Loading...
HomeMy WebLinkAboutALL AMERICAN ASPHALT (LOCAL STREET PREVENTATIVE MAINTENANCE FY 23-24) INSURANCE ON FILE WRY\MAY PROCEED 1JNT1!.I SURANCE EXPIRES CITY OF SANTA ANA I I 1 Z02.4 CITY CLERK CONSTRUCTION CONTRACT DATE: JUL 2 5 2024 PROJECT 24-6907 0••VW(�(z `I LOCAL STREET PREVENTATIVE MAINTENANCE FY 23-24 (aevard° t�A J Axis This CONSTRUCTION CONTRACT is made and entered into this 21st day of May,2024 by and between the City of Santa Ana, California, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California (hereinafter "CITY"), and All American Asphalt (hereinafter"CONTRACTOR"). WITNESSETH: The CITY and the CONTRACTOR,for the consideration hereinafter named,mutually agree as follows: 1. CONTRACTOR agrees to perform all the work and furnish all the materials at its own cost and expense necessary to construct and complete in a good and workmanlike manner and to the satisfaction of the City Engineer of the CITY, the Local Street Preventative Maintenance FY23-24 Project (hereinafter referred to as the "WORK OF IMPROVEMENT") identified in and in accordance with the Contract Documents prepared by the city's Public Works Agency and approved by the City Council, The complete Construction contract consists of the"Contract Documents"as defined by the Standard • Specifications for Public Works Construction and which include the following: • Notice Inviting Bids • • Information to Bidders v. Bid Proposal • Bid Bond • Contract Form • Contract Bonds • General Provisions • • Special Provisions • Technical Provisions and Project Plans • Community Workforce Agreement • Appendices In case of conflict between the Contract Documents, the precedence of documents shall be as established in the Standard Specifications for Public Works Construction. 3. CITY agrees to pay and CONTRACTOR agrees to accept in full payment to complete the WORK OF IMPROVEMENT the sum total amount not to exceed Two Million Five Hundred Fifty-Eight Thousand Ninety-Eight Dollars and No Cents($2,558,098.00),as set forth and identified in the BID PROPOSAL, which is attached hereto and incorporated herein as Exhibit"B,"and in accordance with Section 2-7.1 of the Greenbook: Standard Specifications for Public Works Construction. The BID PROPOSAL contains a schedule of unit price(s)or lump sum(s)based on approximate quantities only, and the City does not expressly or by implication agree that the actual amount of work will correspond therewith,but reserves the right to increase or decrease the amount of any • rev.08/01/2023 Page 1 of 3 class or portion of the work or to omit portions of the work as may be deemed necessary or advisable. 4. CONTRACTOR agrees to complete the WORK OF IMPROVEMENT within the time specified in the Time for Completion of Improvements section of the BID PROPOSAL (Exhibit "B") including commencing construction within the timeframe therein specified after issuance of a Notice to Proceed. 5. The CONTRACTOR will pay,and will require all subcontractors to pay, all employees on the WORK OF IMPROVEMENT a salary or wage at least equal to the prevailing salary or wage established for such work as set forth in the wage determinations for this work in accordance with applicable State and Federal law. 6. If applicable, the CONTRACTOR shall adhere to the CITY'S Community Workforce Agreement (CWA), a pre-hire collective bargaining agreement,which establishes the labor relations policies and procedures for CONTRACTOR to follow in the crafts persons employed to complete the WORK OF IMPROVEMENT as more fully described in the CWA. The CWA may be found on the City's website at: http://www.santa-ana.org/pwa/documents/CWA.pdf 7. CONTRACTOR shall, after award of this Contract, furnish two bonds to be approved by the CITY, one in the amount of One Hundred Percent (100%) of the Contract price, to guarantee the faithful performance of the work(Performance Bond),and one in the amount of One Hundred Percent(100%) of the Contract price to guarantee payment of all claims for labor and materials furnished (Payment Bond). This Contract shall not become effective until such bonds are supplied to and approved by the CITY. 8. CONTRACTOR shall, prior to the release of the performance and payment bonds or the retention payment, furnish a warranty performance and payment bond (Warranty Bond). Said Warranty Bond shall also be required as a condition of project acceptance. For projects up to Five Hundred Thousand Dollars($500,000),the Warranty Bond amount shall be the greater of Ten Thousand Dollars($10,000) or Twenty Percent (20%) of the final contract price. For projects above Five Hundred Thousand Dollars($500,000),the Warranty Bond amount shall be the greater of One Hundred Thousand Dollars ($100,000)or Ten Percent(10%) of the final contract price. 