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Home My WebLink AboutJ&G INDUSTRIES, INC. INSURANCE UN FIDE, A-2025-047-04 WORK MAY PROCEED UNTIL INSUR4 CF. FXPIR51 EXHIBIT 4 CITY CLERK DATE: APR 2 9 2025 AGREEMENT WITH,I&G INDUSTRIES,INC., TO PROVIDE CITY-WIDE ON-CALL DEMOLITION SERVICES FOR THE CITY OF SANTA ANA 4bn� Msnr��+r,� 1�61 THIS AGREEMENT is made and entered into on this 15t4 day of April, 2025 by and between J&G Industries, Inc., a California corporation ("Contractor"), and the City of Santa Ana, a charter city and municipal corporation organized and existing tinder the Constitution and laws of the State of California 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 exTected from a professional consulting firm in the field. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terns 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 I Exhibit B and incorporated in full. � I 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. i (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 i. 10-Day Notification. A written notice shall be provided no less than 10 j calendar days prior to the commencement of demolition activities. This notice {� I 1 I shall include; (a).The address of the property to be demolished. (b).The anticipated start and etkd dates far the demolition work, , I (c).A description of potential iwpacts, such as noise,dust,or road closures, along with mitfgation measures, (d).Contact information for the Contractor and the City of Santa Ana Code .enforcement Division. E 3-Day Notlflcstiun. A follow-up written notice shall be issued no less than three (3) calendar days prior to the commenooment 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 tueipt, including direct mail, band delivery, door hangers,or other congliu-nioation method&agreed and approved,in a sighed writing,by the Executive Director of the Planning and Building Agency, or their designee, The Contractor shalt maintain, records of all r)otif"rcations and ,provide oopies to the City upon request. (4) rSignage must comply with the following; L Temporary signage twist be posted if street closure and any public right of way Will be afhoted. Tomporary signage shall consist of parking signs,directional signs, or other traffic control signs, and be installed tort(10) days before the oonunencernent of demolition activities. ii. All temporary signs rnlrst be reviewed and approved,in a signed writing, by the Executivo Diroctor of the .Public Works Agency 'or their designer: prior to posting. Failure to comply with these notifications requirements may result in termination and any cost recovery to complete the demolition prej out. COMPENSATION a. City neithsr warrants nor guarantees any minimum or maximum compensation to Contractor under this Agreerrrent. Contractor shall be paid only for actual services performed under this j 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 render RFP No,25�027. The total compensation far these services provided by all such contractors selected under RFP 25-027 shall not excmd the shared aggrogate amount of Six Hundred Thousand Dollars and. r Zero Carats($600,000)(firing tiro term of the Agreement,including any extension periods. � , I a I i i b. payment by City shall ba made at net thirty(30)clays following completion of the demolition i project, subject to City accounting procedures. City and Contractor agree that all payments due and owing under this Agreement shall be made through Automated Cleaning House(ACH) transfers. Conti-actor 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 authofized to deposit payruents directly into Contractor's accounts) with financial institutions. c. Payment need not be,made for work which fails to meat the standards of performance set forth In the Recitals which znay reasonably be,expected by City, E 3. TERM • I l This Agreerrmnt shall commence an 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'wAting by tho City Manager and the City Attorney,unless terminated earlier in accordance with Section 16, below, 4. PREVAILING WAGES Conductor is aware of'the requimments of California labor Code Section 1720,et seq,,and 1770, et seq., as -well as C0fbrnia Code of Regulations, Title 8, Section 16000, of seq., ("Prevailing Wage i -Laves"),which require the payment of prevailing wage rates and the performance of other requirements can`°public vrtarlcs'°and"maintenance"projects. If the services being perfor od are part of an applicable "public works" or "maintenan&' project, as defined by the Prevailing Wage Laves, and the total compensation is$1,000 or more, Contractor agrees to fully comply with such Prevailing Wage Laws, Contractor shall defendJaderrrnify and hold the City,its elected officials,officers,employees and agents free and hamiless from any claim or liability arising out of any failure or alleged failure to comply with Cho Prevailing Wage Laws, 5. INDEPENDENT CONTRACTOR Contractor shall, during the entire tern of this Agreement, be construed to be an independent oontractor axrd 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 tho professional mannot in which Contractor performs the services which are the subject watter 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 shailI be responsible,for all applicable withholding taxes. i 6. OWNERSHIP OF MATERIALS This Agreement creates a non-exclusivo and perpetual license for City to copy,use, modify,reuse, or sublicense any and all copyrights, designs, and purer intellectual property embodied in plans, specifications, studies, drawings, estimates, and other documents or works of authorship fixod in arty tangible medium of expression, including but not Iirnited to, physical drawings or data magnetically or i i i oi:herwise recorded on computer diskettes, which are prepared or caused to be prepared by Contractor under this Agreement ("Documeats & Data"). Contractor shall r•evire all subcontractors to agree in writing that City is granted a non-exclusive and perpetual license for any Documents & Data the i subcontractor prepares under this Agreement. Contractor represents and warrants that Contractor has the legal right to license any and all Documents & Data, Contractor makes uo such representation and warranty in regard to Doctimonts&Data which were provided to Contractor by the City, City shall not be limited in any way in its use of the Documents and Data at any time, provided that any such use not within the putposos intended-by this Agreement shall be at City's sole risk. I 7, INSURANCE, Prior to undertaking performance of work under this Agreement, Contractor shall maintain acid shall require its subcontractors, if any,to obtain and maintain insurance as described below; a, Minimum Scope and Limit of Insurance i 1. Comme)rcial General Liability (CGL). Insurance Services 0#'fiee("ISO")Forni CO 00 0I covering COL on an "occurrence" basis, including products and completed - operations, property damage, bodily iruury and personal & advertising injury with limits.na less than$2,000,000 pea occurrence and$4,000,000 aggregate,.Umbrelia and excess insurance policies can be used to meet the required limits, 2, Automobile Liability(AL). 190 Form CA 00 01 covering Coda l (any auto), with combined single limits of$2,000,000, 3, Worker's'Compensation.As required by the State of California,with statutory limits, .aa.d employer's liability insivanoe with limit of no less than.$1.,000,0.00 per accident, per employee,per policy for bodily injury or disease, 4. Pollution Legal Liability 4nWor 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 (Ervars & Omissions). With limits no less than $1,000,000 per occurrence or claim, and$2,000,000 aggregate. i G. Broader Coverage. These insui-atice requirements shall not In any way act to .reduce coverage that 19 broader or includes higher limits than the minimums shown above, if the Contractor maintains broader coverage and/or higher limits than the rnitxinrrums 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 rninirnuin limits of insunance and coverago shall be available to the city, b. Other Insurance Provisions i i i The above required insurance policies are to contain or be endorsed to contain the following provisions; 1. 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 fbimn of an endorsement to Contractor'a insurance. 2, Waiver of Subrogation. Contractor shall require its insurance oonnpauy(ies)to waive all rights of subrogation agaiDst City of Santa Ana, its City Council, its officer's, officials, employees, agents, and volunteers for losses paid under the terms of any policy which arise ll-ow perfbmiod by Contractor for City. Contractor agrees to obtain any endorsement(a)that trway be necessary to affect this waiver of subrogation,but this provision applies regardless ofwhether or not City has received a waiver of subrogation endorsement from any insurer's), 3. -primary Coverage. For any olaims related to this contract,the Contractor's insurance coverage shall be primary and arty insurance or self-insurance maintained by City, its City Council, its of Gera, officials, employees, or volunteers shall be excess of'the, Contractor's irlsar'anoo and shall not watiibute with it. - 4.. Severability. A severabillty of interest provision must apply for all the additional insureds, ensufing that Contractor's insurance shall apply sepai,ately to each insured against whom a clahn is made or suit is brought, except with aspect to the insurer's limits of liability, S; Notice of Cancellation. ftiurance 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.roaterially 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-ronewal due to non-payment. 6. Certifieate Holder. 'rile Certificate holder on each Evidence of the Insurance certificate ahall be. City of Santa Ana, Attn: (flame of deparbnent staff responsible for Agreement),20 Civic Center Plaza M-XX(responsible staff's department mail box),Santa Ana,CA 92701. c. Self-Insured Retentions. Self-insured retontio-ls 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 tile retentions. d. A.cemptability of Insurers. Tna-ar-aace 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. i i e, Verification of Coverage. Contractor shall furnish the City with o iginal Certificates of insurance includhig all required amendatory endorsements (or copies of the applicable policy language effecting coverage required by this clause.). A statement on a Cerdficate(s)/Evidence of insurance will not be accepted in lieu of the actual endorsements required herein. Ilowovor, failure to obtain the required documents prior to the work bejgimzing shall not waive the Contractor's obligation to provide there, i 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,lt'olicles. If any of the required policies provide coverage on a claims-made Fot�n, I. The retroactive date niust bo shown and must be beforo the execution date of the Agreement. 2. Insmance must be maintained and evidence of insurance must be provided for at least five(5)years aft-or 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 ofwork, 4. A copy of the olaims reporting requirements must be submitted to City, g. Subcontractors, Contractor shall require and verity that all subcantractors maintain insuranco meeting all the requirements statement herein, and Contractor shall ensure that City is an additional insured on insurance required from subcontractors, Vor COL coverage,sub-contractors shall provide coverage with a form at least as broad as CG 20 38 04 13. h. IWIure to Maintain;tusura ace Coverage.If Contractor,for any reason,fails to maintain insurance coverage which is required pursuant to this Agreement,the same shall be deomed a.material hreach of the Agreonient. City at fts sole option,may Leiminate this Agroomen.t at any time and obtain damages from Contractor resulting fx-orn said breach, i. Special Risks or Circumstances. City reserves the eight to modify these requirements, including limits,based on the nature of therisk,prior experioncc,insurer,coverago,or other special cirormastancos. : 8. INDEMNIFICATION Contmotor agrees to defend,and shall indemnify and hold harrnlesa the City, its officers,agents, �€ employees, contractors, special counsel, and representatives from liability: (1) for personal injury, I 1 ' I i i damages,just compensation, restitution, judicial or equitable relief arising out of claims for personal injury, including death, and claims for property damage,which may arise from the nogligent operations of the Contractor,its subcontractors,agents,employees,or other persons acting err its behalfwlrich relates to the services described in section I 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 I effects arising from this Agreement.This indemnity mid 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 tlus Section or by reason of the terms of, or effects, arising fl-om this Agreement. The Contractor furthor agrees to indemnify,hold harmims,and pay ail costs for the defense of the City,including fees and costs for special counsel to be selected by the City,regevding any action by a third party challenging the validity of this Agreement, or asserting that personal iWury, 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 al reasonable docisions 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 Cody: 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 PROP' RTY INDEMNIFICATION Contractor shall defend and indemnify the City,its officers,agents,representatives,and employee against any and all liability, including costs, for infringement of airy United States' letters patent, trademark, or copyright in•ftingenxont, including costs, contained in the work product or doetutents provided.by Contractor to the City pursuant to this Agreement. 