name and Address of Designated Person(s) or Broker of Record immediately upon our request. Failure to Organization(s): furnish this information promptly, or providing incomplete or inaccurate information will relieve us of our obligations under this endorsement. Additional Premium: $0 In consideration of the payment of an additional premium, and notwithstanding anything contained in the policy to the contrary, it is understood and agreed that ifwe cancel this policy on or before the expiration date set forth in the Declarations, we will mail or deliver to the first Named Insured at the last known address, and the person(s) or organization(s) at the address designated in the SCHEDULE above, written notice of cancellation not less than the number of days shown in the SCHEDULE before the effective date of cancellation Proof of mailing of notice shall be sufficient proof of notice The effective date and hour of cancellation stated in the notice shall be the end of the policy period, This endorsement shall not apply if: 1. We cancel due to non-payment of premium,or 2. The policy is non-renewed for any reason ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. ECP 123410 21 Includes copyrighted material of Insurance Services Office,Inc.,used with its permission. Page 1 of 1 . „- 14 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA Policy Number: 72 WEC BR4W3D Endorsement Number: Effective Date: 05/12/25 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: Chambers Group, Inc. 3151 AIRWAY AVE COSTA MESA CA 92626 We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 2 % of the California workers' compensation premium otherwise due on such remuneration. SCHEDULE Person or Organization Job Description Any person or organization for whom you are required by written contract or agreement to obtain this waiver of rights from us Countersigned by Authorized Representative Form WC 04 03 06 (1) Printed in U.S.A. Process Date: 05/09/25 Policy Expiration Date: 05/12/26