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HomeMy WebLinkAboutA2Z CONSTRUCT INC. (REGIONAL TRANSPORRTATION CENTER ADA RESTROOM IMPROVEMENTS) INSURANCE ON FILE WORK MAY PROCEED U(*Jl� NOV z 5 2025 CITY OF SANTA ANA CONSTRUCTION CONTRACT PROJECT 25-6052 SANTA ANA REGIONAL TRANSPORTATION CENTER ADA RESTROOMS This CONSTRUCTION CONTRACT is made and entered into this 28th day of October, 2025 by and between the City of Santa Ana,California,a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California(hereinafter"CITY"), and A2Z Construct Inc. (hereinafter"CONTRACTOR"). WITNESSETH: The CITY and the CONTRACTOR, for the consideration hereinafter named,mutually agree as follows: 1. CONTRACTOR agrees to perform all the work and furnish all the materials at its own cost and expense necessary to construct and complete in a good and workmanlike manner and to the satisfaction of the City Engineer of the CITY, the Santa Ana Regional Transportation Center (SARTC) ADA Restroom Improvements(hereinafter referred to as the"WORK OF IMPROVEMENT")identified in and in accordance with the Contract Documents prepared by the City's Public Works Agency and approved by the City Council. 2. The complete Construction Contract consists of the"Contract Documents"as defined by the Standard Specifications for Public Works Construction and which include the following: + Notice Inviting Bids • Information to Bidders • Bid Proposal • Bid Bond • Contract Form • Contract Bonds + General Provisions • Special Provisions • Technical Provisions and Project Plans + Community Workforce Agreement • Appendices In case of conflict between the Contract Documents, the precedence of documents shall be as established in the Standard Specifications for Public Works Construction. 3. CITY agrees to pay and CONTRACTOR agrees to accept in full payment to complete the WORK OF IMPROVEMENT the sum total amount not to exceed Two Hundred Seventy Thousand and No Cents ($270,000.00), as set forth and identified in the BID PROPOSAL, which is attached hereto and incorporated herein as Exhibit"A." The BID PROPOSAL contains a schedule of unit price(s) or lump sum(s) based on approximate quantities only,and the City does not expressly or by implication agree that the actual amount of work will correspond therewith, but reserves the right to increase or decrease the amount of any class or portion of the work or to omit portions of the work as may be deemed necessary or advisable. rev.09/01/2017 Page 1 of 3 4. CONTRACTOR agrees to complete the WORK OF IMPROVEMENT within the time specified in the Time for Completion of Improvements section of the BID PROPOSAL (Exhibit "A") including commencing construction within the timeframe therein specified after issuance of a Notice to Proceed. 5. The CONTRACTOR will pay,and will require all subcontractors to pay, all employees on the WORK OF IMPROVEMENT a salary or wage at least equal to the prevailing salary or wage established for such work as set forth in the wage determinations for this work in accordance with applicable State and Federal law. b. If applicable, the CONTRACTOR shall adhere to the CITY'S Community Workforce Agreement (CWA), a pre-hire collective bargaining agreement, which establishes the labor relations policies and procedures for CONTRACTOR to follow in the crafts persons employed to complete the WORK OF IMPROVEMENT as more fully described in the CWA. The CWA may be found on the City's website at: http://www.santa-ana.org/pwa/documents/CWA.pdf 7. CONTRACTOR shall, after award of this Contract, furnish two bonds to be approved by the CITY, one in the amount of One Hundred Percent (100%) of the Contract price, to guarantee the faithful performance of the worm(Performance Bond),and one in the amount of One Hundred Percent(100%) of the Contract price to guarantee payment of all claims for labor and materials furnished (Payment Bond). This Contract shall not become effective until such bonds are supplied to and approved by the CITY. 8. CONTRACTOR shall, prior to the release of the performance and payment bonds or the retention payment, furnish a warranty performance and payment bond(Warranty Bond). Said Warranty Bond shall also be required as a condition of project acceptance. For projects up to Five Hundred Thousand Dollars($500,000),the Warranty Bond amount shall be the greater of Ten Thousand Dollars($10,000) or Twenty Percent (20%) of the final contract price. For projects above Five Hundred Thousand Dollars($500,000),the Warranty Bond amount shall be the greater of One Hundred Thousand Dollars ($100,000)or Ten Percent(10%) of the final contract price. 