Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
T. E. ROBERTS, INC.
INSURANCE NOT ON FILE WORK MAY Nl T PROCEED A-2019-142-03 CLERK OF COUNCIL DATE: SEP 0 4 2019 ©\A[ A l0 AGREEMENT TO PROVIDE ON -CALL EMERGENCY WATER �" P,vsw7 AND SEWER SYSTEM REPAIR SERVICES THIS AGREEMENT is made and entered into this 20th day of August, 2019 by and between T.E. Roberts, Inc. ("Contractor"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California ("City"). RECITALS A. On May 16, 2019, the City issued Request for Proposal No. 19-032, by which it sought qualified contractors to provide on -call emergency water and sewer system repair services for the City's Public Works Agency. B. Contractor submitted a responsive proposal that was among those selected by the City. Contractor represents that it is able and willing to provide the services described in the scope of work that was included in RFP No.19-032 and addendum thereto. C. In undertaking the performance of this Agreement, Contractor represents that it is knowledgeable in its field and that any services performed by Contractor under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional contracting firm in the field. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the parties agree as follows: 1. SCOPE OF SERVICES On an as -needed basis, and at the City's sole discretion, Contractor shall perform the services described in the scope of work that was included in RFP No. 19-032 and addendum thereto, and as more specifically delineated in Contractor's proposal, which is attached as Exhibit A and incorporated in full. 2. COMPENSATION a. City neither warrants nor guarantees any minimum or maximum compensation to Contractor under this Agreement. Contractor shall be paid only for actual services performed under this Agreement at the rates and charges identified in Exhibit B. Contractor is one of three contractors selected to provide services on an as -needed basis under RFP No. 19-032. The annual compensation for services provided by all contractors selected under RFP No. 19-032 shall not exceed the shared aggregate amount of $500,000 during the term of this agreement, including any extension periods. 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. Page 1 of 8 Payment need not be made for work which fails to meet the standards of performance set forth in the Recitals and Scope of Work, which may reasonably be expected by City, 3. TERM This Agreement shall commence on the date first written above and teixninate on August 19, 2022, unless terminated earlier in accordance with Section 17, below. The term of this Agreement may be extended for one 2-year period upon a writing executed by the City Manager and 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 riot air. employee of the City. This Agreement is not intended nor shall it be construed to create an employer -employee relationship, a joint venture relationsbip, 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. OWNERSIUP OF MATERIALS This Agreement creates a non-exclusive andperpetual 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 subcontractor prepares under this Agreement, Contractor represents and warrants that Contractor has the legal right to license any and all Page 2 or 8 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: a. Commercial General Liability Insurance. Contractor shall maintain commercial general liability insurance naming the City, its officers, employees, agents, volunteers and representatives as additional insured(s) and shall include, but not be limited to protection against claims arising from bodily and personal injury, including death resulting therefrom and damage to property, resulting from any act or occurrence arising out of Contractor's operations in the performance of this Agreement, including, without limitation, acts involving vehicles, The amounts of insurance shall be not less than the following: single limit coverage applying to bodily and personal injury, including death resulting therefrom, and property damage, in the total amount of $1,000,000 per occurrence, with $2,000,000 in the aggregate. Such insurance shall (a) name the City, its officers, employees, agents, volunteers and representatives as additional insured(s); (b) be primary with respect to insurance or self-insurance programs maintained by the City; and (c) contain standard separation of insureds provisions. b. Business automobile liability insurance, or equivalent form, with a combined single limit of not less than $1,000,000 per occurrence, Such insurance shall include coverage for owned, hired and non -owned automobiles, C. Worker's Compensation Insurance. In accordance with the California Labor Code, Contractor, if Contractor has any employees, is required to be insured against liability for worker's compensation or to undertake self-insurance. Prior to commencing the performance of the work 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. e. The following requirements apply to the insurance to be provided by Contactor pursuant to this section: (i) Contactor 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 Rimished to the City upon execution of this Agreement and shall be approved by the City. Page 3 of 8 (W) Certificates and policies shall state that the policies shall not be cancelled or reduced in coverage or changed in any other material aspect, by contractor, 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 the City. $. INDEMNIFICATION Contractor agrees to defend, and shall indemnify and hold harmless the City, its officers, agents, employees, contractors, special counsel, and representatives fi-om liability; (1) for personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims for personal injury, including death, and claims for property damage, which may arise from the negligent operations of the Contractor or its subcontractors, agents, employees, or other persons acting on their behalf which relates to the services described in section 1 of this Agreement; and (2) from any claim that personal injury, damages, just compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects arising from this Agreement. This indemnity and hold harmless agreement applies to all claims for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to have been suffered, by reason of the events referred to in this Section or by reason of the terns of, or effects, arising from this Agreement. The Contractor further agrees to indemnify, hold harmless, and pay all costs for the defense of the City, including 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 terns 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 of, pertain to, or relate to the negligence, recklessness, or willful misconduct of the Contractor. 9. INTELLECTUAL PROPERTY INDEMNIFICATION Contractor shall defend, indemnify and hold harmless the City, its officers, agents, representatives, and employees against any and all liability, including costs, and attorney's fees, for infringement of any United States' letters patent, trademark, or copyright contained in the work product or documents provided by Contractor to the City pursuant to this Agreement. Page 4 of 8 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 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 applyto 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 vithout an obligation of confidentiality; (d) is requuircd to be disclosed by operation of law; or (e) is independently developed by the Contractor without reference to information disclosed by the City. 12. CONFLICT OF INTEREST CLAUSE Contractor covenants that it presently has no interest and shall not have interests, direct or indirect, which would conflict in any naamner with performance of services specified under this Agreement. 13. NOTICE Any notice, tender, demand, delivery, or other communication pursuant to this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or mailed by first class or certified mail, postage prepaid, 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) Page 5 of 8 P.O, Box 1988 Santa Ana, CA 92702-1988 Fax 714- 647-6956 Executive Director Public Works Agency City of Santa Ana 20 Civic Center Plaza (M-21) P.O. Box 1988 Santa Ana, CA 92702 To Contractor: T.E. Roberts, Inc. 306 W. Katella Ave., Unit B Orange, CA 92867 Attn: Timothy Roberts, President A patty 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 khe transmitting facsimile machine, addressed as set forth above. For purposes of calculating these timeframes, weekends, federal, state, County or City holidays shall be excluded. 14. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive staternent between the City and Contractor regarding the subject matter herein, 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 anypurchase 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 are not embodied herein. 15. ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Contractor, Contractor may not assign, transfer, delegate, or subcontract any interest herein without the prior written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the City's ability to have any of the services which are the subject to this Agreement performed by City personnel or by other contractors retained by City. Page 6 of 8 16. WAIVER No waiver of breach, failure of any condition, or any right or remedy contained in or granted by the provisions of this Agreement shall be effective unless it is in writing and signed by the party waiving the breach, failure, right or remedy. No waiver of any breach, failure or right, or remedy shall be deemed a waiver of any other breach, failure, right or remedy, whether or not similar, nor shall any waiver constitute a continuing waiver unless the writing so specifies. 17. TERMINATION This Agreement maybe terminated by the City upon thirty (30) days written notice of termination, In such event, Contractor shall be entitled to receive and the City shall pay Contractor compensation for all services performed by Contractor prior to receipt of such notice of termination, subject to the following conditions: a. As a condition of such payment, the Executive Director may require Contractor to deliver to the City all work product completed as of such date, and in such case such work product shall be the property of the City unless prohibited by law, and Contractor consents to the City's use thereof for such purposes as the City deems appropriate. b. Payment need not be made for work which fails to meet the standard of performance specified in the Recitals of this Agreement, 18. NON-DISCRIMINATION Contractor shall not discriminate because of race, color, creed,, relation, sex, marital status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, training, utilization, promotion, termination or other employment related activities or in connection with any activities under this Agreement. Contractor affirns that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 19. JURISIDICTION-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. 20. PROFESSIONAL LICENSES Contractor shall, throughout the term of this Agreement, maintain all necessary licenses, permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder Page 7 of 8 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. 21. 