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HomeMy WebLinkAboutLEGION CONTRACTORS, INC. INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURANCE I12I ZOZEXPIRE CITY CLERK DATE spp CITY OF SANTA ANA 0.PW1k0) CONSTRUCTION CONTRACT M.Mcirhn22(©z) PROJECT 23-6037 MEMORY LANE&FLOWER STREET BIKEWAY AND TRAFFIC CALMING This CONSTRUCTION CONTRACT is made and entered into this 15th day of September, 2026 by and between the City of Santa Ana, California, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California (hereinafter "CITY"), and Legion Contractors, Inc. (hereinafter"CONTRACTOR"). WITNESSETH: The CITY and the CONTRACTOR, for the consideration hereinafter named, mutually agree as follows: 1. CONTRACTOR agrees to perform all the work and furnish all the materials at its own cost and expense necessary to construct and complete in a good and workmanlike manner and to the satisfaction of the City Engineer of the CITY, Memory Lane & Flower Street Bikeway and Traffic Calming (hereinafter referred to as the "WORK OF IMPROVEMENT") identified in and in accordance with the Contract Documents prepared by the City's Public Works Agency and approved by the City Council. 2. The complete Construction Contract consists of the"Contract Documents"as defined by the Standard Specifications for Public Works Construction and which include the following: • Notice Inviting Bids • Information to Bidders • Bid Proposal • Bid Bond • Contract Form • Contract Bonds • General Provisions • Special Provisions • Technical Provisions and Project Plans • Community Workforce Agreement • Appendices In case of conflict between the Contract Documents, the precedence of documents shall be as established in the Standard Specifications for Public Works Construction. 3. CITY agrees to pay and CONTRACTOR agrees to accept in full payment to complete the WORK OF IMPROVEMENT the sum total amount not to exceed Four Million Eight Hundred Six Thousand Eight Hundred Eight and No Cents ($4,806,808.00), as set forth and identified in the itemized BID PROPOSAL uploaded by the Contractor to PlanetBids, which is attached hereto and incorporated herein as Exhibit"A". The BID PROPOSAL contains a schedule of unit price(s) or lump sum(s) based on approximate quantities only, and the City does not expressly or by implication agree that the actual amount of work will correspond therewith, but reserves the right to increase or decrease the amount of any class or portion of the work or to omit portions of the work as may be deemed necessary or advisable. rev.09/01/2017 Page I of 3 4. CONTRACTOR agrees to complete the WORK OF IMPROVEMENT within the time specified in the Time for Completion of Improvements and Liquidated Damages section of the BID PROPOSAL (Exhibit `B") including commencing construction within the timeframe therein specified after issuance of a Notice to Proceed. 5. The CONTRACTOR will pay, and will require all subcontractors to pay, all employees on the WORK OF IMPROVEMENT a salary or wage at least equal to the prevailing salary or wage established for such work as set forth in the wage determinations for this work in accordance with applicable State and Federal law. 6. If applicable, the CONTRACTOR shall adhere to the CITY'S Community Workforce Agreement (CWA), a pre-hire collective bargaining agreement, which establishes the labor relations policies and procedures for CONTRACTOR to follow in the crafts persons employed to complete the WORK OF IMPROVEMENT as more fully described in the CWA. The CWA may be found on the City's website at: http://www.santa-ana.org/pwa/documents/CWA.pd 7. CONTRACTOR shall, after award of this Contract, furnish two bonds to be approved by the CITY, one in the amount of One Hundred Percent (100%) of the Contract price, to guarantee the faithful performance of the work(Performance Bond),and one in the amount of One Hundred Percent(100%) of the Contract price to guarantee payment of all claims for labor and materials furnished (Payment Bond). This Contract shall not become effective until such bonds are supplied to and approved by the CITY. 8. CONTRACTOR shall, prior to the release of the performance and payment bonds or the retention payment, furnish a warranty performance and payment bond (Warranty Bond). Said Warranty Bond shall also be required as a condition of project acceptance. For projects up to Five Hundred Thousand Dollars($500,000),the Warranty Bond amount shall be the greater of Ten Thousand Dollars($10,000) or Twenty Percent (20%) of the final contract price. For projects above Five Hundred Thousand Dollars($500,000),the Warranty Bond amount shall be the greater of One Hundred Thousand Dollars ($100,000) or Ten Percent(10%) of the final contract price. 