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HomeMy WebLinkAboutC BELOW, INC.-2017City of Santa Ana Clerk of the Council AGREEMENT TERMINATION FORM Please complete this form in its entirety when the attached agreement and all amendments (if any) are no longer in effect.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., _ Is the agreement(s) a permanent record? Yes No Return form to the Clerk of the Council Office (M-30). Call 647-1520 if you have any questions. The agreement with / C/ No. j�] � dVA �� — (��o / was completed on (List all amendments. Use space below if needed.) Revised: 10-18-16 COTC Office Use Only I7IE T ME COUNCIL 12312= AmO:4 a and final payment hasbeenmade. t,h�go�ti Eju-�vr�J g— & d IN Department: Phone/Ext.: Signature: Date: A-2017-081 AGREEMU' NT TO PROVIDE SUBSURFACE UTILITY ENGINEERING SERVICES ON AN ON -CALL BASIS THIS AGREEMENT is made and entered into this 4th day of April, 2017 by and between C Below, Inc. ("Contractor"), 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 ("City"), RECITALS w M A. On September 14, 2016, the City issued Request for Proposal No, 16-114, by =-s ua ^ which it sought Contractors to provide On -Call Subsurface Utility Engineering 8 C z Services for the City of Santa Ana Public Works Agency. 8 �, O U B. Contractor submitted a responsive proposal that was among those selected by the trek City. Contractor represents that it is able and willing to provide the services M y described in the scope of work that was included in RFP No. 16-114 and attached Exhibit A. 111�w ¢ as r.r ' �a V) C)C. In undertaking the performance of this Agreement, Contractor represents that it is knowledgeable in its field and that any services performed by Contractor under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional contracting 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 On an as -needed basis, and at the sole discretion of City, Contractor shall perform the services that are described. in Exhibit A. Contractor's proposal is incorporated by reference as though folly set forth herein. When the need for services arises, City may initiate services through use of a task or similar order issued to Contractor. 2. COMPENSATION a. City neither warrants nor guarantees any minunum or maximum compensation to Contractor under this Agreement. Contractor shall be paid only for actual services performed under this Agreement at the rates and charges identified in Exhibit B, Contractor is one of three Contractors selected to provide subsurface utility engineering services on an as needed basis under RFP No. 16-114. The total compensation for services provided by all contractors selected under RFP No. 16- 114 is a colleotivc amount not to exceed $900,000 during the term of the Agreement. b, Payment by City shall be made within forty-five (45) clays following receipt of proper invoice evidencing work perfonxxod, subject to City accounting Exhibit 3 261-31 procedures, payment need not be made for work which fails to meet the standards of performance set forth hi the Recitals and Scope of Work, which may reasonably be expected by City. 3, TERM This Agreement shall cormnonoe on the date first written above and tertninato on April 3, 2020, unless terminated earlier in accordance with Section 17, below. 4. PREVAILING WAGES Contractor is aware of the requirements of California Labor Code Section 1720, et seq., and 1770, et seq,, as well as California Code of Regulations, Title 8, Section 16000, et seq., ("Prevailing Wage Laws"), which require the payment of prevailing wage rates and the performance of other requirements on "public works" raid "maintenance" projects, If the services being performed are part of an applicable "public works" or "maintenance" project, as defined by the Prevailing Wage Laws, and the total compensation is $1,000 or more, Contractor agrees to fully comply with such prevailing Wage Laws. Contractor shall defend, indemnify and hold the City, its elected officials, officers, employees and agents free and hannless frorn any claim or liability arising out of any failure or alleged failure to comply with the prevailing Wage Laws. INDEPENDENT CONTRACTOR Contractor 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 Contractor performs the services which are the subject matter of this Agreement; however, the services to be provided by Contractor shall be provided in a manner consistent with all applicable standards and regulations governing such services, Contractor shall pay all salaries and wages, employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes, 6. OWNERSHIP OF MATERIALS This Agreement creates a non-exclusive and perpetual license for City to copy, use, modify, reuse, or sublicense any and all copyrights, designs, and other intellectual property embodied in plans, specifications, studies, drawings, estimates, and other doctnnents or works of authorship fixed in any tangible medium of expression, inchrding but not limited to, physical drawings or data magnetically or otherwise recorded on computer diskettes, which are prepared or caused to be prepared by Contractor under this Agreement ("Documents & Data"). Contractor shall require all subcontractors to agree in writing that City is granted a non-exclusive and perpetual license for any Documents & Data the subcontractor prepares under this Agreement. Contractor represents and warrants that Contractor has the legal right to license any and all Documents & Data. Contractor makes no such representation and warranty in regard to Page 2 o'f4 261-32 Documents & Data which were provided to Contractor by the City. City shall not be limited in auy way in its use of the Documents and Data at any time, provided that any such use not within the purposes intended by this Agreement shall be at City's sole risk. 7, INSURANCE Prior to undertaking performance of work under this Agreement, Contractor shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: a. Commercial General Liability Insurance. Contractor shall maintain commercial general liability insurance naming the City, its officers, employees, agents, volunteers and representatives as additional insured(s) and 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 Contractor'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, with $2,000,000 in the aggregate. Such insurance shall (a) name the CITY, its officers, employees, agents, volunteers and representatives as additional insured(s); (b) be primary 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 California Labor Code, Contractor, if Contractor 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 tinder this Agreement, Contractor agrees to obtain and maintain any employer's liability insurance with limits not less than $1,000,000 per accident, d. if Contractor is or employs a licensed professional such as an architect or engineer: Professional liability (errors and omissions) insurance, with a combined single limit of not toss than $1,000,000 per claim with $2,000,000 in the aggregate. e. The following requirements apply to the insuraam to be provided by Contractor pursuant to this section: (i) Contractor shall maintain all insurance required above in full force and effect for the entire period covered by this Agreement. Page 3 of 9 261-33 (ii) Certificates of insurance shall be furnished to the City upon execution of this Agreement and shall be approved by the City. (iii) Certificates and policies shall state that the policies shall not be cancelled or reduced in coverage or changed in any other material aspect, by consultant, without tivrty (30) days prior written notice to the City. (iv) Contractor shall supply City with a fully executed additional insured endorsement, £ If Contractor 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 affect Contractor's right to be paid for its time and materials expended prior to notification of termination. Contractor waives the right to receive compensation and agrees to indemnify the City for any work performed prior to approval of insurance by the City. 8. INDEli!IrNIFICATION Contractor agrees to defend, 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 negligent operations of the Contractor 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 agreernent 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 terns of, or effects, arising from this Agreement. The Contractor further agrees to indemnify, hold harmless, and pay all costs for the defense of the City, including tees 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 proccoding. Notwithstanding the foregoing, to the extent Contractor's services are subject to Civil Code Section 2782.8, the above indemnity shall be limited, to the extent required by Civil Code Section 2782.8, to claims that arise of, pertain to, or relate to the negligence, recklessness, or willful misconduct of the Contractor, Page 4of 9 251-34 9. INTELLECTUAL PROPERTY INDEMNIFICATION Contractor shall defend, indemnify and hold harmless the City, its officers, agents, representatives, and employees against any and all liability, including costs, and attorney's fees, for infringement of any United States' letters patent, trademark, or copyright contained in the work product or documents provided by Contractor to the City pursuant to this Agreement. 10, RECORDS Contractor shall keep records and invoices in connection with the work to be performed Linder this Agreement, Contractor shall maintain complete and accurate records with respect to the costs incurred under this Agreement and any services, expenditures, and disbursements charged to the City for a minimum period of three (3) years, or for any longer period required by Law, from the date of final payment to Contractor under this Agreement. All such records and invoices shall be clearly identifiable. Contractor shall allow a representative of the City to examine, audit, and make transcripts or copies of such records and any other docLunents created pursuant to this Agreement during regular business hours. Contractor shall allow inspection of all work, data, documents, proceedings, and activities related to this Agreement for a period of three (3) years from the date of final payment to Contractor under this Agreement. 