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 or power is not, in fact, held by the signatory or is withdrawn. b. All exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: DAISY GOMEZ, MMC r0 7 Clerk of the Council APPROVED AS TO FORM SONIA R. CARVALHO City Attorney By: Jffin M. Funk Assistant City Attorney FOR APPROVAL uad S. SWeiss, PE, ITS Public Woks Agency CITY OF SANTA ANA Kristine f6dge 'r City Manager Name: Timothy Roberts Title: President Page 8 of 8 TE EXHIBIT A V � Roberts INCORPORATED A. June 12, 2019 City of Santa Ana Public Works Agency 215 S. Center Street, Building A Santa Ana, CA 92703 To Whom It May Concern: Please accept our proposal for your On -Call Emergency Water and Sewer System Repair Services, RFP No. 19-032, bidding today. T. E. Roberts, Inc. is an experienced underground pipeline contractor established in 1999. We specialize in water, sewer and storm drain construction. We are a California Corporation with CSLB class A and C34 license # 603008, DIR registration # 1000000280, and is qualified to do business in the state of California. We are currently an On -Call Contractor with the City of Santa Ana, Contract # 14-044 in the amount of $800,000.00. We have a current business license with the City of Santa Ana, # 348343. Thank you for the opportunity to bid on your project; we hope to continue serving your community. Sinc1er el Timothy Roberts President 306 West total -a Iv,nu, Unit 1 O"so,, (1 92861 1 714. O 60.0077 f 714.100.0141 ❑uu• I001001 .WW IBroAelle lam r� We are familiar with the scope of work, City requirements, and terms and conditions of the Agreement. We are accustomed to and compliant with Public Works requirements including prevailing wage rates, use of Apprentices and other DIR stipulations. We are in agreement with the recitals of the Standard Agreement (Attachment 4 of the project specifications) in its entirety. ,r4 TEAM EXPERIENCE Timothy Roberts, President Oversees operations and management Tim worked his way up from Equipment Operator to Foreman to Superintendent with another pipeline contractor before forming his own pipeline construction company in 1999. Tim has over 35 years' experience in pipeline construction. He is hands-on and oversees all projects and operations. Justin Roberts, Project Manager oversees field construction. Justin has over 15 years' experience in local pipeline construction and has performed duties of la:rorer, equipment operator and teamster. His well-rounded experience helps him supervise projects with maximum productivity. Superintendent -Dave Klein supervises construction, quality control and safety. Dave has over 30 years' experience in the pipeline construction industry and is proficient in all aspects of pipe installation and repair. Superintendent -Javier Magana Supervises construction, quality control and safety. Javier has over 12 years' experience in the pipeline construction industry and is proficient in all aspects of pipe installation and repair. Gilbert Hartwell, Project Manager Gilbert has over 12 yearsexperience in local pipeline construction and started his pipeline construction career as a field laborer Gilbert transferred his field knowledge and organizational skills to project management where he excels at supervising multiple on going projects with efficiency Superintendent -Dave Pope Supervises construction, quality control and safety. Dave has over 31 years' experience in pipeline construction and worked his way up to Foreman. He excels in managing large construction projects. Superintendent -Francisco Romero Supervises construction, quality control and safety. Francisco has over 20 years' experience in the pipeline construction industry and is proficient in all aspects of pipe installation and repair, Troy Lane, Project Manager Troy has over 22 years experience in local pipeline construction. Troy worked in underground construction as a pipe layer, heavy equipment operator, field engineer, and field supervisor. He has been a project manager for the past nine years Superintendent -Bob Hartwell Supervises construction, quality control and safety. Bob has over 38 years' experience in pipeline construction, he owned his own pipeline construction company and has worked as a Field Inspector. Superintendent -Tom Zimprich Supervises construction, quality control and safety Tom has over 37 years' experience in the pipeline construction industry and is proficient in all aspects of pipe installation and repair. Skilled Field Crew Includes: Foremen, Equipment Operators, Teamsters, Laborers, Pipe Layers, Welders Office Administration Office Maria Per -Kim Newett Administrative Assistants: Mere Bush, Erica Friel, Diane Hartwell, Maria Sanchez, Erin Silber, Katie Todd Yard Staff Yard Superintendent -Jim Rader Mechanics: Brandon Morales, Joel Macias. Paul Johnston, Jason Clements a T.E. Roberts, Inc. has been providing underground utility installation and repair services restoring water and sewer facilities throughout Southern California for twenty years. As an experienced wet utility On -Call Contractor servicing municipalities, and public and private agencies we have completed numerous small and large leak repairs on all types and sizes of pipe, small and large sewer repairs, storm drain repairs, storm debris removal, and other emergency repair services. We are qualified to construct and make repairs on all types of water lines including 4- 30" CML/C water mains, valves, pressure reducing valves, fire hydrants, provide dewatering services, provide traffic control per WATCH manual, disinfect, flush, and restore project sites. We are equally qualified to construct and make sewer repairs on 6-30" VCP and PVC sewer