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NATIONAL SAFETY SERVICES, INC.
INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURANCE EXPIRES h2/o1 /7, Zs CITY CLERK DATE. A-2025-003-01 FEB 2 5 P0Y5 AGREEMENT WITH NATIONAL SAFETY SERVICES, INC. TO PROVIDE ON -CALL CONFINED SPACE RESCUE AND SAFETY TRAINING SERVICES FOR THE CITY OF SANTA ANA D: PWNy> THIS AGREEMENT is made and entered into on this 21 st day of January, 2025 by and between bltidi cpv, ty-P)National Safety Services, hie. ("Consultant"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California ("City"). RECITALS A. On May 2, 2024 the City issued Request for Proposal ("RFP") No. 24-028, by which it sought qualified consultants to provide on -call confined space rescue and safety training services for the City's Public Works Agency. B. Consultant submitted a responsive proposal that was among those selected by the City. Consultant represents that it is able and willing to provide the services described in the scope of work that was included in RFP 24-028. C. In undertaking the performance of this Agreement, Consultant represents that it is knowledgeable in its field and that any services performed by Consultant under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional consulting firm in the field. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the parties agree as follows: 1. SCOPE OF SERVICES On an on -call basis, and at the City's sole discretion, Consultant shall perform the services described in the scope of work that was included in RFP No. 24-028, which is attached hereto as Exhibit A and incorporated in full, and further delineated in Consultant's proposal, attached hereto as Exhibit B and incorporated in full. 2. COMPENSATION a. City neither warrants nor guarantees any minimum or maximum compensation to Consultant under this Agreement. Consultant shall be paid only for actual services performed under this Agreement at the rates and charges identified in Exhibit C. Consultant is one of three (3) consultants selected to provide confined spaced rescue services and safety training on an on -call basis under RFP 24-028. The total compensation for these services provided by all such consultants selected under RFP 24-028 shall not exceed the shared aggregate amount of One Million, Two -Hundred and Fifty Thousand Dollars ($1,250,000) during the term of the Agreement, including any extension periods. b. Payment by City shall be made within 45 days (forty-five) days following receipt of Page 1 of 9 #447776v5 proper invoice evidencing work performed, subject to City accounting procedures. Payment need not be made for work which fails to meet the standards of performance set forth in the Recitals which may reasonable be expected by City. 3. TERM This Agreement shall commence on the date first written above and continue for a three (3) year tern through January 20, 2028, unless terminated earlier in accordance with Section 16, below. The term of this Agreement may be extended for up to two (2), one-year periods upon a written executed by the City Manager and the City Attorney. 4. PREVAILING WAGES Consultant is aware of the requirements of California Labor Code Section 1720, et seq., and 1770, et seq., as well as California Code of Regulations, Title 8, Section 1600, et seq., ("Prevailing Wage Laws"), which require the payment of prevailing wage rates and the performance of other requirements on "public works" and "maintenance" projects. If the services being performed are part of an applicable "public works" or "maintenance" project, as defined by the Prevailing Wage Laws, and the total compensation is $1,000 or more, Consultant agrees to fully comply with such Prevailing Wage Laws. Consultant shall defend, indemnify and hold the City, its elected officials, officers, employees and agents free and harmless form any claim or liability arising out of any failure or alleged failure to comply with the Prevailing Wage Laws. 5. INDEPENDENT CONTRACTOR Consultant shall, during the entire term of this Agreement, be construed to be an independent Consultant and not an employee of the City. This Agreement is not intended nor shall it be construed to create an employer -employee relationship, a joint venture relationship, or to allow the City to exercise discretion or control over the professional manner in which Consultant performs the services which are the subject matter of this Agreement; however, the services to be provided by Consultant shall be provided in a manner consistent with all applicable standards and regulations governing such services. Consultant shall pay all salaries and wages, employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. 6. OWNERSHIP OF MATERIALS This Agreement creates a non-exclusive and perpetual license for City to copy, use, modify, reuse, or sublicense any and all copyrights, designs, and other intellectual property embodied in plans, specifications, studies, drawings, estimates, and other documents or works of authorship fixed in any tangible medium of expression, including but not limited to, physical drawings or data magnetically or otherwise recorded on computer diskettes, which are prepared or caused to be prepared by Consultant under this Agreement ("Documents & Data"). Consultant shall require all subcontractors to agree in writing that City is granted a non-exclusive and perpetual license for any Documents & Data the subcontractor prepares under this Agreement. Consultant represents and warrants that Consultant has the legal right to license any and all Documents & Data. Consultant makes no such representation and warranty in regard to Page 2 of 9 #447776v5 Documents & Data which were provided to Consultant by the City. City shall not be limited in any way in its use of the Documents and Data at any time, provided that any such use not within the purposes intended by this Agreement shall be at City's sole risk. INSURANCE Prior to undertaking performance of work under this Agreement, Consultant shall maintain and shall require any subcontractors to obtain and maintain insurance as described below for the entire Term of this Agreement against claims for injuries to persons or damage to property which may arise from or in connection with services, products and materials supplied to City. Total cost of such insurance shall be borne by Consultant. MINIMUM SCOPE AND LIMIT OF INSURANCE Commercial General Liability (CGL): Insurance Services Office Form CG 00 01 covering CGL on an "occurrence" basis, including products and completed operations, property damage, bodily injury and personal & advertising injury with limits no less than $1,000,000 per occurrence and $2,000,000 aggregate. Required policy limits can be met with primary and umbrella/excess insurance policies. 2. Automobile Liability: Insurance Services Office Form CA 00 01 covering Code 1 (any auto), with limits no less than $1,000,000 combined single limits. hi the event Consultant does not maintain commercial automobile liability insurance, City will accept evidence of personal automobile insurance. 3. Workers' Compensation: as required by the State of California, with Statutory Limits, and Employer's Liability Insurance with limit of no less than $1,000,000 per accident, policy or employee, for bodily injury or disease. Coverage is not required if Consultant has no employees and signs request to waive such insurance 4. Professional Liability Insurance: with limits no less than $1,000,000 per occurrence or claim, and $2,000,000 aggregate. If Consultant maintains broader coverage and/or higher limits than the minimum requirements for each line of coverage shown above, City requires and shall be entitled to the broader coverage and/or the higher limits maintained by Consultant. Any available insurance proceeds in excess of the specified minimum limits of insurance and coverage shall be available to City. Other Insurance Provisions The above required insurance policies are to contain or be endorsed to contain the following provisions: 1. City, its City Council, its officers, officials, employees, agents, and volunteers are to be covered as additional insureds, under Consultant's CGL, Professional Liability, and Automobile Liability policies, with respect to any liability arising out of work or Page 3 of 9 #447776v5 operations performed by or on behalf of the Consultant including materials, parts, equipment, and personnel furnished in connection with such work or operations. 2. Consultant's Insurance company(ies) agrees to waive all rights of subrogation against City, its City Council, its officers, officials, employees, agents, and volunteers for losses paid under the terms of any policy which arise from work performed by Consultant under this Agreement. 3. For any claims related to this contract, Consultant's insurance coverage shall be primary and any insurance maintained by City, its City Council, its officers, officials, employees, agents, or volunteers shall not contribute with it. 4. A severability of interest provision must apply for all the additional insureds, ensuring that Consultant's insurance shall apply separately to each insured against whom a claim is made or suit is brought, except with respect to the insurer's limits of liability. 5. Insurance policies required herein shall provide that coverage shall not be canceled, suspended, voided, reduced in coverage or in limits, non -renewed by the carrier, or materially changed except after thirty (30) days prior written notice has been given to City. Ten (10) days prior written notice shall be provided to City for policy cancellation or non -renewal due to non-payment of premium. 6. Certificate Holder on each Evidence of Insurance certificate shall be: City of Santa Ana, Attention: Heidi Chou, 20 Civic Center Plaza M-85, Santa Ana, CA 92701. The name and location of project must be included in the Description of Operations section of each certificate. Self -Insured Retentions Self -insured retentions must be declared to and approved by the City. The City may require the Consultant to purchase coverage with a lower retention or provide proof of ability to pay losses and related investigations, claim administration, and defense expenses within the retention. Acceptability of Insurers Insurance is to be placed with insurers authorized to conduct business in the State of California with a current A.M. Best rating of no less than A: VII, unless otherwise acceptable to City. Verification of Coverage Consultant shall furnish City with original Certificates of Insurance including all required amendatory endorsements (or copies of the applicable policy language effecting coverage required by this clause) and a copy of the Declarations and Endorsement Page of the CGL policy listing all policy endorsements before work begins. However, failure to obtain the required documents prior to the work beginning shall not waive Consultant's obligation to provide them. City reserves the right to require complete, certified copies of all required insurance policies, including endorsements required by these specifications, at any time. Special Risks or Circumstances City reserves the right to modify these requirements, including limits, based on the nature of the risk, prior experience, insurer, coverage, or other special circumstances. Page 4 of 9 #447776v5 8. INDEMNIFICATION Consultant agrees to defend, and shall indemnify and hold harmless the City, its officers, agents, employees, contractors, special counsel, and representatives from liability: (1) for personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims for personal injury, including death, and claims for property damage, which may arise from the negligent operations of the Consultant, its subcontractors, agents, employees, or other persons acting on its behalf which relates to the services described in section 1 of this Agreement; and (2) from any claim that personal injury, damages, just compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects arising from this Agreement. This indemnity and hold harmless agreement applies to all claims for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to have been suffered, by reason of the events referred to in this Section or by reason of the terms of, or effects, arising from this Agreement. The Consultant further agrees to indemnify, hold harmless, and pay all costs for the defense of the City, including fees and costs for special counsel to be selected by the City, regarding any action by a third party challenging the validity of this Agreement, or asserting that personal injury, damages, just compensation, restitution, judicial or equitable relief due to personal or property rights arises by reason of the terms of, or effects arising from this Agreement. City may make all reasonable decisions with respect to its representation in any legal proceeding. Notwithstanding the foregoing, to the extent Consultant's services are subject to Civil Code Section 2782.8, the above indemnity shall be limited, to the extent required by Civil Code Section 2782.8, to claims that arise out of, pertain to, or relate to the negligence, recklessness, or willful misconduct of the Consultant. 9. INTELLECTUAL PROPERTY INDEMNIFICATION Consultant shall defend and indemnify the City, its officers, agents, representatives, and employees against any and all liability, including costs, for infringement of any United States' letters patent, trademark, or copyright infringement, including costs, contained in the work product or documents provided by Consultant to the City pursuant to this Agreement. 10. RECORDS Consultant shall keep records and invoices in connection with the work to be performed under this Agreement. Consultant shall maintain complete and accurate records with respect to the costs incurred under this Agreement and any services, expenditures, and disbursements charged to the City for a minimum period of three (3) years, or for any longer period required by law, from the date of final payment to Consultant under this Agreement. All such records and invoices shall be clearly identifiable. Consultant shall allow a representative of the City to examine, audit, and make transcripts or copies of such records and any other documents created pursuant to this Agreement during regular business hours. Consultant shall allow inspection of all work, data, documents, proceedings, and activities related to this Agreement for a period of three (3) years from the date of final payment to Consultant under this Agreement. Page 5 of 9 #447776v5 11. CONFIDENTIALITY If Consultant receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Consultant agrees that it shall not use or disclose such information except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of like importance, but in no event less than reasonable care. "Confidential Information" shall include all nonpublic information. Confidential information includes not only written information, but also information transferred orally, visually, electronically, or by other means. Confidential information disclosed to either party by any subsidiary and/or agent of the other party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is, through no fault of the Consultant disclosed in a publicly available source; (c) is in rightful possession of the Consultant without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or (e) is independently developed by the Consultant without reference to information disclosed by the City. 12. CONFLICT OF INTEREST CLAUSE Consultant covenants that it presently has no interests and shall not have interests, direct or indirect, which would conflict in any manner with performance of services specified under this Agreement. 13. NON-DISCRIMINATION Consultant shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, gender identity, gender expression, gender, medical conditions, genetic information, or military and veteran status, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, teaching, training, utilization, promotion, termination or other employment related activities or any services provided under this Agreement. Consultant affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 14. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Consultant, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terms of this Agreement and any attachments hereto, the terms of this Agreement shall prevail. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Consultant. The parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not bind or obligate Consultant or the City. Each party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any party, which is not embodied herein. Page 6 of 9 #447776v5 15. ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Consultant, Consultant may not assign, transfer, delegate, or subcontract any interest herein without the prior written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the City's ability to have any of the services which are the subject to this Agreement performed by City personnel or by other contractors retained by City. 16. TERMINATION This Agreement may be terminated by the City upon thirty (30) days written notice of termination. In such event, Consultant shall be entitled to receive and the City shall pay Consultant compensation for all services performed by Consultant prior to receipt of such notice of termination, subject to the following conditions: a. As a condition of such payment, the Executive Director may require Consultant to deliver to the City all work product(s) completed as of such date, and in such case such work product shall be the property of the City unless prohibited by law, and Consultant consents to the City's use thereof for such purposes as the City deems appropriate. b. Payment need not be made for work which fails to meet the standard of performance specified in the Recitals of this Agreement. 17. WAIVER No waiver of breach, failure of any condition, or any right or remedy contained in or granted by the provisions of this Agreement shall be effective unless it is in writing and signed by the party waiving the breach, failure, right or remedy. No waiver of any breach, failure or right, or remedy shall be deemed a waiver of any other breach, failure, right or remedy, whether or not similar, nor shall any waiver constitute a continuing waiver unless the writing so specifies. 18. JURISDICTION - VENUE This Agreement has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the State of California. Both parties further agree that Orange County, California, shall be the venue for any action or proceeding that may be brought or arise out of, in connection with or by reason of this Agreement. 19. PROFESSIONAL LICENSES Consultant shall, throughout the term of this Agreement, maintain all necessary licenses, permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State of California, the City of Santa Ana and all other governmental agencies. Consultant shall notify the City immediately and Page 7 of 9 #447776v5 in writing of its inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. 20. NOTICE Any notice, tender, demand, delivery, or other conummication pursuant to this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or mailed by first class or certified mail, postage prepaid, or sent by fax or other telegraphic communication in the manner provided in this Section, to the following persons: To City: City Clerk City of Santa Ana 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana, CA 92702-1988 Fax: 714- 647-6956 With courtesy copies to: Executive Director, Public Works Agency City of Santa Ana 20 Civic Center Plaza (M-21) P.O. Box 1988 Santa Ana, California 92702 Fax:714-647-5635 To Consultant: National Safety Services Inc. Attn: Charles Hudson, President/Rescue Chief 5562 Research Drive, Unit B Huntington Beach, CA, 92649 A party may change its address by giving notice in writing to the other party. Thereafter, any communication shall be addressed and transmitted to the new address. If sent by mail, communication shall be effective or deemed to have been given three (3) days after it has been deposited in the United States mail, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent by fax, communication shall be effective or deemed to have been given twenty-four (24) hours after the time set forth on the transmission report issued by the transmitting facsimile machine, addressed as set forth above. For purposes of calculating these time frames, weekends, federal, state, County or City holidays shall be excluded. Page 8 of 9 #447776v5 21. MISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature herein below has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. b. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ♦mmVQe . APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney By Kyle *O esen Assisidnt City Attorney RECOMMENDED FOR APPROVAL: Nabil Dighally signed by Nabil Saba Date: =.01.0613:1556 Saba -08-00- Nabil Saba Executive Director Public Works Agency #447776v5 CITY OF S TA ANA Alvaro Nunez / City Manager CONSULTANT: 2 Charles Hudson President/Rescue Chief Page 9 of 9 EXHIBIT A CITY OF SANTA ANA RFP NO.: 24-028 CONFINED SPACE RESCUE SERVICES AND SAFETY TRAINING SCOPE OF WORK A. INTRODUCTION AND BACKGROUND The City of Santa Ana is located in the County of Orange in Southern California. The City encompasses 27.2 square miles and proudly serves a population over 310,000 people. The City of Santa Ana Public Works Agency — Water Resources Division oversees and maintains the daily operations of the Water System and Sanitary Sewer System and has been proudly serving the community for 150 years. B. SAFETY CONSULTANT RESPONSIBILITIES The Consultant shall be responsible for providing confined space standby services during permit -required confined space (FRCS) entries performed by City Staff and/or by the City's Consultants and Contractors. The majority of PRCS entries will involve entry into appurtenance vaults containing pipelines, water reservoir tanks, culverts, excavations, trenches, and other such work sites. PRCS support services shall be required and requested on an as -needed basis. The Consultant shall have expertise in the following: • Confined space rescue • High angle/low angle retrieval performance tactics and methods • Confined Space attendance and supervisory role allocation • Trench Rescue • Hazard assessments • Rescue planning • Site and space evaluation/classification • Accountability and permit oversight (such as hot work and confined space permit requirements) • Atmospheric monitoring and ventilation • Offshore platform rescue • High angle stand-by rescue for elevated water tanks • Tactical planning procedures • Maintaining and inspecting air quality equipment • Water rescue The Consultant shall provide all tabor, materials, services, and equipment necessary confined space rescue services and safety training. All services, equipment and materials provided by the Consultant must be in accordance with all applicable Federal, State and local regulations, laws, and codes. The City reserves the right to modify the scope of the project at any time. All work shall be in accordance with applicable practices and shall conform to all applicable laws, codes and regulations. In addition, the Consultant must be able to respond to City's request for emergency repair work on a timely manner. Regular business hours are considered from 7:00 am to 5:00 pm (Monday City of Santa Ana RFP 24-028 Confined Space Rescue Services and Safety Training Page 13 CITY OF SANTA ANA RFP NO.: 24-028 CONFINED SPACE RESCUE SERVICES AND SAFETY TRAINING through Friday), C, SCOPE OF SERVICES The City and its Consultant/Contractor entrants will perform various PRCS activities, under emergency and non -emergency conditions, for the purpose of: • Draining and dewatering • Inspections, assessments, and evaluations • Rehabilitation, replacement, maintenance and repairs • Installation and repair of equipment • Maintenance and inspection of air quality equipment The Consultant's services shall include the following tasks: 1. SITE SAFETY ASSESSMENT AND MEETINGS The Consultant shall provide a two -person rescue team that shall actively participate in all pre -entry planning and coordination efforts, including but not limited to, attending project coordination meetings in the field to help plan and coordinate the execution of the proposed work. The Consultant's attendance at pre-planning/coordination meetings are necessary for assessing known/unexpected site condition and preparing the contractor, consultant, and City staff for confined space entries. The two -person (potential entrant and attendant/supervisor) or more rescue team shall arrive at the designated worksite at least one f 1) hour prior to PRCS entry to evaluate the site for potential hazards, establish appropriate anchors, set up rescue equipment, and meet with City staff to review all site hazards. This meeting must include all entrant(s). Depending on the nature of work, more than one rescue team or additional rescue personnel may be required at the designated work site. Once City entrants have entered a worksite, the distance, grade, and difficult access can limit and/or restrict the entry and exit of these spaces. The spatial constraints, fall hazards, and slippery conditions within the worksite can also limit freedom of movement and hinder a person's ability to exit the space in an emergency. Since the depths, dimensions, access points, atmospheres, and other worksite conditions often vary, each City PRCS entry will need to be evaluated on a case -by -case basis by the confined space entry rescue Consultant. When meeting with City staff, the Consultant will discuss, test, and confirm all methods of communication to be used during the entry. Radios will be used as a primary form of communication and vocal directions shall serve as a secondary alternative form of communication on a case -by -case basis. If the entrant may not remain in visual contact at all times, then an air horn, whistle, or alternate form of communication may City of Santa Ana RFP 24-028 Confined Space Rescue Services and Safety Training Page 14 CITY OF SANTA ANA RFP NO.; 24-028 CONFINED SPACE RESCUE SERVICES AND SAFETY TRAINING be used. A radio checks will be performed before entry to ensure the proper functioning of radios and the use of the correct channel. If hand signals are used, then the entrants, rescue team, and attendants will review the hand signals to be used. If an air horn is used, then all sound signals will be agreed upon by the entrants, rescue teams, and attendants before entry. The Consultant will discuss known and potential site hazards associated with the PRCS, safety, and fall protection equipment, review rescue plans with the entrants and attendants before entry, and any other relevant safety -related items. All safety and fall protection equipment shall be inspected by the Consultant following CAL/OSHA requirements before entry. The Consultant will consider potential rescue obstacles and discuss any necessary contingency plans to circumvent the obstacle(s). The Consultant will maintain regular contact with the attendant regarding conditions within the space and the location of the entrants. 2. CONFINED SPACE RESCUE SERVICES If a City employee is injured or unable to exit the space unassisted, the Consultant shall enter the space and conduct a rescue if conditions are safe for entry. The Consultant shall contact appropriate emergency personnel as needed. The Consultant shall be able to provide any necessary first aid and/or CPR for the injured entrant(s) if the conditions allow. The Consultant shall remove the injured entrant from the space as safely and expeditiously as conditions allow. If the entrant is uninjured but unable to exit due to being physically stuck in the space, the Consultant shall enter the space, extricate the entrant, and evaluate the condition that caused the entrant to become stuck. The condition shall be reported to the attendant to determine whether the entry should be aborted. The Consultant shall work with the City to designate a safe and accessible staging location for meeting emergency personnel (i.e., paramedics, fire department, and police), The Consultant shall be responsible for transporting any injured City employees to this staging area. If a rescue is performed or if an entrant(s) is injured, the Consultant and/or their supervisor shall provide the City with a written statement of the actions taken and the conditions that led to the rescue and/or injury. The written statement shall be submitted to the designated City Safety Coordinator and City Project Manager within eight (8) to twenty-four (24) hours of the incident depending upon the circumstance per CAL/OSHA and City requirements and regulations. If no rescue operations take place, the Consultant and/or their supervisor shall provide the City with a brief written summary of their activities at the entrysite within three (3) calendar City of Santa Ana RFP 24-028 Confined Space Rescue Services and Safety Training Page 15 CITY OF SANTA ANA RFP NO.: 24-028 CONFINED SPACE RESCUE SERVICES AND SAFETY TRAINING days. 3. RESCUE SUPPORT EQUIPMENT The Consultant shall be responsible for providing all of the necessary rescue support equipment such as self-contained breathing apparatuses (SCBA's), floatable rescue stretcher/lifter, multi -gas meter, two sources of waterproof lighting, at least 300 feet of rescue line, cell phones for contacting emergency medical services (EMS), radios and/or air horn, waders and/or hip boots, floatation vests, hard hats, personal protective equipment, davit and/or retrieval equipment, and first aid kit, etc. Additional equipment may be needed depending on the worksite. In addition, the Consultant shall develop plans for rigging activities and rope support specific to ascending and descending elevated water towers above 100 feet. The Safety Consultant shall provide rope support and safety consulting services with detailed inspection prior and during rigging activities. The Consultant shall also be able to provide/procure City personnel with rope/harness and rigging equipment that meets or exceeds applicable safety standards upon request by the City. In the event equipment no longer meets safety standards required by applicable codes, the Consultant shall recommend approved resources to replace safety equipment. In addition, if the City desires additional miscellaneous protective safety equipment outside of the scope of services, the Consultant shall be able to procure and train City employees on aforementioned miscellaneous equipment. 4. SAFETY TRAINING SERVICES The Consultant shall provide rescue training services; this includes developing and delivering training and expertise to identify workplace hazards and controls as well as and assisting workers in gaining a greater understanding of safety awareness. Upon request by the City, the Consultant may be tasked with conducting safety inspections and investigations, assisting with developing training to contribute to the knowledge and skills required for workers to perform their work safely, and teaching employees awareness/understanding of workplace hazards including how to identify, report, and control the hazards. Annually and upon request, the City shall request the following training classes from the Consultant: 1. Fit Testing per City employee (including medical evaluation questionnaires) 2. SCBA and SKA-PAK Breathing Air Training 3. 40-hour Confined Space Rescue Service 4. 8-hour Cal -OSHA Confined Space Entry Course 5. Lift Station Air Quality Equipment Inspection Services 6. Elevated Tank Fall Protection and Retrieval Training City of Santa Ana RFP 24-028 Confined Space Rescue Services and Safety Training Page 16 CITY OF SANTA ANA RFP NO.: 24-028 CONFINED SPACE RESCUE SERVICES AND SAFETY TRAINING Monthly Safety Training Services including but not limited to: (1) Electrical safety (2) Confined space training (3) Excavation/Trenching (4) Fall protection and retrieval (5) Lock-out/Tag-out (6) Construction site safety plans (7) Hazardous materials handling (8) Respirator protection (9) Aerial work (fall protection and retrieval) (10) Hot work and hot work permit requirements (11) Personnel protective equipment (PPE) requirements (12) Signage requirements (13) Ventilation techniques (14) Permitting requirements (15) Other OSHA required training forjob-related hazards The specific training needs identified in the scope of work can be expected to include similar components as the training requirements identified above. All safety training needs will be discussed and coordinated with City staff prior to work authorization. 5. SAFETY EQUIPMENT INSPECTION AND MAINTENANCE SERVICES Upon request from the City, the Consultant shall .offer inspection and maintenance services of safety equipment including but not limited to the following frequency: The Consultant shall provide quarterly inspection and evaluation of rescue equipment in the City's Immediately Dangerous to Life or Health (IDLH) rescue vehicle to meet compliance with safety provisions and standards. The City's IDLH rescue vehicle Includes SCBA's, SKA-PAK's, medical equipment, helmets and lights, ventilation, CMC rescue hardware, fall protection equipment, radios, atmospheric monitors, and miscellaneous equipment. 2. The consultant shall also provide annual inspection and evaluation services of SCBA's and SKA-PAK's air respirators as well as evaluation of self -retracting lines to meet compliance with safety standards. 3. The Consultant shall provide confined spaces training services annually in accordance with Title 8 CCR, 4. The Consultant shall provide annual inspection/maintenance of the City's air quality monitoring equipment at various stations. 