Loading...
HomeMy WebLinkAboutINTERIOR DEMOLITION, INC. (4) INSURANCE ON FiLF A-2025-047-03 WORK MAY PROCEED UNTIL INSURANCE FXPiRF"'S EXHIBIT 3 �tg_ CITY CLE-• , DATE. APR 2 9 ZOREEMENT WITH INTERIOR DEMOLITION,INC.,TO PROVIDE CITY-WIDE ON-CALL DEMOLITION SERVICES FOR THE CITY OF SANTA ANA THIS AGREEMENT is made and entered into on this 15th day of April, 2025 by and between Interior SIN No61oh"�Demolition, Inc., a California corporation ("Contractor"), 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 February 21, 2025, the City issued Request for Proposal No. 25-027, by which it sought a qualified contractor to provide on-call demolition services for the City's Planning and Building Agency for City-wide nuisance abatement. B. Contractor submitted a responsive proposal that was among those selected by the City. Contractor represents that it is able and willing to provide the services described in the scope of work that was included in RFP No. 25-027. C. In undertaking the performance of this Agreement, Contractor represents that it is knowledgeable in its field and that any services performed by Contractor 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 a. On an on-call basis, and at the City's sole discretion, Contractor shall perform the services described in the scope of work that was included in RFP No. 25-027, which is attached as Exhibit A, and as more specifically delineated in Contractor's proposal, which is attached as Exhibit B and incorporated in full. b. Contractor shall provide advance written notice of the scheduled demolition to all property owners, tenants, and businesses located near or adjacent, as defined below, to the demolition site. (1) For the purposes of this Agreement,"near or adjacent"shall mean properties and tenant suites located on properties abutting the subject demolition site, next to the property, and directly across a roadway or alley. (2) Such notice shall be issued as follows: i. 10-Day Notification. A written notice shall be provided no less than 10 calendar days prior to the commencement of demolition activities. This notice shall include: (a).The address of the property to be demolished. (b).The anticipated start and end dates for the demolition work. (c).A description of potential impacts, such as noise,dust, or road closures, along with mitigation measures. (d).Contact information for the Contractor and the City of Santa Ana Code Enforcement Division. ii. 3-Day Notification. A follow-up written notice shall be issued no less than three (3) calendar days prior to the commencement of demolition activities. This notice shall reiterate the details provided in the 10-Day Notification and confirm any updates to the schedule or project details. (3) All notifications pursuant to this Agreement must be delivered through methods reasonably calculated to ensure receipt, including direct mail, hand delivery, door hangers,or other communication methods agreed and approved, in a signed writing,by the Executive Director of the Planning and Building Agency, or their designee. The Contractor shall maintain records of all notifications and provide copies to the City upon request. i i (4) Signage must comply with the following: i. Temporary signage must be posted if street closure and any public right of way will be affected. Temporary signage shall consist of parking signs, directional signs, or other traffic control signs, and be installed ten (10) days before the commencement of demolition activities. ii. All temporary signs must be reviewed and approved, in a signed writing, by the Executive Director of the Public Works Agency or their designee prior to posting. Failure to comply with these notifications requirements may result in termination and any cost recovery to complete the demolition project. 2. COMPENSATION a. City neither warrants nor guarantees any minimum or maximum compensation to Contractor under this Agreement. Contractor shall be paid only for actual services performed under this Agreement at the rates and charges identified in Exhibit B. Contractor is one of four (4) contractors selected to provide demolition services on an on-call basis under RFP No. 25-027. The total compensation for these services provided by all such contractors selected under RFP 25-027 shall not exceed the shared aggregate amount of Six Hundred Thousand Dollars and Zero Cents ($600,000)during the term of the Agreement, including any extension periods. b. Payment by City shall be made at net thirty(30) days following completion of the demolition 1 project, subject to City accounting procedures. City and Contractor agree that all payments due and owing under this Agreement shall be made through Automated Clearing House(ACH) transfers. Contractor agrees to execute the City's standard ACH Vendor Payment Authorization and provide required documentation. Upon verification of the data provided, the City will be authorized to deposit payments directly into Contractor's account(s) with financial institutions. c. Payment need not be made for work which fails to meet the standards of performance set forth in the Recitals which may reasonably be expected by City. 3. TERM This Agreement shall commence on the date first written above for a three (3) year term, with the option for the City to grant up to two (2) one-year renewals, exercisable by a writing by the City Manager and the City Attorney, unless terminated earlier in accordance with Section 16, below. 4. PREVAILING WAGES Contractor 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 16000, ct 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, Contractor agrees to fully comply with such Prevailing Wage Laws. Contractor shall defend, indemnify and hold the City, its elected officials, officers, employees and agents free and harmless from any claim or liability arising out of any failure or alleged failure to comply with the Prevailing Wage Laws. 5. INDEPENDENT CONTRACTOR Contractor shall, during the entire term of this Agreement, be construed to be an independent contractor 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 Contractor performs the services which are the subject matter of this Agreement; however,the services to be provided by Contractor shall be provided in a manner consistent with all applicable standards and regulations governing such services. Contractor 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 Contractor Linder this Agreement ("Documents & Data"). Contractor 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. Contractor represents and warrants that Contractor has the legal right to license any and all Documents & Data. Contractor makes no such representation and warranty in regard to Documents & Data which were provided to Contractor by the City. City shall not be Iimited 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, Contractor shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: a. Minimum Scope and Limit of Insurance 1. Commercial General Liability(CGL). Insurance Services Office ("ISO") 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$2,000,000 per occurrence and$4,000,000 aggregate. Umbrella and excess insurance policies can be used to meet the required limits. 2. Automobile Liability (AL). ISO Form CA 00 01 covering Code 1 (any auto), with combined single limits of$2,000,000. 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, per employee,per policy for bodily injury or disease. 4. Pollution Legal Liability and/or Error and Omissions (PLL). With limits no less than$1,000,000 per occurrence or claim, and$2,000,000 policy aggregate. 5. Professional Liability Insurance (Errors & Omissions). With limits no less than $1,000,000 per occurrence or claim, and $2,000,000 aggregate. 6. Broader Coverage. These insurance requirements shall not in any way act to reduce coverage that is broader or includes higher limits than the minimums shown above. If the Contractor maintains broader coverage and/or higher limits than the minimums shown above, the City requires and shall be entitled to the broader coverage and/or the higher limits maintained by the Contractor. Any available insurance proceeds in excess of the specified minimum limits of insurance and coverage shall be available to the City. b. Other Insurance Provisions The above required insurance policies are to contain or be endorsed to contain the following provisions: L Additional Insured Status. The City, its City Council, its officers, officials, employees, agents,and volunteers are to be covered as additional insureds on the CGL and AL policies with respect to liability arising out of work or operations performed by or on behalf of the Contractor including materials, parts, or equipment furnished in connection with such work or operations. Additional insured status can be provided in the form of an endorsement to Contractor's insurance. 2. Waiver of Subrogation. Contractor shall require its insurance company(ies)to waive all rights of subrogation against City of Santa Ana, its City Council, its officers, officials, employees, agents, and volunteers for losses paid under the terms of any policy which arise from performed by Contractor for City. Contractor agrees to obtain any endorsement(s) that may be necessary to affect this waiver of subrogation,but this provision applies regardless of whether or not City has received a waiver of subrogation endorsement from any insurer(s). 3. Primary Coverage. For any claims related to this contract, the Contractor's insurance coverage shall be primary and any insurance or self-insurance maintained by City, its City Council, its officers, officials, employees, or volunteers shall be excess of the Contractor's insurance and shall not contribute with it. 4. Severability. A severability of interest provision must apply for all the additional insureds, ensuring that Contractor'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. Notice of Cancellation. Insurance policy(ies)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. b. Certificate Holder. The Certificate Holder on each Evidence of the Insurance certificate shall be: City of Santa Ana, Attn: (name of department staff responsible for Agreement), 20 Civic Center Plaza M-XX (responsible staffs department mail box), Santa Ana, CA 92701. C. Self-Insured Retentions. Self-insured retentions must be declared to and approved by the City. City may require Contractor 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. d. Acceptability of Insurers. Insurance is to be placed with insurers authorized to conduct business in the state with a current A.M. Best's rating of no less than A:VII, unless otherwise acceptable to the City. e. Verification of Coverage. Contractor shall furnish the City with original Certificates of Insurance including all required amendatory endorsements (or copies of the applicable policy language effecting coverage required by this clause). A statement on a Certificate(s)/Evidence of insurance will not be accepted in lieu of the actual endorsements required herein. However, failure to obtain the required documents prior to the work beginning shall not waive the Contractor's obligation to provide them. The City reserves the right to require complete, certified copies of all required insurance policies, including endorsements required by these specifications, at any time. f. Claims Made Policies. If any of the required policies provide coverage on a claims-made form: 1. The retroactive date must be shown and must be before the execution date of the Agreement. 2. Insurance must be maintained and evidence of insurance must be provided for at Ieast five (5) years after completion of work. 3. If coverage is cancelled or non-renewed, and not replaced with another claims-made policy form with a retroactive date prior to the contract effective date, Contractor must purchase "extended reporting" coverage for a minimum of five (5) years after completion of work. 4. A copy of the claims reporting requirements must be submitted to City. g. Subcontractors. Contractor shall require and verify that all subcontractors maintain insurance meeting all the requirements statement herein, and Contractor shall ensure that City is an additional insured on insurance required from subcontractors. For CGL coverage, sub-contractors shall provide coverage with a form at least as broad as CG 20 38 04 13. h. Failure to Maintain Insurance Coverage. If Contractor, for any reason,fails to maintain insurance coverage which is required pursuant to this Agreement,the same shall be deemed a material breach of the Agreement. City at its sole option, may terminate this Agreement at any time and obtain damages from Contractor resulting from said breach. i. Special Risks or Circumstances. City reserves the right to modify these requirements, including limits, based on the nature oftherisk,prior experience,insurer,coverage,or other special circumstances. 8. INDEMNIFICATION Contractor 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 I injury, including death, and claims for property damage, which may arise from the negligent operations of the Contractor,its subcontractors,agents,employees,or other persons acting on its behalf which relates to the services described in section 1 of this Agreement; and (2) from any claim that personal injury, damages,just compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects arising from this Agreement. This indemnity and hold harmless agreement applies to all claims for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to have been suffered, by reason of the events referred to in this Section or by reason of the terms of, or effects, arising from this Agreement. The Contractor 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 Contractor'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 Contractor. 9. INTELLECTUAL PROPERTY INDEMNIFICATION Contractor 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 Contractor to the City pursuant to this Agreement. 10. RECORDS Contractor shall keep records and invoices in connection with the work to be performed under this Agreement. Contractor 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 Contractor under this Agreement. All such records and invoices shall be clearly identifiable. Contractor 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. Contractor 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 Contractor under this Agreement. 11. CONFIDENTIALITY If Contractor receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Contractor 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 Contractor disclosed in a publicly available source; (c) is in rightful possession of the Contractor without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or (e) is independently developed by the Contractor without reference to information disclosed by the City. 12. CONFLICT OF INTEREST CLAUSE Contractor 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 Contractor 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. Contractor 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 Contractor, 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 Contractor. 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 Contractor 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. 15. ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Contractor, Contractor 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, Contractor shall be entitled to receive and the City shall pay Contractor compensation for all services performed by Contractor 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 Contractor to deliver to the City all work products) completed as of such date, and in such case such work product shall be the property of the City unless prohibited by Jaw, and Contractor 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 Contractor 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. Contractor shall notify the City immediately and 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. 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. 21. 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, Planning and Building Agency City of Santa Ana 20 Civic Center Plaza(M-20) P.O. Box 1988 Santa Ana, California 92702 Fax: 714-647-5635 To Contractor: Interior Demolition, Inc. Attn: Maria Molina, Scretary& Treasurer 23508 Pine Street Newhall, CA 91321 Maria Rinteriordemolition.net A party may change its address by giving notice in writing to the other party. Thereafter, any communication shall be addressed and transmitted to the new address. If sent by mail, communication shall be effective or deemed to have been given three (3) days after it has been deposited in the United States mail,duly registered or certified, with postage prepaid,and addressed as set forth above. If sent by fax, communication shall be effective or deemed to have been given twenty-four(24)hours after the time set forth on the transmission report issued by the transmitting facsimile machine, addressed as set forth above. For purposes of calculating these time frames, weekends, federal, state, County or City holidays shall be excluded. [signature page follows] j i SIGNATURE PAGE FOR i AGREEMENT WITH INTERIOR DEMOLITION, INC.,TO PROVIDE CITY-WIDE ON-CALL DEMOLITION SERVICES FOR THE CITY OF SANTA ANA IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: �� CITY OF SANTA ANA ennifer L. iall A varo Nunez erk City Manager APPROVED AS TO FOR1I: CONTRACTOR: SON[A R. CARVALHO City Attorney . Bran#o—n Salvatierra Maria Molina Deputy City Attorney Secretary& Treasurer RECOMMENDED FOR APPROVAL: Ali Pezeshkpo - Acting Executive Director Planning;and Building Agency i I i I i I EXHIBIT A Scope of Services 1' CITY OF SANTA ANA EXHIBIT A SCOPE OF SERVICES Contractor shall perform services as set forth below. 1) Contractor is responsible for the payment of all applicable permits required to conduct the below scope of services. 2) The On-Call contractor shall respond with a task order quote within five (5)working days of receiving the request for a task order quote. 3) Selection of a contractor to perform each task order shall consider past work completion performance. A. Demolition 1) Contractor is responsible for demolishing and disposal/recycling of all improvements, including but not limited to: a) All labor on this project b) All debris generated on this project incluing hauling debris in a lawful manner and to the proper destination c) Securing demo site if required d) Foundations and footings, e) Slabs, f) Basement, g) Detached garage, h) Landscaping, shrubs, and brush i) Fencing, j) Walls trees and k) All miscellaneous to clear site complete 2) Contractor is also responsible for: a) Grading the parcel for drainage, b) Importing and exporting fill dirt or aggregate base as needed, c) Capping all water and sewer lines, and City of Santa Ana RFP No.25-027 Page 20 of 41 CITY OF SANTA ANA i) Required to cap the sewer main as close to the property line as possible. Contractors shall ensure that all utilities are safe and secure per the utilities' operating procedures. d) Compacting to 100% density. i) The property shall be flat and free of debris at the completion of the project. 3) Prior to submitting all on-call proposals, the Contractor shall visit the subject project site (including coordinating with the City for access inside the building), or from public right of way, and obtain any necessary as-builts to define an appropriate scope of work. Photographs in lieu of a sitevisit may be acceptable for certain projects. 4) All work is to be done in accordance with all applicable federal, state and local regulations, standards and codes governing demolition and any other trade work done in conjunction with the demolition. a) The Contractor shall supply all necessary labor, materials, services, insurance, permits,and equipment to carry out the work in accordance with all applicable federal, state, and local regulations. 5) Copies of all demolition permits, water and sewer cap inspection approval and a letter of completion should be submitted for City's files prior to the Contractor receiving payment. 6) The Contractor at all times shall keep the Project site free from accumulation of waste materials or rubbish caused by the Contractor's operations. 7) At the completion of each trade of the work, and at final completion prior to contractor submitting the final invoice, Contractor shall remove all waste materials, and rubbish from and about the project as well as tools, construction equipment, machinery, and surplus materials. 8) Contractor shall hand deliver a City provided work notice letter to adjacent property owners at least one week prior to the demolition work. B. Asbestos Abatement: 1) The work described herein consists of removal and disposal of ALL asbestos containing materials (ACM-friable or nonfriable)and subsequent cleaning of the sites in accordance with all applicable federal, state and local regulations, standards and codes governing asbestos and any other trade work done in conjunction with the abatement. 2) Results of any testing that identify asbestos containing materials will be provided by the City. 3) It is the responsibility of the Contractor to determine if any additional asbestos removal is required in addition to the surveys. 