mains, manholes, cleanouts, laterals, provide dewatering services, bypass pumping, provide traffic control per WATCH manual and restore project sites. T. E. Roberts, Inc. is also able to construct and repair water and sewer pump stations and the related appurtenances. T.E. Roberts, Inc. has 90 employees with 70 skilled crew members in the field ready to serve your needs. Owning most of our own equipment we're ready to mobilize with excavators ranging from 5,000 to over 100,000 pounds, backhoes-mainly John Deere 710, loaders, dump trucks, crew trucks, trash pumps ranging in size from 1 1/2 to 6 inches, and shoring, safety shields and other job related tools. Permits will be secured as needed. A 24 hour Emergency Contact List with home and cell phone numbers of key personnel will be provided to the City upon award of contract. Upon notification T.E. Roberts, Inc. will immediately respond within one hour to assess the scope of work. Upon approval from the City to commence a crew will mobilize within four to eight hours with appropriate personnel, equipment and materials to begin repair work The repair work may encompass excavation, pavement cuts, minor grading, disposal and hauling of spoils and excess materials, backfill and compaction, asphalt repair work and welding repair work. We perform most services with our own forces, however we may subcontract saw cutting, some concrete work, and electrical work at the allowable markup. Safety is a priority at T. E. Roberts, Inc. and we comply with all applicable safety standards required by CAL -OSHA, comply with applicable Local, State and Federal regulations including SCAQMD. Our work sites will be free of hazards and will provide maximum safety to the public, city personnel and our crew. We have written Safety Policies and Procedures In place, W.A.T.C.H. Handbooks on all jobsites, maintain at least two Certified Competent Persons on every crew, and all employees are subject to random drug testing. E. ON CALL PROJECTS 142S S. Bon View Avenue, Don Meyer, 909 395-2677 On Call Services since 2011, $1,200,000.00 per year 1. Replacing old brick Manholes throughout the city, ongoing as needed 2. Water Meter Replacements throughout city, ongoing, average of 300 per month 3. Long Side Services, 6th Street, $62,442.00, 10-27-17 4. Flood Repairs, 6th Street, $6,478.00, 11-30.16 5. Sewer Repair, Milliken, $17,183.00, 9.12-16 E. Pacific Coast Highway, Newport Beach, CA 92660 Brian Stith, 949 673-1331 1. Repaired 6" water main at PCH and Bayslde. Received call at 6 pm, leak repaired and water flowing back by 11 pm, $4,117,00, 3-3.18 RECENTLY COMPLETED PROJECTS Newport Beach, 100 Civic Center Drive, Newport Beach, CA 92660 Alfred Castanon 949 644-3314 Balboa Island Water Main Replacement Phase 1 4,000' 4-12" PVC pipeline and appurtenances with restoration $1,563,400.00 Project Awarded 12-1-17 Completed 4-18-18, 89% Own District, 33S92 West Street., Laguna Beach, CA L•}{fil Joe Sinacorl, 949 499.4555 ext. 3178 PCH Recycled Water Distribution Bottleneck Upsizing Project Installed 6,350' 16" PVC pipeline and appurtenances with restoration $3,201,375.00 Project Awarded 7-26-16, Completed 5-27-17,84%Own forces City of Ontario, 2425 S. Bon View Avenue, Ontario, CA 91761 Katie Glenger 909 395-2694 Water Main Improvement, Phase 2 Project 7,150' 8-12" DIP pipeline and appurtenances with restoration $2,338,077.00 Project Awarded 6-7-16, Completed 3-20-17 83%Own forces City of Newport Beach, 100 Civic Center Drive, Newport Beach, CA 92660 Patrick Arciniega 949 644-3347 Corona del Mar Transmission Pipeline Improvement Project 5,220' 30" CML/C, 2,600' 24" CMUC, 60' 18" CML/C, 490-16" CML/C pipeline and appurtenances, bored under PCH, Included restoration $4,402,750 Project Awarded 1-23-13 Completed 6-13-14, 88% Own forces City of Newport Beach, 100 Civic Center Dr., Newport Beach, CA 92660 Mike Sinacorl, 949 644-3342 On Call Services since 2015 1. Vault Lid Repair, PCH and Dahlia, $7,910.00, 2-28-18 2. Meter Vault, Cliff Drive, 511,598.00, 9-15-17 3. Repaired 30" Line In Oil Fields, $60,928.00, 3-11-16 4. Davit Sleeve Pad, City Yard, $6,972.00, 11-21-15 5. V Ditch Repair, $16,512.00, 9-15-15 92677 Matt Crowl, 949 831-2500 1. Repaired leaking water main, El Toro Rd, $65,973.00, 2-28-18 2. Removed V Ditch, Installed flush outs, restored landscaping and street, Hillburst, $43,025.00, 9-30-17 3. Diemer Pipeline Emergency Repair in SCRRA right of way, City of Anaheim, 200 South Anaheim Blvd., Anaheim, CA 92805 Luis Tapia, 714 863-8020 Alderdale Avenue and Maychelle Drive Transmission Main Replacement Project 1,570' 8" PVC pipeline and appurtenances with restoration $469,744.00 Project Awarded 1-14-17 Completed 4-5-17 City of Anaheim, 200 South Anaheim Blvd., Anaheim, CA 92805 Tim Flint, 714 765A137 Solomon Drive and Baja Drive Water Main Replacement Project 9,000' 12" DIP pipeline and appurtenances with restoration $,917,035.00 Project Awarded 5-9-17 Completed 4-10-18 900/Own forces Upper San Gabriel Valley Municipal Water District In conjunction with San Gabriel Valley Water Company, 11142 Garvey Ave., El Monte, CA 91732 Matt Yucelen 626 448-6183 South El Monte Recycled Waterline Project, Phase I Project 13,000' 8-18" GWBR pipeline and appurtenances with restoration $1,770,047.00 (material provided( Project Awarded 9-15-15, Completed City of Ontario, 1425 S. Bon View Avenue, Ontario, CA 91761 Omar Dandashl with NMC Builders LLC, 909 268-9918 Francis Domestic Water Loop and Recycled Water Project Wet utilities for New Model Colony Housing Development, 30,000' 24- 30" DIP water distribution system $10,702,107.00 Project Awarded 10-13-13, Completed 9-30-14, 85% R REFEH'EMCES