Loading...
HomeMy WebLinkAboutCALIFORNIA BARRICADE RENTALS, INC.A-2022-013-02 INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURANCE EXPIRES _ 01,bl1 CLERK OF COUNCIL DATE: AGREEMENT WITH CALIFORNIA BARRICADE RENTALS, INC., TO PROVIDE a-: mP(Awkh q-AP)CZ)TT ON -CALL TRAFFIC CONTROL SERVICES THIS AGREEMENT is made and entered into this 1st day of February 2022, by and between California Barricade Rentals, Inc., dba as California Barricade, a California corporation ("Contractor"), and the City of Santa Ana, a charter city and municipal corporation ,ew organized and existing under the Constitution and laws of the State of California ("City"). 0 s.� RECITALS r-i cc A. On November 2, 2021, the City issued Request for Proposal No. 21-120, by which it sought a qualified contractor to provide on -call traffic control services for the City's Public Works Agency. B. Contractor submitted a responsive proposal that was among those selected by the City. Contractor represents that it is able and willing to provide the services described in the scope of work that was included in RFP 21-120. 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 RFP No. 21-120, which is attached as Exhibit A and incorporated in full, and as further described in Contractor's Proposal, which is attached as Exhibit B and incorporated in full. 2. COMPENSATION a. City neither warrants nor guarantees any minimum or maximum compensation to Contractor under this Agreement. Contractor shall be paid only for actual services performed under this Agreement at the rates and charges identified in Exhibit C. Contractor is one of two (2) contractors selected to provide services on an on -call basis under RFP 21-120. The total annual compensation for services provided by all contractors selected under RFP No. 21-120 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 1 of 10 performance set forth in the Recitals and Scope of Work, which may reasonably be expected by City. SNNESY0 t7u This Agreement shall commence on February 1, 2022 and terminate on January 31, 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 City. 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 1185 or if notavailable, through the addition of both CG 2010, 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. 3. 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 under 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 A:VII, 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. 8. INDEMNIFICATION Contractor agrees to defend, and shall indemnify and hold harmless the City, its officers, agents, employees, contractors, special counsel, and representatives from liability: (1) for personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims for personal injury, including death, and claims for property damage, which may arise from the negligent operations of the Contractor or its subcontractors, agents, employees, or other persons acting 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 minimurn 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: California Barricade Rentals, Inc. 1550 E. Saint Gertrude Place Santa Ana, CA 92705 Attn: Kellie Hurst, Vice President A party may change its address by giving notice in writing to the other party. Thereafter, any communication shall be addressed and transmitted to the new address. If sent by mail, communication shall be effective or deemed to have been given three (3) days after it has been deposited in the United States mail, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent by fax, communication shall be effective or deemed to have been given twenty-four (24) hours after the time set forth on the transmission report issued by the transmitting facsimile machine, addressed as set forth above. For purposes of calculating these 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 that are inconsistent with, or in addition to, the terns and conditions hereof, shall not bind or Page 7 of 10 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 with all applicable federal, state and local laws and regulations. Page 8 of 10 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 fully, including reasonable costs and attorney's fees, for any injuries or damages to City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. b. All exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: _ CITY OF SANTA ANA U,\:'%� Daisy Gomez Kristine