4) Copies of all notifications must be submitted to City including: a) Abatement contractor's license, map and/or clear documentation specifying asbestos containing materials abated; b) Completed waste manifests; and City of Santa Ana RFP No.25-027 Page 21 of 41 CITY OF SANTA ANA c) A completion letter indicating that all asbestos containing materials from these properties have been abated and properties are ready to be demolished. C. Lead Removal: 1) The Contractor shall take all necessary precautions and follow all Occupational Safety & Health Administration (OSHA')s guidelines required in the handling of lead contained materials if any are detected. a) Please refer to the Lead Hazard Evaluation Report which will be provided to the Contractor prior to on-call bid. D. Rat and/or Vermin Abatement 1) Contractor, prior to performing demolition, is responsible for providing rat and/or vermin abatement. a) As part of the demolition completion package, written certification will be provided to the City, stating that such work was performed, and that the structures were free of infestation prior to the demolition taking place. E. Erosion Control 1) Prior to performing work under this Agreement, Contractor shall prepare erosion and sediment control plan for the approval of the Plan Check Engineer. a) The plan shall be prepared per the applicable guidelines described in the latest version of the Orange County Program Construction Runoff Guidance Manual (http://www.ocwatersheds.com/documents/bmp/constructionactivities). 2) The Contractor shall submit the plans for review and shall make the necessary revisions to the plans as directed by the City. 3) The plans shall be prepared by a Civil Engineer licensed in the State of California. a) The City may waive the requirement of licensed Civil Engineer if the Contractor can satisfactorily prove to the City that the person preparing the erosion control plan is qualified in the field of erosion control. 4) The Contractor shall keep a copy of the erosion control plan on-site for the duration of the contract and shall provide all necessary control devices to implement all necessary measures as shown on the plan. a) The erosion control plan shall remain in effect until approval to remove is granted by the City. 5) All erosion control materials shall be available on-site and stockpiled at a convenient location to facilitate rapid construction of temporary devices when rain is eminent. City of Santa Ana RFP No.25-027 Page 22 of 41 (9) CITY OF SANTA ANA F. Removal of Trash and Debris 1) The Contractor shall be responsible for the removal and proper disposal of all trash, debris, and waste materials generated during the demolition of any structure under this Agreement. This includes, but is not limited to, construction materials, rubble, hazardous waste, and any other by-products of the demolition process. 2) All trash and trash and debris must be removed from the site within seven (7) days following the completion of demolition activities. The Contractor shall ensure the site is left in a clean and orderly condition, free of any remaining debris. 3) Contractor shall comply with all applicable federal, state, and local Iwas, regulations, and ordinances related to the handling, transportation, and disposal of demolition debris, including obtaining any required permits and approvals. 4) The removal of trash and debris shall be subject to inspection and approval by the Director of the Santa Ana Planning and Building Agency, or their designee. The Contractor shall promptly address any deficiencies identified during such inspection. G. Fee Proposal Contractor shall submit a fee proposal as described below. This fee proposal shall be based on ON- CALL DEMOLITION SERVICES for the sample project site described below. The proposal will be used for fee comparison and evaluation purposes. Furthermore, this fee proposal will become part of Exhibit B of the Contract Agreement and will be used to compare with an actual task order quote requested by the City. Fee proposal shall include: 1. Description of work (summarized scope of services) 2. All costs, fees and other anticipated expenses, and total cost of the services (per spreadsheet below) 3. Schedule (from date of receiving a Notice to Proceed to task order completion) SAMPLE SUBJECT PROJECT SITE DESCRIPTION: The subject sample project site, which was already demolished, is for comparison and evaluation purposes only. The sample project is located at 1301 W 1111 Street, Santa Ana, CA 92703. The following is a brief description of the sample project site. Please refer to Appendix-Attachment 4 for full project site description and Asbestos, Lead-Based Paint/Universal Waste Survey. The building is one story residential structure with stucco over wood framing exterior walls with brick fascia construction with the following approximate dimensions: - Main Dwelling Area: 1,685 sf - Garage: 390 sf - Covered Patio: 275 sf - Total Area: 2,350 sf - Total Land Area: 6,970 sf City of Santa Ana RFP No.25-027 Page 23 of 41 (9) CITY OF SANTA ANA Contractor is responsible for demolishing all improvements, including: 4" thick concrete slab foundation and footings to a depth of 3', and all surrounding landscaping. Contractor is also responsible for clearing the site, grading the parcel for drainage, capping all sewer lines, and compacting to 90% density. Erosion control to include importing and exporting fill dirt as needed, installing straw waddles around site perimeter, topping site with 1" base course to prevent wind erosion, and installing rumble plates for the duration of the demolition. Price provided below shall be based solely on the information provided hereon and shall be an all- inclusive price and shall include all items listed and cover all items or work identified above and Appendix -Attachment 4 to deliver a clear site with no remaining improvements. Company Name: 1301 W 11t" Street, Santa Ana, CA Item Description Cost Permitting Engineering Site Fencing for Duration of Demolition Canopy BMP's/Erosion Control Plan Asbestos/Hazardous Stabilization and Abatement (on a separate sheet, provide a detail cost for this lump sum amount Universal Waste Disposal Interior Demolition Exterior Wall/Building/Foundation Demolition Sitework Demolition Landscape and Trees Removal and Clearing Vermin Abatement (Assume present) $ Bee Colony Abatement (Assume present) Other (describe...) Total Price City of Santa Ana RFP No.25-027 Page 24 of 41 EXHIBIT B Contractor Proposal WM% W.. Corporate ©r�fr`�e /,VMRIOR 016MPLJr/G7V INC .�.��f��Fine ✓`treat MEN XMIUMOMP, Nawha//, Gfi' R r V H04ITlRN,A8ArFM6'Nr-CARTHWORK c10#,cCO3 0P•Jared.04r.4P3 WGr/W'tn al"oli�emlaf i4I7'/7e Citywide On-Call Demolition Services for Abatement RFP #25-027 City of Santa Ana Yvette Portugal Cade Enforcement Manager 714-667-2701 yportugal@santa-ana.org 1W Corporate 011-1-ce 11VTER/0R DEMOL/r101V, /NC. 22508 Pir7e ✓scree t MSFRNFMMI Newhall, CA 97321 0EMOLMON•ABArEMENT EARTHWORK L/CO 6O3409•(BlBJ2dR49J2 www'/�7teriordemo/tion'�let a. Cover Letter Yvette Portugal, Code Enforcement Manager City of Santa Ana — Planning & Building Agency 20 Civic Center Plaza Santa Ana, CA 92701 On behalf of Interior Demolition, Inc., a California Corporation, we submit this request for proposal to the City of Santa Ana for Citywide On-Call Demolition Services for Abatement RFP#25-027. 1 Maria Molina who holds the positions of Secretary &Treasurer and has the authority to legally bind Interior Demolition, Inc. approve this proposal.The following officers are also authorized to make representations for the company. George Molina Sr., President—George@interiordeiiiolition.net P: 818-249-4932 Address: 23508 Pine St. Newhall, CA 91321 Marco Molina, Vice President—Marco@interiordemolition.net P: 818-262-1611 Address: 23508 Pine St. Newhall, CA 91321 George Molina Jr., Vice President—George jr(<Dinteriordemolition. let P: 818-249-4932 Address: 23S08 Pine St. Newhall,CA 91321 Maria Mo[l q t.tl� Secretary & Treasurer Interior Demolition, Inc. 23508 Pine St. Newhall, CA 91321 License#603409 Email: Mcliia(@interiorder-nolition.net 0—818-249-4932 x 103 C—818-391-4339 C�reaorr��e CJF><ic� M& MMOM& /l/ewl,,7/f, 09 C1,&-1041TI0N•AI8Ar'h"*H Nt-,ESAK'7'H1-YORH 1.100 00.WOR•107-9)R49 4A" l�Gr�Gri•�l��er14rc1�eJfle�i<�%C}/7'/?B� b. Services Provided The contractor shall perform services as set forth below. 1) Contractor is responsible for the payment of all applicable permits required to conduct the below scope of services. 2)The On-Call contractor shall respond with a task order quote within five (5)working days of receiving the request for a task order quote. 3) Selection of a contractor to perform each task order shall consider past work completion performance. A. Demolition 1) Contractor is responsible for demolishing and disposal/recycling of all improvements, including but not limited to: a) All labor on this project b)All debris generated on this project including hauling debris in a lawful manner and to the proper destination c) Securing demo site if required d) Foundations and footings, e) Slabs, f) Basement, g) Detached garage, h) Landscaping, shrubs, and brush i) Fencing, j)Walls trees and k)All miscellaneous to clear site complete 2)Contractor is also responsible for: a) Grading the parcel for drainage, b) Importing and exporting fill dirt or aggregate base as needed, c) Capping all water and sewer lines, and i) Required to cap the sewer main as close to the property line as possible. Contractors shall ensure that all utilities are safe and secure per the utilities' operating procedures. d) Compacting to 100% density. 1) The property shall be flat and free of debris at the completion of the project. 3) Prior to submitting all on-call proposals, the Contractor shall visit the subject project site (including coordinating with the City for access inside the building), or from public right of way, and obtain any necessary as-builts to define an appropriate scope of work. Photographs in lieu of a site visit may be acceptable for certain projects. 4)All work is to be done in accordance with all applicable federal, state and local regulations, standards and codes governing demolition and any other trade work done in conjunction with the demolition, a)The Contractor shall supply all necessary labor, materials, services, insurance, permits, and equipment to carry out the work in accordance with all applicable federal, state, and local regulations, 5) Copies of all demolition permits, water and sewer cap inspection approval and a letter of completion should be submitted for City's files prior to the Contractor receiving payment. 0) The Contractor at all times shall keep the Project site free From accumulation of waste materials or rubbish caused by the Contractor's operations. 7)At the completion of each trade of the work, and at final completion prior to contractor submitting the final invoice, Contractor shall remove all waste materials, and rubbish from and about the project as well as tools, construction equipment, machinery, and surplus materials. 8) Contractor shall hand deliver a City provided work notice letter to adjacent property owners at least one week prior to the demolition work. B. Asbestos Abatement: 1)The work described herein consists of removal and disposal of ALL asbestos containing materials (ACM-friable or nonfriable)and subsequent cleaning of the sites in accordance with all applicable (ederal, state and local regulations, standards and codes governing asbestos and any other trade work done in conjunction with the abatement. 2) Results of any testing that identify asbestos containing materials will be provided by the City. 3) It is the responsibility of the Contractor to determine if any additional asbestos removal is required in addition to the surveys. 4) Copies of all notifications must be submitted to City including: a) Abatement contractor's license, map and/or clear documentation specifying asbestos containing materials abated, b)Completed waste manifests; and c) A completion letter indicating that all asbestos containing materials from these properties have been abated and properties are ready to be demolished. C. Lead Removal: 1) The Contractor shall take all necessary precautions and follow all Occupational Safety & Health Administration (OSHA')s guidelines required in the handling of lead contained materials if any are detected. a) please refer to the Lead Hazard Evaluation Report which will be provided to the Contractor prior to on-call bid. D. Rat andlor Vermin Abatement 1) Contractor, prior to performing demolition, is responsible for providing rat and/or vermin abatement. a)As part of the demolition completion package, written certification will be provided to the City, stating that such work was performed, and that the structures were free of infestation prior to the demolition taking place. E. Erosion Control 1) Prior to performing work under this Agreement, Contractor shall prepare erosion and sediment control plan for the approval of the Plan Check Engineer. a)The plan shall be prepared per the applicable guidelines described in the latest version of the Orange County Program Construction Runoff Guidance Manual (h(tp://www,ocwatersheds.com/documents/brnp/constru(,,tionactivities). 2)The Contractor shall Submit the plans for review and shall make the necessary revisions to the plans as directed by the City. 3)The plans shall be prepared by a Civil Engineer licensed in the State of California. a)The City may waive the requirement of licensed Civil Engineer if the Contractor can satisfactorily prove to the City that the person preparing the erosion control plan is qualified in the field of erosion control. 4)The Contractor shall keep a copy of the erosion control plan on-site for the duration of the contract and shall provide all necessary control devices to implement all necessary measures as shown on the plan. a) The erosion control plan shall remain in effect until approval to remove is granted by the City. 5)All erosion control materials shall be available on-site and stockpiled at a convenient location to facilitate rapid construction of temporary devices when rain is eminent. p. Removal of Trash and Debris t) The Contractor shall be responsible for the removal and proper disposal of all trash, debris, and waste materials generated during the demolition of any structure tinder this Agreement. This includes, but is not limited to, construction materials, rubble, hazardous waste, and any other by-products of the demolition process. 2) All trash and trash and debris must be removed from the site within seven (7) days following the completion of demolition activities, The Contractor shall ensure the site is left in a clean and orderly condition, free of any remaining debris. 3) Contractor shall comply with all applicable federal, state, and local Was, regulations, and ordinances related to the Dandling, transportation, and disposal of demolition debris, including obtaining any required permits and approvals. 4)The removal of trash and debris shall be subject to inspection and approval by the ❑hector of the Santa Ana Planning and Building Agency, or their designee, The Contractor shall promptly address any deficiencies identified during such inspection. G®rr�orr��c �F��e INTERIOR O MOI.I rION,,INC 2.?5"Oe PI;7e .5eree e Illewha//, Gar' 917-Y21 4iCW aOaTdOP•frsWZ4A.a,0sZ WWW/��eri�ra`e�n���!rlr7'f7e�` c. Agreement Statement There might be a concern regarding the constant rising cost of fuel and waste disposal fee unless the bidding process allows for cost adjustments. Wv% qr Cdrrlvrate 01"-el-ae MMMF law Naulha//, CW .97.Y.?7 fJemm irlom�AaA ret-,frNr-rAR7NoYoRx Z10Wera,Y-r09-rB��� 4,01- WWW/nteriordeMOIItiu,71net d. Firm and Team Experience 1. Performance-- Interior Demolition, Inc. (IDI) is a construction firm license number 603409 that specializes in abatement, demolition, and earthwork. We hold a B license along with a C-12, C-21, C-22, ASS, C611D03, HAZ & DOSH certification. In the last year alone, IDI has been contracted for over 30 different jobs for various private parties and public entities. The size and scope of the work ranged from only a few thousand dollars to multimillion dollar contracts. IDI is currently contracted with CALTRANS for a multi-year contract that exceeds 10 million dollars. The contract has called for the abatement of hazardous materials such as lead, asbestos, PCBs, and the derolition of multistory commercial buildings along the 10 freeway. Throughout 2016 and into 2017, ID] has been the winning contractor on over 80% of the 20 phases the City of Bakersfield has issued in relation to the Centennial Corridor project. In total, IDI has been responsible for the abatement, demolition, deconstruction and earthwork for over 150 homes. Some of the phases also included commercial property that called for the abatement of all hazardous materials and demolition of structures. To date, IDI has been contracted by the City of Bakersfield for over 2.2 million dollars in relation to the Centennial Corridor Project. in 2016 and 2017 IDI held 'On-Cali ` Contracts with various agencies such as City of Los Angeles' General Services & Building & Safety Departments, County of Los Angeles's Public Work; City of Anaheim's Department of Public Works; City of Santa Ana ; and Orange County Public Works. One project in particular with the City of Los Angeles which required IDI's full bandwidth and expertise was the removal of 2 twenty thousand gallon underground storage tanks located at the Van Nuys Airport. During the course of all projects, conditions on the ground are always evolving. For example, during the course of our work in Bakersfield, we needed to be mindful of the impact our operations might have on local wildlife such as the kit fox, burrowing owls, and various nesting birds. We employed an environmental consultant to inspect any trees for nests and the inspection of properties prior to mobilization for evidence of any fox dens. Another example of IDI's flexibility and expertise was our contract with the City of Los Angeles at the Van Nuys Airport. During the course of excavating the airport site for the removal of the underground tanks, we determined that it would require a larger excavation area than what was originally called for by the Los Angeles World Airport Authority (LAWA) in order to maintain a 1:1 sloping ratio. The airport requested that we try and avoid the use of shoring so our onsite foreman developed a plan to safely excavate the site and maintain the OSHA mandated standard of a 1.1 sloping ratio which in turn was agreed to and approved by the safety engineers with LAWA. Another ground condition at the airport site which contributed to the complexity of the job was the tight confides we had to work with which included a public road on one side and a large hangar on the other side of the excavation site. Ultimately, IDI was able to complete the job safely and to the satisfaction of multiple agencies including the City of Los Angeles General Services & LAWA. We are proud of our record of safety and the relationships we have developed over the 28 years of being in business with various municipalities, school districts, and private developers. 2, Technical Approach -- a. Understanding the City's Requirements- IDI has experience dealing with buildings that contained asbestos and were destroyed by fire. For example, IDI abated and demolished two buildings in Los Angeles on 8m street in 2016 that were the site of a fire that claimed the lives of 5 men. It's imperative that personnel especially abatement workers have experience dealing with fire damaged structures due to hidden dangers caused by the structure being heated to the point of combustion, it's important to utilize our heavy equipment to remove any portions of the structures that are still standing prior to moving in ground workers to prevent the potential of one of them being injured by falling debris. IDI does not plan on employing any subcontractors for the abatement and demolition for any portion of the project with exception of any unforeseen work requiring any other specialty. b. Protect Management•- Prior to any demolition project, it's imperative that a hazard assessment of the site be conducted. This includes but is not limited to: ground conditions for machine stability, soil consistency and make up(soft soil, loose gravel), underground voids (basements, culverts, shafts, sewers), presence of overhead hazards, and power lines or other utilities. IDI prides itself on the ability to deliver projects on-time and always strives to exceed client expectations. We own all equipment required which includes a fleet of trucks that are capable of hauling loads of debris. In regards to the removal of hazardous materials, we employ Waste Management who will deliver a bin designated for any asbestos containing materials. Upon completion of the abatement portion of work, Waste Management will pick up their bin and take it to their disposal facility located in Yuma, Arizona. This also creates a paper trail and a manifest is provided to show transparency and a clear chain of custody so our clients can be confident that all hazardous materials were handled safely and disposed of in a proper manner. Our ongoing operations will not impact our agility to provide the needed manpower and equipment to complete this project. We currently have a pending contract with El Camino College with an anticipated start date the middle August. The project calls for the demolition of the schools administration building. IN employs over 80 field personnel which are constantly rotated to various job sites depending on workflow. Additionally, in the past, at times when our volume of work exceeded the capabilities of our permanent workforce, we employ workers on a temporary basis however because of our efficient approach and expertise acquired by being in the demolition and abatement industry for over 30 years this has only rarely been required. With the exception of an environmental consultant and the disposal of hazardous materials, IDI will perform all work with their own equipment, operators, and laborers. Because of the complexity of the Camp 16 Demolition contract, in the event IDI needed temporary workers, they would be utilized at other projects to allow our own permanent workers many of which have been employed by IDI for over 20 years, to be our designated team for this project, c. Quality ontrol Plan Because ground conditions are always evolving, it's imperative to employ experienced foremen onsite at all times who are experts in abatement, demolition, and safety. It's their job to insure ground conditions such as weather are not going to pose a potential hazard. Additionally, the owners of IDI are very hands on and visit each job site daily to insure all necessary information is adequately communicated to everyone involved. Our flat organizational structure gives our foremen a direct line of communication to all company executives and office staff.This allows our company to be nimble and make quick decisions to insure the field has everything they need to stay on schedule and not create any undue delays as the result of not having either materials or equipment. Upon the completion of each workday, our foremen are required to provide a status report to the office so we can adequately monitor a project and make any necessary adjustments to maintain our client's schedule, It's important to IDI that our clients are never blindsided and can be confident that they too will know the status of a project at all times and any new obstacles encountered in the field. d. HazMat Control and Disposal Plan—As the contractor, it's our responsibility to determine what regulations must be followed since we are considered the generators of the waste. As stated above, IDI uses Waste Management for the disposal of hazardous materials. Waste Management will deliver a bin to our job site designated for hazardous materials. Our abatement laborers will bag all suspected hazardous materials and deposit them into the bin and a log will be created with a count of all bags contained in a bin. Waste Management will also confirm the bag count and weigh the filled bin to provide an accurate manifest for both our records and client. 