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HomeMy WebLinkAboutCROSSTOWN ELECTRICAL & DATA, INC.-2012 City of Santa ." .1a - Clerk of the Coy.. _il COTC Office Use Only AGREEMENT TERMINATION FORM Please complete this form when the attached agreement and all amendments (if any) are no longer in effect. Note: If your agreement is grant related, please ensure that all grant retention requirements have been satisfied prior to signing the termination form. Return form to the Clerk of the Council Office (M-30). Call 647-1520 if you have any questions. The agreement with Glzes ca:v L P.4 T/?. ,it"4. No. A-20/2-/77 was completed on 0 l36//7- and final payment has been made. (List all amendments. Use space below if needed.) Department: ic'7/4`.4 !T irff iC A - / 7_02_ Phone/Ext.: yS--62 G Signature: Date: ry f 2-c'// - Revised:01-07-16 A-2012-177 INSURANCL 0, 'WORK MAY PROCF_C) p UNTIL INS t!RP.NC-?!X?'^?H_?? .w.,..... CLERK OF (OUNC L SERVICE AGREEMENT FOR UP ADVANCED TRAFFIC MANAGEMENT SYSTEM AND COMUNICATION MAINTENANCE AND REPAIR SERVICES I: r 1 V? THIS AGREEMENT made and entered into this 20`x' day of August, 2012 by and between Crosstown Electrical & Data, Inc., a California corporation (hereinafter "Consultant"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California (hereinafter "City"). RECITALS A. The City desires to retain a consultant having special skill and knowledge in the field of maintenance and repair of CCTV, Communication Systems, CMS, TMC equipment, twisted pair and fiber optic cables. B. Consultant represents that Consultant is able and willing to provide such services to the City. C. In undertaking the performance of this Agreement, Consultant represents that it is knowledgeable in its field and that any services performed by Consultant under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional consulting firm in the field. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the parties agree as follows: 1. SCOPE OF SERVICES Consultant shall provide on call maintenance and repair of the Santa Ana Traffic Management Center (TMC), including CCTV, Communication Systems, CMS, TMC equipment, twisted pair and fiber optic cables, as set forth in Consultant's Proposal dated July 30, 2012, attached as Exhibit A to this Agreement. Said services shall be provided on an on-call basis, upon the written request of the Executive Director of Public Works or his designated representative. 2. COMPENSATION a. City agrees to pay, and Consultant agrees to accept as total payment for its services, the rates and charges identified in Exhibit A. The total sum to be expended under this Agreement shall not exceed $50,000, annually, during the term of this Agreement. b. Payment by City shall be made within thirty (30) days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. Payment need not be made for work which fails to meet the standards of performance set forth in the Recitals which may reasonably be expected by City. 3. TERM This Agreement shall commence on the date first written above and terminate on June 30, 2015 unless terminated earlier in accordance with Section 12, below. The first year contract will be from the contract approved date to June 30, 2013. Following annual contract will be from July 1" to June 30`h for the remainder of the contract duration. The term of this Agreement may be extended for up to two additional one-year periods upon a writing executed by the Executive Director of Public Works and the City Attorney, for City, and Consultant's representative for Consultant. 4. INDEPENDENT CONTRACTOR Consultant shall, during the entire term of this Agreement, be construed to be an independent contractor and not an employee of the City. This Agreement is not intended nor shall it be construed to create an employer-employee relationship, a joint venture relationship, or to allow the City to exercise discretion or control over the professional manner in which Consultant performs the services which are the subject matter of this Agreement; however, the services to be provided by Consultant shall be provided in a manner consistent with all applicable standards and regulations governing such services. Consultant shall pay all salaries and wages, employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. 5. INSURANCE Prior to undertaking performance of work under this Agreement, Consultant shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: a. Commercial General Liability Insurance. Consultant shall maintain commercial general liability insurance which shall include, but not be limited to protection against claims arising from bodily and personal injury, including death resulting therefrom and damage to property, resulting from any act or occurrence arising out of Consultant's operations in the performance of this Agreement, including, without limitation, acts involving vehicles. The amounts of insurance shall be not less than the following: single limit coverage applying to bodily and personal injury, including death resulting therefrom, and property damage, in the total amount of $1,000,000 per occurrence and in the aggregate. Such insurance shall (a) name the City, its officers, employees, agents, volunteers and representatives as additional insured(s); (b) be primary and not-contributory with respect to insurance or self-insurance programs maintained by the City; and (c) contain standard separation of insureds provisions. b. Business automobile liability insurance, or equivalent form, with a combined single limit of not less than $1,000,000 per occurrence. Such insurance shall include coverage for owned, hired and non-owned automobiles. c. Worker's Compensation Insurance. In accordance with the provisions of Section 3300 of the Labor Code, Consultant, if Consultant has any employees, is required to be insured against liability for worker's compensation or to undertake self-insurance. Prior to commencing the performance of the work under this Agreement, Consultant agrees to obtain and maintain any employer's liability insurance with limits not less than $1,000,000 per accident. d. The following requirements apply to the insurance to be provided by Consultant pursuant to this section: (i) Consultant shall maintain all insurance required above in full force and effect for the entire period covered by this Agreement. (ii) Certificates of insurance shall be furnished to the City upon execution of this Agreement and shall be approved in form by the City Attorney. 2 (iii) Certificates and policies shall state that the policies shall not be canceled or reduced in coverage or changed in any other material aspect without thirty (30) days prior written notice to the City. e. If Consultant fails or refuses to produce or maintain the insurance required by this section or fails or refuses to furnish the City with required proof that insurance has been procured and is in force and paid for, the City shall have the right, at the City's election, to forthwith terminate this Agreement. Such termination shall not effect Consultant's right to be paid for its time and materials expended prior to notification of termination. Consultant waives the right to receive compensation and agrees to indemnify the City for any work performed prior to approval of insurance by the City. 6. INDEMNIFICATION Consultant agrees to and shall indemnify and hold harmless the City, its officers, agents, employees, consultants, special counsel, and representatives from liability: (1) for personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims for personal injury, including death, and claims for property damage, which may arise from the direct or indirect operations of the Consultant or its contractors, subcontractors, agents, employees, or other persons acting on their behalf which relates to the services described in section 1 of this Agreement; and (2) from any claim that personal injury, damages, just compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects arising from this Agreement. This indemnity and hold harmless agreement applies to all claims for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to have been suffered, by reason of the events referred to in this Section or by reason of the terms of, or effects, arising from this Agreement. The Consultant further agrees to indemnify, hold harmless, and pay all costs for the defense of the City, including fees and costs for special counsel to be selected by the City, regarding any action by a third party challenging the validity of this Agreement, or asserting that personal injury, damages, just compensation, restitution, judicial or equitable relief due to personal or property rights arises by reason of the terms of, or effects arising from this Agreement. City may make all reasonable decisions with respect to its representation in any legal proceeding. 7. CONFIDENTIALITY If Consultant receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Consultant agrees that it shall not use or disclose such information except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of like importance, but in no event less than reasonable care. "Confidential Information" shall include all nonpublic information. Confidential information includes not only written information, but also information transferred orally, visually, electronically, or by other means. Confidential information disclosed to either party by any subsidiary and/or agent of the other party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is, through no fault of the Consultant disclosed in a publicly available source; (c) is in rightful possession of the Consultant without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or (e) is independently developed by the Consultant without reference to information disclosed by the City. 8. CONFLICT OF INTEREST CLAUSE Consultant covenants that it presently has no interests and shall not have interests, direct or indirect, which would conflict in any manner with performance of services specified under this Agreement. 