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SITEREP CONSTRUCTION SERVICE INC. (ANGELS COOL PAVEMENT BASKETBALL COURT AND ADA IMPROVEMENTS)
Itini�'1i.� 1L. [1l FILE CITY OF SANTA ANA APR 0 8 2026 CONSTRUCTION CONTRACT (Z-) PROJECT 25-7524 Michael artii� ANGELS COOL PAVEMENT BASKETBALL COURT AND ADA IMPROVEMENTS L0i 1�n i Tel1¢.�'LDi) This CONSTRUCTION CONTRACT is made and entered into this 29th day of January, 2026 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 Siterep Construction Service 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, Angels Cool Pavement Basketball Court and ADA 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 [One-Hundred Seventy-Two Thousand Seven- Hundred Seventy Eight Dollars and no Cents ($172,778), as set forth and identified in the itemized BID PROPOSAL uploaded by the Contractor to PlanetBids,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 4 4. CONTRACTOR agrees to complete the WORK OF IMPROVEMENT within the time specified in the Time for Completion of Improvements and Liquidated Damages section of the BID PROPOSAL (Exhibit `B") 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. 6. 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 maybe found on the City's website at: htti)://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 work(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 4 (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. 11. FEDERAL FUNDING REQUIREMENTS. Contractor shall comply, and ensure all subcontractors comply, with all applicable regulations, policies, guidelines and requirements of the Community Development Block Grant (CDBG)program set forth by U.S.Department of Housing and Urban Development for sub-recipients including,without limitation, the funding requirements laid out in Appendix H of the Contract Documents, incorporated fully be reference. Contractor's attention is specifically directed to the following, which are each incorporated herein by reference: (i) 2 CFR Part 200 (Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards). (ii) Program Income—24 CFR Part 570.500(a)(1) (iii) Unused Program Income—24 DFR Part 570.503(b)(3) (iv) Transfers of Program Income—24 CFR Part 570.504(b)(2) (v) Disposition of Program Income—24 CFR Part 570.504(c) (vi) Applicability of Uniform Administrative Requirements—24 CFR 570.502 (vii) Subpart K of the CDBG Regulations, commencing with 24 CFR 570.600 (viii) Section 3 Requirements specified herein. (ix) Federal Contract Provisions specified herein. With respect to any conflict between such federal requirements and the terms of the Contract Document and/or the provisions of the state laws and except as otherwise required under federal law or regulation, the more stringent requirement shall control. Contractor shall be subject to the Davis- Bacon Act. The federal minimum wage rates are included in Appendix J of the Contract Documents and incorporated herein by this reference. When the Davis-Bacon wage rates and California prevailing wage rates differ for similar kinds of labor, the Contractor shall pay not less than the higher rate. Contractor shall additionally comply with eh applicable flow down terms and conditions of the CDBG Funding Agreement, included in the Contract Documents as Appendix I and incorporated herein by reference. Page 3 of 4 IN WITNESS WHEREOF, the parties hereto have executed this Construction Contract on the day and year first above written. ATTEST: CITY OF SANTA ANA 1F R L HA L > ., ALVARO NUNEZ City CIe City Manager APPROVED AS TO FORM: SONIA R. CARVALHO CONTRACTOR: City Attorney Siterep Construction Services, Inc KYLE NELLESEN ANDRE O TIZ Assistant City Attorney President RECOMMENDED FOR APPROVAL: O ROSA , P.E. Acting Executive Director Public Works Agency Page 4 of 4 (""O-J 4 ,,(1 "j Exhibit A Bid Results Bidder Details Vendor Name Siterep Construction Services,Inc, Address 301 E.Arrow Hwy 41Q5 San Dimas,California 91773 United States Respondee Andre Ortiz Respondee Title President Phone 909-418-8690 Email aortlz@slterepir)c.com Vendor Type MBE,SBE,DVFE,CADIR License# 1094220 Bid Detail Bid Format Electronic" Submitted 11/10/2025 1:1 8 PM(PST) Delivery Method Bid Responsive Yes Bid Status Submitted Confirmation 9 456149 Respondee Comment Buyer Comment Attachments File-ritte I'He Name Fite Type Santa Ana-Basketball Courts Bid Santa Ana-Basketball Courts Rid General Forms Proposal Forms.pdF Proposal Fornns.pdf Santa Ana Basketball Courts Ownership Santa Ana Basketball Courts Ownership Ownership Affidavit(Notary Public)-REQ Original Hard Copy i:orm.PdF Form.pdf submittal in Addition Santa Ana Basketball Courts Bid Santa Ana Basketball Courts Did Bid Bond Guaranty(Notary Public}-REQ original Hard Copy Bond.p& Bond.pdf Submittal in Addition Santa Ana Basketball courts Rid Non Santa Ana Basketball Courts 3id Non Non-Collusion Affidavit(Notary Pub1tic)-REQ Original Hard CoLsiDn.pdf Callusion'.odf Copy Submittal in Addition I-�w)r 1%i:�ir"; "'v-, 1�0,b-,-.,I',I 0121,2K 00 'vl(PFT`- Line Items Discount Terms No-Discount Item#Item Code Type Item Description UCM QTY Unit Price Line Total Response Comment TOTAL BASE DID(items 1-2) $172.778.00 I Remove and Replace Driveway Approach LS 1 $9,922.00 59,0=09 Yes 2 2 Construct Mew4'PCC Sidewalk 5F 1090 MOO MI'MOG yes a 3 Irrigation Ralocatlon LS 1 $1,653.00 $1,683.00 Yes 4 4 CoAstructS"Thick Asphalt Concrete Basketball Court including Perimeter Edging.includes Basketball Hoop and Found&tloa LS 1 $I23.139.00 $123,1.39.00 Yes $ 5 Project advertisement sign LS 1 $674.00 $674.00 Yes 6 6 Coot Pavement Basketball Court Striping LS I 521,610.00 $21,610.00 Yes IDA I 12!