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ANCON SERVICES (ANCON MARINE, INC.)
INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURANCE EXPIRES 110112�__ CITY CLERK DATE A-2025-003-02 FEB 2 5 2025 AGREEMENT WITH ANCON SERVICES TO PROVIDE ON -CALL CONFINED SPACE RESCUE AND SAFETY TRAINING SERVICES FOR THE CITY OF SANTA ANA u; NA (1l THIS AGREEMENT is made and entered into on this 21st day of January, 2025 by and between ileldi Chuk (KF1 Ancon Marine, Inc. DBA Ancon Services ("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. Page 1 of 9 #447770v5 b. Payment by City shall be made within 45 days (forty-five) days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. Payment need not be made for work which fails to meet the standards of performance set forth in the Recitals which may reasonable be expected by City. This Agreement shall commence on the date first written above and continue for a three (3) year term 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 fiee 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. Page 2 of 9 #447770v5 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 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. 7. 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. In 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: Page 3 of 9 #447770v5 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 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 #447770v5 S. 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 terns 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 #447770v5 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 #447770v5 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 #447770v5 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 communication pursuant to this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or mailed by first class or certified mail, postage prepaid, or sent by fax or other telegraphic communication in the manner provided in this Section, to the following persons: To City: 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: Ancon Services Attn: Lance Breedlove, General Manager 2735 Rose Avenue Signal Hill, CA, 90755 Mobile: (562) 595-3002 A patty 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 9447770v5 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. ATTEST: APPROVED AS TO FORM: SONIA R. CARVALHO AttorneyCity By: t� Kyle sen Assit City Attorney RECOMMENDED FOR APPROVAL: Digitally signed by Nabil SabaDae: 2025.01.06 1145:18-08'00' Nabil Saba Executive Director Public Works Agency CITY OF S TA ANA Alvaro Nunez City Manager CONSULTANT: Blake H din CEO Page 9 of 9 #447770v5 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 (PRCS) 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 labor, 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 PROS 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: 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 (1)ehour 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 entry site 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 for job -.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, lockoutltagout, 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. t. SAFETY Proposer shall be solely and completely responsible forthe condition of the project site, Including safety of all persons and properties during the performance of the work. In addition, propersafety 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 NCON SPACE RESCUE SERVICE UE DATE: JUNE 20, 0 www.anconservices.com ANCON TABLE OF CONTENTS CITY OF SANTA ANA RFP 24-028 CONFINED SPACE RESCUE SERVICE & TRAINING TitlePage._ _ ................... ... .._ ........... i Table of Contents....... _.- ............. .- - .............. ....... ii 1.0 STATEMENT OF QUALIFICATIONS 1.1 Cover Letter ............. 1.2 Agreement Statement 1.3 About Our Company..-__................_......_.......__........2 1.4 Firm and Team Experience .......... ...... ..... ................. 6 1.5 Understanding Scope of Services .................................. 11 1.5.1 Outline Demonstrating Understanding of SOW....-.- 11 1.5.2 Approach ....... -.-....... ...................................._.... 13 1.5.3 Ongoing Support ... -................... _........................ 16 1.5.4 Unique Value -Add Services..._ ..................._..__.. 17 1.6 Relevant Project Experience ..... .-.............................. ..... 19 1.7 References (See Appendix A) 1.8 Fee Proposal (Uploaded as Separate Attachment) 2.0 CERTIFICATIONS (Uploaded as as Separate Attachment) 2.1 Non -Collusion Affidavit .......... ____ .... .... .----- .............__.1 2.2 Non -Lobbying Certification ......... ........................... ...... 2 2.3 Non -Discrimination Certification.._.. _.............._._.... 3 3.0 APPENDICES Appendix A - References ------- .--- ......__..._...-.-.. ............ ...... 1 Appendix B - Resumes.--. .......... .... .... .......... ._ ............ ....-. 3 www.anconservices.com ® I ANCON COVER LETTER June 20, 2024 City of Santa Ana - Public Works Agency 220 S. Daisy Avenue, Bldg A Santa Ana, CA 92701 Attn: Heidi Chou, P.E., Project Manager Tel: (714) 647-3571 E-Mail: hchouCa2santa-ana.ora RE. RFP No. 24-028_Confined Space Rescue Service and Training Dear Ms. Chou, CITY OF SANTA ANA RFP 24-028 CONFINED SPACE RESCUE SERVICE & TRAINING Ancon Marine (dba Ancon Services, or "Anton" for short) is pleased to submit our proposal in response to the City of Santa Ana Public Works Agency's (hereinto referred to as the City) for the City's RFP No. 24-028 entitled Confined Space Rescue Service and Training. Ancon's Long Beach branch, located at 2735 Rose Avenue, Signal Hill, CA, (only :10 minutes from the City's service area), is ready and fully equipped to provide the City the highest level of service from our knowledgeable team of thirty-five (35) industry experts who comprise Ancon's "Diversified Compliance Solutions" (DCS) division. These individuals' are dedicated to the safe and thorough execution of confined space rescue by providing on -site emergency response, project stand-by, permitting, and training of confined space rescue. Ancon Services understands that, if chosen, our DCS team will be responsible for providing all labor, materials services and equipment necessary to ensure the safety and success of the City's confined space operations during permit -required confined space (PRCS) entries performed by City staff, consultants, and contractors. Further, we understand that the majority of these PRCS entries will involve entry into appurtenance vaults containing pipelines, water reservoir tanks, culverts, excavations, trenches, and other such work sites. Ancon's DCS team is prepared to deliver these critical services on an as -needed basis, ensuring flexibility and responsiveness to City requirements. In our submittal you will read more about the DCS team approach that includes pre entry assessments, on -site rescue stand-by, continuous monitoring, immediate emergency response as required, and our comprehensive training programs. Please note that Ancon's DCS division operates in full accordance with all local, State, and Federal rules and regulations, ensuring the highest standards of safety and compliance. Ancon Services is confident in our DCS ability to meet and exceed the City of Santa Ana's expectations for confined space rescue services and training. We look forward to the opportunity to partner with the City of Santa Ana Public Works Agency to enhance safety and confined space rescue service and training operations and efficiencies. Sincerely, ,ewu __e eter Z,0__e Lance Breedlove, DCS General Manager (sole Point of Contact to the City) 2735 Rose Avenue, Signal Hill, CA 90755 Mobile: (562) 595-3002 E-Mail: LanceB@AnconServices.com www.anconservices.com 401 ANCON AGREEMENTSTATEMENT CITY OF SANTA ANA RFP 24-028 CONFINED SPACE RESCUE SERVICE & TRAINING Ancon Marine, doing business as Ancon Services (Anton), and all its Divisions, including our Diversified Compliance Solutions (DCS) division, hereby affirm our agreement with the City of Santa Ana's Standard Agreement (sample), Scope of Work, Submittal Requirements, and Award Criteria as outlined in RFP No. 24-028 for Confined Space Rescue Service and Training. We understand and acknowledge the terms and conditions specified by the City, and we are committed to fulfilling all obligations and requirements to deliver exceptional confined space rescue services and training to ensure the safety and efficiency of the City's operations. Ancon Marine and its Divisions are dedicated to maintaining compliance with all local, state, and federal regulations and standards, and we look forward to the opportunity to collaborate with the City of Santa Ana. Respectfully, ,dace &eeZXf e-e Lance Breedlove, DCS General Manager Signal Hill Branch 2735 Rose Avenue Signal Hill, CA 90755 Mobile: (562) 595-3002 E-Mail: LanceBO�AnconSeryices.com www.anconservices.com 1 ANCON ABOUT 011IR 006�117A, !Y OUR VALUES 0 SAFETY FAMILY ACCOUNTABILITY LOYALTY CITY OF SANTA ANA RFP 24-028 CONFINED SPACE RESCUE SERVICE & TRAINING 0 HARD WORK PRIDE Our Mission To deliver superior service to our customers by rigorously working to improve our operational processes and tools, continuously grow our people s talent and skill sets, and ensure every project is carried out safely. Our Vision A family business with passionate employees who are united by shared values and guided by a desire to make Ancon the US market leader in Industrial, Utility, and Environ-mental Services. Company History Our company was founded in 1968 by Conrad Hardin. In the beginning,the company was largely focused around the Port of Los Angeles and Long Beach performing Waste Management and Emergency Spill Response services which are still at the core of our business today. As we started to clean tanks in the local terminals surrounding the port, opportunity steered us into the local refineries in the Los Angeles Basin. The introduction into the refinery market ultimately expanded our footprint by broadening our service lines,allowing Ancon to be relevant in manufacturing markets, geothermal facilities, nuclear plants,and much more. Our very first office located in Wilmington, CA. is still in operation today, now serving as our Marine Division's lay down yard. Since then we have expanded to twelve locations throughout the United States. Some of that expansion is attributed to our conservative organic growth and some of it through the acquisition of companies like Adler Industrial Services and Coastal Industrial Services. Today Ancon is still a family -owned business, operated by its 3rd generation of family members. We are understandably proud of what we and our team have accomplished not only surviving throughout the years but thriving. www.anconservices.com ANCON CITYNFSANTAACE RFP 24-028 CONFINED SPACE RESCUE SERVICE & TRAINING Division Name: DCS - Diversified Compliance Solutions Parent Company: Ancon Marine, dba Ancon Services Years in Business: COMPANY INTRODUCTION Ancon Services was founded in 1968. Throughout our 55 years in business, we have expanded our services to cover virtually all of our clients' industrial and environmental service needs. Our leadership in the industry has been cultivated through investing in our people, the latest technology, and most importantly our commitment to safety. Over the years we have amassed an impressive base of over 700 employees, some of which have been with us for over 40 years. These talented team members have assisted us in becoming the industry leaders in: • Tank Cleaning • Hydroblasting • Emergency Response • Vacuum Trucks • Dry Vacuum Truck • Water Treatment & Filtration • Sustainable Solutions • Sewer Jetting • CCTV Inspection • Waste Management/Transportation • Training / Consulting • Confined Space Rescue • Hydro Excavation • Waste Processing • Industrial Field Services • Wet Spoils Management • Manhole/Vault Services • Lab Packing At Ancon, we are continuously improving our processes, technologies, and procedures to support our customers with a seamless experience, managing ongoing maintenance accounts and single call -out projects. Our communication plans designate a single point of contact for each account to maintain consistent milestone documentation, reporting measures and conforms our process to each of our customers' administrative controls. Bonding Capacity Ancon certifies that we will qualify for an A grade or better through a reputable surety. Terminated Contracts Ancon has not had any primary or subcontracted services/projects that have been terminated or endured. www.anconservices.com 3 ANCON BRANCH LOCATIONS Bakersfield 6717 Cherry Ave Bakersfield, CA. 93314 Chico 521 Cal Oak Road Oroville, CA 95965 CORPORATE 10571 Los Alamitos Blvd, Los Alamitos, CA 90720 Dixon/Benicia 4808 E 2nd St, Benicia, CA. 94510 3867 Teal Ct Benicia, CA. 94510 Denver 4241 East 64th Avenue Commerce City, CO 80022 El Centro 6496 Brandt Road Suite B Calipatria, CA. 92233 Ferndale 6076 Portal Way #1, Ferndale, WA. 98248 Long Beach 2735 Rose Avenue Signal Hill, CA. 90745 CITY OF SANTA ANA RFP 24-028 CONFINED SPACE RESCUE SERVICE & TRAINING Salt Lake City 8470 W Magna Main St. Magna, UT 84044 San Diego 875 Energy Way, Chula Vista, CA. 91911 DCS Div. Stockton (servicing 1015 W. Fyffe St., City) Stockton, CA. 95203 Oahu 91-446 Komohana Street Building B Unit E Kapolei, HI 96707 Phoenix 1777 N. 23rd Avenue Phoenix, AZ. 85009 Sacramento 570 Business Park Drive Lincoln, CA 95648 7 c Victorville - SCLA 13313 Sabre Blvd Unit 1 Victorville, CA 92394 Wilmington - Eubank 1022 Eubank Ave. Wilmington, CA 90744 www.anconservices.com rd ANCON SAFETY I-ikST Safety Philosophy CITY OF SANTA ANA ?'1 RFP 24-028 CONFINED SPACE it RESCUE SERVICE & TRAINING The training and education of Ancon personnel in all capacities is a crucial component of our overall EHS program and for achieving our mission's goals and expectations, as highlighted in our safety philosophy. Ancon corporately develops and delivers its EHS training programs by qualified and certified instructors within various