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HomeMy WebLinkAboutP2S, INCANCE ON FILE ,.OA P,IAY PROCEED A-2022-205-01 utillL INSURANCE EXPIRES ,,;.LRN OF COUNCIL DAIS: AGREEMENT WITH P2S, INC., TO PROVIDE ARC FLASH ANALYSIS AND ELECTRICAL SAFETY PROGRAM DEVELOPMENT SERVICES FOR THE CITY OF SANTA ANA p••pw� 0 (fVVAtd°� THIS AGREEMENT is made and entered into on this 18th day of October, 2022 by and between P2S, (Z1( 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"). ev N RECITALS 0 q A. On April 21, 2022, the City issued Request for Proposal No. 22-023, by which it sought a Contractor to provide arc flash analysis and electrical safety program development for the ® Public Works Agency Water Resources Division. 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 22-023. 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 consulting 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 Contractor shall perform the services described in the scope of work that was included in RFP No. 22-023, which is attached as Exhibit A, and as more specifically delineated 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 arc flash analysis and electrical safety program development under RFP 22-023. The total compensation for these services provided by all such contractors selected under RFP 22-023 shall not exceed the shared aggregate amount of Five Hundred Thousand Dollars and Zero Cents ($500,000) during the term of the Agreement, including any extension periods. b. Payment by City shall be made within 45 days (forty-five) 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 performance set forth in the Recitals which may reasonably be expected by City. Page 1 of 9 3. TERM This Agreement shall commence on the date first written above and terminate on October 17, 2025, unless terminated earlier in accordance with Section 16, below. The term of this Agreement may be extended for one (1) two-year period upon a writing executed by the City Manager and City Attorney, 4. PREVAILING WAGES Contractor is aware of the requirements of California Labor Code Section 1720, et seq., and 1770, et seq., as well as California Code of Regulations, Title 8, Section 16000, et seq., ("Prevailing Wage Laws"), which require the payment of prevailing wage rates and the performance of other requirements on "public works" and "maintenance" projects. If the services being performed are part of an applicable "public works" or "maintenance" project, as defined by the Prevailing Wage Laws, and the total compensation is $1,000 or more, Contractor agrees to fully comply with such Prevailing Wage Laws. Contractor shall defend, indemnify and hold the City, its elected officials, officers, employees and agents free and harmless from any claim or liability arising out of any failure or alleged failure to comply with the Prevailing Wage Laws. 5. INDEPENDENT CONTRACTOR Contractor shall, during the entire term of this Agreement, be construed to be an independent contractor and not an employee of the City. This Agreement is not intended nor shall it be construed to create an employer -employee relationship, a joint venture relationship, or to allow the City to exercise discretion or control over the professional manner in which Contractor performs the services which are the subject matter of this Agreement; however, the services to be provided by Contractor shall be provided in a manner consistent with all applicable standards and regulations governing such services. Contractor shall pay all salaries and wages, employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. 6. OWNERSHIP OF MATERIALS This Agreement creates a non-exclusive and perpetual license for City to copy, use, modify, reuse, or sublicense any and all copyrights, designs, and other intellectual property embodied in plans, specifications, studies, drawings, estimates, and other documents or works of authorship fixed in any tangible medium of expression, including but not limited to, physical drawings or data magnetically or otherwise recorded on computer diskettes, which are prepared or caused to be prepared by Contractor under this Agreement ("Documents & Data"). Contractor shall require all subcontractors to agree in writing that City is granted a non-exclusive and perpetual license for any Documents & Data the subcontractor prepares under this Agreement. Contractor represents and warrants that Contractor has the legal right to license any and all Documents & Data. Contractor makes no such representation and warranty in regard to Documents & Data which were provided to Contractor by the City. City shall not be limited in any way in its use of the Documents and Data at any time, provided that any such use not within the purposes intended by this Agreement shall be at City's sole risk. Page 2 of 9 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 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 $1,000,000 per occurrence. If a general aggregate limit applies, either the general aggregatelimit 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. 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. Broader Coverage: 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 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 20 37 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 Page 3 of 9 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 waiverof subrogation, but this provision applies regardless of whether or not the City has received a waiver of subrogation endorsement from the insurer. 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. 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: If any of the required policies provide claims -made coverage: 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. 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. 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 Page 4 of 9 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 the risk, 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, its subcontractors, agents, employees, or other persons acting on its 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 orproperty rights arises by reason of the terms of, or effects arising from this Agreement. City may make all reasonable decisions with respect to its representation in any legal proceeding. Notwithstanding the foregoing, to the extent Contractor's services are subject to Civil Code Section 2782.8, the above indemnity shall be limited, to the extent required by Civil Code Section 2782.8, to claims that arise out of, pertain to, or relate to the negligence, recklessness, or willful misconduct of the Contractor. 9. INTELLECTUAL PROPERTY INDEMNIFICATION Contractor shall defend and indemnify the City, its officers, agents, representatives, and employees against any and all liability, including costs, for infringement of any United States' letters patent, trademark, or copyright infringement, including costs, contained in the work product or documents provided by Contractor to the City pursuant to this Agreement. Page 5 of 9 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 underthis 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 interests and shall not have interests, direct or indirect, which would conflict in any manner with performance of services specified under this Agreement. 13. 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 6 of 9 14. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Contractor, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terms of this Agreement and any attachments hereto, the terms of this Agreement shall prevail. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Contractor. The parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not bind or obligate Contractor or the City. Each party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any party, which is 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 which are the subject to this Agreement performed by City personnel or by other contractors retained by City. 16. 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(s) completed as of such date, and in such case such work product shall be the property of the City unless prohibited by law, and Contractor consents to the City's use thereof for such purposes as the City deems appropriate. b. Payment need not be made for work which fails to meet the standard of performance specified in the Recitals of this Agreement. 17. 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. 18. JURISDICTION - VENUE This Agreement has been executed and delivered in the State of California and the validity, Page 7 of 9 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. 19. 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. 20. 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. 21. 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: Cleric 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 With courtesy copies to: Nabil Saba Executive Director, Public Works Agency City of Santa Ana 20 Civic Center Plaza (M-21) P.O. Box 1988 Page 8 of 9 A-2022-205-01 Santa Ana, California 92702 Fax:714-647-5635 To Contractor: P2S, Inc. Attn: Aravind Barra, Vice -President, Principal 5000 East Spring Street, Suite 800 Long Beach, CA 90815 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 time frames, weekends, federal, state, County or City holidays shall be excluded. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: /Clerk of the Council APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney Bran on Salvatierra Deputy City Attorney RECOMMENDED FOR APPROVAL: KA - ' a ry a Nabil Saba Executive Director Public Works Agency CITY OF SANTA ANA Kristine Ridge City Manager P2S, INC.: Kevin Peterson President + CEO Page 9 of 9 EXHIBIT A CITY OF SANTA ANA RFP NO.: 22-023 ARC FLASH ANAYLSIS AND ELECTRICAL SAFETY PROGRAM DEVELOPMENT Appendix ATTACHMENT 1: SCOPE OF WORK City of Santa Ana RFP 22-023 Arc Flash Analysis and Electrical Safety Program Development Page 13 CITY OF SANTA ANA RFP NO.: 22-023 ARC FLASH ANAYLSIS AND ELECTRICAL SAFETY PROGRAM DEVELOPMENT SCOPE OF WORK A. INTRODUCTION AND BACKGROUND The City of Santa Ana is located in the County of Orange in Southern California. The City encompasses 27.2 square miles and a population over 343,000 people. The City of Santa Ana Public Works Agency — Water Resources Division oversees and maintains the daily operations of the Water System and Sanitary Sewer System. The City of Santa Ana's water system 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 Public Works Agency Water Resources Division is soliciting proposals from qualified industrial firms to provide arc flash analysis and electrical safety program development services that include short circuit analysis, protective device coordination analysis, arc flash hazard analysis, interrupt rating analysis and a customized electrical safety program. B. CONTRACTOR RESPONSIBILITIES The Contractor shall provide all labor, materials, services, and equipment necessary for the complete installation of electrical systems. All work shall be in accordance with applicable trade practices, workmanship, meet warranties and shall conform to all applicable laws, codes and regulations. Business hours are considered from 7:00 A.M. to 5:00 P.M. (Monday through Friday). Any time outside of business hours of operation may be considered after hours/weekends. All work will be scheduled upon confirmation of scope and cost and completed within the time agreed upon for each specific item of work. The Contractor may not begin work before receiving a written Notice to Proceed by the City's Project Manager. All services, equipment and materials provided by the Contractor must be in accordance with all applicable Federal, State and local regulations, laws, and codes. C. SCOPE OF SERVICES The Contractor shall provide all transportation, labor, materials and equipment necessary to provide arc flash analysis and an electrical safety program for the following types of facilities; Water Booster Stations, Sewer Lift Stations, Water Reservoir Sites, Pressure Control Stations, and Water Well Sites. The Contractor shall provide the following scope of services: 1. FIELD COLLECTION OF DATA The Contractor shall perform on -site field collection of the data from the various site locations at the City of Santa Ana. The Contractor shall determine the arc -flash incident energy levels and the flash protection boundary distances for all listed facilities based on the results of the City of Santa Ana RFP 22-023 Are Flash Analysis and Electrical Safety Program Development Page 14 CITY OF SANTA ANA RFP NO.: 22-023 ARC FLASH ANAYLSIS AND ELECTRICAL SAFETY PROGRAM DEVELOPMENT short circuit and coordination studied. In addition, the Contractor shall perform the arc flash analyses under the worst case arc flash conditions and all modes of operation. All necessary information shall be gathered and all electrical systems shall be analyzed from the utility connection point to the equipment connection points. The Contractor's field technicians and service engineers shall perform all work in accordance with the latest National Fire Protection Agency (NFPA) 70E and Institute of Electrical and Electronics Engineers (IEEE) Standard 1584 guidelines. The Contractor shall provide but is not limited to the following services for each facility: Field collection of data on all existing facilities electrical equipment o Assume that any drawings or documentation that exists may or may not aid in the collection or analysis Verify all one line diagrams, if available. If not available, the Contractor the appropriate detailed and accurate one line diagrams. o All discrepancies found in existing one line diagrams shall be City's attention as a drawing markup One line diagram information shall include: o Electrical structures o Voltages at each point o Short circuit available at each point o Horsepower ratings of each motor o City of Santa Ana's standard names of all panels and equipment 2. ARC FLASH ANALYSIS shall generate brought to the The Contractor shall provide an in-depth power systems short circuit, coordination study and arch flash analysis of the City's facilities. The assessment shall include but are not limited to the following: 1. Short circuit study to determine the levels of current that flow in the electrical system under fault conditions. 2. Protective device coordination and interrupt rating studies to determine proper settings of protective devices. The short circuit study and the coordination study shall precede the arch flash analysis. 3. The Contractor shall determine the level of incident energy at each switchboard, motor control center (MCC), panel board, remote terminal unites (RTU), variable frequency drive (VFD) panels and other electrical equipment requiring analysis. Current NFPA and IEEE standards shall be utilized to yield arc -flash hazard results which comply with the latest industry standards. a. Arch flash assessments shall include each operating mode for the power system to ensure correct incident energies are calculated for all system conditions. 