3. Experience— IDI is proud of its portfolio of projects. We have attached a list of past projects of similar scope and size that include contact names and addresses. George Molina will be on site as required. He not only founded Interior Demolition, Inc. with his wife Maria Molina over 34 years ago with not much more than a few hand tools, he also has experience with just about every obstacle that can be encountered during the course of a project. It has been the Molina family's leadership and work ethic that has driven IDI to become one of the premier Abatement and Demolition contractors in California. Project Manager/Principal Agent; Marco Molina: 76% time devoted,. Primary contact: Marco Molina 818-262-1611 marco it�teriardern Rtian.n t Associate/Project Manager, Alejandro Caro: 25% time devoted. Contact: Alejandro Caro 662-528-2436 Firm size: 46 employees Corpora&e 4M-1-ce INrfi" IC7rr I)E'Mc.L/W/V, INC NA MNOW MA Alewhvll, Cr9 .9,7,721 410#a03409.f61024R4AY0 Wtvi, eerlordemolr�io/7'17ee Key Personnel el George Molina--President-Over 35 years of experience wanking in the deconstruction, demolition, grading & asbestos & lead industry. 2. Marco Molina- Vice President, Project Manager& Safety Coordinator-Over 25 years of experience working in the abatement and demolition industry. 3. Oscar Roldan-Supervisor& Safety Coordinator-Oscar has over 12 years of working as Project Manager and Superintend. 4. Luis Fragoso-Certified asbestos supervisor. Alejandro has over 15 years of working as an abatement and lead supervisor. 5. Abatement Laborers -All of our abatement laborers hold required lead & asbestos certifications. Additionally, they all have current medical clearances from a reputable medical facility. All credentials are available upon request. 6. Journeyman &Operator Engineers-All of our deconstruction & demolition crew have over 20 years of experience. C�raarate !�f�ce INMR/OR DFI-fOL/r/ON,INC .�. 5oe Fine S�ree� Mok ,(EHOL/7- H�AAAreMEN7" AR7%lWORN 4/0#6DJ409•f4191Z49.4AV,? dB�?I(7/iL�%pCI Y7e�+ George Molina Sr. President Maria Molina s= Treasurer secretary office Staff Marco Molina Vice Presider & Project 1 Manager Oscar Roldan Safety Manager & Foreman Luis Fraggoso - Leonardo Caro- Asbestos & Lead ,r Supervisor - Safety Coordinator Supervisor & l Demolition Crew Crew i GEORGE MOLINA SR. 23508 Pine St. Newhall, CA 91321 818.249.4932 geor_ge@interiordemolition.net LICENSES AND CERTIFICATIONS Licensed in demolition and moving buildings, earthwork, and asbestos removal. Attended seminars and training in the law and trade of the business. CPR Certification PROFESSIONAL EXPERIENCE INTERIOR DEMOLITION, INC., Montrose, CA 1983— Present President Oversees the company's day-to-day field operations Establishes, coordinates and controls all project phases Estimates job costs Assigns and delegates Field operations Makes decisions on major company equipment purchases G.J. KRAUSE CONSTRUCTION CO., Los Angeles 1979 — 1983 Field Supervisor Supervised, coordinated and.controlled the company's small and major construction and demolition projects. EDUCATION Instituto Pedagogico de La Salle, Managua, Nicaragua- Bachillerato VOLUNTEER WORK Nicaraguan Medical Relief, President and Founder 2018— Present Established this non-profit organization for the benefit of providing medical supplies to Central America. Children of Yalii, President and Founder 2006 --2018 Established this non-profit organization for the benefit of orphan children in Nicaragua. MARIA MOLINA 23508 Pine St. Newhall, CA 91321 818.249,4932 maria@interiordemolition.net LICENSES AND CERTIFICATIONS Attended seminars and training in the law and trade of the business. Certified in Safety Training, PROFESSIONAL EXPERIENCE INTERIOR DEMOLITION, INC., Montrose, CA 1989— Present Secretary 1 Treasurer 33 years of experience in demolition, asbestos and lead abatement, and earthwork. Oversees the company's day-to-day office operations. Manages the company's office personnel. Prepares company bids. EDUCATION Bachelor of Science (BS), Business Administration — University of La Verne, CA VOLUNTEER WORK Nicaraguan Medical Relief, Founder 2018 — Present Established this non-profit organization for the benefit of providing medical supplies to Central America. Children of Yali, Founder 2006--2618 Established this non-profit organization for the benefit of orphan children in Nicaragua. MARCO MOLINA 23508 Fine St. Newhall, CA 91321 818.249.4932 marco@lnteriordemolition.net LICENSES AND CERTIFICATIONS State of California Contractor's License Occupational Safety and Health Administration Certification for Asbestos-Related Work Storm Water Pollution Prevention Manager Occupational Safety and Health Administration Construction Safety and Health Outreach Program CPR Certification PROFESSIONAL EXPERIENCE INTERIOR DEMOLITION, INC., Montrose, CA 1996— Present Superintendent I Vice President 26 years of experience in demolition, asbestos and lead abatement, and earthwork. Oversees the company's day-to-day field operations. Manages the company's field personnel. Prepares company bids. EDUCATION Bachelor of Science (BS), Business Administration, University of La Verne, CA VOLUNTEER WORK Nicaraguan Medical Relief, Charity Event Coordinator 2018— Present. Assists with the coordination of events for the benefit of providing medical supplies to Central America. Children of Yali, Charity Event Coordinator 2006-- 2018 Assisted with the coordination of events for the benefit of orphan children in Nicaragua. ------------- 23608 Pine St. Newhall, CA 91321® 818.249.4932 georgeira@interiordemolition.net MILITARY EXPERIENCE United Slates Army 1988-1991 Desert Storm I Gulf War--Honorable Discharge LICENSES AND CERTIFICATIONS Storm Water Pollution Prevention Certification Occupational Safety and Health Administration Construction Safety and Health Outreach Program CPR Certification PROFESSIONAL EXPERIENCE LOS ANGELES POLICE DEPARTMENT 1994- Present Police Detective EARTHWISE DEMOLITION &ABATEMENT CORP., Newhall, CA 2018— Present President 1 Owner INTERIOR DEMOLITION, INC., Montrose, CA 1991 — Present Superintendent I Mice President 31 years of experience in demolition Oversees the company's field and administrative operations Manages the company's field personnel Attends job walks. Prepares bid proposals Manages company major equipment purchases Analyzes and determines software equipment purchases EDUCATION Glendale Community College, Glendale, CA VOLUNTEER WORK Nicaraguan Medical Relief, President 2018--Present Assists with the coordination of events for the benefit of providing medical supplies to Central America. OSCAR ROLDAN 21723 GREENSLEEVES COURT, SAUGUS, CA 91350 661-965-2840 orroldan@yaLoo.com LICENSES AND CERTIFICATIONS Rail Safety Certification Occupational Safety and Health Administration Construction Safety and Health Outreach Program CPR Certification PROFESSIONAL EXPERIENCE INTERIOR DEMOLITION, INC., Montrose, CA 2015—Present Superintendent Oversees the company's day-to-day field operations at the demolition site. Manages the company's field personnel. Responsible for overall demolition activities within the project budget and scheduling guidelines. RICON CORPORATION 1993— 2015 Shipping Supervisor EDUCATION Fork Lift Operator Certification Inventory Management Certification Cprpar�te +�fi�r`ce mar MIL---M I& Newhall 41 .97,927 VFMOIJrIoN AOA r0k-ffNr-jFARMr ORK t/c#dcr340P•1BJ81.;?4P.4 ATP WGt/Ll/•/CJ��IYUI'c��P7ll���%Ol7'/lEt� e. Proposed Work Plan Interior Demolition, Inc. understands the scope of work and requirements that the City of Santa Ana has provided. IDI will review each project requirement to determine the task order approach in order to successfully complete the work. In a typical residential structure, the demolition consists of the following steps; 1.Submmit AQMD Notifications for both Asbestos.Abatement. and Demolition with a Start and End date accordingly and also notify Cal Osha for the Asbestos related work. 2. Create a work schedule 3.Obtain required Permits 4. Provide submittals such as, creating a plot plan per the city requirements like recycling, erosion control, dust control, soil disturbance, Etc. 5. Mobilize and secure the site with fencing or construction canopy 6. Start removing asbestos and lead 7. Start Demolition 8. Schedule for inspection to cap utilities. Cap Utilities 9. Rough Grade the area 10. Demobilize 1D1 will make the city aware of any unforeseen situations WM% AW Cdrporaee 01r-lce WrjMOR PEN01IrION,IN MM REF ma MW NewhQ/l, eh' g,..5�?1 L to#0O.T40 v 1 l078/p4.4PAd f. Relevant Project Experience 1. City of Santa Ana On-Call Demolition, Disposal/Debris Removal, Erosion and Sediment Control, and immediate Response for As-Needed Services (AR-9616) Owner,, City of Santa Ana PWD David Ramirez-Project Engineer 20 Civic Center Plaza, M6, Santa Ana, CA 92701 Contact: 714-647-6641 Scope of work: Asbestos/lead Abatement, Demolition, Fencing, Cap utilities and rough grading for On-Call services for the City of Santa Ana Project Total: $2,200,000,00 Completed: 2022 2. On.-Call Cleanup, Removal and Demolition of Substandard Structures Owner: County of Los Angeles Javier Ramirez- District Building and Safety Engineering Associate 900 South Fremont Ave, Alhambra, CA 91803 Contact. 626-458-3193 Scope of work: Asbestos/lead Abatement, Demolition, Fencing, Cap utilities and rough grading for On-Call services for County of Los Angeles Project Total: $1,400,000,00 3. Centennial Corridor Project- Bakersfield, CA Owner: Caltrans David Cosper- Project Engineer- Overland, Pacific, & Culter, Inc. 1600 Truxton Ave. 41n Floor Bakersfield, CA 93301 Contact: 661-381-2440 Donald M. Anderson- Real Property Manager-Bakersfield Financial Services 1600 Truxton Ave. 2nd Floor, Bakersfield, CA 93301 Contact: 661-326-3061 Scope of work: Asbestos Abatement, Structural Demolition, Sewer Cap & Grading Project Total: Original & Final Pricing PHASE 2: $310,000.00 PHASE 3: $400,000,00 PHASE 4: $264,000,00 PHASE 5: $248,194.00 PHASE 6: $240,783,00 PHASE 7: $296,554,00 PHASE 8: $162,350.00 PHASE 9: $291,000.00 Scheduled completion date: 10/07/2016 Actual completion date, 11109/2017 4, California Department of Transportation —La Mirada, CA Owner: Cattrans Bill Howard—Associate Right of Way Agent/Clearance & Demolition Contact: 213-897-3017 Scope of work: Right of Way Demolition and Clearance Services, AsbestoslLead Paint Abatement Services and Storm Water Pollution Prevention Plan (SWPPP)or Water Pollution Control Program (WPCP) services, and implementation of said plan(s) as described herein. Project total: PROJECT PHASE--Original & Final Pricing - $10,052,385.00 Scheduled Completion Date: 11/0/2016 5. Demolition of 10 MultkFamily Buildings at Jordan Downs — Los Angeles, CA Owner: Housing Authority of the City of Los Angeles Julie Mungad — Project Engineer 2600 Wilshire Blvd. Los Angeles, CA 90057 Contact: 213-440-7053 Scope of work: Asbestos/Lead abatement, demolition, fencing and grading of single story and two-story residential buildings at the Housing Authority's Jordan Downs public house community. Project total: $1,925,931.00 Scheduled completion date: 6/2/2021 6. Demolition at 1240 & 1248 E. Lincoln Ave, Anaheim, CA Owner: City of Anaheim Stephen Stoewer--Senior Project Manager 210 South Anaheim Blvd. 1011 Floor, Anaheim, CA 92805 Contact. 714-765-4338 Scope of work: Asbestos/L.ead abatement, demolition and clearing and removal of all vegetation. Removal of all utility lines from property and cap. Project total: $236,008.00 Scheduled completion date; 6/2412019 T Cedar Hall Bid Package No. 01; Demolition & Hazardous Abatement - Lancaster, CA Owner; Antelope Valley Community College District Alisha Fonder— Project Manager 3041 W Ave. K, Lancaster, CA 93536 Contact: 661-510-4560 Scope of work: Asbestos/Lead Abatement and Demolition of Cedar Hall, College buildings. Project total: $716,788.17 Completed: 7/8/2024 8. Demolition - Jordan Downs Areas H2(a), P1 and S7-- Los Angeles, CA Owner: Housing Authority of the City of Los Angeles Kevin Sharp—Senior Project/Construction Manager 2600 Wilshire Blvd. Los Angeles, CA 90057 Contact: 213-258-7297 Scope of work: Asbestos/Lead abatement, demolition, fencing and grading of single story and two-story residential buildings at file Housing Authority's Jordan Downs public house community.. Pro'el ct total: $2,1 62,667.00 Completed date: 5/6/2022 9. Lynwood High School Classroom Building Demolition-- Lynwood, CA Owner: Lynwood Unified School District Rikki Perez—Project Manager 11321 Bullis Road, Lynwood, CA 90262 Contact: 424-477-9581 Scope of work: Demolition of a 240,000 sf and 3 story building at Lynwood High School Project total: $3,204,161.21 Scheduled completion date: 2123/2024 10. California Department of Transportation— IFB 07A4869 --- Los Angeles, CA Owner: Caltrans Sinead Grass —Associate Right of Way Agent/Clearance & Demolition Contact: 213-266-3665 Scope of work: Flight of Way Demolition and Clearance Services, Asbestos/Lead Paint Abatement Services and Storm Water Pollution Prevention Plan (SWPPP)or Water Pollution Control Program (WPCP) services, and implementation of said plan(s) as described herein, Project total: PROJECT PHASE—Original & Final Pricing -$3,504,960.13 Scheduled Completion Date: 3/19/2023 GO!pol-a�e OFfi�e INreRIOR DEMOZ/r/ON,//V40350 ' Fine 5"tree ISMEFAI Alaulha//, Cl,? 97,927 trc#00X40¢•f0I$)X49.4(q.T fYWW%7 eI%�lY ell74� f®!7.1?e4 g. References 1. Owner: City of Santa Ana Public Works Agency Project name: On-Call for Demolition, Disposal/Debris Removal, Erosion and Sediment Control and Immediate Response for As-Needed Services (AGR-9616) Duration: 2 years Contact person: David Ramirez— PWA Engineer— 714-674-5641 —dramirez(a�.santa-ana.ora Contract amount: $2,200,000.00 2. Owner: Caltrans Project Name: 07A4310—State-owned Clearance and Demolition Sites Duration: 2 years Contact Person: Sinead Gross — Right of way agent—213-266-3665 — �ineacl.�r©ss a dat.ca.c�cav Contract amount: $3,724,721.16 3. Owner: Los Angeles County Public Works Project name: On-Call Cleanup, Removal, and Demolition of Substandard Structures Duration: 2 years Contact Person: Javier Martinez-- District Building and Safety Engineering Associate —626- 458-3193--jiTigrtinez o)d w.la ty_gov Contract amount: $1,400,000,00 (D CITE" OF SANT"A AINA Contractor is responsible for demolishing all Improvements, including: 4" thick concrete slab foundation and footings to a depth of 3', and all surrounding landscaping. Contractor is also responsible for clearing the site, grading the parcel for drainage, capping all sewer lines, and compacting to 90% density. Erosion control to include importing and exporting fill dirt as needed, installing straw waddles around site perimeter, topping site with 1" base course to prevent wind erosion, and installing rumble plates for the duration of the demolition. Price provided below shall be based solely on the information provided hereon and shall be an all- inclusive price and shall include all items listed and cover all items or work identified above and Appendix -Attachment 4 to deliver a clear site with no remaining improvements. Company Name: Interior Demolition, Inc. 1301 W 11t"Street, Santa Ana, CA Item Description Cast Permitting 3,000.00 Engineering 3,000.00 Site Fencing for Duration of Demolition 3,000.00 Canopy BMP's/Erosion Control Plan 1,000.0{} Asbestos/Hazardous Stabilization and Abatement (on a separate sheet, provide a detail cost for this lump sum amount Universal Waste Disposal 2,000.00 Interior Demolition 17.500,00 Exterior Wall/Building/Foundation Demolition 4,800.00 Sitework Demolition 4,800.00 Landscape and Trees Removal and Clearing 3,000.00 Vermin Abatement (Assume present) 2,000.00 -Bee Colony Abatement (Assume present) 2,000.00 other (describe...) Total Price 66,100.00 City of Santa Aria RFP No 25-027 Page 24 of 41 CITY OF SANTA ANA ATTACHMENT A PROPOSER'S CERTIFICATION, PROPOSAL PRICING 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 (Exhibit 1) and am qualified to provide services being requested as specified herein. 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'S STATEMENT: I have read, understood and agree to the terms and conditions on all pages of the Request for Proposals. Upon request, I will transfer and deliver goods or services to the City in accordance with said terms and conditions. TEL: 818-249-4932 Interior Demolition, Inc. FAX: 818-249-4937 LEGAL NAME OF COMPANY PHONE AND FAX NUMBERS 23508 Pine Street Newhall CA 91321 BUSINESS ADDRESS Maria Molina Secretary & Treasurer PRINTED NAME OF AUTHORIZED AGENT TITLE It' V 3/10/2025 marco@interiordemolition.net SIGNATURE OF AUTHOI IZED AGENT DATE E-MAIL ADDRESS 95-4216657 603409 FEDERAL ID NUMBER (IF APPLICABLE) CONTRACTOR LICENSE NUMBER (IFAPPLICABLE) CITY OF SANTA ANA BUSINESS LICENSE NUMBER (PLEASE PROVIDE IF AVAILABLE. BUT NOT REQUIRED UNTIL AND IF AN AWARD IS MADE TO PROPOSER) THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE. Cily of Santa Ana RFP No 25-027 Page 33 of 41 CITY OF SANTA ANA ATTACHMENT 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 panes_if_required. The City reserves the right to contact each of the references listed for additional information regarding your firm's qualifications. California Department of REFER_FNCE Transportation Customer Name:(Caltrans) Contact Individual: Sinead Gross Address: 100 S. Main St. Phone Number: 213-266-3665 Los Angeles, CA 90012 EMAIL: sinead,gross@dot.ca.gov Contract Amount: $3,504,906.13 Year: 3/20/2020- 3/19/2023 Description of supplies, equipment, or services provided: On call abatement, demolition and grading REFERENCE California Department of Transportation Customer Name: (Caltrans) Contact Individual: Sinead Gross Address: 100 S. Main St. Phone Number: 213-266-3665 Los Angeles, CA 90012 EMAIL: sinead.gross@dot.ca.gov Contract Amount: $4,514,141.00 Year: 10/31/2017-10/30/2019 Description of supplies, equipment, or services provided: On call abatement, demolition and grading REFERENCE Customer Name: City of Santa Ana Contact Individual: Nabll Saba Address: 20 Civic Center Plaza Phone Number: 714-647-5635 Santa Ana, CA 92702 EMAIL: nsaba@santa-ana.org Contract AmourW $2,200,000.00 Year: 2121/2.017-2/20/2022 Description of supplies, equipment, or services provided: On-call abatement and demolition THIS FORM MUST BE COMPLETE©AND INCLUDED WITH THE PROPOSAL, L PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE.= City or Santa Ana RIP No,25-027 Page 34 of 41 0 CITY OF SANTA ANA ATTACHMENT C PROPOSER'S STATEMENT Proposer understands and agrees that this written RFP (or any part thereof specifically designated and accepted by the City of Santa Ana, hereinafter City) shall constitute the entire agreement between proposer and the City only after it has been accepted by the City Council, endorsed by the Clerk of the Council with her signature and official seal noting hereon the action of approval of the Council, signed by the Executive Director or his duly authorized agent, and signed by the City Attorney, denoting his approval of the form of this document, and its execution, and when it or an exact copy of it has been either delivered to proposer or deposited with the United States Postal Service properly addressed to the proposer with the correct postage affixed thereto. Proposer further agrees that upon delivery(as defined above) of the accepted agreement he/she will furnish City all required bonds and certificate of liability insurance within ten (10) days (excluding Saturdays, Sundays and City's legal holidays), or the funds, check, draft, or proposer's bond substituted in lieu thereof accompanying this proposal shall become the property of the City and shall be considered as payment of damages due to the delay and other causes suffered by City because of the failure to furnish the necessary bonds and because it is distinctly agreed that the proof of damages actually suffered by City is difficult to ascertain; otherwise said funds, check drafts, or proposer's bond substituted in lieu thereof shall be returned to the undersigned. Proposer understands that a proposal is required for the entire work, that the estimated quantities set forth in the RFP schedule are solely for the purpose of comparing proposals, and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. All terms contained in the specifications, the certification of nondiscrimination by contractors. and the required insurance certificates are to be incorporated by reference into this agreement and are made specifically as part of this RFP. Firm Interior Demolition, Inc. �Llu Signed and Printed Name: Maria Molina tu� Title Secretary & Treasurer Date 3/10/2025 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 No.25-027 Page 35 of 41 a.c ' CITY Or SANTA ANA ATTACHMENT D NON-COLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) To the CITY OF SANTA ANA In accordance with Title 23 United States Code Section 1.12 and Public Contract Code 7106 the proposer declares that the proposal is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the proposal is genuine and not collusive or sham; that the proposer has not directly or indirectly induced or solicited any other proposer to put in a false or sham proposal, and has not directly or indirectly colluded, conspired, connived or agreed with any proposer or anyone else to put in a sham proposal, or that anyone shall refrain from bidding; that the proposer has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the proposal price of the proposer or any proposer, or to fix any overhead, profit, or cost element of the proposal price, or of that of any other proposer, 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 proposal are true, and, further, that the proposer has not, directly or indirectly, submitted his or her proposal 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 proposal. Note., The above non-collusion affidavit is part of the proposal. Signing this proposal on the signature portion thereof shall also constitute signature of this non-collusion affidavit. Proposers are cautioned that making a false certification may subject the certifier to criminal prosecution. Signed_ State of , County ofr� '_ y^1? ' Subscribed and sworn to (or affirmed) before me on this ��- day of,� 1��.� I. 20 a�5, by �'t��� proved to me on the basis of satisfactory evidence to be the persons-r who appeared before me. AreaHYPubkDr other offkercom KERP,l PAUTANG certif}cateverifles only the ldentityof completing this t GOMM. �16599 irtdMduatwhot n r,prAgy WusLIo•CALIFOMIA, 9 edtlte4ocumcrsttowhbChthis to 4NOO�OsCOUNTv c tt is +r lmotthetruthfulness, Aiy Cwnn� s ono$,20xs accutaty,Of Vila f Of"dowment. Notary Public Sig a ure Notary Public Seal THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. E PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE City of Santa Ana FRFP No.25-027 Page 36 of 41 CITY OF SANTA ANA ATTACHMENT E 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 fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such subre/cipients shall certify and disclose accordingly Signed: �,(J/�/l a�GiZ j✓ Title: Secretary & Treasurer Firm Interior Demolition, Inc. Date: March 10, 2025 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 No 25-027 Page 37 of 41 CITY OF SANTA ANA ATTACHMENT F NOWDISCRIMINATION CERTIFICATION The undersigned consultant or corporate officer, during the performance of this contract, certifies as follows: 1. 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. - 7. The Consultant shall include the portion of the sentence immediately preceding paragraph (1) and the provisions of paragraphs (1)through (7) in every subcontract or purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to Section 204 of Executive Order 11246 of September 24, 1965, so that such provisions will be binding upon each subcontract City of Santa Ana RFP No,25-027 Page 38 of 41 CITY OF SANTA ANA 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 Stats. 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: Secretary & Treasurer Firm: Interior Demolition, Inc. Date: March 10, 2025 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 No 25-027 Page 39 of 41 CITY OF SANTA ANA ATTACHMENT G SUBCONTRACTOR [DESIGNATION FORM Bidder acknowledges and agrees that under Public Contract Code section 4100, at seq., it must clearly set forth below the name and location of each subcontractor who will perform work or labor or render service to the bidder in or about the work in an amount in excess of one-half of one percent (0.5%) of bidder's total bid and the kind of work that each will perform.Furthermore,bidder acknowledges and agrees that under Public Contract Code section 4100,et seq., if bidder fails to list as to any portion of work,or if bidder lists more than one subcontractor to perform the same portion of work (i.e. bidder must indicate what portion of the work each subcontractor will perform), bidder must perform that portion itself or be subjected to penalty under applicable law. If alternate bids are called for and bidder intends to use subcontractors different from or in addition to those subcontractors listed for work under the base bid, bidder must list subcontractors that will perform work in an amount in excess of one half of one percent(0,5%) of bidder's total bid, including alternates. In case more than one subcontractor is named for the same kind of work, the Contractor is to state the portion of work that each subcontractor will perform. Bidders or suppliers of materials only do not need to be listed. If further space is required for the list of proposed subcontractors, additional sheets showing the required information, as indicated below, shall be attached hereto and made a part of this document. Listed below is the name of each subcontractor that will perform work, labor, or render services to the undersigned related to the work of this project.This is to include any subcontractor that will specially fabricate and install a portion of work according to detailed drawings contained in the plans and specifications in the amount greater than one half of one percent(.05%)of the contractors total bid. Additional sheets may be attached if needed. Subcontractor Name: Location: Portion of Work/Trade: .__ Bid AmountV� --� Contractor's License Number � w DIR Registration No. Subcontractor Name: ---_---�— ��� Location: Portion of Work/Trade: Bid Amount: Contractor's License No: _ DIR Registration No: M Contractor will not be subcontracting any portion of work. 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 No.25-027 Page 40 of 41 I iwo ATTACHMENT H CARB FLEET COMPLIANCE CERTIFICATION Bidder hereby acknowledges that they have reviewed the California Air Resources Board's policies, rules and regulations and are familiar with the requirements of Title 13, California Code of Regulations. Division 3, Chapter 9, effective on January 1, 2024 (the"Regulation"). Bidder hereby certifies, subject to penalty for perjury, that the option checked below relating to the Bidder's fleet, and/or that of their subcontractor(s) ("Fleet") is true and correct: x The Fleet is subject to the requirements of the Regulation, and the appropriate Certificate(s) of Reported Compliance have been attached hereto. The Fleet is exempt from the Regulation under section 2449.1(0(2), and a signed description of the subject vehicles, and reasoning for exemption has been attached hereto. Bidder and/or their subcontractor is unable to procure R99 or R100 renewable diesel fuel as defined in the Regulation pursuant to section 2449.1(f)(3). Bidder shall keep detailed records describing the normal refueling methods, their attempts to procure renewable diesel fuel and proof that shows they were not able to procure renewable diesel (i.e third-party correspondence or vendor bids). The Fleet is exempt from the requirements of the Regulation pursuant to section 2449(i)(4) because this Project has been deemed an Emergency, as defined under section 2449(c)(18) Bidder shall only operate the exempted vehicles in the emergency situation and records of the exempted vehicles must be maintained, pursuant to section 2449(i)(4). The Fleet does not fall under the Regulation or are otherwise exempted and a detailed reasoning is attached hereto. Interior Demolition, Inc. Bidder's Company 1Name(please qrint or type) V � Signature of Bidder Maria Molina Print Name Secretary & Treasurer Title 8300 DOORS ID 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 No 25-027 Page 41 of 41 r Mrhn California Environnlei-ital Protection Agency Air Resources Board January 1, 2025 CERTIFICATE OF REPC7FrTED COMPLIANCE OFF-ROAD DIESEL VEHICLE REGULATION is issued to I INTERIOR DEMOLITION, INC. I This ccrtifioate im licates that the fleet listed above has reported off-road diesei vehicles to the California Air Resources Bogard and has Certified they are in compliance with title 13 CCR, 7 Section 2449 All appliceWo vehicles owned by the individual,ccirnparly,or agency must be reported acid labeled,as apeaificd In Seclian 2449,with all possible completeness,else this —_ certificateeI$null and void Certificate expires 2/28/2026 - f r , Off-Toad Diesel Float Identification 8300 — �•;ack kiraw>[ [ba#,Mnbde An:ace fonlrpl[titwsan To-rify the WIWAPI of Ihl€ceHlf[aEs.abler tluu number al ra.lrar*da a..aesrni+a«�na;�a hrtplhvww.arh,ca.gavldnorslcompl iaace_ce n 1.hlml OW AF% qrc C1lrl6e !NrE OR L�,�"i'+�OL/r/ON //VC ?..750e 1plrm street Mal MR—"A& Neu hAr/, c,7 9P,?27 D4'MOI1r1O'N•.ABA I LFMM7'�rARMWORjrf anA•MM Yz4V 410M WWGrI'IPt el%CJI e/t]Df %pr7'P7� Scope of Services and Schedule \J O Q Q 0 Q Q Q Q Q O N C_ cam;, N � O OM 2 2 CC, L ro E E ' u - E O N D F- z f E E C) T 2 X ti fJ ti ca N S W w C C C W N O O O O O O 0 0 0 0 0 0 0 0 < N N N N N N N IN ry N N N N N N \ N N IN N \ \ \ N N \ N N Q \ 00 (V N fV �p N \ \ \ \ ri -I N U'1 ti N �D \ r-i r"I r-I c-i V1 f i (, N N �^I ri m m M \ \ K] Cf N - O z C m rY M M C C C n'1 n'1 C "O f` N v co o o c o v cc o a ` d z IQ� ,.L - _ v L 0 N N N N N N N N N N N C O U T N N N IN N N N N N N N IN N O O C C C \ \ \ \ \ \ \ \ \ \ N N NI _ - E E z 00 00 00 00 00 W V CF C' LA N \ \ ✓ v N N N N r4 N r'I 11 14 �--1 .^I \ N N �' E E (n \ �. \ \ \ \ \ �, .. �. \ W N N v+ 5••• rn In O N !V N N N N M rn M M rn r-I \ \ _ 2C C C c C C C C C C r1 N v I P L U O G O O O O O O O O _ ^, LL __7 0 C ? } } T T IA VI V1 of o t f - f0 T fL f0 , ? T ? ? } ? 0 T, L� ti '0 (� 't7 T] 'O Tr IT !q 19 rJ f0 !9 _O f0 � ro _ a m U V I C Q O I C rr E C I L C 0 C Q p y V O p M N ID \ C Ify N o v '° N — E u Q p aai D p m Q cc y E Z Z a` 0- n Q O la Q G N a j N I i I C I� li i � o rn u c c > a 4i; LU a m m ct ry Va, a nn a eV N r+r cv o c o m co 6®„! M 0 CV y � E m q W � to vt Ii61 I� m r-'1 +zvf e ep 41 i •--� - f 4+i vi +n — rb tU !t7 np [CS A7 R7 i � C.] N N N ri rl r^I 1 LL LL � f CL i a u. > c 3 m E o o 0 G ra L V u- m cr n I m rD Ir�l'r.• rp. i - 1_ I WM% W ea'-porge-e alex-re INMRIORD,Y+• OL/TION, r"N Sam350e fine Street AbAOMS Naulhal/, C117 9,7171-91 L IC#dO34OJO,/Ora1240..49JZ WGd4ri•/fI d el"%t�rQ��f771,��L`i4nWe� SUBMITTALS Interior Demolition, Inc. 23508 Rine St. Newhall, CA 91321 Table of Contents Contractors State License PC 3 AQMD Notifications PG 4-8 Asbestos/Lead Work Plan PC 9-18 Demo Plan PG 19-23 STATELICENSE BOARD ^°°��•,•`/�,y( ,/y1 ACTIVE LICENSE CORP40 H�unxxe r+eme INTERIOR DEMOLITION INC C21 C12 ASS B C22 C611063 FIAZ °°. BxpxlRb�fiCle 09/30/2026 www Odra ra go r�� �4wci[-z 01 (O Wd South Coast Air Quality Management District Facility ID Noleficauori Number 21865 Copley Drive,Diamond Bar,G.91765-4182 Phone:(909)396-2336 128712 687267 v,iv w.agmd.aov Rule 1403 Notification of Emergency Procedure 13 Asbestos Removal Please maintain a copy of this Notification at:he job site,either electronic or paper. Project Type Project Type Asbestos Removal Project Urgency Emergency Origin Date 2/8/2022 2:42:25 PM Completed By Michelle Alba Phone Number (818)249-4932 User Email michelle.interiordemo@gnnail.conn Contractor Information Company Name INTERIOR DEMOLITION,INC Address 2621 HONOLULU AVE City MONTROSE State CA Zip 91020 CSL8 License# 603409 OSHA REG 1 00771 Supervisor#I ALEJANDRO CARO Phone (562)528-2436 Supervisor#2 LUIS FREGOSO Phone (626)536-6853 Supervisor 43 FRANK MEDINA Phone (760)680-3502 Site Information Site Name ABATEMENT @ 905 E WARNER Project# 2203-A Site Street# 905 Street Name E WARNER AVE Cross Street S HALLADAY ST Site County ORANGE COUNTY City SANTA ANA State CA ZIP 92707 Contact Name DAVID RAMIREZ Contact Phone (714)647-5641 Site Owner CITY OF SANTA ANA Owner Address 20 Civic Center Plaza Cit.y Santa Ana State CA Zip 91701 Project Start Date 2/10/2022 Project End Date 2/15/2022 Project Work Shift s) Day Building Size in SgAt 1863 Number of Floors 1 Building Age(years) 67 Number of Building,,D:velhng Units 2 Building Prior Use House Asbestos Survey Yes Asbestos Found Yes Asbestos Removed No Building to be Demolished Yes Describe Work ABATEMENT OF HOUSE Describe Work Location HOUSE Project Information Asbestos Information Amount of Asbestos in each hype in Sq.FI Acoustic Ceiling 650 Linoleum 0 Insulation 0 Fire Proonng � µ 0 Ducting 0 Dry WO 70 FIEPA Vacuum&wet wipe 0 Porous Personal Possessions 0 Mastic(Non-friable) 0 Floor Tiles(Non-friable) 300 Transite 0 Roofing 0 Stucco 0 Plaster 0 Other(Friable) 0 Coal'Tar Wrap 0 Mastic(Friable) 0 Floor Toe(Friable) 0 Other(Non-friable) 0 CcitaminatedSoil 0 Transite(Damaged) 0 Asbestos Anraunt to be Removed in Sq.Ft FRIABLE 720 CLASS I 300 CLASS ti 0 Total 1020 Asbestos Removal From Surfaces Control Procedures 1,3 Asbestos Detection Procedure(s) Survey .Survey Information Certified Asbestos Inspector Name MICHAEL S CUSHNER Certification Expiration gate 7/20/2022 12,00=AM Survey Plan Date 10/2512021 12:00,00 AM Phone Number (949)753-7070 Email mcushnerLaninyoandmoore.com Emergency Sudden Unexpected Event(s) Vandalism Name of Persan/Derlaring DAVID RAMIREZ Phone (714)647-5643 Authorizing the Emergency Date of Emergency 2/3/2022 Waste Information Waste Trmrw sorter BDC SPECIAL WA57TE SERVICE'S Address 1211 WEST GLADST0NE AVENUE City AZUSA State CA Zip 91702 Landfill Azusa Land Reclamation Address 1211 W Gladstone Sat City Azusa State CA Zip 91702 Fee Payment Total Amount of Asbestos to be Removed in sq.ft. 1020 Track4ig Number 5949415 Project Size Fee 208.18 Addltional Fee 68.07 Total Fec $27G.25 Payment Made $276.25 l Manco Due 0 By clicking the Sign&Submit button,I certify that an individual trained in the provisions of SCAQMD hula L403 and the Asbestos NESHAP(CFR Title 40,Part 61,Subpart M)will be onsite during the demolition or renovation and evidence that the required training has been accomplished by this person will be available for inspection during normal business hours.In addition,I certify that all of the information contained herein and information submitted with this Notification is true and correct. 011.4tit Coast:Air Quality Management District FBCiRylLI NotircationPlumbei 11865 CDpley Drive,Diamond Bar,CA 91765-4162. Phone (909)396-2336 128712 688111. wtivw.agmd,gov Rule 1403 Notification of Government Ordered Demolition Please maintain a copy of this Notification at the job site,either electronic or paper: Project Type Project Type Demolition Project Urgency Governement Ordered Origin hate 2/15/2022 10.32.11 AM Completed 13y Michelle Alba Phone Number (818)249-4932-107(Ex.) User Email janetestradaa@)9mail.com Contractor Information Company Name INTERIOR DEMOLITION,INC Address 2621 HONOLULU AVE City MONTROSE State CA Zip 91020 CS0 License 11 603409 OSHA REG J4 00771 Supervisor dr1 ALEJANDRO CARO phone (662)528-2436 Supervisor 92 LUIS FRAGOSO Phone (626)536-6853 Supervisor#3 FRANK MEDINA Phone (760)680-3502 Site Information Site Name DEMOCO 905 E WARNER Project # 2203-D Site Street 9 905 Street Name E WARNER AVE Cross Street S IiALLADAY ST Site County ORANGE COUNTY City SANTA ANA State CA Zip 92707 Contact Narne DAVID RAMIREZ Contact Phone (714)647-5641 Site Owner CITY OF SANTA ANA Owner Address 20 Civic Center Plaza City Santa Ana state CA Zip 91701 Project Start bats 2/17/2022 Project End©ate 2/2,5/2022 Project Work Shift(s) Day Building Size in 5q.fi 18133 Number of Floors, 1 Building Age(years) 67 NUmher of Building/Dwelling Units 2 Building Pryor use Flouse Asbestos Survey Yes Asbestos Found Yes Asbestos Removed Yes Building to be Demolished Yes Describe Work DEMOLITION OF HOUSE Describe Work Location HOUSE Project information D,OM01410n]rlferniatian All Asllestps captaining materials must be removed prior to any demolition activity Asbestos Removal Company Interior Demolition, Date of Asbestos Removal 2/7/2022 Amount Of Asbestos Removed 1020 (sq,ft) Survey Information Certified Asbestos Inspector Name MIC14AEL S CUSHNER Certification Expiration Date 7/20/2022 12WO-.00 AM Survey Plan Date 10/25/202112:00,00 AM Phone Number (945)7S3.7070 EMtail MCUSHNERONINYOANDMOOREXOM Size of Demolition Project in sq.ft 1862 Work Practices at Demolition Ste Spray Water Contingency Demolition plan Stop Work,Isolate Work Area,Notify Owner,Stabllize,Secure,Characterize Waste,Survey Ordered Information Agency Name CITY OF SANTA ANA Phone (714)647-5641 Date of Order 2/3/2022 Date of Order to Begin 2/1012022 Authorizing Person DAVID RAMIRF2 Title ASSOCIATE ENGINEER Waste Information Waste Transporter INTERIOR DEMOLITION,INC. Address 2621 HONOLULU AVE. City MONTROSE State CA Zip 51020 Landfill AZUSA LAND RECLAMATXON Address 1211 W GLADSTONE ST City AZUSA Sta to CA Zip 91702 Revision HIS(Orr Notification# Project-Start-Date �ro7ect End Data Size of Demolition Revision Comments Revised Date e_ ---- 588111____.__ /17/2U22� �ZI ZOZ2 �� 1862 lReviseDates 2115/2022104�J,4 AM AM 2/1G/2422 2/2S 2t122 1862 _.._.. 2I15 ZR22]U 49 9:2 AM Fee Payment Size of Demolition Project in sq.it 1$62 Tracking Number 3950142 Project Size Fee 0 Additional Fee 25.22 Total Fee $25.22 Payment Made $25,22 Balance Due. $0 0y clicking the Sign&submit button,I certify that an Individual trained in the provisions of 5CAQMD Rule 1403 and the Asbestos NESHAP(CPR Title 40,Part 61,Subpart M)will be onsite during the demolition or renovation and evidence that the required training has been accomplished by this person will lac available for inspection during normal business hours.In addition,'I certify that all of the information contained herein and information submitted with this Notification is true and correct. Front:Marco Molina Fax;18182404932 To:CatOSHA LA Fax:(213)$76.7461 Page:1 of 1 0210012022 2.57 PM Corpvr4�e CJF��� Ab %�rrirdse, fJ1G3� r. + ocirrn ae� a tir r• � re rvr n cvcvcvFin ridr ��rxDl Trv�zwee NOTIFICATION OF ASBEST05 RELE ATED WORK As per California Code of Regulations,TitleB,Section 341,9 Date, Febsq!11^y (}2 1,0,1, SITE ID: ?204 To Col-OSHA r District Compliance Office To Wham This May Concert: This Is a Fox notifying your office of an Abatement Project to be performed at: TOB SITE AbORESS, 905 E Warnr St. Santo Anq, C&9U70Z NEAREST CPOSS STREETt S,hf�iln�ay,�i_ STARTING bate: COMPLETION DAT6; WORK SHIFT: 2/10/2022 2/15/202 2 DAY LOCATION OF ABATEMENT AT 100 SITE: INTERIOR NAME OF COMPETENT PER50N: Lwsqftar psq ,,ya rank AAz iaw Ale arada c� r� DISCRIPTION OF 108, soaring faint CnmPQut . WORK PRACTICES: Wet removal, respiratory protection.and protective clothing. Double brag all material and label, POTENTIAL FOR EXPOSVRE: High ESTIMATED NUMBER OF EMPLOYEES AT THIS JOB SITE: B FAX TO: ACCORDING TO TITLE 8 SECTIONS 341,9 AND 1529[R]THIS NOTIFICATION TS PROVIDE[)TO THE NEAREST DISTRICT OFF'IC,NOT TO DOSH HEAOQUARTER5.PRIOR TO COMMENCEMENT OF ANY 5VCH WORD ACTIVITY,ANDY CHANGE IN THE INFORMATION PROVIDED TO THE 0IVISIN BY THIS WRITTEN NOTICE 5HALL.BE REPORTED TO THE DIVISION WITHIN 24 HOURS OF SUCH CHANGE. CONTRACTORS i STATE LICENSE BOARD +�y/�/y(Q] ACTIVELICENSE CORP INTERIOR DEMOLITION INC c..,.&....,.C21 C 12 ASB B C22 C61ID63 HAZ --=� 09/3012026 www cslb ca gov � �OI�ClraiG`r. G�l��Ce 1"'0"04114" A'enue if a welds-1, Cry 97020 UE li,"JL f J7f?h'•AlKi.r7 7!`hYL d,(T �,R1 R)71ti'C�hls W'er4"Li�'>�rf t-`�+:P%CJI fiat.i�/�I/f''�fJr�'/jc`' L/K:'a!'cff,3.�'C.>l •/f39.'.?,��diY"".s7;.3'2 Asbestos/Leadr Plan 1. 1.4 calendar days prior to beginning any work, a notification for asbestos removal activities was sent to the Air Quality Management Distrit:t along with all applicable fees, 2. Interior Demolition, Inc. will post permits of all equipment on site per AQMD regulations. 3. All abatement work areas have been demarcated using warming & danger barrier tape & signs. 1-he demarcated zone is a minimurn of 20 feet: from the work area. Additionally, warning signs will be placed at ,all entry and exits to help ensure public safety. A. Interior Demolition, Inc, will (utilize a three-stage dec.raMaMination unit which will be installed adjacent to the work area. This unit will be equipped with water & towels, Engineering controls such as negative air filtration machines, de,c:ontamination charnbers g( a disposal acea will be. utilized. 5. In order to contain all work areas, 6 aril poly will be erected and any stationary objects that are not being removed will also be covered. 