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HomeMy WebLinkAboutRAILWORKS TRACK SERVICES, INC. (5)A-2024-019-02 iJ1Y:'i t1d CPr�l Johrath':an Ryan Henv ion.. �Pss�c Lane: D.wcj Penaloza Beniam,n Vazquez CITY 4F SANTA ANA INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURANCE EXPIRES Oq(0tl2s CITY CLERK DATE. JAN 3 0 2025 RailWorks Track Services, Inc. Attn: Ernesto Rivera O:PwA(z.-) 12740-B Lakeland Road Mile ortiz(KF) Santa Fe Springs, CA 90670 PUBLIC WORKS AGENCY 20 Civic Center Plaza • P O 8ox 1988 Santa Ana, Califomia 92702 v w Santa-ana ora January 10, 2025 Re: Further Extension of Lease Atreement (A-2024-019) for Use of the Santa Ana Reeional Transportation Center (SARTC) Facilities Pursuant to Section 5 ("Extension Periods") of the above -referenced Agreement, entered into by Rail Works Track Services, Inc. ("Lease"), and the City of Santa Ana, dated February 6, 2024, the time period of the Agreement is hereby further extended for up to six (6) additional one -month periods commencing January 1, 2025 through June 30, 2025. Any insurance certificates are required to be extended and or renewed to cover this extension. All other terms and conditions of the Agreement remain unchanged and in full force and effect. Sinccmh�y. y, r\ Nabil Saba, PE Executive Director, Public Works Agency CITY OF SINTA ANA r Al(aro Nunez City Manager APPROVED AS TO FORM Kyle Nellesen Assistant City Attorney ATTEST RAIL KS CK SERVtCES, INC. Ernesto Rivera -- Senior Manager SANTA ANA CITY COUNCIL ns. , ifye �w ,,, Vadp�e Je- v, y": i4A 6aryr.d nNoaO..n HYau :le,TyaM: : ai cW Mau U.q: Va. %•Iro Ttr Narill V,x,lI Ws,[1 NmtlJ Ws,iS ^r•N.oaR 'yJ.M.-N a�.:I x NC lnM:=191X:laatty_�l - M f�-MN pL A.irUW1rX1[bICC.VTa �1W .`ry gyy�uv;9Yafdar•.- ACORO` CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) `� 4n/2025 5/20/2024 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 endorsements . PRODUCER Lockton Companies 1185 Avenue of the Americas, Suite 2010 New York NY 10036 646-572-7300 . Dig b CONTACT PHONE FAX A/c Exit: ac No: INSURERS AFFORDING COVERAGE NAILIf ke:LM Insurance Corporation 33600 INSURED Rail Works Track Services LLC rt 1538750 12740 Lakeland Road Suit B F1 Santa Fe Springs CA 906� e e v e d o Dat� I : Libert Mutual Fire Insurance Company 23035 : Westchester Fire Insurance Company 10030 D a rican Insurance Company 28932 . NSURER E: F� M. COVERAGES CERTIFICATF NI.iwRPR• 9Mg4:014 es AAM THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL IN$D SUBR POLICY NUMBER POLICY EFF MM/DD POLICYE%P MWDD LIMITS 4 X COMMERCIAL GENERAL LIABILITY Y Y TB5-621-095327-034 4/1/2024 4/l/2025 EACH OCCURRENCE $ $j 000 000 CLAIM&MADEOCCUR ED PREMISES Ea occurrence) $ $1 QQQQQQ X Incl. Cont. L1ab MED EXP (Any one person) $ $1 Q 000 X ' 50' RR Exl. Del PERSONAL SADV INJURY $ $5 QQQ QQQ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ $10000000 POLICY [EJECT WLOC PRODUCTS-COMPIOP AGO $ $10000000 $ OTHER: A AUTOMOBILE LIABILITY Y Y AS5-621-095327-044 4/1/2024 4/1/2025 E°acLd.Ot$INGLEOMIT $ $2,000,000 ANY AUTO X BODILY INJURY (Perperson) $ NotA licable OWNED SCHEDULED AUTOSOWNS ONLY AUTOS BODILY INJURY Per accident) ( ) $ NOtA licable PROPERTY DAMAGE Per accident $ Not Applicable HIRED NON -OWNED AUTOS ONLY AUTOS ONLY $ Not Applicable C UMBRELLA LIAR X OCCUR Y Y G71120983007 4/1/2024 4/l/2025 EACH OCCURRENCE $ $IQ QQQ QQQ D X EXCESS LRB CLAIMS -MADE MKLMIEUL102325 4/1/2024 4/l/2025 AGGREGATE g $10QQQ QQQ DEO F I RETENTION$ $ NOtA licable B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y WA2-62D-095327-014 4/1/2024 4/1/2025 _ X STATUTE ER YIN ANY PROPRIETOR/PARTNEWEXECUTIVE NIA WC2-621-095327-024(WI) 4/1/2024 4/1/2025 E.L. EACH ACCIDENT $ $1000000 OFFICER/MEMBER EXCLUDED? N (Mandatory In NH) If yes, describe under E.L.DISEASE-EA EMPLOYEE $ $1000000 E.L. DISEASE -POLICY LIMIT $ $1,000,000 DESCRIPTION OF OPERATIONS be. 1-7 - DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached if more space is required) THIS CERTIFICATE SUPERSEDESALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER APPLICABLE TO THE CARRIERS LISTED AND TLC POLICY TERM(S) REFERENCED. Re: Suite 106, 1000 East Santa Ana Boulevard (SARTC). The City of Santa Ana, its officers, employees, agents, volunteers and representatives are included as Additional locu red(s) on a primary/non- contributory basis with respect to General Liability where required by written contract. Waiver of subrogation in in favor of Additional Insured(s) with respect to General Liability where required by writtencontract. Cross Liability/Severabdity of Interest is included under the General Liability policy where required by written contact Excess follows form as per policy terms, conditions, definitions, exclusions. Excess follows form as per policy terms, conditions, definitions, exclusions. