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HomeMy WebLinkAboutGENERAL PUMP COMPANY, INC.INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURANCE EXPIRES alyr / 7,0274 CLERK OF COUNCIL DATE: A-2021-161-01 AGREEMENT TO PROVIDE ON -CALL WATER WELL, PUMP, AND MOTOR HABILITATION AND REPAIR SERVICES CD THIS AGREENIENT is made and entered into this 17th day of August. 2021 by and between General Pump Company, Inc. ("Contractor"). and the City of Santa Ana. a charter city and o municipal corporation organized and existing under the Constitution and laws of the State of oo California ("City"). N O RECITALS A. On April 28, 2021, the City issued Request for Proposal No. 21-059, by which it sought a qualified contractor to provide on -call water well, pump, and motor rehabilitation and repair services for the Water Resources Division of 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 21-059. 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: I. SCOPE OF SERVICES On an on -call 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. 21-059, which is attached as Exhibit A and incorporated in full, and as further described in Contractor's Proposal, which is attached as Exhibit B and incorporated in full. 2. COMPENSATION a. City neither warrants nor guarantees any minimum or maximum compensation to Contractor under this Agreement. Contractor shall be paid only for actual services performed under this Agreement at the rates and charges identified in Exhibit B. Contractor is one of three (3) contractors selected to provide services on an as - needed basis under RFP 21-059. The total compensation for services provided by all contractors selected under RFP 21-059 shall not exceed the shared aggregate amount of three million two hundred fifty thousand dollars and zero cents ($3,250,000) 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 Page I of 8 proper invoice evidencing work performed, subject to City accounting procedures. Payment need not be made for work which fails to meet the standards of performance set forth in the Recitals and Scope of Work, which may reasonably be expected by City. 3. TERM This Agreement shall commence on the date first written above and terminate on August 16, 2024, unless terminated earlier in accordance with Section 17, below. The term of this Agreement may be extended for one 2-year period upon a writing executed by the City Manager and City Attorney. 4. PREVAILING WAGES Contractor is aware of the requirements of California Labor Code Section 1720, et seq, and 1770, et seq., as well as California Code of Regulations, Title 8, Section 16000, et seq., ("Prevailing Wage Laws"), which require the payment of prevailing wage rates and the performance of other requirements on "public works" and "maintenance" projects. If the services being performed are part of an applicable "public works" or "maintenance" project, as defined by the Prevailing Wage Laws, and the total compensation is $1,000 or more, Contractor agrees to fully comply with such Prevailing Wage Laws. Contractor shall defend, indemnify and hold the City, its elected officials, officers, employees and agents free and harmless from any claim or liability arising out of any failure or alleged failure to comply with the Prevailing Wage Laws. 5. INDEPENDENT CONTRACTOR Contractor shall, during the entire term of this Agreement, be construed to be an independent contractor and 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. Page 2 of 8 Contractor represents and warrants that Contractor has the legal right to license any and all Documents & Data. Contractor makes no such representation and warranty in regard to Documents & Data which were provided to Contractor by the City. City shall not be limited in any way in its use of the Documents and Data at any time, provided that any such use not within the purposes intended by this Agreement shall be at City's sole risk. 7. INSURANCE Prior to undertaking performance of work under this Agreement, Contractor shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: a. Commercial General Liability Insurance. Contractor shall maintain commercial general liability insurance naming the City, its officers, employees, agents, volunteers and representatives as additional insured(s) and shall include, but not be limited to protection against claims arising from bodily and personal injury, including death resulting therefrom and damage to property, resulting from any act or occurrence arising out of Contractor's operations in the performance of this Agreement, including, without limitation, acts involving vehicles. The amounts of insurance shall be not less than the following: single limit coverage applying to bodily and personal injury, including death resulting therefrom, and property damage, in the total amount of $2,000,000 per occurrence. If a general aggregate limit applies, either the general aggregate limit shall apply separately to this project/location (ISO CG 25 03 or 25 04) 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 Page 3 of 8 effect for the entire period covered by this Agreement. (ii) Certificates of insurance shall be furnished to the City upon execution of this Agreement and shall be approved by the City. (iii) Certificates and policies shall state that the policies shall not be 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 frilly executed additional insured endorsement. f. 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: (t) for personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims for personal injury, including death, and claims for property damage, which may arise from the negligent operations of the Contractor or its subcontractors, agents, employees, or other persons acting on their behalf which relates to the services described in section t 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, hold harmless, and pay all costs for the defense of the City, including fees and costs for special counsel to be selected by the City, regarding any action by a third party challenging the validity of this Agreement, or asserting that personal injury, damages, just compensation, restitution, judicial or equitable relief due to personal or property rights arises by reason of the terms of, or effects arising from this Agreement. City may make all reasonable decisions with respect to its representation in any legal proceeding. Notwithstanding the foregoing, to the extent Contractor's services are subject to Civil Code Section 2782.8, the above indemnity shall be limited, to the extent required by Civil Code Section 2782.8, to claims that arise 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, Page 4 of 8 for infringement of any United States' letters patent, trademark, or copyright contained in the work product or documents provided by Contractor to the City pursuant to this Agreement. 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: General Pump Company, Inc. 159 N. Acacia Street San Dimas, CA 91773 Attn: Michael Bodart, 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 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 Page 6 of 8 written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the City's ability to have any of the services which are the subject to this Agreement performed by City personnel or by other contractors retained by City. 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 that fails to meet the standard of performance specified in the Recitals of this Agreement. 18. NON-DISCRIMINATION Consultant shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, gender identity, gender expression, gender, medical conditions, genetic information, or military and veteran status, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, teaching, training, utilization, promotion, termination or other employment related activities or any services provided under this Agreement. Consultant 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 ofCalifomia, 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 ofthis Agreement. 21. MISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature herein below has the power, authority and right to bind their respective parties to each of the terms of' this Agreement, and shall indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. b. All exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: Daisy Gomez Clerk of the Council APPROVED AS TO FORM SON [A R. CARVALIIO City Attorney By: '11-randon Salvatierra Deputy City Attorney RECOMMENDED FOR APPROVAL ,_�abil Saba. PE Executive Director Public Works Agency CITY OF SANTA ANA -�� Kristine Ridge City Manager CONTRACTOR Name- ichaelBodart Title: President/ Director of Engr. Page 8 of 8 EXHIBIT A CITY OF SANTA ANA RFP NO,: 21-059 WATER WELL, PUMP AND MOTOR REHABILITATION AND REPAIR SERVICES Appendix ATTACHMENT 1: SCOPE OF WORK CITY OF SANTA ANA RFP NO.: 21-059 WATER WELL, PUMP AND MOTOR REHABILITATION AND REPAIR SERVICES SCOPE OF WORK INTRODUCTION AND BACKGROUND The City of Santa Ana is soliciting proposals from qualified firms to provide on -call water well, pump and motor rehabilitation and repair services on an as -needed basis. The City of Santa Ana is located in the County of Orange in Southern California. The City encompasses 27.2 square miles and a population over 343,000 people. The City of Santa Ana Public Works Agency — Water Resources Division oversees and maintains the daily operations of the Water System and Sanitary Sewer System. The City of Santa Ana's water system has an average day demand of about 43 million gallons (MG) with 45,000 services. It is comprised of approximately 478 miles of water main, 45 MG of storage at five (5) sites, seven (7) MWD connections, 21 groundwater wells, seven (7) pump stations, four (4) pressure regulating stations and utilizes two (2) pressure zones. WORK DESCRIPTION The Contractor shall provide water well casing, pump and motor rehabilitation, repair, and replacement related services for the City of Santa Ana at various locations within the City, The work shall include routine and emergency pump pulling and installations, well casing repairs and installations, water well rehabilitations, well video inspections, and/or repair services on various types of pumps on an as -needed basis. The Contractor shall provide all necessary supervision, labor, materials, tools, transportation and equipment to perform pump pulling and installations, water well and booster rehabilitations, well casing repairs and installations, water well video inspections and chemical treatments, electric motor repairs, electric motor rewindings, sound attenuation, and repair services on various types of pumps and motors, on an as assigned basis, at various locations throughout the City. The Contractor shall provide transportation for its heavy duty equipment, such as, but not limited to, drilling , pup gch ater Product n rworksitbe.dAll Ue electric motor m for repair twork oom truck, tracor ashall the transported byt theoCont ao and from Conractr's ctor tolity to anaElectr cal Apparatus Service Association's (EASA) Accredited Member facility for repair and returned to the City when repairs are complete, The Contractor shall make adequate provisions for the disposal of water pumping from the well during redevelopment and/or test pumping, All water discharged during these events shall be In compliance with the City's National Pollutant Discharge Elimination System (NPDES) permits and Orange County Flood Control District permits. It shall be the Contractor's responsibility to propose a method to discharge water that is NPDES compliant and may include methods such as water detention through storage tanks or other conforming strategies. 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 and project schedules, upon request by the City, which shall be approved by the City's Public Works Water Resources Division. CITY OF SANTA ANA RFP NO.: 21-059 WATER WELL, PUMP AND MOTOR REHABILITATION AND REPAIR SERVICES CONTRACTOR RESPOSiBILITIES The Contractor's services shall include, but are not necessarily limited to, the following: 1. PUMP AND MOTOR REMOVAL SERVICE The Contractor shall be qualified to perform waterwell pump and booster pump removals, At the Initial setup for pulling a pump, the Contractor shall perform lockoutltagout of the electrical and hydraulic systems and shall disconnect all electrical wiring and appurtenance necessary for the pulling of a deep well pump or a booster pump, The motor, discharge head, submersible cables, column, bowl assembly, strainer, and airline shall be removed by the Contractor. All parts and components shall be inspected closely for excessive cracks, corrosion, holes, wear, or any type of damage which would necessitate repairs or replacement parts. Bore holes shall not be left unattended. The Contractor shall provide equipment necessary (with a lockable design) for closing off any bore holes left unattended. 2, PUMP AND MOTOR REINSTALLATION SERVICE The Contractor shall be qualified to perform pump and motor installation services including all electrical re - installations. The Contractor shall adequately chlorinate the pump assembly prior to installation. After the completion of any rehabilitation work and or repairs, the Contractor shall install the bowl assembly, column, shaft, submersible cable or oil tubing, discharge head, motor and all electrical components associated with and not limited to leads, torquefng to specifications, etc. Witness test shall be performed by City staff. All Incidental materials shall be furnished by the Contractor. 3. WELL VIDEO SURVEY SERVICE The Contractor shall be qualified to perform water well video inspections using color video equipment with side scan and down -hole survey views. Videos shall be provided to the City in a universal serial bus (USB) format and recorded in high definition resolution. Ability to perform these surveys at high resolutions will be given higher consideration. The Contractor shall allow water to flow into the well for a 24 to 48 hour time period In advance of the video survey to produce clear viewing conditions. The video survey unit shall simultaneously transpose the City's name, well name, footage and the date of inspection on the monitor screen and the video record. A footage counter/recorder shall read in feet and be accurate within two (2) percent of the actual footage. The video survey camera shall be capable of right angle or normal downhole viewing with a change in camera lens or mechanical movement of the camera. At the direction of the City, the Contractor must be able to provide right angle viewing to view any casing section in a direct elevation view. The video camera shall be capable of providing both vertical and horizontal (side) viewing of the entire casing .as it descends into the well, The Contractor shall also submit a written report to accompany the video survey log, documenting the survey date, static water level, perforation depth intervals and conditions, and total well depth along with photos. The Contractor shall provide information in the report regarding any type of damage to the well casing or issues encountered during the well video survey. 4. WELL TREATMENT SERVICE The Contractor shall be qualified to provide well treatment services. To perform these tasks, the Contractor shall have the capability to perform mineral analysis, chemical treatment, water quality testing, zone CITY OF SANTA ANA RFP NO.; 21-059 WATER WELL, PUMP AND MOTOR REHABILITATION AND REPAIR SERVICES testing, well casing patches and similar casing repairs/improvements, and mechanical treatment on well casings, All chemicals used in treating wells shall be State approved for the purpose intended, must be National Sanitation Foundation (NSF) approved, and Public Works approved for quantity and concentration. Disinfection of the wells is required in accordance with American Water Works Association (AWWA) C654 — Standard Disinfection of Wells, The Contractor's estimates shall include the type and concentration of chemicals (acids, inhibitors, Polymers, neutralizers, etc.) to be used; the typical appropriate contact time for the chemicals; and the typical procedure for introducing, mixing, and neutralizing chemicals in the well. In addition, the name(s) and phone numbers of any company(ies) that will supply the treatment chemicals shall be provided. Completed Material Safety Data Sheets (MSDS) for all chemicals used shall include the methods of mechanical treatment (dual swab, wlre/nylon brush, sonar jetting, etc,), The Contractor shall perform wire brushing and it shall be carried out in manner as to clean the casing louvers/perforations and to remove scale and tubercles attached to the wall of the casing, After wire brushing, the well shall be allowed to sit for 24 to 48 hours and sediment fill shall be removed from the bottom of the well to the maximum extent possible using a bailer or scow or equivalent retrieval device. All bailed material (water and sediment) shall be placed in steel drums or appropriate containers. The sediment, after separation from the water, shall be placed In the containers, properly labeled, and eventually removed from the well site for disposal by the Contractor. All bailed material shall be properly disposed of by the Contractor. 5. PUMP AND MOTOR REHABILITATION SERVICE The Contractor shall provide rehabilitation services when requested by the City, The Contractor shall rehabilitate of one or more of the following pump units: Submersibles Horizontal split case Vertical turbines Rehabilitation of all pumps and motors may Include, but not limited for • Line shafts • Bearings • Right -angle -gears • Housing/frame • Column pipe • Seals • Impellers • Rotor shaft • Power/control cable attachments • Thermal/moisture sensors • Vibrational analysis (include report) • All other appurtenant components Upon request, the Contractor shall submit a written proposal to the City for the services described herein. The Contractor shall also include the performance pump curves, manual specifications, and detailed information regarding the new proposed pump and motor within the proposal package. The Contractor CITY OF SANTA ANA RFP NO.; 21-059 WATER WELL, PUMP AND MOTOR REHABILITATION AND REPAIR SERVICES shall also provide a construction project schedule for each given task order regarding rehabilitation services. All rehabilitation work shall be subject to the Project Manager's written approval prior to commencing any work by the Contractor. 6, ELECTRIC MOTOR REPAIR AND REFURBISHMENT The successful Contractor shall provide all transportation, labor, materials, tests and equipment, delivery/pick up for the repair and refurbishment of electric motors and perform any recondition or rewiring as necessary to return the equipment fully operational. All electric motor repair shall be done in an EASA Accredited Member service shop, no exceptions, a. All work shall be in accordance with the Electrical Apparatus Service Association's (EASA) Recommended Practice, AR100.2020 latest edition and the National Electrical Manufacturers Association (NEMA) standards for service and repair of electrical apparatus. The Contractor shall provide a list of approved vendors upon request. b. Work shall be in conformance with standards set by, but not limited to, the following organizations: Underwriters Laboratories (UL.) a. Underwriters Laboratories— Certified motors shall be recertified after repair. b. Contractor's shop or his sub -contractor's shop shall be UL-certified to rebuild explosion -proof electric motors for use In hazardous environments. 2. American National Standards Institute (ANSI) 3. American Society for Testing and Materials (ASTM) 4. National Electrical Code (NEC) 5. National Fire Protection Agency (NFPA) 6. National Electrical Manufacturers Association (NEMA) C. Recondition/Repair of Electric Motors Reconditioning/repair of electric motors shall include the testing, disassembling, inspection, cleaning, dipping, baking of windings, replacement of bearings, assembly, testing and painting and at minimum include the following: Pro -Disassembly Test 1. Using a 100QV Meg -ohm meter, conduct verification of insulation integrity. Record the insulation resistance of the motor as brought in from the City. Acceptable criteria is 5 rneg-ohms or higher. 2. Verify that heaters are operational and that other attached features, such as thermocouples, have continuity. 3. Single-phase test to check for open rotors. (After disassembly, rotors will be inspected for evidence of damaged, cracked or open circuit bars or end rings. If there is evidence of faults, the rotor will be growl -.tested.) The detection of any defect during testing shall be reported promptly to the City, 4. Documentation covered under this section shall include the condition of mechanical fits (i.e. shaft run out), cracked, broken or missing parts, test run at full voltage, current readings, Meg reading CITY OF SANTA ANA RFP NO.: 21-059 WATER WELL, PUMP AND MOTOR REHABILITATION AND REPAIR SERVICES and surge comparison test as received. The City shall be notified if acceptable criteria are not met. ff. Motor Disassembly I. Completely disassemble motor and steam clean all mechanical parts using a mild detergent compatible with winding insulation; thoroughly rinse; bake dry. 2. Disassembly documentation shall include the cause of failure and/or conditions contributing to failure, Ill. Motor Inspection 1. Visually inspect coils and windings for excessive wear, signs of conductor overheating or fatigue that possibly would not be apparent during an electrical test. 2. All stators shall be surge- tested with an electronic surge tester specifically designed to apply a surge voltage stress test simultaneously between turns of a coil, between phases, from winding to ground and to detect short-circuited turns in winding under test. Testing shall be per EASA, IEEE 62.2, 112 and 7.2.3 standards. Infrared imaging shall be provided pre and post test. Iv. Mechanical Fit 1, Measure the bearing bores, shells, housings and shaft journals using a micrometer. Shaft fits and housing fits shall comply with AR100-2020. Machine work shall be approved by the Project Manager before being performed or machine work may not be paid for, Bearing journals, seal surfaces and bearing housing restoration shall be done by metalizing and machining or boring and sleeving, Documentation of before and after measurements shall be made. 2: Replace bearings per manufacturer's specifications. All grease fittings, plugs, etc, shall be replaced unless otherwise indicated by the Project Manager. Bearings shall be properly lubricated and bearing oil reservoirs shall drained for shipping and installation. The Contractor shall be responsible for filling the bearing oil reservoir upon installation. All equipment shall be tagged with information as to whether or not bearing oil reservoirs were filled and what type of lubricant was used. v. Rotor Balancing 1. All rotors of motors rated at 50 HP/3600/1800 RPM and above shall be dynamically balanced, with the rotor running at rated speed where practical, but not less than 600 RPM in the balance stand. The balancing speed shall also be rapid enough so the balance machine sensitivity can reliably measure the maximum allowable residual unbalance. 2, A printout tape from the balance/analyzer shall be furnished detailing the final balance values. This tape will be attached to the recondition/repair/rewind documents when the motor is delivered. vi. Motor Leads Motor leads shall be permanently tagged with non-magnetic markers. Motor lead configuration shall not be altered. vll. Insulation 1. Windings shall be double -dipped with Class H varnish and baked, 2. Machine finished surfaces bore of the stator lamination and periphery of the rotor laminations shall be cleaned of all varnish and foreign materials. Photo documentation of this process shall be made prior to and after lamination. Vitt. Final Test 1. A 1000 volt meg-ohm meter shall be used to verify insulation continuity. This reading shall be 100 Meg -ohms or greater and documented. After reassembly, motor shall be test -run at rated CITY OF SANTA ANA RFP NO.: 21-059 WATER WELL, PUMP AND MOTOR REHABILITATION AND REPAIR SERVICES voltage and frequency. No load voltage and phase currents shall be recorded. Vibration mils displacement shall be measured and recorded in the horizontal, vertical and axial planes on both ends of the motor, or top and bottom of vertical motors and documentation of current reading and vibration readings shall be provided to the Project Manager, 2. A 6KV meg-ohm meter shall be used to verify insulation continuity of all 4160V motors. ix. Paint 1. Exterior of motor shall be properly cleaned of rust and foreign material, prime painted and finish painted with a good grade of machinery enamel, the same color as received unless otherwise specified. Nameplates, machined surfaces and internal parts shall be protected from paint, 2. When needed, the interiors of motor frames and parts shall be painted with an insulating paint. This includes rotors, bearing brackets, frame interiors and air deflectors: Windings shall not be painted. x. Incidentals 1. In the event that the motor is in poor condition and cannot be repaired, reconditioned or made as new, the Contractor shall notify the Project Manager or Designee immediately. 2. All Incidental parts requiring replacement, such as bearings, coils, etc. shall be considered included in other items of bid and no additional compensation shall be allowed. 7. REWINDING OF ELECTRIC MOTORS When rewinding is done in conjunction with a recondition or repair, many of the items below will be redundant and shall not be performed or charged. The items below apply to stator only (including all labor, materials and testing necessary for work completion) and shall at a minimum include: a. Pre -Disassembly Test 1, Using a 1000 meg-ohm meter, conduct verification for insulation integrity. Acceptable criteria is 5 Meg -ohms or higher, 2. A 5KV meg-ohm meter shall be used to verify Insulation integrity of all 4160V motors. 3. Verify that heaters are operational and other attached features such as thermocouples have continuity. 4. Pre -disassembly documentation shall include the condition of mechanical fits (i.e. shaft run out), cracked, broken or missing parts, test run at full voltage, current readings, meg reading and surge comparison test as received. The Project Manager shall be notified if acceptable criteria are not met: b. Stripping 1. Windings shall be removed by temperature -controlled burnout with oven temperature suppression. Burn -out temperature shall not exceed 750 degrees Fahrenheit. 2. Windings shall be removed in such a fashion not to damage or distort the core iron. Upon removal of the old windings and insulation, the core shall be thoroughly cleaned and inspected for burrs, etc. 3. After the burnout procedure, the Contractor shall perform a stator core loss test to ensure the stator laminations are not heat damaged. If the stator core losses exceed four (4) watts per pound of core steel, notify the Project Manager prior to proceeding forward. c. Winding 1, General: Rewound motors shall meet or exceed all O.E.M. operating characteristics, unless otherwise specified by the Project Manager. NEMA Class H insulation shall be used, unless otherwise specified. Magnet wire shall be a Quad Build, insulated wire of domestic manufacture that meets or exceeds NEMA specification MW-35A. After winding and prior to resin treatment, windings will be surge -comparison tested and the results documented. CITY OF SANTA ANA RFP NO.: 21-059 WATER WELL, PUMP AND MOTOR REHABILITATION AND REPAIR SERVICES 2. The copper cross -sectional area shall be at least as large as the original winding. 