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HomeMy WebLinkAboutFCS INTERNATIONAL, INC. (2) INSURANCE ON FILE WORK MAY PROCEED UN INSURANCE EXPIRES A-2023-194-18B o1l ©po MAYOR D i' CITY MANAGER Valerie Amezcua BATE CEP p 3 7026 _ Alvaro Nuhez MAYOR PRO TEM CITY ATTORNEY David Penaloza Sonia R.Carvalho COUNCILMEMBERS CITY CLERK Phil Bacerra Jennifer L.,Hall Johnathan Ryan Hernandez Jessie Lopez Thai Viet Phan Benjamin Vazquez CITY OF SANTA ANA CTFA(0) PLANNING AND BUILDING AGENCY F.V i oaf o l(Dz) 20 Civic Center Plaza. P.O.Box 1988 Santa Ana,California 92702 www.santa-ana.4ov August 5, 2026 FCS International, Inc. DBA FirstCarbon Solutions 250 Commerce, Suite 210 Irvine, CA 92602 Re: Augment for Additional Driveway Counts for the Santa Ana Rczone Project in the City of Santa Ana, California Pursuant to Section I ("Scope of Services") of Agreement No. A-2023-194-18A entered into by FCS International, Inc. ("Consultant') and the City of Santa Ana, dated January 22, 2025, Consultant hereby accepts this Letter Agreement for an additional assignment for on-call environmental and planning services for the project listed above. Consultant shall complete the services per the proposal(attached as Exhibit A to this Letter Agreement) by December 31, 2026. Compensation is subject to Section 2 of the Agreement and the total compensation for this assignment shall not exceed $5,865.00, All other terms and conditions of said Agreement remain unchanged and in full force and effect. If you have any questions regarding this project, please contact Cesar Barrera,in the Public Works Agency at(714)647-3387 or CBarrera@santa-ana.org. Sincerely, Ali Pezeshkpour FC er tional, Inc. DBA FirstCarbon Solutions Executive Director J s B ndman Planning& Building Agency ice esident/Director APPROVED AS TO FORM: Sonia R. Carvalho City Attorn Melissa M. Crosthwaite Senior Assistant City Attorney qq FI RSTCARBON EXHIBIT A Cover Letter SOLUT6ONS FC5INTERNATIONAL,INC. April 17, 2025 UNITED STATES T+1 888 826 5814 Rudy Rosas, P.E. F+inasCsaiio Deputy Public Works Director/City Engineer Eirfo@fcs-intl.com Irvine 20 Civic Center Plaza 250 Commarce Suite 210 Santa Ana, CA 92701 Irvine,CA 92602 Bay Area 2999 Oak Road Suite 250 Subject: Augment for Additional Driveway Counts for the Santa Ana Rezone Project in Walnut Creek,CA 94597 Central Valley the City of Santa Ana,California 7726 N.First Street #413 Fresno,CA 9372C Inland Empire Dear Mr. Rosas, 967 Kendall Drive #A-537 San Bernardino,CA 92407 FirstCarbon Solutions (FCS) is pleased to submit this augment request to provide additional z351SusetBoul yard Suite 170-301 services as part of ongoing efforts for the preparation of an Initial Study/Mitigated Negative Rocklin,CA 95765 Declaration (IS/MND)for the Santa Ana Rezone Project (proposed project), located in the City Utah Bluegrass Boulevard of Santa Ana (City). Suite200-62 Lehi,UT 84043 Cnnnecticut Should you have any questions regarding the enclosed Scope of Work or Fee Estimate, please Suter490 to Drive Shelton,CT OG484 contact me at 925.200.1656 or by email at jbrandman@fcs-intl.com. New York 10 Monument Street Deposit,NY 13754 Sincerely, 56 Broome Corporate Parkway Conklin,NY 13748 CANADA r UNITED KINGDOM Jason Brandman,Vice President/Director PORTUGAL FirstCarbon Solutions FRANCE 250 Commerce, Suite 210 KENYA Irvine, CA 92602 AUSTRALIA PHILIPPINES CHINA MALAYSIA SINGAPORE NORTH AMERICA I EUROPE I AFRICA I AUSTRALIA I ASIA FIRSTCARBONSOLUTIONS.COM FIRSTCARBON Augment SOLUTIONS FCS INTERNATIONAL,INC. Scope of Work Task 1: Additional Driveway Counts The City provided traffic data to FCS for use in the Trip Generation Assessment. Urban Crossroads, Inc. (Urban) reviewed the data and determined that it was outdated. To develop trip generation data for the proposed project, Urban Crossroads will have to conduct driveway counts for two additional driveways at nearby parking lots in addition to the lot where the proposed project is located. Counts will be conducted at one existing Electric Vehicle (EV) parking lot over three consecutive days to calculate the trips associated with this land use. The City will need to provide the number of parking spaces for the facility selected. Additionally, counts will be at one existing paid parking lot over three consecutive days at 301 East 3rd street in Santa Ana to calculate trips associated with this land use. Once counts are collected, Urban will review data and summarize trip generation for the proposed project.Trip generation will be calculated for the EV charging and paid public parking component for the proposed project based on the rates developed and associated with the counts described above. FCS has prepared the following budget identifying the total costs of these tasks. Task Fee Task 1:Additional Driveway Counts $5,865 Total Augment Request $5,865 Assumptions The assumptions used in calculating the above fixed-fees are the following: * The price is valid for up to 30 days from the date of this augment,after which it may be subject to revisions. This price is based on completion of the work within the proposed schedule. If delays occur, an amendment to the contract may be warranted to accommodate the need for additional project management and other costs,additional iterations of technical work products based on project design changes,etc. Costs have been allocated to tasks based on FCS's proposed approach. During the work, FCS may, on its sole authority, reallocate costs among tasks and/or direct costs,as circumstances warrant, so long as the adjustments maintain the total price within its authorized amount. Invoice Billing Billing for this effort will be incorporated into invoicing related to the primary contract associated with the proposed project. NORTH AMERICA I EUROPE I AFRICA I AUSTRALIA I ASIA FIRSTCARBONSOLUTIONS.COM 2 Client#: 2100128 FCSINT ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 412912026 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER LNAMEACT LaFonda Smith USI Insurance Services, LLC ONE FAX ,No, 713 490-4600 (A C No): 713-490-4700 9811 Katy Freeway, Suite 500 I E-MAIL ADDRESS: LaFonda.Smith@usi.com 713 1 3 490-4600 ston,TX 77024 INSURER(S)AFFORDING COVERAGE NAIC 4 90- INSURER A:Nautilus Insurance Company 17370 INSURED INSURER IS:Great Divide Insurance Company 25224 250 Commerce Suite 270 International, Inc INSURER C;Beazley Excess and Surplus Lines Ins 17520 50 Y Company 42374 Houston Casualty Com an Irvine, CA 92602 INSURERD: INSURER E:MSIG Specialty Insurance USA,Inc. 34886 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL°SUBR POLICY EFF POLICY EXP LTR INSR 4WD POLICY NUMBER MMIODIYYYY MMIODNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY ECP204889610 01/0112026 01/0112027 EACH OCCURRENCE $1,000,000 CLAIMS-MADE �X OCCUR DAMAGE T RENTED PREMISES EaoccurrenCe $100,000 X BIIPD Ded:10000 MED EXP(Any one parson) s5,000 PERSONAL&ADV INJURY S1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLIO Y❑ PECDT LOC PRODUCTS-COMPIOP AGG $2,000,000 OTHER: $ E AUTOMOBILE LIABILITY HN0100099400 01/01/2026 01101/202 C EOa accident $MBINE❑SwGLEUNIT 1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS ONLY AUTOS ( } HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY Per accident $ _ X Deductible 5,000 S A UMBRELLA LIAB OCCUR FFX204889710 01/01/2026 0110112021 EACH OCCURRENCE $5,000,000 X EXCESS LIAB X CLAIMS-MADE AGGREGATE $5 000 000 DED I I RETENTIONS S B WORKERS COMPENSATION WCA204889510 01/01/2026 01/01/202 XER P oTH- AND EMPLOYERS'LIABILITY Y 1 NUTV ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICERWEMBER EXCLUDED? N N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 C Cyber Liab D316F7260501 1 1/01/2026 01101/2027 $2M Agg 1$5k died D Prof Liab HCC2626391 01/0112026 01/01/2021 $2M ea claiml$4M agg $100k ded ea claim DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101.Additional Remarks Schedule,may be attached If more space is required) The General Liability and Auto policy includes an automatic Additional Insured endorsement that provides Additional Insured status to the Certificate Holder only when there is a written contract that requires such status, and only with regard to work performed by or on behalf of the named insured, including completed operations if required by contract. The General Liability and Auto Liability policy(s) provide a Blanket Waiver of Subrogation when required by written contract, except as prohibited by law.The General Liability (See Attached Descriptions) APPROVED CERTIFICATE HOLDER CANCELLATION ByTu Tran_Nguyen at 12:17 pm,May 01,2026 City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE ©1988.2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) 1 of 2 The ACORD name and logo are registered marks of ACORD #S539423271M52755784 GXHZZ DESCRIPTIONS (Continued.from Page 1} policy contains a special endorsement with Primary and Noncontributory wording,when required by written contract.The General Liability and Auto policy includes an endorsement providing that 30 days notice of cancellation and 10 days notice of cancellation for non-payment of premium. Umbrella Follows form Re: COSA. City of Santa Ana is Additional Insureds with respect to General and Auto Liability per the attached endorsements as required by written contract. Insurance is Primary and Non-Contributory.Wainer of Subrogation applies to General Liability and Workers'Compensation. 