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HomeMy WebLinkAboutALLIANCE ENVIRONMENTAL GROUP, INC. (4)City of Santa t i f Clerk of the Council '�— COTC Office Use AGREEMENT TERMINATION FORM Please complete this form in its entirety when the attached agreement 9t 9511, _6 FM tL 21 amendments (if any) are no longer in effect. Note: If your agreement is grant related, please ensure that all grant retention requirements CITY OF 5,y;t TA ANA� OF COUNCIL have been satisfied prior to signing the termination form. CL t F t ` Is the agreement(s) a permanent record? Yes No I Return form to the Clerk of the Council Office (M-30). Call 647-1520 if you have any questions. The agreement with A\r'uQncp_ err QI. Znr No. N-2017-213-03 was completed on i$ and final payment has been made. (List all amendments. Use space below if needed.) Department: PRMA Phone/Ext.: Li7-1 q Signature: U7�1 fjL7/i1�i( Date: Revised: 10-18-16 O. PRCS { 1? Silvia Cuevas Al" Il i 990 West Tenth Street, Azusa, Lie. # 716538 - D.O.S.H. # 630 Ph: 626-633-3500 Fx: 626.633.3699 Project; City of Santa Ana-626 South Cypress - Change Customer ED Billing Party Order N-2017-213-03 Work Authorization www, all ie noe-enviro.com info@alliance-enviro.com "Prooeriv" Address: 625 South Cvoress Avenue City of Santa Ana Citv: Santa Ana State: CA Zip:92701-5831 Address: 20 Civic Center Plaza Contact: Ron Ono City: Santa Ana State: CA Zip:92701.4058 Work No.: (714) 647-5400 Contact: Ron Ono Mobile No,: Home No.: Phone No.: 714-647-5400 Claim Number: Fax No.: Scheduled Start Date: 211/2018 Scheduled Completion Date: 5/3112018 Total Bid Amount $6 621 08 Deposit Required $0 00 Balance Due on Completion $6,621 08 P„ :53!'=�1CS?-K'.I i'.i,1€I!lNtjtkn..'n(3sP}41 i'il, lVlAt�tlAls.t4ibert�s. Estimate is for the,removal of all interior trash from building located at e25S. Cypress 1. Notify required local regulatory agency prior to job start if applicable. 2. Isolate work areas. 3. Set up the shower decontamination system adjacent to work area(s). 4. Building is approx. 5,000 stf and has had issues with homeless living in the building. There are many items to be considered trash, items will be removed from the building and placed in the dumpster provided by the city of Santa Ana. It is estimated that only one dumpster will be needed if an additional dumpster is needed it will need to be provided by the city. 5. There are two bathrooms the bathroom toward the back has human waste to be removed and properly disposed of. Once human waste has been disposed of the odor will be addressed. Time will determine the method used to help remediate, the odor. There is no guarantee of full odor removal as it is subjective. 6. Carpet found in the building will be removed and disposed of. 7. Building will be left in broom swept condition, if time permits crew will begin to clean the floor to a presentable condition. 8. Make shift shelving in the back building (garage) will be removed only with time permitting and space available in the dumpster, All other contents will be removed from said area. 9. NOTE: The parties agree that this scope of work was originally submitted as a Change Order to Agreement #, N-Z017:213. The parties agreed to the terms of the Change Order on December 5, 2017. The parties agree that work did not commence on the December 5, 2017 Change Order and the terms of this Agreement supersede the December 5, 2017, Change Order. 10. NOTE: Total amount for services shall not exceed $5,521.08. 11. NOTE; Price shown reflects prevailing wage. C-18-151956.1 Page 1 of 6 - Please initial.. N-2017-213-03 Notes: 1. UNLESS OTHERWISE NOTED IN THIS CONTRACT, Homeowner or tenant is ultimately responsible to ensure that all personal items are removed from the work area prior to the arrival of Alliance. In the event that a third party company is contracted to remove the contents from that area, and not all necessary items are removed prior to Alliance's arrival, a cancellation fee or content manipulation charge to the homeowner or tenant may apply as outlined in the following paragraph. In order to prevent these charges, homeowner is responsible to ensure all necessary content manipulation has been completed or to notify Alliance of any changes prior to Alliance's arrival. In the event that the work area is not ready for abatement, the homeowner or tenant will be responsible for payment of either $70.00 per man per hour to manipulate contents (contents exclusions in subsection 3, titled exclusions, apply) or a $250 cancellation fee. In the event of a cancellation, the job will be rescheduled for the soonest opening once the work areas are prepared for abatement. Customer Initial: IQ Payment notice: t. In the event that the homeowner is paying Alliance directly, payment is due and payable immediately upon completion of the job. 2. In the event that an insurance company issues a check to the owner for payment for services performed by Alliance, the homeowner is responsible to Issue payment to Alliance for full contract amount. a. In the event that an Insurance company