10. RE,CORDS I 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, cxpenditurw, and disbursements charged to the City for a :Minimum period of throe(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 'add any other docurinents created pu.rsuadt 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 payrxierit to Contractor udder this Agreement. 11, CONFIDENTIALITY If Contractor receives from the City inf'onnadon which duo to the nature of such itAbrnaation is reasonably understood to be confidential andlor 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 citre it rises 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, electrojiloally, or by other moans. Confidential information disclosed to elther party by any subsidiary I i and/or agent of the other party is covered by this Agreement. The foxogoing obligations of non�gse 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 ofsorvices specified under this Agreement, i 13, NON-DISCRIMINATION Contractor shall not discriminate because of race,color,creed,religion,sex,marital status,sexual orientation, gender identity, gender exprossian, 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,tcaching,training,utilization,promotion,tenninati.on ar other employment related activities or any services,provided under this Agreement, Contractor affirrus that it is an equal opporhmity ewpl6yer and shall comply with all applicable :federal, state and Iocal laws and regulations. 14. EXCI.,USIVITY AND AME N]IMENT i 3 This Agreetnerrt represents-tbo complete and exclusive statement between the City and Contractor, � and supersedes'any and all cftlaer agreements,oral or written,between the pn tios. JA the event of a conflict between the terms ofthis Agreement and arty attachments hereto,the terms ofthis A.grcernent shall prevail, i This Agreement may not be modified except by written insh umen.t signed by the City and by an authorized repxesetrtatxve of Contractor. The parties agree that any tattoos or conditions of arty 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 acictrowledges that no mpresontations, injucements,promises Or agreements,orally or otherwise,have been made by any party,or atiyonc acting on behalf of any party,which is not embodied hereitr. :15. .ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Contractor, Contractor rimy not assign,transfer,delegate,or suboontraet 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 mull 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 i persorrxrel or by other contractors retained by City. j 16. TERMINATION This AAr eomont may be terminated by the City upon thirty(30)days written notice of telmination• • i 3 I In such event, Contractor shall be entitled to recoive and the City shall pay Contractor cornpensation 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 product(s) completed as of such date, and in such ease such work product shall be the property of the City unless prohibited by law,and Contractor canwnts to the City's use tbereof for such purposes as the City deems appropriate, b. payment need not be made for work whioh fails to meet the standard of performance specified in the Recitals of this.A,grecmerrt, I 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 rho 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 oontinuing waiver furless the writing so specifies, is, JURISDICTION-VENUH This Agmem.ent has been oxecuted. and delivered in the State of California and the validity, intorprotation,performance,and enforcement ofany of the clauses of this Agreement shall be determined and governed by the laws of the State of Calif'orrria. Both parties further agree that Orange County, California, shall be tbQ 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,tltroughout tine tet`tn of this Agreement,maintain all rtt.cessar`y licenses,permits, approvals,waivers, and exemptions necessary for the provision of the services hereunder and regWred by the laws and xegulations of the United States,the State of California,thv 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 exemption. Said inability shall be cause for termination of this Agreement, a. Each undersigned represents and warrants that its signature herein below has the power, authority and right to bind theta respective parties to each of the terms of this Agreement, and shall indemnify City fully, including reasonable costs trAd attorney's fees, for any injuries or damages to City in the event that such authority or power is not, in fact,hold by the signatory or is withdrawn. b. All Exhibits referenced herein and attached hereto shall be incorporated as if frilly set forth s in the body of this Agreement. I I I I I i M. NOTICE Any notice,tender,domanad,delivery, or other conununicadoxa pursuant to this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or mailed by fimt 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 Cleric City of Santa Ana i 20 Civic Center plaza(N1-30) P.O. Box 1988 Santa Ana, CA 92702-1988 Pax: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 1938 Santa Ana,California 92702 Fax, 714-647•-5635 To Contractor: J&G Industries,Inc. Attn:.lim Cait,President 18627 Brooldiurst St,#302 Fotmtain Valley, CA 92708 Fax: 714-903-2003 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 bo effective or deemed to have boon 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 th e SO forth on the tusrniSsion report issued by the transmitting facsiraile machine, addressed as set forth above, For purposes of calculating these time fmines, weekends,Federal, state,County or City holidays shall be excluded. [srgnat` yepage follayvs] E i r SIGNATURE PAGE FOR AGREEMENT WITH J&G INDUSTRIES,INC., TO PROVIDE CITY-WIDE ON-CALL DEMOLITION SERVICES FOR THE CITY OF SANTA ANA EN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: = CITY OF S NTA ANA N v�V V Jennifer L a Aivaro Nuflez er City Manager APPROVED AS TO FOIUNI: CONTRACTOR: SONIA R. CARVALHO City Attorney By. Bran o�tierra Jim ain Deputy City Attorney Pre dent RECOMMENDED FOR APPROVAL: Ali Pezeshkpour Acting Executive Director Planning and Building Agency 1 'i EXMBIT A F { Scope of'services f F • i i I 1 � I 3 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 I 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: i 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 I wl �t 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 (httr)://www.ocwatersheds.com/documents/bmr)/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 111h 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 11th 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 f i t` I ` i I { f � 3 I 1 i i E ' �E f i i I EXHIBIT B E I I ` Contractor Proposal I i I I Ei I i i I f i f E Fr fi s t• '.Y � '�r�_i°•'f;� ��Y��V��1r(��.�:,{i h ors'. REQUEST FOR PROPOSALS FOR CITY WIDE ON-CALL DEMOLITION SERVICES FOR ABATEMENT FOR THE CITY OF SANTA ANA ATTENTION: YVETE PORTUGAL, CODE ENFORCEMENT MANAGER CITY OF SANTA ANA PLANNING & BUILDING AGENCY 20 CIVIC CENTER PLAZA SANTA ANA, CA 92701 DUE: MARCH 11, 2025 BY 4.:OOPM SUBMITTED ELECTRONICALLY VIA PLANET BIDS J&G Industries t10vost 17,01,Piropoonlo for Giiywicle Oo1-Ghill 130111nolitiorn";orvico Vol-Abatomont 't to Lwurlwn �' umu I liil 4LI LI 1 �ntonuuuurc Ilq.nilllYL City of Sunto Ana Attention:Yvette Porhigal, Coco Enforcement Manager Planning&Building Agency 20 Civic Contor Plaza Santa Ann, CA 92701 Demolition Gorvlco, Name: JQIG InCIUGtrIQS, Inc. A California Corporatl n` Project Manager: Jai-nos K. Cain Address: 1862713rool<hurst St#302 Fountain Valley, CA 02708 DIR: #1000004205 Phone: 7,14-003••2002 pax: 714-903-2003 Email: s;>ain(s�j uitidualrles.corn lAciciondurn(r�}: P�.�_ o• tea, �) ADO (Dr4= 7-6Y-'70.4J Contract agreement statement:We have read and understand the intent of the contract agreement and concur with said contract agreement. Tho only person,persons,company or party Intorestod in the proposal as principals are names horoin;this proposal Is made without collusion with any other person,persons, company or parties submitting a proposal;that It is in all respects fair and in good faith without collusion Qr fraud; and,that the signer of this proposal has Rill authority to bind tho principal proposer, AG Industrlos Table of Contents Experience/Qualifications Firm(Profile Rented Experience Project!Staff Credentials Resumes Proposed Work Plan Key Personnel Relevant Project Experience References Letters of Reference Fee Schedule Certificate of Insurance: All Endorsements are Acknowledged Sample Sid '1301 1N III" Street, Santa Ana, Ca Attachments: A, B, C, D, E. F, G. 1-1 (including Sub Contractor Acknowledgement Forms JAG Industries Experiertce 1 Qualifications J&G Industries (J&G) is pleased to present our proposal to provide property demolition and related services for various City of Santa Ana (SA), projects. As an Orange County based company, J&G takes pride in providing services to our community. J&G has established strong relationships working as a true team with its subcontractors, many of which are also Orange County based companies. Our proposal presents our qualifications, examples of past projects with references, approach to this project, and our project organization. J&G is able to provide an experienced, knowledgeable and professional staff, willing to work diligently to meet the SA's needs. J&G is committed to providing adequate staffing levels at all times in order to adhere to established schedules. J&G is responsive to our clients needs. Our experience providing demolition services to local public agencies and private clients has honed our skills for maintaining excellent working relationships with property owners, tenants, neighbors and local agency staff. Our years of experience working in California have provided us with the knowledge and familiarity required to meet with federal, state and local regulations, policies and procedures as they pertain to right of way and all other demolition services provided. J&G has participated and performed in previous and current on-call contracts for various Citles. We have demonstrated our ability to satisfactorily perform the required work. We have successfully completed the safe demolition and abatement of thousands of structures ranging from residential to commercial and industrial, encompassing millions of square feet. Demolitions have included structures of one story to over ten stories. J&G has also performed emergency demolition and cleanup services in past natural disaster events. We have been successfully providing our services to public and private clients on similar projects for 35 years. Demolition and site clearance Is our business. J&G has never failed to complete any work awarded by a public agency and has never been found in default on any contract or agreement. J&G Industries Inc has the latest in demolition equipment, compliant with CARB regulations (Entity ##E103517), Including excavators with attachments including shears / grapples / pulverizers /breakers, track loaders, skid steer loaders with attachments, etc. An aggressive recycling policy has always been an important aspect to our business long before it was the buzzword in the industry or by environmentalists. Through the acquisition of a J&G Industries new portable crusher (RMG 100), it has lowered costs to our clients while it has also further proven our commitment to recycling by an aggressive policy. • J&G has years of experience working with multiple Cityt.iu{ departments and other public agencies like: CaltranS . County of Orange � `1� ` � •t• ':� th'�! ' i • South Coast Air Quality Management District• >+,I . '< <� fy>91 •{;ti�'t I State of California Division of f �x`, Industrial Safety• t� OSHA C California Department of Health .r �' �. y-'.'