4. The Contractor shall determine if the motor control buckets can be hot swapped and indicate as such on the MCC arc flash 70E labels or specify on the general use City of Santa Ana RFP 22-023 Arc Flash Analysis and Electrical Safety Program Development Page 15 CITY OF SANTA ANA RFP NO.: 22-023 ARC FLASH ANAYLSIS AND ELECTRICAL SAFETY PROGRAM DEVELOPMENT electrical safety labels. 5. The Contractor shall perform the arc -flash hazard analysis whenever design implementations occur or circuit power arrangements are changed, 6. The Contractor shall indicate problems discovered while performing the studies and must include the following details: a. Recommendations to mitigate arc flash hazards in all categories b. Identification of circuit protective devices with insufficient interrupt ratings c. Identification of circuits not property coordinated d. One -Line drawings of all equipment surveyed e. Table of calculated arc flash data f. Coordination curves g. And any other pertinent data 7. Arc flash calculations shall be performed on systems above 208/240V downstream of 125kVa and bigger transformers per IEEE 1584. 8. The Contractor shall provide arc flash hazard labels for equipment. The labels provided shall inform workers of the personal protective equipment (PPE) required to work on a given piece of equipment or when the hazard level exceeds a safe work condition following the guidelines below: a. Affix labels to all 70E Rated Category 1 and above electrical fixture and at a minimum the labels should indicate the following: • Arch flash boundary • Restricted approach distance Limited approach distance • Calorie Rating • Normal Voltage • Glove class ■ PPE Category • Incident energy • Upstream over -current protective device • Device name and assessment date • On MCCs, labels should indicated if MCC buckets can be hot swapped 3. ARC FLASH ANALYSIS DELIVERABLES After completion of the arc flash analysis, the Contractor shall provide a complete report for all facilities which shall contain, at a minimum, the following: 1. Background description of the site, objective, and the scope of the study 2. Basis of the analysis 3. Executive summary with conclusions and recommendations (referring to reducing the arc flash hazard category to two or below and any other ways to enhance worker safety) 4. Coordination plots and protective device curves 5. Single -line diagrams City of Santa Ana RFP 22-023 Arc Flash Analysis and Electrical Safety Program Development Page 16 CITY OF SANTA ANA RFP NO.: 22-023 ARC FLASH ANAYLSIS AND ELECTRICAL SAFETY PROGRAM DEVELOPMENT 6. In tabulation format list the following: • Device • Device name • Bus name • Bus kV • Protective • Bus bolted fault • Protective device arc fault • Trip/delay time • Duration of are • Arc type • Arc flash boundary • Working distance • Required limited and restricted approach • Incident energy • Cal/cmz • Conduit sizes • Switchgear data • Required PPE 7. Hazard/Risk categories for the calculated incident energy levels 8. The flash protection boundary of the equipment involved/evaluated 4. CUSTOMIZED ELECTRICAL SAFETY PROGRAM The Contractor shall review the City's existing electrical safety program in APPENDIX A: CITY OF SANTA ANA ELECTRICAL SAFETY PROGRAM and develop an up-to-date electrical safety program complaint with the latest NFPA 70E publications. The Contractor shall incorporate shall include but is not limited to the following elements in the up-to-date safety program: 1. ROLES, RESPONSIBILITIES & AUTHORITIES a. Identifies the roles and responsibilities of parties involved b. Outside contractor obligations in relation to the City's Electrical Safety Program c. Clarification on the difference between unqualified and qualified personnel 2. REQUIREMENTS a. Requirements that will be needed to be in compliance with the latest NFPA 70E and California OSHA regulations 3. PERFORMANCE MONITORING, MEASUREMENT & EVALUATION a. Specification of general work practice controls on energized and de -energized equipment b. Documentation for energized electrical work permit policies and procedures c. Documented protocols for de -energizing and lock out/tag out City of Santa Ana RFP 22-023 Arc Flash Analysis and Electrical Safety Program Development Page 17 CITY OF SANTA ANA RFP NO.: 22.023 ARC FLASH ANAYLSIS AND ELECTRICAL SAFETY PROGRAM DEVELOPMENT d. Document alerting techniques and methods for the notification of approach and flash boundaries 4, PERSONAL PROTECTIVE EQUIPMENT a. Documentation for the use of PPE by qualified employees b. Electrical safety requirements' for any special equipment 8. MAINTENANCE a. Consider the condition of the maintenance of the equipment and its component parts 6. AWARENESS & COMPETENCE a. Document how employees must follow the policies and effectively implement the procedures 7. ELECTRICAL SAFETY PROGRAM CONTROLS a. Document how the Electrical Safety Program shall identify the controls from which it is measured and monitored b. Document which metrics could be used 8. GENERAL RISK ASSESSMENT a. The Electrical Safety Program should identify the steps that employees must take where the risk of injury from electrical hazards are unacceptable 9. JOB BRIEFING a. Specify how the employee shall perform job briefing before starting each job and the potential hazards associated with to discuss in addition to the required PPE and any special precautions. 10. ELECTRICAL SAFETY AUDITING a. Document how the Electrical Safety Program shall be audited to verify that the procedures and principles within the program are in compliance with NPFA 70E. b. Document how field work shall be audited to verify the requirements within the safety program are being followed. 11. TRAINING REQUIREMENTS a. Specify how often employees shall be trained to identify and understand the relationship between electrical hazards and the possibility of injury b. State the types of training that will be required 1) Classroom Arc Flash training ii) Emergency Response Training (contact release, first aid, etc.) iii) Qualification for electrical work c. Training verification and documentation by the employer 12. SUPPORTING FORMS City of Santa Ana RFP 22-023 Arc Flash Analysis and Electrical Safety Program Development Page 18 CITY OF SANTA ANA RFP NO.: 22-023 ARC FLASH ANAYLSIS AND ELECTRICAL SAFETY PROGRAM DEVELOPMENT a. Qualified person verification form b. Qualified person in -field and annual inspection form c. Arch flash and shock risk assessment form d. Job briefing form e. Energized electrical work permit f. Contractor/Host employer checklist form The Contractor shall provide any additional recommendations to be utilized in the City's safety program. 5. ELECTRICAL SAFETY PROGRAM TRAINING The Contractor shall provide training services to promote electrical safety and the proper use of PPE in accordance with guidelines required in arc flash hazards category 0 through category hazard 4 as well as specified in the customized electrical safety program. The Contractor shall prepare training programs containing but not limited to the following subjects and conduct training annually or upon request: 1. INTRODUCTION i) Terms and definitions (70E and OSHA) ii) Hazards of Electricity 1. Shock 2. Arc 3. Blast 2. PERFORMING AN ELECTRICAL HAZARD ANALYSIS 1) Determining nominal voltage ii) Shock Approach Distances ii!) The Arc Flash Boundary iv) Determining PPE if no Are Flash Hazard Analysis is performed v) How to choose PPE based on the hazard vi) Hazard vs. risk 3. PERSONAL PROTECTIVE EQUIPMENT (PPE) i) Inspection, maintenance and testing of I. Head and hearing protection 2. Eye and face protection 3. Hand and foot protection ii) Arc flash protection iii) Types of clothing iv) Use of dielectric footwear v) Rubber protective equipment vi) Gloves vii) Blankets and shields viii)Using the NFPA 70E tables properly City of Santa Ana RFP 22-023 Arc Flash Analysis and Electrical Safety Program Development Page 19 CITY OF SANTA ANA RFP NO.: 22-023 ARC FLASH ANAYLSIS AND ELECTRICAL SAFETY PROGRAM DEVELOPMENT ix) Determining the correct arc rating of PPE x) Using NFPA 70E Annex H, "Guidance on Selection of PPE" 1. Simplified two -category system 2. Guidance on selection of PPE when an Arc Flash Hazard Analysis is performed 3. Use of 8 and 40 cal/cm2 PPE 4. ENERGIZED WORK i) Energized electrical work policy ii) Guarding energized electrical equipment iii) Energized Electrical Work Permits 1. Exceptions (il) Establishing a safe work zone 5. DE -ENERGIZED WORK i) Placing equipment in an Electrically -Safe Work Condition ii) Lock Out/Tag Out (LOTO) iii) Switching procedures iv) Clearance orders v) Safety Electrical One -Line Diagrams vi) Identifying "Look -Alike" equipment vii) Use of voltage detection equipment 1. Selection of the proper voltage tester 2. Limitations of common voltage testers 3. Verifying meter operation before use 4. Choosing the correct PPE 5. Safe operation and use 6. Verifying meter operation after use 7. Induced voltages vs. bark feeds 8. Testing taped connections 9. Specific Equipment Hazards a, Circuit breakers and switches b. Transformers c. Instrument transformers 6. HANDS-ON SESSIONS i) Inspecting PPE and insulated tools ii) Interpreting Arc Flash Hazard Labels iii) Proper use of the NFPA 70E Tables and Standards iv) Performing a job hazard analysis (JHA) v) Qualified Person Training on Electrical Safe Work Practices & Arc Flash per OSHA and NFPA 70E specifications vi) Choosing and using voltage detection equipment D. CODE COMPLIANCE City of Santa Ana RFP 22-023 Arc Flash Analysis and Electrical Safety Program Development Page 20 CITY OF SANTA ANA RFP NO.: 22-023 ARC FLASH ANAYLSIS AND ELECTRICAL SAFETY PROGRAM DEVELOPMENT All materials and workmanship shall be in strict conformity with standards of the latest editions including revisions of the following: • Institute of Electrical and Electronics Engineers (IEEE) • National Electrical Code (NEC) standards • National Fire Protection Agency (NFPA) • American Society of Testing and Materials (ASTM) • International Electrical Testing Association (NETA) • State Department of Industrial Safety (CAL/OSHA) E. PROJECT MANAGEMENT AND COORDINATION 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, contract agreement number, results and progress on long-term tasks if any. F. VALUE ADDED RELATED SERVICES The Contractor may propose additional related services that the City has not specifically identified in this RFP to accomplish the stated goals of this RFP. Value added related services will be 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. G.SUBCONTRACTORS The use of Subcontractors is allowed, but will require approval by City prior to start of any assigned work, Upon commencement of work, the Contractor shall be responsible for services provided by any subcontractor as if Contractor were providing the services with its own organization. When a Subcontractor performs all or any part of the work, a markup shall be applied to the Subcontractor's actual cost of such work. The Contractor may add a markup of 10 percent on the first $5,000 of the subcontracted portion of the extra work and a markup of 5 percent on work added in excess of $5,000 of the subcontracted portion of the work may be added by the Contractor. 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): City of Santa Ana RFP 22-023 Arc Flash Analysis and Electrical Safety Program Development Page 21 CITY OF SANTA ANA RFP NO.: 22-023 ARC FLASH ANAYLSIS AND ELECTRICAL SAFETY PROGRAM DEVELOPMENT 1) Labor................................................................................................20 2) Materials. ....... ... — ................... ................. ....... ...... ....................... 15 3) Equipment Rental—, ...... — .... ... .... ..... ............................................ 15 4) Other Items and Expenditures.......................................................... 15 I. MINIMUM QUALIFICATIONS The Contractor shall meet the following minimum qualifications: 1. All work is to be performed in compliance with all applicable codes, ordinances, laws, standards, due care, and Occupational Safety and Health Administration (OSHA) safety requirements. 2. The Contractor shall have a minimum of five (5) years of experience in providing industrial control panel building services. 3, The Contractor shall possess state and local permits, licenses and certificates required by law to commence, carry, and complete the work. 4. Provide all necessary equipment to competently perform and complete work as specified. J. SAFETY Proposer 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. These requirements shall apply continuously until the contract is terminated and shall not be limited to normal working hours. The Contractor/Consultant shall assure that each employee or subcontractor under the contractor's supervision is trained in the work practices necessary to safely perform his or her job. K. 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. L. FEE SCHEDULE Contractor shall submit a fee schedule as described in Section IV.B.3 of RFP. No separately stated freight or deliveries will be considered. Bidders shall include all costs in the unit price bid. City of Santa Ana RFP 22-023 Arc Flash Analysis and Electrical Safety Program Development Page 22 CITY OF SANTA ANA RFP NO.: 22-023 ARC FLASH ANAYLSIS AND ELECTRICAL SAFETY PROGRAM DEVELOPMENT Furthermore, the Contractor shall submit additional labor, material and rental equipment rates along with fee schedule. Contractor's labor and equipment rate sheet shall list rates for all labor designations, equipment, rentals, and materials. The bid items specified in the fee schedule are for reference purposes only. 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: ---End of SCOPE OF WORK Section... Cityof Santa Ana RFP 22-023 Arc Flash Analysis and Electrical Safety Program Development Page 23 EXHIBIT B 5000 EAST SPRING STREET, SUITE 800 LONG BEACH, CA 90815 P2SINC.COM City of Santa Ana Public Works Agency Arc Flash Analysis And Electrical Safety Program Development STATEMENT OF QUALIFICATIONS ENGINEERING SERVICES RFP NO.: 22-023 JUNE 2. 