11. CONFIDENTIALITY If Contractor receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprictaty, Contractor agrees that it shall not use or disclose such information except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of like importance, but in no event less than reasonable care, "Confidential Information" shall include all nonpublic information. Confidential information includes not only written information, but also information transferred orally, visually, electronically, or by other means. Confidential infotmnation disclosed to either party by any subsidiary and/or agent of the other party is covered. by this Agreement. The foregoing obligations of non-use and nondisclosure shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is, through no fault of the Contractor disclosed in a publicly available source; (c) is in rightful possession of the Contractor without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or (e) is independently developed by the Contractor without reference to information disclosed by the City, 12. CONFLICT OF INTEREST CLAUSE Contractor covenants that it presently has no interest and shall not have interests, direct or indirect, which would conflict in any manner with performance of services specified Linder this Agreement. Page S of 9 251-35 13, 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, er sent by fax or other telegraphic communication in the manner provided in this Section, to the following persons: To City: Cleric of the City Council City of Santa Ana 20 Civic Center Plaza (h/1.30) P.O. Box 1988 Santa Ana, CA 92702-1988 Fax 714-647.6956 To Contractor: Executive Director Public Works Agency City of Santa Ana 20 Civic Center Plaza (M-21) P.O. Box 1988 Santa Ana, CA 92702 Fax 714-647-5635 C Below, Inc. 14280 Euolid Ave Chino, CA 91710 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, comnmication shall be effective or deemed to have been given three (3) days after it has been deposited in the United States maft, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent by fax, communication shall be effective or deemed to have been given twenty-four (24) hours after the 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. 14. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Contractor regarding the subject matter herein, and supersedes any and alt 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 Contractor. The patties agree that any terms or conditions of any .purchase order or other instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not Page, 6 of 9 261-36 bind or obligate Contractor or 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. 15, ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Contractor, Contractor 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. 16. WAIVER No waiver of breach, failure of any condition, or any right or remedy contained in or granted by the provisions of this Agreement shall be effective unless it is in writing and signed by the party waiving the breach, failure, right or remedy. No waiver of any breach, failure or right, or remedy shall be deemed a waiver of any other breach, failure, right or remedy, whether or not similar, nor shall any waiver constitute a continuing waiver unless the writing so specifics. 17. TERMINATION This Agreement may be terminated by the City upon thirty (30) days written notice of termination. In such event, Contractor shall be entitled to receive and the City shall pay Contractor compensation for all services performed by Contractor prior to receipt of such notice of termination, subject to the following conditions: a. As a condition of such payment, the Executive Director may require Contractor to deliver to the 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 Contractor 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. 18. NON-DISCRIMINATION Contractor shall not discriminate because of race, color, creed, relation, sex, marital status, sexual orientation, age, national origin, ancestry, or disability, as defined and prolibited by applicable law, in the recruitment, selection, training, utilization, promotion, termination or other -employment related activities or in connection with any activities Linder this Agreement. Contractor affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. Papa 7 of 9 251-37 19. 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 detornnined 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. 20. PROFESSIONAL LICENSES Contractor shall, throughout the term of this Agreement, maintain all necessary licenses, permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State of California, the City of Santa Ana turd all other governmental agencies. Contractor 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 tormitund,on of this Agreement. 21, MISCELLAN'EOUS PROVISIONS a. Each undersigned represents and warrants that its signature herein below has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify 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 filly 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: MARIA D. HUIZAR Clerk of the Council APPROVED AS TO FORM SONIA R, CARVALHO City Attorney By: I M. Frirtk Assistant City Attorney CIT OF•—SAA�NTA ANAL J?�i LAB Cynthia J. Kurfz Interim City Manager CONTRACTOR Name: Chris Vo4ra Title: Chief Executive Officer Page 9 of 9 261-38 RECOMMENDED FOR APPROVAL Exeautfve Director Public Works Agency Page 9 of 9 261-39 CITY OF'SANTAANA BXHIBITA RFP NO,; 16-114 SUBFURFACE tYrILITY ENGINEET{IrNG SERVICES SCOPE OF WORIWDRT� btroductlon and BftLkirrotarrd- The City of Santa Ana Is located in the County of Orange in Scalthern California. The City oncompassos 27.5 square miles and a population of over 325,000 people, The City of Santa Ana Pubho Works Agency (PWA.) is soliciting proposals for Subsurface Utility Engineering (SUE) Sotvioes, These tasks include looation and identification of underground utilities in the planning, design, pre -constriction, and construction phases. Those services are on -call and on an as- rwedod basis. This request for proposal (11172) provides interested qualified firms with the information enabling them to submit a Service Bid Proposal and to provide the services described herein. Description of Work: On as needed basis, the selected flrm/s slrah provide the City with the following servicos as described herein. Underground UtilityLocathig; Determine the precise horizontal and vertical position, size, condition, material, utility owners name grid other characteristics of underground utilities using vacuum 6xcavadon and or other comparable means, Obtain and review plans provided by the City showing areas requiring locating (test bo:reholes) sites as identified by the plans, • Excavate using a method to enable vertical and horizontal exploration and locating' means. • Furnish and install permanent above ground marker and color code for each of the utilities (i.e., P,Ii., nail, ,peg, steel pin, or hub) directly above the oentortine of the structure and record the elovation of tho marker along withall the characteristics of the utility. + All horizontal and vertical data shall meet survey standards in accordance and as detailed by the Engineer • Provide the following as part of the borehole test information a, Elevation top and bottom of the utility tied to the datum and or furnished Information by the Easineer, The accuracy of the vertical elevation shall be within (+/- Aft). b, Elevation of the existing grade over the utility test borehole and the pavo�ncnt and Wokfill material c, horizontal location refotenood to the provided datum and or as requested by the Engineer d. Obtain pilao, duct back, encasoment, and anulti- conduit configuration width (outside dlarnoter) e, Provide utility sttucture material oompositioar and condition f, Idontify benchmarks used to determine elevations and iaotude it as part or the final deliverable report. g. Identify and provide pavement thiciroess, material and condition and soil type characteristics, 4MII CITY OF SAN T A ANA RF'P NO,; 1 G�l 14 SUB>+URFAa, UTILITYE!%TGINFLrRIlNGSERVICES • Ali completed reports shall be oertifi.ed to be correct and signed by a professional land surveyor registered in Califomia, (Only if required by the Engineer), Work Under this category will be paid on hourly basis, • Backfill all test holes shall be backfilled with in -kind .material and compact to a relative compaction of 90%. • Boreholos greater than 2R1 shall be paved and match existing pavement thickness section unless stated otherwise and or approved by the Engineer. • Clean and sweep work site at tile earl of the work day, « Provide additional surveying, and underground utility mapping services at an hourly rate General Requlrernpnts and Pt•oiect DOlvera'hles• • Ali work for this work for traffic control shall be done in accordance with Ume Federal Highway Administration's Manual (MUTCD) • The selected firnm/s shall obtain all necessary permits from the City and local jurisdiction prior to convxreneing any of the work in Rub'lic Flight of Way, • Any work required on private property shall be authorized by the Engineer prior to comrnencernent ofwork, • All wmk shall be done in a000rdaaee with ASCE Standard 38.02; Standard Guideline for the collection and dopictioU of the existing subserrface utility data. • The firms shall sm=c all pertnits to work in the City. Those fees are not reimbursable. • All work shall be performed to flit specifro project and or location as detailed in the notice to proceed and indicated by the Engineer, • All reports and technical memoranda shall be submitted electronically to City and shall include all the information as required and detailed in the notice to proceed, All Computer Aided Drafting Design (CARD) work shall be submitted ou electronic format (Miorostation). In addition, a hard copy of the prcjeot fuiclings and a digital mile in Microstation shall be, submitted to the engineer for review before final approval and final payment is authorized. A 'list of positions and hourrly rates shall be included as part of the proposal and included in the seal bid package. See Attachment 4—ADDITIONAL PROVISIONS for a sample breakdown. The consulting firm/s ate responsible for any damage to utilities clLwing tine locating efforts. Canstlltant Resuonsihillties; Coltsul tant Audit and .Review ProecLs: 'Prior to awarding the coutnict, the selected Consultant shall be subject to an audit or review by Caltrans' Audits and Investigations (X&Q, other state audit organizations, or the federal government. The sotooted Consultant shall complete :Exhibit 10-K — Consultant C'ertifioation Contract Costs and Financial, in tho Appendix of this RYP as Altacloment 4, • Tinre is of the essence and work shall commence within 5 days of the Natico to Proceed ibr planned underground utility locating selvlces. 