3. Resin Treatment: Windings shall be double -dipped with Class H varnish and baked, 4. Check all coils for overall coil shape. Perform a high frequency turn -to -turn dielectric lest (surge test) in accordance with IEEE 622. Submit test results to the City. This shall be done prior to installation into the stator, d, Motor Leads Motor leads shall be replaced as the original leads. Leads will be permanently tagged with non-magnetio markers, Lead lengths shall be identified by the City when a request for service is made, e, Insulation Windings shall be double -dipped with Class H varnish and baked. Insulation shall be tested phase -to - phase and phase -to -ground at 1000 volts do and yield a one minute test result of 1000 meg-ohrims or better. f, Final Test A 1000 volt meg-ohm meter shall be used to verify insulation continuity. This reading shall be 100 meg- ohms or greater and documented, After reassembly, motor shall be test -run at full voltage and documentation of current reading and vibration readings shall be provided to the end user. (NOTE: a 5KV meg-ohm meter shall be used on all 4160V motors.) Copper DC resistance tests, phase -to -phase, on rotor winding from slip rings shall be performed. If the rewound rotor fails to pass any test, the rotor shall be rejected. The Contractor shall rebuild and retest until all tests are approved by the City. 8, WELL PUMPING REDEVELOPMENT SERVICES Following mechanical redevelopment, the City may elect to have Contractor proceed With pumping redevelopment which shall consist of intermittent pumping and surging of the well and discharging to waste via permitted storm drain channels, The Contractor shall make adequate provisions for the disposal of water pumped from the well during redevelopment and/or test pumping. Such provisions shall include„ but not be limited to, furnishing and installing discharge piping from the pumping unit of sufficient size and length to conduct water to a point as designated by the City and upon request providing temporary storage tanks to contain the discharge. The Contractor shall also furnish acceptable orifices, meters or other approved devices, which will accurately measure the pumping rate Upon request, an airline complete with properly calibrated gage shall be provided by the Contractor to measure the elevation of water in the well. Contractor may be required to collect pumped groundwater Into sedimentation tanks prior to discharge to a storm drain in order to comply with the waste discharge requirements of the regulating agency(s). Redevelopment records shall be maintained showing production rate, total acre footage discharged, and all other pertinent information concerning well development. 9, PRODUCTION TESTING OF REHABILITATED WELLS Upon request, the Contractor shall provide production testing of rehabilitated and or new wells to determine the optimum rate of pumping and shall Include a step drawdown test and a constant -rate discharge test to accordance with AWWA Al00-20 standards (latest edition). Prior to the start of the step drawdown test, a period of at least 24 hours of non -pumping conditions shall be met following the pumping development work. The Contractor shall provide qualified personnel during the step drawdown and constant -rate discharge test and shall ensure proper operation of the pumping test equipment and assist in water level monitoring if requested by the City, CITY OF SANTA ANA RFP NO.: 21-059 WATER WELL, PUMP AND MOTOR REHABILITATION AND REPAIR SERVICES a. Discharge Water 1. Discharge water shall be conveyed from the pump to the point of discharge at the well site, It i; imperative to ensure that no damage by flooding or erosion iscaused to the chosen drainage structure or water disposal site, or to nearby lands and/or streets. 2. The Contractor shall provide all piping and discharge lines. The point of discharge location will be provided by the City and the Contractor will be responsible for all devices and piping to convey the water to that discharge point. 3. No fluids will be permitted to flow offsite (except to proper drainage facilities) or to properties not owned by the City, All discharges will meet the requirements of the City's NPDES permits and Grange County Flood Control permits. b. Step•Drawdown Test 1: Prior to starting the step-drawdown test in the well, the static water level shall be measured, The well shall be "step" tested at rates determined by the City. The step-drawdown test for the well Is estimated to require approximately 12 pumping hours with each step being 3 to 4 hours In duration unless specified otherwise. 2. The Contractor shall operate the pump and change the discharge as directed by the City. Both a gate valve and an engine throttle shall control the discharge of the pump unless specified otherwise, The discharge shall be controlled and maintained at approximately the desired discharge for each step with an accuracy of plus or minus five (5) percent, 3. Pump discharge shall be measured with an instantaneous flow meter dial and a totalizer meter and stopwatch, as approved by the City. Both an air -line and electric sounder shall be furnished by the Contractor for water level measurements. During the step-drawdown test, the Contractor shall record sand content measurements at 30-minute intervals. c. Constant Rate Discharge Test 1. After a 24-hour recovery period from the end of the step-drawdown test, the City may request the Contractor to perform a constant -rate discharge test. This test shall be run for a period of 24 hours, or until the pumping level remains constant for at least 4 hours, or until the City terminates the test. A recovery period of 24 hours shall follow the termination of the constant -rate discharge test, at which time the City will collect residual drawdown (recovery) data. 2. During the constant -rate discharge test; the Contractor shall also conduct the final sand content testing. The sand content shall be determined by averaging the results of samples collected at the following times during the final pumping test: , Five (5) minutes after start of the test ii. After 1/4 of the total planned test time has elapsed lif. After 1/2 of the time has elapsed iv. After 314 of the time has elapsed v. Near the end of the pumping test d. Aborted Tests 1, Whenever continuous pumping at a uniform rate has been specified, failure of pumping operations for a period greater than one (1) percent of the elapsed pumping time shall require suspension of the test until the water level in the pumped well has recovered to its original level. 2. Recovery shall be considered "complete" after the well has been allowed to rest for a period at least equal to the elapsed pumping time of the aborted test, except that if any three (3) successive water level measurements spaced at least 20 minutes apart show no further rise in the water level in the pumped well, the test may be resumed immediately. 3. The City shall be the sole judge as to whether this latter condition exists. CITY OF SANTA ANA RFP NQ.; 21-059 WATER WELL, PUMP AND MOTOR REHABILITATION AND REPAIR SERVICES e. Records 1. The Contractor shall keep accurate records of the pumping test of the well and furnish copies of all records to the City upon completion of the test. The records shall also be available to the City for inspection at any time during the test. The records shall include physical data describing the construction features such as, but not limited to; i. Well depth and diameter IL Complete screen description iii. Length and setting iv. A description of the measuring point and its measured height above land surface and/or mean sea level v. The methods used in measuring water levels and pumping rates 2. The Contractor shall also keep records on the type of pumping equipment used at the well site including engines, drive components, bowls, lines, and shafts. The Contractor will keep records of operation of equipment during the test including engine rpm and horsepower; fuel use, and other essential information that will be useful in designing a pump system. 1O) MACHINE WORK Upon request, the Contractor shall provide machine work services. Machine work shall apply to, but not be limited to, the drilling and tapping of broken bolts, customized (1) - 2° coupling at the base of the discharge head, the repairing of damaged locking rings and stators, the replacing of power cords, power cord assemblies and power cord connectors and repairs to impellers, covers, volutes, mounting rails, bearing journals, discharge heads, and pump shafts. 11. DOCUMENTATION All rehabilitations, repairs, and installations shall be supplemented with reports and documentation that provides accurate details about the new installation or repairs (including a pump and motor schematics and pump performance curves). Within ten (10) business days of completing a full rehabilitation, the Contractor shall provide these documents to the City for review. All new pump and motor installations shall come with plaques that maintain up-to-date and accurate information regarding the performance and capacity of the units, Documentation shall include, but is not limited to, the following: a. Pre -Disassembly Testing report for all activities as described. J. Photo documentation of existing condition prior to fulfilling each described criteria of the disassembly test. c. Motor Disassembly report, including photo documentation before and after cleaning. d. Motor Inspection report, including stator core loss testing results. Photo documentation of coils, windings and conductors showing any signs of excessive wear or failure.. e. Mechanical fit measurements shall be recorded as specified. Photo documentation shall be submitted for all replaced bearings, grease fittings, plugs, etc. I. Rotor balancing report as specified. g. Insulation report as specified above, Before and after photo documentation of the windings prior to varnishing and baking.. h. Final test report as specified. i. Pump Reconditioning report as specified. j. Pump curve and pump/motor schematic. CITY OF SANTA ANA RFP NO.; 21.059 WATER WELL, PUMP AND MOTOR REHABILITATION AND REPAIR SERVICES All testing, inspections and incidentals related to required reports shall be considered included within the bid items for said testing report and no additional compensation shall be allowed, 12. MINIMUM QUALIFICATIONS a. All electric motor repair shops shall be EASA Accredited and shall provide a copy of the certification upon request by the City. Failure to provide a sUb•contractor that is an EASA Accredited Member as a part of the proposal may be grounds for proposal rejection, b. Contractor or Contractor's subcontractor shall be certified as an UL Facility and shall provide a copy of the certification upon request by the City. c. Contractor shall be responsible for obtaining all original equipment manufacturer (OEM) technical documents, drawings and parts when necessary. d. Contractor shall have all engineering, design, metalizing, welding, heat treating, machining, balancing, calibrating and testing capabilities necessary to completely refurbish/rewind electric motors. e. Equipment used for inspecting, calibrating and testing pumps and motors shall be up-to-date and have calibration certificates, less than one year old, traceable to National Institute of Standards and Technology (NISI) standards where applicable. 13, SECURITY REQUIREMENTS Public Works Agency field representative will unlock the Public Works Agency facilities entry gates on the first day of work to allow Contractor access. Contractor shall then supply their own padlook(s) for some entry gates as specified by the Public Works Agency. Contractor's padlock(s) shall lock onto the Public Works Agency's padlock connecting to the chain -link, which enables both the Public Works Agency field representative and Contractor to unlock the entry gates. After completion of work, padlock(s) shall be removed by the Contractor. Contractor and/or subcontractors shall notify the Public Works Agency field representative upon arrival and departure to or from jobsite. 14. PARTS, MATERIALS AND WARRANTIES The Public Works Agency will reimburse the Contractor for the cost of repair parts, materials, and replacement equipment, plus 15 percent markup, provided the Contractor has obtained the City's prior written approval of Contractor's written estimate. All replacement equipment shall be approved by the Public Works Agency prior to the purchasing of the equipment. The Contractor shall provide manufacturer documentation to the Public Works Agency for any replacement equipment. The Contractor shall submit an invoice with attached applicable receipts for a particularjob to the Project Manager. The Contractor shall assure that all materials, parts, and workmanship supplied shall be free from original or developed defects. Contractor shall provide a minimum of one year warranty for materials and parts and thirty days on workmanship, Should original or developed defects and/or failures appear within the minimum warranty of one year after work completion, Contractor shall, at its expense, rectify such defects and/or failures and make all replacements and adjustments that are required. Corrective work shall be performed by the Contractor and given the highest priority after Public Works Agency's notification to do so, and shall be completed to the satisfaction of the Project Manager. The Contractor shall proceed diligently to complete said work within the time allotted as approved by the Project Manager. CITY OF SANTA ANA RFP NO,: 21-059 WATER WELL, PUMP AND MOTOR REHABILITATION AND REPAIR SERVICES 15, AS -NEEDED REPAIRS At the direction of Project Manager, the Contractor shall provide a written estimate including labor and parts, materials and equipment needed to perform the As -Needed Repairs. Upon written approval from the Project Manager, the Contractor shall perform the As -Needed Repairs, At its sole and absolute discretion, Public Works Agency reserves the right to accept or reject the quote provided, 16. VALUE ADDED SERVICES The Contractor may propose additional related services that the City has not specifically identified in this RFP to accomplish the stated goals of this RFP. Value added related services will be consideredby the City and may or may not be incorporated in the agreement. All parts and materials must be supplied new and factory approved, Additional work/locations may be added during the Contract period. Upon request by the Project Manager, the Contractor shall provide a written quotation for any additional work/location(s), based on the rates submitted. The Contractor shall be paid for additional work/locations in accordance with the rates submitted. Upon Contract Manager's negotiation and acceptance of the Contractor's written quotation the additional work/location(s) may be added to the Contract by amendment or change order. 17. STORAGE FACILITIES The Public Works Agency will not provide storage facilities for the Contractor, The Public Works Agency will not be liable or responsible for any damage, by whatever means, or for theft of materials or equipment on the jobsite. 18, CLEANING AND RESTORATION OF SITES The Contractor shall visually inspect the site during and after work is performed for liquid spills, oil and grease deposits, hard water strains, debris, trash, refuse, etc, Upon request, the Contractor shall provide professional cleaning services to remove persistent deposits such as oil and grease stains by means of pressure washing and chemical cleaning with detergents, caustic sodas, etc. that are eco-friendly. The sites shall be cleaned and restored to previous if not better condition after any well rehabilitation work performed that requires dismantling, installing or fabricating. The Contractor shall be responsible for the following: Liquid and oil deposits The Contractor is responsible during the duration of the job to contain and clean up any types of spills or leaks, This pertains to equipment, vehicles, tools, etc, Spill containment and or absorbent ground tarp is required for equipment stored on site over long periods of time. All containers of fuel, solvents and or chemicals shall be stored on spill containment berms or secondary containment, 2. Materials The Contractor is responsible for the removal of all used materials through the duration and completion of the job, and all debris derived from these services shall be removed from City property, Disposal shall be at the Contractor's expense and that includes but is not limited to debris, trash, refuse, etc, CITY OF SANTA ANA RFP NO.: 21n059 WATER WELL, PUMP AND MOTOR REHABILITATION AND REPAIR SERVICES I Restrooms When applicable, the Contractor shall furnish their own restroom facilities and are responsible for said facilities onsite. 4. Storm Water Poliutiott Prevention (SWPP) The Contractor shall not allow any debris from its operations under this Contract to be deposited in the storm drains and/or gutters in violation of the City's NPDES permit. 5. Site Maintenance The Contractor shall maintain the site and keep the premises free from accumulation of waste material and the Contractor shall remove all rubbish, implements, surplus material, and temporary facilities generated by the work. 6. Cleanup The Contractor is responsible for leaving the work area free of all debris generated by this work at the end of each workday and for final cleanup when the job is completed. The City shall perform inspections of the site prior to the work being performed and identify the conditions of concerns if any remain during and after the work Is completed, 19, SPECIAL SAFETY REQUIREMENTS All Contractor's operators shall to observe all applicable State of California Occupational Safety and Health Administration (Cal/OSHA) and Public Works' safety requirements while at Public Works job sites. 20. ADDITIONAL RESPONSIBILITIES OF THE CONTRACTOR Contractor and or Contractor's subcontractors must possess and maintain the following active and valid licenses as applicable to individual subcontractor: 1. State of California Water Well Drilling Contractor's C-57 License or Contractor's "A" License. 2. State of California Limited Specialty Contractor's 0-61, subcategory Machinery and Pump Contractor's D-21 License, 3. Have a minimum of five years of experience performing groundwater wells and pump pulling services. If a Subcontractor is used, Subcontractor must also have a minimum of five years of experience performing services as stated above. Also, the Contractor's project manager(s), and Subcontractor's project manager(s), If any, must have a minimum of five years of experience performing groundwater Wells, pump pulling services, video inspections and/or motor repairs. In addition, the Contractor's project manager(s) and Subcontractor's project manager(s), if any, must have the following certifications: • State of California Division of Occupational Safety and Health Administration Hazardous Waste Operations Emergency Response (HAZWOPER) Certification • National Ground Water Association (NGWA) Certification - Pump Installation • Electrical Apparatus Service Association (EASA) Accredited Member Status Provide all labor, equipment, materials, tools, and supervision required to perform as -needed pump pulling EXHIBIT B a O� +oIL 159 N. ACACIA STREET * SAN DIMAS, CA 91773 PHONE: (909) 599-9606 * FAX: (909) 599-6238 '.�tylti9' CAMARILLO, CA 93010 * PHONE: (805) 482-1215 www.genpump.com WELL & PUMP SERVICE SINCE 1952 Lic. #496765 .Serving Southern California and Central Coact Request for Proposal Water Well, Pump and Motor Rehabilitation and Repair Services RFP No.: 21-059 May 27, 2021 @ 3:00 pm Prepared by Michael Bodart General Pump Company, Inc. For The City of Santa Ana 220 S. Daisy Avenue, Bldg A Santa Ana, CA 92703 INDEX OF CONTENTS Section 1—Scope of Work Attachment 1 Cover letter Scope of Services & Schedule Section 2 — Fee Proposal Attachment 2� Fee Proposal Section 3 — Proposer's References Attachment 3 References Section 4—Statement of Qualifications Description GPC Statement of Qualifications Key Personnel Description Team Organization Breakdown Well Maintenance Contract References Airburst Brochure & Process and Equipment Comparisons Airburst Case Studies W-9 form Contractors State License DIR — Public Works Contractor Registration section 5- Certifications Attachment 5 Non -Collusion Affidavit Non- Lobbying Certification Non -Discrimination Certification Section 1 a!A\L 159 N. ACACIA STREET * SAN DIMAS, CA 91773 PHONE: (909) 599-9606 * FAX: (909) 599-6238 COMM-My CAMARILLO, CA 93010 * PHONE: (805) 482-1215 www.genpumD.com WELL & PUMP SERVICE SINCE 1952 Serving Southern CaWornia and Central Coast City of Santa Ana 20 Civic Center Plaza Santa Ana, California 92701 Lie. #496765 May 27, 2021 Subject: Cover Letter. Water Well & Pump and Motor Rehabilitation and Repair Services- RFP General Pump Company, Inc.(GPC) is pleased to provide our proposal for the referenced program. This cover letter is intended to provide a summation of our qualifications and clarifications associated with our proposal and capabilities for this project. GPC has been in business for 69 years and is specifically located in San Dimas and Camarillo, California. It is now and has always been our business practice to fully comply with all applicable State and Federal Reporting requirements regarding our employee's safety, employment reporting, and customer focus. Note that GPC does not drill wells. We have a number of employees that have significant well drilling experience; however, we decided many years ago to be the premium well and pump maintenance service business and focus 100% of our experience on being the industry leader for well and pump maintenance. In addition to the minimum requirements of the RFP, GPC maintains the highest Safety Rating for our Industry is the ONLY well and pump service company to be selected by the Oil Refineries based on our Safety Program and Ratings. GPC has more in-house "Maintenance Contracts" associated with well and pump services than all our competition combined for Southern California. All the Maintenance programs continue to be extended year after year because of our focused performance on efficiency of well and pumps and our in-house knowledge and experience that allows us to design specific rehabilitation or maintenance services based on a variety of conditions that may face specific issues within wells and pumps or controls. We can provide references to these facts if requested. We have included forms and documents in this proposal that reflect our commitment to be the industry leader related to well and pumps maintenance and service. Both of our facilities in California have in-house engineering and machining services and GPC manufactures our own pumps and equipment. We are the ONLY pump service company that disassembles all customer pumps and/or all new pumps and inspects 100% of them before they are re -assembled and installed in a system or well. Our Quality Control provides us the ability to correct issues before they are realized in the system. ItCON -VARY Pump Additional Information: General Pump Company Inc has been in the water well and pump service business since 1937. GPC incorporated in 1952. Our business focuses on the pump and well maintenance, trouble shooting and engineering pumps. No other Southern California well and pump service company has our manufacturing capabilities which allows us to have a faster response and better quality control. 2. Several of our Project Manager also have Engineering Degrees or Professional Geologist Licenses. The Project Engineer assigned to this project would be Mike Bodart who is included in this proposal. 3. We have included a copy of our Licenses. Engr A, C-57,D-21, and C-61 4. Mark Haas is the project manager for this project & maintains an OSHA and HAZWOPPER certificate of training and copies are provided. 5. GPC is following the State of California Cal/OSHA regulations and maintain our Illness Prevention Program If you have any questions or need additional information, please do not hesitate to contact us. Thank you and we look forward to continuing working with The City of Santa Ana. Sincerely, Michael Bodart President / Director of Engineering GENERAL PUMP COMPANY, INC. a ONNERALL pure GO. PA -V Scone of Services & Schedule General Pump Company operates a full machining / manufacturing facility and as mentioned in our Statement of Qualifications - we are the only well and pump service company in Southern California that builds 100% of our bowl assemblies. With our sixteen (16) cranes and/or rigs along with our electrical, mechanical support, and experienced operators, we have the capabilities and expertise to service the City's emergency and normal maintenance. Because of our close proximity and capabilities, we can usually get any emergency repair completed and back in service in one day. We have more annual (with renewal option) Maintenance Contracts than all of our competitors for the Southern California region. Maintenance Contracts are considered our highest priority when scheduling. Listed below is an example of our scheduling process for the services stated in the Attachment 1: Scope of Work and upon receiving a Notice -to -Proceed. • Day I Mobilization; Pull • Day 2 Prep for video. • Day 3 Perform video. • Day 4 Wire Brush (if needed) • Day 5 Chemical treat • Day 6 Bail; disposal of fill. • Day 7 Sonar Jet (recommend performing prior to chemical treat. Performing AirBurst® would be safer and more effective - would take one day) • Day 8 Prep for video. • Day 9 Revideo • Day 10 Clean up site; demobilize. • Days 11-15 During this process we will be waiting for materials. Schedule assumes materials will arrive within ten (10) days or less. Allow two (2) days to inspect and assemble (Shop). Including Motor Repair Services • Day 16 Install pump. • Day 17 Startup and testing. ** If You perform the factory bowl testine they are quoting 6 8 weeks** Section 2 CITY OF SANTA ANA RFP NO.: 21-059 WATER WELL, PUMP AND MOTOR REHABILITATION AND REPAIR SERVICES APPENDIX ATTACHMENT 2: FEE PROPOSAL Certification - I certify that I have read, understand and agree to the terms and conditions of this Request for Proposal. I have examined the ATTACHMENT 1: 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 Water Resources Division. FEE SCHEDULE The undersigned declares that he/she has carefully examined the request for proposal, that he/she has examined the Proposed Scope of Services, and hereby proposes to furnish all material and do all the work required to complete the said work in accordance with said Proposed Scope of Services, for the unit price(s) set forth in the following schedule: Note: This contract is subject to prevailing wages. TO: CITY COUNCIL OF THE CITY OF SANTA ANA FROM: General Pump Company, Inc. MOTOR & PUMP SPECIFICATIONS Motor: US Motor 250 HP, 3 PH, 460 VAC, Frame 445TPA WPI Discharge Head: 12"X12" Existing Pump: Goulds Pump, 16DMC, 3 STG, 298' 7" feet overall length, 12-inch diameter, 10-foot sections Well Casing: 16-inch casing, 1015 feet deep, refer to Appendices for historical information Housing: Concrete housing with hatched roof, refer to appendices for site maps Location: 921 W Walnut St, Santa Ana CA 92703 f'figR&L a 159 N. ACACIA STREET • SAN DIMAS, CA 91773 P�`� SIPP PHONE: (909) 599-9606 • FAX: (909) 599-6238 Ca CAMARII,LO, CA 93010 •PHONE: (805) 482-1215 www.genpump.com WELL & PUMP SERVICE SINCE 1952 Lic. 4496765 Serving Southern Cal?fonnia and Central Coast (Effective November 20, 2020) 3-Man Crew & Standard Pump Pulling Rig ......................................................... $442.00 Hour I Operator & 40-Ton Crane. ........................ per ...................................... ................... 