9. NOTICE Any notice, tender, demand, delivery, or other communication pursuant to this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or mailed by first class or certified mail, postage prepaid, or sent by telefacsimile or other telegraphic communication in the manner provided in this Section, to the following persons: To City: Clerk of the City Council City of Santa Ana 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana, CA 92702-1988 Fax 714-647-6956 With courtesy copies to: Executive Director of the Public Works Agency Traffic Engineer City of Santa Ana 20 Civic Center Plaza (M-43) P.O. Box 1988 Santa Ana, California 92702 Fax 714-647-5616 and City Attorney City of Santa Ana 20 Civic Center Plaza (M-29) P.O. Box 1988 Santa Ana, California 92702 Fax 714-647-6515 To Consultant: Crosstown Electrical & Data, Inc. 5463 Diaz Street Irwindale, California 91706 Fax 626-813-6604 A party may change its address by giving notice in writing to the other party. Thereafter, any communication shall be addressed and transmitted to the new address. If sent by mail, communication shall be effective or deemed to have been given three (3) days after it has been deposited in the United States mail, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent by telefacsimile, communication shall be effective or deemed to have been given twenty-four (24) hours after the time set forth on the transmission report issued by the transmitting facsimile machine, addressed as set forth above. For purposes of calculating these time frames, weekends, federal, state, County or City holidays shall be excluded. 10. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Consultant, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terms of this Agreement and any attachments hereto, the terms of this Agreement shall prevail. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Consultant. The parties agree that any terms or conditions 4 of any purchase order or other instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not bind or obligate Consultant nor the City. Each party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any party, which are not embodied herein. 11. ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Consultant, Consultant may not assign, transfer, delegate, or subcontract any interest herein without the prior written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the City's ability to have any of the services which are the subject to this Agreement performed by City personnel or by other consultants retained by City. 12. TERMINATION This Agreement may be terminated by the City upon thirty (30) days written notice of termination. In such event, Consultant shall be entitled to receive and the City shall pay Consultant compensation for all services performed by Consultant prior to receipt of such notice of termination, subject to the following conditions: a. As a condition of such payment, the Executive Director may require Consultant to deliver to the City all work product completed as of such date, and in such case such work product shall be the property of the City unless prohibited by law, and Consultant consents to the City's use thereof for such purposes as the City deems appropriate. b. Payment need not be made for work which fails to meet the standard of performance specified in the Recitals of this Agreement. 13. DISCRIMINATION Consultant shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, training, utilization, promotion, termination or other employment related activities. Consultant affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 14. JURISDICTION - VENUE This Agreement has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the State of California. Both parties further agree that Orange County, California, shall be the venue for any action or proceeding that may be brought or arise out of, in connection with or by reason of this Agreement. 15. PROFESSIONAL LICENSES Consultant shall, throughout the term of this Agreement, maintain all necessary licenses, permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State of California, the City of Santa Ana and all other governmental agencies. Consultant shall notify the City immediately and in writing of its inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. 16. MISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature hereinbelow has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. b. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: y _ MARIA D. HUIZAR Clerk of the Council APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney BY: ,/I&U Laura Sheedy Assistant City Attorney RECOMMENDED FOR APPROVAL: N96"--. RAIL GODINEZ, I Executive Directo Public Works Agency CjT F SANTA ANA PAUL M. WALTERS City Manager CROSSTOWN ELECTRICAL & DATA, INC. Y-4enw?, NIF If NAME (Title) deli / 6 EXHIBIT A SCOPE OF SERVICES "'4 L Lo Electrical Data, Inc. Request for Proposals (RFP) For Advanced Traffic Signal Management System and Communication Systems On-call Repair Services City of Santa Ana Santa Ana Public Works Department 20 Civic Center Plaza Santa Ana, CA 92702 Proposals Due: Monday, July 30, 2012 @ 4:00pm Contractors State License #: C10-756309 5463 Diaz St., Irwindale, CA 91706 626-813-6693 Fax; 626-813-6604 ros _ ;ni?_I Electrical Data, Inc. July 30, 2012 Mr. Vinh Nguyen City of Santa Ana Santa Ana Public Works Department 20 Civic Center Plaza Santa Ana, CA 92702 Dear Mr. Nguyen: Please accept our proposal for the Advanced Traffic Signal Management System and Communication Systems On-Call Repair Services request. Crosstown Electrical has been providing services for the City of Santa Ana for many years and will strive to continue to provide the City with the highest quality of service. We are able to respond to routine maintenance calls within 24 hours and can respond immediately to emergency calls to provide troubleshooting and solutions to any communication issue that may arise. Our team is highly qualified with years of communication and CCTV system experience. Please contact me if you have any questions concerning this proposal. Sincerely, David P. Heermance Project Manager/ Principal Agent Contractors State License #: C10-756309 5463 Diaz St., Irwindale, CA 91706 626-813-6693 Fax; 626-813-6604 Cr?S.? OT%VC2 Electrical Data, Inc. Corporate Overview Crosstown Electrical and Data, Inc. is a Southern California based Electrical Contractor specializing in the installation of fiber optics, copper, and wireless, communications, and closed circuit television systems for Intelligent Transportation Systems. We were incorporated in November 1998 as a C-Corporation and are in our fourteenth successful year providing these services. Our corporate office is at 5463 Diaz Street in the City of Irwindale, California. We own a 7,000 SF building with offices, test laboratory and storage yard. Crosstown has a strong management team, with each member having at least twenty years of field experience, both in the technical and management areas for the installation of complex systems. Crosstown has developed an in-house technical team who is highly proficient in the implementation, installation, integration and maintenance of fiber optic, video, wireless, and data communications systems and have established themselves as premier integrators and installers of Traffic, Transportation, and Public Works related communications and CCTV systems in Southern California. We are licensed to contract for all types of electrical work (C- 10 License Number 756309). We are signatory with the local electrical union (IBEW Local 11) and have the resources to gear up rapidly should a contract require such action. Crosstown currently has 42 employees and has performed over 11 million dollars worth of work in our last fiscal year, and averaged over 11 million dollars per year over the past 3 years. We are financially strong, bondable, and have an excellent relationship with our banking facility, American Business Bank. Applicable Experience Over the past 15 years, Crosstown has performed work on ITS Communications systems throughout southern California, including multiple Wireless, fiber Optic, CCTV and Copper communications projects, and are intimately familiar with all aspects of ITS Communications. We currently have maintenance contracts with the cities of Pasadena, Fountain Valley, Burbank, Temecula, San Marcos, Santa Clarita, Glendale, and Downey. Project Management The project manager for this project is David Heermance. With over 30 years of electronic communication system experience, Mr. Heermance has extensive experience integrating all types of communications equipment. His prior experience includes the installation of Sonet Systems Networks on four City of Los Angeles ATSAC projects totaling more than 500 intersections, the subsequent upgrade of this system to an ATM system several years later, the first Caltrans - District 7 SONET Network, and numerous CCTV and communications and video projects, including the installation and integration of Caltrans District 7 and District 12 Communication and CCTV systems, and the conversion of the Caltrans District 12 Toll Road ITS System to Ethernet. C,r?s owr? Electrical Data, Inc. Mr. Heermance will exercise single point responsibility for the overall project with special emphasis on management and technical issues. He has a reputation for solving technical issues, bringing projects in on time, within budget and with a satisfied customer. His duties will include: 1. Define, acquire, and allocate team resources 2. Coordination of staff 3. Maintenance of overall project schedule 4. Interface with all agencies involved 5. Perform project planning and budget forecasts 6. Maintenance of cost controls Safety and Traffic Control All Crosstown employees are trained in working around traffic signals in a live traffic environment. We own all of the proper safety and traffic control equipment such as cones, barricades and arrow boards, as well as confined space equipment including blowers, tripods and gas analyzers. Qualified Personnel The following personnel will be providing services for this project. Please see attached resumes. 