251-41 CITY OF SANTA ANA R,FP NO,: 16.114 SUBFURFACE UTILITY ENCINPF,RINC SERVICES The consultant shall be available to provide on -cal] setNices within 4•8-liours for unplanned utility locating aervicea, City Resnortsibllities: The City will provide information in Its possasslon relevant to the preparation of the requited information in the RPP, The City will provide only the staff assistance and the documentation specifically In referred to herein, Fee.Pri Zpsal; hi addition to Section IV,13,3 (Submittal Requirements: Fee Proposal) flee schedule shall be structured as follows: for Caltrans funded projects, reference LAPivI Exhibit 10-II (sample cost proposal) and tabluds in Attaolmnent 4. + The City will select up to (three) firms to provide the services The fee proposal shall include the firm's standard hourly Fee schedule, anchor project fee schedule where applicable and as outlined in this this documents, Special Tterlttiroments (Attachment 4), Compliance with Reavirenjt nts of Funding A;. gccy; use as apprapriatOdeleta rmused sections; IECaltra,ns: This project is lundect through XXsX and shall comply with all requirements ofXXXX The attached forms must be completed in their entirety and submitted with your proposal: LAPM Exhibit 10-H: Sample Cost Proposal + LAPM Exhibit 10-I : Noti cn to Proposers, DBE Information LAPM Exhibit l0 01: •CotamaltantProposal DBE ComrriltmenC • LAPM Exhibit 10-If: Consultmt Cortiacatioa of Contract Costs and. Finaacial management System If the project will be fluanca�d by federal funds all services tendered shall moot all tequired federal requirements Included in this request for proposal, Consultants are advised that, as required by federal law, the City of Santa Aua is implermnting the new Race Conscious Disadvantaged Business Enterprise (DBE) Program., The DBE goat for this contraot is 9,60%, FIV 14280 Uolid Ave ChInor CA 91710 1-888-QQ- aoW "Fee Proposal Code 8arv_Ira__.._.........v._....,......„�,...,_............... Cost ,........... around Panatrating Radar 351 SupeNlsing'fachnlolan I Concrete I Masonry - Localloh of rainfarcing steel, Wndrot....,,.. 175.00 per hour 562 Travel Time I Per Man,,,,,,,,,,,,,,,, it 110.00 per hour Utility 1.044fir q • 8lpdtrarnagn4tla Locator $74 Superyloing'rdchnlclon I Looate Electrical, Comm., Water, Power, One, Bower& 8lgrm,. $ 176.00 per hour 575 Locating Technician l see terms and conditions for requirements.... .................................. $ 130.00 par hour $70 TravolTlmeIPer Crew ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,„,,...,...,,.,,,.,,..... .....................,,,,,,.$ 106.00 parhour Mapping 1 Mapplog Party.._. .......................... ............................$2d6,00 per hour 383 AuOiCAR drawings I Utilitlea,,,,,,,,,,,,,,,,.... ....... ,........ .;,..,....... ...................... :....,..,.,,.,..,... $ 86.00 Pei, hour 084 Travoi T7me l Per Man ............................. ................,......_,.$ '110.00 per hour Cr,rV Pipe Inapeotto0 $85 Vldaa Pipe Inspection..........:..............:.....................:............:..........................................$ 3TO.00 per hour 38e Hlgh Pressure Hydro -Jetting, . $ .300.00 per hour 387 Travel Tlmah CON Crew ........................................ ..._......... .... ....._.,.......... .,...,...... ............ $ 225.00 per hour 388 Travel Time Water Jetting Crew....... ......... —........... .,—..................1.................... .—$ 226.00 per hour PothOghg 600 Standard Pothole t' x 1'x a . .............. .............. ....................... ....,.... ............ .,..,...,........ .,.. $ 55109 per hole 6PI Pothole? x l' x 5'•1U'(deep ,,"...............................,...............,......................................,.$ 000,00 porhoia 002 Pothole t' x 1' x 10"'-9.0' deep.1,,,,,,,,,,,,,,,,,,,,;,,,,,,,,;.......... :.;.,.:_,.,.,...........:...... ,... ........... T 660.60 per hole 603 Pothole 1'x V 9 W-20' deep haul natjan ....................... $ 860,00 per hole 804 fraflio Central rice aaheal ta.cdiengswll•,.._,_rou...,.,.,,"................:1......,,...........�$ 800,00 per day, 606 Traffic Control Plana .....:.:.. ........:...................... ... . ,.,,.; . $ 500,00 per page. 006 Potholing Hourly— ... ....... . ............ ....... ....... . . .... ... ................ .................. 47S.0o per hour 607 Travel Time I per Crew.,...,.,..;_..,.._..................................................................................$ 225.00 pdrhour Add0lunaf Pose. 3g0 Admintelmhon I Prpfoct Coordhtaaon...........:......................_..._......_._............................,., $. 95.00 perhour noPer Clem h Per technloian,,,,.:,.....,....,................................................ $ 150.00 per day i C Below term¢ 8 Condlucne apply to all Demos% "Potholes! Trenching deeper than 20 feet must oa11 For edditlonal pricing 116% Overtime charges applies to all seivicea'for Saturday work 'Rine Ovortime charges applies to all servicoa for Sunday work wvrvchelow.cam Page 1 251-43 ACORU® �, .. CERTIFICATE OF LIABILITY INSURANCE DATE (MMIODNYYY) 5/9/2017 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 Cornerstone Specialty Insurance Services, Inc. 14252 Culver Drive, A299 Irvine CA 92604 CONT T Tina Cowie PHONE (714)731-7700 F (714)731-7750 JAIC, No OOAIL ,tine@cornerstonespeaialty.00m INSURERS AFFORDING COVERAGE NAIC It INSURERA:Travelers Indemnity Cc of Conn 25682 INSURED C BELOW, INC, 14280 Euclid Avenue Chino CA 91710 INSURERS:Travelere Property Casualty CO 25674 INSURER C Continental Casualty Company 20443 INSURERD: INSURER E I INSURER F : COVERAGES CERTIFICATE NUMBER:16/17 COVERAGES 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 PAIDCLAIMS. INSR LT OF INSURANCE ADOTYPE INSM wvn SUER POLICY NUMBER POLICY EFF �� MM/DDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2, 000, 000 A CLAIMS -MADE X OCCUR DAM ISESG RE occurrence) ce $ 300,000 X MED EXP (Any one person) � $ 5,000 ADDTL INSURED 680-5059891 12/18/2016 12/18/2017 X BLNKT WVR OF SUBRO PERSONAL & ADV INJURY $ 2,000,000 Per Form #CG03810907 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 As Required by Written POLICY II JE� LOC Contract PRODUCTS • COMPIOPAGG $ 4,000,000 $ OTHER: Contractual Liab included AUTOMOBILE LIABILITY C,0MBINE1,1,)SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ B X ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS &A-7D687122 12/18/2016 12/18/2017 BODILY INJURY (Per accident) $ X WIRED AUTOS X NON -OWNED PAUTOSPReOBERTnDAMAGE $ Undarineured motorist $ 1,000,000 X UMBRELLA LIAB x OCCUR EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 13 EXCESS LIAB CLAIMS -MADE x DED I I RETENTION$ 10,000 $ CUP-4181T634 12/18/2016 12/18/2017 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE Y� Mandato�nNH EXCLUDED? (Mandatory ) N / A XJUB-41SIT277 12/18/2016 12/18/2017 X OTH• STATUTE E.L. EACH ACCIDENT _ $ 1,000,000 E.L. DISEASE • EA EMPLOYE $ l 000 000 If yes, descrihe under DESCRIPTION OF OPERATIONS below E.L. DISEASE •POLICY LIMIT $ 1,000,000 C Professional Liability MCH288306745 12/18/2016 12/18/2017 Each Claim $2,000,000 Claims Made Annual Aggregate $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) City of Santa Ana, its officers, employees, agents, volunteers and representatives are Additional Insured for General Liability but only if required by written contract with the Named Insured prior to an occurrence and as per attached endorsement. Coverage is subject to all policy terms and conditions, *30 days notice of cancellation, except for 10 days notice for non-payment of premium. For Professional Liability, the aggregate limit is the total insurance for all covered claim reported within the policy period. REVIEWED BY: � " EUNiCE HEREDIA (PG OF ) City of Santa Ana 20 Civic Center Plaza M-30 P.O. Box 1988 Santa Ana, CA 92702 gg671LR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ina Cowie/SGL Cc0710:141:7_11111Ito] 2 = .T- • M ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 0m4mt POLICY NUMBER: 680-5H559891 NAMED INSURED: C Below, Inc. COMMERCIAL GENERAL LIABILITY POLICY PERIOD: 12/18/2016 to 12/18/2017 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following 16 added 16 VVIHQ IS AN INSURED Any P mrsom or organization that you agree In a 1!coritract or agreement. requiring. insurance', I to In- clude,. as an additional'ingur0d on this Coverage Pail, blitOnly.voth respect to liability, for "bodily in- jury"" "Pr6perly damage" or "personal Ir)JU caused; sed, in, wttale or -it, part,. by kow*ts or omis� sirens or the acts or omissionsofthose acting on your behalff a. In the performance of your ongoing opera. in connection With. premlses owned by or rented to you.,, or C. In c9ninecti. , on with "your -work` and, included, withIn the "products -completed op&ratj . ons hazard"".. �Such perspri or organization does s not t qualify. as . at , an additional insured for '!bodily Injury", "property damage," or "personal Injury" for which that per - $on or Organization has assumed liablifty in.a, con tract or agreement - The Insurance provided to such additional insured .is limited as follp, I ws:. d. This ihs*16 rwe does runt apply on any basis to any person or organization for which cover- age as an addltionaf insured. specifically is added, by another endorsament.to, this cover- age Part e. This insurance does not apply to the render- ing of or failure to render any "professional services". f, The limits of insurance afforded