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NATIONAL BACKGROUND INFORMATION (JALYSSA, INC.)
INSURANCE _S N-2026-192 ITr CLLF! JUL 2 T 2026 a.uop�tRa WWAL0 NZ) AGREEMENT FOR BACKGROUND SCREENING SERVICES WITH JALYSSA,INC. HOUSING AUTHORITY OF THE CITY OF SANTA ANA THIS AGREEMENT is made and entered into on this 1st day of July, 2026, by and between Jalyssa Inc., DBA; National Background Information ("Contractor"), and the Housing Authority of the City of Santa Ana, a public body, corporate and politic("Authority"). RECITALS A. The Authority desires to retain a Contractor having special skill and knowledge in the field of background screening services. B. Contractor represents that Contractor is able and willing to provide such services to the Authority. C. In undertaking the performance of this Agreement, Contractor represents that it is knowledgeable in its field and that any services performed by Contractor under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional consulting firm in the field. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth,the parties agree as follows; 1. SCOPE OF SERVICES Contractor shall perform during the term of this Agreement, the tasks and obligations including all labor, materials, tools, equipment, and incidental customary work required to fully and adequately complete the services described and set forth in Contractor's Proposal -Exhibit A,attached hereto and incorporated by reference. 2. COMPENSATION a. Authority agrees to pay, and Contractor agrees to accept as total payment for its services for Authority, the rates and charges identified in Contractor's Proposal - Exhibit A. The total amount to be expended during the term of this Agreement shall not exceed fifty thousand dollars $50,000, for the initial term and including any extensions. b. Payment by Authority shall be made within forty-five (45) days following receipt of proper invoice evidencing work performed, subject to Authority accounting procedures. Authority and Contractor agree that all payments due and owing under this Agreement shall be made through Automated Clearing House (ACH) transfers. Contractor agrees to execute the Authority's standard ACH Vendor Payment Authorization and provide required documentation. Upon verification of the data provided, the Authority will be authorized to deposit payments directly into Contractor's account(s) with financial institutions. Payment need not be made for work which fails to meet the standards of performance set forth in the Recitals which Page 1 of 17 may reasonably be expected by Authority. 3. TERM This Agreement shall commence on the date first written above and terminate on June 30, 2027, with the option for the Authority to grant up to two I-car extensions, exercisable by a writing by the City Manager and the City Attorney, unless terminated earlier in accordance with Section 17,below. 4. INDEPENDENT CONTRACTOR Contractor small, during the entire terni of this Agreement, be construed to be an independent contractor and not an employee of the Authority, This Agreement is not intended nor shall it be construed to create an employer-employee relationship, a joint venture relationship, or to allow the Authority to exercise discretion or control over the professional manner in which Contractor performs the services which are the subject matter of this Agreement; however, the services to be provided by Contractor shall be provided in a manner consistent with all applicable standards and regulations governing such services. Contractor shall pay all salaries and wages, employer's social security taxes,unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. 5. OWNERSHIP OF MATERIALS This Agreement creates a non-exclusive and perpetual license for Authority to copy, use, modify, reuse, or sublicense any and all copyrights, designs, and other intellectual property embodied in plans, specifications, studies, drawings, estimates, and other documents or works of authorship fixed in any tangible medium of expression, including but not limited to, physical drawings or data magnetically or otherwise recorded on computer diskettes,which are prepared or caused to be prepared by Contractor under this Agreement ("Documents & Data"). Contractor shall require all subcontractors to agree in writing that Authority is granted a non-exclusive and perpetual license for any Documents & Data the subcontractor prepares under this Agreement. Contractor represents and warrants that Contractor has the legal right to license any and all Documents & Data. Contractor makes no such representation and warranty in regard to Documents & Data which were provided to Contractor by the Authority. Authority shall not be limited in any way in its use of the Documents and Data at any time,provided that.any such use not within the purposes intended by this Agreement shall be at Authority's sole risk. G. INSURANCE Contractor shall procure and maintain for the duration of the agreement,the following insurance coverages: MINIMUM SCOPE AND LIMIT OF INSURANCE Contractor shall maintain limits of insurance coverage in the following minimum amounts and shall be at least as broad as: Page 2 of 17 • Commercial General Liability (CGL): Insurance Services Office Form CG 00 01 covering CGL on an "occurrence" basis, including products and completed operations, property damage, bodily injury and personal & advertising injury with limits no less than $1,000,000 per occurrence and$2,000,000 aggregate. • Workers' Compensation (WC): as required by the State of California, with statutory limits, and Employer's Liability Insurance with limit of no less than $1,000,000 per accident, per employee, per policy for bodily injury or disease. This requirement can be waived if Contractor has no employees. Contractor attests that its workers' compensation coverage extends to all persons who will be working with the Authority under the agreed scope of services. If Contractor maintains broader coverage and/or higher limits than the minimums shown above, Authority requires and shall be entitled to the broader coverage and/or the higher limits maintained by Contractor. Any available insurance proceeds in excess of the specified minimum limits of insurance and coverage shall be available to Authority, Other Insurance Provisions The insurance policies are to contain, or be endorsed to contain,the following provisions: 1. CGL policy: City of Santa Ana,its City Council,the Authority and its Members,their officers, officials, employees, agents, and volunteers are to be covered as additional insureds with respect to liability arising out of work or operations performed by or on behalf of the Contractor including materials,parts,equipment,and personnel furnished in connection with such work or operations. 2. CGL and WC policies: Insurance company(ies) agrees to waive all rights of subrogation/recovery against City, its City Council, the Authority and its Members, their officers, officials, employees, agents, and volunteers for losses paid under the terms of any policy which arise from work performed by Contractor for City. 3. All required insurance policies: For any claims related to this contract, Contractor's insurance coverage shall be primary and any insurance maintained by City, its City Council, the Authority and its Members, its officers, officials, employees, agents, or volunteers shall not contribute with it. 4. All required insurance policies; A severability of interest provision must apply for all the additional insureds, ensuring that Contractor's insurance shall apply separately to each insured against whom a claim is made or suit is brought, except with respect to the insurer's limits of liability. 5. Each insurance policy required herein shall provide that coverage shall not be canceled, suspended, voided, reduced in coverage or in limits, non-renewed by the carrier, or materially changed except after thirty(30) days prior written notice has been given to Authority. Ten(10) days prior written notice shall be provided to Authority for policy cancellation or non-renewal due to non-payment. 