areas of the Ancon management system's architecture. Additionally, Ancon will strategize with third -party administrators and subject matter experts to ensure the highest level of quality is acquired in regard to the education of its workforce. Each employee will receive comprehensive coursework and field oversight during his or her new -hire indoctrination. This process is tailored to the employee candidate's task -specific functions and to all the regulatory obligations governing their individual job description(s). Ancon has historically demonstrated a strong commitment to the growth and development of its people while ensuring that continued education, vocational enhancement, and refresher programs are consistently and effectively instituted. Our training efforts are closely monitored by an automated database platform, which is reviewed in real-time to determine the need for future refresher training and other specific training requirements. Below highlights the common courses delivered by our DCS Division, but not limited to: • Injury Illness Protection Program (IIPP) • Behavior Base Safety • Fall Protection - Slips, Trips, and Falls • Good Housekeeping Practices • Hearing Protection, Eye Protection, Foot Protection, Hand Protection • Respiratory Protection / Respiratory Systems (Bottle Watch) • Hot Work (Fire Watch) • Hazards of Confined Spaces — Employee Roles: Entrant, Attendant, Entry Supervisor and Emergency Rescue Roles HAZCOM — GHS Chemical Exposures — Basic Toxicology • Working in the Heat • Scaffold Safety • Site Health and Safety Plans - Emergency Action Planning • Waste Management — Bulk Liquid / Bulk Solid/ Drum Handling www.anconservices.com 4 ANCO THE BETWEEN GETTING IT DONE, AND Ancon's DCS Division focuses on safety compliance services in four areas: Confined Space Rescue Our rescue teams are fully equipped and qualified to perform any horizontal or vertical rescue scenarios a companies may confront. Safety Professionals (EHS) 1 We support you with a pre -qualified candidate pool to fill your Environmental Health and Safety or Person In Charge needs. Attendant Safety Watch We provide Attendant Safety Watch, Fire Watch, Bottle Watch, and Safety Overseers. Professional Permit Writers I We provide professional and highly qualified permit writers with extensive experience. DCS rescue is your one -stop resource for experienced and trained safety professionals and services. DCS is a division of Ancon. We provide full -service professional Environmental, Health and Safety (EHS) technical field and safety, compliance services. Our management staff collectively possess over 50 years of combined Environmental, Health, and Safety experience in the petrochemical, construction, general, and corporate industries. DCS Training/Certifications: • Confined Space Rescue Operations • OSHA 10 • OSHA 30 • Competent Fall Protection • Confined Space Technician • Hazardous Materials First Responder • Incident Command Systems • CPR/First Aid • Emergency Medical Technician • Respiratory Protection Since its inception, DCS aggressively pursues our mission to diversify our services and value add solutions to our clients. DCS Locations: Corporate — Los Alamitos, CA Dixon, CA El Centro, CA Sacramento, CA Signal Hill, CA Phoenix, AZ Centerville, UT Denver, CO Kapolei, HI Seminole, TX ANCON CITY N F SANTA ACE I DCS DIVISION ORG CHART RFP 24-028 CONFINED SPACE RESCUE SERVICE & TRAINING Don Couch Chief Compliance Officer (Over 30 years) Lance Breedlove, GM Sole Point of Contact (Over 13 years) Wesley Carl Rescue Coordinator (Over 5 years) Rescue Leads (Pool of 7) Guy Brown (Training Manager) (Over 30 years) Training Leads (Pool of 3) Rescue Technicians (Pool of 30) GO www.anconservices.com 7 ANCON DCS DiViSION INTRODUCT11011 Tr) ; CITY OF SANTA ANA RFP 24-028 CONFINED SPACE RESCUE SERVICE & TRAINING Ancon's DCS Division is comprised of full -service safety professionals specializing in a broad range of on -site professional safety services. Headquartered in Signal Hill, our DCS professionals are only :10 minutes away from activities in the City of Santa Ana - ready to perform any/all projects utilizing two (2) and three (3) man team members consisting of a Supervisor, Specialist, and Project Manager that will enhance the City's Scope of Work both onsite and remotely. The DCS Division is comprised of thirty-five (35) Health & Safety professionals as follows: Chief Compliance Officer (1) General Manager (1) Coordinator (1) Rescue Leads (7) Resccue Technicians (30) All are cross -trained in multiple disciplines in order to cover all bases of any project and retain bench strength from the Branch. Rescue Technicians - DCS has a staff of over thirty (30) Rescue Techs that all have: All Hazard Technical Rescue (Low Angle / High Angle / IDLH Entry) Permit -Required Confined Space Management Rescue Planning Support On -Site Safety Oversight Qualifications/Certificates include: ➢ EMT, CPR/First Training ➢ 40-Hr State or Academy Certified Rescue Techs, Rescue Systems-1, Confined ➢ Operations ➢ HAZWOPER - First Responder Operations ➢ FF1 Certified - Over 2000 hours of Training and Education (Fire Academy Graduates) ➢ Ancon's Day One - Day Two Training (OSHA Compliance) ➢ Quarterly Training: Scenario Based Drills, Vertical and Horizontal Extrication Q www.anconservices.com s ANCON TEAM - PERCENT (%) TIME ALLOCATION TO PROJECT CITY OF SANTA ANA RFP 24-028 CONFINED SPACE RESCUE SERVICE & TRAINING Project Manager Lance Breedlove 35% Rescue Coordinator(Wesley Carl 10% Training Manager(Guy Brown 20% Rescue Leads 20% Training Leads 15% Rescue Technicians 30% Ancon's DCS Division has more than three (3) dozen team members should the City have a special project that arises and warrants specialized skills. We are eager and ready to assist the City with our Diversified Compliance Solutions team and create lasting impacts that the City will be proud of and will set an example for other municipalities for years to come. Our team is enthusiastic and driven - and will continually strive to make sure we meet and exceed the City's expectations. In order to help us stay in alignment with the City goals - we propose a Check -in Meeting led by Corporate Chief of Compliance Don Couch on a quarterly basis after the initial start of service in order to assist Lance Breedlove, Project Manager and main POC to calibrate and re -calibrate our approach, making sure the City is 100% satisfied. DCS provides professional and highly qualified permit writers with extensive experience. As a one -stop resource for experienced and trained safety professionals and services - DCS is prepared to assist the City through over fifty (50) years of combined enviro- nmental, health, and safey experience. Staff Training Certifications: - Confined Space Rescue Operations -OSHA 10 - OSHA 30 - Competent Fall Protection - Confined Space Techician - Hazardous Materials First Responder - Incident Command Systems - CPR/First Aid - Emergency Medical Technician Respiratory Protection www.anconservices.com 9 ANCON WE TRAIN OUR EMPLOYEES SO THEY CAN TRAIN YOURS CITY OF SANTA ANA RFP 24-028 CONFINED SPACE RESCUE SERVICE & TRAINING Ancon's DCS Division is committed to keeping our customers and their locations safe through highly trained environmental professionals, continuous improvement, and consistent monitoring. DCS (Ancon's) Field Personnel, including Managers receive training in: • OSHA's29 CFR 1910.120 — Hazardous Waste Operations and Emergency Response Standard initial 40-hour and 24-hour trained along with 8-hour refreshers as required • Confined Space Entry • CPR/First Aid(Annually) • Respiratory Protection • Lead Awareness • DOT 126FTraining • Emergency Response Operations (Level C/D Training) Site Supervisors and Foremen receive additional training on: ➢ 10-Hour OSHA Competent Person Training ➢ OSHA Excavation and Trenching Safety ➢ OSHA 20 CFR 1910.120 Supervisor Training ➢ Supervisory Responsibilities ➢ Identifying and Handling Hazardous Materials Our DCS division provides an initial 40-hour training class to all personnel prior to assignment to any field projects involving hazardous materials. The course is designed to meet OSHA 29 CFR 1910.120 and U.S. EPA Orders 1440.2 and 1440.3 and Cal OSHA 8 CCR 5192. � www.anconservices.com 10 ANCON CITY OF SANTA ANA RFP 24-028 CONFINED SPACE RESCUE SERVICE & TRAINING Introduction: Ancon's DCS division is dedicated to providing exceptional confined space rescue services and training to the City of Santa Ana. We fully understand the requirements outlined in RFP No. 24-028 and are committed to ensuring the safety and success of all PRCS operations conducted by the City and its partners. Our team is prepared to deliver these critical services with the highest level of professionalism and expertise. Further, we recognize the critical nature of confined space rescue and training and are committed to delivering high -quality, reliable confined space stand-by services during permit -required confined space (PRCS) entries to ensure the safety of City staff, City consultants, and City contractors. Provision of Confined Space Stand-by Services a. Ancon Services' DCS division will be responsible for providing confined space stand-by services during PRCS entries. b. Our team will be on -site to offer immediate rescue assistance in case of emergencies, ensuring compliance with OSHA regulations and industry best practices. 2. Types of Confined Spaces Covered We understand that the majority of PRCS entries will involve: a. Appurtenance Vaults: Areas housing pipelines, electrical equipment, and other utilities. b. Water Reservoir Tanks: Large tanks storing potable water or other types of water used by the city. c. Culverts: Structures allowing water to flow under roads, trails, or railways. d. Excavations and Trenches: Sites requiring significant digging and structural support. e. Other Work Sites: Various other confined spaces as defined by the city's operational needs. 3. As -Needed Support Services a. PRCS support services from our DCS division will be provided on an as -needed basis. b. We will maintain flexibility and responsiveness to accommodate the City's schedule and requirements, ensuring our team is available whenever required. Qe www.anconservices.com 11 ANCON CITY OF SANTA ANA RFP 24-028 CONFINED SPACE RESCUE SERVICE & TRAINING 4 Detailed Service Components a. Pre -Entry Assessment and Planning b. Conduct thorough hazard assessments before entry. c. Develop and review rescue plans tailored to specific confined spaces. d. Ensure all safety equipment and personnel are prepared and positioned. 5. Rescue Stand-by and Monitoring a. Provide trained rescue personnel on -site during all PRCS entries. b. Continuously monitor the confined space environment for hazardous conditions. c. Maintain clear communication with entry teams and site supervisors. 6. Emergency Response and Rescue Operations a. Implement immediate rescue operations in case of emergencies. b. Utilize specialized rescue equipment and techniques appropriate for confined spaces. c. Ensure the safety and well-being of all personnel involved. 7. Post -Entry Procedures a. Conduct debriefing sessions with entry teams. b. Review and document any incidents or near -misses. c. Provide feedback and recommendations for future PRCS entries. 8. Training Services a. Confined Space Entry Training b. Offer comprehensive training programs for City staff and contractors. c. Cover essential topics such as hazard identification, entry procedures, and emergency response. 9. Rescue Techniques and Equipment Training a. Provide specialized training on the use of rescue equipment and techniques. b. Condzuci hands-on exercises to ensure proficiency and confidence among participants. 10. Regulatory Compliance and Best Practices a. Ensure all training programs align with OSHA standards and industry best practices. b. Continuously update training materials to reflect the latest safety protocols and regulations. QQ www.anconservices.com 12 ANCON 11. Commitment to Safety and Excellence— Guaranteed. CITY OF SANTA ANA RFP 24-028 CONFINED SPACE RESCUE SERVICE & TRAINING 12. Qualified and Experienced Personnel a. Employ highly trained and certified confined space rescue professionals. b. Maintain ongoing training and certification programs to ensure the highest standards of safety. 13. State -of -the -Art Equipment a. Utilize advanced rescue equipment and technology. b. Regularly inspect and maintain all equipment to ensure readiness and reliability. 14. Continuous Improvement a. Implement a culture of continuous improvement and safety excellence. b. Regularly review and update our service protocols based on feedback and industry advancements. APPROACH TO SERVICES DCS is committed to providing exceptional confined space rescue services and training as outlined in RFP No. 24-028. Our comprehensive approach ensures safety and compliance for all permit -required confined space (PRCS) entries performed by City staff, consultants, and contractors. Understanding of Requirements DCS understands that the majority of PRCS entries will involve: • Appurtenance vaults containing pipelines • Water reservoir tanks • Culverts • Excavations Trenches Other similar work sites We recognize that PRCS support services will be required on an as -needed basis and will include a range of activities from confined space rescue to hazard assessments. www.anconservices.com 13 ANCON CITY OF SANTA ANA RFP 24-028 CONFINED SPACE RESCUE SERVICE & TRAINING U DCS is prepared to provide all labor, materials, services, and equipment necessary for confined space rescue services and safety training. Our services encompass: 1. Confined Space Rescue High angle/low angle retrieval 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 (including permits) Atmospheric monitoring and ventilation hot work and confined space Offshore platform rescue ➢ High angle stand-by rescue for elevated water tanks ➢ Tactical planning procedures ➢ Maintaining and inspecting air quality equipment ➢ Water rescue 2. Training Services ➢ Confined space entry and rescue techniques Safety awareness and hazard control training ➢ Annual and on -demand training sessions for City staff 3. Inspection and Maintenance Services Quarterly and annual inspections of rescue equipment and air quality monitoring devices ➢ Maintenance of safety equipment to ensure compliance with relevant standards Flexibility and Responsiveness We understand that the City reserves the right to modify the scope of the project at any time. DCS will remain flexible and responsive to accommodate any changes. Our DCS team will be available Monday through Friday, 0700-1700, to respond to the City's request for emergency repair work as needed. Q www.anconservices.com 14 ANCON Detailed Tasks and Methodology 1. Site Safety Assessment and Meetings CITY OF SANTA ANA RFP 24-028 CONFINED SPACE RESCUE SERVICE & TRAINING ✓ A two -person rescue team will participate in all pre -entry planning and coordination efforts. ✓ Arrive at the designated worksite at least one hour prior to PRCS entry to evaluate potential hazards, set up equipment, and meet with City staff. ✓ Discuss and confirm communication methods, safety protocols, and contingency plans. ✓ Regularly update and maintain communication with the attendant regarding conditions within the space. 