Ridge Clerk of the Council City Manager [signatures continued on nextpagel Page 9 of 10 APPROVED AS TO FORM CONTRACTOR SONIA R. CARVALHO City Attorney By: oau 'Mandon Salvatierra Name: Keuie Hurst Deputy City Attorney Title: FOR APPROVAL I A-�G toe' icNabil Saba, PE Executive Director Public Works Agency Page 10 of 10 �,a by T111 A`oRo CERTIFICATE OF LIABILITY INSURANCE °°'"°a°° DATE (MMIDDM YY) 02/17I2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) 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 endoreemen s . PRODUCER ELMCO INSURANCE, INC. 1905 N. Main Street CONTACT ELMCO INSURANCE, INC. PAC, No. Ext : (714) 973-1436 FAX NC. No): (714) 9730811 E-M1VUL wmact@Elmcolnsumnoe.com ADDRESS Santa Ana CA 92706-2779 INSURER(S) AFFORDING COVERAGE NAIC # Agency LiC: 05OS747 INSURER A: SCOTTSDALE INSURANCE COMPANY 41297 INSURED INSURER B: INFINITY SELECT INSURANCE COMPANY 20260 BARRICADE RENTALS INC. CALIF1550 E. SAINT 155D E. SAINT GERTRUDE PLACE INSURER C: TRISURA SPECIALTY INSURANCE COMPANY 16188 INSURER D: STATE COMPENSATION INSURANCE FUND 35076 SANTA ANA CA 92705 INSURER E: WESTCHESTER SURPLUS LINES INSURANCE CO 10172 INSURER F: HISCOX INSURANCE COMPANY INC 10200 COVERAGES CERTIFICATE NUMBER: 70212 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSRE 911R wvu POLICY NUMBER POUCY EFF DAm(m=oNy) POLICY UP DAm(MMa,orM LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR X X BCS0039359 07101121 07/01/22 EACH OCCURRENCE $ 1000000 DAMAGE TO RENTED PREMISES Eaaavrance $ 100000 MEDEXP(Anyoneperson) $ PERSONAL BADV INJURY $ 1000000 GEN'L AGGREGATE LIMIT APPLIES PER: RO ❑ X POLICY ❑ PRO- JECT LOC OTHER: GENERAL AGGREGATE g 2000000 PRODUCTS-COMPIOPAGG $ 2000000 EMPLOYEE BENEFITS $ 1000000 B AUTOMOBILE UMBILTTY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HX NON -OWNED AUTOS ONLY AUTOS ONLY X X 604-61016-8309-001 07/01/21 07/01/22 COMBINED SINGLE LIMIT Ea accide m $ 1,000,000 X BODILY INJURY(Perpown) $ I(RED BODILY INJURY (Per acddent) $ X PROPERTYDAMAGE (Per amderd) $ $ C UMBRELLA UA EXCESS LIAR X OCCUR CLAIMS -MADE TXS0001452-02 07/01/21 07101/22 EACH OCCURRENCE $ 5,000.000 X AGGREGATE $ 5,000,000 IDED1 IRETENTION $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY PRDPRIETOPIPARTr1EWE%ECUTNE YIN OFFICERMEMBFA EXCLUDEDT (Nenaelary In NXl Il yea. aearnbo weer DESCRIPTION OF OPERATIONS babes NIAE.L. X S063608-21 07/01/21 07101122 X FER oTw EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 E F POLLUTION LIABILITY PROFESSIONAL LIABILITY G73640124001 M131-1863490.21 07/01/21 07/01/21 07101/22 07101/22 Each Pollution Conclitic Each Claim n $1,000,000 $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if mare space Is required) See Attached Supplement CERTIFICATE HOLDER CANCELLATION City of Santa Ana Risk Management Division 20 Civic Center Plaza 4th Floor Santa Ana, CA 92702 Attention: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The ACORD name and logo are registered marks of ACORD by Pula Man$e,vnl DiuidaA nI EVEWED R6 APPROJO) By: ` 'I l ___-"aaun7r�agenmru�r.,Iane SUPPLEMENT TO CERTIFICATE OF LIABILITY INS #70212 FEB A7E2022 DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESISPECIAL ITEMS The City of Santa Ana, Risk Management, It's officers, employees, agents, representatives, and volunteers are named as additional Insured per forth CG 20 12 1219 on the GL policy. Primary and Non -Contributory wording applies. Waiver of Subrogation In Favor of The City of Santa Ana per form CG 24 04 12 19. Additional Insured, Primary & Non -Contributory Wording, and Waiver of Subrogation applies per form (50461AIS01, 500PNCV01, 50461SWF01) on the Auto policy. Waiver of Subrogation on the WC Policy per form #10217 Certificate of Insurance shall provide thirty (30) day prior written notice of cancellation per attached form UTS-410g (2-11). Those usual to the insured's operations. Certific POLICY NUMBER: BCS0039359 COMMERCIAL GENERAL LIABILITY CG 20 12 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision: CITY OF SANTA ANA RISK MANAGEMENT DIVISION 20 CIVIC CENTER PLAZA, 4TH FLOOR SANTA ANA, CA 92702 CITY OF SANTA ANA, RISK MANAGEMENT, ITS OFFICERS, EMPLOYEES, AGENTS, REPRESENTATIVES, AND VOLUNTEERS Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section 11 — Who Is An Insured is amended to include as an additional insured any state or governmental agency or subdivision or political subdivision shown in the Schedule, subject to the following provisions: 1. This insurance applies only with respect to operations performed by you or on your behalf for which the state or govemmental agency or subdivision or political subdivision has issued a permit or authorization. However. a. The Insurance afforded to such additional Insured only applies to the extent permitted by law; and b. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional Insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. Page 6 of 11 2. This insurance does not apply to: a. "Bodily injury", "property damage or "personal and advertising Injury"arising out of operations performed for the federal government, state or municipality; or b. "Bodily injury' or "property damage" included within the "products -completed operations hazard". B. With respect to the insurance afforded to these additional insureds, the following Is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of Insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not Increase the applicable limits of insurance. © Insurance Services Office, Inc., 2018 Rwe &Apr B. 00 '- Rizk Man,gn,n,[ClmalAitle COMMERCIAL GENERAL LIABILITY CG 20 01 0413 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 - Rwk Mvmge V� R[we 6Av wSv. %azi Picwe,, CG 20 01 0413 © Insurance Services Office, Inc., 2012 POLICY NUMBER: BGS0039359 COMMERCIAL GENERAL LIABILITY CG 24 0412 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS SCHEDULE Name Of Person(s) Or Organization(s): ANY PERSON OR ORGANIZATION FOR WHOM THE INSURED HAS AGREED TO WAIVE RIGHTS OF RECOVERY, PROVIDED SUCH AGREEMENT IS MADE IN WRITING AND PRIOR TO THE LOSS 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 against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. wa M,& Apm t w� ReNm6AVPxenovm ar: CG 24 04 1219 © Insurance Services Office, Inc., 2018 1.m d Copy Customer Service: (800) 7223391 Infinity Commercial Auto 11700 Great Oaks Way, Suite 450 Alpharetta, GA 30022 Underwritten by: Infinity Select Insurance Company Claims Service: (800)334-1661 ADDITIONAL NAMED INSURED ENDORSEMENT Copy To Policy ID Number Expiration Date 504-61015-8309-001 07/01/2022 12:01a.m. City of Santa Ana Risk Management Divisi Named Insured 20 Civic Center Plaza, 4th Floor Santa Ana, CA 92702 California Barricade Rentals 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 Risk Management Divisi 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. ADDLINSURED COPY 50461AIS01 An �k M.. g ..dl) `. R�E & APVRO Hy. ' END( rsuxr4vMs.,mna�.��,itia� I r7 Customer Service (800) 722-3391 Infinity Commercial Auto 11700 Great Oaks Way, Suite 450 Alpharetta, GA 30022 Underwritten by: Infinity Select Insurance Company PRIMARY AND NONCONTRIBUTORY ENDORSEMENT Claims Service: (800)334-1661 Copy To Policy ID Number Expiration Date 504-61015.8309.001 1 07/01/2022 12:01 a..m. City of Santa Ana Risk Management Divisi Named Insured 20 Civic Center Plaza, 4th Floor Santa Ana, CA 92702 California Barricade Rentals 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 following 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 contract or 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 f Risk Mu ge lD� l ' aFr iAvra�By. EN 111��I aaem.,,,aee��.n o.,m�iadr KEMPERAutoMINFINITY Customer Service: 800.722-3391 Underwritten WAIVER OF SUBROGATION CALIFORNIA Infinity Commercial Auto 11700 Great Oaks Way, Suite 450 Alpharetta, GA 30022 Infinity Select Insurance Compar Claims Service: 600-334-1661 Copy To Policy ID Number Expiration Date California Barricade Rentals Inc 504-61015-8309-001 07/01/2022 12:01 AM 1550 E Saint Gertrude PI Named Insured Santa Ana, CA 92705 California Barricade Rentals Inc Thls endorsement is attached to and forms a part of the listed policy. No changes vAll 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 Risk Management Divisi 20 Civic Center Plaza, 4th Floor Santa Ana, CA 92702 Additional premium in the amount of $25.00 will be retained by us regardless of any early termination of this endorsement or the policy. All other policy provisions remain unchanged. 