to the addi- tional insured shall be the limits_ which you agreed in that. "-contract or agreement reqtlir- in.g insurance! to prqvide. for that additional insured, or the. limits shown in the Deofara- tions for this Coverage. Part, whichever are less. This endorsement does not Increase the limits of insurance stated in the UMITS OF INSURANCE ($ectloii 111) for this Coverrage, Part. B. The following is added ph a. of 4. Other In.sura*e in Co=. GENERAL However, 'if yo,u'specifically agree. Iry a. "60ritraidt or agreement requiring Insiurancell tha d t the fris ranm Provided to an ;additional [as(irod Under thit Cov= erage Pen must apply h a prim 'ba s, or a: 't o. �, .. ary basis, Primary andnoti-contrib4fory basls,.this, Insuraftpe, is: primary lto Other Insurance. that Is avail able to :such additionaf Insured wh , ch covert such .addl. I .tional insured at a named Insured, and we Will not. share with theother insufano6i Provided that: (11The "bodily injury" or "property damag&' for which coverage is sought Occurs-, (2� The "personal injury" for which 'coverage is sought arises 6(if of an offense committed; �after you have entered Into that "contract or agreement req"Iring, insurance!. But this Insur- ance still Is, excess over valid and collectible other ce insuran,. whether primary, e�cess;,. contingent noent or ,on any other basis, that is available to.the insured when the. insured Is an additional insured under any other insurance i C. The following is added to.paragripl 8. Transftr Of Rights Of .recovery Against Others To Us in COMMEf MAL GENERI AL LIABILITY BILITY GONm DITIONS (Section 19). We waive any rights of recovery we may have, against any person or organization because of payments * we make for "bodily injury?,, "Property darnage" or "Personal Injury" arlsing out, of I!goqr Work," person hed by you,, or onyour behalf, under a "contractor agreement, requiring in surance" with� that person or organization.We waive theta rights. only where: you have agreed, to do so as part of the '(contract or agreement requiring insur- ance" With such Person. or organization entered Into by you before,, and in effect when, the "bodily Page 1 of 2 @ The Travelers Companies, Inc. CG 03 8109 07 Includes the copyrighted material of Insurance Services Office, Inc. with its permission. REVIEWED : BY: �E� �U�N �IC E� �H�E R E D A (PG PO F COMMERCIAL GENERAL LIABILITY Injury" or "property damage'° occurs, of the ,per. sonai injury" offense is committed. 15. The following definitld-n Is added,to;.l ►EFINITIONS (Section V) "Gantrat or agreement requiring insurance mean$4' at part of any contract or Agreement un- der which you arer required to include a person e organization. as an additional insured on this Cove erage, Dart., provided, that the "bodily .Injury" and "property damage" occurs, and (her "personal in - ,jury" €s.0,Used by an, offense coibmitted; A. After ydu heve entered into thdt contract or agreerrr�gt;: Ill. While that part Oftfte Contract or agreement is in effect; and c; Before the erid oof the policy period. Page 2 of 2 © The Travelers Companies, Inc. CG D3 81 09 07 Includes the copyrighted material of Insurance Services Office, Inc. with its permission, REVIEWED BY: EUNICE HEREDIA (PG OF— ) C BELOW, INC. BA-7o687122 12/18/2016 TO 12/18/2017 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AUTO COVERAGE PLUS ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi- fied by the endorsement. GENERAL DESCRIPTION OF COVERAGE This endorsement b d coverage. However, coverage for 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. BLANKET ADDITIONAL INSURED H. AUDIO, VISUAL AND DATA ELECTRONIC B. EMPLOYEE HIRED AUTO EQUIPMENT — INCREASED LIMIT | VVA|�����F�E�U�T|�LE GLASS C. �K8�L��E����|N�U��� ' — D. SUPPLEMENTARY PAYMENTS —INCREASED J ' PERSONAL EFFECTS LIMITS K. AIRBAGS E. TRAILERS — INCREASED LOAD CAPACITY F. HIRED AUTO PHYSICAL DAMAGE G. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES — INCREASED LIMIT A. BLANKET ADDITIONAL INSURED The following iaadded toParagraph A.i,Who hs An Insured, of SECTION U — LIABILITY COV' ERAGE: Any person ororganization who io required under owhMan contract uragreement between you and that person or organization, that in signed and executed by you before the "bodily injury" or "property damage" onouno and that is in effect during the policy period, bbenamed as anaddi- Uono| insured iyan"ineurad"for Liability Cnvep aQo, but only for damages to which this insurance applies and only tothe extent that person or or- ganization qualifies as an "insured" under the Who Is An Insured provision contained in Section U. B. EMPLOYEE HIRED AUTO 1. The following is added to Paragraph A^1.. Who Is An Insured, of SECTION N — LI- ABILITY COVERAGE: An "employee" of yours is an "Insured" while operating o covered ''auto" hired or rented under e contract or agreement in that "omployee's" name, with your permission, while - L. AUTO LOAN LEASE GAP M. BLANKET WAIVER OF SUBROGATION relotedto the conduct of your business. 2. The following replaces Paragraph 6. in B.5.. Other |nnurmnua. of SECTION [V — BU8|~ NESSAUTO CONDITIONS: b. For Hired Auto Physical Damage Cover- age, the following are deemed tobecov- ered "mutoo"you own: (1) Any covered "auto" you lease, hina, rent orborrow; and (2) Any covered "muhz~hired urrented by your "employee" Linder contract in that individual "employee's" nmma, with your ponn|oskzn, while perform- ing duties related to the conduct of your business. However, any "auhm"that |o leased, hinad, rented orborrowed with edriver io not a covered "auto". C. EMPLOYEES ASINSURED The following is added to Paragraph A.1.. Who Is An Insured, ofSECTIONU — LIABILITY COV- ERAGE: CAT420O710 @omnThe Travelers Indemnity Company. All rights reserved. Page 1of3 Includes copyrighted material orInsurance Services Office, Inc, with its permission. COMMERCIAL AUTO Any "employee" of yours isan"Insumd while us- |ngmcovered"outo^youdon'town'h|naorborm* inyour business oryour personal affairs. D. SUPPLEMENTARY PAYMENTS —INCREASED LIMITS 1. The following mp|ooeo Pensgreph^4.2.a,(2) of SECTION (|— LIABILITY COVERAGE: (2) Up to $3.000fur cost ofbell bonds (in- o|ud|ngbonds for related traffic law viola- tions) required because of an "accident" we cnvor. We do not have to furnish these bonds. 2. The following rap|auao Paragraph A.2'e.(4) of SECTION U—LIABILITY COVERAGE� (4) All reasonable expenses incurred by the "insured" at our request, including actual |oau of earnings up to $500 a day be- cause nftime off from work. E. TRAILERS —INCREASED LOAD CAPACITY The following nop|moen Paragraph C.1. of SEC- TION |— COVERED AUTOS: 1. "Trailers" with a load capacity of 3,000 pounds or |eaa designed primarily for travel onpublic roads. P. HIRED AUTO PHYSICAL DAMAGE The following isadded haParagraph AA..Cover Extensions, of SECTION U| — PHYSICAL DAMAGE COVERAGE: Hired Auto Physical Damage Coverage If hired "autos" are covered "autos" for Liability Coverage but not covered "autos" for Physical Damage Coverage, and this policy also provides Physical Damage Coverage for an owned "auto", then the Physical Damage Coverage ieextended to "autua" that you h|re, rant or borrow subject to the following: (1) The most we will pay for "loon" in any one "accident" to o h|nod, rented or borrowed "outo''inthe lesser of: (a) $50.000; QWThe actual cash value of the damaged or stolen property as of the time of the "loss"; or (d The cost of repairing or replacing the damaged or stolen property with other property oflike kind and quality, (3) If a repair or replacement results in better than like kind nrquality, wewill not pay for the amount ofbetterment. (4) A deductible equal to the highest Physical Damage deductible applicable to any owned covered "auto". (5) This Coverage Exhansiondoeamdapply to: (a) Any "auto" that is himd, rented or bor- rowed with mdriver; or (b) Any "auto" that in hired, rented or bor- rowed from your "employee". G. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES — INCREASED LIMIT The following replaces the first sentence in Para- graph ^&.4.a.. Transportation 2opwnaws. of SECTION |U — PHYSICAL DAMAGE COVER' AGE: We will pay up to $58 per day hz m maximum of $1.5O0for temporary transportation expense in- curred by you because of the total theft of cov- ered "auh»"ofthe private passenger type. H. AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT — INCREASED LIMIT Paragraph C.2. Limit Of Insurance, of SEC- TION U| — PHYSICAL DAMAGE COVERAGE is deleted. |. WAIVER OPDEQUCT|BLE—GLAQS The following isadded to Paragraph 0~Dedpcti~ b|e. of SECTION U| — PHYSICAL DAMAGE COVERAGE: No deductible for a covered "auto" will apply to glass damage if the Q|auy is repaired rather than replaced. J. PERSONAL EFFECTS The age Extensions, of SECTION III — PHYSICAL DAMAGE COVERAGE: Personal Effects Coverage We will pay up to $400 for "loss" to wearing ap- parel and other personal effects which are: (1) Owned byan"inoured"|and (8) |noronyour covered "aubo". This coverage only applies in the event of huha| theft ofyour covered 'auhz". No deductibles apply to Personal Effects cover- (2) An adjustment for depreciation and physical age. condition will be made in determining actual cash value |nthe event ofatotal "|ces". Page 2cf3 0uo10The Travelers Indemnity Company. All rights reserved, CAT42O071U Includes copyrighted material of Insurance Services Office, Inc. with its permission. K./URBAG8 The following isadded to Exclu- sions, of SECTION D| — PHYSICAL DAMAGE COVERAGE: Exclusion 3.a. does not apply hz "loss" to one or more airbags inocovered "auto"you own that in- flate due to a umuan other than a cause of "loss" set hzdh in Paragraphs A.1.b. and A.i.c., but only: m. If that "auk" is a covered "auto" for Compre- hensive Coverageunderth|opoUoy; b. The airbags are not covered under any war- ranty; and c. The a|rbognwere not intentionally inflated. We will pay up to a maximum of$1.00O for any L. AUTO LOAN LEASE GAP The following age Extensions, of SECTION III — PHYSICAL DAMAGE COVERAGE: Auto Lwmm Lease Gap Coverage for Private Passenger Type Vehicles |nthe event ofatotal "|oom"tumcovered "outo"of the private passenger type shown inthe