2. Confined Space Rescue Services ✓ Provide immediate rescue operations if conditions are safe for entry. ✓ Administer first aid and CPR as needed. ✓ Transport injured personnel to designated staging areas for emergency services. ✓ Provide detailed written statements of rescue actions and conditions to the City Safety Coordinator and Project Manager. 3. Rescue Support Equipment ✓ Supply all necessary rescue support equipment, including SCBAs, multi - gas meters, rescue lines, and personal protective equipment. ✓ Develop rigging and rope support plans for elevated water towers and other high -risk areas. ✓ Ensure all equipment meets or exceeds applicable safety standards. 4. Safety Training Services ✓ Offer comprehensive training programs, including fit testing, SCBA training, confined space rescue courses, and various OSHA -required training modules. ✓ Coordinate and conduct safety inspections and investigations as requested by the City. 5. Safety Equipment Inspection and Maintenance Services ✓ Provide quarterly and annual inspections of rescue equipment and air quality monitors. ✓ Train City staff on equipment assessment and maintenance. ✓ Maintain detailed records of inspections and tests, providing official results to the City within 30 days of performance. www.anconservices.com 15 ANCON CITY OF SANTA ACE RFP 24-028 CONFINED SPACE RESCUE SERVICE & TRAINING Commitment to Standards and Compliance All materials and workmanship will adhere to the latest editions and revisions of the following standards: 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 Ancon Services is committed to providing continuous support to the City of Santa Ana to ensure the safety and efficiency of all permit -required confined space (PRCS) operations. Our approach to ongoing support includes regular communication, scheduled maintenance, on - call availability, and continuous improvement. Regular Communication and Coordination Frequent Updates: We will maintain regular communication with City staff to provide updates on PRCS activities, equipment status, and any observed safety concerns. Monthly Coordination Meetings: Ancon will participate in monthly meetings with the City to review past operations, discuss upcoming projects, and address any issues or improvements. Real-time Reporting: Utilize digital platforms for real-time reporting and documentation of confined space entries, inspections, and maintenance activities. Scheduled Maintenance and Inspections Quarterly Inspections: Conduct quarterly inspections of rescue equipment and air quality monitors, ensuring all tools and devices are in optimal working condition. Annual Equipment Certification: Perform annual certification of SCBA's, SKA-PAK's, self -retracting lines, and other critical safety equipment. Proactive Maintenance: Implement a proactive maintenance schedule to address potential equipment failures before they occur, minimizing downtime and enhancing safety. On -Call Availability Emergency Response: Our DCS team will be available Monday through Friday, 0700- 1700, to respond promptly to any emergency repair work or urgent PRCS support requests from the City. 24/7 Support Line: Provide a 24/7 support line for after-hours emergencies, ensuring that Ancon Services can be reached at any time for critical situations. Rapid Deployment: Maintain a state of readiness to rapidly deploy rescue teams and equipment to any confined space incident or emergency within the City. www.anconservices.com 16 ANCON Continuous Improvement and Training CITY OF SANTA ANA RFP 24-028 CONFINED SPACE RESCUE SERVICE & TRAINING L Ongoing Training Programs: Offer regular training sessions for City staff to keep them updated on the latest confined space entry and rescue techniques, safety regulations, and best practices. Feedback and Evaluation: Continuously gather feedback from City personnel on our services and training programs to identify areas for improvement. Innovation and Updates: Stay abreast of industry advancements and integrate new technologies and methodologies into our service offerings to enhance safety and efficiency. Documentation and Compliance • Detailed Records: Maintain comprehensive records of all confined space entries, rescue operations, inspections, and maintenance activities. • Regulatory Compliance: Ensure ongoing compliance with all relevant local, state, and federal regulations, including CAL/OSHA and NFPA standards. • Audit Support: Provide support for any audits conducted by regulatory bodies or the City, supplying necessary documentation and reports. Customer Support and Consultation Dedicated Account Manager: Assign a dedicated account manager to act as the primary point of contact for all City of Santa Ana confined space service needs. Consultative Services: Offer consultative services to assist the City in planning and executing complex confined space projects, including risk assessments and safety strategy development. Technical Support: Provide technical support for troubleshooting and resolving any issues related to confined space entry and rescue equipment. Ancon Services is dedicated to delivering exceptional confined space rescue services and training that go beyond the standard requirements. Our unique value -add services are designed to enhance safety, efficiency, and overall effectiveness of the City of Santa Ana's confined space operations. Advanced Technology Integration Real -Time Monitoring Systems: Implement real-time monitoring systems for confined space environments, providing continuous data on atmospheric conditions, personnel locations, and potential hazards. This enhances situational awareness and allows for immediate response to changing conditions. Wearable Safety Devices: Equip personnel with wearable safety devices that monitor vital signs and environmental factors, ensuring prompt detection of any distress signals or dangerous conditions. www.anconservices.com 17 ANCON Customizable Training Programs CITY OF SANTA ANA f RFP 24-028 CONFINED SPACE RESCUE SERVICE & TRAINING Scenario -Based Training: Develop and conduct scenario -based training sessions tailored to the specific confined space environments encountered by the City. This hands-on approach ensures that personnel are well -prepared for real -world situations. Virtual Reality (VR) Training Modules: Utilize VR technology to create immersive training experiences, allowing City staff to practice confined space entries and rescues in a safe and controlled virtual environment. Enhanced Emergency Preparedness Comprehensive Emergency Drills: Organize and execute comprehensive emergency drills, including multi -agency coordination, to test and improve the readiness of all involved parties for confined space incidents. Emergency Response Plan Development: Collaborate with the City to develop detailed emergency response plans that cover a wide range of potential scenarios, ensuring a structured and effective approach to emergency situations. Specialized Rescue Techniques Rope Access and Rescue: Offer specialized rope access and rescue techniques for challenging environments such as elevated water tanks and deep excavations, ensuring safe and efficient rescues in difficult -to -reach areas. Confined Space Robot Deployment: Utilize confined space robots equipped with cameras and sensors for initial hazard assessments and inspections, reducing the need for human entry in potentially dangerous conditions. Comprehensive Safety Audits and Consulting Safety Culture Assessment: Conduct thorough assessments of the City's safety culture, identifying strengths and areas for improvement, and providing recommendations for fostering a more robust safety environment. Regulatory Compliance Consulting: Offer expert consulting services to ensure full compliance with evolving local, state, and federal regulations, helping the City stay ahead of regulatory changes and avoid potential penalties. Environmental and Health Monitoring Long -Term Environmental Monitoring: Implement long-term environmental monitoring programs to track changes in confined space conditions over time, providing valuable data for proactive hazard management. Health and Wellness Programs: Develop health and wellness programs focused on the unique challenges faced by confined space workers, promoting overall well-being and reducing the risk of work -related health issues. �www.anconservices.com 18 `—� ANCON CITY N F SANTA ACE RFP 24-028 CONFINED SPACE RESCUE SERVICE & TRAINING L F V -F PRGSJf ._T f-, I s 1 C Ancon Service's Diversified Compliance Solutions (DCS) division brings a wealth of experience from working with a diverse range of industries. Our expertise across various sectors ensures that we are well-equipped to handle the complex and unique challenges associated with confined space rescue services and training for the City of Santa Ana. Ancon Service's DCS division leverages this extensive project experience to provide the City of Santa Ana with reliable, effective, and comprehensive confined space rescue services and training. Our proven track record across these diverse industries demonstrates our capability to handle a wide array of confined space challenges, ensuring the highest standards of safety and efficiency. Below are key customers and industries in which our DCS division has significant project experience: Customer Served by DCS: • AES Power Generation • DTE Power Generation • Marathon Refining • Marathon Logistics, Pipelines and Terminals • Phillips 66 Refining • Chevron Pipeline • California Resources Corporation Arkema Chemical • Underground Construction Co. • CertainTeed NOTE: Completed Reference Form in Appendix A. • Crescenta Valley Water District • Plains All American • Miller -Coors • Port of Long Beach • Port of Los Angeles • Primoris Services Corp. — ARB • World Energy • Scottsdale, AZ Public Works • Murray Company • Harder Mechanical Contractors JIM Qj www.anconservices.com ANCON APPENDIX B - CITY OF SANTA ANA RFP 24-028 CONFINED SPACE RESCUE SERVICE & TRAINING DCS KEY PERSONNEL RESUMES [This Area Intentionally Left Blank.] www.anconservices.com ANC®N Don Couch, MSL, CECM, REPA Chief Compliance Officer/ Incident Commander Q (310) 237-5611 u DonC@AnconServices.com Professional Qualifications Mr. Couch has over 30 years of combined industrial experience. Mr. Couch has maintained numerous compliance positions within the environmental petrochemical/energy industries at various capacities including: Safety Technician, Site Safety Officer, Instruction and Program Development, Risk Management Specialist/Auditor, Training Manager, Director of Compliance and most recently Chief Compliance Officer. His responsibilities have consisted of managing all elements of compliance programs, ensuring strict adherence to all local, state, and federal regulatory agencies sanctioning company work activities. Mr. Couch has provided technical assistance in support of project planning and execution, budgeting, environmental contingency and emergency response planning, field technical services and project/account management. Furthermore, Mr. Couch has served as a PCF-Firefighter with the Orange County Fire Authority; whereby, he provided nine years of service as a FF-EMT. Education California Southern University School of Law School —Master of Science in Law (MSL) • University of Phoenix— Bachelor of Science Degree (BSBM/ADM) • University California at Irvine —Industrial Hygiene Coursework -Vocational Enhancement Credentials/Certifications • Columbia Southern University - Certified Environmental Compliance Manager (CECM) • Cert. # 5674 • National Registry of Environmental Professionals -Registered Environmental Property Assessor (REPA) Registration # REPA 260540 • 40 Hours Hazardous Waste Operations Emergency Response -Instructor • 24 Hour First Responder Operational for Hazardous Material Releases. (CSTI Curriculum) • DOT Safety Coordinator Certified • OSHA Excavation and Shoring Competent Person • State of California -Emergency Medical Technician (EMT) • Red Cross First Aid/CPR Instructor • DHS Trained — Lead Abatement — Project Monitoring • AHERA Trained Asbestos Abatement — Project Monitoring • Worker's Compensation Coordinator • 3M Respiratory Protection Instructor • Survivair Respiratory Protection Instructor • Refinery Safety Overview Instructor • Permit Required Confined Space Operations Instructor n z- ,SirsB a t� r ty.a- n .ury^-. •�"cn'��' . �: _. _,... .. p,.h•�" �,. .. ��,sSka�,'J::a �+k'��tnJ , n rid `1 ANCON Credentials/Certifications Cont'd • Certified Forklift Instructor • Competent Person - Scaffolding Professional Affiliations • National Safety Council Member • American Red Cross • Long Beach Police Officers Association • National Fire Protection Agency Specific Relevant Experience Includes: Mr. Couch's experience has included supporting all the corporate needs and