9. CONTRACTOR shall, after award of this Contract, furnish Certificates of Liability Insurance and Worker's Compensation Insurance as outlined in the General Provisions,to be approved by the CITY. 10.INDEMNIFICATION. To the fullest extent allowed by law,CONTRACTOR and its Subcontractors hereby agree to defend, indemnify, and hold harmless CITY, its City Council, boards and commissions, officers, agents, employees, representatives and volunteers (hereinafter collectively referred to as "Indemnitees"), through legal counsel acceptable to CITY, from and against any liability, claims, actions, costs, damages or losses, including reasonable costs and attorney's fees, for injury, including death to any person or damage to any property,arising directly or indirectly from,or in any manner relating to,any of the following: (i) Performance or nonperformance of the Work of Improvement by CONTRACTOR or its Subcontractors of any lower tier; Page 2 of 3 (ii) Performance or nonperformance by CONTRACTOR or its Subcontractors of any lower tier, of any of the obligations under the Contract Documents; (iii) The construction activities of CONTRACTOR or its Subcontractors of any lower tier, either on the project site or on other properties; (iv) The payment or nonpayment by CONTRACTOR of any of its Subcontractors of any lower tier, for Work of Improvement performed on or off the project site; and (v) Any personal injury, property damage or economic loss to third persons related to and arising from the performance or nonperformance by CONTRACTOR or its Subcontractors of any lower tier, of the Work of Improvement. (vi) The indemnity obligations of Subcontractors provided by this Section shall be included in all subcontract documents issued by CONTRACTOR. Nothing in the Contract Documents shall be construed to give rise to any implied right of indemnity in favor of CONTRACTOR against CITY or any other Indemnitee. IN WITNESS WHEREOF, the parties hereto have executed this Construction Contract on the day and year first above written. ATTEST: CITY OF SANTA 9ANTt JENNIFE L „ ,, ALVARO NUNEZ City Cle '°°"; Acting City Manager APPROVED AS TO FORM: SONIA R. CARVALHO CONTRACTOR: __ City Attorney All American Asphalt - B _.-., f ::-.,::--.r: :.' .-:__ - JONATHAN MARTINEZ NAME:Michael Farkas Assistant City Attorney TITLE: Secretary RECOMMENDED FOR APPROVAL: d,.. _ ' .... Ak (10 NABIL SABA,PE Executive Director Public Works Agency Page 3 of 3 CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached.and not the truthfulness.accuracy.or validity of that document. State of California - County of Riverside On April 22, 2024 before me, Sarah Amanda Langley,Notary Public , Date Here Insert name and Title of the Officer personally appeared Michael Farkas Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/afe subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/theif authorized capacity(ies), and that by his/her/their SARAH AMANOA LANGLEY signature(s)on the instrument the person(s), or the entity upon behalf � Notary Public-California _ ,�, of which the person(s)acted,executed the instrument. Riverside County X s .j' Commission N 2337877 '�•y My Comm.Expires Nov 20_2024` I certify under PENALTY OF PERJURY under the laws of the State of — — — — 1 California that the forgoing paragraph is true and correct. WITNESS hand and o ial seal. Signature jJJU Place Notary Seal Above Signature of Notary Public OPTIONAL Though the information below is not required by law,it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document City of Santa Ana Construction Contract Document Date: April 22, 2024 Number of Pages: 1 Signer(s)Other Than Named Above: Capacity(ies)Claimed