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HomeMy WebLinkAboutPAULUS ENGINEERING, INC. (4)aCCD INSURANCE NOT ON FILE WORK MAY 01 PROCEED CLERK OF COUNCIL DATE: A-2021-132-05 AGREEMENT TO PROVIDE ON -CALL SEWER SYSTEM REPAIR SERVICES THIS AGREEMENT is made and entered into this 20th day of July, 2021 by and between Paulus Engineering, Inc., a California corporation ("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"). 6 (Karwk fe�e� (S� I RECITALS A. On April 28, 2021, the City issued Request for Proposal No. 21-036, by which it sought qualified contractors to provide on -call 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. 21-036. 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: 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. 21-036, 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 five (5) contractors selected to provide services on an as - needed basis under RFP No. 21-036. The total compensation for services provided by all contractors selected under RFP No. 21-036 shall not exceed the shared aggregate amount of four million dollars and zero cents ($4,000,000) 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. This Agreement shall commence on the date first written above and terminate on July 19, 2024, unless terminated earlier in accordance with Section 17, below. The term of this Agreement may be extended for one (1), two-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 not an employee of the City. This Agreement is not intended nor shall it be construed to create an employer -employee relationship, a joint venture relationship, or to allow the City to exercise discretion or control over the professional manner in which Contractor performs the services which are the subject matter of this Agreement; however, the services to be provided by Contractor shall be provided in a manner consistent with all applicable standards and regulations governing such services. Contractor shall pay all salaries and wages, employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. 6. OWNERSHIP OF MATERIALS This Agreement creates a non-exclusive and perpetual license for City to copy, use, modify, reuse, or sublicense any and all copyrights, designs, and other intellectual property embodied in plans, specifications, studies, drawings, estimates, and other 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 of 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 hnsurance. 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 $2,000,000 per occurrence. If a general aggregate limit applies, either the general aggregate limit shall apply separately to this project or the general aggregate limit shall be twice the required occurrence limit. 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 $2,000,000 per claim with $2,000,000 in the aggregate. e. The following requirements apply to the insurance to be provided by Contractor pursuant to this section: (i) Contractor shall maintain all insurance required above in full force and effect for the entire period covered by this Agreement. Page 3 of 8 (ii) Certificates of insurance shall be furnished to the City upon execution of this Agreement and shall be approved by the City. (iii) Certificates and policies shall state that the policies shall not be cancelled or reduced in coverage or changed in any other material aspect, by 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. 8. INDEMNIFICATION Contractor agrees to defend, and shall indemnify and hold harmless the City, its officers, agents, employees, contractors, special counsel, and representatives from liability: (1) for personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims for personal injury, including death, and claims for property damage, which may arise from the negligent operations of the Contractor or its subcontractors, agents, employees, or other persons acting ontheir•behalf which relates to the services described in section I of this Agreement; and (2) from any claim that personal injury, damages, just compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects arising from this Agreement. This indemnity and hold harmless agreement applies to all claims for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to have been suffered, by reason of the events referred to in this Section or by reason of the terms of, or effects, arising from this Agreement. The Contractor further agrees to indemnify, bold harmless, and pay all costs for the defense of the City, including fees and costs for special counsel to be selected by the City, regarding any action by a third party challenging the validity of this Agreement, or asserting that personal injury, damages,just compensation, restitution, judicial or equitable relief due to personal or property rights arises by reason of the terms of, or effects arising from this Agreement. City may make all reasonable decisions with respect to its representation in any legal proceeding. Notwithstanding the foregoing, to the extent Contractor's services are subject to Civil Code Section 2782.8, the above indemnity shall be limited, to the extent required by Civil Code Section 2782.8, to claims that arise 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 Page 4 of 8 product or documents provided by Contractor to the City pursuant to this Agreement. 10. RECORDS Contractor shall keep records and invoices in connection with the work to be performed under this Agreement. Contractor shall maintain complete and accurate records with respect to the costs incurred under this Agreement and any services, expenditures, and disbursements charged to the City for a minimum period of three (3) years, or for any longer period required by law, from the date of final payment to Contractor under this Agreement. All such records and invoices shall be clearly identifiable. Contractor shall allow a representative of the City to examine, audit, and make transcripts or copies of such records and any other documents created pursuant to this Agreement during regular business hours. Contractor shall allow inspection of all work, data, documents, proceedings, and activities related to this Agreement for a period of three (3) years from the date of final payment to Contractor under this Agreement. 