1. David P. Heermance - Project Manager/ Principal Agent 2. Wendy Parker - General Foreman / Associate Project Manager 3. Vong Le - General Foreman / Fiber Optic Systems 4. Alex Zepeda - General Foreman / Technical Systems a. Jim Degener - Network Engineer b. Sam Nasser - Network Engineer ???? Electrical Data, Inc. Statement of Qualifications Crosstown Electrical & Data, Inc. has vast experience in working with Advanced Traffic Management Systems to include Traffic Signal Systems, Closed Circuit Television systems and Transportation Information Systems. Our technicians have the skills and training to ensure proper communication can be established between Traffic Management Center and field equipment through fiber optic, twisted-pair interconnect, wireless broadband, and/or telephone (T1) lines. We are very familiar with Cohu and Pelco camera systems and all associated equipment and have installed hundreds of similar ITS systems throughout the state of California. Crosstown is an expert in fiber optic communication. We own our own fleet of fiber optic splicing vans which include all applicable equipment such as optical time domain reflectometers (OTDR's), light sources, power meters and fiber optic fusion splicers. We are able to troubleshoot and provide solutions quickly and efficiently to help maintain a properly functioning system. We have great relationships with our vendors and are able to procure replacement equipment in a timely manner. Our network engineers are able to provide any necessary network integration with networking and communication hardware and are very familiar with all TMC equipment such as computer servers, computer workstations, managed switches and routers, video processing units, hardwire interconnects and fiber optic patch panels. Crosstown is also able to perform field communication system repairs that may include the installation of conduit and cables, splicing and termination of fiber optic cable and hard interconnect cables and providing and installing splice kits. We are proficient in fiber optic splicing by the fusion method. Crosstown owns its own bucket/ lift/ boom trucks with a minimum of 50-foot reach capability and is able to arrive on site prepared and ready to troubleshoot/ repair and or install CCTV cameras or wireless communication equipment. Crosstown Electrical & Data, Inc. understands that all work activities shall be confined to the following hours unless specified otherwise: From 7:00 a.m. to 5:00 p.m., Monday through Friday, within work areas having either No lane closure or having continuous lane closures. From 9:00 a.m. to 3:00 p.m., Monday through Friday, for work requiring temporary lane closures. Our technicians will furnish all tools, equipment, apparatus, facilities, labor, services and materials to perform all work necessary to maintain/repair the ATMS and communication systems. Crosstown Electrical & Data, Inc. has performed numerous ITS communication projects in the city of Santa Ana including Maintenance projects in the past. We have provided splicing, termination and testing of fiber optic cable, installation and integration of closed circuit television systems, and installation and integration of electronic and wireless equipment. Electrical Data, Inc. Organizational Chart for Key Personnel David Heermance President Project Manager/ Principal Agent Wendy Parker General Manager Alex Zepeda Vong Le General Foreman General Foreman Technical Systems Fiber Optic Systems Sam Nasser Jim Degner Network Engineer Network Engineer Fiber Optic Technicians C177 rovw -i Electrical Data, Inc. David P. Heermance President Project Manager Education 1980-1983 Los Angeles Valley College A.S Degree (Computer Science) 1977-1980 Univac Education Center, Princeton, N.J. 1973-1976 U.S. Air Force School of Applied Aerospace Sciences - Keesler AFB, Miss. Certifications FCC General Radiotelephone Operators License Associations Traffic Signal Association (TSA) - 1991 President Employment History 1998 - Present Crosstown Electrical and Data, Inc, Director 1996 - 1998 Municipal Underground, Inc, Regional Manager 1991-1996 Fischbach and Moore, Inc, Regional Director, Western Region 1989-1991 Traftech Electrical Control Systems, Inc, Owner 1980 - 1989 L. A. County Department of Public Works, Electrician Supervisor 1977 - 1980 Sperry Univac, Customer Engineer Professional Experience Mr. Heermance has over 30 years of experience in the installation, operation, maintenance and management of electronic equipment and communications, and fiber optic systems. He offers a thorough understanding of data communications, fiber optics, video, and their application to Intelligent Transportation Systems and has well developed management skills, and is proficient with construction management and practices. Automated Traffic Surveillance and Control (ATSAC) Projects, Los Angeles, CA - Mr. Heermance has been Project Manager of twelve completed ATSAC projects for the City of Los Angeles over the past 15 years, including Santa Monica Smart Corridor, Hollywood ATSAC, Victory West ATSAC, Ventura 2B ATSAC, Mar Vista ATSAC, Ronald Reagan Corridor ATSAC, Sepulveda Pass ATSAC, Culver City ATSAC, Route 405 Corridor ATSAC, Golden State I I ATSAC, Harbor Gateway ATSAC, and Reseda Phase 1 ATSAC. These projects involved the upgrade of a total of 1900 intersections, including the installation of more than 130 miles of fiber optic and copper cable, 300 Cameras, a complete Sonet network, CCTV Control System, video switch matrices, voice and data transmission equipment, spread spectrum radio, microwave, atmospheric lasers, vehicle detection systems, changeable message signs, and equipment at the ATSAC Control Center. Caltrans CCTV and Fiber Optic Systems, Los Angeles and Orange Counties, CA - Mr. Heermance has been Project Manager of over 40 completed Caltrans CCTV and Fiber Optic System contracts, including six on Highway 5 in Los Angeles covering 60 miles of freeway, an Earthquake Relief project utilizing satellite communications to 32 different traffic elements throughout Los Angeles County, and several different projects in District 12 on Highways 5, 405 and 55. These projects included the installation of fiber optic and copper cable, 320 cameras, CCTV Control Systems, video switch matrices, voice and data transmission systems, Sonet network, data nodes, video nodes, vehicle detection systems, Satellite systems Changeable Message Signs, Highway Advisory Radio, and equipment at the District 7 and District 12 Traffic Management Centers. 1 VVT-l Electrical a ta, Inc. Wendy M. Parker General Foreman Associate Project Manager Education 1988-1992 Antelope Valley College A.S Degree 1991-1997 IBEW Training Center, Los Angeles- Various Electrical, Communications Courses 1992-Present Various Vendor Training Courses including CCTV, Video and Data Multiplexers Associations Member Traffic Signal Association (TSA) Employment History 1998 - Present Crosstown Electrical and Data, Inc, Communication Systems Project Manager 1996 - 1998 Municipal Underground, Inc, Communication Systems Specialist 1994 - 1996 Fischbach and Moore, Inc, Communication Systems Specialist Professional Experience Ms. Parker has fifteen years of experience in the installation, operation, and management of technical systems and projects. She specializes in all phases of electronic communications and video systems. She is well known within Caltrans for the quality of her workmanship. Ms. Parker regularly teaches maintenance and operation courses to Caltrans maintenance personnel and design engineers. Automated Traffic Surveillance and Control (ATSAC) Projects, Los Angeles, CA - Ms. Parker has been a Communication Systems Project Manager on eight completed ATSAC projects for the City of Los Angeles over the past 15 years, including Victory West ATSAC, Ventura 2B ATSAC, Mar Vista ATSAC, Ronald Reagan Corridor ATSAC, Sepulveda Pass ATSAC, Culver City ATSAC, and the Route 405 Corridor ATSAC. These projects involved the upgrade of a total of 1800 intersections, including the installation of more than 100 miles of fiber optic and copper cable, 300 Cameras, a complete Sonet network, data multiplexers, CCTV Control System, video switch matrices, voice and data transmission equipment, spread spectrum radio, microwave, atmospheric lasers, vehicle detection systems, changeable message signs, and equipment at the ATSAC Control Center. Caltrans CCTV and Fiber Optic Systems, Los Angeles and Orange Counties, CA - Ms. Parker has been a System Project Manager on sixteen completed Caltrans CCTV and Fiber Optic System contracts, including eleven on Highway 5, 10, 105,405 and 605 in Los Angeles covering over 100 miles of freeway, an