9. CONTRACTOR shall, after award of this Contract, furnish Certificates of Liability Insurance and Worker's Compensation Insurance as outlined in the General Provisions,to be approved by the CITY. 10. INDEMNIFICATION. To the fullest extent allowed by law, CONTRACTOR and its Subcontractors hereby agree to defend, indemnify, and hold harmless CITY, its City Council, boards and commissions, officers, agents, employees, representatives and volunteers (hereinafter collectively referred to as "Indemnitees"), through legal counsel acceptable to CITY, from and against any liability, claims, actions, costs, damages or losses, including reasonable costs and attorney's fees, for injury, including death to any person or damage to any property, arising directly or indirectly from, or in any manner relating to, any of the following: (i) Performance or nonperformance of the Work of Improvement by CONTRACTOR or its Subcontractors of any lower tier; (ii) Performance or nonperformance by CONTRACTOR or its Subcontractors of any lower tier, of any of the obligations under the Contract Documents; Page 2 of 3 (iii) The construction activities of CONTRACTOR or its Subcontractors of any lower tier, either on the project site or on other properties; (iv) The payment or nonpayment by CONTRACTOR of any of its Subcontractors of any lower tier, for Work of Improvement performed on or off the project site; and (v) Any personal injury, property damage or economic loss to third persons related to and arising from the performance or nonperformance by CONTRACTOR or its Subcontractors of any lower tier, of the Work of Improvement. (vi) The indemnity obligations of Subcontractors provided by this Section shall be included in all subcontract documents issued by CONTRACTOR. Nothing in the Contract Documents shall be construed to give rise to any implied right of indemnity in favor of CONTRACTOR against CITY or any other Indemnitee. IN WITNESS WHEREOF, the parties hereto have executed this Construction Contract on the day and year first above written. ATTEST: CITY OF SANTA A ` fANt O � "✓Y NNIF HAL 'ALVARO NUDE City C City Manager APPROVED AS TO FORM: SONIA R. CARVALHO CONTRACTOR: City Attorney Legion Contractors, Inc. By: K�YLE NELLESEN BY: Amir Movafegh Assistant City Attorney TITLE: President RECOMMENDED FOR APPROVAL: Rodolfo�Rosas(Aug 31,2026 15:45:38 CDT) RODOLFO ROSAS, P.E. Acting Executive Director Public Works Agency Page 3 of 3 ACORD CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/YYYY) 9/16/2026 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Charise Ferguson GMGS Risk Management & Insurance Services PHONE FAX 6201 Oak Canyon, Suite 100 E-MAIL EX ' 949 559-3367 A/c No): Irvine, CA 92618 ADDRESS: charisef@qmqs.com INSURERS AFFORDING COVERAGE NAIC# www.gmgs.com OB84519 INSURER A: Travelers Indemnity Co of Connecticut 25682 INSURED INSURER B: Travelers Property Casualty Co of Amer 25674 Legion Contractors, Inc. INSURERC: Westchester Surplus Lines Insurance Co 10172 445 S. Figueroa Street, Suite 2580 Los Angeles CA 90071 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 92183001 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. LIMITS SHOWN ARE INCLUSIVE OF AMOUNTS REQUESTED BY THE CERTIFICATE HOLDER AND MAY NOT REFLECT POLICY LIMIT AMOUNTS IN EXCESS OF THOSE REQUESTED. *Not Applicable in WY INSR ADDLTYPE OF INSURANCE INSD SUER POLICY NUMBER MMLDD/YYYY MPOLICY D/YYY LTR LIMITS A �/ COMMERCIAL GENERAL LIABILITY DT22-CO-C8043183-TCT-26 5/12/2026 5/12/2027 EACH OCCURRENCE $1 00O 000 CLAIMS-MADE � OCCUR DAMAGES(TO RENTED PREMISES Ea occurrence) $300 000 MED EXP(Any one person) $Excluded PERSONAL&ADV INJURY $1 00O 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 JECT LOC PRODUCTS-COMP/OP AGG $2 OOO OOO POLICY� OTHER: $ B AUTOMOBILE LIABILITY BA-C8047378-26-26-G 5/12/2026 5/12/2027 COMBINED BINEDtSINGLE LIMIT $1 000 OOO ✓ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED ✓ AUTOS ONLY ✓ AUTOS ONLY Per Oa.'dTnDAMAGE $ B ✓ UMBRELLA LIAB / OCCUR CUP-C8051933-26-26 5/12/2026 5/12/2027 EACH OCCURRENCE $8,000000 EXCESS LIAB CLAIMS-MADE AGGREGATE $$000 0 DED I I RETENTION $ B WORKERS COMPENSATION UB C8050266 26 26 G 5/12/2026 5/12/2027 ,/ PERSTATUTE EORH AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1 000 000 OFFICER/MEMBEREXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1 000,000 If yes,describe under DESCRIPTION OF OPERATIONS below - E.L.DISEASE-POLICY LIMIT $1 000 000 C Contractors Pollution Liability G75637755001 5/12/2026 5/12/2027 $1,000,000 Each Pollution Condition 2 500 Deductible 2 000.000 General Aggregate DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached it more space is required) RE:Memory Lane&Flower Street Bikeway and Traffic Calming, Project No.23-6037 This certificate may be relied upon only if the certificate addendum referred to herein is attached hereto. This certificate of insurance amends and supersedes any previously issued certificate. APPROVED By Tu Tran Nguyen at 3:56 pm,Sep 16,202f CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana CA 92701 AUTHORIZED REPRESENTATIVE Paul Bland ACORD 25(2025/12). ©1988-2025 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 92183001 1 26-27 A G W XS POLL R&L-PP I Excl:OT1 OT2 I Charise Ferguson 1 9/16/2026 8:36:08 AM (PDT) I Page 1 of 13 AGENCY CUSTOMER ID: LOC#: A L> ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED GMGS Risk Management&Insurance Services Legion Contractors,Inc. 445 S.Figueroa Street,Suite 2580 POLICY NUMBER Los Angeles CA 90071 CARRIER NAIL CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE:Certificate of Liability Insurance(12/25) HOLDER:City of Santa Ana ADDRESS:Risk Management Division 20 Civic Center Plaza Santa Ana CA 92701 RE: Memory Lane & Flower Street Bikeway and Traffic Calming, Project No. 23-6037 As respects General Liability coverage, The City of Santa Ana, its officers, employees, agents and volunteers are added as Additional Insured, per CCGD2460419 attached, and this insurance is primary, per CGT1000219 attached. As respects General Liability coverage, a Waiver of Subrogation is hereby included, per - CGD3160219 attached. As respects General Liability coverage, 30-day written notice of cancellation (10 days for non-payment of premium) applies, per ILT4050519 attached. As respects Automobile Liability coverage, The City of Santa Ana, its officers, employees, agents and volunteers are added as Additional Insured, per CAT353 02.15 attached and this insurance is primary, per CAT4990216 attached. As respects Automobile Liability coverage, a Waiver of Subrogation is hereby included, per CAT353 0215 attached. As respects Automobile Liability coverage, 30-day written notice of cancellation .(10 days for non-payment of premium) applies, per ILT4050519 attached. As respects Workers' Compensation coverage, a Waiver of Subrogation is hereby included, per WC990376 (A) -001 attached. ACORD 101 (2008/01) _d . ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ADDENDUM 92183001 1 26-27 A G W XS POLL R&L-PP I Exc1:OT1 OT2 I Charise Ferguson 1 9/16/2026 8:36:08 AM (PDT) I Page 2 of 13 Legion Contractors, Inc. DT22-CO-C8043183-TCT-26 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (includes Products-Completed Operations If Required By Contract) This endorsement modifies insurance provided underthe following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS (1) Any "bodily injury", "property damage" or The following is added to SECTION II—WHO IS AN "personal injury" arising out of the providing, INSURED: or failure to provide, any professional Any person or organization that you agree in a architectural, engineering or surveying written contract or agreement to include as an services, including: additional insured on this Coverage Part is an (a) The preparing, approving, or failing to insured,but only: prepare or approve, maps, shop a. With respect to liability for "bodily injury" or drawings, opinions, reports, surveys, "property damage" that occurs, or for"personal field orders or change orders, or the injury" caused by an offense that is committed, preparing, approving, or failing to subsequent to the signing of that contract or prepare or approve, drawings and agreement and while that part of the contract or specifications; and agreement is in effect;and b. If, and only to the extent that, such injury or (b) Supervisory, inspection, architectural or engineering activities. damage is caused by acts or omissions of you or your subcontractor in the performance of "your (2) Any "bodily injury" or "property damage" work"to which the written contract or agreement caused by "your worm" and included in the applies. Such person or organization does not "products-completed operations hazard" qualify as an additional insured with respect to unless the written contract or agreement the independent acts or omissions of such specifically requires you to provide such person or organization. coverage for that additional insured during The insurance provided to such additional insured is the policy period. subject to the following provisions: c. The additional insured must comply with the a. If the Limits of Insurance of this Coverage Part following duties: shown in the Declarations exceed the minimum limits required by the written contract or (1) Give us written notice as soon as practicable agreement, the insurance provided to the of an "occurrence" or an offense which may additional insured will be limited to such result in a claim. To the extent possible,such minimum required limits. For the purposes of notice should include: determining whether this limitation applies, the (a) How, when and where the "occurrence" minimum limits required by the written contract or or offense took place; agreement will be considered to include the minimum limits of any Umbrella or Excess (b) The names and addresses of any injured liability coverage required for the additional persons and witnesses; and insured by that written contract or agreement. (c) The nature and location of any injury or This provision will not increase the limits of damage arising out of the "occurrence" insurance described in Section III — Limits Of or offers®. Insurance. b. The insurance provided to such additional (2) If a claim is made or"suit" is brought against insured does not apply to: the additional insured: CG D2 46 0419 0 2018 The"travelers Indemnity Company.All rights reserved. Page 1 of 2 92183001 1 26-27 A G W XS POLL R&L-PP EXCI:OT1 OT2 Charise Ferguson 1 9/16/2026 8:36:08 AM (PDT) I Page 3 of 13 COMMERCIAL GENERAL LIABILITY (a) Immediately record the specifics of the (4) Tender the defense and indemnity of any claim or"suit"and the date received;and claim or "suit" to any provider of other (b) Notify us as soon as practicable and see insurance which would cover such additional to it that we receive written notice of the insured for a loss we cover. However, this claim or"suit"as soon as practicable. condition does not affect whether the insurance provided to such (3) Immediately send us copies of all legal additional insured is primary to other insurance papers received in connection with the claim available to such additional insured which or "suit", cooperate with us in the covers that person or organization as a investigation or settlement of the claim or named insured as described in Paragraph 4., defense against the "suit", and otherwise Other Insurance, of Section IV—Commercial comply with all policy conditions. General Liability Conditions. Page 2 of 2 0 2018 The Travelers lndemntty Company.All rights reserved. CG D2 46 0419 92183001 26-27 A G W XS POLL P&L-PP Excl:OT1 OT2 I Charise Ferguson 1 9/16/2026 8:36:08 AM (PDT) I Page 4 of 13 Legion Contractors, Inc. oT2e-Cx}{8043183�CT-26 COMMERCIAL GENERAL LIABILITY c. Method Of Sharing a' The statements in the Declarations are |f all uf the other insurance permits contribution accurate and complete; by equal shares, we will follow this method also. b. Those statements one based upon Under this approach each' insurer contributes representations you made io us;and equal anxmrdo until it has paid its applicable o' We have issued this policy in reliance upon limit of insurance or none ofthe |ouo remains, your representations. whichever comes first. The unintentional omission of,orunintentional error If any of the other insurance does not permit in, any information pnmided by you which we relied contribution by equal ohares, we will contribute upon in issuing this policy will not prejudice your by limits. Under this method, each insurer's ' rights under this insurance. Hmwemer,this provision share ie based on the ratio of its applicable limit does not affect our right to md|act additional of insurance to the bda| applicable limits of premium nrio exercise our rights of cancellation or insurance of all insurers. nonrenmwalin accordance With applicable insurance d. Primary And Non-Contributory Insurance If laws cvregulations. Required By Written Contract 7' Separation 0fInsureds � |f you specifically agree inm written contract nr Except with respect tn the Limits of Insurance, and agreement that the insurance afforded to an any rights or dudes specifically assigned in this insured under this Coverage Part must epplyon Coverage Part to the first Named |nmunel, this a primary baeke, or a primary and non- insurance applies: contributory basis, this insurance is primary to a As if each Named Insured, were the only other insurance that im available bzauuhinsured ^ Named Insured; vvhichcovers such insured oao named insured, ' and we will not share with that other insurance, b' Separately to each insured against whom claim provided that: ia made cv"euit'iabrought. (1) The"bodily injury'or"property damage'for 8. Transfer OfRights Of Recovery Against Others � which coverage|a sought occurs;and To Us � (2) The "personal and adka*to/ng injury' for U the insured has rights to recover all or part o[any which coverage is sought ia caused byan payment wm have made under this Coverage Part, offense that is committed; those rights are transferred to us.The insured must subsequent 0o the signing of that contract or do nothing after loss to impair them.At our request, agreement byyou. the insured will bring "muit' or transfer those rights 5. Premium Audit bzuo and help us enforce them. 9. When We Do Not Renew a. VVe will compute all premiums for this Coverage If podinac�ordano*v�thourru|emsmdn�a� »we decide�dbonenswv1��o Coverage pa¢vwevv|U mail cv deliver to the first Named Insured shown in b. Premium shown in this Coverage part as the Declarations written notice of the nonnanevwd advance premium ima deposit premium only.At not less than 3O days before the enpinationdate. the close of each audit period we will compute �hesmrnedpnemiumfb, thetpohod�and� aend |fnodm*|o mailed, proof ofm�Ungv�|| beaufOcie/� notice bz the first Named Insured.The due date proof ofnotice. for audit and retrospective premiums|a the date SECTION V—DEFKN0FNONS shown ea the due date on the bill. |f the sum of 1. 