Schedule or Declarations for which Physical Damage Cov- erage ioprovided, wewill pay any unpaid amount due on the lease orloan for such covered "auto" less the following: (1) The amount paid under the Physical Damage Coverage Section of the policy for that "auto"; and COMMERCIAL AUTO (2) Any: (a) Overdue |moaa or loan payments at the time ofthe "|000"' (b) Financial penalties imposed lease for excessive use, abnormal wear and tear orhigh mileage; (c) Security deposits not returned bythe les- sor: (d) Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability Insurance purchased with the loan or lease; and (a) Carry-over balances from previous loans or leases, M. BLANKET WAIVER OF SUBROGATION The following nap|onoo PoragraphA^.5.. Transfer Of Rights Of Recovery Against Others To Wm. of SECTION |V — BUSINESS AUTO CO0D|^ T|ON8: 5. Transfer Of Rights Of Recovery Against Others ToWn We waive any right ofrecovery we may have against any person or organization to the ex- tent required ofyou byawritten contract exe- cuted prior to any ''aon|danf' or "|oea", pro- vided that the "accident" or "loss" arises out of the operations contemplated by such con- tract. The waiver applies only to the person or organization designated insuch contract. CAT420K710 0 2010The Travelers Indemnity Company, All rights reserved, Page 3of3 Includes copyrighted maten |o/|nsmranc*ovnxcneoffioe. Inc. with Its permission. NAMED INSURED: C Below, Inc. POLICY NUMBER: BA-7D687122 COMMERCIAL AUTO POLICY PERIOD: 12/18/2016 - 12/18/2017 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET WAIVER OF SUBROGATION This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. Paragraph 5. Transfer of Rights of Recovery Against Others To Us of the CONDITIONS section is replaced with the following: 5. Transfer Of Rights Of Recovery Against Others To Us We waive any right of recovery we may have against any person or organization to the CA T3 40 08 08 extent required of you by a written contract executed prior to an "accident" or "loss", provided that the "accident" or "loss" arises out of the operations contemplated by such contract. The waiver applies only to the person or organization designated in such contract. Page 1 of 1 REVIEWED Y ..�� UNICE HER �iBA ��'�. OF ACC> /0- CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 12/11/2017 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 pollcy(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 Tina Cowie NAME: Cornerstone Specialty Insurance Services, Inc. PHONE (714)731-7700 FAX (714)731-7750 A/C No Ext : A/C, No : 14252 Culver Drive, A299 E-MAIL tina@cornerstonespecialty.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Irvine INSURED CA 92604 C BELOW, INC. IN$UI 14280 Euclid Avenue INSU INSU' Chino CA 91710 INSUi COVERAGES CERTIFICATE NUMBER! 17/18 CERTIFICATI Travelers Property Casualty Co Travelers Indemnity Co of Conn Continental Casualty Company REVISION NUMBFRt 20443 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS GE RTIFICATE:MAY:I315 ISSUED OR MAY=PERTAIN; THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, -. =1 EXCLUSIQR8 AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE, BEEN REDUCED BY PAID CLAIMS,INSR LTR TYPE OF INSURANCE N POLICY NUMBER - MM D Y M ID/Y LIMITS - - X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR 1X EACH OCOURRENCE 2,000'000 TO PR- 1 S Eao trrence) $ 100,0 MRR EXP (Any one person) $w600 ADDTL INSURED X BLNKT WVR OF SUBRO p,RSONAL&ADv INJURY $ 2,OD0,000 A Y Y 680-SH569891 12/18/2017 12/18/2018 GEN'LAGGREGATE LIMITAPPLIE$ PSf Ss POLICY LA PRO LOG_ dEN RAL'AQGREGAT - $ 4 000,QOO PRODUCTS �cOMP/OPAGp $ 4,000,000 Employee Benefits $ 2,000,000 0'THE: R; - , = - . AUTOMOBILE LIABILITY _ _ aac N n SING E 'I T - $ 1,000,000 . X BODILY INJURY (Par person) $ ANYAUTo B OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON OWNED AUTOS ONLY AUTOS ONLY Y Y BA-7D687122 12/18/2017 12/18/2018 BODILY INJURY (Per accident) $ P O E YDA A E $ X UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 10,000.000 AGGREGATE $ A EXCESS LIAB CLAI S M DE Y Y CUP•4181TO34 12/18/2017 12/18/2018 X DED I I RETENTION $ 0 $ - A WORKERS COMPENSATION_. AND EMPLOYERS' LIABILITY ANY CERIMEMB R/PARTNEERXECUTIVE YIN OFFICER/MEMBER EXCLUDED? t_-_J (Mandatory in NH) 1 If yes, describe under DESCRIPTION OF OPERATIONS below N/A Y XJUB-4181T277 12/18/2017 12/18/2018 X P A U E'L'EACHACCIDENT-�� $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 C Professional Liability Claims Made MCH288306745 12/18/2017 12/18/2018 Each Claim $2,000,000 Annual Aggregate $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) City of Santa Ana, its officers, employees, agents, volunteers and representatives are Additional Insured for General Liability but only if required by written contract with the Named insured prior to an occurrence and as per attached endorsement. Coverage is subject to all policy terms and conditions.'30 days notice of cancellation, except for 10 days notice for non-payment of premium. For Professional Liability, the aggregate limit is the total insurance for all covered claims reported within the policy period. REVIEWED BY: EUNICE HEREDIA (pG OF } City of Santa Ana 20 Civic Center Plaza M•30 P.O. Box 1988 Santa Ana -- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE CA 92702_d� ei4-t 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 680-5H559891 NAMED INSURED: C Below, Inc. COMMERCIAL GENERAL LIABILITY POLICY PERIOD: 12/18/2017 to 12/18/2018 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following is added to WHO IS AN INSURED (Section 11): Any person or organization that you agree in a "contract or agreement requiring insurance" to in- clude as an additional insured on this Coverage Part, but only with _respect to liability for "bodily in- jury", "property damage" or "personal injury" caused, in whole or in part, by your acts or omis- sions or -the acts or omissions of those acting on your behalf: a. In the performance of your ongoing opera- tions; = b.--ln-connection-with-premises-owned by or rented to you; or - c. In connection with "your work" and included within the "products -completed operations hazard". Such person or organization does not qualify as an additional insured for "bodily injury", 'property damage" or "personal injury" for which that per- son or organization has assumed liability in a con- tract or agreement. INSURANCE (Section III) for this Coverage Part. B. The following is added to 'Paragraph a. of 4. Other Insurance in COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): However, if you specifically agree in a "contract or agreement requiring insurance" that the insurance provided to an additional insured under this Cov- erage Part must apply on a primary basis, or a primary and non-contributory basis, this insurance is primary to other insurance that is available to such additional insured which covers such addi- tional insured as a named insured, and we will not share with the other insurance, provided that: (1) The "bodily injury" or "property damage" for which coverage is sought occurs; and (2) The "personal injury" for which coverage is sought arises out of an offense committed; The insurance provided to such additional insured is limited as follows: d. This insurance does not apply on any basis to any person or organization for which cover- C. age as an additional insured specifically is added by another endorsement to this Cover- age Part. e. This insurance does not apply to the render- ing of or failure to render any 'professional services". f. The limits of insurance afforded to the addi- tional insured shall be the limits which you agreed in that "contract or agreement requir- ing insurance" to provide for that additional insured, or the limits shown in the Declara- tions for this Coverage Part, whichever are less. This endorsement does not increase the limits of insurance stated in the LIMITS OF after you have entered into that "contract or agreement requiring insurance". But this insur- ance still is excess over valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the insured when the insured is an additional insured under any other insurance. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us in COMMERCIAL GENERAL LIABILITY CON- DITIONS (Section IV): We waive any rights of recovery we may have against any person or organization because of payments we make for "bodily injury", 'property damage" or 'personal injury" arising out of "your work" performed by you, or on your behalf, under a "contract or agreement requiring insurance" with that person or organization. We waive these rights only where you have agreed to do so as part of the "contract or agreement requiring insur- ance" with such person or organization entered into by you before, and in effect when, the "bodily Page 1 of 2 ©The Travelers Companies, Inc. CG D3 81 09 07 Includes the copyrighted material of Insurance Services Office, Inc. with its permission. REVIEWED BY: EUNICE HEREDIA (PGLOF ) COMMERCIAL GENERAL LIABILITY Injury" -or "property damage"occurs, or the "per. sonal Injury" offense is committed. D. The following definition Is added to DEFINITIONS (Section V), "Contract or agreement requiring insurance" means that part of any contract or agreement un- der which you are required to Include a person or organization as an additional Insured on this Cov- erage Part, provided that the "bodily Injury" and "property damage" occurs, and the "personal in. jury" is caused by an offense committed: a. After you have entered Into that contract or agreement, b. While that part of the contract or agreement is In effect; and c. Before the end of the policy period. Page 2 of 2 0 The Travelers Companies, Inc. CG D3 8109 07 Includes the copyrighted material of Insurance Services Office, Inc. with Its pe mission. REVIEWED BY: EUNICE HEREDIA (PG OF C BELOW, INC. BA-7D687122 12/18/2017 TO 12/18/2018 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AUTO COVERAGE PLUS ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi- fied by the endorsement. 