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US NATIONAL CORPORATION
INSURANCE NOf' ON r ...,. A-2018-006 WORK MAY RQi' PROCEED y CLERK OF COUNCIL t Ike' FEB Z l_ 01AGREEMENT TO PROVIDE PAINTING SERVICES FOR CITY WATER PRODUCTION FACILITIES THIS AGREEMENT is made and entered into this 16th day of January, 2018 by and between U.S. National Corp., a California corporation ("Contractor"), and the City of Santa Ana, a charter city and municipal corporation orgauzed and existing under the Constitution and laws of the State of California ("City"). RECITALS A, On October 4, 2017, the City issued Request for Proposal No. 17-106, by which it sought a contractor to provide painting and related support services for the City's water production facilities. B. Contractor submitted a responsive proposal that was selected by the City. Contractor represents that it is able and willing to provide the services as described in the scope of work that was included in RFP No. 1.7-106 and attached as Exhibit A to this Agreement. C, In undertaking the perfortance 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 AND CONTRACTOR'S PROPOSAL Contractor shall perform the services that are described in Exhibit A. Contractor's proposal is incorporated by reference as though fully set forth herein. 2. COMPENSATION a City agrees to pay, and Contractor agrees to accept as total payment for its services under this Agreement, the rates and charges identified in Exhibit B. The total annual som to be expended under the tern of this Agreement, including any extension periods, shall not exceed $50,000. b. Payment by City shall be made within forty-five (45) days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. Payment need not be made for work which fails to meet the standards of performance set forth in the Recitals which may reasonably be expected by City. 3. TERM This Agreement shall commence on the date first written above and continue through January 15, 2021, unless terminated earlier in accordance with Section 16, below, 'The term of this Agreement may be extended for one 2-year period upon a writing executed by the City Page 1 of 8 Manager and the City Attorney. 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" and "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 harmless from any claim or liability arising out of any failure or alleged failure to comply with the Prevailing Wage Laws. 5. 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.. OWNERSIHP 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 documents or works of authorship fixed in any tangible medium of expression, including 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 subcontractors prepare 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 Documents & Data which were provided to Contractor by the City. City shall not be limited in any 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; Page 2 of 8 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, and representatives as additional insured(s); (b) be primary and not contributory with respect to insurance or self-insurance programs maintained by the City; and (c) contain standard separation of insureds provisions. b. Business automobile liability insurance, or equivalent form, with a combined single limit of not less than $1,000,000 per occurrence. Such insurance shall include coverage for owned, hired and non -owned automobiles. c. Worker's Compensation Insurance. In accordance with the provisions of Section 3700 of the 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 under 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 less than $1,000,000 per claim with $2,000,000 in the aggregate. C. The following requirements apply to the insurance 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. 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 canceled or reduced in coverage or changed in any other material aspect without thirty (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 City. Page 3 of 8 8. INDEMNIFICATION 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, its subcontractors, agents, employees, or other persons acting on its behalf which relates to the services described in section 1 of this Agreement; and (2) from any claim that personal injury, damages, just compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects arising from this Agreement. This indemnity and hold harmless agreement applies to all claims for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to have been suffered, by reason of the events referred to in this Section or by reason of the terms of, or effects, arising from this Agreement. Contractor further agrees to indemnify, hold harmless, and pay all costs for the defense of the City, including fees and costs for special counsel to be selected by the City, regarding any action by a third party challenging the validity of this Agreement, or asserting that personal injury, damages, just compensation, restitution, judicial or equitable relief due to personal or property rights arises by reason of the terms of, or effects arising from this Agreement. City may make all reasonable decisions with respect to its representation in any legal proceeding. 