11. CONFIDENTIALITY If Contractor receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Contractor agrees that it shall not use or disclose such information except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of like importance, but in no event less than reasonable care. "Confidential Information" shall include all nonpublic information. Confidential information includes not only written information, but also information transferred orally, visually, electronically, or by other means. Confidential information disclosed to either party by any subsidiary and/or agent of the other party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is, through no fault of the Contractor disclosed in a publicly available source; (c) is in rightful possession of the Contractor without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or (e) is independently developed by the Contractor without reference to information disclosed by the City. 12. CONFLICT OF INTEREST CLAUSE Contractor covenants that it presently has no interest and shall not have interests, direct or indirect, which would conflict in any manner with performance of services specified 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: Page 5 of 8 To City: Clerk of the City Council City of Santa Ana 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana, CA 92702-1988 Fax 714-647-6956 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: Paulus Engineering, Inc. 2871 E. Coronado Street Anaheim, CA 92806 Attn: Jason Paulus, President A party may change its address by giving notice in writing to the other party. Thereafter, any communication shall be addressed and transmitted to the new address. If sent by mail, communication shall be effective or deemed to have been given three (3) days after it has been deposited in the United States mail, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent by fax, communication shall be effective or deemed to have been given twenty-four (24) hours after the time set forth on the transmission report issued by the transmitting facsimile machine, addressed as set forth Above. For purposes of calculating these timeframes, weekends, federal, state, County or City holidays shall be excluded. 14. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Contractor regarding the subject matter herein, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terms of this Agreement and any attachments hereto, the terms of this Agreement shall prevail. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Contractor. The parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not bind or obligate Contractor or the City, Each party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any party, which are not embodied herein. 15. ASSIGNMENT AND DELEGATION 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 Page 6 of 8 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. 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 may be terminated by the City upon thirty (30) days written notice of termination. In such event, Contractor shall be entitled to receive and the City shall pay Contractor compensation for all services performed by Contractor prior to receipt of such notice of termination, subject to the following conditions: a. As a condition of such payment, the Executive Director may require Contractor to deliver to the City all work product completed as of such date, and in such case such work product shall be the property of the City unless prohibited by law, and Contractor consents to the City's use thereof for such purposes as the City deems appropriate. b. Payment need not be made for work which fails to meet the standard of performance specified in the Recitals of this Agreement. 18. NON-DISCRIMINATION Contractor shall not discriminate because of race, religious creed, color, national origin, ancestry, physical disability, mental disability, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, or veteran or military status of any person, as defined and prohibited by applicable law, in the recruitment, selection, teaching, training, utilization, promotion, termination, discharge, or to bar, or other employment related activities or in connection with any activities under this Agreement. Contractor affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 19. JURISDICTION -VENUE This Agreement has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be 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. Page 7 of 8 20. PROFESSIONAL LICENSES Contractor shall, throughout the term of this Agreement, maintain all necessary licenses, permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State of California, the City of Santa Ana 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: � b ,Z z Daisy Gomez Clerk of the Council APPROVED AS TO FORM SONIA R. CARVALHO City Attorney By: L L Brandon Salvatierra Deputy City Attorney RECOMMENDED FOR APPROVAL Nabil Saba, PE Executive Director Public Works Agency CITY OF SANTA ANA Kristine Ridge City Manager PAULUS Name: Title: O t S m c L"r— INC.: Page 8 of 8 EXHIBIT A (Scope/Contractor's Proposal) IIMpw� Request for Proposal (RFP) For Sewer System Repair Services RFP NO.; 21-936 To; City of Santa Ana Santa Ana Public Works Agency 20 Chic Center Plaza Santa Ana, CA 92701 Attention; Kathie Reyes Project Manager 2871 K. CQk0NQo0 Ste WET UTILITY PIPELINE PR€FFESSIONAL5 (714) 632-3976 AHAHEIm, CA 02806 LIC #72411A PAULUSENGINEERING40M IU4'� May 194", 2021 RE: Sewer System Repair services RFP NO.: 21-036 Dear Kathla Reyes, PEI is a corporation that has over 36 years of experience In the Wet Utility Industry and has worked on numerous sewer repair projects In the Southern California Region, We are very familiar with the tasks outlined In this particular RFP and look forward to being one of the'3 firms chosen to enter into an agreement for the proposed work. Included in this package is our Statement of Qualification, Fee Schedule and Certifications per the Submittal Package Requirements. PH is in full concurrence with all of the provisions as contained In the standard agreement (Attachment 4; Standard Agreement) provided In the RFP Package, We are fully aware of the City's expectations and intend to abide by any and all provisions set forth, Paulus 2871 E. CORONOao ST., Wr UTILI W PIPMtHE PROPESVONALS (714) 632-3975 ANAHEIM, CA428o6 GIC #72M14 PAIJ,.WSENGINEER1NG.GOM Firm and Turn Experience Paulus Engineering, Inc. (PEI) was incorporated in 1996, under the leadership of Jason Paulus. Angelo Veronesi is our project superintendent and will be the primary contact person on