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HomeMy WebLinkAboutTAIT & ASSOCIATES. INC.SURANCE NOT ON FILE A-2021-035-08 IIORK MAY NOT PROCEED APR 0 7 2021 CLERK OF COUNCIL DATE: D..-?KA,YLot hr"t^o(f) 'G,-reVV 1zW)TPrFIRST AMENDMENT TO AGREEMENT TO PROVIDE ON -CALL WATER RESOURCES ENGINEERING SERVICES (TAIT) THIS FIRST AMENDMENT to the above -referenced agreement is entered into on March 16, 2021, by and between TAIT & Associates, 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. Following the City's issuance of Request for Proposal No. 19-100, the parties entered into Agreement No. A-2020-075-08, dated April 21, 2020, by which Contractor agreed to provide on -call water resources engineering set -vices for the City's Public Works Agency ("Agreement"). B. Contractor was one of eight contractors selected to provide services on an as -needed basis under RFP No. 19-100. The total compensation for services provided by all contractors selected under RFP No. 19-100 was not to exceed a shared aggregate amount of $2,000,000 during the term of the Agreement, including any extension periods. C. The Agreement remains in effect through April 21, 2023, with provision for extension, and the parties now wish to amend the Agreement to increase the maximum shared aggregate expenditure under the Agreement. The Parties therefore agree: Section 2.a., Compensation, is amended to increase the total compensation for services provided by all contractors selected under RFP No. 19-100 by the shared aggregate amount of $950,000 during the term of the Agreement, including any extension periods. 2. Except as modified by this First Amendment, all terms and conditions of the Agreement shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to the Agreement on the date and year first written above. 4 1 ,,/41a—isy Gomez Kristine Ridge - signatures continue on next page - Page t of A-2021-035-08 APPROVED AS TO FORM SONIAR. CARVALHO City Attorney By: 71t , -f�L n M. Funk Sr. Assistant City Attorney FOR APPROVAL Nabil Saba Executive Director Public Works Agency CONTRACTOR Na e: G j �dG1i j Ti e: Page 2 of 2 TAIT RILING TO THE CHALLENGE 1. Employee Classification 06 - Engineering Assistant .......................... _..........._...._....._... 16— Project Administrator .___-.......... .___. __. _._.. ............ 04 - Engineering Designer I._ ............... .......__._ __.___....._...... 10 - Engineering Designer ll.._... .......... ...._.__..,... ............... _._. 25- Project Engineer ll......__...... _._....., ___ ._.... 03 - Project Engineer/Project Manager ............................... ....... 02 - Professional Engineer/Licensed Surveyor ................_...... 17 - Senior Professional Engineer/Surveyor ....................... ....... 52 - Principal 11 . _............. ................ ................... 01 -Principal ...... ......................... .... ........ .. ................... ..._........ 15 - Structural Engineer ............. ....................................... 05 - Permit Expediter I ...................... ........................................ .. 11 - Permit Expediter II .............. ......................................... 09 — Project Coordinator-, ...................................... .............. ... 07 - Surveyor ........................ ........... ........ .................... _... ___ 08 - Senior Survey Specialist/ Party Chief ...... ....._...... _........ .. 00- Two man survey crew' ..................... ................ ._.......... _....... 22 - One Man Survey Crew with Robatics.................... 90 - Project Manager I ............ ................................ ........ .--- ___ . 54 -Entitlement Director.. -.. _. _ .. . .... ...... _... _.................. 125 - Assistant Project Manager Schedule of Fees Hourly Rate ......... ........ . _.......... ._---. __.. _. _......... _. 70,00 ..................... _I ...... .. _....... _............._. 100,00 ......................................... _.................. 135..00 ._...-..---- ---------- ......................................155.00 ........._..___...... ........ __........... _.......... .. 180-00 ......._......... ... -....... -...------__----..-_.... 200.00 _...-_......,__._..._..._....._._... _..._..240.00 -------- ------- ------ .... ...._....... ------ ___ 210.00 91 -Project Manager II_ _.. _......... _... _ .............................. ................ 16 - Job Captain ..................... 70 - Drafter.................__............_.-_-............_...._.__.__----_. ._..... _. 