1-Man Crew, Service Support Rig for the 40-Ton Crane $335.75 per Hour ..................................... $150.45 per Hour 2-Man Crew & Combination Rig......................................................................... $347.65 per Hour 2-Man Crew & Standard Pump Pulling Rig ......................................................... $343.40 per Hour Wire Brush or Swab Rental (Nylon Brush NOT included).........................................$790.50 Each FlatbedTruck & Driver ................................................ ........................................ $144.50 per Hour Rotary Crane (up to 17-ton) & 1-Man Crew ........................................................ $227.80 Hour Rotary Crane & 2-Man Crew............................................................ per ................... Service Truck & 1 Pump Mechanic, Electrician or General Services .................. $328.95 per Hour $151.30 per Hour Service Truck & 1 Pump Mechanic & Helper ...................................................... Pipeline Fabricator $265.20 per Hour ....................................................... ... ..................................... $157.25 per Hour Shop Labor — Pump Mechanic............................................................................... $95.20 per Hour Shop Labor — Machinist or Welder........................................................................ $95.20 per Hour Overtime & Saturdays ..................................... .......... Add $49.30 per Man Hour ............................. Sundays & Holidays............................................................................... Add $98.60 per Man Hour Control & Instrument Specialist........................................................................... $155.55 per Hour AdditionalHelper................................................................................................... $97.75 per Hour Video Log — Color with Downhole and Side -Scan ........................................... $1,096.50 per DVD Re -Video Log — Color with Downhole and Side -Scan ..................................... $1,011.50 per DVD Dynamic Video with Mini Camera....................................................................$1,657.50 per DVD Test Pump — Above 300-Hp Drive/ Generator..................................................... $289.00 per Hour Test Pump — Below 300-Hp Drive/ Generator..................................................... $250.75 per Hour I -Man Crew & Chemical Distribution Trailer, with Safety Equipment .............. $254.15 per Hour Engineering and Hydrogeology Support ..................................................................... Per Job Basis RATES DO NOT INCLUDE SECURITY OR PORTA POTTIES FIELD RATES ARE PORTAL TO PORTAL For additional information on General Pump Company, Inc. Or to speak with one of our qualified Engineers, please contact us at: engineerina(a)genoump com CITY OF SANTA ANA RFP NO.: 21-059 WATER WELL, PUMP AND MOTOR REHABILITATION AND REPAIR SERVICES GENERAL UNIT QUANTITY PRICE TOTAL Removal of motor, discharge head & pump LS 1 13,000 13,000 Installation of motor, discharge head & pump LS 1 15,000 15,000 New bowls performance certification EA 1 1,500 1,500 Water well disinfection EA 1 1,500 1,500 Step drawdown test EA 1 1,200 12 00 Sound attenuation a LS 1 500 500 PUMP WORK New complete pump with 2,800 GPM at 280 feet TH, high efficiency (83.1%) or better 2 EA 1 10,500 10,500 12-inch 5 feet column & collar EA 2 560 1,120 12-inch 10-feet column & collar EA 27 800 21,600 12-inch threaded bronze retainers EA EA 28 28 300 45 8,400 1,260 Rubber line shaft bearings 10-foot 1 15/16-inch head shaft EA 1 1 1,500 1,500 10-feet 416 SS 1 15/16-inch line shaft & coupling EA 27 530 14,310 5-toot 416 1 15/16-inch line shaft EA 2 325 650 1 15/16-inch 416 SS shaft couplings EA 2 50 100 12-inch 20 feet suction pipe EA 1 1,300 1,300 SS 12-inch suction cone strainer EA 1 960 960 300' of SS sounding tube" FT 300 2.50 750 Sounding Kit EA 1 1,000 1,000 MOTOR WORK New complete 250 HP, 460VAC, 3Ph, 60Hz or equal 2 EA ` 1 18,200 18,200 Top Bearings EA 1 Include Include Bottom Bearings EA 1 Include Include Two band heaters 115v, 115 Watt LS 1 Include Include Three coil thermostat NC or NO LS 1 Include Include Set of tin plated copper terminals or lugs LS 1 Include Include Tellus 68 oil LS 1 Include Include WELL WORK Mobilization & Demobilization LS 1 500 500 Under Water video of well (before/after) EA 2 1,100 2,200 CITY OF SANTA ANA RFP NO.: 21-059 WATER WELL, PUMP AND MOTOR REHABILITATION AND REPAIR SERVICES of well section under water & perforations EA 1 3,200 3,200 tment during wire brushing (optional) s F&dispose LS 1 12,000 12,000 of all dirt & debris (if needed) LS 1 2,5002,500 perforations (1015 Feet) LS 1 6,000 6,000 TOTAL - $140,750.00 Proposed new pump: Make: Hydrono, Model No.: 14HL , GPM: 2800 , TDH: 280 , Eff.: 82% 1. Contractor must include all costs involved in accessing the equipment including removal of pump through the building hatch and or working around building roof and hatch. Please refer to Appendix A for a site map as reference. 2. Contractor to provide pump curve, lead time for procurement of parts along with turn around/completion date. 6 weeks based on scope. See pump curve attached 3. Chemical treatment during wire brushing will not be used in the evaluation of the bids. If chemical treatment is applied, the bid price must include cost of the chemicals, chemicals handling (application & mixing), used chemicals neutralization and disposal. 4. New Stainless Steel line for sounding will be provided and installed, with necessary mounting brackets, and one gauge calibrated for sounding. 5. Sound attenuation shall be required for major work. Sound attenuation for engine noise shall be limited to a maximum of 75 dB(A) at 23 feet when operating at full rated load. Sound proofing solution to be approved by the Project Manager. schedule. Contractor's labor and equipment rate sheet shall list rates for all labor designations, equipment and materials. BIDDER INFORMATION: Legal Company Name: General Pump Company, Inc. Complete address: 159 N. Acacia Street, San Dimas, CA 91773 Phone Number: 909-599-9606 Email Address: Authorized Sigm Name: Michael Bodart Title: President / Director of Engineering Company: General Pump Company Name: Date: 511712021 Pump: Size: 14HL (4 stage) Type: Vertical Synch Speed: 1800 rpm Curve: 122211 Specific Speeds: Dimensions: Vertical Turbine: Pump Limits: Temperature: 140 "F Pressure: 330 psi g Sphere Size: 1.5 in — Duty Point — Flaw: 2801 US gpm Head: 280 ft Eff: 82% Power: 241 hp NPSHr: 21.4 It -- Design Curve — Shutoff Head: 426 ft Shutoff dP: 184 psi Min Flow: 585 US gpm BEP: 82 % @ 2923 US gpm NOL Power: 242 hp @ 2530 US gpm -- Max Curve -- Max Power: 317 hp @ 3159 US gpm Pump Data Sheet - HydroBo Pumps USA Inc. Hydrof/oPIMPS fluid -/Solutions search CritaAa: Flow: 2800 US gpm - Head: 280 B Speed: 1770 rpm Dia: 9.115 In Fluid. Impeller. 14HL ENCL. SS Water Temperature: 68°F Ns: Density: 62.32 ItYB' Vapor Pressure: 0.3391 psi a — Nee: — Viscosity 0.9946 cP Aim Pressure: 14.7 psi a NPSHa: — Suction: 10 in Discharge: 12 in motor. Bowl Size: 14 in Standard: NEMA Size: 250 hp Max Lateral: 1 in Enclosure: WP1 Speed: 1800 rpm Thrust K Factor: 17lbf/B Frame: 447T Siang Criteria: Max Power on Design Curve Power: 600 hp Eye Area: — Performance Evaluation: Flow Speed Head Efficlency Power NPSHr US gpm rpm ft % hp ft 3360 1770 220 79.5 234 25.9 2800 1770 280 82 241 21A 2240 1770 322 75.9 240 20 1680 1770 343 60.7 235 20 1120 1770 370 44.7 231 20 Selected from catalog: HydroBo VS Pumps.60 Vers: 18.3 Section 3 CITY OF SANTA ANA RFP NO.: 21-059 WATER WELL, PUMP AND MOTOR REHABILITATION AND REPAIR SERVICES APPENDIX kTTACHMENT 3: PROPOSER'S REFERENCES —� List and describe fully the contracts performed by your firm which demonstrate your ability to provide the supplies, equipment or services included in the scope of the proposal specifications. Attach additional oases if required The City reserves the right to contact each of the references listed for additional information regarding yourfirm's qualifications. Reference Customer Name: Glendora, City of Address: 116 E. Foothill Blvd. Glendora, CA 91740 Contact Individual: Steve Patton Phone Number: 626-914-8200 Facsimile Number: 626-914-8221 Contract Amount: S 150,000.00 Year: Current Description of supplies, equipment, or services provided: Well & Booster Maintenance - Annual Contract Reference Customer Name: Santa Monica, City of Address: 1228 South Bundy Dr. Los Angeles, CA 90025 Contract Amount: 8 400,000.00 Description of supplies, equipment, or services provided: Well & Booster Maintenance - Annual Contract Reference Customer Name: Orange , City of Address: 189 S. WATER ST. Orange, CA 92866 Contract Amount: $410,000.00 on of supplies, equipment, or services provided: & Booster Maintenance - Annual Contract Contact Individual: Gary Richnick Phone Number: 310-458-8411 Facsimile Number: 310 820-3747 Year: Contact Individual: Sonny Tran Phone Number: 714 288-2497 Facsimile Number: 714 744-2973 Year: Current CITY OF SANTA ANA RFP NO.: 21-059 WATER WELL, PUMP AND MOTOR REHABILITATION AND REPAIR SERVICES Reference Customer Name: Monterey Park, City of Contact Individual: Ralph Martinez Address: 2657 N. Delta Ave 626-280-5552 Phone Number: Rosemead, CA 91770 626-572-7342 Facsimile Number: Contract Amount: $400,000.00 Year: Current Description of supplies, equipment, or services provided: Well & Booster Maintenance - Annual Contract THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. ALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE. Section 4 PUMP QUALIFICATIONS, EXPERIENCE AND UNDERSTANDING OF THE PROJECT CAPABILITIES General Pump Company, Inc. is a Professional Well Redevelopment and Pump Equipment contractor located in San Dimas and Camarillo, California. The Engineering staff, field support and service crews, and office support staff are 100% dedicated to well evaluation and rehabilitation, and pump equipment evaluation and services. The technical staff at General Pump Company, Inc, has worked in almost every aspect of the well and pump industries. This diverse experience provided us with unique qualifications to serve our customers and provide them with solution -oriented approaches to get their system back into operation. Our engineers and Hydrogeologist have all worked in the drilling and design segment of the water, and/or oil and gas industries, and many of our shop and support technicians have worked for major pump manufactures. General Pump Company, Inc. employs only experienced Engineers, Hydrogeologist and Technical Field Personnel that can offer Customers assistance in the following areas: • Assess Well Yields to Minimize Operating and Maintenance Costs • Determine the Efficiency of Production and ASR Wells and Pumps • Engineered Pump and Well Equipment • Pump Facility Design and Construction / Booster Facility Design and Construction • Pipeline Design and Construction • Appropriate Mechanical and Chemical Redevelopment • Periodic Monitor and Maintenance Programs • Water Quality and Production Solutions / Well System Optimization • Engineered Pump Suctions • Pump and Motor Repair / Custom Pump Design and Machining • Electrical, SCADA and Transducer Support • Casing Repair and Swedging • Video and Geophysical Logging Support General Pump Company, Inc., an Engineering Service Company, is dedicated to supporting the ongoing needs of the Water Industry, and committed to providing: • Solution -oriented engineering using problem -solving techniques by degreed Engineers with diverse well system and groundwater experience, and pump application engineers from major pump manufacturing companies. • Full-time machine shop, staffed with experienced personnel capable of building and repairing standard and custom pump equipment and specialty products. • Self-contained chemical trailers to include safety support and operational controls. • Trained and certified operators for periodic monitoring and maintenance programs. • In-house training facility and training programs for customers and our own personnel. • Strong project and construction management for any size project. • Instant communications with cellular radio/phones for all staff, engineering, technical, field and shop personnel, resulting in better services at a reduced risk and overall cost. • Modem, safe and reliable equipment with the Only Telescoping Well Rigs with Spudders in the industry which are required for effective redevelopment of wells in pump houses. e� PUMP a 9lal" r cog SAFETY Safety is paramount when men and equipment are involved. A good safety record is important along with adequate insurance and bonding. General Pump Company, Inc. has the best safety record in Southern California for the water well and pump rehabilitation business. Over the past years, General Pump Company, Inc. has had minimal loss of time for work related injuries ANNUAL CONTRACTS Award of an Annual Contract is a great honor and to have an Annual Contract renewed year after year is the greatest complement to a service company. It proves that the contractor has met or exceeded the customers' set goals and expectations. General Pump Company, Inc. has been selected by over 45 cities in Southern California to maintain their well and pumping systems. We have more Annual Contracts with cities than all our competitors combined. Additionally, General Pump Company, Inc, is the primary contractor or sole -source contractor for 15 private utilities and water districts. Most of these are multi- year contracts having been renewed several times over. MACHINE SHOP CAPABILITIES General Pump Company, Inc. is the only well and pump Service Company in Southern California that builds 100% of our bowl assemblies. This level of expertise, along with our in-house machining, allows us to supply or repair with a greater level of knowledge that your pump equipment will be reliable and efficient. Our repair and fabrication facility maintains the most complete line of lathes, welding and associated machining tools. General Pump Company, Inc. has an expansive repair and fabrication facility. This facility has proven to be invaluable during our 69 years of business, since many pump and motor repairs require a strong interface between machining, welding and electrical support in order to be completed. We have three major groups within our repair and fabrication facility that allow us to serve your needs in a variety of ways: • Fabrication and Machining: Including lathes, milling machines, grinders, balancing machines, flame welding, gas and electric welding, heli-arc, etc. We perform welding on steel, aluminum, brass, cast iron, resurfacing, and custom work. We repair all types of pumps by all manufacturers in our facility up to approximately 24-inch impeller diameter for single and multi -stage Horizontal Pumps and 30-inch diameter for Vertical Turbine Pumps. • Assembly: In general, the pumps we supply are designed and manufactured by General Pump Company at one of our Engineering Service Centers. Assembly of pumps assures the highest quality product, with the assurance that it is built correctly and will meet the design criteria specified. • Field Services: This service has helped us establish ourselves as well and pump problem solvers since many operational problems can be traced to poor installation practices. Having the proper diagnostic equipment and knowing how to use it distinguishes us as "The Leader in Well and Pump Services". O�, PUMP a C110MY MACHINE SHOP CAPABILITIES (Continued) Precision Alignment - We've invested in the latest Precision Alignment technology and have established a growing list of customers who use us for these services. Removal. Installation, Mechanical and Startup - We perform field-testing, removal, installation and machining services to offer a turnkey pump service. General Pump Company, Inc. can provide you with high quality workmanship to meet your water supply needs. Our highly skilled employees can also perform repairs on many types of well and booster pumps. Pump Repair Booster End Suction Horizontal Split Case Vertical Turbine Right -Angle Drive Impeller Balancing, Trimmed Eyes & Flanges Machine Shop Shaft Manufactured: Sleeves Made: Threads and Tapping Mechanical Seals Re -Machine Seat, High Pressure, High High Temperature EQUIPMENT AND FIELD SERVICE Pumps & Motors, Precision Straightening, Electrical Motors Bronze, Mild Steel, Stainless Steel Electric Motors New & Overhauled, Rewound, Balanced, Custom Bases, Shaft Repaired Upgrades General Pump Company, Inc. maintains a full service machine shop, clean and safe rigs and cranes are a minimum requirement for reliability, quality workmanship and safety. General Pump Company, Inc. has several trucks fully loaded with essential equipment to handle many urgent repairs in the field. Our well and pump service crews are always ready and willing to assist your Water Utility with making a repair to keep your well and booster facilities running. Just let us know and we will be on the way, ready to provide you with the highest quality service available. General Pump Company, Inc. has the newest fleet of rigs and equipment in Southern California. Maintenance and repairs are made at our San Dimas and Camarillo Facilities to make sure our field operations can safely and efficiently respond to our customer's needs. Below are the benefits to our customers. • Reliable work - In water emergencies, it is important that this large equipment is ready to respond without breakdowns. • Safety - Our new equipment is not likely to malfunction resulting in major damage or possible injuries. • The most up-to-date equipment to assemble the Customers' pumps. General Pump Company, Inc. has the only telescoping pump rigs in Southern California. a al~1R� General Pump Company, Inc. has chemical treatment equipment with fully operational safety equipment that includes eyewash and shower, along with other special redevelopment tools, which allow General Pump Company, Inc. to perform the most cost-effective cleaning to your wells. -000- GRNRRAL� PUMP C**PA IY KEY PERSONNEL KEY PERSONNEL MICHAEL G. BODART, PRESIDENT / DIRECTOR OF ENGINEERING Academic University of Missouri - Bachelor of Science in Civil Engineering Background Post Graduate C.E. Courses in Geohydrology, University of Southern California Certifications 1999-Byron Jackson Training Certificate 1998-Grade 1 & 2 Distribution and Treatment Certificates 1998-Engineerng "A" License 1995-Dale Carnegie Course 1995-Mackay Pump Rehabilitation Certificate 1992-Golden State Pump Technical Training Certificate 1990-Completed Graduate C.E. Courses in Geohydrology at U.S.C. 1986-Layne & Bowler Pump School Certification 1986-Baroid 1-week Drilling Fluid Technology Course Certification 1985-National Water Works Correspondence Course Certification Professional General Pump Company Inc - President / Director of Engineering - 1993- Present Experience Layne Western - Regional Engineering and Sales Manager (4 offices) Federal Hiahwav Administration - Civil Engineer Professional Presentations Michael G. Bodart (Mike Bodart) is recognized as an expert in the field of pump engineering and well rehabilitation in southern California. He has been invited to speak for numerous professional water related associations and conventions. Has been speaking professionally for more than 34 years and has presented in nationally known associations such as AWWA, Tri-State, Southern California Water Utility Association, Inland Water Works Association, Groundwater Resources Association and Central Coast Water Association. In 1992, Mike was part of a selected six -person panel of engineers who met in Kansas City to assist in training nationwide engineers in the water well pump business. THOMAS A. NANCHY, SR. PROJECT MANAGER / PROJECT ENGINEER 2004-Byron Jackson Training Certificate 1989-Dale Camegie Course 1992-Golden State Pump Technical Training Certificate 1986-Layne & Bowler Pump School Certification 1994-Baroid ]-week Drilling Fluid Technology Course Certification 1998-National Water Works Correspondence Course Certification 1994-Goulds Pump Course 2020-BNSF Safety Course Professional Experience Tom Nanchy, Sr. Project Manager, has been in the well and pump industry for over Forty (40) years. Throughout his professional career, he has been involved with hundreds of well rehabilitations and is highly regarded in the industry. His wide range of experience allows him to solve many difficult well and pump Fru�'R A L' , PUMP � E'.'O M P A N Y/ issues and provide options. He has also spoken at many professional organizations throughout California with regards to well maintenance and well rehabilitations. Tom is AWWA certified pump installer and a certified pump installer for Large Water Systems (NGWA). He is factory trained and certified by Byron Jackson and Cla-Valve. Tom also holds a certificate with the Mine Safety and Health Administration (MSHA). WALTER "RAY" REECE JR. BSBM-BSBA, GENERAL MANAGER Professional Experience Combined over 40 years of experience managing businesses providing well rehabilitation, maintenance, well drilling, coring, pump manufacturing, and investigative drilling in the environmental, mining, energy and water resource industries. Earned two Bachelor of Science degrees in Business Administration and Management including a Finance focus. Identified, developed and negotiated contracts with private, public and governmental agencies to safely and successfully provide well rehabilitation technologies, pump and motor maintenance, drilling and construction services for a variety of applications. Ray has devoted time to technological transfers of information by conducting industry related seminars and guest lecturing at High Schools, Colleges, Universities, SME, AWWA, and the California Nevada American Water Works Association (Cal -NV AWWA). FERNANDO MUNOZ. OPERATIONS MANAGER Professional Experience Over 40 years' experience of quality control to ensure pumps are ready for installation, scheduling and management of shop and field production crews, and day-to-day management of those Company areas. Certifications Grade 2 - Distribution Certificate Grade 2 - Water Treatment Operator JAMES M. HINSON, SR. APPLICATION ENGINEER Professional Experience Over 40 years' experience of pump engineering. Conducts systems analyses, defines new and/or replacement hydraulic requirements, designs to procurement of materials. LUIS A. BUSSO, P.G., SR. PROJECT GEOLOGIST Professional Experience Professional groundwater work for the past 14 years encompassing field monitoring and technical report writing for siting, geologic log analysis, design, construction, pump testing, water quality sampling, and rehabilitation of municipal -supply and irrigation -supply water wells. Combining geological and industry knowledge toward well project developments on behalf of water districts, cities, farmers, and other private owners within Central and Southern a . 1HR, PUMP COMPANY California. He currently works alongside Ray Reece, at General Pump Company's Camarillo facility to design and implement pump and well solutions for the clients in the greater Santa Barbara and Ventura Counties. Academic Background University of California Santa Barbara— Bachelor of Science in Geologic Studies MARK HAAS, PROJECT MANAGER Professional Background Professional background includes 18 years' experience within the well and pump industry. His experience includes Field Service Technician, AirBurst® Operations to include R & D for Frazier Industries and Bolt, Technologies for air gun operations and functionality and Certified Crane Operator. MICHAEL R. GARCIA, PROJECT ENGINEER Professional Background Work alongside Project Manager to ensure progression and completion of pump projects. Review project specifications and prepare documents for engineered projects including as -built drawings and field crew instructions. Assist in project coordination and communication between field crews, vendors, and customers. Academic Background Loyola Marymount University, Los Angeles -Master of Science in Mechanical Engr. University of Redlands, Redlands - Bachelor of Science in Physics DANIEL J. PICHARDO, PROJECT ENGINEER Professional Background Coordinate with project managers, operations manager, and senior applications engineer for materials procurement for all existing projects. Communicate with vendors and customers for timely delivery. Maintain safety manuals for continued safety compliance. Academic Background Seattle University - Bachelor of Science, Civil Engineering, Mathematics Minor J. ALFREDO ("FREDDY") RAMIREZ, PROJECT MANAGER Professional Background Professional background includes 23 years' experience within the well and pump industry. His experience includes designing complete pump assemblies, performing well rehabs, well destructions as well as welding. His wide range of experience allows him to have knowledge in multiple fields in the industry. d t R--'R L P N �' COMPANY TEAM ORGANIZATION Step 1: Calls for service are taken by one of our engineers. This step is important and based on the issue may require further field inspections, testing, evaluation of data (City and GPC), and a meeting with one of our experienced engineers. Based on our evaluation, we will submit options for the City to consider. Each option requires a discussion of Risk, Benefit, and Cost. As more information and test data becomes available, the course of action may change. Each change requires GPC's engineers to reevaluate and discuss options. President/Director of Engineering (35 plus years' experience): General oversight of all GPC projects and project management team, and engineering. Project Managers / Engineers (30-40 years' experience) (Outside): Meet with customers, prepare solutions and options, and evaluate system problems along with pump and well problems. Project Managers / Engineers (10-25 years of experience) (Inside): Answer customer's technical questions, perform engineering, support outside project managers / engineers, and work closely with our field foremen, job plans and schedules. Operation Manager (40 years of experience): General oversight of field and shop operations; includes quality control, technical assistance, and equipment allocations for projects. Senior Pump Engineer (40 years of experience): Performs detailed engineering evaluations, pump inspections, and submits recommendations to project managers / engineers. Professional Geologist (14 years of experience): Reviews well rehabilitation processes, down hole testing, and submits recommendations. Field Technicians, Foremen, Electricians, Certified Welders, Certified Crane Operators, and 40-hour HAZMAT certified (10-30 years experience): Play an important role in the job planning, inspections, quality control, and solutions to the issues being discussed. General Pump Company acquires only professional and experienced personnel to service our customers. tE fVjErRppALPUCOMMANY WELL & PUMP SERVICE SINCE 1952 Serving Southern California and Central Coast 159 N. ACACIA STREET * SAN DIMAS, CA 91773 PHONE: (909) 599-9606 * FAX: (909) 599-6238 CAMARILLO, CA 93010 * PHONE: (805) 482-1215 w'ww.genpump.corn Well Preventative Maintenance Contracts Lic. 9496765 Client References Pro'ect Work Description Pe_ riod Project Funding per Year City of Arcadia 240 W. Huntington Drive Well & Booster Well &Booster Preventative Current $150,000.00 Arcadia, CA 91066 Preventative Maintenance Contact: Tom Tait Maintenance Ofc: 626-256-6554 CiTy of Glendora 116 E. Foothill Blvd. Well & Well & Booster Preventative Current Glendora, CA 91740 Booster Maintenance Maintenance$200,000.00 Contact: Steve Patton Ofc: 626-914-9200 City of Santa Monica 1228 South Bundy Drive Water Well & Pump$400,000.00 Water Well & Pump Maintenance Current Los Angeles, CA 90025 Maintenance Contact: Gary Rickinick Ofc: 310-458.8411 City of Orange 189 South Water Street Well Maintenance Well Maintenance and Current $400,000.00 Orange, CA 92866 and Repairs Repairs Contact: Son Tran 88.2497terey Park Avenue Well & Well & Booster Preventative Currentta $400,000.00MaintenanceA 91770 Booster Maintenancelph Martinez0-5552 F General Pump Company has over 45 Annual Maintenance Contracts in Southern California, more than all our competitors combined. Form V r9 (Rev. October 2018) D6 atlmerlIpl the Treasury Iatemal Revenue Servlse Request for Taxpayer Identification Number and Certification ► Go to wwwdrs.govfFOM119 for instructions and the latest information. Give Form to the requester. Do not send to the IRS. f NafhA (qs shown on your Income tax return). Naus, is required on this Rita•, do not leave this line blank, General Pump Company, Inc. 2 Business nnirwaisregarded entity name, If different from above of 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes. 4 Exemptlons (codes apply only to a cenaln entities, not individuals; sae c ❑ Individuallsole proprietor or ❑ CCorporation 1218Corporation ❑ Partnership ❑ Trust/estate instructions on page 3): single -member LLC 0 '� ❑ Urn led liability company. Enter the tax classification (C=C corporation, S=S Exempt payee code (if any) `o corporation, P=Partnership) ► Note: Check the appropriate box in the line above for the tax classification of the single -member owner. Do not check LLC If the LLC is classified as a single -member LLC that Is disregarded from the Exemption from FATCA reporting R owner unless the owner of the LLC Is another LLC that Is not disregarded Imm the owner for U S. federal tax purposes. Otherwise, a single -member LLC that code )if any) is disregarded from the owner should check the appropriate box for the tax classification of its owner Q Other(serarer, rw.0 .