Matt Yucelen Phone (626) 448.6183 Vice president - Engineering and operations San Gabriel Valley Water Company Michael Guerrero Phone~ (310) $02.5355 Principal Civil Engineer City of Manhattan Beach Thomas O'Neill Phone: (909) 395.2601 Utilities Operations Division Manager TONeillOontarloca,gov City of Ontario, Ontario Municipal Utilities Company Shane Chapman Phone: (626) 443-2297 General Manager Upper San Gabriel Valley Municipal Water District Michael Slnacorl Phone: (949) 644-3342 Assistant City Engineer MSlnacorlOnewportheachca,gov City of Newport Beach Michael Baron Phone;(562)205.4835 Director, Property Management Rose Hills Memorial Park & Mortuary Jason Roehrborn Phone: (626) 914.8253 Civil Engineering Assistant City of Glendora Van Jew Phone; (909) 624.0035 Manager of Engineering, Operations and Maintenance Monte Vista Water District Steve Brown Phone: (714) 528.1463 Water Distribution Superintendent extension 101 Golden State Water Company Tom Bonkowki Phone: (949) 453»5692 Engineer Irvine Ranch Water District Bill Moorhead phone: 714765-4165 Project Manager SMoorheadVanahelm.net City of Anaheim Sherry Shaw Phone: (909) 59S-1268 Engineering Manager Walnut Valley Water District RickShintaku Phone: (949)499.4555 Chief Engineer extension 3156 South Coast Water District Appendix ATTACHMENT 2: FEE SCHEDULE Certification - I certify that I have read, understand and agree to the terms and conditions of this Request for Proposals. I have examined the Scope of Services (Appendix: Attachment 1) and am familiar with the scope of work. I am familiar with all the existing conditions and limitation that may impact work requests. I understand and agree that am responsible for reporting any errors, omissions or discrepancies to the City for clarification prior to the submission of my proposal. Proposer shall submit hourly rates schedule, which shall include but not limited to, direct and indirect costs for labor, for staff per job classification, material, equipment rates, overhead, incidental supplies, travel, mileage, and fuel. Any special materials will be purchased by the contractor only after discussed and authorized by the City projects manager or designee in writing. Prior to commencement of services, Contractor shall provide separate quotes, upon request by the City, which shall be approved by the City's Public Works Agency. Note: This contract is subject to prevailing wages NUMBER r mr) R ionoonozxo CSLB NUMBER OR REGISTRATION NUMBER City of Santa Ana - RFP 19.032 On -Call Emergency Water and Sewer Repair Services Page 15 of 31 Appendix ATTACHMENT 3: REFERENCES List and describe fully the contracts performed by your firm which demonstrate your ability to provide the supplies, equipment or services included in the scope of the proposal specifications. Attach additional Pages if required. The City reserves the right to contact each of the references listed for additional information regarding your firm's qualifications. Reference Customer Name: City r4 San+n Ana Contact Individual: _@Ad4 iZtXn.S Address: In C.ttflr_ PlAla— Phone Number:_ 114 Cnn}n Ana CA IVIDI Facsimile Number: r0sa5jq!;an}a-And 0Cli Contract Amount: p R00 DDO Year: 1.01"/ - Prs$�r)r Description of supplies, equipment, or services provided: Fmt�(V 2«aLr and In(aty✓- R aPptr 5erylrea On 6111 Reference CustomerName:C� Of Newport BeggiContactIndividual: __.Mike, SlnnCnrl Address: 100 (WIC C!nf-r. Drive- Phone Number: j 4 &qL4 ?Wnnrt BCaChM iWO Facsimile Number..M�,tnnGorljqnGWoorflNpoej)c4,,leV Contract Amount: ® 5 ADS 000 Year: Description of supplies, equipment, or services provided: _Un/IC9"VnLI U+,I1f\/ I115}611ln}tnn aAd 0612Atr pl CAN Reference Customer Name: CI Of fM}/ ri n Contact Individual: Don Mt.�e✓ Address:l425 5. 81111 VIP_ul AVenurPhone Number: _ 90q 3gS-2bi� On4arto, CA g17(,1 FacsimileNuinber: b3E4,vranntertnCtI 3&1 Contract Amount: tl I�7,OL)e 0nnLIear Year: _ S-0I I - oee e In+ - Description of supplies, equipment, or services provided: on -Coil Qery=s -fnr WAi7m fag1ri6,f'IAn +nd 5!uAde Collr[{-Inn 12hffn aem1175 THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL, PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE. J City of Santa Ana - RFP 19-032 On -Call Emergency Water and Sewer Repair Services Page 16 of 31 NON -COLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) In conformance with Title 23 United States Code Section 112 and Public Contract Code 7106 the BIDDER declares that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the BIDDER has not directly or indirectly induced or solicited any other BIDDER to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any BIDDER or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the BIDDER has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the BIDDER or any other BIDDER, or to fix any overhead, profit, or cost element of the bid price, or of that of any other BIDDER, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the BIDDER has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Note: The above Non -collusion Affidavit is part of the Proposal. BIDDERS are cautioned that making a false certification may subject the certifier to Signed prosecute 0U\ Tlmo-thy RoberfS State of Cali Countyof Ur J Subscribed and sworn to (or affirmed) before me on this _P.)"h day of Ju n F , 20JJ, by proved tome on the basis of satisfactory evidence to be the persons who appeared before me Notary Public Signature Notary Public Seal sSce Ai+a che-d City of Santa Ana - RFP 19-032 On -Call Emergency Water and Sewer Repair Services Page 27 of 31 CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE § 8202 rsscz.rr-'^-.......