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 out of, pertain to, or relate to the negligence, recklessness, or willful misconduct of Contractor. 9. INTELLECTUAL PROPERTY INDEMNIFICATION Contractor shall defend and indemnify the City, its officers, agents, representatives, and employees against any and all liability, including costs, for infringement of any United States' letters patent, trademark, or copyright infringement, including costs, 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 under 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 documents 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 proprietary, Contractor agrees that it shall not use or disclose such information except in the performance of this Agreement, and Page 4 of 8 further agrees to exercise the same degree of care it uses to protect its own information of like importance, but in no event less than reasonable care. "Confidential Information" shall include all nonpublic information. Confidential information includes not only written information, but also information transferred orally, visually, electronically, or by other means. Confidential information disclosed to either party by any subsidiary and/or agent of the other party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is, through no fault of the 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 (c) 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 interests and shall not have interests, direct or indirect, which would conflict in any manner with performance of services. 13. DISCRIMINATION Contractor shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, training, utilization, promotion, termination or other employment related activities, Contractor affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations and as further specified in the certifications submitted in Contractor's proposal and incorporated in this Agreement by reference. 14. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Contractor, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terns 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 parties 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 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 is 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 Page 5 of 8 Agreement performed by City personnel or by other contractors retained by City. 16, 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(s) 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. 17. 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 specifies. 18. JURISDICTION - VENUE This Agreement has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the State of California. Both parties further agree that Orange County, California, shall be the venue for any action or proceeding that may be brought or arise out of, in connection with or by reason of this Agreement. 19. 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 and 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 termination of this Agreement. 20. MISCELLANEOUS 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 Page 6 of 8 or power is not, in fact, held by the signatory or is withdrawn. b. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. 21. NOTICE Any notice, tender, demand, delivery, or other communication pursuant to this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or mailed by first class or certified mail, postage prepaid, or sent by fax or other telegraphic communication in the manner provided in this Section, to the following persons: To City: Clerk of the City Council City of Santa Ana 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana, CA 92702-1988 Fax: 714- 647-6956 To Contractor: U.S. National Corp. 10205 San Fernando Road Pacoima, CA 91331 Attn: Fred Jimenez, President A party may change its address by giving notice in writing to the other party. Thereafter, any communication shall be addressed and transmitted to the new address. If sent by mail, communication shall be effective or deemed to have been given three (3) days after it has been deposited in the United States mail, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent by 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. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: Muria D. Huizar ==o� Clerk of the Council CITY OF SANTA ANA Raul Godinez II ✓�✓ City Manager Page 7 of 9 APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney By: G� John Unk Assistant City Attorney RECOMMENDED FOR APPROVAL: a _ FRED f40USAVIPOUR Executive Director Public Works Agency CONTRACTOR: Name: m 04 Title: aj�`+eons (tt---- j/.V.2/jk L-ky 2 t7vrA4 . Page 8 of 8 EXHIBIT A Appendix ATTACHMENT 1: SCOPE OF WORK INTRODUCTION AND BACKGROUND The City of Santa Ana is located in the County of Orange in Southern California. The City encompasses 27,2 square miles and a population of 325,000 people. The City of Santa Ana Public Works Agency, Water Resources Division, oversees and maintains the daily operations of the Water System and Sanitary Sewer System. The City of Santa Ana's water system has an average day demand of about 43 million gallons (MG) with 45,000 services. It is comprised of approximately 444 miles of water main, 45 MG of storage at 7 sites, 7 Metropolitan Water District (MWD) connections, 21 groundwater wells, 7 pump stations, one (1) elevated tank, 4 pressure regulating stations and utilizes 2 pressure zones. The City's sanitary sewer system has approximately 8,000 manholes, 390 miles of sewer mains and 2 lift stations. The sewer system collects all sewage and transports it to the Orange County Sanitation District for treatment. In addition, the Water Resources Division monitors one Storm Drain lift Station known as the First Street Underpass. DESCRIPTION OF WORK — GENERAL The City desires to retain a Contractor to perform water facility and pipeline painting/coating. The successful Contractor shall provide all labor, material, and equipment necessary to prepare, coat, paint and complete all assigned pumps, motors, valves, pipelines, and other water system appurtenances at various city water production facilities as required. A The Contractor shall complete the painting of each job within seven (7) days of the initial authorization to paint a facility. Due to the critical needs of the faculties to be painted, a seven (7) day notice must be provided to the City prior to commencement of the work. The facilities to be painted will be placed off line by the City prior to starting painting/coating work. Some facilities to be painted are in underground vaults. The Contractor must have extensive experience painting in a confined space environment. Contractor will have to fully comply with OSHA standards and requirement for working in confined spaces. All painting shall be in conformance with AWWA standards including C116, 210, C213 and C218. AWWA standards shall be met for material conformance as well as application and installation conformance. DESCRIPTION OF WORK - EAST PUMP STATION AND WELL 26 All Contractors shall provide a bid proposal per this specification as well as the pre -bid job walk. The Bid Proposal shall be evaluated as described under the Proposal Evaluation and Rating Criteria in Section I General. All applicable documentation as outlined in the Instructions to Proposers and Submittal Requirements sections shall be provided given the proposed project described. Proposer shall submit a bid based on the East Pump Station and Well 26 project described below. The project described below may not necessarily be deployed and Is provided for proposal evaluation purposes only The successful contractor shall perform the following scope of work for the preparation, painting and coating of the East Pump Station and Well 26 discharge piping. The exterior of the East Pump Station and Well 26 discharge piping will be prepared for painting in accordance with AWWA Standard C210. All loose and flaking material that is removed shall be captured and disposed of properly and not allowed to spread or fall onsite. Prior to application of coating, the Contractor shall notify the City for inspection and approval. Upon approval, the Contractor will apply a base coat and one finish of coat of epoxy coating. Final color shall be approved by the City, The final dry thickness of the epoxy coating shall be a minimum of 16 pm or the manufacturer's recommendations, whichever is thicker. Prior to acceptance of the coating and painting, the piping shall be visually field 'inspected per AWWA C210 as well as pass an electrical inspection for continuity. QUALIFICATION The bidder, at time of bid submittal and through the term of the contract, shall possess the correct occupational and/or professional license necessary to carry out and perform the work required pursuant to all applicable federal, State, and Local laws, statues, ordinances, rules, and regulations. A list of minimum of three (3) references, including municipality name and address, contact name, and phone number, for municipal customers receiving similar services are required in this Invitation for Bid must be