50461 SWF01 Amend Date: 02/09/2022 _ RENEWED6 Avrawmar: eink 0--,Ad, ENDORSEMENT AGREEMENT WAIVER OF SUBROGATION BLANKET BASIS HOME OFFICE SAN FRANCISCO EFFECTIVE JULY 1, 2021 AT 12.01 A.M. ALL EFFECTIVE DATES ARE AND EXPIRING DULY 1, 2022 AT 12.01 A.M. AT 1201 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME CALIFORNIA BARRICADE RENTALS, INC 1550 E SAINT GERTRUDE PL SANTA ANA, CA 92705 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. I:IM mgifllal PERSON OR ORGANIZATION JOB DESCRIPTION ANY PERSON OR ORGANIZATION BLANKET WAIVER OF FOR WHOM THE NAMED INSURED SUBROGATION HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER 9063608-21 RENEWAL NA 3-67-17-77 PAGE 1 OF 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 RE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS OF THIS ENDORSEMENT. 1 COUNTERSIGNED AND ISSUED AT SAN FRANCISCO- JUKE 8, 2021 lo ,ea./v�/mR16 Marug.1 D'M yJ�//� / IIEVIEPPR: 6 A13 Z I W4�01 l/�"".Y.^I .1�;�tl/�'i.(/ L' /Oit �ILS:OH Immm AUTHORIZED REPRESENT IIVE PRESIDENT AAO CEOR6k�^""�e"�"'a,.;�,ian� SCIP FORM 10217 IREVJ-20141 A� SCOTMALE WaMANCE COMPANY® Attached to and forming a part of Policy No. BCS0039359 Named Insured CALIFORNIA ELT1.a Endorsement Effective Date 07-01-21 12:01 A.M, Standard lime THIS ENDORSEWNT CHANGES THE POLICY. PLEA5E HEAD rr c;AHtrULLY. AMENDMENT OF CANCELLATION NOTICE TO FIRST NAMED INSURED AND SCHEDULED PARTY(IES) The following Conditions are added to the Cancellation Condition: 1. If we cancel this policy for any reason other than nonpayment of premium, we will mail written notice of cancellation to the first Named Insured and to any perty(les) at their designated mailing address(es), shown in the Schedule below, at least 30 days before the effective date of cancellation. 2. If we fail to mail such notice as indicated In 1. above, any coverage afforded to the party(tes) will re- main in effect a. For the number of days shown In 1. above from the date a written notice of cancellation is actually mailed; b. Until the effective date of replacement coverage is obtained elsewhere by the first Named Insured; or m Until the termination date requested by the Named Insured, whichever occurs first SCHEDULE Narne and Address of Party(les): CITY OF SANTA ANA RISK MANAGEMENT DIVISION 20 CIVIC CENTER PLAZA, 4TH FLOOR SANTA ANA, CA 92702 CITY OF SANTA ANA, RISK MANAGEMENT, IT'S OFFICERS, EMPLOYEES, AGENTS, REPRESENTATIVES, AND VOLUNTEERS AUTHORIZED REPRESENTATIVE DATE RW MougonmlDi�, UTS4109 (2-11) Page 1 of 1RenenFn6?n�rrxwmev: ?ateY/btJa, Neared C.Py 2in,PMnz9emneamciititle 11 Presto Date: June11,2021 Subject: Binder Insurance Company: Trisura Specialty Insurance Company (Non -admitted), rated A- VII by A.M. Best Named Insured: California Barricade Rentals, Inc. Mailing Address: Santa Ana, CA Coverage: Excess Liability Occurrence Effective Dates: 7/1/2021-7/1/2022 Policy Number: TXS 0001452-02 Limits: $5,000,000 Each Occurrence $5,000,000 General Aggregate Premium: Premium Excluding TRIPRA $28,500 Premium for TRIPRA $REJECTED Premium Total $28,500 Rate: Flat Charge • Premiums are Minimum and Deposit. • Minimum Retained Premium: 25% Policy Fee: $250 Terms and Conditions Policy Forms: Commercial Excess Liability Declarations Page Forms & Endorsements Schedule Excess Liability Coverage Form Named Insured Endorsement Exclusion- War Liability Exclusion- Organic Pathogen Exclusion- Access or Disclosure of Confidential or Personal Information Exclusion- Silica or Related Dust Exclusion- Recording and Distribution of Material or Information in Violation of Statutes or Common Law Exclusion- ERISA Exclusion- Liability Arising out of Lead Exclusion- Employment Related Practices Exclusion- Uninsured/Underinsured Motorists or No Fault Exclusion- Aircraft Products and Grounding Liability Exclusion- Aircraft Including Unmanned Aircraft Liability Exclusion- Pre Existing Damage Exclusion- Metal Gas Exclusion- Professional Liability/Errors and Omissions "M`8lomm ` ; RE'neL¢D&AFPBovm BY Exclusion- Cross Suits ,r ® %a ;airnear '}Rok Marvgmn,tUaiulAitle 67 Landers Street, San Francisco, CA 94114 �-v Presto Exclusion- Care, Custody or Control- Real or Personal Property Economic and Trade Sanction Clause Exclusion - Intellectual Property Exclusion — Electronic Data & Cyber Risk Unimpaired Aggregate Endorsement Exclusion — Occupational Disease Limitation of Coverage —Underlying Sublimits Endorsement Nuclear Energy Liability Exclusion Endorsement Claims Reporting Notice General Service of Suit Surplus Lines Notification — CA Independent Contractors Restriction Contractors Limitation Endorsement Exclusion- Exterior Insulation and Finish System Exclusion- Residential