denies all or part of the claim, the homeowner is ultimately responsible for payment for the full contract amount. Customer Initial. ! lit f) " DEPOSIT may not exceed $1,000 or 10 percent of Contract Amount, whichever is less. Customer shall pay Alliance the Deposit prior to Alliance scheduling work. In the event of failure to pay any of the amount due in this invoice, all collection costs and/or attorney fees in the collection of any such amount will be paid by the Customer. Interest at the rate of 1.5% per month, or the maximum rate allowed by law whichever is less, will be charged on accounts past due more than 30 days. In the eventof failure to pay any of the amount due, all collection costs and/or attorney fees in the collection of any such amount will be paid by the Customer. In the event that an insurance company issues a check to the owner for payment for services performed by Alliance, please endorse the check and forward it to Alliance upon the completion of the job. Some of the services performed by Alliance require the use of EPA approved chemicals. It is the Customer's responsibility to notify Alliance of any potential health concerns or known sensitivity to chemicals. I have read and understand that if I have concerns I am to noti rpobert McKeever. Signed in Counterpart (Signature) Any and all hazardous waste fees are to be paid by the Customer acknowledges and authorizes Alliance to sign the generator, not Alliance Environmental Group, Inc. This is Hazardous Waste Manifest "on behalf of the generator. including but not limited to ALL generator fees from the jJ State Board of Equalization and Department of Toxic Customer Initial: SubIltance Control The State Board of Equalization will assess a fee for each generator that produces five tons or more of hazardous waste. This assessed fee is not Included in this contract amount. Please be aware that if you generate more than five tons of hazardous waste, the BOE will bill you the required fee. Current fees are as follows: Generator Size: Fee: Generator Size: Fee: Less than 5 tons/year $0.00 25 but less than 50 tons/year $1,594.00 5 but less than 25 tons/vear $199.00 50 but less than 250 tons/year $3,986.00 Contact your AEG Project ManagerlEstimator (Robert McKeever) for assistance in approximating your Generator Fee. Notice: Recent lead laws require that any pre 1978 structure where lead paint will be disturbed must have the paint tested or it will be presumed positive. Alliance Environmental Group, Inc. strongly recommends that these painted surfaces be tested for lead content prior to performing work. If Alliance Environmental Group, Inc. has not been provided lead testing results, it will be assumed that all surfaces contain lead. Alliance Environmental Group, Inc. will profile and characterize these materials for the proper handling and disposal. Pending results of the lead profile characterization, additional disposal cost may be charged at a price to be determined by Alliance Environmental Group, Inc. C-18.151956-1 Page 2 of 6 Please Initial;. lr� :� CONTRACT Alliance Environmental Group, Inc. (hereinafter referred to as "Alliance"), and the undersigned homeowner or tenant (hereinafter referred to as "Customer") agree as follows: The previous page and above portion of this page are incorporated herein as part of the Contract between the parties. 1. SCOPE OF WORK: In consideration of the payment specified above, Alliance is hereby authorized to furnish all labor, materials, and equipment necessary to perform removal and disposal of asbestos, lead, mold, and/or other materials and/or to perform hazardous remediation of hazardous materials, all as specified in the above agreed Scope of Work, in material compliance with applicable laws and regulations. Alliance agrees to use reasonable best efforts to complete the Scope of Work. However, Customer acknowledges and agrees that this Agreement is for Alliance's effort and not for any particular results. ALLIANCE MAKES NO REPRESENTATION OR WARRANTY THAT THE WORK DESCRIBED IN THE SCOPE OF WORK WILL RESULT IN THE ELIMINATION OF ASBESTOS, LEAD, MOLD, AND/OR OTHER HAZARDOUS MATERIALS CONTAMINATION ("HAZARDS CONTAMINATION") FROM THE AREAS DESCRIBED IN THE SCOPE OF WORK OR THAT SUCH HAZARDS CONTAMINATION WILL NOT REAPPEAR IN SUCH AREAS OR OTHER AREAS OF THE PROPERTY. ALLIANCE MAKES NO REPRESENTATION OR WARRANTY REGARDING HAZARDS CONTAMINATION IN AREAS, INCLUDING ADJOINING AREAS, NOT SPECIFIED IN THE SCOPE OF WORK, NOR THAT SUCH HAZARDS CONTAMINATION WILL NOT MIGRATE TO AREAS DESCRIBED IN THE SCOPE OF WORK FOLLOWING COMPLETION OF OR DURING THE SCOPE OF WORK. Without limiting the foregoing, Customer specifically waives and releases Alliance from any claim for damages on account of work recommended by Alliance but not accepted by Customer or Insurer, and for any consequential, incidental or punitive damages, or for loss of use, property or profits of whatever kind arising out of or in connection with performance of Scope of Work. 2. START DATE AND COMPLETION DATE: California Law requires that