requirements pertaining to employer regulatory obligations. Specifically, he has managed company air quality management, waste management, medical surveillance, training, DOT, OSHA and other governmental programs. Mr. Couch pioneered the Diversified Compliance Solutions (DCS) business unit within the Ancon Group of Companies, which generates approximately 5 million in annual revenues while servicing industry with safety advisors, confined space rescue teams, attendant safety watch/fire watch personnel, ROW clearing and pipeline inspectors. As an extension to his Directorship duties, he's responsible for the ongoing management of daily operations and the cost infrastructure pertaining to the DCS operations. Mr. Couch currently manages a staff of compliance professionals within his department exceeding 13 personnel and a staff of 25 within the DCS business unit. Mr. Couch has performed multiple long-term projects respecting management of safety and health. Such responsibilities included overseeing the safety and health of all personnel engaged in company tasks, such as large-scale remediation activities, environmental/safety mitigating efforts and hazardous material/waste handling projects. Moreover, Mr. Couch has managed daily activities of project personnel, developed all necessary safety and health plans, executed detailed work approaches and managed industrial service groups relating to upstream, midstream, downstream petroleum facility, major capital projects, turnarounds and outages. `1 ANCON Guy S. Brown — Training Manager Q +1 (714) 337-4318 u Guy BCd7 AnconSeryices.com Professional Qualifications: • Over 30 years of Professional All Risk California Fire Service • Owner, West Coast Rescue Training Resources; Safety, Rescue, Consulting, Research, Needs Assessments • Subject matter expert in instruction of Urban Search and Rescue, Fall Protection, Confined Space Equipment and Procedures, Building Collapse, Rope Rescue, Trench Rescue, Incident Action Plans, Disaster Response Safety Equipment, and OSHA Regulatory Standards • Author of disaster/safety plans for Corporations and Cities throughout the USA, India, and Ukraine • Author of disaster/safety annexes, disaster manuals, professional articles, ICS Incident Action Plans • State of California Fire Marshals Office Senior Instructor, certifying students for many safeties disciplines • State of California Emergency Medical Services Authority, EMT -Paramedic since 1993 • Federal Emergency Management Agency All Risk Incident Safety Officer • CERT - Community Emergency Response Team Instructor- safety, disaster related community support • Presenter/Speaker Multiple National and International conferences, seminars, and workshops Honors and Acknowledgements: 09/17 Firefighter of the Year/Fire Chiefs Coin Presented, Garden Grove Fire 02/15 Police Chief's Coin of Commendation, Garden Grove Police Department 09/07 Military Medal of Commendation, Ukraine Ministry of Emergency 09/06 Saver of Life Commendation, Ukraine Ministry of Emergency 08/04 Military Medal of Commendation, State of California Air National Guard 11/01 Firefighter of the Year, Orange County Fire Chiefs Association 02/01 National Instructor of the Year, Ed Bent Award, Fire Rescue West, San Jose, CA 1985 / 1987 Certificate of Bravery, Long Beach Fire Department Education & Certif►cations: Fire Technology, Santa Ana College, Santa Ana, CA, core courses and 68th Basic Fire Academy State of California Paramedic, Saddleback College, Mission Viejo, CA }Le�fYa.E%a' ANCON California State Fire Marshal Office Certifications • Firefighter I, • Firefighter II • Fire Officer Urban Search and Rescue Certifications California State Fire Marshal Office Certification to Instruct and Issue Certificates to Students, Instructor since 1990 • Rescue Systems I. Basic Rescue Systems including Ropes, Building Shoring, Lifting and Moving Heavy Objects and Breaching. • Rescue Systems Il. Advanced Rescue Systems including Building Shoring Interior and Exterior, Tools and Equipment Brands include Makita, Milwaukee, DeWalt. • Confined Space Rescue Awareness and Technician. including fall protection, lockout tagout, air monitoring, ventilation, personal protective equipment, respiratory protection, OSHA regulations, medical signs and symptoms in confined spaces, rope rescue techniques of vertical and horizontal applications. • Emergency Trench Rescue Shoring. Rescue Systems and building shores with wood, ladders, pneumatic. • Swift Water Technician. Rescue Systems include rope rescue on a river, pond, or lake. • Apparatus Driver/Operator IA and IB. initial and instructor courses of driving and pumping Fire Apparatus. • Fire Investigator. IA, IB, IC, IIA, IIB, IIC • Auto Extrication • Standardized Emergency Management System / National Incident Management System / Incident Command System • Journeyman Carpenter Expertise: Waste Minimization ES&G I Sustainability I Recycling I Beneficial Reuse Environmental Compliance Custom Waste Solutions ROFESSIONAL AND TRADE MAGAZINES AUTHORED Brown, G.S. Heavy Lift: Recovery of worker's body trapped by heavy steel plates, Technical Rescue, Fall 2007, Issue 49, p 26 Brown, G.S. Trench Rescue: A first -in engine or truck company (awaiting US&R team) view, Technical Rescue, Winter 06, Issue 48, pl6 Brown, G.S. Growing Training for Growing Needs: The North Net Fire Training Center. Fire Engineering, Marl997, Vol. 150, Issue 3, pl32 .�...• M _` _ ?�Y;:Y�aQY�l' t s�34 _9 is L2+'.� M ANCON FIRE SERVICE AND SAFETY MANUALS AUTHORED • Co -Author, California State Fire Marshal Office, Division of Training; Confined Space Rescue Operational Manual 15t edition. • Contributing Advisor, Trench Rescue Technician Manual, California Mountain Company, CIVIC Rescue • California State Emergency Medical Services Authority Mission Support Manual for Disasters. • Author, City of Garden Grove Fire Department, Technical Rescue Manual. • Co -Author, County of Orange Fire Service, Standard Operational Annex: Technical Rescue and Confined Space Rescue. • Numerous After -Action Reports, Event Action Plans, Incident Action Plans, local, state, and federal levels CREDENTIALS • United States Passport • Transportation Security Administration — pre -check approved • California State Emergency Medical Services Authority Paramedic License • California State Driver License — Fire Apparatus Endorsement • Department of Transportation Security Administration — (TWIC) Transportation Worker Identification Card. OTHER POSITIONS HELD Fire Apparatus Engineer/Paramedic Owner, Principle Rescue Instructor/Consultant Principle Rescue Instructor FEMA Building Collapse and Emergency Building Shoring, Rescue Specialist Medical Leader FEMA/NDMS Senior Instructor Operations Chief / Principle Consultant Co -Author Plans Section Chief, Event Action Plan Developer Deputy Plans Section Chief Operations Chief/Principle Planner Project Coordinator Incident Command System, Medical Group Supervisor Incident Management Support Team Rescue Instructor/Rescue Program Co -Developer Technical Rescue Coordinator Fire Captain it "'If Ay jx 4 1 ANCON Lance Breedlove — General Manager - Sole Point of Contact (Project Manager) O +1 (562) 595-3002 u LanceB@AnconServices.com Professional Qualifications: Accomplished General Manager. 13+ years in the Environmental industry. Experienced leader in managing Confined Space Rescue Teams and Safety Specialists. Demonstrates exceptional skills in project management, problem solving, and leadership to drive organizational success. Develops and maintains great relationships with customers. Committed to continuous improvement and innovation to achieve long-term business goals. Has led the division to continuous growth over the past 10 years with Safety being the number one priority. Zero OSHA recordables within the DCS division under his leadership. Education: Bachelor's Degree — Purdue University — Organizational Leadership and Supervision Certifications / Training: CPR / First Aid OSHA 30 API TES — Tank Entry Supervisor Expertise: Confined Space Management Safety Project Managment Problem Solving Specific Relevant Project Experience: • Confined Space • Safety Oversight • Account Management -77 ANCON Wesley Carl — Rescue Coordinator 4 +1 (818) 903-7951 ►, wesleyc(a)AnconServices.com Professional Qualifications: Accomplished Confined Space Rescue Technician/Supervisor. 5+ years in the Energy industry. Experienced Rescue Supervisor with proven record of performing a variety of duties in fast paced, high profile confined space rescue programs. Excellent oral and written skills with meticulous attention to detail. Excels at operational leadership, building teams, and executing safe projects for customers. Able to build exceptional relationships with customers and team members, subcontractors, vendors, and business partners. Wesley's years of experience in the energy industry and extensive training in fire + rescue, confined space and emergency medicine make him an excellent leader when working in any hazardous or potential emergency situation. Education: High School Diploma Fire Academy EMT school Certifications / Training: VERDUGO FIRE ACADEMY— CERTIFICATIONS EARNED: Confined Space Rescue Technician Confined Space Rescue Awareness Rescue Systems 1 Hazardous Materials — First Responder Fire control 4 — Oil and Gas Firefighting Fire control 3B — Structural Firefighting Low Angle Rope Rescue Operational Firefighter Survival Rapid Intervention Crew Operations Auto Extrication S-134 L.C.E.S Wildland Fire Qualification S-190 Introduction to Wildland Fire Behavior S-33 Look Up — Look Down — Look Around Work Capacity Test — Wildland Fire CPR & First Aid Confined Space Entry Hazardous Waste Management Emergency Response OSHA 30 General Industry NANCON Expertise: Confined Space Entry Confined Space Rescue Emergency Response Safety Specific Relevant Project Experience: • Successful Evaluation of Rescue Skills and Leadership • Customer Retention • Providing Life Saving Services in Emergency Situation Logistics/Scheduling in both planned and emergency situations. APPENDIX A - REFERENCES APPENDIX CITY OF SANTA ANA RFP NO.: 24-028 CONFINED SPACE RESCUE SERVICES AND SAFETY TRAINING 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: California Resource Corporation Contact Individual: Address: 1 World Trade Center, Ste 1500 Long Beach, CA 90831 Contract Amount: Drew Kroner Phone Number: 562-760-6738 Facsimile Number: Year: 2010-Present Description of supplies, equipment, or services provided: Confined Space Rescue for all Tanks, Vessels, Trenches, and Vaults. Reference Customer Name: L.A. County Museum of Arts Address: 5905 Wilshire Blvd Los Angeles, CA 90036 Contract Amount: Contact Individual: Kelvin Vasquez Phone Number: 213-212-1608 Facsimile Number: Year: 2023-Present Description of supplies, equipment, or services provided: Standby Confined Space Rescue, Confined Space Management, Safety Oversight during construction of the new LACMA Facility. Reference Customer Name: Port of Los Angeles Address: 2501 Cherry Ave Ste 160 Signal Hill, CA 90755 Contract Amount: Contact Individual: Phone Number: Facsimile Number: Rita Brenner 562-756-1136 Year: 2012-Present Description of supplies, equipment, or services provided: Standby Confined Space Rescue for all PRCS. 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 Reference Customer Nara Jnvironmental Construction Group Contact Individual: Phillip French Address: San Diego International Airport phone Number: 562-270-1472 N. Harbor Dr, San Diego, CA 92101 Facsimile Number: Contract Amount: Year: 2023 Description of supplies, equipment, or services provided: Standby Confined Space Rescue during maintenance at the San iego irport. 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 2 CITY OF SANTA ANA RFP NO.: 24-028 CONFINED SPACE RESCUE SERVICES AND SAFETY TRAINING NON -COLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) 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 above Non -collusion Affidavit is part of the Proposal. BIDDERS are cautioned that making a false certification may subject the certifier to criminal prosecution, Signed State of California County of Orange Subgibed and sworn to (or affinned) before me on this 18th day of June , 2024 by ,)Q CQC�2V proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me t.NG�/l.Lc U Notary Public Signature 41 Notary Public Seal LISA MARIE FEE [ 144Ury Publk. Gw.i. • `0., Las Angeles Cwnq p C-m-IWen a =371793 C.m .W11.. Aa371, Mli 1 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 Member of 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 falls 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. Signed: 15W `�/ Title: SVP, Commercial Operations Firm: Ancon Marine dba Ancon Services Date: 06118/2024 City of Santa Ana RFP 24.028 Confined Space Rescue Services and Safety Training Page 37 CITY OF SANTA 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. 3. 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. 4. 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 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:`% Title: SVP, Commercial Operations Firm: Ancon Marine (dba Ancon.Services), Date: June 18, 2024 City of Santa Ana RFP 24-028 Confined Space Rescue Services and Safety Training Page 39 EXHIBIT C `1 ANCON DIVERSIFIED COMPLIANCnOL SERVICES RE: City of Santa Ana - Confined Space Rescue / Training RATES ARE " " — PREVAILING WAGE COMPLIANT; NO ADDITIONAL EQUIPMENT, VEHICLES, SUPPLIES/MATERIALS... CHARGES WILL BE BILLED. Description Rescue Technician Rate1HR OT DT Rescue Technician - Class One $105.00 $141.75 $165.00 Two (2) Man Team $210.00 $283.50 $330.00 Three (3) Man Team $315.00 $425.25 $495.00 Project Manager $ 0.00 $ 0.00 $ 0.00 Rescue Instructor $ 115.00 $155.25 $250.00 Clarifications 1. Any hours worded after 8 worked hours will be charged at overtime rate.(M-F) 2. Any hours worked after 12 worked hours will be charged at double time rate. (M-F) 3. Pricing is portal to portal. 4. Ancon's payment terms are net 30 days from job completion. 