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. BLANKET ADDITIONAL INSURED H. AUDIO, VISUAL AND DATA ELECTRONIC B. EMPLOYEE HIRED AUTO EQUIPMENT — INCREASED LIMIT C. EMPLOYEES AS INSURED D. SUPPLEMENTARY PAYMENTS — INCREASED LIMITS E. TRAILERS — INCREASED LOAD CAPACITY F. HIRED AUTO PHYSICAL DAMAGE G. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES — INCREASED LIMIT A. BLANKET ADDITIONAL INSURED The following is added to Paragraph A.1., Who Is An Insured, of SECTION II — LIABILITY COV- ERAGE: Any person or organization who is required under a written contract or agreement between you and that person or organization, that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to be named as an addi- tional insured is an "insured" for Liability Cover- age, but only for damages to which this insurance applies and only to the extent that person or or- ganization qualifies as an "insured" under the Who Is An Insured provision contained in Section II. B. EMPLOYEE HIRED AUTO 1. The following is added to Paragraph A.1., Who Is An Insured, of SECTION II — LI- ABILITY COVERAGE: I. WAIVER OF DEDUCTIBLE — GLASS J. PERSONAL EFFECTS K. AIRBAGS L. AUTO LOAN LEASE GAP M. BLANKET WAIVER OF SUBROGATION performing duties related to the conduct of your business. 2. The following replaces Paragraph b. in B.5., Other Insurance, of SECTION IV — BUSI- NESS AUTO CONDITIONS: b. For Hired Auto Physical Damage Cover- age, the following are deemed to be cov- ered "autos" you own: (1) Any covered "auto" you lease, hire, rent or borrow; and (2) Any covered "auto" hired or rented by your "employee" under a contract in that individual "employee's" name, with your permission, while perform- ing duties related to the conduct of your business. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". An "employee" of yours is an "insured" while C. EMPLOYEES AS INSURED operating a covered "auto" hired or rented The following is added to Paragraph A.1., Who Is under a contract or agreement in that "em- An Insured, of SECTION II — LIABILITY COV- ployee's" name, with your permission, while ERAGE: CA T4 20 07 10 © 2010 The Travelers Indemnity Company. All rights reserved. Page 1 of 3 Includes copyrighted material of Insurance Services Office, Inc. with its a ission. REVIEWED BY: EUNICE HEREDIA (PG OF ) COMMERCIAL AUTO Any "employee" of yours is an "insured" while us- ing a covered "auto" you don't own, hire or borrow in your business or your personal affairs. D. SUPPLEMENTARY PAYMENTS — INCREASED LIMITS 1. The following replaces Paragraph A.2.a.(2) of SECTION II — LIABILITY COVERAGE: (2) Up to $3,000 for cost of bail bonds (in- cluding bonds for related traffic law viola- tions) required because of an "accident" we cover. We do not have to furnish these bonds. 2. The following replaces Paragraph A.2.a.(4) of SECTION II — LIABILITY COVERAGE: (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day be- cause of time off from work. E. TRAILERS — INCREASED LOAD CAPACITY The following replaces Paragraph C.1. of SEC- TION I — COVERED AUTOS: 1. "Trailers with a load capacity of 3,000 pounds or- less designed primarily for travel on public roads. F. HIRED AUTO PHYSICAL DAMAGE The following is added to Paragraph AA., Cover- age Extensions, of SECTION III — PHYSICAL DAMAGE COVERAGE: Hired Auto Physical Damage Coverage If hired "autos" are covered "autos" for Liability Coverage but not covered "autos" for Physical Damage Coverage, and this policy also provides Physical Damage Coverage for an owned "auto", then the Physical Damage Coverage is extended to "autos" that you hire, rent or borrow subject to the following: (1) The most we will pay for "loss" in any one "accident" to a hired, rented or borrowed "auto" is the lesser of: (a) $50,000; (b) The actual cash value of the damaged or stolen property as of the time of the "loss"; or (c) The cost of repairing or replacing the damaged or stolen property with other property of like kind and quality. (2) An adjustment for depreciation and physical condition will be made in determining actual cash value in the event of a total "loss". (3) If a repair or replacement results in better than like kind or quality, we will not pay for the amount of betterment. (4) A deductible equal to the highest Physical Damage deductible applicable to any owned covered "auto". (5) This Coverage Extension does not apply to: (a) Any "auto" that is hired, rented or bor- rowed with a driver; or (b) Any "auto" that is hired, rented or bor- rowed from your "employee". G. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES — INCREASED LIMIT The following replaces the first sentence in Para- graph AA.a., Transportation Expenses, of SECTION III — PHYSICAL DAMAGE COVER- AGE: We will pay up to $50 per day to a maximum of $1,500 for temporary transportation expense in- curred by you because of the total theft of a cov- ered "auto" of the private passenger type. H. AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT — INCREASED LIMIT Paragraph C.2.. Limit Of Insurance, of SEC- TION III — PHYSICAL DAMAGE COVERAGE is deleted. I. WAIVER OF DEDUCTIBLE — GLASS The following is added to Paragraph D., Deducti- ble, of SECTION III — PHYSICAL DAMAGE COVERAGE: No deductible for a covered "auto" will apply to glass damage if the glass is repaired rather than replaced. J. PERSONAL EFFECTS The following is added to Paragraph AA., Cover- age Extensions, of SECTION III — PHYSICAL DAMAGE COVERAGE: Personal Effects Coverage We will pay up to $400 for "loss" to wearing ap- parel and other personal effects which are: (1) Owned by an "insured'; and (2) In or on your covered "auto". This coverage only applies in the event of a total theft of your covered "auto". No deductibles apply to Personal Effects cover- age. Page 2 of 3 © 2010 The Travelers Indemnity Company. All rights reserved. CA T4 20 07 10 Includes copyrighted material of Insurance Services Office, Inc. with its pe mission. REVIEWED BY: EUNICE HEREDIA (PG5 OF ) COMMERCIAL AUTO K. AIRBAGS (2) Any: The following is added to Paragraph B.3., Exclu- (a) Overdue lease or loan payments at the sions, of SECTION III — PHYSICAL DAMAGE time of the 'loss"; COVERAGE: (b) Financial penalties imposed under a Exclusion 3.a. does not apply to 'loss" to one or lease for excessive use, abnormal wear more airbags in a covered "auto" you own that in- and tear or high mileage; flate due to a cause other than a cause of 'loss" (c) Security deposits not returned by the les- set forth in Paragraphs A.1.b. and A.1.c., but sor; only: (d) Costs for extended warranties Credit Life a. If that "auto" is a covered "auto" for Compre- Insurance, Health, Accident or Disability hensive Coverage under this policy; Insurance purchased with the loan or b. The airbags are not covered under any war- lease; and ranty; and (e) Carry-over balances from previous loans c. The airbags were not intentionally inflated. or leases. We will pay up to a maximum of $1,000 for any M. BLANKET WAIVER OF SUBROGATION one "loss". The following replaces Paragraph A.5., Transfer L. AUTO LOAN LEASE GAP Of Rights Of Recovery Against Others To Us, The following is added to Paragraph AA., Cover- of SECTION IV — BUSINESS AUTO CONDI- age Extensions, of SECTION III — PHYSICAL TIONS: DAMAGE COVERAGE: 5. Transfer Of Rights Of Recovery Against Auto Loan Lease Gap Coverage for Private Others To Us Passenger Type -Vehicles- We waive any right of recovery we may have ,� _ �• In'fhe event of a total loss to a'covered auto' of against an person or organization to the ex- g y p g the private passenger type shown in the Schedule tent required of you by a written contract exe- or Declarations for which Physical Damage Cov- cuted prior to any "accident' or 'loss", pro- erage is provided, we will pay any unpaid amount vided that the "accident' or "loss" arises out of due on the lease or loan for such covered "auto" the operations contemplated by such con - less the following: tract. The waiver applies only to the person or organization designated in such contract. (1) The amount paid under the Physical Damage Coverage Section of the policy for that "auto'; and CA T4 20 07 10 © 2010 The Travelers indemnity Company. All rights reserved. Page 3 Of 3 Includes copyrighted material of Insurance Services Office, Inc. with >13-)rnission. REVIEWED BY: EUNICE HEREDIA (PG OF NAMED INSURED: C Below, Inc. POLICY NUMBER: BA-713687122 COMMERCIAL AUTO POLICY PERIOD: 12/18/2017 - 12118/2018 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET WAIVER OF SUBROGATION This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. Paragraph 5. Transfer of Rights of Recovery Against Others To Us of the CONDITIONS section is replaced with the following: Transfer Of Rights Of Recovery Against Others To Us We waive any right of recovery we may have against any person or organization to the extent required of you by a written contract executed prior to an "accident" or "loss", provided that the "accident' or "loss" arises out of the operations contemplated by such contract. The waiver applies only to the person or organization designated in such contract. CA T3 40 08 08 Page 1 of 1 REVIEWED BY: EUNICE HEREDIA (PG-7OF) POLICY NUMBER: CUP-4181T634 ISSUE DATE: 12/18/17 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER RIGHTS OF RECOVERY AGAINST OTHER This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY (UMBRELLA) INSURANCE SCHEDULE Name of Person or Organization: ANY PERSON OR ORGANIZATION WITH WHOM YOU HAVE AGREED TO IN A CONTRACT OR AGREEMENT TO WAIVE YOUR RIGHT OF RECOVERY, BUT ONLY FOR PAYMENTS WE MAKE BECAUSE OF "BODILIY INJURY" OR "PROPERTY DAMAGE" THAT OCCURS OR "PERSONAL INJURY" OR "ADVERTISING INJURY" CAUSE BY AN OFFENSE COMMITTED AFTER YOU HAVE EXECUTED THAT CONTRACT AGREEMENT. 