30 Days Notice of Cancellation with 10 Days Notice for Non-Payment of Premium in accordance with the policy provisions. SAGI77A 253(2016103) 2 of 2 #S 53942327f M 52755784 POLICY NUMBER: ECP204889610 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -- OWNERS,'LESSEES OR CONTRACTORS AUTOMATIC STATUS ONGOING OPERATIONS COVERAGE A, B, D 1 & D.4 Policy Number Policy Effective.Date Policy Expiration.Date : Endorsement Effective Date ECP2048896-10 1/1/2026 1/1/2027 1/1/2026 This endorsement modifies insurance provided under the following: ENVIRONMENTAL COMBINED POLICY I. SECTION III—WHO IS AN INSURED is amended to include as an additional insured: 1. Any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement, in effect during this policy period, that such person or organization be added as an additional insured on this policy; and 2. Any other person or organization you are explicitly required to add as an additional insured under the contract or agreement described in Paragraph 1.above. Such contract or agreement must be executed and in effect prior to the performance of your work which is the subject of such contract or agreement. Such person(s)or organization(s)is an additional insured only with respect to liability for bodily injury or property damage under SECTION I — COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY, Coverage DA —Contractors Pollution Legal Liability and Coverage DA—Microbial Substance Contractors Pollution Liability,or personal injury or advertising injury under SECTION I -COVERAGE B—PERSONAL AND ADVERTISING INJURY LIABILITY directly caused by: a. Your acts or omissions; or b. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured described in Paragraph 1. or 2.above. However, the insurance afforded to such additional insured described above: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the contractor agreement to provide for such additional insured, and c. Will not extend beyond that which is provided to you in this policy. A person's or organization's status as an additional insured under this endorsement ends when your operations for the person or organization described in Paragraph 1. above are completed. IL With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: a. Bodily injury, property damage or personal and advertising injury arising out of the rendering of,or the failure to render, any professional architectural, engineering or surveying services, including: (1) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (2) Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the occurrence which caused the bodily injury or property damage,or the offense which caused the personal and advertising injury, involved the rendering of, or the failure to render any professional architectural, engineering or surveying services. b. Bodily injury or property damage occurring after: (1) All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service,maintenance or repairs)to be performed by or on behalf of the additional insured(s)at the location of the covered operations has been completed; or ECP 1246 01 21 Includes oopyrighted material of Insurance Services Office,Inc.,used with its permission. Page 1 of 2 (2) That portion of your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. III. With respect to the insurance afforded to these additional insureds, the following is added to SECTION V— LIMITS OF INSURANCE: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement described in Paragraph 1.1.; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. IV. With respect to the insurance afforded to these additional insureds, the following is added to SECTION VI— REPORTING, DEFENSE, SETTLEMENT&COOPERATION: 1. Duties--Additional Insured An additional insured must see to it that: a. We are notified in writing as soon as practicable of an occurrence or offense which may result in a claim or suit; b. We receive written notice of a claim or suit as soon as practicable; and c. A request for defense and indemnity of the claim or suit will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured, if the contract or agreement requires that this coverage be primary and noncontributory. V. SECTION VII—CONDITION 10.—Other Insurance is amended by the addition of the following which supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to a person(s) or organization(s) included as an additional insured under this endorsement provided that: 1. The additional insured person(s)or organization(s) is a Named Insured under such other insurance; and 2. You have agreed in writing in a contract or agreement, in effect during this policy period,that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured person(s) or organization(s). Such contract or agreement must be executed and in effect prior to the performance of your work which is the subject of such contract or agreement. However, this provision does not apply if the other insurance available to the person(s) or organization(s) included as an additional insured is Owners and Contractors Protective Liability, Railroad Protective Liability, or similar project- specific, primary insurance. VI. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a SCHEDULE of additional insureds, and which endorsement applies to that designated additional insured. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. ECP 1246 01 21 Includes copyrighted material of Insurance Services Office,Inc.,used with its permission. Page 2 of 2 POLICY NUMBER: ECP204889610 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS, LESSEES OR CONTRACTORS:: AUTOMATIC STATUS'-COMPLETED OPERATIONS COVERAGE A, Dr1 & D.4 Policy Number Policy Effective Date Policy Expiration Date Endorsement Effective Date ECP2048896-10 1/1/2026 11112027 1/1/2026 This endorsement modifies insurance provided under the following: ENVIRONMENTAL COMBINED POLICY I. SECTION III—WHO IS AN INSURED is amended to include as an additional insured: 1. Any person or organization for whom you have performed operations when you and such person or organization have agreed in writing in a contract or agreement, in effect during this policy period, that such person or - organization be added as an additional insured on this policy; and 2. Any other person or organization you are explicitly required to add as an additional insured under the contract or agreement described in Paragraph 1. above. Such contract or agreement must be executed and in effect prior to the performance of your work included in the products-completed operations hazard which is the subject of such contract or agreement. Such person(s)or organization(s)is an additional insured only with respect to liability for bodily injury or property damage under SECTION I -- COVERAGE A -- BODILY INJURY AND PROPERTY DAMAGE LIABILITY, Coverage D.1 —Contractors Pollution Legal Liability and Coverage 13.4—Microbial Substance Contractors Pollution Liability, directly caused by your work performed for the additional insured described in Paragraph 1. or 2.above, and included in the products-completed operations hazard. However, the insurance afforded to such additional insured described above: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the contractor agreement to provide for such additional insured; and c. Will not extend beyond that which is provided to you in this policy. III. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: a. Bodily injury or property damage arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: (1) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (2) Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the occurrence which caused the bodily injury or property damage involved the rendering of, or the failure to render any professional architectural, engineering or surveying services. III. With respect to the insurance afforded to these additional insureds, the following is added to SECTION V— LIMITS OF INSURANCE: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contractor agreement described in Paragraph 1.1.; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. IV. With respect to the insurance afforded to these additional insureds, the following is added to SECTION VI— ECP 1248 01 21 Includes copyrighted material of Insurance Services Office,Inc.,used with its permission. Page 1 of 2 REPORTING, DEFENSE, SETTLEMENT&COOPERATION: 1. Duties--Additional Insured An additional insured must see to it that: a. We are notified in writing as soon as practicable of an occurrence which may result in a claim or suit; b. We receive written notice of a claim or suit as soon as practicable; and c. A request for defense and indemnity of the claim or suit will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured, if the contract or agreement requires that this coverage be primary and noncontributory. V. SECTION Vll—CONDITION 10.—Other Insurance is amended by the addition of the following which supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to a person(s) or organization(s)included as an additional insured under this endorsement provided that: i. The additional insured person(s)or organization(s)is a Named Insured under such other insurance; and 2. You have agreed in writing in a contract or agreement,in effect during this policy period,that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured person(s) or organization(s). Such contract or agreement must be executed and in effect prior to the performance of your work included in the products-completed operations hazard which is the subject of such contract or agreement. However, this provision does not apply if the other insurance available to the person(s) or organization(s) included as an additional insured is Owners and Contractors Protective Liability, Railroad Protective Liability, or similar project- specific, primary insurance. VI. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a SCHEDULE of additional insureds, and which endorsement applies to that designated additional insured. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. ECP 1248 0121 Includes copyrighted material of Insurance Services Office,Inc.,used with its permission. Pago 2 or THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF SUBROGATION (TRANSFER OF,RIGHTS OF RECOVERY AGAINST OTHERS TO US) AUTOMATIC STATUS' COVERAGE A,B & D 77 Policy Number Policy Effective Date Policy Expiration Date Endorsement Effective Date: ECP2048896-10 111/2026 1/1/2027 1/1 l2026 This endorsement modifies insurance provided under the following: ENVIRONMENTAL COMBINED POLICY I. The following is added to Paragraph 17. Subrogation of SECTION VII—CONDITIONS: We waive any right of recovery against any person(s) or organization(s) because of payments we make under COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY, COVERAGE B -- PERSONAL AND ADVERTISING INJURY LIABILITY,and COVERAGE D—CONTRACTORS POLLUTION LIABILITY under this policy. Such waiver by us applies only if; 1. The insured has agreed in writing in a contract or agreement with such person(s) or organization(s) to waive its right of recovery; and 2. The insured has waived its right of recovery against such person(s)or organization(s) prior to loss. This waiver does not apply in any jurisdiction where such waiver is held to be illegal or against public policy or in any situation where the person(s) or organization(s) against whom subrogation is to be waived is found to be solely negligent. This endorsement does not apply to any person(s) or organization(s) designated in a SCHEDULE of person(s) or organization(s)against whom rights of recovery have been waived. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. i ECP 1260 01 21 Includes copyrighted material of Insurance Services Office,Inc.,used with its permission. Page 1 of 1 POLICY NUMBER: WCA204889510 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 42 03 04 B 06 14 TEXAS WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement applies only to the insurance provided by the policy because Texas is shown in Item 3.A. of the Information Page. 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, but this waiver applies only with respect to bodily injury arising out of the operations described in the Schedule where you are required by a written contract to obtain this waiver from us. This endorsement shall not operate directly or indirectly to benefit anyone not named in the Schedule. The premium for this endorsement is shown in the Schedule. Schedule 1. ( ) Specific Waiver Name of person or organization (X) Blanket Waiver-Any person or organization as required in writing by contract or agreement prior to loss. 2. Operations: "All Texas Operations" 3. Premium: The premium charge for this endorsement shall be 2 percent of the premium developed on payroll in connection with work performed for the above person(s)or organization(s)arising out of the operations described. 4. Advance Premium: $0.00 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.) Endorsement Effective Policy No. Endorsement No. 01/01/2026 WCA2048895 10 Insured Premium FCS International, Inc. Insurance Company: Countersigned by Great Divide Insurance Company WC 42 03 04 B 0614 ©Copyright 2014 National Council on Compensation Insurance,Inc.All Rights Reserved. Page 1 of 1 POLICY NUMBER: WCA204889510 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 04 84 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 0.00% of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Any person or organization as required in writing by contract or agreement prior to loss. 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) Endorsement Effective Policy No. Endorsement No. 01/01/2026 WCA2048895 10 Insured Premium FCS International, Inc. Insurance Company: Countersigned by Great Divide Insurance Company WC 04 03 06 04 84 1998 by the Workers'Compensation Insurance Rating Bureau of California. Page 1 of 1 All rights reserved.From the WCIRB's California Workers'Compensation Insurance Forms Manual 2001. POLICY NUMBER: WCA204889510 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 04 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 Any person or organization as required in writing by contract or agreement prior to loss. Any person or organization for which the employer has agreed by written contract, executed prior to loss, may execute a waiver of subrogation. However,for purposes of work performed by the employer in Missouri, this waiver of subrogation does not apply to any construction group of classifications as designated by the waiver of right to recover from others (subrogation) rule in our manual. WC 00 03 13 04 84 © 1983 National Council on Compensation Insurance Page 1 of 1 POLICY NUMBER: FFX204889710 FOLLOW FORM EXCESS,LIABILITY COVERAGE FORM Various provisions in this policy restrict coverage. Read the entire policy carefully to determine rights, duties and what is and is not covered. Throughout this policy the words "you" and "your" refer to the Named Insured shown in the Declarations, and any other person or organization qualifying as a Named Insured under this policy. The words"we","us"and"our"refer to the company providing this insurance. The word "insured" means any person or organization qualifying as such under the controlling underlying insurance_ Other words and phrases that appear in bold in this Coverage Form have special meaning. Refer to Section IV-Definitions. Other words and phrases that are not defined under this Coverage Form but defined in the controlling underlying insurance will have the meaning described in the policy of controlling underlying insurance. This policy is subject to the same representations and warranties as are contained in the application for any controlling underlying insurance, and the insurance provided under this Coverage Form will follow the same terms, conditions, agreements, exclusions, definitions and limitations that are contained in the applicable controlling underlying insurance, unless otherwise directed by this insurance. To the extent such provisions differ or conflict, the provisions of this Coverage Form will apply. However, the coverage provided under this Coverage Form will not be broader than that provided by the applicable controlling underlying insurance. There may be more than one controlling underlying insurance listed in the Declarations and provisions in those policies conflict, and which are not superseded by the provisions of this Coverage Form. In such a case, the terms, conditions, agreements, exclusions, definitions and limitations of the controlling underlying insurance applicable to the particular event for which a claim is made or suit is brought will apply. SECTIONI -COVERAGES 1. Insuring Agreement a, We will pay on behalf of the insured the ultimate net loss in excess of the retained limit for injury or damage to which insurance provided under this Coverage Form applies, however, coverage under this policy will not be available unless and until the full amount of all controlling underlying insurance has been exhausted by the actual payment by the controlling underlying insurer of the applicable retained limit as shown in the Schedule of Controlling Underlying insurance, Where the controlling underlying insurance has the duty to defend, we will have the right and duty to defend the insured against any suit seeking damages for such injury or damage under this Coverage Form when the applicable limits of controlling underlying Insurance have been exhausted through the payment of the underlying limits in full in accordance with the provisions of such controlling underlying insurance. When we have no duty to defend, we will have the right to defend, or to participate in the defense of, the insured against any other suit seeking damages for injury or damage. However, we will have no duty to defend the insured against any suit seeking damages for which insurance under this policy does not apply. At our discretion, we may investigate any event that may involve this insurance and settle any resultant claim or suit,for which we have the duty to defend. But: (1) The amount we will pay for ultimate net loss is limited as described in Section II - Limits Of Insurance; and (2) Our right and duty to defend ends when we have used up the applicable limit of insurance in the payment of defense costs,judgments or settlements under this Coverage Form. b, This insurance applies to injury or damage that is subject to an applicable retained limit. If any other limit, such as a subiimit, is specified in the controlling underlying insurance, this insurance does not apply to injury or damage arising out of that exposure unless that limit is specified in the Declarations under the Schedule of Controlling Underlying Insurance. FFX 8000 02 22 Includes copyrighted material of Insurance Services Office,Inc.,used with its permission. Page 1 of 7 Furthermore, if any