5. City of Santa Ana will be responsible for providing Ancon with a PO prior to the start of work. 6. Any delays not caused by Ancon or a change in the scope will be charged at T&M rates. 7. Saturday will be charged at OT rate for the first 12 hours. DT rate for any hours after 12. 8. Sunday will be charged at OT rate for the first 8 hours. DT rate for any hours after that. 9. 4-hour minimum charge The above rates are all inclusive and include a comprehensive rescue assessment/ technical rescue equipment, SCBA's, trauma kit, 4-gas meter, vehicle, fuel and communication by a two or three -person crew. The assigned crew will perform job site assessments alongside you and your team in order to obtain a thorough understanding of the scope of work to be performed. Rescue plans will be devised based upon a thorough assessment of the entry location and the tactical approaches will be implemented preceding entry functions. Regards, Lance Breedlove ANCON DCS Operations Manager, City of Santa Ana Main POC IC SERVICE SINCE 1968 22707 S Wilmington Ave, Carson, CA 90745 INDUSTRIAL SERVIIDES e,Kn, Cell: (562) 595-3002 fyX'°°�t 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 Ancon Marine (dba Ancon Services) 33-0392593 COMPLETE LEGAL NAME OF COMPANY TAXPAYERI.D.NO. 10751 Los Alamitos Blvd. Los Alamitos, CA 90720 BUSINESS ADDRESS STREET CITYISTATE ZIP CODE x- Jeff Caffey SVP, Commercial O ieffc(aa)anconservices. com (714) 596-2733 EMAIL ADDRESS PHONE NUMBER 601403 PW-LR-1000620944 CSLB NUMBER DIP. REGISTRATION NUMBER City of Santa Ana RFP 24-028 Confined Space Rescue Services and Safety Training Page 21 ANCOMAR-01 ly_VINIM '4` R� CERTIFICATE OF LIABILITY INSURANCE DATE 024 12/26/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER CONTACT Jennifer Payne Bryson Casualty Insurance Services Inc 3777 Long Beach Blvd 5th Floor PHONE FAX (A/C, No, Exgo (562) 661-4723 (A/C, No):(562) 435-5639 E-MAIEss:jpayne@brysonfinancial.com Long Beach, CA 90807 INSURER(Sl AFFORDING COVERAGE NAIL 11 INSURER A: Steadfast Insurance Company 26387 INSURED INSURER B:ZUrlch American Insurance Company 16535 INSURER C : Ancon Marine INSURER:: 10571 Los Alamitos Blvd. Los Alamitos, CA 90720 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER' THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR TYPE OF INSURANCE ADDLSUBR INSE, Won POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [ X] OCCUR X GPL 0831144-02 11112025 11112026 EACH OCCURRENCE $ 2,000,000 DAMAGETOaoMUD e PREMISESMED $ 1,000,000 EXP An one arson 5,000 PERSONAL B ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY jEO LOG GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMP/OP AGG $ 4,000,000 PROF LIABILITY 21000,000 OTHER: B, AUTOMOBILE LIABILITY CN EO aBi c.QED SINGLE LIMIT $ 5,000,000 X BODILY INJURY (Parperson) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X BAP 0125052-10 11112025 111/2026 BODILY BOOqDILY INJURY Per accident $ PerOP.ER nt AMAGE $ X AUTOS ONLY AUTOS ONLY A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 AGGREGATE 10,000,000 X EXCESS LIAB CLAIMS -MADE SXS 0831146.02 1/112025 1/1/2026 DED X RETENTION$ 0 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNEWEXECUTIVE Me, ER/MEMBW�� EXCLUDED? Fy]NIA (Mandatory in NH) If yes, describe antler DESCRIPTIONOFOPERATIONSh low WC ig52gg3-1g 11112g25 1/112g26 X PER OTH- TAT ER E.L. EACH ACCIDENT 1,96Dr660 EL. DISEASE - FA EMPLOYEE 1,000,000 EL. DIS SE -POLICY LIMIT 1,000,000 A Pollution Liability GPL 0831144-02 111/2025 11112026 Per Occur/Aggregate 2,000,000 DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) City, its City Council, its officers, officials, employees, agents, and volunteers, where required by written agreement 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 operations performed by or on behalf of the Instructor including materials, parts, equipment, and personnel furnished in connection with such work or operations. Coverage is primary and non-contributory. Waiver of Subrogation included. 30 day notice of cancellation given *10 days for non-payment of premium City of Santa Ana Attn: Heidi Chou 20 Civic Center Plaza M-85 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 ACORD 25 (2016103) @ 1988-2015 ACOR "I. """"mil w0-r:. ad. The ACORD name and logo are registered marks of ACORD APPROVED ✓ By Luisa Najera at 4:79 pm, Jan 29, 2025 0 Additional Insured -Automatic -Owners, Lessees Or Z U RI C H Contractors Coverage Part One -Commercial General Liability Coverage Part Two -Contractor's Pollution Liability Policy No. Eff. Date of Pol. 1 Exp. Date of Pol. 1 Eff. Date of End. 1 Producer 1 Add'I Prem. Ratum Prem. GPL 0631144-02 1 01/01/2025 1 01/01/2026 1 01/01/2025 1 79274000 -- Named Insured and Mailing Address: Ancon Marine, Inc. 10571 Los Alamitos Blvd Los Alamitos, CA 90720 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: Environmental Services Package Policy (X] COVERAGE PART ONE -COMMERCIAL GENERAL LIABILITY (X) COVERAGE PART TWO -CONTRACTOR'S POLLUTION LIABILITY 1. Who is an Insured (Section I.) in the COMMON COVERAGE PROVISIONS is amended to include as an additional insured any person(s) or organization(s) whom you are required to add as an additional insured on this policy under a written contract or written agreement. 2. The insurance provided to the additional insured person(s) or organization(s) applies only to: a. "Bodily injury", "property damage' or "personal and advertising injury" under COVERAGE PART ONE - COMMERCIAL GENERAL LIABILITY, COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE LIABILITY and COVERAGE B - PERSONAL AND ADVERTISING INJURY LIABILITY caused, in whole or in part, by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf; and resulting directly from: (a) Your ongoing operations performed for the additional insured, which is the subject of the written contract or written agreement; or (b) "Your work" completed as included in the "products -completed operations hazard", performed for the additional insured, which is the subject of the written contract or written agreement; and/or b. "Claims" arising out of a "pollution event" under COVERAGE PART TWO - CONTRACTOR'S POLLUTION LIABILITY, caused, in whole or in part, by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf, and resulting directly from: (a) "Covered operations" performed for the additional insured, which is the subject of the written contract or written agreement; or STF-ESP-101-F CW (04113) Page 1 of 3 (b) "Completed operations" of the 'covered operations" performed for the additional insured, which is the subject of the written contract or written agreement. 3. However, regardless of the provisions of paragraphs 1. and 2. above, the insurance afforded to such additional insured: a. Only applies to the extent permitted bylaw; and b. Will not be broader than that which you are required by the written contract or written agreement to provide to such additional insured. 4. With respect to the insurance afforded to the additional insured under this endorsement, the following is added to Section III — Limits Of Insurance and Deductible: The most we will pay on behalf of the additional insured is the amount of insurance: a. Required by the written contract or written agreement you have entered into with the additional insured; or b. Available under the applicable Limits of Insurance shown in the Declarations, whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations 5. The insurance provided to the additional insured person or organization does not apply to: "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering or failure to render any professional architectural, engineering or surveying services including: (1) The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and (2) Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the 'occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any architectural, engineering or surveying services. 6. The additional insured must see to it that: a. We are notified as soon as practicable of an 'occurrence", offense or "pollution event", as applicable, that may result in a claim; b. We receive written notice of a claim or "suit' as soon as practicable; and c. A request for defense and indemnity of the claim or "suit' will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured, if the written contract or written agreement requires that this coverage be primary and non-contributory. 7. For the coverage provided by this endorsement: a. The following paragraph is added to Paragraph 8.a. Other Insurance, Conditions (Section V.) in the COMMON COVERAGE PROVISIONS: Primary and Noncontributory Insurance This Insurance is primary to and will not seek contribution from any other insurance available to an additional insured under this endorsement provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in a written contract or written agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. b. The following paragraph is added to Paragraph 8.b. Other Insurance, Conditions (Section V.) in the COMMON COVERAGE PROVISIONS: This insurance is excess over: STF-ESP-101-F CW (04/13) Page 2 of 3 Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense, claim or "suit'. This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and non- contributory basis. 8. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. STF-ESP-101-F CW (04/13) Page 3 of 3 0 Waiver of Transfer of Rights of Recovery Against ZURICH Others — Blanket as Required by Contract Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer Add'I Prem. Return Prem. GPL 0831144-02 01/01/2025 01/01/2026 01/01/2025 79274000 - -- Named Insured and Mailing Address: Ancon Marine, Inc. 10571 Los Alamitos Blvd Los Alamitos, CA 90720 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: Environmental Services Package Policy [Xj COVERAGE PART ONE — COMMERCIAL GENERAL LIABILITY [Xj COVERAGE PART TWO —CONTRACTOR'S POLLUTION LIABILITY [Xj COVERAGE PART THREE - PROFESSIONAL LIABILITY In consideration of the payment of premium and the Deductible by you and in reliance upon the statements in the Application made a part hereof, we agree with you, subject to all the terms, exclusions and conditions that with respect to the coverage parts indicated above Conditions (Section V.) of the COMMON COVERAGE PROVISIONS, Condition 14. Subrogation is amended by the addition of the following: We waive any right of recovery we may have against any person or organization whom you are required to waive your right of subrogation by a written contract or written agreement executed and effective prior to the performance of your services which is the subject of such written contract or written agreement. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. STF-ESP-248-A CW (04/10) Page 1 of 1 Coverage Extension Endorsement 0 ZURICH Policy No. I Eff. Date of Pol. I Exp. Date of Poi. Eff. Date of End. Producer No. Add -I. Prem Return Prem. BAP0125052-10 1 01/01/2025 1 01/01/2026 01/01/2025 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Business Auto Coverage Form Motor Carrier Coverage Form A. Amended Who Is An Insured 1. The following is added to the Who Is An Insured Provision in Section II — Covered Autos Liability Coverage: The following are also "insureds": a. Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow for acts performed within the scope of employment by you. Any "employee" of yours is also an "insured" while operating an "auto" hired or rented under a contract or agreement in an "employee's" name, with your permission, while performing duties related to the conduct of your business. b. Anyone volunteering services to you is an "insured" while using a covered "auto" you don't own, hire or borrow to transport your clients or other persons in activities necessary to your business. c. Anyone else who furnishes an "auto" referenced in Paragraphs A.1.a. and A.1.b. in this endorsement. d. Where and to the extent permitted by law, any person(s) or organization(s) where required by written contract or written agreement with you executed prior to any "accident", including those person(s) or organization(s) directing your work pursuant to such written contract or written agreement with you, provided the "accident" arises out of operations governed by such contract or agreement and only up to the limits required in the written contract or written agreement, or the Limits of Insurance shown in the Declarations, whichever is less. 2. The following is added to the Other Insurance Condition in the Business Auto Coverage Form and the Other Insurance — Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form: Coverage for any person(s) or organization(s), where required by written contract or written agreement with you executed prior to any "accident", will apply on a primary and non-contributory basis and any insurance maintained by the additional "insured" will apply on an excess basis. However, in no event will this coverage extend beyond the terms and conditions of the Coverage Form. B. Amendment —Supplementary Payments Paragraphs a.(2) and a.(4) of the Coverage Extensions Provision in Section II — Covered Autos Liability Coverage are replaced by the following: (2) Up to $5,000 for the 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. (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. U-CA-424-F CW (04/14) Page 1 of 6 Includes copyrighted material of Insurance Services Office, Inc., with its permission. C. Fellow Employee Coverage The Fellow Employee Exclusion contained in Section II — Covered Autos Liability Coverage does not apply. D. Driver Safety Program Liability and Physical Damage Coverage 1. The following is added to the Racing Exclusion in Section II —Covered Autos Liability Coverage: This exclusion does not apply to covered "autos" participating in a driver safety program event, such as, but not limited to, auto or truck rodeos and other auto or truck agility demonstrations. 