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HomeMy WebLinkAboutSUPERIOR HOT TAPPING SERVICES, INCINSURANCE ON FILE A-�022-008-02 WORK MAY PROCEED UNTIL INSURANCE EXPIRES 8 L_0 • ?.02Z CLERK OF COUNCIL AGREEMENT TO PROVIDE ON -CALL WELDING SERVICES DATE: THIS AGREEMENT is made and entered into this 18th day of January 2022 by and between Superior Hot Tapping Services, Inc., a California corporation ("Contractor"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California ("City"). RECITALS A. On August 24, 2021, the City issued Request for Proposal No. 21-098, by which it sought a qualified contractor to provide on -call welding services for the Water Resource Division of the City's Public Works Agency. m W 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 21-098. C. In undertaking the performance of this Agreement, Contractor represents that it is knowledgeable in its field and that any services performed by Contractor under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional contracting firm in the field. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the parties agree as follows: 1. SCOPE OF SERVICES On an 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 REP No. 21-098, 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 fall. 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 two (2) contractors selected to provide services on an on -call basis under RFP 21-098. The total compensation for services provided by all contractors selected under RFP No. 21-098, including any extension period, shall not exceed the shared aggregate amount of five hundred thousand dollars and zero cents ($500,000). b. Payment by City shall be made within forty-five (45) days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. Payment need not be made for work which fails to meet the standards of Page l of 10 performance set forth in the Recitals and Scope of Work, which may reasonably be expected by City. 3. TERM This Agreement shall commence on January 18, 2022 and terminate on January 17, 2025, unless terminated earlier in accordance with Section 17, below. The term of this Agreement may be extended for one (1) two (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. 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 Page 2 of 10 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. Minimum Scope and Limit of Insurance 1. Commercial General Liability (CGL): Insurance Services Office Form CG 00 01 covering CGL on an "occurrence" basis, including products and completed operations, property damage, bodily injury and personal & advertising injury with limits no less than $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. 2. Automobile Liability: ISO Form Number CA 00 01 covering any auto (Code 1), or if Contractor has no owned autos, hired, (Code 8) and non -owned autos (Code 9), with a limit no less than $1,000,000 per accident for bodily injury and property damage. 3. Workers' Compensation: as required by the State of California, with Statutory Limits, and Employer's Liability Insurance with limit of no less than $1,000,000 per accident for bodily injury or disease. 4. 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. If the Contractor maintains broader coverage and/or higher limits than the minimums shown above, the City requires and shall be entitled to the broader coverage and/or the higher limits maintained by the Contractor. Any available insurance proceeds in excess of the specified minimum limits of insurance and coverage shall be available to the Cites b. Other Insurance Provisions 1. Additional Insured Status: The City, its officers, officials, employees, and volunteers are to be covered as additional insureds on the CGL policy with respect to liability arising out of work or operations performed by or on behalf of the Contractor including materials, parts, or equipment furnished in connectionwith such work or operations. General liability coverage can be provided in Page 3 of 10 the form of an endorsement to the Contractor's insurance (at least as broad as ISO Form CG 20 10 11 85 or if notavailable, through the addition of both CG 20 10, CG 20 26, CG 20 33, or CG 20 38; and CG 2037 if a later edition is used). 2. Primary Coverage: For any claims related to this contract, the Contractor's insurance coverage shall be primary coverage at least as broad as ISO CG 20 01 04 13 as respects the City, its officers, officials, employees, and volunteers. Any insurance or self- insurance maintained by the City, its officers, officials, employees, or volunteers shall be excess of the Contractor's insurance and shall not contribute with it. Notice of Cancellation: Each insurance policy required above shall provide that coverage shall not be canceled, except with notice to the City. 4. Waiver of Subrogation: Contractor hereby grants to City a waiver of any right to subrogation that any insurer of said Contractor may acquire against the City by virtue of the payment of any loss Linder such insurance. Contractor agrees to obtain any endorsement that may be necessary to affect this waiver of subrogation, but this provision applies regardless of whether or not the City has received a waiver of subrogation endorsement from the insurer. 5. Self -Insured Retentions: Self -insured retentions must be declared to and approved by the City. The City may require theContractor to purchase coverage with a lower retention or provide proof of ability to pay losses and related investigations, claim administration, and defense expenses within the retention. The policy language shall provide, or be endorsed to provide, that the self -insured retention may be satisfied by either the named insured or City. 6. Acceptability of Insurers: Insurance is to be placed with insurers authorized to conduct business in the state with a current A.M. Best's rating of no less than AXII, unless otherwise acceptable to the City. 7. Claims Made Policies (applicable only to professional liability): i. The Retroactive Date must be shown, and must be before the date of the contract or the beginning of contract work. ii. Insurance must be maintained and evidence of insurance must be provided for at least five (5) years after completion of the contract of'work. Page 4 of 10 iii. If coverage is canceled or non -renewed, and not replaced with another claims -made policy form with a Retroactive Date prior to the contract effective date, the Contractor must purchase "extended reporting" coverage for a minimum of five (5) years after completion of work. 8. Verification of Coverage: Contractor shall furnish the City with original Certificates of Insurance including all required amendatory endorsements (or copies of the applicable policy language effecting coverage requiredby this clause) and a copy of the Declarations and Endorsement Page of the CGL policy listing allpolicy endorsements to City before work begins. However, failure to obtain the required documents prior to the work beginning shall not waive the Contractor's obligation to provide them. The City reserves the right to require complete, certified copies of all required insurance policies, including endorsements required by these specifications, at any time. 9. Subcontractors: Contractor shall require and verify that all subcontractors maintain insurance meeting all the requirements stated herein, and Contractor shall ensure that City is an additional insured on insurance required from subcontractors. 10. Special Risks or Circumstances: City reserves the right to modify these requirements, including limits, based on the nature of therisk, prior experience, insurer, coverage, or other special circumstances. S. INDEMNIFICATION Contractor agrees to defend, and shall indemnify and hold harmless the City, its officers, agents, employees, contractors, special counsel, and representatives from liability: (1) for personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims for personal injury, including death, and claims for property damage, which may arise from the negligent operations of the Contractor or its subcontractors, agents, employees, or other persons acting on their behalf which relates to the services described in section 1 of this Agreement; and (2) from any claim that personal injury, damages, just compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects arising from this Agreement. This indemnity and hold harmless agreement applies to all claims for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to have been suffered, by reason of the events referred to in this Section or by reason of the 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. Page 5 of 10 Notwithstanding the foregoing, to the extent Contractor's services are subject to Civil Code Section 2782.8, the above indemnity shall be limited, to the extent required by Civil Code Section 2782.8, to claims that arise of, pertain to, or relate to the negligence, recklessness, or willful misconduct of the Contractor. 