+o•�a.,mnm»nra„eaoummrce rn u.sl G Address (number, street, and apt. or suite no.) See instructions Requester's name and address (optional) _. Street,an �i 159 IN Acacia St 8 City, state, and ZIP code San Dimas, CA 91773 7 List account numbers) hero (optional) - — • . • -fie vnAvnr IAnnFSb...•r.... u...,..r-�- n........ - ---- Enter your TIN in the appropriate box. The TIN provided must match the name given on line Ito avoid backup withholding. For individuals, this is generally your social security number ISSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Instructions for Part I, later. For other entities, it Is your employer identification number (EIN). If you do not have a number, see Now to get a TIN, later. or 1. The number shown on this form Is my correct taxpayer Identification number (or I am waiting for a number to be issued to me); and 2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. 1 am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (If any) Indicating that I am exempt from FATCA reporting Is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all Interest and dividends on your tax return. For real estate transactions, Item 2 does not apply. For mortgage Interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an Individual retirement arrangement (IRA), and generally, payments other than interest and dividends, yauare not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later. olyrr Signature of Here U.S. person) General Instr Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest Information about developments related to Form W-9 and Its Instructions, such as legislation enacted after they were published, go to www.1rs.gov/F0rmW9. Purpose of Form An individual or entity (Form W-9 requester) who Is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number ISSN), Individual taxpayer Identification number (ITIN), adoption taxpayer identification number (ATIN), or employer Identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of informatlon returns Include, but are not limited to, the following. • Form 1099-INT (Interest earned or paid) Date► 01/26/2021 • Form 1099-DIV (dividends, including those from stocks or mutual funds) • Form 1099-MISC (various types of Income, prizes, awards, or gross proceeds) • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-5 (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage interest), 1098-E (student loan Interest), 1 g98-T (tuition) • Form 1099-C (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S, person (Including a resident alien), to provide your correct TIN. If you do not return Form W-9 to the requester with a TIN, you might be sub/ect to backup withholding. See What is backup withholding, later. Cat. No 10231 X Form UU-9 (Rev. 10-2018) i Department of Industrial Relations STATE OF CALIFORNIA APPLICATION FOR PUBLIC WORKS CONTRACTOR REGISTRATION Registration Information Type: Renewal Period: July 1, 2019—June 30, 2022 Contractor Information Contractor Name: GENERAL PUMP COMPANY, INC. Trade Name: License Type Number: 1000002769 Contractor Physical Address Physical Business Country: United States of America Physical Business Address: 159 N. ACACIA ST. Contractor Mailing Address Mailing Business Country: Mailing Business Address: Contact Info Physical Business City/ Province: SAN DIMAS Physical Business State: CA Physical Business Postal Code: 91773 Mailing Business City/ Province: Mailing Business State: Mailing Business Postal Code: Daytime Phone: Daytime Phone Ext.: Mobile Phone: Business Email: gcampbellLmgenpump.com Applicant's Email: asantacruz@genpump.com Registration Services:: Page 1 of 2 5/24/2019 8:53:11 AM Workers' Compensation Professional Employer Organization (PEO) Do you lease employees through Professional Employer Organization? No Workers' Compensation Overview Insured by carrier Carrier: TRAVELERS PROPERTY Inception Date: June 1, 2017 CASUALTY INSURANCE COMPANY Policyholder Name: GENERAL PUMP COMPANY, Expiration Date: May 30, 2018 INC. Policy Number: PJUB-5946N79-9-16 Certification .. ............ . Yes I certify that I do not have any delinquent liability to an employee or the state for any assessment of back wages or related damages, interest, fines, or penalties pursuant to any final Judgment, order, or determination by a court or any federal, state, or local administrative agency, Including a confirmed arbitration award Yes I certify that the contractor is not currently debarred under Section 1777.1 or under any other federal or state law providing for the debarment of contractors from public works. Yes I certify that one of the following Is true: (1)1 am licensed by the Contractors State License Board (CSLB) In accordance with Chapter 9 (commencing with Section 7000) of the Business and Professions Code; or (2) my business or trade Is not subject to licensing by the CSLB. I understand refunds are not authorized I, Allison Santa Cruz, the undersigned, am , GENERAL PUMP COMPANY, INC. with the authority to act for and on behalf of the above named contractor. I certify under penalty of perjury that all of the above Information provided is true and correct. I further acknowledge that any untruthful Information provided in this application could result In the certification being canceled. I certify this on: 5/24/2019 8:51:18 AM Legal Entity Information Legal Entity Type: Corporation Name: GENERAL PUMP COMPANY, INC. Registration Services:: Page 2 of 2 Water Wei!! SNOWS Water Well Solutions proudly represents "AirBurst" Technology' as an innovative water well rehabilitation technology. Au -Burst' is a proven, comprehensive rehabilitation and development process for all types of water wells. Water Well Solutions continues to be a leader in the well rehabilitation field. As an original AirBurst" licensee, we assisted in the initial development of the process, and continue to pursue innovative ways to enhance the technology. Our cutting edge approach has provided our clients rith hundreds of successful applications (references available upon request). Water Well Solutions is the authorized dealer for AirBurst' throughout the Midwest Water Well Solutions Illinois Division, LLC. 44W158 Keslinger Rd. Elbum, IL 60119 888-769.9009 • Fax920-474.4771 Water Well Solutions Service Group, Inc. N87 W36051 Mapleton St. Oconomowoc, WI53066 888-769.9009 • Fax 920-474.4771 WWW.WWSSG.com E-mail: info@WWSSG.com ALRB%URST Technology The Powerful Rehabilitation and Development Process for all Water Well Types. ,,, loll AIr Cun •w,uuu I'd Wand after nnng Compressed air or inert gas are the sources of AIRBURST energy, providing an effective and responsible green alternative to other methods MORE BANG FOR YOUR BUCK! AMU Sr AwBurst is an AllAmericanbased technology and is a one of a kind patented process [hat uses high pressure au or inert gas to stimulate selected zones within the formation and generates high-energy pressure pulses in the well. This energy generates acoustic waves that break up and remove mineral scales, silts, sedimentation and blo-Films from the bore hole wall or well screen. With the energy being released at 15/1000 of a second after firing, it generates an air bubble that ex- pands and collapses inside the well. This provides a intense surging action that generates a mechanical cleaning of the well as the bubble expands and collapses. As the bubble collapse, it creates a negative pressure zone in the well that pulls in mineral and biological debris dislodged during the process for easy removal with a bailer. AIRS URS P Advantages A single AwBurst 4 air gun has numerous interchangeable firing chambers to assure you of a tailored fit to any well of any construction. We have 7 different air guns and 22 chambers available. ONLY AirBurst § electronically and precisely controls the air gun energy discharge to allow dislodged debris to settle be- fore the next hurst occurs- Electronic firing puts the energy control in the hands of our technician. Only AirBurst5 can deliver the exact number of bursts per foot at the desired pressure and at the exact location within the well. AnBurst;a gun ports are also designed to provide maximum energy release by maximizing port area and internal throat size to the ports The energy range we have available is 2 grains of TNT to 910 grains (2 pounds). We have the right tools for the smallest and most fragile well to the big tools needed to develop rock wall wells. Precise pressure regulation allows the AirBurst aprocess to develop sustainable, controlled and exactly repealable energy discharges to create a constant en- ergy level to be maintained as the air gun is raised in the well and the hydrostatic pressure decreases. No guess work with AirBurst 6.. No One Max Working Pressure (psi) i Pulse Frequency and Pressure i Max. Pulse Energy Cal 3000pv. Power of AirBurst': 'll}f1 —40 20 120 2,500 2,500 Operator Controlled Operator Controlled 27 grams TNT 68 grams TNT 20 ` 200 3.000 Operator Controlled 109 grams TNT Soo 3,000 Operator Controlled 273 grams TNT A ST° Technology, LLc To whom it may concern: It is our understanding that the process known as BoreBlast/Air Shock is being considered as an equal to AirBurst For bidding purposes. We have experienced this very general comparison In the past and have clearly defined that while they both emit a seismic wave in the well, but that is truly the end of the comparison. Attached please find a detailed comparison of the two processes. Upon review, it will become evident that the control of the AirBurst process, energy, flexibility and the probability of success due to these advantages, will show that BoreBlast is not actually equal to AirBurst Technology. The cost to perform the uncontrolled rapid energy release BoreBlast treatment is much lower which gives that contractor an unfair advantage in a hid. If you have any questions, please feel free to contact me, I am the inventor of AirBurst Technology. Yours truly, AirBurst Technology, LLC William C. Frazier E-mail: bdl�3'sltfhainUetibnulrfgy c,nn W1dBS7eisunk. §ravrO,iu Affakfdo. WW1531J0-9208 Plane: 262-679-39011X 414-719.1526 u•up-aohyul(rJpryfu Qom. A I1t i3 U RSTo W 188,97618 Oak Grove Drive reuhw01,000, LLC Muskcgo, Wf 53150-920tt wo(roeve(o �inrlrr. Fhune: 1262)679-3903 Fox: (262).679-4620 www.airbtii-stteci)nology.com E-mail: bill rI airbursttechnology.com Process and E quipment Comparisons August 17, 2019 I, AlrBursl® equipment is manufactured and supported by a USA company, parts are available it, Texas, USA. The Air -$hock equipment is Isrnall, (also known as BoreBlast 11) 2. The first tise orthe Ah-BUCSI process was February of 1995, Air -Shock was first used in the USA in apprnximately 2003. 3. The Aii-Burst air gun is easily repairable in the field without the use of exotic tools; repair parts are readily avnilable in the USA. 4• Iratcnted air guns used in the AirOurst process arc manufactured by it USA company, Teledyne Marble Corporation that has over So years of experlcnoc and owes numerous tclated patents, The air guns are spooiEfcally designed for hosllle onvlromncnt use In water wells and Were 'love[' designed to clean silos. 5, SaVc1•01 Bolt air gums are Palpable of continuous operation up to 3000 psi, AirBurst air gun discharge ports arc eunfigured to produce a single bubble for eflicient mass displacement of the water produced by the I expanding bubble; it Is not just a narrow slot and jetting action as depicted by the Air -Shock literature. Creation of (ho hobble and subscglloot collapse creates It negative pressure which withdraws dislodged material through the screen or out of it rock IlAchiro. 6, 'rite tinting between onorgy discharges is critical aN oltor'gy bursts too close together do flat allow for dislodged debris to settle before the succeeding WIN[ Occurs• Ah-Durst is tho only process chat can cieolronloolly regulsto the thtdng and allow 1110 dubs is to exit the path of the next: energy discharge, thereby reducing thei amount ofdebr is that Is pushed back Into the formatlon, 7. The Bolt ah'gun is operated by a solenoid valve integral with the air gun which allows complete surface control oftho down hole onorgy discharge front the pir gun and critical shuttle opening alai closing timing Which is ol'paramount in,portonce ospecirtlly at great depths and in extremely abrasive envuaromttetlts. The Air- Sltpok into th ICC lilts nn sucb cenh'ul and is Operalod by a preset pressure adjustment made prior to lowering the device lino the wall. When the preset proasurc Is reached the air gun fires, the unchecked timing results in a AsAiry rapid onorgy I'clease ovary Ono ha11'to three Mon and is controlled by Internally changing an orifice. ultin I has no shuttle thoing control and requires removal from the well to make pressure adjustments, resulting in it lot ol'Wnsleti thnc, 8• The discharge ports of the Bolt Deep polo Service air gat arc closed at all times exocpt for the act is, onorgy discharge. This keeps abrasive well debris out ofthe shuttle opening, which enhances dependability and greatly extends operational life of the airgnn, AIRBURSTo W 186 576I B Oak Grove Drive 760hV,,0600, L L C +Wera t Muskego, WI 53150-9209 rC�s�eraf7in Phone: (262)679-3901 NX: (262)-679.4620 www,ah•bursitechnologyc°m E-mail; bill(jairbursttechnology.eom °). The Alt•Bursl ale gull has tiring rhaufborsavailable fl•ont 1 cubic inch up to 500 cubic inches and six different sized air guns tin' broad upplirtition coverage, The 500 cubic inch chamber has the energy potential, in terms of fool -pounds, Toughly aqulvlllent in 0,6 pounda (273 grams) ofdynamite. The smaller AirBursl air guns can rosily tied confidently rehabilitate sorecanccl solid and gravel wells and even delicate Schedule 80 PVC well screens. Acco'dhlg to eut'rott Ah.Sltoel( Ilteralure file largest chamber available is 262 cubic inches with Ihnited part area thereby reducing disrhiu'ge energy to only 34.6 grams of dynamite at 3000 psi without any hydrostatic prassuro. AirBurst oil, puns have port areas larger than throat arCns in air gun so that there is nmlhtial restriolion 1,()1110 anorgYdlsohm•ge. AlrBursl air guns have many different sized air storage chambers t'oi encit air gull, (tic bottom chambers can sbtiply be lateeciianged within tninotes, whon more or less energy is required, Air -Shock must exchange tali entire go Witt) a stern c chamber size an for anathee illi t. The energYavailabie from it Bolt all, gun AirBurst energy is tudljusnd pressure vs the Ah'-Shock gun is 3 to 8 limes greater than Alr-Shock, yet the tabin tc low enough to address PVC well screens. Air -Shock's energy claim is tit 3000 pslwilhoul tiny hydrtishttfo pressure, the Bolt nie gun energy is at a depth of30 feet, an extremely significant factor in favor ofthc 0 It ale gill' energy, Which Would be even greater if calculated without hydrostatic pressure, 10. AirBurst has specifically unionfhetured Pneumatic control panels to facilitate safe and rectorate pressure nPcraton of'tlie air gun. Meanest typically uses enmplessed *Or can use nitrogen as the energy source tot• the ah'gtut; the All' Is not used to pollotratc the scram and/or geological formation, The AirBurst can be Provido mrtheina teal calculation 16 Brceol format to determine bubble size so that the gas does not pettetatc the screen; olltcreontpattics use random pressure and ah•gun sizes. 11. AG'f3lirst routtneiy uses the n i lIlq and articicol supply of compressed sir from high pressure and low vohuuc ph' cu13tast ll,'s n constant presso is maintained throughout the project, unlike depicting nitrogen oyfiiuCars. Air'liursl can also efficiently use oolatpres aid gas such as nitrogen if specified. However, it is Important to note flint the it produced by nil entteprvssurs is 78% nitrogen, so the use of nitrogen gas is of little hvnolil. AhBursi equipunaof is trailer mounted and cis totally self-eentnin to deliver nitrogeni wed, there is no waiting Ic rgas suppliersWhichr ut be a major issue if additional gas is need for a higr project, there is no additional expeasc for ntot'e compressed air and no waiting Tho electronic air gun shuttle timing assures the most efficient (ISO of the gas, where Air -Shuck liar tit) control of the efficiency no" does Air -Shock normally offer an air compressor option, it must rely upon delivery of nitrogen to each project location by the nitrogen supplier. tit sity of fo a rgy diertf tiers it I a rf cu llu,grl, drn0'u cold lox ilily!'o tan Afl'Burst technician, The intensity esfanorgytliscltargus fl•oln the air got is changed tit the turn of a pressure regulator valve, The frequency of the oneigy discharges dam he ihoreased ur (Iecrcased by ttov Pros t or" dial on the nlnntronic Control patoel, all tvahoul retLtQv_nl ofttte ccjL"Mgnl t QIIIf t' t Mll. Air -Shock does not have these types oi' controls. 13, A114101-st does not use packers or surge block plates, which can trap air/gas and force air into the well formation 14, AirBurst fool is supported by and hoislnd by a high slecngth wire rope from a pump service wane; Air - )Shock is supported and hoisted by all tie hose on a portable reel with minimal fitting capacity. Whtoh one Would you want supporting the toot ill a tight hole'? AIRBURSTo `I—COPI WOIAgde L L c W 188 S7618 Oak Grove Drive Weffoevefopmelit Muskogo, WI 53150.9208 911on0: (2621671)d90J Fnn: (2G2)679-0bZ0 www.airbw'sttechuology'eOm E-mail: bill@airlburotechnology.com l5. In the near flare, AirBurst can be used with the very latest patented system (Smar(Blai for monitoring the change in well permeability resulting from the use of an electronically controlled Bolt air gun in a well, the system indicates when an area within the well structure is ftdly developed, Air -Shock has no such system available. 16, The support personnel and co -inventors of the AlrBurst process consist of a PhD in Acoustics, a PhD in Goa -Physics and well contractor educated in civil engineering, Resumes Pre located the AirBursl website: www.airbursttechnology.eoll) -"About Us", The above information in not intended to indicate all-inclusive knowledge of competitive processes or competitive equipment but represents the current knowledge of the writer who has conveyed information generally available to the public. END (Energy menaured In foot puunds) AIrISI+I'al Chamber size 130 122 Equivalont TNT grans 73 15 (454 grams per pound) Chamber size 20D 262 (largest avallable) Equivalent TNT In grams 114 (454 grams per pomrd) 35 Chamber size SOD Not Available Equivalent TNT groins 273 (7.86 times greater than Air -Shock's biggest gun) (454 grams per pumld) "Infarouation per Ale -Shock brochure with no hydrostatic pressure "Information per ROylelgh Curve wlth Bolt air guns llndvr ,111 turf nt 13k+1 bYtnr • s. +q ('1L1+Iv• nsauan' tnnn Ir •<+� „t (• uvttl nl 1111111 n t. (open rock wells only) Air —Shock: 1000 x 35 grams = 35,0D0 grams or 77 pounds of TNT AirBurst : 1000 x 273 grams - 273,000 grams or 600 pounds of TNT Comparisons should bo made by the potenllal results based upon the I t of the rpgtgy :I v11i llL to accomplish your ) simply the exercise ofdischfIrging an air gum in a well just to any you did h. goal, M 3 AIR BURST© W 188 57618 Oak Grove Drive TechMw 090, L L C btuskego, WI 53150.92 8 'We(C�Deve(opnrent tune 1'(e)6M-NO3 1,., I1na.6w..ae:u www.airbtirstlechnology.com E-mail: bill(o�airbursttechnology.com Process and Eaainment Con>rparisons August 17, 2018 I. AirBurs* equipment is manufactured and supported by a USA company, parts are available in 'Texas, USA The Air -Shock equipment is Israeli, (also known ns BoreBlast Iq 2. The first use ofthe AirBurst process was February of 1995, Air -Shock was first used in the USA in approximately 2003. 3. The AirBurst air gun is easily repairable in the field without the use of exotic tools; repair parts are readily available in the USA. 4. Patented air guns used in the AirBurst process are manufactured by a USA company, Teledyne Marine Corporation that has over 50 years of experience and owns numerous related patents. -rite air guns are specifically designed for hostile environment use in water wells and were never designed to clean silos. 5. Several Bolt air gums are capable of continuous opera(lon up to 3000 psi. AirBurst air gun discharge ports are configured to produce a single bubble for efficient mass displacement of the water produced by the ONpanding bubble, it Is not just a narrow slot and jetting action as depicted by the Air -Shock literature. Creation orthe bubble and subsequent collapse creates a negative pressure which withdraws dislodged material through the screen or out of a rock iracrure. 6. The timing between energy discharges is critical as energy bursts too close together do not allow for dislodged debris to settle before the succeeding burst occurs. AIrBUrst is the only process that can electronically regulate the timing and allow the debris to exit the path orthe next energy discharge, thereby reducing the amount ofdebris that is pushed back into the formation. 7. 'file Boll air gun Is operated by a solenoid valve integral with the air gun which allows complete surface control orthe down hole energy discharge Tom the air gun and critical shuttle opening and closing timing Which is ofpatamount Importance especially at great depths and in extremely abrasive environments. The Air - Shock device has no such control and' is operated by, a preset pressure adjustment made prior to lowering the device into the well, When the preset pre;Sulrc is reached the air gun fires, the unchecked timing results in a very rapid energy release every one half to three seconds and is controlled by internally changing an orifice. Air -Shock has no shuttle timing control and requires removal from the well to make pressure adjustments, resulting in a lot of wasted time. 8, The discharge of'the Bolt dis charge, This keeps abrasives well eep r l dob isnun ofthe shuttle openingervice air gun are s which enhances dependability ed at all times except for the acand greatly extends operational life of the air gun. A1RBURST@ VV ISk 5761,4 Usk (:,rove Drive Telshln,olog�, L l C VI,i kevu, V41 51I50 )2ak Wefteve www.airbursttechnology.com E-mail: bill@airbursttechnology.com 9. The AirBurst air gun has firing chambers available from I cubic inch up to 500 cubic inches and six different sized air guns for broad application coverage. The 500 cubic inch chamber has the energy potential, in terms of foot-pounds, roughly equivalent to 0.6 pounds (273 grams) ofdynamile. The autaller AirBurst air gums can easily and confidently rehabilitate screened sand and gravel wells and even delicate Schedule 80 PVC well screens. According to current Air -Shock literature the largest chamber available is 262 cubic inches with liurlled PON area thereby rcdtleing discharge energy to only X6 grams of dynamite at 3000 psi without any hydrestltiC pressure. AirBurst air guns have port areas larger than throat areas in air gun so that tlnerc is minimal restriction to the energy discharge. AirBurst air guns have many different sized air storage chambers fbr Wh air gun, the bottam chambers can simply be Inlerchanged within Minutes, when more or less energy is required, Air -Shock must exchange the entire gun for another unft.'i'hc enargyavallable Nom a BOltairgun with a given chornber size and pr'essul'e vs lice Air-Shock,Pullis 3 to 8lilnes greater than Air -Shock, yet the AirBurst energy is adjustable to low enough to address PVC well screens. Air -Shock's energy claim is at 3000 Psi withoutany hydrostatic pressure, the Boll air gun energy is at a depth of 30 feet, an extremely significant factor in huvur ofthe Bolt air gun energy, which would be even greater if calculated without hydrostatic pressure. 10, AirBorst has specifically manufactured pneumatic control panyls to Facilitate ca.l and accurate pressure operation oftlte air gun. AirBurst typically as" compressed air or Can use nitrogen as the energy source hsr the All' gull; the air is not used to penetrate the sct'aen anti/or geological formation, The AirBurst can be Provide mathematical calculation in Excel format, to determine bubble size so that the gas does not penetrate the screen; other companies use random pressure and air gun sizes. 11. Ah•Burst routinely, uses the r fn ' v and efficient supply of compressed air from high pressure and low volume Aireompressvrst a Washout pressure is maintained throughout the project, unlike depicting nitrogen cylinders. AlrBm•st can also el'ficlently use compressed gas such as nitrogen if specified. However, it is important to note that the All' produced by ail compressors is 78%nitrogen, so the use of nitrogen gas is of little benefit. AirBurst equ1pntent is trailer mounted and is totally self-contained, there is no waiting for gas suppliers to deliver nitrogen, which can be a major issue if additional gas is need for a big project, there is no additional expense for more compressed air and no waiting. The electronic air gun shuttle timing assures the most efficient use of the gas, whcro Air -Shock has no control of the efflolency, nor does Air -Shock normally oMr an air compressor option, it must rely upon delivery of nitrogen to each project location by the nitrogen supplier. 