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20455916 The City of Santa Ana Attention: Executive Director of Public Works Agcy 20 Civic Center Plaza (M-21) Santa Ana CA 92701 THE EXPIRATION DATE THEREOF, ACCORDANCE WITH THE POLICY PRC AUTHORIZED REPR rA NEREVIEWED P\g\��(,, `U � 4- NOTICE WILL BE DELIVERED IN eea..r Rhk MnMgatmttthvieipn & APPROVED By. 1L r1 i11�K IK+V4io X-11wo q4 t Risk Managemen[SpedzGst ©1988,2015 ACORD ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ACORO EVIDENCE OF COMMERCIAL PROPERTY INSURANCE `� DAE(MMIDD YYYYJ 4/15/2024 THIS EVIDENCE OF COMMERCIAL PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST. PRODUCER CONTACT PERSON AND ADDRESS I PHONE , 646-572-7300 COMPANY NAME AND ADDRESS NAIC NO: 19437 Lockma Companies Lexington Insurance Company 1185 Avenue of the Americas, Suite 2010 New York NY 10036 IF MULTIPLE COMPANIES, COMPLETE SEPARATE FORM FOR EACH FAX E-MAIL (Are,No: AOpRESS: CODE: SUB CODE: POLICY TYPE Property AGENCY ER ID NAMED INSURED AND ADDRESS RailWorks Track Services LLC LOAN NUMBER POUCYNUMBER 1138199 12740 Lakeland Road Suite B 014627210 Santa Fe Springs CA 90670 EFFECTIVE DATE EXPIRATION DATE CONTINUED UNTIL 4/1/2024 4/l/2025 TERM INATEDIFCHECKED ADDITIONAL NAMED INSURED(S) THIS REPLACES PRIOR EVIDENCE DATED: LJ Arms / DESCRIPTION 1000 RE: 106, 1000 East Santa Ana Boulevard (SARTC). 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 EVIDENCE OF PROPERTY INSURANCE 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. rnvco Ace I\ICn=MATVTAI COMMERCIAL PROPERTY COVERAGE AMOUNT OF INSURANCE: $ S25:70 000 DED:ISustained; YES NO NIA ® BUSINESS INCOME ❑ RENTAL VALUE X If YES, LIMIT: Included Actual Los BLANKET COVERAGE X Mmonths: If YES, indicate value(s) reported on property identified above TERRORISM COVERAGE X Attach Disclosure Notice / DEC IS THERE A TERRORISM -SPECIFIC EXCLUSION? X IS DOMESTIC TERRORISM EXCLUDED? X LIMITED FUNGUS COVERAGE X If YES, LIMIT: DED: FUNGUS EXCLUSION (If "YES", specify organization's form used) X REPLACEMENT COST X AGREED VALUE X COINSURANCE X If YES, EQUIPMENT BREAKDOWN (if Applicable) X If YES, LIMIT: $25,000,000 DED:$100,000 ORDINANCE OR LAW -Coverage for loss to undamaged portion of bldg X If YES, LIMIT: Included DED: $100,000 - Demolition Costs X If YES, LIMIT: $t,000,000 DED:$100,000 - Incr. Cost of Construction X If YES, LIMIT: $1,000,000 DED:$100,000 EARTH MOVEMENT (If Applicable) X If YES, LIMIT: See Below DED: See Below FLOOD (If Applicable) X If YES, LIMIT: See Below DED: See Below WIND/HAIL INCL ®YES El NO Subject to Different Provisions: X If YES, LIMIT: Included DED:$100,000 NAMED STORM INCL ® YES ❑ NO Subject to Different Provisions: X If YES, LIMIT: $10,000,000 DED: See Below PERMISSION TO WAIVE SUBROGATION IN FAVOR OF MORTGAGE HOLDER PRIOR TO LOSS I IX VMIYI�CLL/1I ev1Y SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CONTRACT OF SALE LENDER'S LOSS PAYABLE uLOSS PAYEE LENDER SERVICING AGENT NAME AND ADDRESS MORTGAGEE NAME AND ADDRESS 877838 The city of Santa Ana Attention: Executive Director of Public Works �" " Rmemen lt ManogtDivdan Agcy 20 Civic Center Plaza (M-21)"1".