5. The Consultant shall be responsible for training City staff on assessing Self - retracting line (SRL) equipment and ensuring equipment meets certification City of Santa Ana RFP 24-028 Confined Space Rescue Services and Safety Training Page 17 CITY OF SANTA ANA RFP NO.: 24-028 CONFINED SPACE RESCUE SERVICES AND SAFETY TRAINING standards (SRL annual certification and training services for ascending and descending potable water tanks taller than 100 feet). In the event any safety equipment does not meet standards, the Consultant shall recommend and provide replacements. In addition, the Consultant shall maintain a record of Inspections and tests to ensure timely maintenance and quality of safety equipment and materials. Upon performing quarterly and annual inspections, the Consultant shall provide the official test results as well as inspection logs within thirty (30) days of inspection performance. C. CODE COMPLIANCE All materials and workmanship shall be in strict conformity with standards of the latest editions including revisions of the following: • National Fire Protection Agency (NFPA) • State Department of Industrial Safety (CAL/OSHA) • California Code of Regulations (CCR) • Local, State, and Federal Building Codes • City of Santa Ana Standards D. PROJECT MANAGEMENT AND COORDINATION When a request for service Is issued to the City, the Contractor shall issue an estimate to the City's designated Project Manager. The Contractor shall not proceed with any work without the approval of the City's designated project manager. Contractors shall invoice the City on a monthly basis for all work performed during the period or provide a one-time Invoice at the completion of work issued. Each invoice shall be accompanied by a summary of tasks performed, contract agreement number, results and progress on long- term tasks if any. E. VALUE ADDED RELATED SERVICES The Contractor may propose additional related services that the City has not specifically identified in this RFP to accomplish the stated goals of this RFP. Value added related services will be considered by the City and may or may not be incorporated in the agreement. All parts and materials must be supplied new and factory approved. F. SUBCONTRACTORS The use of Subcontractors is allowed, but will require approval by City prior to start of any assigned work. Upon commencement of work, the Contractor shall be responsible for services provided by any subcontractor as if Contractor were providing the services with its own City of Santa Ana RFP 24-028 Confined Space Rescue Services and Safety Training Page 18 CITY OF SANTA ANA RFP NO.: 24-028 CONFINED SPACE RESCUE SERVICES AND SAFETY TRAINING organization. When a Subcontractor performs all or any part of the work, a markup shall be applied to the Subcontractor's actual cost of such work. The Contractor may add a markup of 10 percent on the first $5,000 of the subcontracted portion of the extra work and a markup of 5 percent on work added in excess of $5,000 of the subcontracted portion of the work may be added by the Contractor. G. MARKUP The following markup percentages shall be added to the Contractor's costs and shall constitute the markup for all overhead and profits (to the sum of the costs and markups, one (1) percent shall be added as compensation for bonding): 1) Labor................................................................................................20 2) Materials...........................................................................................15 3) Equipment Rental............................................................................. 15 4) Other Items and Expenditures.......................................................... 15 H. MINIMUM QUALIFICATIONS The Contractor shall meet the following minimum qualifications: 1. All work Is to be performed in compliance with all applicable codes, ordinances, laws, standards, due care, and Occupational Safety and Health Administration (OSHA) safety requirements. 2. The Consultant shall have a minimum of five (5) years of experience in the services described in ATTACHMENT 1: SCOPE OF SERVICES, 3. The Consultant shall possess state and local permits, licenses and certificates required by law to commence, carry, and complete the work. 4. All rescue team members must have received previous training in atmospheric monitoring and ventilation, communication, emergency self -rescue, non -entry rescue operations, permit system, signs, first aid and CPR, lockout/tagout, fall protection, electrical safety, and respiratory protection. 5. The rescue team members must have received training In a simulated rescue operation within the 12 months previous to any rescue services performed for the City. 6. Provide all necessary equipment to competently perform and complete work as specified. I. SAFETY Proposer shall be solely and completely responsible for the condition of the project site, including safety of all persons and properties during the performance of the work. In addition, proper safety equipment must be worn at all times. These requirements shall apply continuously until the contract is terminated and shall not be limited to normal working hours. The Contractor/Consultant shall assure that each employee or subcontractor under the City of Santa Ana RFP 24-028 Confined Space Rescue Services and Safety Training Page 19 CITY OF SANTA ANA RFP NO.: 24-028 CONFINED SPACE RESCUE SERVICES AND SAFETY TRAINING contractor's supervision is trained in the work practices necessary to safely perform his or her job. J. INSURANCE REQUIREMENTS The successful bidders shall furnish the City with original copies of valid insurance policies herein required upon execution of the contract and shall maintain said policies in full force and effect at all times during the term of this contract. Said insurance policies shall comply with all requirements set forth in these specifications. Contractor(s) shall keep a current certificate of insurance at the City of Santa Ana at all times and shall immediately report any changes to the City. K. FEE SCHEDULE Contractor shall submit a fee schedule as described in Section III.B.3 of RFP. No separately stated freight or deliveries will be considered. Bidders shall include all costs in the unit price bid. Furthermore, the Contractor shall submit additional labor, material and rental equipment rates along with fee schedule. Contractor's labor and equipment rate sheet shall list rates for all labor designations, equipment, rentals, and materials. The bid items specified in the fee schedule are for reference purposes only. Labor increases shall be subject to mutually agreeable terms between the City and the Contractor. The City may request related services that will be paid at the vendor's standard labor and equipment rate submitted. Fee proposal shall be outlined as follows: ... End of SCOPE OF WORK Section... Cityof Santa Ana RFP 24-028 Confined Space Rescue Services and Safety Training Page 20 EXHIBIT B COVER LETTER May 24. 2024 James Burk, P.E. CITY OF SANTA ANA PUBLIC WORKS AGENCY 220 S. Daisy Avenue, Bldg. A Santa Ana, CA 92703 Subject: REQUEST FOR PROPOSALS (RFP) CONFINED SPACE RESCUE SERVICES AND SAFETY TRAINING. RFP NO. 24-028 National Safety Services Inc would like to present this RFP No. 24-028 for the review of the City of Santa Ana Public Works Agency. Sincerely, Chuck Hudson President / Rescue Chief Disabled Veteran Business Enterprise National Safety Services Inc. 5562 Research Drive, Unit B Huntington Beach, CA 92649 (714) 679-9118 cell chudsonna.nsrsi.com www.nsrsi.com SSFJ RRcP]rrh Drives 1 Init R His ntinotnn Raorh ('A Q')F7q Firm and Team Experience May 24. 2024 James Burk, P.E. CITY OF SANTA ANA PUBLIC WORKS AGENCY 220 S. Daisy Avenue, Bldg. A Santa Ana, CA 92703 Subject: RFP NO.24-028 Firm and Team Experience National Safety Services Inc (NSSI) is a private full services safety, rescue, consulting and inspection company. NSSI is a Disabled Veteran Business Enterprise (DVBE) Certification NSSI was started in 2015 by Charles Hudson to assist customers, agencies and the public with a vast complement of rescue and safety services. Currently National Safety Services Inc employees 7 full-time rescue professionals. Vast majority of trainings are conducted by NSSI' s President and Senior Lead Instructor Charles Hudson, with assistance from additional NSSI staff members on larger classes. NSSI has current contracts with more than 20 Water and Wastewater agencies in Southern California. Current contracts include Training, Consulting, Inspection and Compliance, Equipment Sales, Custom Rescue Trailers, Van Conversion and Truck Conversions, Site Management and Rescue and Stand-by Rescue Services. National Safety Services completed a 21-day underground tunnel project in the Metropolitan Water Districts Freda Siphon. NSSI managed 7-person underground tunnel team (2 teams, days, and nights) 24 hours a day to support the project. Some entries were more than 4000' in the pipeline. NSSI's staff not only assisted with the complexities of a 4000' entry, but we also assisted the customer with lowering and raising equipment to assist the onsite contractors. 5562 Research Dr, Unit B, Huntington Beach, CA 92629 ())NATIONAL SAFETY SERVICES In the past three months, National Safety Services has completed a 21-day stand-by tunnel project and trained 4 Water / Wastewater agencies with the following trainings: • Metropolitan Water District -Freda Siphon —California side of Parker Arizona March 4, 2024 — March 25, 2024 (14-person Tunnel Rescue Team, 24 hours a day, 7 Technicians days / 7 Technicians nights), Miller Pipeline — Jeremy Kieninger — Superintendent 317.727.8983 • Desert Water Agency — Fit Testing and SCBA / Ska-Pak Training April 15, 2024 & April 16, 2024 Desert Water Agency - Eddie Gonzalez — Facilities & Safety Officer 760.323.4971 x 115 • Desert Water Agency — 8-hour HAZWOPER Refresher Training April 17, 2024 & April 18, 2024 • Desert Water Agency - Eddie Gonzalez — Facilities & Safety Officer 760.323.4971 x 115 • Padre Dam Municipal Water District - 24 hour Confined Space Rescue Course April 22, 2024 — April 24-2024 Padre Dam — Larry Castillo — Safety & Risk Manager 619.933.5794 • Desert Water Agencv — 8-hour Confined Space Entry Course 5/29/2024 Desert Water Agency - Eddie Gonzalez — Facilities & Safety Officer 760.3234971 x 115 • Desert Water Agency — 24 hour Confined Space Rescue Course with Palm Springs Fire April 30, 2024 — May 2, 2024, • Desert Water Agency - Eddie Gonzalez — Facilities & Safety Officer 760.3234971 x 115 • Desert Water Agency — 8-hour Confined Space Entry Course 6/4/2024 Desert Water Agency - Eddie Gonzalez — Facilities & Safety Officer 760.3234971 x 115 • Desert Water Agency — 24 hour Confined Space Rescue Course with Palm Springs Fire May 7, 2024 — May 9, 2024, Desert Water Agency - Eddie Gonzalez — Facilities & Safety Officer 760.3234971 x 115 • Western Water — 8 hour Confined Space Rescue Refresher Course May 15, 2024, Western Water — James Chatwin — Safety Manager — 951.571.7252 • Orange County Water Authority — Presented a Confined Space Communications lecture May 16, 2024, • AES Huntington Beach — 6-month High Angle Stand-by Rescue Team for mural painting June — 2021 to December 2021 Josh Wynia — Maintenance Team Leader — 714.374.1420 5562 Research Dr, Unit B, Huntington Beach, CA 92629 NATIONAL SAFETY ())SERVICES National Safety Services has conducted many jobs over the past 5 years including: • 2019 — 2024 Annual Compliance of Rescue Equipment, SCBA Flow Test • 2023 - Water Tower camera installation • 2024 - Water Tower light installation • 2023 - Water Tower cathartic inspection • 2023 - Water Tower Fall Protection Training • 2022 - 2024 Orange County, multiple sites install reservoir mixers, diving • 2023 - Orange County, multiple 40-hour Confined Space Rescue Technician courses • 2023 - Orange County Fit Test City of Santa Ana employees • 2023 - 2024 Orange County 8-hour Confined Space Entry Course • 2017 - 2024 Riverside County— 24-hour Confined Space Rescue Operation Class • 2017 - 2024 Riverside County— Fit Test • 2017 - 2024 Riverside County— SCBA and Ska-Pak Breathing Air Training • 2017 — 2024 Riverside County— 8-hour HAZWOPER Refresher Training • 2021 - Orange County — 9-month High Angle Rope Rescue Team • 2020 - Orange County — Multi day dive for missing skin diver (Fatality) • 2021 - San Diego County — Multi day bridge deck inspection • 2021 - San Diego County — Multi day outlet spill way inspection • 2020 - 2024 Riverside County — Joint Confined Spaced Training with Fire Department • 2023 - 2024 Orange County - Joint Confined Spaced Training with Fire Department • 2021 - Orange County Airport — Confined Space Stand-by Services • 2023 - Riverside County — Assisted Wastewater agency with Rescue Rodeo as Consultant The company owner and rescue chief, Charles Hudson has over 30 years of experience in multiple fields. National Safety Services Inc. NSSI — President/Rescue Chief 1/2015 — Present • Started National Safety Services January 2015 • Operate as a private rescue/fire company specializing in Confined Space Rescue, Trench Rescue, Tunnel Rescue, Mine Rescue, Swiftwater Rescue, Dive Rescue. • Respond to multiple rescue requirements, natural disaster, manmade disaster, normally respond anywhere in the lower 48 states in 24-48 hours. • Train local, state, and federal institutions on rescue response. • Senior Lead instructor for confined space entry, confined space rescue, tunnel entry, tunnel rescue, Trench awareness, trench rescue, swift water rescue, high angle rescue, low angle rescue, HAZWOPER. Beach Cities Scuba • 6/2017 — Current Padi Dive Instructor and Boat Dive Master • Master Instructor — Teach Open Water classes up to Assistant Instructor classes. • Teach advanced technical diving, mixed gas, side mount, rebreather, full face. • Teach technical diving below 100' FSW, Deco, Mixed gas. • Teach all certified PADI specialties. 5562 Research Dr, Unit B, Huntington Beach, CA 92629 ())NATIONAL SAFETY SERVICES Los Angeles County Sheriffs Dept Search and Rescue Instructor, 411994 — 6/1/2020 Los Angeles County Sheriffs Dept. SAR, Palmdale, Ca Lead Rescue Instructor for Confined Space Rescue Operations, Low and High Angle systems, Rope Systems, Anchors, Ice Rescue, Mountaineering, Vertical Ice Climbing, Cold Weather Survival and Navigation. Safety Officer Mine Rescue Technician (MSHA) with Montrose Search and Rescue. Worked in conjunction with Federal, State and Local agencies. Current California State Fire Marshal Confined Space certified and California State Fire Marshal Trench Rescue Certified. Familiar with EPA, OSHA, MSHA and Cal -OSHA regulations. Implemented new Safety Protocols for SAR training and rescues. Adopted Incident Command Systems (ICS, same as used by California Department of Forestry and Fire Protection) for rescues. Fire Apparatus Engineer 11/2000-1/2009 Temecula Volunteer Fire Company, Temecula, CA • President of a 50-member 501 C-3 non-profit company. This is a fully functional Volunteer Fire Company. Responding to medical aids, structure and wild land fires, vehicle fires, hazmat incidents and any other emergency related calls. Able to operate type I, II and III type engines. Class B license. EMT-B for 10 years. Current Carts: Fire Apparatus Engineer, Breath Support Operator, Water Tender Operator, Squad Operator, Confined Space Tech, Trench Rescue Tech, Auto Extrication Tech, advanced management classes for Incident Command Systems (ICS). Skills • Senior Instructor in the following: Confined Space Rescue, Trench Rescue, Tunnel Rescue, High Angle Rescue, Low Angle Rescue Swift Water Rescue (SRT-1 and SRT-A), HAZWOPER, SCBA Training, Drager BG-4 Training, Atmospheric Monitoring, OSHA 500 and 501, Fall Protection, Anchors, Rigging, Ventilation, Rescue Communications, HASP Writing. • IRATA & SPRAT Rope Access Technician • National Registry Emergency Medical Technician-B (Current) • Current PADI Master Instructor • CSFM Confined Space Rescue Technician, CSFM Trench Technician, Tunnel Technician, NFPA Rope Rescue Technician Level III, MSHA Mine Rescue Certified, TEEX Pro Board - Certified Confined Space Rescue Technician, Scott Repair Technician, MSA RITE Atmospheric Technician, Drager Bench Trained Technician, Qualitative Fit Tester, • Current FEMA Swiftwater Boat Operator • Current FEMA Swiftwater Advanced Rescue Technician • Current FEMA Rope Technician, Level III • Rescue vehicle designer. • Rescue consultant. • Subject Matter Expert for many water and wastewater agencies. 5562 Research Dr, Unit B, Huntington Beach, CA 92629 This document is Confidential. Please do not post this for public knowledge. Sincerely, Chuck Hudson President / Rescue Chief Disabled Veteran Business Enterprise (DVBE) Certification # 2035181 National Safety Services Inc. 5562 Research Drive, Unit B Huntington Beach, CA 92649 (714) 679-9118 cell chudson(o)nsrsi.com www.nsrsi.com 5562 Research Dr, Unit B, Huntington Beach, CA 92629 NATIONAL 0 r Understanding Scope of Services May 24. 