90.00 ...........105,00 ____ 115.00 .......... 105.00 I ... I ... ... 145.00 ........... 325.00 ........... 225.00 ..._._... 145-00 ........ 175-00 .........130-00 ... 165.00 ...' 30.00 . .....85'00 `Prevailing Wage Rates based on current State of California Prevailing Wage Rate Schedule and the assigned project office location The hourly rate for client authorized overtime and for representation at hearings and meetings after 6:DD p.m. will be invoiced at 1.5 times the posted rate. The above rates are inclusive of phone charges, fax charges, software and licensing fees, and photocopying charges. 2. Mileage, Travel and Per Diem Auto Mileage: IRS Rate plus 15 percent Air Travel and Auto Rental: Actual cost plus 15 percent Per Diem: Actual cost of lodging and meals, plus 15 percent 3. Materials and Supplies Office and CADD supplies are included in the hourly rates. Prints, plots and reproductions are charged at cost plus 15 percent from commercial blueprint companies. In-house reproduction charges are as follows: Prints Plots Color Plots Bond $ .951s.f. $.95/s.f. $6.00/s.f. Vellum 1.351s.f. 1.65/s.f. 7.50/s-f. 4, Reimbursable Expenses Will be billed at cost plus 15 percent. Client will pay directly for all ,permit and agency fees, otherwise cost plus 15%. Subconsultant invoices will be billed at cost plus 15%. 5. Insurance Coverage General Liability: $5,000,000 Errors/Omissions: $1,000,000 California Workers' Compensation - Statutory Certificates of insurance coverage will be provided upon request. Fee Schedule:2019SC-Prevalling1Wages DL y ed by Sama ha Samantha M. M..Lambert,t Client#:422600 Lambert Date: 2021.09.0916:02:24 TAITASSOC -0700 ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 8/26/2021 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Stephanie Holly NAME Marsh & McLennan Agency LLC PHONE FAX A/C, No, Ext : (A/C, No): Marsh &McLennan Ins. Agency LLC S: SS: occerts@marshmma.com ADDRES 1 Polaris Way #300 INSURER(S)AFFORDING COVERAGE NAIC# AIISo Viejo, CA 92656 INSURER A: AXIS Surplus Insurance Company 26620 INSURED INSURER B : Tait & Associates, Inc. Tait Environmental Services, Inc. INSURER C 701 N. Parkcenter Drive INSURER D Santa Ana, CA 92705 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY SP002747052021 9/01/2021 09/01/2022 EACH OCCURRENCE $2,000,000 CLAIMS -MADE 4 OCCUR PREMISESOEa occurrDence $ 100,000 X MED EXP (Any one person) $ 50,000 Professional Liab X Pollution Liab PERSONAL & ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT � LOC X PRODUCTS - COMP/OP AGG $ 2,000,000 Deductible $$10,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY A UMBRELLA LAB X OCCUR SX002748052021 9/01/2021 09/01/2022 EACH OCCURRENCE $9 000 000 X X AGGREGATE $9 000 000 EXCESS LIAB CLAIMS -MADE *Follows Form DED I X RETENTION $0 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N I A PER TE OTH- STATUER E.L. EACH ACCIDENT $ E.L. DISEASE- EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) "Professional Liability is Claims -Made coverage" The City of Santa Ana, its officers, employees, agents, volunteers, and representatives are included as additional insured as respects to General Liability per attached endorsement. Primary and Non -Contributory Wording applies with respects to General Liability per attached endorsement. Cancellation provisions apply with 30 days written notice. CERTIFICATE HOLDER CANCELLATION City of Santa Ana Risk Management Division SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza, 4th floor Santa Ana, CA 92702-0000 AUTHORIZED REPRESENTATIVE © 1988-2016 ACORD ACORD 26 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S8625206/M8624548 ,z REVIEWED & APPROVED BY: �1-� Risk Management Supervisor, INSURED: Tait & Associates, Inc. POLICY PERIOD: 09/01/2021 POLICY #: SP002747052021 ADDITIONAL INSURED/PRIMARY COVERAGE INCLUDING COMPLETED OPERATIONS (CGL & CONTRACTORS POLLUTION COVERAGE) TO: 09/01 /2022 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies the Specialty Package Policy. In consideration of the premium charged, it is agreed that: SECTION III — WHO IS AN INSURED is amended to include as an Additional Insured the person or organization shown in the schedule below as respects Coverages A, B and D, but only for liability arising out of Your Work or Covered Operations performed by you or on your behalf for that Additional Insured and not due to any actual or alleged independent liability of said Additional Insured. This endorsement does not apply to Bodily Injury. Property Damage or Loss arising out of the