2. The following is added to Paragraph 2. in the Exclusions of Section III — Physical Damage Coverage of the Business Auto Coverage Form and Paragraph 2.b. in the Exclusions of Section IV — Physical Damage Coverage of the Motor Carrier Coverage Form: This exclusion does not apply to covered "autos" participating in a driver safety program event, such as, but not limited to, auto or truck rodeos and other auto or truck agility demonstrations. E. Lease or Loan Gap Coverage The following is added to the Coverage Provision of the Physical Damage Coverage Section: Lease Or Loan Gap Coverage In the event of a total "loss" to a covered "auto", we will pay any unpaid amount due on the lease or loan for a covered "auto", less: a. Any amount paid under the Physical Damage Coverage Section of the Coverage Form; and b. Any: (1) Overdue lease or 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 returned by the lessor; (4) Costs for extended warranties, credit life insurance, health, accident or disability insurance purchased with the loan or lease; and (5) Carry-over balances from previous leases or loans. F. Towing and Labor Paragraph A.2. of the Physical Damage Coverage Section is replaced by the following: We will pay up to $75 for towing and labor costs incurred each time a covered "auto" of the private passenger type is disabled. However, the labor must be performed at the place of disablement. G. Extended Glass Coverage The following is added to Paragraph A.3.a. of the Physical Damage Coverage Section: If glass must be replaced, the deductible shown in the Declarations will apply. However, if glass can be repaired and is actually repaired rather than replaced, the deductible will be waived. You have the option of having the glass repaired rather than replaced. H. Hired Auto Physical Damage — Increased Loss of Use Expenses The Coverage Extension for Loss Of Use Expenses in the Physical Damage Coverage Section is replaced by the following: Loss Of Use Expenses For Hired Auto Physical Damage, we will pay expenses for which an "insured" becomes legally responsible to pay for loss of use of a vehicle rented or hired without a driver under a written rental contract or written rental agreement. We will pay for loss of use expenses if caused by: U-CA-424-F cW (04114) Page 2 of 6 Includes copyrighted material of Insurance Services Office, Inc., with its permission. (1) Other than collision only if the Declarations indicate that Comprehensive Coverage is provided for any covered "auto"; (2) Specified Causes Of Loss only if the Declarations indicate that Specified Causes Of Loss Coverage is provided for any covered "auto" or (3) Collision only if the Declarations indicate that Collision Coverage is provided for any covered "auto". However, the most we will pay for any expenses for loss of use is $100 per day, to a maximum of $3000. I. Personal Effects Coverage The following is added to the Coverage Provision of the Physical Damage Coverage Section: Personal Effects Coverage a. We will pay up to $750 for "loss" to personal effects which are: (1) Personal property owned by an "insured" and (2) In or on a covered "auto". b. Subject to Paragraph a. above, the amount to be paid for loss" to personal effects will be based on the lesser of: (1) The reasonable cost to replace; or (2) The actual cash value. c. The coverage provided in Paragraphs a. and b. above, only applies in the event of a total theft of a covered "auto". No deductible applies to this coverage. However, we will not pay for "loss" to personal effects of any of the following: (1) Accounts, bills, currency, deeds, evidence of debt, money, notes, securities, or commercial paper or other documents of value. (2) Bullion, gold, silver, platinum, or other precious alloys or metals; furs or fur garments; jewelry, watches, precious or semi-precious stones. (3) Paintings, statuary and other works of art. (4) Contraband or property in the course of illegal transportation or trade. (5) Tapes, records, discs or other similar devices used with audio, visual or data electronic equipment. Any coverage provided by this Provision is excess over any other insurance coverage available for the same "loss". J. Tapes, Records and Discs Coverage 1. The Exclusion in Paragraph B.4.a. of Section III — Physical Damage Coverage in the Business Auto Coverage Form and the Exclusion in Paragraph B.2.c. of Section IV — Physical Damage Coverage in the Motor Carrier Coverage Form does not apply. 2. The following is added to Paragraph 1.a. Comprehensive Coverage under the Coverage Provision of the Physical Damage Coverage Section: We will pay for loss" to tapes, records, discs or other similar devices used with audio, visual or data electronic equipment. We will pay only if the tapes, records, discs or other similar audio, visual or data electronic devices: (a) Are the property of an "insured"; and (b) Are in a covered "auto' at the time of "loss". The most we will pay for such 'loss" to tapes, records, discs or other similar devices is $500. The Physical Damage Coverage Deductible Provision does not apply to such "loss". U-CA-424-F CW (04114) Page 3 of 6 Includes copyrighted material of Insurance Services Office, Inc., with its permission. K. Airbag Coverage The Exclusion in Paragraph B.3.a, of Section III — Physical Damage Coverage in the Business Auto Coverage Form and the Exclusion in Paragraph B.4.a. of Section IV — Physical Damage Coverage in the Motor Carrier Coverage Form does not apply to the accidental discharge of an airbag. L. Two or More Deductibles The following is added to the Deductible Provision of the Physical Damage Coverage Section: If an accident is covered both by this policy or Coverage Form and by another policy or Coverage Form issued to you by us, the following applies for each covered "auto" on a per vehicle basis: 1. If the deductible on this policy or Coverage Form is the smaller (or smallest) deductible, it will be waived; or 2. If the deductible on this policy or Coverage Form is not the smaller (or smallest) deductible, it will be reduced by the amount of the smaller (or smallest) deductible. M. Physical Damage — Comprehensive Coverage — Deductible The following is added to the Deductible Provision of the Physical Damage Coverage Section: Regardless of the number of covered "autos" damaged or stolen, the maximum deductible that will be applied to Comprehensive Coverage for all "loss" from any one cause is $5,000 or the deductible shown in the Declarations, whichever is greater. N. Temporary Substitute Autos — Physical Damage 1. The following is added to Section I — Covered Autos: Temporary Substitute Autos — Physical Damage If Physical Damage Coverage is provided by this Coverage Form on your owned covered "autos", the following types of vehicles are also covered "autos" for Physical Damage Coverage: Any "auto" you do not own when used with the permission of its owner as a temporary substitute for a covered "auto" you do own but is out of service because of its: 1. Breakdown; 2. Repair; 3. Servicing; 4. "Loss"; or 5. Destruction. 2. The following is added to the Paragraph A. Coverage Provision of the Physical Damage Coverage Section: Temporary Substitute Autos — Physical Damage We will pay the owner for "loss" to the temporary substitute "auto" unless the "loss" results from fraudulent acts or omissions on your part. If we make any payment to the owner, we will obtain the owner's rights against any other party. The deductible for the temporary substitute "auto" will be the same as the deductible for the covered "auto" it replaces. O. Amended Duties In The Event Of Accident, Claim, Suit Or Loss Paragraph a. of the Duties In The Event Of Accident, Claim, Suit Or Loss Condition is replaced by the following a. In the event of "accident", claim, "suit" or "loss", you must give us or our authorized representative prompt notice of the "accident", claim, "suit" or "loss". However, these duties only apply when the "accident", claim, "suit" or "loss" is known to you (if you are an individual), a partner (if you are a partnership), a member (if you are a limited liability company) or an executive officer or insurance manager (if you are a corporation). The failure of any U-CA-424-F CW (04114) Page 4 of 6 Includes copyrighted material of Insurance Services Office, Inc., with its permission. agent, servant or employee of the "insured" to notify us of any "accident", claim, "suit" or "loss" shall not invalidate the insurance afforded by this policy. Include, as soon as practicable: (1) How, when and where the "accident" or "loss" occurred and if a claim is made or "suit" is brought, written notice of the claim or "suit" including, but not limited to, the date and details of such claim or "suit"; (2) The "insured's" name and address; and (3) To the extent possible, the names and addresses of any injured persons and witnesses. If you report an "accident", claim, "suit" or "loss" to another insurer when you should have reported to us, your failure to report to us will not be seen as a violation of these amended duties provided you give us notice as soon as practicable after the fact of the delay becomes known to you. P. Waiver of 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: This Condition does not apply to the extent required of you by a written contract, executed prior to any "accident" or "loss", provided that the "accident" or "loss" arises out of operations contemplated by such contract. This waiver only applies to the person or organization designated in the contract. Q. Employee Hired Autos — Physical Damage Paragraph b. of the Other Insurance Condition in the Business Auto Coverage Form and Paragraph f. of the Other Insurance — Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form are replaced by the following: For Hired Auto Physical Damage Coverage, the following are deemed to be covered "autos" you own: (1) Any covered "auto" you lease, hire, rent or borrow; and (2) Any covered "auto" hired or rented under a written contract or written agreement entered into by an "employee" or elected or appointed official with your permission while being operated within the course and scope of that "employee's" employment by you or that elected or appointed official's duties as respect their obligations to you. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". R. Unintentional Failure to Disclose Hazards The following is added to the Concealment, Misrepresentation Or Fraud Condition: However, we will not deny coverage under this Coverage Form if you unintentionally: (1) Fail to disclose any hazards existing at the inception date of this Coverage Form; or (2) Make an error, omission, improper description of "autos" or other misstatement of information. You must notify us as soon as possible after the discovery of any hazards or any other information that was not provided to us prior to the acceptance of this policy. S. Hired Auto — World Wide Coverage Paragraph 7a.(5) of the Policy Period, Coverage Territory Condition is replaced by the following: (5) Anywhere in the world if a covered "auto" is leased, hired, rented or borrowed for a period of 60 days or less, T. Bodily Injury Redefined The definition of "bodily injury" in the Definitions Section is replaced by the following: "Bodily injury" means bodily injury, sickness or disease, sustained by a person including death or mental anguish, resulting from any of these at any time. Mental anguish means any type of mental or emotional illness or disease. U-CA-424-F CVV (04114) Page 5 of 6 Includes copyrighted material of Insurance Services Office, Inc., with its permission. U. Expected Or Intended Injury The Expected Or Intended Injury Exclusion in Paragraph B. Exclusions under Section II — Covered Auto Liability Coverage is replaced by the following: Expected Or Intended Injury "Bodily injury" or "property damage" expected or intended from the standpoint of the "insured". This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or property. V. Physical Damage — Additional Temporary Transportation Expense Coverage Paragraph A.4.a. of Section III — Physical Damage Coverage is replaced by the following: 4. Coverage Extensions a. Transportation Expenses We will pay up to $50 per day to a maximum of $1,000 for temporary transportation expense incurred by you because of the total theft of a covered "auto" of the private passenger type. We will pay only for those covered "autos" for which you carry either Comprehensive or Specified Causes of Loss Coverage. We will pay for temporary transportation expenses incurred during the period beginning 48 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". W. Replacement of a Private Passenger Auto with a Hybrid or Alternative Fuel Source Auto The following is added to Paragraph A. Coverage of the Physical Damage Coverage Section: In the event of a total "loss" to a covered "auto" of the private passenger type that is replaced with a hybrid "auto" or "auto" powered by an alternative fuel source of the private passenger type, we will pay an additional 10% of the cost of the replacement "auto", excluding tax, title, license, other fees and any aftermarket vehicle upgrades, up to a maximum of $2500. The covered "auto" must be replaced by a hybrid "auto" or an "auto" powered by an alternative fuel source within 60 calendar days of the payment of the "loss" and evidenced by a bill of sale or new vehicle lease agreement. To qualify as a hybrid "auto", the "auto" must be powered by a conventional gasoline engine and another source of propulsion power. The other source of propulsion power must be electric, hydrogen, propane, solar or natural gas, either compressed or liquefied. To qualify as an "auto" powered by an alternative fuel source, the "auto" must be powered by a source of propulsion power other than a conventional gasoline engine. An "auto" solely propelled by biofuel, gasoline or diesel fuel or any blend thereof is not an "auto" powered by an alternative fuel source. X. Return of Stolen Automobile The following is added to the Coverage Extension Provision of the Physical Damage Coverage Section: If a covered "auto" is stolen and recovered, we will pay the cost of transport to return the "auto" to you. We will pay only for those covered "autos" for which you carry either Comprehensive or Specified Causes of Loss Coverage. All