Construction Exclusion- Subsidence Exclusion- New York Construction or Contracting Exclusion- Tainted Drywall Exclusion- Electromagnetic Fields and Electromagnetic Radiation Exclusion- Communicable Disease Exclusion of Cert'rfied Acts of Terrorism Disclosure Pursuant to Terrorism Risk Insurance Act Nuclear, Biological, or Chemical Exclusion Underlying Schedule: General Liability Carrier: Scottsdale Effective Dates: 7/1/21-22 Limits: $1,000,000 Each Occurrence $2,000,000 General Aggregate $2,000,000 Product/Completed Ops $1,000,000 Personal/Advertising Injury Automobile Liability Carrier: Infinity Effective Dates: 6/20/21-22 Limits: $1,000,000 CSL Employers Liability Carrier: State Fund Effective Dates: 7/1121-22 Limits: $1,000,000 Each Accident $1,000,000 Disease Each Employee $1,000,000 Disease Policy Limit Liability Company: Effective Dates: Limits: Subjectivities: * Subject to Signed ACORD Application. * Subject to Signed Terrorism form. * Furnish copies of underlying policies within 60 days of effective date. * Subject to review and approval of 5 years currently valued, hard copy, company loss runs. * Subject to copies of acceptable MVRs for all auto driven risks. * We will require surplus lines confirmation. Broker will be responsible for al RIA M..ge..dD on taxes. RwanrRRo.RI By. * Flat cancellations are not permitted on any binders. `, ai1l.�:-�'' lost;Dkw r * Binders are subject to the minimum retained premium. mwm RekMa[ugertn,[ Oairzlhtle 67 Landers Street, San Francisco, CA 94114 Presto * Primary carrier(s) must have'A-VI' or better A.M. Best Rating. ' Underlying policies must have defense costs in addition to the limits of liability. * Subject to conditions outlined in proposal. * Copies of all underlying policies to be received within 60 days. * This binder is for informational purposes only. The actual coverages, terms and conditions offered herein may be more restrictive than those requested on your application. Thank you for the bind order. Please let me know if you have any questions or need anything else. Sincerely, Angel Yu Rli M .. ge Df i ,a� i. �nenros Avvxwmev: `'�'—"" arsx ra,,,agent„mn�waa. 67 Landers Street, San Francisco, CA 94114 ,a►co OR CERTIFICATE OF LIABILITY INSURANCE DATE (M/202YYY) 06/242025 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 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 Phone: (714) 973-1436 Fax: (714) 973-0011 CONTACT ELMCO INSURANCE, INC. NAME: ELMCO INSURANCE, INC. PHONE (714) 973-1436 FAX No: (714) 973-0811 636 E CHAPMAN AVENUE we No Ex E-MAIL contact@Elmcoinsurance.com ORANGE CA 92866 ADDRESS: FFORDING COVERAGE NAIC # INSURERS) A Agency Lic#: 0509747 INSURER AIX Specialty Insurance Company 12833 INSURED INSURERS INFINITY SELECT INSURANCE COMPANY 20260 CALIFORNIA BARRICADE RENTALS INC. INSURERC TRISURA SPECIALTY INSURANCE COMPANY 16188 1550 E. SAINT GERTRUDE PLACE INSURERD: STATE COMPENSATION INSURANCE FUND 35076 SANTA ANA CA 92705 SURPLUS LINES INSURANCE CC, 10172 INSURER WESTCHESTER INSURER PACIFIC INSURANCE COMPANY 10046 COVERAGES CERTIFICATE NUMBER: 79915 REVISION NUMBER:1 SUPERCEDES PREVIOUS REVISIONS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS IS ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. NOTWITHSTANDING CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS INSD WVD POLICY NUMBER MMIDD/YYYY MM/DD/YYYY LTR A X COMMERCIAL GENERAL LIABILITY X X L13MO7430800 07/01/25 07/01/26 EACH OCCURRENCE $ 1,000,000 DAMAGE TRENTE $ 100,000 CLAIMS -MADE I� OCCUR PREM SESO(Ea occurence) MED. EXP (Any one person) $ EXCLUDED PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X PRO ❑ LOC POLICY ❑ JECT PRODUCTS - COMP/OP AGG $ 2,000,000 EMPLOYEE BENEFITS $ 1,000,000 OTHER: B AUTOMOBILE LIABILITY X X 50011184701 07/01/25 07/01/26 COMBIidurt)NED SINGLE LIMIT $ (Ea accident) 1000000 X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS X NON -OWNED PROPERTY DAMAGE $ HIRED AUTOS X AUTOS (per accident) X OCCUR TXS000255501 07/01/25 07/01/26 EACH OCCURRENCE $ 5,000,000 C UMBRELLA LIAB X CLAIMS -MADE AGGREGATE $ 5,000,000 EXCESS LAB DED I RETENTION $ $ WORKERS COMPENSATION D X 931316425 07/01/25 07/01/26 X STATUTE ERH AND EMPLOYERS' LIABILITY Y/ N E.L. EACH ACCIDENT $ 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A E.L. DISEASE -EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, descdbe under E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below E POLLUTION LIABILITY G73540124005 07/01/25 07/01/26 Each Pollution Condition $1,000,000 F PROFESSIONAL LIABILITY 010H077065425 07/01/25 07/01/26 Aggregate Limit $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) SEE SUPPLEMENTAL CERTIFICATE INFORMATION Tu Tran Tu Tmn Nguyen, 1:`555°z0°a°Z Nguyen APPROVED By Tu Tran Nguyen at 12:55 pm, Jul 02, 2025 CERTIFICATE HOLDER CANCELLATION City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Risk Management Division THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. 