this contract. Angelo has been working in the wet utility construction industry for over4Z years and has been with PEI forover a year, lose Alba, our company dispatcher, will also be aware of any and all activity Intbated under this contract. Jose has been with PEI for over 20 years. We currently have 8 crews available with an average of 5 guys on each. These crews are available 24 hours a day, 7 days a week. PEI awns and maintains approximately 30 pieces of heavy equipment, along with 25 pieces of support equipment for operation on its projects. PEI's sewer specific projects include: VCP, PVC, Manhole, Lateral, Cleanout, Crease Interceptor and Lift Station removal and/or Installation. Please review the attached resume for sewer project we have completed in the last 5 years. '2871 0. COROt400 ei ST,, Wes" 4TnJW PiPMUNE PROFS55i2}N:4LS j714i 032.b1975 ANAHOM, CA92806 LIC*724114 PAULU,SENGFHUHRING.C@M A Storm Drain 9 Water a Sewe EslaA6shed 198 (714) 632075/in€o@prrolusengineoring.cef PAUL.US ENGINEERING, INC. PIP9UN9 CONSTRUCTION PE1 Team Resume: Angelo Veron+es`[, Superintendent RAIKLIo(ritpaulusen ineerin coin /M (714) 287.0561 'total Years of Professional Experience: 41 ears Paulus Engineering; 1 ear Angelo Verone i Utilities Superintendent Angela Veronesi has over41 years of experience managing the construction of underground utilities and has been with Paulus Engineering, Inc. 2020. His areas of expertise include stormdrain, water and sewer line installations, including large diameter pipeline. He has ensured successful completion of utility work on numerous projects for Caltrans, MWD, the City of Los Angeles and other public works agencies. Project Experience Passons Blvd Underpass, city of Pico Rivera, CA, Utilities Superintendent, $12.3M. Planned, scheduled and oversaw field crews performing relocation of the sewer, storm drain and water lines. Waterline installation included up to is -Inch ductile iron pipe, fire hydrants, water service connections, gate valves and air release assembly. This$12M project railroad grade separation lowered Passons Blvd and constructed anew bridge for the BNSF railroad and anew pump station. The pump station was 29-feet below grade at Its deepest point, and located directly adjacent to live railroad tracks. Ramona Ave Grade Separation, Alameda corridor East, City of El Monte, CA, Utility Superintendent, $22.8M, Planned ,scheduled and oversaw field crews that constructed a 12-inch water main, high pressure gas line, extensive drainage work including 72-ince RCP installation and connection structure. Water line Installation Included up to 12-Inch ductile iron pipe, 72-Inch reinforced concrete pipe, fire hydrants and services. This 22M grade separation project included bridges for UPRR and Metrolink trains, retaining walls, Intersection Improvements and a new pump station. The pump station was 42-feet below grade with two -foot: thick concrete walls. ,SR-91 Eastbound Lane Addition $ii-241 to SR-71, Caltrans, Corona, CA, Utilities Superintendent, $36M. Managed crews, equipment and materials for installation of storm drain systems up to 60-inch diameter pipe, This $36 million project widens the eastbound SR-91 freeway from SR-241 to 513-71, adding one general purpose lane and widening all lanes to standard widths over approximately 4.5 miles. SCRRA Eastern Maintenance Facility, Southern California Regional Rail Authority, Colton, CA, Utilities Superintendent, $36M, planned, scheduled and oversaw field crews performing Installation of storm drains, waterlines, and waste water lines. Facilities constructed Include a four track storage yard with capacity fmr4 six -coach trainsets, two Service and Inspection (S&I) tracks, fueling and sanding service setup, a 240 foot long Train Washer, a 5,150 sfTransportation Building, grading, drainage, paving, utilities, bridge construction, and other site work, One of the Ways that grutoco mitigated delays to the project was to propose an alternate method of constructing the 48-inch double barrel storm drain parallel to existing track. Angelo's crews performed the work round-the-clock during two, 55-hour weekend closures of Metrolink track, Instead of taking the two months scheduled, the work was performed during two weekends and saved seven weeks of time in the project completion date. Wet €i6lily pipuPne 1`14010nuk - 2871 E, Uuaflo to St, Andeim, to 92806 • wvnv iSau[osanginea iug.(oa Paulus Irijineecag, Inc. • General Engineering Cunha(lor I1024114 Storm Drain 0 Water 6 Sewe fslahfished 198; (114) 632397S/info@paulasengimering coe PAuI*U5 F-tVeiINEERING, INC. PIPELINE CONSTRUCTION Las Perillas Pumping Plant Repairs, Department of Water Resources, Kettleman City. CA, Project Superintendent, $2M, Brutoco removed and replaced a section of 78-inch diametersteel pipe in two existing penstocks atthe Las Perillas Pumping Plant south of Kettieman City. The existing penstock piping had corroded through over the years causing leaks and erosion of the existing slopes. The work, which Included coating repair to the existing pipes, was completed around the clock during a three week period. Ramona Avenue Grade Separation, Alameda Corridor East (ACE), El Monte, CA, Utilities Superintendent, $IBM. Scheduled and supervised underground utilities construction including 72-Inch storm drain pipe that was jacked under Union Pacific Railroad and Metrolink track. This grade separation construction project included construction of two shooflles and bridges for UPRR and Metrolink trains, retaining walls, roadway and intersection Improvements, drainage, electrical and pump station construction. Robert aiemer Solids Handling and Maintenance Facilities, Metropolitan Water District of Southern California, Yorba kind@, CA, utilities Superintendent, $34M. Responsible for the underground Willy work including installation of a 30-inch waterline, storm drain, sewer lines, and yard piping for this water treatment plant. The new facilities constructed for MWD included a new solids dewatering facility building housing three belt filter presses; an electrical roam, polymer storage and mixing equipment, and three cake pumps a truck loading facility, four elevated solids storage hoppers, and two gravity thickeners. SR-91 Widening at Jackson Street, Caltrans, Riverside, CA, Utilities Superintendent, $IBM. Planned and managed extensive storm drain work and waterline construction for this $11-91 