6, Interior Demolition, lnc.',� abatement workers will utilize a NIOSH/MSHA approved half face negative pressure respirators, Whose masks will be equipped with a 1- EPA filter. Additionally, our workers are required to wear full lady coveralls, dispensable gloves & safety glasses. 7. Interior Demolition, Inc.'s workers will utilize wet methods when removin8 any ACM or Lead materials. 8, Inte€ for Demolition, Inc., has chosen BDC Waste Management's hazardous waste djvision to Handle to the transportation of the waste to their approved landfill. 9. inn ricer Dvrrio'ilioti, hit , vvi 1}c_rfmnr the O-SAII ; regc ke'-.a ai€ et r� 11'11oiC"r1urn (1f 251Y('� (,l t1w V'�(tJ. t rl' v or'-1 ct C40Y Lla1 is. 10. IN will stabilize any term derna-y- _eied by th(� =,urv( V 11€ 01 tO d(PrI1014ion, IRt7`,MAO,r?M-NOUrION INS° 26ZI Ra whjht A vaaa A. Muff "! �rrcuii�afry�.ces ir•rr•�a{rr,�fycr�w rGr,rw•/aL•ariorrlc rrr�lr�ic� ne:t A b a t el m(1,n Work Plan HACLA Los Argelet-,CA 90002 A Remove and dispose of agbes s contairr'Se.a materials(AGM)in quantities and locations as outlined below: i As�,estca:� Removal of hoof Mast;: t: Removal of TransK, Pipes t Removal of Ra iplg Removal of Flo&t And Wtstic Universal Waste c Any I I r ,Wast,6 we encounter and per survey ` Lead Write St4,9iliz�ki n oi i.oad per survey 1. t Refrain from using ladders with broken, missing,or defective park I [.adder feet must be on substantial base. J. Top and bottorn of[adder inuO ba kopt 41. Itojub-±1 ado laCdders. 5. I\Io metal ladders stall br used adders shall not be tisE d in a hKariaonial position 7. Always "race ladder. B. Ifave IzAder atiende.nts in high-traffic areas. g. Do not stela higher than, ihi:d rung from top un &straiglu lad dci, car second Step fforn leap Oil a stopladdef l0. Always inspecl ladder Wore u ;e, i !.)o no: rtternpt ro arose ladfde, Edl.le ir, use I t;:ry Jisr�ount[:;�_iilc;r tsetc,re [>-uOvi?lg it io a Gifltae '�. Ict.atrc FT Scaffolding 1 All scaffolding shall utilize guardrails. mid ails. and too Hoards. 2. No parson shall he pefmitted to remain on scaffolding while it is being moved or rolled. 3, Lock scaffold wheels when scaffold location is achieved. A. Use 'l2"mesh or equivalent If persons are to pass under scaffold. 5. Scaffold height shall not exceed four(4)times the base dimension C. Use only scaffold-grade lumber for planking. 2621 HonOlUlu Ave. Montrose,CA. 91020 Lic. No. 603409 t OSH No 771 818-240-4932 FAX$18-20A937 MTERJOR DEMOLITION, INC. 1AACLA ASBESTOS ABATEMIINT PLAN JOB 9800 GRAPE S1 A2138 LOS ANGEL ES,CA 90002 7. Use scaffolds, capable of supporting at least four times the intended load. 8. Climbing of any scaffold braces or supports not specifically designed for access is prohibited. C. Electrical 1 De-energize all circuits to the asbestos control area at the circuit breaker panels. All electrical circuits in the asbestos control area shall be locked out at. the circuit breaker panel with padlocks The padlock keys shalt be provided to the on-site Supervisor and Qualified Person(QP) only. 2. Electrical circuit breaker panels that are locked Out shall be tagged with appropriate labels designating that the panel is to remain locked. Label shall also indicate whorn to contact to gain access to the panel in case of emergency. 3. Circuits in the asbestos control area shall be tested to determine of they have been de-energized. 4 All electrical power for electrical equipment, portable hand tools, and extension cords shall be provided through GFCis. 6. Use only shatterproof, guarded bulbs and heavy-duty wiring for temporary lighting, 6. All electrical sysiern lines and cords must not be allowed to lie in water. D, Personal Protective EqUiPM0111 1. All personnel reqWred to enter the asbestos control area mast use all of th(:,' protective devised indicated herein a Respirators Half-face Negatively Pressured-Air-Purifying Respirators (NPAPR) with HEPA filter shall be adequate when removal of non-friable asbestos containing materials is being conducted. Powered Air-Purifying Respirators (PAPR)with HEPA filters shall be used during the removal of friable asbestos containing materials. 1). Protective CiOthillg Disposable suits with attached hood and boat cove m designed for asbestos abatement, rubber gloves, and rubber boots shalt be worn by all personnel entering the asbestos control area. Gloves are to be taped to the suit sleeves with diicll tape Reqtilar fleniolition Persorm F-rjjijpji)ent IMERIOR DENOLFTION, INC. HAGLA ASBESIOS ABATEIVIFN I PI-AN JOS 9BOO GRAPE ST #2118 W8 ANGE[,LS, CA 90002 Building Occupancy and Access Restrictions A All work is to be done while the building is vacant: presently the building is not 000upiod. Ek The abatement Contractors shall occupy the building, and access to asbestos control areas shall be restricted to authorized personnel. C. Access restriction shall be accomplished by means of: I Ptovido only one(1) entrance/exit to the asbestos control area(except emergency exits), 2. Lock out all remaining unused ladders and entrances to the asbestosconlrol areas (except emergency exits). 3. Demarcation of the asbestos control areas at all potential entrances. Sign location shall be prQvided such that unauthorized personnel may read tile sign before entering the asbestos control areas, thereby avoiding entry. 4 Demarcation of the asbestos control areas shall be accomplished by use of signs displaying the following legend: DANGFIR ASBESTOS CANCER AND LUNG DISEASE HA2A1=D AUTHORIZED PERSONNEL ONLY RESPIRATORS ANO PROTECTIVE CLOTHING ARE REQUIRED IN THIS AREA. IV. 6k-KqjWjiw3 A Air Samplinp During Abatement (By Owner At Owner's Option) 1 Once abatement operations are unuerway,samples shall be collected boll-, in and out of the asbestos control area. A minimum of one (1) sample is to be collected inside (lie asbestos control area during each day of abatement, as long as abatement operations are underway. The flow rato should ranq Jtoe r)i .5 to 2.5 Her,,;per Minutes, depending on dust and dirt conditions, 2 Samples collected outside the asbestos control area shall be used toenSUre that contamination, if present, has not spread to other areas OLIISide the asbestos control area. 3 Saniples collected outside the containment must he taken as Jol-19 as ahalernenl operations are underway. Flov,,rate: of 2 5 to 6,0 litc(s per minute should be appropriate-for theso samples Soo-Table 4.1 for interpretation of Sample results, F3 Personal Air Monitoring I refs oat air rlon'lorinC F3hall 16 Llfid(E,"t0t;01 by the Clonlractor nI hin o-a- C,X[1)('r).S 61 Ai! oicmjt()j1rq Ehall inckjJe sa-fripin fof all abalef-flen" aclivilies and niet Ihe Cal/OSFIA stpfidard OCR Section 1529(d). These, samples shall be taken as long as abatwnent operations are underway ThO fl0W rates ShOUld rarige from .5 to 2.5 liters per niinute, depemding on duslrsnd dirt conditions results of Iho fests shall be posted at the,job side: withiii 16 hours of completion, folbkAMg the S1101 Off Of Ih0 JAIMP. 3 Personnel samples shall be lakeri from the bfeair)ing Zone of the f0preSEA-ItaiiVO "' j IN"I ERIOR UEMOUI ION, INC. HACI A ASBESTOS ABATEMENT PLAN 9800 GRAPE ST JOH#2138 (.08 ANGEI.ES, CA 90002 C Virual Clearance Post Abalemeni 1 At (fie completion of the. removal activities and detailing, the Qualified Person (OP) shall inspect for visible accurnu[a(ions of AGM. If the area passes the., visual in:pecfion, encapsulation procedures can proceed. if the area falls the visual inspection, re-clean and, it acceptable, rnist Vie work area with the appropriate encapsulate, 2 Final visual clearance will be performed by the owner's competent person and the asbestos competent person. I MITU-1 hu%wak Rmlti 9 allft mld= Results Meaning action NeEded PRE-SAMPLE: .001 to .01 Nornial/Ambient Air PPE's riot required .01 to .1 Above Nortrial Strongly consider US'Of FTE'S. .1 (01.0 Above OSHA P.E,t. Mandatory use appropriate PPE's- DURING: (Inside Containment) .01 19 1 Norm,abatement level Cont. use of good work practices. .1to1-0 Above normal 0SHA Possibly modify work levels and/or abatement P.E.L practices andlor engineering controls, Above 1.0 Very high STOP WORK. Modify work practices arid/or engineering controls, Mandatory use of PAPRs (Outside Containmeril) .001 to .01 Norm/ambient Levels Continued use of e.ngirieerio(g controls .01 to .1 Above Normal Stop work,check rnake-up air, modify engineering controls, clean areas outside work areas- Above I ABOVE NORMAL Stop work,check make-up air,modify eng controls and clean areas orAl-side conlairiment Evactialle areas adjacent fu work area. CL EARAWCHS� 001 to 01 Noir,-,al ArviLient Ievets Removf, final Harriers 01 to 'I Above Norma! CoaN)are to outsside sarnpk;, re-c�ean if Fibov(-., oot&'de sarnpN� (Out-side Containriient) 00110 01 Horm,'AmbieliL Luvelz- .0 1 to .1 Above Normal Use as cleatarce level for insidesarnr4i INTERIOR DEMOLrTION, INC. FIACI.A ASBES[OS ABATE ME WT PtAN JOB 9800 GRAPE SI #2138 LOS ANGELES, CA 90002 V. ok Electrical Service and HVAC i, "rhe Contractor shall provide temporary lighting sources and ensure safe installation (including ground faulting) of temporary lighting sources and any additional electrical equipment to be used by the Contractor, in compliance with all applicable electrical code requirements and Cal/OSHA requirements for temporary electricatsysterriss. 2. The Contractor shall utilize temporary electrical service or generator: ensure safe installing of connections and extensions cords (including ground fault inlem.1plion connections), temporary electrical service, and any additional electrical eqUipment to be used by the Contractor, in compliance with all applicable eler-tricai code requirements and CaJ/OSHA requirements for temporary electrical systems, S. Decontamination Units 1. One (1)decontamination unit shall be required at each asbestos control area, It will comply with the foilowing guidelines: a. Three (3)-stages V decontamination shall be provided, consisting of a clean room, equipment/dirly room, anc i0iower. This area shall be constructed of 6--mm polyethylene sheeting and PVC pipe at a minimum. b. The floor shall be covered where the docontarnination Lfflit will be placed with two (2) layers of 6-mm polyethylene prior to set-up of unit, c A single entry and exit to each work area shall be provided. d. Each of the three (3)stages shall be separated from each other and the abatement area by a plastic flap constructed 6-mil poly sheeting that allow for the flow of air through the clean room and shower room. 2, The Equipment Room shall be Of sufficient size for storage of aid equipment, disposal fa(Jlities for contaminated clothing, and allow for removal of such clothing by employees. 3, The Clean Roorn ;shall be of adeqLmle size to allow employees to don abatement gear. Storage facilities for street clothing and respirators will be provided. Towels will be available in this area, for use after showering. C. Typical Containment Construction 1. All materials shall be delivered in the original packages, containers, or bundles bearing the name of the manufacturor and brand name. 2. All materials shall be stored off the ground,away from wet or darnP Surfaces. afndLn(elCOVOr �ufficipntcnOLgtlt ol')r��veft � )mcCeorconlajninatio . Damaged,dote riorating, of pfeVIOU',ly used materials shall not be used a;-Id shall be romoved horn the work site and disposed of properly. '-h e 3 i ,Coritiactm shall shut clown and lock out the I WAC ar--d electrical syvtQw- v, for the work aroa Trie Corftactorshall provide ternporary lighting sowcez and ensure safe installation(including ground faulting)of terripoiary lighting soij!ce!5 and any additional eiectrical eqUipfflEflIt to be LjEjgd by the Contractor in corlipliance With M applicable electrical code requirements and CaUOSHA requirements for temporary electrical systems Z Work areas shall be isolated from non-work areas by installing detireators; and caution tape 20' beyord entire building perimeter Si(Inz-z 01,0 be posted '.'it the entrance to each kvokaroa mating a, f f;i INTERIOR DIF-MOIJ-1-10N, INC. HAG I A ASBES105 ABA'f EMI:-NT PLAN 9800 GNAPE 51 JOB Vi� LDS ANGELES,CA 90002 DANGER ASBESTOS CONTAMINATION Respirators and Protective Clothing Must He Worn by All Personnel Entering This Area V1. A Access to Work Area 1 Worker entry and exit into each coniaminatecl area shall be controlled by use of an entry/exit log, lnspccicrs and supervisors shall also sign the log as evidence of entry into the area. R Abaternent Guidelines 1 Abatement is to commence only after the site supervisor has determined that the restricted area is established and clearly marked. The following removal steps/phases have been presented as a logical sequence of events: the work Should follow this sequence: G Rerrioval Steps -Asbestos I. Adequate wetting. Using an airless sprayer capable of defsverinq a fine low J)WSSUre mist, wet the ACM with amended water, fashion glove bag containment 2. Removal of Asbestos Containing Materials (ACM). a. Remove ACIVI in manageable section while the material is still wet. 1). Use HEPA filtered VOQUUMS to collect ail ACM debris and dust/dirt containing ACM. C. PrornpHy clean tip and dispose of AGIVI waste in leak-proof contarner,6. Prohibited Activities Flaring ACM Rernovat * Use of high speed abrasive disc saws, sanders, -drills, oi other power tools that are not equipped with point-or-cut&St collection systerns that are attached to 1--IEPA filtered vaCUUMS. * Use of compressed air to remove asbasms. * Removal of ACM while it is Cry or when it has not been adequatefy we tied. Dry sweeping, shoveiing. or other dry clean-up of ACNI, or dust/dirt containing ACM. 3 Removal of Tools alid Equipnient a. I h(AU]ghlly HE-FIA ve.)cLiurnond wet wtpe and oihei e(jtj4;nje!il [*,tore re n ic)vj n g f 1 orr,work a i ea. t Any power tools- that cannot be cornpletely de-conlamigiate!d must be placed in pie-laboled pla,,tsc bags sand sealed with dLi(;! tapo Lefore; re-moving fro-11 work area. Fland tools such aF scrapers, broad knives, etc., can, he booned I)y tivej w ping and are to Oc- bagged prior to icmoval frorn [tie wo k area. INTERIOR DEM01-17-10N, INC. HACLA A$8 EMS MAI r ME N1 PLAN J 0 B 9800 GRAPE S1 42138 LOS ANG EI-ES, CA 90002 A. Encapstflation of Suria0es in the Work Area a After all equipment,AGM waste Find disposal bags have been removed from the work are, the wort, is then ready for the pre-sealant visual inspection by the competeni person. If the Visual inspection is succes-sful, lightly niist the area with a "lock down"encapsulant, tj. The encapsulant is to be applied evenly over the work area with an airless sprayer eqOpment, and Should riot be allowed to -pool Lip". G. Allow the encapWlant enough tirne to dry, before regular demolition activities. V11, Lufia2aw A. Disposal Saljs; 6-min-thick leak-proof polyethylene bags shall be used and labeled as follows: First Label, to be used on all non-friabie, non-hazardous asbestos waste, in accordance with 8 CCIR 1529 (k): DANGER CONTAINS ASBESTOS FIBERS AVOID CREATING DUST CANCER AND I LING DISEASE HAZARD Second Label, to be used car) all hazardous asbestos waste in accordance with NESHAPS 40 CFR part 61.152 (b)(i)(IV) for Waste Generator Identification, HOUSING AUTHORITY 2000 Wilshire Ulvd Los Angeles, CA 90002 EPA 10 4 ACCUMULATI6_N_9_T_AWf®AT _F Third I-abol, to be used on all non-friable, non-hazardous asbestos waste in accordance with NESHAPS 40 CFR part 61.152 (b)(i)(W) for Waste Generator ldoritifjcalion: HOUSING AUIHORIIY 2600 Wilshhe Blvd Los Angeles,CA 90002. B. Containers (6 IMI Poly Bags) The.Contmc.iorshall si:'81 WnLlil)E;1� (6-MM WhC-JI kill _rle Coniractoi sha11 use dwiNf, bagyno procedures Bags [lot be over-filted The se Lags (Affely sealed. and tho air will be evacutiled t HEPA-9hall he se 0 a filleted vactiorn To prevent accidental Upelljilg sand Je@kaqC1, the taps of the, bags wN be tied with an over I iand knot or by Ua:)inq in a guusene(l; fashion. Bags will not be sealed with wire or cord. Bags will be transported to the on-site unclosed tiailF f awaiting inspection. manif"t signing, and ifansporlation off site. INTERIOR DEMOL1110N, INC. HAGLA ASBESTOSABATEMEN7 PLAN JOB 0800 GRAK- Sl t OS AN GE E LES CA 90002 C. Transpo riot ion & Disposal-Asbestos and Lead Waste 1, 1 he Contractor shall transport or arfar'19e for the transportation of asbestos contaminated waste to landfills approved by the stale of AFi7ona. Transporters of hazardOLIS waste nlLJ91 be registered with the U.S. Department of Transportation in accordance with Title 49 CFR 390,21. 2. No waste wil) leave until the environmental officer signs the,waste manifest. The manifest and other associated paperwork must be submitted for approval at least two (2)working days prior to transportation Transporters Interior Demolition Inc BDC 2621 Flonoluki Ave 1211 VV Gladstone St Montrose, CA 91020 Azusa, CA (818) 249 4932 (626)969 1384 Landfill - Asbestos Azusa Land Reclamation 1211 W Gladstme S1 Azusa, CA (855)203 9169 D, Disposal- Universal Waste Arion Global hic 1734 Tyler Ave S. F-I Monte, CA 91733 (323) 986 6717 Construction del)(is will be. sepafated and dlspw�(-,d of in accoroance with all [ocal State, and Feder-al c!LJCOIineS All wade t�tfecirns will he dispn,)ied ni in aiccoroara'r-will-i all ano Fcceral goidelines w I'.�MT?IORDC"J�°OLdY"ON INC. h1oraa/4114r Awlve T yt. - Pemoclrlr� •�a11Ar FrWrtARr IV0,11r r<fwr+f/r��:�irr�rr�'ri��� iar�past lc. o.s4nq•la1 0 J;40..tP5 . Man, al ork I Demo r on W IIACLA 9800 Grape St, Los ,Angeles Y 1.01NTRODDCTION 1.1 PURPOSE OF Tl•lE WORK PLAN Interior Demolition, Inc. (0)hasprepa red this Demolition and Removal Plan, hereafter referred to as e. "Work Purl", for the purpose of providing a retailed description of demolition aha rerrtuva l procedures, which IDI will be implernenting during the on-site activftie5 at O Crape St. 1.2 SITE LOCATION AND l3 StRIPTION 9800 ,gape St, W5 Angeles', c .1.3 GENE,A['.'WQAK A('.—iVITY OVERVIEW The work td.Y led cif°irler this Work Plan will be conducted in a sequential manner, with s. :.�ctivit s being conducted concurrently with others. Demolition work will be lerfa med in ccordance with Cal OSHA and SCA MD 1403, and the requirernents of f4A�Itfi. Depending upon site and rather unknown conditions, IDI's general sequence of demolition e'divitiea rn ay require alteration at any given time. Demolition dates 1 a/15/21 to' 12124121. 1.4 PER.SONINF1 l EA1.1 H & BALD Y 1D! cod ,L! ' rs s[!Iety alld 040 pfe1'enlicr1 {fit a(.bdei.t4 an Mlegrai i p tl its opefatioln1 I ndcr I ecieia1, State c4_nd local laws, IDI is reS puttIsible to ovide :. .`:Fjfe E' ni king r,ii itoiimen+, to protect life, health aria safi' ty r;f its 1 rl`i loy€es and. su.hcooiiactoi's person,nel. All l"ougll pt ovid ing sale k',rOf king {i.Tnd idoris iS p(inlaiiiya maria eri` p,ni it<sporisibility, safetV and acciderit l's.,everiti n C:r",n he C.'ccornplished urily through r:oordhiated efforts is of all er►iployeeas and personnel. It is the policy of IDI '# i t1hi5 l"1ti}; C'i �r�Etll ci' Gf (ii v pr{jectfi, Did H th� iz.al, w sefvif=e being ufidert:akerl �.: (ifli;t i ( [ is c� t '', i¢•vi ifE:;ir: i .L� A r.1t;l..,.¢ C? i. `Ytli i Csl;'-r (:.:af`111("I` (zli i)e establisher. IDI will hold weekly meetings for its employees prior to work commencement, Additionally, ID] will require that subcontractors be required to hold similar meetings covering their respective portion of the work. These meetings are designed to discuss the projected work schedule and prepare each worker for any potential hazards associated with the work activities. A copy of the weekly safety meeting logs will be maintained onsite at all times. All personnel attending the safety meeting will be required to sign the safety-meeting log upon completion of the safety meeting, Daring the meetings, personnel will be reminded of site conditions and are encouraged to participate with health and safety concerns. At the conclusion of the project copies of all daily activities will be presented in a final report to the HACLA for distribution to relevant parties. UASBESTOS AND LEAD ABATEMENT A work plan for the asbestos and lead abatement was issue in another document to (general Services. Attached. 3.0 DEM 01_1110 ! ACTIVITIES Prior to commencement of building demolition, a thorough walls through and evaluation of the building will be conducted to confirm that all appropriate measures have been completed to ensure that the area is ready for commencement of demolition activities, including receiving asbestos clearance for each structure, ensuring that all utilities have been disconnected and the lines abandoned and making sure that there aren't any horneless persons inside the buildings. in general, the tasks will include, a wide variety of procedures. The most important aspect in the development of these procedures will be the safe cond(act of the work, IDI`s procedures will limit the use of labor to the most controlled and safe conditions and rely upon mechanized means of removal wherever possible. 