sole negligence or willful conduct of, or for defects in design furnished by the Additional Insured. As respects the coverage afforded the Additional Insured, this insurance is primary and non-contributory where a written contract or written agreement in effect prior to any related Claim requires you to provide such coverage. When this insurance is primary and non-contributory, our obligations are not affected by any other insurance carried directly by such additional insured whether it is primary or excess coverage. However, regardless of the provisions above: We will not extend any insurance coverage to the additional Insured person or organization: (1) That is not provided to you in this Policy; or (2) That is broader coverage than you are required to provide to the additional Insured person or organization in the written contract or written agreement. This endorsement does not increase the Company's Limits of Insurance as specified in the Declarations of the Policy. SCHEDULE OF ADDITIONAL INSUREDS As required by written contract in effect prior to any related Claim SPP 0024 (Ed. 06 12) z REVIEWED & APPRovED BY. P �1-� Risk Management Supervisor, INSURED: Tait & Associates, Inc. POLICY #: SP002747052021 Policy Number: SP002747052021 Insured Name: Tait & Associates, Inc. POLICY PERIOD: 09/01/2021 TO: 09/01/2022 ENDORSEMENT - NOTICE OF CANCELLATION TO CERTIFICATE HOLDERS THIS ENDORSEMENT MODIFIES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies the SPECIALTY PACKAGE POLICY. In consideration of the premium charged, it is agreed that in the event you or we cancel this Policy prior to the expiration date, we will endeavor to provide a thirty (30) day notice of such cancellation to certificate holders, provided that: 1. you are under an existing contractual obligation to notify such certificate holders when this Policy is cancelled; and 2. you have provided the following to us, either directly or indirectly, through your broker of record: a. The name of the entity shown on the certificate; and b. The address of such entity where notification maybe mailed. We shall not provide a thirty (30) day notice if the cancellation is due to nonpayment of premium to us or to a finance company authorized to cancel the Policy. Such notice of cancellation will be provided via mail to the certificate holders. Proof that we have mailed the notice of cancellation, using the information provided by you, will serve as proof that we have fully satisfied our obligations under this endorsement. Such notice of cancellation is provided on an informational basis and solely to assist you in meeting your contractual notice requirements to such parties. Our failure to provide such advance notice to the certificate holder(s) will not extend any Policy cancellation date, negate any cancellation of the Policy, or grant, alter, or extend any rights or obligations under this Policy and we shall have no liability for failure to provide the notice herein. All other terms and conditions of the Policy shall apply and remain unchanged. SPP 0063 (Ed. 01 17) Page 1 of 1 z REVIEWED & APPRovED Or. �1-� Risk Management Supervisor, ACCORD® CERTIFICATE OF LIABILITY INSURANCE `....•�� DATE(MM/DD/YYYY) 8/25/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER GMGS Risk Management & Insurance Services CONTACT NAME: 6201 Oak Canyon, Suite 100 Irvine, CA 92618 AC No Ext: 949 559-6700 (ONE A/C No: 949 559-6703 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Travelers Property Casualty Co of America 25674 www.gmgs.com OB84519 INSURED Tait & Associates, Inc. Tait Environmental Services, Inc. INSURER B INSURERC: 701 Parkcenter Dr. INSURERD: Santa Ana CA 92705 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: F:3n4nA:in 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 ADDL INSD SUBR WVD POLICYNUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE1:1 OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ POLICY ❑ PRO- JECT LOC ❑ PRODUCTS - COMP/OP AGG $ $ OTHER: A AUTOMOBILE LIABILITY 810-8P491962-21-43-G 9/1/2021 9/1/2022 C(EaOMBINEDSINGLE$1,000,000 ✓ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ ✓ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY ✓ AUTOS ONLY $1,000Comp. Ded. $ $1,000 Coll. Ded. UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LAB CLAIMS -MADE DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N OF ICER/MEMBEREXCLUDED? ECUTIVE ❑Y N /A UB-4J588939-21-43-G 9/1/2021 9/1/2022 �/ SPER TATUTE OERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1 000 