� •i. - �a. -. •t I Services . California Highway Patrol T �Y C Various Utilities: SCE, GTE, Verizon, Southern California Gas, etc. e Underground Service Alert a Fire Departments u Federal Environmental Protection Agency Firm Profile J&G Industries, Inc, is a California Corporation founded in June 1989, in business for 35 yl•s. J&G has one office, physical address: 7511 Suzi Lane, Westminster, California 92683. Our mailing address is: 18627 Brookhurst Street, Box 302, Fountain Valley, California 92708. J&G also has one equipment yard located at 1650 West Pellisier Road, Colton, California 92324, Current employee numbers range up to 20, J&G is a Licensed Contractor(License No. 571859, Class A, C-21 with ASB and HAZ Supplements; expires 6/30/25). J&G is actively involved with The National Demolition Association and has been a member for 34 years, Department of Industrial Relations Registration#1000004205 J&G Industries Related Experience J&G has successfully completed the safe demolition and abatement of thousands of structures, ranging from residential to commercial to industrial and encompassing millions of Square feet. These demolitions have included structures of one story to over ten stories. J&G has experience in performing work of the me or similar nature far various clients, including; the City of Santa Ana, the City of Corona, Sltechers USA, Moss & Associates. Attached are descriptions of these projects and project references. J&G strives to maintain excellent working relationships with all parties involved and affected by our activities. Project Staff Credentials J8tG has highly qualified, fully trained and dedicated employees, all available for performing the proposed work. These same employees J � ,kt I performed the work described in the related Project Experience section. Each J&G employee receives annual training satisfying the f' OSHA I-IAZWOPER standards and every two-years, training in First Aid/ Adult CPR and AED/ Environmental. Most of J&G's field personnel are certified as AHERA-accredited asbestos workers. J&G s ? 11, project superintendents and field foremen also receive training in the OSHA Construction Safety Out Reach Program. All employees Ji ice_ \ receive on-the-jab training for project specific work tasks. J&G employees are dedicated to the company and to doing a job well done. The average tenure at J&G is over 21 years for project managers, field superintendents, field foreman, equipment operators, and 15 years for laborers. Each employee has had an average of 10 years of experience in the demolition field prior to working at J&G. Resumes: Jim Cain— Project Manager/Principal Agent Jim Cain, as President of J&G brings over 47 years of experience in the demolition industry. Prior to forming J&G, he previously served eight years as president of a major demolition environmental firm, growing it from a 10-person $1 million/year company to a 150-person multi million/year firm. J&G Industries Jim served a three-year term as a member of the Board of Directors of the National Association of Demolition Contractors (NADC) fr'orn 1990-1993. He was also President of the Southern California Chapter of NADC in 1995 and 1996. Jim served from 1995 through September 1998 as project director, and a project manager, for OCTA Agreement No. C-95-950 Property Demolition and Clearance Services, 1-5 Freeway North and Various Measure M Projects. J&G completed nearly 50 dernolition and site clearance CTOs for the previous 1-5 Freeway widening project. Jim has served as a project manager from '1998, through late 2002, on a major demolition project consisting of over 300 acres at Pier ,'r, formerly the Naval Shipyards, at the Port of Long Beach. His responsibilities Included interface with the construction management team and the numer'ot.rs contractors involved with the project. Jim also served as project director and superintendent for the Capehart Housing Demolition at the Yurna Marine Station in Yuma, AZ as well as the Arnold Heights Military Housing Demolition for the March Joint Powers Authority at the March Air Reserve Base. Eric Cain—Project Manager/Field Superintendent Eric has over 17years of experience In the demolition industry and hazardous materials industry. F-le has taken courses and maintains multiple industry related certificates. Eric is a key contact and will manage day to day operations on site, coordinate with both AI-IA officials and any associated governing agencies to comply with all city, county, state and federal regulations. Eric has been a project manager/field superintendent for various City projects during this time, including projects for the City of Garden Grove, as well as the Multiple Street Demolition projects for the City of Santa Ana. Eric was also a field superintendent for the Sherman Indian High School, Dorm Building #4 Demolition project for the U.S. Department of the Interior, Bureau of Indian Affairs. Eric is a graduate of Chapman University with a Bachelor of Arts degree. Certifications: OSFIA 10-hour Construction Safety Outreach N Heartsaver First Aid, per curriculum of AHA 4 32-hou1- Procedures & Practices for Asbestos Abatement Contractors & Supervisors AHERA Asbestos Abatement Contractor Supervisor I AG Industries OSHA Hazardous Waste Operations • OSHA 30-1-lour Construction Course OSHA Orientation& Fall Protection Regulation DI-IS Accredited 3-day Lead Worker Course National Utility Contractors Association (NUCA) Competent Person Training Program National Association of Demolition Contractors (NADC) Safety Summit NPDES Construction Site Storm Water Management Course Certified Registered Traffic Flagger Mauro Ruiz- field Superintendent Mauro has been working in the demolition industry for J&G as a superintendent and foreman for 30 years. J&G as a superintendent and operator/ foreman He has taken courses and maintains multiple industry related certifications. Mauro served as a field superintendent for OCTA Agreement No. C-95-950 Property Demolition and Clearance Services, Capeliart Housing Demolition, 1-5 Freeway North, and various Measure M Projects. J&G completed nearly 50 demolition and site clearance CTO's for the previous 1-5 Freeway widening project, Certifications: NAVFAC Construction Quality Management for Contractors OSHA 10-hour Construction Safety Outreach I-leartsaver First Aid, per curriculum of AHA 32-hour Procedures & Practices for Asbestos Abatement Contractors & Supervisors AHERA Asbestos Abatement Contractor Supervisor OSHA Hazardous Waste Operations DI-IS Accredited 3-day Lead Worker Course National Utility Contractors Association (NUCA) Competent Person Training Program OSHA Orientation & Fall Protection Regulation National Association of Demolition Contractors (NADC) Safety Summit Certified Registered Traffic Flagger Tim Mulvaney—Project Manager 1 Field Superintendent Tim has over 46 years working in the demolition industry and has worked with J&G for over 8 years as a superintendent and project manager. Before joining J&G, Tim owned and operated a demolition and abatement company for over 16 years, doing over$10 million a year. Tim has J&G Industries experience starting from the ground up doing labor, operating heavy equipment to consulting. Tim has been a project manager and project director for major demolition projects, including public projects for the City of Garden Grove,the City of Santa Ana as well as private projects located all throughout southern California. Todd T'redick—Safety Officer Todd has been involved in the demolition and abatement industry since '1986. Todd has certifications as a Certified Safety Professional,#25032, a Certified Asbestos Consultant, #95-1744, which includes training and certifications as a certified AVIERA Building Inspector, Management Planner, Project Designer and Asbestos Supervisor/Competent Person. He also has 40 hr I-lazWOPER training,first-aid and CPR Training, is a trained competent person in excavation and trenching as well as being a California Department of Health Services certified Lead Supervisor. Todd served on the employee safety and health committee for the National Demolition Association from 1998 to 2020. He co-authored the most recent revision to the National Demolition Association's Demolition Safety Manual. Todd has also trained CaIOSHA inspectors in the safe work practices for demolition contractors as part of the NDA's alliance with OSHA. Todd has overseen and implemented the health and safety plans for projects costing in Excess of$10 million dollars and covering more than two hundred acres. Some of the plans He has overseen and implemented include: demolition and site safety characterization, decontamination, hazardous materials removal and disposal, asbestos and lead abatement, hazard communication training, safety meetings, site safety audits and accident investigations. Proposed Work Plan Contract Task Order(CTO) requests will be received and reviewed by Jim Cain, President of J&G. Mr. Cain will negotiate with SA the costs to complete the CTO. Mr. Cain will assign a Project Manager(PM) and Field Supervisor(FS)for the CTO. For small and medium size CTO's, the PM can also serve as the FS. J&G's PM are: Jim Cain, Eric Cain and Tim Mulvaney. J&G's FS are; Eric Cain and Mauro Ruiz. The following Is a description of our anticipated approach to implement the CTO's upon SA's authorization to proceed with the work. J&G Industrles J&G's assigned PM will first manage the services that are required to be performed within 24 hours of CTO execution. If required, fencing and boarding will be installed to secure the site. All necessary notices, ordinances, statues of rules, laws and regulations shall be followed in the performance of the CTO. Notifications/permits may include: city grading, city demolition, city sewer capping, Orange County Health Care Agency (OCHCA) tank closure, OCHCA water well closure, OCHCA monitoring well closure, South Coast Air Quality Management District (SCAQMD) demolition, SCAQMD asbestos abatement, SCAQMD VOC containing tank or soil abatement, OSHA excavation, OSHA falsework, OSHA over height, and OSHA scaffolding. The PM will direct J&G's consultant to prepare a Notice of Intent(NOI) to comply with the terms of the general permit to discharge storm water associated with construction activity, for sites that are one acre or larger in size. The PM will submit the NOI and permit fee to the State Water Resources Control Board. When required, the PM will direct J&G's consultant to prepare a Construction Storm Water Pollution Prevention Plan (SWPPP), or an erosion control plan. Storm water best management practices will be implemented as needed for compliance with the SWPPP/Erosion Control Plan, Rat and vermin inspections, and bee colony inspections to be performed as necessary. A site specific Health & Safety Plan will be prepared for the project. The FS will conduct weekly tailgate Health &Safety meetings to cover health and safety Issues with field workers. J&G's consultant will periodically conduct site safety inspections. Results are given to the PM for directing changes. Underground Service Alert will be contacted to have the location of utilities marked. The PM shall contact utility companies to coordinate any required utility terminations. Where required, sewer capping will occur at the beginning of work. The FS will be on site at the time the agency is scheduled to Inspect the utility termination. Care shall be taken to perform the services so as not to endanger the safety or any person or property. At the start of the CTO, the FS will visually survey existing improvements and utilities near the work site, In order to protect them from damage. FS will also visually survey the site for potential materials containing regulated/hazardous wastes. The PM will contact SA of any findings. J&G Industries As directed by SA, the PM will arrange for J&G's