Contractor start this project within (20) days of execution of this Contract subject to Alliance's ability to obtain permits and Customer's ability to obtain financing if Customer is buying the property in question, subject to delay caused by any processing and obtaining permits may required which may extend Start Date and correspondingly delay the Completion Date, 3. EXCLUSIONS: Any work that is not specifically Included in Scope of Work shall not be any part of this Contract. Removal of inaccessible asbestos, mold, or lead -containing materials is not covered in the Contract amount and additional charges will apply if materials must be removed to uncover same. Doors, lights, ceiling fans, curtains and other items may need to be removed by Alliance to perform work and Alliance does NOT rebuild or reinstall these items.Plumbing supply lines may be faulty and may need to be replaced. This cost is not covered in the Contract Amount. Contents and appliances need to be removed from work area prior to abatement. Additional costs will be applied if contents need to be removed, unless otherwise stated in the Scope of Work. Unless otherwise stated in the Scope of Work, the cost of third party clearance testing is not part of the Contract Amount. 4. DAMAGE: Incidental damage to doors, door casings, windows, window sills, baseboards, walls, wallpaper, wood, paneling, painted surfaces, and to contents or Customer personal Items left in work area may occur as a result of work performed, including but not limited to taping plastic barriers to walls and other surfaces. Every reasonable attempt will be made to minimize such occurrences. Alliance shall not pay/reimburse for, nor does it do any, repairs, repainting, rebuilding or replacement of such "incidental damages, and such is not included in the Scope of Work. Due to odors caused by chemicals used for mastic removal, the work areas will be razor scraped to remove the majority of mastic but residual mastic may be left after scraping and will be sealed with an E.P.A. approved encapsulant. S. SITE ACCESS: Customer agrees to ensure that prior to any work undertaken by Alliance, the site of the work, the area from which the work is controlled, and any storage area used by Alliance in connection with the work (collectively referred to hereinafter as the "Site"). shall be vacated and remain closed to all persons (other than ALLIANCE employees) for the duration of the project. In the event that any individual other than ALLIANCE employees enters the Site, Customer agrees that ALLIANCE shall not be held liable for any claims, including, without limitation, any claims relative to asbestos, lead, mold and/or hazardous remediation exposure arising there from. 6. DIFFERING SITE CONDITIONS: If ALLIANCE encounters subsurface, latent, unusual or unknown physical conditions in the work area differing materially from those indicated in its initial inspection or the Scope of Work, ALLIANCE will promptly notify Customer or Insurer. If such conditions cause an increase in the cost of, or the time required for, performance of the Scope of Work, appropriate equitable adjustments in Scope of Work, price and completion date shall be made. 7. EXTRA WORK AND CHANGE ORDERS: Customer and Alliance, or Insurer (defined below) and Alliance, may change the Scope of Work at any time and from time to time, including changes in scope, methods, scheduling or performance requirement, but no such change shall be effective unless and until an agreed written Change Order is made and executed, including appropriate adjustments to the overall price and completion date of the Scope of Work. Subject to the following, if Alliance undertakes additional or different work notwithstanding the absence of a Change Order, it will not operate as a waiver of this provision, and Alliance will nevertheless be entitled to appropriate equitable adjustments to the price and completion date terms of the Scope of Work. All phone quotes are subject to field verification. Extra work and Change Orders become part of the Contract once the order is prepared in writing and signed by the parties. The Change Order must describe the scope of the extra or change, the cost to be added or subtracted from the contract, and the effect the order will have on the schedule of progress payments, if any. Change Orders required by the building department at the jobsite shall be considered incorporated into the contract without being signed by both parties. 8. ELIMINATION OF CONDITIONS: Customer acknowledges that it, and not Alliance, is responsible for the elimination of any and all conditions from the Property that may cause or contribute to re -contamination by Mold or other Irritants, including but not limited to standing water, faulty plumbing, leaks, dampness from condensation, damaged wood, roof leaks, direct wood to soil contact, Improperly protected exterior wood surfaces, landscaping above foundation grade line, and improperly installed irrigation. �7 C-18-151956-1 Page 3 of 6 Pieria Initial. 