freeway widening project Including jacking a 36-inch waterline under the 91 freeway 35 feet below grade. The project added lanes forSR-91 In Riverside, replaced the Jackson Street bridge, widened five bridges and construct retaining wails between Van Buren Boulevard and Arlington Avenge. SR-22/SR-55 Interchange, Caltrans, Orange, CA, Utilities Superintendent, Responsible for mechanical crew planning and oversight for this Caltrans interchange project. Managed storm drain pipe installation up to 96-Inch RCP and box culvert construction. Scope of work included removal and replacement of the ESR-222 to SR-55 flyover connector, bridge w1denings, a new off -ramp, widening of the SR-55 freeway, retaining wall and sound wail construction. Certifications and Training OSHA 16 Hour Certified OSHA 30 Hour Certified First Aid Px CPR Certified BNSF and Metrolink Safety Trained Fall Protection Certified Crosby Rigging Certified Excavation Safety Trained Confined Space Competent Person WetUglay I lidne NnInslanak a 2871 F. tonnabSt.Mdldm, CA 92846 vnriv.pugiasanginennlgsom polasENineeling, Inc., General Eiigineeling funkartor 11c M114 III �is�1 yi1W111 ��ti? Experience UnderAtMadlns of Need Outline Paulus Engineering Inc, has been an on -call contractor for about a dozen municipalities over the last 20+years. We have performed repairs on anything from broken sewer laterals to 25' deep sewer main breaks, our crews are trained with the latest safety training and are provided the latest state of the art equipment the Industry has to offer, performed Tasks Paulus Engineering performs storm drain, water, and sewer repair work that includes the following and more. 1, Excavation 2, Shoring 3. Traffic Control 4, Saw Cutting/Demo S. Asphalt/Concrete Repair 6, Dewatering 7, Manholes B, Bypassing 9, pipe Replacement Ali Types of pipe 10. Video Services 11. Engineered Shoring 72, Vacuum Truck Cleaning APproach Our approach at Paulus is always the same whether It is replacing manhole frame and covers or repairing sewer mains at depths over 20' and that is to give you the best service and product attire best rate possible, We have a 24-hour emergency on call phone system to respond to your deeds as they arise. We will be there on time, every time and milli leave you with the satisfaction that the job was done right, 2871 E, CORONOOO ST, WBT UTILITY PIPELINE PROFESSIONALS (714) 6x?-a47s ANAHEIM, CA 92806 Ltc 8724itd PALILU8E140INEERING.COM EXHIBIT B (Fee Schedule) Appendix 4r�TrM 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 I 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. TO: CITY COUNCIL OF THE CITY OF SANTA ANA FROM: tam # Bid Item Unit Quantity unit Amount 1. Repair/Replace 6" or a" Sewer Main Not More Than 8' Deep, minimum 6 feet; per Standard Plan 1200(As- LF 600 $ L i t ' r $ % ql ) Needed) 2. Repair/Replace 6" or 8" Sewer Main between 8"-12', minimum 6 feet; Deep per Standard Plan 1200 LF 260 $ $� (As -Needed) 3. Repair/Replace 10" or 12" Sewer Main Not More Than 8' Deep, minimum 6 feet, per Standard Plan LF 100 $-24 1200 (As -Needed) 4: Repair/Replace 10" or 12" Sewer Main Between V.12'Deep; minimum 6 feet; per Standard Plan 1200 IRF 100 (As -weeded) RFP 21-036 Addendum One May 17, 2021 4 of 7 5: Remodel Manhole Base EA 10 $SJL& `1 $C1t? s (As -Needed) R Construct New Manhole Net More Than 8' Deep per Standard Plan 1201 (As -Needed) EA 50 $16-0 $' T Construct New Manhole Between 8'-12' Deep per Standard flan 1201 (As -Needed) EA 10 sly 04 $ 1`30 fJt7c! __w 8. Raise Existing Manhole Frame and Cover, and replace collar to Grade per Standard Plan 1201 EA 30 $ !, 7 W,$ ?0' (As -Needed) 8. Replace Manhole Cover Concrete Collar per Standard Plan 1201 (As -Needed) EA 30 10, Furnish and Install Tratric Loop EA 5 sv s ,7jl 11. Provide Sewer Lateral Lining With EA 60 $ "" ti $_ �0W 241 Cleanout, 4" and 6" Sewer Lateral Pipe (As -Needed) 12. Provide Top Hat Repairs, 4" and 6" EA 40 $ $ t s 1u Sewer Lateral Pipe (As -Needed) 13. Provide Pipe Bursting Repair with Cleanout, 4" and 6" Sewer Lateral Pipe per Standard Plan 1204A (As- EA 25 $ " v i _ Needed) 14. Provide Open Trench Repair/Replacementwith Cleanout, 4" end 6" Sewer Lateral Pipe per EA 25 $ t r d 3 $� Standard Plan 1204 (As -Needed) RFP 21-036 Addendum One May17.2021 6of7 CSLBNUMBER D1R REGISTRATION NUMBER RFP 21-036 Addendum One May 17, 2021 6of7 C`uzfadtar WidrAalaathadDy. Piavallm�l Eugudr8antleat TIME S MATCRNy WORKSHBBT Pr4$aY Wan"fCrare. Faramadr 83.72 S $ C8.80 0 $ 107..38 12S $ 05S .58 0 Suhiukal Matk Up% 16% TkI Nn. Job No. TIT." 5 1$0.84 $ . - S $ , 125.50 $ 107.44 $ . $ # W4.89 S 100.18 $ $ $ 144,89 $ 193.15 5 141.0 S 214.78 $ 100.07 s 241.18 S $ $ s 3 3 S _ _4TY -.. NA.RCstrJfJ'.gMEN'i A. fi. DNtY TDTAL Cot 84S Exeava[w -- RR S 22s.00 s Car0➢8ethm Whorl MR S 45A0 $ "IaOt040%74SOS=v4Wr MR S 105A9 3 . Compacon Whoa! MR S 40.06 $ Cal 240l907 D;WP1020Timmer FIR $ 14000 s Cnm elan Whorl Wfraal Cat 962 Candor HR $ 127.00 $ Cat9somew4aader MR $ II0A0 IF LoWbadTfaakaelTmOer MR $ 95.00 s Dal DBaldliu RR 5 am 5 Cari0ackAWaaelerburskor RR S WIN) 5 - 00m Truck 1R s $2.99 Soper 19 OurV Truck MR $ 125.00 $ - 8W9eelDump Truck RR $ 52AO 1 8Wh"lFbrt Had Truck RR 0 45.00 5 - Rollar RR 4 0.00 $ - OMM7tuuck ON Tce15 FIR $ 40AU 5 - DewelyTruck NA $ $SAO $ YoatgrPOmpTruck RR $ 220110 # MiscTae!$ Stadn9 J9al;s=periach Day S l3eu 1 Yronrtr RlaE44=gafraGl ksy $ 13.00 5 7wndl Shlerd Day $ 18RAO $ MaOhile ShlaH Oe;= S 9m S $'PumpWCr4mrcrars - Day s 100.09 $ _ kAnI LP $ KOO S "crew. Day $ 02.00 $ AlrCompram .- Day $ 135.00 $ - AkEWrmr Day 5 T0.00 $ - CaaoSredSgaceBy-tgfaadt Dar 5 WOO S - GaaDaf9rolonEtlurpmaak 04Y $ som s - TtalwrArrewBoard Day $ i25.00 s , T+'attwBardcadaa Day 8 2.25 S TiallcCa0asDeRruatera Day $ 2.25 $ Welk Behind Minatcry Plafa Day $ ALSO IF _ k1t105m411Teals Day s 70.09 S SvNtdtal s Ashuy?h ts% 5 t :wit ri.