•. rcrsccrax<s:rstcr�rsmt�.-.•...:�---_.•�.>-�._:cr,�rsreres.c�,;:��s:..rr_cc;ccr<sc:e:csccncrt:cccwrc ;s X See Attached Document (Notary to cross out lines 1-6 below) wee Statement Below (Lines 1-6 to -be completed only by document signerls), not Notary) Signature of Document Signer No. 1 Signature of Document Sr r No. 2 (f any) A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of KIM E. NEWETT _ C IMh1. 92228431 z ^' Noia y Public - California a Orange County MY Comm. Expires Feb. 7, 2022 Seal Place Notary Seal Above Subscribed) and sworn to (or affirmed) before me on this Iz day of Jon(- 20j by Date Month Year (1)__ TIYYlOi'hU RCJb�t F5 (and (2) 1, Names) of Signers) proved to me ,on the basis of satisfactory evidence to be the person(s) who appeared before me. Signature �'{ %4�, �.0 Signature of Notary Public OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: 02014 National Notary Association • www.NationalNotary.org • 1.800-US NOTARY (1-800-876-6827) Item H5910 CITY OF SANTA ANA RFP NO.: 19-032 ON -CALL EMERGENCY WATER AND SEWER REPAIR SERVICES NON -LOBBYING CERTIFICATION The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her knowledge and belief, that: (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in conformance with its instructions. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not.more than $100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,0� nd that all such subrecipients shall certify and disclose accoydingly. Signed: � \ \ Title: Dr" -, i A v ni- Firm: T. P.. Vr)ko-+< Ire/ Date: (a - 1'3- t q City of Santa Ana - RFP 19-032 On -Call Emergency Water and Sewer Repair Services Page 1 of 31 �0- CITY OF SANTA ANA RFP NO.: 19-032 ON -CALL EMERGENCY WATER AND SEWER REPAIR SERVICES NON-DISCRIMINATION CERTIFICATION The undersigned Contractor or corporate officer, during the performance of this contract, certifies as follows: 1. The Contractor shall not discriminate against any employee or applicant for employment because of race, color, religion, sex, or national origin. The Contractor shall take affirmative action to ensure that applicants are employed, and that employees are treated during employment without, regard to their race, color, religion, sex, or national origin. Such action shall include, but not be limited to, the following: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The Contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided setting forth the provisions of this nondiscrimination clause. 2. The Contractor shall, in all solicitations or advertisements for employees placed by or on behalf of the Contractor, state that all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin. 3. The Contractor shall send to each labor union or representative of workers with which he/she has a collective bargaining agreement or other contract or understanding, a notice to be provided advising the said labor union or workers' representatives of the Contractor's commitments under this section, and shall post copies of the notice in conspicuous places available to employees and applicants for employment. 4. The Contractor shall comply with all provisions of Executive Order 11246 of September 24, 1965, and of the rules, regulations, and relevant orders of the Secretary of Labor. 5. The Contractor shall furnish all information and reports required by Executive Order 11246 of September 24, 1965, and by rules, regulations, and orders of the Secretary of Labor, or pursuant thereto, and will permit access to his/her books, records, and accounts by the administering agency and the Secretary of Labor for purposes of investigation, to ascertain compliance with such rules, regulations, and orders. 6. In the event of the Contractor's non-compliance with the nondiscrimination clauses of this contract or with any of the said rules, regulations, or orders, the contract may be canceled, terminated, or suspended in whole or in part and the Contractor may be declared ineligible for further Government contracts or federally assisted construction contracts in accordance with procedures authorized in Execution Order 11246 of September 24, 1965, and such other sanctions may be imposed and remedies invoked as provided in Executive Order 11246 of September 24, 1965, or by rule, regulations, or order of the Secretary of Labor, or as otherwise provided by law. City of Santa Ana - RFP 19-032 On -Call Emergency Water and Sewer Repair Services Page 29 of 31 CITY OF SANTA ANA RFP NO.: 19-032 ON -CALL EMERGENCY WATER AND SEWER REPAIR SERVICES The Contractor shall include the portion of the sentence immediately preceding paragraph (1) and the provisions of paragraphs (1) through (7) in every subcontract or purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to Section 204 of Executive Order 11246 of September 24, 1965, so that such provisions will be binding upon each subcontract or purchase order as the administering agency may direct as means of enforcing such provisions, including sanctions for noncompliance; provided, however, that in the event the Contractor becomes involved in, or is threatened with, litigation with a subContractor or Contractor as a result of such direction by the administering agency, the Contractor may request that the United States enter into such litigation to protect the interests of the United States. 8. Pursuant to California Labor Code Section 1735, as added by Chapter 643 Stats. 