9. CONTRACTOR shall, after award of this Contract, furnish Certificates of Liability Insurance and Worker's Compensation Insurance as outlined in the General Provisions,to be approved by the CITY. 10. INDEMNIFICATION. To the fullest extent allowed by law, CONTRACTOR and its Subcontractors hereby agree to defend, indemnify, and hold harmless CITY, its City Council, boards and commissions, officers, agents, employees, representatives and volunteers (hereinafter collectively referred to as "Indemnitees"), through legal counsel acceptable to CITY, from and against any liability, claims, actions, costs, damages or losses, including reasonable costs and attorney's fees, for injury, including death to any person or damage to any property, arising directly or indirectly from,or in any manner relating to,any of the following: (i) Performance or nonperformance of the Work of Improvement by CONTRACTOR or its Subcontractors of any lower tier; (ii) Performance or nonperformance by CONTRACTOR or its Subcontractors of any lower tier, of any of the obligations under the Contract Documents; Page 2 of 3 (iii) The construction activities of CONTRACTOR or its Subcontractors of any lower tier, either on the project site or on other properties; (iv) The payment or nonpayment by CONTRACTOR of any of its Subcontractors of any lower tier, for Work of Improvement performed on or off the project site; and (v) Any personal injury,property damage or economic loss to third persons related to and arising from the performance or nonperformance by CONTRACTOR or its Subcontractors of any lower tier, of the Work of Improvement. (vi) The indemnity obligations of Subcontractors provided by this Section shall be included in all subcontract documents issued by CONTRACTOR. Nothing in the Contract Documents shall be construed to give rise to any implied right of indemnity in favor of CONTRACTOR against CITY or any other Indemnitee. IN WITNESS WHEREOF, the parties hereto have executed this Construction Contract on the day and year first above written. ATTEST: CITY OF SANTA ANA _, a� JENNIFE L ALVARO NUNEZ City C City Manager APPROVED AS TO FORM: SONIA R. CARVALHO CONTRACTOR: City Attorney A2Z Construct Inc. By KYLE NELLESEN AME: M C, Ta T�c-r-1 Assistant City Attorney TITLE: RECOMMENDED FOR APPROVAL: O R S,P.E. Acting Executive Director Public Works Agency Page 3 of 3 CITY OF SANTA ANA PROPOSAL PROJECT NO.:25-6052 SARTC ADA RESTROOM IMPROVEMENTS BID PROPOSAL TO: CITY COUNCIL OF THE CITY OF SANTA ANA FROM., A2Z Construct Inc REQUIREMENT: The undersigned bidder declares that they have carefully examined the location of the proposed work, that they have examined the Contract Documents in its entirety and hereby proposes to furnish all material and do all the work required to complete the said work in accordance with said plans(if any)and the specifications for the unit price(s)or lump sum(s)set forth in the following schedule: Item Description Qty Unit Unit Price Amount I SARTC ADA Restroom Improvements 1 LS $ $ QL .bfi $26 b, 2 As-Built Plans I LS $2,000 $2,000 TOTAL BASE BID $ 2.101 00D. 00 The lowest responsible bidder shall be selected based on the total base bid. The City reserves the right to award the Base Bid, and any,all,or none of the add-alternate bid items(if any). * The quantity for this bid item is shown for bid comparison only. This bid item shall not be subject to the"25%"limit as stated in Section 7-3.5 of the Standard Specifications. The actual amount for this item will be dictated by the actual quantity used, and the Agency reserves the right to increase or decrease the quantity of this item accordingly. This bid item is considered a Specialty item per Section 3-2 of the Standard Specifications. TIME FOR COMPLETION OF IMPROVEMENTS AND LIQUIDATED DAMAGES The undersigned bidder hereby proposes to complete the Work for the total base bid amount shown above,within eighty(80)_vcroxlting dates after the commencement date stated in the Notice to.Proceed.Upon issuance of the Notice to Proceed,Contractor shall immediately place order for long-lead time. P-1 of P-18 CITY OF SANTA ANA PROPOSAL PROJECT NO.:25-6052 SARTC ADA RESTROOM IMPROVEMENTS PROJECT PHASING The contractor will renovate one set of restrooms at a time to ensure that not all facilities are closed simultaneously, The sequence of renovations will be determined during the pre-construction meeting between the awarded contractor and the project manager. The liquidated damages amount, in lieu of the amount specified in Subsection 6-9 of the Standard Specifications, shall be$3,600 per calendar day. Name of Firm A2Z Construct Inc IAI-feijlkew J7t ftari ff f Id 1 t Ti�i4 11" Signature of