9. INTELLECTUAL PROPERTY INDEMNIFICATION Contractor shall defend, indemnify and hold harmless the City, its officers, agents, representatives, and employees against any and all liability, including costs, and attorney's fees, for infringement of any United States' letters patent, trademark, or copyright contained in the work product or documents provided by Contractor to the City pursuant to this Agreement. 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 Page 6 of 10 Agreement. 13. NOTICE Any notice, tender, demand, delivery, or other communication pursuant to this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or mailed by first class or certified mail, postage prepaid, or sent by fax or other telegraphic communication in the manner provided in this Section, to the following persons: To City: Clerk of the City Council City of Santa Ana 20 Civic Center Plaza (M-30) 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: Superior Hot Tapping Services, Inc. 7923 Old Oak Court Riverside, CA 92506 Attn: Wade Brugger, Owner wbrugger@superiorarewelding.com 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 timefiames, 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 Page 7 of 10 that are inconsistent with, or in addition to, the terms and conditions hereof, shall not bind or obligate Contractor or the City. Each party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any party, which are not embodied herein. 15. ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Contractor, Contractor may not assign, transfer, delegate, or subcontract any interest herein without the prior written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the City's ability to have any of the services that 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 Contractor 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. Contractor affirms that it is an equal opportunity employer and shall comply Page 9 of 10 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. 20. PROFESSIONAL LICENSES Contractor shall, throughout the term of this Agreement, maintain all necessary licenses, permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State of California, the City of Santa Ana and all other governmental agencies. Contractor shall notify the City immediately and in writing of its inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. 21. MISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature herein below has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify City filly, 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: CITY OF SANTA ANA Daisy Gomez Kristine Ridge Clerk of the Council City Manager [signatures continued on next page/ Page 9 of 10 APPROVED AS TO FORM SONIA R. CARVALHO City Attorney By: Bandon Salvatierra Deputy City Attorney RECOMMENDED FOR APPROVAL Nabil Saba, PE Executive Director Public Works Agency SUPERIOR HOT TAPPING SERVICES, INC. Name: �j/atq�J2/ Title: ✓JleSi4k1-3 l la-ao -ar Page 10 of 10 EXHIBIT A ury OF SANTA ANA RFP NO.: 21-098 ON -CALL WELDING SERVICES A p p e ndix ATTACHMENT 1: SCOPE OF WORK City of Santa Ana RFP 21-098 On -Call Welding Services Page 11 of 38 A. INTRODUCTION AND BACKGROUND The City of Santa Ana is located in the County of Orange in Southern California, The City of Santa Ana Public Works Agency— Water Resources Division oversees and maintains the dailyoperations of the Water System and Sanitary Sewer Systern. 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. The City of Santa Ana Water Resources Division is soliciting proposals from qualified firms to provide professional on -call welding and fabrication services on an as -needed basis for a wide variety of municipal applications in the City of Santa Ana. The City intends to select and enter into agreements with up to three firms to provide the described services for an aggregate annual amount arnongst all selected firms. The City of Santa Ana is requesting proposals for the purpose of establishing a service contract for professional welding and fabrication services to be performed on an as needed basis. This project consists of furnishing all materials, equipment, labor, supervision, and transportation necessary to provide on -call welding and fabrication services. The Contractor must provide adequate moving, lifting, and transportation capability for all equipment covered under this contract. Contractor must be able to respond to City's request for emergency repair work on a timely manner. The Contractor shall be available on an on -call basis ready to respond, and service calls shall be responded to within twelve (12) hours. The Contractor's repair crews shall arrive at job site within twenty-four (24) hours of approval from the City to commence work. Regular business hours are considered from 7:00 am to 5:00 pm (Monday through Friday). Any time outside of business hours of operation may be considered after hours/weekends. The Contractor shall have a minimum of five (5) years' experience of welding and fabrication services. The Contractor shall, prior to award of contract and without additional expense to the City, possess all licenses and permits required for the performance of the work required by this contract, including but not limited to a California Class ("C-60") Welder Contractor's license. C, CONTRACTOR RESPONSIBILITIES: The scope of work will include routine service, emergency response, and all work necessary to complete the following types of tasks: 1, WELDING SERVICE'S The Contractor shall provide welding services, equipment, materials and labor to cut, shape, weld, and install various products of steel, stainless steel, cast iron, ductile iron, cement mortar lined steel (CML&C), steel cylinder water pipe, aluminum, and all applicable metal types. Upon request by the City, the Contractor shall be able to perform work in both a shop setting and at the installation site. The services requested include site repairs to the water and wastewater treatment plants, lift stations, and other municipal utility facilities, The welding services that the City is seeking includes but is not limited to a combination of the following: City of Santa Ana RFP 21-098 On -Call Welding Services Page 12 of 38 a. Gas Metal Arc Welding (GMAW/MIG); Gas Tungsten Arc Welding (GTAW/TIG); Arc Welding in joining pipe sections; Flux Core Arc Welding (FCAW); Shielded Metal Arc Welding (SMAW/Stick); all types of metalizing, fusion welding, structural welding, pressure welding, and braze/soldering (including flat, overhead and pipe welding) b. Field installation and repair of metal pipe (2"-48" diameter and up to 6'-30' in depth) including welding on high pressure pipe c. Field installation and repair of welded handrails, ladders, pipes, and cages on above ground water storage tanks (up to 172' in height), buildings, and subterranean vaults d. Field installation and repair of welded metal pipes and associated fittings at water pumping station facilities (must be able to meet individual demand due to varying pipe materials throughout the City) a. Sandblasting, cleaning, priming, and painting finished or repaired items The Contractor shall be responsible for pick-up and removal of equipment and waste, and refuse shall be disposed of sufficiently and in frequent intervals so that at no time there is unsightly accumulation of debris and/or rubbish. Final cleanup shall include the removal of all equipment, surplus material, debris, and rubbish. 2. FABRICATION SERVICES The Contractor shall also provide fabrication services including but not limited to fabricating customized fittings and structural components associated with City owned facilities. The Contractor shall have a wide -range of knowledge and experience fabricating with aluminum, steel, and copper. The Contractor shall be capable of fabricating custorn parts including but not limited to ladders, stair stringers and threads, catwalks, gates and handrails. 3. MISCELLANOUS AND VALUE ADDED SERVICES The Contractor shall provide other miscellaneous welding, fabricating, and field services and shall propose additional related services. These assignments could include working in confined spaces and any supplementary welding or fabrication work not covered by the services listed herein. 