` IifVIEWED&APPRQV®Br, Santa Ana CA 92701 AUTb7DIREPRES { + t� Risk Management Specialist 02003-2015 ACORD ACORD 28 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: TB5-621-095327-034 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 Person or Organization: Walsh Construction Company II LLC Orange County Transportation Authority Hntb Corporation The City of Santa Ana, its officers, agents, elected officials, and employees. The City of Garden Grove, its officers, agents, elected officials, and employees. Orange County Flood Control District, its officers, agents, elected officials, and employees. Orange County Sanitation District, its officers, agents, elected officials, and employees. County of Orange, California, its officers, agents, elected officials, and employees. United States Army Corps of Engineers, its officers, agents, elected officials, and employees. The Gas Company (Southern California Gas) Southern California Edison Company AT&T Verizon Zayo AboveNet Sunesys Level 3 Century Link Charter Communications (formerly Time Warner Cable) Nova Academy 76 Gas Station and Convenience Store And any parent subsidiaries and related entities Project Address: Agreement Number 21832SO037 OIC Streetcar Construction (Project IFB 7-1904) Project Address 1260 Corona Pointe Court 201 Corona VA 92879: (If no entry appears above, information required to complete this endorsement will as applicable to this endorsement.) CG 20 10 10 01 © ISO Properties, Inc., 2000 be = w�kn�.s ixw RENEWED&APPRovm&r e i A+ju16v44 ® Risk Management Spedalist A. Section If — Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations performed for that insured. B. With respect to the additional insureds, added: 2. Exclusions insurance afforded to these the following exclusion is This insurance does not apply to "bodily inju- ry" or "property damage" occurring after: Page 2 of 2 © ISO Properties, Inc., 2000 (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 addi- tional insured(s) at the site of the cov- ered operations has been completed; or (2) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than an- other contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. xok Management Dtuisian r,M k% FdMEWEo & APPRw D BY. glow RI w Aye a Acw�de Risk Management Spedkist CG20101001 13 POLICY NUMBER: T135-621-095327-034 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 SCHEDULE Name of Person or Organization: Walsh Construction Company II LLC Orange County Transportation Authority Hntb Corporation The City of Santa Ana, its officers, agents, elected officials, and employees. The City of Garden Grove, its officers, agents, elected officials, and employees. Orange County Flood Control District, its officers, agents, elected officials, and employees. Orange County Sanitation District, its officers, agents, elected officials, and employees. County of Orange, California, its officers, agents, elected officials, and employees. United States Army Corps of Engineers, its officers, agents, elected officials, and employees. The Gas Company (Southern California Gas) Southern California Edison Company AT&T Verizon Zayo AboveNet Sunesys Level 3 Century Link Charter Communications (formerly Time Warner Cable) Nova Academy 76 Gas Station and Convenience Store And any parent subsidiaries and related entities Location And Description of Completed Operations: Project Address: Agreement Number 21832SO037 OIC Streetcar Construction (Project IFB 7-1904) Project Address 1260 Corona Pointe Court 201 Corona VA 92879: Additional Premium: Included (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) Section II — Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" at the location designated and described in the schedule of this endorsement performed for that insured and included in the "produ hazard xiekMvvVwdD Sian REVIEWED& ArrRwEo BY. a `®; fi+�ilcwafa m Risk Management Speakist CG 20 37 10 01 0 ISO Properties, Inc., 2000 Page 1 of 1 POLICY NUMBER: TB5-621-095327-034 COMMERCIAL GENERAL LIABILITY CG 24 04 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. Schedule Name Of Person(s) Or Organization(s): Any person or organization you have agreed in writing to waive any right of recovery prior to a loss Information required to complete this Schedule, if not shown above, will be shown in the Declarations. RiakMa vgemadDmsim v Ren D & Arrxovm By. �. ® Risk Management Sped.list CG 24 0412 19 © Insurance Services Office, Inc., 2018 POLICY NUMBER: AS5-621-095327-044 COMMERCIAL AUTO CA 20 4810 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 the 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. SCHEDULE Name Of Person(s) Or Organization(s): Any person or organization whom you have agreed in writing to add as an additional insured, but only to coverage and minimum limits of insurance required by the written agreement, and in no event to exceed either the scope of coverage or the limits of insurance provided in this policy. 