6. Certificate Holder on each Evidence of Insurance certificate shall be: City of Santa Ana,Attention:Community Development Agency Executive Director,20 Civic Center Plasa, M-27, Santa Ana, CA 92,701. The name and location of the event should be included in the Description of Operations section of each certificate. Page 3 of 17 Self-Insured Retentions Self-insured retentions must be declared to and approved by the Authority. Authority may require the Contractor to purchase coverage with a lower retention or provide proof of ability to pay losses and related investigations,claim administration, and defense expenses within the retention. Acceptability of Insurers Insurance is to be placed with insurers authorized to conduct business in the state of California with a current A.M.Best rating of no less than ANH,unless otherwise acceptable to Authority. Verification of Coverage Contractor shall furnish Authority with original Certificates of Insurance including all required amendatory endorsements(or copies of the applicable policy language effecting coverage required by this clause)and a copy of the Declarations and Endorsement Page of the CGL policy listing all policy endorsements to Entity before work begins. However, failure to obtain the required documents prior to the work beginning shall not waive Contractor's obligation to provide them. Authority reserves the right to require complete, certified:copies of all required insurance policies, including endorsements required by these specifications, at any time. Sub-contractors Contractor shall require and verify that all sub-vendors maintain insurance meeting all the requirements stated herein, and Vendor shall ensure that Authority is an additional insured on insurance required fi•om sub vendors. Special Risks or Circumstances Authority reserves the right to modify these requirements,including limits,based on the nature of the risk,prior experience, insurer, coverage,or other special circumstances. 7. INDEMNINCATION Contractor agrees to defend, and shall indemnify and hold harmless the Authority, its officers,agents,employees,contractors, special counsel,and representatives from liability: (1)for personal injury, damages,just compensation,restitution,judicial or equitable relief arising out of claims for personal injury,including death,and claims for property damage,which may arise from the negligent operations of the Contractor, its subcontractors,agents,employees,or other persons acting on its behalf which relates to the services described in section 1 of this Agreement; and(2) from any claim that personal injury,damages,just compensation,restitution,judicial or equitable relief is due by reason of the terms of or effects arising from this Agreement. This indemnity and hold harmless agreement applies to all claims for damages,just compensation.,restitution,judicial or equitable relief suffered,or alleged to have been suffered,by reason of the events referred to in this Section or by reason of the terms of, or effects, arising from this Agreement. The Contractor fiuther agrees to indemnify, mold harmless, and pay all costs for the defense of the Authority, including fees and costs for special counsel to be selected by the Authority, regarding any action by a third party challenging the validity of this Agreement, or asserting that personal injury, damages, just compensation, restitution,judicial or equitable relief due to personal or property rights arises by reason of the terms of, or effects arising from this Agreement. Authority may Page 4 of 17 make all reasonable decisions with respect to its representation in any legal proceeding. Notwithstanding the foregoing, to the extent Contractor's services are subject to Civil Code Section 2782.8,the above indemnity shall be limited,to the extent required by Civil Code Section 2782.8, to claims that arise out of, pertain to, or relate to the negligence, recklessness, or willful misconduct of the Contractor. S. INTELLECTUAL PROPERTY INDEMNIFICATION Contractor shall defend and indemnify the Authority, its officers, agents, representatives, and employees against any and all liability,including costs,for infringement of any United States' letters patent,trademark,or copyright infringement,including costs,contained in the work product or documents provided by Contractor to the Authority pursuant to this Agreement. 9. RECORDS Contractor shall keep records and invoices in connection with the work to be performed under this Agreement. Contractor shall maintain complete and accurate records with respect to the costs incurred under this Agreement and any services, expenditures, and disbursements charged to the Authority for aminimum period of three(3)years,or for any longer period required by law,from the date of final payment to Contractor under this Agreement. All such records and invoices shall be clearly identifiable. Contractor shall allow a representative of the Authority to examine, audit, and make transcripts or copies of such records and any other documents created pursuant to this Agreement during regular business hours. Contractor shall allow inspection of all work, data, documents,proceedings, and activities related to this Agreement for a period of three (3)years from the date of final payment to Contractor under this Agreement. 10. CONFIDENTIALITY If Contractor receives from the Authority information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Contractor agrees that it shall not use or disclose such information except in the performance of this Agreement, and. further agrees to exercise the same degree of care it uses to protect its own information of like importance,but in no event less than reasonable care. "Confidential Information"shall include all nonpublic information. Confidential information includes not only written information, but also information transferred orally, visually, electronically, or by other means. Confidential information disclosed to either party by any subsidiary and/or agent of the other party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure shall not apply to any information that(a)has been disclosed in publicly available sources;(b)is,through no fault of the Contractor disclosed in a publicly available source; (c) is in rightful possession of the Contractor without an obligation of confidentiality; (d)is required to be disclosed by operation of law; or(e) is independently developed by the Contractor without reference to information disclosed by the Authority. 11. CERTWICA.TIONS The funds used to pay for this Agreement will be comprised of federal grant funds. Page 5 of 17 Contractor agrees and understands that it will comply with the terms of the Certifications attached hereto as Exhibit B, incorporated by reference into this Agreement. Contractor is referenced as ("Vendor" or ""primary participant") in Exhibit B. Contractor shall keep itself informed of all City,State and Federal laws and regulations which may, in any manner,affect the performance of it services pursuant to this Agreement. Contractor shall at all times,observe and comply with all such laws and regulations. Authority and its officers and employees shall not be liable at law or in equity by reason of the failure of the Contractor to comply with this paragraph. 12. CONFLICT OF INTEREST CLAUSE a. The recipient or subrecipient must maintain written standards of conduct covering conflicts of interest and governing the actions of its employees engaged in the selection, award,and administration of contracts.No employee, officer, agent,or board member with a real or apparent conflict of interest may participate in the selection, award, or administration of a contract supported by the Federal award. A conflict of interest includes when the employee, officer, agent, or board member, any member of their immediate family, their partner, or an organization that employs or is about to employ any of the parties indicated herein, has a financial or other interest in or a tangible personal benefit from an entity considered for a contract. An employee,officer, agezit, and board member of the recipient or subrecipient may neither solicit nor accept gratuities, favors, or anything of monetary value from contractors. However, the recipient or subrecipient may set standards for situations where the financial interest is not substantial or a gift is an unsolicited item of nominal value. The recipient's or subrecipient's standards of conduct must also provide for disciplinary actions to be applied for violations by its employees, officers, agents, or