12. AlrBitrst equipment gives L[d! Stt�l.t t 4 utteru iu inj 4Lrlf�vtl and flexibility to the AirBurst technician, The intensity Of energy discharges from the air gun is changed at the turn of a pressure regulator valve, The frequency oftho energy discharges can be increased ar decreased by movement ors dial on the electronic control panel, all wilhnut tcnuuavgl ol'titc controls. Ggrfp�ynt liout_ he,y1, Air -Shock does not have these types of 13. AirBurst does not use packers or surge block plates, which can trap air/gas and force air into the well formation IA. Ah•Bursi tool is supported by and hoisled by a high strength wire rope from a pump service crane; Air - Shock Is supported and hoisted by nn airinase on a portable reel with minimal lilting capacity. Which one would you want supporting the tool In Atight hole? AYRBURSTo W 188 S76Is oak Grove Drive rechlnolog�t, Lt_c iJ Muskego. Wl i31 A�9:U8 `4YeCCrt)rnelnr� m e rr t , Vl�unc I_'M1:1 h7°�i dll fJ4 I]A'i 5!v-IoBI www.aii'bursttechnology.com F-mail: bill;`ri;aii$ursticchnology.com 15, In the near future, AirBurst can be used with the very latest patented system (SmartBUrst... ) for monitoring the change in well permeability resulting from the use craft electronically controlled Bolt air gun in a well, the system indicates when an area within the well structure is fully developed. Air -Shock has no such system available. 16, The support personnel and co -inventors of the AirBurst process consist ofa PhD in Acoustics, a PhD in www.airbursttechnology.com "About UsGeo-Physics and well contractor educated in civil engineering, Resumes are located the AirBurst website: The above information in not intended to indicate all-inclusive knowledge of competitive processes or competitive equipment but represents the current knowledge of the writer who has conveyed information generally available to the public. END tnnergy measured In root pounds) AirBurst "" AirShack " Chamber size 130 122 Equivalent TNTgrams 73 IS (454 grams per pound) Chamber size 200 262 (largest available) Equivalent TNT in grams 114 (454 grams per pound) 35 Chamber size SOLI Not Available Equivalent TNT grams 273 (7.86 times greator than Air -Shock's biggest gun) (454 grams per pound) "information per Alr-Shock brochure with no hydrostatic pressure "*Information per Rayleigh Curve with Bolt air guns tamer 30 rem of hedrwshitlr nrtssnrc 11ri0.pol_ee asvane I(IOt) bursts mr welf,pi 3000 osl. (Open rock wells only) Atr*Shock : 1000 x 35 grams = 35,000 grams or 77 pounds of TNT AirBurst : 1000 x 273 grams = 273,000 grams or 600 pounds of TNT Comparisons should be made by the potential results based upon the control. of the enuruv ua,titdrle to accomplish your goal, nut simply the exercise of discharging an air gun in a well just to say you did it. 3 Section 5 CITY OF SANTA ANA WATER WELL, PUMP AND MOTOR REHABILITATION AND REPAIR SERVICES NON -COLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106 In conformance with Title 23 United States Code Section 112 and Public Contract Code 7106 the BIDDER declares that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the BIDDER has not directly or indirectly induced or solicited any other BIDDER to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any BIDDER oranyone else to put in a sham bid, or that anyone shall refrain from bidding; that the BIDDER has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the BIDDER or any other BIDDER, or to fix any overhead, profit, or cost element of the bid price, or of that of any other BIDDER, or to secure any advantage against the public body awarding the contract of anyone Interested in the proposed contract; that all statements contained in the bid are true; and, further, that the BIDDER has not, directly or Indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Note: The above cautioned criminal pro Signed State of California County of Non -collusion Affidavit is part of the Proposal. BIDDERS are that making a false certification may subject the certifier to Subscribed and sworn to (orz the person(s) who appeared t Notary Public / Director of p� petore me on this day of , 20_, by id to me on the basis of satisfactory evidence to be me Notary Public Seal �- swm a d Page I of I CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE § 8202 61+1�Rn�k}�'f.{I'#kk}R+R'ft4�W3Httii#kU;eR#3G.�2&EH2�7%}ili4tH3ti4htiz"13##fktYd3s1Ci6{3'.diSi�Y&fkf#L�RIE`iWToiki3M$rSffkl"+.§fA#Yi'##Ftt7k4k';,��4kdHiR8fi5MJkiftik42 P ?e Attached Document (Notary to cross out lines 1-6 below) ❑ See Statement Below (Lines 1-6 to be completed only by document signerfs], not Notary) Signature of Document Signor No. i Signature of Document Signer No. 2 (if any) A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Los Angeles AmR W —ALEXA JOARE rr Notary Public -California i i e Los Angeles County Commhsion q 2266422 "" My Comm, Expires Nov 10, 2022 Place Notary Seal and/or Stamp Above Subscribed and sworn to (or affirmed) before me on this 25th day of Mai , 2021 by Date Month Year (1) _ —_..____MidGttg1..13osial't (and (t) ). Nome(. of Signer( proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me, � Signature 60ur�eof 'Notary OPTIONAL — Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. [Description of Attached Document or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: •,•=.•rn•=.,-..�.n�.�.xn,svwaa,vreaw�aHtmn+tceRrttl±HKlr+t�:T3;Y5PJAs�i',7n"L�.5#I4i�tbf{kfAftitS.Fi`,ZhYi'�L�'iSk��i�4tCifY,fFU#3}}tki}f#<k1.rII44d}fiFfit{Xk.iSi4r#k�fY##P! 02017 National Notary Association CITY OF SANTA ANA WATER WELL, PUMP AND MOTOR REHABILITATION AND REPAIR SERVICES NON -LOBBYING CERTIFICATION I The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her knowledge and belief, that: (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influe ncan officer or employee of any Federal agency, a Member of Congress, an officer ore employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, 'Disclosure of Lobbying Activities," in conformance with its instructions. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such subrecipients shall certify and disclose accordingly. Signed: is ae Bodart Title: Precedent / Dorectar of Engineering Firm: General Pump Company, Inc. Date: 5/27/2021 page I of I CITY OF SANTA ANA RFP NO.: 21-059 WATER WELL, PUMP AND MOTOR REHABILITATION AND REPAIR SERVICES NON-DISCRIMINATION CERTIFICATION The undersigned consultant or corporate officer, during the performance of this contract, certifies as follows; The Consultant shall not discriminate against any employee or applicant for employment because of race, color, religion, sex, or national origin. The Consultant shall take affirmative action to ensure that applicants are employed, and that employees are treated during employment without, regard to their race, color, religion, sex, or national origin. Such action shall include, but not be limited to, the following; employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship, The Consultant agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided setting forth the provisions of this nondiscrimination clause. 2. The Consultant shall, in all solicitations or advertisements for employees placed by or on behalf of the Consultant, state that all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin. 3. The Consultant shall send to each labor union or representative of workers with which he/she has a collective bargaining agreement or other contract or understanding, a notice to be provided advising the said labor union or workers' representatives of the Consultant's commitments under this section, and shall post copies of the notice in conspicuous places available to employees and applicants for employment. 4. The Consultant shall comply with all provisions of Executive Order 11246 of September 24, 1965, and of the rules, regulations, and relevant orders of the Secretary of Labor. 5. The Consultant shall furnish all information and reports required by Executive Order 11246 of September 24, 1965, and by rules, regulations, and orders of the Secretary of Labor, or pursuant thereto, and will permit access to his/her books, records, and accounts by the administering agency and the Secretary of Labor for purposes of investigation, to ascertain compliance with such rules, regulations, and orders. 6. In the event of the Consultant's non-compliance with the nondiscrimination clauses of this contract or with any of the said rules, regulations, or orders, the contract may be canceled, terminated, or suspended in whole or in part and the Consultant may be declared ineligible for further Government contracts or federally assisted construction contracts in accordance with procedures authorized in Execution Order 11246 of September 24, 1965, and such other sanctions may be imposed and remedies invoked as provided in Executive Order 11246 of September 24, 1965, or by rule, regulations, or order of the Secretary of Labor, or as otherwise provided by law. Page I of 2 CITY OF SANTA ANA RFP NO.: 21-059 WATER WELL, PUMP AND MOTOR REHABILITATION AND REPAIR SERVICES The Consultant shall include the portion of the sentence immediately preceding paragraph (1) and the provisions of paragraphs (1) through (7) in every subcontract or purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to Section 204 of Executive Order 11246 of September 24, 1965, so that such provisions will be binding upon each subcontract or purchase order as the administering agency may direct as means of enforcing such provisions, including sanctions for noncompliance; provided, however, that in the event the Consultant becomes involved in, or is threatened with, litigation with a subconsultant or vendor as a result of such direction by the administering agency, the Consultant may request that the United States enter into such litigation to protect the interests of the United States. 8. Pursuant to California Labor Code Section 1735, as added by Chapter 643 Slats. 1939, and as amended, no discrimination shall be made in the employment of persons upon public works because of race, religious creed, color, national origin, ancestry, physical handicaps, mental condition, marital status, or sex of such persons, except as provided in Section 1420, and any consultant of public works violating this Section is subject to all the penalties lm d for a violation of the Chapter, Signed: Michael Bodart Title: president I Director of Engineering Firm: General Pump Company, Inc. Date: 5/27/2021 Page 2 of 2 a � }qNv ty to T N' a w i ry� p W m Z o � O w Z C9 o � ¢ w P tD O C 0 [O M �y ��pp � ((� m rt 1�. t�1 E9 S pp pp N Ol OO pp pp p pp m Z a G N Q 7 d M F KJ C OO p A OO O O e- p O O S O S p 0 0 O� O O 9 0 O S S S o I 2a S S S o S o S S 8 S O4 F� !J j n N us �Qa O ti � lQ E N F N ('J IX. ftl I7 E 'O Q a 2 2 z tl q O 8 8 � n F w w 44 a a a „g 0 w n" gg Ir. 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M h r C n pAp �NO t� M 1R fA H :R 6S 69 RH Fq ry9 M q Rom o m� 9 rn v p� N�fON �_ N Vn N 43 p9 e9 64 e9 N ER I I tp f S O � pj vJ y 99 a3 b3 63 eA c9 EA Vi 63 x3 E9 `A f9 V Tp' YJi �D N d' M 'd3 fR u3 43 E9 tlA Hi E9 W Fp yy f9 by yi o O� 10 �WH^A�C�OO EA Y.MH 9PAK ppe4 ~ 9 N q J_ 5 7 `o N Q !n ¢ oz pz S�= Nbp.�--SSW N W _ N��cwv �"dn LT O_ ¢5 �2 m2 Z N � � f� g Y en�N�g�� � N z` H- ¢ � N N eJQ(�w ��mppVSryryS��p�pMS x O C N Lfl � ml } ZQ 6 w mz ¢ h �Q z � � 1 O N g0w� G>e � Oc7 Lf OOCip 4 ��O i O olio ow aog w a Qzm Z � O= wp ui ¢ v vo V OiSO �OOm ' ONz n 5) a a? l GENEPUM-01 �- - CERTIFICATE OF LIABILITY INSURANCE TKARiI THIS CERTIFICATE IS ISSUED p3 p MATTER qF INFORMATION ON4Y AND CpNFER9 NO RIGHTS UPON THE CERTIFICATE H040ER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE pO02C1 a BELOW. THIS CERTIFICATE pF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT; If the certiilcate holder Is an ADDITIONAL INSURED, the pollcy0es) must have ADDITIONgL INSURED provisions or be endorsed. It SUBROGATIgN IS WAIVED, sub, to the terms and r In ou of Df the policy, certain policies may require an endorsement. A statement on this certificate dues not confer rl lit to the certificate holder In Neu of such endorsements . PRODUCER Licons@ 0767776 HUB International Insurance Services Inc.cT Sherri Ben -Nun ----- 16030 Venture Blvd. I_�R�� -- - I Q ra. _... _._. .. _... 91436 INSURED General Pump Company, Inc. -IN¢1(REfl a ASP m Sp@cJSlfy_9neNrAnD@ ...... ,Gbb74 ---- 169 N. Acacia Street �rysyTER c-;__ ------ - San DI'nas, CA 99773 -- -- . _INSURER.. --- ...._._ olsuP9RL: :RAGES CERTIFICATE NUMBER INsufleR P: IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW DATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION iIFICATE MAY BE ISSUED OR MAY PERTAIN, HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR OF ANY CONTRA NAMED ABOVE FOR CT OR OTHER DOCUMENT THE WITH THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED _USIONS AND CONDITIONS OF SUCH POLICIES. LIMITS S_H_OWN MAY PELT O ICY PERIOD TOWHICHTHIS TYPALGNERALSUR ADDLIS1180R HAVE I HEREIN IS BEEN REDUCED BY PAID CLAIMS TO qLL ThIE TERMS, COMMERCIAL MERCIAL GENERAL - POLICY NUMBER LIABILITY -'-----Fwm �,P$Licylui iPOLICY@xp ' CLAIMS -MADE X OCCUR " LIMrrS __ - X P•630.7K939062-TIL-21 I i EPFHQCCU f?ENCg !g.._ 6N/2021 6/1l2022 �OAMAGE 7ORENTED 1 PREMIs6S (Ea.Esurtrense) 1 000,000 W g 00,000 - "-- NLAGGREGATE LIgqMpaITAPPLIES PER: I MED EXI jAnY 91�Person) f g i"PERSONAL& 6 QQg POLICY X ) JEL'T r LOG I AQVINJURY I / g 1,061000 OTHER I +I"EENERA} gGQRELATE S 2 QQQ QQQ �ONOWLE LIABILITY PROD COMPK}pgGG ig - - I - 2,000,QOQ ANY AUTO MED I810-QNS10047-2t•43•G COMBINED SINGLELIMIT '-'--------�._ 1Ea as;NQ ! RUTOS ONLY I SCHEpDµULED ��pp������ pUTN4_EOpILY AUTOS ONLY I 6/112021 ) 6I1l2022 Is [WIT"y jP—Aersan) g 1,000,000 ..—�gUTO80NLY ff I BOUILYINU y(Pere 'PPROAGE tlenlLg UMBRELLA LIAR X�OCCUR � � E%C@SSLIAB !CUP-D PER YDAMw� iyPer F)cc,�en4 ....__ g - CLAIMS- 1N326166-21-43 rENTI 82AH OCCURRENCE $ I /021 G/1/2022 4 4,000,000 :ERS COMPENSATIgN - MPLOYERSLIABILITY AGGREGATE I ------"- I$ -'-' 4,000,OQO 20PmETOR/PAr_L ryFn XUT_..IB-7K940269.21.43-GoXCLUDEO11 ]:N1AI S 6/1/2021 .X,.6E IOrH 16/112022 - B IP011ution I Environm ------""" I 2/6/2021 121612022 IA _ r ..._.,,,. 1'6O0,00 N (� i ! gg egato 2,Ooo,o0 Tara soft by OF timed I s ed a the r In rs onto Arna; its lofficers employees; flgq�ts lae'id reproeentaHves areIncludedas Additional Insured ea respects orations o/ the Named Insured as their Inters onto may appear per the attached es, agents, 46 0419. Coverage Is prima and non- 09, page 16, paragraph 4. 30 Days Cancellation except 10 Days For NtacPayment Primary contributory per FOOD 4CGT100 City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Risk Management Division, Ath Floor THE ACCORgANEXPIRATION DATE THEREOF, NOTICE WILL BE ELEIN 20 CIVIC Center Plaza BE WITH THE POLICY PROVISIONS. Santa Ana, CA 92702 _ AUTHORITED REPRESENTATIVE `---- ACORD 26 (2016/03)TO i&Y21<�[ The ACORD name and logo are registered Marks9 Of ACORDCORD CORPORATIpN. All rights reserved. /', Dig' MY signed by F2ndne R. Francine R. Villareal Ag--,l GENEPUM-01 Date: 2021.10.0416:2400-or. TKARUNA CERTIFICATE OF LIABILITY INSURANCE DATE ImM/oomYY 5/26/'021 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 License # 0757776 CONTACT Sherri Ben -Nun HUB International Insurance Services Inc. N E: 16030 Ventura Blvd. uco, i o, EM: (818) 257-7438 FAX Suite 500 E.M L (A/c, Ne): Encino, CA 91436 Doi S: Sherri.bennun@hubinternational.com INSURE S AFFORDING COVERAGE NAIC p INSURED INSURER A: Travelers Property Casualt Company of America 25674 INSURER B: Aspen Specialty Insurance 10717 General Pump Company, Inc. INSURERC: 159 N. Acacia Street San Dimas, CA 91773 INSURER o INSURER E NSURER F : COVERAGES raortctrnw . THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED NUMBER: THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHERDOCUMENTRED ABOVE RESPECT TO ICY PERIOD CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED EIN IS SUBJECTRESPECT TO WHICH THIS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. R COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [)� OCCUR R P-630.7K939062-TIL-21 6/1/2021 6/1/2022 I'L AGGREGATE LIMIT APPLIES PER: POLICY [11 JET 1:1 LOC OTHER: DMOBILE LIABILITY ANYAUTO 810-ON810047.21-43-G 6/112021 6/112022 AUTOS UT AUTOS HIRE O ACHOESULED ONOWNED LY NONOOROMNL� AUTOS ONLY UUrr UMBRELLA LIAB X OCCUR EXCESS LIAB cLAIMS4ADE CUP-IN325156-21-43 6/1/2021 61112022 Y❑IN/Al IUB-7K940269-2143-G I 611/2021 I 61112022 B IPollution I Enviromn I I ERAHL9621 2ISI202'I I 2/5/2022 LIMITS SCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addllional Remarks Schedule, maybe aaached if more apace Ia regelred) Here required by written contract, the City of Santa Ana, its officers, employees, agents, and representatives are Included as Additional Insured as respects erations of the Named Insured as their interest may appear per the attached #CG D2 46 04 19. Coverage is primary and non-contributory per Form #CGT100 09, page'I6, paragraph 4. 30 Days Cancellation except 10 Days for Non -Payment 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, 4th Floor ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE ,'%_!"'X- RlekMan°8n^ent DiWalrnl REVIEWED & APPROVE BY: ACORD 26 (2016/03) ©1988-2015 ACORD C The ACORD name and logo are registered marks of ACORD Risk Management Anayst POLICY NUMBER:P-630-7K939062-TIL-21 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (Includes Products -Completed Operations If Required By Contract) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS The following is added to SECTION II — WHO IS AN INSURED: Any person or organization that you agree in a written contract or agreement to include as an additional insured on this Coverage Part is an insured, but only: a. With respect to liability for "bodily injury" or "property damage" that occurs, or for "personal injury" caused by an offense that is committed, subsequent to the signing of that contract or agreement and while that part of the contract or agreement is in effect; and b. If, and only to the extent that, such injury or damage is caused by acts or omissions of you or your subcontractor in the performance of "your work" to which the written contract or agreement applies. Such person or organization does not qualify as an additional insured with respect to the independent acts or omissions of such person or organization. The insurance provided to such additional insured is subject to the following provisions: a. If the Limits of Insurance of this Coverage Part shown in the Declarations exceed the minimum limits required by the written contract or agreement, the insurance provided to the additional insured will be limited to such minimum required limits. For the purposes of determining whether this limitation applies, the minimum limits required by the written contract or agreement will be considered to include the minimum limits of any Umbrella or Excess liability coverage required for the additional insured by that written contract or agreement. This provision will not increase the limits of insurance described in Section III — Limits Of Insurance. b. The insurance provided to such additional insured does not apply to: (1) Any "bodily injury", "property damage" or "personal injury' arising out of the providing, or failure to provide, any professional architectural, engineering or surveying services, including: (a) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders or change orders, or the preparing, approving, or failing to prepare or approve, drawings and specifications; and (b) Supervisory, inspection, architectural or engineering activities. (2) Any "bodily injury" or "property damage" caused by "your work" and included in the "products -completed operations hazard" unless the written contract or agreement specifically requires you to provide such coverage for that additional insured during the policy period. c. The additional insured must comply with the following duties: (1) Give us written notice as soon as practicable of an "occurrence" or an offense which may result in a claim. To the extent possible, such notice should include: (a) How, when and where the "occurrence" or offense took place; (b) The names and addresses of any injured persons and witnesses; and (c) The nature and location of any injury or damage arising out of the "occurrence" or offense. (2) If a claim is made or "suit" is brought against the additional insured: RIekM,agmwdDWIan ."' REMEWED 6 APPROVED 8r. i CG D2 46 0419 © 2018 The Travelers Indemnity Company, All rights reserved. =i ;j f,�,�,�;,u R, �;,((�,��c( ®' Risk Management Analyst (a) Immediately record the specifics of the claim or "suit' and the date received; and (b) Notify us as soon as practicable and see to it that we receive written notice of the claim or "suit" as soon as practicable. (3) Immediately send us copies of all legal papers received in connection with the claim or "suit', cooperate with us in the investigation or settlement of the claim or defense against the "suit', and otherwise comply with all policy conditions. COMMERCIAL GENERAL LIABILITY (4) Tender the defense and indemnity of any claim or "suit' to any provider of other insurance which would cover such additional insured for a loss we cover. However, this condition does not affect whether the insurance provided to such additional insured is primary to other insurance available to such additional insured which covers that person or organization as a named insured as described in Paragraph 4., Other Insurance, of Section IV — Commercial General Liability Conditions. Page 2 of 2 © 2018 The Travelers Indemnity Company. All rights reserved. RiskMancgernentDlvleian REV!E R:o&APPRov®ey. Ftictia:.r.e R. VZYMu( Risk Management Analyst POLICY NUMBER: P-630-7K939062-TIL-21 COMMERCIAL GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY COVERAGE FORM Various provisions in this policy restrict coverage. Read (1) The "bodily injury" or "property damage" is caused by an "occurrence" that takes place the entire policy carefully to determine rights, duties and in the "coverage territory"; what is and is not Covered. Throughout this policy the words "you" and "your" refer (2) The "bodily injury" or "property damage" occurs during the policy period; and to the Named Insured shown in the Declarations, and any other person or organization qualifying as a Named (3) Prior to the policy period, no insured listed Insured under this policy. The wards "we", "us" and under Paragraph 1. of Section II — Who Is "our" refer to the company providing this insurance. An Insured and no "employee" authorized The word "insured" means any person or organization by you to give or receive notice of an "occurrence" or claim knew that the "bodily qualifying as such under Section II — Who Is An injury" or "property damage" had occurred, Insured. in whole or in part. If such a listed insured Other words and phrases that appear in quotation or authorized "employee" knew, prior to the marks have special meaning. Refer to Section V — policy period, that the "bodily injury' or Definitions. "property damage" occurred, then any continuation, change or resumption of such SECTION I — COVERAGES "bodily injury" or "property damage" during COVERAGE A— BODILY INJURY AND PROPERTY or after the policy period will be deemed to DAMAGE LIABILITY have been known prior to the policy period. 1. Insuring Agreement c, "Bodily injury" or "property damage" which a. We will pay those sums that the insured occurs during the policy period and was not, becomes legally obligated to pay as damages prior to the policy period, known to have because of "bodily injury" or "property damage" occurred by any insured listed under Paragraph to which this insurance applies. We will have 1. of Section II — Who Is An Insured or any the right and duty to defend the insured against "employee" authorized by you to give or receive any "suit" seeking those damages. However, notice of an "occurrence" or claim, includes any we will have no duty to defend the insured continuation, change or resumption of that against any "Suit' seeking damages for "bodily "bodily injury" or "property damage" after the injury" or "property damage" to which this end of the policy period. insurance does not apply. We may, at our "occurrence" d. "Bodily injury" or "property damage" will be discretion, investigate any and noccurredknown to have deemat settle any claim or "sufl" that may result. But: thee earliest est�time when any insuredlisted (1) The amount we will pay for damages is under Paragraph 1. of Section II — Who Is An limited as described in Section III — Limits Insured or any "employee" authorized by you to Of Insurance, and give or receive notice of an "occurrence" or (2) Our right and duty to defend end when we claim: have used up the applicable limit of (1) Reports all, or any part, of the "bodily insurance in the payment of judgments or injury" or "property damage" to us or any settlements under Coverages A or B or other insurer; medical expenses under Coverage C. (2) Receives a written or verbal demand or No other obligation or liability to pay sums or claim for damages because of the "bodily perform acts or services is covered unless injury" or "property damage" or explicitly provided for under Supplementary (3) Becomes aware by any other means that Payments. "bodily injury" or "property damage" has b. This insurance applies to "bodily injury" and occurred or has begun to occur. "property damage" only if: ="Mw&gangnLDh49MsmtlMMdanRaVED By:CG T1 00 02 19 © 2017 The Travelers Indemnity Company. All rights reserved. ,' &vdIncludes copyrighted material of Insurance Services Office, Inc. with its permissio em AnalYsi COMMERCIAL GENERAL LIABILITY e. Damages because of "bodily injury' include damages claimed by any person or organization for care, loss of services or death resulting at anytime from the "bodily injury'. Exclusions This insurance does not apply to: a. Expected Or Intended Injury "Bodily injury"or "property damage" expected or intended from the standpoint of the insured. This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or property. It. Contractual Liability "Bodily injury" or "property damage" for which the insured is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages: (1) That the insured would have in the absence of the contract or agreement; or (2) Assumed in a contract or agreement that is an "insured contract", provided that the "bodily injury' or "property damage" occurs subsequent to the execution of the contract or agreement. Solely for the purposes of liability assumed in an "insured contract", reasonable attorneys' fees and necessary litigation expenses incurred by or for a party other than an insured will be deemed to be damages because of "bodily injury' or "property damage", provided that: (a) Liability to such party for, or for the cost of, that party's defense has also been assumed in the same "insured contract"; and (b) Such attorneys' fees and litigation expenses are for defense of that party against a civil or alternative dispute resolution proceeding in which damages to which this insurance applies are alleged, c. Liquor Liability "Bodily injury' or "property damage" for which any insured may be held liable by reason of: (1) Causing or contributing to the intoxication of any person; (2) The furnishing of alcoholic beverages to a person under the legal drinking age or under the influence of alcohol; or POLICY NUMBER:P-630-7K939062-TIL-21 (3) Any statute, ordinance or regulation relating to the sale, gift, distribution or use of alcoholic beverages. This exclusion applies only if you are in the business of manufacturing, distributing, selling, serving or furnishing alcoholic beverages. For the purposes of this exclusion, permitting a person to bring alcoholic beverages on your Premises, for consumption on your premises, whether or not a fee is charged or a license is required for such activity, is not by itself considered the business of selling, serving or furnishing alcoholic beverages. d. Workers' Compensation And Similar Laws Any obligation of the insured under a workers' compensation, disability benefits or unemployment compensation law or any similar law. e. Employer's Liability "Bodily injury" to: (1) An "employee" of the insured arising out of and in the course of: (a) Employment by the insured; or (b) Performing duties related to the conduct of the insured's business; or (2) The spouse, child, parent, brother or sister