000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1 ,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) This certificate may be relied upon only if the certificate addendum referred to herein is attached hereto. All operations of the named insured subject to the terms and conditions of the policies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana CA 92702 AUTHORIZED REPRESENTATIVE - µ N RL�YMs[on Michael Finn /, �� 19 REVIEWED&APPROVED Br © 1988-2015 ACORD C it ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Risk Management Supervisor, 63540930 121-22 Auto/WC Izabela Stachura 8/25/2021 9:11:48 AM (PDT) Page 1 of 8 AGENCY CUSTOMER ID: LOC #: oR0 ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED GMGS Risk Management & Insurance Services Tait & Associates, Inc. Tait Environmental Services, Inc. POLICY NUMBER 701 Parkcenter Dr. Santa Ana CA 92705 CARRIER I NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability (03/16) HOLDER: City of Santa Ana Risk Management Division ADDRESS: 20 Civic Center Plaza Santa Ana CA 92702 As respects Automobile Liability coverage, City of Santa Ana, officers, agents, employees, and volunteers are added as Additional Insured as per CAT3530215 attached, and this insurance is primary per CA00011013 attached. As respects Automobile Liability coverage, 30-day written notice of cancellation (10 days for non-payment of premium) applies per ILT0010107 attached. As respects Workers' Compensation coverage, a Waiver of Subrogation is hereby included per attached WC990376(00)-001. As respects Workers' Compensation coverage, 30-day written notice of cancellation (10 days for non-payment of premium) applies per WC040601(A) attached. ACORD 101 (2008101) © 2008 ACORD The ACORD name and logo are registered marks of ACORD 63540930 121-22 Auto/WC I Izabela Stachura 18/25/2021 9:11:48 AM (PDT) I Page 2 of 8 �,y oRFN¢F R[skMwwgwnentDMslon REVIEWED & APPROVED Or. z �1-� Risk Management Supervisor, Tait & Associates, Inc. 810-8P491962-21-43-G COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO EXTENSION ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GENERAL DESCRIPTION OF COVERAGE — This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. BROAD FORM NAMED INSURED B. BLANKET ADDITIONAL INSURED C. EMPLOYEE HIRED AUTO D. EMPLOYEES AS INSURED E. SUPPLEMENTARY PAYMENTS — INCREASED LIMITS F. HIRED AUTO — LIMITED WORLDWIDE COW ERAGE — INDEMNITY BASIS G. WAIVER OF DEDUCTIBLE — GLASS PROVISIONS A. BROAD FORM NAMED INSURED The following is added to Paragraph A.I., Who Is An Insured, of SECTION II — COVERED AUTOS LIABILITY COVERAGE: Any organization you newly acquire or form dur- ing the policy period over which you maintain 50% or more ownership interest and that is not separately insured for Business Auto Coverage. Coverage under this provision is afforded only un- til the 150th day after you acquire or form the or- ganization or the end of the policy period, which- ever is earlier. B. BLANKET ADDITIONAL INSURED The following is added to Paragraph c. in A.1., Who Is An Insured, of SECTION II — COVERED AUTOS LIABILITY COVERAGE: Any person or organization who is required under a written contract or agreement between you and that person or organization, that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to be named as an addi- tional insured is an "insured" for Covered Autos Liability coverage, but only for damages to which H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF USE — INCREASED LIMIT I. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES — INCREASED LIMIT J. PERSONAL PROPERTY K. AIRBAGS L. NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS M. BLANKET WAIVER OF SUBROGATION N. UNINTENTIONAL ERRORS OR OMISSIONS this insurance applies and only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Section 11. C. EMPLOYEE HIRED AUTO I. The following is added to Paragraph A.1., Who Is An Insured, of SECTION II — COV- ERED AUTOS LIABILITY COVERAGE: An "employee" of yours is an "insured" while operating an "auto" hired or rented under a contract or agreement in an "employee's" name, with your permission, while performing duties related to the conduct of your busi- ness. 2. The following replaces Paragraph b. in B.5., Other Insurance, of SECTION IV — BUSI- NESS AUTO CONDITIONS.: b. For Hired Auto Physical Damage Cover- age, the following are deemed to be cov- ered "autos" you own: (9) Any covered "auto" you lease, hire, rent or borrow; and (2) Any covered "auto" hired or rented by your "employee" under a contract in an "employee's" name, with your CA T3 53 02 15 ® 2015 The Travelers Indemnity Company. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc. with its permission. z REVIEWED & APPRovED Or. �1-� Risk Management Supervisor, 63540930 1 21-22 Auto/WC I Szabela Stachura 1 8/25/2021 9:11:48 AM (PDT) I Page 3 of 8 810-8P491962-21-43-G X91L,r►i I VA1-4' 4RW W' 1iI 4, Loss Payment — Physical Damage Cover- ages At our option, we may: a. Pay for, repair or replace damaged or sto- len property; b. Return the stolen property, at our ex- pense. We will pay for any damage that results to the "auto"" from the theft; or c. Tape all or any part of the damaged or stolen property at an agreed or appraised value. If we pay for the "loss", our payment will in- clude the applicable sales tax for the dam- aged or stolen property. 5. Transfer Of Rights Of Recovery Against Others To Us If any (person or organization to or for whom we make payment under this Coverage Form has rights to recover damages from another, those rights are transferred to us. That person or organization must do everything necessary to secure our rights and must do nothing after "accident" or "loss" to impair them. B. General Conditions 1. bankruptcy Bankruptcy or insolvency of the "insured" or the "insured"s" estate will not relieve us of any obligations under this Coverage Form. 2. Concealment, Misrepresentation Or Fraud This Coverage Form is void in any case of fraud by you at any time as it rebates to this Coverage Farm. It is also void if you or any other "insured", at any time, intentionally con- ceals or misrepresents a material fact con- cerning: a. This Coverage Form; b. The covered "auto";. c. Your interest in the covered "auto"; or d. A claim under this Coverage Form. K311111111XV,= If we revise this Coverage Form to provide more coverage without additional premium charge, your policy will automatically provide the additional coverage as of the day the re- vision is effective in your state, 4. No benefit To bailee — Physical Damage Coverages We will not recognize any assignment or grant any coverage for the benefit of any per- son or organization holding„ storing or trans- porting property for a fee regardless of any ether provision of this Coverage Form.. 5. Other Insurance a, For any covered "auto" you own„ this Coverage Form provides primary insur- ance. For any covered "auto" you don't own, the insurance provided by this Cov- erage Form is excess over any other col- lectible insurance. However, while a cov- ered "auto" which is a "trailer" is con- nected to another vehicle, the Covered Autos Liability Coverage this Coverage Form provides for the "trailer"' is: (1) Excess while itis connected to a mo- tor vehicle you do not own; or (2) Primary while it is connected to a covered "auto" you own. b. For (Hired .Auto Physical Damage Cover- age, any covered "auto" you lease, hire, rent or borrow is deemed to be a covered "'auto" you own, However„ any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". c. Regardless of the provisions of Para- graph a. above, this Coverage Form"s Covered Autos Liability Coverage is pri- mary for any liability assumed under an, ""insured contract". d.. When this Coverage Form and any other Coverage Form or policy covers on the same basis, either excess or primary, we will pay only our share. Our share is the proportion that the (Limit of Insurance of our Coverage Form bears to the total of the limits of all the Coverage Forms and policies covering on the same basis. 6. Premium Audit a. The estimated premium for this Coverage Form is based on the exposures you told us you would have when this policy be- ga,n. We will compute the final premium due when we determine your actualex- posures. The estimated total premium will be credited ,against the final premium due and the first Named Insured will be billed for the balance, if any. The due date for the final premium or retrospective pre- miiu,m is the date shown as the due date on the bill. If the estimated total premium exceeds the final premium due, the first Named Insured will get a refund, C*7�rIi�rT�i [w3iF�1 Insurance Services Office, Inc., 2011 63540930 121-22 Auto/WC I Izabela Stachura 18/25/2021 9:11:48 AM (PDT) I Page 4 of 8 z REVIEWED & APPRovED Or. �1-� Risk Management Supervisor, Tait & Associates, Inc. Tait Environmental Services, Inc. COMMON POLICY CONDITIONS All Coverage Parts included in this policy are subject to the following conditions: A. Cancellation 1. The first Named Insured shown in the Decla- rations may cancel this policy by mailing or delivering to us advance written notice of cancellation. 