9. UTILITIES; STORAGE: Customer agrees to provide to Alliance, free of charge, reasonable use of electrical power, light, water, and storage space necessary for the proper undertaking and completion of the Services at the Property. 10. FORCE MAJEURE: Alliance shall not be deemed to default nor be liable for damages for any failure or delay in performance of its work which arise out of causes beyond its reasonable control. Such causes may include, without limitation, acts of God, acts of terrorists or terrorist organizations, the public enemy, acts of government in either its sovereign or contractual capacity, fires, floods, earthquakes, epidemics, quarantine restrictions, strikes, freight embargoes, material shortages, or unusual severe weather. In the event work by Alliance is delayed by such causes, the completion date will be extended accordingly. 11. MECHANICS LIEN WARNING: Anyone who helps improve your property, but who is not paid, may record what is called a mechanics' lien on your property. A mechanics' lien is a claim, like a mortgage or home equity loan, made against your property and recorded with the county recorder. Even if you pay your contractor in full, unpaid subcontractors, suppliers, and laborers who helped to improve your property may record mechanics' liens and sue you In court to foreclose the lien. If a court finds the lien is valid, you could be forced to pay twice or have a court officer sell your home to pay the lien. Liens can also affect your credit. To preserve their right to record a lien, each subcontractor and material supplier must provide you with a document called a "20-day Preliminary Notice." This notice is not a lien. The purpose of the notice is to let you know what the person who sends you the notice has the right to record a lien on your property if he or she is not paid. BE CAREFUL. The Preliminary Notice can be sent up to 20 days after the subcontractor starts work or the supplier provides material. This can be a big problem if you pay your contractor before you have received the Preliminary Notices. You will not get Preliminary Notices from your prime contractor or from laborers who work on your project. The law assumes that you already know they are improving your property. PROTECT YOURSELF FROM LIENS. You can protect yourself from liens by getting a list from your contractor of all the subcontractors and material suppliers that work on your project. Find out from your contractor when these subcontractors started work and when these suppliers delivered goods or materials. Then wait 20 days, paying attention to the Preliminary Notices you receive. PAY WITH JOINT CHECKS. One way to protect yourself is to pay with a joint check. When your contractor tells you it is time to pay for the work of a subcontractor or supplier who has provided you with a Preliminary Notice, write a joint check payable to both the contractor and the subcontractor or material supplier, For other ways to prevent liens, visit CSLB's website at www.csib.ca.gov <hftr)://www.cslb,ca.00v> or call CSLB at 1-800-321-CSLB (2752). Remember, If you do nothing, you risk having a lien placed on your home. This can mean that you may have to pay twice, or face the forced sale of your home to pay what you owe. 12. COMMERCIAL GENERAL LIABILITY INSURANCE (CGL): Alliance carries CGL Insurance written by Starr Surplus Lines Insurance Company. You may call the insurance company at (646) 227-6300 to check Alliance's coverage. 13. WORKERS' COMPENSATION INSURANCE: Alliance carries workers' compensation insurance for employees. 14. INFORMATION ABOUT CONTRACTORS STATE LICENSE BOARD (CSLB): See Attached Notice . 15. INSURANCE TRANSACTION AND INSURANCE AUTHORIZATION TO RELEASE FUNDS: When Contract for Scope of Work is between Alliance and Customer's Insurance company ("Insurer"), Customer shall nevertheless be jointly and severally liable with Insurer to pay Alliance all amounts due to Alliance. Customers signature on this Contract grants Alliance the Customer's power of attorney to sign/endorse Insurer checks and/or drafts payable to the Customer, including as result of Customer's claim to Insurer for property damages, concerning or intended to be in payment for Alliance's work. Customer agrees checks from Insurer will be sent directly to Alliance. NOTICE OF INFORMATION ABOUT CONTRACTORS STATE LICENSE BOARD CSLB is the state consumer protection agency that licenses and regulates construction contractors. You may contact CSLB for information about the licensed contractor you are considering, including information about disclosable complaints, disciplinary actions and civil judgments that are reported to CSLB. Use only licensed contractors. If you file a complaint against a licensed contractor within the legal deadline (usually four years), CSLB has authority to investigate the complaint. If you use an unlicensed contractor, CSLB may not be able to help you resolve your complaint. Your only remedy maybe in civil court, and you maybe liable for damages arising out of any injuries to the unlicensed contractor or the unlicensed contractor's