2022 p2S ENG June 2, 2022 Attn: Armando Fernandez, Project Manager City of Santa Ana Subject: Arc Flash Analysis And Electrical Safety Program Development Public Works Agency RFP NO.: 22-023 220 S. Daisy Avenue, Bldg A Dear Selection Committee, Santa Ana, CA 92703 Thank you for this opportunity to submit our proposal and qualifications to provide electrical engineering services for an Arc Flash Analysis And Electrical Safety Program Development for equipment assets owned and operated by the City of Santa Public Works Agency. We have reviewed the RFP and are confident that 132S has the history and experience in performing these studies and analysis, and that our selected team of engineers will complete the tasks listed on the RFP on time and in accordance to your standards. P2S is familiar with water facilities. We've worked with different authorities and municipalities since 2005, on projects including arc flash analyses and studies, as well as electrical systems design. Our engineering staff includes a licensed water treatment and distribution operator (T2 and D2) who has worked in water operations for more than 10 years. Additionally, P2S has been providing engineering design and services for over 31 years. These include arc flash studies for the Palmdale Water District, City of Anaheim Water Department, and Elsinore Valley Municipal Water District, as well as power system upgrades for many municipal, industrial and education clients. The team selected for this project are responsive and dedicated to support your staff. Agreement Statement P2S has only one concern regarding the provisions contained in the standard agreement. On item 7 e (4), P2S can only provide additional insured endorsements on general liability and automobile policies. We cannot add others to our professional liability or workers' compensation insurance. Otherwise, P2S is prepared to execute the contract as written. We sincerely believe you will find that P2S has the right people, expertise, and track record to become a valuable engineering partner for the City of Santa Ana Public Works Agency. Sincerely, J4* Aravind Batra, PE, LEED AP, LC 132S Inc. Vice -President, Principal 5000 East Spring Street, Ste 800 Q 564.497.2999 P2SINC.CONI Long Beach. CA 90815 Section 1 C Firm and Team Experience TE4M EXPEPIE'I--E P2S INC. ORGANIZATION CHART The organization chart below shows the key personnel that comprise our team. Individual resumes for each team member are also included on the following pages with relevant project experience. ARAVIND BATRA PE, LC, LEED AP BD+C Principal in Charge, Senior Electrical Engineer Availability: 10% MARCO CABIBBO PE, LEED AP BD+C Senior Electrical Engineer Quality Control Availability: 30% DANIELIHLENFELDT PE, LEED AP BD+C Project Manager, Electrical Engineer Availability: 50% HAMPTON TEDDER ELECTRIC AARON CHEE PE, LC, LEED AP BD+C Senior Electrical Engineer Availability: 30% 4 PHONE FAX (909) 628-1253 AI I II II I II (I I I II �I II II II II �I (I r�I II �1I I III (11� � (909) 628-6375 High Voltage u Emergency Response Teams ... Will Economically Solve Your Power Failure Problems and Restore Your Electrical Service in a Minimum of Down Time! "Recognized as the leading Experts in Nigh Voltage for 46 Years" Partial List of Satisfied Customers • RMI Utility Services • Arco Refinery • Mammoth Mountain Ski • Knotts Berry Farm • City of Vernon • St. Bernardino Hospital • USC Medical Center • Warner Bros. Studio • Saddleback Community College • Northrop Aircraft • So. California Edison • Pomona Valley Hosp. • Tamco Steel • Anaheim School District • Nevada Power Co. • City of Pasadena oursetuiceslnclude,Is 489to5oo,988FOR$ 24•Hour Emergenet Response Teams (909) 628-1253 • Certified High Voltage Cable Splicers, Cable Fault Locators and Troubleshooters. • Vehicles stocked with High Voltage components for immediate installation. • High and Low Voltage Cable — IN STOCK! • Transformers, Switches, Circuit — IN STOCK! • Emergency Generators —IN STOCK! • Quick Response Times, Quality Work,Competitive Pricing. Construction Turn key installations of underground and overhead electrical distribution systems. Design and installation Montclair, CA SLncp�1958 (909)628-1253 4571 State Street Montclair, CA 91763 HIGH VOLTAGE ELECTRICAL SPECIALISTS 480 Volts to 500.000 Volts Maintenance Testing & Engineering No Outage — Maintenance Services Maintenance & testing for: Transformers, Switchgear, Motors, Circuit Breakers, Oil Analysis, P.C.B's, Infrared surveys. Certified Test Technicians Using Calibrated Equipment Protective Relay Calibration & Acceptance Testing. Ground Fault Protection Certification. Protective Device Coordination Studies, Single Line Diagrams and Short Circuit Analysis. LOCATIONS MONTCLAIR, CA - Corporate Headquarters LAS VEGAS, NV PHOENIX, AZ ALBUQUERQUE. NM TEAM EXPERIENCE P2S INC. EDUCATION BS, Electrical Engineering, Bangalore University, India REGISTRATIONS Electrical Engineer, California, E16609 CERTIFICATIONS LC Credential, National Council on Qualifications for the Lighting Professions (NCQLP) • LEED Accredited Professional AFFILIATIONS • AEE • IEEE • IESNA • USGBC CITY OF SANTA ANA PUBLIC WORKS ARC FLASH ANALYSIS 6 ELECTRICAL SAFETY PROGRAM ARAVIND BATRA PE, LC, LEED AP BD+C Principal in Charge, Senior Electrical Engineer I P2S Inc. Aravind Batra has over 25 years of experience in consulting engineering covering both renovation and new construction. He currently serves as Vice President where he helps to continuously assure P2S quality standards. Aravind brings an in-depth knowledge of electrical systems and their requirements to numerous needs assessments, systems upgrades, renovations and new building projects for various educational, municipal, commercial and industrial clients. He is also responsible for the design of numerous high performance buildings, independent reviews of various types of buildings, and providing peer review on various renovations and new buildings projects for educational, industrial and commercial facilities. Aravind has been involved with developing sustainability master plans for various clients addressing their energy efficiency opportunities, their facilities impact on the atmosphere, sustainable sites, water use efficiency, waste management and high-performance green building issues. He has also been instrumental in developing electrical standards for various facilities that promote energy efficient designs and help the clients standardize their systems and equipment to reduce operational and maintenance costs. RELEVANT PROJECT EXPERIENCE Port of Long Beach Electrical Design Guidelines Long Beach, CA • Port of Long Beach Pier E Transload Equipment Power Long Beach, CA LA Southwest College High Voltage Maintenance Arc Flash Study Culver City, CA City of Monrovia Arc Flash Study Monrovia, CA • UC Davis Medical Center Coordination and Arc Flash Study Sacramento, CA • Cal Poly Pomona Coordination and Arc Flash Study Pomona, CA • Crafton Hills College Coordination and Arc Flash Study Yucaipa, CA • LA Southwest College Switchgear Maintenance and Arc Flash Study Los Angeles, CA • San Bernardino Community College District Arc Flash Study Yucipia, CA • CSU Monterey Bay Arc Flash Study Monterey Bay, CA TEAM EXPERIENCE P2S INC. EDUCATION BS, Engineering, Harvey Mudd College, Claremont, CA, 2011 REGISTRATIONS Electrical Engineer, California, E21072 Electrical Engineer, New Mexico, 26253 CERTIFICATIONS LEED Accredited Professional, Building Design + Construction (LEED AP BD+C) AFFILIATIONS • Institute of Electrical and Electronics Engineers (IEEE) • Tau Beta Pi, Engineering Honor Society CITY OF SANTA ANA PUBLIC WORKS ARC FLASH ANALYSIS S ELECTRICAL SAFETY PROGRAIA DANIEL IHLENFELDT PE, LEER AP BD+C Project Manager, Electrical Engineer I P2S Inc. Daniel Ihlenfeldt is a professional electrical engineer with six years of experience including power, analog and digital electronics, cryogenic and high-pressure engineering systems. He has experience with load flow calculations, shore power outlet design and ductbank and power routing for the Port of Long Beach and has performed transformer evaluation, site electrical model development and protection coordination studies for university campus electrical upgrades. Daniel has designed underground electrical systems including conduit sizing, conduit fill calculations and voltage drop considerations. For industrial construction projects, he has designed 480V and 208/120V distribution systems including load balance calculations, short circuit fault current calculations, circuit protection equipment and conductor sizing calculations. He has provided electrical drawings for plan submittals to government building plan and fire safety plan offices, as well as outdoor lighting design for medical campus substation upgrades. RELEVANT PROJECT EXPERIENCE • City of Corona Medium Voltage Distribution System Evaluation Corona, CA • Relativity Space Arc Flash Study Long Beach, CA • UC Irvine Primary Electrical Upgrade Irvine, CA • UC Davis Central Plant 12kV Switchgear Upgrades Davis, CA Loma Linda University Medical Center Unimed Substation Upgrade Loma Linda, CA • Port of San Francisco Pier 70 Ship Yard San Francisco, CA • Powerflex EV Charging Stations Los Angeles, CA • Confidential Client Moffett Airfield Electrical Infrastructure Mountain View, CA • NAVFAC Hawaii PMRF-P416 Naval Facility Power Grid Consolidation Kauai, HI • UC Irvine Medical Center OSPHD Central Plant Expansion/ Emergency Power Upgrades Irvine, CA TEAM EXPERIENCE P2S INC. EDUCATION MS, Electrical Engineering, CSU Long Beach BS, Electrical Engineering, Cal Poly Pomona REGISTRATIONS Electrical Engineer, California, E17508 Electrical Contractor, California, C10 658090 CITY OF SANTA ANA PUBLIC \NORKS ARC FLASH ANALYSIS 6 ELECTRICAL SAFETY PROGRAM MARCO CABIBBO PE Senior Electrical Engineer, Quality Control I P2S Inc. Marco Cabibbo is an electrical engineer with over 30 years of experience specializing in industrial power systems and instrumentation, and control system design. His experience includes research, design, engineering, construction administration, and project management for an extensive range of facilities including water/wastewater treatment plants, petrochemical refineries, bulk loading plants, motion picture studios, health care and educational facilities. Marco strives to deliver top -tier projects through close collaboration with project stakeholders and equipment manufacturers as well as his extensive field experience in construction, troubleshooting, maintenance and repair. He is a PE, electrician and licensed electrical contractor, certified Grade 2 water treatment and water distribution system operator, and real-time power utility systems operator. Water Treatment Operator RELEVANT PROJECT EXPERIENCE Grade 2, 20440 • Elsinore Valley Municipal •City of Monrovia Water Distribution Operator Water District Arc Flash Study Grade 2, 9011 Arc Flash Risk Assessment Monrovia, CA AFFILIATIONS Lake Elsinore, CA • IEEE • South Coast Water District • AWWA • Port of Long Beach Arc Flash Study Infrastructure Assessment Orange, CA • ISA Long Beach, CA • WEF • Palmdale Water District • IASHEP • Port of Los Angeles Arc Flash Study Distribution Center Medium Voltage Palmdale, CA Infro Upgrades San Pedro, CA • Electrical Training Institute Arc Flash Study • City of Monterey Park Commerce, CA Water Utility Well & Booster Station Electrical Upgrades • pacific Data Electric Monterey Park, CA Arc Flash Study Commerce. CA • City of Anaheim Water Department • TECOM Industries Arc Flash Analysis Arc Flash Study Anaheim, CA Thousand Oaks, CA E TEAM EXPERIENCE P2S INC. EDUCATION CITY OF SANTA ANA PUBLIC WORKS ARC FLASH ANALYSIS & ELECTRICAL SAFETY PROGRAM AARON CHEE PE, LC, LEED AP BD+C Senior Electrical Engineer I P2S Inc. Aaron Chee has provided electrical designs on a wide variety of education facilities. His responsibilities have included power and lighting designs, fire alarm systems, construction support, lighting photometric studies, breaker coordination studies, arc flash studies, power system field surveys, and cost estimates. BS, Electrical Engineering, Aaron's roles have included serving as a project manager, construction California State University administrator and the lead electrical design engineer on several large building Long Beach projects. As a construction administrator, his duties included conducting REGISTRATIONS construction meetings, creating change proposals, submittal reviews, coordination between owner and contractor and technical support. Aaron Electrical Engineer, strives to provide electrical designs that are energy efficient, cost effective, on California E21080 schedule and meet the client's needs. CERTIFICATIONS • LEED AP BD+C RELEVANT PROJECT EXPERIENCE • LC Credential (NCQLP) • City of Monrovia • Palmdale Water District AFFILIATIONS Arc Flash Study Arc Flash Study IEEE Monrovia, CA Palmdale, CA • UC Davis Medical Center • University of Nevada, Reno Coordination and Arc Flash Study Environmental Research Facility Sacramento, CA Renovation Reno, NV • Cal Poly Pomona Coordination and Arc Flash Study Pomona, CA • Crofton Hills College Coordination and Arc Flash Study Yucaipa, CA • LA Southwest College Switchgear Maintenance and Arc Flash Study Los Angeles, CA • South Coast Water District Arc Flash Study Orange, CA • San Diego State University Campus Wide Electrical System Assessment San Diego, CA • Aberdeen Proving Grounds Load Flow and Short -Circuit Study Aberdeen, MD • Santa Monica College Math and Science Building Santa Monica, CA N Section ld Understanding Scope of Services UNDERSTANDING SCOPE OF SERVICES P2S INC. UNDERSTANDING SCOPE OF SERVICES The following will be our methodology and approach in executing the proposed Arc Flash Analysis project: GATHERING INFORMATION S PROVIDING RECOMMENDATIONS P2S team will review available record drawings, single line diagrams related to existing site and building systems that are provided as part of the RFQ to determine the project's existing conditions pertaining to the scope of work. A detailed site investigation will then be performed with Hampton Tedder Electrician and Santa Ana Public Works staff to verify all existing site conditions, circuit breaker settings, fuse ratings and check for inconsistencies with code requirements and the aging of any equipment prior to commencing any assessment. All project scope associated equipment like panelboards, switchboards, motor control centers, associated equipment will be surveyed and feeder lengths will be estimated based on engineering judgment and field verification. P2S will coordinate shut down requirement and possibilities with the City staff and utility before the site survey. MODELING AND ANALYSIS P2S team will gather all the information surveyed from the site visit and prepare single line diagrams in ETAP and AutoCAD showing all the information requested in the RFQ. The modeling process can be done simultaneously while the site visits are conducted to expedite the process. P2S will also coordinate with the City to obtain utility contribution information for each site. We understand that obtaining this information may take longer and P2S will work closely with the City account representative and staff to expedite the process. Once the electrical calculation model is completed and finalized, P2S will perform Short Circuit/Coordination and Arc Flash study of oil investigated electrical equipment using the created model. This will include preparing time current curves, performing selective coordination for all electrical equipment, calculating incident energy and arc flash boundaries. Based on the short circuit study, P2S will provide a report showing the existing interrupting ratings of all the equipment and provide recommendations for any upgrades required to the system. Based on the coordination study, P2S will provide a report showing the time current curves for all the electrical equipment and provide recommendations for any settings that will need to be changed to achieve desired coordination between overcurrent protective devices in the system. Based on the arc flash study, P2S will provide a report showing the incident energy levels, arc flash boundaries, approach distance, and the required PPE to operate the equipment. 