consultant to perform an asbestos and lead- based paint survey and an abatement plan for asbestos and lead containing materials removal and disposal. When an asbestos and lead-based paint survey has been previously prepared, the PM will arrange for J&G's subcontractor to prepare an abatement plan. The abatement plan will be submitted to the SCAQMD for their approval if required.The PM shall confirm that all required licenses, permits and certifications have been acquired for implementing the abatement plan. The PM will submit the SCAQMD approved abatement plan for SA's approval to proceed with its implementation. Upon SA's approval, J&G's abatement subcontractor will implement the abatement plan. FS will verify waste is properly manifested for disposal at a proper facility. Upon completion of abatement plan implementation,the FS will conduct a pre-demolition survey to identify: that the asbestos, lead, regulated and hazardous wastes have been removed as per their abatement plans; verify monitoring records; verify proper manifesting of waste disposal; visually verify no other hazardous materials are left in the demolition area; as required, verify site is secured by appropriate fencing; verify that appropriate protection devices are in place, such as pedestrian canopy; verify appropriate signing displayed (ie: no trespassing, keep out demolition in progress, danger, etc.); verify all utilities have been terminated; and erosion control measures are in place, as needed and required. The FS will use a checklist to complete the pre-demolition survey. The FS will confirm with the PM that the demolition area is ready for demolition. Structures ready for demolition will be clearly marked "CLEAR FOR DEMO J&G", FS will direct crews In: structure demolition; improvements demolition; salvaging procedures; solid waste clearing and disposal.Where practical, concrete, asphalt, steel, nonferrous metals, and wood will be segregated and sent off site for recycling. The site will be backfilled, graded and a minimum of V base material will be placed over entire lot with sand bags/wattles at perimeter, FS will review fieldwork daily for compliance with CTO specifications and record findings in a quality control log. Field personnel are trained to stop work upon discovery of suspect asbestos, regulated or hazardous waste. The FS will contact the PM,who in turn will contact SAA. The FS shall leave the work site in a clean and neat condition, upon completion of the CTO. The PM will notify those agencies required for final inspections and sign offs. J&G Industries The PM will track the CTO schedule and budget by using project management software. Schedule and budget updates will be provided to SA as required. PM will notify SA to have all work inspected within 24 hours of CTO work completion. The PM will prepare all required paperwork for final closure package and billing for the project. Proposed Key Personnel: Jim Cain, project Manager/Principal Agent--J&G, 34 years 50-100% Available Eric Cain, Project IvIanager/Fiold Superintendent--J&G, 17 years. 50-100%Available Mauro Ruiz, Field Su per!ntendenl.—J&G, 30 years. 50-100% Available Thn Mulvaney, Project Manager—J&G, 8 years. 50-100% Available Todd Tredick, Safety Officer—J&G, 20 years 50-100% Available Relevant Project Experience Commercial 8, Residential Properties Demolition, Demolition Services Contract4PA-2022- 065-01 (Demolition Services Contract#A-2017-036 included Phase 1-Completed; On-Call Contract V11.6740 included Warner Ave Improvements, Completed 2016) Warner Ave Improvements from Oalc St to Grand Ave Phase 2; 705 E Warner Ave, 909 E Warner Ave,2247 Evergreen St, 2241.2245 Kilson Dr, Santa Ana Project#18-6901 Year: 2021-2023 Project included dernolition and abatement of commercial and residential structures. Asbestos abatement was Included In scope of work as well as sewer capping, grading of site to drain and pumping of any hazardous liquids. All work was completed within the time frame, in budget and with no incidents. Eric Cain was the contact coordinator and Mauro Ruiz was supervisor on this project, r Contract Value: $110,313.00 Contact: David Ramirez, Assoc. Eng 714-647-5641 pip 01 City of Santa Ana " �'�`°'�" r '��•;`�,• Center Plaza Sant 20 Civic Ce Santa Ana, -• �.-:�; �; - � ;;.x;..{ , J&G Industries McKinley Street Grade Separation Project Demolition of Structures located at 151 8, 165 N 1111cKinley St, Corona 021-065CA Year: 2021 Scope of work included demolition of former restaurants that included slabs and footings removal. Asbestos abatement was included in the scope of work as well as sewer capping, grading site to drain and site clearance. All work was performed within the time frame and budget with no occurrences. Jim Cain and Eric Cain were the main contacts and Mauro Ruiz was a supervisor on this ;��( �'�+, ,�^ Er.• ;' .r, project. h , j y • Completed: July 2021 Contract Value: $187,530.00 Contact: Carol Appelt, Purchasing, 951-395-1941 ` City of Corona 400 S Vicente Ave#320, Corona, CA 92882 1050 Duncan Ave Office Building Demolition, Manhattan Beach#001-0000122328 Skechers USA Year: 2023-2024 Scope of work included demolition and asbestos abatement of a commercial 2 story office building. Work also included removal of slabs and footings, SWPPP implementation, sewer capping, leave site to drain and site clearance. Eric Cain and Mauro Ruiz was supervisors on these projects and all work was performed according to schedule and budget. Completed: 2023-2024 Contract Value: $261,855.00 .Ir. v. Contact: Tim Ball, VP Commercial Development ,G"fx) 310-318-3100/310-600-9436 ' 1 Skechers USA 225 S Sepulveda Blvd, Manhattan Beach, CA 90266 J&G Industries Capehart!-lousing Units Project#1302102;CPQH CapCx CY21, Phase 1 &CY22, Phase 2 MCAS,Yuma,AZ 60 Residential {-lousing Units Demolition, Marine Corp Air Station, Yuma,AZ Carnp Pendleton & 011antico Housing LLC, Moss al Associates Year 2022-2023 Scope of work included demolition and abatement of(60) residential structures, removal of slabs and footings, SWPPP and site clearance. Jim Cain was the contract coordinator, supervisor and Mauro Ruiz was a foreman on these projects. All work was performed within budget and time frames. Completed; 2022-2023 Contract Value; $6.1 million Contact: Tim Fraser, Project Executive, 760-908-1866 TFraser@rnossem.com Moss 8,Associates LLC 100 Wonsan Dr, Oceanside, CA 92058 46 � V .-.- C`'.c,:•r'{-':"r''•!;'.<��,e {i1cr:A;^, !Q �3• ., 7 r.'f�-aJ� - �3. :n.::_f•'• t .Lr".%• isT•' F.:r r ~h._: !M '�,,:`�? -' e.;-!•,yt+S1�,'-�:Y_ s` '�yt. _�ry.i;;,z�:,•;;,i..V,.,.�:.! :ii•�•14 .:_I.�.•i.� -1 g. .'TrP ,4r,j t.. •S.'se`M. ,h2'.r;�:Jam; t r,.i�l:'::';.off �:c ♦a; � 'H�{�G .�w.-,V''...r yr '�.:s IliF [{.•.{w��r..V7,-L �'Ly I•iSi: S.L:� _ �� .il�• ,,,.� •1:.. a r-....�'_.';fi• �.X.t ,. 1,:. 4 y}��-�..,,'flScY'»..�r.-. '�.n'�a?�rej �, :� �;. .tY+�t w,-i•, �:-�-ti� I�',@+i,�a, �-.. _a],�.-f:a�r7�+i�:�,.• Ma ?zu•.•'"' `'�"�i;„ i , ^5r "%i isy.N L ��: a �•-ti.�t'.?..~`.`=+i�rL•:i J&G Industries References J&G takes pride in doing each job well clone. SA is welcomed to contact any of the contacts referenced in the above project descriptions, r �� r .��; �ry?�. E; .,1 i�-'•.:f��*'ur,.rv,s.+,<htirr-�1'ile Y`yi`•ti-i:• MI ,yy.{s y5 na �; � :,�^'•` City of Santa A 20 Civic Center Plaza, Ana,Santa A CA 92703r David Ramirez, Project Manager 7'14-647-5641 DRamirez aC-santa-ana.org Jason Gabriel, Sr Civil Eng, 714-647-5664 i JGabriel Dsanta-ana.orq City of Corona 400 Vicente Ave#320 Corona, CA 92882 - Carol Appelt 951-395-1941 'r,- Carol.appelt@coronaca.aov �, Moss a,Associates LLC 100 Wonsan Dr, Oceanside, CA 92058 �''�'� `"' ` '' yA ` ' �• ' Tim Fraser 760-908-1866 - ,- c `t AIA TFraser(a)-mosscm.com Sicechers USA A tU4y'� 225 S Sepulveda Blvd, Manhattan Beach, CA ,y`;, ' 90266 Tim Ball 310-600-9436 � timb@skeohers.com J&G Industries MAYOR CITY MANAoclt Mlguol A.Pullda Raul Godlnez MAYOR PRO TEA1 CITY A'f'I'ORNGY I Mlchalo Martinez Sonia R.Catvalho COUNCILMGMDER3 C1.611I(OF,TNr COUNCLI. P.Davld Banavldaa Marro D.Hulzar \lcanlo sarinlonla Joso Soforlo Sal Tlnoloro JuanVllragan CITY OF SANTA ANA 20 Clvlo Conlar Plato a P,O.Box 1008 Sanla Ann,Callfarnin D2702 wAv.eanln•nno.ora October 29,2018 To Whom It May Concern: J&Ci Industries has been providing demolition services for the City of Santa Ana and we Could not be happier with their services.They are professional,responsive to all forms of communication and above all work Well with City staff',The City would highly recommend J&G Industries for demolition and site cicaral=services to any agency and/or municipality that may need assistance, In particular,the City of Santa Ana would like to recognize Mr.Eric Cain for leis hard work alid excellence in selvicing the needs and expectations of all City staff.He is well versed in demolition,site clearance and is also very fmniliar with public agency standards and statewide duality requiretnents.Ho is truly a pleasure to work with and his enthusiasm and dedication to his work is remarkable. Should you have any questions,please Beal fi-ee to contact me. Thank:you, It Ehab Elias Engineering Services public Works Agency City of Santa Ana SANTAANACITY COUNCIL hlrpUul A.Pdlda Rahe'o rduf'Act 1II Vktnln samaenlo dmasdala I P•naWlaena�/daa Jaan Naaaaa gel Tlno mo Alayror 6lararPraTam,Wald2 I Wa rdf I Word 1 Ward4 I War d6 I Word fAPnrdniLlaonm•am q[q 611,inrlrne>,tilnnntaana.of I YA+nnlan1%,1nnla•an X.qM JSo'MoflanNa-nna nm D9anat!Rottln upl.•ann am .MneapsGi}f anL1•nna ara Rlina1ain©aanln•nna.arn Fee Schedule Personnel Category _ Flourl Rate Presented here is the fee Project Manager/Principal Agent $_ 225.00 _ schedule for J8,G Industries to Project Manager/Principal Agent/Field $ 225.00 provide the City of Santa Ana Superintendent with City Wide On-Call Demolition Services for Safety Director/Officer _ $ 195.00 Abatement. Field Superintendent $ 215.00 The hourly rates reflect all Office Manager $ 125.00 costs and anticipated fees for Operator $ 180-00 the contract duration, up to a — -- maximum of three years, Laborer $ 120.00 All subcontractors will be at Equipment Hourly Rate cost plus 10%mark-tip. 973 Track Loader(s)�bare rate $ 150.00 All materials and supplies and Volvo 235 Excavators��(bare rate) $ 160.00 disposal fees are at cost plus --- --- 10% Volvo 480 Excavator(s)—bucket(bare $ 215.00 rate) Support vehicles are included RMG 100 Portable Crusher $ 725.00 in hourly rate for personnel category. Attachments:Excavator Rotating Grapple $ 76.00 Paddle Wheel $ 40.00 Breaker $ 105.00 Pulverizer $ 140.00 31d Member Shear $ 150.00 2"d Member Shear $ 225.00 Bobcat Sid Steer Loader(s)—bucket $ 50.00 bare) Attachments: Breaker $ 55.00 Shear $ 85.00 Power Sweeper $ 60.00 Forklift $ 4501da 1500-2000 Gallon Water Truck $ 4501day Trucking by G.0 Rodriguez MBE Lo Bed Charges Current rental _ rates Hi-side End Dump Current rental rates Lo-side End Dump current rental — rates f . 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JkJ01 �DUVy agINGYIN1unYboo .. a a A _ UhtRnuL4h1rhtl- ✓ 049QR . UAXa631JIM-12 11/U l}2q MOWS !f akaadRGlha OVUM,6VWU V Y a uc�ni q S,4flQ,Up4 , on oaaAlkat ahirol! ryyl�y5g-2,1 10fI12Qa�1 I011f 425 w C I'M $Lava�ta�giA61Ltt1F61o° `1l�t RnFial ®DO �kP lQ ,slaw- _ -- QL D LII i e! ~-',�uV Jnlnndhdurht6(colrlmorolaq �' V OF1�b'1r24f7.4p - II1112024 NNfII202d atnndneauJ rdn+ke """""%j otaetuVr.eatsd 1'n6ttunmlr 'J� � i Raaatnrrlaf OFOFItnh7faN81tpohlt0if$1Vnf1106Ra D1CArlltltal,nJ�flltonall4amokhnAahodalo,mey6nnlfatMadilmataaPamatepgafraJl Rat "no6lolLL1011 SakYlae& on an On-na]A Jlanla IM, 22»00'I11. Olporationu of hha Namod xaagvel(L oie of 8nnhn A1tn, iha 1 rifUlpaxn, oFcia a iaia, emplayeoa, n ,lunL d vaaoro ae0 1io>:ahy nalmd 68 AddWontf#. Unurrod, At raga >;ad by wuALtoA aoutrnat, per QHd*xnomonL hors kw wtt£vak off atlbrovAhLon Aii pxovidadi 00 I:t gUIXnd by WrLtitan aanLxstuiS w1uh tho inouraal j aq xaapna$A aavekapa ovidarico(t hCneiri, COMAW) oviclanaad Mavoxr► 44 pvAmany and 6K4tlaa Au 9e1.1014 j row to Wig attdor2,ying traltrival A1,nbAULY, 4DOIOAOV0441 nuha pnd R"IteR6 Cumn6naablon Nvov4(ja, i1 0-day ww hWn noFdaa ah61.A ho mailed ho Uha uaxfaAllouki holdot at W10 adtoraaa l,revltlad lroyain, afiuk%ld A alasaribod paXioylo) he annabixed wrora Wto onvLxxAIsl.Ai1 4at;a hltaroogi 10'-day notAcri goe non-pumoni of promAaat, BMWIPICIATOWn!n CANOMILATION 1141aeartRtura aPluttatl:Atldillonal SHOULD ANYOP TAR ALIM U1140JIlHID P61,101ha LIH OilNt MBO MORO CligoFS6tdotMa A0000 WtKq WIN'fIITHOP010YIJA4V10f0NA,li Will. bN O11GIUttRttq IN 20CIvIaC.'aatoYlllruaM,3p � . llnmitA1la,CA.92702 h rltanrgRaliarRllRtfti tivn let'. 