2024 James Burk, P.E. CITY OF SANTA ANA PUBLIC WORKS AGENCY 220 S. Daisy Avenue, Bldg. A Santa Ana, CA 92703 Subject: RFP NO. 24-028 Understanding Scope of Services National Safety Services Inc (NSSI) Understanding the Scope of Services under the City of Santa Ana Public Work RFP 24-028. NSSI conducts these tasks with multiple other agencies on a weekly basis. TRAINING All training classes are put into the NSSI Training calendar for ease of sharing with our customers. All Training classes are outlined in emails to the customers explaining class, size, location, duration (Hours or days). Subject of class. Any required reading, equipment, or physical requirements. All Training classes will have NSSI Sign -In Rosters for proof of employee in specific classes. After completion of class, NSSI will generate a certification for the student pertaining to that specific class. This certification will be digital and emailed to the company documented point of contact for safety / training classes. Students are not allowed to miss any portion of these classes. If the student misses' class, they will not receive a certification for that class. In specific cases, time may be made back up (Case by case basis). Any additional training needed will be conducted on a case -by -case basis. Some training may need to occur before a specific job starts to train, reinforce or refresh the employees. National Safety Services Current Training Services • Confined Space Awareness • Confined Space Entry • Confined Space Entry Supervisor • Confined Space Rescue Refresher • Confined Space Rescue 24-hour • Confined Space Rescue 40-hour • Rope Rescue Technician Level I, II & III • Trench Awareness • Trench 8 hour • Trench Rescue 16 hours • HAZWOPER Awareness 5562 Research Dr, Unit B, Huntington Beach, CA 92629 ())NATIONAL SAFETY SERVICES • HAZWOPER 8-hour Refresher • HAZWOPER 24-hour • HAZWOPER 40-hour • Medical Evaluation Questionnaire (M.E.Q.) — Needed Annually • Fit Testing (Computerized Porta Count Quantitative Fit Test) Needed Annually • Fresh Air Training (SCBA, SKA-Pak or Emergency Egress devices, Air Cart, line management and Emergency Egress) • Atmospheric Monitoring Training (MSA, RAE, BW, Honeywell, Scott, Drager, GFG, Industrial Scientific, Biosystems and RKI) • SCBA training (Scott, MSA, Drager, AVON, Survivair„ ISI, Viking, North) and many others • Fall Protection Training • ANSI Certified Fall Protection • First Aid/ CPR with AED • Equipment Inspection Training • 70-E Electrical Training • SPRTA Rope Access Level 1,11 & III All Inspection and compliance needs are also set into NSSI's Inspection / Compliance calendar. Completion of Annual, Quarterly or specific inspections are noted to the customer with location, time, equipment being inspected. All equipment inspected is documented as well as any findings that the customer needs to be made aware of. During Annual and quarterly inspections, all non -rechargeable batteries will be changed out. Findings will be emailed to the company point of contact of inspection and compliance. Any majors finding will be marked with a RED tag stating equipment is out of service. All digital inspection documents will be updated and emailed to the company point of contact. This includes compliance, inspection, Flow Testing, Industrial Tripods SRL's and Winch Inspections. National Safety Services Current Inspection Services: • Annual Equipment Inspection • Quarterly Equipment Inspection • Specific Equipment Inspection • Annual SCBA and Egress Pak Flow Testing and Inspection • Quarterly SCBA and Egress Pak Flow Testing and Inspection • Specific or Damaged SCBA and Egress Pak Flow Testing and Inspection • Annual Inspection for Tripods, Self -Retracting Lifelines (SRL's), Winch's, Yoyo's • Annual Inspection on Fall Protection Equipment (Harness, Lanyards, Anchor Straps, Ascending and Descending Equipment) • Repair of any damaged Fall Protection Equipment (CMC, Skedco, Dbi Sala) 5562 Research Dr, Unit B, Huntington Beach, CA 92629 NATIONAL SAFETY ())SERVICES STAND-BY RESCUE SERVICES Stand-by Rescue Services are completed on a case -by -case basis. Most stand-by rescue jobs are unique, each site as well as each confined space entry are treated on an individual basis. Many factors come into play, size, shape, depth, capacity, type of work to be completed (welding, inspection, NDT, maintenance, painting, sand blasting). Hazardous in the space is another consideration (Low Oxygen, LEL's, Hydrogen Sulfide, Carbon Monoxide, Chlorine) dictate the potential use of ventilation and or breathing apparatus. Specialty jobs such as High Angle, Water Entries, Tunnel Entries over 100 lineal feet require specialized equipment and training National Safety Services Current Stand-by Rescue Services: • Confined Space Rescue • High Angle Rescue • Mine Rescue • Tunnel Rescue • Cal -OSHA Tunnel Rescue (General Tunnel Orders) • Standing Water Rescue • Swift Water Rescue • Underwater Rescue • Specialty Rescue Services • Level A HAZMAT Rescue Consulting Services National Safety Services offers many different consulting services. • Water Production Facilities — Confined Space, High Angle Rescue, Rope Access, Tunnel, Water / Water Rescue, Underwater Services, Rescue, Equipment, Compliance, Documentation, Safety, Fall Protection, Training. • Wastewater Facilities - Confined Space, Sewer, High Angle Rescue, Rope Access, Tunnel, Water / Water Rescue, Underwater Services, Rescue, Equipment, Compliance, Documentation, Safety, Fall Protection, Training. • Construction Companies - Confined Space, Sewer, High Angle Rescue, Rope Access, Tunnel, Water / Water Rescue, Underwater Services, Rescue, Equipment, Compliance, Documentation, Safety, Fall Protection, Training. • Utility Companies - Confined Space, Sewer, High Angle Rescue, Rope Access, Tunnel, Water / Water Rescue, Underwater Services, Rescue, Equipment, Compliance, Documentation, Safety, Fall Protection, Training. 5562 Research Dr, Unit B, Huntington Beach, CA 92629 ())NATIONAL SAFETY SERVICES • Oil and Gas — (Up and Down Stream) Offshore, Confined Space, Sewer, High Angle Rescue, Rope Access, Tunnel, Water / Water Rescue, Underwater Services, Rescue, Equipment, Compliance, Documentation, Safety, Fall Protection, Training. • Nuclear Facilities - Confined Space, Sewer, High Angle Rescue, Rope Access, Radiation, Tunnel, Water / Water Rescue, Underwater Services, Rescue, Equipment, Compliance, Documentation, Safety, Fall Protection, Training. • Agriculture Facilities — Engulfment, Confined Space, High Angle Rescue, Rope Access, Tunnel, Rescue, Equipment, Compliance, Documentation, Safety, Fall Protection, Training. This document is Confidential. Please do not post this for ,public knowledge. Sincerely, Chuck Hudson President / Rescue Chief Disabled Veteran Business Enterprise (DVBE) Certification # 2035181 National Safety Services Inc. 5562 Research Drive, Unit B Huntington Beach, CA 9264 714.679.9118 cell chudson(c)nsrsi.com www.nsrsi.com 5562 Research Dr, Unit B, Huntington Beach, CA 92629 CITY OF SANTA ANA RFP NO.: 24-028 CONFINED SPACE RESCUE SERVICES AND SAFETY TRAINING APPENDIX ATTACHMENT 2: FEE PROPOSAL Certification - I certify that 1 have read, understand and agree to the terms and conditions of this Request for Proposals. I have examined the Scope of Services (Appendix: Attachment 1) and am familiar with the scope of work. I am familiar with all the existing conditions and limitations that may impact work requests. I understand and agree that I am responsible for reporting any errors, omissions or discrepancies to the City for clarification prior to the submission of my proposal. Proposer shall submit hourly rates schedule, which shall include but not limited to, direct and indirect costs for labor, for staff per job classification, material, equipment rates, overhead, incidental supplies, travel, mileage, and fuel. Any special materials will be purchased by the contractor only after discussed and authorized by the City projects manager or designee in writing. Prior to commencement of services, Contractor shall provide separate quotes, upon request by the City, which shall be approved by the City's Public Works Agency. Note: This contract is subject to prevailing wages National Safety Services Inc. 47-2934417 COMPLETE LEGAL NAME OF COMPANY TAXPAYER LD. NO, 5562 Research Dr, Unit B Huntington Beach, CA 92649 nub01tbbxuuktbbbI1KLLI CITYISTATE ZIPCODE x Charles Hudson President/Rescue Chief SIGNATURE OF AUTHORIZED AGENT NAME (PRINT) TITLE chudson@nsrsi.com 714-679-9118 1000038183 CSLB NUMBER DIR REGISTRATION NUMBER City of Santa Ana RFP 24-028 Confined Space Rescue Services and Safety Training Page 21 CITY OF SANTA ANA RFP NO.: 24-028 CONFINED SPACE RESCUE SERVICES AND SAFETY TRAINING APPENDIX ATTACHMENT 3: PROPOSER'S REFERENCES List and describe fully the contracts performed by your firm which demonstrate your ability to provide the supplies, equipment or services included in the scope of the proposal specifications. Attach additional pages if required. The City reserves the right to contact each of the references listed for additional information regarding your firm's qualifications. Reference Customer Name: Desert Water Agency _ Contact Individual: Eddie Gonzalez Address: 1200 S. Gene Autry Trail Phone Number: 760-323-4971 X-115 Palm Springs, CA 92264 Facsimile Number: ContractAmount: $50,000.00 Description of supplies, equipment, or services provided: National Safetv Services arovides Confined So. Year: 2024 Confined Space Rescue Trn, HAZWOPER, Safety Consulting, Confined Space and Trench Consulting, Subject Matter Expert for Rescue. Reference Customer Name: Western Water Address: 14205 Meridian Parkway Riverside, CA 92518 Contract Amount: $50,000.00 Description of servicesprovided: f n m Coned Sp Rescue Services, Safety Consulting, Reference Customer Name: Helix Water District Address: 1233 Vernon Way El Cajon, CA 92020 Contract Amount: $50,000.00 Description of supplies, equipment, or services provided: Contact Individual: James Chatwin Phone Number: 909-251-5621 Facsimile Number: Year: 2024 ace Rescue Training, Qtrly Rescue Training, Qtrly Rescue ;BA's and Ska-Paks, SCBA and Ska-Pak raining, and- 3pace Consulting, Subjecty Matter Expert or escue. Contact Individual: Susen Doubrava Phone Number: 619-504-1530 Facsimile Number: Year: 2024 City of Santa Ana RFP 24-028 Confined Space Rescue Services and Safety Training Page 22 CITY OF SANTA ANA RFP NO.: 24-028 CONFINED SPACE RESCUE SERVICES AND SAFETY TRAINING National Safety Services provides Confined Space Water Rescue Training Confined Space ater by Rescue Services, Confined Space Rescue Training, Subject Matter Expert for Rescue. Reference Customer Name:City of Huntigton Beach Water Contact Individual: Eric Wennekamp Address: 7512 Garfield Avenue Huntington Beach, CA 92648 Phone Number: 714-722-1733 Facsimile Number: Contract Amount: $25,000.00 Year: 2024 Description of supplies, equipment, or services provided: JSSI provides, NFPA 70E Arc Flash Training, Fit Testing SCBA and Ska-Pak Training Medical Eva] Ques, Stand-by Rescue, Underwater Diving Services Annual Equipment Compliance SME for Rescue. THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE. ~ City of Santa Ana RFP 24-028 Confined Space Rescue Services and Safety Training Page 23 CITY OF SANTA ANA RFP NO,; 24-028 CONFINED SPACE RESCUE SERVICES AND SAFETY TRAINING NON -COLLUSION AFFIDAVIT (Title 23 United States Code Section 'l12 and Public Contract Cade Section 7-106) In conformance with Title 23 United States Code Section 112 and Public Contract Code 7106 the BIDDER declares that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the BIDDER has not directly or indirectly induced or solicited any other BIDDER to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any BIDDER or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the BIDDER has not in any manner, directly or Indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the BIDDER or any other BIDDER, or to fix any overhead, profit, or cost element of the bid price, or of that of any other BIDDER, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the BIDDER has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid, Note; The abet/ Non -collusion Affidavit is part of the Proposal. BIDDERS are 2�, on that maki g a false certification may subject the certifier to n prosecSignede State of California County of _g 66 ,lC Subscribed and sworn to (or affirmed) before me on this 2rryday of t2tIl _, 20?j, by -Lilly—&0S0A/ , proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me _ Noty'Public Signature Notary Public Seal o••, JEFF SCHWAR,Z Notary Public • California - Orange County f `M Camm�ssion N 2409692 Y Comm. E*rm Jul 24, 2025 City of Santa Ana RFP 24-028 Confined Space Rescue Services and Safety Training Page 36 CITY OF SANTA ANA RFP NO.: 24-028 CONFINED SPACE RESCUE SERVICES AND SAFETY TRAINING NON -LOBBYING CERTIFICATION The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her knowledge and belief, that: (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Memberof Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in conformance with its instructions. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such subrecipients shall certify and disclose accordingly. 1� Signed:'�0�ie� Title: President / Rescue Chief Finn: National Safety Services Inc, Date: 5/28/2024 City of Santa Ana RFP 24-028 Confined Space Rescue Services and Safety Training Page 37 CITY OF SANT'A ANA RFP NO.; 24-028 CONFINED SPACE RESCUE SERVICES AND SAFETY TRAINING NON-DISCRIMINATION CERTIFICATION The undersigned consultant or corporate officer, during the performance of this contract, certifies as follows: The Consultant shall not discriminate against any employee or applicant for employment because of race, color, religion, sex, or national origin. The Consultant shall take affirmative action to ensure that applicants are employed, and that employees are treated during employment without, regard to their race, color, religion, sex, or national origin. Such action shall include, but not be limited to, the following: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The Consultant agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided setting forth the provisions of this nondiscrimination clause. 2. The Consultant shall, in all solicitations or advertisements for employees placed by or on behalf of the Consultant, state that all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin. The Consultant shall send to each labor union or representative of workers with which he/she has a collective bargaining agreement or other contract or understanding, a notice to be provided advising the said labor union or workers' representatives of the Consultant's commitments under this section; and shall post copies of the notice in conspicuous places available to employees and applicants for employment. The Consultant shall comply with all provisions of Executive Order 11246 of September 24, 1965, and of the rules, regulations, and relevant orders of the Secretary of Labor. 5. The Consultant shall furnish all information and reports required by Executive Order 11246 of September 24, 1965, and by rules, regulations, and orders of the Secretary of Labor, or pursuant thereto, and will permit access to his/her books, records, and accounts by the administering agency and the Secretary of Labor for purposes of investigation, to ascertain compliance with such rules, regulations, and orders. 6. In the event of the Consultant's non-compliance with the nondiscrimination clauses of this contract or with any of the said rules, regulations, or orders, the contract may be canceled, terminated, or suspended in whole or in part and the Consultant may be declared ineligible for further Government contracts or federally assisted construction contracts in accordance with procedures authorized in Execution Order 11246 of September 24, 1965, and such other sanctions may be imposed and remedies Invoked as provided in Executive Order 11246 of September 24., 1965, or by rule, regulations, or order of the Secretary of Labor, or as otherwise provided by law. City of Santa Ana RFP 24-028 Confined Space Rescue Services and Safety Training Page 38 CITY OF SANTA ANA RFP NO.: 24-028 CONFINED SPACE RESCUE SERVICES AND SAFETY TRAINING 7. The Consultant shall include the portion of the sentence immediately preceding paragraph (1) and the provisions of paragraphs (1) through (7) in every subcontract or purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to Section 204 of Executive Order 11246 of September 24, 1965, so that such provisions will be binding upon each subcontract or purchase order as the administering agency may direct as means of enforcing such provisions, including sanctions for noncompliance; provided, however, that in the event the Consultant becomes involved in, or is threatened with, litigation with a subconsultant or vendor as a result of such direction by the administering agency, the Consultant may request that the United States enter into such litigation to protect the interests of the United States. 8. Pursuant to California Labor Code Section 1735, as added by Chapter 643 Slats. 