3"x6" Vinyl Arc Flash labels will be provided per IEEE 1584-2018. Labels will contain all information required by Code and RFQ. P2S will prepare as -built ETAP and AutoCAD single line diagrams and provide a copy to the City staff for future use. An NFPA 70E training to maintenance, facilities and other affected staff will be provided on how to interpret the Arc Flash labels. A custom safety program compliant with the current NFPA 70E code will be provided. P2S recognizes that each client and each project have their specific requirements. As such, we will work closely with the City staff to understand the issues before developing workable and cost-effective solutions. Recommended approaches and solutions will be discussed with the staff throughout the study and design phases. P2S will participate in the City staff's meetings and provide updates of the project. 11 Section le Relevant Project Experience RELE`/4 `IT PROJ ECT ARC FLASH PROJECT EXPERIENCE City of Anaheim Water Department, Arc Flash Study The City of Anaheim turned to P2S for a short circuit analysis, protective device coordination and Arc Flash study. The project involved visiting all 21 identified locations and collecting the appropriate data, developing flash protection boundaries for each class of equipment, establishing personal protective equipment (PPE) requirements for each class of equipment, and labeling for each class of equipment. The safety signage included voltage shock hazard, flash hazard boundary, incident energy, PPE level, limit shock approach boundary, and restricted shock approach boundary. Recommendations were compliant with NFPA 70E-2018 requirements. P2S provided training to facility staff. PROJECT DATES: June 2018- December 2018 OWNER CONTACT: Jon Sonks, Environmental Services Manager 714.765.4117, jsanks@ancheim.net Palmdale Water District, Arc Flash Study PROJECT OWNER: City of Anaheim PROJECT TEAM: Aravind Batra, Principal -in -Charge Marco Cabibbo, PM, Electrical Engineer 132S provided electrical engineering services for the Palmdale Water District which included a short circuit, protective device coordination, and Arc Flash Study for 23 groundwater wells and 7 booster pumping stations. Recommendations were compliant with NFPA 70E-2018 requirements. P2S provided training to facility staff. PROJECT DATES: August 2020- December 2022 PROJECT TEAM: PROJECT OWNER: Palmdale Water District Aravind Batra, Principal -in -Charge OWNER CONTACT: Marco Cabibbo, PM, Electrical Engineer Scott L. Rogers, PE, Engineering Manager Aaron Chee, Power Systems Engineer 661.456.1020, srogers@palmdalewater.org Water Facilities Authority, Arc Flash Study P2S performed a comprehensive Arc Flash Analysis for the Water Facilities Authority in Upland, CA. We collected the appropriate data, developed flash protection boundaries for each class of equipment, established personal protective equipment (PPE) requirements for each class of equipment, and safety signage and labeling for each class of equipment. The safety signage and labeling included voltage shock hazard, flash hazard boundary, incident energy, PPE level, limit shock approach boundary, and restricted shock approach boundary. Our recommendations met the prevailing NFPA 70E requirements, compliant with applicable OSHA regulations and IEEE standards. PROJECT DATES: October 2019- March 2020 PROJECT TEAM: PROJECT OWNER: Upland Water Facilities Authority Aravind Batra, Principal -in -Charge OWNER CONTACT: Marco Cabibbo, PM, Electrical Engineer Jake Stepp, Operations Superintendent 909.981.9454 ext.21, jstepp@wfojpa.org 13 _E`i4`iT PROJECT EX P,IPNCE - ARC FLASH PROJECT EXPERIENCE Elsinore Valley Municipal Water District, Arc Flash Study To assist Elsinore Valley Municipal Water District in its mission of providing customers with safe, affordable water, P2S provided an Arc Flash Risk Assessment of electrical distribution equipment at over 158 district sites. Our team created a Short Circuit Contribution Report, an Overcurrent Protective Device Coordination Study, an Arc Flash Risk Mitigation Report and a final Arc Flash Risk Assessment Report for the district. We will be conducting (1) 3-hour Arc Flash and Shock Hazard Electrical Safety training session for district electrical and maintenance personnel. Our team collected data, verified equipment in the field, created one -line diagrams and safely obtained equipment information for: distribution equipment types and ratings, conductor sizes, conductor lengths, overcurrent protection, and transformer ratings and impedances. We created power system study models in ETAP, based on the field surveys and verified as-builts. We modeled and analyzed switching configurations for the most conservative results for Short Circuit, Coordination, and Arc Flash. We are now in the final stages of the project as we coordinate with Southern California Edison to obtain the utility's contribution to fault current to complete our final analysis. P2S provided training to facility staff. PROJECT DATES: January 2017- Ongoing PROJECT OWNER: Elsinore Valley MWD OWNER CONTACT: PROJECT TEAM: Jon Moore CHST Safety Technician Aravind Batra, Principal -in -Charge 951.674.3146 x8311, jmoore@evmwcl.net Marco Cabibbo, PM, Electrical Engineer Cal Poly Pomona, Arc Flash, Short Circuit and Coordination Studies P2S provided electrical engineering services for campus -wide arc flash, short circuit and coordination studies in accordance with IEEE 1584, NFPA 70E and NEC from the incoming medium voltage utility service down to low -voltage panels. The purpose of the study was to develop a computer model using Electrical Transient and Analysis Program (ETAP) based on the existing single line diagrams, and data gathered during a field survey of the existing equipment ratings, protective device settings and feeder sizes and lengths. The model has used by the program to calculate the system available fault currents and incident energy levels due to arc flash at each of the medium and low voltage distribution panels and prepare device coordination curves for evaluating the existing overcurrent device settings for coordination with upstream and downstream protective devices. The results of the electrical system analysis were used to make recommendations for improved system coordination and arc flash mitigation measures. P2S also provided labels for the medium and low voltage electrical distribution equipment such as medium and low -voltage switchgear, load interrupter switches, MCC and low - voltage panels. P2S provided training to facility staff. PROJECT DATES: February 2015- April 2016 OWNER CONTACT: George A. Lwin, Manager, Energy Services galwin@cpp.edu, 909.869.3034 PROJECT OWNER: Cal Poly Pomona University PROJECT TEAM: Aravind Batra, Principal -in -Charge Marco Cabibbo, PM, Electrical Engineer Aaron Chee, Power Systems Engineer N SAMPLE ARC FLASH & COORDINATION STUDIES City of Anaheim » Water Department Arc Flash Analysis City of Monrovia » Arc Flash Study Elsinore Valley Municipal Water District » Arc Flash Risk Assessment City Light and Power, Moreno Valley, CA » Short Circuit and Coordination Study at MRAB Cal Poly Pomona » Arc Flash, Short Circuit and Coordination Study » Medium Voltage Electrical Infrastructure Upgrades CSU Fullerton » Engineering Switchboard Arc Flash, Short Circuit and Coordination Study CSU San Bernardino » Arc Flash Study, Short Circuit and Coordination Study for CSUSB Palm Desert Campus CSU Long Beach » Arc Flash Study, Short Circuit and Coordination Study CSU Northridge » Arc Flash Study, Short Circuit and Coordination Study Certified Alloy Products » Arc Flash Study, Short Circuit & Coordination Study Chapman University » Arc Flash, Short Circuit and Coordination Study for Campus -wide 12kV Distribution Craf ton Hills College » Campus -wide Arc Flash, Short Circuit and Coordination Studies Disney Studios » Burbank Studio Lot Arc Flash Study » Prospect Studios Lot Arc Flash Study Loyola Marymount University » New Science Building Short Circuit, Coordination and Load Study » Medium Voltage Switch Short Circuit, Coordination and Load Study Redwood City Electric, Inc. » SAVVIS SC9 Arc Flash Analysis Sony Pictures Entertainment » Arc Flash Study Spectrolab » Site -wide Arc Flash Study San Bernardino Community College » Campus -wide Arc Flash, Short Circuit and Coordination Studies Rhodia Chemical Plant, Wilmington, CA » Dominguez Plant Arc Flash Study Swift Transportation Corporation » Arc Flash Study The Boeing Company Long Beach B47, B52, B74, B75, B78, B98, B800, B801, B802, C13, Douglas Center, Fitness Center Arc Flash and Coordination Studies, Douglas Center Garden Grove Arc Flash Study » Huntington Beach B16, B17, B20, B21, B22, B28, B30, B31, B32, B33, B37, B38, B39, B40, B41, B42, B43, B44, B45, B45B, B49, B51, C13 Arc Flash and Coordination Studies » Huntington Beach Site Arc Flash Study » El Segundo SS01, SS02, SS06, SS07, SS08, SS09, SS14, SS15, SSSA, SSSB, S03B, 513, 525, 537, » S49, S50 Arc Flash Study Mesa, AZ B531 G109, B510, B540, Basalt-13543 Arc Flash Studies VA Palo Alto Health Care System » Building 54 Arc Flash Study Water Facilities Authority Upland, CA » Arc Flash Study 15 Section if References REFERENCES 1' ' OF 6n - i(,' (C)PKS PM INC. ARC Fi ASH -ELECI >I ,L -D UROGPAiV CITY OF SANTA ANA RFP NO.: 22.023 ARC FLASH ANAYLSIS AND ELECTRICAL SAFETY PROGRAM DEVELOPMENT APPENDIX_ �TTACHMEN7 3; PRdFOSER'S REFERENCES List and describe fully the contracts performed by your firm which demonstrate your ability to provide the supplies, equipment or services included in the scope of the proposal specifications. Attach additional pages if required, The City reserves the right to contact each of the references listed for additional Information regarding your firm's qualifications. Reference Customer Name: City of Anaheim Water Department Address: 201 S Anaheim Blvd, Ste 1101 Anaheim, CA 92805 Contract Amount: $27,142 Contact Individual: Jon Banks Phone Number: 714-765-4117 Facsimile Number: 714-765-5115 Year: 2018 Description of supplies, equipment, or services provided: The City of Anaheim turned to P28 for a short circuit analysis, protective device coordination and Arc Flash study. Reference Customer Name: Palmdale Water District Address: 2020 E Ave Q Palmdale, CA 93350-4038 Contract Amount $37,528 Contact Individual: Scott Rogers Phone Number: 661-456-1020 Facsimile Number: 661-947-8604 Year: 2020-2022 Description of supplies, equipment, or services provided: P2S provlded electrical engineering services for the Palmdale Water District which included a short circuit, protective device coordination, and Arc Flash Study for 23 groundwater wells and 7 booster pumping stations. Reference Customer Name: Water Facilitles Authority Address: 1775 N Benson Upland, CA 91784 Contract Aalelmt: $35,991 Description of supplies, equipment, or services provided: Contact Individual Jake Stepp Phone Number: 909-981-9454 ext 21 Facsimile Number: 909-981-9454 Year: 2019-2020 City of Santa Ana RFP 22-e23 Are Flash Analysis and Electrical Safely Program Deveioprnont 17 REFERENCES CITY 06 SAISTA dNA PJPIJC VYORl P2S I ANAt.`51S 8F�ECJ>L SAFE t✓ pn, ? ;RAP,'. CITY OF SANTA ANA RFP NO.: 22.023 ARC FLASH ANAYLSIS AND ELECTRICAL SAFETY PROGRAM DEVELOPMENT P2S performed a comprehensive Am Flash Analysis for the Water Facilities Authority In Upland, CA Rgf,grence Customer Name' Elsinore Valley Municipal Water District Address: 31315 S Chaney St Lake Elsinore, CA 92530 Contract Amount: $272,606 Contact Individual: Jon Moore _ Phone Number: 95.1-674-3146 ext 8311 Facsimile Number- 951-674-9872 Year: Ongoing Description of supplies, equipment, or services provided: P2S provided an Arc Flash Risk Assessment of electrical distrlbution equipment at over 158 district sites THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE. City of Santa Ana RFP 22-023 Arc Flash Analvels and Electrical Safetv Proeram Develooment 0 Section 2 Scope Of Services SCOPE OF SERVICES P2S INC. SCOPE OF SERVICES --'V140_' " We understand that the scope of the project includes performing arc flash hazard analysis, short circuit interrupting rating analysis, analyzing overcurrent protection coordination, calculating incident energy at each site and determining the arc flash boundary and calorie rating. We understand that the purpose of this analysis is to identify safe work zones and high -risk arc flash areas within the electrical system and recommend mitigation strategies for discovered and known hazards. The study will also provide Personal Protective Equipment (PPE) recommendations in compliance with NFPA 70E. The study will be performed in accordance with IEEE 1584-2018. We understand that we will be responsible to collect all the data from approximately 12 sites and confirm the information provided in the drawings and gather any additional information. P2S will not rely solely on the drawings and documentation provided to us and will verify each and every aspect for the study. We understand that the field investigations may need to be performed on live equipment and if the equipment needs to be de -energized, P2S will work with the schedule to identify shut down possibilities on a case by case basis. P2S will also work with the assigned City of Santa Ana Public Works executive account representative to obtain all the utility contribution data for each site as required to complete the study. We will provide the arc flash labels for all the electrical equipment to be installed by the electricians, however, P2S will be available to support this effort, if deemed necessary at the completion of the project. P2S has extensive experience in performing short circuit, coordination and arc flash study for water and wastewater. We understand the need for safety in electrical systems and will provide complete engineering solutions based on our analysis. P2S has also conducted arc flash and shock hazard electrical safety training sessions for various electrical and maintenance personnel for various projects and can provide this service to City of Santa Ana Public Works. P2S has provided custom NFPA 70E compliant safety programs to water districts and will review and provide an updated custom safety program to the City of Santa Ana Public Works. Our deliverables for this project will include: 1. Field investigation reports for all surveyed sites. 