controlling underlying insurance shown in the Schedule of Controlling Underlying Insurance (SCHEDULE)attached hereto has a limit of liability: (1) Greater than the amount shown in such Schedule of Controlling Underlying Insurance,then this policy will apply in excess of the greater amount; or (2) Less than the amount shown in such Schedule of Controlling Underlying Insurance, then this policy will apply in excess of the amount shown in such Schedule of Controlling Underlying Insurance. c. (1) If the controlling underlying insurance requires, for a particular claim, that the injury or damage occur during its policy period in order for that coverage to apply, then this insurance will only apply to that injury or damage if it occurs during the policy period of this Coverage Form. If the controlling underlying insurance requires that the event causing the particular injury or damage takes place during its policy period in order for that coverage to apply,then this insurance will apply to the claim only if the event causing that injury or damage takes place during the policy period of this Coverage Form. (2) If any controlling underlying insurance is written on a claims-made or discovery basis,the following applies to the insurance provided by this Coverage Form which is excess over that underlying insurance: If the controlling underlying insurance requires, for a particular claim, that the injury or damage occur on or after the Retroactive Date shown in the Declarations of that insurance in order for that coverage to apply, then this insurance will only apply to that injury or damage which occurs on or after the Retroactive Date shown in the controlling underlying insurance but before the end of the policy period of this Coverage Form. If the controlling underlying insurance requires, for a particular claim, that the event causing the particular injury or damage takes place on or after the Retroactive Date shown in the Declarations of that insurance in order for that coverage to apply, then this insurance will apply to the claim only if the event causing that injury or damage takes place on or after the Retroactive Date shown in the controlling underlying insurance but before the end of the policy period of this Coverage Form. A claim for damages for such injury or damage must be first made against the insured during this policy period or any extended reporting period provided under this Coverage Form. A claim will be considered first made under this Coverage Form: (1) When notice of such claim is received and recorded by any insured or by us, whichever comes first, if the controlling underlying insurance is written on a claims-made and recorded basis; or (2) When notice of such claim,after being received by any insured, is reported to us in writing, if the controlling underlying insurance is written on any other claims-made basis, d. Any additional insured under any policy of controlling underlying insurance will automatically be an additional insured under this insurance, but only to the extent consistent with the Construction Anti-indemnity Statute(s) held in the applicable jurisdiction. If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the lesser of the amount of insurance required by the contract or agreement, or the Each Occurrence Limit of this policy, less any amounts payable by any controlling underlying insurance. Additional insured coverage provided by this insurance will not be broader than coverage provided by the controlling underlying insurance. 2. Exclusions The following exclusions, and any other exclusions added by endorsement, apply to this Coverage Form. In addition, the exclusions applicable to any controlling underlying insurance apply to this insurance unless superseded by the following exclusions,or superseded by any other exclusions added by endorsement to this Coverage Form. Insurance provided under this Coverage Form does not apply to Injury or damage, costs and expenses, because of, caused by or arising out of, either directly or indirectly, in whole or in part, by: a. Auto Any loss, cost or expense payable under or resulting from any of the following auto coverages: (1) First-party physical damage coverage; (2) No-fault coverage; (3) Personal injury protection or auto medical payments coverage; or (4) Uninsured or underinsured motorists'coverage. FFX 8000 02 22 Includes copyrighted material of Insurance Services Office,Inc.,used with Its permission. Page 2 of 7 b. Medical Payments Medical payments coverage or expenses that are provided without regard to fault, whether or not provided by the applicable controlling underlying insurance. c. Workers'Compensation And Similar Laws Any obligation of the insured under a workers'compensation,disability benefits or unemployment compensation law or any similar law. SECTION 11 -LIMITS OF INSURANCE 1. The Limits of Insurance shown in the Declarations,and the rules below fix the most we will pay regardless of the number of: a. Insureds; b. Claims made or suits brought, or number of vehicles involved; c. Persons or organizations making claims or bringing suits; or d. Limits available under any controlling underlying insurance. 2. The Limits of Insurance of this Coverage Form will apply as follows: a. This insurance only applies in excess of the retained limit. b. The Aggregate Limit is the most we will pay for all ultimate net loss, for all injury or damage including defense costs covered under this Coverage Form. Defense costs are part of,and not in addition to,the limits of insurance, and the payment of defense costs reduces the limits of insurance. However, this Aggregate Limit only applies to injury or damage that is subject to an aggregate limit of insurance under the controlling underlying insurance. c. Subject to Paragraph 2.b. above, the Each Occurrence Limit is the most we will pay for all ultimate net loss including defense costs under this insurance for all injury or damage arising out of any one event. Defense costs are part of, and not in addition to, the limits of insurance, and the payment of defense costs reduces the limits of insurance. 3. If any controlling underlying insurance has a policy period that is different from the policy period of this Coverage Form then, for the purposes of this insurance, the retained limit will only be reduced or exhausted by actual payment(s) made in full by the controlling underlying insurer for injury or damage covered under this insurance. 4. The Limits of Insurance shown in the Declarations will not ever be reinstated. SECTION III-CONDITIONS The following conditions apply. In addition, the conditions applicable to any controlling underlying insurance are also applicable to the coverage provided under this insurance unless superseded by the following conditions. 1. Appeals If the controlling underlying insurer or insured elects notto appeal a judgment in excess of the amount of the retained limit, we may do so at our own expense. We will also pay for taxable court costs, pre-and post-judgment interest and disbursements associated with such appeal. In no event will this provision increase our liability beyond the applicable Limits of Insurance described in Section 11- Limits Of Insurance. 2. Bankruptcy a. Bankruptcy Of Insured Bankruptcy or insolvency of the insured or of the insured's estate will not relieve us of our obligations under this Coverage Form. b. Bankruptcy Of Controlling Underlying Insurer Bankruptcy or insolvency of the controlling underlying insurer will not relieve us of our obligations under this Coverage Form. However, insurance provided under this Coverage Form will not replace any controlling underlying insurance in the event of bankruptcy or insolvency of the controlling underlying insurer. The insurance provided under this Coverage Form will apply as if the controlling underlying insurance were in full effect and recoverable. FFX 8000 02 22 Includes copyrighted material of Insurance Services Office, Inc.,used with its permission. Page 3 of 7 3. Duties In The Event Of An Event, Claim Or Suit a. You must see to it that we are notified as soon as practicable of an event, regardless of the amount, which may result in a claim under this insurance.To the extent possible, notice should include: (1) How,when and where the event took place; (2) The names and addresses of any injured persons and witnesses; and (3) The nature and location of any injury or damage arising out of the event. b. If a claim is made or suit is brought against any insured,you must: (1) Immediately record the specifics of the claim or suit and the date received; and (2) Notify us as soon as practicable. You must see to it that we receive written notice of the claim or suit as soon as practicable. c. You and any other insured involved must: (1) Immediately send us copies of any demands, notices, summonses or legal papers received in connection with the claim or suit; (2) Authorize us to obtain records and other information; (3) Cooperate with us in the investigation or settlement of the claim or defense against the suit; and (4) Assist us, upon our request, in the enforcement of any right against any person or organization which may be liable to the insured because of injury or damage to which this insurance may also apply. d. No insured will do or omit to do anything to prejudice our rights under this Coverage Form, and no insured will, except at that insured's own cost, voluntarily make a payment, assume any obligation, or incur any expense, other than for first aid, without our consent. 