1939, and as amended, no discrimination shall be made in the employment of persons upon public works because of race, religious creed, color, national origin, ancestry, physical handicaps, mental condition, marital status, or sex of such persons, except as provided in Section 1420, and any consultant of public works violating this Section is subject to all the penalties imposed for a violation of the Chapter. Signed: Clza� y11zlal.Qesv Title: President / Rescue Chief Firm: National Safety Services Inc. Date: 5/28/2024 City of Santa Ana RFP 24-028 Confined Space Rescue Services and Safety Training Page 39 EXHIBIT C ,,f�NATIONAL : City of Santa Ana RFP 24-028 - Fit Test and Fresh Air Training 5/28/2024 City of Santa Ana —Public Works Agency 220 South Daisy Avenue Santa Ana, CA 92703 National Safety Services (NSSI) will provide the below listed training to the City of Santa Ana. NSSI will conduct Quantitative Fit Testing (without Medical Evaluation Questionnaire) and Fresh Air Breathing course at location TBD on dates TBD. This class will cover Quantitative Fit Testing with a Porta Count style automated fit testing machine and a 4-hour Scott SCBA and Scott SKA-PAK training course. Description, use, donning and doffing of SCBA and SKA-PAK and cascade systems. This training will meet Cal-OSHA's annual Respiratory Protection standard with supplied certifications and Fit Testing cards. This will need to be set up for a one -day event. National Safety Services Training 1 Fit Test Quantitative Fit Test per mask Scott AV 3000 HT 20 $100.00 1 $2,000.00 2 SCBA-1 Scott SCBA and SKA-PAK Breathing Air Training 20 $250.00 $5,000.00 3 MEQ Medical Evaluation Questionnaire 20 $150.00 $3,000.00 $0.00 Tax $0.00 Total $7,000.00 TERMS: Net 30 days, Optional: If needed Medical Evaluation Questionnaire. Thank you, Chuck Hudson National Safety Services Inc. Disabled Veteran Business Enterprise 5562 Research Drive, Unit B Huntington Beach, CA 92649 Cell 714.679.9118 chudson@nsrsi.com 5562 Research Drive, Unit B, Huntington Beach, CA 92649 i r r City of Santa Ana RFP 24-028 Training for Rope Rescue Technician 1/11 5/28/2024 City of Santa Ana — Public Works Agency 220 South Daisy Avenue Santa Ana, CA 92703 National Safety Services (NSSI) will provide the below listed training to City of Santa Ana. NSSI will conduct a 40 hour (5 day) on TBD, Rope Rescue Technician I/II Course at your location TBD. This class will cover NFPA 1006 Chapter 5 (Rope Rescue) Operations and Technician level Skills The class will consist of classroom sessions for the first half day, then the class will be working hands on in the field. This training will comply with NFPA 1006 Chapter 5 requirement to have employees trained as rope rescue technicians. National Safety Services Training 2 Rope Rescue 40 Initial Rope Rescue Tech Training 40 hour, 5 days) $15,000.00 $30,000.00 Dates: TBD Location: TBD 2 Add Instr. Additional Instr. If needed $3,500.00 $7,000M Total $37,000.00 TERMS: NET 30 *Note — If student counts are above 10 students in any Rescue Course, an additional Instructor will need to be brought in at an additional cost. (1-10 students = 1 Instructor, 11-16 students = 2Instructors, and 16-20 students = 3 Instructors). Thank you, Chuck Hudson National Safety Services Inc. Disabled Veteran Business Enterprise 5562 Research Drive, Unit B Huntington Beach, CA 92649 Cell714.679.9119 chudson@nsrsi.com 5562 Research Drive, Unit B, Huntington Beach, CA 92649 CA)NATIONAL . SAFETY SERVICES City of Santa Ana RFP 24-028 Cal -OSHA Fall Protection Training 5/28/2024 City of Santa Ana — Public Works Agency 220 South Daisy Avenue Santa Ana, CA 92703 National Safety Services (NSSI) will provide the below listed training to The City Santa Ana Public Works. NSSI will conduct Cal -OSHA Fall Protection course at TBD. This class will cover Cal-OSHA's Title 8 CCR, Article-24 (1669-1672 Fall Protection). This course will cover don, doffing inspection care and maintenance of fall protection harness and related equipment. Anchors and anchorage equipment. Fall Protection lanyards, SRL's, lanyards and other fall devices. Fall distance measurements for fall potentials and other general fall protection guidelines. National Safety Services Training and Equip ment 1 Fall Pro Cal -OSHA Fall Protection Training 1 $3,000.00 $3,000.00 Subtotal $3,000.00 Shipping $0.00 Tax $0.00 Total1 1 1 $3,000.00 Terms: Training —Net 30. Chuck Hudson National Safety Services Inc. Disabled Veteran Business Enterprise 5562 Research Drive, Unit B Huntington Beach, CA 92649 Cell 714.679.9118 chudson@nsrsi.com 5562 Research Drive, Unit B, Huntington Beach, CA 92649 NATIONAL 1 A SAFETY SERVICES City of Santa Ana RFP 24-028 — 8-hour Confined Space Entry Course 5/28/2024 City of Santa Ana — Public Works Agency 220 South Daisy Avenue Santa Ana, CA 92703 National Safety Services (NSSI) will provide the below listed training to City of Santa Ana. NSSI will conduct 1(one) 8-hour (1 day) Confined Space Entry course at your facility located at TBD on dates TBD. This class will cover Cal-OSHA's Title 8, §5157. Permit -Required Confined Spaces. The class will cover all requirements for Cal-OSHA's Title 8, §5157. Permit -Required Confined Spaces, descriptions, regulations, requirements, atmospheric monitoring, LOTO, ventilation, hot work permit process, attendant, entrant, and supervisor roles. This training will comply with Cal-OSHA's Title 8, §5156, §5157 and §5158 requirement to have employees trained as Confined Space certified employees. National Safety Services Training 1 Con Space 8 Confined Space Training 8 hours 1 day) $3,000.00 $3,000.00 Dates: TBD Total $3,000.00 TERMS: Net 30 days Thank you, Chuck Hudson National Safety Services Inc. Disabled Veteran Business Enterprise 5562 Research Drive, Unit B Huntington Beach, CA 92649 Cell 714.679.9118 chudson@nsrsi.com 5562 Research Drive, Unit B, Huntington Beach, CA 92649 NATIONAL SAFETY SERVICES City of Santa Ana RFP 24-028 Training for Confined Space Rescue 5/28/2024 City of Santa Ana — Public Works Agency 220 South Daisy Avenue Santa Ana, CA 92703 National Safety Services (NSSI) will provide the below listed training to City of Santa Ana. NSSI will conduct a 40 hour (5 day) on TBD, Industrial Confined Space Rescue Course at your location TBD. This class will cover Cal -OSHA Title 8, 5157 (k) & appendix F, NFPA 1670 Confined Space Regulations for General Industry. The class will consist of classroom sessions for the first half day, then the class will be working hands on in the field. This training will comply with Cal -OSHA Title 8, 5157 (k) & appendix F, NFPA 1670 requirement to have employees trained as rescues workers. National Safety Services Training 2 Ind Res 40 Initial Industrial Rescue Training 40 hour, (5 days) $15,000.00 $30,000.00 Dates: TBD Location: TBD 2 Addlnstr. Additionallnstr. If needed $3,500.00 $7,000.00 Total $37,000.00 TERMS: NET 30 *Note— If student counts are above 10 students in any Confined Space Rescue Course, an additional Instructor will need to be brought in at an additional cost. (1-10 students = 1 Instructor, 11-16 students = 2 Instructors, and 16-20 students = 3 Instructors). Thank you, Chuck Hudson National Safety Services Inc. Disabled Veteran Business Enterprise 5562 Research Drive, Unit B Huntington Beach, CA 92649 Cell 714.679.9118 chudson@nsrsi.com 5562 Research Drive, Unit B, Huntington Beach, CA 92649 NATIONAL SAFETY raEI�VICES City of Santa Ana RFP 24-028 - 24-hour HAZWOPER Training 5/28/2024 City of Santa Ana —Public Works Agency 220 South Daisy Avenue Santa Ana, CA 92703 National Safety Services (NSSI) will provide the below listed training to the City of Santa Ana — Public Works. NSSI will conduct a 24-hour (3 day) HAZWOPER courses at your facility located TBD. The class will cover all requirements for Cal-OSHA's Title 8, CCR §5192 and meets the Federal OSHA HAZWOPER requirements 29 CFR 1910.120(e)(8), 29 CFR 1910.120(p)(7)(i), or 29 CFR 1910.120(q)(8) for General Industry and 29 CFR 1926.65(e)(8), 29 CFR 1926.65(p)(7)(i), or 29 CFR 1926.65(q)(8) for Construction. This training will comply with Cal-OSHA's Title 8, CCR §5192 requirement to have employees trained as HAZWOPER 24 Technicians. National Safety Services Training 1 Haz 24 hr HAZWOPER Training 24 hours 4 days) $12,000.00 $12,000.00 Dates: TBD 3 days classroom, 1 day field Total $12,000.00 TERMS: Net 30 days Note: The City of Santa Ana Public Works will be responsible for providing all training equipment for class (Level A suits, level B suits, level C suits, decontamination equipment, Level A, B or C kits). NSSI can provide these training resources, but additional rental charges will be added to the training cost. Thank you, Chuck Hudson National Safety Services Inc. Disabled Veteran Business Enterprise 5562 Research Drive, Unit B Huntington Beach, CA 92649 Cell 714.679.9118 chudson@nsrsi.com 5562 Research Drive, Unit B, Huntington Beach, CA 92649 NATIONAL SAFETY ())SERVICES 5/28/2024 City of Santa Ana — Public Works Agency 220 South Daisy Avenue Santa Ana, CA 92703 City of Santa Ana RFP 24-028 Training and Technical Services National Safety Services (NSSI) will provide the below listed items to the City of Santa Ana — Public Works Agency. Confined Space Program Evaluation: NSSI will assist the City of Santa Ana — Public Works Agency with reviewing The City of Santa Ana Public Works current Confined Space programs and assisting if any areas of the program do not meet the Cal- OHSA's minimum requirements and identify any deficiencies and addressing those areas. Confined Space Hazard Assessment: NSSI will assist the City of Santa Ana — Public Works Agency with reviewing The City of Santa Ana Public Works' current Confined Spaces to look for current hazards and ensure these hazards are documented in the Confined Space Entry S.O.P.'s. All known hazards will be documented and put into the Confined Space Program for any future entries. Development of Confined Space Standard Operating Procedures (S.O.P.): NSSI will assist the City of Santa Ana — Public Works Agency with creating The City of Santa Ana Public Works Confined Space Standard Operating Procedures. NSSI will audit every Confined Space within the City of Santa Ana's jurisdiction. All Confined Spaces will be documented and put into a Master Confined Space Manual for S.O.P: s. This will include Entry procedures, LOTO, known hazards and any other specific details pertinent to the individual Confined Spaces. A Master SOP Binder will be created to house all the SOPS for Confined Space Entries. NSSI will require a Competent Person to be with NSSI on these audits to discuss items in the confined space, know LOTO and isolation procedures and current methods used in these spaces. 5562 Research Drive, Unit B, Huntington Beach, CA 92649 NATIONAL SAFETY SERVICES All services listed above except for training will be billed on a "Time and Materials Basis". Unit of Extended Taxable Supplier Part I Class Description Measure Cost Cost Con Space Confined Space Program Evaluation of all City NSSI Frog Eval of Santa Ana Spaces (Per hour charge) 10 Hours $300.00 $3,000.00 No Confined Space Hazard Assessment — Con Space Evaluation of all Santa Ana's Spaces (Per hour NSSI Haz charge) 5 Hours $300.00 $1,500.00 No Replacement Misc MSA replacement sensors (02, LEL, NSSI Sensors CC/H2S) 6 ea. $550.00 $3,300.00 Yes MSA Calibration quad gas compatible with NSSI Cal Gas the MSA Galaxy GX2 Station 58L 4 ea. $650.00 $2,600.00 Yes Printer Ticker MSA Receipt & Sticker Label Roll for use with NSSI Roll GALAXY® GX2 4 ea. $84.00 $336.00 Yes Printer NSSI Ribbon MSA Ribbon, Zebra Printer GX430T for use 4 ea. $64.00 $256.00 Yes with GALAXY® GX2 Monitor Probe NSSI Filters MSA Water Stop Filter for Sample & Universal 4 ea. $95.00 $380.00 Yes Pump Probes, 10 each/pk Monitor MSA Hydrophobic Probe Filter for NSSI Internal Filters Altair®5/5X 18 ea. $42.00 $756.00 Yes Sub Total $12,128.00 Estimated Shipping $250.00 Estimated Tax 9.25% $705.59 Total $13,083.59 Terms: Net 30 5562 Research Drive, Unit B, Huntington Beach, CA 92649 NATIONAL SAFETY ())SERVICES NOTE: The above listed hours for Confined Space Program Evaluation, Confined Space Hazzard Assesment and Development of Confined Space SOP's are estimated hours. All charges will be actual "Time and Material". These numbers can increase or decrease depending on quatity of spaces and set up of SOP parameters. Thank you, Chuck Hudson National Safety Services Inc. Disabled Veteran Business Enterprise 5562 Research Drive, Unit B Huntington Beach, CA 92649 Cell 714.679.9118 chudson@nsrsi.com 5562 Research Drive, Unit B, Huntington Beach, CA 92649 City of Santa Ana RFP 24-028 Annual and Quarterly Inspections for rescue equipment 5/28/2024 City of Santa Ana — Public Works Agency 220 South Daisy Avenue Santa Ana, CA 92703 National Safety Services (NSSI) will provide the below listed items to the City of Santa Ana — Public Works Agency. NSSI will provide the below listed quarterly and annual inspection and maintenance program for your confined space rescue van and equipment. This quote does not cover inspection of the Ford van or Oran generator. NSSI will assist the City of Santa Ana — Public Works Agency with a quarterly Inspection and Maintenance program. On the first month of every new quarter, NSSI will come to your facility to inspect the rescue van's contents. This inspection will cover all the contents on your rescue van (Scott equipment, CIVIC equipment, Fall Protection equipment, MSA monitors and associated equipment, Motorola Radios, and all other rescue related items). All findings will be documented in the City of Santa Ana's digital Master Inspection logs. Any out of services items will be tagged and submitted to The City of Santa Ana's supervisor in charge of the rescue van. This process will be an all -day process (8-10 hours minimum). If any items need to be refilled, replaced, or taken out of services, NSSI will communicate this with The City of Santa Ana's supervisor in charge of the rescue van to obtain permission and issue NSSI a new Purchase Order number (PO#) for the required equipment. NSSI will assist the City of Santa Ana with annual inspections of required equipment. This equipment will need to be tested at an approved facility and taken out of use while this process takes place. The below listed items will need this annual recertification: • Scott SCBA's— Need annual flow testing. • ScottSka-Pak's— Needannualflowtesting. • SRL's — Need annual inspection and recertification from a certified SRL technician. 5562 Research Drive, Unit B, Huntington Beach, CA 92649 ())NATIONAL SAFETY SERVICES Inspection and Maintenance Program —Q4 Annual Inspection — Flow Test Scott SCBA's and Insp/Maint SKA-PAK's, Conduct annual recertification on NSSI Program -Annual SRL's (winches)October—December 1 $15,000.00 $15,000.00 Insp/Maint Program- Inspection and Maintenance Program — NSSI Quarterly Q1January —March 1 $5,000.00 $5,000.00 Insp/Maint Program- Inspection and Maintenance Program — NSSI Quarterly Q2 April —June 1 $5,000.00 $5,000.00 Insp/Maint Program- Inspection and Maintenance Program — NSSI Quarterly Q3July —September 1 $5,000.00 $5,000.00 Rental of SRL's, Tripods or any rescue related equipment to keep The City of Santa Ana's Rescue Van in services during annual NSSI Rentals inspections of rescue equipment. (if needed*) 1 ea. $3,500.00 $3,500.00 Shipping $0.00 Tax $0.00 Total $33,500.00 Terms: Net 30 Chuck Hudson National Safety Services Inc. Disabled Veteran Business Enterprise 5562 Research Drive, Unit B Huntington Beach, CA 92649 Cell714.679.9118 chudson@nsrsi.com 5562 Research Drive, Unit B, Huntington Beach, CA 92649 CITY OF SANTA ANA RFP NO.: 24-028 CONFINED SPACE RESCUE SERVICES AND SAFETY TRAINING APPENDIX ATTACHMENT 2: FEE PROPOSAL Certification - I certify that I have read, understand and agree to the terms and conditions of this Request for Proposals. I have examined the Scope of Services (Appendix: Attachment 1) and am familiar with the scope of work. I am familiar with all the existing conditions and limitations that may impact work requests. I understand and agree that I am responsible for reporting any errors, omissions or discrepancies to the City for clarification prior to the submission of my proposal. Proposer shall submit hourly rates schedule, which shall include but not limited to, direct and indirect costs for labor, for staff per job classification, material, equipment rates, overhead, incidental supplies, travel, mileage, and fuel. Any special materials will be purchased by the contractor only after discussed and authorized by the City projects manager or designee in writing. Prior to commencement of services, Contractor shall provide separate quotes, upon request by the City, which shall be approved by the City's Public Works Agency. Note: This contract is subject to prevailing wages. National Safety Services Inc. 47-2934417 COMPLETE LEGAL NAME OF COMPANY TAXPAYER I.D. NO. 5562 Research Dr, Unit B Beach, CA 92649 u U.mvraQ MWv Qc aI1 I �1I T1W Alt /IF UUUt X � � yyu � Charles Hudson President/ Rescue Chief SIGNATURE OF AUTHORIZED AGENT NAME (PRINT) TITLE chudson@nsrsi.com 714-679-9118 EMAIL ADDRESS PHONE NUMBER 1000038183 CSLB NUMBER DIR REGISTRATION NUMBER City of Santa Ana RFP 24-028 Confined Space Rescue Services and Safety Training Page 21 ACORbr CERTIFICATE OF LIABILITY INSURANCE 11,.