'Y\dvsrt]eemant'' means a notice that|m broadcast cv the advance and oudilt premiums paid for the published to the general public or specific market policy period is greater than the earned segments about your gocdo^ products nrservices pn*mium, we will return the excess tothe first for the purpose of attracting customers or Named Insured. ' supporters. For the purposes of this de5nition- c. The first Named Insured must keep records of a. Notices that are published include material the information we need for premium placed on the Internet or on oinni|mr electronic oomputation, and send us copies at such times means of communication;and mowe may request, b. Regarding webudss. only that part ofavvebote 6' Representations that is about your gcmde, products or services By accepting this policy,you agree: for the purposes of attracting customers or supporters io considered onadvertisement. Page 1Gof21 oo17 The Travelers Indemnity Company.All rights reserved. CKST1 000219 .Includes copyrighted material of Insurance Services Office,Inc,with its permission. ' Legion Contractors, Inc. DT22-CO-C8043183-TCT-26 COMMERCIAL GENERAL LIABILITY C. INCIDENTAL MEDICAL MALPRACTICE pharmaceuticals committed by, or with the 1. The following replaces Paragraph b. of the knowledge or consent of,the insured, definition of "occurrence" in the 5. The following is added to the DEFINITIONS DEFINITIONS Section: Section: b. An act or omission committed in providing "Incidental medical services"means: or failing to provide "incidental medical services", first aid or "Good Samaritan a. Medical,surgical, dental,laboratory,x-ray to a person, unless you are in services" to nursing service or treatment, advice or the business or occupation of providing instruction, or the related furnishing of professional health care services. food or beverages; or 2. The following replaces the last paragraph of b. The furnishing or dispensing of drags or Paragraph 2.a.(1) of SECTION II — WHO IS medical, dental, or surgical supplies or AN INSURED: appliances. Unless you are in the business or occupation 6. The following is added to Paragraph 4.b., of providing professional health care services, Excess Insurance, of SECTION IV — Paragraphs (1)(a), (b), (c) and (d) above do COMMERCIAL GENERAL LIABILITY not apply to "bodily injury" arising out of CONDITIONS: providing or failing to provide: This insurance is excess over any valid and (a) "Incidental medical services" by any of collectible other insurance, whether primary, your "employees" who is a nurse, nurse excess, contingent or on any other basis,that assistant, emergency medical technician is available to any of your "employees" for or paramedic;or "bodily injury" that arises out of providing or (b) First aid or"Good Samaritan services" by failing to provide"incidental medical services" any of your "employees" or "volunteer to any person to the extent not subject to workers", other than an employed or Paragraph 2.a.(1) of Section 11 — Who Is An volunteer doctor. Any such "employees" Insured. or"volunteer workers" providing or failing D. BLANKET WAIVER OF SUBROGATION to provide first aid or "Good Samaritan services" during their work hours for you The following is added to Paragraph S., Transfer will be deemed to be acting within the Of Rights Of Recovery Against.Others To Us, scope of their employment by you or of SECTION IV — COMMERCIAL GENERAL performing duties related to the conduct LIABILITY CONDITIONS: of your business. If the insured has agreed in a contract or 3. The following replaces the last sentence of agreement to waive that insured's right of Paragraph 5. of SECTION III — LIMITS OF recovery against any person or organization, we INSURANCE: waive our right of recovery against such person or For the purposes of determining the organization, but only for payments we make applicable Each Occurrence Limit, all related because of: acts or omissions committed in providing or a. "Bodily injury" or "property damage" that failing to provide "incidental medical occurs; or - services", first aid or "Good Samaritan services"to any one person will be deemed to b. "Personal and advertising injury" caused by be one"occurrence". an offense that is committed; 4. The following exclusion is added to subsequent to the execution of the contract or Paragraph 2., Exclusions, of SECTION I — agreement. COVERAGES — COVERAGE A — BODILY E. CONTRACTUAL LIABILITY—RAILROADS INJURY AND PROPERTY DAMAGE LIABILITY: 1. The following replaces Paragraph c. of the Sale Of Pharmaceuticals definition of "insured contract" in the "Bodily injury' or "property damage" arising DEFINITIONS Section: out of the violation of a penal statute or c. Any easement or license agreement; ordinance relating to the sale of Page 2 of 3 0 2017 The Travelers Indemnity Company,All rights reserved. CG D3 16 02 19 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 92183001 1 26-27 A G W XS POLL R&L-PP I Excl:OT1 OT2 I Charise Ferguson 1 9/16/2026 8:36:08 AM (PDT) I Page 6 of 13 POLICY NUMBER, DT22-CO-C8043183-TCT-26 ISSUE DATE: Legion Contractors, Inc. THIS ENDORSEMENT CHANGES THE POLICY,,PLEASE READ IT CAREFULLY. DESIGNATED PERSON OR ORGANIZATION - NOTICE OF CANCELLATION PROVIDED BY US This endorsement modifies insurance provided underthe following, ALL COVERAGE PARTS INCLUDED IN THIS POLICY SCHEDULE CANCELLATION: Number of