4. First Named Insured Duties The first Named Insured is the person or organization first named in the Declarations and is responsible for the payment of all premiums. The first Named Insured will act on behalf of all other Named Insureds for giving and receiving of notice of cancellation or the receipt of any return premium that may become payable. At our request, the first Named Insured will furnish us, as soon as practicable, with a complete copy of any controlling underlying insurance and any subsequently issued endorsements or policies which may in any way affect the insurance provided under this Coverage Form. 5. Cancellation a. The first Named Insured shown in the Declarations may cancel this policy by mailing or delivering to us advance written notice of cancellation. b. We may cancel this policy by mailing or delivering to the first Named Insured written notice of cancellation at least: (1) 10 days before the effective date of cancellation if we cancel for nonpayment of premium; or (2) 30 days before the effective date of cancellation if we cancel for any other reason. c. We will mail or deliver our notice to the first Named Insured's last mailing address known to us. d. Notice of cancellation will state the effective date of cancellation.The policy period will end on that date. e. If this policy is cancelled, we will send the first Named Insured any premium refund due. If we cancel, the refund will be pro rata. If the first Named Insured cancels, the refund may be less than pro rata. The cancellation will be effective even if we have not made or offered a refund. f. If notice is mailed, proof of mailing will be sufficient proof of notice. 6. Changes This Coverage Form contains all the agreements between you and us concerning the insurance afforded. The first Named Insured is authorized by all other insureds to make changes in the terms of this Coverage Form with our consent. No change in, modification of,or assignment of interest under this Coverage Form shall be effective except when made by written endorsement to this Coverage Form which is signed by our authorized representative. This Coverage Form shall become subject to any changes upon the effective date of the changes in the controlling underlying insurance, but only upon the condition that we agree to follow such changes by written endorsement attached hereto and the FFX 8000 02 22 Includes copyrighted material of Insurance Services Office,Inc.,used with its permission. Page 4 of 7 Insured pays when due any additional premium required by us relating to such changes and 1 or agrees to any amendment of the provisions of this Coverage Form required by us relating to such changes. 7. Maintenance Of 1 Changes To Controlling Underlying Insurance The insured warrants that the retained limit, where applicable, as shown in the Schedule of Controlling Underlying Insurance, shall be unimpaired as of the effective date of this policy. Any controlling underlying insurance must be maintained in full effect without reduction of coverage or limits except for the reduction of aggregate limits in accordance with the provisions of such controlling underlying insurance that results from injury or damage to which this insurance applies. Such exhaustion or reduction is not a failure to maintain controlling underlying insurance. The Insured, not the Insurer, will bear the risk that any controlling underlying insurance is or may be uncollectible. This Coverage Form will not drop down for any reason, including, but not limited to, the uncollectibility (in whole or in part) of the controlling underlying insurance, even if such uncollectibility is due to the financial impairment or insolvency of the issuer of any controlling underlying insurance. Coverage under this policy will not be available unless and until all controlling underlying insurance has been exhausted by the actual payment by the controlling underlying insurer of the applicable retained limit as shown in the Schedule of Controlling Underlying Insurance. The first Named Insured must notify us in writing with full particulars as soon as practicable in the event: a. Any controlling underlying insurance is cancelled, not renewed, replaced or otherwise terminated; b. The limits or scope of coverage of any controlling underlying insurance is changed; c. The aggregate limits of liability of any controlling underlying insurance become exhausted; d. Any controlling underlying insurance is not maintained in full effect during the policy period; or e. Any insurer issuing any controlling underlying insurance becomes subject to receivership, liquidation, dissolution, rehabilitation, or similar proceeding or being taken over by any regulatory authority. 8. Other Insurance a. This insurance is excess over, and shall not contribute with any of the other insurance, whether primary, excess, contingent or on any other basis. This condition will not apply to insurance specifically written as excess over this Coverage Form. When this insurance is excess, if no other insurer defends, we may undertake to do so, but we will be entitled to the insured's rights against all those other insurers. b. When this insurance is excess over other insurance, we will pay only our share of the ultimate net loss that exceeds: (1) The total amount that all such other insurance would pay for the loss in the absence of the insurance provided under this Coverage Form; plus (2) The total of all deductible and self-insured amounts under all that other insurance. 9. Premium Audit a. We will compute all premiums for this Coverage Form in accordance with our rules and rates. b. If this policy is auditable, the premium shown in this Coverage Form as advance premium is a deposit premium only. At the close of each audit period, we will compute the earned premium for that period and send notice to the first Named Insured. The due date for audit premium is the date shown as the due date on the bill. If the sum of the advance and audit premiums paid for the policy period is greater than the earned premium, we will return the excess to the first Named Insured. c. The first Named Insured must keep records of the information we need for premium computation, and send us copies at such times as we may request. 10. Loss Payable Liability under this Coverage Form does not apply to a given claim unless and until: a. The insured or insured's controlling underlying insurer has become obligated to pay the retained limit; b. The full amount of the applicable retained limit described in a. above has been exhausted as a result of actual payment made in full by a controlling underlying insurer; and FFX 8000 02 22 Includes copyrighted material of Insurance Services Office,Inc.,used with its permission. Page 5 of 7 c. The obligation of the insured to pay the ultimate net loss in excess of the retained limit has been determined by a final settlement or judgment or written agreement among the insured, claimant, controlling underlying insurer(or a representative of one or more of these) and us, and first party claim amount that we, at our sole discretion, agree in writing to be necessary and reasonable. 11. Legal Action Against Us No person or organization has a right under this Coverage Form: a. To join us as a party or otherwise bring us into a suit asking for damages from an insured; or b. To sue us on this Coverage Form unless all of its terms have been fully complied with. A person or organization may sue us to recover on an agreed settlement or on a final judgment against an insured; but we will not be liable for damages that are not payable under the terms of this Coverage Form or that are in excess of the applicable limit of insurance. An agreed settlement means a settlement and release of liability signed by us, the insured,controlling underlying insurer and the claimant or the claimant's legal representative. 12. Transfer 4f Defense a. Defense Transferred To Us When the limits of controlling underlying insurance have been exhausted, in accordance with the provisions of controlling underlying insurance, we may elect to have the defense transferred to us. We will cooperate in the transfer of control to us of any outstanding claims or suits seeking damages to which this insurance applies and which would have been covered by the controlling underlying insurance had the applicable limit not been exhausted. b. Defense Transferred By Us When our limits of insurance have been exhausted our duty to provide a defense will cease. We will cooperate in the transfer of control of defense to any insurer specifically written as excess over this Coverage Form of any outstanding claims or suits seeking damages to which this insurance applies and which would have been covered by the controlling underlying insurance had the applicable limit not been exhausted. In the event that there is no insurance written as excess over this Coverage Form,we will cooperate in the transfer of control to the insured and its designated representative. 13. When We Do Not Renew If we decide not to renew this Coverage Form,we will mail or deliver to the first Named Insured shown in the Declarations written notice of the nonrenewal not less than 30 days before the expiration date. If notice is mailed, proof of mailing will be sufficient proof of notice. 