� DATE(MM/DD/YYYY) 1 12/13/2024 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 Burnham WGB Insurance Solutions CA Insurance License OF69771 15901 Red Hill Avenue Tustin CA 92760 CONTACT NAME: Michael Tran PHONNo,E 714-824-8384 ac Ne714-573-1770 AIL ADDRESS: michael.tran w bib.com INSURERS AFFORDING COVERAGE NAIC# INSURERA: State Compensation Insurance F 35076 INSURED NATIO14 National Safety Services, Inc. 9121 Atlanta Ave Unit #732 INSURER B : Crum & Forster Specialty Insur 44520 INSURER c: AMCO Insurance Company 19100 INSURERD: Huntington Beach CA 92646 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 1889759837 REVISION NUMRFR- 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 INSD SUER IWD POLICY NUMBER POLICY BEE MMIDDIYYYY POLICY EXP IMMIDDini LIMITS B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR Y EPK146720 2/1/2024 2/1/2025 EACH OCCURRENCE $1,000,000 DAMAGE TO KtN I ED PREMISES Ea occurrence $50,000 MED EXP (Any one person) $ 5.000 PERSONAL &ADV INJURY $1.000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $2.000,000 POLICY PED DOE PRODUCTS - COMP/OP AGG $2.000.000 Deductible $5.000 OTHER: C AUTOMOBILE LIABILITY Y Y ACP3009636948 2/1/2024 2A/2025 COMBINED SINGLE LIMIT Ea accident 1,000,000 $ AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS IANY BODILY INJURY(Peraccident 1HIRED $ X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY e ident) AGE Per accident $ B UMBRELLALIAB X OCCUR EFX124635 2/1/2024 2/1/2025 EACH OCCURRENCE $1,000.000 X AGGREGATE $1,000,000 EXCESS LIAR CLAIMS -MADE DED I I RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N Y 912408a2O24 2/4/2024 2/4/2025 X STATUTE �RH E.L. EACH ACCIDENT $1,000,000 ANYPROPRIETOR/PARTNEWEXEWTIVE OFFICER/MEMBER EXCLUDED? ❑ NIA E.L. DISEASE -EA EMPLOYEE $Included (Mandatory in NH) If yes, describe under E.L. DISEASE -POLICY LIMIT $Included DESCRIPTION OF OPERATIONS below B Professional Liability EPK146720 2/1/2024 2/1/2025 $1,000.000 Limit $5,000 Deductible DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached ifmore space is required) RE: N-2023-075. City of Santa Ana, its officers, officials, employees, and volunteers are named as additional insured on the General Liability per attached EN0351 0217 & EN0350 0217 as required by written contract subject to the terms and conditions of the policy. Primary and Non -Contributory applies on the General Liability per attached EN0348 0217. Waiver of Subrogation applies to the General Liability per attached EN0349 0217. 30-Day Notice of Cancellation (other than non -pay) applies per attached EN0136-0211. APPROVED THIS CERTIFICATE SUPERCEDES ANY PREVIOUSLY ISSUED. By Cynthia Mora at 11:54 am, Dec 19, 2024 City of Santa Ana Risk Management Division 20 Civic Center Plaza, 4th Floor Santa Ana CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE n 19RR-2015 ACORD CORPORATION All rinht. rccc..md ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD COMMERCIAL AUTO NCA 70 05 01 18 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO PROTECTION - GOLD This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM SUMMARY OF COVERAGES A. Effect of This Endorsement B. Newly Acquired or Formed Entities C. Employees as Insureds — Nonowned Autos D. Additional Insured by Contract, Permit or Agreement E. Supplementary Payments — Bail Bonds F. Supplementary Payments — Loss of Earnings G. Personal Effects and Property of Others Extension H. Prejudgment Interest Coverage I. Fellow Employee — Officer, Managers and Supervisors J. Hired Auto Physical Damage K. Temporary Substitute Autos — Physical Damage Coverage L. Expanded Towing Coverage M. Auto Loan or Lease Coverage N. Original Equipment Manufacturer Parts — Leased Private Passenger Types 0. Deductible Amendments P. Rental Reimbursement Coverage Q. Expanded Transportation Expense R. Extra Expense — Stolen Autos S. Physical Damage Limit of Insurance T. New Vehicle Replacement Cost U. Physical Damage Coverage Extension V. Transfer of Rights of Recovery Against Others To Us W. Section IV — Business Auto Conditions — Notice of and Knowledge of Occurrence X. Hired Car Coverage Territory Y. Emergency Lock Out Z. Cancellation Condition NCA 70 05 01 18 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 6 NCA 70 05 01 18 A. EFFECT OF THIS ENDORSEMENT Coverage provided under this policy is modified by the provisions of this endorsement. If there is any conflict between the provisions of this endorsement and the provision(s) of any state -specific endorsement also attached to this policy, then the provision(s) of the state -specific endorsement shall apply instead of the provisions of this endorsement that are in conflict, but only to the extent of the conflict, and only to the extent necessary to bring such provisions into conformance with the state requirement(s) contained in the provision(s) of the state -specific endorsement. B. NEWLY ACQUIRED OR FORMED ENTITIES The Named Insured shown in the Declarations is amended to include any organization you newly acquire or form, other than a partnership, joint venture, or limited liability company, and over which you maintain ownership or majority (more than 50%) interest; if there is no other similar insurance available to that organization. Coverage under this provision is afforded until the 1801h day after you acquire or form the organization or the end of the policy period, whichever is later. C. EMPLOYEES AS INSUREDS — NONOWNED AUTOS The following is added to paragraph A.I. Who Is An Insured of SECTION II — COVERED AUTOS LIABILITY COVERAGE: d. Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow in your business or your personal affairs. D. ADDITIONAL INSURED BY CONTRACT, PERMIT OR AGREEMENT The following is added to A.I. Who Is An Insured of SECTION II — COVERED AUTOS LIABILITY COVERAGE: Any person or organization that you are required to name as an additional insured in a written contract or agreement that is executed or signed by you prior to a "bodily injury" or "property damage' occurrence is an "insured" for Covered Auto Liability coverage. However, with respect to covered "autos", such person or organization is an insured only to the extent that person or organization qualifies as an "insured" under A.1. Who is an Insured of SECTION II — COVERED AUTOS LIABILITY COVERAGE: If specifically required by the written contract or agreement referenced in the paragraph above, any coverage provided by this endorsement to an additional insured shall be primary and any other valid and collectible insurance available to the additional insured shall be non-contributory with this insurance. If the written contract does not require this coverage to be primary and the additional insured's coverage to be non- contributory, then this insurance will be excess over any other valid and collectible insurance available to the additional insured. E. SUPPLEMENTARY PAYMENTS — BAIL BONDS Supplementary Payments of SECTION II — COVERED AUTOS LIABILITY COVERAGE is revised as follows: (2) Up to $2,500 for cost of bail bonds (including bonds for related traffic law violations) required because of an "accident" we cover. We do not have to furnish these bonds. F. SUPPLEMENTARY PAYMENTS — LOSS OF EARNINGS Supplementary Payments of the SECTION II — COVERED AUTOS LIABILITY COVERAGE is revised as follows: (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day because of time off from work. G. PERSONAL EFFECTS AND PROPERTY OF OTHERS EXTENSION 1. The. Care, Custody or Control Exclusion of SECTION II — COVERED AUTOS LIABILITY COVERAGE, does not apply to "property damage" to property, other than your property, up to an amount not exceeding $250 in any one "accident". Coverage is excess over any other valid and collectible insurance. 2. The following paragraph is added to A.4. Coverage Extensions of SECTION III — PHYSICAL DAMAGE COVERAGE: c. We will pay up to $500 for your property that is lost or damaged as a result of a covered "loss", without applying a deductible. Coverage is excess over any other valid and collectible insurance. H. PREJUDGMENT INTEREST COVERAGE The following paragraph is added to SECTION II — COVERED AUTOS LIABILITY COVERAGE, 2. Coverage Extensions, a. Supplementary Payments: (7) Prejudgment interest awarded against the "Insured" on that part of the judgment we pay. If we make an offer to pay the applicable limit of insurance, we will not pay any prejudgment interest based on that period of time after the offer. Page 2 Of 6 Includes copyrighted material of Insurance Services Office, Inc., with its permission. NCA 70 05 01 18 I. FELLOW EMPLOYEE — OFFICERS, MANAGERS, AND SUPERVISORS The Fellow Employee Exclusion in SECTION II — COVERED AUTOS LIABILITY COVERAGE is replaced as follows; A. "Bodily injury" to any fellow "employee" of the "insured" arising out of and in the course of the fellow "employee's" employment or while performing duties related to the conduct of your business. This exclusion does not apply to an "insured" who occupies a position as an officer, manager, or supervisor. J. HIRED AUTO PHYSICAL DAMAGE If covered "auto" designation symbols 1 or 8 apply to Liability Coverage and if at least one "auto" you own is covered by this policy for Comprehensive, Specified Causes of Loss, or Collision coverages, then the Physical Damage coverages provided are extended to "autos" you lease, hire, rent or borrow without a driver; and provisions in the Business Auto Coverage Form applicable to Hired Auto Physical Damage apply up to a limit of $100,000. The deductible will be equal to the largest deductible applicable to any owned "auto" for that coverage. Any Comprehensive deductible does not apply to fire or lightning. K. TEMPORARY SUBSTITUTE AUTOS — PHYSICAL DAMAGE COVERAGE The following is added to paragraph C. Certain Trailers, Mobile Equipment And Temporary Substitute Autos of SECTION I - COVERED AUTOS: If Physical Damage Coverage is provided by this Coverage Form, the following types of vehicles are also covered "autos" for Physical Damage Coverage: Any "auto" you do not own while used with the permission of its owner as a temporary substitute for a covered "auto" you own that is out of service because of its: a. Breakdown; b. Repair; c. Servicing; d. "Loss"; or e. Destruction The coverage that applies is the same as the coverage provided for the vehicle being replaced. L. EXPANDED TOWING COVERAGE NCA 70 05 01 18 b. $500 for a covered "auto" you own that is not of the private passenger type, for towing and labor costs incurred each time the covered "auto" is disabled. However, the labor must be performed at the place of disablement. 2. This coverage applies only for an "auto" covered on this policy for Comprehensive or Specified Causes of Loss Coverage and Collision Coverages. 3. Payment applies in addition to the otherwise applicable amount of each coverage you have on a covered "auto". M. AUTO LOAN OR LEASE COVERAGE 1. In the event of a total "loss" to a covered "auto", we will pay any unpaid amount due on the loan or lease, including up to a maximum of $500 for early termination fees or penalties, for your covered "auto" less: a. The amount paid under SECTION III — PHYSICAL DAMAGE COVERAGE of this policy; and b. Any: (1) Overdue lease/loan payments at the time of the "loss"; (2) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; (3) Security deposits not refunded by a lessor; (4) Costs of extended warranties, Credit Life insurance, Health, Accident, or Disability insurance purchased with the lease; and (5) Carry-over balances from previous leases. 2. This coverage only applies to a "loss" which is also covered under this policy for Comprehensive, Specified Causes of Loss, or Collision coverage. 3. Coverage does not apply to any unpaid amount due on a loan for which the covered "auto" is not the sole collateral. N. ORIGINAL EQUIPMENT MANUFACTURER PARTS — LEASED PRIVATE PASSENGER TYPES Under Paragraph C. Limit of Insurance of SECTION III — PHYSICAL DAMAGE COVERAGE, Section 4 is added as follows: 1. We will pay up to: 4. We will use new original equipment vehicle a. $100 for a covered "auto" you own of the manufacturer parts for any private passenger private passenger type, or type covered "auto" where required by the lease agreement which has a term of at least NCA 70 05 01 18 Includes copyrighted material of Insurance services Office, Inc., with its permission. Page 3 of 6 NCA 70 05 01 18 six months. If a new original equipment vehicle manufacturer part is not in production or distribution we may use a like, kind and quality replacement part. O. DEDUCTIBLE AMENDMENTS The following are added to the Deductible provision of SECTION III — PHYSICAL DAMAGE COVERAGE: If another policy or coverage form that is not an automobile policy or coverage form issued by this company applies to the same "accident", the following applies: 1. If the deductible under this coverage is the smaller (or smallest) deductible, it will be waived: 2. If the deductible under this coverage is not the smaller (or smallest) deductible, it will be reduced by the amount of the smaller (or smallest) deductible. If a Comprehensive or Specified Causes of Loss Coverage "loss" from one "accident" involves two or more covered "autos", only the highest deductible applicable to those coverages will be applied to the "accident," if the cause of the loss is covered for those vehicles. This provision only applies if you carry Comprehensive or Specified Causes of Loss Coverage for those vehicles, and does not extend coverage to any covered "autos" for which you do not carry such coverage. No deductible applies to glass if the glass is repaired, in a manner acceptable to us, rather than replaced. P. RENTAL REIMBURSEMENT COVERAGE 1. This coverage applies only to a covered "auto" for which Physical Damage Coverage is provided on this policy. 2. We will pay for rental reimbursement expenses incurred by you for the rental of an "auto" because of "loss" to a covered "auto". Payment applies in addition to the otherwise applicable amount of each coverage you have on a covered "auto." No deductibles apply to this coverage. 3. We will pay only for those expenses incurred during the policy period beginning 24 hours after the "loss" and ending, regardless of the policy's expiration, with the lesser of the following number of days: b. The number of days shown in the Schedule. 4. Our payment is limited to the lesser of the following amounts: a. Necessary and actual expenses incurred. b. $75 for any one day or for a maximum of 30 days. 5. This coverage does not apply while there are spare or reserve "autos" available to you for your operations. 