by Signer(s) Signer's Name: Michael Farkas Signer's Name: N/A o Individual o Indivi I X Corporate Officer—Title(s): Corp. Secretary o Corpor fficer—T' • ❑Partner u o Limited o General ❑Partner❑ it eneral RIGHT THUMBPRINT RIGHT THUMBPRINT ❑Attorney in Fact OF SIGNER o Attorney in Fa of SIGNER o Trustee Top of thumb here Top of thumb here ❑Trustee ❑Other: o Other: Signer is Representing: Signer is Representing: All American As.halt CITY OF SANTA.ANA EXHIBIT B PROPOSAL PROJECT NO.,:24-6907 LOCAL STREET PREVENTATIVE MAINTENANCE FY 23-24 BID PROPOSAL • TO: CITY COUNCIL OF THE CLTYAF SANTA ANA FROM: All Ameridan Asphalt REQUIREMENT: The undersigned bidder declares'that they hove.carefully examined the loontioti of the proposed work, that they Kaye elwcaltlitied thb Contract Documents!:in its entii'pty grill hereby proposps to furnish all material and do all the work required to cpmpletethe saN work in accordance with said plans (if any)And theispecific001 for the Unitpriee(s)or lump sum(s)set forth in the following, schedule: Item Description ' 'Qty< Unit Ilnit Mee Amount I 'unclassified Expavation 600 CV $ 335,00 $ 201,000.00 • 2 AC Pavements' 1200' $ 210.0Q 252,000.00 3 Cold Mill(2") 33Q,100, S $ 0.61 $ mina) 4 Rubberized$mulsiop Aggregate Shiny 70Q ELT $ $ WAS)Type 1I • 900.00 630,000.00 5 Asphglt!tubber Hcf•MiY(ARHM); 4;20Q TN S ' $ , 177,00 743,40000 6 Crack Seal 1 t••S S,' $ 40,000.00 40,000.00 7 Crpshed MisceOatreous Base(CMB)* 'I00 CY $. ;$ 105.00 10,500,00 :{ PCC Sidewalk(1 '4) 7,400 SF $ ' S 10.00 74,000.00 p PCC Driveway'Approach(T=6") '70Q SF .$ $ 15.00 10,500.00 1Q PCC Curb Ramp(Callrans,A$8A) •400 SF '$ 31.00 $ 12,4Q0.00 11 PCC Curb&Gutter(Type A-2-6) 410 LF $ 88.00 $ 36,080.00 12 PCC Curb(Type,Al-6 and/or Match I QO LF $ $ 6,600,00 Existing) 66.00 13 PCC Cross-gutter(Luca)Street) 600 $F $ $32.00 19,200.00 14 Root shave 61 EA $ $525.00 32,025.00 P-I of P 20 • CITX OF SANTA ANA PROPOSAL, PRO)ECTNO.:24-6g7 LOCAL SI`REE'T lsIlEVENTATIVE MAINTENANCE FY 23 24 Item Description •Qty Unit 'Unit Price Amount 15 Adiusewater ValveFrante and Cover to 50 EA $ 1,000.00 S 50,000.00 Finished,Grade 16 Adjust Sewer and Drainape Manhole to 10 EA `$ 735.00 $ 22,050.00 Finished Grade 17 Parkway Calvert(STD_Plan No.319.) 1 EA $ 4,900.00 $ 4,900.0Q 18' ,Adjyst Survey lvlonumentto Finished Qrad9 3Q JEA $ 1,300.00 $, 39,000.00 (Non-Well Monument) 12 Adjust$urvgy,Monument to Finished grade, • 6 EA $ 1500.00 $ 9,000,00 (Well MonuMlient) 2Q Protection df Surface Utility,Frames and 1 LS $ 2,000.00 $ 2,000.00 Covers 21 Furnish arid Install Ttai'fic'Loop Type F • $ EA $ 760.00 $ 2,280.00 32 Furnish and Install Traffic,Loop Type N 3 - EA $ 734.00, $ 2,202.00 23 Constrgeticn Sign - 2 EA $' 3,300.00 $ 6,600.00 24 Signing and Striping • .1 LS $ 140,000.0Q '$ 140,000.00 25 ConstructionPerinit 1 LS $11,000 '$ 11,000.00 ADD ALTERNATE 1 item Description Qty, PM( Unit Price Amount • 26 Unclassified Excavation* 200 CY• $ 354.00 $ 70,800.00 27 ACPavenient* 5Q0 1 $ 254.00 $ 127,000.90 28 Cold Mill(2) 21,300 SF $ 1.29 $ 24,477.00 29. Rubberized Emulsion Aggregate Slurry 300 ELT $ 915.00 S 274,500.00 (REAS)Type II. 30 Asphalt Rubber Hot Mix ARHM 300 TN $' 244.00 $ 73,200.00 31 Crack Seal j 14 $ 18,100.00 $ 18,100.00 32 Crushed Miscellanea,Base(CMB)* 50 CV $ 114.00 IS 5,700.00 'P-2 of P 20 CITY OR SANTA ANA, HROPOSAL PROJECT N.O.:24-69'07 LOCAL STREET PREVENTATIVE MAINTENANCE PC 23-24 • Item 'Description Qty Unit Unit Price Amount 33 FCC$idewalj4(T=4"1, 2,70,0 SF $ S 13.00 66,100.00 34 .PCC Clirb stamp(CaltranaA8$'fl) 400 SF 9 • 33.00 13,209.00 3; PCC CA 8c Quttet(Type A-2-6)• 2.0 LF $ 92.00 / 1,840.00 3y F CUrb'(TypeAl-band/or Match 50 LF $ 68.00 $ 3,400.00 8 37 pCC Cross-Gutter(Local$trget) 600t SF S S 26.00 15,600.90 34 KnotShayg 24 BA $ 547.00 $ 13,12$.00 39 Adjust Water Valve prance;and Cover to 10 $ Finished Grade . EA 1,067,90 19,670.00 40 Adjust Sewer and Drainage Manhole to " YQ, EA $ , Fitritlred Grade 766.00 7.660.00 41 %15just;Survey Monutfiein to Finished Grade 10 S. (19on,Well Monument) A 1,400,00 14,000.00 42 protection ofSprfaceUtjlity Frames and. • I LS S. 2,200.00 S 2,200.00 Cdyers 43 Signing and Striping I LS. 7,100.00 $ 7,100.00 • • P-3 of P-2Q CITY OF SANTA ANA PROPOSAL PROJECT