-=n" K;'"TRm•. ':.I ..ry._.r';__. r.,r. Tt's::�.r S 5 $ $ $ $ $ _ 5 k4 .kBa.a iSTr $ _.7G"kL S V'al fasliad IWIR $ _ .M. JET 1LOPEZ Samantha Digitallysignedby Samantha M. Lambert M Lambert Date: 2021.09.28 PAULUS ENG r 11:02:25 -07 00 CERTIFICATE OF LIABILITY INSURANCE DATFEM/DD1YYYY)(M /8/2021 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 CONTACT NAME: PHONE FAX (A/C, No, Ext): (949) 287-5677 (A/C, No): THE BROKERAGE COMMERCIAL INSURANCE SERVICES, Inc. 20261 SW Acacia St., Suite 200 Newport Beach, CA 92660 A DD MAIL INSURERS AFFORDING COVERAGE NAIC # INSURERA: Executive Risk Indemnity,Inc. 35181 INSURED INSURER B:Federal Insurance Company 20281 INSURER C : Travelers Property Casualty Company of America 25674 Paulus Engineering, Inc. INSURER D : 2871 E. Coronado Street Anaheim, CA 92806 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 2 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 POLICY NUMBER POLICY EFF MWDD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE DWI X OCCUR X 54303105 5/1/2021 5/1/2022 DAMAGE TO RENTED PREMISES Ea occurrence 100,000 $ MED EXP (Any oneperson) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X JECT El LOC PRODUCTS - COMP/OPAGG $ 2,000,000 $ OTHER: B AUTOMOBILE LIABILITY CMBINED SINGLE LIMIT EaOaccident 1,000,000 $ X BODILY INJURY Perperson) $ ANY AUTO 54303104 5/1/2021 5/1/2022 OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY C UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 X EXCESS LIAB CLAIMS -MADE ZUP-15T82203-21-NF 5/1/2021 5/1/2022 AGGREGATE $ 3,000,000 DED X RETENTION $ 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE X 54303106 5/1/2021 5/1/2022 X PER OTH- STATUTE ER E.L. EACH ACCIDENT 1,000,000 $ OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N/A E.L. DISEASE- EA EMPLOYEE $ 1,000,000 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, may be attached if more space is required) RE: All operations performed by the Named Insured during the current policy period. glaip/wcwv City of Santa Ana, its officers, employees, agents, volunteers and representatives are included as Additional Insureds as respects General Liability per attached endorsement. This Insurance shall apply as Primary and Non -Contributory per attached endorsement. Waiver of Subrogation for Workers' Compensation: See Attached Endorsement. "Excess Liability follows form over the General Liability, Auto Liability, and Employers Liability. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ty ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE ,„y ortnNC r��l, .—.•.- --- �' REVIEWED&APPROVED Br ACORD 25 (2016/03) © 1988-2015 ACORD CII �l The ACORD name and logo are registered marks of ACORD �� Risk Management Supervisor AGENCY CUSTOMER ID: PAULUS ENG LOC #: 0 JLOPEZ AFRO ADDITIONAL REMARKS SCHEDULE AGENCY NAMED INSURED THE BROKERAGE COMMERCIAL INSURANCE SERVICES, Inc. Paulus Engineering Inc. 2871 E. Coronado Street POLICY NUMBER Anaheim, CA 92806 SEE PAGE 1 CARRIER NAIC CODE SEE PAGE 1 SEE P 1 EFFECTIVE DATE: SEE PA( ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Page 1 of 1 Cancellation: *Should this policy be cancelled before the expiration date, The Brokerage Commercial Insurance Services, Inc. will mail 30 (thirty) days written notice to those Certificate Holders which require such action per contract or agreement.* *Except 10 Days Notice of Cancellation for Non -Payment of Premium. a Norzati� RWtMmVmentDMdon REVIEWED & APPROVED Br ACORD 101 (2008/01) © 2008 ACORD COP fi The ACORD name and logo are registered marks of ACORD+ l � Risk Management Supervisor Insured: Paulus Engineering, Inc. Effective: 05/01 /2021-05/01 /2022 Policy Number: 54303105 COMMERCIAL GENERAL LIABILITY CG20100413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Locations Of Covered Operations WHERE REQUIRED BY WRITTEN CONTRACT. ALL LOCATIONS WHERE REQUIRED BY WRITTEN CONTRACT. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. ? L REVIEWED aeAPPROVEdBY: a: ��� Risk Management Supervisor CG 20 10 04 13 © Insurance Services Office, Inc., 2012 Insured: Paulus Engineering, Inc. Effective: 05/01 /2021-05/01 /2022 Policy Number: 54303105 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 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. ? L REVIEWED aeAPPROVEdBY: a: ��� Risk Management Supervisor Page 2 of 2 © Insurance Services Office, Inc., 2012 Insured: Paulus Engineering, Inc. Effective: 05/01 /2021-05/01 /2022 Policy Number: 54303105 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 Person(s) Or Organization(s) Location And Description Of Completed Operations WHERE REQUIRED BY WRITTEN CONTRACT, BUT ONLY WHERE THE CONTRACT SPECIFIES COVERAGE FOR COMPLETED OPERATIONS. ALL LOCATIONS WHERE REQUIRED BY WRITTEN CONTRACT. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to required by a contract or will pay on behalf of the amount of insurance: the additional insured is agreement, the most we additional insured is the 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. ? L REVIEWED aeAPPROVEdBY: a: ��� Risk Management Supervisor CG 20 37 04 13 © Insurance Services Office, Inc., 2012 Insured: Paulus Engineering, Inc. Effective: 05/01 /2021-05/01 /2022 Policy Number: 54303105 COMMERCIAL GENERAL LIABILITY 10-02-2461 (Ed. 7-15) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY INSURANCE FOR SCHEDULED ADDITIONAL INSURED This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Additional Insured: SCHEDULE Location Of Covered Operations: WHERE REQUIRED BY WRITTEN CONTRACT. ALL LOCATIONS (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) With respect only to the Additional Insured and at the Location Of Covered Operations shown in the Schedule, the following is added to SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, Paragraph 4. Other Insurance and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to the Additional Insured with respect to the Location Of Covered Operations shown in the Schedule under this policy provided that: (1) The Additional Insured is a named insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the Additional Insured. �,y ortnNC RWtMmVmentDMdon 10-02-2461 (Ed. 7-15) Includes copyrighted material of Insurance Services Office, Inc., REVIEWED&APPROVED Or with its permission. Risk Management Supervisor Workers' Compensation and Employers' Liability Policy Named Insured Paulus Engineering, Inc. Endorsement Number Policy Number Symbol: WCF Number: 54303106 Policy Period 05/01 /2021 to 05/01 /2022 Effective Date of Endorsement 05/01 /2021 Issued By (Name of Insurance Company) FEDERAL INSURANCE Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. CALIFORNIA WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement applies only to the insurance provided by the policy because California is shown in Item 3.A. of the Information Page. 