6. If "loss" results from the total theft of a covered "auto" of the private passenger type, we will pay under this coverage only that amount of your rental reimbursement expenses which is not already provided for under SECTION III — PHYSICAL DAMAGE COVERAGE Coverage Extension. Q. EXPANDED TRANSPORTATION EXPENSE Paragraph A.4.a. of SECTION III — PHYSICAL DAMAGE COVERAGE is replaced by the following: We will pay up to $50 per day to a maximum of $1500 for temporary transportation expense incurred by you because of the total theft of a covered "auto" of the private passenger type. We will only pay for those covered "autos" for which you carry Comprehensive or Specified Causes of Loss Coverage. We will pay for temporary transportation expenses incurred during the period beginning 24 hours after the theft and ending, regardless of the policy's expiration, when the covered "auto" is returned to use or we pay for its "loss". R. EXTRA EXPENSE — STOLEN AUTOS The following paragraph is added to Coverage Extensions of SECTION III — PHYSICAL DAMAGE COVERAGE: c. We will pay for up to $5,000 for the expense of returning a stolen covered "auto" to you. We will pay only for those covered "autos" for which you carry Comprehensive or Specified Causes of Loss Coverage S. PHYSICAL DAMAGE LIMIT OF INSURANCE Under SECTION III — COVERAGE, Paragraph replaced by the following: C. Limit Of Insurance PHYSICAL DAMAGE C., Limit of Insurance is a. The number of days reasonably required 1. The most we will pay for "loss" in any one to repair or replace the covered "auto". If "accident" is the lesser of: "loss" is caused by theft, this number of a. The actual cash value of the damaged days is added to the number of days it or stolen property as of the time of the takes to locate the covered "auto" and "loss", or return it to you. Page 4 of 6 Includes copyrighted material of Insurance services Office, Inc., with its permission. NCA 70 05 01 18 NCA 70 05 01 18 b. The cost of repairing or replacing the In the event of a total "loss" to your new vehicle damaged or stolen property. to which this coverage applies, we will pay at 2. $1500 is the most we will pay for "loss" in your option: any one "accident" to all electronic equip- a. The verifiable "new vehicle' purchase ment that reproduces, receives or price you paid for your damaged vehicle, transmits audio, visual or data signals not including any insurance or warranties which, at the time of 'loss", is: purchased; a. Permanently installed in or upon the b. If it is available, the purchase price, as covered "auto" in a housing, opening negotiated by us, of a "new vehicle" of the or other location that is not normally same make, model, and equipment or the used by the "auto" manufacturer for most similar model available, not including the installation of such equipment. any furnishings, parts, or equipment not b. Removable from a permanently installed by the manufacturer or installed housing unit as described in manufacturers' dealership; or . Paragraph 2.a. above or is an integral c. The market value of your damaged part of that equipment; or vehicle, not including any furnishings, c. An integral part of such equipment. parts, or equipment not installed by the 3. An adjustment for depreciation and manufacturer or manufacturer's physical condition will be made in dealership. determining actual cash value in the event We will not pay for initiation or set up costs of a total "loss". associated with loans or leases 4. The cost of repairing or replacing may: As used in this endorsement, a "new vehicle' a. Be based on an estimate which means an "auto" of which you are the original includes parts furnished by the original owner that has not been previously titled and equipment manufacturer or other which you purchased less than 365 days "loss". sources including non -original before the date of the equipment manufacturers and U. PHYSICAL DAMAGE COVERAGE b. If a repair or replacement results in EXTENSIONS better than like kind or quality, we will Under SECTION III — PHYSICAL DAMAGE not pay for the amount of the net COVERAGE, A. Coverage, Coverage Extensions, improvement. b. Loss of Use Expenses is replaced by the 5. If we offer to pay the actual cash value of following: the damaged or stolen property, we will b. Loss of Use Expenses value auto advertising wraps, paint For Hired Auto Physical Damage, we will pay customization, and similar business expenses for which an "insured" becomes related advertising modifications, in legally responsible to pay for loss of use of a addition to the actual cash value of the vehicle rented or hired without a driver, under property. Auto advertising wraps, paint a written rental contract or agreement. We will customization, and similar business pay for loss of use expenses if caused by: related advertising modifications will be (1) Other than collision if the Declarations valued at the cost to replace them with an indicate that Comprehensive Coverage is adjustment made for depreciation and provided for any covered "auto"; physical condition. (2) Specified Causes of Loss only if the T. NEW VEHICLE REPLACEMENT COST Declarations indicate that Specified The following is added to the Limit of Insurance Causes of Loss Coverage is provided for provision of SECTION III — PHYSICAL DAMAGE any covered "auto"; or COVERAGE: (3) Collision only if the Declarations indicate 5. The provisions of paragraphs 1. and 3. do not that Collision Coverage is provided for any apply to a covered "auto' of the private covered "auto". passenger type or a vehicle with a gross However, the most we will pay for any vehicle weight rating of 20,000 pounds or less expenses for loss of use is $50 per day, to a which is a "new vehicle." maximum of $1,500. The insurance provided by this provision is excess over any other collectible insurance. NCA 70 05 01 18 Includes copyrighted material of Insurance services Office, Inc., with its permission. Page 5 of 6 NCA 70 05 01 18 V. TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition: We waive any right of recovery we may have against any person or organization to the extent required of you by a written contract executed prior to any "accident' because of payments we make for damages under this coverage form. W. NOTICE OF AND KNOWLEDGE OF OCCURRENCE SECTION IV — BUSINESS AUTO CONDITIONS, Paragraph A is amended as follows: 6. NOTICE OF AND KNOWLEDGE OF OCCURRENCE a. Your obligation in the Duties in the Event of Accident, Claim, Suit or Loss Condition relative to notification requirements applies only when the "accident' or "loss" is known to: (1) You, if you are an individual; (2) A partner, if you are a partnership; (3) A member, if you are a limited liability company; or (4) An executive officer or insurance manager, if you are a corporation. b. Your obligation in the. Duties in the Event of Accident, Claim, Suit or Loss Condition relative to providing us with documents concerning a claim or "suit' will not be considered breached unless the breach occurs after such claim or "suit' is known to: (1) You, if you are an individual; (2) A partner, if you are a partnership; (3) A member, if you are a limited liability company; or (4) An executive officer or insurance manager, if you are a corporation. X. HIRED CAR —COVERAGE TERRITORY Item (5) of the Policy Period, Coverage Territory General Conditions is replaced by the following: (5) Anywhere in the world if a covered "auto" is leased, hired, rented or borrowed without a driver for a period of 30 days or less; and Y. EMERGENCY LOCKOUT We will reimburse you up to $100 for reasonable expense incurred for the services of a locksmith to gain entry into your covered "auto' subject to these provisions: 1. Your door key, electronic key or key entry pad has been lost, stolen or locked in your covered "auto" and you are unable to enter such "auto' ; or 2. Your keyless entry device battery dies and you are unable to enter such "auto' as a result; 3. Your key, electronic key or key entry pad has been lost or stolen and you have changed the lock to prevent an unauthorized entry; and 4. Original copies of receipts for services of a locksmith must be provided before reimbursement is payable. Z. CANCELLATION CONDITION Paragraph A.2. of the COMMON POLICY CONDITION — CANCELLATION applies except as follows: If we cancel for any reason other than nonpayment of premium, we will mail or deliver to the First Named Insured written notice of cancellation at least 60 days before the effective date of cancellation. This provision does not apply in those states that require more than 60 days prior notice of cancellation. All terms and conditions of this policy apply unless modified by this endorsement. Page 6 of 6 Includes copyrighted material of Insurance Services Office, Inc., with its permission. NCA 70 05 01 18 POLICY NUMBER: EPK146720 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 Additional Person(s) or Location And Description Of Completed Organ ization(s): Operations Blanket When Specifically Required In A Written Blanket When Specifically Required In A Written Contract With The Named Insured. Contract With The Named Insured. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section III — Who Is An Insured within the Common Provisions is amended to include as an insured the person(s) or organization(s) shown in the Schedule above, but only with respect to liability arising out of ..your work" at the location designated and described in the Schedule above performed for that additional insured and included in the "products -completed operations hazard". ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. EN0350-0217 Page 1 of 1 POLICY NUMBER: EPK146720 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) Or Organization(s): Location(s) of Covered Operation Blanket When Specifically Required In A Written Blanket When Specifically Required In A Contract With The Named Insured. Written Contract With The Named Insured. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section III — Who Is An Insured within the Common Provisions is amended to include as an insured the person(s) or organization(s) shown in the Schedule above, but only with respect to liability arising out of your ongoing operations performed for that insured. B. With respect to the insurance afforded to these additional insured(s), the following exclusion is added: This insurance does not apply to "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 site of the covered operations has been completed; or (2) That portion of "your work" out of which the "bodily injury" or "property 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. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. EN0351-0217 Page 1 of 1 POLICY NUMBER: EPK146720 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION - CERTIFICATE HOLDER(S) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART ERRORS AND OMISSIONS LIABILITY COVERAGE PART THIRD PARTY POLLUTION LIABILITY COVERAGE PART ONSITE CLEANUP COVERAGE PART SCHEDULE City of Santa Ana Risk Management Division 20 Civic Center Plaza, 4th floor Santa Ana, CA 92701 Under the Common Provisions, SECTION VI - COMMON CONDITIONS, item 2. Cancellation And Nonrenewal is amended by the addition of the following: If we cancel this Policy before the expiration date thereof, we will mail a 30 days written notice (ten (10) days for non-payment of premium) to the Certificate Holder(s) indicated in the Schedule shown above. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. EN0136-0211 Page 1 of 1 POLICY NUMBER: EPK146720 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON-CONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Section VI — Common Conditions, paragraph 11. Other Insurance within the Common Provisions is amended by the addition of the following, which supersedes any provision to the contrary: d. Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. EN0348-0217 Page 1 of 1 POLICY NUMBER: EPK146720 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 SCHEDULE Name of Person(s) or Organization(s) Blanket When Specifically Required In A Written Contract With The Named Insured. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section VI — Common Conditions, paragraph 17. Transfer Of Rights Of Recovery Against Others To Us within the Common Provisions is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or "damages" arising out of your ongoing operations or 'your work" done under a contract with that person or organization and included in the "products -completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. EN0349-0217 Page 1 of 1 ENDORSEMENT AGREEMENT WAIVER OF SUBROGATION BLANKET BASIS Page 1 HOME OFFICE SAN FRANCISCO 9124080-24 ALL EFFECTIVE DATES RENEWAL AT 12:01 AM PACIFIC STANDARD TIME OR THE February EFFECTIVE Feb4, 2024 AT 12:01 AM. Southern TIME INDICATED AT y PACIFIC STANDARD TIME AND EXPIRING February 4, 2025 AT 12:01 AM 8802193 NATIONAL SAFETY SERVICES INC 9121 ATLANTA AVE UNIT 732 HUNTINGTON BEACH, CA 92646 WE HAVE THE RIGHT TO RECOVER OUR PAYMENTS FROM ANYONE LIABLE FOR AN INJURY COVERED BY THIS POLICY. WE WILL NOT ENFORCE OUR RIGHT AGAINST THE PERSON OR ORGANIZATION NAMED IN THE SCHEDULE. THIS AGREEMENT APPLIES ONLY TO THE EXTENT THAT YOU PERFORM WORK UNDER A WRITTEN CONTRACT THAT REQUIRES YOU TO OBTAIN THIS AGREEMENT FROM US. THE ADDITIONAL PREMIUM FOR THIS ENDORSEMENT SHALL BE 2.001 OF THE TOTAL POLICY PREMIUM. PERSON OR ORGANIZATION ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER SCHEDULE JOB DESCRIPTION BLANKET WAIVER OF SUBROGATION NOTHING IN THIS ENDORSEMENT SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS ABOVE STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS IN THIS ENDORSEMENT COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: February 1, 2024 e-d&4l AUTHORIZED REPRESENTATIVE 2572 SCIF FORM 10217 (REV. 4 - 2010) A, PRESIDENT AND CEO OLD DP 217 71/29/2026 E(MM/DD/YYYY) A�" CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: 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 CONTACT NAME: Valerie Dehus The Baldwin Group West, LLC PHONE 714 505-7007 FAX No:(714 573-1770 15901 Red Hill Ave, Ste 100 A/C No Ext: ( ) ) Tustin CA 92780 ADDE-MRESS: Valerie.Dehus@Baldwin.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: State Compensation Insurance F 35076 INSURED NATIO14 INSURER B: Lloyd's of London 15792 National Safety Services, Inc. INSURERC: United Financial Casualty Co 11770 5562 Research Dr, Unit B Huntington Beach CA 92649 INSURER D: Palms Insurance Company, Ltd INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1323054832 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 EFF POLICY EXP LIMITS LTR INSD WVD POLICYNUMBER MM/DD MM/DD B X COMMERCIAL GENERAL LIABILITY Y Y CSIEL01883-01 2/1/2026 2/1/2027 EACH OCCURRENCE $1,000,000 DAMAGE S( RENTED CLAIMS-MADE OCCUR PREMISES Ea occurrence) ccurrence) $100,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO- POLICY� ECT1:1 LOC PRODUCTS-COMP/OP AGG $2,000,000 X OTHER: DED$5,000 Pollution Liability $1,000,000 C AUTOMOBILE LIABILITY Y Y 992664368 2/4/2026 8/4/2026 COMBINED SINGLE LIMIT $1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident D X UMBRELLA LAB X OCCUR CSIXEL00751-01 2/1/2026 2/1/2027 EACH OCCURRENCE $5,000,000 EXCESS LAB CLAIMS-MADE AGGREGATE $5,000,000 DED RETENTION$ $ A WORKERS COMPENSATION Y 91240802026 2/4/2026 2/4/2027 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? ❑ 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 D Professional Liability CSIPMPL00253-01 2/1/2026 2/1/2027 Each Claim Limit $1,000,000 Aggregate Limit $2,000,000 Deductible 10,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Santa Ana, its City Council,officers,officials,employees,agents,and volunteers are included as Additional Insured with respect to General Liability, Auto, Professional Liability, Pollution Liability.General Liability Primary and Non-Contributory per the attached. Waiver of Subrogation with respects to General Liability,Auto, Professional Liability, Pollution Liability and Workers'Compensation if required by written contract and subject to terms,conditions and exclusions of the policy,per the attached form.30 Day NOC per the attached form. APPROVED CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 12:14 pm,Feb 02,2026 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Attention: Heidi Chou 215 S. Center St., M-85 AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 >— @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Form 2366 (02/11) M_CL Blanket Additional Insured Endorsement This endorsement modifies insurance provided by the Commercial Auto Policy, Motor Truck Cargo Legal Liability Coverage Endorsement, and/or Commercial General Liability Coverage Endorsement, as appears on the declarations page.All terms and conditions of the policy apply unless modified by this endorsement. If you pay the fee for this Blanket Additional Insured Endorsement,we agree with you that any person or organization with whom you have executed a written agreement prior to any loss is added as an additional insured with respect to such liability coverage as is afforded by the policy, but this insurance applies to such additional insured only as a person or organization liable for your operations and then only to the extent of that liability. This endorsement does not apply to acts, omissions, products, work, or operations of the additional insured. Regardless of the provisions of paragraph a. and b. of the "Other Insurance" clause of this policy, if the person or organization with whom you have executed a written agreement has other insurance under which it is the first named insured and that insurance also applies, then this insurance is primary to and non-contributory with that other insurance when the written contract or agreement between you and that person or organization, signed and executed by you before the bodily injury or property damage occurs and in effect during the policy period, requires this insurance to be primary and non- contributory. In no way does this endorsement waive the "Other Insurance" clause of the policy, nor make this policy primary to third parties hired by the insured to perform work for the insured or on the insured's behalf. ALL OTHER TERMS, LIMITS,AND PROVISIONS OF THE POLICY REMAIN UNCHANGED. Form 2367 (06/10)M_CL Blanket Waiver of Subrogation Endorsement This endorsement modifies insurance provided by the Commercial Auto Policy,Motor Truck Cargo Legal Liability Coverage Endorsement, and/or Commercial General Liability Coverage Endorsement, as appears on the declarations page. All terms and conditions of the policy apply unless modified by this endorsement. If you pay the fee for this Blanket Waiver of Subrogation Endorsement, we agree to waive any and all subrogation claims against any person or organization with whom a written waiver agreement has been executed by the named insured, as required by written contract, prior to the occurrence of any loss. ALL OTHER TERMS, LIMITS AND PROVISIONS OF THE POLICY REMAIN UNCHANGED. Policy number: CSIEL01883-01 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 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 Additional Insured Person(s) Location And Description Of