Earthquake Relief project utilizing satellite communications to 32 different traffic elements throughout Los Angeles County, and five different projects in District 12 on Highways 5, 405 and 55. These projects included the installation of fiber optic and copper cable, cameras, CCTV Control Systems, video switch matrices, voice and data transmission systems, Sonet network, channel banks, vehicle detection systems, Satellite systems Changeable Message Signs, Highway Advisory Radio, and equipment at the Districts 7, 8 and 12 Transportation Management Centers. ?15 ,OWr2 Electrical , ° ' Data, Inc. Vong Le General Foreman - Fiber Optic Systems Education 1997- 2000 Mt. San Antonio College - General Education 2001- Present Cal Poly Pomona - Civil and Electrical Engineering Courses Certifications • ETA International-Certified Fiber Optics Installer • Corning Cable Systems - TS-FSD-400 Fiber Optic Design Course for Single-mode and Multi-mode optical-area networks. • Corning Cable Systems - TS-LAN-500 Hands on Comprehensive Installation Technology Course for Mulitmode and Single-mode Optical Local Area Networks. • Light Brigade - Fiber Optic Design, Installation and Maintenance Course • Communications Supply Corporation - Fiber Optic Course FO 102 - Fiber optic theory, cable construction, OSP cable breakout, connectorization, fusion/mechanical splicing, OTDR, Source/Meter, Fault locator testing, installation, system design and troubleshooting. Employment History 2000 - Present Crosstown Electrical and Data, Inc. General Forman, Fiber Technician, Installer Professional Experience Mr. Le has twelve years of experience in the installation, splicing, termination, and testing of fiber optic cable. He specializes in both single-mode and multimode fiber, all types of terminations and connectors, and both fusion and mechanical splicing. He is extremely knowledgeable in the field of fiber optic testing with both the Optical Time Domain Reflectometer, and Light Source and Power Meter. He is well known within Caltrans and the City of Los Angeles for the quality of his workmanship. Mr. Le regularly assists with teaching fiber optic splicing, termination, testing, and installation courses to Caltrans and various City maintenance personnel and design engineers. Automated Traffic Surveillance and Control (ATSAC) Projects, Los Angeles, CA - Mr. Le has been a Fiber Technician on six completed ATSAC projects for the City of Los Angeles over the past 12 years, including Century City and Sepulveda ATSAC. These projects involved the upgrade of a total of 350 intersections, including the installation of more than 100 miles of fiber optic and copper cable, 50 Cameras, and numerous Fiber Distribution Units and underground splice closures. Caltrans CCTV and Fiber Optic Systems, Los Angeles and Orange Counties, CA - Mr. Le has been a Fiber Technician on numerous completed Caltrans CCTV and Fiber Optic System contracts, including Highway 10, 60, 405, 210, 101, and 605 in Los Angeles covering over 100 miles of freeway, and different projects in District 12 on Highways 91, 5, 405, 57and 55. These projects included the installation of fiber optic and copper cable, and hundreds of Fiber Distribution Units, Spider Fan-Out Kits, and Underground Splice Closures. In addition to the above mentioned projects, Mr. Le has worked on numerous projects in various cities including Burbank, Anaheim, Irvine, Buena Park, Calabasas, Glendale, San Diego, San Marcos, Corona, Fontana, Diamond Bar, Fullerton, Garden Grove, Santa Monica, Pasadena and Temecula. clifs 0 2 Electrical Data, Inc. Sam Nasser Network Engineer Education • Bachelor of Science Degree, Charter Oak State College • Cisco Networking CCNA Certified •CompTIAA+ Certified • Various Vendor Training Courses Including Wireless, Layer 3 Switches & DSL & Fiber Switches Employment History • 2006-Present Crosstown Electrical & Data Inc. Network Engineer • 2003-2006 Camco Communications Inc. Communication Systems Engineer • 1999-2006 GTC Telecom Inc. Communication Systems Engineer Professional Experience Mr. Nasser has 21 years of experience in the installation, operation, and management of technical systems and projects. He specializes in all phases of electronic communications, Ethernet, and video systems. In his current role at Crosstown, he is the lead Network Engineer charged with converting legacy communications systems to Ethernet. He is well known within Caltrans and other agencies for the quality of his workmanship. Mr. Nasser regularly teaches maintenance and operation courses to Caltrans maintenance personnel and design engineers. Reference Projects Network Engineer assigned to D-12 (Orange County) Toll Roads (73, 133, 241, 260): Digitizing CCTV (video & control), Data (Traffic Controllers) & integrating them into existing Caltrans TMC using video encoders, Serial to Ethernet adapter cards and Cisco Switches. Network Engineer assigned to Beach Blvd Traffic System (70 locations): Digitizing CCTV (video & control), Data (Traffic Controllers) & integrating them into Caltrans TMC system using Ruggedcom DSL Switches, Etherwan Layer 3 Switches, Serial to Ethernet adapter cards. Network Engineer assigned to Caltrans 1-5 Buena Park (Gateway Project): Digitizing CCTV (video & control), Data (Traffic Controllers) & CMS (Changeable Message Signs) and integrating them into Caltrans TMC system using Etherwan Fiber Switches, Cisco Layer 3 Switches, and Serial to Ethernet adapter cards. C170S 0 l Electrical, , :- Data, Inc. James R. Degner Network Engineer Senior Network Engineer: With more than twenty-eight years of experience, Mr. Degner has gained extensive training and experience resulting in a keen understanding of advanced electronics systems using voice, video and data communications technologies. He possesses experience in all communications media including copper, fiber, satellite and microwave technologies. He has over ten years experience managing field personnel with five of those years supporting the communications and electrical requirements in California Freeway and Highway systems. Crosstown Electrical & Data, Inc., (December 2003 to present) Network Engineer Licensed contractor providing communications and video systems equipment and infrastructure. Responsibilities: Installation, configuration, programming, training and customer support for communications and video systems including SONET systems, channel banks, data multiplexers, routers, switches, video over IP, wireless and fiber optic networks, traffic monitoring and control equipment. Northrop Grumman Information Technology - (April 2000 to December 2003) Classification, E2 Supervising Engineer responsible for leading, supervising, organizing and training engineers and technicians to provide corrective, preventative and emergency maintenance and support of the Caltrans TOSNET communications network. Enterprise network consisting of copper, fiber, telco and satellite connections. Premise equipment includes computers, controllers, modems, bridges, channel banks, switches, multiplexers/ demultiplexers operating under SONET and DACs. TransCore (division of SAIC), Los Angeles, CA (January 1999 to April 2000) Classification, E1 Supervising Network Engineer assigned to CalTrans District 7 (L.A.) - Maintenance Contract to support Traffic Operations and district maintenance personnel on district-wide vehicle detection systems communications connectivity assurance. Supervised engineers and technicians in copper and fiber communications network fault isolation, trouble shooting and repair. Responsibilities: Supervise, lead and support maintenance of data communications network for L.A. Traffic Management Center (TMC). 1450 field elements (computers, cameras, controllers, etc.) connected to CO with copper and fiber lines, various distribution equipment DSO to OC-12. On-call 24/7 for dispatch. He worked directly with the Engineering, support and maintenance groups at CalTrans on repair and preventative maintenance. Results: Improvement in network reliability, performance. Faster response to problems. Higher morale in the TMC. Car Takers, Culver City, CA (Auto Towing Service) (June-December 1998) Project Manager, communications network support, vehicle tracking systems and control. Responsibilities: Managed personnel responsible for office functions, computers, communications and accounting systems. Developed and installed computer aided management visibility systems. Supervised customer relationship management, service and new client development and support. Other prior experience: includes 15 years of computer wholesale and retail management plus 13 years of industrial machine sales and technical support. Education: Two years of College: U.C.L.A. Psychology / Math Major (History Minor) Continuing education: Completion of numerous corporate training programs and seminars on Electronics, Data Communications and LAN - WAN Connectivity. Certifications (recent): Alcatel: DACS and SONET Provisioning and Maintenance - Model 1603SM and 1630SX Fiber Optic Switching: T-1 to OC-12 - November 2000, CalTrans District 7, Los Angeles Northrop Grumman: Project Management Training (PM-1) - April 2002, Camarillo, California EXHIBIT B PROPOSERS CERTIFICATION and PROPOSAL ITEM PRICING Certification - I certify that I have read, understand and agree to the terms and conditions of this Request for Proposal. I have examined the Scope of Services (Exhibit A) and am familiar with the scope of work locations. I am familiar with all the existing conditions and limitation that may impact work requests. I understand and agree that I am responsible for reporting any errors, omissions or discrepancies to the City for clarification prior to the submission of my proposal. Proposal Item Price - Pricing shall be based on an hourly cost, time and materials basis or per task for services described in Exhibit A. Fee must be inclusive of all costs, including but not limited to, direct and indirect costs for labor, overhead, incidental supplies, travel, mileage, and fuel. Any special materials will be purchased by the Contractor only after discussed and authorized by the City Projects Manager or designee in writing. A. Material: Contractor's cost for the supply plus (+) 15 % per Section 2.04.19 of the "Greenbook" Standard Specifications For Public Works Constructions, latest edition. B. Labor: Contractor's rates (including all fringe benefits, markup, over heads, etc.) for all job classifications. List additional staff or equipment as necessary including minimum hourly charged per call out trip if applicable. Item Description Straight Time Overtime • I . Lead Technician W I T H s tavi eer TAU CK $ /10 ?