employees. For more information: VISIT: CSLB's website at www.cs[b.ca.gov. CALL: CSLB at 1-800-3321-CSLB (2752). WRITE: CSLB at P.O. Box 26000, Sacramento, CA 95826. C-18-161956-1 Page 4 of 6 Please€nrtial: N-2017-213-03 * YOU, THE CUSTOMER, ARE ENTITLED TO A COMPLETELY FILLED IN COPY OF THIS CONTRACT, SIGNED BY BOTH YOU AND ALLIANCE, BEFORE ANY WORK MAY BE STARTED. * YOU, THE CUSTOMER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR EXPLANATION OF THIS RIGHT. Customer signature below is acknowledgement that Customer has received THREE-DAY RIGHT TO CANCEL Form. THIS CONTRACT WILL NOT BECOME BINDING ON THE PARTIES UNTIL ACCEPTED BY AN AUTHORIZED REPRESENTATIVE OF ALLIANCE, ATALLIANCE'S OFFICES. CUSTOMER: Print Approved as to Form: J10fin M. Funk Assistant City Attorney Recommended far Apval ®'.prp Gerardo Mouet Executive Director, Parks, Recreation and Comhunity Services Agency Corporate OPoce C-18-151056.1 990 W. Tenth Street, Azusa, CA 91702 Page 5 of 6 ALLIANCE ENVIRONMENTAL GROUP, INC.: o�e'n • l���H�� l' �� . ^gyp. • . ��!tl:r Ph. 626-633-3500 Fax; 626-633-3599 Please Initlali 1. /e. N-2017-213-03 CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONPF.RB NO RIGHT$ UPON THE CERTIFICATE HOLDER, THIS CERTIPICATE DOER 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 0011HIC to holder 18 an ADDITIONAL INSURED, the policy(les} moat have ADDITIONAL INSUREQ proVlai'ans or ha endorsed. If SUEROGATtON IS WAIVED, sdblect to the terms and conditions of the policy, Certain Policies may require an andorsamont, A etatomont on this certificate does not confer riahts to the certificate holder In III of such andorsement/sf. 14-2017-213.02 NOVARD Alliance Environmental Group, Inc. 990 West Tenth Street Azusa CA 91702 N-2017-213 C PRTIFIr]ATF NIIMPFP, Raannaon THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE WSTEO aELON HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PER100 INDICATED, NOTWITHSTANDING ANY RKUIREMSNT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WnN RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED DY 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. 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ANYARUPgqIEipRIPARTh6fla?RFCVrIVG E EACHAGOID(.NT CFFIC@flINAHBEPE%CLUOED4 ,NIA 'CL NHl g ST,000ACQ 1Mgndbltlryin pISLAS66A aN LOY —' as°AfP-RAno, 9 $1 QQQ QQQ Zrdnlganlhs e Edm ; E,L. RISEAEF.;POCGY LIMIT ' 3 $1'�CQ C00 MRSoMPRON OF OPERATIONS I LDCAVONS I VEHICLES V,401)161, AEdlBnnal RemelNe ad,Idale, mar Ue etlaepgl It le.,WAle,eR01red1?0 �„ The City of Sonia Ana, its officers, employees, agents and represontatNee are named as additlonaf IneUI and prinna ymon-contrl5ut Clause apPll is to the general IlaWlity -ace attached endorsement. policy The above pollclat contain a 30-day notice provision for non -renewal and cancellallon. W,day notice for nornpaymant orin liY^� P�G�n Cif of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES Ba CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Canter Plaza, M Alin; PRCACCORDANCE WITH THE POLICY PROVISIONS. -23 Santa Ana CA 92701 AU'' I2ER REPR65ENTATIVE AAInFeni !'�Mrlc,lon T ACQKQ 25 12010103) The ACORD name and 10%0 era registered marks of ACORU 189B0933 I A111Gnea 1 1e49 Rr- Welt. 0GCV4P4 I Bh... V W'.Pi; 110/16/lul'I RM 0., 1 P.O. L PC i POLICY NUMBER; 1000065722171 COMMERCIAL, GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY, ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS SCHEDULE PERSON OR ORGANIZATION This endorsement modifies insuranoe provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additional Insured Paraon(s) Or Organization(s)I Locatlon(s) Of Covered Operations Andre nresentalvae ' O 0 Center Plaza, M-23 All operations NO Ana CA 927e1 Information required to com late this Schedule, If not shown aAovs, wlll be shown In the Declarations. A. Section II —Who Is An Insured is amended a, to include as an additional Insured the person(s) or organlzatlon(a) shown in the Schedule, but only with respect to liability for "bodily Injury", "property damage", or "personal And advertising Injury" caused, in whole or h, part, by: 1. Your acts or omissions; or 2. The acKs or omissions of those acting on your behalf, in the performance of your ongoing operations for the additional insured(s) at the locatlon(s; designated above. With respect to the insurance afforded to these additional Insureds, the following additional exclusions apply: This Insurance does not apply to "bodily Injury" or "proparry damage" occurring after: 1, All work, including materiata, parts or equipment furnished In conneotlon with soon work, on the prola;t (other than 5en9es, maintenance or repairs) to ho performed by or on behalf of the additional Insursd(a) at the location of the covered Operations has been completed; or 2. That portion of 'your work' out oF01ch the Injury or damage arisas has been put to its intended tree by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. �g\�G��d� /a v �a�°d�;��' CG 20 10 07 04 0 180 Properties, ino„ 2004 J3180332 I atltane" 1 17 "TIC, 17-10 tl4 L-W-CPL4L I aharey mm I tah¢nan 