� 245. I :10,202S c 4S 11,1 Line Item Subtotals Section Title Line Total TOTAL BASE BID(Items W) Grand Total $172,778.00 CITY OF SANTA ANA Exhibit B PROPOSAL PROJECT NO.: 25-7524 ANGELS COOL PAVEMENT BASKETBALL COURT AND ADA 1WROVEMENTS 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 forty (40) working days 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 items. The liquidated damages amount, in lieu of the amount specified in Subsection 6-9 of the Standard Specifications, shall be $670 per calendar day. Name of Firm siterep Construction Services Inc. Signature of BIDDER 4= Title President (If an individual, so state. If a firm or co-partnership, state the firm name and give the names of all individual co-partners composing the firm. If a corporation, state legal name of corporation, and names of President, Secretary, Treasurer and Manager, thereof.) P-2 of P-18 Ac DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 03/13/2026 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 lleu of such endomement(s). PRODUCER CONTACT Christina Kaprielian NAME: SultivanCurtislvlonroe,LLC-#OE83670 AHCNNoExt: (949)250.7172 glCNo: (949)852-9762 Claims Reporting(800)427-3253 E-MAIL ckaprielian@sullicurt.com ADDRESS: 2010 Main St.,Ste.700 INSURER(S)AFFORDING COVERAGE NAIC# Irvine CA 92614 INSURERA: Capitol Specialty Insurance 1032a INSURED INSURER B: California Automobile Insurance Co, 38342 Siterep Construction Services,Inc. INSURER C: Accelerant Specialty Insurance Company 19489 301 E Arrow Hwy#105 INSURER D: INSURER E: San Dimas CA 91773 INSURER F: COVERAGES CERTIFICATE NUMBER: 26-27 GLICAUIUMB/PL REVISION NUMBER: THIS IS TO CERTIFYTHAT 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 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. t TR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM DONYYY MMILDD YYYY LIMITS X COMMERCIALGENERALLIABILITY EACHOCCURRENCE $ 1,000,000 GLAIMS•MADE ®OCCUR PREMISES(Ea occurrence) $ 100,000 VIED EXP(Any one person) $ 5,000 A Y Y CT20200053-01 03/17/2026 03/17/2027 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ❑PECOT- ® LOC. PRODUCTS-COMPIOPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X ANYAUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED Y Y BA040000099047 03/10/2026 03/10/2027 BODILY INJURY(Per accident) $ AUTOSCNLY AUTOS . X HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY /� AUTOS ONLY Per....tort UMBRELLA UAB OCCUR EACH OCCURRENCE $ 1,000,000 A X EXCESS LIAB HCLAIMS-MADE CX20260036-01 03/17/2026 03/17/2027 AGGREGATE $ 1,000,000 DEC) I I RETENTION$ $ WORKERS COMPENSATION PER R� AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETORIPARTNERIEXECJTIVE E.L.EACH ACCIDENT $ OFFICERIMEMBEREXCLUDED? ❑ NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ Ifyes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 3 Contractors Pollution and Professional Per Claim $2,000,000 C Liability S0073PLO22483-00 0311712C26 03Y1712027 Aggregate $2,000,000 Retention $10,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Re:PROJECT 25.7524 ANGELS COOL PAVEMENT BASKETBALL COURT AND ADA IMPROVEMENTS City of Santa Ana,its City Gouncil,officers,officials,employees,agents,and volunteers are added as Additional Insured with Waiver of Subrogation per attached forms.Insurance is Primary and Non-Contributory. APPROVED CERTIFICATE HOLDER CANCELLATION r lalgzryaat f2Afaa�2i)2' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. 20 CIVIC Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 Uf O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 26(2016103) The ACORD name and logo are registered marks of ACORD AC R CERTIFICATE OF LIABILITY INSURANCE OATE`MMD°""Yr' 1111 1 03/16/2026 THIS CERTIFICATE 1S 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 Christa Tell ijohn NAME Primary Source Insurance Agency Inc PHONE (800)760-2809 FAX (877)446-4631 A C No. b Ext: A!Q No 121 E Park Square E-MAIL catellijohn@fedins.com ADDRESS: INSURERIS)AFFORDING COVERAGE NA1C# Owatonna MN 55060 INSURER A: State Comp Ins Fund 35076 INSURED INSURER 8 Sltarep Construction Services,Inc' INSURER C: 301 E Arrow Hwy INSURER D: Ste 105 INSURER E: San Dimas CA 91773-3364 11111ER1: COVERAGES CERTIFICATE NUMBER: 26-27 WC REVISION NUMBER: THIS iS TO CERTIFY THATTHE 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 MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BYTHE 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 AJUL bIJUR POLICY P LI Y EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR D PREMISES Ea occurrence $ ME EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'LAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $ POLICY PRO- JECT LOC PRODUCTS-COMPtOPAGO $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTC BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UM BRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X STATUTE ORH AND EMPLOYERS'LIABILITY ANY PRO PRIETCRIPARTNERIEXECUTIVE YIN E.L.FACH ACCIDENT $ 1,000,000 A OFFICERIMEMBER EXCLUE NIA Y 9395661-2026 02/19/2026 02/19/2027 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached If more space is required) Project No:25-7524 Angels Cool Pavement Basketball Court and ADA Improvements, The Workers Compensation coverage contains a waiver of subrogation in favor of the certificate holder subject to the conditions of the Waiver of Subrogation. f'IPPRO iI ED CERTIFICATE HOLDER CANCELLATION I Sy Tit Tran Nguyen af.12 30 prn,;Mar 2,T k04 SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Ana ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana CA 92702 ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 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.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 II. MCA20480711 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 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Mercury Business Auto Broadening Endorsement This endorsement modifies insurance provided underthe following: BUSINESS AUTO COVERAGE FORM I. NEWLY ACQUIRED OR FORMED ENTITY(BROAD FORM NAMED INSURED) II. EMPLOYEES AS INSUREDS III. SUPPLEMENTARY PAYMENTS IV. ADDITIONAL TRANSPORTATION EXPENSE V. ACCIDENTAL AIRBAG DEPLOYMENT COVERAGE VI. GLASS REPAIR—DEDUCTIBLE WAIVER VII. TWO OR MORE DEDUCTIBLES VIII. AMENDED DUTIES 1N EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS IX, UNINTENTIONAL ERROR, OMISSION, OR FAILURE TO DISCLOSE HAZARDS X. PRIMARY AND NONCONTRIBUTORY IF REQUIRED BY CONTRACT XI. BODILY INJURY REDEFINED TO INCLUDE RESULTANT MENTAL ANGUISH XII. PERSONAL EFFECTS COVERAGE XIII. LOSS OF USE EXPENSES XIV. DEVICES DESIGNED FOR USE WITH AUDIO, VISUAL OR DATA ELECTRONIC EQUIPMENT XV. PHYSICAL DAMAGE DEDUCTIBLE—VEHICLE TRACKING SYSTEM XVI. CHAINS,TARPS, AND BINDERS COVERAGE Copyright 2023 Mercury Insurance Services,LLC. All rights reserved. MCA CABE 08 23 Includes copyrighted material of Insurance Services Office,Inc.,with its permission Page 1 of 4 BUSINESS AUTO COVERAGE FORM I. NEWLY ACQUIRED OR FORMED ENTITY(Broad Form Named Insured) SECTION 11—COVERED AUTOS LIABILITY COVERAGE,A.Coverage, 1.Who Is An Insured,the following is added: Any business entity newly acquired or formed by you during the policy period provided you own 50%or more of the business entity and the business entity is not separately insured for Business Auto Coverage. Coverage is extended up to a maximum of 180 days following acquisition or formation of the business entity. Coverage under this provision is afforded only until the end of the policy period. Coverage does not apply to an "accident"which occurred before you acquired or formed the organization. II. EMPLOYEES AS INSUREDS SECTION II—COVERED AUTOS LIABILITY COVERAGE,A.COVERAGE, 1.Who Is An Insured,the following is added: Any"employee" of yours is an "insured" while using a "covered auto'you do not"own", lease, hire, rent, or borrow,which is used in connection with your business. Ill. SUPPLEMENTARY PAYMENTS SECTION 11—COVERED AUTOS LIABILITY COVERAGE,A.Coverage,3. Coverage Extensions,a. Supplementary Payments,Subparagraphs (2) and (4) are replaced by the following: (2) Up to$3,000 for cost of bail bonds (including bonds for related traffic law violations) required because of an "accident"we cover. We are not obligated to furnish these bonds. (4) All reasonable expenses incurred by the"insured" at our request, including actual loss of earnings up to$500 a day because of time off from work. IV. ADDITIONAL TRANSPORTATION EXPENSE SECTION III -PHYSICAL DAMAGE COVERAGE,A.Coverage,2. Coverage Extensions,a. Transportation Expenses, is amended by: Replacing$20 per day with$50 per day, and the$600 maximum with$1,000 maximum. If your business shown in the "Declarations" is other than an auto dealership, we will also pay up to $1,000 for reasonable and necessary costs incurred by you to return a stolen "covered auto"from the place where it is recovered to its usual garaging location. V. ACCIDENTAL AIRBAG DEPLOYMENT COVERAGE SECTION III -PHYSICAL DAMAGE COVERAGE, B. Exclusions,la., is amended to add the following: This exclusion does not apply to the accidental discharge of an airbag. VI. GLASS REPAIR—DEDUCTIBLE WAIVER SECTION Ill -PHYSICAL DAMAGE COVERAGE, D. Deductible,the following is added: No deductible applies to glass damage if the glass is repaired rather than replaced. Copyright 2023 Mercury