Completed Or Organization(s): Operations Any person(s)or organization(s)whom the Named Insured agrees, in a written contract, to name as an additional insured. However, this status exists only for the project specified in that contract. Information required to complete this Schedule, if not shown above,will be shown in the Declarations. Section II—Who Is An Insured is amended to include as an additional insured the person(s)or organization(s)shown in the Schedule, but only with respect to liability for"bodily injury" or"property damage" caused, in whole or in part, by"your work" at the location designated and described in the schedule of this endorsement performed forthat additional insured and included in the "products- completed operations hazard". CG 20 37 07 04 © ISO Properties, Inc.,2004 Policy Number: CSIEL01883-01 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 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) Or Organ ization s : Location(s) Of Covered Operations Any person(s)or organization(s)whom the Named Insured agrees, in a written contract, to name as an Additional insured. However,this status exists only for the project specified in that contract. Information required to complete this Schedule, if not shown above,will be shown in the Declarations. A. Section II—Who Is An Insured is amended to include as an additional insured the person(s) or organization(s)shown in the Schedule, but only with respect to liability for"bodily injury", "property damage" or"personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions;or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s)at the location(s) designated above. B. With respect to the insurance afforded to these additional insureds,the following additional exclusions apply: This insurance does not apply to"bodily injury"or"property damage"occurring after: 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 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. CG20 10 07 04 Policy Number: CSIEL01883-01 COMMERCIAL GENERAL LIABILITY CG 20 01 04 13 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 (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the additional insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and CG 20 01 04 13 ©Insurance Services Office, Inc., 2012 Page 1 of 1 Policy Number: CSIEL01883-01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDED WAIVER OF SUBROGATION ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY CONTRACTORS POLLUTION LIABILITY TRANSPORTATION POLLUTION LIABILITY We waive any right of recovery against the person(s) or organization(s)shown in the Schedule below because of payments we make under this policy. 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 below. SCHEDULE Name of Person or Organization: If no person or organization is entered in the Schedule above,then the waiver applies to, any person or organization that is: (1) An owner of real or personal property on which you are performing operations, but only at the specific written request by that person or organization to you, and only if: (a) That request is made prior to the date your operations for that person or organization commenced; and (b) A Certificate of Insurance evidencing that request has been issued by your authorized insurance agent or broker; or (2) A contractor on whose behalf you are performing operations, but only at the specific written request by that person or organization to you, and only if: (a) That request is made prior to the date your operations for that person or organization commenced; and (b) A Certificate of Insurance evidencing that request has been issued by your authorized insurance agent or broker. All other terms and conditions of this policy remain unchanged. CSI EL 000 0017 Page 1 of 1 STATE * ENDORSEMENT AGREEMENT FUND WAIVER OF SUBROGATION BLANKET BASIS Page 1 HOME OFFICE SAN FRANCISCO 9124080-26 ALL EFFECTIVE DATES RENEWAL AT 12:01 AM PACIFIC STANDARD TIME ORTHE TIME INDICATED ATT February EFFECTIVE Feb 4, 2026 AT 12 : 01 AM. Southern PACIFIC STANDARD TIME AND EXPIRING February 4, 2027 AT 12 : 01 AM 8802193 NATIONAL SAFETY SERVICES INC 5562 RESEARCH DR UNIT B HUNTINGTON BEACH,CA 92649-1614 WE HAVE THE RIGHT TO RECOVER OUR PAYMENTS FROM ANYONE LIABLE FOR AN INJURY COVERED BY THIS POLICY. WE WILL NOT ENFORCE OUR RIGHT AGAINST THE PERSON OR ORGANIZATION NAMED IN THE SCHEDULE . THIS AGREEMENT APPLIES ONLY TO THE EXTENT THAT YOU PERFORM WORK UNDER A WRITTEN CONTRACT THAT REQUIRES YOU TO OBTAIN THIS AGREEMENT FROM US . THE ADDITIONAL PREMIUM FOR THIS ENDORSEMENT SHALL BE 2 . 00% OF THE TOTAL POLICY PREMIUM. SCHEDULE PERSON OR ORGANIZATION JOB DESCRIPTION ANY PERSON OR ORGANIZATION BLANKET WAIVER OF SUBROGATION FOR WHOM THE NAMED INSURED HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER NOTHING IN THIS ENDORSEMENT SHALL BE HELD TO VARY,ALTER,WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS ABOVE STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY,ALTER,WAIVE OR LIMIT THE TERMS,CONDITIONS,AGREEMENTS OR LIMITATIONS IN THIS ENDORSEMENT COUNTERSIGNED AND ISSUED AT SAN FRANCISCO:January 29,2026 AUTHORIZED REPRESENTATIVE PRESIDENT AND CEO 2572 SCIF FORM 10217(REV.4-2018) OLD DP 217 Policy Number: CSIEL01883-01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 30 DAYS NOTICE OF CANCELLATION ENDORSEMENT If this policy is cancelled prior to the expiration date, we will mail thirty (30) days written notice to: • City of Santa Ana Risk Management Division 20 Civic Center Plaza,4th floor Santa Ana, CA 92701 • South Coast Water District 31592 West St Laguna Beach, CA 92651 If this policy is cancelled for non-payment of premium, we will mail ten (10) days written notice. Failure to do so shall impose no obligation or liability of any kind upon the Company, its agents or representatives. All other policy terms and conditions remain unchanged. CSI EL 000 0009 Page 1 of 1 Policy number: CSIEL01883-01 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 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 Additional Insured Person(s) Location And Description Of Completed Or Organ ization s : Operations City of Santa Ana Risk Management Division 20 Civic Center Plaza,4th floor Santa Ana, CA 92701 Information required to complete this Schedule, if not shown above,will be shown in the Declarations. Section II—Who Is An Insured is amended to include as an additional insured the person(s) or organization(s)shown in the Schedule, but only with respect to liability for"bodily injury" or"property damage" caused, in whole or in part, by "your work" at the location designated and described in the schedule of this endorsement performed for-that additional insured and included in the "products- completed operations hazard". CG 20 37 07 04 © ISO Properties, Inc.,2004 Policy Number: CSIEL01883-01 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 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) Or Organ ization s : Location(s) Of Covered Operations City of Santa Ana Risk Management Division 20 Civic Center Plaza,4th floor Santa Ana, CA 92701 Information required to complete this Schedule, if not shown above,will be shown in the Declarations. A. Section II—Who Is An Insured is amended to include as an additional insured the person(s)or organization(s)shown in the Schedule, but only with respect to liability for"bodily injury", "property damage"or"personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions;or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s)at the location(s) designated above. B. With respect to the insurance afforded to these additional insureds,the following additional exclusions apply: This insurance does not apply to"bodily injury"or"property damage"occurring after: 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 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. CG20 10 07 04 Named Insured: National Safety Services, Inc. Policy Eff/Exp:2/1/2026-2/1/2027 Policy #: CSIPMPL00253-01 SECTION III—DEFINITIONS A. APPLICATION means the INSURED'S application of insurance for this Policy. The INSURED agrees that statements in the APPLICATION are factual representations that shall be deemed material and that this Policy is issued in reliance upon the truth of such representations and that this Policy embodies all agreements existing between the INSURED and the COMPANY, or any of its agents, relating to this Policy. The signed APPLICATION, and any attachments thereto, submitted in connection with this Policy are incorporated herein, and constitute a part of this Policy. B. BODILY INJURY means physical or mental harm,sickness, or disease sustained by a person including death resulting from any of these at any time. C. CLAIM or CLAIMS means receipt of a civil action, suit, proceeding, written monetary demand or written demand naming the INSURED seeking DAMAGES and/or PROFESSIONAL SERVICES and/or non-monetary relief including an injunction arising out of a WRONGFUL ACT by the INSURED or any entity for whom the INSURED is legally liable.A CLAIM will be deemed first made on the earliest date any INSURED receives the civil action, suit, proceeding, written monetary demand or written demand. D. CLAIM EXPENSES means: (1) Fees charged by an attorney designated by the COMPANY, or by the INSURED with the COMPANY'S written consent; and (2) All other fees, costs and expenses resulting from the investigation, adjustment, defense of a CLAIM, and the premiums for appeal,attachment, or similar bonds; and (3) Interest on the full amount of any judgement that accrues after entry of the judgment and before the COMPANY has paid, offered to pay, or deposited in court the amount available for the judgment under this Policy. CLAIM EXPENSES do not include salaries or expenses of the COMPANY'S regular employees or fees and expenses of independent adjusters retained by the COMPANY. E. DAMAGES means the monetary amounts for which the INSURED may be held liable for WRONGFUL ACTS, including sums paid as judgements, awards, or settlements but does not include: (1) The restitution, return,withdrawal or reduction of fees,profits,or charges for services rendered or offered by the INSURED or any other consideration or expenses paid to the INSURED for services or goods; or (2) Judgments or awards deemed uninsurable by law; or (3) Fines and penalties assessed against the INSURED. Where legally insurable, DAMAGES also include punitive or exemplary monetary amounts awarded in excess of actual DAMAGES. F. INSURED means: (1) The NAMED INSURED designated in Item 1. of the Declarations or by endorsement to this Policy; (2) The INSURED'S current or former principals, partners, executive officers, directors, stockholders, or trustees while acting on behalf of the INSURED and within the scope of their duties as such; CSIP PL 000 0002 Page 4 of 15 Named Insured: National Safety Services, Inc. Policy Eff/Exp:2/1/2026-2/1/2027 Policy #: CSIPMPL00253-01 (3) The INSURED'S current or former employees including leased personnel under the INSURED'S supervision, but only for acts within the scope of their employment or lease agreement; (4) The INSURED'S heirs, executors, administrators, assigns, and legal representatives in the event of death, incapacity, or bankruptcy, but solely with respect to the liability insured herein; (5) A retired principal, partner, officer, director, or employee while acting within their duties as a consultant for the INSURED; (6) The lawful spouse of any INSURED solely by reason of: (a) Spousal status or domestic partner status; or (b) A spouse's or domestic partner's ownership interest in property assets that are sought as recovery. This Definition F. (6) shall not apply to the extent a CLAIM alleges any WRONGFUL ACT or omission by such spouse or domestic partner. (7) Any joint venture in which the INSURED participates, but solely for the NAMED INSURED'S liability that arises out of a WRONGFUL ACT in the rendering of or failure to render PROFESSIONAL SERVICES by or on behalf of the INSURED that arises out of the rendering of or failure to render PROFESSIONAL SERVICES by or on behalf of the INSURED; (8) If during the POLICY PERIOD, the INSURED acquires or creates another entity in which the INSURED has an ownership interest of greater than 50%, such entity shall be considered an INSURED under this Policy, but only for WRONGFUL ACTS committed after the date of acquisition or creation. As a condition precedent to coverage, the INSURED shall give the COMPANY written notice of the acquisition or creation of such entity no later than sixty (60) days afterthe effective date of such acquisition or creation,together with such information that the COMPANY may require to appropriately endorse this Policy and subject to additional premium and/or changed terms and conditions. (9) Any entity to whom the INSURED is obligated by virtue of a written contract or permit, to provide insurance such as is afforded by the terms of this Policy, but only with respect to PROFESSIONAL SERVICES rendered by the INSURED, and then only to the extent of the coverage required by such contract or permit and for the limits of liability specified in such contract or permit, but in no event for insurance not afforded by this Policy nor for Limits of Liability in excess of the applicable Limit of Liability of this Policy; (10) Any independent contractor, but only while performing PROFESSIONAL SERVICES solely on behalf of the INSURED. G. INTERRELATED WRONGFUL ACTS means WRONGFUL ACTS that have as a common nexus any fact, circumstance, situation, event, transaction, cause, or series of causally connected facts, circumstances, situations, events,transactions, or causes. H. MEDIATION means a non-binding process in which a neutral panel or individual assists the parties in reaching their own settlement prior to the initiation of civil litigation. To be considered MEDIATION under this Policy,the process must be of a kind set forth in the Commercial Mediation Rules of the American Arbitration Association. The COMPANY, however, at their sole option, may recognize any MEDIATION process or forum presented for approval. I. MICROBE means any non-fungal microorganism or non-fungal colony form organism that causes infection or disease. CSIP PL 000 0002 Page 5 of 15 Named Insured: National Safety Services, Inc. Policy Eff/Exp:2/1/2026-2/1/2027 Policy #: CSIPMPL00253-01 of cancellation or nonrenewal, reimbursement to COMPANY of any Deductible advanced, and the exercise of the rights provided in the Extended Reporting Period or Paragraph 12. below. 12. Subrogation In the event of any payment under this Policy,the COMPANY shall be subrogated to all the INSURED'S rights of recovery against any person or organization, and the INSURED shall execute and deliver instruments and papers and do whatever else is necessary to secure such rights. The INSURED shall do nothing to prejudice such rights. The COMPANY shall not exercise any such right against any persons, firms, or corporations included in the definition of an INSURED or against the INSURED'S clients if prior to the CLAIM, a waiver of subrogation was so required and accepted in writing under a specific contractual undertaking by the INSURED. All recoveries obtained through subrogation shall be applied equally towards the INSURED'S Deductible and the COMPANY'S costs with any remaining balance payable to the COMPANY. 13. Policy Territory The insurance afforded by this Policy applies worldwide, except, this Policy shall not apply to any CLAIM or risk which would be in violation of the laws of the United States including, but not limited to, U.S. economic or trade sanction laws or export control laws administered by the U.S. Treasury, State, and Commerce Departments (e.g. the economic and trade sanctions administered by the U.S. Treasury Office of Foreign Assets Control). Where suits are brought or CLAIMS are made outside of the United States of America and its territories and possessions, Puerto Rico, or Canada,the following additional provisions apply: (1) The COMPANY shall have the right but not the duty to investigate, defend, or settle any such CLAIMS brought against an INSURED; (2) If the COMPANY elects not to investigate, defend, or settle any such CLAIM, the INSURED shall, under the COMPANY'S supervision, arrange for such investigation and defense thereof as is reasonably necessary and subject to the COMPANY'S prior authorization, shall effect such settlement thereof as the COMPANY and an INSURED deem expedient; (3) The COMPANY will reimburse the INSURED for the reasonable cost of such investigation and defense and the amount of any settlement or judgement in excess of the Deductible amount stated in the Declarations, all subject to and within the Limits of Liability stated in the Declarations; and (4) Such reimbursement shall be made in United States currency at the rate of exchange prevailing on the due date the judgement is rendered or the date that the amount of the settlement is agreed upon or the date expenditure is made. 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