14. Claims-Made Extended Reporting Period a. Any provisions under the controlling underlying insurance relating to an Extended Reporting Period for which a separate premium charge is made do not apply to this insurance, unless an Extended Reporting Period Is purchased under this insurance. b. An Extended Reporting Period,consistent with the terms,conditions and duration of any Extended Reporting Period available in accordance with the terms of any controlling underlying insurance,will be available for this Coverage Form by endorsement, for an additional charge, if: (1) This policy is cancelled or not renewed; or (2) This policy is renewed or replaced with insurance that: i. Has a Retroactive Date later than the date shown in the controlling underlying insurance; or ii. Does not apply to injury or damage on a claims-made basis. c. If this policy and the controlling underlying insurance are cancelled or not renewed and an Extended Reporting Period has been provided under the controlling underlying insurance, then an Extended Reporting Period will be available for this Coverage Form. The Extended Reporting Period available under this Coverage Form will be consistent with the terms, conditions and duration of any Extended Reporting Period provided in accordance with the terms of the controlling underlying insurance. FFX 6000 02 22 Includes copyrighted material of Insurance Services Office,Inc.,used with its permission. Page 6 of 7 POLICY NUMBER: FFX204889710 d. You must give us a written request for the Extended Reporting Period endorsement under this Coverage Form no later than the time allowed to purchase such endorsement under the controlling underlying insurance. The Extended Reporting Period will not go into effect unless you pay the additional premium promptly when due and any premium you owe us for coverage provided under this policy. e. We will determine the additional premium in accordance with our rules and rates. In doing so, we may take into account the following: (1) The exposures insured; (2) Previous types and amounts of insurance; (3) Limits of Insurance available under this policy for future payment of damages; and (4) Other related factors. 15. Notices All notices under this policy shall be given as provided for in the controlling underlying insurance. In addition, all notices to us under this policy shall be sent to the address below or any substitute address as provided by us: Berkley Environmental Attention: Claims Department 101 Hudson Street, Suite 2500 Jersey City, New Jersey 07302 SECTION IV- DEFINITIONS The definitions applicable to any controlling underlying insurance also apply to this insurance. In addition, the following definitions apply. 1. Actual payment means remittance in currency, not credits or debits, from a controlling underlying Insurer to an insured or a claimant. 2. Controlling underlying insurance means any policy of insurance or self-insurance listed in the Declarations under the Schedule of Controlling Underlying Insurance, 3. Controlling underlying insurer means any insurer who provides any policy of insurance listed in the Declarations under the Schedule of Controlling Underlying Insurance. 4. Defense Costs means any reasonable and necessary fees charged by an attorney and designated by the company, and whore the insured has the right to select independent counsel, the rates we would actually pay to counsel that we retain in the ordinary course of business in the defense of a similar claim or suit in the community where the claim or suit arose or is being defended, as well as other reasonable and necessary costs, including expert witness and court reporters, in connection with the investigation, adjustment, settlement, defense or appeal of a claim or suit. It does not include the salaries of our regular employees or supervisory counsel retained by us, or any cost or expense incurred by the insured in assisting in the investigation or defense of the claim or suit. 5. Event means an occurrence, offense, accident, act, discovery, claim or suit or other event, to which the applicable controlling underlying insurance applies. 6. Injury or damage means any injury or damage, covered in the applicable controlling underlying insurance arising from an event. 7. Retained limit means the available limits of controlling underlying insurance applicable to the claim, 8. Intimate net loss means the amount covered by this Coverage Form, after reduction for recoveries, or salvages collectible, that the insured becomes legally obligated to pay as damages by reason of: a. Defense costs, settlements,judgments, binding arbitration; plus b. Other binding alternate dispute resolution proceeding entered into with our consent, plus c. Any first-party claim amount that we, at our sole discretion, agree in writing to be necessary and reasonable. FFX 8000 02 22 Includes copyrighted material or Insurance Services Office,Inc.,used with its permission. Page 7 or 7 POLICY NUMBER:HN0100099400 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - SCHEDULED 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. SCHEDULE 1855 Benicia Rd LLC 2019 Ozone Affordable Housing 20th Avenue Owner, LLC 3177 California Avenue 410 W San Rafael Dr LLC 545 Sansome Street,BHSD 545 Propco LLC ADEC Innovations ADSCO, LLC AECOM Technical Services,Inc. AECOM Technical Services, Inc. Affirm, Inc. Alliance Residential Company,;A Delaware Limited Liability Anaheim Planning& Building Department; Anton Fong Ranch Owners, LLC;CO Anton DevCo Anton Thurber, LLC ARCO Construction Company, Inc. ARCO/Murray National Construction Company, Inc. Argent Development Argonaut Offices, LLC Artesia Acquisition Company LLC BayWa r.e. USA, LLC BCD Newport Beach, LLC,a Delaware limited liability company; Beazer Homes Usa, Inc Berkeley Unified School District Biggs Cardosa Associates, Inc. Black Oak Builders/Innovations Brickyard Cove Multifamily, LLC;c/o Republic BRW Architects, Inc Burbank Housing Development Corporation Buzz Oates Construction, Inc. California Department of Parks and Recreation California Land Investments, LLC Cameron-Cole, LLC MSES 1491106 21 Page 1 of 1 02021 MSIG Holdings(U.S.A.),Inc. All rights reserved Includes copyrighted material of Insurance Services Office,Inc.,with its permission. POLICY NUMBER:HN0100099400 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Cameron-Cole, LLC, a limited liability company Carissimi Rohrer McMullen Architects& Planner Carissimi Rohrer McMullen,Architects and Planners, Inc, Carson Estate Trust Carson VA Industrial II, LP CBRE City of American Canyon City of Anaheim City of Anaheim City of Anaheim City of Antioch City of Benicia City of Berkeley City of Brawley City of Buena Park City of Burlingame City of Carson CITY OF CHICO City of Chino Hills City of Cloverdale; Planning and Community City of Clovis;Planning and Development Services Department City of Colton .City of Costa Mesa City of Dublin City of Fontana City of Fart Bragg City of Foster City City of Fresno City of Fresno CITY OF FRESNO, a California municipal corporation CITY OF FRESNO, a California municipal; corporation Planning and City of Fresno; City of Fullerton City of Fullerton;Attn: Community and Economic City of Garden Grove;Department of Community Development City of Gilroy, its officers,officials and employees City of Hayward City of Healdsburg City of Hercules, a California municipality City of Irvine City of Irvine,California City of Jurupa Valley City of Lake Elsinore;Attn:City Manager MSES 14911 06 21 Page 1 of 1 ©2021 MSIG Holdings(U.S.A.),Inc. All rights reserved Includes copyrighted material of Insurance Services attice,Inc.,with its permisslon. POLICY NUMBER:HN0100099400 THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. City of Lincoln City of Livermore; Planning Division/Community City of Los Angeles and its Agencies, Boards and Depts City of Madera City of Menifee,Community Development City of Milpitas City of Moreno Valley City of Murrieta City of Napa City of Napa City of Napa, a California charter city City of Norwalk City of Palmdale; Department of Economic and City of Petaluma City of Pinole City of Pleasant Hill City of Pleasanton City of Pleasanton City of Pomona; Development Services City of Rancho Cucamonga City of Richmond City of Riverside City of San Bruno City of San Ramon City of San Ramon City of Santa Ana City of Santa Rosa City of Saratoga City of South San Francisco City of Tracy City of Tracy; Community& Economic City of Walnut Creek City of West Hollywood;c/o EXIGIS Insurance Compliance Services Claremont Homes, Inc. Cleco Corporate Holdings LLC, a Louisiana limited Compass Group Comstock,Crosser&Associates Development Company, Inc. Condor Country Consulting, Inc. Contra Costa County Contra Costa County Contra Costa County Contra Costa County Public Works Department County of Contra Costa MSES 1491106 21 Page 1 of 1 ©2021 MSIG Holdings(U.S.A.),Inc. All rights reserved Includes copyrighted material of Insurance Services Office,Inc.,with its permission. POLICY NUMBER: HN0100099400 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. County of Fresno; Department of Public County of Kern County of Los Angeles Public Works County of San Bernardino and; San Bernardino County County of San Bernardino and;San Bernardino County Flood Control County of San Bernardino; &San Bernardino County County of San Bernardino; Department of Public County of San Bernardino;&San Bernardino County