2. We may cancel this policy or any Coverage Part by mailing or delivering to the first Named Insured written notice of cancellation at least: a. 10 days before the effective date of can- cellation if we cancel for nonpayment of premium; or b. 30 days before the effective date of can- cellation if we cancel for any other rea- son. 3. We will mail or deliver our notice to the first Named Insured's last mailing address known to us. 4. Notice of cancellation will state the effective date of cancellation. If the policy is cancelled, that date will become the end of the policy period. If a Coverage Part is cancelled, that date will become the end of the policy period as respects that Coverage Part only. 5. if this policy or any Coverage Part is can- celled, we will send the first Named Insured any premium refund due. If we cancel, the re- fund will be pro rata. If the first Named In- sured cancels, the refund may be less than pro rata. The cancellation will be effective even if we have not made or offered a re- fund. 6. If notice is mailed, proof of mailing will be sufficient proof of notice. during the policy period and up to three years afterward. D. Inspections And Surveys 1. We have the right to: a. Make inspections and surveys at any time; b. Give you reports on the conditions we find; and c. Recommend changes. 2. We are not obligated to make any inspec- tions, surveys, reports or recommendations and any such actions we do undertake relate only to insurability and the premiums to be charged. We do not make safety inspections. We do not undertake to perform the duty of any person or organization to provide for the health or safety of workers or the public. And we do not warrant that conditions: a. Are safe or healthful; or b. Comply with laws, regulations, codes or standards. 3. Paragraphs 1. and 2. of this condition apply not only to us, but also to any rating, advi- sory, rate service or similar organization which makes insurance inspections, surveys, reports or recommendations. 4. Paragraph 2. of this condition does not apply to any inspections, surveys, reports or rec- ommendations we may make relative to certi- fication, under state or municipal statutes, or- dinances or regulations, of boilers, pressure vessels or elevators. E. Premiums B. Changes 1. The first Named Insured shown in the Decla- This policy contains all the agreements between rations: you and us concerning the insurance afforded. a. Is responsible for the payment of all pre - The first Named Insured shown in the Declara- miums; and tions is authorized to make changes in the terms b. Will be the payee for any return premi- of this policy with our consent. This policy's terms can be amended or waived only by endorsement ums we pay. issued by us as part of this policy. 2. We compute all premiums for this policy in C. Examination Of Your Books And Records accordance with our rules, rates, rating plans, premiums and minimum premiums. The pre - We may examine and audit your books and mium shown in the Declarations was com- records as they relate to this policy at any time puted based on rates and rules in effect at � REVIEWED&APPRovEDBY: IL TO 01 01 07 (Rev. 06-09) Includes the copyrighted material of Insurance Services Office, Inc. with its perm �"�1 w- Risk Management Supervisor, 63540930 21-22 Auto/WC I Izabela Stachura 18/25/2021 9:11:48 AM (PDT) I Page 5 of 8 the time the policy was issued. On each re- newal continuation or anniversary of the ef- fective date of this policy, we will compute the premium in accordance with our rates and rules then in effect. F. Transfer Of Your Rights And Duties Under This Policy Your rights and duties under this policy may not be transferred without our written consent except in the case of death of an individual named in- sured. If you die, your rights and duties will be trans- ferred to your legal representative but only while acting within the scope of duties as your legal representative. Until your legal representative is appointed, anyone having proper temporary cus- tody of your property will have your rights and duties but only with respect to that property. G. Equipment Breakdown Equivalent to Boiler and Machinery On the Common Policy Declarations, the term Equipment Breakdown is understood to mean and include Boiler and Machinery and the term Boiler and Machinery is understood to mean and include Equipment Breakdown. This policy consists of the Common Policy Declarations and the Coverage