BIDDER /Z/�=2�Zt Scc re+1-Lr� Title President (If an individual, so state. If a firm or co-partnership, state the firm name and give the names of all individual copartners composing the firm. If a corporation, state legal name of corporation, and names of President, Secretary,Treasurer and Manager,thereof.) P-2 ofP-18 A Rai CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYYI 1 0/2 712 02 5 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(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT Numberl Insurance Marketing Services NAME: Shannon Belo 17111 Beach Blvd Ste 103 PHONE E . (714)848-4400 Fa1c No): (714)648.3500 Huntington Beach, CA 92647 ADDRESS: Shannon@numberlins.com License 9: OC17917 INSURERS AFFORDING COVERAGE NAIC N INSURERA: Kinsale Insurance Company INSURED INSURER5: California Automobile Ins 38342 A 2 z CONSTRUCT INC INSURER C: Nautilus Insurance Company 63 VIA GATILLO INSURER D: National Liability&Fire Insurance Company RANCHO SANTA MARGAR, CA 92688-3160 INSURER E: Colony Insurance Company INSURER F: COVERAGES CERTIFICATE NUMBER: 00004613-2078684 REVISION NUMBER: 42 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 I TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 0100318627-1 08116/2025 08/16/2026 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE NJOCCUR DAMAGTED PREMISES Ea occurrence $ 10,0000 MEDEXP(Any one person) $ Excluded PERSONAL&ADV INJURY $ 1 DUD DDD GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY jE 0 LOC PRODUCTS-COMPIOP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY Y Y BA040000086557 02/1512025 02/1512026 COMBINE (Fa acccidentslNGLE LIMIT $ 1,000,000 ANY AUTO BODILY INJURY(Par parson) $ OWNED SCHEDULED AUTOS ONLY All745 BODILY INJURY( ) Per accident $ X HIRED NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY X AUTOS ONLY per accident `' UMBRELLA LIAR X OCCUR AN358502 08116/2025 0811612026 EACH OCCURRENCE $ 4,000,000 X EXCESS LIAR CLAIMS-MADE AGGREGATE $ 4,DD0,000 DIED I I RETENTION$ $ D WORKERS COMPENSATION Y 1 N Y A9WC580764 12/2612024 12/26/2025 X ER STATUTE OR" AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTHERIEXECUTIVE E,L.EACH ACCIDENT $ 1,DOO,000 OFPICFRIMEMBER EXCLUDED N/A (Mandatory in NH) E.LDISEASE-EAEMPLOYE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000 000 E Pollution CSP4245644 07/10/2025 07/10/2026 General Aggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD IV,Additional Remarks Schedule,may be attached if more space Is required) City of Santa Ana, its City Council,officers, officials,employees, agents, and volunteers are named additional insured with regards to CGL and commercial Auto per policy when required by written contract with the insured. Primary and non contributory wording shall be afforded by the policy to the additional insured.Waiver of subrogation shall be afforded by the CGL,commercial Auto and WC policy In favor of the additional insured. APPROVED By Tv Tran Nguyen at 2.33 pm,Oc!27 2t72�- _. ,.,-, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES HE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Attention: Public Works Agency, M-92 ACCORDANCE WITH THE POLICY PROVISIONS. 220 S. Daisy Ave. Building A SANTA ANA, CA 92703 AUTH art ZED REPRESE TATIVE sss ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Printed by SSB on 10/27/2025 at 02:18PM i THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. ADDITIONAL INSURED AS REQUIRED BY WRITTEN CONTRACT Attached To and Forming Part of Policy Effective Date of Endorsement Named Insured 0100318627-1 08/16/2025 12:01 AM at the Named A 2 Z Construct Inc Insured address shown on the Declarations Additional Premium: Return Premium: $0 $0 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE A. SECTION II-WHO IS AN INSURED is amended to include any person or organization you are required to include as an Additional Insured on this Policy by written contract in effect during the policy period and executed prior to the "occurrence"of the"bodily injury"or"property damage", but only for the vicarious liability imposed on the Additional Insured provided that such liability is caused by the sole negligent conduct of the Named insured and is proximately caused by"your work"or"your product"for the Additional Insured, However: 1. The insurance afforded to such Additional Insured only applies to the extent permitted bylaw;and 2. Will not be broader than that which you are required by the written contract to provide for such Additional Insured. B. The insurance provided to the Additional Insured under this endorsement is limited as follows: 1. This insurance does not apply to"bodily injury"or"property damage"arising