1939, and as amended, no discrimination shall be made in the employment of persons upon public works because of race, religious creed, color, national origin, ancestry, physical handicaps, mental condition, marital status, or sex of such persons, except as provided in Section 1420, and any Contractor of public works violating this Section is subject to all the penalties imposed for a violation of the Chapter.. Signed: Title: Pre ^.I ti cnf Firm: T. E - KO be r is Inc Date: (, -13 - I q City of Santa Ana - RFP 19-032 On -Call Emergency Water and Sewer Repair Services Page 30 of 31 CITY OF SANTA ANA RFP NO.: 19-032 ON -CALL EMERGENCY WATER AND SEWER REPAIR SERVICES ---End of RFP NO 19-032--- City of Santa Ana - RFP 19-032 On -Call Emergency Water and Sewer Repair Services Page 31 of 31 MAYOR Miguel A. Puedo MAYOR PRO TEM Juan Image, COUNCILMEMBERS Cadia Iglesias Dam Penaim viceae Sarmlento Jose sdono CITY OF SANTA ANA PUBLIC WORKS AGENCY 220 S. Dalsy Avenue Santa Ana, CA 92703 www.santa-ana.org 714-647-3320 ADDENDUM NO.1: Q & A CITY MANAGER Kristine Ridge CITY ATTORNEY ACTING CLERK OF THE COUNCIL Norma Mitre -Ramirez Request for Proposal No. 3 On -Call Emergency Sewer and Water SytemRepair Services June 6,2019 Notice to bidders that, where Division ishas mater Resources adetertain clarifications, Modifications, tand/ de, the lelet deletions. for pety of Santa Ana �cations of RFP 19-032 On -Call Emergency Sewer and Water System Repair Services, ALL OTHER TERMS, CONDITIONS, AND SPECIFICATIONS REMAIN UNCHANGED. Answers to Inquiries/Questions submitted by the deadline are as follows: 1. Q: Does this On -Call require a Community Work Force Agreement like the other bids the city of Santa Ana puts out? A. This is an RFP for on -call emergency repair services. Per the RFP. Individual job/task quotes will be requested as the need for service arises. The Community Workforce Agreement terms apply to any project valued at over $250,000 and any single trade Project valued at over $100,000. If a condition arises when we request Blob/task through this emergency on -call agreement which is quoted at those price points, then the conditions of the Citys Community Workforce Agreement would apply for those jobs/tasks. 2. Q: What is the value of the on -call agreement? A: Agreement amount has yet to be determined, Thank you for your participation and your interest in doing business with the City of Santa Ana, Sincerely, Rodolfo Rosas, P.E. Senior Civil Engineer CC: Reading File SANTA ANA CITY COUNCIL u➢„q a Pti l x, V.q V1.n. a«m«w I. w«o s wra r Rs,�a9udraaa��.e➢ a+saaepurla-�a>xa n«m«,ry.&x-el tit.70 1cc'U'-6r14re M2 ,we Sru+a wra) Mre4 rewp,r., aulus&s�rxaos a wre s mon"cam"stv EXHIBIT B Roberts INCORPORATED uuu ......ruuu HOURLY RATE SCHEDULES T.E. Roberts, Inc. City of Santa Ana On -Call Emergency Water and Sewer Repair Services President -Timothy Roberts Project Managers -Justin Roberts, Gilbert Hartwell, Troy Lan Superintendents- Dave Pope, Dave Klein, Bob Hartwell, Francisco Romero, Javier Magana, Tom Zimprich Hourly Straight Time LABOR Rates Project Manager $135.25 Superintendent -Op Eng Gr 8 $132.00 Foreman -Operating Engineer Gr 8 $127.12 Foreman -Laborer Group 5 $108.92 Operator- Operating Engineer Gr 8 $122.25 Laborer- Laborer Group 1 $100.80 Pipe layer- Laborer Group 4 $105.11 Welder- Laborer Group 5 $105.67 Teamster- Teamster Group 3 $97.35 Materials cost plus 15% Bonds -if required 1.5% of total SUBCONTRACTORS Cost plus 10%for Structures Unlimited -concrete structures first $5,000, then Penhall-sawcutting, concrete breaking 5%of amount over Beard Electric -electrical $5,000 6/12/2019 Hourly EQUIPMENT Rates Large Excavator $121.00 Medium Excavator $110.00 Small Excavator $99.00 Back Hoe $46.20 Air Compressor w/JH $22.00 Dump Truck/Super10 $49.50 Pickup Truck or Van $27.50 Crew Truck $33.00 Flatbed Truck $27.50 Bed Trailer $49.50 Truck and Pup $82.50 Water Truck $38.50 Sweeper $79.20 Wheel Loader $60.50 Skip Loader $44.00 Skid Steer/Bobcat $44.00 Asphalt Zipper $88.00 Arrowboard $16.50 TEROBERT-0 KSHIPPEY "'� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 9/12/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements PRODUCER License # 0757776 Newport Beach, CA - HUB International Insurance Services Inc. 4695 MacArthur Court, Suite 600 Newport Beach, CA 92660'E . CONTACT Kimberly Shippey PNONE FAX uC, No, Eel: INC,N.: . kimberl .ahl ey@hubinternational.com INSURE S I AFFORDING COVERAGE NAIC# INSURED INSURERA:01d Republic General Insurance Corp. INSURER B:Travelers Property Casualty Company of America 24139 25674 INSURER C: T.E. Roberts, Inc. 306 W. Katella Ave Unit B Orange, CA 92867 INSURER D: INSURER E: INSURER F: REVISION NUMBER: 01 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 AN CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED SY 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 ADDL SUBS p POLICY NUMBERIMMMrdyyy)q POLICY EFF 911/2019 9/1/2019 9I1I2019 9/1/2019 POUCYEXP 9/1/2020 9/1/2020 9/1/2020 9/1/2020 LIMITS A A A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X X N/A AICGI3971801 ICA13971801 UP-91N03112-19-NF ICW13971801 EACH OCCURRENCE 1,000,000 DAMAGE TO REMEDPREMISES ME �ej E 100r000 6,000 MED EXP An onePerson) PERSONAL B ADV INJURY 1,000,000 GENL AGGREGATE LIMIT APPLIES PER: POLICY ❑X JELT LOC OTHER: "AUTOMOBILE LIABILITY OPEDONLYAUTOS SCHEDULEDY AUTNNOS��AA..NNEEDpBOOpDILY Y X AUT0ONLV LIAB X OCCUR e CUIMS-MADE GENERAL AGGREGATEE 2,000,000 PRODUCTS-COMP/OPAGG $ 2,000,000 (COMBINED Eaawo.rt) LE LIMIT BODILY I JURY Per emon $ S 11000,000 $ INJURY Per ectldard $ PPerVMMY �) `E $ EACH OCCURRENCE $ 10,000,000 AGGREGATERETENTIONS 10,000 AND EMPS YERS' ABIUT ANDEMPLOYERS' DABILPY ANY pPpROPMUORIPARTNERIEXECUTIVE YIN (Mentlatory In NHJ EXCLUDED' if Dyes, des'ON ender DESCRIPTION OF OPERATIONS Ielow X PERTATUIE OTH- $ 10,000,000 E.L EACH ACCIDENT $ 1,000,000 E.L DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE - POLICY UMIT 1,000,000 DESCRIPTION OFOPERATIONS/LOCATIONS /VEHICLEStACORD101,Addldomi Remarks Schedule, ma be attached ifmorespaeela required) Re: Agreement for #8208- On Call Sewer and Water System Repair Services; A-201v9-0142-03,A-2014-230-01, IFB 16.104 Water Meter Vault Replacement City of Santa Ana, its officers, employees, agents, volunteers and representatives are included as additional insureds, as respects general liability and auto liability, which is primary and non-contributory, subject to the terms and conditions of the policy, and attached forms. Separation of Insureds applies. 