Insurance Services,LLC. All rights reserved. MCA CABE 08 23 Includes copyrighted material of Insurance Services Office,Inc.,with its permission Page 2 of 4 VII. TWO OR MORE DEDUCTIBLES SECTION III -PHYSICAL DAMAGE COVERAGE, D. Deductible,the following is added: If two or more "company" policies or coverage forms apply to the same accident: 1. If the applicable Business Auto deductible is the smallest, it will be waived;or 2. If the applicable Business Auto deductible is not the smallest, it will be reduced by the amount of the smallest deductible;or 3. If the loss involves two or more Business Auto coverage forms or policies the smallest deductible will be waived. For the purpose of this endorsement "company" means the company providing this insurance and any of the affiliated members of the Mercury Insurance Group of companies. Vill. AMENDED DUTIES IN EVENT OF ACCIDENT,CLAIM,SUIT OR LOSS The requirement in SECTION IV, BUSINESS AUTO CONDITIONS,A. Loss Conditions,2. Duties In The Event Of Accident,Claim, Suit, Or Loss,a., In the event of"accident",you must notify us of an "accident"applies only when the"accident" is known to: (1) You, if you are an individual; (2) A partner,if you are a partnership; (3) A member, if you are a limited liability company;or (4) An executive officer or insurance manager, if you are a corporation. IX. UNINTENTIONAL ERROR,OMISSION,OR FAILURE TO DISCLOSE HAZARDS SECTION IV-BUSINESS AUTO CONDITIONS, B.General Conditions,2.Concealment, Misrepresentation,or Fraud,the following is added: Any unintentional omission of or error in information given by you, or unintentional failure to disclose all exposures or hazards existing as of the effective date or at any time during the policy period shall not invalidate or adversely affect the coverage for such exposure or hazard or prejudice your rights under this insurance. However,you must report the undisclosed exposure or hazard to us as soon as reasonably possible after its discovery. This provision does not affect our right to collect additional premium or exercise our right of cancellation or non-renewal. X. PRIMARY AND NONCONTRIBUTORY IF REQUIRED BY CONTRACT SECTION IV—BUSINESS AUTO CONDITIONS, B. General Conditions,5.Other Insurance,the following is added and supersedes any provision to the contrary: This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. XI. BODILY INJURY REDEFINED TO INCLUDE RESULTANT MENTAL ANGUISH SECTION V—DEFINITIONS, D. "Bodily Injury" is amended by adding the following: "Bodily injury"also includes mental anguish but only when the mental anguish arises from other bodily injury, sickness,or disease. Copyright 2023 Mercury Insurance Services,LLC. All rights reserved. MCA CABE 08 23 Includes copyrighted material of Insurance Services Office,Inc.,with its permission Page 3 of 4 XII. PERSONAL EFFECTS COVERAGE SECTION III —PHYSICAL DAMAGE COVERAGE,A.Coverage, 2. Coverage Extensions,the following is added: Personal Effects We will pay up to$500 for"loss"to personal effects which: (1) Are owned by you or a driver listed in the"Declarations"; and (2) Are in or on a "covered auto' at the time of"loss". This coverage applies only in the event of a total theft of a "covered auto". No additional deductible applies to the coverage.Tapes, records, discs or other similar devices used with audio,visual or data electronic equipment are not considered personal effects. XIII. LOSS OF USE EXPENSES If you pay the premium for Hired Auto Physical Damage, we will pay expenses for which you become legally responsible to pay for loss of use of an "auto" due to "loss"or"accident" covered by Hired Auto Physical Damage. However,the most we will pay for any expenses for loss of use is $20 per day,to a maximum of$600.The insurance provided by this provision is excess over any other collectible insurance. XIV. DEVICES DESIGNED FOR USE WITH AUDIO,VISUAL OR DATA ELECTRONIC EQUIPMENT SECTION III —PHYSICAL DAMAGE COVERAGE, B. Exclusions,4.a., is replaced by the following: a. Under Comprehensive Coverage we will pay up to$200 for"loss"to tapes, records, discs or other similar audio,visual,data electronic devices designed for use with audio,visual or data electronic equipment.We will pay only if the tapes, records, discs or other similar audio,visual or data electronic devices designed for use with audio,visual or data electronic equipment: (1) Are your property or that of a driver listed in the"Declarations"; and (2) Are in a "covererd auto'at the time of"loss". This coverage applies only in the event of a total theft of a "covered auto". No additional deductible applies to this coverage. XV. PHYSICAL DAMAGE DEDUCTIBLE—VEHICLE TRACKING SYSTEM SECTION III—PHYSICAL DAMAGE COVERAGE, D. Deductible, is amended by adding the following: Any Comprehensive Deductible shown in the"Declarations"will be reduced by 50%for any "loss"caused by theft if the "covered auto" is equipped with a vehicle tracking device such as a radio tracking device or a global position