out of"your work"or"your product" included in the"products-completed operations hazard"unless you are required to provide such coverage by written contract. If such insurance is required by written contract, the insurance provided to the Additional Insured is limited to the alleged or actual vicarious liability imposed on the Additional Insured as a result of the alleged or actual negligent conduct of the Named Insured as a result of liability solely caused by"your work"or"your product" for the Additional Insured, 2. Any insurance provided by this endorsement to an Additional Insured shall be excess with respect to any other valid and collectible insurance available to the Additional Insured unless the written contract specifically requires that this insurance apply on a primary and non-contributory basis, in which case this insurance shall be primary and non- contributory, 3. Where there is no duty to defend the Named Insured,there is no duty to defend the Additional Insured. Where there is no duty to indemnify the Named Insured,there is no duty to indemnify the Additional Insured 4. This insurance does not apply to"bodily injury"or"property damage,"arising out of the sole negligence of the Additional Insured or any employees of the Additional Insured. C. With respect to the insurance afforded to the Additional Insured,the following is added to SECTION III—LIMITS OF INSURANCE: CAS5010 0420 Page 1 of 2 The most we will pay on behalf of the Additional Insured is the amount of insurance: 1. Required by the written contract;or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. D. Duties of the Additional Insured in the event of`occurrence",claim,or"suit": 1. The Additional Insured must promptly give notice of an "occurrence",a claim which is made,or a"suit"to any other insurer which has insurance for a loss to which this insurance may apply. 2. The Additional Insured must promptly tender the defense of any claim made or"suit"to any other insurer which also issued insurance to the Additional Insured as a Named Insured or to which the Additional Insured may qualify as an Additional Insured for a loss to which this insurance may apply. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. CAS5010 0420 Page 2 of 2 POLICY NUMBER: BA040000086557 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE REAL) IT CAREFULLY. BLANKET ADDITIONAL INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement, The following is added to the Section II—Liability Coverage, Paragraph A.1.Who Is An Insured Provision: Any person or organization that you are required to include as additional insured on the Coverage Form in a written contract or agreement that is signed and executed by you before the"bodily Injury"or"property damage" occurs and that is in effect during the policy period is an"insured"for Liability Coverage, but only for damages to which this insurance applies and only to the extent that person or organization qualifies as an"Insured"under the Who Is An Insured provision contained in Section il. MCA20480711 POLICY NUMBER: BA040000086557 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET WAIVER OF SUBROGATION This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. SECTION IV— BUSINESSS AUTO CONDITIONS, A. Loss Conditions, 5. Transfer of Rights Of Recovery Against Others To Us, the following is added: We waive any right of recovery we may have against any person or organization to the extent required of you by a written contract executed prior to any"accident" or`loss", provided that the "accident' or"loss" arises out of the operations contemplated by such contract. The waiver applies only to the person or organization designated in such contract. MCA04440913 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed.4-84) i WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA i i 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.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 1_03 _% of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description Blanket Waiver-Any person or organization for whom the All CA Operations Named Insured has agreed by written contract to furnish this waiver. 