2. Complete single line diagrams for all the proposed sites showing all relevant information (in CAD and PDF). 3. Electronic version of the Arc Flash Model prepared by 32S as a raw file. 4. Complete report for all facilities in PDF format including all the information described in Attachment 1 of the REP. 5. Printed Arc Flash Labels to be installed on equipment in study scope. 20 Section q Certifications CERTIFICATIONS * _ P2S INC. CITY OF SANTA ANA RFP NO.: 22-023 ARC FLASH ANAYLSIS AND ELECTRICAL SAFETY PROGRAM DEVELOPMENT NON -COLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) In conformance with Title 23 United States Code Section 112 and Public Contract Code 7106 the BIDDER declares that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the BIDDER has not directly or indirectly induced or solicited any other BIDDER to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any BIDDER 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 aryone 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 pub is 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 oro ee;-ation. Signed State of California County of Los Angeles Subscribed and sworn to (or affirmed) before me on this 31 day of May , 2022, by Brenda Donnelly , proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me !'_AtNotary Public Signature Notary Public Seal RRENRA bONNELLY le ry e^bt-CAN"N xoe 111 AllyneA Ceunly Cammi n121 iU SO Ny Cam . hes ni,All 9, City of Santa Ana RFP 22-023 Are Flash Analysis and Electrical Safety Program Development Page 38 22 CERTIFICA'rIONs CITY OF SA?ITq Ap11 PUB! IC WOP.KS PPS INC. PFCTRICAL SAF-TY PROGRAV CITY OF SAN"TA ANA RFP NO.: 22-023 ARC FLASH ANAYLSIS AND ELECTRICAL. SAFETY PROGRAM DEVELOPMENT NON -LOBBYING CERTIFICATION The prospective participant certifies, by signing arld 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 $100,000 and that all such subrecipients shall certify and disclose accordingly. Signed: Title: President & CEO Finn: P2S Inc Date: City of Santa Ana RFP 023 22- ---� _. Arc Rosh Analysis and Electrical Safety Program Develotarnont 23 CERTIFICATIONS Ui 'a -? V P 3LIC �'/ORiCS P2S INC. xw- i 1A,AI al i 'I '. �AFET/ PROGRAV CITY OF SANTA ANA RFP NO.: 22-023 ARC FLASH ANAYLSIS AND ELECTRICAL SAFETY PROGRAM DEVELOPMENT NON-DISCRIMINATION CERTIFICATION The undersigned consultant or corporate officer, during the performance of this contract, certifies as follows: The Consultant shall not discriminate against any employee or applicant for employment because of race, color, religion, sex, or national origin. The Consultant shall take affirmative action to ensure that applicants are employed, and that employees are treated during employment without, regard to their race, color, religion, sex, or national origin. Such action shall include, but not be limited to, the following: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship, The Consultant agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided setting forth the provisions of this nondiscrimination clause. 2, The Consultant shall, in all solicitations or advertisements for employees placed by or on behalf of the Consultant, state that all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin. 3. The Consultant shall send to each labor union or representative of workers with which he/she has a collective bargaining agreement or other contract or understanding, a notice to be provided advising the said labor union or workers' representatives of the Consultant's commitments under this section, and shall post copies of the notice in conspicuous places available to employees and applicants for employment. 4. The Consultant shall comply with all provisions of Executive Order 11246 of September 24, 1965, and of the rules, regulations, and relevant orders of the Secretary of Labor. 5, The Consultant shall furnish all information and reports required by Executive Order 11246 of September 24, 1965, and by rules, regulations, and orders of the Secretary of Labor, or pursuant thereto, and will permit access to his/her books, records, and accounts by the administering agency and the Secretary of Labor for purposes of investigation, to ascertain compliance with such rules, regulations, and orders. 6. In the event of the Consultant's non-compliance with the nondiscrimination clauses of this contract or with any of the said rules, regulations, or orders, the contract may be canceled, terminated, or suspended in whole or in part and the Consultant may be declared ineligible for further Government contracts or federally assisted construction contracts in accordance with procedures authorized in Execution Order 11246 of September 24, 1965, and such other sanctions may be imposed and remedies invoked as provided in Executive Order 11246 of September 24, 1965, or City of Santa Ana RFP 22-023 Are Flash Analysis and Electrical Safety Program Development 24 CERTIFICATIONS t If, O'.-- ` : uN? IF C .")_1- P2S INC. A4C R_ASH ANALYSIS S ELEC i ' L SAS I + Nf?`GD d`.' CITY OF SANTA ANA RFP NO,: 22.023 ARC FLASH ANAYLSIS AND ELECTRICAL SAFETY PROGRAM DEVELOPMENT by rule, regulations, or order of the Secretary of Labor, or as otherwise provided by law. The Consultant shall include the portion of the sentence immediately preceding paragraph (1) and the provisions of paragraphs (1) through (7) in every subcontract or purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to Section 204 of Executive Order 11246 of September 24, 1965, so that such provisions will be binding upon each subcontract or purchase order as the administering agency may direct as means of enforcing such provisions, including sanctions For noncompliance; provided, however, that in the event the Consultant becomes involved in, or is threatener.) with, litigation with a subconsuitant or vendor as a result of such direction by the administering agency, the Consultant may request that the United States enter into such litigation to protect the Interests of the, United States. & Pursuant to California Labor Code Section 1735, as added by Chapter 643 Stats. 1939, and as amended, no discrimination shall be made in the employment of persons upon public works because of race, religious creed, color, national origin, ancestry, physical handicaps, mental condition, marital status, or sex of such persons, except as provided in Section 1420, and any consultant of public works violating this Section is subject to all the penalties imposed for a violation of the Chapter,;� Signed: Title: President & CEO Firm: P2S, Inc Date: 5/24/22 City of Santa Ana RFP 22-023 Arc Flash Analysis and Electrical Safety Program Development 25 LOX*X(@XXJ Contact Arovind Batra, PE, LC, LEED AP BD+C Vice -President, Senior Electrical Engineer O: 562.497.2999 E: arovind.batra@p2sinc.com p2sinc.com Our Locations Long Beach 5000 E. Spring Street, Suite 800 Long Beach, CA 90815 T: 562.4972999 F: 562.4972990 Irvine 18575 Jamboree Rd, Suite 100 Irvine, CA 92612 T: 949.570.1701 Seattle 920 Fifth Avenue, Suite 2300 Seattle, WA 9810L+ T: 206.448.1911 F: 206.448.9485 Los Angeles 5901 Century Blvd, Suite 750 Los Angeles, CA 90045 T. 310.338.0031 F: 310.641.3434 San Diego 9665 Chesapeake Drive, Suite 230 San Diego, CA 92123 T: 619.618.2347 F: 619.330.0668 San Jose 18 S. 2nd Street, Suite 115 San Jose, CA 95113 T: 669.268.1007 EXHIBIT C Section 3 Fee Proposal FEE PROPOSAL P2S INC. CITY OF SANTA ANA RFP NO.: 22-023 ARC FLASH ANAYLSIS AND ELECTRICAL SAFETY PROGRAM DEVELOPMENT APPENDIX ATTACHMENT 2: FEE PROPOSAL Certification - I certify that I have read, understand and agree to the terms and conditions of this Request for Proposal. I have examined the ATTACHMENT 1: SCOPE OF WORK. I am familiar with all the existing conditions and limitation that may Impact work requests. I understand and agree that I am responsible for reporting any errors, omissions or discrepancies to the City for clarification prior to the submission of my proposal. Proposer shall submit hourly rates schedule, which shall include but not limited to, direct and indirect costs for labor, for staff per job classification, material, equipment rates, overhead, Incidental supplies, travel, mileage, and fuel. Any special materials will be purchased by the contractor only after discussed and authorized by the City projects manager or designee in writing. Prior to commencement of services, Contractor shall provide separate quotes, upon request by the City, which shall be approved by the City's Public Works Water Resources Division. FEE SCHEDULE The undersigned declares that he/she has carefully examined the request for proposal, that he/she has examined the Proposed Scope of Services, and hereby proposes to fumish all material and do all the work required to complete the said work in accordance with said Proposed Scope of Services, for the unit price(s) set forth in the following schedule: Note: This contract is subject to prevailing wages. TO: CITY COUNCIL OF THE CITY OF SANTA ANA FROM: P2S, Inc Arc Flash Analysis Fee Schedule for Contractor to provide updated single line electrical drawing, short circuit model drawing and arc flash model drawing for the following locations (existing historical documentation can be found in Appendix B): Item # Bid Item Unit quantity Amount ------- - -- 1. Well 24 (1800 W 22" St, Santa Ana) LS 1 2. Well 29 (101 S Flower St, Santa Ana) LS 1 $ 2,360 3 Well 31 (1815 W Chestnut Ave, Santa Ana) LS $ 4,070 4. Well 33 (917 W Walnut St, Santa Ana) I LS 1 $ 3,380 City of Santa Ana RFP 22-023 Arc Flash Analysis and Electrical Safety Program Development FEE PROPOSAL CITY OF SAS iT-`, "NA P' JPLIC 4V100!:S P2SINC. ARCF ,`,Dill➢Slo') FL E:'Ti.AL SAFETY PPOGR..T' CITY OF SANTA ANA REP NO.: 22-023 ARC FLASH ANAYLSIS AND ELECTRICAL SAFETY PROGRAM DEVELOPMENT 5. Well 34 (1(27 W Alton Ave, Santa Ana) LS I LS I i $ 4,070 _ ._......... -------_- $_3 780 _.. 6. _.�. -_.... Well 35 (1718 N Sydney St, Santa Ana) 7. Well 36 (2415 N Bristol St, Santa Ana) Well 37 (2007 McFadden Ave, Santa Ana) Well 38 (2736 N Cambridge, Santa Ana) Well 39 (2316 N Bristol St, Santa Ana) LS LS LS LS 1 I 1 1 $ 3,170 g 4 970 $ 5,480 $ 4,970 8- 9. 10. 11 Well 40 (1301 Mabury St, Santa Ana) LS 1 g 4,070 12 Well 41 (907 N Flower St Santa Ana) LS 1 4,290 . Total s 46,690 rith fee schedule. Contractors labor and equipment rate sheet shall list rates for all labor osignations, equipment and materials. BIDDER INFORMATION: Legal Company Name: _ Complete address: 5000_EwSprinp St 8th FI Phone Number: 562-497-2999 Email Address: Authorized Sign, Name: Kevin Peterson President & CEO City of Santa Ana RFP 22-023 Arc Flash Analysis and Electrical Safety Program Development TCF Pas ENG P2S INC. RATE SCHEDULE FOR ENGINEERING SERVICES ON A TIME AND EXPENSE BASIS Category PRINCIPAL ENGINEER ENGINEER GRADE 05 ENGINEER GRADE 04 ENGINEER GRADE 03 ENGINEER GRADE 02 ENGINEER GRADE 01 DESIGN ENGINEER GRADE 05 DESIGN ENGINEER GRADE 04 DESIGN ENGINEER GRADE 03 DESIGN ENGINEER GRADE 02 DESIGN ENGINEER GRADE 01 DESIGNER GRADE 04 DESIGNER GRADE 03 DESIGNER GRADE 02 DESIGNER GRADE 01 CAD/BIM DESIGNER GRADE 04 CAD/BIM DESIGNER GRADE 03 CAD/BIM DESIGNER GRADE 02 CAD/BIM DESIGNER GRADE 01 COMMISSIONING GRADE 05 COMMISSIONING GRADE 04 COMMISSIONING GRADE 03 COMMISSIONING GRADE 02 COMMISSIONING GRADE 01 P ROJ ECT ASSISTANT In addition, for direct out-of-pocket expenses (if and when they occur) we quote the following Rate $329 $276 $267 $229 $211 $187 $229 $211 $187 $166 $147 $157 $147 $135 $129 $130 $118 $105 $96 $276 $239 $204 $163 $140 $96 1) Automobile: at current IRS rate per mile from home office for travel outside Los Angeles, Orange, San Diego, San Bernardino, Riverside & King counties 2) Travel Expense: at Cost 3) Subsistence: While away from home office for more than 1 day: at Cost, but not to exceed $250 per day per person. 4) Plan Check Fees: at Cost plus 10% markup 5) Third Party Services: at Cost plus 10% markup • Printing and copy services • Consultant and subcontract professional fees • Surveying / Soils Investigation • Testing Laboratory Work LIABILITY LIMITS Professional Liability $ 2,000,000. General Liability $ 5,000,000. Effective January 1, 2022 — December 31, 2022 RT-222 FEE PROPOSAL P2S INC. NE A� 4563 State Street P O. Box 2338 Montclair, CA 91763 Hampton Tedder Technical Services HIGH VOLTAGE MAINTENANCE, TESTING AND ENGINEERING Day (909)628-1256 Night (909)628-1253 Fax (909) 628-6375 LIC # 961649 HOURLY RATE SCHEDULE/TERMS & CONDITIONS — EFFECTIVE MAY 01, 2022 thru DECEMBER 31, 2022 HAMPTON TEDDER TECHNICAL SERVICES provides the following: (1) Engineering Services, (2) Consulting Services, (3) Maintenance and Startup Services, (4) Testing Services, (5) Turn Key Services, Rates are as follows: SERVICE AND EQUIPMENT STRAIGHT TIME PREMIUM TIME PROJECT MANAGER / ELECTRICAL ENGINEER $208.00/HR. $338.00/HR. FOREMAN/ SENIOR TEST TECH./ RELAY TECH. $203.00/HR. $328.00/HR. TEST ENGINEERITEST TECHNICIAN $172.00/HR. $290.00/HR. HIGH VOLTAGE CABLE LINEMAN $156.00/HR $275.00/HR OFFICE AND YARD PERSONNEL $90.00/HR. $127.00/HR. TRUCKANDTOOLS $45.00/HR. $45.00/HR. HEAVY DUTY EQUIPMENT (LINE TRUCK, BOOM TRUCK, BUCKET TRUCK & FLATBED TRUCK $95.00/1-R. $95.00/HR. FUEL SURCHARGE 10.5 % OF TRUCK AND TOOLS TRAVEL TIME REFER TO BELOW SUBSISTENCE COST+ 15% ALL OTHER JOB RELATED EXPENSES COST+ 15% MISCELLANEOUS CONSUMABLES INVOICE COST+ 15% AIR FARE COST+ 15% TEST EQUIPMENT SEE PAGE THREE CREDIT CARD FEE 4^/ • `NOTE: Rates will be quoted separately for specialized instruments and equipment not in Hampton Tedder Technical Services inventory. • Straight time will consist of a normal eight (8) hour working day with an allowance for lunch. Normal working hours are 6:00 AM to 6:00 PM Monday through Friday, except Holidays. • Premium time will consist of any time worked before or after normal working hours, Saturday,. Sunday, holidays, and emergency callouts during normal working hours, Monday through Friday. Should an employee be required to: work around the clock, remain at the jobsite, or receive less than 8 hours rest; he/she will remain on Premium time until which time he/she receives 8 hours rest, or as per the Local Union Agreement. • Travel portal to portal on normal workdays at straight time rates, except during emergency callouts. Travel portal to portal after normal working hours, Saturday, Sunday, holidays at premium rates. Applicable local union requirements, special fees, dues, zone pay are in addition to above listed rates. • Minimum charge of four (4) hours will be billed for services performed in 1-4 hours and minimum of eight (8) hours for services performed 5-8 hours. Mileage at$1.00/mile. • All special permits, licenses and insurance beyond our standard certificate of insurance will be billed as an extra. • All work that is scheduled and cancelled less than 48 hours to start will be charged 4 hours per person scheduled. • A 24-hour emergency phone number for HAMPTON TEDDER TECHNICAL SERVICES is (909) 628-1256. • Hampton Tedder Technical Service's Standard Terms and Conditions apply to all work and are attached as page 2 of this document. • Any delays caused by others will be considered an extra charge for time lost. Rates subject to change without notice. Union increases will be added without notice. • IMPORTANT NOTE: Hampton Tedder Technical Service Tens and Conditions continue on page 2. i`7 Customer Initials Matthew Tedder, President "Shaping the Future of the Electrical Service Industry" ARI20NA CORPORATE HEADQUARTERS NEVADA PHONE (490) 967 - 7765 P.O. 00X 2338 PHONE V02)452-9200 FAX (480) 967 - 7762 MONTCLAIR, CA 91763 FAX (702) 632 - 0079 LIC. N146676 A-17 PHONE (909) 628 - 1256 LIC. 468483 A-17 LIC. 9156612 L -Lt FAX (909) 628 - 6375 UC. N66179 C - 2 LIC. 11961649 Page 1 of 4 SS-103 Rev. H FEE PROPOSAL P2S INC. Hampton Tedder Technical Services (HTTS) Terms and Conditions 4- 4563 State Street P.O. Box 2338 Montclair, CA 91763 Hampton Tedder Technical Services HIGH VOLTAGE MAINTENANCE, TESTING AND ENGINEERING r-1 L�J Day (909) 628-1256 Night(909) 628-1253 Fax 009) 628-6375 LIC.