NO.: 24-6907 LOCAL STREET PREVENTATIVE MAINTENANCE FY 23-24 TOTAL BASE BID S 2,558,098.00 TOTAL ADD ALTERNATE 1 BID $ 720,675.00 TOTAL BASE BID+ ADD ALTERNATE I BID $ 3,278,773.00 The lowest responsible bidder shall be selected based on the total base bid. The City reserves the right to award the Base Bid,and any, all,or none of the add-alternate bid items (if any). The quantity for this bid item is shown for bid comparison only. This bid item shall not be subject to the"25%"limit as stated in Section 7-3.5 of the Standard Specifications. The actual amount for this item will be dictated by the actual quantity used, and the Agency reserves the right to increase or decrease the quantity of this item accordingly. TIME FOR COMPLETION OF IMPROVEMENTS AND LIQUIDATED DAMAGES The undersigned bidder hereby proposes to complete the Work for the total base bid amount shown above,within number(70)working days and after the commencement date stated in the Notice to Proceed. Slurry seal must be completed by September 30, 2024. All slurry seal work must meet slurry seal weather condition requirements. If slurry seal is not completed by September 30,2024, liquidated damages will be placed on the contractor. The liquidated damages amount, in lieu of the amount specified in Subsection 6-9 of the Standard Specifications,shall be$6.750 per calendar day. Name of Firm All American Asphalt • Signature of BIDDER --���---- Title Edward J Carlson, Vice President (If an individual, so state. If a firm or co-partnership, state the firm name and give the names of all individual co-partners composing the firm. If a corporation, state legal name of corporation, and names of President, Secretary, Treasurer and Manager. thereof.) P-4 of P-20 AC 3 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDWYYY) 411.......----- 4/26/2024 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 CFRTIFICATE HOLDER. PORTANT: If thetrcertificate holder is an ADD TIO tel tF,'3' t /b a ITIONAL INSURED provisions or be endorsed. A U: . . I ,;y ED, subject to the tel T s d i o fhe i I ,-cel'Cal po cis may require an endorsement. A statement on Aga c M . W e• n confer rights to the certh cat holder in lieu such endorse ent(s). PRODUCER Angie /AC wed'o Certificates Department Edgewood `.rtners Insurance Center PHONE FAX P.O. Box 5003 Date: O / t5.1p 451-3200 (vc.No): 925-901-0671 n R O CA 45 3ICcerts a(�epicbrokers.com INSURER(S)AFFORDING COVERAGE NAIC# icm QJ,,ENSE# 0n Iy �r Al �pecialt Insurance Company 21199 �T. i'6. r� e y P Y INSURED INSURER B: Lunch American Insurance Company 16535 All American Asphalt P.O. Box 2229 INSURER C: Great American Insurance Company 16691 Corona CA 92878 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 79714219 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 ADDLO w POLICY NUMBER SUER POLICY EFF POLICY EXP LIMITS (MM/DD/YYYY) (MM/DD/YYYY) A ✓ COMMERCIAL GENERAL LIABILITY DPC100585607 8/1/2023 8/1/2024 EACH OCCURRENCE $1,000,000 CLAIMS-MADE �/ OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $100,000 MED EXP(Any one person) $ PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY ✓ JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ B AUTOMOBILE LIABILITY BAP557108811 8/1/2023 8/1/2024 COMBINED NGLE LIMIT $ (Ea accident)SI 2,000,000 ✓ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ ✓ AUTOS ONLY ✓ AUTOS ONLY (Per accident) $ C UMBRELLALIAB ,/ OCCUR TUE347483603 8/1/2023 8/1/2024 EACH OCCURRENCE $5,000,000 ✓ EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED ✓ RETENTION$10,000 Following-Form $ _ B WORKERS COMPENSATION WC593205710 8/1/2023 8/1/2024 i STATUTE ERH AND EMPLOYERS'LIABILITY Y/N — ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICERJMEMBEREXCLUDED7 N N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Project#24-6907/RE:Local Street Preventative Maintenance FY 23-24/ Certificate Holder is Additional Insured if Required by Written Contract Excluding Workers Compensation CERTIFICATE HOLDER CANCELLATION Cityof Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PRC\ Santa Ana CA 92701 Risk Management Division ; o N oR.,,,t a AUTHORIZED REPRESENTATIVE of 14 REVIEWED /y&APPROOVEDBY: 4 ot) I Maleah Cantrell '`r Risk Management Specialist k. ©1988-2015 