board members. b. If the recipient or subrecipient has a parent, affiliate,or subsidiary organization that is not a State, local government, or Indian Tribe,the recipient or subrecipient must also maintain written standards of conduct covering organizational conflicts of interest. Organizational conflicts of interest mean that because of relationships with a parent company,affiliate,or subsidiary organization,the recipient or subrecipient is unable or appears to be unable to be impartial in conducting a procurement action involving a related organization. c. Contractor covenants that it presently has no interests and shall not have interests,direct or indirect,which would conflict in any manner with performance of services specified under this Agreement. d. No immediate family members of either the Mayor, City Council Member, or any appointed City Official, including appointed board and commission members, as defined under the City's Municipal Code, whose position with the City or Authority shall award or influence the award of this Agreement, or any competing contract or amendment thereof, shall be employed in any capacity by the Contractor or have any other direct or indirect financial benefit or interest in this Agreement. e. The section also prohibits the awarding of any agreement, contract, grant, or any Page 6of17 amendment to those awards,to any former full-time employee for one-year from date of employee separation except for any CaIPERS retiree as authorized by City Council resolution. f. The Contractor must comply with all conflict of interest laws, ordinances, and regulations now in effect or hereafter to be enacted during the term of this Agreement. The Contractor warrants that it is not now aware of any facts which conflict with the prohibitions defined above.If the Contractor hereafter becomes aware of any facts that might reasonably be expected to create a conflict of interest, it must immediately make full written disclosure of such facts to the Authority. Full written disclosure must include, but is not limited to, identification of all persons implicated and a complete description of all relevant circumstances.Failure to comply with the provisions of this paragraph will be a material breach of this Agreement. g, Contractor covenants that none of its directors, officers, employees, or agents shall participate in selecting or administrating any subcontract supported(in whole or in part) by Authority fiends stemming from the Agreement where the awarding of the subcontract has any direct or indirect financial benefit or interest to any individual, as defined in subsections(d)and(e) above. 13. NON-DISCRIMINATION Contractor shall not discriminate because of race, color,creed,religion,sex,marital status, sexual orientation, gender identity, gender expression, gender, medical conditions, genetic information, or military and veteran status, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, teaching, training, utilization, promotion, termination or other employment related activities or any services provided under this Agreement. Contractor affirms that it is an equal opportunity employer and shall comply with all applicable federal,.state and local laws and regulations, 14. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the Authority and Contractor, and supersedes any and all other agreements,oral or written,between the parties. In the event of a conflict between the terms of this Agreement and any attachments hereto, the terms of this Agreement shall prevail. This Agreement may not be modified except by written instrument signed by the Authority and by an authorized representative of Contractor, The parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with,or in addition to,the terms and conditions hereof,shall not bind or obligate Contractor or the Authority. Each party to this Agreement ackDowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any party,which is not embodied herein. 15, ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Contractor, Page 7of17 Contractor may not assign, transfer, delegate, or subcontract any interest herein without the prior written consent of the Authority and any such assignment, transfer, delegation or subcontract without the Authority's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the Authority's ability to have any of the services which are the subject to this Agreement performed by Authority personnel or by other Contractors retained by Authority. 16. TERMINATION This Agreement may be terminated by the Authority upon thirty(30) days written notice of termination. In such event, Contractor shall be entitled to receive and the Authority shall pay Contractor compensation for all services performed by Contractor prior to receipt of such notice of termination, subject to the following conditions: a. As a condition of such payment, the Executive Director may require Contractor to deliver to the Authority all work product(s)completed as of such date,and in such case such work product,shall be the property of the Authority unless prohibited by law,and Contractor consents to the Authority's use thereof for such purposes as the Authority deems appropriate. b. Payment need not be made for work which fails to meet the standard of performance specified in the Recitals of this Agreement, 17. WAIVER No waiver of breach, failure of any condition, or any right or remedy contained in or granted by the provisions of this Agreement shall be effective unless it is in writing and signed by the party waiving the breach,failure,right or remedy.No waiver of any breach,failure or right,or remedy shall be deemed a waiver of any other breach, failure, right or remedy, whether or not similar,nor shall any waiver constitute a continuing waiver unless the writing so specifies. 18. JURISDICTION A VENUE This Agreement has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the State of California. Both parties further agree that Orange County,California,shall be the venue for any action or proceeding that may be brought or arise out of, in connection with or by reason of this Agreement. 19. PROFESSIONAL LICENSES Contractor shall, throughout the term of this Agreement, maintain all necessary licenses, permits, approvals,waivers,and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States,the State of California,the City of Santa Ana and all other governmental agencies. Contractor shall notify the Authority immediately and in writing of its inability to obtain or maintain such permits, licenses,approvals,waivers,and exemptions. Said inability shall be cause for termination of this Agreement. Page 8 of 17 20. FEDERAL REGULATIONS 7alyssa, Inc., DBA: National Background Information shall comply with all applicable contractual provisions required by the United States Office of Management and Budget (OMB), as set for the in 2 CRF fart 200, whether or not expressly set forth in this document, including but not limited to those provisions set forth below.Notwithstanding, anything to the contrary herein, including without limitation , the language in this Agreement, the actual language contained in federal statutes,federal regulations,federally promulgated materials and state statutes,shall control in determining any obligations under federal law in the event of a conflict with any terms, language or provisions contained in this Agreement, dalyssa, Inc., DBA; National Background Information shall not perform any act, fail to perform any act,or refuse to comply with any requests,which would cause Authority to be in violation of the federal terms and conditions. a. Federal Regulations—Recipient must comply with the government cost principles,uniform administrative requirements and audit requirements for federal grant program housed within Title 2,Fart 180 of the Code of Federal Regulations. b. Debarment and Suspension—As required by Executive Orders 12549 and 12689, and 2 CFR §200.214 and codified in 2 CFR Part 200,Recipient must provide protection against waste, fraud, and abuse by debarring or suspending those persons deemed irresponsible in their dealings with the Federal government. G. Audit Records—With respect to all matters covered by this agreement all records shall be made available for audit and inspection by Authority,the grant agency and/or their duly authorized