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 injury or damage arising out of premises owned or occupied by or rented or loaned to you, or ongoing operations performed by you or on your behalf done under a contract with that person or organization. The waiver applies only to the person or organization shown in the Schedule above. UM 02 58 10 96 Copyright, The Travelers Indemnity Company, 1996 Page 1 of 1 REVIEWED BY: EUNICE HEREDIA (PG o ) INSURED: C BELOW, INC. TRAVELERS POLICY DATES: 12/18/2017 TO 12/18/2018 WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 99 03 76 (A) - 001 POLICY NUMBER: XJUB-4181T277 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. You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 3 % of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description ALL PERSONS OR ORGANIZATIONS THAT ARE PARTIES TO A CONTRACT THAT REQUIRES YOU TO OBTAIN THIS AGREEMENT, PROVIDED YOU EXECUTED THE CONTRACT BEFORE THE LOSS. REVIEWED BY: EUNICE HEREDIA (P OF ) ,ter I0 CERTIFICATE F LIABILITY INSURANCEDATE IMMIDDIYYYY) 1211612a19 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(les) crust have ADDITIONAL INSURED provisions or he 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 Sue Lusic NAME: Cornerstone Specialty Insurance Services, Inc. PgHa t Ext : (714) 731-7700 AIX (714) 731-7750 14252 Culver Drive, A299 E-MAILrxccc suecarnerstonespecoalty.com n na INSURER(S) AFFORDING COVERAGE. NAIL # Irvine CA 92604 INSURER A : Travelers Property Casualty Co 25674 INSURED INSURER B : Travelers Indemnity Cc of Conn 25682'. C BELOW, INC. INSURER C : Continental Casualty Company 20443 14280 Euclid Avenue INSURER D INSUREER E China CA 91710 INSURER F COVERAGES CERTIFICATE NUMBER: 19120 COVERAGES REVISION NUMBERf THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMELY ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITIiON OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN„ THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE , INSD ',�. WVD POLICY NUMBER POLICY EFF IMMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS X',,, COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE. ® OCCUR 5AMAGE75RENTED PREMISES lEa occurrence 1,000,000 X MED EXP (Any one perzon) $ 10,000' ADDTL INSRDIP 8r NC X 13LNKT WVR OF SUBRO PERSONAL &ADv INJURY q 2,000,000 A Y Y 680-5H559891 12M812019 12/18/2020 GEN'LAGGREGATE .LIMIITAPPLI!E.SPER: GENERALAGGREGATE $ 4,000,000 POLICY ® NECPRO- POLICY F7LOC PROIDUCTS- COMPICPAGG $ 4,000,000.. $ OTHER: AUTOMOBILE LIABILITY CBINEDSINGLELIMIT EOMa aooudumf y 1,000,000 BODILY INJURY (Per person) S ANY AUTO B OWNED SCHEDULED AU70S ONLY AUTOS Y Y BA-7D687122 12118/2019 12/18/2020 BODILY I NJURY C Per accident) $ PROPERTY DAMAGE Per aecudenl y HIRED NON -OWNED AU70S ONLY AUTOS ONLY S X UMBRELLA LIAB XOCCUR EACH OCCURRENCE E 10,000,000 A EXCESS LIAR GLAIM,9,-MADE Y Y CUP 4181T634 1218/2019 '12118/2020 AGGREGATE $ X DED ''.. I RETENTION $ 0 A WORKERS COMPENSATION AND EMPLOYERS" LIABILITY Y f NI1,Qaa,aa0 ANY PROPRIETORYPARTNE.PJEXECUrIVE OFFICERWEMBER EXCLUDED? (Mandatory in NH) N/A. Y XJIUB8J675252 1211812Q19 12/18/202Q X1 SPT.4TUTP ?TH- E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE 1,naa,aQa $ If yes., describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,aQa,aaa - $ C Professional Liability Claims Made MCH288306745 12118/2019 12/18/2020 Each Claim Annual Aggregate $2,000,000 $2,000.000 DESCRIPTION OF OPERATIONS J LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule„ may be attached if more space is required) City of Santa Ana, its officers, employees, agents, volunteers and representatives are Additional Insured for Generai Liability but only if required by written contract with the Named Insured prior to an occurrence and as per attached endorsement. Coverage is subject to all policy terms and conditions. *30 days notice of cancellation, except for 10 days notice for non-payment of premium. For Professional Liability, the aggregate limit is the total insurance for all covered claims reported Within the policy period. F-.VJEWED & APPROVED y RiS ANAC1IWMPNT iVISI0N City of Santa Ana 20 Civic Center Plazaftft Santa Ana CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIONDATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD ii, lill I COMMERCIAL GENERAL LIABILITY ]VIIIIII ZIA"" 0, This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following is added to WHO IS AN INSURED (Section III: Any person or organization that You agree in a "contract Or agreement requiring insurance" to in- clude as an additional insured on this Coverage Part, but only with respect to liability for "bodily in- jury", "property d,arnage" or "personal injury" caused, in whole or in part, by your acts or omis- sions or the acts or, omissions of those acting on your behalf: a. In the performance of your ongoing opera- tions-, b. In connection with premises owned by or rented to you; or c, In connection with "Your work" and included within: the "products -completed operations hazard". Such person or, organization does not qualify as an additional insured for "bodily injury", "property damage" or "personal injury" for which that per- son or organization has assumed liability in a con- tract or agreement, The insurance provided to such additional insured is limited as follows: d. This insurance does not apply on any basis to any person or organization for which cover- age as an additional insured specifically is added by another endorsement to this Cover- age Part, POLICY PERIODi: INSURANCE (Section 111) for this Coverage Part. B. The following is added to Paragraph a. of 4. Other Insurance in COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV), However, if you specifically agree in a "contract or agreement requiring insurance" that the insurance provided to an additional insured under this Cov- erage Part must apply on,a prifflary basis, or a primary and flon-contributory basis, this, insurance is primary to other insurance that is available to such additional insured which covers such addi- tional insured as a named insured, and we will not share with the other insurance, provided that: (1) The "bodily injury" or "properly damage" for which coverage is sought occurs; and (2) The "personal injury" for which coverage is sought arises out of an offense committed; after you have entered into that "contract or agreement requiring insurance". But this, insur- ance still its excess over valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the insured when the insured is an additional insured under any other insurance. C. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us in COMMERCIAL GENERAL LIABILITY CON- DITIONS (Section IV): e. This insurance does not apply to the render- We waive any rights of recovery we may have ing of or failure to render any "professional against any person or organization because of services". payments we make for "bodily injury", "property f. The limits of insurance afforded to the addi- damage" or "personal injury" arising out of "your tional insured shall be the limits which you work" performed by you, or, on Your behalf, under agreed in that "contract or agreement requir- a "contract or agreement requiring insurance" with ing insurance" to provide for that additional that person or organization. We waive these insured, or the limits shown in the Declara- rights only where you have agreed to do so as tions for this Coverage Part, whichever are part of the "contract or agreement requiring insur- less. This endorsement does not increase the ance" with such or organization entered limits of insurance stated in the LIMITS OF REV I EWEIMARRIINVIneffct when, the "bodily By Risk MANA(irMFNT Divisilorj Page 1 of 2 Cc) The Travelers Corr panie,19, inc, CG D3 81 09 07 Includes the copyrighted material of Insurance Services Office, Inc. with its permission. 141011711 iTA I a IRS] V-11 I KCJQ 2 1:4 NO a ITERNWA injury" or "property damage" occurs, or the "per- sonal injury" offense is committed. D. The following definition is added to DEFINITIONS (Section V): "Contract or agreement requiring insurance" means that pail of any contract or agreernent un- der which you are required to include a person or organization as an additional insured on this Cov- erage Part, provided that the "bodily injury" and property damage" occurs, and the "personal in. jury" is caused by an offense committed. a. After you have entered into that contract or agreement; b. While that pail of the contract or agreement is in effect-, and c. Before the end of the policy period. ) 6 gpROVED RE-,Vlf-wf U By R'tSk MAN i ,I UIVIsioN Page 2 of 2 @ The Travelers Companies, Inc. CC D3 81 09 07 Includes the copyrighted material of Insurance Services Office, Inc, with its permission. C BELOW, INC. EBA-7D687122 1.2/18/20.19 TO 12/18/2020 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the folIowing:, BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi- fied by the endorsement. 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. BLANKET ADDITIONAL INSURED B. EMPLOYEE HIRED AUTO C. EMPLOYEES AS INSURED D. SUPPLEMENTARY PAYMENTS — INCREASED LIM�ITS E. TRAILERS — INCREASED LOAD CAPACITY F. HIRED AUTO PHYSICAL DAMAGE G. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES — INCREASED LIMIT ME= The following is added to Paragraph A.1., Who Is An Insured, of SECTION 11 — LIABILITY COV- ERAGE; Any person or organization who is required under a written contract or agreement between you and that person or organization, that is signed and executed by you before the "bodily injury" or .,property damage" occurs and that is in effect during the policy period, to be named as an addi- tional insured is an "insured" for Liability Cover- age, but only for damages to which this insurance applies and only to the extent that person or or- ganization qualifies as an "insured" under the Who Is An Insured provision contained in Section IL The following is added to Paragraph A.1., Who Is An Insured, of SECTION 11 — LI- ABILITY COVERAGE: An "employee" of yours is an "insured" while operating a covered "auto" hired or rented under a contract or agreement in that "em- ployee's" name, with your permission, while H. AUDIO, VISUAL AND DATA ELECTRONILP EQUIPMENT — INCREASED LIMIT 1. WAIVER OF DEDUCTIBLE — GLASS J. PERSONAL EFFECTS K. AIRBAGS L. AUTO LOAN LEASE GAP 1i. BLANKET WAIVER OF SUBROGATION performing duties related to the conduct of your business. 2. The following replaces Paragraph b. in B.5., Other Insurance, of SECTION IV — BUSI- NESS AUTO CONDITIONS: b. For Hired Auto Physical Damage Cover- age, the following are deemed to be cov- ered "autos" you own: (1) Any covered "auto" you lease, hire, rent or borrow; and, (2) Any covered "auto" hired or rented by your "employee" under a contract in that individual "employee's" name, with your permission, while perform- ing duties related to the conduct of your business. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". The following is added to Paragraph A.1,, Who Is An insured, of SECTION 11 — LIABILITY COV- ERAGE: - -t - CA T4 20 07 10 @ 20,10 The Travelers Indemnity Company. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc. with its permlssion. Any "employee" of yours is an "insured" while us- ing a covered "auto" you don't own, hire or borrow in your business or your personal affairs. D. SUPPLEMENTARY PAYMENTS — INCREASED LIMITS 1. The following replaces Paragraph A.2.a.(2) of SECTION 11 — LIABILITY COVERAGE: (2) Up to $3,000 for cost of bail bonds (in- cluding bonds for related traffic law viola- tions) required because of an "accident" we cover. We do not have to furnish these bonds. 2. The following replaces Paragraph A.2.a.(4) of SECTION 11 — LIABILITY COVERAGE: (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day be- cause of time off from work. E. 'TRAILERS — INCREASED LOAD CAPACITY The following replaces Paragraph CA. of SEC- TION I — COVERED AUTOS: 1. "Trailers" with a load capacity of 3,000 pounds or less designed primarily for travel on public roads. F. HIRED AUTO PHYSICAL DAMAGE The following is added to Paragraph AA., Cover- age Extensions, of SECTION III — PHYSICAL DAMAGE COVERAGE: Hired Auto Physical Damage Coverage If hired "autos" are covered "autos" for Liability Coverage but not covered "autos" for Physical Damage Coverage, and this policy also provides Physical Damage Coverage for an owned "auto", then the Physical Damage Coverage is extended to "autos" that you hire, rent or borrow subject to the following: (1) The most we will pay for "loss" in any one "accident"' to a hired, rented or borrowed ..auto" is the lesser of: (a) $50,000; (b) The actual cash value of the damaged or stolen property as of the time of the "loss"; or (c) The cost of repairing or replacing the damaged or stolen property with other property of like kind and quality. (2) An adjustment for depreciation and physical ­d­ will he made in determining actual (3) If a repair or replacement results in better than like kind or quality, we will not pay for the amount of betterment. (4) A deductible equal to the highest Physical Damage deductible applicable to any owned covered "auto". (5) This Coverage Extension does not apply to: (a) Any "auto" that is hired, rented or bor- rowed with a driver; or (b) Any "auto" that is hired, rented or bor- rowed from your "employee". G. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES — INCREASED LIMIT The following replaces the first sentence in Para- graph A.4.a., Transportation Expenses, of SECTION III — PHYSICAL DAMAGE COVER- AGE: We will pay up to $50 per day to a maximum of $1,500 for temporary transportation expense in- curred by you because of the total theft of a cov- ered "auto" of the private passenger type. H. AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT — INCREASED LIMIT Paragraph C.2.. Limit Of Insurance, of SEC- TION, III — PHYSICAL DAMAGE COVERAGE is deleted. WAIVER OF DEDUCTIBLE — GLASS The following is added to Paragraph D., Deducti- ble, of SECTION III — PHYSICAL DAMAGE COVERAGE: No deductible for a covered "auto" will apply to glass damage if the glass is repaired rather than replaced. The following is added to Paragraph AA., Cover- age Extensions, of SECTION III — PHYSICAL DAMAGE COVERAGE, Personal Effects Coverage We will pay up to $400 for "loss" to wearing ap- parel and other personal effects which are: (1) Owned by an "insured"; and (2) In or on your covered "auto". This coverage only applies in the event of a total theft of your covered "auto". No deductibles apply to Personal Efmwover- age. VZE-VIEWED . . &A(%NAGCM1EN1 [y1\11SlO 4 UU11 B� 1­ ­ , I cash value in the event of a total "loss". . . .... Page 2 of 3 2010 The Travelers Indemnity Company. All rights reserved. _Vf4 20 07 10 Includes copyrighted material of Insurance Services Office, Inc. with its perm on. K. AIRBAGS Thee following is added to Paragraph B.3., Exclu- sions, of SECTION III — PHYSICAL DAMAGE COVERAGE: Exclusion 3.a. does not apply to "loss" to one or more airbags in a covered "auto" you own that in- flate due, to a cause other than a cause of "loss" set forth in Paragraphs A.l.b. and Al.c., but only: a. If that "auto" is a covered "auto" for Compre- hensive Coverage under this policy; b. The airbags are not covered under any war- ranty; and c. The airbags were not intentionally inflated. We will pay up to a maximum of $1,000 for any one "loss". L. AUTO LOAN LEASE GAP The following is added to Paragraph AA., Cover- age Extensions, of SECTION III — PHYSICAL DAMAGE COVERAGE: Auto Loan Lease Gap Coverage for Private Passenger Type Vehicles In the event of a total "loss" to a covered "auto"' of the private passenger type shown in the Schedule or Declarations for which Physical Damage Cov- erage is provided, we will pay any unpaid amount due on the lease or loan for such covered "auto" less the following: (1) The amount paid under the Physical Damage Coverage Section of the policy for that "'auto"; and W*Mmffl` += (2) Any: (a) Overdue lease or loan payments at the time of the "loss"; (b) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; (c) Security deposits not returned by the les- sor; (d) Costs for extended warranties, CreiJ4 Life Insurance, Health, Accident or Disability Insurance purchased with the loan or lease; and (e) Carry-over balances from previous loans or leases. M. BLANKET WAIVER OF SUBROGATION The following replaces Paragraph X5., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV — BUSINESS AUTO CONDI- TIONS: 5. Transfer Of Rights Of' Recovery Against Others To Us We waive any right of recovery we may have against any person or organization to the ex- tent required of you by a written contract exe- cuted prior to any "accident" or "loss", pro- vided that the "accident" or 'loss" arises out of the operations contemplated by such con- tract. The waiver applies only to the person or organization designated in such contract, & Njo?RROV - 'Tt ul'ASION CA T4 20 07 10 (D 2010 The Travelers indemnity Company. All rights reserved. Page 3 of 3 Includes copyrighted material of Insurance Services Office, Inc. with its permission. Aim This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. Paragraph 5. Transfer of Rights of Recovery Against Others To Us of the CONDITIONS section is replaced with the following: Transfer Of Rights Of Recovery Against Others To Us We waive any right of recovery we may have against any person or organization to the COMMERCIAL AUTO POLICY PERIOD: 12/1812019 - 12118/2020 extent required of you by a written contract executed prior to an "accident" or "loss", provided that the "accident" or "loss" arises out of the operations contemplated by such contract. The waiver applies only to the person or organization designated in such contract. 4PAC �,4jVYVD & gvVy%V15 . to% B v os, CA T3 40 08 08 Page 1 of 1 POLICY NUMBER: CUP-4181T634 ISSUE DATE- 12/18/1.1- THIS ENDORSEMENT CHANGESTHE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER RIGHTS OF RECOVERY AGAINST OTHER This endorsement modifies insurance provided under the foflowing.- ANY PERSON OR ORGANIZATION WITH WHOM YOU HAVE AGREED TO IN A CONTRACTOR AGREEMENTTO WAIVE YOUR RIGHT OF RECOVERY, BUT ONLY FOR PAYMENTS WE MAKE BECAUSE OF *'BODILIY INJURY" OR "PROPERTY DAMAGE" THAT OCCURS OR "PERSONAL INJURY" OR "ADVERTISING INJURY" CAUSE BY AN OFFENSE COMMITTED AFTER YOU HAVE EXECUTED THAT CONTRACT AGREEMENT. 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 injury or damage arising out of premises owned or occupied by or rented or loaned to you, or ongoing operations performed by you or on your behalf done under a contract with that person or organization. The waiver applies only to the person or organization shown in the Schedule above. UM 02 68 10 96 Copyright, The Travelers Indemnity Company, 1996 Page 1 of 1 110110111110—:11 POLICY DATES: 12/18/2019 TO 12/18/20O WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICI 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. You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 3 % of the California workers' compensation premium otherwise due on such remuneration, W3EM3MZNrME= ZrAJ :J I I a' 0102KO]r I E-91 I nE USTM77777= THE LOSS. & Nppj�OVED NAC �mFmy D`ivisiOm By Risl(MA I- BA-7D687122 11f / 1Z Irm This endorsement modifies insurance provided under the following: _111"Taylpf 1 The following is added to Paragraph A.I.C., Who Is An Insured, of SECTION H — COVERED AUTOS LIABILITY COVERAGE� Any person or organization who is required under a written contract or agreement between you and that person or organization, that is signed and: executed by you before the "bodily injury" or ..property damage" occurs and that is in effect during the policy period, to be named as an addi- tional insured is an "insured" for Covered Autos Liability Coverage, but only for damages to which this insurance applies and only to the extent that person or organization qualifies as an "'insured" Linder the Who Is An Insured provision contained in SECTION 11, WMA Ilkyl ho IMITIM WHIA Mal I HAM-1111114 2. The following: is added to Paragraph B.5., Other Insurance of SECTION IV — BUSINESS AUTO CONDITIONS: Regardless of the provisions of paragraph a. and paragraph d. of this part S. Other Insurance, this insurance is primary to and non-contributory with applicable other insurance under which an addi- tional insured person or organization is the first named insured when the written contract or agreement between you and that person or or- ganization, that is signed and executed by you before the "bodily injury" or "property damage" Occurs and that is in effect during the policy pe- riod, requires this insurance to be primary and non-contributory. R`EVIF - PROVED WED & /\ t3y Risk MfkNrqF_MEr4rD1v isION CA T4 74 02 15 CD 2015 The Travelers indemnity Company. All rights reserved. Page 1 of 1 includes copyrighted material of insurance Services office, Inc. with its permission. 003334