of that "employee" as a consequence of Paragraph (1)above. This exclusion applies whether the insured may be liable as an employer or in any other capacity and to any obligation to share damages with or repay someone else who must pay damages because of the injury. This exclusion does not apply to liability assumed by the insured under an "insured contract". f. Pollution 0) "Bodily injury" or "property damage" arising out of the actual, alleged or threatened discharge, dispersal, seepage, migration, release or escape of "pollutants": (a) At or from any premises, site or location which is or was at any time owned or occupied by, or rented or loaned to, any insured. However, this subparagraph does not apply to; (i) "Bodily injury' if sustained within a building and caused by smoke, fumes, vapor or soot produced by or originatin from a ui ment that Page 2 of 21 © 2017 The Travelers Indemnity Company. All rights reserved. Includes copyrighted material of Insurance services Office, Inc. with its permissior Rbk hi-W-- r Dlvlsinn REVIEWED 6 APPRovEO ar. Risk Management Analyst POLICY NUMBER: P-630-7K939062-TIL-21 is used to heat, cool or dehumidify the building, or produced by or originating from equipment that is used to heat water for personal use by the building's occupants or their guests; (ii) "Bodily injury' or "property damage" for which you may be held liable, if you are a contractor and the owner or lessee of such premises, site or location has been added to your policy as an additional insured with respect to your ongoing operations performed for that additional insured at that premises, site or location and such premises, site or location is not and never was owned or occupied by, or rented or loaned to, any insured, other than that additional insured; or COMMERCIAL GENERAL LIABILITY to perform the normal electrical, hydraulic or mechanical functions necessary for the operation of "mobile equipment" or its parts, if such fuels, lubricants or other operating fluids escape from a vehicle part designed to hold, store or receive them. This exception does not apply if the "bodily injury" or "property damage" arises out of the intentional discharge, dispersal or release of the fuels, lubricants or other operating fluids, or if such fuels, lubricants or other operating fluids are brought on or to the premises, site or location with the intent that they be discharged, dispersed or released as part of the operations being performed by such insured, contractor or subcontractor; (III) "Bodily injury' or "property (ii) "Bodily injury' or "property damage" arising out of heat, damage" sustained within a smoke or fumes from a "hostile building and caused by the release fire"; of gases, fumes or vapors from (b) At or from any premises, site or materials brought into that building in connection with operations being location which is or was at any time used by or for any insured or others for performed by you or on your behalf the handling, storage, disposal, by a contractor or subcontractor; or processing or treatment of waste; (iii) "Bodily injury' or "property (c) If such "pollutants" are or were at any damage" arising out of heat, time transported, handled, stored, smoke or fumes from a "hostile treated, disposed of, or processed as fire"; or waste by or for: (e) At or from any premises, site or (i) Any insured; or location on which any insured or any (ii) Any person or organization for contractors or subcontractors working whom you may be legally directly or indirectly on any insured's responsible; behalf are or were at any time (d) At or from any premises, site or performing operations to test for, contain, location on which any insured or any monitor, clean up, remove, contractors or subcontractors working treat, detoxify or neutralize, or in any directly or indirectly on any insured's way respond to, or assess the effects behalf are performing operations if the of, "pollutants". "pollutants" are brought on or to the (2) Any loss, cost or expense arising out of premises, site or location in connection with such operations by such insured, any: contractor or subcontractor. However, (a) Request, demand, order or statutory or this subparagraph does not apply to: regulatory requirement that any insured (i) "Bodily injury' or "property or others test for, monitor, clean up, damage" arising out of the escape remove, contain, treat, detoxify or or in any way respond to, or of fuels, lubricants or other operating fluids which are needed neutralize, assess the effects of, "pollutants"; or REVIEWFVm & APPROVED By: CG T1 00 02 19 r n *_ — © 2017 The Travelers Indemnity Company. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc. with its permissio '1 ` RMManagemem Bneiyst COMMERCIAL GENERAL LIABILITY POLICY NUMBER: P-630-7K939062-TIL-21 (b) Claim or suit by or on behalf of any governmental authority or any other person or organization because of testing for, monitoring, cleaning up, removing, containing, treating, detoxifying or neutralizing, or in any way responding to, or assessing the effects of, "pollutants". g. Aircraft, Auto Or Watercraft "Bodily injury" or "property damage" arising out of the ownership, maintenance, use or entrustment to others of any aircraft, "auto" or watercraft owned or operated by or rented or loaned to any insured. Use includes operation and "loading or unloading". This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury' or "property damage" involved the ownership, maintenance, use or entrustment to others of any aircraft, "auto" or watercraft that is owned or operated by or rented or loaned to any insured. This exclusion does not apply to: (1) A watercraft while ashore on premises you own or rent; (2) A watercraft you do not own that is: (a) 50 feet long or less; and (b) Not being used to carry any person or property for a charge; (3) Parking an "auto" on, or on the ways next to, premises you own or rent, provided the "auto" is not owned by or rented or loaned to you or the insured; (4) Liability assumed under any "insured contract" for the ownership, maintenance or use of aircraft or watercraft; (5) "Bodily injury' or "property damage" arising out of: (a) The operation of machinery or equipment that is attached to, or part of, a land vehicle that would qualify as "mobile equipment" under the definition of "mobile equipment" if such land vehicle were not subject to a compulsory or financial responsibility law, or other motor vehicle insurance (b) The operation of any of the machinery or equipment listed in Paragraph f.(2) or f.(3) of the definition of "mobile equipment" or (6) An aircraft that is: (a) Chartered with a pilot to any insured; (b) Not owned by any insured; and (c) Not being used to carry any person or property for a charge. h. Mobile Equipment "Bodily injury" or "property damage" arising out of. (1) The transportation of "mobile equipment" by an "auto" owned or operated by or rented or loaned to any insured; or (2) The use of "mobile equipment" in, or while in practice for, or while being prepared for, any prearranged racing, speed, demolition, or stunting activity. I. War "Bodily injury" or "property damage" arising out of: (1) War, including undeclared or civil war; (2) Warlike action by a military force, including action in hindering or defending against an actual or expected attack, by any government, sovereign or other authority using military personnel or other agents; or (3) Insurrection, rebellion, revolution, usurped power, or action taken by governmental authority in hindering or defending against any of these. j. Damage To Property "Property damage" to: (1) Property you own, rent, or occupy, including any costs or expenses incurred by you, or any other person, organization or entity, for repair, replacement, enhancement, restoration or maintenance of such property for any reason, including prevention of injury to a person or damage to another's property; (2) Premises you sell, give away or abandon, if the "property damage" arises out of any part of those premises; (3) Property loaned to you; law, where it is licensed or principally (4) Personal property in the care, custody or garaged; or control of the insured; Risk Mnugemmr oisielon " REmeam&A-PROVED Sr. 4 of 21 © 2017 The Travelers Indemnity company. All rights reserved. �� Includes copyrighted material of Insurance services Office, Inc. with its permissio �'• Risk Management Analyst POLICY NUMBER: P-630-7K939062-TIL-21 (6) That particular part of real property on which you or any contractors or subcontractors working directly or indirectly on your behalf are performing operations, if n. the "property damage" arises out of those operations; or (6) That particular part of any property that must be restored, repaired or replaced because "your work" was incorrectly performed on it. Paragraphs (1), (3) and (4) of this exclusion do not apply to "premises damage". A separate limit of insurance applies to "premises damage" as described in Paragraph 6. of Section III — Limits Of Insurance. Paragraph (2) of this exclusion does not apply if the premises are "your work" and were never occupied, rented or held for rental by you. Paragraphs (3), (4), (5) and (6) of this exclusion do not apply to liability assumed under a sidetrack agreement. Paragraph (6) of this exclusion does not apply to "property damage" included in the "products - completed operations hazard". k. Damage To Your Product "Property damage" to "your product" arising out of it or any part of it. I. Damage To Your Work "Property damage" to "your work" arising out of it or any part of it and included in the "products - completed operations hazard". This exclusion does not apply if the damaged work or the work out of which the damage arises was performed on your behalf by a subcontractor. m. Damage To Impaired Property Or Property Not Physically Injured "Property damage" to "impaired property" or property that has not been physically injured, arising out of: COMMERCIAL GENERAL LIABILITY accidental physical injury to "your product" or "your work" after it has been put to its intended use. Recall Of Products, Work Or Impaired Property Damages claimed for any loss, cost or expense incurred by you or others for the loss of use, withdrawal, recall, inspection, repair, replacement, adjustment, removal or disposal of: (1) "Your product"; (2) "Your work"; or (3) "Impaired property"; if such product, work, or property is withdrawn or recalled from the market or from use by any person or organization because of a known or suspected defect, deficiency, inadequacy or dangerous condition in it. o. Personal And Advertising Injury "Bodily injury" arising out of "personal and advertising injury'. p. Electronic Data Damages arising out of the loss of, loss of use of, damage to, corruption of, inability to access, or inability to manipulate "electronic data". However, this exclusion does not apply to liability for damages because of "bodily injury". q. Unsolicited Communication "Bodily injury" or "property damage" arising out of any actual or alleged violation of any law that restricts or prohibits the sending, transmitting or distributing of "unsolicited communication". r. Access Or Disclosure Of Confidential Or Personal Information "Bodily injury" or "property damage" arising out of any access to or disclosure of any person's or organization's confidential or personal information. s. Asbestos (1) A defect, deficiency, inadequacy or 1 "Bodilyinjury" pp ' or "property ertdamage" arising dangerous condition in "your product' or ()out of the actual or alleged presence or .,your work"; or actual, alleged or threatened dispersal of (2) A delay or failure by you or anyone acting asbestos, asbestos fibers or products on your behalf to perform a contract or containing asbestos, provided that the agreement in accordance with its terms. "bodily injury' or "property damage" is This exclusion does not apply to the loss of use caused or contributed to by the hazardous of other property arising out of sudden and properties of asbestos. �+7 REVIEWED n MPRw® Sr CG T1 011 02 19 2017 The Travelers Indemnity company. All rights reserved. Includes copyrighted material of Insurance services Office, Inc. with Its permissiol �' Risk Management Malyst COMMERCIAL GENERAL LIABILITY (2) "Bodily injury" or "property damage" arising out of the actual or alleged presence or actual, alleged or threatened dispersal of any solid, liquid, gaseous or thermal irritant or contaminant, including smoke, vapors, soot, fumes, acids, alkalis, chemicals and waste, and that are part of any claim or "suit" which also alleges any "bodily injury" or "property damage" described in Paragraph (1) above. (3) Any loss, cost or expense arising out of any: (a) Request, demand, order or statutory or regulatory requirement that any insured or others test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond to, or assess the effects of, asbestos, asbestos fibers or products containing asbestos; or (b) Claim or suit by or on behalf of any governmental authority or any other person or organization because of testing for, monitoring, cleaning up, removing, containing, treating, detoxifying or neutralizing, or in any way responding to, or assessing the effects of, asbestos, asbestos fibers or products containing asbestos. Employment -Related Practices "Bodily injury"to: (1) A person arising out of any: (a) Refusal to employ that person; (b) Termination of that person's employment; or (c) Employment -related practice, policy, act or omission, such as coercion, demotion, evaluation, reassignment, discipline, failure to promote or advance, harassment, humiliation, discrimination, libel, slander, violation of the person's right of privacy, malicious prosecution or false arrest, detention or imprisonment applied to or directed at that person, regardless of whether such practice, policy, act or omission occurs, is applied or is committed before, during or after the time of that person's employment; or (2) The spouse, child, parent, brother or sister of that person as a consequence of "bodily injury' to that person at whom any of the POLICY NUMBER: P-630-7K939062-TIL-21 employment -related practices described in Paragraph (a), (b), or (c) above is directed. This exclusion applies whether the insured may be liable as an employer or in any other capacity and to any obligation to share damages with or repay someone else who must pay damages because of the "bodily injury'. Exclusions c. through n. do not apply to "premises damage". A separate limit of insurance applies to "premises damage" as described in Paragraph 6, of Section III — Limits Of Insurance. COVERAGE B— PERSONAL AND ADVERTISING INJURY LIABILITY 1. Insuring Agreement a. We will pay those sums that the insured becomes legally obligated to pay as damages because of "personal and advertising injury" to which this insurance applies. We will have the right and duty to defend the insured against any "suit" seeking those damages. However, we will have no duty to defend the insured against any "suit" seeking damages for "personal and advertising injury" to which this insurance does not apply. We may, at our discretion, investigate any offense and settle any claim or "suit" that may result. But: (1) The amount we will pay for damages is limited as described in Section III — Limits Of Insurance; and (2) Our right and duty to defend end when we have used up the applicable limit of insurance in the payment of judgments or settlements under Coverages A or B or medical expenses under Coverage C. No other obligation or liability to pay sums or perform acts or services is covered unless explicitly provided for under Supplementary Payments. b. This insurance applies to "personal and advertising injury' caused by an offense arising out of your business but only if the offense was committed in the "coverage territory' during the policy period. 2. Exclusions This insurance does not apply to: a. Knowing Violation Of Rights Of Another "Personal and advertising injury" caused by or at the direction of the insured with the knowledge that the act would violate the rights of another and would inflict "personal and advertising injury'. s R6k Meu8zmmilHWlwt _ REme&o6Arrrtw®9y: Page 6 of 21 0 2017 The Travelers Indemnity Company. All rights reserved. of M( Includes copyrighted material of Insurance Services Office, Inc. with its permissio ® Risk hlana9eirnn[Niayst 01 POLICY NUMBER: P-630-7K939062-TIL-21 This exclusion does not apply to "personal injury" caused by malicious prosecution. b. Material Published With Knowledge Of Falsity "Personal and advertising injury" arising out of oral or written publication, including publication by electronic means, of material, if done by or at the direction of the insured with knowledge of its falsity. c. Material Published Or Used Prior To Policy Period (1) "Personal and advertising injury' arising out of oral or written publication, including publication by electronic means, of material whose first publication took place before the beginning of the policy period; or (2) "Advertising injury' arising out of infringement of copyright, "title" or "slogan" in your "advertisement" whose first infringement in your "advertisement" was committed before the beginning of the policy period. d. Criminal Acts "Personal and advertising injury' arising out of a criminal act committed by or at the direction of the insured. e. Contractual Liability "Personal and advertising injury" for which the insured has assumed liability in a contract or agreement. This exclusion does not apply to liability for damages: (1) That the insured would have in the absence of the contract or agreement; or (2) Because of "personal injury" assumed by you in a contract or agreement that is an "insured contract", provided that the "personal injury' is caused by an offense committed subsequent to the execution of the contract or agreement. Solely for the purposes of liability assumed by you in an "insured contract", reasonable attorneys' fees and necessary litigation expenses incurred by or for a party other than an insured will be deemed to be damages because of "personal injury', provided that: (a) Liability to such party for, or for the cost of, that party's defense has also been assumed by you in the same "insured contract"; and COMMERCIAL GENERAL LIABILITY against a civil or alternative dispute resolution proceeding in which damages to which this insurance applies are alleged. f. Breach Of Contract "Advertising injury' arising out of a breach of contract. g. Quality Or Performance OF Goods — Failure To Conform To Statements "Advertising injury" arising out of the failure of goods, products or services to conform with any statement of quality or performance made in your "advertisement". h. Wrong Description Of Prices "Advertising injury' arising out of the wrong description of the price of goods, products or services stated in your "advertisement". I. Intellectual Property "Personal and advertising injury' arising out of any actual or alleged infringement or violation of any of the following rights or laws, or any other "personal and advertising injury" alleged in any claim or "suit" that also alleges any such infringement or violation: (1) Copyright; (2) Patent; (3) Trade dress; (4) Trade name; (5) Trademark; (6) Trade secret; or (7) Other intellectual property rights or laws. This exclusion does not apply to: (1) "Advertising injury' arising out of any actual or alleged infringement or violation of another's copyright, "title" or "slogan" in your "advertisement"; or (2) Any other "personal and advertising injury" alleged in any claim or "suit" that also alleges any such infringement or violation of another's copyright, "title" or "slogan" in your "advertisement". j. Insureds In Media And Internet Type Businesses "Personal and advertising offense committed by business is: (b) Such attorneys' fees and litigation (1) Advertising, expenses are for defense of that party CG T1 00 02 19 © 2017 The Travelers Indemnity company. All rights reserved. Includes copyrighted material of Insurance services Office, Inc. Wth its pe injury" caused by an an insured whose or ReneNM & APPROVED 9y: F � Z V ttNu t Risk Management Analyst COMMERCIAL GENERAL LIABILITY (2) Designing or determining content of websites for others; or (3) An Internet search, access, content or service provider. However, this exclusion does not apply to Paragraphs a.(1), (2) and (3) of the definition of "personal injury". For the purposes of this exclusion: (1) Creating and producing correspondence written in the conduct of your business, bulletins, financial or annual reports, or newsletters about your goods, products or services will not be considered the business of publishing; and (2) The placing of frames, borders or links, or advertising, for you or others anywhere on the Internet will not, by itself, be considered the business of advertising, "broadcasting" or publishing. k. Electronic Chatrooms Or Bulletin Boards "Personal and advertising injury" arising out of an electronic chatroom or bulletin board the insured hosts or owns, or over which the insured exercises control. I. Unauthorized Use Of Another's Name Or Product "Personal and advertising injury" arising out of the unauthorized use of another's name or product in your e-mail address, domain name or metatag, or any other similar tactics to mislead another's potential customers. m. Pollution "Personal and advertising injury" arising out of the actual, alleged or threatened discharge, dispersal, seepage, migration, release or escape of "pollutants" at any time. n. Pollution -Related Any loss, cost or expense arising out of any (1) Request, demand, order or statutory or regulatory requirement that any insured or others test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond to, or assess the effects of, "pollutants"; or (2) Claim or suit by or on behalf of any governmental authority or any other person or organization because of testing for, monitoring, cleaning up, removing, containing, treating, detoxifying or POLICY NUMBER: P-630-7K939062-TIL-21 neutralizing, or in any way responding to, or assessing the effects of, "pollutants". o. War "Personal and advertising injury" arising out of: (1) War, including undeclared or civil war, (2) Warlike action by a military force, including action in hindering or defending against an actual or expected attack, by any government, sovereign or other authority using military personnel or other agents; or (3) Insurrection, rebellion, revolution, usurped power, or action taken by governmental authority in hindering or defending against any of these. p. Unsolicited Communication "Personal and advertising injury" arising out of any actual or alleged violation of any law that restricts or prohibits the sending, transmitting or distributing of "unsolicited communication". q. Access Or Disclosure Of Confidential Or Personal Information "Personal and advertising injury' arising out of any access to or disclosure of any person's or organization's confidential or personal information. r. Asbestos (1) "Personal and advertising injury" arising out of the actual or alleged presence or actual, alleged or threatened dispersal of asbestos, asbestos fibers or products containing asbestos, provided that the "personal and advertising injury' is caused or contributed to by the hazardous properties of asbestos. (2) "Personal and advertising injury' arising out of the actual or alleged presence or actual, alleged or threatened dispersal of any solid, liquid, gaseous or thermal irritant or contaminant, including smoke, vapors, soot, fumes, acids, alkalis, chemicals and waste, and that are part of any claim or "suit" which also alleges any "personal and advertising injury" described in Paragraph (1) above. (3) Any loss, cost or expense arising out of a ny: (a) Page S of 21 ® 2017 The Travelers Indemnity Company. All rights reserved. Includes copyrighted material of Insurance services Office, Inc. with its permissior Request, demand, order or statutory or regulatory requirement that any insured or others test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way res and to or .g%: Risk Mmagemmt I)Welan ,ry l ftvieuso & APPROVED BY. Fvtnr.:n.e P.. vjl,ry Risk Management Analyst POLICY NUMBER: P-630-7K939062-TIL-21 assess the effects of, asbestos, asbestos fibers or products containing asbestos; or (b) Claim or suit by or on behalf of any governmental authority or any other person or organization because of testing for, monitoring, cleaning up, removing, containing, treating, detoxifying or neutralizing, or in any way responding to, or assessing the effects of, asbestos, asbestos fibers or products containing asbestos. s. Employment -Related Practices "Personal injury' to: (1) A person arising out of any: (a) Refusal to employ that person; (b) Termination of that person's employment; or (c) Employment -related practice, policy, act or omission, such as coercion, demotion, evaluation, reassignment, discipline, failure to promote or advance, harassment, humiliation, discrimination, libel, slander, violation of the person's right of privacy, malicious prosecution or false arrest, detention or imprisonment applied to or directed at that person, regardless of whether such practice, policy, act or omission occurs, is applied or is committed before, during or after the time of that person's employment; or (2) The spouse, child, parent, brother or sister of that person as a consequence of "personal injury' to that person at whom any of the employment -related practices described in Paragraph (a), (b), or (c) above is directed. This exclusion applies whether the insured may be liable as an employer or in any other capacity and to any obligation to share damages with or repay someone else who must pay damages because of the "personal injury'. COVERAGE C— MEDICAL PAYMENTS 1. Insuring Agreement a. We will pay medical expenses as described below for "bodily injury' caused by an accident: (1) On premises you own or rent; (2) On ways next to premises you own or rent; or COMMERCIAL GENERAL LIABILITY (3) Because of your operations; provided that: (a) The accident takes place in the "coverage territory" and during the policy period; (b) The expenses are incurred and reported to us within one year of the date of the accident; and (c) The injured person submits to examination, at our expense, by physicians of our choice as often as we reasonably require. b. We will make these payments regardless of fault. These payments will not exceed the applicable limit of insurance. We will pay reasonable expenses for: (1) First aid administered at the time of an accident; (2) Necessary medical, surgical, X-ray and dental services, including prosthetic devices; and (3) Necessary ambulance, hospital, professional nursing and funeral services. 