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 considered by the City and may or may not be incorporated in the agreement. All parts and materials must be supplied new and factory approved. D. EMERGENCY ON -CALL SERVICES The Contractor shall also provide emergency on -call welding services. Emergency on -call services are applicable seven days a week, weekends, and holidays. In the event of a catastrophic pipeline/structural failure or malfunction, the Contractor should be readily available outside of work hours to respond to emergency calls within twelve (12) hours. Furthermore, the Contractor shall provide emergency on -call repair services within twenty-four (24) hours of receiving the call. The Contractor is responsible for staying on site until all components are re -energized. E. PROJECT MANAGEMENT & COORDINATION City of Santa Ana RFP 21.098 On -Call Welding Services Page 13 of 38 When a request for service is issued to the City, the Contractor shall issue an estimate to the City's designated project manager. The Contractor shall not proceed with any work without the approval of the City's designated project manager. Contractors shall invoice the City on a monthly basis for all work performed during the period or provide a one-time invoice at the completion of work issued. Each invoice shall be accompanied by a summary of tasks performed, results and progress on long-term tasks if any. F. CODE COMPLIANCE: The Contractor shall comply with all ordinances, laws and regulations. The Contractor shall possess state and local permits, licenses and certificates required by law to commence, carry, and completed the work. All work specified herein shall comply with applicable codes and standards including: « American Welding Society (AWS) American National Standards Institute (ANSI) California Building Code (CBC) California Division of Occupational Safety and Health (CAL -OSHA) + National Fire Protection Association (NFPA) • American Society of Mechanical Engineers (ASME) G.SAFETY The Contractor shall be solely and completely responsible for the condition of the project site, including safety of all persons and properties during the performance of the work. In addition, proper safety equipment must be worn at all times during welding services. These requirements shall apply continuously until the contract is terminated and shall not be limited to normal working hours. H. MINIMUM gUALIFICATIONS The Contractor shall meet the following minimum qualifications: 1. Contractor shall hold a current "C-60" Welding Contractor's License. The Contractor shall possess state and local permits, licenses and certificates required by law to commence, carry, and complete the work. 2. Contractor shall have a minimum of five (5) years of experience in welding and fabrication services. 3. Provide all necessary equipment to competently perform and complete work as specified. 4. Follow safety measures at all times and have the necessary protective personal equipment (PPE) to perform all tasks. All work is to be performed in compliance with all applicable codes, standards, and Cal/OSHA safety requirements. 5. Contractor shall provide emergency access twenty-four (24) hours a day, seven (7) days a week. I. INSURANCE REQUIREMENTS The successful bidders shall furnish the City with original copies of valid insurance policies herein required upon execution of the contract and shall maintain said policies in full force and effect at all times during the term of this contract. Said insurance policies shall comply with all requirements set forth in these specifications. Contractor(s) shall keep a current certificate of insurance at the City of Santa Ana at all times and shall immediately report any changes to the City. J. MARKUP City of Santa Ana RI=P 21-098 On -Call Welding Services Page 14 of 38 The following markup percentages shall be added to the Contractor's costs and shall constitute the markup for all overhead and profits (To the sum of the costs and markups, one (1) percent shall be added as compensation for bonding): 1) Labor.........................................................................................................20 2) Materials....................................................................................................15 3) Equipment Rental......................................................................................15 4) Other Items and Expenditures....................................................................15 K. FEE SCHEDULE: Contractor shall submit a fee schedule as described in Section IV.B,3 of RFP. Furthermore, the Contractor shall submit labor and equipment rates as the fee schedule. Contractor's labor and equipment rate sheet shall list rates for all labor designations, equipment and materials. The Contractor will be expected to hold firm pricing on all contract items and labor supplied for the duration of the contract. Labor increases shall be subject to mutually agreeable terms between the City and the Contractor. The City may request related services that will be paid at the vendor's standard labor and equipment rate submitted. Fee proposal shall be outlined as follows: City of Santa Ana RFP 21-098 On -Call Welding Services Page 15 of 38 EXHIBIT B Superior Hot Tapping Services, Inc. Superior Arc Welding, Inc. Wade Brugger, Owner CL No.: C60-735833 DIR No.: 1000619630 7923 Old Oak Court Riverside, CA 92506 (951) 313-9643 vvhrunnerC(Psu neriorarcweldirna.com September 13, 2021 City of Santa Ana Mr, Juan Ramirez Project Manager 215 S, Center Street, Building A Santa Ana, CA 92703 Dear Mr. Juan Ramirez: Attached please find our bid for RFP NO.: 21-098, request for on -call welding services for the City of Santa Ana. If the bid is granted, we look forward to working with the City of Santa Ana on addressing their needs for an on -call welding service. The bid includes all of the requested materials. Thank you for the opportunity to bid on this project. Sincerely, 42f,�� 44 Wade Brugger, Owner Superior Arc Welding, Inc. Superior Hot Tapping Services, Inc. Superior lint Tapping Services, Inc. Superior Are Welding, Inc. Wade Brugger, Owner CL No.: C60-735833 OUR No.; 1000619630 7923 Old Oak Court Riverside, CA 92506 (951) 313.9643 w�reasl€�erCsu eriar�ryweldilro .carer Follow us on Instagram at: Superior Arc Welding Fee Schedule Classification Rate Welder $130.00 per hour Operator _ $110.00 per hour Laborer $85.00 per hour Office staff $40.00 per hour Expenses Overhead Rate $40.00 per hour Equipment Incidental supplies $60.00 per hour $15.00 per hour Travel $130.00 per hour Mileage $50.00 per hour Fuel $25.00 per hour Appendix ATTACHMENT 2: FEE SCHEDULE Certification - I certify that I have read, understand and agree to the terms and conditions of this Request for Proposals. I have examined the Scope of Services (Appendix: Attachment 1) and am familiar with the scope of work. I am familiar with all the existing conditions and limitations that may impact work requests. I understand) and agree that I am responsible for reporting any errors, omissions or discrepancies to the City for clarification prior to the submission of my proposal, Proposer shall submit hourly rates schedule, which shall include but not limited to, direct and indirect costs for labor, for staff per job classification, material, equipment rates, overhead, incidental supplies, travel, mileage, and fuel, Any special materials will be purchased by the contractor only after discussed and authorized by the City projects manager or designee in writing. Prior to commencement of services, Contractor shall provide separate quotes, upon request by the City, which shall be approved by the City's Public Works Agency, Note: This contract is subject to prevailing wages. Superior Hot Tapping Services, Inc, 84-4961408 COMPLETE LEGAL NAME OF COMPANY TAXPAYER I.D. NO 7923 Old Oak Court Riverside CA 9250B BUSINESS ADDRESS STREET CITY STATE ZIP CODE Wade Brugger Owner Wbrugger@superiorarowelding.com (951 ) 313-9643 EMAIL ADDRESS PHONE NUMBER A 1067989 1000062128 CSLB NUMBER DIR REGISTRATION NUMBER N City of Santa Ana RFP 21-098 On -Call Welding Services Page 16 of 38 Appendix ATTACHMENT 3: LIST OF ACRONYMS City of Santa Ana RFP 21.098 On -Call Welding Services Page 17 of 38 "AASHTO" — American Association of State Highway and Transportation Officials "ADA" Americans with Disabilities Act "ASIVIE" —American Society of Mechanical Engineers "ANSI" — American National Standards Institute "ASNT" — American Society of Nondestructive Testing "AWS"— American Welding Society "CAL/OSHA" — California Division of Occupational Safety and Health "CBC" — California Building Code "CCR" — California Code of Regulations "City" — The City of Santa Ana "CIVIL&C" -- Cement Mertar Lined Steel Pipe "CNC" — Computer Numerical Control "Contractor" — The responsible fabricator or installer "CWI" — Certified Welding Inspector "FCAW" — Flux Core Arc Welding "GMAW" or "MIG" — Gas Metal Arc Welding in all positions; "GTAW" or "TIG" — Gas Tungsten Arc Welding "NTD" — Non -Destructive Testing "MUTCD" — Manual on Uniform Traffic Control Devices "DOWD"— Orange County Water District "PPE" — Personal Protective Equipment "QA/QC" — Quality Assurance/Quality Control "RFP" — Request for Proposal "SMAW" _. Shielded Metal Are Welding City of Santa Ana RFP 21-098 On -Call Welding Services Page 18 of 38 APPEADIX � i City of Santa Ana RFP 21.098 On -Call Welding Services Page 19 of 38 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 71 D6 the BIDDER declares the( the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the BIDDER has not directly or indirectly induced or solicited any other BIDDER to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any BIDDER or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the BIDDER has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the BIDDER or any other BIDDER, or to fix any overhead, profit, or cost element of the bid price, or of that of any other BIDDER, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the BIDDER has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid, Note: The above Non -collusion Affidavit is part of the Proposal, BIDDERS are cautioned that making a false certification may subject the certifier to criminal prosecution, Signed State of California County of Riverside Subscribed and sworn to (or affirmed) before me on this 13 day of September, 20P1 by Wade arugger 1, proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me 4ota ub Ic Signatures Notary Public Seal 0kM JANNEAN RA IM E SAPP Commission No. 2223388 NOTARY PUBLIC-CALIFORNIARIVERSIDE COUNTY Y Comm, EX044 NOVEMBER 25, 2021 City of Santa Ana RFP 21-098 On -Call Welding Services Page 20 of 38 NON -LOBBYING CERTIFICATION The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her knowledge and belief, that: (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement, (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in conformance with its instructions. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $'I00,000 and that all such subrecipients shall certify and disclose accordingly. Signed: V Title: Wade Bruggor, Owner Firm: Superior Hot Tapping Services, Inc. Date: 09/1312021 City of Santa Ana RFP 21-098 On -Call Welding Services Page 21 of 38 NON-DISCRIMINATION CERTIFICATION The undersigned Contractor or corporate officer, during the performance of this contract, certifies as follows: The Contractor shall not discriminate against any employee or applicant for employment because of race, color, religion, sex, or national origin. The Contractor shall take affirmative action to ensure that applicants are employed, and that employees are treated during employment without, regard to their race, color, religion, sex, or national origin. Such action shall include, but not be limited to, the following: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The Contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided setting forth the provisions of this nondiscrimination clause. 2. The Contractor shall, in all solicitations or advertisements for employees placed by or on behalf of the Contractor, state that all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin. 3. The Contractor shall send to each labor union or representative of workers with which he/she has a collective bargaining agreement or other contract or understanding, a notice to be provided advising the said labor union or workers' representatives of the Contractor's commitments under this section, and shall post copies of the notice in conspicuous places available to employees and applicants for employment. 4. The Contractor shall comply with all provisions of Executive Order 11246 of September 24, 1965, and of the rules, regulations, and relevant orders of the Secretary of Labor. 5. The Contractor shall furnish all information and reports required by Executive Order 11246 of September 24, 1965, and by rules, regulations, and orders of the Secretary of Labor, or pursuant thereto, and will permit access to his/her books, records, and accounts by the administering agency and the Secretary of Labor for purposes of investigation, to ascertain compliance with such rules, regulations, and orders. 6. In the event of the Contractor's non-compliance with the nondiscrimination clauses of this contract or with any of the said rules, regulations, or orders, the contract may be canceled, terminated, or suspended in whole or in part and the Contractor may be declared ineligible for further Government contracts or federally assisted construction contracts in accordance with procedures authorized in Execution Order 11246 of September 24, 1965, and such other sanctions may be imposed and remedies invoked as provided in Executive Order 11246 of September 24, 1965, or by rule, regulations, or order of the Secretary of Labor, or as otherwise provided by law. The Contractor shall include the portion of the sentence immediately preceding paragraph (1) and the provisions of paragraphs (1) through (7) in every subcontract or purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to Section 204 of Executive Order 11246 of September 24, 1965, so that such provisions will be binding upon each subcontract or purchase order as the administering agency may direct as means of enforcing such provisions, including sanctions for noncompliance; provided, however, that in the event the Contractor becomes involved in, or is threatened with, litigation with a subContractor or Contractor as a result of such direction by the administering agency, the Contractor may request that the United States enter into such litigation to protect the interests of the United States. 6. 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 City of Santa Ana RFP 21-098 On -Call Welding Services Page 22 of 38 persons, except as provided in Section 1420, and any Contractor of public works violating this Section is subject to all the penalties imposed for a violation of the Chapter. ��!) Signed: !('/- Title: Wade 6rugger, Owner Firm: Superior Mot Tapping Services, Inc. Date: 09/13/2021 City of Santa Ana RFP 21-66'8 On -Call Welding Services Page 23 of 38 Appendix City of Santa Ana RFP 21-098 On -Call Welding Services Page 24 of 38 Explain your understanding of scope of services for on -call welding and fabrication, Validate your ability to meet the requirements and responsibilities requested herein. Attach additional pages if required. Provide a detailed anticipated approach that addresses understanding the need in regards to the requirements expressed in Attachment 1: Scope or Services: In response to the re vest by th -,ity of Santa Ana for an on -call and emarga welding service I am submitting my prgpgsol. I have over 20 Years exporiencs providing welding and fabrication services for various public and prly t eneles. As an intrigal part of my services I am raguiretl to perform not only rountine but emergency response services as well. As a requirement for my services my company provides a variety of walding and soldering services on various types and degree of materials, All of the work that my company provides is required to be performed in both a shop setting, as well as having to be installed onsite. Describe or outline the safety considerations and implementation plan for the various aspects of work requested: As par Hot TaVpInq Services, Inc. OSHA I IP perml company will adhere to the saftey and prataction protocols as outlined both in the shop and onsite. Define the communication protocol taken with clients: Superior He Tapping services utilizes standardized communication protocols that depending on the method and or files size, through data available as a download from a website or through a repository via Hypertext Transfer Protocol (hITTP), Post Office Protocol (POP3) or Internet Access Protocol What additional protocols will be utilized by your company to monitor progress and performance on the account: Additional protocols will involve both onsilo and in office supervision As a startdard part of Sunarior Hot Taapinq SServices protocols the owner personally monitors and supervises employees, as well as personally performing any necessary onsite work as needed. An additional layer of quality control Is impllmenled through constant contact and communication with the com an 's clients regarding quality control and client needs, City of Santa Ana f:FP 21-098 On -Cell Welding Services Page 25 of 38 ATTACHMENTS: PROPOSAL PACKAGE Part 2 of 3: References List and describe fully the contracts performed by your firm which demonstrate your ability to provide equipment or services included in the scope of the proposal specifications. Attach additional papas if re uired. The City reserves the right to contact each of the references listed for additional information regarding your firm's qualifications, Reference #1: Customer Name: See aitaohed letter. Address: Contract Amount: Description of supplies, equipment, or services provided: Reference #2: Customer Name: See attached letter. Address: Contract Amount: Description of supplies, equipment, or services provided: Contact Individual: Phone Number: Facsimile Number: Year: Contact Individual: Phone Number: Facsimile Number: Year: City of Santa Ana RFP 21-098 On -Call Welding Services Page 26 of 38 Reference #3: Customer Name: Sea attached letter. Contact Individual: Address: Contract Amount: Description of supplies, equipment, or services provided: Reference #4: Phone Number: Facsimile Number: Year: Customer Name: see attached letter, Contact Individual: Address: Contract Amount: Description of supplies, equipment, or services provided: Phone Number: Facsimile Number: Year: City of Santa Ana RFP 21-098 On -Call Welding Services Page 27 of 38 Superior Not Tapping Services, Inc. Superior Arc Welding, Inc. Wade Brugger, Owner CL No.: C60-735833 CL No.: A-1067989 DIR No.: 1000619630 7923 Old Oak Court Riverside, CA 92506 )951) 313.9643 wgM99ore—ml? rloraw we 'rt .corm Follow us ore Instagrarn at: Superior Arc welding Date: To: Re: Construction Trade References To whom it may concern: Greetings and salutations from Superior Hot Tapping Services and Superior Arc Welding, Inc. Included within this letter you will find four construction trade references on behalf of both of my companies for your consideration and review. The references are as follows: Company Name Address City and State Contact Name Contact Phone Number T.E. Roberts 306 W. Katella Ave. Orange, CA Justin Roberts (714) 559-2291 Roberti 1508 South Mayflower Monrovia, CA Robert Birkich (626) 945-0609 ConstucLion on Corp. C Steve Doreck 9075 Telegraph Road Pico Rivera, CA Steve Doreck (562) 733-8821 Construction H&H General 7919 Palm Avenue Highland, CA g Juan Olvera (951) 453-7712 Contractors, Inc. Please review the included references and notify me if you have any questions and or concerns. I look forward to the opportunity to collaborate and work together with you on your project. Best Regards, 'W Wade Brugger, Owner Superior Arc Welding, Inc. Superior Hot Tapping Services, Inc. ATTACHMENT 4: PROPOSAL PACKAGE Part 3 of 3: Relevant Project Experience- _ Elaborate on your firm's relevant experience in regards to on -call welding services and fabrication. Validate your ability to provide the supplies, equipment or services included in the scope of the proposal specifications. Attach additional pages if required. The City reserves the right to contact each of the references listed for additional information regarding your firm's qualifications. Number of Year's Providing Similar Work 24 Describe your company's level of expertise, past experiences (not previously iisted) in rendering services for venues like ours, and results you achieved: Superlor Hot Tapping Service In the past and currently provides on -call 24 hour emergency services for various clients who require repairs on steel pipe failures and blowouts. As a part of my services, I also provide the pre -made materials for all onsite repairs to assist with returning domestic water lines back into service, At Superior Hot Tapping Services, Inc„ we also specialize in all processes of certified welding, complete CML.+C steel fitting, fabrication, and industry material supplies, Describe historical projects in which your company ventured over budget and how you endeavored to mitigate the budgeting concerns of the client: Historicallly, Superior Hot Tapping Services Inc. has not had_a proiect that has ventured over budget Any budoetMg concerns are addressed from the onset of any project undertaking. Describe how you intend to provide the City with the highest level of service based off your experience: Superior Hot Tapping Services, Inc, takes pride in providing high quality service though not only our products, but also through our around the clock availability, For every grolect wr, wgrk on�we strive to become essential to our customers by providing differentiated products and services to help them with achieving their goals. City of Santa Ana RFP 21-098 On -Call Welding Services Page 28 of 38 Superior Arc Welding, Inc. Superior Not Tapping Services, Inc. We Love Our Customers, So Feel Free To Call At Any Time. Wade Brugger:951-313-9643 Email: wbrugger@superiorarcwelding.com On ratt 24 Hours, 7 nays A Week for emergency repairs T.-T . At Superior Hot Tapping Services, Inc. and Superior Arc Welding, Inc. we specialize in at[ processes of certified welding, complete CML+C steel fitting, fabrication and industry material supplies. One call gets you two companies in one. Get your project completed now by getting in contact with us today. 17 IQI ILII IC r%' Francine R. Villareal ACORO® CERTIFICATE OF LIABILITY INSURANCE Villare `,� DhTE fy.II 01/14/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Customer Service Department NAME Gaslamp Insurance Services 2244 Faraday Avenue, #125 PHONE (760) 429-2953 FAx (800) 920-4107 Ezt: ANo E-MAIL ADDRESS: INSURERIS) AFFORDING COVERAGE NAIL # INSURER A: Clear Blue Specialty Ins Co 37745 Carlsbad CA 92008 INSURED INSURER B: Nautilus Insurance Company 17370 Superior Hot Tapping Services, Inc. INSURER C : Evanston Insurance Co 35378 PO Box 1317 INSURER D INSURER E Bloomington CA 92316 1 INSURER F: COVERAGES CERTIFICATE NUMBER: GL PP 21-22 XS 22-23 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDIL INSID Sum WVD POLICY NUMBER POLICY EFF MM/3D/YY1YI POLICY EXP (MMIDDADI LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ® OCCUR EACH OCCURRENCE $ 1,000,000 DAMAGE TO RE ED PREMISES Ea occurrence 100,000 $ MED EXP (Any one person) $ 5,000 PERSONAL B ADV INJURY $ 1,000.000 A Y Y AR01-RS-2103167-00 08/20/2021 OB/20/2022 GEN'LAGGREGATE LIMIT APPLIES PER: PRO- POLICY PRO JECT LED GENERALAGGREGATE $ 2,000,000 PRODUCTS-COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per acrJdenU $ HIRED NONoWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Peraccidenl $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 2,000,000 11 AGGREGATE $ 2,000,000 B EXCESS LIAB CLAIMS -MADE Y Y AN1253544 01/14/2022 08/20/2022 DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN I PER OTH- STATLITE ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNERIEXECUTIVE OFPICERIMEMBER EXCLUDED? NIA E.L DISEASE - EA EMPLOYEE $ (Mandatory In NH) If yes, describe under E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS below C Contractors Pollution Liability Errors and Omissions CPLMOL109303 12/21/2021 12121/2022 Each Occurrence Aggregate 2,000,000 2,000,000 Each Occurrence 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached R more space is required) The City of Santa Ana, its officers, officials, employees, and volunteers are named as Additional Insured for Ongoing and Completed Operations; Primary Non -Contributory Wording, Waiver of Subrogation applies, to the extent provided in the attached form(s). Excess follows forth. *Additional Insured status is subject to all policy terms, exclusions and conditions* HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE �J Santa Ana CA 97202 //�(j_ ee^+< 1Z1eItMroM�mentDivisian �_'REVIEwEn 6 APPRov®Br. ©1988-2015 ACOR ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD glEc7lium' Risk Management Analyst POLICY NUMBER:AR01-RS-2103167-00 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organizations : Location And Description Of Completed Operations Blanket as required by virtue of written contract All locations as required by written contract Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property dam- age" caused, in whole or in part, by 'your work" at the location designated and described in the sched- ule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". CG 20 37 07 04 © ISO Properties, Inc., 2004 R of Managemai Dhisbn RenewEo & APPROVED Br. A�WLMF, RBk Management Analyst POLICY NUMBER:AR01-RS-2103167-00 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization(s): Location(s) Of Covered Operations Blanket as required by virtue of written contract All locations as required by written contract Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A Section II — Who Is An Insured is amended to B. include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) desig- nated above. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equip- ment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed;or 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 © ISO Properties, Inc., 2004 Risk Managmtwf Dhision Re EWED&APPROVED BY. Comm Risk Management Analyst COMMERCIAL GENERAL LIABILITY CG 20 01 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. CG 20 01 04 13 © Insurance Services Office, Inc., 2012 Risk Mu"OnedDhidm �- W0Ewm6APmav®Br. f4AW� R. VWAt d Risk Managm nt Analyst POLICY NUMBER: AR01-RS-2103167-00 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Blanket as required by written contract Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 wdtM�g.�,�t,tolw�tt i 'ai�oR REVIEWED 6 APPRov®Br. Rtsk Management Analyst Policy Number: Renewal/Rewrite of: Nautilus Insurance Companyll An Arizona Stock Corporation COMMERCIAL EXCESS LIABILITY DECLARATIONS AN1253544 Named Insured and Mailing Address Superior Hot Tapping Services Inc 7923 Old Oak Court Riverside, CA 92506 Producer's Name and Mailing Address HULL & COMPANY, LLC 3247 W. March Lane Suite 110 Stockton, CA 95219 POLICY PERIOD: From 01/14/2022 to 08/20/2022 At 12:01 A.M. Standard Time at your mailing address shown above IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE TO PROVIDE YOU WITH THE INSURANCE AS STATED IN THIS POLICY. THE NAMED INSURED IS: I Individual 1 Trust Item I: Limits of Insurance: Each Occurrence Limit $ Aggregate Limit $ Item II: Premium: Deposit Premium $ Terrorism Premium $ =.1 Partnership X Corporation -1 Limited Liability Company 2,000,000 2,000,000 1,705.00 0.00 Total Premium $ 1,705.00 Broker Fee $ 175.00 I Joint Venture .I Other Item III: Minimum Retained Premium: If the insured cancels this policy, we will retain no less than $250 or 25% of the Total Premium, whichever is greater. Item IV: Forms attached at inception: See Schedule of Forms EU 00 05 DNE 21 10 01 19 )Ik� Au IN \ RiskMwwgwwtDtvigun "` GREmEwEo&pArrR veo Br. i r MN.Gime ram. V:F.