representatives for a period of three(3)years from the date of submission of the final expenditure report by the Housing Authority of the City of Santa Ana. For a period of three years after final delivery hereunder or until all claims related to this Agreement are finally settled, whichever is later, Recipient shall preserve and maintain all documents, papers and records relevant to the services provided in accordance with this Agreement, including the Attachments hereto. For the same time period, Recipient shall make said documents,papers and records available to City and the agency from which Authority received grant funds or their duly authorized representative(s), for examination, copying, or mechanical reproduction on or off the premises of Recipient, upon request during usual working hours. d. Reports -- Recipient shall provide to Authority all records and information requested by Authority for inclusion in quarterly reports and such other reports or records as Authority may be required to provide to the agency from which Authority received grant funds or other persons or agencies. C. Section 504 of the Rehabilitation Act of 1973 (handicapped) —All recipients of federal funds must comply with Section 504 of the Rehabilitation Act of 1973 (The Act). Therefore, the federal funds recipient pursuant to the requirements of The Act hereby gives assurance that no otherwise qualified handicapped person shall, solely by reason of handicap be excluded from the participation in, be denied the benefits of or be subject to discrimination,including discrimination Page 9 of 17 in employment, in any program or activity that receives or benefits from federal financial assistance. The Recipient agrees it will ensure that requirements of The Act shall be included in the agreements with and be binding on all of its contractors, subcontractors, assignees or successors. f Americans with Disabilities Act of 1990 — (ADA) Recipient must comply with all requirements of the Americans with Disabilities Act of 1990(ADA), as applicable. g. political Activity--None of the funds,materials,property,or services provided directly or indirectly under this agreement shall be used for any partisan political activity, or to further the election or defeat of any candidate for public office, or otherwise in violation of the provisions of the "Hatch Act". h. No Lobbying — Recipient will comply with all applicable lobbying prohibitions and laws, including those found in the Byrd Anti-Lobbying Amendment(31 U.S.C. 1352,et seq.),and agrees that none of the funds provided under this award may be expended by the Recipient to pay any person to influence, or attempt to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with any federal action concerning the award or renewal of any federal contract, grant, loan,or cooperative agreement. i. Non-Discrimination and Equal Opportunity—Recipient will comply,and all its contractors (or subrecipients)will comply,with Title VI of the Civil Rights Act of 1964,as amended; Section 504 of the Rehabilitation Act of 1964, as amended; Subtitle A, Title 11 of the Americans with Disabilities Act (ADA) (1990); Title TX of the Education Amendments of 1972; the Age Discrimination Act of 1975, as amended; Drug Abuse Office and Treatment Act of 1972, as amended; Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970, as amended; Section 523 and 527 of the Public Health Service Act of 1912, as amended; Title VIII of the Civil Rights Act of 1968, as amended; Department of Justice Non-Discrimination Regulations, 28 CFR Part 42, Subparts C, D, E, and G; and Department of Justice regulations on disability discrimination,28 CFR Part 35 and 39. In the event a Federal or State court, Federal or State administrative agency, or the Recipient makes a finding of discrimination after a due process hearing on the grounds of race, color,religion,national origin, sex, or disability against a recipient of funds, the Recipient will forward a copy of the findings to the Authority which will,in turn,submit the findings to the Office of Civil Rights,Office of Justice Programs, U.S. Department of Justice. If applicable, recipient will comply with the equal opportunity clause in 41 C.F.R. 60-1.4(b) in accordance with Executive Order 11246 as amended by Executive Order No. 11375. j. Equal Employment Opportunity -- Recipient will comply, and all its contractors (or subrecipients)will comply, with all requirements of the Executive Order 11246 of September 24, 1965, entitled "Equal Employment Opportunity," as amended by Executive Order 11375 of October 13, 1967, and as supplemented in Department of Labor regulations(41 CFR chapter 60), as applicable. lc. Public Contracts Code— Recipient will comply, and all its contractors (or subrecipients) Page 10 of 17 will comply, with all requirements of the California Public Contract Code Section 10295.3, as applicable. 1. Copeland "Anti-Kickback" Act — Recipient will comply, and all its contractors (or subrecipients)will comply,with all requirements of the Copeland"Anti-Kickback"Act(40 U.S.C. 3145)as supplemented in Department of Labor regulations(29 CFR Part 3), as applicable. M. David-Bacon Act-..Recipient will comply, and all its contractors (or subrecipients) will comply, with all requirements of the Davis-Bacon Act(40 U.S.C. 3141-3144 and 3146-3148) as supplemented by Department of Labor regulations(29 CFR Part 5), as applicable. n. Work Hours and Safety ---Recipient will comply,and all its contractors (or subrecipients) will comply,with all requirements of Sections 103 and 107 of the Contract Work Hours and.Safety Standards Act (40 U.S.C. 3702 and 3704) as supplemented by Department of Labor regulations (29 CFR Part 5), as applicable. o. Clean Air Act. -- 1. The contractor agrees to comply with all applicable standards,orders or regulations issued pursuant to the Clean Air Act, as amended,42 U.S.C. § 7401 et seq. 2. The contractor agrees to report each violation to Authority and understands and agrees that the Authority will, in turn, report each violation as required to assure notification to the Federal Emergency Management Agency, and the appropriate Environmental Protection Agency Regional Office. 3. The contractor agrees to include these requirements in each subcontract exceeding $150,000 financed in whole or in part with Federal assistance provided by FEMA. P. Energy and Conservation —Recipient will comply,and all its contractors(or subrecipients) will comply,with all requirements of the Energy Policy and Conservation Act (42 U.S.C. 6201), as applicable. q. Waste Disposal — Recipient will comply, and all its contractors (or subrecipients) will comply, with all requirements of Section 6002 of the Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act, as applicable. r. Patent Rights—Recipient agrees that the Department of Homeland Security shall have the authority to seek patent rights for any process,product,invention or discovery developed and paid for with funding.through this Agreement based on,the requirements of 37 CIR§ 401 and any other implementing regulations, as applicable. S. Copyright -- Recipient may copyright any books, publications or other copyrightable materials developed in the course of or under this Agreement. However, the federal awarding agency, State Administrative Agency(SAA)and Authority reserve a royalty-free, non-exclusive, and irrevocable license to reproduce,publish or otherwise use, and to authorize others to use, for federal government, SAA and/or Authority purpose: Page 11 of 17 (1) the copyright in any work developed through this Agreement; and (2) any rights of copyright to which the subcontractor purchases ownership with support through this grant. The Federal government's, SAA's and Authority's rights identified above must be conveyed to the publisher and the language of the publisher's release form must ensure the preservation of these rights. t. Equal Employment in Construction Contracts -- Pursuant to Equal Employment Opportunity requirements of 41 C.F.R. 60d1.4(b) in accordance with Executive Order 11246 as amended by Executive Order No. 11375, as to any construction contract thereunder, if applicable, during the performance of this contract,the contractor agrees as follows: (1)The contractor will not discriminate against any employee or applicant for