1 € 01409-9010A004000AVOM"ON, AIIrIllhtaraa+lJwatl, 3 ApClN1l?.0;2A�0I03y Tho AU(1Rf3 namo nRd 1006 aro roUlotomd marlta of ACOAD j 1 I IJ i DCITY OF SANTA ANA Contractor Is responsible for demolishing all improvements, including: 4" thick concrete slab foundation and footings to a depth of T, 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 dlli as needed, Installing straw waddles around site perimeter, topping site with V 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 coverall Items or work identified above and Appendix -Attachment 4 to deliver a clear site with no remaining improvements. Company Name: J&G Industries Inc 1301 W 11t"Street, Santa Ana, CA Item Description Cost Permitting 600.00 $ Engineering 1,000.00 Site Fencing for Duration of Demolition 800.00 Canopy BMP's/Erosion Control Plan 2, 420.00 Asbestos/Hazardous Stabilization and Abatement (on a separate sheet, provide a detail cost for this lump sum amount) 23,100.00 $ Universal Waste Disposal 725.00 Interior Demolition 0.00 $ Exterior Wall/Building/Foundation Demolition 19,500.00 Sitework Demolition 9,375.00 Landscape and Trees Removal and Clearing $ 3, 650.00 Vermin Abatement(Assume present) $ 250.00 Bee Colony Abatement(Assume present) $ 325.00 cap sewer $825.00 $ Other(describe...)Base Lot in $3,675.00 4,500.00 Total Price 66,245.00 Clly of Santa Ana RFP No.25.027 Pago 24 of 41 i betalis Wow/laud Subcontractor`, 5M CQritraeting]no ' CSI.t31191��89U . DOSH N094 j Soil A2003806 QIR 4100OU62280 Asbestos Abatement Is Inclftiva of ramnvair of RACMi(; r.Ii CAT If Asbestos contafnfag materints per Terracon Survey(Pro;oct NO.60217905) Lead components will be stablilzed and a WASte chwctnrizatfon to be performed prler to demolition, I Agency Notificaftonsc i SCAQMD I OSHA Notlffoutlan I _ Conta Inntent: ratehllsh control of properties(cautton/tsbastos tnpa) Create tndlvldunl cnntaIrTmenta Estabilsh nogottvo ale as lleeded Provide elactrtcftyand water Decontamination units(with sliowor Fccllitlm) Final Clearing pod W$stes Final rJoaning for visual C:lvarORCe Waste bag~atat WOW P40aging Munlfestfng Wgpasal and transportation I I Douttmea tat loll, 5M Contracting report of final work Munlfestlnoofwaste Mvimble owner reap!onse for'%Rzardvu;wosta" Anticipated Schedule Is S 4 mno crew for(8)fl iteur shifts � E l f i � f i f i CITY OF SANTA ANA ATTACHMENT A PROPOSER'S CERTIFICATION,PROPOSAL PRICING Certification..I certify that I have read,understand and agree to the lenns 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 rlarificatlon p1101 to the submission of my proposal. PROPOSER'S STATEMENT; I havo road, 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. J&G Industries Inc 714-903-2002 / 714-903-2003 LEGAL NAME OF COMPANY PHONE AND FAX NUMBERS I 18627 Broolchurst SL #302 fountain Valley, CA 92708 BUSINESS ADDRESS James K Cain President PRINTED NAME OF AUTHORIZED AGENT TITLE Ot cain@j-gindusL-ries.coin YATUREOFA'UTIdORIZED AGENT DATE E-MAIL ADDRESS 33-0343018 571859 FEDERAL ID NUMBER(IF APPLICABLE) CONTRACTOR LICENSE NUMBER (IFAPPLICABI_E) 3.60248 CITY OF SANTA ANA BUSINESS LICENSE NUMBER (PLEASE PROVIDE 1F AVAILABLE,BUT NOT REQUIRED UNTIL AND 1F AN AWARD IS MADE TO PROPOSER.) THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. PROPOSALS THAT DO NOT CONTAIN TI•IIS FORM WILL BE CONSIDERED NONRESPONSIVE. 1 My of Sanla Ann RFP No.25-e27 Pape 33 of 41 CITY Or SANTA ANA ATTACHMENT B REFERENCES List and describe fully the contracts performed by your firm which demonstrate your ability to provide the supplies, equipment ar 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 Ilslod for additional Information regarding your firm's qualifications. REFERENCE Customer Name:City of Santa Ana Contact Individual: David Ram.i.re-z Address: 20 Civic Center Plaza Phone Number: 714-647-5641 Santa Ana, CA 92701 EMAIL: DRamirez@santa-ar►a.org Contract Amount: Various Year: 2011 to current Descri ttlgqn of sugplles,equipment,�r sn�vlggQQs wrgvld d: Excavators, skid steer loaders,by hand On-CiM Dem Contracts: IA-ZU"L1.-Ob4-�1 ; ifA-2017-036 ; if11-6740 Demolition, abatement, pumping haz materials, sewer capping, site clearance grading st to drain ior ,commerclai & resi.clenL.i.al s ruc:ures. REFERENCE Customer Name:City of Corona Contact individual: Carol Appel t Address: 400 S Vicente Ave #320 Phone Number: 951-395-1941 Corona, CA 92882 EMAIL: carol.appelt@coronaca.gov Contract Amount: $1.137,530.00 Yoar: 2021 Description of supplies,equipment,or sorvices pl'ovided: > xcavatorE., skid steer loader,by hand Demo and abatement of former restaurant buildings, sewer capping, grading for drainage, site clearance REFERENCE Customer Name:±Joss & Assoc LLC _Contactlndividual: 'Tim Fraser Address: 100 Wonsan Dr Phone Number: 760-908--1866 Oceans,i.dc, CA 92050 EMAIL: TFraser.@lnosscm.com Cont•actAnount: $6.1 million Yoal; 2022-2023 Description�f su�plies egpyuI -ngl l or serTaes prpvl ed:Excavators, skid steer •loaders,by hand Demo & a at gent O . (d�) restclentia� structures, SWPPP, removal of slabs, toot n s, site clearance at Marina Corps Air Station Yuma, AZ ape ra Housing Units Phase 1 an Phalle 11 THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE. Clly of Santa Ana RTP No.25.027 Pago 34 of 41 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(ho 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, ondorsed 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 Ills approval of the fern of this document,and its execution, and when it or an exact copy of it has been either delivered to proposer or deposited with tho United States Postal Service properly addressed to the proposer with the correct postage affixed thereto. Proposer furtheragrees that upon delivery(as definod 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 quantitias set forth In(lie RFP schedule are solely for tho purpose of comparing proposals,and that final compensation under the contract will be based upon tho actual quantities of work satisfactorily completed. All terms contained In the specifications, the certification of nondiscrimination by contractors, and (lie required Insurance certificates are to be Incorporated by reference Into this agreement and are made specifically as part of this RFP. Firm J&G Industries Inc Signed and Printed Name, n) James K Cain Title 1'residunL- Date ) _ THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL, PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE. J Clly of Santo Ana RFP No.25.027 PnOo 36 of 41 s YT•• CITY OF 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 112 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 o this non-collusion affidavit, Proposers are cautioned that making a false certification may subject th cerfyher to criminal prosecution. Signed State of T County of Orange Subscribed and sworn to(or affirmed) before me on this cS day of Nl rich 20 2S', by "L. j� 'i,n , proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. I AYLEIGH PINKMAN �� Notary Public•California Orange County 9 Cummllslan N 2495108 My Camm.Explras Jul 21,2020 Notary ublic Signature Notary Public Seal 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.26-027 Page 36 of 41 CITY OF SANTA ANIA ATTACHMENT E NON.-LOBBYING CERTIFICATION The prospective participant cortiftos, by signing and submitting this bid or proposal,to the best of his or hor 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 Momber of Congress,an officer oremployoe 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, tho 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 approprlatod funds have been paid or will be paid to any person for Influoncing 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 Forrn-LLL, "Disclosure of Lobbying Activltlos," In conformance with Its Instructions. This certlflcatlon Is a material representatlon of fact upon which reliance was placed whon this transaction was made or entered into. Submission of this certificatlon Is a prerequisite for making or entering Into this transaction imposed by Section 1352,Tile 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 fallure. The prospective participant also agrees by submitting his or her bid or proposal that lie or silo shall require that the language of this a rllfI?tlo be Included In all lower tier subcontracts, which exceed $100,000 and t at al uch subreclple t sh II certify and disclose accordingly, r. Signed: Title: Px c s i.dcnt Film: J&GG IndusL-ries Inc Date: lV"4c- THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. PROPOSALS THAT DO NOT CONTAIN'ri-ilS FORM WILL BE CONSIDERED NONRESPONSIVE Clly of Sonla Ana RFP No.26.027 Page 37 of 41 CITY OF SANTA ANA ATTACHMENT F NON-DISCRIMINATION CERTIFICATION The undersigned consultant or corporate officer, during the performance of (his contract, certifies as follows; 1. The Consultant shall not discriminate against any employee or applicant for employment because of taco,color,religion,sex,or national origin. The Consultant shall take affirmative action to ensure that applicants are omployed,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; reavitment or recruitment advertising; layoff or termination;rates of pay or other forms of compensation;and selection for training,inducting 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 recolve 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 tiie Secretary of Labor, or pursuant thereto,and will permit access to his/her hooks,records,and accounts by the administering agency and the Secretary of Labor for purposes of investlgatlon, to ascertain compliance with such rules, regulations,and orders. 6. In the event of the Consultant's non-compifenoe with the nondiscrimination clauses of this contract or with any of the said rules, regulations, or orders, the contract may be canceled, torminated, or suspended In whole or In part and the Consultant may he 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 rernedles 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 unloss 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 crry of Sanln Ana RrP No.2G•027 Pacgo 36 of 41 (9) CITY Or 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 vondor as a result of such direction by the administering agency, the Consultant may roquost that the United States orator Into such litigation to protect the Interests of the United States, B. Pursuant to California Labor Code Section 1735, as added by Chapter 643 Stats. 1939, and as amended,no discrimination shall be made In the employmont of persons upon public works because of race,religious creed,color,national origin,ancestry,physical handicaps,mental condition,marital status, or sex of such parsons, 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(lie Chapter, � r Signed: Title: P -esi.denL Firm: J&G zndus�t/rins Inc 7 Date: ��f! TI-IIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL, j PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE, I My of Santo Ana RFP No.25.027 Pago 39 of 41 CITY OF SANTA ANA ATTACHMENT G SUBCONTRACTOR DESIGNATION FORM Bidder acknowledges and agrees that under Public Contract Code section 4100,et seq.,It must clearly set forth below[lie 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 falls 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 penally 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 stale 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: 2681 Doer Ave #C-1 5M Contracting Inc Tustin, CA 92780 Portlon of Worl(/Trade: Bid Amount Hazardous Materials Abatement $21, 000.00 9oOgcctor's License Number DIR O�qI t�atlgn No. Subcontractor Name: Location: 15315 S La ewoo B .v Van Diest Bros Inc Paramount, CA 90723 Portion of Work/Trade: Bid Amount: Utilities $750.00 QVr otor's License No: DIR Re Istration No: 1000�03419 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 Pane 40 of 0 CITY OF SANTA ANA ATTACHMENT G SUBCONTRACTOR DESIGNATION FORM Bidder acknowledges and agrees that under Public Contract Code section 4100,et seq., It must clearly sot 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 falls 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,bldder 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 shoots may be attached If needed. Subcontractor Name: Location: 1731 Massachusetts Ave BMP Solutions Riverside, CA 92507 Portion of Worl</Trade: Bid Amount Gng/SWPPP $2,200.00 Contractor's License Number DIIJ ftgPslrggT No. 90512 Subcontractor Name: Location: Portion of Work/Trade: Bid Amount: Contractor's License No: DIR Registration No: 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;. Clly of Santa Ana RFP No.25-027 Pago 40 of 41 I,Ron McDaniel of 5M Contracting I nc have read Request for Proposal NO.25.027 FOR CITYWIDE ON- CALL DEMOLITION SERVICES FOR ABATEMENT for the CITY OF SANTA ANA(Including all addendums)and do herby affirm and are In agreement to abide by the terms and conditions of the awarded contract to J&G INDUSTRIES INC by the CITY of SANTA ANA, Name: Ron McDaniel Sian: Company: SM Contracting Title: President Date. 03/10/2025 i i i I I I i i I,Gary Vin(hest of VX1 Dl(*t Bros Inc 140.2s-n7,7 FOR CITYWIDE ON- CALL DCfv1ULl11ON SERVICES fO1t AnATIi7,1CNT fur the CITY OP 51017+ NA ilnr..ludir,q all addendtji%i5)and do herby afflrn)and ore In aa►ennlnlll to ublde 147 the tormn and eondillo,ls of the ni arded(:X)Iltract to 1 1&G INDUSTRIES hVC bythe CITY of sA NTAANA. Nome; G7eYVan Ulr_sl _ 1 I company: V+in Dips -Bros Inc %Llics; T',�si(lurll i i I i A I i i I i dul Cif] fai !,'WAY Declax of LIMP SDlUlians Itat'e Yuan Reg West far Pt0liosal Path.