3 I This endorsement changes the policy to which it is attached and is effective on the dato issued unless otherwise stated. (The Information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 12/26/2024 Policy No. A9wC580764 Endorsement No. 0 Insured Insurance Company National liability &Fire Insurance Company A 2 Z Construct Inc i Countersigned By 01998 by the Workers'Compensation Insurance Rating Bureau of California.All rights reserved. THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US-BLANKET Attached To and Forming Part of Policy Effective Date of Endorsement Named Insured 0100318627-1 08/1612025 12:01 AM at the Named A 2 Z Construct Inc Insured address shown on the Declarations Additional Premium: Return Premium: $0 1 $0 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE SECTION iV—CONDITIONS,S.Transfer of Rights of Recovery against Others to Us is amended by the addition of the following: We waive any right of recovery we may have against persons or organizations because of payments we make for injury or damage arising out of"your wont"done under a written contract with that person or organization wherein you have agreed to provide this waiver. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. CAS4002 0110 Page 1 of 1 7ATE,(MMIDDfYYYY) ACORO° CERTIFICATE OF LIABILITY INSURANCE26/2026 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME Shannon Balo Number1 Insurance Marketing Services PHONE FAX 17111 Beach Blvd Ste 103 A/c No Ext: (714)848-4400 A/C No): (714)848-3500 Huntington Beach, CA 92647 E-MAIL E-MAIL ADDRESS: Shannon@number1ins.com License #: OC17917 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Associated Industries Insurance Company INSURED INSURER B: California Automobile Ins 38342 A 2 Z CONSTRUCT INC INSURERC: Nautlus Insurance Company 63 VIA GATILLO INSURER D: State Compensation Insurance Fund RANCHO SANTA MARGAR, CA 92688-3160 INSURERE: Colony Insurance Company INSURER F: COVERAGES CERTIFICATE NUMBER: 00004613-0 REVISION NUMBER: 55 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY Y Y AES1268943 00 11/23/2025 11/23/2026 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE J OCCUR PREM AGE SESOEa occuRENTErrDence $ 100,000 MED EXP(Any one person) $ 2,500 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 �( POLICY D PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ MBIB AUTOMOBILE LIABILITY Y Y BA040000086557 02/15/2025 02/15/2026 EOa a.,deDtsINGLE LIMIT $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY X AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY X AUTOS ONLY Per accident `` UMBRELLA LAB X OCCUR AN1367841 11/23/2025 11/23/2026 EACH OCCURRENCE $ 4,000,000 X EXCESS LABCLAIMS-MADE AGGREGATE $ 4,000,000 DED I I RETENTION$ 0 $ D AND EMPS YERS'LSA IONILIT Y 9392821 12/31/2025 12/31/2026 X STATUTE EERH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? Fy] N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 E Pollution CSP4245644 07/10/2025 07/10/2026 General Aggregate 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) City of Santa Ana, its City Council, officers,officials, employees, agents, and volunteers are named additional insured with regards to CGL and commercial Auto per policy when required by written contract with the insured. Primary and non contributory wording shall be afforded by the policy to the additional insured.Waiver of subrogation shall be afforded by the CGL, commercial Auto and WC policy in favor of the additional insured. APPROVED CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 7:50 am,Jan 27, 2026 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN PWA— Park Services ACCORDANCE WITH THE POLICY PROVISIONS. 220 S Daisy Ave AUTHORIZED REPRESENTATIVE SANTA ANA, CA 92703 (SSB) ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Printed by SSB on 01/26/2026 at 04:39PM POLICY NUMBER: BA040000086557 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. The following is added to the Section II—Liability Coverage, Paragraph A.I.Who Is An Insured Provision: Any person or organization that you are required to include as additional insured on the Coverage Form in a written contract or agreement that is signed and executed by you before the"bodily;injury"or"property damage" occurs and that is in effect during the policy period is an "insured"for Liability Coverage, but only for damages to which this insurance applies and only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Section II. MCA20480711 POLICY NUMBER: AES1268943 aD COMMERCIAL GENERAL LIABILITY CG20100413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location(s) Of Covered Operations All persons or organizations where required by written contract with the Named Insured Information required to complete this Schedule, if not shown above,will be shown in the Declarations. A. Section II — Who Is An Insured is amended to "Property damage" occurring after: include as an additional insured the person(s) or 1. All work, including materials, parts or equipment organization(s) shown in the Schedule, but only furnished in connection with such work, on the with respect to liability for"bodily