employment because of race, color,religion, sex,sexual orientation, gender identity,or national origin. The contractor will take affirmative action to ensure that applicants are employed, and that employees are treated during employment without regard to their race,color,religion,sex,sexual orientation,gender identity,or national origin. Such action shall include,but not be limited to the following: Employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training,including apprenticeship.The contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided setting forth the provisions of this nondiscrimination clause. (2)The contractor will,in all solicitations or advertisements for employees placed by or on behalf of the contractor,state that all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin. (3) The contractor will not discharge or in any other manner discriminate against any employee or applicant for employment because such employee or applicant has inquired about, discussed, or disclosed the compensation of the employee or applicant or another employee or applicant. This provision shall not apply to instances in which an employee who has access to the compensation information of other employees or applicants as a part of such employee's essential job functions discloses the compensation of such other employees or applicants to individuals who do not otherwise have access to such information,unless such disclosure is in response to a formal complaint or charge, in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or is consistent with the contractor's legal duty to furnish information. (4) The contractor will send to each labor union or representative of workers with which he has a collective bargaining agreement or other contract or understanding, a notice to be provided advising the said labor union or workers'representatives of Page 12 of 17 the contractor's commitments under this section, and shall post copies of the notice in conspicuous places available to employees and applicants for employment. (5) The contractor will comply with all provisions of Executive Order 11246 of September 24, 1965, and of the rules, regulations, and relevant orders of the Secretary of Labor. (6) The contractor will furnish all information and reports required by Executive Order 11246 of September 24, 1965,and by rules,regulations,and orders of the Secretary of Labor, or pursuant thereto, and will permit access to his books, records, and accounts by the administering agency and the Secretary of Labor for purposes of investigation to ascertain compliance with such rules,regulations, and orders. (7) In the event of the contractor's noncompliance with the nondiscrimination clauses of this contract or with any of the said rules, regulations, or orders, this contract may be canceled, terminated, or suspended in whole or in part and the contractor may be declared ineligible for further Government contracts or federally assisted construction contracts in, accordance with procedures authorized in Executive Order 1.1246 of September 24, 1965, and such other sanctions may be imposed and remedies invoked as provided in Executive Order 11246 of September 24, 1965,or by rule,regulation, or order of the Secretary of Labor, or as otherwise provided by law. (8) The contractor will include the portion of the sentence immediately preceding paragraph(1)and the provisions of paragraphs (1)through(8)in every subcontract or purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to section 204 of Executive Order 11246 of September 24, 1965, so that such provisions will be binding upon each subcontractor or vendor. The contractor will take such action with respect to any subcontract or purchase order as the administering agency may direct as ameans of enforcing such provisions, including sanctions for noncompliance. U. Prohibition on Certain Telecommunications and Video Surveillance Services or Equipment—Recipient will comply, and all its contractors(or subrecipients)will comply,with all requirements under Uniform Guidance 2 CFR §200.216. Recipient will comply with FEMA Policy 405-143-1, Prohibitions on Expending FEMA Award Funds on Covered Telecommunications Equipment or Services (Interim), which prohibits grant recipients and subrecipients from obligating or expending loan or grant funds to procure or obtain, extend or renew a contract to procure or obtain, or to enter into a contract(or extend or renew a contract)to procure or obtain equipment, services, or systems that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. As described in Public Law 115-232, section 889, covered telecommunications equipment: (1) Telecommunications equipment produced by Huawei 'Technologies Company or Page 13 of 17 ZTE Corporation(or any subsidiary or affiliate of such entities). (2) For the purpose of public safety,security of government facilities,physical security surveillance of critical infrastructure, and other national security purposes, video surveillance and telecommunications equipment produced by Hytera Communications Corporation,Hangzhou Hikvision Digital Technology Company, or Dahua Technology Company(or any subsidiary or affiliate of such entities). (3) Telecommunications or video surveillance services produced by such entities or using such equipment. (4) Telecommunications or video surveillance equipment or services produced or provided by an entity that the Secretary of Defense, in consultation with the Director of the National Intelligence or the Director of the Federal Bureau of Investigation, reasonably believes to be an entity owned or controlled by, or otherwise,connected to, the government of a covered foreign country. V. Domestic Preferences for Procurements/Subcontracts— Recipient will comply,and all its contractors (or subrecipients)will comply,with all requirements under Uniform Guidance 2 CFR §200.322. Recipient shall comply with the federal and recipient standards in the award of any subcontracts. For purposes of this Agreement, subcontracts shall include but not be limited to purchase agreements, rental or lease agreements, third party agreements, consultant service contracts and construction subcontracts. Recipient shall ensure that the terms of this Agreement with the Authority are incorporated into all Subcontractor Agreements. The recipient shall submit all Subcontractor Agreements to the Authority for review prior to the release of any funds to the subcontractor. The recipient shall withhold funds to any subcontractor agency that fails to comply with the terms and conditions of this Agreement and their respective Subcontractor Agreement. (1) Recovered Materials Recipient shall make maximum use of products containing recovered materials that are EPA-designated items unless the product cannot be acquired competitively within a timeframe providing for compliance with the contract performance schedule;Meeting contract performance requirements; or at a reasonable price. Information about this requirement,along with the list of EPA-designated items,is available at EPA's Comprehensive Procurement Guidelines webpage: htq)s:/Iwww.epa.gov/smm/comprehensive-procurement-guideline-cpg-program. The Contractor also agrees to comply with all other applicable requirements of Section.6002 of the Solid Waste Disposal Act. Page 14 of 17 (2) Domestic Preference for Procurements Recipient should, to the greatest extent practicable, provide a preference for the purchase,acquisition,or use of goods,products,or materials produced in the United States.This includes,but is not limited to iron,aluminum, steel,cement, and other manufactured products. For purposes of this clause: Produced in the United States means, for iron and steel products, that all manufacturing processes, from the initial melting stage through the application of coatings,occurred in the United States. Manufactured products mean items and construction materials composed in whole or in part of non-ferrous metals such as aluminum; plastics and polymer-based products such as polyvinyl chloride pipe; aggregates such as concrete; ,glass, including optical fiber; and lurriber. W. Termination for Cause and Convenience—Should recipient fail for any reason to comply with the contractual obligations of this agreement within the time specified by this Agreement,the Authority reserves the right to terminate the Agreement,reserving all rights under state and federal law. X. Contractual/Legal Remedies for Breach of Contract Should recipient fail for any reason to comply with -the contractual obligations of this Agreement and/or willfully, knowingly or negligently breach any term, condition or requirement of the agreement, Authority may impose sanctions including but not limited to damages (liquidated damages and or penalties) and/or any other remedy available pursuant to the Agreement of the laws then in effect. 