9136n, nn :cCn I e"en ¢ a, , Page 1 of 1 POLICY NO- 1000065722171 COMMERCIAL GENERAL LIABILITY CC 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY, ADDITIONAL. INSURED - OWNERS, LESSEES OR CONTRACTORS- COMPLETED OPERATIONS This endorsement mod1fles Insurance provided under the Pollewirg: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additional Insured Porson(s) Or Organlzatlon(s)t Loc ttlon(s) Of Covered Operations The City of Sa to Ana, Its oricors, emptoyees, aganis 20CIvd Ceraflr PI a,M-23 Santa Ana CA 9271v1 All opsratlons above will be shown in the Declarations. _ InPorrnatlon reaulroSl l0 eamnleta tnls Schedule If not shown Section II — Who Is An Insured Is amended to Include as an eddlClonai Insured the parson(s) or organization(s) shown In the Schedule, but only with respect to Ifability for `bodily injury", "properly damage" caused, in W11016 or In part, by "your work" at the location designated and uescribed In the schedule of this endorsement psrformed Far that addltionel insured and Included In the "products -completed operations hazard:' CG 20 37 07 04 © ISO Properties, Inc., 2004 lei Rava I auteneo I rr•m ,m, v.ie m. nnnm.eva. nu I Hnaeey Y0..I I m/,a/ao Iv .;> III e ., io") I raga r ae I easy'. Page 9 of i ACORb° CERTIFICATE OF LIABILITY INSURANCE 1/29/2019 DATE(MWDD/Y1'YY) 1 6/8/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER LOCKTON COMPANIES 3657 BRIARPARK DRIVE, SUITE 700 Houston TX 77042 CONTAC NAME: AIC No, Ext: A C No E4AIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC INSURER A: Starr SmpluS Lines Insurance Company 13604 INSURED Alliance Environmental Group, LLC 1444909 990 West Tenth Street Azusa CA91702 INSURERS: Starr Indemnity & Liability Company 38318 INSURERC: INSURER D NSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 15189534 REVISION NUMBER: XCCCXXX THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR NVD POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP (MMIDDfYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 1000065722181 6/10/2019 6/10/2019 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE Fx] OCCUR DAMAGE PREMISES TO RENTED Ea occurrence SOOOO MED EXP (Any oneperson) 50,000 PERSONAL BADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2 OOO OOO POUCYF JE� LOC PRODUCTS - COMP/OP AGO $ 2,000,000 $ OTHER' B AUTOMOBILE LIABILITY Y Y SISIPCA08264418 6/10/2018 6/10/2019 EO BINEDaccidentSINGLE LIMIT $ 1,000,000 X BODILY INJURY (Per person) $ X%XXXXX ANY AUTO AUTOS ONLY SCHEDULED X BODILY INJURY (Per accident $ XX'<Y,= X PeOa olEentDAMAGE $ XXXXXXX AUTOS ONLY X NON-OWNED UO OS ONLDV X Medical Pa $ 5,000 camp & Coll UMBRELLA LIAB OCCUR EACH OCCURRENCE $ XXXX3LXX EXCESS LIAR CLAIMS -MADE NOT APPLICABLE AGGREGATE $ XXXXXXX DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N ANY OFFICERIME BER EXCLUDED PROPRIETORIPARTNEFI�ECIJTIVE � (Mandator, M NH) NIA Y 1000002615 1/29/2018 1/29/2019 PER OTH- X STATUTE ER E L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE 1000000 OE9d ..murder CRIPTION OF OPERATIONS below EL DISEASE -POLICY LIMIT 1000000 A Commctors Pollution Y Y 1000065722181 6/10/2018 6/10/2019 Per Occurrence:$1,000,000 Aggregate: $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Additional Insured in favor of The City of Santa Ana, its officers, employees, agents and representatives on the General Liability policy where and to the extent req�' by written contract. The Insurance afforded to the Additional Insured as described m this Certificate of Insurance for work performed by the Named Insured is pnmapp�� B�pH) non-contributory to any similar coverage maintained by the Additional Insured where and to the extent required by contract. 30 Days' Notice of Cancellation)�pdded to the Certificate holder. ��`"' Jae �e `bv a5 15189534 City of Santa Ana Attn:PRCSA 20 Civic Center Plaza, M-23 Santa Ana CA 92701 SHOULD ANY OF THE ABOVE DESCRISEWMLICIES E THE EXPIRATION DATE THEREOF, NOTICE WILL BE ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE L� The ACORD name and logo are registered marks of ACORD reserved Attachment Code: D544488 Master ID: 1444909, Certificate ID: 15189534 Professional Liability Policy No.: 1000065722181 Policy Term: 6/10/2018 - 6/10/2019 Insurer: Starr Surplus Lines Insurance Company Limits: $1,000,000 Each Claim $1,000,000 Aggregate Attachm*543064 Master ID: 1444909, Certificate ID: 15189534 Starr Surplus Lines Insurance Company Chicago, IL 1-646-227-6300 Primary and Non-contributory, Additional Insured and Waiver of Subrogation Policy Number: 1000065722181 Effective Date: June 10, 2018 at 12:01 A.M. Named Insured: Alliance Environmental Holdings, LLC This endorsement modifies the insurance coverage form(s) listed below that have been purchased by you and evidenced as such on the Declarations page. Please read the endorsement and respective policy(ies) carefully. Commercial General Liability Coverage Form Owners and Contractors Protective Liability Coverage Form Products/Completed Operations Liability Coverage Form Contractors Pollution Liability Coverage Form Professional