other terms, conditions, provisions and exclusions of this policy remain the same. U-CA-424-F CW (04114) Page 6 of 6 Includes copyrighted material of Insurance Services Office, Inc., with its permission. WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT- CALIFORNIA This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy.) This endorsement, effective on 1/1/2025 at 12:01 A.M. standard time, forms a part of (DATE) Policy No. WC 1052003-10 Endorsement No. of the (NAME OF INSURANCE COMPANY) issued to Ancon Marine Premium (if any) $ Authorized Representative We have the right to recover our payments from anyone I iable for an i njury covered by this pol icy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be % of the California workers' compensation pre- mium otherwise due on such remuneration. Schedule Person or Organization ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH THE INSURED,EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON AND/OR ORGANIZATION WC 252 (4-84) WC 04 03 06 (Ed. 4-84) Job Description ALL CA OPERATIONS Page 1 of 1 ANCOMAR-01 JPAYNE ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/ Y 12/22/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Jennifer Payne NAME: Bryson Casualty Insurance Services Inc PHONE FAX 3777 Long Beach Blvd (A/C,No,Ext):(562) 661-4723 (A/C,No):(562)435-5639 5th Floor E-MAIL jpayne@brysonfinancial.com Long Beach,CA 90807 INSURERS AFFORDING COVERAGE NAIC# INSURER A:Steadfast Insurance Company 26387 INSURED INSURER B:Zurich American Insurance Company 16535 Ancon Marine INSURERC: 10571 Los Alamitos Blvd. INSURERD: Los Alamitos,CA 90720 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MWDD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE X OCCUR GPL 0831144-03 1/1/2026 1/1/2027 DAMAGE TO RENTED 1,000,000 X X PREMISES Ea occurrence $ MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 X 71 PRO- POLICY LOC PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER: PROF LIABILITY $ 2,000,000 B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 5,000,000 Ea accident $ X ANY AUTO X X BAP 0125052-11 1/1/2026 1/1/2027 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident) ccident $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS-MADE SXS0831146-03 1/1/2026 1/1/2027 AGGREGATE $ 10,000,000 X DED RETENTION$ 0 $ B WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N X WC1052003-11 1/1/2026 1/1/2027 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE � N/A E.L.EACH ACCIDENT $ OFFICER/MEM BER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,UOU If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Pollution Liability GPL 0831144-03 1/1/2026 1/1/2027 7erOccurence 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) City,its City Council,its officers,officials,employees,agents,and volunteers,where required by written agreement 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 operations performed by or on behalf of the Instructor including materials,parts,equipment,and personnel furnished in connection with such work or operations.Coverage is primary and non-contributory.Waiver of Subrogation included.30 day notice of cancellation given*10 days for non-payment of premium Tu Tran Digitally signed by Tu Tran Nguyen Date: -08121 APPROVED Ng uyem4:36 11,,-0S'aa' [By Tu Tran Nguyen at 2:35 pm,Dec 22,2025 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Heidi Chou 215 S.Center Street,M-85 Santa Ana,CA 92701 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 0 Additional Insured-Automatic-Owners, Lessees Or ZURICH Contractors Coverage Part One-Commercial General Liability Coverage Part Two-Contractor's Pollution Liability Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer Add]Prem. Return Prem. G P L 0831144-03 01/01/2026 01/01/2027 01/01/2026 79274000 --------- -------- Named Insured and Mailing Address: Ancon Marine 10571 Los Alamitos Blvd Los Alamitos, CA 90720 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: Environmental Services Package Policy [Xj COVERAGE PART ONE-COMMERCIAL GENERAL LIABILITY [Xj COVERAGE PART TWO-CONTRACTOR'S POLLUTION LIABILITY 1. Who is an Insured (Section I.) in the COMMON COVERAGE PROVISIONS is amended to include as an additional insured any person(s) or organization(s) whom you are required to add as an additional insured on this policy under a written contract or written agreement. 2. The insurance provided to the additional insured person(s) or organization(s) applies only to: a. "Bodily injury", "property damage" or "personal and advertising injury" under COVERAGE PART ONE- COMMERCIAL GENERAL LIABILITY, COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE LIABILITY and COVERAGE B - PERSONAL AND ADVERTISING INJURY LIABILITY caused, in whole or in part, by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf; and resulting directly from: (a) Your ongoing operations performed for the additional insured, which is the subject of the written contract or written agreement; or (b) "Your work" completed as included in the "products-completed operations hazard", performed for the additional insured, which is the subject of the written contract or written agreement; and/or b. "Claims" arising out of a "pollution event" under COVERAGE PART TWO - CONTRACTOR'S POLLUTION LIABILITY, caused, in whole or in part, by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf, and resulting directly from: (a) "Covered operations" performed for the additional insured, which is the subject of the written contract or written agreement; or STF-ESP-1 01-F CW(04/13) Page 1 of 3 (b) "Completed operations" of the "covered operations" performed for the additional insured, which is the subject of the written contract or written agreement. 3. However, regardless of the provisions of paragraphs 1. and 2. above, the insurance afforded to such additional insured: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the written contract or written agreement to provide to such additional insured. 4. With respect to the insurance afforded to the additional insured under this endorsement, the following is added to Section III—Limits Of Insurance and Deductible: The most we will pay on behalf of the additional insured is the amount of insurance: a. Required by the written contract or written agreement you have entered into with the additional insured; or b. Available under the applicable Limits of Insurance shown in the Declarations, whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations 5. The insurance provided to the additional insured person or organization does not apply to: "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering or failure to render any professional architectural, engineering or surveying services including: (1) The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and (2) Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the 'occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any architectural, engineering or surveying services. 6. The additional insured must see to it that: a. We are notified as soon as practicable of an 'occurrence", offense or "pollution event", as applicable, that may result in a claim; b. We receive written notice of a claim or"suit" as soon as practicable; and c. A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured, if the written contract or written agreement requires that this coverage be primary and non-contributory. 7. For the coverage provided by this endorsement: a. The following paragraph is added to Paragraph 8.a. Other Insurance, Conditions (Section V.) in the COMMON COVERAGE PROVISIONS: Primary and Noncontributory Insurance This Insurance is primary to and will not seek contribution from any other insurance available to an additional insured under this endorsement provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in a written contract or written agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. b. The following paragraph is added to Paragraph 8.b. Other Insurance, Conditions (Section V.) in the COMMON COVERAGE PROVISIONS: This insurance is excess over: STF-ESP-1 01-F CW(04/13) Page 2 of 3 Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same 'occurrence", offense, claim or"suit". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and non- contributory basis. 8. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. STF-ESP-1 01-F CW(04/13) Page 3 of 3 0 Waiver of Transfer of Rights of Recovery Against ZURICH Others — Blanket as Required by Contract Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer Add] Prem. Return Prem. GPL 0831144-03 01/01/2026 01/01/2027 01/01/2026 79274000 ------- ------- Named Insured and Mailing Address: Ancon Marine 10571 Los Alamitos Blvd Los Alamitos, CA 90720 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: Environmental Services Package Policy [Xj COVERAGE PART ONE—COMMERCIAL GENERAL LIABILITY [Xj COVERAGE PART TWO—CONTRACTOR'S POLLUTION LIABILITY [Xj COVERAGE PART THREE - PROFESSIONAL LIABILITY In consideration of the payment of premium and the Deductible by you and in reliance upon the statements in the Application made a part hereof, we agree with you, subject to all the terms, exclusions and conditions that with respect to the coverage parts indicated above Conditions (Section V.) of the COMMON COVERAGE PROVISIONS, Condition 14. Subrogation is amended by the addition of the following: We waive any right of recovery we may have against any person or organization whom you are required to waive your right of subrogation by a written contract or written agreement executed and effective prior to the performance of your services which is the subject of such written contract or written agreement. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. STF-ESP-248-A CW (04/10) Page 1 of 1 Coverage Extension Endorsement ZURICH� Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Add'I. Prem Return Prem. BAP0125052-11 01/01/2026 01/01/2027 01/01/2026 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Business Auto Coverage Form Motor Carrier Coverage Form A. Amended Who Is An Insured 1. The following is added to the Who Is An Insured Provision in Section II —Covered Autos Liability Coverage: The following are also "insureds": a. Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow for acts performed within the scope of employment by you. Any "employee" of yours is also an "insured" while operating an "auto" hired or rented under a contract or agreement in an "employee's" name, with your permission, while performing duties related to the conduct of your business. b. Anyone volunteering services to you is an "insured" while using a covered "auto" you don't own, hire or borrow to transport your clients or other persons in activities necessary to your business. c. Anyone else who furnishes an "auto" referenced in Paragraphs A.1.a. and A.1.b. in this endorsement. d. Where and to the extent permitted by law, any person(s) or organization(s) where required by written contract or written agreement with you executed prior to any "accident", including those person(s) or organization(s) directing your work pursuant to such written contract or written agreement with you, provided the "accident" arises out of operations governed by such contract or agreement and only up to the limits required in the written contract or written agreement, or the Limits of Insurance shown in the Declarations, whichever is less. 2. The following is added to the Other Insurance Condition in the Business Auto Coverage Form and the Other Insurance— Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form: Coverage for any person(s) or organization(s), where required by written contract or written agreement with you executed prior to any "accident", will apply on a primary and non-contributory basis and any insurance maintained by the additional "insured" will apply on an excess basis. However, in no event will this coverage extend beyond the terms and conditions of the Coverage Form. B. Amendment—Supplementary Payments Paragraphs a.(2) and a.(4) of the Coverage Extensions Provision in Section II — Covered Autos Liability Coverage are replaced by the following: (2) Up to $5,000 for the 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. (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. U-CA-424-F CW(04/14) Page 1 of 6 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. C. Fellow Employee Coverage The Fellow Employee Exclusion contained in Section II—Covered Autos Liability Coverage does not apply. D. Driver Safety Program Liability and Physical Damage Coverage 1. The following is added to the Racing Exclusion in Section II—Covered Autos Liability Coverage: This exclusion does not apply to covered "autos" participating in a driver safety program event, such as, but not limited to, auto or truck rodeos and other auto or truck agility demonstrations. 