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 only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.I. of Section If - 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 °mac „ g , NekMwagxmWD[Pi = RE EwED 6 APPRov®By: 4ju Aaa*w6 .: . �� RMManage mSpea*st POLICY NUMBER: AS5-621-095327-044 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 respectto coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. SCHEDULE Name(s) Of Person(s) Or Organization(s): Any person or organization you have agreed in writing to waive any right of recovery prior to a loss. Premium: $ INCL 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 q��y f5 RAMn,>lge E)Msian REMEWIED&APPROVED BY. Aqu AYv44 Risk Management Specialist WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Not applicable in Kansas, Kentucky, Missouri, New Hampshire, and New Jersey. Schedule Any person or organization for which the employer has agreed by written contract, executed prior to loss, may execute a waiver of subrogation. However, for purposes of work performed by the employer in Missouri, this waiver of subrogation does not apply to any construction group of classifications as designated by the waiver of right to recover from others (subrogation) rule in our manual. The waiver does not apply to any right to recover payments which the Minnesota Workers Compensation Reinsurance Association may have or pursue under M.S. 79.36. Use of this endorsement is limited by the Kansas Fairness in Private Construction Contract Act (K.S.A. 16-1801 through 16-1807 and any amendments thereto) and the Kansas Fairness in Public Construction Contract Act (K.S.A. 16-1901 through 16-1908 and any amendments thereto). According to the Acts, a provision in a contract for private or public construction purporting to waive subrogation rights for losses or claims covered or paid by liability or workers compensation insurance shall be against public policy and shall be void and unenforceable except that, subject to the Acts, a contract may require waiver of subrogation for losses or claims paid by a consolidated or wrap-up insurance program. Where required by contract or written agreement prior to loss and allowed by law. In the states of Alabama, Arizona, Arkansas, Colorado, Delaware, Dist. of Columbia, Georgia, Idaho, Illinois, Indiana, Maine, Michigan, Minnesota, Mississippi, Montana, New Mexico, North Carolina, Pennsylvania, Rhode Island, South Carolina, South Dakota, Vermont, West Virginia, the premium charge is 2% of the total manual premium, subject to a minimum premium of $100 per policy. In the states of Connecticut, Florida, Iowa, Maryland, Nebraska, Nevada, Oregon, the premium charge is 1 % of the total manual premium, subject to a minimum premium of $250 per policy. In the state of Hawaii, the premium charge is $250 and determined as WC 00 03 13 ©1983 National Council on Compensation Insurance. Ed. 04/01/1984 RA �nEvmM nAr ov®9y _ ' Rkk kfinagemen[Speaal6t follows: The premium charge for this endorsement is 1% of the total manual premium, subject to a minimum premium of $250 per policy. In the state of Louisiana, the premium charge is 2% of the total standard premium, subject to a minimum premium of $250 per policy. In the state of Massachusetts,the premium charge is 1 % of the total manual premium. In the states of New York, Oklahoma, Tennessee, the premium charge is 2% of the total manual premium, subject to a minimum premium of $250 per policy. In the state of Virginia, the premium charge is 5% of the total manual premium, subject to a minimum premium of $250 per policy. Issued by Liberty Mutual Fire Insurance Company 16586 For attachment to Policy No. WA2-62D-095327-014 Effective Date Premium $ Issued to RailWorks Topco LP Endorse WC 00 03 13 © 1983 National Council on Compensation Insurance. Ed.04/01/1984 RA Mancgemmt Ditisian REVIE &APPRW®6y: Risk Management Speae st Attachment Code: D643741 Master ID: 1138199, Certificate ID: 877838 Property The following limits applicable to loss or damage as a result of the perils of Flood, Earthquake, and Named Storm and are the most this policy will pay in any