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, but this waiver applies only with respect to bodily injury arising out of the operations described in the Schedule, where you are required by a written contract to obtain this waiver from us. You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. Schedule 1. ( ) Specific Waiver Name of person or organization: ( X ) Blanket Waiver Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. 2. Operations: ALL 3. Premium: The premium charge for this endorsement shall be 1.0 percent of the California premium developed on payroll in connection with work performed for the above person(s) or organization(s) arising out of the operations described. 4. Minimum Premium: $0 Authorized Representative WC 90 03 75 (05/18) REVIEWED&APPROVED Br. Risk Management Supervisor AW TRAVELERS One Tower Square, Hartford, Connecticut 06183 POLICY DECLARA71ONS POLICY NO.: ZUP-15TU2203-21-NF EXCESS FOLLOW —FORM AND UMBRELLA ISSUE DATE: 05/20/21 LIABILITY INSURANCE POLICY INSURING COMPANY`. TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA 1. NAMED INSURED AND MAILING ADDRESS: PAULUS ENGINEERING, INC. 2871 EAST CORONADO STREET ANAHEIM CA 9280E 2. POLICY PERIOD: From 05/01/2021 to 05/01/2022 12:01 A.M. Standard Time at your mailing address. S. LIMITS OF INSURANCE COVERAGES LIMITS OF LIABILITY AGGREGATE LIM17S OF LIABILITY $8, 000, 000 General Aggregate $8, 000, 000 Products —Completed Operations Aggregate EXCESS FOLLOW —FORM AND UMBRELLA LIABILITY $8, 000, 000 Occurrence Limit CRISIS MANAGEMENT SERVICE EXPENSES $80, 000 all Crisis Management Events 4. SELF INSURED RETENTION $10,000 any one occurrence or event 5. PREMIUM: ® Flat Charge ❑ Adjustable (See Premium Schedule) 6. TAXES AND SURCHARGES: $ F. On the effective date shown in Item 2., the Excess Fallow -Form And Umbrella Liability Insurance Policy numbered above includes this Declarations Page and any forms and endorsements shown on the Listing Of Forms, Endorsements And Schedule Numbers. 9 If the Schedule Of Underlying Insurance includes any coverage provided on a claims - made basis, then the following disclaimer applies. COVERAGE WILL APPLY ON A CLAIMS —MADE BASIS WHEN FOLLOWING CLAIMS —MADE UNDERLYING INSURANCE. 9. If the Schedule Of Underlying Insurance includes any coverage which includes defense expenses within the limits of liability, then the following disclaimer applies: DEFENSE EXPENSES ARE PAYABLE WITHIN, AND ARE NOT IN ADDITION TO, THE LIMITS OF INSURANCE WITH RESPECT TO SOME OR ALL OF THE COVERAGES PROVIDED. NAME AND ADDRESS OF AGENT OR BROKER: COUNTERSIGNED BY: BROKERAGE COMMERCIAL INS 20261 SW ACACIA ST STE 200 Authorized Representative NEWPORT BEACH CA 92660 Date: OFFICE: IRVINE, CA EU 00 02 09 20 C 2020 The Travelers Indemnity Company. All rights reserved �y ortn NC �� REVIEWED&APPROVED Br. Risk Management Supervisor UMBRELLA POLICY NUMBER: ZUP-15T82203-21-NF ISSUE DATE: 05/20/21 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ 17 CAREFULLY. SCHEDULE OF UNDERLYING INSURANCE This endorsement modifies insurance provided under the following: EXCESS FOLLOW -FORM AND UMBRELLA LIABILITY INSURANCE Commercial General Liability Limits Of Liability Carrier: EXECUTIVE RISK INDEMNITY General Aggregate INCORPORATED Policy 54303105-04 Number: Policy Period From: 05/01/2021 tc: 05/01/2022 Products -Completed Operations Aggregate Personal and Advertising Injury Each Occurrence $2,000,000 $2,000,000 $1,000,000 $1,000,000 Automobile Liability Limits Of Liability Carrier: FEDERAL INSURANCE COMPANY Bodily Injury And Property Damage Combined Single Limit $1,000,000 Policy (20) 5430-31-04 Bodily Injury Each Number: Person $ Bodily Injury Each $ Policy Period Accident From: 05/01/2021 to: O5/01/2022 Property Damage Each Accident Employers Liability Carrier FEDERAL INSURANCE COMPANY Policy 005 4303106 Number: Policy Period From: 05/01/2021 tO:05/01/2022 Limits Of Liability Bodily Injury By Accident Each Accident $1,000,000** Bodily Injury By Disease Policy Limit $1,000,000** Each Employee $110001000** *$2,000,000 PER PROJECT "UNLIMITED IN THE STATE OF NEW YORK FOR SUBJECT EMPLOYEES PRCJDUCEFt BROKERAGE COMMERCIAL INS OFFICE IRVINE, REVIEWED & APPROVED Br EU 00 03 08 18 2018 The Travelers Indemnity Company. All rights reserved. Risk Management Supervisor UMBRELLA POLICY NUMBER: ZUP-15T82203-21-NF ISSUE DATE: 05/20/21 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SCHEDULE OF UNDERLYING INSURANCE - CONTINUER This endorsement modifies insurance provided udder the following: EXCESS FOLLOW -FORM AND UMBRELLA LIABILITY INSURANCE Type Of Coverage: EMPLOYEE BENEFITS LIABILITY Limits Of Liability Carrier: EXECUTIVE RISK INDEMNITY $1,000,000 EACH CLAIM $1,QQQ,QQQ AGGREGATE INCORPORATED Policy 54303105-04 Number: Policy Period From: 05/01/2021 to: Q5/O1/2Q22 Type Of Coverage: GENERAL LIABILITY Carrier: OBIO SECURITY INSURANCE COMPANY Policy BLS (22) 59816365 Number: Policy Period From: 05/01/2021 ta:05/01/2022 Type Of Coverage: Carrier Policy Number: Policy Period From: to: Limits Of Liability $2,000,000 GENERAL AGGREGATE $2,000,000 PRODUCTS/COMPLETED OPERATIONS AGGREGATE $1,000,000 PERSONAL/ADVERTISING INJURY $1,000,000 EACH OCCURRENCE (2 COMMERCIAL BUILDINGS) Limits Of Liability �y ortn NC RlskMwwgwnentDMdon PRODUCER BROKERAGE COMMERCIAL INS OFFICEIRVINE, ��/'�, �� REVIEWED aeAPPROVEdBY: EU 00 04 07 16 C 2016 The Travelers Indemnity Company. All rights reserved Risk Management Supervisor AW TRAVELERS One Tower Square, Hartford, Connecticut 06183 POLICY DECLARA71ONS POLICY NO.: ZUP-15TU2203-21-NF EXCESS FOLLOW —FORM AND UMBRELLA ISSUE DATE: 05/20/21 LIABILITY INSURANCE POLICY INSURING COMPANY`. TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA 1. NAMED INSURED AND MAILING ADDRESS: PAULUS ENGINEERING, INC. 2871 EAST CORONADO STREET ANAHEIM CA 9280E 2. POLICY PERIOD: From 05/01/2021 to 05/01/2022 12:01 A.M. Standard Time at your mailing address. S. LIMITS OF INSURANCE COVERAGES LIMITS OF LIABILITY AGGREGATE LIM17S OF LIABILITY $8, 000, 000 General Aggregate $8, 000, 000 Products —Completed Operations Aggregate EXCESS FOLLOW —FORM AND UMBRELLA LIABILITY $8, 000, 000 Occurrence Limit CRISIS MANAGEMENT SERVICE EXPENSES $80, 000 all Crisis Management Events 4. SELF INSURED RETENTION $10,000 any one occurrence or event 5. PREMIUM: ® Flat Charge ❑ Adjustable (See Premium Schedule) 6. TAXES AND SURCHARGES: $ F. On the effective date shown in Item 2., the Excess Fallow -Form And Umbrella Liability Insurance Policy numbered above includes this Declarations Page and any forms and endorsements shown on the Listing Of Forms, Endorsements And Schedule Numbers. 