Liability Coverage Form Site Pollution Liability Coverage Form SCHEDULE Where Required By Written Contract A. SECTION II -WHO IS AN INSURED is amended to include as an insured the person or organization shown in the schedule of this endorsement, but only with respect to liability arising out of "your world' for that insured by or for you. B. As respects additional insureds as defined above, this insurance also applies to "bodily injury" or "property damage" arising out of your negligence when the following written contract requirements are applicable: 1. Coverage available under this coverage part shall apply as primary insurance. Any other insurance available to these additional insured's shall apply as excess and not contribute as primary to the insurance afforded by this endorsement. 2. We waive any right of recovery we may have against these additional insured's because of payments we make for injury or damage arising out of "your work" done under a written contract with the additional insured. 3. The term insured is used separately and not collectively, but the inclusion of more than one insured shall not increase the limits or coverage provided by this insurance. Insureds and Agents are advised that certificates of insurance should be used only to provide evidence of insurance in lieu of an actual copy of the applicable insurance policy. Certificates should not be used to amend, expand or otherwise alter the terms of the actual policy. All other terms and conditions of this Policy remain unchanged. Signed for STARR SURPLUS LINES INSURANCE COMPANY Steve Blakey, President Nehemiah E. Ginsburg, General Cour�i1�° t W oft SL 023 (06/11) Copyright@C. V. Starr & Company and Starr Surplus Lines Insurance Company. All rights Includes copyrighted material of ISO properties, Inc., used with its permission. Attachment Code: D543996 Master ID: 1444909, Certificate ID: 15189534 POLICY NUMBER: 1000065722181 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organizations : Location(s) Of Covered Operations Where Required By Written Contract I Where Required By Written Contract Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions: or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to 'bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement applicable Limits of Declarations. shall not increase the Insurance fvn in the \pe6 '�Aa Q? CG 20 10 04 13 0 Insurance Services Office, Inc., 2012 Page 1 of 1 Attachment Code : D543997 Master ID: 1444909, Certificate ID: 15189534 POLICY NUMBER: 1000065722181 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons) Or Or anization s : Location And Description Of Completed Operations Where Required By Written Contract Where Required By Written Contract Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 37 04 13 0 Insurance Services Office, Inc., 2012 Page 1 of 1 Attaclunent Code : D543060 Master ID: 1444909, Certificate ID: 15189534 *Starr Indemnity & Liability Company Dallas, TX 1-866-519-2522 Additional Insured - Where Required Under Written Contract or Written Agreement Endorsement Policy Number: SISIPCA08264418 Effective Date: 6/10/2018 at 12:01 A.M. Named Insured: Alliance Environmental Holdings, LLC This endorsement modifies the insurance coverage form(s) listed below that have been purchased by you and evidenced as such on the declarations page. Please read the endorsement and respective policy(ies) carefully. Business Auto Coverage Form THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. It is hereby agreed that SECTION II — COVERED AUTOS LIABILITYC OVERAGE, A. Coverage, 1 Who Is An Insured, is amended to include the following: d. Any person or organization whom you become obligated to include as an additional insured under this policy, as a result of any written contract or written agreement you enter into which requires you to furnish insurance to that person or organization of the type provided by this policy, but only with respect to liability arising out of use of a covered "auto". However, the insurance provided will not exceed the lesser of: (1) The coverage and/or limits of this policy, or (2) The coverage and/or limits required by said written contract or written agreement. All other terms and conditions of this Policy remain unchanged. Signed for STARR INDEMNITY & LIABILITY COMPANY Steve Blakey, President Chief Executive Officer Nehemiah E. Ginsburg, General Co4nsel G\. ed�� SICA 1016 (04/14) Page 1 of Attachment Code : D544287 Master ID: 1444909, Certificate ID: 15189534 POLICY NUMBER: SISIPCA08264418 COMMERCIAL AUTO CA04441013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Alliance Environmental Holdings, LLC Endorsement Effective Date: 6/10/2018 SCHEDULE Name(s) Of Person(s) Or Organization(s): Blanket where required by a written contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident' or the 'loss" under a contract with that person or organization. CA 04 44 10 13 0 Insurance Services Office, Inc., 2011 Page 1 of 1 Attachment Code : D544681 Master ID: 1444909, Certificate ID: 15189534 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 