4th Floor AUTHORIZED REPRESENTATIVE Santa Ana, CA 92702 Attention: -,ORD 25 (2014/01) Certificate # 79915 Revision # 1 ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DATE SUPPLEMENT TO CERTIFICATE OF LIABILITY INS # 79915 JUN242025 DESCRIPTION OF OPERATIONS, LOCATIONS, VEHICLES City of Santa Ana, its City Council, its officers, officials, employees, agents, and volunteers are to be covered as additional insureds with respect to liability arising out of work or operations performed by or on behalf of the Permittee including materials, parts, equipment, and personnel furnished in connection with such work or operations per form CG 20 38 12 19, CG 20 37 12-19, & CG 20 12 12-19 on the GL policy. Primary and Non -Contributory wording applies per form CG 20 01 12 19. Waiver of Subrogation in Favor of The City of Santa Ana per form CG 24 04 12-19. Additional Insured, Primary & Non -Contributory Wording, and Waiver of Subrogation applies per forms (50461AIS01, 500PNCV01, 50461SWF01) on the Auto policy. Waiver of Subrogation on the WC Policy perform #10217 Certificate of Insurance shall provide thirty (30) day prior written notice of cancellation per attached form UTS-410g (2-11). Professional Liability - $2,000,000 per occurrence and $2,000,000 aggregate $5,000,000 Excess to follow the GL, AUTO, WC per the attahced Dec Pages. Those usual to the insured's operations. uertmcate ;F 0 POLICY NUMBER: L13 M074308 00 COMMERCIAL GENERAL LIABILITY CG 20 10 12 19 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 Oraanization(s) Any person or organization for whom you are performin operations, when you and such person or organization have agreed in writing in a contract or agreement that such person or organization shall be added as an additional insured on your policy, provided the written contract or agreement is executed prior to the occurrence of any loss. Location(s) Of Covered Operations Various locations per 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) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 2 C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to required by a contract or will pay on behalf of the amount of insurance: :he additional insured is agreement, the most we additional insured is the 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. Page 2 of 2 © Insurance Services Office, Inc., 2018 CG 20 10 12 19 POLICY NUMBER: L13 M074308 00 COMMERCIAL GENERAL LIABILITY CG20371219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETE® OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations Any person or organization for whom you have Various per written contract. performed work, when you and such person or Traffic control operations performed by the named organization have agreed in writing in a contract or insured. agreement that such person or organization shall be added as an additional insured on your policy, provided the written contract or agreement is executed prior to the occurrence�ofany loss.Information re uired to cothis Schedule if not shown above will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. CG 20 37 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 POLICY NUMBER: L13 M074308 00 COMMERCIAL GENERAL LIABILITY CG24041219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS SCHEDULE Name Of Person(s) Or Organization(s): 1. Any person or organization for whom you are performing operations or for whom you have performed work, when you and such person or organization have agreed in writing in a contract or agreement that you will waive any right of recovery against such person or organization, provided such written contract or agreement has been executed prior to the occurrence of any loss 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 against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. CG 24 04 