21. NOTICE Any notice,tender,demand,delivery,or other communication pursuant to this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or mailed by first class ox certified mail,postage prepaid, or sent by fax or other telegraphic communication in the manner provided in this Section, to the following persons: To Authority: City Clerk City of Santa Ana 20 Civic Center PIaza(M-30) P.O. Box 1988 Santa Ana, CA 92702-1988 With courtesy copies to: Executive Director, CDA Page 15 of 17 City of Santa Ana 20 Civic Center PIaza(M-25) P.O. Box 1988 Santa Ana, California 92702 To Contractor: Cynthia Clark Director of Sales Jalyssa Inc. dba National Background Information 6830 Via Del Oro,Ste. 105 San Jose, CA 95119 A party may change its address by giving notice in writing to the other party. Thereafter, any communication shall be addressed and transmitted to the new address. If sent by mail, communications shall be effective or deemed to have been given three (3) days after it has been deposited in the United States trail, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent by fax, communication shall be effective or deemed to have been given twenty-four(24)hours after the tirne set forth on the transmission report issued by the transmitting facsimile machine, addressed as set forth above. For purposes of calculating these time frames, weekends,federal, state, County or City holidays shall be excluded. 23. MISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature herein below has the power, authority and right to bind their respective parties to each of the terms of this Agreement,and shall indemnify Authority fully,including reasonable costs and attorney's fees, for any injuries or damages to Authority in the event that such authority or power is not, in fact,held by the signatory or is withdrawn. b. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. [signatures on followingpage] Page 16 of 17 EXHIBIT A ou GR �4�'G14 D- �� National ackron Information PROPOSAL PREPARED Santa Ana Housing Background Screening Services Submitted by: National Background Information (NBI) Respectfully Submitted By: Cynthia Clark, Director of Sales 6830 Via Del Oro Suite 105 San Jose, CA 95 119 Telephone: 800-441-1661, Ext. 109 June 11, 2026 EXHIBIT A TI? " National tackground R. POOTINGInformatiaxt. RFQ - Criminal Background Check Services Submitted by: Jalyssa,Inc. dba National Credit Reporting(NCR) Submitted To: Nikesha Hazel Santa Ana Housing Authority 20 Civic Center Plaza Santa Ana,CA 92701 Introduction National Credit Reporting(NCR) is pleased to submit our qualifications and pricing proposal in response to the Santa Ana Housing Authority's request for proposal (RFP). With over 35 years of experience partnering with housing authorities nationwide,NCR delivers accurate, secure,and HUD-compliant background screening solutions.As an FBI-authorized Channeler and long-standing member of NAHRO and PHADA,we understand the regulatory environment governing federally assisted housing programs and the importance of delivering results quickly and accurately. Scope of Work NCR will provide Santa Ana Housing Authority staff with secure 24/7 access through an encrypted website online portal to: ➢ Submit background check requests. ➢ Assign billing codes to individual housing programs to segregate fees across different program areas. ➢ Track and confirm orders in real time. ➢ Retrieve completed reports instantly. Required Applicant Information-Our system securely accepts all required applicant data: full name, aliases, date of birth,Social Security Number,and current address.All data is protected by secure data entry,encrypted transmission,and encrypted storage. Multi-revel Criminal Record Searches-NCR conducts comprehensive searches at the Federal, National,State,and county levels.At least two identifiers are used (e.g.,name+ DOB or SSN) to ensure accuracy.Reports include: ➢ Charge class (felony,misdemeanor,or summary). > Disposition type and date. ➢ Sentencing details. EXHIBIT A 'RA*101Q11AL ` Natznnal REwPORTIIN ➢ County Criminal Record Search-The most complete and accurate option;physical county court searches ensure the latest disposition information. ➢ Nationwide Criminal and Sex Offender Registry Report-includes data from all 50 states, lifetime sex offender registry searches,and terrorist watchlist checks. ➢ Federal Criminal Report-Identifies violations such as fraud,tax evasion, embezzlement, immigration violations,and interstate drug trafficking. Turnaround Time-Results are typically delivered within 4-24 hours,ensuring quick decision-making while maintaining compliance. Training&Ongoing Support-NCR provides comprehensive staff training through live virtual training sessions and step-by-step user guides for Santa Ana Housing Authority staff.Training covers how to: ➢ Navigate the website portal. ➢ Submit and retrieve reports. ➢ interpret criminal report results. Our local support team is available by phone and email for ongoing assistance Monday-Friday from 8;00 a.m.-5:3 0 p.m.PST. Closing NCR would be honored to continue supporting the Santa Ana Housing Authority in delivering safe, compliant,and efficient housing placements. Sincerely, Cynthia Clark Director of Sales National.Credit Reporting(NCR) 408-799-5825 1 1�9 cynthia@ncrcredit.com EXHIBIT A Nationdl Backgrat�nii information National Background Information (NBI) Background Screening Services Price Sheet Dousing Authority of the City of Santa Ana .Effective Date: June 2026 Core Screening Services Service Category Description Price *County criminal;Record physical cou ity4evel criminal $ 10.95 Search Multi-State/Nationwide National criminal database search to $ 6.95 Criminal Database Search capture out-of--state records Federal Criminal Record Search of U.S.Federal District Court $ 9.95 (add-on) Search records National,Sex Offender Registry Search of Dru Sjodin National Sex Included in (NSOPW) Offender Public Website Criminal Package State Sex Offender Registry Multistate registry search based on $4.95 Search residency history OFAC/Government Watchlist Search of U.S. Treasury OFAC list and Included in Screening standard government watchlists Criminal Package Identity & Verification Services Service Description Price SafeScanTM SSN Trace & SSN validation,alias identification, and $G.95 Verification address history report Address History Report. Address development used to determine Included with jurisdictions for criminal searches SSN Trace Nationwide Credit,Eviction & Credit report, eviction search, SSN trace, $ 95 SafeScanTM Package address history, fraud detection * Court access fees are pass-through fees and will be billed at actual cost where applicable. EXHIBIT B -.' CITY OF SANTA ANA ATTACHMENT C CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY, AND VOLUNTARY EXCLUSION This certification is required by the regulations implementing Executive Order 12549,as amended, Nonprocurement Debarment and Suspension,2 CFR Part 2998,Subpart C, Responsibilities of Participants Regarding Transactions.The regulations were published as Part VII of the May 26, 1988, Federal Register(Pages 19160-19211),and as subsequently amended in 81 Federal Register 25585. (Before completing certification,read instructions which are an integral part of certification) 1. Pursuant to 2 CFR 180.335,the prospective primary participant, (i.e.grantee)certifies to the best of its knowledge and belief,that it and its principals: a.Are not presently excluded or disqualified; b.Have not been convicted within the preceding three years of any of the offenses listed in 2CFR 180.800(a)or had a civil judgment rendered against them for one of those offenses within that time period. c. Are not presently indicted for or otherwise criminally or civilly charged by a government entity (Federal,State or local)with commission of any of the offenses listed in 2 CFR 180.80D(a);and d. Have not had one or more public transactions(Federal,State or local)terminated within the preceding three years for cause or default. 