66 03 13 (Ed. 04-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule Any person or organization to whom you become obligated to waive your rights of recovery against, under any contract or agreement you enter into prior to the occurrence of loss. J This endorsement changes the policy to which it is attached and is effective on the date issued unless of i3plStgtr information below Is required only when this endorsement is issued subsequent to preparation e,N5\ � of the policy.) Endorsement Effective: 01/29/2018 Policy No.: 100 0002615 EnRorsement No.: Insured: ALLIANCE ENVIRONMENTAL GROUP, INC. Premium: $1,594,366 Insurance Company: STARR INDEMNITY & LIABILITY CO Countersigned by: Gv WC 00 03 13 (Ed. 04-84) Page 1 of 1 Attachment Code : D544681 Master ID: 1444909, Certificate ID: 15189534 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 04-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work description in the Schedule. The additional premium for this endorsement shall be 2.0 of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Any person or organization to whom you become obligated to waive your rights of recovery against, under any contract or agreement you enter into prior to the occurrence of loss. Job Description Where required by contract This endorsement changes the policy to which it is attached and Is effective on the date issued unless otRe e stated. (The Information below Is required only when this endorsement Is Issued subsequent to preparation of the policy.) Endorsement Effective: 01/29/2018 Policy No.: 100 0002615 Insured: ALLIANCE ENVIRONMENTAL GROUP, INC. Premium: $1,594,368 Insurance Company: STARR INDEMNITY & LIABILITY CO Countersigned by: Endorsement No.: WC 04 03 06 (Ed. 04-84) Page 1 of 1 Attachment Code : D550020 Master ID: 1444909, Certificate ID: 15189534 RIRTEK Notice of AirTek Indoor Air Solutions, Inc. ("AirTek") Conversion to a Limited Liability Company Dear Sir/Madam: Please be advised that as of December 21, 2017, AirTek converted its business entity form from a California corporation to a California limited liability company, and will hereafter be known as "AirTek Indoor Air Solutions, LLC." ("AirTek LLC") All rights, property, privileges, powers, debts, liabilities, and duties remain vested and/or attached to the limited liability company. Your firm's contract with AirTek remains in full affect, is binding on AirTek, LLC, and is unaffected by the conversion. Please refer to "AirTek Indoor Air Solutions, LLC" in all further correspondence and communications. Should you have any questions, please do not hesitate to contact us. Very truly yours, YV IC It Jo ph W. McLean, Jr. CEO, AirTek Indoor Air Solutions, LLC eff McLean President, AirTek Indoor Air Solutions, LLC e�\e�eae� • �� `11 G � P� :g Ci 'iLa ,I �: '.i nt:I'� .c.�,. ,2 Sa i:A 1?!� • a ir. `;. ill hi • t,-r. _ 7jr, Attachment Code: D550021 Master ID: 1444909, Certificate ID: 15189534 e-mail'. info@alliance-enviro.com • web address. www.allionoe-envirocom Lic. #716538 • D,O.S.H. #630 Notice of Alliance Environmental Group, Inc. ("Alliance") Conversion to a Limited Liability Company Dear Sir/Madam: Please be advised that as of December 21, 2017, Alliance converted its business entity form from a California corporation to a California limited liability company, and will hereafter be known as "Alliance Environmental Group, LLC." ("Alliance LLC") All rights, property, privileges, powers, debts, liabilities, and duties remain vested and/or attached to the limited liability company. Your firm's contract with Alliance remains in full affect, is binding on Alliance, LLC, and is unaffected by the conversion. Please refer to "Alliance Environmental Group, LLC" in all further correspondence and communications. Should you have any questions, please do not hesitate to contact us. Very truly yours, in. f (�� sep W. McLean, Jr. CEO, Alliance Environmental Group, LLC Corporate Anaheim Aptos Azusa El Centro Fairfield Moorpark Riverside/Son Bernardino Son Diego San Jose San Luis Obispo Torrance J McLean resident, Alliance Environmental Group, LLC 990 West Tenth Street Azusa, CA Fax: 626-633-3599 760 East Debra Lane, Anaheim, CA 92805 • Tel: 714-507-4080 - Fax: 714-507-1088 804 Estates Drive, Suite 208, Aptos. CA 95003 • Tel: 831-661-0456 • Fax: 831-661-0464 978 West Tenth Street, Azusa, CA 91702 • Tel: 626-633-3500 • Fax: 626-633-3596 960 South Second Street, El Centro, CA 92243 • Tel: 760-679-0214 • Fax: 760-679-0214 4950 Fulton Drive, Suite E, Fairfield, CA 94634 • Tel: 408-830-9700 • Fax408-980-9746 680 Flinn Avenue, Jni132. Moorpark, CA 93021 • Tel: 805-378-6590 • Fax: 805-378-6594 75715 Heritage West, Polm Desert, CA 92211 • Tel 760-340-2943 8390 Juniper Creek Lane, Son Diego, CA 92126 • Tel: 619-229-6135 • Fax: 619-229-6143 1250 Campbell Avenue, Son Jose, CA 95126 - Tel: 408-830-9700 • Fax: 408-980-9746 1241 Johnson Avenue, Suite 209, San Luis Obispo, CA 93401 • Tel: 805-931-5925 - Fax: 805-222-2370 20310 Gramercy Place, Torrance, CA 90501 • Tel: 310-218-4800 - Fax: 310-218-4899