9 If the Schedule Of Underlying Insurance includes any coverage provided on a claims - made basis, then the following disclaimer applies. COVERAGE WILL APPLY ON A CLAIMS —MADE BASIS WHEN FOLLOWING CLAIMS —MADE UNDERLYING INSURANCE. 9. If the Schedule Of Underlying Insurance includes any coverage which includes defense expenses within the limits of liability, then the following disclaimer applies: DEFENSE EXPENSES ARE PAYABLE WITHIN, AND ARE NOT IN ADDITION TO, THE LIMITS OF INSURANCE WITH RESPECT TO SOME OR ALL OF THE COVERAGES PROVIDED. NAME AND ADDRESS OF AGENT OR BROKER: COUNTERSIGNED BY: BROKERAGE COMMERCIAL INS 20261 SW ACACIA ST STE 200 Authorized Representative NEWPORT BEACH CA 92660 Date: OFFICE: IRVINE, CA EU 00 02 09 20 C 2020 The Travelers Indemnity Company. All rights reserved �y ortn NC �� REVIEWED&APPROVED Br. Risk Management Supervisor UMBRELLA POLICY NUMBER: ZUP-15T82203-21-NF ISSUE DATE: 05/20/21 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ 17 CAREFULLY. SCHEDULE OF UNDERLYING INSURANCE This endorsement modifies insurance provided under the following: EXCESS FOLLOW -FORM AND UMBRELLA LIABILITY INSURANCE Commercial General Liability Limits Of Liability Carrier: EXECUTIVE RISK INDEMNITY General Aggregate INCORPORATED Policy 54303105-04 Number: Policy Period From: 05/01/2021 tc: 05/01/2022 Products -Completed Operations Aggregate Personal and Advertising Injury Each Occurrence $2,000,000 $2,000,000 $1,000,000 $1,000,000 Automobile Liability Limits Of Liability Carrier: FEDERAL INSURANCE COMPANY Bodily Injury And Property Damage Combined Single Limit $1,000,000 Policy (20) 5430-31-04 Bodily Injury Each Number: Person $ Bodily Injury Each $ Policy Period Accident From: 05/01/2021 to: O5/01/2022 Property Damage Each Accident Employers Liability Carrier FEDERAL INSURANCE COMPANY Policy 005 4303106 Number: Policy Period From: 05/01/2021 tO:05/01/2022 Limits Of Liability Bodily Injury By Accident Each Accident $1,000,000** Bodily Injury By Disease Policy Limit $1,000,000** Each Employee $110001000** *$2,000,000 PER PROJECT "UNLIMITED IN THE STATE OF NEW YORK FOR SUBJECT EMPLOYEES PRCJDUCEFt BROKERAGE COMMERCIAL INS OFFICE IRVINE, REVIEWED & APPROVED Br EU 00 03 08 18 2018 The Travelers Indemnity Company. All rights reserved. Risk Management Supervisor UMBRELLA POLICY NUMBER: ZUP-15T82203-21-NF ISSUE DATE: 05/20/21 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SCHEDULE OF UNDERLYING INSURANCE - CONTINUER This endorsement modifies insurance provided udder the following: EXCESS FOLLOW -FORM AND UMBRELLA LIABILITY INSURANCE Type Of Coverage: EMPLOYEE BENEFITS LIABILITY Limits Of Liability Carrier: EXECUTIVE RISK INDEMNITY $1,000,000 EACH CLAIM $1,QQQ,QQQ AGGREGATE INCORPORATED Policy 54303105-04 Number: Policy Period From: 05/01/2021 to: Q5/O1/2Q22 Type Of Coverage: GENERAL LIABILITY Carrier: OBIO SECURITY INSURANCE COMPANY Policy BLS (22) 59816365 Number: Policy Period From: 05/01/2021 ta:05/01/2022 Type Of Coverage: Carrier Policy Number: Policy Period From: to: Limits Of Liability $2,000,000 GENERAL AGGREGATE $2,000,000 PRODUCTS/COMPLETED OPERATIONS AGGREGATE $1,000,000 PERSONAL/ADVERTISING INJURY $1,000,000 EACH OCCURRENCE (2 COMMERCIAL BUILDINGS) Limits Of Liability �y ortn NC RlskMwwgwnentDMdon PRODUCER BROKERAGE COMMERCIAL INS OFFICEIRVINE, ��/'�, �� REVIEWED aeAPPROVEdBY: EU 00 04 07 16 C 2016 The Travelers Indemnity Company. All rights reserved Risk Management Supervisor MEMORANDUM To: Risk Mana4ement Division Date: Seotember 22, 2021 From: Kathia Reyes, Projects Manager Subject: Professional Services: Clarification for Agreement A-2021-132-05 Water Resources Division has reviewed Paulus Engineering, Inc's agreement (A-2021- 132-05). The services that are listed under agreement's Scope and Exhibit A, indicate Contractor will provide maintenance and repair services for the City's wastewater collections system. The Contractor will not provide engineering services or calculations. To clarify Water Resources staff will not assign any professional tasks to Contractor. Tasks requiring engineering services will be assigned to City's in-house engineering staff and/or will be tasked to Division's on -call engineering firms. Please advise if you require any additional clarification; I'm available via email at KReyes2(c7santa-ana.orq or 714-647-3319. CC: Water Resources Division's Reading File REVIEWED&APPROVED Br. Risk Management Supervisor PAULUS ENG JLOPEZ ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(M 4/30/202YYY) 2025 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 CONTACT Jessica Lopez NAME: Commercial The Brokerage PHONE g49 287-5677 FAX 949 335-0621 The Brokerage,an Alera Group Company (A/C,No,Ext):( ) (A/C,No):( ) 18575 Jamboree Rd,Suite 500 ADDRESS:jlopez@thebrokerageins.com Irvine,CA 92612 INSURERS AFFORDING COVERAGE NAIC# INSURERA:Greenwich Insurance Company 22322 INSURED INSURER B:XL Specialty Insurance Company 37885 Paulus Engineering,Inc. INSURERC: 2871 E.Coronado Street INSURER D: Anaheim,CA 92806 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR RGC3002743 5/1/2025 1/1/2026 DAMAGE TO RENTED 300 000 X X PREMISES Ea occurrence $ MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY� JECT1:1 LOC PRODUCTS-COMP/OP AGG $ 2,00(),000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident $ X ANY AUTO RAC9439119 5/1/2025 1/1/2026 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ PER OTH- B WORKERS COMPENSATION X STATUTE ER AND EMPLOYERS'LIABILITY YIN RWC3002742 5/1/2025 1/1/2026 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 1D1,Additional Remarks Schedule,may be attached if more space is required) RE: Master Agreement#A-2019-142-02;Agreement#A-2020-091-02;Agreement#A-2021-132-05;Santa Ana Emergency Work. glaipwv City of Santa Ana,its officers,employees,agents,volunteers and representatives are Named as Additional Insureds as respects General Liability per Attached Endorsement. This Insurance shall apply as Primary and Non-Contributory per attached endorsement. Tu Tra n °u9 ran NguyeuY Waiver of Subrogation for General Liability:See Attached Endorsement. Date:2025.0a,s Nguyen 15:52:02-0700' APPROVED CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 3:51 pm,Jun 13,2025 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y ACCORDANCE WITH THE POLICY PROVISIONS. Risk Management Division 20 Civic Center Plaza Santa Ana,CA 92702 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: PAULUS ENG JLOPEZ LOC#: 0 . %C ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED g Commercial The Brokerage 2871 E.Coo ado Street POLICY NUMBER Anaheim,CA 92806 SEE PAGE 1 CARRIER NAIC CODE SEE PAGE 1 SEE P 1 EFFECTIVE DATE:SEE PAGE 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Cancellation: *Should this policy be cancelled before the expiration date,The Brokerage,an Alera Group Company will mail 30(thirty)days written notice to those Certificate Holders which require such action per contract or agreement.