Days Notice: 30 PERSON OR ORGANIZATION: ANY PERSON OR ORGANIZATION TO WHOM YOU HAVE AGREED IN A WRITTEN CONTRACT THAT NOTICE OF CANCELLATION OF THIS POLICY WILL BE GIVEN, BUT ONLY IF: 1. YOU SEND US A WRITTEN REQUEST TO PROVIDE SUCH NOTICE, INCLUDING THE NAME AND ADDRESS OF SUCH PERSON OR ORGANIZATION, AFTER THE FIRST NAMED INSURED RECEIVES NOTICE FROM US OF THE CANCELLATION OF THIS POLICY; AND 2. WE RECEIVE SUCH WRITTEN REQUEST AT LEAST 14 DAYS BEFORE THE BEGINNING OF THE APPLICABLE NUMBER OF DAYS SHOWN IN THIS ENDORSEMENT. ADDRESS: THE ADDRESS FOR THAT PERSON OR ORGANIZATION INCLUDED IN SUCH WRITTEN REQUEST FROM YOU To US. PROVISIONS If we cancel this policy for any legally permitted reason other than nonpayment of premium, and a number of days is shown for Cancellation in the Schedule above, we will mail notice of cancellation to the person or organization shown in such Schedule. We will mail such notice to the address shown in the Schedule above at least the number of days shown for Cancellation in such Schedule before the effective date of cancellation. IL T4 05 06 19 O 2019 The Travelers Indemnity Company. All rights reserved. Page 1 of 1 92183001 1 26-27 A G W XS POLL R&L-PP I Excl:OT1 OT2 I Charise Ferguson 1 9/16/2026 8:36:08 AM (PDT) I Page 7 of 13 Legion Contractors, Inc. BA-C8047378-26-26-G COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO EXTENSION ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GENERAL DESCRIPTION OF COVERAGE—This endorsement broadens coverage. However,coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only, Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. BROAD FORM NAMED INSURED H. HIRED AUTO PHYSICAL DAMAGE—LOSS OF B. BLANKET ADDITIONAL INSURED USE—INCREASED LIMIT C. EMPLOYEE HIRED AUTO I. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES—INCREASED LIMIT D. EMPLOYEES AS INSURED J. PERSONAL PROPERTY E. SUPPLEMENTARY PAYMENTS — INCREASED K. AIRBAGS LIMITS L. NOTICE AND KNOWLEDGE OF ACCIDENT OR F. HIRED AUTO — LIMITED WORLDWIDE COW LOSS ERAGE—INDEMNITY BASIS M. BLANKET WAIVER OF SUBROGATION G. WAIVER OF DEDUCTIBLE—GLASS N. UNINTENTIONAL ERRORS OR OMISSIONS PROVISIONS A. BROAD FORM NAMED INSURED this insurance applies and only to the extent that The following is added to Paragraph A.I.,Who Is person or organization qualifies as an "insured" An Insured, of SECTION 11—COVERED AUTOS under the Who Is An Insured provision contained LIABILITY COVERAGE: in Section If. Any organization you newly acquire or form dur- C. EMPLOYEE HIRED AUTO ing the policy period over which you maintain 1. The following is added to Paragraph A.I., 50% or more ownership interest and that is not Who Is An Insured, of SECTION If — COW separately insured for Business Auto Coverage. ERED AUTOS LIABILITY COVERAGE: Coverage under this provision is afforded only un- An "employee" of yours is an "Insured" while til the 180th day after you acquire or form the or- operating an "auto" hired or rented under a ganization or the end of the policy period; which- contract or agreement in an "employee's"' ever is earlier. name, with your permission, while performing duties related to the conduct of your busi- B. BLANKET ADDITIONAL INSURED ness. The following is added to.Paragraph c. in-A.I., 2. The following replaces Paragraph b. in B.5., Who Is An Insured, of SECTION 11 —COVERED Other Insurance, of SECTION IV — BUSI- AUTOS LIABILITY COVERAGE: NESS AUTO CONDITIONS: Any person or organization who is required under b. For Hired Auto Physical Damage Cover- a written contract or agreement between you and age, the following are deemed to be cov- that person or organization, that is signed and ered "autos"you own: executed by you before the "bodily injury" or (1) Any covered "auto" you lease, hire, "property damage" occurs and that is in effect rent or borrow;and during the policy period, to be named as an addi- (2) Any covered "auto" hired or rented by tional insured is an "insured" for Covered Autos your "employee" under a contract in Liability Coverage, but only for damages to which an "employee's" name, with your CA T3 53 0215 0 2015 The Travelers Indemnity Company.All rights reserved. Page I of 4 Includes copyrighted material of Insurance services Office,Inc.with its permission. 92183001 1 26-27 A G W XS POLL R&L-PP I EXCI:OTI OT2 I Charise Ferguson 1 9/16/2026 8:36:08 AM (PDT) I Page 8 of 13 Legion Contractors, Inc. COMMERCIAL AUTO BA-C8047378-26-26-G THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED -- PRIMARY AND NON-CONTRIBUTORY WITH OTHER INSURANCE CONTRACTORS This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM PROVISIONS 2. The following is added to Paragraph B.S., Other 1. The following is added to Paragraph c. in A.1., Insurance of SECTION IV W BUSINESS AUTO Who Is An Insured, of SECTION II—COVERED CONDITIONS: AUTOS LIABILITY COVERAGE: Regardless of the provisions of paragraph a. and This includes any person or organization who you paragraph d. of this part S.Other Insurance, this are required under a written contract