Flood County of San Bernardino;Department of Public Works-EMD County of San Bernardino;Land Use Services Department County of Santa Clara County of Santa Clara County of Solana CP-SRM San Jose, LLC Crowley Maritime Corporation Cushman &Wakefield U,S. Inc.;Attn: Property Manager D. R. Horton, Inc. D.R. Horton, Inc.; Its Affiliates and Subsidiaries David Dellinger Discovery Homes Holdings,LLC Discovery Homes Holdings,LLC; Discovery Builders,Inc, ❑ivcoWest Don Pickett&Associates DP Ventrures, LLC;Attn: David Dollinger Duarte Multifamily II, LLC;and parties listed herein Duarte Multifamily, LLC,A Delaware Limited Liability Company Duarte Multifamily, LLC;And Parties Listed Herein Dyer Industrial, LLC and IDS Real Estate EA Engineering, Science,and Technology, Inc., PBC East Bay Municipal Utility District; East Bay Regional Park District ECM Management ECS Management Eden Housing Inc and Education Housing Partners, Inc., Eden Housing, Inc. Eden Housing, Inc. and all Entities Education Housing Partners, Inc. Environmental Resource Solutions, Inc.; Environmental Systems Design, Inc.; Error; Baywood Property Management, Inc. Esmeralda Land Company, LP FH 11 Homebuilders, Inc. FH II, LLC MSES 14911 06 21 Page 1 of 1 02021 MS1G Holdings(U.S.A.),Inc. All rights reserved Includes copyrighted material of Insurance Services Office,Inc.,with its permission. POLICY NUMBER:HN0100099400 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. First Industrial Realty Trust, Inc. FOR YOUR REFERENCE ONLY Forestar(USA) Real Estate Group Inc.; Genworth Mortgage Insurance Australia Limited GIC MILPITAS LLC Google LLC,a Delaware limited liability company HUSPRF Investor SPV I LP;c/o Hines Interests Limited Partnership 110 Logistics Owner, LLC ICSC 1DI Logistics LLC Imperial County Ingram Micro Inc. InSite Property Group LLC Jaeger McHugh &Company, Inc Jones Lang LaSalle SAS K. Hovnanian La Canada Unified School District Land Development Consultants, LLC Latala Group Lincoln Joiner Multifamily LLC Lion Land Venture 1, LLC; Lisa Wise Consulting, Inc.; LIT Industrial Limited Partnership; a Delaware limited Mark Thomas Mark Thomas&Company, Inc. Mayfair Affordable Housing LP, MBK Homes, LLC Meritge Homes Corporation Michael Mileski; Mileski Living Trust Milan Capital Management, Inc. Milestone Technologies, Inc Millbrae MLC Holdings, Inc. Moog, Inc. Mulberry Ridge,LLC Napa Valley Investment Property, Inc. Navistar, Inc. Noreas Environmental Engineering&Science North Point Holdings, LLC Northstate Developers Company, LLC;Discorvery Builders, Inc. Odd Fellows Recreation Club OGE Energy Corp. Ontario Emporia II Housing Partners, L.P. MSES 1491106 21 Page 1 of 1 O 2021 MSIG Holdings(U.S.A.),Inc. All rights reserved Includes copyrighted material of Insurance Services Office,Inc.,with Its permission. POLICY NUMBER:HN0100099400 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Oracle America, Inc. Pera Urban Wst Corporation;c/o Jones Lang Lasalle Americas, Inc. Porto's Bakery Anaheim, LLC PulteGroup, Inc, its affiliates and subsidiaries Raimi&Associates, Inc. Recology Service Center; Insurance Compliance Riaz Capital Richmond American Homes of Maryland, Inc. Ridge Capital, Inc. Riverside County Regional Park&Open Space District Riverside County Transportation Commission; c/o EXIGiS Insurance Riverside Unified School District Riverside Unified School District RMG Housing, LLC RMW RP Land Holdings, LLC RRM Design Group RRM Design Group RWC Hitch Ranch, LLC San Benito County San Bernardino City Unified School District San Bernardino County San Bernardino County Flood Control District San Diego County Superintendent of Schools San Juan Hollister Multifamily LLC SANTA ROSA 8 INV., LLC Seefried Development Management, Inc. Seefried Development Management, Inc. Seefried Development Management, Inc. Seefried Industrial Properties Seefried Industrial Properties, Inc. Seefried Industrial Properties, Inc. Seefried Industrial Properties, Inc. Seefried Industrial Properties, Inc. Seefried Industrial Properties, Inc. Seefried Industrial Properties, Inc. Seefried Properties Silvergate Brentwood, LLC SLR Orange Development, LLC Solano Community College District Solano Community College District SRM Construction, Inc. SRM Studio City MSES 14911 06 21 Page 1 of 1 O 2021 MSIG Holdings(U.S.A.),Inc. All rights reserved Includes copyrighted material of Insurance Services Office,Inc.,wlth its permisslon. i POLICY NUMBER:HN0100099400 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Stanislaus County State of Wisconsin Storage Tech, Inc. Summer Home Park Corporation Sunnyvale 2 INC, LLC;City Ventures Construction Inc Synergy Consulting Takeda Pharmaceuticals U.S.A., Inc., TDC ALISO VIEJO PARTNERS, L.L.C. The City of Foster City/EMID (See Description of Operations) The City of Laguna Beach The City of Milpitas The City of Rohnert Park The Claremont Companies, LLC The Housing Authority of the City of Oakland The Irvine Company The Irvine Company LLC Office Properties The Lawrence Ellison Foundation The Regents of the University of California Toll Brothers Inc.;Attn:Vendor Insurance Tall Brothers, Inc. Town of Windsor Town of Windsor Cert Trader Joes Company TricorBraun Global Support Center Turlock Self Storage,LLC Uptown Menlo Park Venture, LLC USA Properties Find, Inc. USA Properties Fund Vantage Data Centers Watson Land Company WDI Hold Co, LLC WiConduit Woodstock Development W RA ADDRESSES ON FILE WITH THE COMPANY A. SECTION II—COVERED AUTOS LIABILITY COVERAGE,A. Coverage, 1. Who Is An Insured is amended to include as an "insured"the person(s)or organization(s) shown in the Schedule, but only with respect to their liability for"bodily injury"or"property damage"to which this insurance applies, caused in whole or in part, by an "accident" resulting from the ownership, maintenance or use of a covered "auto". However,the insurance afforded to such "insured": 1. Only applies to the extent permitted by law; and MSES 14911 06 21 Page 1 of 1 d2021 MSIG Holdings(U.S.A.),Inc. All rights reserved Includes capyrighted material of Insurance Services Office,Inc.,with its permission. POLICY NUMBER.HN0100099400 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 2. If coverage provided to the "insured"is required by a contract or agreement, the insurance afforded to such "insured"will not be broader than that which you are required by contract or agreement to provide such "insured". B. SECTION II- COVERED AUTOS LIABILITY COVERAGE, B. Exclusions is amended to include; This Insurance does not apply to: "Bodily injury" or"property damage"for which the Person(s) or Organization(s) shown in the Declarations or Schedule is obligated to pay damages by reason of the assumption of liability in a contract or agreement C. SECTION II—COVERED AUTOS LIABILITY COVERAGE,C. Limits Of Insurance is amended to include: The most we will pay on behalf of the"insured"shown in the Schedule is the amount of insurance: 1. Required by the contract or agreement you have entered Into with the"insured"; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. MSES 1491106 21 Page 1 of 1 ©2021 MSIG Holdings(U.S.A.),Inc. All rights reserved Includes copyrighted material of Insurance Services Office,Inc.,with its permission. POLICY NUMBER: HN0100099400 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS 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. SCHEDULE Names Of Persons Or Or anization s : 1855 Benicia Rd LLC 2019 Ozone Affordable Housing 20th Avenue Owner,LLC 3177 California Avenue 410 W San Rafael Dr LLC 545 Sansome Street, BHSD 545 Propco LLC ADEC Innovations ADSCO, LLC AECOM Technical Services, Inc. AECOM Technical Services, Inc. Affirm, Inc. Alliance Residential Company,;A Delaware Limited Liability Anaheim Planning& Building Department; Anton Fong Ranch Owners, LLC; CO Anton DevCo Anton Thurber, LLC ARCO Construction Company, Inc. ARCO/Murray National Construction Company, Inc. Argent Development Argonaut Offices, LLC Artesia Acquisition Company LLC BayWa r.e. USA, LLC BCD Newport Beach, LLC,a Delaware limited liability company; Beazer Homes Usa, Inc Berkeley Unified School District Biggs Cardosa Associates, Inc. Black Oak Builders/ Innovations MSES 14912 06 21 Page 1 of 8 OO 2021 MSIG Holdings(U.S.A.),Inc. All rights reserved Includes copyrighted material of Insurance Services Office,Inc.,with its permission. POLICY NUMBER:HN0100099400 Brickyard Cave Multifamily, LLC; c/o Republic BRW Architects, Inc Burbank Housing Development Corporation Buzz Oates Construction, Inc. California Department of Parks and Recreation California Land Investments, LLC Cameron-Cole, LLC Cameron-Cole, LLC,a limited liability company Carissimi Rohrer McMullen Architects & Planner CaHssimi Rohrer McMullen,Architects and Planners, Inc. Carson Estate Trust Carson VA Industrial II,LIP CBRE City of American Canyon - City of Anaheim City of Anaheim City of Anaheim City of Antioch City of Benicia City of Berkeley City of Brawley City of Buena Park City of Burlingame City of Carson CITY OF CHICO City of Chino Hills City of Cloverdale;Planning and Community City of Clovis;Planning and Development Services Department City of Calton City of Costa Mesa City of Dublin City of Fontana City of Fort Bragg City of Foster City City of Fresno City of Fresno CITY OF FRESNO, a California municipal corporation CITY OF FRESNO, a California municipal;corporation Planning and City of Fresno; City of Fullerton