2.Where the prospective primary participant is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation to this proposal. Signature John Diaz President Name and Title of Official Authorized to Certify On Behalf of Vendor July 14, 2026 Date THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE. City of Santa Ana IN WITNESS WHEREOF,the parties hereto have executed this Agreement the date and year first above written. ATTEST: HOUSING AUTHORITY OF THE CITY OF SANTA ANA nj er ll '.. Michael L. Garcia Recordi g S cretary Secretary/Executive Director APPROVED AS TO FORM: CONTRACTOR: JALYSSA, INC.DBA SONIA R. CARVALHO NATIONAL BACKGROUND General Counsel INFORMATION r� . CX By: r _ ....-- Andrea N. Garcia By: `t-lohn Diaz Sr. Assistant Counsel Title: President Page 17 of 17 C�R® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDrYYYY)12/17/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy{ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Julie Hafmsen NAME: Capita!West PHONE (480)838-8000 FAX AiC No Ext[ AIC,No): 8501 N Scottsdale Rd,Ste 200 Aopl E55: julie@capitalwestins.com INSURER(S)AFFORDING COVERAGE NAIC# Scottsdale AZ 85253 INSURER A: Crum&Forster Specialty Insurance Cc 44520 INSURED INSURER B: Ohio Security Insurance Company 24082 Jalyssa Inc.,DBA:National Credit Reporting, INSURER C: National Background Information INSURER D: 6830 Via Del Oro#105 INSURER E: San Jose CA 95119 INSURER F: COVERAGES CERTIFICATE NUMBER: CL25121752588 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR ADDLISUBH POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WyD POLICY NUMBER MMIDDIYYYY MMIUDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE I I OCCUR PREMISES a occurrence $ 100,000 MED EXP(Any one person) 5 5,000 A Y Y GLO-239414 12130/2025 12/30/2026 PERSONAL&,ADVINJURY S 1,000,000 GEN'LAGGREGATE LIMITAPPLIE5 PER; GEN ERAL AGGREGATE $ 3,000,QFO X POLICY PRO PRODUCTSCOILIPJOP AGG S JEcr ❑LGc - 3,000,000 OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT s Ea accident ANYAUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) S HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident S s UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB HCLAIMS-MADE AGGREGATE S DED I I RETENTION S s WORKERS COMPENSATION X1 PER ERH AND EMPLOYERS'LIAB I LITY Y1N STATUTE I IF ANY PROPRIETORIPARTNEFUEXECUTIVE E.L.EACH ACCIDENT S 1,000,000 B OFFICERrMEMBEREXCLUDED? NIA XWS62803040 09/01/2025 09/01/2026 (Mandatoryfyes,d in NHland E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIN11T 5 1,000,000 Professional Liability Per Claim 1,000,000 A1 —7 LO-239414 12/30/2025 12/30/2026 Aggregate 1,000,000 DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more Space is required) To validate proof of coverage please contact us directly by calling 480.838.8000,faxing 480.838.8002 or emailing info@capitalwestins.com.Project Number: 1920-H-002-01 APPROVED By Tu Tran Nguyen at 3:30 pm,Jul 10,2026 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of'Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS, 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana CA 92702 O 1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD k. N WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT 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 agree ment from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule Where required by contract or written agreement prior to loss and allowed by law. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Issued by Ohio Security Insurance Company 19291 For attachment to Policy No. XWS (26) 62 80 30 40 Effective Date Premium $ Issued to JALYSSA INC. Endorsement No. DBA NATIONAL CREDIT REPORTING WC000313 (Ed. 4-84) Copyright 1983 National Council on Compensation Insurance, Inc. POLICY NUMBER: GLO-239414 COMMERCIAL GENERAL LIABILITY CG 24 04 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER.OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS SCHEDULE Name Of Person(s)Or Organization(s). A person or organization you have agreed in a written contract to waive any right of recovery against provided the written contract is executed prior to the injury or damage 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 against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. CG 24 04 12 19 ©Insurance Services Office, Inc., 2018 Page 1 of 1 COMMERCIAL GENERAL LIABILITY CG 20 3312 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN A WRITTEN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section 11 — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured any person or additional insureds, the following additional organization for whom you are performing exclusions apply: operations when you and such person or This insurance does not apply to: organization have agreed in writing in a contract or agreement that such person or organization be 1. "Bodily injury", "property damage" or "personal added as an additional insured on your policy. and advertising injury" arising out of the Such person or organization is an additional rendering of, or the failure to render, any insured only with respect to liability for "bodily professional architectural, engineering or injury", "property damage" or "personal and surveying services, including: advertising injury" caused, in whole or in part, by: a. The preparing, approving, or failing to 1. Your acts or omissions; or prepare or approve, maps, shop drawings, on our opinions, reports, surveys, field orders, 2. The acts or omissions of those acting Y change orders or drawings and behalf; specifications; or in the performance of your ongoing operations for b. Supervisory, inspection, architectural or the additional insured. engineering activities. However, the insurance afforded to such This exclusion applies even if the claims additional insured: against any insured allege negligence or other 1. Only applies to the extent permitted by law; wrongdoing in the supervision, hiring, and employment, training or monitoring of others by 2. Will not be broader than that which you are that insured, if the "occurrence" which causedthe."bodily injury" or "property damage", or the required by the contract or agreement to provide for such additional insured. offense which caused the "personal and advertising injury", involved the rendering of or A person's or organization's status as an the failure to render any. professional additional insured under this endorsement ends architectural, engineering or. surveying when your operations for that additional insured services: are completed. CG 20 33 12 19 0 Insurance Services Office, Inc., 2018 Page 1 of 2 e 2. 'Bodily injury" or "property damage" occurring C. With respect to the insurance afforded to these after: additional insureds, the following is added to a. All work, including materials, parts or Section III—Limits Of Insurance: equipment furnished in connection with The most we will pay on behalf of the additional such work, on the project (other than insured is the amount of insurance: service, maintenance or repairs) to be 1. Required by the contract or agreement you performed by or an behalf of the additional insured(s) at the location of the covered have entered into with the additional insured;operations has been completed; or or b. That portion ofi "your work" out of which the 2• Available under the applicable limits of injury or damage arises has been put to its insurance; intended use by any person or organization whichever is less, other than another contractor or This endorsement shall not increase the subcontractor engaged in performing applicable limits of insurance. operations for a principal as a part of the same project. CG 20 33 12 19 @ Insurance Services Office, Inc., 2018 Page 2 of 2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE REAP] IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION - DESIGNATED PERSON OR ORGANIZATION In consideration of additional premium,this endorsement modifies insurance provided under the following: COMMERCIAL.GENERAL LIABILITY COVERAGE PART PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to the additional