submitted with each bid. References must be located in Los Angeles County, Orange County, or Inland Empire. These references shall be used in the evaluation of this bid to determine award. DISTRIBUTION OF WORK The Contractor(s) selected for this work or other future work to be determined shall provide written estimates for any work requested. If multiple Contractors have been awarded a contract, the lowest responsive bid amongst the selected Contractors shall be awarded the corresponding job order. No work shall be allowed to proceed until authorized by the Water Production Principal Civil Engineer or his designee. Any material proposals for the painting and piping shall be identified in the requested estimate. Upon approval, full material submittals shall be provided for review and approval from the Water Production Division. Submittals shall include Safety and Data Sheets, manufacturer's application instructions and manufacturer's product specifications. The manufacturer's product specifications shall clearly identify conformance with AWWA standards. PREVAILING WAGE The Director of the Department of Industrial Relations of the State of California has ascertained the prevailing rate of per diem wages in dollars, based on a working day of eight hours, for each craft or type of worker or mechanic needed to execute any construction or maintenance contract, which may be awarded by Public Works. The current prevailing wage rates as adopted by the Director of the Department of Industrial Relations are Incorporated herein by reference and may be accessed at http://www.dir.ca.gov/. The Contractor Is required to pay the prevailing wage rate referred to above and is responsible for selecting the classification of workers which will be required to perform this service in accordance with the Contractor's method of performing the work. Pursuant to Section 1775 of the Labor Code (State of California) Contractor shall forfeit $50 for each calendar day, or portion thereof, for each worker paid less than the stipulated prevailing wage rates for any public work done under this Contract or by any subcontractor. EXHIBIT B U.S. National Corp 40 Federal And State Construction Company USNC 10205 San Fernando Road, Pacoima CA 91331 Office: 1918) 686-2166 Mobile:(818) 216-7000 Mobile: (818) 894-8420 maryg@usnationalcorp.com fredj@usnationalcorp.com CERTIFIED SBE, LICENSE NO. 813354 FEE PROPOSAL FOR CITY OF SANTA ANA RFP# 17-106 Water Production Facilities Painting STANDARD HOURLY FEE SCHEDULE Journeyman Painter Hourly Rate Normal Working Hours $95.80 per hour Journeyman Painter Overtime Rate After Normal Working Hours $120.00 per hour Apprentice Hourly Rate Normal Working Hours $37.00 per hour Apprentice Overtime Rate After Normal Working Hours $62.00 per hour CERTIFICATE OF LIABILITY INSURANCE DATE UUNDDNYYY) 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: N 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 eertlficate holder in lieu of such endomement(s). PRODUCER NAME: Aacay e1111amz Mt. Diablo Insurance Brokers, Inc. PHONE (925)297_gp72 F 3557 Mt. Diablo Boulevard AD.Ess:kathy@mtdiabloinsurance.com Spite 21 INSURERS AFFORDING COVERAGE Lafavette CA 94549 IMURERAAssociated Industries Insu1 INSURED INsuRER9:StarStone National Insurance Co. ZOGNO U S National Corp. IMSURERCJ3eazley Syndicates 37540 DBA: Jimenez Painting INSURERD: PO Box 4929 INSURER E: Panorama City CA 91412 INSURER F: c unuovnAmR air. RFVI.glnhlNIIMRFR- V 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. TYPE OF INSURANCE R POLICY NUMBER m�� DDY E%P LIMITS X COIRM MIAL GENERAL LNBILIY EACH OCCURRENCE $ 1,000,000 A CLAaiSAUIDE OCCUR DWA-GET15 RENTED PREMISES I, acwrrance $ 100,000 MED D(P(Am/mapelson) $ 2,500 X MS103836503 4/25/2018 4/25/2019 PERSONAL a ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMP/OP AGO $ 2,000,000 X POLICY ❑ JET D LOC OTHER. S AUTOMOBILE LIABILITY COM IN INGLE UNIT Ea actltlent $ BODILY INJURY (Per person) $ ANY AUTO BODILY IWURY(Per aalden) f ALLOWNED SCHEDULED AUTOS AUTOS NON -OWNED HIREDAUTOS AUTOS PROPERTY DAMAGE flwWwO S S X UMBRELLA UAS X OCCUR EACH OCCURRENCE S 5 000 000 AGGREGATE $ 5,000,000 B EXCESS LWB CLAIMS -SHOE 8B144X381ALI 4/25/2018 4/25/2019 DED I I RETENTION$ $ WORKERS COYPEHSATION AID EMPLOYERS LNBRRY YIN ANY PROPRIETORMARTNERIEXECUNVE I BRATUTE I I ER E.L EACH ACCIDENT f E.L. DISEASE - EA EMPLOYEE f OF CERNEMBER EXCLUDED? ❑ (M.dsbry in NMI NIA E.L. DISEASE- POLICY LIMIT $ Dyes, tlesnike uMer DESCRIPTION OF OPERATIONS W. DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, AMMmal Remarks Sakedule, may a aea ff more space is required) The City of Santa Ma, its officers, agents, employees, volunteers and represenatives are recognized as additional insured, but only as respects liability arising from named insured operations. Endorsements apply and are attached hereto. *30 days written notice of cancellation. 