or Insurance is primary to and non-contributory with agreement, that is signed by you before the applicable other insurance under which an "bodily injury" or "properly damage" occurs and additional insured person or organization is a that is in effect during the policy period, to name named insured when a written contract or as an additional insured for Covered Autos agreement with you, that is signed by you before Liability Coverage, but only for damages to which the "bodily injury" or "properly damage" occurs this insurance applies and only to the extent of and that is in effect during the policy period, that person's or organization's liability for the requires this insurance to be primary and non- conduct of another"insured". contributory. CA T4 99 02 16 0 2016 The Travelers Indemnity Company.All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc.with its permission, 92183001 1 26-27 A G W XS POLL R&L-PP I Excl:OT1 OT2 I Charise Ferguson 1 9/16/2026 8:36:08 AM (PDT) I Page 9 of 13 - Legion Contractors, Inc. BA-C8047378-26-26-G COMMERCIAL AUTO You agree to maintain all required or (2) In or on your covered"auto". compulsory insurance in any such coun- This coverage applies only in the event of a total try up to the minimum limits required by theft of your covered "auto". local law. Your failure to comply with No deductibles apply to this Personal Property compulsory insurance requirements will coverage. not invalidate the coverage afforded by this policy, but we will only be liable to the K. AIRBAGS same extent we would have been liable The following Is added to Paragraph B.3., Exclu- had you complied With the compulsory in- sions, of SECTION III - PHYSICAL DAMAGE surance requirements. COVERAGE: (d) It Is understood that we are not an admit- Exclusion 3.a. does not apply to "loss"to one or ted or authorized insurer outside. the more airbags in a covered "auto"you own that In- United States of America, its territories flate due to a cause other than a cause of"loss" and possessions, Puerto Pico and Can- set forth in Paragraphs A.I.b. and A.I.c., but ada. We assume no responsibility for the only: furnishing of certificates of Insurance, or a. If that"auto" Is a covered "auto"for Compre- for compliance in any way with the laws hensive Coverage under this policy; of other countries relating to insurance. b. The airbags are not covered under any war- G. WAIVER OF DEDUCTIBLE-GLASS ranty;and The following is added to Paragraph D., Deducti- c. The airbags were not intentionally inflated. ble, of SECTION III - PHYSICAL DAMAGE We will pay up to a maximum of $1,000 for any COVERAGE: one"loss". No deductible for a covered "auto" will apply to L. NOTICE AND KNOWLEDGE OF ACCIDENT OR glass damage if the glass is repaired rather than LOSS replaced. The following is added to Paragraph A.2.a., of H. HIRED AUTO PHYSICAL DAMAGE-LOSS OF SECTION IV-BUSINESS AUTO CONDITIONS: USE-INCREASED LIMIT Your duty to give us or our authorized representa- The following replaces the last sentence of Para- tive prompt notice of the "accident" or "loss" ap- graph A-4.1b., Loss Of Use Expenses, of SEC- plies only when the "accident" or Iloss" Is known TION III-PHYSICAL DAMAGE COVERAGE: to: However, the most we will pay for any expenses (a) You (if you are an individual); for loss of use is $65 per day, to a maximum of (b) A partner(if you are a partnership); $750 for any one"accident". (c) A member (if you are a limited liability com- 1. PHYSICAL DAMAGE - TRANSPORTATION pany); EXPENSES-INCREASED LIMIT (d) An executive officer, director or insurance The following replaces the first sentence In Para- manager(if you are a corporation or other or- graph A.4.a., Transportation Expenses, of ganization); or SECTION III PHYSICAL DAMAGE COVER- AGE: (e) Any"employee"authorized by you to give no- tice of the"accident"or"loss'". We Will pay up to $50 per day to a maximum of M. BLANKET WAIVER OF SUBROGATION $1,500 for temporary transportation expense in- The following replaces Paragraph A.6., Transfer curred by you because of the total theft of a cov- ered "auto"of the private.pass'enger type.. of SECTION IV - BUSINESS AUTO COND11- J. PERSONAL PROPERTY TIONS: The following is added to Paragraph A-4., Cover- 5. Transfer Of Rights Of Recovery Against age Extensions, of SECTION III - PHYSICAL Others To Us DAMAGE COVERAGE: We waive any right of recovery we may have Personal Property against any person or organization to the ex- tent required of you by a written contract We will pay up to $400 for "loss" to wearing ap- signed and executed prior to any "accident" parel and other personal property which is: or"lost", provided that the"accident"or"loss" (1) Owned by an"insured"; and arises out of operations contemplated by CA T3 53 02 16 02015 The Travelers Indemnity Company.All rights reserved. ' Page 3 of 4 Includes copyrighted material of Insurance Services Office,Inc.with its permission. 