insured(s) under this policy that is shown in the Schedule below, 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 prior to the injury or damage that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured where the additional insured is a named insured. However, the insurance provided under this endorsement will not apply beyond the extent required by such contract or agreement. Schedule Persons)or organization(s): Any person or organization you have agreed in a written contract to add as an additional insured on your pollcy provided the written contract is executed prior to the "bodily injury", "property damage" or"personal and advertising injury" ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. Page 1 of 1 CFSIC-GL-1003(0912020) ACORD DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE E(MM1DDN 08/06/2026 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 Julie Harmsen NAME: Trucordia Insurance Services,LLC pAHi CNN. Ext: (480)838-8000 FAAc,No Trucordia Ins Svs,LLC E-MAIL julie.harmsen@Trucordia.com ADDRESS: 8501 N Scottsdale Rd,Ste 200 INSURER(S)AFFORDING COVERAGE NAIC# Scottsdale AZ 85253 INSDRERA: Crum&Forster Specialty Insurance Co 44520 INSURED INSURER B: Ohio Security Insurance Company 24082 Jalyssa Inc.,DBA:National Credit Reporting, INSURER C: National Background Information INSURER D: 6830 Via Del Oro#105 INSURER E: San Jose CA 95119 INSURER F: COVERAGES CERTIFICATE NUMBER: CL268658256 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.*LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.LIMITS SHOWN ARE INCLUSIVE OFAMOUNTS REQUESTED BY THE CERTIFICATE HOLDER AND MAY NOT REFLECT POLICY LIMIT AMOUNTS IN EXCESS OF THOSE REQUESTED. *Not Applicable in WY INSR TYPE OF INSURANCEAUULbUbK POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 ED CLAIMS-MADE F OCCUR PREM SDAMAGES Ea oNcurrreme $ 100,000 MED EXP(Any one person) $ 5,000 A Y Y GLO-239414 12/30/2025 12/30/2026 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 3,000,000 X POLICY ❑ PRO ❑ LOC PRODUCTS-COMP/OPAGG $ 3'000'000 JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accide nt) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION ER/� STATUTE EORH AND EMPLOYERS'LIA BI LI TY YIN 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ B OFFICER/MEMBER EXCLUDED? N/A XWS62803040 09/01/2026 09/01/2027 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Professional Liability Per Claim 1,000,000 A GLO-239414 12/30/2025 12/30/2026 Aggregate 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,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 included as an Additional Insured with respect to the GL coverage as required by signed written contract. Project Number:1920-H-002-01 APPROVED �By Tu Tran Nguyen at 8:55 am,Aug 17,2026 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana CA 92702 ACORD 25(2025/12) ©1988-2025 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: GLO-239414 COMMERCIAL GENERAL LIABILITY CG24041219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS SCHEDULE Name Of Person(s) Or Organ ization(s): A person or organization you have agreed in a written contract to waive any right of recovery against provided the written contract is executed prior to the injury or damage 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 against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. CG 24 04 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 COMMERCIAL GENERAL LIABILITY CG 20 33 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN A WRITTEN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured any person or additional insureds, the following additional organization for whom you are performing exclusions apply: operations when you and such person or This insurance does not apply to: organization have agreed in writing in a contract or agreement that such person or organization be 1. "Bodily injury", "property damage" or "personal added as an additional insured on your policy. and advertising injury" arising out of the Such person or organization is an additional rendering of, or the failure to render, any insured only with respect to liability for "bodily professional architectural, engineering or injury", "property damage" or "personal and surveying services, including: advertising injury" caused, in whole or in part, by: a. The preparing, approving, or failing to 1. Your acts or omissions; or prepare or approve, maps, shop drawings, 2. The acts or omissions of those acting on your opinions, reports, surveys, field orders, behalf; change orders or drawings and specifications; or in the performance of your ongoing operations for the additional insured. b. Supervisory, inspection, architectural or engineering activities. However, the insurance afforded to such This exclusion applies even if the claims additional insured: against any insured allege negligence or other 1. Only applies to the extent permitted by law; wrongdoing in the supervision, hiring, and employment, training or monitoring of others by 2. Will not be broader than that which you are that insured, if the "occurrence" which caused required by the contract or agreement to the "bodily injury" or "property damage", or the provide for such additional insured. offense which caused the "personal and A erson's or or anization's status as an advertising injury", involved the rendering of or p g the failure to render any professional additional insured under this endorsement ends architectural, engineering or surveying when your operations for that additional insured services. are completed. CG 20 33 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 2 2. "Bodily injury" or "property damage" occurring C. With respect to the insurance afforded to these after: additional insureds, the following is added to a. All work, including materials, parts or Section III — Limits Of Insurance: equipment furnished in connection with The most we will pay on behalf of the additional such work, on the project (other than insured is the amount of insurance: service, maintenance or repairs) to be 1. Required by the contract or agreement you performed by or on behalf of the additional have entered into with the additional insured; insured(s) at the location of the covered or operations has been completed; or 2. Available under the applicable limits of b. That portion of"your work" out of which the insurance; injury or damage arises has been put to its intended use by any person or organization whichever is less. other than another contractor or This endorsement shall not increase the subcontractor engaged in performing applicable limits of insurance. operations for a principal as a part of the same project. CG 20 33 12 19 © Insurance Services Office, Inc., 2018 Page 2 of 2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION - DESIGNATED PERSON OR ORGANIZATION In consideration of additional premium,this endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to the additional insured(s) under this policy that is shown in the Schedule below, 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 prior to the injury or damage that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured where the additional insured is a named insured. However, the insurance provided under this endorsement will not apply beyond the extent required by such contract or agreement. Schedule Person(s) or organization(s): Any person or organization you have agreed in a written contract to add as an additional insured on your poilcy provided the written contract is executed prior to the "bodily injury", "property damage" or"personal and advertising injury" ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. CFSIC-GL-1003(09/2020) Page 1 of 1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT 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.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule Where required by contract or written agreement prior to loss and allowed by law. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Issued by Ohio Security Insurance Company 19291 For attachment to Policy No. XWS (27)62 80 30 40 Effective Date 09/01/2026 Premium $ Issued to JALYSSA INC. Endorsement No. DBA NATIONAL CREDIT REPORTING WC 00 03 13 (Ed. 4-84) Copyright 1983 National Council on Compensation Insurance,Inc. 07/03/2026 XWS(27)62 80 30 40 Page 53 of 73