70,000 lb excavators equipped with concrete breakers, grapplos, pulverizers and other modern hydraulic: demolition tools and attachments will be utilized. Wherever po!;sible, large structures will be removed to ground level using mechanized means. Subsequent sizing of scrap materials such as steel and rebar and other material processing activities will take place at grade level, hauled off site and recycled accordingly. General budding/structure: demolition will be con lucted if) ca manner that (Ices riot interfere with or encroach upon tyre existing sufrounding, pedestrian and vehicular traffic daring normal activities. IDI will provide fencing and a pedestrian canopy on Washington and Los Angeles. However, depending upon site and structure conditions, alternative methods of demolition and alternative 'types of equipment way be use(] tc} ensure the safest and n-iost efficient rneems of operation. This may involve modification of the site fencing from time to tirne in caroler to c�omiplete the. demolition activities. This will always be coordinated with HAQ]k in advance, RVI's will be issued as needed if questions or scope issues arise during the course of the demolition activities. Field activities related to any RH's will riot incur until an appropriate answer has been provided, 3.1 PRE-STRUCTURAL DEMOLITION ACI'IVITIES AS needed, ID1 will use Bobcat skid steer loaders and hand labor to remove all soft debris that is not easily separated from the concrete material. This includes removal of roofing, ceilings, HVAC ducts, insulation, plaster partition walls, lights and all other building components. Fences will be installed around the trees that are to remain as per the plans in order Io protect therm from any damage during the demolition. In addition, they will be watered weekly, every Friday at Barn utilizing our water truck that is perrna nently on site, 3.2 ABOVF SURFACE DEMOLMON JDl will begin the above surface demolition after the asbestos and le-ad abatement has been completed and as dernolition progresses, IDI will use Bobcat skid steer loaders and hand labor to separate the wood, metal, and roof materials in order to transport them to a recycling facility. Roof, containing concrete will be transported with the clean concrete to a recycling facility. The wood mixed with trees and shrubbery will be recycled to be used as combustible. IDI will utill7e excavators and Hack loaders equipped with special demolition cttachments (Le, hydraulic breakers, hydraulic shears, and grapples) to demolish thesc., structures, The use of 101's excavators increases the efficiency of the dernolilion process and allows a more controlled operation than conventional crane. and ball wrecking procedure. Demolition will begin from the top working down and from ane end of the building working towards the other end. Excavators and loaders will systematically demolish the building structure and process the demolition debris. Derriolition debris will be segregated -cmd stockpiled for proper disposition. 3.3 SUB-SURFACE DEMOLITION Sub-surface demolition will consist primarily of removal of building slabs, and footings. W1 will iise EALaWltOrS to df=AlOfish the concrele dov,,i) to slab or adjacent gradc cdevatioi), Track loaders ryiey @ssist w7ih debris femoval, pfocessinp, stockpiling sari loa(firlp Y;Ibs and, fnc1iFQ?S VAI; 1)r, 'A6G 0?1 41 PIS: C% F)M(eS�Sed dfld hiMied off siie fOr 3,4 FERROUS AND NONA FRR(--W.S MHALS RH YCI li'1116 ['10f ilflp, det'1101hJ011 Of the c:'Asiiilg hoilditig sit ut am, I lf.: CIC n debris ICE i ec--V( le pis i n u ch rn 01�-I IT,a t(=f iO I i"S [10 ';I I)le. St I LJ(J U 1 5 Or� t�)r 11 if 1p, a I Jelllt(";Iti lop. 4ri teff-' (oppe: tubir.p" Olt-cif if-al electrical gear, controls etc., will be separated prior to the demolition as rT)uch as possible, All metal materials recyried as part of this project will be docil M- ented with weight tickets which will be provided to HACLA. I hese materials will be hatiled to the following recycling facilities: Ecology Recycling Santa Fe Springs 3.5 CONCRETE AND ASPHALT RECYCLING Clean concrete debris from the demolition activities will be stockpiled and then shipped off for re-cycling. All concrete and asphalt that is hauled off the project site will be recycled and tickets will be provided to LACCD. This type of recycling does not get weighed but each end dump load we haul off is equivalent to 20 tons. The owner will be provided trucking tickets that show the number of loads. As of this writing all concrete material will be shipped to Arcadia Reclamation 1270 Arrow Hwy Irwindale, CA 3.6 DEMOLITION DEBRIS DISPOSAL All demolition debris that will riot be recycled by ID1 will be loaded into semi-end dumps and hauled to a disposal facility for further recycling or landfill. Jhe end- durrips will be covered prior to leaving the site. 80% by weight of the construction and demolition debris he diverted from landfills by a combination of recycling and re-use. 'This includes interior soft debris (Le, drywall, plaster, ceiling tiles, roofing material, etc.). Demolition debris will be hauled to the following disposal facilities: Azusa Land Reclamation 1211 W Gladstone St Azusa CA 33 SWPPP Interior Demolition, Inc. will maintain all SWPPP requirements. This includes but is not limited to BIVIP's, shaker plates and straw waddles. 4 1 DUS] (ON)1`101. U will control dust generation with physical bat T iors (such as perimeter fencing with windscreen) and/or soil wetting. rxcavation areas shail be sectried and water will be Used to control any fugitive dust from blowing onto other properties. The Site will be (Iontrolled and no excavation will be coriductr-d in limes of high wind conditions (e.g, vJndspced in extcs of 25 miles per hour). U11,weTse will t..ondtici air m.-nitaring a-t Site periw�,tvr and vvoi 1� areas I he water will be available via a water truck or a metered discharge from a fire hydrant located proximate to the Site. IDJ will control dust generation by spraying water prior Lo daily work activities, during excavation/loading activities (as necessary to maintain concentrations below action levels), and at truck staging locations. Watering equipment will be continuously available to provide proper dust CDI)V-Dl. We will also be using wet methods during all demolition practice to insure worker safety for silica. PROJECT MANAGER MARCO MOLINA (818) 262 -1611 SAFETY OFFICER NICK ANDRUS (626) 510 - 3034 PIPELINE AND HAZARDOUS MATERIALS SAFETY ADMINISTRATION HAZARDOUS MATERIALS CERTIFICATE OF REGISTRATION FOR REGISTRATION YEAR(S) 2024-2025 Registrant: INTERIOR. DEMOLITION, INC. ATTN: Jacqueline Kamberian. 23508 PINE ST. SANTA CLARITA, CA 91321 This certifies that the registrant is registered with the U.S, Department of Transportation as required by 49 CFR Park 107, Subpart G. This certificate is issued under the authority of 49 U.S.C. 5108. It is unlawful to alter or falsify this document. Reg. No: 082924550055('-Y' Effective: July 1, 2024 Expires; June 30, 2025 H M Company ID: 1111274 .Record Keeping Requirements for the Registration Program The fallowing must be aanaintained al the principal place of business for a period ol'three years t-Orn the do-ate of issuance of this Certificate:of Registration: (1) A copy of the registration statement tiled with PH.MSA;and (2) This Certificate of Registration Gach person subject to the registration requirement must furnish that person's Certificate of Rogistralion (car a copy)and till other records and information pertaining to the intiortniatiora contained.in the registration statement to an authorized repa-esentative or special agent of the U. S.Department of Transportation anion request.. F,ach motor carrier(private or for-hire)and each vessel operator subject to the registration requirement must keep a copy ol.'the current Certificate of Registration or tanotlncr document bearing the registration number identified as the"U.S.DOT Hazmat Reg. No," in cool)truck and track tractor or vessel(trailers and semi-trailers not included)used to transport hazardous tnaatcrials subjec t to the registration requirement, The Certirtente of tRvgistration or document bearing the registration number must be made mailable,upon request, to enforcement personnel. For information,contact the 1-la7ardous.Matcriatls Registration Manager, I'll 11-52 Pipeline and Hazardous Materials Safety Administration,U.S. Departnnunt of Transportation, 1200 Now Jersey Aventrc,SH, Washington, DC 20590, telephone(202)366-4109. Stair of California r a u r ' L .M.," IDepartntent of Industrial Relations DTVISTON OF OCCUPATIONAL SAFETY AND Fff-,AL"TH ,11c te nt "--oporistration "�j 1-1'6 fo Certi ' a IV Alsibestus-related Work Conificate No 771_____._ xpiratinn Dille 12/7/2025 Interior Demolition, Inc. I Ya ux:ol'LnganS'�1 ..... iw duly regislered by the Division orC)ceul7atinnal Sal'oly alit]Hralth ui accordencc with the 0dil'arnla Adininistrndvc Cod.,"f'rlle S, Article 2.5 for aMwslas-related work C7iy, n 7crttlssttinnst Srsfct tndIcall ' Iffeclive Date 12/7/2024 ��� C'ontraetor's License Flo. 4.03409 This registration is valid only when the Following requirements and conditions are met. 1. The registered employer shall safely perform asbestos-related work in compliance with relevant occupational safety and health regulations. 2. The registered employer shall scUfy the Division of changes In work locations or conditions as specified by Section 341.9 of Tille 8 of the California Administrative Code. 3 The registered employer shall post a stun readable at 20 feet at the location of any asbestos-relaled work stating: Danger-Asbestos May Cause Cancer-Causes Damage to Lungs Authorized Personnel Only 41. A ropy of the registration shall be posted at the jobsite beside the Cal-OSHA poster. 5, The registered employer shall provide a copy of this registration certificate to the prime contractor and any other employers at the site before the commencement of any asbestos-related work- 6 The registered employer shall conduct a safety conference prior to the commencement of any asbestos-related work as specified by Section 34 1.11 of Title 8 of the California Administrative Code. 7 The registered employer acknowledges the Divisico's right to revoke or suspend this registration as provided by Section 341.14 of Title 8 or the California Administrative Code E Printed on: 1130/2025 5:51:38 PM To verify most current certification status go to:https://www.caleprocure,ca.gov G S Office of Small Business & DVBE Services Certification ID:14467 Ema11 Address: Legal Business Name: maria@interiordemolition.net INTERIOR DEMOLITION INC Business Web Page; Doing Business As(DBA)Name 1. http://www.interiordemotition,net INTERIOR DEMOLITION INC Business Phone Number: Doing Business As(DBA) Name 2: 818/249-4932 Business Fax Number- Address. 818/249-4937 23508 Caine St Business Types; Newhall Construction CA 91321 Certification Type status From TO SB Approved 01./22/2025 01/31/202.7 Stay informed!KEEP YOUR CERTIFICATION PROFILE UPDATED! -LOG IN at C IeProcure ,-CQV Questions? Email:OSDSIiELPL@DGS.CA.GOV Call OSDS Main Number:91,6-375-4940 707.3rd Street,1-400,West Sacramento,CA 95605 Ff So- 0 Office of SI Aii mushbess INTERIOR DEMOLITION INC Vendor #605984 Welcome to the enhanced Small Business Certification Portal! New functionality in the menu allows you to: • Update your Business Information Manage and add new contacts for your Business o New contacts you add will be able to register for Portal access • Manage your Business's Owners (now separate from Contacts) Upload Documents at anytime * Update your NAILS codes at anytime Please complete your Business, NAILS, Owner and Contact information Before applying for a certification as you will not be prompted for it during the streamlined certification process. Available Certifications Community Business Enterprise Program (CBE) Disabled Veteran Business Enterprise ll Local Small Business Enterprise 0 Not Ready to (LSBE) Recertify Certification 4098096 - Expires 1/31/2027 Social Enterprise (SE) of Los aH�F A A �Y ACC) 'O CERTIFICATE OF LIABILITY INSURANCE DATE s1131znzaYY) 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 SETWEEN THE ]$SUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT; If the certificate holder is an ADDITIONAL INSURED,the pollcy(fes)must have ADDITIONAL.INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s), PRODUCER CONTACT NAME:. Debbie Williams V.._ _ _.. HUB International Insurance Services Inc, PHONE -- PO Box255387 tau N >xlr_016-4804124 E MAIL Sacramento CA 96865 AppREs3 debhie Williams hubinternational,com INSURER{S�AFFURDINGCOY6RAGE_ NAIC# I�i�ense#_075777s-IN URERA:Nautilus Insurance Company ----- t737D INSURED INTEOEM-01 INSURER a Keay Risk Insurance Company.-.,-.-----,-,-_ _ 10886 Interior Demolition Inc ---------— — ----- 23508 Pine Street _INSURER C;state Comf)ensalion InSurSnCe Fund of Califorrja 355076 Newhall CA 9.1321 INSURER E INSURER F; COVERAGES CERTIFICATE NUMBER:1263136728 _ REVISION NUMBER: _ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED YO 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, ]Nall. "x __._..,_. _ i TYPE OF INSURANCE pOLicY EFF POLICY E P L7R I ROLICY NUMBER _ I fMMfDD1YYY� MMIDD YYY LIMITS A I X COMMERCIALGENERALLIABILITY EwCP203 502 5-1 3 [ 6/412024 614/2025 EACHOCCURR£-NCE I$1,000,000 CLAIMS-MADE X UCGUR _FRa�vtISES{Fa nccurr�nc $100,OD0 X 55 09tl DadlOccur IVIED EXP(Any one person) _....__.__ �PER50NAL a ADV INJURY $1 O40 440 GENT AGraREUATE LIMIT APPLIES PER, GEN[RALAGGRCGATE_ _ $2,000,000 POLICYX_!JECT LOG ' PRODUCTS CCMPlr7P AGG $2.000,000 _ I_..... .. ., ._.._.__._.,-___.._.__..,.._....... OTHER: I I $ B AUTOMOt31LELIABILITY 8AP2035024-13 6/412024 614/2025 ,tUMRalUgl}rNGLELiMITTT-^ $1,000,000 X ANYAUTO I BOOILYINIURY(Per poeson) s SCHEDULED i { _ ._ ._. ... AUTOS ONLY t .... AUTOS I 6001t-YINJi1RY(Per a ridenl) S HIRED NON-OWNED PROPERTY DAMAGE— r AUTOS ONLY ___-- AU FOG ONLY LF+er agradenll-_ 5 _. A UMBRELLA LIAR X OCCUR l FFX2435025-13 614/2024 6/4/2025 i EnCH UGCUP,RENCC S 5,000 000 - -- X ,EXCCSS LIAR CLAIMS-MADE ! I I AGGREC ATE $5.00p 000 - ENTI _ ._._ - - I DED I X RETONS I $_._.__ C WORK ERSCOMPENSATION I 1977624-24 9/27/2024 9/27/2025 iX PER OTFI- AND EMPLOYERS'LIABILITY Y 1 N I STATUTE _E♦j._.... ANYPROPRIETORIPARTNFWRXFCUTIVE I—I CFF'ICE Z)MFNWEREXCE.UDFD7 NIA I E.L.EACH ACCIDENT $1,000,000 (Mandatory In NH) I El,DISEASE-FA.EMPLOYEE $1,000,000 If a,descube under .-_- -__.._._.._......_._._._'....-___-_--_..__._.__.. DESCRIPTION OF OPERATIONS helow _^ El,DISEASE POLICY LIMIT ,51,pQ0,O00 A ProlesslenalLl dIty ECIP2035025-13 614/2024 W412025 EachClaimlAggregale $1,000.000 Contractors Poi➢uvon Liabikly ! Each OcculrencelAgg. $1.000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS!VEHICLES(ACORD Tat,Additional Remarks Schedule,may be attached if more apeCe Is required) RE: Evidence of Insurance Only. CERTIFICATE HOLDER -��— CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TI4E EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE:POLICY PROVISION$, PROOF OF INSURANCE A`UUTpHyORIZE,DDRREPRESENTATIVE i O 1988-2015 ACORD CORPORATION. Alt rights reserved. ACORD 25(2016103y The ACORD name and logo are registered marks of ACORD AC"R" CERTIFICATE OF LIABILITY INSURANCE r ATE(MMIDDIYYYY) -�` 4/17/2025 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 HUB International Insurance Services Inc. NAME: Debbie Williams PO Box 255387 PH ONE ,916-480-4124 Fvc No:916-993-7224 Sacramento CA 95865 A Ri debbie.williams hubinternational.com INSURERS AFFORDING COVERAGE NAIC# License#:0757776 INSURERA:Nautilus Insurance Company 17370 INSURED INTEDEM-01 INSURERB:Key Risk Insurance Company 10885 Interior Demolition Inc 23508 Pine Street INSURER C:State Compensation Insurance Fund of California 35076 Newhall CA 91321 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1026126484 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 ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY) (MMIDD[YYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y ECP2035025-13 6/4/2024 614/2025 EACH OCCURRENCE S1,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES Ea occurrence $100,000 X $5,000 DedlOccur MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY ]PE� LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ B AUTOMOBILE LIABILITY Y Y BAP2035024-13 6/4/2024 6/4/2025 Ea aBl ideDt$INGLE LIMIT $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY P AUTOS ONLY AUTOS (Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ A UMBRELLA LIAB X OCCUR FFX2035026-13 6/4/2024 6/4/2025 EACH OCCURRENCE $5,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DIED I X I RETENTION$n S C WORKERS COMPENSATION Y 1977624-24 9/27l2024 9127/2025 X PER 01 AND EMPLOYERS'LIABILITY YIN STATUTE ER ANYPROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICERIMEMBER EXCLUDED? ❑ N/A (Mandatory In Ni E.L.DISEASE-EA EMPLOYEE $1,000.000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1.000.000 A Professional Liability ECP2035025-13 1 6/4/2025 Each Claim/Aggregate $1,000,000 Contractors Pollution Liability Each Occurrence/Agg. $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) APPROVED RE: 2520-City of Santa Ana-On Call Demo Services for Abatement Agreement By Tu Tran Nguyen at 2:f6 pm,Apr 18,2025 Additional Insured: City of Santa Ana,its officers,employees,agents and representatives are named as Additional Insureds with respect to General and Auto Liability per the attached endorsements as required by written contract. Insurance is Primary and Non-Contributory. Waiver of Subrogation applies to Workers' Compensation. Excess Liability extends over the Auto Liability,General Liability,Contractors Pollution Liability and Professional Liability. Policies provide for 30 Days Notice of Cancellation,except 10 Days for Non-payment of Premium. DigTu Tran To Tr an Ye by Forms: 10217 0714,BENVCA06 0917,CA0444 1013,CA0449 1116,ECP1220 0121,ECP1246 0121,ECP1248 0121,ECP1259 0121 12025.04.1 Nguyen 14:17:24-0700 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Rocio De Leon-Molina Planning and Building Agency AUTHORIZED REPRESENTATIVE 20 Civic Center Plaza Santa Ana CA 92701 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: BAP2035024-13 BENV CA 06 09 17 ENDORSEMENT This endorsement forms a part of the policy to which it is attached, Please read it carefully. BUSINESS AUTO—ADDITIONAL INSURED WHEN REQUIRED BY CONTRACTOR AGREEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM Section li-Liability Coverage A.-Coverage, 1.Who is an Insured, is amended to add: d. Any person or organization to whom you become obligated to include as an additional insured under this policy, as a result of any contract or agreement you enter into, excluding contracts or agreements for professional services, which requires you to furnish insurance to that person or organization of the type provided by this policy, but only with respect to liability arising out of your operations or premises owned by or rented to you. However, the insurance provided will not exceed the lesser of: 1. The coverage and/or limits of this policy; or 2. The coverage and/or limits required by said contract or agreement. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. BENV CA 06 09 17 Page 1 of 1 POLICY NUMBER: BAP2035024-13 COMMERCIAL AUTO CA04441013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Interior Demolition, Inc. and Earthwise Demolition &Abatement Corp(A Joint Venture) Endorsement Effective Date: 06/04/24 SCHEDULE Name(s) Of Person(s)Or Organization(s): _ Any Principal wherein such waiver has been included before loss as part of a contractual undertaking by the Named Insured Information required to complete this Schedule, if not shown above,will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. CA 04 44 10 13 0 Insurance Services Office, Inc.,2011 Page 1 of 1 POLICY NUMBER: BAP2035024-13 COMMERCIAL AUTOCA 04 49 11 16 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY, PRIMARY AND NONCONTRIBUTORY OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement, A. The following is added to the Other Insurance B. The following is added to the Other Insurance Condition in the Business Auto Coverage Form Condition in the Auto Dealers Coverage Form and the Other Insurance — Primary And and supersedes any provision to the contrary: Excess Insurance Provisions in the Motor This Coverage Form's Covered Autos Liability Carrier Coverage Form and supersedes any Coverage and General Liability Coverages are provision to the contrary: primary to and will not seek contribution from This Coverage Form's Covered Autos Liability any other insurance available to an "insured" Coverage is primary to and will not seek under your policy provided that: contribution from any other insurance available 1. Such "insured" is a Named Insured under to an "insured" under your policy provided that: such other insurance; and 1. Such "insured" is a Named Insured under 2, You have agreed in writing in a contract or such other insurance; and agreement that this insurance would be 2. You have agreed in writing in a contract or primary and would not seek contribution from agreement that this insurance would be any other insurance available to such primary and would not seek contribution from "insured". any other insurance available to such "insured". CA 04 49 11 16 ©Insurance Services Office, Inc.,2016 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT COVERAGES A & D Policy Number Policy Effective Date Policy Expiration Date Endorsement Effective Date ECP2035025-13 6/4/2024 6/4/2025 6/4/2024 This endorsement modifies insurance provided under the following: ENVIRONMENTAL COMBINED POLICY SCHEDULE Designated Construction Project(s): Designated Construction Project Limit Each of your projects away from premises owned or rented to you, $5,000,000 performed during the policy period when a Designated Per Project Aggregate Limit of Insurance is required in a written contractual agreement. I. For all amounts which the insured becomes legally obligated to pay as damages caused by occurrences under SECTION I -- COVERAGES, COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY and COVERAGE D — CONTRACTORS POLLUTION LIABILITY which can be attributed only to ongoing operations as shown in the SCHEDULE above: 1. A separate Designated Construction Project Limit applies to each designated construction project and that limit is the lesser of: a. the Designated Construction Project Limit indicated in the SCHEDULE; or b. the amount of the General Aggregate Limit shown in the Declarations. 