30 days notice of cancellation, 10 days for non-payment of premium. REVIEWED & APPROVED By RI MANAGEMENT DIVISION rPPTTclrerc Unr nco 11 1 Air-M City of Santa Ana SAN Risk Management Division, 4th Floor 20 Civic Center Plaza Santa Ana, CA 92702 e Cnon oe ronnem-a. ULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE M. LAMB RrE EDANCXPIRATION WITH THE POT EREOF,PROVIONS.NOTICE WILL BE DELIVERED IN AUTHORIZEE�D/, �RR�EEP�PP/RESENTATIVE �� IBDe-ZUTDACUKU CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: AlCG13971801 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 Or anization s Locations Of Covered Operations THE OWNER AND coNmRAcxoR, IF REQvxRED EY THE LOCATIONS AS REQUIRED BY AN EXECUTED TERMS OF A WRITTEN CONTRACT THAT WAS FULLY EXECUTED PRIOR TO THE DATE OF THE "OCCURRENCE", WRITTEN CONTRACT. AND ANY OTHER PERSONS OR ENTITIES SPECIFICALLY REQUIRED BY, AND IDENTIFIED BY NAME IN, THAT SAME CONTRACT, I Intormation 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 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: 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: 2. 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. 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 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 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 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 Page 2 of 2 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. © Insurance Services Office, Inc., 2012 CG 20 10 0413 POLICY NUMBER: AlCG13971801 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 Organization(s) Location And Description Of Completed Operations THE OWNER AND CONTRACTOR, IF REQUIRED BY THE TERMS OF A WRITTEN CONTRACT THAT WAS FULLY LOCATIONS AS REQUIRED BY AN EXECUTED EXECUTED PRIOR TO THE DATE OF THE "OCCURRENCE", AND ANY OTHER PERSONS OR ENTITIES SPECIFICALLY WRITTEN CONTRACT. REQUIRED BY, AND IDENTIFIED BY NAME IN, THAT 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 c ntract or agreement to provide for su h ad tional 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 id 1 0 Insurance Services Office, Inc., 2012 Page 1 of 1 OLD REPUBLIC GENERAL INSURANCE CORPORATION CHANGES ADDITIONAL INSURED PRIMARY WORDING SCHEDULE THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING: COMMERCIAL GENERAL LIABILITY COVERAGE FORM Name of Additional Insured Person(s) Location(s) of Covered Operations Or Organization(s): WHERE REQUIRED BY AN EXECUTED WRITTEN CONTRACT. As required by written contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations The insurance provided by this endorsement is primary insurance and we will not seek contribution from any other insurance of a like kind available to the person or organization shown in the schedule above unless the other insurance is provided by a contractor other than the person or organization shown in the schedule above for the same operation and job location. If so, we will share with that other insurance by the method described in paragraph 4.c. of Section IV — Commercial General Liability Conditions. All other terms and conditions remain unchanged. Named Insured T.E. Roberts, Inc. Policy Number AlCG13971801 Endorsement No. 01 Policy Period 09/01/2019 to 09/01/2020 Endorsement Effective Date: 09/Ol/2019 Producer's Name: HUB International Insurance Services, Inc. Producer Number: 27N12 DATE CG EN C POLICY NUMBER: AlCA13971801 COMMERCIAL AUTO CA 20 48 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE 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 this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: T.E. Roberts, Inc. Endorsement Effective Date: 09/01/2019 SCHEDULE Name Of Person(s) Or Organization(s): WHERE REQUIRED BY AN EXECUTED WRITTEN CONTRACT. Information required to complete this Schedule, if not shown above will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.I. of Section II — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 OLD REPUBLIC GENERAL INS JRANCE CORPORATION ADDITIONAL INSURED -PRIMARY kND NON-CONTRIBUTORY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. SCHEDULE Name of Person(s) or Organization(s) : WHERE REQUIRED BY EXECUTED WRITTEN CONTRACT. (If no entry appears above, information required to complete this endorsement will be shown in the n__i...._1:--- -- -- .. _ ..•.•. � ••� �rN,,..- . rU I! IV aiiuursernenij Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section II of the Coverage Form. If the person or organization shown in the schedule qualifies as an 'insured' for Liability Coverage, and they have coverage as a first named insured under another policy, this policy is primary to and non-contributory with that other insurance. All other terms, conditions, and exclusions apply. Named Insured T.E. Roberts, Inc. Policy Number A1CA13971801 Endorsement No. Ol Policy Period 9/01/2019 to 09/01/2020 Endorsement Effective Date: Producer's Name: 09/O1/2019 OHUB International Insurance Services. Inc. Producer Number: 27N12 IR DATE CA EN GN 0044 02 12 rH I `/��IPage 1 of 1