device and that device was the method of recovery of that"covered auto' by the "insured" or law enforcement. XVI. CHAINS,TARPS,AND BINDERS COVERAGE SECTION III—PHYSICAL DAMAGE COVERAGE,C. Limits Of Insurance,the following is added: The most we will pay for the"loss"to chains,tarpaulins, binders,and cargo securing devices will be$500. The chains,tarpaulins, binders,or cargo securing devices must be in or on the "covered auto" at the time of"loss". Copyright 2023 Mercury Insurance Services,LLC. All rights reserved. MCA CABE 08 23 Includes copyrighted material of Insurance Services Office, Inc.,with its permission Page 4 of 4 ��� CA Insurance Lic. 0778135 3333 Michelson Drive, Suite #650 Irvine, CA 92612 Phone: 949-477-2050 CONFIRMATION OF COVERAGE BOUND (BINDER CONFIRMATION) Shana Rollins Mar 17, 2026 Sullivan Curtis Monroe Insurance Services, LLC - Irvine 2010 Main Street Suite 700 Irvine, CA 92614 Re: Siterep Construction Services, Inc Policy#:CT20260053-01 Effective: 3/17/2026 to 3/17/2027 We are pleased to confirm the attached binder for (General Liability) being offered with Capitol Specialty Insurance Corporation. This carrier is Non-Admitted in the state of CA. Please note that this binder is based on the coverage, terms and conditions as stated in the attached binder, which may be different from those requested in your original submission. As you are the representative of the Insured, it is incumbent upon you to review the terms of this binder carefully with your Insured, and reconcile any differences from the terms requested in the original submission. CRC Insurance Services, LLC disclaims any responsibility for your failure to reconcile with the Insured any differences between the terms bound as per the attached and those terms originally requested. This coverage may not be bound without a fully executed CRC brokerage agreement. NOTE: If insured is located outside your resident state, you must hold appropriate non-resident license prior to binding. Mailing Address: 301 E Arrow Hwy#105 San Dimas, CA 91773 Physical Address: 301 E Arrow Hwy#105, San Dimas, CA 91773 Coverage as bound per the attached. Premium and Commission are as follows: Premium: $20,000.00 TRIA Premium. - REJECTED Broker Fee $500.00 Surplus Lines Tax $600.00 Stamping Office Fee $36.00 Total: $21,136.00 Broker Fees & Policy Fees are Fully Earned at Binding Commission: 10% If Non Admitted the following applies: California Tax Filings are the responsibility of: O Your Agency (x ) CRC SURPLUS LINES LICENSEE: CRC Corporate License 0778135 Home State: CA The Home State was determined based on the information provided in your submission and the completed Declaration of Home State form. Please ensure the correct Home State is listed. Incorrect information could result in additional or return taxes, fees, surcharges, penalties, interest, and assessments at a later date, and in addition to what is shown. Additionally, please note that this is the current tax calculation based on the Home State but there could be changes that result in additional or return tax - due at a later date - based on future enactments of surplus lines laws by any of the various states. Upon requesting quotes and/or placement for the coverage listed herein, the producing retail broker hereby confirms that he/she has performed any and all diligent searches, as may be required by statute, for coverage through licensed carriers or other means of placement, and as necessary maintain proof of declination. Where allowed by governing statutes, "diligent effort" may not require an actual physical search and declination on each risk, but may be based on the retail producing broker's own experience, opinion and overall knowledge of acceptability in the admitted marketplace. CRC does not issue any certificates of insurance. It is the responsibility of the issuing party Sullivan Curtis Monroe Insurance Services, LLC - Irvine, to issue COls according to the insurance policy in reference. CRC does not check or review any COI they receive. All copies of COls received will be destroyed at time of receipt. Financing Insurance Premiums Premium financing budgets insurance payments and improves liquidity for other business objectives: working capital, business growth, building expansion. If your clients choose to pay their insurance in monthly installments, it's fast and easy with AFCO Premium Finance. AFCO provides premium financing solutions for large, mid-size and small corporate accounts; Find out how premium financing works and how it can expand your relationship with your clients by e-mailing AFCODirect c1 afco.com; or call toll-free 877-317-6437. Should you have any questions, please feel free to contact our office. Sincerely, John Fosdick 949-477-6665 Jfosdick@crcgroup.com 15122425 CONFIDENTIAL f � C�P P edalt� CAPITOL SPECIALTY INSURANCE CORPORATION f A Stock Company► Especially now. Binder of Insurance Primary Policy Policy No. CT20260053-01 Renewai of Policy No. Not Applicable