Parts and endorsements listed in that declarations form. In return for payment of the premium, we agree with the Named Insured to provide the insurance afforded by a Coverage Part forming part of this policy. That insurance will be provided by the company indicated as insuring company in the Common Policy Declarations by the abbreviation of its name opposite that Coverage Part. One of the companies listed below (each a stock company) has executed this policy, and this policy is counter- signed by the officers listed below: The Travelers Indemnity Company (IND) The Phoenix Insurance Company (PHX) The Charter Oak Fire Insurance Company (COF) Travelers Property Casualty Company of America (TIL) The Travelers Indemnity Company of Connecticut (TCT) The Travelers Indemnity Company of America (TIA) Travelers Casualty Insurance Company of America (ACJ) Alac� 0. %�-� Secretary /�'� - 71,-, (_Z_� President Page 2 of 2 Includes the copyrighted material of Insurance Services Office, Inc. with its permission 63540930 121-22 Auto/WC I Izabela Stachura 18/25/2021 9:11:48 AM (PDT) I Page 6 of 8 z REVIEWED & APPRovED Sr. �1-� Risk Management Supervisor, TRAVELERS WORKERS COMPENSATION AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD, CT 06183 pp�� -rr gggg ENDORSD"f3��588-Z1 f7G6 ( A)— Opt POLICY NUMBER: WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA (BLANKET WAIVER) We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule_ The additional premium for this endorsement shall be 04.00 % of the California workers' compensation pre- mium. Schedule Person or Organization Job Description ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) 9/1/2021 UB-4J588939-21-43-G Endorse%.�&*&RR tes, Inc. policy Na Endorsement No. Insured Tait Environmental Services, Inc. Premium Insurance Company Countersigned by �oR,NCE RWtM�DMsd1mr. DATE OF ISSUE: ST ASSIGN: �= REvite°&/�wPraavmBr 63540930 21-22 Auto/WC I Szabela Stachura 8/25/2021 9:11:48 AM (PDT) I Page 7 of 8 I—�`� Risk Management Supervisor, Tait & Associates, Inc. Tait Environmental Services, Inc. TRAVELERSJ� WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 04 06 01 (A) POLICY NUMBER: UB-4J588939-21-43-G CALIFORNIA CANCELATION ENDORSEMENT This endorsement applies only to the insurance provided by the policy because California is shown in Item 3.A. of the information page. The cancelation condition in Part Six (Conditions) of the policy is replaced by these conditions: CANCELATION 1. You may cancel this policy. You must mail or deliver advance written notice to us stating when the cancelation is to take effect. 2. We may cancel this policy for one or more of the following reasons: a. Non-payment of premium; b. Failure to report payroll; c. Failure to permit us to audit payroll as required by the terms of this policy or of a previous policy issued by us; d. Failure to pay any additional premium resulting from an audit of payroll required by the terms of this policy or any previous policy issued by us; e. Material misrepresentation made by you or your agent; f. Failure to cooperate with us in the investigation of a claim; g. Failure to comply with Federal or State safety orders; h. Failure to comply with written recommendations of our designated loss control representatives; L The occurrence of a material change in the ownership of your business; j. The occurrence of any change in your business or operations that materially increases the hazard for frequency or severity of loss; k. The occurrence of any change in your business or operation that requires additional or different classification for premium calculation; I. The occurrence of any change in your business or operation which contemplates an activity excluded by our reinsurance treaties. 3. If we cancel your policy for any of the reasons listed in (a) through (f), we will give you 10 days advance written notice, stating when the cancelation is to take effect. Mailing that notice to you at your mailing address shown in Item 1 of the Information Page will be sufficient to prove notice. If we cancel your policy for any of the reasons listed in Items (g) through (1), we will give you 30 days advance written notice; however, we agree that in the event of cancelation and reissuance of a policy effective upon a material change in ownership or operations, notice will not be provided. 4. The policy period will end on the day and hour stated in the cancelation notice. DATE OF ISSUE: ST ASSIGN: 63540930 121-22 Auto/WC I Izabela Stachura 18/25/2021 9:11:48 AM (PDT) I Page 8 of 8