injury", "property project (other than service, maintenance or damage" or "personal and advertising injury" repairs) to be performed by or on behalf of the caused, in whole or in part, by: additional insured(s) at the location of the 1. Your acts or omissions; or covered operations has been completed; or 2. The acts or omissions of those acting on your 2. That portion of "your work" Out of which the behalf; injury or damage arises has been put to its in the performance of your ongoing operations for intended use by any person or organization the additional insured(s) at the location(s) other than another contractor or subcontractor designated above. engaged in performing operations for a principal as a part of the same project. However: C. With respect to the insurance afforded to these 1. The insurance afforded to such additional additional insureds, the following is added to insured only applies to the extent permitted by Section III—Limits Of Insurance: law; and If coverage provided to the additional insured is 2. If coverage provided to the additional insured is required by a contract or agreement, the most we required by a contract or agreement, the will pay on behalf of the additional insured is the insurance afforded to such additional insured amount of insurance: will not be broader than that which you are 1. Required by the contract or agreement; or required by the contract or agreement to provide for such additional insured. 2. Available under the applicable Limits of B. With respect to the insurance afforded to these Insurance shown in the Declarations; additional insureds, the following additional whichever is less. exclusions apply: This endorsement shall not increase the applicable This insurance does not apply to "bodily injury" or Limits of Insurance shown in the Declarations. CG 20 10 04 13 ©Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: BA040000086557 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET WAIVER OF SUBROGATION This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. SECTION IV— BUSINESSS AUTO CONDITIONS, A. Loss Conditions, 5. Transfer of Rights Of Recovery Against Others To Us, the following is added: We waive any right of recovery we may have against any person or organization to the extent required of you by a written contract executed prior to any "accident" or"loss", provided that the "accident' or"loss" arises out of the operations contemplated by such contract. The waiver applies only to the person or organization designated in such contract. MCA04440913 POLICY NUMBER: AES1268943 00 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO 'US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: All persons or organizations where required by written contract with the Named Insured Information required to complete this Schedule, if not shown above,will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV—Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or"your work" done under a contract with that person or organization and included in the "products-completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 O Insurance Services Office, Inc., 2008 Page 1 of 'I POLICY NUMBER:AES1268943 00 COMMERCIAL GENERAL LIABILITY NX GL 009 08 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IIT CAREFULLY. PRIMARY AND NON-CONTRIBUTING INSURANCE (THIRD-PARTY) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Third Party: All persons or organizations where required by written contract with the Named Insured (Absence of a specifically named Third Party above means that the provisions of this endorsement apply as required by written contractual agreement with any Third Party for whom you are performing work.) Paragraph 4. of SECTION IV: COMMERCIAL GENERAL LIABILITY CONDITIONS is replaced by the following: 4. Other Insurance: With respect to the Third Party shown above, this insurance is primary and non-contributing. Any and all other valid and collectable insurance available to such Third Party in respect of work performed by you under written contractual agreements with said Third Party for loss covered by this policy, shall in no instance be considered as primary, co-insurance, or contributing insurance. Rather, any such other insurance shall be considered excess over and above the insurance provided by this policy. NX GL 009 08 09 Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission STATE Endorsement Agreement COMPENSATION INSURANCE Waiver of Subrogation FUND Blanket Basis 9392821-2025 Home Office New San Francisco SP All Effective Dates are 1-63-53-86 at 12:01 AM Pacific Page 1 of 1 Standard Time or the Time Indicated at Effective