`lfl-077 FOR CI'IYWIDI:ON-CALL DEMOLIU M SrRVICES FOR ABATr-P.1FNT foYthc(:ITV OF wid da herby affirm rill are In agreement to ablde by lke leims and canalljolls of the awarded(Amt1act to Ma I INDUS'fIIMS INC by Ili CITY of 5h1.'7ItiP�tlh. I I I I Name! bw DerPer Tu" 9�A 1 �Ign: —_ TjtleL VP -- 3-10-2025 Olga:-- - i I ary OF SANTA ANA ATTACHMENT H CAIR13 FLEET COMPLIANCE CERTIFICATION Bidder hereby acknowledges that they have reviewed the California Alr Resources Board's policies, rules and regulations and are famillar with the requirements of Title 13,California Code of Regulations,Division 3,Chapter 9, effective on January 1,2024(Ilia"Regulation").Bidder hereby certifies,subject to penally for perjury,[lint the option checked below relating to tho Bidder's fleet,and/or Thal of theh,subcontractor(s)("Fleel")is true and correct: The Floot Is subject to the requirements of the Regulation, and the appropriate Cerlificate(s)of Reported Compliance have been attached horoto, I The Fleet Is exempt from the Regulation under section 2449.1(f)(2),and a signed doscripllon of the subject vehicles,and reasoning for exemption has been attached hereto. 11 Bidder and/or their subcontractor Is unable to procure R99 or R100 renewabla diesel fuel as defined in the Regulation pursuant to section 2449.1(f)(3).Bidder shall keep delaliad 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), I The Fleet Is exempt from the requirements of the Regulation pursuant to section 2,149(1)(4) because this Project has been deemed an Emergency,as defined under section 2449(c)(18).Bidder shall only operate the exempted vehicles In Ilia omorgoncy situation and records of the exempted vehicles must be malntalnod, Pursuant to section 2449(1)(4). _I The Fleet does not fall under the Rogulailen or are otherwise exempted and a detailed reasoning Is attached hereto. ,T&G Industries Tnc Bidder's Company Narna(ple �e r�nt or Type) Sign uro of dder / Jane, K Cain Print Name President Title GARB Fntit;y #E103517 DOORS ID THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE. Clly of Simla Ana RFP No.26-027 Pngo 41 of 41 AC oo CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYY r) a/16/2025 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(les)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 Ileu of such endorsements. PRODUCER Phone: (7 0 7119 9 6-29 1 2 CONTACT Jerilee Carpenter Fax: (707)996-7912 NAME: Apollo General insurance Agency,Inc,(I) PHONE FAX P.O,Box 1508 EDualEss: jeritcec@apgcn.com Sonoma,California 95476 INSURER 9 AFFOROINGCOVERAGE NAIC1 INSURERA: Nautilus Insurance Company 17370 INSURED INSURER B: Key Risk Insurance Company 10885 I&G Industries,Inc. INSURER C: State Compensation Insurance Fund Of Califomia 35076 18627 Brookhur3t Street INSURER o: Tokio Marine America Insurance Co 10945. PMB 302 Fountain Valley,CA 92708 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1493 REVISION NUMBER: THIS 1S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD j 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, ILTR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP POLICYNUMBER MMIDONYYY) (MMIDOfYYYYI LIMITS ✓ COMMERCIAL GENERAL LIABILITY HCP203890&12 1]/1/2024 11/1/2025 EACH OCCURRENCE 3 1,000,000 ! A CLAIMS-MADE Q OCCUR DAMAGE E6t 9E3 EaEI mue S 00,000 ✓ Professional$1,000,000 ✓ y MED EXP(ArLy one parsan) s PERSONAL SAOVINJURY S 1,000,000 GENt AGGREGATE LIMIT APPLIES PER: LGENERAL AGGREGATE 3 2,000,000 I POLICY JEST IOC PRODUCTS-COMPIOPAGO 3 2,000,000 OTHER: Pollution S I,000,000 i AUTOMOBILELIAH(LITY RAP2041776-11 11/l/2024 11/1/2025 (CE(,' ul,INdEeDISINOLELIMIT B $ 1,000,000 ANY AUTO e0011Y INJURY(Per person) 3 OWNED aI SCHEDULED e00RY INJURY(Par scddenl) AUTOS ONLY AUTOS ✓ Y ✓ HIRED e/ NON-OWNED PROPERTY DAMAGE 3 AUTOS ONLY AUTOS ONLY Par tl nt 3 �RE.LIAR ✓ OCCUR FFX2038907-12 11/1/2024 11/1/2025 EACH OCCURRENCE 3 5,000,000 A ✓ CLAIMS-MADE AGGREGATE 3 5,000,000RETENTION ✓ y 3 WORKER3 COMPENSATION 9346758-24 10/1/2024 10/1/2025 ✓ PER OTH C AND EMPLOYERS'LIABILITY YIN ANYFROPR � ER CUTNE IETORrPARTNER E.L.EACH ACCIDENT S I,000,000 OFFICERAAEMSEREXCLUDED? NIA y (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S 1,000,000 If yes descAbeunder I,000,000 DESCRIPTION OF OPERATIONS beraw E.L.DISEASE-POLICY LIMIT S D Inland Marine(Commercial) CPP6412447.00 11/1/2024 11/1/2025 ReslydlL d:Perlrem 750,000 Rvucd1cascd Pa Occurrence 750,000 ' DESCRIPTION OF OPERATIONS ILOCATION3 IVEH(CLES WORD 141,Adchlonal Remarks Schedule,may be attached If more apace Is required) Re: RFP 25-027 Citywide on-Call Demolition Services for Abatement. City of Santa Ana, its City Council, officers, officials, employees, and volunteers are hereby named as Additional Insured, if required by written contract, per I endorsement hereto. Waiver of Subrogation is provided, as required by written contract with the insured as respects coverage evidenced herein. Coverage evidenced herein is primary and non-contributory. Excess is follow form to the I underlying General Liability, Pollution, Professional, Commercial Auto and Workers Compensation Coverage listed. A j 30-day written notice shall be mailed to the certificate holder at the address provided herein, should a described policy(s) be cancelled before the expiration date thereof! 10-day notice for non-payment of premium CERTIFICATE HOLDER CANCELLATION Holder's Nature of fnlerest:Additional Insured SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Planning and Building Agency 20 Civic Center Plaza AUTHORIZED REPRESENTf1� Santa Ana,CA 92701 W411YAll 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Tu Tran D.gitAyugnedby APPROVED Tu Tran Nguyen Date.7075.04.73 By Tu Tran Nguyen at 11:53 am,Apr 23,2025 Nguyen lI5417-0T00' THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. n„ f' 1s 1 ocEvk 3: cuDt ndo � n7 ECP2038906-12 1111/2024 1111/2025 111112024 This endorsement modifies Insurance provided under the following: ENVIRONMENTAL COMBINED POLICY f. 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 i 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 organizatlon(s)is an additional Insured only with respect to liability for bodily Injury or property damage under SECTION 1 — COVERAGE A -- BODILY INJURY AND PROPERTY DAMAGE LIABILITY, Coverage 0.1 --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: J 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. It. With respect to the Insurance afforded to these additonat insureds,the following additional exciuslons 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 falling 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 0121 Includes copyrighted material or Insurance Services Office,Inc.,used with Ito permission, Page f 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 underwhich 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 addltion 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 organlzatlon(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 organlzation(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 persons)or organlzatlon(s)included as an additional Insured Is Owners and Cbntractors 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. i ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. ECP 1246 0121 Includes copyrighted material of Insurance Services Office,Inc.,used with Its permission. Page 2 of 2 I THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. L .y__• "�?h> `-": Ro"r N °;`Cc fl �,ib,�� ,a��"�:.n-::z �v- �� .��-...s`?""4u:-.:s.,._ ..-r;�.��"� �;�s.;��`s.�y'�+�x-._.� tlrr-,..,,:z:t�. ._:.��:.,- '-`•��t��.{'��; .,- ECP2038906-12 'i 1J1J2024 11/1/2025 11/112024 This endorsement modifies Insurance provided under the following: ENVIRONMENTAL COMBINED POLICY 1. SECTION Ill-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 persons)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 13.4-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, It. 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 activitles, 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, lit. With respect to the Insurance afforded to these additlonal 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 contractor 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- ECP 1248 0121 Includes copyrighted material of Insurance Services Office,ins,used with Gs parmisslon, 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 organizations)Is a Named Insured under such other Insurance; and 2. You have agreed In writing In a contractor 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 organtzatlon(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 organlzation(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 0121 Includes copyrighted material of Insurance services office,Inc„used wllh Its permission. Page 2 of 2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. �� M-1%,- � ��. 9CP2038906.12 1111/2024 11/1/2025 11/112024 This endorsement modifies Insurance provided under the following: ENVIRONMENTAL COMBINED POLICY 1. 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, COVERAGE B — PERSONAL AND ADVERTISING INJURY LIABILITY,and COVERAGE D—CONTRACTORS POLLUTION LIABILITY under this policy. i Such waiver by us applies only if, 1. The insured has agreed In writing In a contract or agreement with such person(s)or organizatlon(s)to waive Its right of recovery,and 2. The insured has waived Its right of recovery against such person(s)or organizations)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 wham subrogation Is to be waived is found to be solely negligent. This endorsement does not apply to any person(s) or organizallon(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 1260 0121 Includes copyrEghted material of Insurance Services Office,Inc.,used with its permission_ Page 1 of 1 Policy#BAP2041776-11 BENV CA 06 1 ENDORSEMENT This endorsement forms a part of the policy to which It Is attached,Please read it carefully, t i t c This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM [ Section If—Liability Coverage A.-•Coverage,1.Who Is an Insured,is amended to add: k d. Any parson 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 [ 1. The coverage and/or limits of this policy;or ! 