92183001 1 26-27 A G W XS POLL R&L-PP I Excl:OTI OT2 I Charise Ferguson 1 9/16/2026 8:36:08 AM (PDT) I Page 10 of 13 COMMERCIAL.AUTO such contract. The waiver applies only to the The unintentional omission of, or unintentional person or organization designated in such error in, any information given by you shall not contract. prejudice your rights under this insurance. How- N. UNINTENTIONAL ERRORS OR OMISSIONS ever this provision does not affect our right to col- The following is added to Paragraph B.2., Con- lect additional premium or exercise our right of cealment, Misrepresentation, Or Fraud, of cancellation or non-renewal. SECTION IV—BUSINESS AUTO CONDITIONS: Page 4 of 4 02015 The Travelers Indemnity Company.All rights reserved. CA T3 53 02 15 Includes copyrighted material of Insurance Services Office,Inc.with Its permission. 92183001 1 26-27 A G W XS POLL R&L-PP I Excl:OT1 OT2 I Charise Ferguson 1 9/16/2026 8:36:08 AM (PDT) I Page 11 of 13 Legion Contractors, Inc. POLICY NUMBER:BA-c8047378-26-26-G ISSUE DATE: THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED PERSON OR ORGANIZATION - NOTICE OF CANCELLATION PROVIDED BY US This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS INCLUDED IN THIS POLICY SCHEDULE CANCELLATION: Number of Days Notice: 30 PERSON OR ORGANIZATION: ANY PERSON OR ORGANIZATION TO WHOM YOU HAVE AGREED IN A WRITTEN CONTRACT THAT NOTICE OF CANCELLATION OF THIS POLICY WILL BE GIVEN, BUT ONLY IF: 1. YOU SEND US A WRITTEN REQUEST TO PROVIDE SUCH NOTICE, INCLUDING THE NAME AND ADDRESS OF SUCH PERSON OR ORGANIZATION, AFTER THE FIRST NAMED INSURED RECEIVES NOTICE FROM US OF THE CANCELLATION OF THIS POLICY; AND 2. WE RECEIVE SUCH WRITTEN REQUEST AT LEAST 14 DAYS BEFORE THE BEGINNING OF THE APPLICABLE NUMBER OF DAYS SHOWN IN THIS SCHEDULE. ADDRESS: THE ADDRESS FOR THAT PERSON OR ORGANIZ- ATION INCLUDED IN SUCH WRITTEN REQUEST FROM YOU TO US. PROVISIONS If we cancel this policy for any legally permitted reason other than nonpayment of premium, and a number of days is shown for Cancellation in the Schedule above, we will mail notice of cancellation to the person or organization shown in such Schedule. We will mail such notice to the address shown in the Schedule above at least the number of days shown for Cancellation in such Schedule before the effective date of cancellation. IL T4 05 05 19 ©2019 The Travelers Indemnity Company.All rights reserved. Page 1 Of 1 92183001 1 26-27 A G W XS POLL R&L-PP I FX1I:OT1 OT2 I Charise Ferauson 1 9/16/2026 8:36:08 AM (PDT) I Paae 12 of 13 TRAVELERS J k WORKERS COMPENSATION AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD CT 06183 ENDORSEMENT WC 99 03 76 ( A) - 001 POLICY NUMBER: WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA (BLANKET WAIVER) 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. The additional premium for this endorsement shall be 2.00 % of the California workers' compensation pre- mium. Schedule Person or Organization Job Description ANY PERSON OR ORGANIZATION FOR MORTGAGE AND/OR LOAN BROKERS WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS - WAIVER. 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 05/12/2026 Policy No. UB-C8050266-26-26-G Endorsement No. Insured Legion Contractors, Inc, Premium Insurance Company Travelers Indemnity Co of Connecticut Countersigned by DATE OF'ISSUE: ST ASSIGN: Page l of 1 92183001 1 26-27 A G W XS POLL R&L-PP I Excl:OT1 OT2 I Charise Ferguson 1 9/16/2026 8:36:08 AM (PDT) I Page 13 of 13 CITY OF SANTA ANA Risk Management a division of Human Resources ,lr. N. Managing Risk through Awareness and Action AFFIDAVIT OF EXEMPTION FOR PROFESSIONAL LIABILITY INSURANCE I Saba K k h o u b a n ("Representative"), attest that I am an authorized (Name and Title of Vendor Representative) representative of Legion Contractors, Inc. ("Company"), and (Consultant/Company Name) possess the authority to legally bind Company. In my capacity as Representative of Company, I represent and confirm the following, as relates to the agreement between Company and City of Santa Ana, agreement number 23-6037 ("Agreement") to provide Construction ("Services"): (Services to be provided under agreement/contract) During the course and scope of Company's agreement with the City of Santa Ana, Company will not use the services of an expert necessitating professional liability/errors &omissions liability insurance coverage in the performance of Services to, for, or on behalf of City of Santa Ana. If at any time it is found that Company is not adhering to any and/or all of the statements in this document and does not maintain the minimum professional liability insurance coverage as required in the Agreement, it will be considered a breach of Agreement rendering the Agreement null and void and Company will be fully liable for any and all damages. Saba Khouban Digitally signed by Saba Khouban Date:2026.09.16 15:33:03-07'00' 09/16/2026 Signature Date Saba Khouban Print Name Secretary Title 310-740-6640 / Saba@LegionContractors.com Contact Information,i.e.,Telephone Number and/or Email Address Affidavit of Exemption for Professional Liability Insurance 11.12.2024