10 days notice for non-payment of p '. um. ./ X'.� � Q City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Salvo/KATHY - - -- -- 01988-2014 ACORD CORPORATION. All rights reserved. J ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025 i201401) COMMERCIAL GENERAL LIABILITY CG 20 33 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS — AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II — Who Is An Insured is amended to include as an additional insured any person or or- ganization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an addi- tional insured on your policy. Such person or or- ganization is an additional insured only with re- spect 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. A person's or organization's status as an additional insured under this endorsement ends when your operations for that additional insured are com- pleted. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to: 1. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the render- ing of, or the failure to render, any professional architectural, engineering or surveying servic- es, including: a. The preparing, approving, or failing to pre- pare or approve, maps, shop drawings, opi- nions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. 2. "Bodily injury" or "property damage" occurring after: a. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than ser- vice, maintenance or repairs) to be per- formed by or on behalf of the additional in- sured(s) at the location of the covered operations has been completed; or b. 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 subcontrac- tor engaged in performing operations for a principal as a part of the same project. avi$ vo s ia/1.1 Ji , D.414- 2 C,f I CG 20 33 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 ❑ POLICY NUMBER:AES1038365 03 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 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 SCHEDULE Name of Additional Insured Person(s) or Or anization s : Location and Description of Completed Operations All persons or organizations where written contract with the Named Insured requires additional insured completed operations coverage. This form does not apply to your work on 'residential property" Information required to complete this Schedule if not shown above will be shown in the Declarations. 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 dam- age" caused, in whole or in part, by "your work" at the location designated and described in the sched- ule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". A- av)J • nvS G'I/3 /1 T, P 19e 3 0 7 CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 0 POLICY NUMBER: AES1038365 03 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: All persons or organizations where required by written contract with the Named Insured Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: 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 your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. --A ' 6,�/3/iY / Pi9e 5`d/0 7 CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 13 POLICY NUMBER: AES1038365 03 COMMERCIAL GENERAL LIABILITY NX GL 009 08 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON-CONTRIBUTING INSURANCE (THIRD -PARTY) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Third Party: All persons or organizations where required by written contract with the Named Insured (Absence of a specifically named Third Party above means that the provisions of this endorsement apply as required by written contractual agreement with any Third Party for whom you are performing work.) Paragraph 4. of SECTION IV: COMMERCIAL GENERAL LIABILITY CONDITIONS is replaced by the following: 4. Other Insurance: With respect to the Third Party shown above, this insurance is primary and non-contributing. Any and all other valid and collectable insurance available to such Third Party in respect of work performed by you under written contractual agreements with said Third Party for loss covered by this policy, shall in no instance be considered as primary, co-insurance, or contributing insurance. Rather, any such other insurance shall be considered excess over and above the insurance provided by this policy. NX GL 009 08 09/(} gage 1 of 4 �� Includes copyrighted material of Insurance Services Office, Inc., with its permission 01 ACORV CERTIFICATE OF LIABILITY INSURANCE s%zn%2oie ' 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 poilcy(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 Ileu of such endoreement(a). PRODUCER Speed Insurance Agency 1000 Town Center Dr #100 Oxnard, CA 93036 ONTACT PHONE F a ,yGNa.