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 COMMERCIAL GENERAL LIABILITY CG2001 1219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the additional insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and CG 20 01 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 Auto Kemper Commercial KEMPE P-1.11700 Great Oaks Way, Suite 450 COMMERCIAL Alpharetta, GA30022 Underwritten by: Infinity Select Insurance Company Customer Service: (800) 722-3391 Claims Service: (800) 353-6737 BLANKET WAIVER OF SUBROGATION ENDORSEMENT Copy To ( Policy ID Number I Expiration Date 50011184701 07/01/2026 12:01 a.m. CALIFORNIA BARRICADE RENTALS, INC. 1550 E SAINT GERTRUDE PL SANTA ANA, CA 92705 Named Insured CALIFORNIA BARRICADE RENTALS, 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. 1. In return for your additional fee shown below, we agree that our rights of subrogation or rights of recovery under your policy will not apply against any person(s) or organization(s): a. For whom you are performing operations; and b. For whom you are obligated by virtue of a written contract or agreement to waive subrogation on your policy. 2. A person's or organization's waiver of subrogation status under this endorsement ends when your operations for that person(s) or organization(s) are completed. Additional fee in the amount of $160.00 will be retained by us regardless of any early termination of this endorsement or the policy. All other terms, and conditions of this policy remain unchanged. 50OBWS01 AMEND DATE: 07/01/2025 ENDORSEMENT: 4-4 COMMERCIAL Customer Service: (800) 722-3391 Copy To Kemper Auto Commercial 11700 Great Oaks Way, Suite 450 Alpharetta, GA 30022 Underwritten by: Infinity Select Insurance Company Claims Service: (800) 353-6737 BLANKET ADDITIONAL INSURED ENDORSEMENT CALIFORNIA BARRICADE RENTALS, INC. 1550 E SAINT GERTRUDE PL SANTA ANA, CA 92705 Policy ID Number Expiration Date 50011184701 07/01/2026 12:01 a.m. Named Insured CALIFORNIA BARRICADE RENTALS, INC. This endorsement is attached to and forms a part of the policy. No changes will be effective prior to the time changes are requested. This endorsement amends the policy as follows. Please read it carefully. The definition of "Insured" is amended to include as an insured any person or organization which you are obligated by virtue of a written contract or agreement to add as an additional insured. Such person or organization is an additional insured only with respect to liability arising out of your ongoing operations performed for the additional insured. There is no coverage for acts or omissions of any additional insured, their agent(s), or their employee(s). A person's or organization's status as an additional insured under this endorsement ends when your operations for that additional insured are completed. 2. The additional insured(s) shall not increase our limits of liability. 3. We will pay damages only if such damages arise out of acts of omission of: a. You; or b. Any other insured except an additional insured added under the terms of this endorsement. We will not pay damages when the damages are caused solely by a person or organization added as an additional insured under the terms of this endorsement, their agent(s), or their employee(s). All other terms, limits, conditions and provisions of the policy remain unchanged. 500BAE01 AMEND DATE: 07/01/2025 ENDORSEMENT: 4-4 KEMPER Auto COMMERCIAL Customer Service: (800) 722-3391 Copy To 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 CITY OF SANTA ANA 20 CIVIC CENTER PLAZA 4TH FLOO SANTA ANA, CA 92702 Policy ID Number Expiration Date 50011184701 07/01 /2026 12:01 a.m. Named Insured CALIFORNIA BARRICADE RENTALS, 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 following 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 AMEND DATE: 07/01/2025 500PNCV01 ENDORSEMENT: 4-1 ENDORSEMENT AGREEMENT WAIVER OF SUBROGATION BLANKET BASIS Page 1 HOME OFFICE SAN FRANCISCO 9313164-25 ALL EFFECTIVE DATES RENEWAL AT 12:01 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT EFFECTIVE July 1, 2025 AT 12:01 AM. Southern PACIFIC STANDARD TIME AND EXPIRING July 1, 2026 AT 12:01 AM 3671777 CALIFORNIA BARRICADE RENTALS INC 1550 E SAINT GERTRUDE PL SANTA ANA, CA 92705-5310 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. PERSON OR ORGANIZATION ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER SCHEDULE JOB DESCRIPTION BLANKET