2. Exclusions We will not pay expenses for "bodily injury": a. Any Insured To any insured, except "volunteer workers". b. Hired Person To a person hired to do work for or on behalf of any insured or a tenant of any insured. c. Injury On Normally Occupied Premises To a person injured on that part of premises you own or rent that the person normally occupies. d. Workers' Compensation And Similar Laws To a person, whether or not an "employee" of any insured, if benefits for the "bodily injury" are payable or must be provided under a workers' compensation or disability benefits law or a similar law. e. Athletics Activities To a person injured while practicing, instructing or participating in any physical exercises or games, sports, or athletic contests. f. Products -Completed Operations Hazard Included within the "products -completed operations hazard". g. Coverage A Exclusions Excluded under Coverer A REVEWED & APPROVED Ur CG T1 00 02 19 © 2017 The Travelers Indemnity Company. All rights reserved. � Includes copyrighted material of Insurance Services Office, Inc. with its permissio ®' Risk Management Analyst COMMERCIAL GENERAL LIABILITY SUPPLEMENTARY PAYMENTS 1. We will pay, with respect to any claim we investigate or settle, or any "suit" against an insured we defend: a. All expenses we incur. b. Up to $2,500 for the cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. c. The cost of bonds to release attachments, but only for bond amounts within the applicable limit of insurance. We do not have to furnish these bonds. d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or "suit", including actual loss of earnings up to $500 a day because of time off from work. e. All court costs taxed against the insured in the "suit". However, these payments do not include attorneys' fees or attorneys' expenses taxed against the insured. f. Prejudgment interest awarded against the insured on that part of the judgment we pay. If we make an offer to pay the applicable limit of insurance, we will not pay any prejudgment interest based on that period of time after the offer. g. All interest on the full amount of any judgment that accrues after entry of the judgment and before we have paid, offered to pay, or deposited in court the part of the judgment that is within the applicable limit of insurance. These payments will not reduce the limits of insurance. 2. If we defend an insured against a "suit" and an indemnitee of the insured is also named as a party to the "suit", we will defend that indemnitee if all of the following conditions are met: a. The "suit" against the indemnitee seeks damages for which the insured has assumed the liability of the indemnitee in a contract or agreement that is an "insured contract"; b. This insurance applies to such liability assumed by the insured; c. The obligation to defend, or the cost of the defense of, that indemnitee, has also been POLICY NUMBER: P-630-7K939062-TIL-21 assumed by the insured in the same "insured contract"; d. The allegations in the "suit" and the information we know about the "occurrence" or offense are such that no conflict appears to exist between the interests of the insured and the interests of the indemnitee; e. The indemnitee and the insured ask us to conduct and control the defense of that indemnitee against such "suit" and agree that we can assign the same counsel to defend the insured and the indemnitee; and f. The indemnitee: (1) Agrees in writing to: (a) Cooperate with us in the investigation, settlement or defense of the "suit"; (b) Immediately send us copies of any demands, notices, summonses or legal papers received in connection with the "suit"; (c) Notify any other insurer whose coverage is available to the indemnitee; and (d) Cooperate with us with respect to coordinating other applicable insurance available to the indemnitee; and (2) Provides us with written authorization to: (a) Obtain records and other information related to the "suit": and (b) Conduct and control the defense of the indemnitee in such "suit". So long as the above conditions are met, attorneys' fees incurred by us in the defense of that indemnitee, necessary litigation expenses incurred by us and necessary litigation expenses incurred by the indemnitee at our request will be paid as Supplementary Payments. Notwithstanding the provisions of Paragraph 2.b.(2) of Section 1 — Coverages — Coverage A — Bodily Injury And Property Damage Liability or Paragraph 2.e. of Section I — Coverages — Coverage B — Personal And Advertising Injury Liability, such payments will not be deemed to be damages for "bodily injury", "property damage" or "personal injury", and will not reduce the limits of insurance. Our obligation to defend an insured's indemnitee and to pay for attorneys' fees and necessary litigation expenses as Supplementary Payments ends when: Page 10 of 21 © 2017 The Travelers Indemnity Company. All rights reserved. Includes copyrighted material of Insurance services Office, Inc. with its permissior Rlek Mawgement Division �_RtVVIEWED&APPROVED BY. °�Ily.���� k ® Risk Management Anayst POLICY NUMBER: P-630-7K939062-TIL-21 a. We have used up the applicable limit of insurance in the payment of judgments, settlements or medical expenses; or b. The conditions set forth above, or the terms of the agreement described in Paragraph f. above, are no longer met. SECTION II —WHO IS AN INSURED 1. If you are designated in the Declarations as: a. An individual, you and your spouse are insureds, but only with respect to the conduct of a business of which you are the sole owner. b. A partnership or joint venture, you are an insured. Your members, your partners, and their spouses are also insureds, but only with respect to the conduct of your business. c. A limited liability company, you are an insured. Your members are also insureds, but only with respect to the conduct of your business. Your managers are insureds, but only with respect to their duties as your managers. d. An organization other than a partnership, joint venture or limited liability company, you are an insured. Your "executive officers" and directors are insureds, but only with respect to their duties as your officers or directors. Your stockholders are also insureds, but only with respect to their liability as stockholders. e. A trust, you are an insured. Your trustees are also insureds, but only with respect to their duties as trustees. 2. Each of the following is also an insured a. Your "volunteer workers" only while performing duties related to the conduct of your business, or your "employees", other than either your "executive officers" (if you are an organization other than a partnership, joint venture or limited liability company) or your managers ('If you are a limited liability company), but only for acts within the scope of their employment by you or while performing duties related to the conduct of your business. However, none of these "employees" or "volunteer workers" are insureds for: (1) "Bodily injury" or "personal injury": (a) To you, to your partners or members (if you are a partnership or joint venture), to your members (if you are a limited liability company), to a co -"employee" while in the course of his or her employment or performing duties related to the conduct of your business, or to your other "volunteer CG T1 00 02 19 0 2017 The Travelers Indemnity Company. All rights reserved. Includes copyrighted material of Insurance services Office, Inc. with its permissior COMMERCIAL GENERAL LIABILITY workers" while performing duties related to the conduct of your business; (b) To the spouse, child, parent, brother or sister of that co -"employee" or "volunteer worker" as a consequence of Paragraph (1)(a) above; (c) For which there is any obligation to share damages with or repay someone else who must pay damages because of the injury described in Paragraph (1)(a) or (b) above; or (d) Arising out of his or her providing or failing to provide professional health care services. Unless you are in the business or occupation of providing professional health care services, Paragraphs (1)(a), (b), (c) and (d) above do not apply to "bodily injury" arising out of providing or failing to provide first aid or "Good Samaritan services" by any of your "employees" or "volunteer workers", other than an employed or volunteer doctor. Any such "employees" or "volunteer workers" providing or failing to provide first aid or "Good Samaritan services" during their work hours for you will be deemed to be acting within the scope of their employment by you or performing duties related to the conduct of your business. (2) "Property damage" to property: (a) Owned, occupied or used by; (b) Rented to, in the care, custody or control of, or over which physical control is being exercised for any purpose by; you, any of your "employees", "volunteer workers", any partner or member (if you are a partnership or joint venture), or any member (if you are a limited liability company). b. Any person (other than your "employee" or "volunteer worker"), or any organization, while acting as your real estate manager. c. Any person or organization having proper temporary custody of your property if you die, but only: (1) With respect to liability arising out of the maintenance or use of that property; and (2) Until your legal representative has been appointed. RrdrMougemod Dme c. REVIEWED&APPROVED BY. �gqwm_ Rnk Management Analyst 01 IN COMMERCIAL GENERAL LIABILITY d. Your legal representative if you die, but only with respect to duties as such. That representative will have all your rights and duties under this Coverage Part. e. Any person or organization that, with your express or implied consent, either uses or is responsible for the use of a watercraft that you do not own that is: (1) 50 feet long or less; and (2) Not being used to carry any person or property for a charge. 3. Any organization you newly acquire or form, other than a partnership, joint venture or limited liability company, and of which you are the sole owner or in which you maintain an ownership interest of more than 50%, will qualify as a Named Insured if there is no other similar insurance available to that organization. However: a. Coverage under this provision is afforded only until the 180th day after you acquire or form the organization or the end of the policy period, whichever is earlier; b. Coverage A does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization; and c. Coverage B does not apply to "personal and advertising injury" arising out of an offense committed before you acquired or formed the organization. For the purposes of Paragraph 1. of Section II — Who Is An Insured, each such organization will be deemed to be designated in the Declarations as: a. An organization, other than a partnership, joint venture or limited liability company; or b. A trust; as indicated in its name or the documents that govern its structure. 4. Any person or organization that is a premises owner, manager or lessor and that you have agreed in a written contract or agreement to include as an additional insured on this Coverage Part is an insured, but only with respect to liability for "bodily injury', "property damage" or "personal and advertising injury" that: a. Is "bodily injury' or "property damage" that occurs, or is "personal and advertising injury" caused by an offense that is committed, subsequent to the signing of that contract or agreement; and POLICY NUMBER: P-630-7K939062-TIL-21 b. Arises out of the ownership, maintenance or use of that part of any premises leased to you. The insurance provided to such premises owner, manager or lessor is subject to the following provisions: a. The limits of insurance provided to such premises owner, manager or lessor will be the minimum limits that you agreed to provide in the written contract or agreement, or the limits shown in the Declarations, whichever are less. b. The insurance provided to such premises owner, manager or lessor does not apply to: (1) Any "bodily injury" or "property damage" that occurs, or "personal and advertising injury" caused by an offense that is committed, after you cease to be a tenant in that premises; or (2) Structural alterations, new construction or demolition operations performed by or on behalf of such premises owner, manager or lessor. 5. Any person or organization that is an equipment lessor and that you have agreed in a written contract or agreement to include as an additional insured on this Coverage Part is an insured, but only with respect to liability for "bodily injury', "property damage", or "personal and advertising injury" that: a. Is "bodily injury" or "property damage" that occurs, or is "personal and advertising injury" caused by an offense that is committed, subsequent to the signing of that contract or agreement; and b. Is caused, in whole or in part, by your acts or omissions in the maintenance, operation or use of equipment leased to you by such equipment lessor. The insurance provided to such equipment lessor is subject to the following provisions: a. The limits of insurance provided to such equipment lessor will be the minimum limits that you agreed to provide in the written contract or agreement, or the limits shown in the Declarations, whichever are less. b. The insurance provided to such equipment lessor does not apply to any "bodily injury' or "property damage" that occurs, or "personal and advertising injury" caused by an offense that is committed, after the equipment lease expires. No person or organization is an insured with respect to the conduct of any current or past partnership joint rleaer ED 6 ArrRov® By. Page 12 of 21 ©2017 The Travelers Indemnity Company. All rights reserved. 9l ` i Includes copyrighted material of Insurance services Office, Inc. with its permissio ®' R¢k blanagemenl Anayrt POLICY NUMBER: P-630-7K939062-TIL-21 venture or limited liability company that is not shown as a Named Insured in the Declarations. This paragraph does not apply to any such partnership, joint venture or limited liability company that otherwise qualifies as an insured under Section II— Who Is An Insured. SECTION III — LIMITS OF INSURANCE 1. The Limits of Insurance shown in the Declarations and the rules below fix the most we will pay regardless of the number of: a. Insureds; b. Claims made or "suits" brought; or c. Persons or organizations making claims or bringing "suits". 2. The General Aggregate Limit is the most we will pay for the sum of: k1! 4. 5. 6. CG T1 00 02 19 a. Medical expenses under Coverage C; b. Damages under Coverage A, except damages because of "bodily injury' or "property damage" included in the "products -completed operations hazard"; and c. Damages under Coverage B. The Products -Completed Operations Aggregate Limit is the most we will pay under Coverage A for damages because of "bodily injury' and "property damage" included in the "products -completed operations hazard". Subject to Paragraph 2. above, the Personal And Advertising Injury Limit is the most we will pay under Coverage B for the sum of all damages because of all "personal injury' and "advertising injury' sustained by anyone person or organization. Subject to Paragraph 2. or 3. above, whichever applies, the Each Occurrence Limit is the most we will pay for the sum of: a. Damages under Coverage A; and b. Medical expenses under Coverage C; because of all "bodily injury' and "property damage" arising out of any one "occurrence". For the purposes of determining the applicable Each Occurrence Limit, all related acts or omissions committed in providing or failing to provide first aid or "Good Samaritan services" to any one person will be deemed to be one "occurrence". COMMERCIAL GENERAL LIABILITY a. The amount shown for the Damage To Premises Rented To You Limit in the Declarations of this Coverage Part; or b. $300,000 if no amount is shown for the Damage To Premises Rented To You Limit in the Declarations of this Coverage Part. 7. Subject to Paragraph 5. above, the Medical Expense Limit is the most we will pay under Coverage C for all medical expenses because of "bodily injury" sustained by any one person. The Limits of Insurance of this Coverage Part apply separately to each consecutive annual period and to any remaining period of less than 12 months, starting with the beginning of the policy period shown in the Declarations, unless the policy period is extended after issuance for an additional period of less than 12 months. In that case, the additional period will be deemed part of the last preceding period for purposes of determining the Limits of Insurance. SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS 1. Bankruptcy Bankruptcy or insolvency of the insured or of the insured's estate will not relieve us of our obligations under this Coverage Part. 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit a. You must see to it that we are notified as soon as practicable of an "occurrence" or an offense which may result in a claim. To the extent possible, notice should include: (1) How, when and where the "occurrence" or offense took place; (2) The names and addresses of any injured persons and witnesses; and (3) The nature and location of any injury or damage arising out of the "occurrence" or offense. b. If a claim is made or "suit" is brought against any insured, you must: (1) Immediately record the specifics of the claim or "suit" and the date received; and (2) Notify us as soon as practicable. You must see to it that we receive written notice of the claim or "suit" as soon as practicable. Subject to Paragraph 5. above, the Damage To c. You and any other involved insured must: Premises Rented To You Limit is the most we will (1) Immediately send us copies of any pay under Coverage A for damages because of demands, notices, summonses or legal "premises damage" to any one premises. The papers received in connection with the Damage To Premises Rented To You Limit will be: claim or "suit, _ RIA Mwwp..d DMdon `` REviEwED&AvrRov®Br. m 2017 The Travelers Indemnity Company. All rights reserved. Dif o+' l'rc� frrdnt �. V:.Uic4pt Includes copyrighted material of Insurance Services Office, Inc. with its permissio ® Rnk Management Analyst COMMERCIAL GENERAL LIABILITY (2) Authorize us to obtain records and other information; (3) Cooperate with us in the investigation or settlement of the claim or defense against the "suit": and (4) Assist us, upon our request, in the enforcement of any right against any person or organization which may be liable to the insured because of injury or damage to which this insurance may also apply. d. No insured will, except at that insured's own cost, voluntarily make a payment, assume any obligation, or incur any expense, other than for first aid, without our consent. e. The following provisions apply to Paragraph a. above, but only for purposes of the insurance provided under this Coverage Part to you or any insured listed in Paragraph 1. or 2. of Section II — Who Is An Insured: (1) Notice to us of such "occurrence" or offense must be given as soon as practicable only after the "occurrence" or offense is known to you (if you are an individual), any of your partners or members who is an individual (if you are a partnership or joint venture), any of your managers who is an individual (if you are a limited liability company), any of your "executive officers" or directors (if you are an organization other than a partnership, joint venture, or limited liability company), any of your trustees who is an individual (if you are a trust) or any "employee" authorized by you to give notice of an "occurrence" or offense. (2) If you are a partnership, joint venture, limited liability company or trust, and none of your partners, joint venture members, managers or trustees are individuals, notice to us of such "occurrence" or offense must be given as soon as practicable only after the "occurrence" or offense is known by: (a) Any individual who is: (i) A partner or member of any partnership or joint venture; (ii) A manager of any limited liability company; POLICY NUMBER: P-630-7K939062-TIL-21 (iii) An executive officer or director of any other organization; or (iv) A trustee of any trust; that is your partner, joint venture member, manager or trustee; or (b) Any employee authorized by such partnership, joint venture, limited liability company, trust or other organization to give notice of an "occurrence" or offense. (3) Notice to us of such "occurrence" or offense will be deemed to be given as soon as practicable if it is given in good faith as soon as practicable to your workers' compensation insurer. This applies only if you subsequently give notice to us of the "occurrence" or offense as soon as practicable after any of the persons described in Paragraph e.(1) or (2) above discovers that the "occurrence" or offense may result in sums to which the insurance provided under this Coverage Part may apply. However, if this policy includes an endorsement that provides limited coverage for "bodily injury" or "property damage" or pollution costs arising out of a discharge, release or escape of "pollutants" which contains a requirement that the discharge, release or escape of "pollutants" must be reported to us within a specific number of days after its abrupt commencement, this Paragraph e. does not affect that requirement. 3. Legal Action Against Us No person or organization has a right under this Coverage Part: a. To join us as a party or otherwise bring us into a "suit" asking for damages from an insured; or b. To sue us on this Coverage Part unless all of its terms have been fully complied with. A person or organization may sue us to recover on an agreed settlement or on a final judgment against an insured; but we will not be liable for damages that are not payable under the terms of this Coverage Part or that are in excess of the applicable limit of insurance. An agreed settlement means a settlement and release of liability signed by us, the insured, and the claimant or the claimant's legal representative. Page 14 of 21 © 2017 The Travelers Indemnity Company. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc. with its permissio Rlek Mwagemad DIMIsI on REVIEWED& APPRavf® Sr. gr'' Fn.NYN.e R. Y:.U.tA4(� - Risk Management Malys[ POLICY NUMBER: P-630-7K939062-TIL-21 4. Otherinsurance If valid and collectible other insurance is available to the insured for a loss we cover under Coverages A or B of this Coverage Part, our obligations are limited as described in Paragraphs a. and b. below. As used anywhere in this Coverage Part, other insurance means insurance, or the funding of losses, that is provided by, through or on behalf of: (i) Another insurance company; (ii) Us or any of our affiliated insurance companies, except when the Non cumulation of Each Occurrence Limit provision of Paragraph 5. of Section III — Limits Of Insurance or the Non cumulation of Personal and Advertising Injury Limit provision of Paragraph 4. of Section III — Limits of Insurance applies because the Amendment — Non Cumulation Of Each Occurrence Limit Of Liability And Non Cumulation Of Personal And Advertising Injury Limit endorsement is included in this policy; (III)Any risk retention group; or (iv)Any self-insurance method or program, in which case the insured will be deemed to be the provider of other insurance. Other insurance does not include umbrella insurance, or excess insurance, that was bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. As used anywhere in this Coverage Part, other insurer means a provider of other insurance. As used in Paragraph c. below, insurer means a provider of insurance. a. Primary Insurance This insurance is primary except when Paragraph b. below applies. If this insurance is primary, our obligations are not affected unless any of the other insurance is also primary. Then, we will share with all that other insurance by the method described in Paragraph c. below, except when Paragraph d. below applies. b. Excess Insurance (1) This insurance is excess over: (a) Any of the other insurance, whether primary, excess, contingent or on any other basis: (i) That is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for "your work"; COMMERCIAL GENERAL LIABILITY (it) That is insurance for "premises damage"; (iii) If the loss arises out of the maintenance or use of aircraft, "autos" or watercraft to the extent not subject to any exclusion in this Coverage Part that applies to aircraft, "autos" or watercraft; (iv) That is insurance available to a premises owner, manager or lessor that qualifies as an insured under Paragraph 4. of Section II — Who Is An Insured, except when Paragraph d. below applies; or (v) That is insurance available to an equipment lessor that qualifies as an insured under Paragraph 5. of Section II — Who Is An Insured, except when Paragraph d. below applies. (b) Any of the other insurance, whether primary, excess, contingent or on any other basis, that is available to the insured when the insured is an additional insured, or is any other insured that does not qualify as a named insured, under such other insurance. (2) When this insurance is excess, we will have no duty under Coverages A or B to defend the insured against any "suit" if any other insurer has a duty to defend the insured against that "suit". If no other insurer defends, we will undertake to do so, but we will be entitled to the insured's rights against all those other insurers. (3) When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: (a) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (b) The total of all deductible and self - insured amounts under all that other insurance. (4) CG T1 00 02 19 © 2017 The Travelers Indemnity Company. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc. with its permissior We will share the remaining loss, if any, with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage ParL. Risk MonagernadDhblon REVIEWED & AITROVED Br. ®' Risk Management Analyst COMMERCIAL GENERAL LIABILITY c. Method Of Sharing If all of the other insurance permits contribution by equal shares, we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. d. Primary And Non -Contributory Insurance If Required By Written Contract If you specifically agree in a written contract or agreement that the insurance afforded to an insured under this Coverage Part must apply on a primary basis, or a primary and non- contributory basis, this insurance is primary to other insurance that is available to such insured which covers such insured as a named insured, and we will not share with that other insurance, provided that: (1) The "bodily injury' or "property damage" for which coverage is sought occurs; and (2) The "personal and advertising injury' for which coverage is sought is caused by an offense that is committed; subsequent to the signing of that contract or agreement by you. 5. Premium Audit a. We will compute all premiums for this Coverage Part in accordance with our rules and rates. b. Premium shown in this Coverage Part as advance premium is a deposit premium only. At the close of each audit period we will compute the earned premium for that period and send notice to the first Named Insured. The due date for audit and retrospective premiums is the date shown as the due date on the bill. If the sum of the advance and audit premiums paid for the policy period is greater than the earned premium, we will return the excess to the first Named Insured. c. The first Named Insured must keep records of the information we need for premium computation, and send us copies at such times as we may request. 6. Representations By accepting this policy, you agree: POLICY NUMBER: P-630-7K939062-TIL-21 a. The statements in the Declarations are accurate and complete; b. Those statements are based upon representations you made to us; and c. We have issued this policy in reliance upon your representations. The unintentional omission of, or unintentional error in, any information provided by you which we relied upon in issuing this policy will not prejudice your rights under this insurance. However, this provision does not affect our right to collect additional premium or to exercise our rights of cancellation or nonrenewal in accordance with applicable insurance laws or regulations, 7. Separation Of Insureds Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this Coverage Part to the first Named Insured, this insurance applies: a. As if each Named Insured were the only Named Insured; and Id. Separately to each insured against whom claim is made or "suit" is brought. 