/h $ 10 a `- /hr. q,vD C46"AIV1660 F&47' I"'" r?7.nfr( - - - - -- ? m 2. TechnicianA N s U& c7.u, SA nt w f r t1 a #v recto m N $ --/hr. __ a ?/hr. 3. Boom Ladder/Truck UNDaJL 20 4. 50' Height Boom Truck 10 t $ /hr. $ /hr. 5. Single-mode fiber fusion splice MIN 12 $ 3_? J per fiber. PI irGO Soc. Ices, 0! O 6. Fiber Optic Technician kicrii SP41CV61AAt $ l30 /hr. $ ??P /hr. OTOR ?l6hT Soa,ecer /?bDve;/t rt K? Fvslo;4 SPcc " To o G x ? - 7 $ /hr. $ lhr. 8. 9. $ /hr. $ /hr. to. $ /hr. $ /hr. ]I. $ /hr. $ /hr. 12. $ /hr. $ /hr. 13. $ ; hr. $ /hr. 14. $ lhr. $ /hr. 15 $ /hr. 16. $ /hr. 17. $ /hr. 18. $ /hr. 19. $ /hr. 20. $ /hr. $ /hr. $ /hr. $ /hr. $ /hr. $ /hr. $ /hr. Crosstown Electrical & Data, Inc (626)813-6693 Pax:(626)813-6604 LEGAL NAME OF COMPANY PHONE AND FAX NUMBER 5463 Diaz St„ Irwindale, CA 91706 BUSINESS ADDRESS z'_F?vid P. HeerwAce President PRINTED NAME.OF/.fCLVfH®PrgED AGENT TITLE / -Jt/- IL U (A VC' uLU Wt It, 111 of 06-m 0QmW___ U OF AU H RIZED AGENT DATE E-MAIL ADDRESS 22-3611877 C10-756309 FEDERAL IDENTIFICATION NUMBER (IF APPICABLE) CONTRACTOR LICENSE NUMBER (IF APPICABLE) THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NON-RESPONSIVE EXHIBIT C OFFEROR'S REFRENCES List and describe fully the contracts performed by your firm which demonstrate your ability to provide the supplies, equipment or services included in the scope of the proposal specifications. Attach additional pages if required. The City reserves the right to contact each of the references listed for additional information regarding your firm's qualifications. Reference No. I Customer Name: City of LA Contact Individual: manoochehr Adhami Address: 1 00 s. Main. St. Phone Number: (626)255-4592 Lns Angeles, CA 90012 Facsimile Number: Contract Amount: $ 3, 3 01 , 7 5 9 Year: 2010 Description of supplies, equipment, or services provided: Provide{ install, splice, terminate and test fiber optic cable Install city furnished CCTV anrd communication equipment. Reference No. 2 Customer Name: City of Santa Clazt'actiWct Individual: Cesar Pomo Address:2-jg2n Valencia Rlvri_ Contract Amount:. 8 9 2, 2 4 A Phone Number: (661)286-4002 Facsimile Number:( 661 ) 254-3538 Year: Description of supplies, equipment, or services provided: Provide install, spl_i_np, tPrminate and test 32,000 ft of fiber antic cahle, install In Cameras And install Fthernet E..a_uipment Reference No. 3 at 61 locations. Customer Name: Gan Rernardi nn Contact Individual: navy Chadbourne, Stei ny & Co. Address: _ 385 N. Arrowhead Ave. Phone Number: ( 626) 33.8-9923 San Bernardino, 9241 5 Facsimile Number: (626)338-8343 Contract Amount: 9 A AY 3 3 7 Year: Description of supplies, equipment, or services provided: Provide and install GDI spread spectrum radios, Encom radios and provide splicinq, termination, and testing. THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NON-RESPONSIVE EXHIBIT C (Continued) OFFEROR'S REFRENCES List and describe fully the contracts performed by your firm which demonstrate your ability to provide the supplies, equipment or services included in the scope of the proposal specifications. Attach additional pages if required. The City reserves the right to contact each of the references listed for additional information regarding your firm's qualifications. Reference No. I Customer Name: City of Fontana Contact Individual: Darrin Hu4gins Address: 8353 sierra Ave_ Phone Number: (909)350-6525 Fontana, CA 92355 Facsimile Number: ContractAmount: !9210,244 Year: - 2012 Description of supplies, equipment, or services provided: Provide a,pa install conduit and fiber optic cable and provide FO design. Install patch panels, splice closures,and modems at 1R lonatinns Parfnrm cnlininaf termination and testing. Reference No. 2 Customer Name: City of WestminstEnntact Individual: Adalfo Ozaeta Address: 8200 Westminster B1 Phone Number: (714)898-3311 Westminster, CA 92683 Facsimile Number: Contract Amount: 1 S9 , 6 91 Year: ?. 01 2 Description of supplies, equipment, or services provided: Provide and install apDroximatel y 42 CCTV cameras and ies Reference No. 3 Customer Name: ri ty of SnglewoodContact Individual: Jasper nnmi non Address: nn6 Manchester B1T Phone Number: (909)860-6222 Facsimile Number: Contract Amount: $287,996 Year: 2 01 .0 Description of supplies, equipment or services provided: Provide and install 21 Ethernet Switches, 26,406 ft of 48 SMFO cable, 3,000 ft of 12 SMFO cable, install CCTV camera systems, encoders, and perform integration. THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NON-RESPONSIVE EXHIBIT D PROPOSER'S STATEMENT Proposer understands and agrees that this written RFP (or any part thereof specifically designated and accepted by the City of Santa Ana, hereinafter CITY) shall constitute the entire agreement between PROPOSER and the CITY only after it has been accepted by the City Council, endorsed by the Clerk of the Council with her signature and official seal noting hereon the action of approval of the Council, signed by the Executive Director or his duly authorized agent, and signed by the City Attorney, denoting his approval of the form of this document, and its execution, and when it or an exact copy of it has been either delivered to PROPOSER or deposited with the United States Postal Service properly addressed to the PROPOSER with the correct postage affixed thereto. PROPOSER further agrees that upon delivery (as defined above) of the accepted agreement he/she will furnish CITY all required bonds and certificate of liability insurance within ten (10) days (excluding Saturdays, Sundays and CITY's legal holidays), or the funds, check, draft, or PROPOSER'S bond substituted in lieu thereof accompanying this proposal shall become the property of the CITY and shall be considered as payment of damages due to the delay and other causes suffered by CITY because of the failure to furnish the necessary bonds and because it is distinctly agreed that the proof of damages actually suffered by CITY is difficult to ascertain; otherwise said funds, check drafts, or PROPOSER'S bond substituted in lieu thereof shall be returned to the undersigned. PROPOSER understands that a proposal is required for the entire work, that the estimated quantities set forth in the RFP schedule are solely for the purpose of comparing proposals, and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. All terms contained in the Specifications, the Certification of Non-Discrimination by Contractors, and the required Insurance Certificates are to be incorporated by reference into this Agreement and are made specifically as part of this RFP. Firm Crosstown Electrical & Data, Inc. Signed and Printed Name: David P. t3eermance Title Prat i aant Date 7-30-12 THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NON-RESPONSIVE EXHIBIT E CERTIFICATION OF NONDISCRIMINATION BY CONTRACTOR The undersigned Contractor or corporate officer, during the performance of this contract, certifies as follows: The Contractor shall not discriminate against any employee or applicant for employment because of race, color, religion, sex, or national origin. The Contractor shall take affirmative action to ensure that applicants are employed, and that employees are treated during employment without, regard to their race, color, religion, sex, or national origin. Such action shall include, but not be limited to, the following: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The Contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided setting forth the provisions of this nondiscrimination clause. 2. The Contractor shall, in all solicitations or advertisements for employees placed by or on behalf of the Contractor, state that all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin. 3. The Contractor shall send to each labor union or representative of workers with which he has a collective bargaining agreement or other contract or understanding, a notice to be provided advising the said labor union or workers' representatives of the Contractor's commitments under this section, and shall post copies of the notice in conspicuous places available to employees and applicants for employment. 4. The Contractor shall comply with all provisions of Executive Order 11246 of September 24, 1965, and of the rules, regulations, and relevant orders of the Secretary of Labor. 5. The Contractor shall furnish all information and reports required by Executive Order 11246 of September 24, 1965, and by rules, regulations, and orders of the Secretary of Labor, or pursuant thereto, and will permit access to his/her books, records, and accounts by the administering agency and the Secretary of Labor for purposes of investigation, to ascertain compliance with such rules, regulations, and orders. 