Account Number^� 644449 Issuing Company: Capitol Specialty Insurance Corporation(A.M. Best Rating:A Excellent; Non-Admitted) Coverage is bound per the following coverage details, terms and conditions. This Binder of Insurance automatically expires on the Binder Expiration Date stated unless it is modified specifically by Capitol Specialty Insurance Corporation or it is superseded by the Policy. Item 1. First Named Insured and Siterep Construction Services, Inc. Mailing Address: 301 E Arrow Hwy Ste 105 San Dimas,CA 91773-3364 Item 2. Other Named Insured(s): None Item 3.Dates: Effective DateExpiration Date Binder Period: 03/17/2026 04/17/202G Policy Period: 03/17/2026 03/17/2027 12:01 a.m.standard time at the mailing address of the Named Insured first listed above. Premium Summary Total Advance Premium $20,000.00 Location # Address 1 301 E Arrow Hwy,Ste 105 San Dimas,CA 91773-3364 General Liability _ J Coverage Type Occurrence Each Occurrence Limit $1,000,000 General Aggregate Limit Products Completed Operations Aggregate Limit* $2,000,000 m Personal and Advertising Injury Limit - - i $1,000,000 Damage To Premises Rented To You Limit _ $100,000 Any One Premise Medical Expense Limit $5,000 Any One Person Combined Bodily Injury&Property Damage Deductible $5,000 Per Occurrence * If the limit is shown as Included, Products Completed Operations are subject to the General Aggregate Limit. Advance Classification Premium Basis I Rate premiurn Concrete Construction 2,000,000 Gross Sales 10.000 $20,000 CGE 1004(05-20) c0 2020 CapSpecialty, Inc.All rights reserved, Page 1 of 4 Ca S ecialt7 CAPITOL SPECIALTY INSURANCE CORPORATION A Stack Company Especially naw. Binder of insurance General Liability Additional Coverages CC 01404-CPL Occurrence Coverage with Claims Made and Reported Mold Coverage Included CPL Coverage Type Occurrence Mold Coverage Type Claims Made Retroactive Date 03/17/2026 Each Pollution Incident Limit $1,000,000 Mold- Each Claim Limit $1,000,000 Deductible $5,000 Deductible $5,000 Deductible Basis Each Incident Deductible Basis Each Claim Incident Coverage D& E Aggregate Limit $2,000,000 CC 01406-Designated Construction Projects-General Aggregate Limit and Policy Aggregate Endorsement Included CG 20 01_12 19-_Primary and Noncontributory-Other Insurance Condition _ _ Included CG 20 10 12 19-Additional Insured-Owners, Lessees or Contractors-Scheduled Person or Organization _ Included CG 20 37 12 19-Additional Insured -Owners, Lessees or Contractors-Completed Operations Included CG 24 04 12 19-Waiver of Transfer of Rights of Recovery Against Others to Us(Waiver of Subrogation) Included Subjectivitles _.._.----._..... This Binder of Insurance is subject to and conditioned upon the receipt, review and acceptance of the following additional information which is required prior to issuance: • Completed,signed(by the insured)and currently dated contractor's supplemental application • Copy of the Named Insured's PLdec page showing a min limit of$lmil/$Imil/$lmil Interline Farms&Endorsements: CALIFORNIA-NOTICE D-2 WHAT TO DO IF YOU HAVE A CLAIM OR POTENTIAL CLAIM OR INCIDENT N-200(10/23) U.S.TREASURY DEPARTMENT'S OFFICE OF FOREIGN ASSETS CONTROL("OFAC")ADVISORY NOTICE N-159(02/23) TO POLICYHOLDERS Common Policy Declarations CGE 1000 06 20 Locations Schedule CGE 100106 20 Policy Coverage Part Form Schedule CGE 1002 06 20 Common Policy Conditions IL 00 17 1198 Service of Suit E-90005(04/21) California Changes CG 32 34 0105 Minimum Earned Premium-Fully Earned Premium&Auditable Policy with Minimum Premium CGE 520(02-24) Minimum Earned Premium Percentage:25% Minimum Premium Percentage: 100% Primary and Noncontributory-Other Insurance Condition CG 20 0112 19 Waiver of Transfer of Rights of Recovery Against Others to Us(Waiver of Subrogation) CG 24 04 12 19 Any person or organization wham you have waived the right of recovery in a written contract or agreement prior to loss Nuclear Energy Liability Exclusion Endorsement(Broad Form) IL 00 2109 08 Exclusion of Certified Acts of Terrorism CG 2173 0115 Conditional Exclusion of Terrorism (Relating to Disposition of Federal Terrorism Risk Insurance Act) CG 2187 0115 Commeraal General Liability Forms&Endorsements: - Commercial General Liability Declarations CGL 1000 05 20 Commercial General Liability Coverage Part Form Schedule CGL 100105 20 Commercial General Liability Coverage Form CG 00 0104 13 Contractors Pollution Liability Occurrence Coverage with Claims Made and Reported Mold Coverage CC 01 404 10 16 Each Pollution Incident or Each Claim Aggregate Limit for Coverages D and E Retroactive Date $1,000,000 $2,000,000 03/17/2026 Deductible Amendatory CC 01 405 0121 Amend Other Insurance Endorsement CGL 490 09 16 CGE 1004(05-20) O 2020 Cap5pecialty,Inc.All rights reserved. Page 2 of 4 Cap p �ecialt CAPITOL SPECIALTY INSURANCE CORPORATION I A Stock Company Especially now Binder of Insurance Amendment of Conditions-Premium Basis Endorsement CGL 492 02 16 Designated Construction