ACORD / ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 79714219 123 [01] Standard with $5mm XS 1 Lisseth Medina 14/26/2024 10:52:32 AM (PDT) 1 Page 1 of 11 • © P U To: Whom it may concern Po Box 5003 Regarding: Notice of Cancellation San Ramon,CA 94583 Phone: 925.244.7700 Date Issued: 4/26/2024 Fax: 925.901-0244 All American Asphalt Email: EPICcerts@epicbrokers.com Named Insured(s): P Policy Number(s): DPC100585607 BAP557108811 5710 CERTIFICATE HOLDER: 1UE347 8360 TU E347483603 City of Santa Ana 20 Civic Center Plaza Santa Ana CA 92701 Should the above described policy be cancelled before the expiration date thereof, we will mail 30 days written notice to the above referenced Certificate Holder; except, 10 days notice for non-payment of premium. Sincerely, Maleah Cantrell ,qm_ea Risk Management Division 3+/ szYsgFc REVIEWED&APPROVED BY: Risk Management Specialist epicbrokers.com edgewood partners insurance center / ca license 0B29370 79714219 1 23 (01] Standard with $5mm XS 1 Lisseth Medina 14/26/2024 10:52:32 AM (PDT) I Page 2 of 11 COMMERCIAL GENERAL LIABILITY CG20100413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Location(s) Of Covered Operations Or Organization(s): Any person or organization where the Named Any location where required by written contract or Insured has agreed to add as an additional insured agreement, provided the contract or agreement is by written contract or agreement, provided the executed prior to any"occurrence"or offense. contract or agreement is executed prior to any "occurrence" or offense Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is broader than that which you are amended to include as an additional required by the contract or insured the person(s) or organization(s) agreement to provide for such shown in the Schedule, but only with additional insured. respect to liability for "bodily injury", "property damage" or "personal and B. With respect to the insurance afforded to advertising injury" caused, in whole or in these additional insureds, the following part, by: additional exclusions apply: 1. Your acts or omissions; or This insurance does not apply to "bodily injury" or "property damage" occurring 2. The acts or omissions of those after: acting on your behalf; 1. All work, including materials, parts in the performance of your ongoing or equipment furnished in operations for the additional insured(s) at connection with such work, on the the location(s)designated above. project (other than service, maintenance or repairs) to be However: performed by or on behalf of the additional insured(s) at the location 1. The insurance afforded to such of the covered operations has been additional insured only applies to completed; or the extent permitted by law; and 2. That portion of "your work" out of 2. If coverage provided to the which the injury or damage arises additional insured is required by a has been put to its intended use by contract or agreement, the any person c\ insurance afforded to such than a n o t h �f oR,�� Risk Management DIvtston additional insured will not be subcontrac ` ROARK/ED&APPROVED BY: A+f4 f)cweelo mama Risk Management Specialist CG 20 10 04 13 © Insurance Services Office, Inc., 2012 / 79714219 1 23 [01] Standard with $5mm XS 1 Lisseth Medina 1 4/26/2024 10:52.32 AM (PDT) 1 Page 3 of 11 performing operations for a 1. Required by the contract or principal as a part of the same agreement; or project. 2. Available under the applicable C. With respect to the insurance afforded to Limits of Insurance shown in the these additional insureds, the following is Declarations; added to Section III — Limits Of Insurance: whichever is less. If coverage provided to the additional This endorsement shall not increase the insured is required by a contract or applicable Limits of Insurance shown in agreement, the most we will pay on behalf the Declarations. of the additional insured is the amount of insurance: All other terms and conditions of this policy remain unchanged. Endorsement Number: This endorsement is effective on the inception date of this policy unless otherwise stated herein. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Policy Number: DPC100585607 Named Insured: All American Asphalt Endorsement Effective Date: 08/01/2023 REFERENCE: SCHEDULED: Project#24-6907/RE:Local Street Preventative Maintenance FY City of Santa Ana. 23-24/ ps:+.., Rlek ManagementDivision REVIEWED&APPRCVm By: Risk Management Specialist CG 20 10 04 13 © Insurance Services Office, Inc., 2012 / 79714219 1 23 [01] Standard with $5mm XS 1 Lisseth Medina 1 4/26/2024 10(52,32 AM (PDT) 1 Page 4 of 11 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations Any person or organization where the Named Insured All locations where required by contract. has agreed to add as an additional insured by written contract or agreement, provided the contract or agreement is executed prior to any "occurrence" or offense Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is additional insured. amended to include as an additional insured the person(s) or organization(s) B. With respect to the insurance afforded to shown in the Schedule, but only with these additional insureds, the following is respect to liability for "bodily injury" or added to Section III — Limits Of "property damage" caused, in whole or in Insurance: part, by "your work" at the location designated and described in the Schedule If coverage provided to the additional of this endorsement performed for that insured is required by a contract or additional insured and included in the agreement, the most we will pay on behalf "products-completed operations hazard". of the additional insured is the amount of insurance: However: 1. Required by the contract or 1. The insurance afforded to such agreement; or additional insured only applies to the extent permitted by law; and 2. Available under the applicable Limits of Insurance shown in the 2. If coverage provided to the Declarations; additional insured is required by a contract or agreement, the whichever is less. insurance afforded to such additional insured will not be This endorsement shall not increase the broader than that which you are applicable Limits of Insurance shown in required by the contract or the Declarations. agreement to provide for such (,,,,L,,,„ Risk Management Division REVIEWED&APPROVED BY: atDI ' Risk Management Specialist CG 20 37 04 13 © Insurance Services Office, Inc., 2012 / 79714219 ! 23 [01) Standard with $5mm XS 1 Lisseth Medina 1 4/26/2024 10:52:32 AM (PDT) 1 Page 5 of 11 All other terms and conditions of this Policy remain unchanged. Endorsement Number: This endorsement is effective on the inception date of this policy unless otherwise stated herein. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Policy Number: DPC100585607 Named Insured: All American Asphalt Endorsement Effective Date: 08/01/2023 REFERENCE: SCHEDULED: City of Santa Ana. Protect 4/#24-6907/RE:Local Street Preventative Maintenance FY 23-2 det ZxFgc RteltM> gemenED[vts[on . REVIEWED&APPROVEDBY: a a A1,4 Acev44 Risk Management Spedalist CG 20 37 04 13 © Insurance Services Office, Inc., 2012 79714219 1 23 [01] Standard with $5mm XS 1 Lisseth Medina 1 4/26/2024 10:52:32 AM (PDT) 1 Page 6 of 11 COMMERCIAL GENERAL LIABILITY CG20010413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (1) The additional insured is a Named Condition and supersedes any provision to the Insured under such other insurance; contrary: and Primary And Noncontributory (2) You have agreed in writing in a Insurance contract or agreement that this insurance would be primary and This insurance is primary to and will not would not seek contribution from seek contribution from any other any other insurance available to the insurance available to an additional additional insured. insured under your policy provided that: All other terms and conditions of this policy remain unchanged. REFERENCE: SCHEDULED: City of Santa Ana. Project#24-6907/RE:Local Street Preventative Maintenance FY 23-24/ Endorsement Number: This endorsement is effective on the inception date of this policy unless otherwise stated herein. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Policy Number: DPC100585607 Named Insured:All American Asphalt Endorsement Effective Date:08/01/2023 g. '"•��e Risk Management Diviston -47 REVIEWED&APPROVED BY: Tl TILQY Risk Management Specialist CG 20 01 04 13 © Insurance Services Office, Inc., 2012 / _ 79714219 1 23 [01] Standard with $5mm XS 1 Lisseth Medina 1 4/26/2024 10:52:32 AM (PDT) 1 Page 7 of 11 COMMERCIAL GENERAL LIABILITY CG24040509 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: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any person or organization where the waiver of our right to recover is permitted by law and is required by written contract or agreement, provided the contract or agreement is executed prior to any occurrence or offense Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer for injury or damage arising out of your ongoing Of Rights Of Recovery Against Others To Us operations or "your work" done under a contract of Section IV—Conditions: with that person or organization and included in the "products-completed operations We waive any right of recovery we may have hazard". This waiver applies only to the person against the person or organization shown in the or organization shown in the Schedule above. Schedule above because of payments we make All other terms and conditions of this policy remain unchanged. Endorsement Number: This endorsement is effective on the inception date of this policy unless otherwise stated herein. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Policy Number:DPC100585607 Named Insured:All American Asphalt Endorsement Effective Date: 08/01/2023 REFERENCE: SCHEDULED: City of Santa Ana. Protect#24-69071 RE:Local Street Preventative Maintenance FY 23-24 1 \ / �o.2,�,gc RtakMartagentoltDMstOn 3.- REVIEWED&APPROV®BY: A4fgAatak �, Risk Management Specialist CG 24 04 05 09 © Insurance Services Office, Inc., 2008 / \ 79714219 1 23 [01] Standard with $Smm XS 1 Lisseth Medina 1 4/26/2024 10:52.32 AM (PDT) 1 Page 13 of 11 4/26/2024 POLICY NUMBER: BAP557108811 COMMERCIAL AUTO CA 20 48 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED 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 policy effective on the inception date of the policy unless another date is indicated below. Named Insured: All American Asphalt Endorsement Effective Date:08/01/2023 SCHEDULE Name Of Person(s)Or Organization(s): ANY PERSON OR ORGANIZATION TO WHOM OR WHICH YOU ARE REQUIRED TO PROVIDE ADDITIONAL INSURED STATUS ON A PRIMARY, NON-CONTRIBUTORY BASIS, IN A WRITTEN CONTRACT OR WRITTEN AGREEMENT EXECUTED PRIOR TO LOSS, EXCEPT WHERE SUCH CONTRACT OR AGREEMENT IS PROHIBITED BY LAW. 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 SCHEDULED: only to the extent that person or organization qualifies City of Santa Ana. as an "Insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 ©Insurance Services Office, Inc., 2011 (---) *,OR4� Risk�tDttis[on . . REVIEWED&APPROVED BY: ��, 1 Risk Management Specialist :/ \ 79714219 1 23 (01] Standard with $5mm XS 1 Lisseth Medina 1 4/26/2024 10.52:32 AM (PDT) 1 Page 9 of 11 4/26/2024 POLICY NUMBER: BAP557108811 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:All American Asphalt Endorsement Effective Date: 08/01/2023 SCHEDULE Name(s) Of Person(s) Or Organization(s): ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY 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 city of Santa Ana. 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. r9 �s c Risk Mans�ententDMn sto 3, REVIEWED&APPROVED BY: Risk Management Specialist i CA 04 4410 13 ©Insurance Services Office, Inc., 2011 / 79714219 1 23 (01] Standard with $5mm XS 1 Lisseth Medina 1 4/26/2024 10:52:32 AM (PDT) 1 Page 10 of 11 WORKERS'COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT- CALIFORNIA 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 0 . 00 % of the California workers' compensation pre- mium otherwise due on such remuneration. Schedule Person or Organization Job Description ALL PERSONS AND/OR ALL CA OPERATIONS ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON AND/OR ORGANIZATION SCHEDULED: REFERENCE: City of Santa Ana. Project#24-6907/ RE: Local Street Preventative Maintenance FY 23-24/ Policy Number: WC593205710 Named Insured: All American Asphalt Endorsement Effective Date: 08/01/2023 RiskMunagementDhislm REVIEWED&APPROVED BY: A AC444 WC 252(4-84) Risk Management Specialist WC 04 03 06(Ed.4-84) l 79714219 ( 23 (01) Standard with $5mm XS 1 Lisseth Medina 1 4/26/2024 10.52.32 AM (PDT) 1 Page 11 of 11