6. In the event of the Contractor's non-compliance with the nondiscrimination clauses of this contract or with any of the said rules, regulations, or orders, the contract may be canceled, terminated, or suspended in whole or in part and the contractor may be declared ineligible for further Government contracts or federally assisted construction/services contracts in accordance with procedures authorized in Execution Order 11246 of September 24, 1965,and such other sanctions may be imposed and remedies invoked as provided in Executive Order 11246 of September 24, 1965, or by rule, regulations, or order of the Secretary of Labor, or as otherwise provided by law. The Contractor shall include the portion of the sentence immediately preceding paragraph (1) and the provisions of paragraphs (1) through (7) in every subcontract or purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to Section 204 of Executive Order 11246 of September 24, 1965, so that such provisions will be binding upon each subcontract or purchase order as the administering agency may direct as means of enforcing such provisions, including sanctions for noncompliance; provided, however, that in the event the Contractor becomes involved in, or is threatened with, litigation with a subcontractor or vendor as a result of such direction by the administering agency, the Contractor may request that the United States enter into such litigation to protect the interests of the United States. 8. Pursuant to California Labor Code Section 1735, as added by Chapter 643 Stats. 1039, and as amended, No discrimination shall be made in the employment of persons because of race, religious creed, color national origin, ancestry, physical handicaps, mental condition, marital status, or sex of such persons, except as provided in Section 1420, and any Contractor violating this Section is subject to all the penalties imposed for a violation of the Chapter. Firm Cros o n Ele ri al ata Inc. Sign Printed Name David P. Heermance Title President Date 7-30-12 THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NON-RESPONSIVE EXHIBIT F NON-COLLUSION AFFIDAVIT CITY OF SANTA ANA NON-COLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) To the CITY OF SANTA ANA In accordance with Title 23 United States Code Section 112 and Public Contract Code 7106 the PROPOSER declares that the proposal is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the proposal is genuine and not collusive or sham; that the PROPOSER has not directly or indirectly induced or solicited any other PROPOSER to put in a false or sham proposal, and has not directly or indirectly colluded, conspired, connived or agreed with any PROPOSER or anyone else to put in a sham proposal, or that anyone shall refrain from bidding; that the PROPOSER has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the proposal price of the PROPOSER or any PROPOSER, or to fix any overhead, profit, or cost element of the proposal price, or of that of any other PROPOSER, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the proposal are true; and, further, that the PROPOSER has not, directly or indirectly, submitted his or her proposal price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham proposal. Note: The above Non-collusion Affidavit is part of the Proposal. Signing this Proposal on the signature portion thereo hall also constitut signature of this Non-collusion Affidavit. PROPOSERS are cautioned rpbking,@Jal? cent' ation may subject the certifier to criminal prosecution. Signed State of California ' County of Subscribed and sworn to (or affirmed) before me on this day of , 20 , by proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. ? f,)F 9l ec.se ' `>?t aavd Cef -t ?`?i a-4e o-? Ark 0 w Ie vrt2 Notary Public Signature Notary Public Seal THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NON-RESPONSIVE CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of California County of a 5n? e-? 5 On ?UI '24)12. before me, _ (Here insert come and title of )i personally appeared _D P'y I D R ]I t= h t2 ?A A A/ G C. who proved to me on the basis of satisfactory evidence to"be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and offici eal. Signature of Notary Public ANOREA NEERMANU COMM. 0,11035295 fttory Public • Callfornis Ormw County + Comm. IAa 7, 2015 (Notay Seal) ADDITIONAL OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT /V01?- (0 jLSt)V, 1qff>'r V"- - (Tide or ou of attached document) (ride or description of attached document continued) Number of Pages t Document Date ? (Additional information) CAPACITY CLAIMED BY THE SIGNER ? Individual (s) Co Io Offii r (f'itk) ? Partner(s) ? Attorney-in-Fact ? Trustee(s) ? Other INSTRUCTIONS FOR COMPLETING THIS FORM .fay anbrowledswew completed in Cafifornfa mast contain verbiage erectly as appearr above a the notary section or a separate actnowledgmenr jorm nun be properly completed and attached to that doaanea The oaty eaaaeptlon 1: ff a doe owd is to be recorded au id& of Callfornlm In such kmncea, any ahavwtlre acbwWedsxwd verbiage as may be printed on such a document so long as the vrrblogs doer not requim she notary to do somethirug that it A/egal for a notary he Cal(tornla (Les eot{/ying she -1hortsed capacity of the signer). Please check the doamau earejWly for proper notarial wording and attach thisform ijregwred • state and County information must be the state and County where the document signer(s) personally appeared before the notary public for ackeowledgment • Date of notarization mast be the date that the sigoa(s) personally appeared which carat also be the acme data the acknowledgment is completed • The notary public must print his or her name as it appears within hie or her commission followed by a comm and then your tide (notary public). •'Prud the mamas) of document signer(s) wbe personally appear at the time of notarization. • Indicate the correct singular or plural forms by crossing off incorrect faros (i e. ha/&V%Vy; is /are ) or circling the correct forms. Faihue to correctly indieate this information may lead to rejection of document recording. • 71m notary scat impression must be clear and photographically Mumdueible. Imprettion must not cover teat or Tina. If sal impression smudges, ro-seal if a sufficient area permits, otherwise complete a diffamt admowledgment form. • Signature of the notary public most thatch the signature on file with the office of the county cksk. A Additional information is not required but could help to urea this acknowledgment is not miscued or aawbod to a different doonmeuL O Indicate tide or type of- ttached document number of psga and date. ,? Indicate die capacity chimed by the signer. If the claimed capacity is a corporate officer, indicate the title (i.e. CEO, CFO, Secretary} P Securely attach this document to the signed document 2008 Vasiop CAPA v12.10.07 800-873-9865 wwwNotaryClassa_eom AcoROo CERTIFICATE OF LIABILITY INSURANCE D / YVYY) ?.._? 05/29 20 05/29!2012 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 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 LICENSE NO. 0637431 CONTACT PATRICK MCRAE NAME: PATRICK MCRAE INSURANCE SERVICES PHONE 714) 779-6999 FAX 714 779-6.9.03 (A/C, No, Ext) __ _ _ ____ _JAIC, No) _-(-- - ) 1290,'1. 'H1 NCOCK ST., SlUITE 210 E-MAIL lo bal.net ADDRESS_:_ p.mcrae@sbcg ANAHEIM HILLS CA 92807 - - , INSURERSO AFFORDING COVERAGE NAIC # i, - - INSURERA: LIBERTY SUPLUS INSURANCE 10725 INSURED INSURER B: AMERICAN GUARANTEE &LIABILITY INS 26247 CROSSTOWN ELECTRICAL & DATA, INC. - - - - N INSURER C: CENTURY-NATI NATIONAL INSURANCE CO. 26905 5463 DIAZ STREET INSURER D: PEERLESS INSURANCE COMPANY 24198 -- I INSURER E : SCOTTSDALE INSURANCE COMPANY - - -- 41297 RWINDALE CA 91706 -- INSURER F COVERAGES CERTIFICATE NUMBER: Pr:vlclnnl MI IMRFO• 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 --- OLICY ADDL;SU BR - P EPF POLICY EXP- LTR TYPE OF INSURANCE POLICY NUMBER MMlDD/YYVY MM/DDIYYYY LIMITS A GENERAL LIABILITY 1000008273-02 106/03/2012 06/03/2013 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DEDUCTIBLE: $5 000 PER OCC DAMAGE TO RENTED -- PREMISES fEa occurrence) 100,000 $ I CLAIMS-MADE ?X? OCCUR , ED z _IM EXP (Any one person) S X X- CU PLRSONAL & ADV INJURY 1,000,000 X OCP _ GENERAL AGGREGATE S 2,000,000 AGGREGATE LIMIT APPLIES PER : I PRGDUC S -COMP/OP AGG S 2,000,000 PRO- X - PoucY 1I F _ r- EBL EA CLAIM/AGG 0 1,000,000 C i AurortoBILE LIABILITY BAP0171987 ` 1/05/ 01.1 s 1 ?11J. 51 012 ..; , COP LI acvderSINGL SINGLE LIMIT ( e COMBINED 1 000 000 Y ANY AUTO i MPREHENSI?,E DEC ?C ? _ BODILY INJURY (Per person) I S _ AL L OWNED X SCHEDULED $1,000 - -- - - -- _. AUTOS AUTOS COLLISION DED BODILY INJURY (Per accident) $ _ -OWNED X HIREDAUTOS X NON -OWNED _- _ AUTOS . $1,000 -- -- - _(Per accidental $ - S - _ E RAB X OCCUR XLS0082427 06/03/2012 06/03/2013 EACH OCCURRENCE S 1 O 000 OOO ES * CLAIMS-MADE UNDERLYING LIMITS: AGGREGATE , , S 10 000 000 X O GL; AL; EL POLICIES , , IEI RETENTION $ _ S _ B WORKERS COMPENSATION WC966082001 06/03/2012 06/03/2013 STAT - OTH- X WC AND EMPLOYERS' LIABILITY Y / N YR Q ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ? NIA E.L. EACH ACCIDENT $ 1,000,QOO (Mandatory in NH) If yes describe under E.L. DISEASE - EA EMPLOYEE - $ 1,000,000 , DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S 1,000,000 D BUSINESS OWNERS & CBP 8641920 $752,760 BUILDING CONTRACTORS $1,000 DEDUCTIBLE 4/10/201 4/10/201 $367,200 BPP - $300,000 BI WI EE EQUIPMENT COV. INCL. THEFT $116,318 SCHEDULED EQ. DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CITY OF SANTA ANA, ALONG WITH ITS OFFICERS, AGENTS, REPRESENTATIVES, & EMPLOYEES ARE LISTED AS ADDITIONAL INSURED AS REQUIRED PER WRITTEN AGREEMENT. INSURANCE BY THE AFFORDED BY THE GENERAL LIABILITY POLICY FOR THE BENEFIT OF THE ADDITIONAL INSURED IS PRIMARY INSURANCE AS RESPECTS TO ANY CLAIM, LOSS OR LIABLITY CAUSED IN WHOLE OR IN PART BY THE NAMED INSURED(S) OPERATIONS, AND ANY OTHER INSURANCE MAINTAINED BY THE ADDITIONAL INSURED IS EXCESS AND NON-CONTRIBUTORY. 