8. Transfer Of Rights Of Recovery Against Others To Us If the insured has rights to recover all or part of any payment we have made under this Coverage Part, those rights are transferred to us. The insured must do nothing after loss to impair them. At our request, the insured will bring "suit" or transfer those rights to us and help us enforce them. 9. When We Do Not Renew If we decide not to renew this Coverage Part, we will mail or deliver to the first Named Insured shown in the Declarations written notice of the nonrenewal not less than 30 days before the expiration date. If notice is mailed, proof of mailing will be sufficient proof of notice. SECTION V — DEFINITIONS 1. "Advertisement" means a notice that is broadcast or published to the general public or specific market segments about your goods, products or services for the purpose of attracting customers or supporters. For the purposes of this definition: a. Notices that are published include material placed on the Internet or on similar electronic means of communication; and a Page 16 of 21 © 2017 The Travelers Indemnity Company. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc. with its permissio Regarding websites, only that part of a website that is about your goods, products or services for the purposes of attracting customers or supporters is consideran advertiprnpirt ion R EEwwm ofD By. �. 01 - Risk Management Analyst POLICY NUMBER: P-630-71<939062-TIL-21 2. "Advertising injury": a. Means injury caused by one or more of the following offenses: (1) Oral or written publication, including publication by electronic means, of material in your "advertisement" that slanders or libels a person or organization or disparages a person's or organization's goods, products or services, provided that the claim is made or the "suit" is brought by a person or organization that claims to have been slandered or libeled, or that claims to have had its goods, products or services disparaged; (2) Oral or written publication, including publication by electronic means, of material in your "advertisement" that: (a) Appropriates a person's name, voice, photograph or likeness; or (b) Unreasonably places a person in a false light; or (3) Infringement of copyright, "title" or "slogan" in your "advertisement", provided that the claim is made or the "suit" is brought by a person or organization that claims ownership of such copyright, "title" or "slogan". b. Includes "bodily injury" caused by one or more of the offenses described in Paragraph a. above. 3. "Auto" means: a. A land motor vehicle, trailer or semitrailer designed for travel on public roads, including any attached machinery or equipment; or b. Any other land vehicle that is subject to a compulsory or financial responsibility law, or other motor vehicle insurance law, where it is licensed or principally garaged. However, "auto" does not include "mobile equipment". 4. "Bodily injury' means: a. Physical harm, including sickness or disease, sustained by a person; or b. Mental anguish, injury or illness, or emotional distress, resulting at any time from such physical harm, sickness or disease. 5. "Broadcasting" means transmitting any audio or visual material for any purpose: a. By radio or television; or COMMERCIAL GENERAL LIABILITY b. In, by or with any other electronic means of communication, such as the Internet, if that material is part of: (1) Radio or television programming being transmitted; (2) Other entertainment, educational, instructional, music or news programming being transmitted; or (3) Advertising transmitted with any of such programming. 6. "Coverage territory" means: a. The United States of America (including its territories and possessions), Puerto Rico and Canada; b. International waters or airspace, but only if the injury or damage occurs in the course of travel or transportation between any places included in Paragraph a, above; or c. All other parts of the world if the injury or damage arises out of. (1) Goods or products made or sold by you in the territory described in Paragraph a. above; (2) The activities of a person whose home is in the territory described in Paragraph a. above, but is away for a short time on your business; or (3) "Personal and advertising injury" offenses that take place through the Internet or similar electronic means of communication; provided the insured's responsibility to pay damages is determined in a "suit" on the merits in the territory described in Paragraph a. above, or in a settlement we agree to. 7. "Electronic data" means information, facts or programs stored as or on, created or used on, or transmitted to or from computer software (including systems and applications software), hard or floppy disks, CD-ROMs, tapes, drives, cells, data processing devices or any other media which are used with electronically controlled equipment. 8. "Employee" includes a "leased worker". "Employee" does not include a "temporary worker". 9. "Executive officer" means a person holding any of the officer positions created by your charter, constitution, bylaws or any other similar governing document. CG T1 00 02 19 © 2017 The Travelers Indemnity Company. All rights reserved. Includes copyrighted material of Insurance services Office, Inc. vnth its permissioi RlekMmugms 11V11 alon �i REVRIVED S, APPRO 1=7 �' Risk Management Analyst COMMERCIAL GENERAL LIABILITY 10. "Good Samaritan services" means any emergency medical services for which no compensation is demanded or received. 11. "Hostile fire" means a fire which becomes uncontrollable or breaks out from where it was intended to be. 12. "Impaired property" means tangible property, other than "your product" or "your work", that cannot be used or is less useful because: a. It incorporates "your product" or "your work" that is known or thought to be defective, deficient, inadequate or dangerous; or b. You have failed to fulfill the terms of a contract or agreement; if such property can be restored to use by the repair, replacement, adjustment or removal of "your product" or "your work" or your fulfilling the terms of the contract or agreement. 13. "Insured contract" means: a. A contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for "premises damage" is not an "insured contract"; b. A sidetrack agreement; c. Any easement or license agreement, except in connection with construction or demolition operations on or within 50 feet of a railroad; d. An obligation, as required by ordinance, to indemnify a municipality, except in connection with work for a municipality; e. An elevator maintenance agreement; f. That part of any other contract or agreement pertaining to your business (including an indemnification of a municipality in connection with work performed for a municipality) under which you assume the tort liability of another party to pay for "bodily injury", "property damage" or "personal injury' to a third person or organization. Tort liability means a liability that would be imposed by law in the absence of any contract or agreement. Paragraph f. does not include that part of any contract or agreement: (1) That indemnifies a railroad for "bodily injury' or "property damage" arising out of construction or demolition operations, within 50 feet of any railroad property and affecting any railroad bridge or trestle, POLICY NUMBER: P-630-7K939062-TIL-21 tracks, roadbeds, tunnel, underpass or crossing; (2) That indemnifies an architect, engineer or surveyor for injury or damage arising out of: (a) Preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (b) Giving directions or instructions, or failing to give them, if that is the primary cause of the injury or damage; or (3) Under which the insured, if an architect, engineer or surveyor, assumes liability for an injury or damage arising out of the insured's rendering or failure to render professional services, including those listed in Paragraph (2) above and supervisory, inspection, architectural or engineering activities. 14. "Leased worker" means a person leased to you by a labor leasing firm under an agreement between you and the labor leasing firm, to perform duties related to the conduct of your business. "Leased worker" does not include a "temporary worker". 15. "Loading or unloading" means the handling of property: a. After it is moved from the place where it is accepted for movement into or onto an aircraft, watercraft or "auto"; b. While it is in or on an aircraft, watercraft or "auto": or c. While it is being moved from an aircraft, watercraft or "auto" to the place where it is finally delivered; but "loading or unloading" does not include the movement of property by means of a mechanical device, other than a hand truck, that is not attached to the aircraft, watercraft or "auto". 16. "Mobile equipment" means any of the following types of land vehicles, including any attached machinery or equipment: a. Bulldozers, farm machinery, forklifts and other vehicles designed for use principally off public roads; b. Vehicles maintained for use solely on or next to premises you own or rent; c. Vehicles that travel on crawler treads; �}sa1— RldrMougemmttxWtlwi yH REv EWm6MrRavm8r Page 18 of 21 © 2017 The Travelers Indemnity Company. All rights reserved. F.y� R VX"d Includes copyrighted material of Insurance services Office, Inc. with its permissior Risk Management Anaryst POLICY NUMBER: P-630-7K939062-TIL-21 COMMERCIAL GENERAL LIABILITY d. Vehicles, whether self-propelled or not, maintained primarily to provide mobility to permanently mounted: (1) Power cranes, shovels, loaders, diggers or drills; or (2) Road construction or resurfacing equipment such as graders, scrapers or rollers; e. Vehicles not described in Paragraph a., b., c. or d. above that are not self-propelled and are maintained primarily to provide mobility to permanently attached equipment of the following types: (1) Air compressors, pumps and generators, including spraying, welding, building cleaning, geophysical eWloration, lighting and well servicing equipment; or (2) Cherry pickers and similar devices used to raise or lower workers; f. Vehicles not described in Paragraph a., b., c. or d. above maintained primarily for purposes other than the transportation of persons or cargo. However, self-propelled vehicles with the following types of permanently attached equipment are not "mobile equipment" but will be considered "autos": (1) Equipment designed primarily for: (a) Snow removal; (b) Road maintenance, but not construction or resurfacing; or (c) Street cleaning; (2) Cherry pickers and similar devices mounted on automobile or truck chassis and used to raise or lower workers; and (3) Air compressors, pumps and generators, including spraying, welding, building cleaning, geophysical a)ploration, lighting and well servicing equipment. However, "mobile equipment" does not include any land vehicle that is subject to a compulsory or financial responsibility law, or other motor vehicle insurance law, where it is licensed or principally garaged. Such land vehicles are considered "autos". 17. "Occurrence" means: a. An accident, including continuous or repeated efposure to substantially the same general harmful conditions; or b. An act or omission committed in providing or failing to provide first aid or "Good Samaritan services" to a person, unless you are in the business or occupation of providing professional health care services. 18. "Personal and advertising injury" means "personal injury' or"advertising injury". 19. "Personal injury": a. Means injury, other than "advertising injury', caused by one or more of the following offenses: (1) False arrest, detention or imprisonment; (2) Malicious prosecution; (3) The wrongful eviction from, wrongful entry into, or invasion of the right of private occupancy of a room, dwelling or premises that a person occupies, provided that the wrongful eviction, wrongful entry or invasion of the right of private occupancy is committed by or on behalf of the owner, landlord or lessor of that room, dwelling or premises; (4) Oral or written publication, including publication by electronic means, of material that slanders or libels a person or organization or disparages a person's or organization's goods, products or services, provided that the claim is made or the "suit" is brought by a person or organization that claims to have been slandered or libeled, or that claims to have had its goods, products or services disparaged; or (5) Oral or written publication, including publication by electronic means, of material that: (a) Appropriates a person's name, voice, photograph or likeness; or (b) Unreasonably places a person in a false light. b. Includes "bodily injury" caused by one or more of the offenses described in Paragraph a. above. 20. "Pollutants" mean any solid, liquid, gaseous or thermal irritant or contaminant, including smoke, vapor, soot, fumes, acids, alkalis, chemicals and waste. Waste includes materials to be recycled, reconditioned or reclaimed. CG T1 00 02 19 © 2017 The Travelers Indemnity Company. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc. with its permissioi Ride My %vwdDlWbt REAswm 6 ArvrrW®Br: �'_1lli>JJJIfiLa f=n�nr:n.e �, �:u�naFL' �99M=—. Risk Management Analyst COMMERCIAL GENERAL LIABILITY 21. "Premises damage" means a. With respect to the first paragraph of the exceptions in Exclusion j. of Section I — Coverage A — Bodily Injury And Property Damage Liability, "property damage" to any premises while rented to you for a period of seven or fewer consecutive days, including the contents of such premises; or b. With respect to the exception to Exclusions c. through n. in the last paragraph of Paragraph 2. of Section I — Coverage A — Bodily Injury And Property Damage Liability, "property damage" to any premises while rented to you for a period of more than seven consecutive days, or while temporarily occupied by you with permission of the owner, caused by: (1) Fire; (2) Explosion; (3) Lightning; (4) Smoke resulting from fire, explosion or lightning; or (5) Water. But "premises damage" under this Paragraph b. does not include "property damage" to any premises caused by: (1) Rupture, bursting, or operation of pressure relief devices; (2) Rupture or bursting due to expansion or swelling of the contents of any building or structure caused by or resulting from water; or (3) Explosion of steam boilers, steam pipes, steam engines or steam turbines. 22. "Products -completed operations hazard": a. Includes all "bodily injury" and "property damage" occurring away from premises you own or rent and arising out of "your product" or "your work" except: (1) Products that are still in your physical possession; or (2) Work that has not yet been completed or abandoned. However, "your work" will be deemed completed at the earliest of the following times: (a) When all of the work called for in your POLICY NUMBER: P-630-7K939062-TIL-21 contract calls for work at more than one job site. (c) When that part of the work done at a job site has been put to its intended use by any person or organization other than another contractor or subcontractor working on the same project. Work that may need service, maintenance, correction, repair or replacement, but which is otherwise complete, will be treated as completed. b. Does not include "bodily injury' or "property damage" arising out of: (1) The transportation of property, unless the injury or damage arises out of a condition in or on a vehicle not owned or operated by you, and that condition was created by the "loading or unloading" of that vehicle by any insured; (2) The existence of tools, uninstalled equipment or abandoned or unused materials; or (3) Products or operations for which the classification, listed in the Declarations or in a policy Schedule, states that products - completed operations are subject to the General Aggregate Limit. 23. "Property damage" means: a. Physical injury to tangible property, including all resulting loss of use of that property. All such loss of use will be deemed to occur at the time of the physical injury that caused it; or b. Loss of use of tangible property that is not physically injured. All such loss of use will be deemed to occur at the time of the "occurrence" that caused it. For the purposes of this insurance, "electronic data" is not tangible property. 24. "Slogan": a. Means a phrase that others use for the purpose of attracting attention in their advertising. b. Does not include a phrase used as, or in, the name of: (1) Any person or organization, other than you; or contract has been completed. (2) Any business, or any of the premises, (b) When all of the work to be done at the goods, products, services or work, of any job site has been completed if your person or organization, other than you. RbkMWAganadDMdM S REVIEWED&APPWvEDBY: Page 20 of 21 © 2017 The Travelers Indemnity Company. All rights reserved. frytk K �, Galwic( Includes copyrighted material of Insurance Services Office, Inc. with its permissio IRisk Management Analyst POLICY NUMBER: P-630-7K939062-TIL-21 25. "Suit" means a civil proceeding in which damages because of "bodily injury", "property damage" or "personal and advertising injury" to which this insurance applies are alleged. "Suit" includes: a. An arbitration proceeding in which such damages are claimed and to which the insured must submit or does submit with our consent; or b. Any other aftemative dispute resolution proceeding in which such damages are claimed and to which the insured submits with our consent. 26. "Temporary worker" means a person who is furnished to you to substitute for a permanent "employee" on leave or to meet seasonal or short- term workload conditions. 27. "Title" means a name of a literary or artistic work. 28. "Unsolicited communication" means any communication, in any form, that the recipient of 31 such communication did not specifically request to receive. 29. "Volunteer worker" means a person who is not your "employee", and who donates his or her work and acts at the direction of and within the scope of duties determined by you, and is not paid a fee, salary or other compensation by you or anyone else for their work performed for you. 30. "Your product": a. Means: (1) Any goods or products, other than real property, manufactured, sold, handled, distributed or disposed of by: COMMERCIAL GENERAL LIABILITY (a) You; (b) Others trading under your name; or (c) A person or organization whose business or assets you have acquired; and (2) Containers (other than vehicles), materials, parts or equipment furnished in connection with such goods or products. b. Includes: (1) Warranties or representations made at any time with respect to the fitness, quality, durability, performance or use of "your product"; and (2) The providing of or failure to provide warnings or instructions. c. Does not include vending machines or other property rented to or located for the use of others but not sold. "Your work": a. Means: (1) Work or operations performed by you or on your behalf; and (2) Materials, parts or equipment furnished in connection with such work or operations. b. Includes: (1) Warranties or representations made at any time with respect to the fitness, quality, durability, performance or use of "your work"; and (2) The providing of or failure to provide warnings or instructions. CG T1 00 02 19 © 2017 The Travelers Indemnity Company. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc. with its permissio Rkk Mnngm dDrvlelon /R�EmEwtD &{}APPROVED BY.' MA4a �' 2�sk Managerrrent Malyst 00 One Tower Square Hartford Connecticut 06183 POLICY DECLARATIONS EXCESS FOLLOW -FORM AND UMBRELLA POLICY NO.: CUP-IN325156-21-43 LIABILITY INSURANCE POLICY ISSUE DATE: 06/22/2021 INSURING COMPANY: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA 1. NAMED INSURED AND MAILING ADDRESS: GENERAL PUMP COMPANY, INC. 159 N ACACIA ST SAN DIMAS CA 91773-2585 2. POLICY PERIOD: From 06/01/2021 to 06/01/202212:01 A.M. Standard Time at your mailing address. 3. LIMITS OF INSURANCE: COVERAGES AGGREGATE LIMITS OF LIABILITY EXCESS FOLLOW -FORM AND UMBRELLA LIABILITY CRISIS MANAGEMENT SERVICE EXPENSES 4. SELF -INSURED RETENTION: 5. PREMIUM: $ 79,273 6. TAXES AND SURCHARGES: LIMITS OF LIABILITY $9,000,000 General Aggregate $9,000,000 Products -Completed Operations Aggregate $9,000,000 Occurrence Limit $50,000 all Crisis Management Events $0 any one occurrence or event X Flat Charge Adjustable (See Premium Schedule) 7. On the effective date shown in Item 2., the Excess Follow -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. B. 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: HUE INTL INS SERVICES - PM698 16030 VENTURA BLVD STE 500 ENCINO CA 91436 COUNTERSIGNED BY: Authorized Representative DATE: _ OFFICE: HREA/LA/ORANGE CA EU 00 02 09 20 02019 The Travelers Indemnity Company. All rights reserved. 010150 RAMWegawdDhisinn REmEwm S APPRavm Br. ® Risk Management Analyst This page intentionally left blank. RickMmgen and DMsbn Renenm6APPRav By., ®' Risk Management MMyst POLICY NUMBER: CUP-111325156-21-43 UMBRELLA ISSUE DATE: 06/22/2021 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SCHEDULE OF UNDERLYING INSURANCE This endorsement modes insurance provided under the following: EXCESS FOLLOW -FORM AND UMBRELLA LIABILITY INSURANCE Employers Liability Carrier TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA Policy Number UB-007&940269-21 Policy Period From: 06/Ol/2021 to: 06/01/2022 Automobile Liability Carrier TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA Policy Number 810-ODONS10047-21 Policy Period From: 06/01/2021 to: 06/01/2022 o� a Employee Benefits Liability ^— Carrier TRAVELERS PROPERTY CASUALTY m� COMPANY OF AMERICA Policy Number 630-7R939062-21 Policy Period ^- From: 06/01/2021 o� o= to: 06/01/2022 Limits Of Liability Bodily Injury By Accident $1,000,000 Each Accident Bodily Injury By Disease $1,000,000 Policy Limit Bodily Injury By Disease $1,000,000 Each Employee Limits Of Liability Bodily Injury And Property $1,000,000 Damage Combined Single Limit Limits Of Liability Each Employee Aggregate PRODUCER:RUB INTL INS SERVICES OFFICE:BREA/LA/ORANGE C, EU 00 03 08 18 m 2018 The Travelers Indemnity Company. All rights reserved. $1,000,000 $2,000,000 Risk MarugmwdDi slon o. RwEwEo fi MrRwD Br. ®' Risk Management Analyst 010151 POLICY NUMBER: CUP-IN325156-21-43 UMBRELLA ISSUE DATE: 06/22/2021 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT 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 TRAVELERS PROPERTY CASUALTY General Aggregate COMPANY OF AMERICA Products -Completed Policy Number 630-7R939062-21 operations Aggregate Policy Period Personal and From: 06/01/2021 Advertising Injury to:06/01/2022 Each occurrence Limits Of Liability Carrier Policy Number Policy Period From: to: Limits Of Liability Carrier Policy Number Policy Period From: to: PRODUCER:HUB INTL INS SERVICES OFFICE: HREA/LA/ORANGE CA EU 00 03 08 18 O 2018 The Travelers Indemnhy Company. All rights reserved. $2,000,000 $2,000,000 $1,000,000 $1,000,000 wd rDrmdsn Re m wwm&APPRov®Sr. FMcrr.:a.e Z (I:dGn4d ®' Risk Management Analyst ;;{ Ejhjubmmz!tjhofe! GENEPUM-01SBENNUN DATE (MM/DD/YYYY) cz!Bohjf! CERTIFICATE OF LIABILITY INSURANCE 7/12/2022 Bohjf! THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS Bdfwfep! 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 Ebuf;!3133/18/2:! Bdfwfep 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. 22;52;17!.18(11( 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). CONTACT License # 0757776 Sherri Ben-Nun PRODUCER NAME: PHONEFAX HUB International Insurance Services Inc. (818) 257-7438 (A/C, No, Ext):(A/C, No): PO Box 20005 E-MAIL sherri.bennun@hubinternational.com Encino, CA 91436 ADDRESS: INSURER(S) AFFORDING COVERAGENAIC # Travelers Property Casualty Company of America 25674 INSURER A : INSURED Aspen Specialty Insurance10717 INSURER B : INSURER C : General Pump Company, Inc. 159 N. Acacia Street INSURER D : San Dimas, CA 91773 INSURER E : INSURER F : COVERAGESCERTIFICATE 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. INSRADDLSUBRPOLICY EFFPOLICY EXP TYPE OF INSURANCEPOLICY NUMBERLIMITS LTRINSDWVD(MM/DD/YYYY)(MM/DD/YYYY) 1,000,000 A COMMERCIAL GENERAL LIABILITY X EACH OCCURRENCE$ DAMAGE TO RENTED 300,000 CLAIMS-MADEOCCUR X P-630-7K939062-TIL-226/1/20226/1/2023 $ PREMISES (Ea occurrence) X 5,000 MED EXP (Any one person)$ 1,000,000 PERSONAL & ADV INJURY$ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE$ PRO- 2,000,000 X POLICYLOC PRODUCTS - COMP/OP AGG$ JECT OTHER:$ COMBINED SINGLE LIMIT 1,000,000 A AUTOMOBILE LIABILITY $ (Ea accident) X ANY AUTO 810-0N810047-22-43-G6/1/20226/1/2023 BODILY INJURY (Per person)$ OWNEDSCHEDULED AUTOS ONLYAUTOSBODILY INJURY (Per accident)$ PROPERTY DAMAGE HIREDNON-OWNED (Per accident)$ AUTOS ONLYAUTOS ONLY $ 4,000,000 A XX UMBRELLA LIABOCCUR EACH OCCURRENCE$ CUP-1N325156-22-436/1/20226/1/2023 4,000,000 EXCESS LIABCLAIMS-MADE AGGREGATE$ DEDRETENTION$ $ PEROTH- WORKERS COMPENSATION A X STATUTEER AND EMPLOYERS' LIABILITY Y / N UB-7K940269-22-43-G6/1/20226/1/2023 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT$ N / A OFFICER/MEMBER EXCLUDED? 1,000,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE$ If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS belowE.L. DISEASE - POLICY LIMIT$ Pollution / EnvironmERAHL96222/5/20222/5/2023 Each Incident1,000,000 B Pollution / EnvironmERAHL96222/5/20222/5/2023 Aggregate2,000,000 B DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Where required by written contract, the City of Santa Ana, its officers, employees, agents, and representatives are included as Additional Insured as respects operations of the Named Insured as their interest may appear per the attached #CG D2 46 04 19. Coverage is primary and non-contributory per Form #CGT100 02 09, page 16, paragraph 4. 30 Days Cancellation except 10 Days for Non-Payment CERTIFICATE HOLDERCANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Risk Management Division, 4th Floor 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana, CA 92702 ACORD 25 (2016/03)© 1988-2015 ACORD CORPORATION. All rights reserved. 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All rights reserved.Qbhfpg NOTICE OF COMPLIANCE CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL Contractor General Pump Company, Inc. Name: Project A-2021-161-01 Number: Project Agreement To Provide On-Call Water Well, Pump, And Motor Name: Rehabilitation And Repair Services The Certificate of Insurance (COI) submitted indicates that the coverages are in compliance with the insurance requirements. No further action is required at this time. The compliant coverage(s) are: EXPIRATION COI FILE TYPE OF INSURANCE POLICY NUMBER DATE DATE NAME City of AUTOMOBILE LIABILITY 8108T7038982243G 08/31/2023 02/14/2023 Santa Ana COI.pdf COI GENERAL LIABILITY P6308T716949TIL22 08/31/2023 02/24/2023 ANA.pdf PROFESSIONAL LIABILITY WAIVER 08/16/2024 03/01/2023 PL.pdf City of WORKERS COMPENSATION AND UB8T705197 08/31/2023 02/14/2023 Santa Ana EMPLOYERS' LIABILITY COI.pdf NOTICE OF COMPLIANCE CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL Contractor General Pump Company, Inc. Name: Project A-2021-161-01 Number: Project Agreement To Provide On-Call Water Well, Pump, And Motor Name: Rehabilitation And Repair Services The Certificate of Insurance (COI) submitted indicates that the coverages are in compliance with the insurance requirements. No further action is required at this time. The compliant coverage(s) are: POLICY EXPIRATION TYPE OF INSURANCE COI DATE FILE NAME NUMBER DATE 23-24 Master COI - Final - City of Santa AUTOMOBILE LIABILITY 7039961476 08/31/2024 10/25/2023 Ana Risk Management Division.pdf 23-24 CUMB GENERAL LIABILITY 7039961462 08/31/2024 10/30/2023 underlying sch.pdf PROFESSIONAL LIABILITY WAIVER 08/16/2024 03/01/2023 PL.pdf 23-24 Master COI - Final - WORKERS COMPENSATION AND City of Santa 7039961512 08/31/2024 10/25/2023 EMPLOYERS' LIABILITY Ana Risk Management Division.pdf Thank you, City of Santa Ana Risk Management Division in partnership with CTrax Plus Services Team 11/1/2023 7:46 PM