2. The Designated Construction Project Limit is the most we will pay for the sum of all damages under SECTION I— COVERAGES, COVERAGE A—BODILY INJURY AND PROPERTY DAMAGE LIABILITY and COVERAGE D— CONTRACTORS POLLUTION LIABILITY except damages because of bodily injury or property damage included in the products-completed operations hazard, regardless of the number of: a. Insureds; b. Claims made or suits brought; or c. Persons or organizations making claims or bringing suits. 3. Any payments made under SECTION 1 — COVERAGES, COVERAGE A -- BODILY INJURY AND PROPERTY DAMAGE LIABILITY and COVERAGE D—CONTRACTORS POLLUTION LIABILITY for damages shall reduce the Designated Construction Project Limit for that designated construction project. Such payments shall not reduce the General Aggregate Limit shown in the Declarations nor shall they reduce any other Designated Construction Project Limit, except as affected by the Designated Construction Project Aggregate Limit described in 6.b. below. 4. The limits shown in the Declarations for Each Occurrence and Damage to Premises Rented to You continue to apply. However, instead of being subject to the General Aggregate Limit shown in the Declarations, such limits will be subject to the applicable Designated Construction Project Limit. 5. a. The Designated Construction Project General Aggregate Limit is the most we will pay for the sum of all damages under the Designated Construction Project Limit, described in 1.and 2. above. b. Regardless of the number of construction projects or designated construction projects covered under this policy, the most we will pay as the Designated Construction Project General Aggregate is$5,000,000. ECP 1220 01 21 Includes copyrighted material of Insurance Services Office, Inc.,used with its permission. Page 1 of 2 II. For all amounts which the insured becomes legally obligated to pay as damages caused by occurrences under SECTION I -- COVERAGES, COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY and COVERAGE D--CONTRACTORS POLLUTION LIABILITY which cannot be attributed only to ongoing operations at the Designated Construction Project(s) shown in the SCHEDULE above: 1. Any payments made under SECTION I — COVERAGES, COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY and COVERAGE D —CONTRACTORS POLLUTION LIABILITY for damages shall reduce the amount available under the General Aggregate Limit or the Products Completed Operations Aggregate Limit, whichever is applicable; and 2. Such payments shall not reduce any Designated Construction Project General Aggregate Limit. Ill. When coverage for liability arising out of the products-completed operations hazard is provided, any payments for damages because of bodily injury or property damage included in the products-completed operations hazard will reduce the Products-Completed Operations Aggregate Limit, and not reduce the General Aggregate Limit nor the Designated Construction Project General Aggregate Limit. IV. If the applicable designated construction project has been abandoned, delayed, or abandoned and then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications or timetables, the project will still be deemed to be the same construction project. V. The provisions of SECTION V--LIMITS OF INSURANCE not otherwise modified by this endorsement shall continue to apply as stipulated. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. ECP 1220 01 21 Includes copyrighted material of Insurance Services Office, Inc„used with its permission. Page 2 of 2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -- OWNERS, LESSEES OR CONTRACTORS AUTOMATIC STATUS - ONGOING OPERATIONS - COVERAGE A, B, D.1 & DA Policy Number Policy Effective Date Policy Expiration Date Endorsement Effective Date ECP2035025-13 6/4/2024 6/4/2025 6/4/2024 This endorsement modifies insurance provided under the following: ENVIRONMENTAL COMBINED POLICY I. SECTION III—WHO IS AN INSURED is amended to include as an additional insured: 1. Any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement, in effect during this policy period, that such person or organization be added as an additional insured on this policy; and 2. Any other person or organization you are explicitly required to add as an additional insured under the contract or agreement described in Paragraph 1. above. Such contract or agreement must be executed and in effect prior to the performance of your work which is the subject of such contract or agreement. Such person(s)or organization(s) is an additional insured only with respect to liability for bodily injury or property damage under SECTION I -- COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY, Coverage D.1 —Contractors Pollution Legal Liability and Coverage DA-- Microbial Substance Contractors Pollution Liability, or personal injury or advertising injury under SECTION I -COVERAGE B— PERSONAL AND ADVERTISING INJURY LIABILITY directly caused by: a. Your acts or omissions; or b. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured described in Paragraph 1. or 2. above. However,the insurance afforded to such additional insured described above: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the contractor agreement to provide for such additional insured, and c. Will not extend beyond that which is provided to you in this policy. A person's or organization's status as an additional insured under this endorsement ends when your operations for the person or organization described in Paragraph 1. above are completed. 11. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: a. Bodily injury, property damage or personal and advertising injury arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: (1) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (2) Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the occurrence which caused the bodily injury or property damage, or the offense which caused the personal and advertising injury, involved the rendering of, or the failure to render any professional architectural, engineering or surveying services. b. Bodily injury or property damage occurring after: (1) All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs)to be performed by or on behalf of the additional insured(s)at the location of the covered operations has been completed; or PCP 1246 01 21 Includes copyrighted material of Insurance Services Office,Inc.,used with its permission. Page 1 of 2 (2) That portion of your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. III. With respect to the insurance afforded to these additional insureds, the following is added to SECTION V — LIMITS OF INSURANCE: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement described in Paragraph 1.1.; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. IV. With respect to the insurance afforded to these additional insureds, the following is added to SECTION VI— REPORTING, DEFENSE, SETTLEMENT&COOPERATION: 1. Duties --Additional Insured An additional insured must see to it that: a. We are notified in writing as soon as practicable of an occurrence or offense which may result in a claim or suit; b. We receive written notice of a claim or suit as soon as practicable; and c. A request for defense and indemnity of the claim or suit will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured, if the contract or agreement requires that this coverage be primary and noncontributory. V. SECTION VII—CONDITION 10.—Other Insurance is amended by the addition of the following which supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to a person(s) or organization(s) included as an additional insured under this endorsement provided that: 1. The additional insured person(s) or organization(s) is a Named Insured under such other insurance; and 2. You have agreed in writing in a contract or agreement, in effect during this policy period, that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured person(s) or organization(s). Such contract or agreement must be executed and in effect prior to the performance of your work which is the subject of such contract or agreement. However, this provision does not apply if the other insurance available to the person(s) or organization(s) included as an additional insured is Owners and Contractors Protective Liability, Railroad Protective liability, or similar project- specific, primary insurance. VI. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a SCHEDULE of additional insureds, and which endorsement applies to that designated additional insured. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. ECP 1246 01 21 Includes copyrighted material of Insurance Services Office, Inc., used with its permission. Page 2 of 2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS, LESSEES OR CONTRACTORS AUTOMATIC STATUS - COMPLETED OPERATIONS - COVERAGE A, DA & DA Policy Number Policy Effective Date Policy Expiration Date Endorsement Effective Date ECP2035025-13 6/4/2024 6/4/2025 6/4/2024 This endorsement modifies insurance provided under the following: ENVIRONMENTAL COMBINED POLICY I. SECTION III —WHO IS AN INSURED is amended to include as an additional insured: 1. Any person or organization for whom you have performed operations when you and such person or organization have agreed in writing in a contract or agreement, in effect during this policy period, that such person or organization be added as an additional insured on this policy; and 2. Any other person or organization you are explicitly required to add as an additional insured under the contract or agreement described in Paragraph 1. above. Such contract or agreement must be executed and in effect prior to the performance of your work included in the products-completed operations hazard which is the subject of such contract or agreement. Such person(s)or organization(s) is an additional insured only with respect to liability for bodily injury or property damage under SECTION I — COVERAGE A -- BODILY INJURY AND PROPERTY DAMAGE LIABILITY, Coverage D.1 —Contractors Pollution Legal Liability and Coverage DA—Microbial Substance Contractors Pollution Liability, directly caused by your work performed for the additional insured described in Paragraph 1. or 2. above, and included in the products-completed operations hazard. However, the insurance afforded to such additional insured described above: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the contractor agreement to provide for such additional insured; and c. Will not extend beyond that which is provided to you in this policy. II. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: a. Bodily injury or property damage arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: (1) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (2) Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the occurrence which caused the bodily injury or property damage involved the rendering of, or the failure to render any professional architectural, engineering or surveying services. III, With respect to the insurance afforded to these additional insureds, the following is added to SECTION V— LIMITS OF INSURANCE: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement described in Paragraph IA.; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. IV. With respect to the insurance afforded to these additional insureds, the following is added to SECTION VI— ECP'1248 01 21 Includes copyrighted material of Insurance Services Office, Inc.,used with its permission. Page 1 of 2 REPORTING, DEFENSE, SETTLEMENT& COOPERATION: 1. Duties --Additional Insured An additional insured must see to it that: a. We are notified in writing as soon as practicable of an occurrence which may result in a claim or suit; b. We receive written notice of a claim or suit as soon as practicable; and c. A request for defense and indemnity of the claim or suit will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured, if the contract or agreement requires that this coverage be primary and noncontributory. V, SECTION VII—CONDITION 10.--Other Insurance is amended by the addition of the following which supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to a person(s) or organization(s) included as an additional insured under this endorsement provided that: 1. The additional insured person(s)or organization(s) is a Named Insured under such other insurance; and 2. You have agreed in writing in a contract or agreement, in effect during this policy period,that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured person(s) or organization(s). Such contract or agreement must be executed and in effect prior to the performance of your work included in the products-completed operations hazard which is the subject of such contract or agreement. However, this provision does not apply if the other insurance available to the person(s) or organization(s) included as an additional insured is Owners and Contractors Protective Liability, Railroad Protective Liability, or similar project- specific, primary insurance. VI. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a SCHEDULE of additional insureds, and which endorsement applies to that designated additional insured. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED, ECP 1248 01 21 Includes copyrighted material of Insurance Services Office,Inc.,used with its permission. Page 2 of 2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF SUBROGATION (TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US) AUTOMATIC STATUS - COVERAGE A & B Policy Number Policy Effective Date Policy Expiration Date Endorsement Effective Date ECP2035025-13 6/4/2024 6/4/2025 6/4/2024 This endorsement modifies insurance provided under the following: ENVIRONMENTAL COMBINED POLICY 1. The following is added to Paragraph 17. Subrogation of SECTION Vll—CONDITIONS: We waive any right of recovery against any person(s) or organization(s) because of payments we make under COVERAGE A-- BODILY INJURY AND PROPERTY DAMAGE LIABILITY, and COVERAGE B-- PERSONAL AND ADVERTISING INJURY LIABILITY under this policy. Such waiver by us applies only if: 1. The insured has agreed in writing in a contract or agreement with such person(s) or organization(s) to waive its right of recovery; and 2. The insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This waiver does not apply in any jurisdiction where such waiver is held to be illegal or against public policy or in any situation where the person(s) or organization(s) against whom subrogation is to be waived is found to be solely negligent. This endorsement does not apply to any person(s) or organization(s) designated in a SCHEDULE of person(s) or organization(s)against whom rights of recovery have been waived. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED, ECP 1259 01 21 Includes copyrighted material of Insurance Services Office,Inc.,used with its permission. Page 1 of 1 ENDORSEMENT AGREEMENT WAIVER OF SUBROGATION 1977624-24 BLANKET BASIS PAGE 1 OF 1 FUND HOME OFFICE EFFECTIVE SEPTEMBER 27, 2024 AT 12 . 01 A.M. SAN FRANCISCO AND EXPIRING SEPTEMBER 27, 2025 AT 12 .01 A.M. ALL EFFECTIVE DATES ARE AT 12;01 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME INTERIOR DEMOLITON INC 23508 PINE STREET NEWHALL, CA 91321 WE HAVE THE RIGHT TO RECOVER OUR PAYMENTS FROM ANYONE LIABLE FOR AN INJURY COVERED BY THIS POLICY. WE WILL NOT ENFORCE OUR RIGHT AGAINST THE PERSON OR ORGANIZATION NAMED IN THE SCHEDULE, THIS AGREEMENT APPLIES ONLY TO THE EXTENT THAT YOU PERFORM WORK UNDER A 'WRITTEN CONTRACT THAT REQUIRES YOU TO OBTAIN THIS AGREEMENT FROM US. THE ADDITIONAL PREMIUM FOR THIS ENDORSEMENT SHALL BE 2,00% OF THE TOTAL POLICY PREMIUM. SCHEDULE PERSON OR ORGANIZATION JOB DESCRIPTION ANY PERSON OR ORGANIZATION BLANKET WAIVER OF FOR WHOM THE NAMED INSURED SUBROGATION HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WATVER NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELL} TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS OF THIS ENDORSEMENT. COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: AUTHOR)ZED REPRESENT, 1VE PRESIDENT AND CEO 2572 SCIF FORM ID217 IREV.7-20141 OLD DP 217 79/5/2025 E(MM/DD/YYYY) A�" CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Debbie Williams HUB International Insurance Services Inc. PHONE FAX PO Box 255387 A/C No Ext: 916-480-4124 A/C,No):916-993-7224 E-MSacramento CA 95865 ADDRESS: debbie.williams@hubinternational.com INSURER(S)AFFORDING COVERAGE NAIC# License#:0757776 INSURERA: Nautilus Insurance Company 17370 INSURED INTEDEM-01 INSURERB: Key Risk Insurance Company 10885 Interior Demolition Inc INSURERC: State Compensation Insurance Fund of California 35076 23508 Pine Street Newhall CA 91321 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:24700283 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DD MM/DD A X COMMERCIAL GENERAL LIABILITY Y Y ECP2035025-14 6/4/2025 6/4/2026 EACH OCCURRENCE $1,000,000 CLAIMS-MADE � OCCUR PREMISES DAMAGE TO PREMISES Ea occurrence) ccurrence $100,000 X $5,000 Ded/Occur MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY� PECOT- LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ B AUTOMOBILE LIABILITY Y Y BAP2035024-14 6/4/2025 6/4/2026 COMBINED SINGLE LIMIT $1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED FIR ER DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident L $ A UMBRELLA LIAB X OCCUR FFX2035026-14 6/4/2025 6/4/2026 EACH OCCURRENCE $5,000,000 X EXCESS LAB CLAIMS-MADE AGGREGATE $5,000,000 DED X RETENTION$n $ C WORKERS COMPENSATION Y 1977624-24 9/27/2024 9/27/2025 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICE R/M EMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 A Professional Liability ECP2035025-14 6/4/2025 6/4/2026 Each Claim/Aggregate $1,000,000 Contractors Pollution Liability Each Occurrence/Agg. $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) RE: 2520-City of Santa Ana-On Call Demo Services for Abatement Agreement Additional Insured: City of Santa Ana, its officers,employees,agents and representatives are named as Additional Insureds with respect to General and Auto Liability per the attached endorsements as required by written contract. Insurance is Primary and Non-Contributory. Waiver of Subrogation applies to Workers' Compensation. Excess Liability extends over the Auto Liability, General Liability, Contractors Pollution Liability and Professional Liability. Policies provide for 30 Days Notice of Cancellation,except 10 Days for Non-payment of Premium. Forms: 10217 0714, BENVCA06 0917, CA0444 1013,CA0449 1116, ECP1220 0121, ECP1246 0121, ECP1248 0121, ECP1259 0121 CERTIFICATE HOLDER APPROVED CANCELLATION By Tu Tran Nguyen at 11:26 am,Sep 08,2025 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Rocio De Leon-Molina Tu Tran Digitally by Planningand Building Agency Tu Tran Nguyen 9 9 Y Date:2025.09.09 AUTHORIZED REPRESENTATIVE 20 Civic Center Plaza Nguyen 11'77'33-07'00' Santa Ana CA 92701 ouaL__ ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE POLICY NUMBER: BAP2035024-14 BENV CA 06 09 17 ENDORSEMENT This endorsement forms a part of the policy to which it is attached. Please read it carefully. BUSINESS AUTO—ADDITIONAL INSURED WHEN REQUIRED BY CONTRACT OR AGREEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM Section II - Liability Coverage A. -Coverage, 1.Who is an Insured, is amended to add: d. Any person or organization to whom you become obligated to include as an additional insured under this policy, as a result of any contract or agreement you enter into, excluding contracts or agreements for professional services,which requires you to furnish insurance to that person or organization of the type provided by this policy, but only with respect to liability arising out of your operations or premises owned by or rented to you. However, the insurance provided will not exceed the lesser of: 1. The coverage and/or limits of this policy; or 2. The coverage and/or limits required by said contract or agreement. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. Includes copyrighted material of Insurance Services Office, Inc.,with its permission. BENV CA 06 09 17 Page 1 of 1 POLICY NUMBER: BAP2035024-14 COMMERCIAL AUTO CA04441013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Interior Demolition, Inc. and Earthwise Demolition &Abatement Corp (A Joint Venture) Endorsement Effective Date: 06/04/25 SCHEDULE Name(s) Of Person(s) Or Organization(s): Any Principal wherein such waiver has been included before loss as part of a contractual undertaking by the Named Insured Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. CA 04 44 10 13 © Insurance Services Office, Inc.,2011 Page 1 of 1 POLICY NUMBER: BAP2035024-14 COMMERCIAL AUTO CA 04 49 11 16 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. A. The following is added to the Other Insurance B. The following is added to the Other Insurance Condition in the Business Auto Coverage Form Condition in the Auto Dealers Coverage Form and the Other Insurance — Primary And and supersedes any provision to the contrary: Excess Insurance Provisions in the Motor This Coverage Form's Covered Autos Liability Carrier Coverage Form and supersedes any Coverage and General Liability Coverages are provision to the contrary: primary to and will not seek contribution from This Coverage Form's Covered Autos Liability any other insurance available to an "insured" Coverage is primary to and will not seek under your policy provided that: contribution from any other insurance available 1. Such "insured" is a Named Insured under to an "insured" under your policy provided that: such other insurance; and 1. Such "insured" is a Named Insured under 2. You have agreed in writing in a contract or such other insurance; and agreement that this insurance would be 2. You have agreed in writing in a contract or primary and would not seek contribution from agreement that this insurance would be any other insurance available to such primary and would not seek contribution from "insured". any other insurance available to such "insured". CA 04 49 11 16 © Insurance Services Office, Inc.,2016 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT COVERAGES A & D Policy Number Policy Effective Date Policy Expiration Date Endorsement Effective Date ECP2035025-14 6/4/2025 6/4/2026 6/4/2025 This endorsement modifies insurance provided under the following: ENVIRONMENTAL COMBINED POLICY SCHEDULE Designated Construction Project(s): Designated Construction Project Limit Each of your projects away from premises owned or rented to you, $5,000,000 performed during the policy period when a Designated Per Project Aggregate Limit of Insurance is required in a written contractual agreement. I. For all amounts which the insured becomes legally obligated to pay as damages caused by occurrences under SECTION I — COVERAGES, COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY and COVERAGE D — CONTRACTORS POLLUTION LIABILITY which can be attributed only to ongoing operations as shown in the SCHEDULE above: 1. A separate Designated Construction Project Limit applies to each designated construction project and that limit is the lesser of: a. the Designated Construction Project Limit indicated in the SCHEDULE; or b. the amount of the General Aggregate Limit shown in the Declarations. 2. The Designated Construction Project Limit is the most we will pay for the sum of all damages under SECTION I— COVERAGES, COVERAGE A— BODILY INJURY AND PROPERTY DAMAGE LIABILITY and COVERAGE D— CONTRACTORS POLLUTION LIABILITY except damages because of bodily injury or property damage included in the products-completed operations hazard, regardless of the number of: a. Insureds; b. Claims made or suits brought; or c. Persons or organizations making claims or bringing suits. 3. Any payments made under SECTION I — COVERAGES, COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY and COVERAGE D — CONTRACTORS POLLUTION LIABILITY for damages shall reduce the Designated Construction Project Limit for that designated construction project. Such payments shall not reduce the General Aggregate Limit shown in the Declarations nor shall they reduce any other Designated Construction Project Limit, except as affected by the Designated Construction Project Aggregate Limit described in 5.b. below. 4. The limits shown in the Declarations for Each Occurrence and Damage to Premises Rented to You continue to apply. However, instead of being subject to the General Aggregate Limit shown in the Declarations, such limits will be subject to the applicable Designated Construction Project Limit. 5. a. The Designated Construction Project General Aggregate Limit is the most we will pay for the sum of all damages under the Designated Construction Project Limit, described in 1. and 2. above. b. Regardless of the number of construction projects or designated construction projects covered under this policy, the most we will pay as the Designated Construction Project General Aggregate is $5,000,000. ECP 1220 01 21 Includes copyrighted material of Insurance Services Office, Inc., used with its permission. Page 1 of 2 II. For all amounts which the insured becomes legally obligated to pay as damages caused by occurrences under SECTION I — COVERAGES, COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY and COVERAGE D — CONTRACTORS POLLUTION LIABILITY which cannot be attributed only to ongoing operations at the Designated Construction Project(s) shown in the SCHEDULE above: 1. Any payments made under SECTION I — COVERAGES, COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY and COVERAGE D — CONTRACTORS POLLUTION LIABILITY for damages shall reduce the amount available under the General Aggregate Limit or the Products Completed Operations Aggregate Limit, whichever is applicable; and 2. Such payments shall not reduce any Designated Construction Project General Aggregate Limit. III. When coverage for liability arising out of the products-completed operations hazard is provided, any payments for damages because of bodily injury or property damage included in the products-completed operations hazard will reduce the Products-Completed Operations Aggregate Limit, and not reduce the General Aggregate Limit nor the Designated Construction Project General Aggregate Limit. IV. If the applicable designated construction project has been abandoned, delayed, or abandoned and then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications or timetables, the project will still be deemed to be the same construction project. V. The provisions of SECTION V—LIMITS OF INSURANCE not otherwise modified by this endorsement shall continue to apply as stipulated. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. ECP 1220 01 21 Includes copyrighted material of Insurance Services Office, Inc., used with its permission. Page 2 of 2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -- OWNERS, LESSEES OR CONTRACTORS AUTOMATIC STATUS - ONGOING OPERATIONS - COVERAGE A, B, D.1 & DA Policy Number Policy Effective Date Policy Expiration Date Endorsement Effective Date ECP2035025-14 6/4/2025 6/4/2026 6/4/2025 This endorsement modifies insurance provided under the following: ENVIRONMENTAL COMBINED POLICY I. SECTION III —WHO IS AN INSURED is amended to include as an additional insured: 1. Any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement, in effect during this policy period, that such person or organization be added as an additional insured on this policy; and 2. Any other person or organization you are explicitly required to add as an additional insured under the contract or agreement described in Paragraph 1. above. Such contract or agreement must be executed and in effect prior to the performance of your work which is the subject of such contract or agreement. Such person(s)or organization(s) is an additional insured only with respect to liability for bodily injury or property damage under SECTION I — COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY, Coverage D.1 — Contractors Pollution Legal Liability and Coverage DA— Microbial Substance Contractors Pollution Liability, or personal injury or advertising injury under SECTION I - COVERAGE B— PERSONAL AND ADVERTISING INJURY LIABILITY directly caused by: a. Your acts or omissions; or b. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured described in Paragraph 1. or 2. above. However, the insurance afforded to such additional insured described above: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured, and c. Will not extend beyond that which is provided to you in this policy. A person's or organization's status as an additional insured under this endorsement ends when your operations for the person or organization described in Paragraph 1. above are completed. II. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: a. Bodily injury, property damage or personal and advertising injury arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: (1) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (2) Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the occurrence which caused the bodily injury or property damage, or the offense which caused the personal and advertising injury, involved the rendering of, or the failure to render any professional architectural, engineering or surveying services. b. Bodily injury or property damage occurring after: (1) All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs)to be performed by or on behalf of the additional insured(s)at the location of the covered operations has been completed; or ECP 1246 01 21 Includes copyrighted material of Insurance Services Office, Inc., used with its permission. Page 1 of 2 (2) That portion of your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. III. With respect to the insurance afforded to these additional insureds, the following is added to SECTION V — LIMITS OF INSURANCE: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement described in Paragraph 1.1.; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. IV. With respect to the insurance afforded to these additional insureds, the following is added to SECTION VI — REPORTING, DEFENSE, SETTLEMENT& COOPERATION: 1. Duties --Additional Insured An additional insured must see to it that: a. We are notified in writing as soon as practicable of an occurrence or offense which may result in a claim or suit; b. We receive written notice of a claim or suit as soon as practicable; and c. A request for defense and indemnity of the claim or suit will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured, if the contract or agreement requires that this coverage be primary and noncontributory. V. SECTION VII—CONDITION 10.—Other Insurance is amended by the addition of the following which supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to a person(s) or organization(s) included as an additional insured under this endorsement provided that: 1. The additional insured person(s) or organization(s) is a Named Insured under such other insurance; and 2. You have agreed in writing in a contract or agreement, in effect during this policy period, that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured person(s) or organization(s). Such contract or agreement must be executed and in effect prior to the performance of your work which is the subject of such contract or agreement. However, this provision does not apply if the other insurance available to the person(s) or organization(s) included as an additional insured is Owners and Contractors Protective Liability, Railroad Protective Liability, or similar project- specific, primary insurance. VI. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a SCHEDULE of additional insureds, and which endorsement applies to that designated additional insured. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. ECP 1246 01 21 Includes copyrighted material of Insurance Services Office, Inc., used with its permission. Page 2 of 2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -- OWNERS, LESSEES OR CONTRACTORS AUTOMATIC STATUS - COMPLETED OPERATIONS - COVERAGE A, D.1 & DA Policy Number Policy Effective Date Policy Expiration Date Endorsement Effective Date ECP2035025-14 6/4/2025 6/4/2026 6/4/2025 This endorsement modifies insurance provided under the following: ENVIRONMENTAL COMBINED POLICY I. SECTION III —WHO IS AN INSURED is amended to include as an additional insured: 1. Any person or organization for whom you have performed operations when you and such person or organization have agreed in writing in a contract or agreement, in effect during this policy period, that such person or organization be added as an additional insured on this policy; and 2. Any other person or organization you are explicitly required to add as an additional insured under the contract or agreement described in Paragraph 1. above. Such contract or agreement must be executed and in effect prior to the performance of your work included in the products-completed operations hazard which is the subject of such contract or agreement. Such person(s)or organization(s) is an additional insured only with respect to liability for bodily injury or property damage under SECTION I — COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY, Coverage D.1 — Contractors Pollution Legal Liability and Coverage DA— Microbial Substance Contractors Pollution Liability, directly caused by your work performed for the additional insured described in Paragraph 1. or 2. above, and included in the products-completed operations hazard. However, the insurance afforded to such additional insured described above: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured; and c. Will not extend beyond that which is provided to you in this policy. II. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: a. Bodily injury or property damage arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: (1) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (2) Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the occurrence which caused the bodily injury or property damage involved the rendering of, or the failure to render any professional architectural, engineering or surveying services. III. With respect to the insurance afforded to these additional insureds, the following is added to SECTION V — LIMITS OF INSURANCE: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement described in Paragraph IA.; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. IV. With respect to the insurance afforded to these additional insureds, the following is added to SECTION VI— ECP 1248 01 21 Includes copyrighted material of Insurance Services Office, Inc., used with its permission. Page 1 of 2 REPORTING, DEFENSE, SETTLEMENT& COOPERATION: 1. Duties --Additional Insured An additional insured must see to it that: a. We are notified in writing as soon as practicable of an occurrence which may result in a claim or suit; b. We receive written notice of a claim or suit as soon as practicable; and c. A request for defense and indemnity of the claim or suit will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured, if the contract or agreement requires that this coverage be primary and noncontributory. V. SECTION VII—CONDITION 10.—Other Insurance is amended by the addition of the following which supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to a person(s) or organization(s) included as an additional insured under this endorsement provided that: 1. The additional insured person(s) or organization(s) is a Named Insured under such other insurance; and 2. You have agreed in writing in a contract or agreement, in effect during this policy period, that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured person(s) or organization(s). Such contract or agreement must be executed and in effect prior to the performance of your work included in the products-completed operations hazard which is the subject of such contract or agreement. However, this provision does not apply if the other insurance available to the person(s) or organization(s) included as an additional insured is Owners and Contractors Protective Liability, Railroad Protective Liability, or similar project- specific, primary insurance. VI. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a SCHEDULE of additional insureds, and which endorsement applies to that designated additional insured. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. ECP 1248 01 21 Includes copyrighted material of Insurance Services Office, Inc., used with its permission. Page 2 of 2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF SUBROGATION (TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US) AUTOMATIC STATUS - COVERAGE A & B Policy Number Policy Effective Date Policy Expiration Date Endorsement Effective Date ECP2035025-14 6/4/2025 6/4/2026 6/4/2025 This endorsement modifies insurance provided under the following: ENVIRONMENTAL COMBINED POLICY I. The following is added to Paragraph 17. Subrogation of SECTION VII —CONDITIONS: We waive any right of recovery against any person(s) or organization(s) because of payments we make under COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY, and COVERAGE B— PERSONAL AND ADVERTISING INJURY LIABILITY under this policy. Such waiver by us applies only if: 1. The insured has agreed in writing in a contract or agreement with such person(s) or organization(s) to waive its right of recovery; and 2. The insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This waiver does not apply in any jurisdiction where such waiver is held to be illegal or against public policy or in any situation where the person(s) or organization(s) against whom subrogation is to be waived is found to be solely negligent. This endorsement does not apply to any person(s) or organization(s) designated in a SCHEDULE of person(s) or organization(s) against whom rights of recovery have been waived. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. ECP 1259 01 21 Includes copyrighted material of Insurance Services Office, Inc., used with its permission. Page 1 of 1 STATE ENDORSEMENT AGREEMENT WAIVER OF SUBROGATION 1977624-24 FUND BLANKET BASIS PAGE 1 OF 1 HOME OFFICE EFFECTIVE SEPTEMBER 27, 2024 AT 12 . 01 A.M. SAN FRANCISCO AND EXPIRING SEPTEMBER 27, 2025 AT 12 . 01 A.M. ALL EFFECTIVE DATES ARE AT 12:01 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME INTERIOR DEMOLITON INC 23508 PINE STREET NEWHALL, CA 91321 WE HAVE THE RIGHT TO RECOVER OUR PAYMENTS FROM ANYONE LIABLE FOR AN INJURY COVERED BY THIS POLICY. WE WILL NOT ENFORCE OUR RIGHT AGAINST THE PERSON OR ORGANIZATION NAMED IN THE SCHEDULE. THIS AGREEMENT APPLIES ONLY TO THE EXTENT THAT YOU PERFORM WORK UNDER A WRITTEN CONTRACT THAT REQUIRES YOU TO OBTAIN THIS AGREEMENT FROM US. THE ADDITIONAL PREMIUM FOR THIS ENDORSEMENT SHALL BE 2.00% OF THE TOTAL POLICY PREMIUM. SCHEDULE PERSON OR ORGANIZATION JOB DESCRIPTION ANY PERSON OR ORGANIZATION BLANKET WAIVER OF FOR WHOM THE NAMED INSURED SUBROGATION HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS OF THIS ENDORSEMENT. COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: AUTHOR12ED REPRESEJVTA VE PRESIDENT AND CEO 2572 SCIF FORM 10217 (REV.7-2014) OLD DP 217 710/7/2025 E(MM/DD/YYYY) A�" CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Debbie Williams HUB International Insurance Services Inc. PHONE FAX PO Box 255387 A/C No Ext: 916-480-4124 A/C,No):916-993-7224 E-MSacramento CA 95865 ADDRESS: debbie.williams@hubinternational.com INSURER(S)AFFORDING COVERAGE NAIC# License#:0757776 INSURERA: Nautilus Insurance Company 17370 INSURED INTEDEM-01 INSURERB: Key Risk Insurance Company 10885 Interior Demolition Inc INSURERC: State Compensation Insurance Fund of California 35076 23508 Pine Street Newhall CA 91321 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:341522081 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DD MM/DD A X COMMERCIAL GENERAL LIABILITY Y Y ECP2035025-14 6/4/2025 6/4/2026 EACH OCCURRENCE $1,000,000 CLAIMS-MADE � OCCUR PREMISES DAMAGE TO PREMISES Ea occurrence) ccurrence $100,000 X $5,000 Ded/Occur MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY� PECOT- LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ B AUTOMOBILE LIABILITY Y Y BAP2035024-14 6/4/2025 6/4/2026 COMBINED SINGLE LIMIT $1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED FIR ER DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident L $ A UMBRELLA LIAB X OCCUR FFX2035026-14 6/4/2025 6/4/2026 EACH OCCURRENCE $5,000,000 X EXCESS LAB CLAIMS-MADE AGGREGATE $5,000,000 DED X RETENTION$n $ C WORKERS COMPENSATION Y 1977624-25 9/27/2025 9/27/2026 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICE R/M EMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 A Professional Liability ECP2035025-14 6/4/2025 6/4/2026 Each Claim/Aggregate $1,000,000 Contractors Pollution Liability Each Occurrence/Agg. $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) RE: 2520-City of Santa Ana-On Call Demo Services for Abatement Agreement Additional Insured: City of Santa Ana, its officers,employees,agents and representatives are named as Additional Insureds with respect to General and Auto Liability per the attached endorsements as required by written contract. Insurance is Primary and Non-Contributory. Waiver of Subrogation applies to Workers' Compensation. Excess Liability extends over the Auto Liability, General Liability, Contractors Pollution Liability and Professional Liability. Policies provide for 30 Days Notice of Cancellation,except 10 Days for Non-payment of Premium. Forms: 10217 0714, BENVCA06 0917, CA0444 1013,CA0449 1116, ECP1220 0121, ECP1246 0121, ECP1248 0121, ECP1259 0121 CERTIFICATE HOLDER -:[APPROVED CANCELLATION By Tu Tran Nguyen at 1:20 pm,Oct 14,2025 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana Digitally signed ACCORDANCE WITH THE POLICY PROVISIONS. TU Tran by Tu Tran Planning and Building Agency Nguyen 20 Civic Center Plaza NguyewD te:2025.10.14 AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 is:zoss-m'oo' ouaL__ ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE ENDORSEMENT AGREEMENT STATE . COMPENSATION WAIVER OF SUBROGATION 1977624-25 BLANKET BASIS PAGE 1 OF 1 HOME OFFICE EFFECTIVE SEPTEMBER 27, 2025 AT 12 . 01 A.M. SAN FRANCISCO AND EXPIRING SEPTEMBER 27, 2026 AT 12 . 01 A.M. ALL EFFECTIVE DATES ARE AT 12:01 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME INTERIOR DEMOLITON INC 23508 PINE STREET NEWHALL, CA 91321 WE HAVE THE RIGHT TO RECOVER OUR PAYMENTS FROM ANYONE LIABLE FOR AN INJURY COVERED BY THIS POLICY. WE WILL NOT ENFORCE OUR RIGHT AGAINST THE PERSON OR ORGANIZATION NAMED IN THE SCHEDULE. THIS AGREEMENT APPLIES ONLY TO THE EXTENT THAT YOU PERFORM WORK UNDER A WRITTEN CONTRACT THAT REQUIRES YOU TO OBTAIN THIS AGREEMENT FROM US. THE ADDITIONAL PREMIUM FOR THIS ENDORSEMENT SHALL BE 2.001 OF THE TOTAL POLICY PREMIUM. SCHEDULE PERSON OR ORGANIZATION JOB DESCRIPTION ANY PERSON OR ORGANIZATION BLANKET WAIVER OF FOR WHOM THE NAMED INSURED SUBROGATION HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS OF THIS ENDORSEMENT. COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: AUTHORIZED REPRESENT IVE PRESIDENT AND CEO 2572 SCIF FORM 1D217 ;REV.7-2414) OLD DP 217