30 DAY NOTICE OF CANCELLATION IN ANYEVENT. RE: CITY OF SANTA ANA / TRAFFIC ENGINEERING (CT 1695) CERTIFICATE HOLDER cAhlr Cl I ATInAI CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TRAFFIC ENGINEERING THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 CIVIC CENTER PLAZA (M-43) ACCORDANCE WITH THE POLICY PROVISIONS. P.O. BOX 1988 AUTHORIZED REPRESENTATIVE SANTA ANA, CA 92702 © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD Liberly Surplus Insurance Corporation ENDORSEMENT NO. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Endorsement Effective Date: 061"03/2012 Policy No.: 10000008273-02 Insured: CROSSTOWN ELECTRICAL & DATA INC. ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS (FORM B) SCHEDULE Name of Person or Organization: CITY OF SANTA ANA . ALONG WITH ITS OFFICERS, AGENTS, REPRESENTATIVES, & EMPLOYEES ARE LISTED AS ADDITIONAL INSURED, RE- CITY OF SANTA ANA / TRAFFIC ENGINEERING (CT 1695) (If no entry appears above, inforination required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" for that insured by or for you. CGL 2010 1 185 Page I of 1 ?i ENDORSEMENT NO. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Endorsement Effective Date: 06/03/2012 Policy No.: 10000008273-02 Insured: CROSSTOWN ELECTRICAL & DATA INC. PRIMARY INSURANCE CLAUSE ENDORSEMENT To the extent that this insurance is afforded to any additional insured under the policy, such insurance shall apply as primary and not contributing with any insurance carried by such additional insured, as required by written contract. Nothing herein contained shall be held to waive, vary, alter or extend any condition or provision of the policy other than as above stated. CITY OF SANTA ANA, ALONG WITH ITS OFFICERS., AGENTS. REPRESENTATIVES, & EMPLOYEES ARE LISTED AS ADDITIONAL INSURED.. RE: CITY OF SANTA ANA! TRAFFIC ENGINEERING (CT 1695) CGL 1031 0403 Page I of I f6k i t` ? 'r ENDORSEMENT NO. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Endorsement Effective Date: 06/03/2012 Policy No..- 10000008273-02 Insured: CROSSTOWN ELECTRICAL & DATA INC. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US It is hereby agreed that Section IV, item 8. Transfer of Rights of Recovery Against Others to Us, is modified as follows: SCHEDULE Name of Person or Organization: As required by written contract. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV - COMMERCIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for iniury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization. This waiver applies only to the person or organization shown in the Schedule above. CITY OF SANTA ANA. . ALONG WITH ITS OFFICERS. AGENTS, REPRESENTATIVES, & EMPLOYEES ARE LISTED AS ADDITIONAL INSURED. RE'. CITY OF SANTA ANA; TRAFFIC ENGINEERING (CT 1695; CGL 1025 0103 COMMIEPI11" Wit THIS ENDOUSF: NIFNT CHANGI'S I Iif KH AT. ('t I:_A` I RS.W MCA M ; I IAA EEE.: NKET ADDITI(lN.' L INSURED E';NUIMSENIE°;VI - I I31:; C1iC4itr`•zinkt:llF pt; td,l?ltti ,''-.-gat ..lit Is,'v: t I.ss?.', ttSl?„?' Ift,.t ' :1,,,. %If, ..,,:' (' ', 110 I : t "C)1'''Et t i' i P- I ft (tCQ't1R. f!P GAR "tOF 0 , RrllT 1`ORNI IRI 1 ham[ RS ( CA ._I+:A7,E ! fW V, IEli tY`7CCa r IIAH Ii_I I'I ? I. 1€ „, Al '.n7i- .i t. ,a. ..n rt" ...:,i, tILl.dul(vlof ,t1 .if, t,ilrk! Tt:rl{.Nredto;,. to pAi,sa,ats !711,1!1',1 lip!.:, t'IIIICA:,.rcca,c:n' i:•.!1•?_' i I-,,n.: ef'ccnh,:d!.:u!,.0,? h. t'sl• calla h :. t , ottrl,t ,,•. ,char "thtt7 ,.?t.,ti < ?__.• . ,. 'tux', nun an ,c171itflt aw 5LwCy21L m w Hie A h a ecmh. me ,>t ! ,umne &A lw , wh pifl Aik , ,t 711.1,„t,ati<trl •„at ati@ditiorsal Iwmifol n,. 1 V Kucz111 e pR ri I hc- a 6AddI n A. A 5=1 1) n 0611d 11d a:; f 4m (h. , I I II _.. 1,11 add rtl i))-red k iri lr ilu(r;ti,I ii k ,-, I. - h„.n . „ It.,. I I ?ICi?C ?I> I. ! I. ;? .. ht ura t!=c„e n . ,_ t;r I n _ n.nt r! (tc L7.- I _ :ult ..' ht?, Ilct.'•! !?!+r,, ., Illnlt ? ,. I .?. ;??_.,bl: r: I 1 ' I , rl` ?I I 111 iry 1i1 r,t•I,r.;,:I,i,i;id;.t .ttdet"ol" Lr I Fr„adcr :ftam t ',Lragt re:n'idril tt al r .t. ctl r! other cr,a;,u>7l nico,tr,, I,rttstati:,,_ i ay lctolitinc 71;71} tothi., ? ?I? ,.,_ 1 CITY OF SANTA ANA, ALONG WITH ITS OFFICERS.. AGENTS. REPRESENTATIVES.. & EMPLOYEES ARE LISTED AS ADDITIONAL INSURED: RE: CITY OF SANTA ANA I TRAFFIC ENGINEERING (CT 1695) CAM WE 10 On .j WO AI'RtI+I -ti.'IO CAM 6124 49 4(k 'IHiS IADORSI- MEN'l CH M'ES ""E 1'1 I: [2r.-ail I F C,•%. ItF.FI'I,L 1 . Ihisaafdcrsciwn.,i)o .,It_ IA?it ,+n? t,rr ri.I' c (? II, "v3C)TI)I Bi.'`iINi.tih.V.. l'OCo',-LR'-.i It' tl (t>1R11(it? t??V?3 ?a?..?.il= t?47li'.9 shicil rewires v ?1. i`4cr <,f 'uhr ogatic ;': (I u., `i4 n7 tl;z n., i 1, t f . which are due an tOIA of, pdr, tt, tilt i-. ,.1, .a unj 1i7:IC' CITY OF SANTA ANA, ALONG WITH ITS OFFICERS.. AGENTS, REPRESENTATIVES. 8 EPAPLOYEES ARE LISTED AS ADDITIONAL INSURED, RE: CITY OF SANTA ANA TRAFFIC ENGINEERING (CT 1695) t ,\h1 61 st) 09 P6 . 41 0-1- ZURICH WORKERS CO-NIPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT- CALIFORNIA We have the right to recover from 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 enrployees while engaged in the work described in the Schedule. 'I he additional premium for this endorsement shall be 0.0 °4o of the California workers' compensation premium otherwise due on such remuneration. SCHEDULE Person or Organization: Any person or organization that the insured is required by written contract to name as an additional insured. CITY OF SANTA ANA. ALONG WITH ITS OFFICERS, AGENTS, REPRESENTATIVES, & EMPLOYEES ARE LISTED AS ADDITIONAL INSURED: RE. CITY OF SANTA ANA! TRAFFIC ENGINEERING (CT 1695) 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: 06/03/2012 Policy No.: WC966082001 Endorsement No.: I Named Insured: CROSSTOWN ELECTRICAL & DATA, INC. Policy Effective Date: 06/03/2012 to 06/03/2013 Insurance Company: AMERICAN ZURICH INSURANCE COMPANY e /7m re If WC 252 (4-84) WC 04 03 06 (Ed. 4-84) Countersigned By AC "R" (MM /DD/YYYY) C" CERTIFICATE LIABILITY INSURANCE F03/05/2015 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 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 LICENSE NO. 0637431 M NAMEE: : PATRICK MCRAE NA _ _ PATRICK MCRAE INSURANCE SERVICES tA/ °NN Ext) (714) 779 -6999 FAX No); (714) 779 -6903 1290 N. HANCOCK ST., SUITE 210 E-MAIL, mcrae sbc IObal.net ADDRES: p _ g ANAHEIM HILLS, CA 92807 INSURER(S)AFFORDING COVERAGE NAIL # �^ INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INSURERA: COLONY INSURANCE CO. 39993 INSURED ADDL IN D INSURER B: STATE COMPENSATION INSURANCE FUND POLICY EFF JKMLRRn= CROSSTOWN ELECTRICAL & DATA, INC. LIMITS INSURERC: CENTURY - NATIONAL INSURANCE CO. 26905 5463 DIAZ STREET x INSURER D: PEERLESS INSURANCE COMPANY 24198 EACH OCCURRENCE $ 1,000,000 E: SCOTTSDALE INSURANCE COMPANY 41297 IRWINDALE CA 91706 MED EXP (Any one person) -INSURER X OCP PERSONAL & ADV INJURY $ 1,000,000 INSURER F: COVERAGES CERTIFICATE NUMBER: RFVI.RinN NIIMRFR- GEN'L AGGREGATE LIMIT APPLIES PER : POLICY ®JE LOC 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. v INSR LTR TYPE OF INSURANCE ADDL IN D SUBR WVD POLICY NUMBER POLICY EFF JKMLRRn= POLICY EXP' MM /DD /YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ® OCCUR XCU X x 103GL000448100 DEDUCTIBLE: $5,000 PER OCC 06/03/2014 06/03 /2015 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000 X MED EXP (Any one person) $ 5,000 X OCP PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER : POLICY ®JE LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 $ OTHER: C AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS X AUTOS X X BAP0171987 COMPREHENSIVE DED . $1,000 COLLISION DED. $1,000 11/05/201411/05 /2015 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ _ BODILY INJURY Per accident) $ - X PROPERTY Pea cdentDAMAGE $ - E UMBRELLA LAB EXCESS LIAB X__ OCCUR CLAIMS -MADE XLS009303 UNDERLYING LIMITS: GL; AL; EL POLICIES 06/03/2014 06/03/2015 EACH OCCURRENCE $ 10,000,000 X - -- AGGREGATE $ 10,000,000 X DED RETENTION $ ® _......_... e $ - B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? V (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N /A x 9101668 -2014 06/03/2014 06/03 /2015 X IPER STATUTE ORH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE _ _ $ 11000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 D BUSINESS OWNERS & CBP 8641920 $752,760 BUILDING CONTRACTORS $1,000 DEDUCTIBLE 04/10/201404/10 /2015 $367,200 BPP - $300,000 BI WI EE EQUIPMENT COV. INCL. THEFT $116,318 SCHEDULED EQ. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CITY OF SANTA ANA, ALONG WITH THEIR OFFICERS, OFFICIALS, AGENTS, EMPLOYEES AND VOLUNTEERS ARE NAMED AS ADDITIONAL INSURED AS REQUIRED BY WRITTEN CONTRACT A- 2012 -177, INSURANCE AFFORDED BY THE COMMERCIAL GENERAL LIABILITY POLICY FOR THE BENEFIT OF THE ADDITIONAL INSURED IS PRIMARY INSURANCE AS RESPECTS ANY CLAIM, LOSS OR LIABILITY CAUSED IN WHOLE OR IN PART BY THE NAMED INSURED(S) OPERATIONS, AND ANY OTHER INSURANCE MAINTAINED BY THE ADDITIONAL INSURED EXCESS AND NON - CONTRIBUTORY. " SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, A 30 DAY WRITTEN NOTICE WILL BE ISSUED. RE: CITY OF SANTA ANA/ TRAFFIC ENGINEEERING (CT 1695) CROSSTOWN OWN ELI C RI( & DA) A A- `"x-012 -177 REVIEWED BY. ^° „ , EUNICE HEF�EDIA (PG. 1 Of 9) O 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 103 GIL 0004481-00 COMMERCIAL GENERAL LIABILITY CG 20 10 0704 MINION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 0010--filkiw= Name Cf Additional Insured Pmrson(s) Or Organ ization(s): Location(s) Of Covered Operations All persons morganizations as required by written contract |As����in*�*���w�t�N�� wkhthe Named |neu�d ||neumd I Information required to complete this Schedule, if not shown above, will shown in the Declarations, | / A� Section A— VVbo Is An Insured is amended to include aaan additional insured the parsnn(e)or onganizadon(s) shown in the Schedule, but only with respect tn liability for "bodily injury'."property dam or "personal and advertising injury" nauseU, m whole orin part, by: 1. Your acts m omissions; m 2. The acts or omissions of those acting onyour behalf; in the performance of your ongoing operations for the additional meured(s)et the |oumdon(a) desig- nated CROSS FOWN ELECTRICAL a DATA A-2012-1 77 B. With respect to the insurance afforded to these additional insuredu. the following additional excu- sionaapply: This insurance does not apply to "bodily injury^ or "property damage" occurring after: 1. All wmnk, including mateha|e, parts or equip- ment furnished in connection with such wmdk, on the project (other than oervica, maintenance or repairs) to be performed by or on behalf of the additional insured(e) at the location of the covered operations has been completed; or 2. That portion of 'your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for o phnoipel aeapart of the same project, ISO Properties, Inc., 2004 REVIEWEI) BY� /It" EQN|CEHERE0A (PG,2of8) POLICY NUMBER: 105GLUO0448100 06/03/2014 TO 06/03/2015 103GL0004481-08 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 This endorsement modifies insurance provided under the following: Name Of Additional Insured Person(s) All persons or organizations as required by written As designated in written contract with the Named contract with the Named Insured Insured Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section U — Who Is An Insured is amended to include an an additional insured the person(s) or organization(s) shown in the Gohedu|e, but only with respect to liability for "bodily injury" or "property dom- age caused, in whole or in part, by "your work" at the location designated and described in the sched- ule of this endorsement performed for that additional insured and included in the "prod udo-comp|e0ad operations hazard". CG 20 370704 @ ISO Properties, Inc., 2084 CROSSTOWN ELECTRICAL & DATA A-2O12-177 REV|EVVEDBY� /�� � �� /,�, EUN|OEHEREQiA (PG,3of9) POLICY NUMBER: 103GL000448100 06/03/2014 TO 06/03/2015 103 GL 0004481-00 TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to Paragraph 8. Transfer 0f Rights 0f Recovery Against Others ToUsofSection K/ — CoodhHons: We waive any rights of recovery we may have against any person or organization because of payments we makeforinjuryordamagen*au|tingfromyourongoingopenatinneur^yourwmrk^doneunderaonntrmctwith thatpomonorurgonizodonandinc|udedinthe^pnoduda-comp|ehadoperationshazard^if: a. you agreed tm such waiver; b. the waiver io included ae part ofm written contract or lease; and u. such written contract or lease was executed prior to any loss to which this insurance applies. U047-0310 Includes copyrighted material of ISO Properties, Inc., Page 1 of 1 with its permission. POLICY NUMBER: 103GL000448100 0603/2814TO08002015 103 GLOOU44D1-VV PRIMARY AND NON-CONTRIBUTING INSURANCE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PAVT A. SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS,4. Other Insurance, and all subparts thereof, as contained in the policy is deleted in its entirety and replaced with the following condition as respects the Third Party shown below: o. With respect to the Third Party shown be|ow, the insurance provided by this policy shall be primary and non-contributing insurance. Any and all other valid and collectible insurance available to such Third Party in respect of work performed by you under written contractual agreements with said Third Party for m loss covered by this policy, shall in no instance be considered as primary, oo-inaunmnoe, or contributing insurance. Rather, any such other in- surance shall be considered excess over and above the insurance provided by this po|icy. Third Party 1owhom this endorsement applies is: All persons or organizations as required by written contract with the Named Insured Absence of specifically named Third Party above means that the provisions of this endorsement apply "as required by written contractual agreement with any Third Party for whom you are perform- ing work". U407-0707 Contains material @ ISO Properties, Inc., 2000 with its permission. page1ofl CROSSTOWN ELECTRK",.AL & DAT/k A-2012-177 REV�EWED BY, 11'14,- EUMCE HEREDA (PG, 5 of 9) POLICY NUMBER: 1O3GLUOD44D10U 0003/2014TO06/03/2015 103 GIL 0004481-00 Designated Construction Projects: All projects during the policy period. If no entry appears above, information reguired to complete Jis et4orspxse-it witFte��t*u/-s it f tions as applicable to this endorsement.) 2. The Designated Construction Project General Aggregate Limit is the most we will pay for the sum of all damages under SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, except damages because of "bodily injury" or "property damage" included in the "products-completed operations hazard", and for medical expenses under, SECTION I — COVERAGE C MEDICAL PAYMENTS regardless of the number of: ���111 =26 b. Claims made ur^auits" brought; or c. Persons or organizations making claims or bringing ^auits". UCG2503-1013 Includes copyrighted material of Insurance Services Office, |nn,1QQG Page of with its permission. CROSSTOWN ELECTRICAL & DATA A-201 2-177 REV�E\A/ED BY� COMMERVIAL AUU) CAM MN 10 06 TRIS END0RSVMFNT(lUNGtN TUF MIXY 14 EASF READ UVARMIJAN, RLANKETA DIATIONAL INSIJ RED 1--,Ni)(.)RSLME,,N'F - PRIMARY IUN em➢memem impT lks hoursawc proOdcd mdu Ac R%whtg� M 01 OR CARRIER COV FRAGE,, FORM BUSINF-5$ AUTO C0`Y'F'RAGF'F0R,%l GARAGE COURAGE FORM MUCKARS CUVERACT FCWN�, UAWLUY COVE RAGA ord). Who k An Imund is onenclud to ilwWdc ag an adf6unW Qwmd w* rwwWQ or c,WWnmA0 wWrrom am rephd to Ad w Mis phg w m sal ditiniW i",stired urvior a midnerr agwenwtu in effem ar bmwhq d%fm &my Me pAy NNA TQ Mmume aMlin on, UONWdy lquq" widjr"my damap"thm ocaws winsaptem w emudart cl Hw wown awantun Mw MAquent w Me imumcc ofa cuHhume of hmunnee Adkadng Suh ptrsunl(e) tn ldditiem al Ku"AN), 7lic imunmwe pmwidud ht rcb to thr, A6ddi6ow"d loiuredf's) i's li;niied as 40lov., I fie cov4mqee aflforduat 4,erehy m such addi'iona, ltmired ir, lin6ted to impawd habfliq Peeiflv, resulfing, Irorn be condmulthe Nwwd NumMAr wWd be "&Kn,,fl irwuwt� wo •w NAIC 2 '1 he li uit�of apphcabk, u rh-,,,, insaaramx afforded hcreb are tho','t, Ape,, ified 41 thtc wF ten agmemem w hi he UATSWImm or SchWuN or Ak ld 0, wh k4w; 6 knY "d'w, I irn its cl, to t" rn'.'urwwc afforcicd w, nix amJ nul in xUbw W a✓ HBO W umnwc &mn Me DmOrwAs ur SAWuln 4 1" N&I, A, n4 , smariaw t'ii u v' i('ki'l Uwa M k 0&"aw w, f,'Ir a F o�" ad d it icw rl 1", J 'm H broaf.1c,r ffiar, co� cuigC �Nlr"Vidtoi U) Pill4 THIMCS 'Frey oflicr hrnittaic»as, Lvzlus ns, and defiflitions fippl,,y v, 06,4 CAM M N 10 0(' CROSSTOWN ELECTRICAL & DATA A-2012-177 REVIEWED BY jilltq EUNICE HEREDA (PG 7 of 9) COMMEROAL At I) CAM W20 09 106 TRW ENDORSEMENT CHANGES TLIE POLICY. PLEASE READ If CAREFfiLIX BLANKET' WAIVER OF SUBROGATION i his v Pr',-"'vi'Jt",d urf"hl I"-"c t wwwwg ,.viurcm CAFUU1."R (:,"0V-,FRAGF FORAII B USV'�ESS ALFF0 C'OV ERA6E 1`0'R'Al, (&RAGE (AVERAGE FORM TRUCKERS COVERAOF FORM We agme W wMve any and all nMmgnkn Mm s or rig,-hts of recover ugmins,. ,any persim(s) or oqw&Ww*) i4 mv A a uwaud wown vmmmil with that person(s) or 0IgzuI zaLm'.,IS('s)' wWA mpkn a Waiver of'SAroga6cyn Clause from tht Named Insured, except for losses, Mh we du On Me or pan to the negfigence or Clirm wid omi''Skms of,wch pvsowsr ur CR.OSSTOWN ELECTRICN & [DATA A-2012-177 REVIEWEDBY Z/tt," /J'0'/ (—:I EUNICEHEREDIA (PG,B(,)f9) HOME OFNCE SAN FRANCtSCO ALL EFFECTIVE DATES ARE AT 12: "01 AM PACIFFC STANDARD TIME OR THE TWME INDICATED AT PAC0C STANDARD TAME ENDORSEMENT AGREEMENT WAIVER OF SUBROGATION BLANKET BASIS EFFECTIVE JUNE 3, 2014 AT 12.01 A.M., PAGE I-OF AND EXPIRING JUNE 3, 2015 AT 12.01 A.M CROSSTOWN ELECTRICAL & DATA, 1 5463 DIAZ STREET IRWINDALE, CA 91706 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 NAYED IN THE SCHEDULE. THIS AGREEMENT' APPLIES ONLY TO THE EXTENT THAT YOU PERFORM WORK UNDER A WRITTEN CONTRACT THAT REQUIRES YOU ,rc, OBTAIN "rjiTS AGREEMENT FROM US, THE ADDITIONAL PREMIUM FOR THIS ENDORSEMENT SHALL BE 2.()P% 01, THE" TOTAL POLTCY PREMITIM,, SCHEDULE PERSON ()R ORGANIZATION JOB DESCRIPTION ANY PERSON OR ORGANTZATION BLANKET WAIVER OF FOR WHOM THE NAMED TNSURED SUBROGATTON HAS AGREED BY WRITTEN 0.)NTRACT TO FURNISH THIS WAIVER NOTHPdG M TWS ENDORSEMEN'r CONTAMED SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF TIHE TERMS, CONDIT9ONS, AGREEMENTS, 0A UMITATiONS OF 7THIS, POLICY OTHER THAN AS STATED, NOTMNG ELSEWHERE AN THIS POLICY SHALL. BE HELD TO VARY, ALTER, WMVE OR LIMIT THE rERNIS CONDITSONS, AGREEMENTS T^ UMITATQNS OF THtS ENDORSEMENT. COUNTERSK3NED AND wSSUED AT SAN FR I ANMSCO JUNE 16, 2014 2572 /ORESOEN7 AAG CIEC (.�ROSSTOWN EL.ECTRICAL & DATA A-2012-177 REVIEWED BY, C 1, / . EUNICE HEREDIA (PG 9 of 9) m