* *Except 10 Days Notice of Cancellation for Non-Payment of Premium. ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: RGC3002743 COMMERCIAL GENERAL LIABILITY CG20101219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Locations Of Covered Operations Any person or organization where required by written All locations as required per written contract contract provided that such contract was executed prior to the date of loss. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for "bodily injury", "property This insurance does not apply to "bodily injury" or damage" or "personal and advertising injury" "property damage" occurring after: caused, in whole or in part, by: 1. All work, including materials, parts or 1. Your acts or omissions; or equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs) to be performed by or in the performance of your ongoing operations for on behalf of the additional insured(s) at the the additional insured(s) at the location(s) location of the covered operations has been designated above. completed; or However: 2. That portion of "your work" out of which the injury or damage arises has been put to its 1. The insurance afforded to such additional intended use by any person or organization insured only applies to the extent permitted by other than another contractor or subcontractor law; and engaged in performing operations for a 2. If coverage provided to the additional insured is principal as a part of the same project. 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. CG 20 10 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 2 C. With respect to the insurance afforded to these 2. Available under the applicable limits of additional insureds, the following is added to insurance; Section III— Limits Of Insurance: whichever is less. If coverage provided to the additional insured is This endorsement shall not increase the required by a contract or agreement, the most we applicable limits of insurance. 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 ©Insurance Services Office, Inc., 2018 CG 20 10 12 19 POLICY NUMBER: RGC3002743 COMMERCIAL GENERAL LIABILITY CG20371219 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 Person(s) Or Organization(s) Location And Description Of Completed Operations Any person or organization where required by written All Locations as required per written contract. contract provided that such contract was executed prior to the date of loss. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section III— Limits Of Insurance: with respect to liability for "bodily injury" or If coverage provided to the additional insured is "property damage" caused, in whole or in part, by required by a contract or agreement, the most we "your work" at the location designated and will pay on behalf of the additional insured is the described in the Schedule of this endorsement amount of insurance: performed for that additional insured and included in the "products-completed operations hazard". 1. Required by the contract or agreement; or However: 2. Available under the applicable limits of 1. The insurance afforded to such additional insurance; insured only applies to the extent permitted by whichever is less. law; and This endorsement shall not increase the 2. If coverage provided to the additional insured is applicable limits of insurance. 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. CG 20 37 12 19 ©Insurance Services Office, Inc., 2018 Page 1 of 1 POLICY NUMBER: RGC3002743 COMMERCIAL GENERAL LIABILITY CG 20 01 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the additional insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and CG 20 01 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 POLICY NUMBER: RGC3002743 COMMERCIAL GENERAL LIABILITY CG24531219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) - AUTOMATIC This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV—Conditions: We waive any right of recovery against any person or organization, because of any payment we make under this Coverage Part, to whom the insured has waived its right of recovery in a written contract or agreement. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person or organization prior to loss. CG 24 53 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 CITY OF SANTA ANA Risk Management a division of Human Resources Managing Risk through Awareness and Action AFFIDAVIT OF EXEMPTION FOR PROFESSIONAL LIABILITY INSURANCE I Michelle June (CFO) ("Representative"),attest that I am an authorized (Name and Title of Vendor Representative) � P ) representative of Paulus Engineering, Inc. ("Company"),and (Consultant/Company Name) possess the authority to legally bind Company. In my capacity as Representative of Company,I represent and confirm the following, as relates to the agreement between Company and City of Santa Ana, agreement number A-2021-132-05A ("Agreement")to provide On-Call Wet Utilities ("Services"): (Services to be provided under agreement/contract) During the course and scope of Company's agreement with the City of Santa Ana, Company will not use the services of an expert necessitating professional liability/errors & omissions liability insurance coverage in the performance of Services to, for,or on behalf of City of Santa Ana. If at any time it is found that Company is not adhering to any and/or all of the statements in this document and does not maintain the minimum professional liability insurance coverage as required in the Agreement, it will be considered a breach of Agreement rendering the Agreement null and void and Company will be fully liable for any and all damages. r oAA U A i ki so�l 6/13/2025 'Rig—nature Date Michelle June Print Name CFO Title Contact Information,i.e.,Telephone Number and/or Email Address ��• Affidavit of Exemption for Professional Liability Insurance 11.12.2024