City of Fullerton;Attn:Community and Economic City of Garden Grove;Department of Community Development City of Gilroy, its officers,officials and employees Page 2 of 8 0 Insurance Services Office, Inc., 2008 13 POLICY NUMBER:HN0100099400 City of Hayward City of Healdsburg City of Hercules,a California municipality City of Irvine City of Irvine,California City of lurupa Valley City of Lake Elsinore;Attn;City Manager City of Lincoln City of Livermore;Planning Division/Community City of Los Angeles and its Agencies, Boards and Depts City of Madera. City of Menifee,Community Development City of Milpitas City of Moreno Valley City of Murrieta City of Napa City of Napa City of Napa, a California charter city City of Norwalk. City of Palmdale; Department of Economic and City of Petaluma City of Pinole City of Pleasant Hill City of Pleasanton City of Pleasanton City of Pomona; Development Services City of Rancho Cucamonga City of Richmond City of Riverside City of San Bruno City of San Ramon City of San Ramon City of Santa Ana City of Santa Rosa City of Saratoga City of South San Francisco City of Tracy City of Tracy; Community&Economic City of Walnut Creek City of West Hollywood;c/o EXIGIS Insurance Compliance Services Claremont Homes, Inc. Cleco Corporate Holdings LLC,a Louisiana limited Compass Group 0 ISO Properties, Inc., 2005 Page 3 of 8 POLICY NUMBER:HN0100099400 Comstock, Crosser&Associates Development Company, Inc. Condor Country Consulting, Inc. Contra Costa County Contra Costa County Contra Costa County Contra Costa County Public Works Department County of Contra Costa County of Fresno; Department of Public County of Kern County of Los Angeles Public Works County of San Bernardino and; San Bernardino County County of San Bernardino and;San.Bernardino County Flood Control County of San Bernardino;&San Bernardino County County of San Bernardino; Department of Public - County of San Bernardino;&San Bernardino County Flood County of San Bernardino;Department of Public Works-EMD County of San Bernardino;Land Use Services Department County of Santa Clara County of Santa Clara County of Solana CP-SRM San Jose, LLC Crowley Maritime Corporation Cushman&Wakefield U.S. fnc.;Attn: Property Manager D. R. Horton, Inc. D.R. Horton, Inc.; Its Affiliates and Subsidiaries David Dollinger Discovery Homes Holdings, LLC Discovery Homes Holdings, LLC;Discovery Builders, Inc. Divco West Don Pickett&Associates DP Ventrures, LLC;Attn: David Dollinger Duarte Multifamily II, LLC;and parties listed herein Duarte Multifamily, LLC,A Delaware Limited Liability Company Duarte Multifamily, LLC;And Parties Listed Herein Dyer.lndustrial, LLC and IDS Real Estate EA Engineering, Science, and Technology, Inc., PBC East Bay Municipal Utility district; East Bay Regional Park District ECM Management ECS Management Eden Housing Inc and Education Housing Partners, Inc., Eden Housing, Inc. Eden Housing, Inc.and all Entities Page 4 of 8 0 Insurance Services Office, Inc., 2008 ❑ POLICY NUMBER.HN0100099400 Education Housing Partners, Inc. Environmental Resource Solutions, Inc.; Environmental Systems Design,Inc.; Error; Baywood Property Management; Inc. Esmeralda Land Company, LP FH II Homebuilders, Inc. FH II, LLC First Industrial Realty Trust, Inc. FOR YOUR REFERENCE;ONLY Forestar(USA) Real Estate Group Inc.; Genworth Mortgage Insurance Australia Limited G1C MILPITAS LLC Google LLC,a Delaware limited liability company HUSPRF Investor SPV I LP;c/o Hines Interests Limited Partnership 110 Logistics Owner, LLC ICSC IDl Logistics LLC Imperial County Ingram Micro Inc. InSite Property Croup LLC Jaeger McHugh&Company, Inc Jones Lang LaSalle SAS K. Hovnanian La Canada Unified School District Land Development Consultants, LLC Latala Group Lincoln Joiner Multifamily LLC Lion Land Venture 1, LLC; Lisa Wise Consulting, Inc.; LIT Industrial Limited Partnership;a Delaware limited Mark Thomas Mark Thomas&Company, Inc. Mayfair Affordable Housing.LP, MBK Homes, LLC Meritge Homes Corporation Michael Mileski; Mileski Living Trust Milan Capital Management, Inc. Milestone Technologies, Inc Millbrae MLC Holdings, Inc. Moog, Inc. Mulberry Ridge, LLC Napa Valley Investment Property, Inc. GO ISO Properties, Inc., 2005 Page 5 of 8 13 POLICY NUMBER: HN0100099400 Navistar, Inc. Noreas Environmental Engineering&Science NorthPoint Holdings, LLC Northstate Developers Company, LLC;Discorvery Bullders, Inc. Odd Fellows Recreation Club OGE Energy Corp. Ontario Emporia II Housing Partners, L.P. Oracle America, Inc. Pera Urban Wst Corporation;c/o Jones Lang Lasalle Americas, Inc. Porto's Bakery Anaheim, LLC PulteGraup, Inc. its affiliates and subsidiaries Raimi&Associates, Inc. Recology Service Center; Insurance Compliance Rlaz Capital - Richmond American Homes of Maryland, Inc. Ridge Capital, Inc. Riverside County Regional Park&Open Space District Riverside County Transportation Commission;c/o EXIGIS Insurance Riverside Unified School District Riverside Unified School District RMG Housing, LLC RMW RP Land Holdings,LLC RRM Design Group RRM Design Group RWC Hitch Ranch, LLC San Benito County San Bernardino City Unified School District San Bernardino County San Bernardino County Flood Control District San Diego County Superintendent of Schools San Juan Hollister Multifamily LLC SANTA ROSA 8 INV., LLC Seefried Development Management, Inc. Seefried Development Management, Inc. Seefried Development Management, Inc. Seefried Industrial Properties Seefried Industrial Properties, Inc. Seefried Industrial Properties, Inc. Seefried Industrial Properties, Inc. Seefried Industrial Properties, Inc. Seefried Industrial Properties, Inc. Seefried Industrial Properties, Inc. Page 6 of 8 0 Insurance Services Office, Inc., 2008 ❑ POLICY NUMBER:HN0100099400 Seefried Properties Silvergate Brentwood,LLC SLR Orange Development,LLC Solano Community College District Solano Community College District SRM Construction, Inc. 51tM Studio City Stanislaus County State of Wisconsin Storage Tech; Inc. Summer Home Park Corporation Sunnyvale 2 INC, LLC;City Ventures Construction Inc Synergy Consulting Takeda Pharmaceuticals U.S.A., Inc., TDC ALISO VIEJO PARTNERS, L.L.C. The City of Foster City/EMID (See Description of Operations) The City of Laguna Beach The City of Milpitas The City of Rohnert Park The Claremont Companies, LLC The Housing Authority of the City of Oakland The Irvine Company The Irvine Company LLC Office Properties The Lawrence Ellison Foundation The Regents of the University of California Toll Brothers Inc.,Attn:Vendor Insurance Toll Brothers,Inc. Town of Windsor Town of Windsor Cert Trader Joes Company TricorBraun Global Support Center Turlock Self Storage,LLC Uptown Menlo Park Venture, LLC USA Properties Find, Inc. USA Properties Fund Vantage Data Centers Watson Land Company WDI Hold Co, LLC WiCondult Woodstock Development WRA ADDRESSES ON FILE WITH THE COMPANY 0 ISO Properties, Inc., 2005 Page 7 of 8 I POLICY NUMBER:HN0100099400 Additional A di Premium $ Inc luded Section IV-- Business Auto Conditions, A. Loss Conditions, 5., Transfer Of Rights Of Recovery Against Others To Us does not apply to the person(s)or organization(s)shown in the Schedule, but only to the extent that subrogation Is waived prior to the "accident" or the "loss" under a written contract or written agreement with that person or organization. We will retain the additional premium shown above, regardless of any early termination of this endorsement of this Policy, i Page 8 of a *Insurance Services Office, Inc., 2008 ❑ I CITY CLERK PROCESSING FORM Agreements 1 Amendments f Extensions 1 Deeds REVIVE FUNDED? COVID FUNDED? CONFIDENTIAL? ❑YES N NO ❑YES ❑■ NO ❑ YES Q NO TO: CITY CLERK'S OFFICE FROM: DEPT.: Planning and Building Agency MAIL STOP: M-20 PROJECT MANAGER: Francine Villareal EXT., X2717 The following information must be provided in requesting processing of agreements/amendments 1 extensions I deeds for the C ity: (See page 2 for instructions on how to fill out the this form) NAME OF CONSULTANT I PARTY: FCS International, Inc, DBA FirstCarbon Solutions AGREEMENT NUMBER(if applicable): A 1 N A-2023-194-18B AMENDMENT NUMBER ❑■ 1ST ❑ 2ND ❑ 3RD ❑4TH (if applicable) : EXTENSION NUMBER ❑ 1 ST ❑ 2ND ❑ 3RD ❑4TH (if applicable): An amendment/extension requires a copy of a Staff Report andlor initial agreement to be included. AMOUNT: ❑■ * OVER ❑ * $50,000 *Note: Council approval is required if an agreement with a $50,000 AND UNDER vendor exceeds $50,000 within a Fiscal Year for non- public works agreements. Bid for contracts exceedinci $50,000, will continue to re uire a formal Invitation for Bid. ❑■ 1) Approved by council. ❑ 2) NOT approved by council. COUNCIL APPROVAL DATE: 1 1/07/2023 ITEM#: 32 TERM OF AGREEMENT EFFECTIVE DATE: 08/05/2026 TERMINATION DATE: 12/3 1/2026 SIGNATURES REQUIRED: ❑■ VENDOR 0 AGENCY ❑a CITY ATTORNEY ❑ OTHER NOTARIZATION REQUIRED ❑ YES ❑0 NO APPROVEDINSURANCE: ❑■ YES ❑ NO (INSURANCE APPROVAL REQUIRED BY RISK MGMT. P1111 R, TO S il�r'BMirITTiTING TO CITY CLERK) COMMENTS: NO ADDITIONAL SIGNATURES NEEDED AUGMENT/AMENDMENT TO SIDE LETTER 1 (A-2023-194-18A)This is side letter 2. FOR CLERK OFFICE USE ONLY: ❑ PROCESS ❑ DO NOT PROCESS ❑ Missing Signatures ❑ Needs Council Approval ❑ Other ADDITIONAL REMARKS: *Effective July 6, 2023, City Manager contract authority increased via Ordinance NS-3041. OAgreementslFormslForm-AGREEMENT PROCESSING FORM-06-19-2023-FINAL.doc Revised:06119/2023 Page t of 2