Projects-General Aggregate Limit and Policy Aggregate Endorsement CC 01 406 10 16 Policy Aggregate:$5,000,000 Designated Construction Projects) All projects on which you are performing construction work or operations and which are specified in a written contract or agreement executed and effective on or after the Inception Date of the Policy,unless otherwise excluded under this Policy. Additional Insured-Owners,Lessees or Contractors-Scheduled Person or Organization CG 20 10 12 19 Name of Personfs)or Organizations Any person or organization for whom you are performing"your work"when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an Additional Insured on your policy. Location(s)of Covered Operations All locations where"your work" is performed as specified in the contract or written agreement between you and the Additional Insureds) Additional Insured-Owners, Lessees or Contractors-Completed Operations CG 20 37 12 19 Name of Person(s)or Organization(s) Any person or organization for whom you are performing"your work",when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an Additional Insured for Completed Operations Coverage on your policy, Location and Description of Completed Operations, All locations where "your work"is performed as specified in the contract or written agreement between you and the Additional Insured(s) Professional Services Exclusion CC 01 007 10 16 Exclusion-Prior Work Limitation CC 01 090 10 16 03/17/2026 Roofing Operations Conditional Exclusion CC 01 093 10 16 Exclusion-Intellectual Property CC 01 098 10 16 Subcontractor Insurance Requirements CC 01 099 10 16 $25,000 Increased Deductible $1,000,000 Each Occurrence Limit $2,000,000 General Aggregate Limit $2,000,000 Products Completed Operations Agg Limit $1,000,000 Personal &Advertising Injury Limit $1,000,000 CPL Each Occurrence Cross Claims or Crass Suits Exclusion CC 01 137 10 16 Amend Definition of Suit CC 01 148 10 16 Exclusion-Operations Performed in Scheduled States CC 01 211 10 16 Colorado Louisiana New York Imported Drywall Exclusion CC 01 413 05 19 Exclusion-Total Residential Construction Operations CC 01 476 1124 Exclusion-Violation of Law Addressing Data Privacy CG 00 69 12 23 Exclusion-War CG 00 70 0126 Exclusion-Access or Disclosure of Confidential or Personal Material or Information CG 2106 12 23 Exclusion-Unmanned Aircraft CG 2109 06 15 Communicable Disease Exclusion CG 2132 05 09 Exclusion-Designated Work CG 2134 0187 1. "Your work"involving any bridge, highway,and/or airport runway work. Exclusion-New Entities CG 2136 03 05 Employment-Related Practices Exclusion CG 2147 12 07 Exclusion-Designated Ongoing Operations CG 2153 0196 CCE 1004(05-20) 0 2020 CapSpecialty, Inc.All rights reserved. Page 3 of 4 CaPPy ecial CAPITOL SPECIALTY INSURANCE CORPORATION t A Stock Company Espec€ally now. Binder of Insurance Description of Designated Ongoing Operation(s) 1."Your work" involving any bridge, highway, and/or airport runway work. Exclusion-Designated Operations Covered by a Controlled(Wrap-Up) Insurance Program CG 2154 12 19 All Operations Covered by a Controlled(Wrap-Up) Insurance Program Total Pollution Exclusion with a Building Heating,Cooling and Dehumidifying Equipment Exception CG 2165 12 04 and a Hostile Fire Exception Fungi or Bacteria Exclusion CG 2167 12 04 Exclusion-Exterior Insulation and Finish Systems CG 2186 12 04 Silica or Silica-Related Dust Exclusion CG 2196 03 05 Amendment of Insured Contract Definition CG 24 26 04 13 Exclusion-Perfluoroalkyi and Polyfluoroaikyl Substances(PFAS) CG 40 32 05 23 Exclusion-Cyber incident CG 40 35 12 23 Exclusion-Punitive or Statutory Damages CGL 004 0113 Exclusion-Lead Liability CGL 135 0113 Exclusion-Asbestos or Asbestos-Related Dust CGL 453 08 18 Continuous Trigger Exclusion and Non-Pyramiding of Limits Endorsement CGL 485 02 16 Unless stated otherwise herein: This Binder of Insurance contains only a general description of the coverages provided.Only the actual insurance policy issued by the Issuing Company can provide terms,conditions and exclusions.The insurance policy will be issued to incorporate the Coverage Part(s), Enhancements and other details specified in this Binder of Insurance,provided that all terms and conditions of this Binder of Insurance have been met. This Binder of Insurance requires payment of premium and applicable taxes. If payment is not received in the manner and Urneframe as agreed with the surplus lines producing agent,this Binder of Insurance or the insurance policy may be cancelled.The Issuing Company assumes no responsibility for the filing or payment of any applicable surplus lines taxes and/or fees. If additional information has been requested as part of this Binder of Insurance, and after review, it reflects any change in risk which could be deemed to be a material change in the underwriting exposures,the Issuing Company may at its option cancel,rescind or modify this Binder of Insurance or the insurance policy in accordance with all applicable laws. The person or firm to whom this Binder of Insurance has been issued agrees to be responsible for the payment of all premiums, including any applicable audit premiums,whether collectible or not, and for the return of unearned premium and unearned commission that may become due. CGE 1004(05-20) Oc 2020 CapSpecialty, Inc.All rights reserved. Page 4 of 4 IMPORTANT NOTICE: 1. The insurance policy that you have purchased is being issued by an insurer that is not licensed by the State of California. These companies are called "nonadmitted" or"surplus line"insurers. 