2, The coverage and/or limits required by sold contract or agreement. ( t ALL OTHER TERMS AND CONDITIONS OF"THE POLICY SHALL,APPLY AND REMAIN UNCHANGED, i r I I i { 1 s T , I i i I ' Ik f Includes capyrlghted material of Insurance Services Office,Inc.,used by permimlon BENV CA 06 Page 1 of 1 i E POLICY NUMBER; 13AP2041776-11 COMMERCIALAUTO i CA 20 48 1013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modlfles insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM = T i With respect to coverage provided by thls endorsement, the provisions of the Coverage Form apply unless ! modified by this-endorsement, i This endorsement Identifles person(s)or organizatian(s)who are "Insureds"for Covered Autos Liability Coverage under the Who Is An Insured provislon of the Coverage Form, This endorsement does not alter coverage provided In the Coverage Form, This endorsement changes the policy effective on the inception date of the policy unless another date Is Indicated below; i Named Insured: Endorsement Effective Date: i k I SCHI=DULE Name Of Person(s)Or organlzation(s): Any person or organization to whom you become obligated to Include as an insured under(his policy,as a result of any MUM contract at written agreement you enter into,This Insurance Is excess over any other insurance naming the designated Insured as an insured whether primary, excess,contingent or on any outer basis unless this written contract orwritten agreement specikleally requires that this Insurance he either primary or primary and nonconiributing, F t { t I! t Information required to complete this Schedule,if not shown above,will be shown In the Declarations. ! r Each person or organization shown In the Schedule Is an"insured"far Covered Autos Liability Coverage,but only to the extent that person or organization qualifies as an"insured"under the Who Is An Insured provision contained In Paragraph A4.of Section 11-Covered Autos Liability Coverage In the Business Auto and Motor Carrier Coverage , Forms and Paragraph 0.2.of Section I-Covered Autos Coverages of the Auto Dealers Coverage Form. i Y I 1 r I i CA 20 48 10 13 0 Insurance Services Office,Inc,,2011 Page 1 of 4 i i POLICY NUMBER: BAP204177e-11 COMMERCIAL AUTO i CA 04 44 1013 WAIVER of TRANSFER of RIGHTS of RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies Insurance provided under the following: i AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM €r 1 t 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: Endorsement Effective elate: SCHEDULE i Names Of Person(s)Or Organlzation(s): i Any Principal wherein such waiver has been included before loss as part of a contractual undertaking by the Named Insured t Information required to complete this Schedule,if not shown above,will be shown In the Declarations. i i The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organizallon(s) shown in the Schedule, but only to the extent that subrogatlon is waived prior to the "accident'or the"loss" under a contract with that person or organization. I s r i z a i {i 1 7 `l f I I CA 04 44 10 13 ©Insurance Services Office,Inc„2011 Page 1 of 1 66FlISTATE F7 AGREHI ,IF`' POLICY ##9346758-24 RENEWAL 3 6 0-9 0 7 5 g FRQI CJ EFFECTIVE OCTOBER 1,2024 AT 12.01 A.M. _'_PA ALLOI.ECTWE 0,�OE AND EXPIRING OCTOBER 1,2025 AT 12.01 A.M. �{7' 'IZ9.1 PACIFtG VOW3ri1C1g��451`�tF..A-P %�' IF1C'$T-� fVl� Xti�6 J & G INDUSTRIES INC 7511 SUZI LN WESTMINSTER,CA 92683 VOL Trtrt yry'Q9 ¢ R}�}Wy/y�yt � Ift,' '�j c( tl� i i #,V yV�5�1F1� �'6{G A�SL�LaPl�� a7fki V%fi.,,:�1.,:Y. F •. s].yW� �{ o," I' #AJ3�l ,�{wyRRm.L yr�[l pC..II�lUt'2�.C4'. R: _.Va.`QUA `i7FifFb 1Y1 `I{till �, [ Rkldr71d1�lNSf+gC7 �NNf1,'i t7RIIWj7J41�?►4S` B I�IK AS sT IV TW19G• IL" TH c:A LT � �g1LL B� 'LIMIT . I'E7.IJ►i.T F 51 lIN zl#I N UIrR`:AT S AN::IrPGAiV I5 1k° April 2 2,2 0 2 5 �4LT1 EffJH� RS6NT I PI3�eIiNi C 'i4 ' SSCIP FagMl:� 2i �FtEW'� ti.1xY .. ., . .. �CCf 41F" 17' I R CERTIFICATE OF LIABILITY INSURANCE DATE10/2/20"YYY' 0/2/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. I IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rl hts to the certificate holder in lieu of such endorsement(s). PRODUCER Phone: (707)996-2912 CONTACT Jerilee Carpenter Fax: (707)996-7912 NAME, Apollo General Insurance Agency,Inc.(1) PHONEC Not: P.O.Box 1508 ADDRESS: lerileecQapgen.com Sonoma,California 95476 INSURERS AFFORDING COVERAGE NAIC N INSURER A; Nautilus Insurance Company 17370 INSURED INSURER a; Key Risk Insurance Company 10885 J&G Industries,Inc. INSURER c; State Compensation Insurance Fund Of California 35076 18627 Brookhurst Street INSURER D; Tokio Marine America Insurance Co 10945. PMB 302 INSURER E; Fountain Valley,CA 9270$ INSURER F; COVERAGES CERTIFICATE NUMBER:1561 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. INS R TYPE OF INSURANCE AODL UBR POLICY EFF POLICY EXP j LR POLICY NUMBER LIMITS ✓ COMMERCIAL GENERAL LIABILITY ECP2038906-12 11/1/2024 11/1/2025 MGOCCURRENCE S 1,000,000 A CLAIMS-MADE a OCCUR PREME Eevocu SES $ iO0,000 ✓ Professional$1,000,000 ✓ y MEDEXP(An one rsen $ PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 POLICY a JECT El LOG PRODUCTS.COMPEOP AGG S 2,000,400 OTHER: S AUTOMOWLELIASILITY BAP2041776-II 11/1/2024 II/l/2025 COMBRJEDSINGLELIMIT S 1,000,000 B ANY AUTO BODILY INJURY(Per person) S OWNED AUTOS ONLY ✓ AID EDULED ✓ Y BODILY INJURY(Per accident) S HIRED NON-OWNED PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLAUAB ✓ OCCUR FFX2038907-12 11/1/2024 11/l/2025 EACHOCCURRENCE $ 5,000,000 A ✓ EXCESS UABCLAIMS-MADE AGGREGATE S 5,000,000 I Del) RETENTIONS ✓ Y $ C WORKERS COMPENSATION 9346758-25 10/1/2025 10/1/2026 '� STATUTE 0ERH AND EMPLOYERS'LIABILITY YIN P ANYPROPRIETORIPARTNER!£XECUTIVE I I E.L.EACH ACCIDENT $ 1,000+000 OFFICER(MEMBEREXCLUDE07 N/A Y (Mandatory In NH) E.L DISEASE-EAEMPLOYEE $ 1,000,000 Udesrfibe under 1,000,000 D004OQ RIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S e + D Inland Marine(Commercial) CPP6412447-00 11/1/2024 11/l/2025 Rentedn.eM&Per hem 750,000 RenteKmssee&PerOccursence 750,00 { DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(ACORO 101,Additional Remarks Schedule,may be attached N more space Is required) { Re: RFP 25-027 Citywide On-Call Demolition Services for Abatement. City of Santa Ana, its City Council, officers, officials, employees, and volunteers are hereby named as Additional insured, if required by written contract, per _ endorsement hereto. Waiver of Subrogation is provided, as required by written contract with the insured as respects coverage evidenced herein. Coverage evidenced herein is primary and non-contributory, Excess is follow form to the underlying General Liability, Pollution, Professional, Commercial Auto and Workers Compensation Coverage listed. A 30-day written notice shall be mailed to the certificate holder at the address provided herein, should a described policy(s) be cancelled before the expiration date thereof; 10-day notice for non-payment of premium CERTIFICATE HOLDER CANCELLATION Holder's Nature of Interest:Additional Insured SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Planning and Building Agency 20 Civic Center Plaza AUTHORIZED REPRESEN TT E Santa Ana,CA 92701 /,,&& APPROVED Q 1986-2015 ACORD CORPORATION. All rights reserved. ! AC name and logo are registered marks of ACORD By Tu Tran Nguyen at 2:37 pm, Oct 15, 2025 Tu Tran Digitally signed by Tu Tran Nguyen Nguyen i14380620700'S Endorsement Agreement STATE Waiver of Subrogation Blanket Basis 9346758-2025 Home Office Renewal I San Francisco NA j All Effective Dates are 3-60-90-75 at 12:01 AM Pacific Page 1 of 1 Standard Time or the Time Indicated at Effective October 1, 2025 at 12:01 AM Pacific Standard Time and Expiring October 1, 2026 at 12:01 AM J &G INDUSTRIES, INC. 7511 SUZI LN WESTMINSTER, CA 92683-4359 i 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 I f Any person or organization for whom the Blanket Waiver of Subrogation named Insured has agreed by written contract to furnish this waiver i 3 I Nothing in this endorsement shall be held to vary,alter,waive or extend any of the terms,conditions, agreements,or limitations of this policy other than as above stated.Nothing elsewhere in this policy shall be held to vary,alter,waive or limit the terms,conditions,agreements or limitations in this endorsement. Countersigned and issued at San Francisco September 30,2025ff 2572 Authorized Representative President and CEO SF—END Rev.2/2025 OLD OP 217 1 I CERTIFICATE OF LIABILITY INSURANCE DATE( .A►coRo 11/6/2GfY2sYYY) 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 pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain pollcies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In Ileu of such endorsements. PRODUCER Phone: (707)996-2912 CONTACT )erilee Carpenter Fan: (707)996-7912 NAME:PHONE FAX Apollo General Insurance Agency,Inc.(1) AIC No P.O.Box 1508 ADDRESS: jerileec@apgen.com j Sonoma,California 95476 INSURERS AFFORDING COVERAGE NAIC s INSURER A: Nautilus Insurance Company 17370 INSURED INSURER B: Key Risk Insurance Company 10885 i 3&G Industries,Inc. INSURER e: State Compensation Insurance Fund Of California 35076 18627 Brookhurst Street INSURER D: TOk10 Marine America Insurance Co 10945. PMB 302 Fountain Valley,CA 92708 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:1568 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 AOOL SUER POLICY EFF POLICY EXP LTA TYPE OF INSURANCE POLICY NUMBER MMIt1D LIMITS ✓ COMMERCIAL GENERAL LIABILITY ECP2038906-13 11/1/2025 II/l/2026 EACH OCCURRENCE $ 1,000,000 A eNTECF- CLAIMS-MADE ✓❑OCCUR PREM sEs TO a occurrence s 100,000 ✓ Professional$1,000,000 ✓ y MEDEXP(Any one Person) S ✓ Transportation PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ✓�JEST LOC PRODUCTS-COMPIOPAGG s 2,000,000 ✓ OTHER. Non-Owned Disposal Site Pollution $ 1,00b,ObD AUTOMOBILE LIABILITY BAP2041776-12 11/l/2025 11/1/2026 EeaoddenlSINGLEUMIr $ 1,000,000 B ANY AUTO BODILY INJURY(Per person) $ OWNED ✓ SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS ✓ Y HIRED �/ NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Para and S UMBRELLALIAS ✓ OCCUR FFX2038907-13 11/l/2025 11/1/2026 EACH OCCURRENCE S 5,000,000 A ✓ EXCESS LIAR 5,000,000 CLAIMS-MADE AGGREGATE S < f DEO RETENT€ON$ ✓ Y S WORKERS COMPENSATION 9346758-25 10/1/2025 10/1/2026 ✓ PTATUTE ERH ` C AND EMPLOYERS'LIAaIL€TY ANYPROPRIETORIPARTNERIEXECUTfVE V 1 N l000000 ,, E.L.EACH ACCIDENT S _ OFFICERIMEMBEREXCLUDED? NIA Y 1,aa0,a0a (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S If yes,describe under 1,000 000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S D Inland Marine(Commercial) CPP6412447-01 11/1/2025 11/1/2026 Renledrt.raud:Perrtem 750,000 I RentedtLeased:Per Occurrence 750,00 DESCRIPTION OF OPERATION31 LOCATIONS/VEHICLES(ACORD 101.Additional Remarks Schedule,maybe attached It mare apace Is required)Continued on Attached Supplement. E Re: Agreement A-2025-047-04 - Citywide On-Call Demolition Services for Abatement. City of Santa Ana, its City ouncil, officers, officials, employees, and volunteers are hereby named as Additional Insured, if required by ritten contract, per endorsement hereto. Waiver of Subrogation is provided, as required by written contract with the I insured as respects coverage evidenced herein. Coverage evidenced herein is primary and non-contributory. Excess is follow form to the underlying General Liability, Pollution, Professional, Commercial Auto and Workers Compensation Coverage listed. A 30-day written notice shall be mailed to the certificate holder at the address provided herein, should a described policy(s) be cancelled before the expiration date thereof; 10-day notice for non-payment of CERTIFICATE HOLDER CANCELLATION Holder's Nature of Interest:Additional Insured SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Digitally signed Planning and Building Agency Tu Tran by Tu Tran 20 Civic Center Plaza Nguyen Nguyen AUTHORIZEDREPRESEIfT�1 Date:2025.11.12 }�j��ff}J J/// Santa Ana,CA 92701 09:00:38-08'00' /.der. APPROVED ®1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) By Tu Tran Nguyen at 9:00 am,Nov 12,2025 go are registered marks of ACORD I i i DESCRIPTION OF OPERATIONSILOCATIONSNEH IC LES(CONTINUED) : premium 1 I� 3 i3 1 3�. 1 91 3 I 51 3 j { 3 l 13 I i 4{ ff E THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NIA lj Ft �.. 1 ,-'yeY ti" y .'-•a 7�•. -L tr' :w*r d: r ' a5rt5 �{'� H ;':�.,r. �- ,.5 7.-fit--.ram... .r✓i-. fib.. '� a:s7 c.1S r-5.,. ECP2038906-13 11/1/2025 11/1/2026 11/1/2025 This endorsement modifies Insurance provided under the following: F ENVIRONMENTAL COMBINED POLICY 1 SCHEDULE . State or Governmental Agency Or Subdivision Or as required by written contract Political Subdivision: i I. SECTION III—WHO IS AN INSURED is amended to include as an additional insured any state or governmental agency i or subdivision or political subdivision shown In the SCHEDULE, with whom you have agreed under a written contract or written agreement, In effect during this policy period, that such state or governmental agency or subdivision or political subdivision be added as an additional insured on this policy, but only with respect to liability for bodily injury or property damage under SECTION I—COVERAGE A--BODILY INJURY AND PROPERTY DAMAGE LIABILITY, Coverage DA — Contractors Pollution Legal Liability and Coverage DA — Microbial Substance Contractors Pollution Liability, or personal and advertising injury under SECTION I — COVERAGE B — PERSONAL AND ADVERTISING INJURY LIABILITY directly caused with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has Issued a permit or authorization. i Such contract or agreement must be executed and in effect prior to your operations which are the subject of the permit or authorization. However: f 1. The Insurance afforded to such additional insured only applies to the extent permitted by law;and E 2. We will not extend any Insurance coverage to such additional insured that is not provided to you In this policy; and 3. The insurance afforded to such additional Insured will not be broader than that which you are required by the i contract or agreement to provide for such additional Insured, s i ll. This Insurance does not apply to: ? 