one policy term, for any and all losses, from any and all of the exposures covered in this policy. Earth Movement $5,000,000 Per Occurrence & Annual Aggregate for the peril of Earth Movement expect: $1,500,000 Per Occurrence and Annual Aggregate for the peril of Earth Movement in California, Alaska, Hawaii and/or Puerto Rico $5,000,000 Per Occurrence and Annual Aggregate for the peril of Earth Movement in New Madrid Earthquake Zone Counties $5,000,000 Per Occurrence and Annual Aggregate for the peril of Earth Movement in Pacific Northwest Earthquake Zone Counties Flood $10,000,000 Per Occurrence and Annual Aggregate for the peril of Flood except; $2,500,000 Per Occurrence and Annual Aggregate for the peril of Flood occurring wholly or partially within Special Flood Hazard Areas (SFHA), areas of 100-Year Flooding, as defined by the Federal Emergency Management Agency Deductibles: Earth Movement $100,000 expect: 5% of TIV, $500K min. any one occurrence, as respects locations in California, Alaska, Hawaii and/or Puerto Rico 5% of TIV, $250K min. any one occurrence, as respects locations in the New Madrid Earthquake Zone Counties 5% of TIV, $250K min. any one Occurrence for all covered loss or damage arising out of Earth Movement in the Pacific Northwest Earthquake Zone Flood $100,000 except: 5% of TIV, $500K min. any one occurrence, as respects locations wholly or partially within Special Flood Hazard Areas (SFHA), areas of 100-year flooding as defined by the Federal Emergency Management Agency (FEMA). Named Storm $100,000 except: 5% of TIV, $250K min. at each insured location involved in the loss or damage arising out of a Named Storm (a storm that has been declared by the National Weather Service to be a Hurricane, Typhoon, Tropical Cyclone, Tropical Storm or Tropical Depression), regardless of the number of Coverages, Locations or Perils involved (including but not limited to, all Flood, wind, wind gusts, storm surges, tornados, cyclones, hail or rain) RIAMWaganadDivisim ew ArvRov®Sr Rnk Management Spedidist 01 Attachment Code: D640921 Master ID: 1138199, Certificate ID: 877838 e" The city of Santa AnaAttention: Executive Director of Public Works Agcy 20 Civic Center Plaza (M-21) Santa AnaCACA Dear Rai➢Works Track Services LLC certificate holder: In an effort to meet demand for instant electronic delivery of certificates, Lock -ton Companies now provides paperless delivery of Certificates of Insurance. Thank you for your patience and willingness to help us lessen our environmental footprint. To fulfill your certificate delivery, we need your email address. Please contact us via one of the methods below with your Holder ID number, email address, and phone number in the event we have any questions. Your Holder H) number is 877838. Email: Northeast-TSAplockton.com Toll -free automated phone service: 866-218-4018 If this certificate is no longer needed or valid, please notify us. Thank you, Lockton Companies RiorMntagbnod DMsim q REVIe &Arvnw®ar. Lockton Companies il+& a to as Th I'CC t ll� hlOCC 1h'. SLEW t1UU SL Louiq, MO (13 � 4l -jOS;{ Risk Management Specialot 314-432-0500 / FAX: 314-412-3299 locktou.com Attachment Code: D640920 Master ID: 1538750, Certificate ID: 20455916 The City of Santa Ana Attention: Executive Director of Public WorksAgcy 20 Civic Center Plaza (M-21) Santa AnaCA92701 Dear RRaflWorks Track Services LLC certificate holder: In an effort to meet demand for instant electronic delivery of certificates, Lockton Companies now provides paperless delivery of Certificates of Insurance. Thank you for your patience and willingness to help us lessen our environmental footprint. To fulfill your certificate delivery, we need your email address. Please contact us via one of the methods below with your Holder ID number, email address, and phone number in the event we have any questions. Your Holder H) number is 20455916. Email: RailWorksCertRequests@lockton.com • Toll -free automated phone service: 866-218-4018 If this certificate is no longer needed or valid, please notify us. Thank you, Lockton Companies Lockton Companies Three CiiyPktuc Dr. Suiic t>OO St LlniS. A'10 i)-,141 314-432-0500 / FAX: 314-812-3299 lockton.com RiA Mwiapwrttut;aim REAenm & APPRw® By. ® Rnk Management5pedalBt