2. The insurer is not subject to the financial solvency regulation and enforcement that apply to California licensed insurers. 3. The insurer does not participate in any of the insurance guarantee funds created by California law. Therefore, these funds will not pay your claims or protect your assets if the insurer becomes insolvent and is unable to make payments as promised. 4. The insurer should be licensed either as a foreign insurer in another state in the United States or as a non-United States (alien) insurer. You should ask questions of your insurance agent, broker, or "surplus line" broker or contact the California Department of Insurance at the toll-free number 1-840 927-4357 or internet website www.insurance.ca.gov. Ask whether or not the insurer is licensed as a foreign or non-United States (alien) insurer and for additional information about the insurer. You may also visit the NAIC's internet website at wwwmaic.org. The NAIL—the National Association of Insurance Commissionersr—is the regulatory support organization created and governed by the chief insurance regulators in the United States. 5. Foreign insurers should be licensed by a state in the United States and you may contact that state's department of insurance to obtain more information about that insurer. You can find a link to each state from this NAIC internet website: https:Hnaic.org/state_web_map.htm. G. For non-United States (alien) insurers, the insurer should be licensed by a country outside of the United States and should be on the NAIC's International Insurers Department (IID) listing of approved nonadmitted non-United States insurers. Ask your agent, broker, or "surplus line" broker to obtain more information about that insurer. 7. California maintains a "List of Approved Surplus Line Insurers (LASLI):' Ask your agent or broker if the insurer is on that list, or view that list at the internet website of the California Department of Insurance: www.insurance.ca.gov/01- consumers1120-company107-lasiMasli.cfm. 8. If you, as the applicant, required that the insurance policy you have purchased be effective immediately, either because existing coverage was going to lapse within two business days or because you were required to have coverage within two business days, and you did not receive this disclosure form and a request for your signature until after coverage became effective, you have the right to cancel this policy within live days of receiving this disclosure. If you cancel coverage, the premium will be prorated and any broker's fee charged for this insurance will be returned to you. D-2 (Effective January 1, 2020) STATE Endorsement Agreement COMPENSATION INSURANCE Wai►rer of Subrogation FUND Blanket Basis 9395681-2026 Home Office New San Francisco NF All Effective Dates are 8-72-00-00 at 12:01 AM Pacific Page 1 of 1 Standard Time or the Time Indicated at Effective February 19, 2026 at 12:01 AM Pacific Standard Time and Expiring February 19, 2027 at 12:01 AM SITEREP CONSTRUCTION SERVICES, 301 E ARROW HWY STE 105 SAN DIMAS, CA 91773-3364 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 March 3, 2026 2572 Authorized Representative President and CEO SE—END Rev.2/2025 OLD DP 217 JUN6 ' - JUN 0 2 2926 CITY OF SANTA ANA PUBLIC WORKS AGENCY CONTRACT CHANGE ORDER Project Number Project No. 25-7524 Angels Cool Pavement Basketball Court and Change Order Number 1 ADA Improvements To SITEREP CONSTRUCTION SERVICES, 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 removal and disposal of unforeseen concrete per PC0#1. TOTAL AGREED PRICE = $4,538.00 Page 1 of 2 CITY OF SANTA ANA PUBLIC WORKS AGENCY CONTRACT CHANGE ORDER Project Number Project No. 25-7524 Angels Cool Pavement Basketball Court and Change Order Number ADA Improvements To SITEREP CONSTRUCTION SERVICES, 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 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 CHANGF ORDER: DECREASE $ --------------- INCREASE $ 4,538.00 By reason of this order the CONTRACT TIME completion will be adjusted as follows: Zero(0)_Workinq 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,furnish 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 prices shown above. Accepted,Date 517/26 Contractor Siterep Construction Services, Inc. By Title n President Approval recommended by Date ZWKS AGE EC V DIRECTOR r , f Approved by Date L6 CITYMANAGER l= Attest: Date CLERK � 1 � Page 2 of 2