(.vi4c� Risk Management Analyst POLICY NUMBER: AN1253544 COMMERCIAL EXCESS LIABILITY SCHEDULE OF UNDERLYING INSURANCE This Schedule of "underlying insurance" is incorporated into and made part of the Declarations to which it is attached. The following "underlying insurance" is in force and collectible for the limits of insurance shown. Commercial General Liability (1) Company: Clear Blue Specialty Insurance Company, AR01-RS-2103167-00 Coverage: Occurrence Limits of Insurance Each Occurrence General Aggregate Products -Completed Operations Aggregate Personal And Advertising Injury Policy Period: From: 8/20/2021 To: 8/20/2022 1,000,000 2,000,000 2,000,000 1,000,000 Any one person or organization ^EE P48, Mw*gmtmEDiv vn cl`43yap rrREvlEwm&pAPPR�o�v/DY � �: B DE 25 10 01 19 Includes copyrighted material of Insurance Services Office, Inc., with its permission.®' Risk Management Analyst Progressive P 0. Boy. 94739 Clevefand, OH 44101 1.800.895.2886 Certificate of Insurance PR99RFr11YF' COMM£RC/AC Policy number; 03374807-1 Underantren by. Progressive Express Ins December 21, 2021 Page I o1 2 Certificate Holder ..... ................ .................... ................. .._..........._._....................... .._.,................. I ............. ...._............. . ....... ..... ........... ........ SUPERIOR ARC VVELDING INC 7923 OLD OAK CT RIVERSIDE. CA 92506 Insured ..............................._.............................................. ... ...... . ...... ... .. ... .... .. AgenVSurplus Lines &oker . ......_........................................... SUPERIOR ARC 1rJELDIFIG INC PROG COMtv1ERCIAL E 7923 OLD OAK CT PO BOX 94739 RIVERSIDE, CA 92506 CLEVELAND, ON 44101 This document certifies that insurance policies identified below have been issued by the designated insurer to the insured named above for the period(s) indicated. This Certificate is issued for information purposes only, It confers no rights upon the certificate holder and does not change, alter, modify, or extend the coverages afforded by the policies listed below. The coverages afforded by the policies listed below ate subject to all the terms, eadusions, limitations, endorsements, and conditions of these policies. Policy Effective Date: Sep 1"2021 Policy Expiration Date: Mar 17, 2022 Insurance coverage(s) Llmds D. ...............................a.....age ..... $1 0_.......00,..0.00.._.Combi.ne .in.lb..d._.S....ingle........._......_._............ .... .... .... ................ ..... . bodily Injury;Properry mLimi[ ..............................................................................................................i'm"it.............. ...... ............................ ... '"- UninsuredNnderinsuredAfatodst $1,000,OOOCombinedSingleLimit Description of Location/Vehicles/Special Items Scheduled autos only ............................................................................................................................................................................. 200� FORD F450 SUPER DUTY IFDXF46P24ED99278 Stated Amount $37,000 Comprehensive $250 Bed Collision ............................................................................................................................................................................. $250 w/A-Vaiver Ded 2011 FOP,D FSSO SUPEP, DUTf 1FD0�5HYXBEB91513 Stated Amount $53,000 Comprehensive $250 Ded Collision ............................................................................................................................................................................. $250 v.(Naiver Ded 2019 DODGE RAh15500 3C7riyRNFlBKG521547 Stated Amount $65,000 Comprehensive $250 Ded Collision $250 wffliaiver Ded RMvwgMatt iol'Wore ��orie REVIEwED&Aetkrnr®By: ® Huk Management Analyst Policy number; 03374807-1 Page 2 d 2 Certificate number 35521A15807 k, n 515: 110/021 Riek Managft.& Diviaiun yp�`*j psi cRE\Ae&m& Arrrm®8r. �i L r 4kWO`t:, a ram. V&A,4,1 —� Risk Management Analyst NOTICE OF COMPLIANCE CITY . "A ,AM I1111RI T I'III I IPi 1111AGE ,CND INCLUDE Ck I 111 1AGREEMENTTOT111IE CLERK CSC 111I➢C COUNCIL Contractor Superior Hot Tapping Services, Inc. Name: Project A-2022-008-02 Number: Project Agreement To Provide On -Call Welding Services Name: 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: TYPE OF INSURANCE POLICY EXPIRATION COI DATE FILE NAME NUMBER DATE ACORD Form AUTOMOBILE LIABILITY 504610187667001 : 01/06/2024 01/05/2023 20230105- 103305.pdf COI City of GENERAL LIABILITY MKLV5PBC005196 : 10/21/2023 03/15/2023 Santa Ana- Updated.pdf City of SA GL PROFESSIONAL LIABILITY CPLMOL114463 12/21/2023 12/27/2022 Insurance Cert.pdf WORKERS COMPENSATION AND 93349572023 03/15/2024 03/15/2023 COI - City of EMPLOYERS' LIABILITY Santa Ana.pdf Thank you, City of Santa Ana Risk Management Division in partnership with CTrax Plus Services Team 3/20/2023 8:23 PM / A� " CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 08/06/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Nataly Hague CISR NAME: _James G. Parker Insurance_ PHONE �Xt : (559) 222-7722 FAXNo: (559) 222-1724 License #0554959 P O Box 3947 Angie Acevoe( MAIL DDRESf INSURE (S) AFFO DING COVERA E NAIC # s A: i �itle i e l o — • 3 Fresno INSURED INSURER B : Infinity Select Insurance Co 20260 Superior Hot Tapping Services Inc INSURER C : Scottsdale Insurance Company 41297 Superior Are Welding Inc INSURERD: State Compensation Ins Fund 35076. 7923 Old Oak Court INSURER E: Evanston Insurance Company 35378 INSURER F : Riverside 92506 COVERAGES CERTIFICATE NUMBER: 24-25 WC BA GL UMB 23- REVISION NUMBER: THIS IS TO CERTIFYTHAT THE POLICIES OF INSURANCE LISTED BELOW'HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL UBR EFF O ICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD YYYYMPOLICY DD YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 � DAMAGE 100,000 OCCUR PREM SESOEa occu«Dence $ _7CLAIMS-MADE MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 A Y Y MPOO82001008411 07/31/2024 07/31/2025 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO ❑ JECT LOC PRODUCTS - COMP/OPAGG 2,000,000 $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X BODILY INJURY (Per person) $ ANYAUTO B OWNED SCHEDULED 50001616301 01/06/2024 01/06/2025 BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS PROPERTY DAMAGE $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Per accident X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 C EXCESSLIAB CLAIMS -MADE XLS1228052 07/31/2024 07/31/2025 DED I I RETENTION $ 1 $ WORKERS COMPENSATION X1 AND EMPLOYERS' LIABILITY Y / N SPER TATUTE EORH E.L. EACH ACCIDENT 1,000,000 $ D ANY PROPRIETOR/PARTNER/EXECUTIVE F NIA Y 9334957-2024 03/15/2024 03/15/2025 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE- EA EMPLOYEE $ If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $ Aggregate - Limit $2,000,000 Contractors Pollution w/Incidental E Professional Liability CPLMOL120711 12/21/2023 12/21/2024 Each Pollution Condition $2,000,000 Each Act- E & O $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Project #2021-31,SR-55/Ritchey Street Water Improvements. James W Fowler Co (Contractor), City of Santa Ana (Owner), and Owner's Consultants where required by written contract, are included as additional insured with waiver of subrogation and Primary Non-contributory wording respects to General Liability per form CG2010 1185, CG2404 1093, CG2001 0413 attached. Waiver of subrogation applies to the Workers compensation per form 2572 attached. Notice of Cancellation applies to workers compensation as per form 2065, attached. Umbrella Policy follows form. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL RE DELIVERED IN City of Santa Ana Risk Management Division ACCORDANCE WITH THE POLICY PRO) 20 Civic Center Plaza R[eleManag>�nenfDMs�rt AUTHORIZED REPRESENTATIVE ' REVIEWED br APPROVED BY. A Accvulo Santa Ana CA 92702}pj ® Risk Management Specialist © 1988-2015 ACOF ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ENDORSEMENT AGREEMENT CQUN7ERSiGNE1) AND ISSUED AT $AN FRANCISCO ALITHORUMA F RES M1JT I11F SCIF FORM 102F7 IRLV_7-.Ro1+1 WAIVER OF SUBROGATION BLANKET BASIS 9334957-24 NE 8-56-62-27 HOME OFFICE SAN FRANCISCO EFFECTIVE MARCH 15, 2024 AT 12.01 A.M. PAGE ALL EFFECTIVE DATES ARE AND EXPIRING MARCH 15 , 2 0 2 5 AT 12.01 A.M. AT 12:01 AM PACIFIC STANDA,flD TIME OR THE TIME IIUDICATED AT PACIFIC STANDARD TIME. SUPERIOR HOT TAPPING SERVICES, INC. 7923 OLD OAK CT RIVERSIDE, CA 92506 WE HAVE THE RIGHT TO RECOVER OUR PAYbIENTS FROM A14YONE LIABLE FOR AN FNTURY COVEEI U ET THIS POLICY. WE WILL NOT ENFORCE OUR RI&aT AGAINST TM PERSON OR ORGANIZATION FAWD IN TR$ SCHFX17LE . THIS AGREEMENT APPLIES ONLY TO THE EXTENT THAT YOU PERFORM WORK UNDER A WRITTENCONTRACT THAT REgUIRES YOU TO OETAIK THIS AGREEMENT FROM US, THE ADDITIONAL PREMIUM FOR THIS EMORSEMENT SHALT, BE 2.00iiS OF THE TOTAL POLICY PREMIUM, SCEIEDULE PERSON OR ORGANIZATION ANY PERSON OR ORGANI.ZATION Pot-? WHOM THE NAMED INSURELI HAS AGREFX BY WRITTEN CONTRACT TO FURNISH THIS TOMIVER JOB DESCRIPTION BLANKET WAIVER OF LATSCAT I CAN NOTHING IN THIS SNOCIASEMFWT COW AIMED SHALL BE HELa TO VARY. ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS. OR LIMITATIONS OF THIS POLICY OTHER THAN AS .STATED. NOT -KING ELSEiNNFRE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE CM L[M1T THE TERMS, CONDITIONS, AGREEMQ-2 LItAIT�ATIC)N5 Cr THIS EhlCIORSEfw9EIW'f. I �- �pLmwn ?�}f REVIEWED & APPROVED BY. `I 11C I119 1" A-s-g�e f Ieev44 '®, Risk Management Specialist 1 oP z MARCH 15, 2024 PRESIDENT AND CEC 572 DID DP 217 ENDORSEMENT AGREEMENT CERTIFICATE HOLDERS' NOTICE HOME OFFICE SAN FRANCISCO EFFECTIVE MARCH 15, 2023 AT 12.01 A.M. ALL EFFECTIVE DATES ARE AT 12:01 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME SUPERIOR HOT TAPPING 7923 OLD OAK CT RIVERSIDE, CA 92506 9334957-23 NEW NE 8-56-62-27 PAGE 1 OF ANYTHING IN THIS POLICY TO THE CONTRARY NOTWITHSTANDING, IT IS AGREED THAT THIS POLICY SHALL NOT BE CANCELLED UNTIL, 30 DAYS AFTER WRITTEN NOTICE OF SUCH CANCELLATION HAS BEEN PLACED IN THE MAIL BY STATE FUND TO CURRENT HOLDERS OF CERTIFICATE OF WORKERS' COMPENSATION INSURANCE. NOTHING• TO OR ANY OF THE TERMS, CONDITIONS, a OF THIS POLICY s*-�ICf HELD TO VARY, ALTER, WAIVE f • LIMIT THE TERMS, CONDITIONS, ENDORSEMENT.LIMITATIONS IN THIS COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: 2065 AUTHORIZED REPRESENT /IVE SCIF FORM 10217 (REV.4-2018) MARCH 14, 2023 1 F Risk Mouganent DMsiun �+ REVIEWED & APPROVED BY. A-s-g�e Acevedo ;� Risk Management Specialist PRESIDENT AND CEO POLICY NUMBER: MP0082001008411 COMMERCIAL GENERAL LIABILITY CG 24 04 10 93 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any person or organization to which you are obligated by virtue of a written contract to provide insurance such as is afforded by this policy, but only with respect to (1) occurrences taking place after such written contract has been executed and (2) occurrences resulting from work performed by you during the policy period, or occurrences resulting from the conduct of your business during the policy period. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV — COMMERCIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products -completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. Rink Management DMsian �?- REVIEWED & APPROVED BY: °I 111C I 119 1" A-s-g�e Acevedo ® Risk Management Specialist CG 24 04 10 93 Copyright, Insurance Services Office, Inc., 1992 Page 1 of 1 13 POLICY NUMBER: MP0082001008411 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - (FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Name of Person or Organization: Any person or organization to which you are obligated by virtue of a written contract to provide insurance such as is afforded by this policy, but only with respect to (1) occurrences taking place after such written contract has been executed and (2) occurrences resulting from work performed by you during the policy period, or occurrences resulting from the conduct of your business during the policy period. A person or organization that qualifies as an "insured" under the above paragraph of this Endorsement shall be an additional insured solely with respect to such additional insured's liability for "bodily injury," property damage" or "personal and advertising injury" caused in whole or in part by your acts or omissions in the performance of "your work" for the additional insured on or at "commercial construction projects." For the purposes of this Endorsement, "commercial construction projects" are defined as buildings or structures constructed for commercial use and also includes apartments, hotels, homes for the aged, dormitories or barracks. However, "commercial construction projects" shall not include any building or structure which contains individual owner occupied units or dwellings. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" for that insured by or for you. Rink Management DMsian �?- REVIEWED & APPROVED BY: °I 111C I 119 1" A-s-g�e Acevedo ® Risk Management Specialist CG 20 10 11 85 Copyright, Insurance Services Office, Inc., 1984 Page 1 of 1 0 POLICY NUMBER:MP0082001008411 COMMERCIAL GENERAL LIABILITY CG 20 01 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the additional insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and CG 20 01 04 13 © Insurance Services Office, Inc., 2012 Rink Management DMsim �?- REVIEWED & APPROVED BY. A-s-g�e Acevedo Risk Management Specialist Page 1 of 1 ENDORSEMENT AGREEMENT CQUN7ERSiGNE1) AND ISSUED AT $AN FRANCISCO ALITHORUMA F RES M1JT I11F SCIF FORM 102F7 IRLV_7-.Ro1+1 WAIVER OF SUBROGATION BLANKET BASIS 9334957-24 NE 8-56-62-27 HOME OFFICE SAN FRANCISCO EFFECTIVE MARCH 15, 2024 AT 12.01 A.M. PAGE ALL EFFECTIVE DATES ARE AND EXPIRING MARCH 15 , 2 0 2 5 AT 12.01 A.M. AT 12:01 AM PACIFIC STANDA,flD TIME OR THE TIME IIUDICATED AT PACIFIC STANDARD TIME. SUPERIOR HOT TAPPING SERVICES, INC. 7923 OLD OAK CT RIVERSIDE, CA 92506 WE HAVE THE RIGHT TO RECOVER OUR PAYbIENTS FROM A14YONE LIABLE FOR AN FNTURY COVEEI U ET THIS POLICY. WE WILL NOT ENFORCE OUR RI&aT AGAINST TM PERSON OR ORGANIZATION FAWD IN TR$ SCHFX17LE . THIS AGREEMENT APPLIES ONLY TO THE EXTENT THAT YOU PERFORM WORK UNDER A WRITTENCONTRACT THAT REgUIRES YOU TO OETAIK THIS AGREEMENT FROM US, THE ADDITIONAL PREMIUM FOR THIS EMORSEMENT SHALT, BE 2.00iiS OF THE TOTAL POLICY PREMIUM, SCEIEDULE PERSON OR ORGANIZATION ANY PERSON OR ORGANI.ZATION Pot-? WHOM THE NAMED INSURELI HAS AGREFX BY WRITTEN CONTRACT TO FURNISH THIS TOMIVER JOB DESCRIPTION BLANKET WAIVER OF LATSCAT I CAN NOTHING IN THIS SNOCIASEMFWT COW AIMED SHALL BE HELa TO VARY. ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS. OR LIMITATIONS OF THIS POLICY OTHER THAN AS .STATED. NOT -KING ELSEiNNFRE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE CM L[M1T THE TERMS, CONDITIONS, AGREEMQ-2 LItAIT�ATIC)N5 Cr THIS EhlCIORSEfw9EIW'f. I �- �pLmwn ?�}f REVIEWED & APPROVED BY. `I 11C I119 1" A-s-g�e f Ieev44 '®, Risk Management Specialist 1 oP z MARCH 15, 2024 PRESIDENT AND CEC 572 DID DP 217 POLICY NUMBER: MP0082001008411 COMMERCIAL GENERAL LIABILITY CG 24 04 10 93 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any person or organization to which you are obligated by virtue of a written contract to provide insurance such as is afforded by this policy, but only with respect to (1) occurrences taking place after such written contract has been executed and (2) occurrences resulting from work performed by you during the policy period, or occurrences resulting from the conduct of your business during the policy period. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV — COMMERCIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products -completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. Rink Management DMsian �?- REVIEWED & APPROVED BY: °I 111C I 119 1" A-s-g�e Acevedo ® Risk Management Specialist CG 24 04 10 93 Copyright, Insurance Services Office, Inc., 1992 Page 1 of 1 13 POLICY NUMBER: MP0082001008411 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - (FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Name of Person or Organization: Any person or organization to which you are obligated by virtue of a written contract to provide insurance such as is afforded by this policy, but only with respect to (1) occurrences taking place after such written contract has been executed and (2) occurrences resulting from work performed by you during the policy period, or occurrences resulting from the conduct of your business during the policy period. A person or organization that qualifies as an "insured" under the above paragraph of this Endorsement shall be an additional insured solely with respect to such additional insured's liability for "bodily injury," property damage" or "personal and advertising injury" caused in whole or in part by your acts or omissions in the performance of "your work" for the additional insured on or at "commercial construction projects." For the purposes of this Endorsement, "commercial construction projects" are defined as buildings or structures constructed for commercial use and also includes apartments, hotels, homes for the aged, dormitories or barracks. However, "commercial construction projects" shall not include any building or structure which contains individual owner occupied units or dwellings. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" for that insured by or for you. Rink Management DMsian �?- REVIEWED & APPROVED BY: °I 111C I 119 1" A-s-g�e Acevedo ® Risk Management Specialist CG 20 10 11 85 Copyright, Insurance Services Office, Inc., 1984 Page 1 of 1 0 / A� " CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 01 /13/2026 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Nataly Hague CISR NAME: James G. Parker Insurance (559) 222-7722 q/c, (559) 222-1724 ACNE. Ext : No): License #0554959 E-MAIL nhague@jgparker.