2. The following is added to Paragraph 2. in the Exclusions of Section III — Physical Damage Coverage of the Business Auto Coverage Form and Paragraph 2.b. in the Exclusions of Section IV — Physical Damage Coverage of the Motor Carrier Coverage Form: This exclusion does not apply to covered "autos" participating in a driver safety program event, such as, but not limited to, auto or truck rodeos and other auto or truck agility demonstrations. E. Lease or Loan Gap Coverage The following is added to the Coverage Provision of the Physical Damage Coverage Section: Lease Or Loan Gap Coverage In the event of a total "loss" to a covered "auto", we will pay any unpaid amount due on the lease or loan for a covered "auto", less: a. Any amount paid under the Physical Damage Coverage Section of the Coverage Form; and b. Any: (1) Overdue lease or 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 returned by the lessor; (4) Costs for extended warranties, credit life insurance, health, accident or disability insurance purchased with the loan or lease; and (5) Carry-over balances from previous leases or loans. F. Towing and Labor Paragraph A.2. of the Physical Damage Coverage Section is replaced by the following: We will pay up to $75 for towing and labor costs incurred each time a covered "auto" of the private passenger type is disabled. However, the labor must be performed at the place of disablement. G. Extended Glass Coverage The following is added to Paragraph A.3.a. of the Physical Damage Coverage Section: If glass must be replaced, the deductible shown in the Declarations will apply. However, if glass can be repaired and is actually repaired rather than replaced, the deductible will be waived. You have the option of having the glass repaired rather than replaced. H. Hired Auto Physical Damage— Increased Loss of Use Expenses The Coverage Extension for Loss Of Use Expenses in the Physical Damage Coverage Section is replaced by the following: Loss Of Use Expenses For Hired Auto Physical Damage, we will pay expenses for which an "insured" becomes legally responsible to pay for loss of use of a vehicle rented or hired without a driver under a written rental contract or written rental agreement. We will pay for loss of use expenses if caused by: U-CA-424-F CW(04/14) Page 2 of 6 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. (1) Other than collision only if the Declarations indicate that Comprehensive Coverage is provided for any covered "auto"; (2) Specified Causes Of Loss only if the Declarations indicate that Specified Causes Of Loss Coverage is provided for any covered "auto"; or (3) Collision only if the Declarations indicate that Collision Coverage is provided for any covered "auto". However, the most we will pay for any expenses for loss of use is $100 per day, to a maximum of$3000. I. Personal Effects Coverage The following is added to the Coverage Provision of the Physical Damage Coverage Section: Personal Effects Coverage a. We will pay up to $750 for"loss"to personal effects which are: (1) Personal property owned by an "insured"; and (2) In or on a covered "auto". b. Subject to Paragraph a. above, the amount to be paid for"loss"to personal effects will be based on the lesser of: (1) The reasonable cost to replace; or (2) The actual cash value. c. The coverage provided in Paragraphs a. and b. above, only applies in the event of a total theft of a covered "auto". No deductible applies to this coverage. However, we will not pay for "loss" to personal effects of any of the following: (1) Accounts, bills, currency, deeds, evidence of debt, money, notes, securities, or commercial paper or other documents of value. (2) Bullion, gold, silver, platinum, or other precious alloys or metals; furs or fur garments; jewelry, watches, precious or semi-precious stones. (3) Paintings, statuary and other works of art. (4) Contraband or property in the course of illegal transportation or trade. (5) Tapes, records, discs or other similar devices used with audio, visual or data electronic equipment. Any coverage provided by this Provision is excess over any other insurance coverage available for the same "loss". J. Tapes, Records and Discs Coverage 1. The Exclusion in Paragraph 13.4.a. of Section III — Physical Damage Coverage in the Business Auto Coverage Form and the Exclusion in Paragraph 13.2.c. of Section IV — Physical Damage Coverage in the Motor Carrier Coverage Form does not apply. 2. The following is added to Paragraph 1.a. Comprehensive Coverage under the Coverage Provision of the Physical Damage Coverage Section: We will pay for "loss" to tapes, records, discs or other similar devices used with audio, visual or data electronic equipment. We will pay only if the tapes, records, discs or other similar audio, visual or data electronic devices: (a) Are the property of an "insured"; and (b) Are in a covered "auto" at the time of"loss". The most we will pay for such "loss" to tapes, records, discs or other similar devices is $500. The Physical Damage Coverage Deductible Provision does not apply to such "loss". U-CA-424-F CW(04/14) Page 3 of 6 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. K. Airbag Coverage The Exclusion in Paragraph B.3.a. of Section III— Physical Damage Coverage in the Business Auto Coverage Form and the Exclusion in Paragraph B.4.a. of Section IV — Physical Damage Coverage in the Motor Carrier Coverage Form does not apply to the accidental discharge of an airbag. L. Two or More Deductibles The following is added to the Deductible Provision of the Physical Damage Coverage Section: If an accident is covered both by this policy or Coverage Form and by another policy or Coverage Form issued to you by us, the following applies for each covered "auto" on a per vehicle basis: 1. If the deductible on this policy or Coverage Form is the smaller (or smallest) deductible, it will be waived; or 2. If the deductible on this policy or Coverage Form is not the smaller (or smallest) deductible, it will be reduced by the amount of the smaller(or smallest) deductible. M. Physical Damage—Comprehensive Coverage— Deductible The following is added to the Deductible Provision of the Physical Damage Coverage Section: Regardless of the number of covered "autos" damaged or stolen, the maximum deductible that will be applied to Comprehensive Coverage for all "loss" from any one cause is $5,000 or the deductible shown in the Declarations, whichever is greater. N. Temporary Substitute Autos— Physical Damage 1. The following is added to Section I—Covered Autos: Temporary Substitute Autos— Physical Damage If Physical Damage Coverage is provided by this Coverage Form on your owned covered "autos", the following types of vehicles are also covered "autos" for Physical Damage Coverage: Any "auto" you do not own when used with the permission of its owner as a temporary substitute for a covered "auto" you do own but is out of service because of its: 1. Breakdown; 2. Repair; 3. Servicing; 4. "Loss"; or 5. Destruction. 2. The following is added to the Paragraph A. Coverage Provision of the Physical Damage Coverage Section: Temporary Substitute Autos— Physical Damage We will pay the owner for "loss" to the temporary substitute "auto" unless the "loss" results from fraudulent acts or omissions on your part. If we make any payment to the owner, we will obtain the owner's rights against any other party. The deductible for the temporary substitute "auto" will be the same as the deductible for the covered "auto" it replaces. O. Amended Duties In The Event Of Accident, Claim, Suit Or Loss Paragraph a. of the Duties In The Event Of Accident, Claim, Suit Or Loss Condition is replaced by the following: a. In the event of"accident", claim, "suit" or "loss", you must give us or our authorized representative prompt notice of the "accident", claim, "suit" or "loss". However, these duties only apply when the "accident", claim, "suit" or "loss" is known to you (if you are an individual), a partner (if you are a partnership), a member (if you are a limited liability company) or an executive officer or insurance manager (if you are a corporation). The failure of any U-CA-424-F CW(04/14) Page 4 of 6 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. agent, servant or employee of the "insured"to notify us of any "accident", claim, "suit" or "loss" shall not invalidate the insurance afforded by this policy. Include, as soon as practicable: (1) How, when and where the "accident" or "loss" occurred and if a claim is made or "suit" is brought, written notice of the claim or"suit" including, but not limited to, the date and details of such claim or"suit"; (2) The "insured's" name and address; and (3) To the extent possible, the names and addresses of any injured persons and witnesses. If you report an "accident", claim, "suit" or "loss" to another insurer when you should have reported to us, your failure to report to us will not be seen as a violation of these amended duties provided you give us notice as soon as practicable after the fact of the delay becomes known to you. P. Waiver of 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: This Condition does not apply to the extent required of you by a written contract, executed prior to any "accident" or "loss", provided that the "accident" or "loss" arises out of operations contemplated by such contract. This waiver only applies to the person or organization designated in the contract. Q. Employee Hired Autos— Physical Damage Paragraph b. of the Other Insurance Condition in the Business Auto Coverage Form and Paragraph f. of the Other Insurance— Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form are replaced by the following: For Hired Auto Physical Damage Coverage, the following are deemed to be covered "autos" you own: (1) Any covered "auto" you lease, hire, rent or borrow; and (2) Any covered "auto" hired or rented under a written contract or written agreement entered into by an "employee" or elected or appointed official with your permission while being operated within the course and scope of that "employee's" employment by you or that elected or appointed official's duties as respect their obligations to you. However, any"auto"that is leased, hired, rented or borrowed with a driver is not a covered "auto". R. Unintentional Failure to Disclose Hazards The following is added to the Concealment, Misrepresentation Or Fraud Condition: However, we will not deny coverage under this Coverage Form if you unintentionally: (1) Fail to disclose any hazards existing at the inception date of this Coverage Form; or (2) Make an error, omission, improper description of"autos" or other misstatement of information. You must notify us as soon as possible after the discovery of any hazards or any other information that was not provided to us prior to the acceptance of this policy. S. Hired Auto—World Wide Coverage Paragraph 7a.(5) of the Policy Period, Coverage Territory Condition is replaced by the following: (5) Anywhere in the world if a covered "auto" is leased, hired, rented or borrowed for a period of 60 days or less, T. Bodily Injury Redefined The definition of"bodily injury" in the Definitions Section is replaced by the following: "Bodily injury" means bodily injury, sickness or disease, sustained by a person including death or mental anguish, resulting from any of these at any time. Mental anguish means any type of mental or emotional illness or disease. U-CA-424-F CW(04/14) Page 5 of 6 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. U. Expected Or Intended Injury The Expected Or Intended Injury Exclusion in Paragraph B. Exclusions under Section II —Covered Auto Liability Coverage is replaced by the following: Expected Or Intended Injury "Bodily injury" or "property damage" expected or intended from the standpoint of the "insured". This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or property. V. Physical Damage—Additional Temporary Transportation Expense Coverage Paragraph AA.a. of Section III— Physical Damage Coverage is replaced by the following: 4. Coverage Extensions a. Transportation Expenses We will pay up to $50 per day to a maximum of$1,000 for temporary transportation expense incurred by you because of the total theft of a covered "auto" of the private passenger type. We will pay only for those covered "autos" for which you carry either Comprehensive or Specified Causes of Loss Coverage. We will pay for temporary transportation expenses incurred during the period beginning 48 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". W. Replacement of a Private Passenger Auto with a Hybrid or Alternative Fuel Source Auto The following is added to Paragraph A. Coverage of the Physical Damage Coverage Section: In the event of a total "loss" to a covered "auto" of the private passenger type that is replaced with a hybrid "auto" or "auto" powered by an alternative fuel source of the private passenger type, we will pay an additional 10% of the cost of the replacement "auto", excluding tax, title, license, other fees and any aftermarket vehicle upgrades, up to a maximum of$2500. The covered "auto" must be replaced by a hybrid "auto" or an "auto" powered by an alternative fuel source within 60 calendar days of the payment of the "loss" and evidenced by a bill of sale or new vehicle lease agreement. To qualify as a hybrid "auto", the "auto" must be powered by a conventional gasoline engine and another source of propulsion power. The other source of propulsion power must be electric, hydrogen, propane, solar or natural gas, either compressed or liquefied. To qualify as an "auto" powered by an alternative fuel source, the "auto" must be powered by a source of propulsion power other than a conventional gasoline engine. An "auto" solely propelled by biofuel, gasoline or diesel fuel or any blend thereof is not an "auto" powered by an alternative fuel source. X. Return of Stolen Automobile The following is added to the Coverage Extension Provision of the Physical Damage Coverage Section: If a covered "auto" is stolen and recovered, we will pay the cost of transport to return the "auto" to you. We will pay only for those covered "autos" for which you carry either Comprehensive or Specified Causes of Loss Coverage. All other terms, conditions, provisions and exclusions of this policy remain the same. U-CA-424-F CW(04/14) Page 6 of 6 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT- CALIFORNIA This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following"attaching clause"need be completed only when this endorsement is issued subsequent to preparation of the policy.) This endorsement, effective on 1/1/2026 at 12:01 A.M. standard time, forms a part of (DATE) Policy No. WC 1052003-11 Endorsement No. (NAME OF INSURANCE COMPANY) issued to Ancon Marine Premium (if any) $ Authorized Representative We have the right to recover our payments from anyone liable for an i njury covered by this pol icy. We will n of enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be % of the California workers' compensation pre- mium otherwise due on such remuneration. Schedule Person or Organization Job Description ALL PERSONS AND/OR ALL CA OPERATIONS ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACTOR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON AND/OR ORGANIZATION WC 252(4-84) WC 04 03 06(Ed.4-84) Page 1 of 1