(805)604-9603 s,su annel0 pensda ADOREss:suzanne@apeadagency.net INBURER(e) AFFORORKi COVERAGE NNti INSURERA: Intagon National Insurance Company 29742 INSURED US National Corp INSURER B dba Jimenez Painting Company INSURER C: 10205 San Fernando Road INSURER D: Pacoima, CA 91331 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTTRR TYPE OF INSURANCE a0 p I POLICY NUMBER IAWDD MM/DD LIMITS M MERCML Gf L "ILITY CLAP78-MADE ❑OCCUR EACH OCCURRENCE $ PREMISEES Ea ocaxrase $ MED EXP (Any. person) It PERSONAL a ADV INJURY It GENT AGGREGATE LIMIT APPLIES PER: POUCY 0 jECOT- LOC OTHER: GENERAL AGGREGATE It PRODUCTS - COMP/OP ADD It It A AUTOMOBILE LIABILITY ANYAWO OWNED D AUTOSONLY R SCHE AUTO$ULED HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY 2003917069 06/03/2036 O6/03/2D19 En ecddent) $ 1 OOO OOO r r ]( SODILY INJURY (Per person) $ BODILY INJURY (Per acident) $ X R IP.r.crcentj $ s UMBRELLA UAB EXCESS LAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEB I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOPIPARTNEWIDECUTIVE OFMCERMIEMMet FJ(CLlAm1 ❑ (Meeaerery In WE If Yee, describe Lester DESCRIPTION OF OPERATIONS below NIA STATUTE ER E.L. EACH ACCIDENT It E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Sc Iedele, may be attectred if more space is required) 10 day notice of cancellation for non-payment / -2v l i)Z� City of Santa Ana 20 Civic Center Place M-16 Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. reserved ACORD25(2016/03) The ACORD name and logo are registered marks of ACORD AC"RV CERTIFICATE OF LIABILITY INSURANCE DATE (MMI/D 01/03 /2018018 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 AU Insurance Services 10825 Old Mill Rd Omaha, NE 68154 CONTACT NAME: PHONE (877)234-4420 AIC. No,Ezq: FAX (A/C, No): (877)234-4421 E-MAIL ADDRESS: PRODUCER (877)234-4420 CUSTOMERID# INSURER(S) AFFORDING COVERAGE NAIC N INSURED INSURER California Insurance Co. 38865 INSURER. B: U.S National Corp. 10205 San Fernando Rd INSURER C: Pacoima, CA 91331-2618 INSURER D: CTL 1273 1412949 INSURER E: INSURER F: COVERAGES CFRTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADD INSR SUB MD POLICY NUMBER POLICYEFF MM/DD P000YE)fP MMIDDIYYY GENERAL LIABILITY EACH OCCURRENCE $ DAMAGETORENTED. $ COMMERCIAL GENERAL LIABILITY ❑❑ CLAIMS MADE EOCCUR MED EXP (any oneperson) $ PERSONAL &ADV INJURY $ GENERALAGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: $ PRODUCTS MPOP AG $ PRO - POLICY F JECT 17 LOC AUTOMOBILE LIABILITY ANYAUTO ❑❑ COMBINED SINGLE LIMIT Ea accident $ ALL OWNED AUTOS BODILY INJURY Per erson $ SCHEDULEDAUTOS $ BODILYINJU Pera HIREDAUTOS PROPERTY DAMAGE Per accident $ $ NON -OWNED AUTOS UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESSLIAB CLAIMS MADE DEDUCTIBLE $ $ RETENTION $ WORKERS COMPENSATION X WCSTA ITS I OFIR A ANDEMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNERY/EXECUTIVE OFFICER/MEMBER EXCLUDED'! (Mandatory In NH) NIA ❑ 4 6 - 5 2 0 6 1 7 - 0 1 - 0 2 11/14/2017 11/14/2018 E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ 1, 000 , 000 $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 If Yes, describe under SPECIAL PROVISIONS below El� DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (Attach Acord 101,Additlonal Remarks Schedule,if more space is required) 2of 8 . c0l;- APA.A.t 7 of 7 City of Santa Ana 20 Civic Center Place Rm 429 PO Box 1988 Santa Ana, CA 92702 Attn: Purchasing Department SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILLBE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATW- 8336 ACORD CORPORATION. All rights reserved k. 2-0c6: pps USNATIO-01 ARAMOS CERTIFICATE OF LIABILITY INSURANCE DATE41121DDrrVYY) 112I2019 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 endorsements . PRODUCER License #OE83493 CONTACT Nam; Orr &Associates Insurance Services PHONE 28760 Single Oak Dr (AIC, No, Eat): (951) 506-5859 Fkc, No):(800) 474-3003 Ste 255 nD BESs, service@ orrandassociates.com Temecula, CA 92590 _ INSURERISIAFFORDING COVERAGE NAICe -- - _ _ INSURERA:InsDranDe COmpanY Of the West ICW '27847 INSURED _ INSURER B US National Corp dba Jimenez Painting Company INSURER C: 10205 San Fernando Rd INSURER D Pacoima, CA 91331 - - - INSURER E INSURER F: '- - KCVWIUN NUMtlCK: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF_ SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP Sp POLICY NUMBER LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE _ $ CLAIMS -MADE OCCUR DAMAGE TO RENTED -- PREMISES $. MEO EXP (Any one personl_ $ — - -- PERSONAL B ADV INJURY $ GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY JECT LOG _PRODUCTS - COMP/OP AGG $ _ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO _LEd accident - $ OWNED --SCHEDULED BODILY INJURY (Per erson_ $ -AUTOS ONLY _ AUTOS HIRED NON-0WNEBODILY INJURY PROPERTY DAMAGE Per