1. Bodily Injury, propertydams a or personal and advertising Injury ryarisin out of operations performed for the • federal government,state or municipality;or 2. Bodily injury or property damage Included within the products-completed operations hazard, j Ill. 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;or 2. Available under the applicable limits of insurance; whichever Is less. This endorsement shall not Increase the applicable limits of insurance, i IV, SECTION VII—CONDITION 10.—Other Insurance is amended by the addition of the following which supersedes any i provision to the contrary: r Primary And Noncontributory Insurance I This insurance Is primary to and will not seek contribution from any other Insurance available to any additional Insured state or governmental agency or subdivision or political subdivision shown in the SCHEDULE to this endorsement provided that: 1. The additional insured state or governmental agency or subdivision or political subdivision is a Named Insured ECP 1245 0121 Includes copyrighted material of Insurance services Office,Inc.,used with its permission. Page 1 of 2 i 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 state or governmental agency or subdivision or political subdivision. Such contract or agreement must be executed and in effect prior to the performance of your operations,which are the subject of such contract or agreement. However, this provision does not apply if the other insurance available to the state or governmental agency or subdivision or political subdivision included as an additional Insured is Owners and Contractors Protective Liability, Railroad Protective Liability, or similar project-specific, primary insurance. F ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. (k � 3 � 3 4 i } S F kl l I l F I 1 F l i f i I 1l II 5 I �t Fi F till f III i f ECP 1245 0121 Includes copyrighted material of Insurance Services Office,Inc.,used with its permission. Page 2 of 2 i THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. S fear� � �� _ �'- .�,Y ' E , =¢Y' �• -, .<v .s. _ T .. e i iw {� _}�1`�Y��erx d- �� •`� 'SY��jf3,47 S�� s Q'Fx �f Y�� I N'P7''+'��,��Y`"'S�4- ; �-�� r y';`s`�\ r3--�; -�.� a�'.,,�.. 1y2.7_ �'„ Q4'ti�.arS :', f .ki4'i�ti:i;•':c](.C,�f.r ;>'Y�.Y?�,!?€ i'' _h�'-.F.'54;��.k{,-+i*s-S '.�-,;+r. �' �Z�+�:iC -f,.� S:'". k';4� �:1`; ECP2038906-13 11/1/2025 11/1/2026 11/1/2025 This endorsement modifies insurance provided under the following: ENVIRONMENTAL COMBINED POLICY E 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 i have agreed In writing In a.contract or agreement, In effect during this policy period, that such person or i organization be added as an additional Insured on this policy; and t 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. ` f 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, I Coverage DA --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 E 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 descrlbed 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. i ! 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. Il. With respect to the Insurance afforded to these additional Insureds,the following additional exclusions apply: I I This insurance does not apply to: t 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 11246 0121 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; i 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 Vll--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 } 3 2. You have agreed In writing in a contract or agreement,in effect during this policy period,that this insurance would i 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 ti an additional Insured is Owners and Contractors Protective Liability, Railroad Protective Liability, or similar project- specific, primary Insurance. ' I 5 Vt. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement j showing the additional Insured in a SCHEDULE of additional insureds, and which endorsement applies to that k designated additional insured. f E8 j ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. E ECP 1246 0121 Includes copyrighted material of Insurance Services Office,Inc,,used with Its permission. Page 2 of 2 i THIS ENDORSEMENT"CHANGES THE POLICY. PLEASE READ IT CAREFULLY. W. � 14 I _Cf.�' �nysi. y M- s LSYf- { lyS,'Taf'_345..gp 47SzrP1 }i .� k � , 1y1 7F�1i4 ��K1 i rij=CABS * ' � 7 r-...f 7., �. }?. 7� _ 4*{r'1��'r:.;fix','�.x: >e, ti.�..�.9.'.- EC P2038906-13 11/1/2025 11/112026 11/112025 � } This endorsement modifies insurance provided under the following: ENVIRONMENTAL COMBINED POLICY i 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 7 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, f Coverage D.1 —Contractors Pollution Legal Liability and Coverage D.4— 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. I II. With respect to the Insurance afforded to these additional Insureds,the following additional exclusions apply: This Insurance does not apply to: 7 a. Bodily Injury or-property. damage arising .out of the rendering of, or the failure to render, any professional z i architectural,engineering or surveying services, including: (1) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, j 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 I the bodily injury or property damage Involved the rendering of, or the failure to render any professional architectural, engineering or surveying services. 111, With respect to the Insurance afforded to these additional Insureds, the following Is added to SECTION V— LIMITS OF INSURANCE. i The most we will pay on behalf of the additional Insured is the amount of insurance: i 1. Required by the contractor agreement described in Paragraph L1.;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— i=GP 1248 0121 Includes copyrighted material of Insurance Services Office,Inc.,used with its permission. Page 1 or 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; l 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. i 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 i organization(s)Included as an additional Insured under this endorsement provided that: ' 1. The additional insured person(s)or organizatlon(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- i specific, primary Insurance. 1 , 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. i i i 7 i i I f €� E I S [ l f I 3 ECP 1248 0121 Includes copyrighted material of Insurance Services Office,Inc.,used with its permission. Page 2 of 2 E THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. i6Vlk,v' 4� {ry"_.r''� - 3q yy�Siy �� - I� �� it }'•+K.-ti:tf� r,F'•?°<3r`�[^�S F'i•. je f i F:�.`Y J J_ F,;��S R,-�At mil'.� 4- i`S A�� '� 1 L 4 1' . I 3 2�..��a:�.s'r..i��S �s.•�.�5�yl:�T.<�,� 4.<.a. .i=...,. -'"k v �=__• •.�,- �.t....-,i.� i..Y.�.4�a--rf''• :_.91C.:,3'�:k. .wF.i5,-1,�-�. -,S:-6i x.:'�i=�:� '. ECP2038906-13 11/1/2025 11/1/2026 11/1/2025 4 This endorsement modifies insurance provided under the following: i i ENVIRONMENTAL COMBINED POLICY j 1. 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, COVERAGE B — PERSONAL AND ADVERTISING INJURY LIABILITY,and COVERAGE D—CONTRACTORS POLLUTION LIABILITY underthis 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. ,1 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. i i i ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. i5 F 3 1 E i E i E f 1 e {i i 4 I ECP 1260 01211 includes copyrighted material of Insurance Services Office,Inc.,used with Its permission. Page 1 of 1 i i i i Policy#BAP2041776-12 BBNV CA 06 i ENDORSEMENT i This endorsement forms a part of the policy to which it Is attached. Please read it carefully. ENO # 1 4 l ti This endorsement modes insurance provided under the following: BUSINESS AUTO COVERAGE FORM s 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 f 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 i 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 at i 1. The coverage and/or limits of this policy;or ; 2. The coverage and/or limits required by said contract or agreement. k ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. l � t f s t i f I , 1 S I { I I Indudes copyrighted material of insurance Services Once,Inc.,used by permission BENV CA 06 Page 1 of 1 E I 1 i i i POLICY NUMBER: BAP2041776-12 COMMERCIAL AUTO CA 20 4810 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies Insurance provided under the following: , f ` AUTO DEALERS COVERAGE FORM t BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM ' k f i 1 With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless g modified by this endorsement. This endorsement Identifies person(s) or organization(s)who are"insureds"for Covered Autos Liability Coverage i under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided In the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is Indicated below: Named Insured: t i Endorsement Effective Date: k i SCHEDULE Name Of Person(s)Or Organlzation(s): t E Any person or organizatlon to whom you become obligated to include as an Insured under this policy,as a result of any written contractor f written agreement you enter Into.This Insurance Is excess over any other Insurance naming the designated Insured as an insured whether primary, excess,contingent or on any other basis unless this written contract or written agreement specifically requires that this Insurance be either primary or ; primary and noncontributing. 1 1 , j # E i I i • i I f � t � � I t 3 Information required to complete this Schedule, If not shown above,will be shown in the Declarations. Each person or organization shown In the Schedule is an"Insured"for Covered Autos Liability Coverage,but only to I the extent that person or organization qualifies as an"insured"under the Who Is An Insured provision contained E In Paragraph A.I.of Section II-Covered Autos Liability Coverage In the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2,of Section I-Covered Autos Coverages of the Auto Dealers Coverage Form. j • i CA 20 48 1013 ©Insurance Services Office, Inc.,2011 Page 1 of 1 a i 1 331 l POLICY NUMBER: BAP2041776-12 COMMERCIAL AUTO i CA04441013 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 1 i r i 3 With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless i modified by the endorsement. This endorsement changes the policy effective on the Inception date of the policy unless another date is '. } Indicated below. I Named Insured: i Endorsement Effective Date: ' r i SCHEDULE Nama(s)Of Persons Or Or anization(s): i 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. i i i f ' I r } 3 € i ' l I I ' r � 4 j � 3 1 i 1 � i CA 04 44 10 13 o Insurance Services Office, Inc.,2011 Page 1 of 1 , E I STATE Endorsement Agreement Waiver of Subrogation FUND ' Blanket Basis ' 9346758-2025 Home Office Renewal San Francisco NA All Effective Dates are 3-60-90-7S at 12:01 AM Pacific Page 1 of 1 Standard Time or the Time Indicated at Effective October 1, 2025 at 12:01 AM Pacific Standard Time and Expiring October 1, 2026 at 12:01 AM r i J&G INDUSTRIES, INC. i 7S11 SUZI LN WESTMINSTER,CA 92683-4359 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 Oreaniaation Job Description Any person or organization for whom the Blanket Waiver of Subrogation E named Insured has agreed by written contract to furnish this waiver E I {j{ E t r Nothing In this endorsement shall be held to vary,alter,waive or extend any of the terms,conditions, I agreements,or limitations of this policy other than as above stated.Nothing elsewhere in this policy shall f be held to vary,alter,waive or limit the terms,conditions,agreements or limitations in this endorsement. Countersigned and Issued at San Francisco September 30,2025 i 2572 Authorized Representative President and CEO SF—END Rev.2/2025 OLD DP 217