December 31, 2025 at 12:01 AM Pacific Standard Time and Expiring December 31, 2026 at 12:01 AM A 2 Z CONSTRUCT INC 63 VIA GATILLO RANCHO SANTA MARGARITA, CA 92688 We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the schedule. This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us. The additional premium for this endorsement shall be 2.00% of the total policy premium. Schedule Person or Organization Job Description Any person or organization for whom the Blanket Waiver of Subrogation named Insured has agreed by written contract to furnish this waiver Nothing in this endorsement shall be held to vary, alter,waive or extend any of the terms, conditions, agreements,or limitations of this policy other than as above stated.Nothing elsewhere in this policy shall be held to vary,alter,waive or limit the terms, conditions,agreements or limitations in this endorsement. Countersigned and Issued at San Francisco December 30,2025 2572 Authorized Representative President and CEO SF—END Rev.2/2025 OLD DP 217 JUN 0 2, 2026 -� CITY OF SANTA ANA PUBLIC WORKS AGENCY CONTRACT CHANGE ORDER Project Number Project No. 25-6052 Santa Ana Regional Transportation Center Change Order Number 1 ADA Restroom Improvements To A2Z Construct Inc. Contractor You are hereby directed to make the herein changes from the plans and specifications or do the following described work not included in the plans and specifications on this contract. NOTE:THIS CHANGE ORDER IS NOT EFFECTIVE UNTIL APPROVED BY THE CITY COUNCIL OR CITY MANAGER, Unless otherwise stated,rates for rental of equipment cover only such time as equipment is actually used and no allowance will be made for idle time. Change requested by PUBLIC WORKS AGENCY EXTRA WORK AT AGREED PRICE 1. To compensate the contractor for costs associated with adding isolation valves at each restroom set. (PC0#1) AGREED PRICE _ $4,580.00 2. To compensate the contractor for replacing corroded plumbing lines and water carriers at the second-floor restrooms. (PCO##2) AGREED PRICE= $6,345.00 TOTAL AGREED CHANGE ORDER= $10.925.00 Page 1 of 2 ... CITY 4F SANTA ANA PUBLIC WORKS AGENCY + CONTRACT CHANGE ORDER Project Number Project No. 25-6052 Santa Ana Regional Transportation Center Change Order Number 1 ADA Restroom Improvements To A2Z Construct Inc. Contractor You are hereby directed to make the herein changes from the plans and specificalicns of do the following described work not included in the plans and specifications on this contract. NOTE;THIS CHANGE ORDER Is NOT EFFECTIVE UNTIL APPROVED BY THE CITY COUNCIL OR CITY MANAGER. Unless otherwise stated,rates for rental of equipment cover only such time as equipment is actually used and no allowance will be made for idle time. Change requested by PusLIC WORKS AGENCY The compensation both time and cost set forth in this change order comprises the total compensation due the Contractor, all Subcontractors,and all Suppliers for all work performed per this change order, including impact on unchanged work. By signing this change order, the Contractor acknowledges and agrees on behalf of himself, all Subcontractors, and all Suppliers, that the stipulated compensation includes payment for all work contained in this change order, plus all payment for interruption of schedules, extended field overhead, home office overhead, profit, delay, and all impact, ripple effect or cumulative impact on all other work under this Contract. The signing of this change order constitutes full mutual accord and satisfaction for all changes and work performed on this project, and that the time and cost paid per this change order constitutes the total equitable adjustments owed the Contractor, all Subcontractors, and all Suppliers for all work performed on this project. The Contractor on behalf of himself, all Subcontractors, and all Suppliers agrees to waive all rights,without exception or reservation of any whatsoever to file any further claim related to this project. TOTAL COST THIS CHANGE ORDER: DECREASE $ --------------- INCREASE $ 10,925.00 By reason of this order the CONTRACT TIME completion will be adjusted as follows: Zero 0 Working Days We the undersigned contractor have given careful consideration to the change proposed and hereby agree,if this proposal is approved,that we will provide all equipment,fumish all materials,except as may otherwise be noted above,and perform all service necessary for the work above specified,and will accept as full payment therefor the rites s own above. Accepted,Date I �` Contractor A2Z Construct Inc. By t. Title Approval recommended by Date PU !c CY EXE (RECTOR Approved by Date ` 4 Attest: Date - x ; Page 2 of 2