WAIVER OF SUBROGATION NOTHING IN THIS ENDORSEMENT SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS ABOVE STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS IN THIS ENDORSEMENT COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: June 24, 2025 AUTHORIZED REPRESENTATIVE 2572 SCIF FORM 10217 (REV. 4 - 2018) PRESIDENT AND CEO OLD DP 217 POLICY NUMBER: L13 M074308 00 COMMERCIAL GENERAL LIABILITY CG 20 12 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision: 1. City Of Downey And Their Agents, Officers And Employees, Attn: Engineering Division, Po Box 7016 Downey, CA 90241-7016 2. The City Of Huntington Beach, Its Officers, Elected Or Appointed Officials, Employees, Agents And Volunteers 2000 Main Place, Hunti Beach. CA 92648 3. City Of Santa Ana Risk Management Division 20 Civic Center Plaza, 4th Floor, Santa Ana, CA 92702, City Of Santa Ana, Risk Management, It's Officers, Employees, Agents, Representatives, And Volunteers 4. The County Of Los Angeles And Public Entity Or Special District For Which The Los Angeles County Board Of Supervisors Is The Governing Body, And Their Agents Officers And Employees 5. County Of Orange Row Permits, P.O. Box 4048, Santa Ana, CA 92702-4048 6. The City Of Long Beach, It's Boards And Commissions, And Their Officials, Employees, And Agents City Of Long Beach Department Of Public Works, Project Management Division, 411 W. Ocean Blvd, 5th Floor, City Hall, Long Beach, CA 90802 7. The County Of Los Angeles And Public Entity Or Special District For Which The Los Angeles County Board Of Supervisors Is The Governing Body, And Their Agents,Officers And Employees, Shall Be Additional Insured(s) While Acting Within The Scope Of Their Duties Against All Claims Arising Out Of Or In Connection With The Work To Be Performed Department Of Public Works / Land Development Division, Po Box 1460, Alhambra, CA 91802-1460 8. The City Of El Cajon (And/Or The Successor Agency To The El Cajon Redevelopment Agency), And Its (Their) Elected And Appointed Officials, Officers, Employees And Volunteers (For Purposes Of This Policy, Individually And Collectively, The ("City Insured") As Additional Insureds. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. CG 20 12 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION TO DESIGNATED ENTITY(S) This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART LIQUOR LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name of Designated Entity Mailing Address or Email Address Number Days Notice City Of Santa Ana Risk Management 20 Civic Center Plaza, 4th Floor 30 Division Santa Ana, CA 92702 City Of El Cajon 200 Civic Center Way 30 El Cajon, CA 92020 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) If we cancel this policy for any reason other than nonpayment of premium, we will give written notice of such cancellation to the Designated Entity(s) shown in the SCHEDULE. Such notice may be delivered or sent by any means of our choosing. The notice to the Designated Entity(s) will state the effective date of cancellation. Unless otherwise noted in the SCHEDULE above, such notice will be provided to the Designated Entity(s) no more than the number of days in advance of the effective date of cancellation that we are required to provide to the Named Insured for such cancellation. Such notice of cancellation is solely for the purpose of informing the Designated Entity(s) of the effective date of cancellation and does not grant, alter, or extend any rights or obligations under this policy. ALL OTHER POLICY TERMS, CONDITIONS, AND EXCLUSIONS REMAIN UNCHANGED. 801-0332 01 24 Includes copyrighted material of Insurance Services Office, Inc. with its permission. Page 1 of 1 Copyright 2024 The Hanover Atlantic Insurance Company, Ltd. All Rights Reserved. Copyright 2024 AIX Specialty Insurance Company. All Rights Reserved. KEMPERAuto COMMERCIAL Customer Service: (800) 722-3391 Copy To The City of Santa Ana 20 Civic Center Plz, FI 4 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 WAIVER OF SUBROGATION Policy ID Number Expiration Date 50011184701 07/01/2026 12:01 a.m. Named Insured CALIFORNIA BARRICADE RENTALS, 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: The City of Santa Ana (name of person or organization) Additional premium in the amount of $250.00 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: 07/01/2025 50461SWF01 ENDORSEMENT: 4-6