# 961649 TEST EQUIPMENT FEE SCHEDULE FY 2022 DESCRIPTION TYPICAL EXAMPLE DAILY WEEKLY MONTHLY General Test Equipment Skv Insulation Tester(Megger) __...__ ........ _..... .......___._ 120,00 480.00 1,440,00 likv Insulation Tester(Megger) __....._ ............. ...._.__.. MOM 60000 1,800.00 Low Amperage DLRO (Doctor) 10A....... .. .......... ........... 100.00 360.00 720.00 High Amperage OLEO (Doctor) 200A........ 180.00 540.00 2,040.00 CT Tester Single -Ratio EZCT.............._...._-...._...........__....._._....... 300.00 1,200.00 4,080.00 CT Tester Multi -Ratio EZ CT 2000...__......_.......___........................ 420.00 1,680.00 576000 Infrared Camera Fhr - _...._. ..._............ 480.00 1,440.00 4,80000 Earth Ground Tester 6740.DET'_/2............... _. _........._....._.._.._. t2000 420.00 156000 DC load bank 0-250 KW Eagle Eye ...... __........ 780.00 780.00 2340,00 6,96000 Circuit Breaker Test Equipment Low Primary Current Test Set 2kA or 5kA(CB832/845)..................... .......... 240.00 720.00 2,160.00 Mid Primary Current Test Set 20kA Phenix HC12C.......................__........... 60000 1 900.00 4,200.00 High Primary Current Test Set 40kA or 501kA(BTS50500/ 1000),....__........ 1,00000 3600.00 7,200.00 Motor Overload Test Set Multi -Amp MSI/ MS2....._.._.._..._.........__. 100.00 290.00 780.00 Time / Travel Analyzer Doble TR-!A, Progranam Timer ................... 300.00 1200.00 4,080,00 Secondary Injection Test Set Manufacturer Kit or Multi -Amp SCB I00...... 240.00 96000 3,240.00 Relay / Transformer Test Equipment Phase Shifter Multi -Amp Model EPS 1000__.__................. 180.00 480.00 1,680.00 Frequency Generator Multi -Amp FG-50/FG-60 _._.._.................. 180.00 480.00 L680A0 Variable Voltage/Current Supply Model MS-2.......__......_.._. .............. 125.00 400.00 1,50000 Recloser Test Set McGraw -Edison MIFT 573 - ........_. 12000 48000 1,68000 Relay Test Set Active Source Single Phase(F2500,F2253,6300)..._.......... 30000 1200.00 4,080.00 Relay Test Set Active Source Three Phase (F6150/Programmu'Manta) ...... 540.00 1,920.00 6,600.00 Testing Software Coble Pro -Test Software (RTS/Protest) ....... t20.00 480.00 1,680 00 Transformer Test Set Doble M4100(Power Factor)...........__.......... 900.00 320000 12.000.00 Transformer Tums Ratio Test Set(30) TTR300.............. ........... ...._...............__......_. 200,00 800,00 1,980.00 Winding Resistance Test Set Raytech,Vanguard__..__......................... 240.00 720,00 2,16000 Recording Equipment Load Recorder ELOG, DM-111 (Volts, Amps, kW, PF)......_. MOM 1000.00 2,500.00 Power Disturbance Recorder, PQ Meter PS4500,PX5(PQ)..... 800.00 2,400.00 5,500,00 Medium Voltage Cable Testing Equipment Cable Location Metro -Tech ...... 72000 2,160.00 7,200.00 VLF Thumper High Voltage Inc ..................._........_.............. 800.00 2,000.00 6,00000 Tan -Delta TD-60 __. _..._. .............. 900.00 3,000.00 9,00000 Partial Discharge System HT-PD..... ......... __.__.. _. 1,14000 4,560.00 15,60000 A.C. Hi-Potential(Low) 50kV,AC, HPA-505FCL............_. _...__...._. 35000 1,200.00 3,800.00 A.C. Hi -Potential (High) 100kV, AC, 6CP10050.........___......_........... 750.00 1,80000 4,000.00 VLF_ Hi -Potential (Low) 20kV, VLF, HVA-28...... .............._........._.... 45000 1,60000 4,00000 VLF. Hi -Potential (Mid) 44kV, VLF, HVA-60.... ..._.....__.........__....... 60000 1800.00 5,760,00 VLF. Hi -Potential (High) 66kV, VLF, HVA-90......__...._............ _....... 900.00 3,700.00 7M0.00 D.C. Hi-Potential(Low) SOkV DC, PTS-80._...................................... 180.00 72000 2,400,00 D.C. Hi-Potential(Mid) 100KV DC,PTS-130.........__................_....... 40000 1300.00 4,080.00 D.C. Hi-Potential(High) 200KV DC,PTS-200_____..._.__.......__....... 100000 3,600.00 8,160.00 NOTES: 1) Daily rate up to 8 hours use, Weekly rate up to 40 hours use. Monthly rate up to 160 hours use. 2) All shipping and handling casts are added to equipment. 11 Fm i-I not mu ri by HTTC is --lied at r 1 nbm I5^. nl­ tar lahnr and chinninn Polezhaev, Katerina From: City of Santa Ana <certificate-request@ctrax.jdidata.com> Sent: Tuesday, October 25, 2022 9:22 AM To: Aravind.Batra@p2sinc.com; Fernandez, Armando; Polezhaev, Katerina; SYoung@risk- strategies.com Subject: Internal Notice of Compliance NOTICE OF COMPLIANCE (C11) S -I -_Al l : PRIN-f I l IT, I'.1f I. AVU IV IJ DV VA 111I V;RVVAIEN"I 10 glut ( If 111,01 -rllr. ('01 V 11, Contractor P2S Inc. P2S Engineering, Inc. Name: Project RFP 22-023 Number: Project Arc Flash and electrical safet Analysis Name: y y program development services The Certificate of Insurance (COI) submitted indicates that the coverages are in compliance with the insurance requirements. No further action is required at this time. The compliant coverage(s) are TYPE OF INSURANCE POLICY NUMBER EXPIRATION COI DATE FILE NAME DATE AUTOMOBILE LIABILITY AW39122942 07/01/2023 09/23/2022 Cert for City of Santa AnaPdf GENERAL LIABILITY 6808N700523 07/01/2023 09/23/2022 Cert for City of Santa Anafdf WORKERS COMPENSATION AND EMPLOYERS' Cert for City of WZ39122627 07/01/2023 09/23/2022 LIABILITY Santa Ana fdf Thank you, City of Santa Ana Risk Management Division in partnership with CTrax Plus Services Team 10/25/2022 12:21 PM 1 AC o® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 1210512024 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 poi€cy(€es)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 Ileu of such endorsement(s). PRODUCER CONTACT MARSH RISK&INSURANCE SERVICES NAME: FOUR EMBARCADERO CENTER,SUITE 1100 PHONE FAX CALIFORNI A LICENSE NO.0437153 E-WAIL E A7C No SAN FRANCISCO,CA 9011 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIL N CN 10246455-CMTA-GAUWP-24-25 INSURER A: Zurich American Insurance Co n 16535 INSURED P2S,LP INSURER B: American Guarantee and Llslbili Insurance Company 25247 5000 E.Spring St. INSURER C: AlFed&W Surplus Insurance an 24319 Suite 800 Long Beach,CA 90815-5247 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: SEA-004067519-00 REVISION NUMBER: 0 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. INTR TYPE OF INSURANCE ADDL aUBR POLICY EFF POLICY EXP POLIGYNUMBER MMIDD MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY X X GLO 8660384-01 06/20/2024 06/2012025 EACH OCCURRENCE $ 2,OOQODO CLAIMS-MADE 71 OCCUR DAMAGE RENTED PREMISES(He occurrence $ 300,D00 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 4,000,000 POLICY PRO LOC PRODUCTS-COMPlOPAGG $ 4,000,000 OTHER: $ A AUTOMOBILELIABILiTY X X BAP 4340750--03 06/2012024 06120/2025 EaaccdeltslNGLELIMIT $ 5,000,000 X ANY AUTO BODILY INJURY(Par person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per acc)dent) $ HIRED NON-OWNED PROPERTYDAMAGE AUTOS ONLY AUTOS ONLY Per accident $ B X UMBRELLA LIA13 )( OCCUR X X AUC 4340745-03 OW012024 06/2012025 EACH OCCURRENCE $ %000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $ 10,000,000 DED RETENTION$ $ A WORKERS COMPENSATION X WC 8660385-01 015120024 06120/2025 X PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANYPROPRIETORIPARTNERIEXHCU7lVE FICERIMEMBEREXCLJDED7 NI NIA E.L.EACH ACCIDENT $ 1,000,000 E (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under ❑ESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 C Professional Liability 03f 3-2020 06120/2024 0612012D25 Limit: 10,000,000 SIR: 250,000 DESCRIPTION OF OPERATIONS!LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,may he attached If more space Is required) City of Santa Ana Is Included as additional Insured where required by written contract with respect 10 General Liability and Auto Liability,This Insurance is primary and non-contributory over any existing Insurance and limited to liability arising out of the operations of the named Insured subject to policy terms and conditions.Waiver of subrogaton is applicable where required by written contract and subject to policy terms and conditions.U mbrella is follow form of primary subject to policy terms,conditions and excluslons. APPROVED By Cynthia Mora at 8:29 am, Jan 16, 2025 CERTIFICATE HOLDER CANCELLATION City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 215 S.Center St. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Santa Ana,CA 92703 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh Risk&Insurance services ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD P'OLIQ' .NUmBER I0431:4.1;37 t10.3 CA'20 4:0 10`'1:3; THIS ENDORSEMENT CHANGES THE POLICY PLEASP,READ IT DAREFULL$% DESIGNATED KSURED FGI COVERED AUTOS! L' 1ABILITYCGV ` ►G1 Thls 0h':d0rsenl O t rriod,ifies lh r noo'VrgVld.t l untlof the tllowl6b. AUTO DEALERS COVERAGE FORM BU.sJ:NE$S.AQTQ OQVER�AG FORM MdTOP.CARKIiF 007VI RA7 GE FORM with.respect to cavgrage provido by 1l ij3 en.dvrsgment, thp:provisions of'thip, Coverage F rm apply.unless i�odl��d by ifs en�fptserr��tit. Shia erdorsetrent Id rttlftes persons)or t�rganization(s) who are;�'insur ,es�tar.Govered Auto t lak�fltty �overa96, under fhb W.lio Is .4n insured prov�siorf of the Coverage Fora. 7i31s endq'rsefinerrt �#aes net alter auv: rage Pro,vided 7n the Coverage Form.: "�f�is'ettde sem nt I m es the policy effeettve'an th.e oce. 'lon rate of tE��po:l l~y�rnie��another iiato is llad oeted below. N nn tt In red::l_ 0 1W HOL, I 6t LL Eodprsemer'.t Effotativ0 D to 061 024 SGH EDULl Name'bf R:ersb*) Cr Organizattoft(S' 1Anypersop r-qrg n zatlo Rio whom or witch yqu;.4re require-fi to provide.ad itipnal insur+�d #sous�r�dcFittena[ insured st tus,ar a,primlry,:npn QQntrtlatiforyogpts, in.a weitter).contra pt ar wrl# r�agr ementex t ted prior tp foss,. xcept whero,,such agntr? t;�a ngrtagment i . rr?.hi tied fey lava fril rrrfatl n re utrezt#e-oarrr late t`h a Sdhed le if nit a pawn dt ave vrill`be.shown in tho b dtaratietis... each p$r n; r,.organ 4h vlzatlan shq n to chedulo is an "insured`fir Covered Autos Liallilty Coer�g ; btr, enly to the oxtent thatpersa o,r or P'T"r ptlan qu,a. ea 44 an "Insured" -un ' ttie W..o fs An ti vr6d POVIMob cobtein6cf In Para reph.AJ,, f seotlon :11 . Covered ,Autds Lla.biljty.,06V,6rage h he, B el ess Auto arid. Molar C rriei` Couoregy_ Forma. an } aragcapli I :3.. of. i tton I. Covered Aufas. Coverages,o the,AuVia.Dealers Gove.rag .Farm. 20 49 1il`73 4 insurance Crfiee, tnc., 2p19 Pale :of I INTERNOSE Q.NLY. Woltr is MdWaeFfnarir W Soroo� I Mfforrrr famsw Waket Notification to Others, of C.a0c or Xon-. enewal Aolly, No. rift :b7 lb 0,Poi. E.xp 116td of P01. Of, bale.of End. Producer Ad 'I Ne,m Returra'r7rom, gal a 4 : =Q-3 s 012024 0612012026 .0012012024 THt k�©f RS M NT IA i :TME i LI Y t'L., ASE REAWT AI EF,0CLY, This.endersomant ruodFfis insorn :provfded`1nder th A. If we canoe) or na 40bw tlils 0overage' fart by writt.0.0 notice'to the':#lrst N'a.med trasurc q vve will mdlf or deliver o#ifition.that such.:Coverage Part has Been cancelled ar rlgnrerreweda eeeh per +in or organ�zati¢n shown in.;a lit# prodded torus by:the first Named insure d if you are rdqulred'by wig#teh cor.tr2o#,ar writtengreernent'ta provido yuch:na#Iflcatlort However, such notlficatiori will not be melted or".dellver: zl Il ct�rsdltigna! notice of renewal.has been cent ka:;the�Irst,�larr}�tt Insured gbh list:' '! M14�t Cie yov(ded t44s prior to ncel(atian-Pr non-renowa 2. bus# cent in the names and. addresses of only the persons or organ tione reciulrm nratifi tion,that such Coverage Part has been. oamplled"or`:non-renewed'.end iViust lie in orr oleotresnie fc rrr "t`that is 40wpti l3le to ds_ . 'gur nnfifcatiorj-.as descnbed.:in Paragraph A ca tiffs endorsement►till tie based:-:can the most.recent Ifs in our re ads s of the date the nattee of"cancellation or rton renewal is malted or delivered�a tihe.first Nerved irlstired V11is'wlll mall yr deliver suer r,ptjriQa lcrn to each,pdrsvn ax oigan zatian she wrr in the.list; 1. wlthln.seven.dys of ttr .effecllvfw state oFthe.notice of car7cellakrcn, if we canes#fdr nrn-psymnt;ef prernirr}: r 2. At.leest'3tt oys prlcrr tp tho'effdeti+e data of: a Caricelletlorl,'tsan Ildd fQ"r ahy reason ether than rtpnp yrnelit'i f pr`irnlo or b: n-rengwal, but not in.9iud ng vnd tlonel;notrce of ronew6l. (7ur ve llr�.or dalfve a not fi tidnl described In Paragraphs 4—and a,of this endor rrt ni a mtehded a i t�ul"tea t :only C urfailtite,ta provide sCach m Ung or" WIVertwill not: 1 i tend"the`Coveraoe Pert carti`ctille#Ipi7 tar rnf riwref iewal'dato leE N.L090e tl*om-ncel,lstion;or nonwre.naw I nr. 3.. Pfgvide arty adtlltionol`i Urance thokwould not.have;.been provided 'in:"the absonce;of this endorsement. D. a are:rootrespansltale far tti'e € t raey,'irike rity, tir�eiines� an-d Vaifd t cif ihfd.rrriatlpn coritaineti in`the list provided to ds'0a'deurlbed-ih-.Paragraphs A.'and b.:bf=thisendorgerrieht Ali;a#hef terms ani candittons of fh�s alley reme[n unchanged. U cA.s07 kcw M/.lz? 111016des capyrIgMed mafarlei of Insurance Services office.1nt';,With IW Pormissi in. OLICY NUiV1P, BAP 43�t�750�7�; ICC�14IM�'R�IAL AD 0 THIS ENDORS..EMENT CHANGES�THE OLIC. "t. PLEASE READ IT CAREFULLY WAIVER- OF TRANSFER, OF DIGITS OF RECOVERY AIMS OTHERS TO US; (WAIVER OF. USROGATION) his eyWororrs:ent modKes inswirTooprov ded unaerl#re(Q00 wing, l�I IN"E=$ AIJIT. 0,0V,lERAG,�FORM MOTOR i�IER gbVElk/1GE`:FORM With respect 'to p.roAdO by thla endorsement,"the,provistft,.of the Coverage: Forin, dppty urilest M.6difled by the onftrsemerft'.., T,his errd,orsoment changes tt poifoy effective:on"the tb0eptian tlato;c t;the.polloy trnles ar�st#er d,t i :ls Ind Io tod N.Pmett Inaumdd, L LzGEotCE HOLDI NOS,,;LL Endomem(mt Effe0,tive Q.atp;0. 61941424: `SCi;IEI�t�I.;E° ldarr'ie(a)Cif�ersorr(e7�Ir�rgalalxtl�n(�). ALL,PFRSONS.ANb/011.'2KiGANIZATIO STHATARE:RECQUIRED COYWRIT'TEN%CONTRACT ORAGREEMENT WITH THE INSURED, EXECUTED PMCK 1 O TI4"L AGCtDEN' -611 LOSS,T14AT"WAIVER cir suBR06AT ON BE PWODED UNDER THIS RI:3Lliws' ir3torrry ilorr re aired to eprn .3ote.thi chedule,li nest. hewn.ale evrTl11 "a}Isawrt"irl#f l eolaratlon. The: '[;rangy"fir. 