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # P O Box 3947 Fresno CA 93650 INSURERA: Mesa Underwriters Specialty Ins Co 36838. INSURED INSURER B : Infinity Select Ins Co 20260. Superior Hot Tapping Services Inc INSURER C : Palomar Excess and Surplus Ins Co 16754 7923 Old Oak Court INSURER D : State Compensation Ins Fund 35076. INSURER E Riverside CA 92506 INSURER F COVERAGES CERTIFICATE NUMBER: 25-26 GL UMB BA WC REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MWDD/YYYY POLICY EXP MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE OCCUR DAMAGE TO PREM SES Ea 0NcurrDence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 A Y Y MP0082001009708 03/15/2025 03/15/2026 LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ❑X PRO ❑ LOC JECT: MOTHER PRODUCTS-COMP/OPAGG $ 2,000,000 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ ANYAUTO B OWNED SCHEDULED AUTOS ONLY AUTOS Y Y 50001616302 09/02/2025 09/02/2026 BODILY INJURY (Pe r accide nt) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 C EXCESS LAB CLAIMS -MADE PESXS014672 03/15/2025 03/15/2026 DED I I RETENTION $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABI LI TY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA Y 9334957-2025 03/15/2025 03/15/2026 X STATUTE EORH E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000,000 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Digitally sig Certificate holder is included as additional insured with respects to General Liability per form CG2010 1185 attached. Waiver of Subrogation applies Tu Tran by Tu Tran regarding the General Liability per form CG2404 1093. Waiver of subrogation applies to the Workers compensation per form 2572 attached. Additional Nguyen Insured, Waiver of Subrogation and Primary Non-contributory wording basis in respects to Auto per form 50461AIS01, 50461SWF01, and 500PNCV01 Ng uyen Date: 2026. attached. 12:54:22 -08 APPROVED CERTIFICATE HOLDER CANCELLATION ley Tu Tran Nguyen at 12:54 pm, Jan 14, 2026 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. Attn: Heidi Chou AUTHORIZED REPRESENTATIVE 215 S Center Street M-85 Santa Ana CA 92701 / X Ali V-4 �w � @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD KEMPERAuto COMMERCIAL Customer Service: (800) 722-3391 Kemper Auto Commercial 11700 Great Oaks Way, Suite 450 Alpharetta, GA 30022 Underwritten by: Infinity Select Insurance Company WAIVER OF SUBROGATION Claims Service: (800) 353-6737 (Copy To I Policy ID Number I Expiration Date 50001616302 09/02/2026 12:01 a.m. City of Santa Ana 20 Civic Center Plz Santa Ana, CA 92701 I Named Insured I Superior Hot Tapping Services Inc This endorsement is attached to and forms a part of the listed policy. No changes will be effective prior to the time changes are requested. In return for your premium payment shown below, we agree that our rights of subrogation or rights of recovery under the policy will not apply against the following person or organization: City of Santa Ana (name of person or organization) Additional premium in the amount of $125.00 will be retained by us regardless of any early termination of this endorsement or the policy. All other policy provisions remain unchanged. ADDL INSURED COPY AMEND DATE: 09/02/2025 50461SWF01 ENDORSEMENT: 1-1 KEMPERAuto COMMERCIAL Customer Service: (800) 722-3391 Copy To City of Santa Ana 20 Civic Center Plz Santa Ana, CA 92701 Kemper Auto Commercial 11700 Great Oaks Way, Suite 450 Alpharetta, GA 30022 Underwritten by: Infinity Select Insurance Company Claims Service: (800) 353-6737 PRIMARY AND NONCONTRIBUTORY ENDORSEMENT Policy ID Number Expiration Date 50001616302 09/02/2026 12:01 a.m. Named Insured Superior Hot Tapping Services Inc This endorsement is attached to and forms a part of the listed policy. The following endorsement applies only if Form Number 500PNCV01 appears on your Declarations Page. This endorsement modifies the insurance provided under your COMMERCIAL AUTO POLICY. PART A — LIABILITY COVERAGE OTHER INSURANCE — PART A ONLY The followina is added to this section: The coverage afforded under your Commercial Auto Policy is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: a. You have agreed in writing in a contractor agreement that the coverage afforded under your Commercial Auto Policy would be primary and would not seek contribution from any other insurance available to such additional insured; and b. Such additional insured is a named insured under such other insurance. ALL OTHER TERMS, LIMITS, CONDITIONS, AND PROVISIONS OF THE POLICY REMAIN UNCHANGED. ADDL INSURED COPY 500PNCV01 AMEND DATE: 09/02/2025 ENDORSEMENT: 1-1 KEMPERAuto COMMERCIAL Customer Service: (800) 722-3391 Kemper Auto Commercial 11700 Great Oaks Way, Suite 450 Alpharetta, GA 30022 Underwritten by: Infinity Select Insurance Company Claims Service: (800) 353-6737 ADDITIONAL NAMED INSURED ENDORSEMENT Copy To Policy ID Number Expiration Date 50001616302 09/02/2026 12:01 a.m. City of Santa Ana Named Insured 20 Civic Center Piz Santa Ana, CA 92701 Superior Hot Tapping Services Inc This endorsement is attached to and forms a part of the listed policy. No changes will be effective prior to the time changes are requested. Additional Insured City of Santa Ana Part A - Liability Coverage, is changed as follows: The definition of insured is changed to include the additional insured named above. Adding an insured will not increase the limit of our liability. The insurance provided by this endorsement will be excess over any other valid and collectible insurance. All other parts of this Policy remain unchanged. ADDL INSURED COPY AMEND DATE: 09/02/2025 50461AIS01 ENDORSEMENT: 1-1 Additional Named Insureds Other Named Insureds Superior Arc Welding Inc Corporation, Insured Multiple Names, on GL UMB/EX, WC Policies I OFAPPINF (02/2007) COPYRIGHT 2007, AMS SERVICES INC I POLICY NUMBER: MP0082001009708 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - (FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Name of Person or Organization: Any person or organization to which you are obligated by virtue of a written contract to provide insurance such as is afforded by this policy, but only with respect to (1) occurrences taking place after such written contract has been executed and (2) occurrences resulting from work performed by you during the policy period, or occurrences resulting from the conduct of your business during the policy period. A person or organization that qualifies as an "insured" under the above paragraph of this Endorsement shall be an additional insured solely with respect to such additional insured's liability for "bodily injury," property damage" or "personal and advertising injury" caused in whole or in part by your acts or omissions in the performance of "your work" for the additional insured on or at "commercial construction projects." For the purposes of this Endorsement, "commercial construction projects" are defined as buildings or structures constructed for commercial use and also includes apartments, hotels, homes for the aged, dormitories or barracks. However, "commercial construction projects" shall not include any building or structure which contains individual owner occupied units or dwellings. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" for that insured by or for you. CG 20 10 11 85 Copyright, Insurance Services Office, Inc., 1984 Page 1 of 1 0 POLICY NUMBER: MP0082001009708 COMMERCIAL GENERAL LIABILITY CG 24 04 10 93 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any person or organization to which you are obligated by virtue of a written contract to provide insurance such as is afforded by this policy, but only with respect to (1) occurrences taking place after such written contract has been executed and (2) occurrences resulting from work performed by you during the policy period, or occurrences resulting from the conduct of your business during the policy period. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV — COMMERCIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products -completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 10 93 Copyright, Insurance Services Office, Inc., 1992 Page 1 of 1 ❑ ENDORSEMENT AGREEMENT BROKER COPY HOME OFFICE SAN FRANCISCO ALL EFFECTIVE DATES ARE AT 12:01 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME WAIVER OF SUBROGATION BLANKET BASIS EFFECTIVE MARCH 15, 2025 AT 12.01 A.M. AND EXPIRING MARCH 15, 2026 AT 12:01 A.M. SUPERIOR HOT TAPPING SERVICES, INC WADE BRUGGER 7923 OLD OAK CT RIVERSIDE, CA 92506 WE HAVE THE RIGHT TO RECOVER OUR PAYMENTS FROM ANYONE LIABLE FOR AN INJURY COVERED BY THIS POLICY. WE WILL NOT ENFORCE OUR RIGHT AGAINST THE PERSON OR ORGANIZATION NAMED IN THE SCHEDULE. THIS AGREEMENT APPLIES ONLY TO THE EXTENT THAT YOU PERFORM WORK UNDER A WRITTEN CONTRACT THAT REQUIRES YOU TO OBTAIN THIS AGREEMENT FROM US. THE ADDITIONAL PREMIUM FOR THIS ENDORSEMENT SHALL BE 2.00% OF THE TOTAL POLICY PREMIUM. (ZrT4FT)TTT F PERSON OR ORGANIZATION ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER JOB DESCRIPTION BLANKET WAIVER OF SUBROGATION 9334957-25 RENEWAL NE 8-56-62-27 PAGE 1 OF 1 NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS OF THIS ENDORSEMENT. COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: 2572 AUTHORIZED REPRESENT IVE SCIF FORM 10217 (REV.7-2014) MARCH 18, 2025 PRESIDENT AND CEO OLD DP 217