accident) $ p - AUTOS ONLY AUTOS ONLY _(Peracciden0 $ - - UMBRELLA LIAR _ OCCUR _EACH OCCURRENCE _ $ EXCESS LIAB CLAIMS -MADE - - - - - - .AGGREGATE _ $ _ DED RETENTION$ -- A WORKERS COMPENSATION PER OTH- ANDEMPLOYERS'LIABILITY - XST TUTE ER _ ANY PROPRIETORPARTNERIEXECUTIVE Y(N WTX504443000 11/14/2018 11/14/2019 E.L. EACH ACCIDENT _ $ 1AN1000 (MandatoryOIFICEWMin ER EXCLUDED' NIA 1,000,000 If (Mandatoryin) - - E.L. DISEASE -EA EMPLOYEE $ Dyes, describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT 8 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) City of Santa Ana Public Works Agency Water ACORD Division is named as the certificate holder. r�EVIEWED BY: -PAGE City of Santa Ana Public Works Agency Water Resources Divison 220 S Daisy Ave Santa Ana, CA 92701 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 v I UtR1.2U15 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Ejhjubmmz!tjhofe!cz!Gsbodjof!S/!Wjmmbsfbm!Ebuf;!3131/19/23!28;13;26!.18(11( Gsbodjof!S/!Wjmmbsfbm NAIC # 1,000,0001,000,0001,000,000 DHARVEY 27847 8/5/2020 DATE (MM/DD/YYYY) $$$$$$$$$$$ (800) 474-3003 LIMITS OTH- FAX(A/C, No): PERSTATUTEER X EACH OCCURRENCE$DAMAGE TO RENTEDPREMISES (Ea occurrence)MED EXP (Any one person)$PERSONAL & ADV INJURY$GENERAL AGGREGATE$PRODUCTS - COMP/OP AGGCOMBINED SINGLE LIMIT(Ea accident)BODILY INJURY (Per person)$BODILY INJURY (Per accident)$PROPERTY DAMAGE(Per accident)EACH OCCURRENCEAGGREGATEE.L. EACH ACCIDENTE.L. DISEASE - EA EMPLOYEE$E.L. DISEASE - POLICY LIMIT REVISION NUMBER: USNATIO-01 INSURER(S) AFFORDING COVERAGE © 1988-2015 ACORD CORPORATION. All rights reserved. (951) 506-5859 Insurance Company of the West ICW certs@orrandassociates.com POLICY EFFPOLICY EXP 11/14/201911/14/2020 (MM/DD/YYYY)(MM/DD/YYYY) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INACCORDANCE WITH THE POLICY PROVISIONS. CONTACTNAME:PHONE(A/C, No, Ext):E-MAILADDRESS:INSURER A :INSURER B :INSURER C :INSURER D :INSURER E :INSURER F :CANCELLATION AUTHORIZED REPRESENTATIVE POLICY NUMBER WTX504443001 X The ACORD name and logo are registered marks of ACORD INSDWVDN / A ADDLSUBR CERTIFICATE OF LIABILITY INSURANCE Y / N CERTIFICATE NUMBER: LOC OCCURCLAIMS-MADE SCHEDULEDNON-OWNED PRO-JECT TYPE OF INSURANCE US National Corp dba Jimenez Painting Company10205 San Fernando RdPacoima, CA 91331 City of Santa AnaRisk Management Division20 Civic Center PlazaSanta Ana, CA 92702 CLAIMS-MADEOCCUR License # 0E63493 COMMERCIAL GENERAL LIABILITYPOLICYOTHER:ANY AUTOOWNEDAUTOS ONLYAUTOSHIREDAUTOS ONLYAUTOS ONLYUMBRELLA LIABEXCESS LIABDEDRETENTION$ GEN'L AGGREGATE LIMIT APPLIES PER:AUTOMOBILE LIABILITY WORKERS COMPENSATIONAND EMPLOYERS' LIABILITYANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED?(Mandatory in NH)If yes, describe underDESCRIPTION OF OPERATIONS below THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVE 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 onthis certificate does not confer rights to the certificate holder in lieu of such endorsement(s).THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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. A PRODUCERINSURED COVERAGES DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)CERTIFICATE HOLDERACORD 25 (2016/03) LTR INSR Orr & Associates Insurance Services28780 Single Oak DrSte 255Temecula, CA 92590 Certificate is subject to policy limits, conditions and exclusions.City of Santa Ana, its officers, employees, agents and volunteers are named as certificate holders. ! ! )Fe/!9.11*! !!! XD!::!17!45! ! ! %! Qsfnjvn! !Foepstfnfou!Op/!! Kpc!Eftdsjqujpo! SF;!!BMM!DBMJGPSOJB!PQFSBUJPOT!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! ! ! !! Dpvoufstjhofe!Cz! JOTVSFE! Tdifevmf! !!4 XUY!6155541!12!!!!!! ! !Qpmjdz!Op/! 220250312: JOTVSBODF!DPNQBOZ!PG!UIF!XFTU!!!!!!!!!!!!!!!!!!!!! Qfstpo!ps!Pshboj{bujpo! XBJWFS!PG!PVS!SJHIU!UP!SFDPWFS!GSPN!PUIFST!FOEPSTFNFOU!.!CMBOLFU! BOZ!QFSTPO!PS!!!!!!!PSHBOJ\[BUJPO!GPS!!!!XIPN!UIF!OBNFE!!!!!!JOTVSFE!JT!SFRVJSFE!VOEFS!XSJUUFO!!!!!!!DPOUSBDU!UP!GVSOJTI!UIJT!XBJWFS/!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! VT!OBUJPOBM!DPSQ!!!!!!!!!!!!!!!!!!!JODM/ )Uif!jogpsnbujpo!cfmpx!jt!sfrvjsfe!pomz!xifo!uijt!foepstfnfou!jt!jttvfe!tvctfrvfou!up!qsfqbsbujpo!pg!uif!qpmjdz/* Fe/!9.11*! otvsbodf!Dpnqboz! XPSLFST!DPNQFOTBUJPO!BOE!FNQMPZFST!MJBCJMJUZ!JOTVSBODF!QPMJDZ!!!!!!!!!!!!!!Xf!ibwf!uif!sjhiu!up!sfdpwfs!pvs!qbznfout!gspn!bozpof!mjbcmf!gps!bo!jokvsz!dpwfsfe!cz!uijt!qpmjdz/!!Xf!xjmm!opu!fogpsdf!!pvs !sjhiu!bhbjotu!uif!qfstpo!ps!pshboj{bujpo!obnfe!jo!uif!Tdifevmf/!!)Uijt!bhsffnfou!bqqmjft!pomz!up!uif!fyufou!uibu!!zpv!qfsgpsn!xpsl!voefs!b!xsjuufo!dpousbdu!uibu!sfrvjsft!zpv!up!pcubjo!uijt!bhsffnfou !gspn!vt*/!!!!Uif!beejujpobm!qsfnjvn!gps!uijt!foepstfnfou!tibmm!cf!!&!pg!uif!upubm!Dbmjgpsojb!Xpslfst(!Dpnqfotbujpo!qsfnjvn!!puifsxjtf!evf/!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!Uijt!foepstfnfou!dibo hft!uif!qpmjdz!up!xijdi!ju!jt!buubdife!boe!jt!fggfdujwf!po!uif!ebuf!jttvfe!vomftt!puifsxjtf!tubufe/!Foepstfnfou!Fggfdujwf!Jotvsfe!J!!XD!::!17!45!) Ejhjubmmz!tjhofe!cz!Upsj!Qjfstpo! Upsj!Qjfstpo Ebuf;!3133/17/14!1:;58;34!.18(11( POLICY NUMBER: U22AC124070-02 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 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 Organization(s):Location(s) Of Covered Operations Any person or organization for whom you are performing operations during the policy period when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. 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 B.With respect to the insurance afforded to these – include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for "bodily injury", "property This insurance does not apply to "bodily injury" or damage" or "personal and advertising injury" "property damage" occurring after: caused, in whole or in part, by: 1.All work, including materials, parts or 1.Your acts or omissions; or equipment furnished in connection with such 2.The acts or omissions of those acting on your work, on the project (other than service, behalf;maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the in the performance of your ongoing operations for location of the covered operations has been the additional insured(s) at the location(s) completed; or designated above. 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. CG 20 10 07 04© ISO Properties, Inc., 2004 Page 1 of 1 POLICY NUMBER: U22AC124070-02 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 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 SCHEDULE Name Of Additional Insured Person(s) Location And Description Of Completed Or Organization(s): Operations Any person or organization, when you and such parties have agreed in writing in a contract or agreement pertaining to “your work” performed during the policy period. This additional insured coverage does not apply to “excluded residential construction". "Excluded residential construction" means: a)the ground-up construction of any building whose units will be individually owned and titled; and, b)“your work” performed on the conversion of any building into a condominium or townhome. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. 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". © ISO Properties, Inc., 2004 CG 20 37 07 04Page 1 of 1 COMMERCIAL GENERAL LIABILITY POLICY NUMBER: U22AC124070-02 HCS 040 06 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY AND BLANKET WAIVER OF SUBROGATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART A.PRIMARY AND NON-CONTRIBUTORY TO B.WAIVER OF SUBROGATION – BLANKET OTHER INSURANCE Under SECTION IV – COMMERCIAL GENERAL With respect to any person or organization that is LIABILITY CONDITIONS, The Transfer Of an additional insured under this Coverage Part, Rights Of Recovery Against Others To Us the following is added to paragraph 4. of Condition is amended by the addition of the SECTION IV – COMMERCIAL GENERAL following: LIABILITY CONDITIONS: We waive any right of recovery we may have If you have agreed in writing in a contract or against any person or organization because of agreement that this insurance is primary and non-payments we make for injury or damage arising contributory relative to an additional insured’s own out of: insurance, then this insurance is primary and we a.Your ongoing operations; or will not seek contribution from that other b. “Your work” included in the “products- insurance. For the purpose of this endorsement, completed operations hazard”. the additional insured’s own insurance means insurance on which the additional insured is a However, this waiver applies only when you have Named Insured. agreed in writing to waive such rights of recovery in a contract or agreement, and only if the contract When this endorsement is attached to the policy it or agreement: supersedes all other insurance conditions within. a.Is in effect or becomes effective during the term of this policy; and b.Was executed prior to loss. HCS 040 06 10 13Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. POLICY NUMBER: U22AC124070-02 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: All persons or organizations with whom you have agreed to waive such right of recovery in a written contract or agreement. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV Conditions: – 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 your ongoing operations or "your work" done under a contract with that person or organization and included in the "products-completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. 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