'df, I+IOhts �f Ro;c�rre.cy �►ga"Tins} Of pra To Us condition. boos not- apply io. the; Pere fl(s} or a::gariizatibh(s.).'sitoWn 0-the, Sch6dUle; ixut".nrtly to"the e. ceer t'thei:su,Wgaflon is aived;pror to the li4alde.rit" de the Rloss" Ender a oo.rltrsct With ftt pstst :or orgahizatlon, A I 4 1013. + I s`ur In"ee ervlc s C fileeF,irro.,204 gage f"l; NTERN:AL USE ONLY Waite i�lij�rr�r Flri 0161,0�`ev3OO I IJn1#nrr#�.�+iri��r� Additional lasured - Owners..,:L esseps Or ContrtorZURIC - .ComOleted.ropera s... tjos:impoomariT cmlsioes."TKOOLICY, 'KI 11.00.11T, Pal Effoc" This en.OQtsemebt modifies Insurance.proyide4 under,th-e following,., 0.0 tofugeneral;WpUlt 'Co t yn me- ,$C.HEDU:LE Nam 6f-P�rsoprqr 0,"r9amization.-M As:roqo. lr0d,.b',y'wrl.jt0.jn contra Loc*tlbtvAhd D04&iptj-0d.-df C�dryipleted 0,04tatlonv AnyLo-Cat-l'oh:Or'project,other th ri-a Wr4p.- 'th ' tolidated,insu,rence.:pr.o5raM, 10tation'Orprojectj forwh[ch UP or 6 er:con Insuta-nce�s`dthaewjs4 se auely prbvidod'v.96uby'-A�Wrap-up or other MrsolldM&d'lhsUr�mc pragr4i n AddliffoifalPtamum., INCIL Sactl6n 11 Who.Is.An In 'd- ided to. indjud Ensure , or or suro b!per es on psure . In the.Sabdulc', but o"My'4-W.:Ith'rio"i pect tpjitibillt'y arlsing'-out of"yoi4r work-al d d d I' h d ospeto an ql ed, n. tbe so q ul of th is; -It. Odor 6.rhen.t.,'performed forlb-ot.In's' u"red;end I' m rat hazard' AI.of P0.rAurrhp,=n. 1668. liTOM46p a4d s Olt f thie palloy e4amo crfln u Additional fr v�n:er , ; i s. Jr �n tract rs URICH 'S(viloduied 1 emon r r.. an - ton►; THIS'E0,13{.'SiWMENT CHA$GES rH PO..LI.C.Y, PLEA E READ IT ARC .U:Lt:Y.. palicY No..GO".885038:4�0 i=ff Ctiu baf Dk3 f?l A This. ecf urjder'thO foiip+ irg:: Ga�nrt �raial �eneral,Liab3lity'�oipr� e:l��rt: S�Nrl�tit ia.me oP erki a I 9artlxit9±Rrt::: ,A&regiu.lro by wriitteni A, i tia� i;tl tN cf is An 1nsu t i sended;t s ii� ltfde ; rr,ln ucpd f1i :perscn.:s r o ni atipr; h�swn in the eheo,�lei but.cryiy yvltl�T it o tc iial�City ariein out.of your:on.gtzingg pperatt na{ rfcrm d.for that insured. Si With"rb; peet'td V, inns sari 'eff&,dgt}to bids,@ ddclitidhai insured , the`foliow.ir! e�plusinn t��dtl�d; hi�insuranda dc� rtt t i t6C% ail, in] iy" r"prop rt v d m e„oc ur(ir► ' r ('i) Ali. rcrir,tnciudln materta7s parks or aq uiptridrrt furf laded ii ccnta.ecti''or witFr'such work ors'the ptOj.Le (�th4r than sat�tce„maNtori'dtico'or repairs. to d$ porformed by or on i ehaif df the `additfenat Jn$'urert(P)'M the-site cf.the covor�ed operatto'ns h-as�becn �nrripietcd,ar VO That pgM9n M"y9 t crk of pf xNtiipit the irJUJY, or damage arisen has been put to its intended pse b�Any pdrsai ,or igarii Lion zither than nt ther cprtlracts r pr.subpantraotd.T engaged in p rf Tm g.op6t ti rhs fora priftipa ae .a part of ttte same,;ptc�Jet All othor:terms,,con.dition. ; prpvislpr�s pd:exctusions:af`thi policy Tefnt in the same.. I i $s.c�pYrigtti d A, 0 pf.,Insurance e[I cps;Liffce_Ind. lfhl:ta. etmissi,n, G Bl"ketN tfflic;a io to Others of C nceftion. ZURICHO r *� enewv l 'tHI :e,0b R$EMENT CHAN130:TH P0L1CY,PLEASE F EAD IT CA!.CA!.EFLtILLY.. Pow Ro C10l�ffopkiv�Chat `00J2t�1��24 This endt7rsemerrkappll s to jasurance P.rovided,under the: Comfndrdlal`0.6ho al.-•WiabiiftyCovoravb part. . if ova cancels nanrrrw tria Cavr Pert �i writtn't�c�tl -.ttah .'rtrk Nmd 1pd� w uii rtsll; prIr noti�c ttian that st�ct� .1.0 .ge Pa t,,. am #�;w cancelled car a A-rertswed ta;.eooh person or organ3xott art shown in li;;t:prpvidd-to. sy ttre.firt Named lnsurad,if. rqu e:re;r . ul by wr3ttan;oankact or writs agr-eemant Sara auct notlf�cettdn 5u. h lls:t, '1ti Csiiust t�a,prautdad to as prior to ncii:atiat� dr`non�ruvatE Z Mlrst'contaln the names and addresses of rimy the; persons or organizations ;requiring notiflcation%that,.mach Covorege P60 h�?sks�aon;cancellad ar;npn�ronowed,ond, 3 IVittat ba ir�;�rt�J�ctroriic ft�rm��;#��k.:fs � cepkable tc us;.. .(fur n;otlftcat�pp as do:s ribed.in Paragraph Xrf kh s er[r ni �zmer t ill.bob sec arr the':r.psr'r.0,00 fist fn of r.rocorde' as efi;th`a dalo the p tiGa af;es�ycelietfoo ar lan-renowal is trt,6llod,"or dollvered to tha i'irsUNamad Insura.d. We will mail ar dot#vor suctf natlficekfor� to ceY€ person or in the list: 1 lfVlthln {i:days cif tha eff ctivo d; to af'tho noti.t;e of eanceilat[an, 1F wo.casket:for ripn"paym nt of pramium;sir; 2r., At laast 30 da�kpriar to. thb:Of'feoktv��ata.�s a. .Cr�ncetie#lass, # anoelyd fcsr-any rosorr;ather than nc�n:peymentpf prQtriium ;ar �: �l"ortwz`�>tiav�di,:bUt .t it�oitttirt��kridltta��i�rrt�de:�f r�rr��i�l� eniass;a grooler aumbar of dja is,slyown.In;fhe cIi Wle of this. r do r arrs ;r t fnC ttte mofling or delivering -of Spot rtcstificotlon wtl}respoetto P5 mOreph E.1 or Paragraph B:2. above.. 0or rhallhg qr daliV4ry,of riotif atio-h doserib-Od In Paragraphs A.grid B:bf.th'WOn 3ors rnorit`is iht�rn sd'as a' urtssq oniy: Our'fell-tyro tq; r0'041 "suoit'malling Vd.oiiverywillriot: Esctidnd'tlto pvorage-Part;Cgncatlatton nr nr�rl-rarta uel.date;_ Z. hie at9 th aan 11 V. r 'p jot ProvTdo arty additiana[.lr sut ce, of uu, ld s et i eua then provtdod In'thoobtencti.OfAlAsand, rsamerrt: U-GLAS21 e::ewtcillP image i of 2 inclu as pyri #tier m.�t rig[Qf jasurpnce 50rv1c0s.DPfi00,Inc.,Mth tts.pormlolon. C). Wowe-not r sponslble far the a*uel racy, nfagrlty, tlmolirlaas.r�r d validity of,information oo tained (n th Iist provided tQ.us;as d.osgrlbed Irt`_6ragraphs k and 9-ol'thlo sndaras.m lit SCREDtY LS TtYe.to l nurrli3er of ys far rna�iing 4r deliverEng vdtt� respect to:Paragraph OA of' I * fhis erifc�rsrrintrnende kti indicate tii; fr�il�vvEng t�uirrbr af .ays;. "Chi tatai number:pf drays for°:m liEing:ar delivering With respect to.,Par4q,,a h B.Z.of this andorseMv t fs.ahnend:ed to indicat0 the#allowing number.of days., ff' lurrrpel:ts nc t hown hare,16 idays c in as:to apoty ��tf a,�atlrnb�r is not si�a�rl>hare,3ti;clay:�ontir5�es;�apply.. All other two%and condtloh. i:QfthWPoliayram'ain tin0han.4od. PAD 2 Of-2 Ir)cldde.s;CgPyd9h! d r.qafegO 91,1muran.ce Servlcos..OftoC ,.Inc Wjtt..fts pjerrtilWm ether in urn: ce AWN-n m t - Pr .Y And Non- anti but r ` ZVRICHO i�bl�cy 1 ,: L:41 C73f4t��F,C�r11. tl�, C)#i 'U1re�2. �fG'f3AC�7 0(�Si4 , }?�tlC6Cx:1"10.:. A�$"l.Trott1 . Rt1Urn i�n 17r. ... 'i"I S END.o:pSN:iYfIEP+TdHANGES'THSPOLICY PLEASE READMCAREFULLY.. Nanibd Inserrar" Addreess (9n6114 10, IP t�c�de} Thi .eriddrsement mrsdifii .s ins a ran ce'prpvidedundar't"Floc Cue rrrrna,r aN G; neraf i NOffity 1�ovm a Part 1. ha'foliawint paragraph is added to thy-Other'insuranoe. Condition of Sectio'rr`IV —CoMmemiat General Lidbiliiy, CO.Witiona.: Thls insurance is prfrnaty n4grama to and Will. :nrat sapk, .obptrjbiJtto f m, any Other insur rrca: aVOflable to an ddlti pai rnsured under th is poppy pro (ded that; a "i proodifiq-n l Insured1s.a N:."od Cnau-rOd,trtr r stot othel":.irt�r ran e;:and. Sara are Feq�rired dry a'a ritteri i oritraot cr wrlt#an,ixgroament'tha,t this Irrauranoe WOUld bd prin a.Py ar d`UUduld:'r3ot aeetc.:cantrib-latidrr<�o.m env any-ath+�r ir�aurarr:.ee availataih:t�`#iio a�dlttr3nal'-l:nsurbd. The following;paragraph is Oded'to Pkaoraph 4:b. of tfte 0 her Inman ondition of Section IV COMnMdrgI l an Oral Liabfl.ity Co.'nditfar s:: 7"irie� �urartce:ts:e�c��a '�var:. Any of the othdr,lriiiurarloe, whather primarrV, ex'ceas, contingent or or any other NWs, availably:-to a dthtiaua1 Insuroit 1n wi ioh tt�.s:'Additionaf inaured,oh Our,poii,c .is:4iso"' itere'd as. any a.ddloonal it ured on ertoth poticy plovidiri oo+prager these"occ�t'rrenceU, offense, dieNnn of"suit": Isis peovisi©i itaea iqt apii tca any poNicy In which tiie add troiral.fCtsuted is a N'a od,lnsured on such plher.poiioy<arltf where Out par lc3+' is re'qqirod by vurJttori. 'C nfutotar w#iktenV r'eer O6t 6 prop ido 0ovorago;to the addlibnal insUted on a primary.arTd non-cor tfibuto�y;i r sfs;: All Ether terms and candltfpns of this`pol.f;cy ren7aln rrnehar)gd. u��-tsar� tnt to�rj�) Intl ode copy lgli#,ci rna# i a1 of Incur t $grglq..Q flee,EnG; wilh1t :psrmis tan. fiver Of Subrogation (Blank t) Epdorsoxu nt ZURIC.I [ohoy nCq„ '.8tf b"tv.4f 6L Bxp. gattl of P& Eff.-l3tete ift T . pi�rFitrcer Earid.t[1.,.PRr s Ttefter�i.Prom, 46 .173$AW 1: 00204024 O l qL .ff2 U f Ol Q24 1�232r Q0: .:. "1,'141I;S:1E1V1<1ORS1 A4-EN7' HAN'i-:IM Tfl 'Po Ll.Gy. 'L'ASE READ IT CAREFULLY. Tli ©iadars �i>ut:tnziillia4itsiiratyt�tiv�wtdad tridr.tlie: CUr><trtt. r ttl.General Li4bliltyX0Y.Oragu 'ftrt' lha faltp �n .i-s molded tta tha; �til� w- 1lwi hts f;Rcp 0v ryAgain t ?th rtt Tt�: g' ttntl t nttx 1f you- i�ra iiait!xl� ,Wivrltten cantrttet tar agrvcri56tt,"ivl��ch tit:€xaL tit'�[l bcfoiv'a loss,to waive.yout ripts'+,fx'txco fitaii Utl• ors,��a`4"r6d t0 i.awo our,Hits off• covtay This w 1dWr of raj hts.sha[t llbfbe i c�tt'o a tti la�`a waiver wrtl respcpt'fi ratty atlic� operations it ivhiol3_tlaa=lrts�t vd 11a at�a i pnfrat to t �ntea'c t:. INTERNAPSE ONLY I I K I UMO EMI' A'Il R AND IIIIP[..t„t1NE LIIIBIL.f`rY IIV Uf AN Lrr ' w0 0 ;BL.ANKET NOTWICATION TO OTHERS 01=CANCEL ATIpN 011 N0NREIVIMIlIIAL BNPJ0R$,EIVfENT Thfs endor$QmOnt adds the followthg to:Part Six or the pgtfcy. CON;IDITIONS Blankai Kati#lvattgrti�o fh re pff pop 'I G oiliV ewal It.we c re el of ,nQn ren vu phis poligy;kry wrlften notice tq kjr we will Moll or;dollvw ngt)fl tiort that : h ioii has:bean:cancitild gr.rsen renewed ts� eaeh perm Qr organ+ tign;siown;rn a'-list provided'to us: y, yoo if yvu are ree�rtred':k y written ntteck er written a reompnt to proy'Ide such n�otificetiQn. HOwe,�e,, such:notificat') will naf be.m sled c dal(ueredQnditlonal,notfee of rensw l has teen lent tip yqu, `Such iist: (I Moot! prl�vldad prim tct cari�eliatlQr�or r5c�nµrenev I 11 us# ooiltaltn. thlo..h6pries encl acidtessoe df only tfle }persons or orgonfzatior3s regf�irin� notification that= sui h pel�oy I :s been rtWiled 0066n rer ewed;and" o�: W0.be in an Werkt ntc fz:E>r� k kh t:ls pt b[ v us 2. t lr nq# tien;as de ;rtbed in F WAPraph I.above vuilr tie based en [he most recent list in ourre o' aa:of the flake tF a notice of ceri flat on or ndmtgnewal is mailod ar dellye:red tca;.you: lot e wf f..rna[l or deli+ler. notification-to each�persan or vrgenlz4tI0n shown in the.'list: as tPo'!thlrt �6veri d9ys of the WebtiV6, date oaf this dotleo of chncellati< , if,w ' canaW't'ar ruin-payrheht of, prerrtiu7r�,:.or b:. 'At ie.6800 doyq prl6rta the effective date of t k} Canoeliation, if`oanOe.IJecllor a reason ether than naopayme-nt cat Pirernipmt.pir. (2)` frlert"-rer evtirai bait.n dirip wnditidnai noti of�rdhenral:, I Our'maill6g. or delivery ref i�sat is tiara d scC ibad in Pai raphs �,end":2 atiave is iht nded a c urteay oniy; tour fail�lre to delivery stool Meil 0 ar delivery w l! not. Extenti;Ihe policy 000-00110.0on%or non-renewai date,. b. :JV atelhe c `rtoslialian tir.ntirr»r r euirai, er c.. Prpvlde;anya#ditiariel Pnsuraneq thtiri�iild°`not Have beerti prq►tided-irr thie at�seicef'tttls ehtirserran# Vve:are Aot responsIO er1or the,t�ecuracy., Integrity, tin e.1imps :and valu�ity 0f`inf :'at'dwcdnto!ho in"#ho=.lick prvc#ed ta. ,cJerihl.ln:laragla.phs .and. :ebvo. 11 ether-,terms end rondit[otis:nf`thiis p6hgy remain upchangeO This .ndoemrt changes the poIIcy'fr which ikta attc ls lfectiva on#pie date Isaped,ontess static , ire CYi#ot9riatCnr� Ow Ts rkqulitd ohlt :wben'this i nddysemefit 1s su4d subsbduen#t,6 pj66jw ittan.bfth .pcticyr) Er�ttar l I'Eft00(lVe,'*201�024 No. W OP0030, 1 Errttphs n�tlt Ep,. lasur r t egence,L Gw. lreiurxt $ (nsvranog.Company wc'60 ds as Pa :.16f 9 tl.01- ) inciu . s Copyrghk mat it I of the;N tio� l.Gs�uricll on gomgen ettdn;fnsur n e Ina,used filth its permiss om r: Oti�C(*69hrNasorrsl council onrompen allotr Irrsurar o,.lnc.AIl:etig Es,fer.16 'd. WORKER COMP N$A IO.N A►O BM PLOYERS LIABILITY INAURANC.E:F'CJLICY; M00:0313. .WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT W6 h ua khin ri hk 't i recra r r of it ou p"ohts,r yb Ilabe fdr Or ihiu 6ir.o � thisrright g itsk' c W vl pt t i g m �trSchle. tT�iar�em nae f Ct ewi t nyoxteovhatyW p0rorn work!undora ec n ral tl at;roquires you tri of taln'k1�ls g'C13 omen(rrom`: Fsts agrOem nt shall not pperato d teakly or itltiirobtly kra on fit an.y n :t of i am d ir�.t Sci ulq:;: Schod le ALL F I SC I A 1C3f 1 OI ANI A C iI " I"iA Al 1Wt tatfF CrfS BY Vlff�l�"`SW.. Ct�4TAAC' ' [ A:G Z irMEi�l'r WII Ff>. I: ,' Uf l [ , 3� 4 "Ir»1 i l tOC~t TO THE= AGOIr ENT*.R L0SS,``T14 VtIAI�J OF SUBROGATIQN $ f�R7VfRBD .IJNC� R THIS F�pLtll' i`C?R 11V7RK IRF©CM.BC3 BY' YC)U : QR "I AT, �'ERSON AN:L]lC7R pRGAIW( AI.C}I`d. 'T_hfs�t�d�rs�rt��r�:t.�i�[n���.�ii�:pt�i��y ib'Uvhict�lfla��ta ���n�.Is.effe�4ivs p�:#��tfata'l�sued'itnioss:ot �rwls�`sta�te (Tti itfrsrrrtfora b�lo+,w Ts rgalreil rely whrt tris' °ntfotifit'Is 1 >tdubse:gnt to p rip Para elcsn of he polty;j, Endorse rrt ref' ff : ttys P zll y:No.W-Ce,650885, 1 EndvtsomOttt,NO.IfIMM� ,1 lmGENaE (OLDI:NG.5.,.LLQ Prew. jqm$ Imu moGompapy .ZQ14,10HAMERICAIV K .Ut NCB C�Mp�4.'. aank�rs.i ed b IIUC124(4 84) ag W1 OQ 0 1.3' C p right 1'&.3 iV elan l.:+ aura it-fit Cnr pin ttnn.lrisi,r noe;.:(tc . Uin 9 t�1r t c��`i A`oRo° CERTIFICATE OF LIABILITY INSURANCE DATE 08/08/2025/2025IYYYY) 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 MARSH RISK&INSURANCE SERVICES NAME: PHONE FAX FOUR EMBARCADERO CENTER,SUITE 1100 (A/C,No Ext: A/C,No): CALIFORNIA LICENSE NO.0437153 E-MAIL SAN FRANCISCO,CA 94111 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# CN10246455-CMTA-GAUWP-25-26 INSURERA: Zurich American Insurance Company 16535 INSURED INSURER B: American Guarantee and Liability Insurance Company 26247 P2S,LP 5000 E.Spring St. INSURER C: Allied World Surplus Lines Insurance Company 24319 Suite 800 INSURER D Long Beach,CA90815-5247 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: SEA-004067519-04 REVISION NUMBER: 1 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 ADDLSUBRTYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF POLICY EXP LTR MM/DDIYYYYI iMMIDDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY X X GLO 8650384-02 06/20/2025 06/20/2026 EACH OCCURRENCE $ 2,000,000 RENTEDDAMAGE TO CLAIMS-MADE X� OCCUR FIR SES(Ea."; Ea occrre... $ 300,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY PE� LOC PRODUCTS-COMP/OPAGG $ 4,000,000 OTHER: $ A AUTOMOBILE LIABILITY X X BAP 4340750—04 06/20/2025 06/20/2026 COMBINED SINGLE LIMIT $ 5,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTYDAMAGE $ AUTOS ONLY AUTOS ONLY Per accident L $ B X UMBRELLA LIAB X OCCUR X X AUC 4340745-04 06/20/2025 06/20/2026 EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000,000 DED RETENTION$ $ A WORKERS COMPENSATION X WC 8650385-02 06/20/2025 06/20/2026 X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N❑ NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C Professional Liability 0313-2020 06/20/2025 06/20/2026 Limit: 10,000,000 SIR: 250,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Santa Ana is included as additional insured where required by written contract with respect to General Liability and Auto Liability.This insurance is TU Trd n Digitally signed by primary and non-contributor over an existing Insurance and limited to liability arising out of the operations of the named insured subject to policy terms Da Tran Nguyen p ry y y g y g p 1 p y Date:2025.08.08 and conditions.Waiver of subrogation is applicable where required by written contract and subject to policy terms and conditions.Umbrella is followform of Nguyen 11:00:48-07'00' primary subject to policy terms,conditions and exclusions. APPROVED CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 11:00 am,Aug os,2025 City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 215 S.Center St. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Santa Ana,CA 92703 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh Risk&Insurance Services MW41 Red &lwwia w scw4w ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: BAP 4340750 04 CA20481013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO] DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: LEGENCE HOLDINGS, LLC Endorsement Effective Date: 06/20/2025 SCHEDULE Name Of Person{s) Or Organization(s): Any person or organization to whom or which you are required to provide additional insured status or additional insured status on a primary, non-contributory basis, in a written contract or written agreement executed prior to loss, except where such contract or agreement is prohibited by law. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured"for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.I. of Section II — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 Insurance Services Office, Inc., 2011 Page 1 of 1 INTERNAL USE ONLY Wolters Kluwer Financial Services I Uniform FormsT11 a Blanket Notification to Others of Cancellation ZURICH or Non-Renewal Policy No. I Eff. Date of Pol. I Exp. Date of Pot. Eff.Date of End. Producer No. Add'!. Prem Return Prem. BAP4340750-04 06/20/2025 1 06/20/2026 06/20/2025 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ►IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial Automobile Coverage Part A. If we cancel or non-renew this Coverage Part by written notice to the first Named Insured, we will mail or deliver notification that such Coverage Part has been cancelled or non-renewed to each person or organization shown in a list provided to us by the first Named Insured if you are required by written contract or written agreement to provide such notification. However, such notification will not be mailed or delivered if a conditional notice of renewal has been sent to the first Named Insured. Such list: 1. Must be provided to us prior to cancellation or non-renewal; 2. Must contain the names and addresses of only the persons or organizations requiring notification that such Coverage Part has been cancelled or non-renewed; and 3. Must be in an electronic format that is acceptable to us. B. Our notification as described in Paragraph A. of this endorsement will be based on the most recent list in our records as of the date the notice of cancellation or non-renewal is mailed or delivered to the first Named Insured. We will mail or deliver such notification to each person or organization shown in the list: 1. Within seven days of the effective date of the notice of cancellation, if we cancel for non-payment of premium; or 2. At least 30 days prior to the effective date of: a. Cancellation, if cancelled for any reason other than nonpayment of premium; or b. Non-renewal, but not including conditional notice of renewal. C. Our mailing or delivery of notification described in Paragraphs A. and B. of this endorsement is intended as a courtesy only. Our failure to provide such mailing or delivery will not: 1. Extend the Coverage Part cancellation or non-renewal date; 2. Negate the cancellation or non-renewal; or 3. Provide any additional insurance that would not have been provided in the absence of this endorsement. D. We are not responsible for the accuracy„ integrity, timeliness and validity of information contained in the list provided to us as described in Paragraphs A. and B. of this endorsement. All other terms and conditions of this policy remain unchanged. U-CA-832-A CW(01113) Page 1 of 1 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 0 NAMED INSUREDS ��RICH Policy Number: BAP4340750-04 Company Auto LEGENCE HOLDINGS LLC X LEGENCE THERMA LLC X G1-THERMA BLOCKER LLC X THERMA INTERMEDIATE LLC X THERMA LLC X THERMA SERVICES HOLDINGS, INC. X THERMA SERVICES LLC X VARCOMAC LLC X GILBERT MECHANICAL CONTRACTORS, LLC X YEAROUT LLC X YEAROUT MECHANICAL LLC X YEAROUT SERVICES LLC X YEAROUT SUPPORT SERVICES LLC X YEAROUT MECHANICAL LLC D/BIA WELCH'S X BOILER SERVICE, INC. BEL AIRE MECHANICAL LLC X RE TECH ADVISORS LLC X BUILDING SYSTEMS HOLDINGS LLC X ICS CONSULTING LLC X FOSTER JACOBS S&JOHNSON, INC. X CPMI LLC X OBERMILLER NELSON ENGINEERING LLC X PROVIDENT ENERGY CONSULTING LLC X CMTA, INC. X ENGINEERED SOLUTIONS, INC. X TMR ENGINEERING LLC X BLACK BEAR ENERGY LLC X LORD GREEN REAL ESTATE STRATEGIES, LLC X SHADPOUR CONSULTING ENGINEERS, LP X LEGENCE PAYROLL SOLUTIONS LLC X LEGENCE PAYROLL ADVISORY LLC X SAN JOSE BOILER WORKS, INC. X A.O. REED &CO., INC. X Legence Holdings LLC 5 0 NAMED INSUREDS Z U RICH Company Auto A.O. REED&CO., LLC X OCI ASSOCIATES, LLC. X P2S, LP X P2S, INC. X AMA CONSULTING ENGINEERS HOLDINGS LLC X AMA MANAGEMENT SERVICES LLC X AMA COMMISSIONING +BUILDING SYSTEMS, X LLC AMA DESIGN BUILD LLC X TM TECHNOLOGY PARTNERS, LLC X TECHNICAL SYSTEMS SOLUTIONS& X MEASUREMENT, LLC AMA DESIGN-BUILD, LLC X SKYLINE ENGINEERING, LLC X AMA CONSULTING ENGINEERS P.C. (NY) X AMA CONSULTING ENGINEERS P.C. CA X Legence Holdings LLC 6 POLICY NUMBER: BAP 4340750 04 COMMERCIAL AUTO CA04441013 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: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: LEGENCE MOLDINGS, LLC Endorsement Effective Date: 06/20/2025 SCHEDULE Name(s) Of Person(s)Or Organization(s): ALL PERSONS AND/OR ORGANIZATIONS THATARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE ACCIDENT OR LOSS,THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but ❑nly to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. CA 04 44 10 13 ® Insurance Services Office, Inc., 2011 Page 1 of 1 INTERNAL USE ONLY Walters Kluwer Financial Services I Uniform FormsT"' Additional Insured — Owners, Lessees Or Contractors Z U RI C H — Completed [operations THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy No. GLO 8650384-02 Effective Date: 06/20/2025 This endorsement modifies insurance provided under the following: Commercial General Liability Coverage Part SCHEDULE Name of Person or Organization: As required by written contract Location And Description of Completed Operations: Any Location or project, other than a wrap-up or other consolidated insurance program location or project, for which insurance is otherwise separately provided to you by a wrap-up or other consolidated insurance program Additional Premium: INCL Section II —Who Is An Insured 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" at the location designated and described in the schedule of this endorsement performed for that insured and included in the "products-completed operations hazard". All other terms, conditions, provisions and exclusions of this policy remain the same. U-GL-2182-A CW(09119) Page 1 of 1 Includes copyrighted material of Insurance Services Office,Inc.,With Its permission. Additional Insured — Owners, Lessees Or Contractors Z U RI C H — Scheduled Person Or Organization THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy No. GLO 8650384-02 Effective Date: 06/20/2025 This endorsement modifies insurance provided under the following: Commercial General Liability Coverage Part SCHEDULE Name of Person or Organization: As required by written contract A. Section II—Who Is An Insured 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 ongoing operations performed for that insured. B. With respect to the insurance afforded to these additional insureds, the following exclusion is added: 2. Exclusions 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 site 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. All other terms, conditions, provisions and exclusions of this policy remain the same. u-GL-2183-A Cw(09119) Page 1 of 1 Includes copyrighted material of Insurance Services Office,Inc.,With Its permission. 0 NAMED INSUREDS ��RICH Policy Number: GL08650384-02 Company Workers' General Camp Liability LEGENCE HOLDINGS LLC X X BUILDING SYSTEMS HOLDINGS LLC X X ICS CONSULTING LLC X X CPMI LLC X X FOSTER JACOBS&JOHNSON, INC. X X OBERMILLER NELSON ENGINEERING LLC X X PROVIDENT ENERGY CONSULTING X X CMTA, INC. X X RE TECH ADVISORS LLC X X ENGINEERED SOLUTIONS, INC. X X BLACK BEAR ENERGY, INC. X X SHADPOUR CONSULTING ENGINEERS X X LORD GREEN REAL ESTATE STRATEGIES, INC. X X LEGENCE PAYROLL ADVISORY LLC X X OCI ASSOCIATES, LLC. X X P2S, LP X X P2S, INC. X X AMA CONSULTING ENGINEERS P.C. (CA) X X AMA CONSULTING ENGINEERS P.C. N X X AMA CONSULTING ENGINEERS HOLDINGS LLC X X TM TECHNOLOGY PARTNERS, LLC X X AMA MANAGEMENT SERVICES LLC X X AMA COMMISSIONING +BUILDING SYSTEMS, X X LLC TECHNICAL SYSTEMS SOLUTIONS& X X MEASUREMENT, LLC SKYLINE ENGINEERING, LLC X X AMA DESIGN-BUILD, LLC X X OCI ASSOCIATES LLC DBA CMTA X TMR ENGINEERING LLC x AMA DESIGN BUILD LLC X Legence Holdings LLC 5 Other Insurance Amendment — Primary And Non 0 ��, - Contributory ZURICH Policy No. Eff.Date of Pol. Exp. Duce of Pol. Eff.Date of Elul. Producer No. AddT Prem Retum Prern. GLO 8650384-02 06/20/2025 06120/2026 18232000 1NCL THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured: Address(including ZIP Code): This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part 1. The following paragraph is added to the Other Insurance Condition of Section IV — Commercial General Liability Conditions: This insurance is primary insurance to and will not seek contribution from any other insurance available to an additional insured under this policy provided that: a. The additional insured is a Named Insured under such other insurance;. and b. You are required by a written contract or written agreement that this insurance would be primary and would not seek contribution from any any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV — Commercial General Liability Conditions: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense, claim or "suit'. This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and non-contributory basis. All other terms and conditions of this policy remain unchanged. U-GL-1327-8 CW(04113) Page 1 of 1 Includes copyrighted material of Insurance Services Office,Inc.,With Its permission. Blanket Notification to Others of Cancellation ZURICH or Non-Renewal THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy No. GLO 8650384-02 Effective Date: 06/20/2025 This endorsement applies to insurance provided under the: Commercial General Liability Coverage Part A. If we cancel or non-renew this Coverage Part by written notice to the first Named Insured, we will mail or deliver notification that such Coverage Part has been cancelled or non-renewed to each person or organization shown in a list provided to us by the first Named Insured if you are required by written contact or written agreement to provide such notification. Such list: 1. Must be provided to us prior to cancellation or non-renewal; 2. Must contain the names and addresses of only the persons or organizations requiring notification that such Coverage Part has been cancelled or non-renewed; and 3. Must be in an electronic format that is acceptable to us. B. Our notification as described in Paragraph A. of this endorsement will be based on the most recent list in our records as of the date the notice of cancellation or non-renewal is mailed or delivered to the first Named Insured. We will mail ❑r deliver such notification to each person or organization shown in the list: 1. Within 10 days of the effective date of the notice of cancellation, if we cancel for non-payment of premium; or 2. At least 30 days prior to the effective date of: a. Cancellation, if cancelled for any reason other than nonpayment of premium; or b. Non-renewal, but not including conditional notice of renewal, unless a greater number of days is shown in the Schedule of this endorsement for the mailing or delivering of such notification with respect to Paragraph 13.1. or Paragraph 13.2. above. C. Our mailing or delivery of notification described in Paragraphs A. and B.of this endorsement is intended as a courtesy only. Our failure to provide such mailing or delivery will not: 1. Extend the Coverage Part cancellation or non-renewal date; 2. Negate the cancellation or non-renewal; or 3. Provide any additional insurance that would not have been provided in the absence of this endorsement. U-GL-1521-B CW(01119) Page 1 of 2 Includes copyrighted material of Insurance Services Office,Inc.,With Its permission. D. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the list provided to us as described in Paragraphs A. and B.of this endorsement. SCHEDULE The total number of days for mailing or delivering with respect to Paragraph B.1.of 10* this endorsement is amended to indicate the following number of days: The total number of days for mailing or delivering with respect to Paragraph B.2.of 30** this endorsement is amended to indicate the following number of days: * If a number is not shown here, 10 days continues to apply. ** If a number is not shown here, 30 days continues to apply. All other terms and conditions of this policy remain unchanged. U-GL-1521-B CW(01119) Page 2 of 2 Includes copyrighted material of Insurance Services Office,Inc.,With Its permission. Primaryand Non-Contributor — Other Insurance 0 Y Condition For Designated Entity And Designated Z U RI C H Project THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy No. GLO 8650384-02 Effective Date: 06/20/2025 This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part SCHEDULE Designated Entity Designated Project As Required By Written Contract Solely with respect to"your work" for the designated entity on the designated project shown in the SCHEDULE above, 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 the designated entity shown in the SCHEDULE above as an additional insured under your policy provided that: (1) The designated entity shown in the SCHEDULE 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 designated entity shown in the SCHEDULE. All other terms, conditions, provisions and exclusions of this policy remain the same. N-GL-5016-A OW(07121) Page 1 of 1 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 9 Waiver Of Subrogation (Blanket) Endorsement Z U RI C H Policy No. Ef.. Date of Pol. Exp. Date of Pol. Eff.Date of End. Producer Add'l.Prem Return Prem. GLO 8650384-02 06/20/2025 06/20/2026 06/20/2026 18232000 $`---- $`---- THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition: If you are required by a written contract or agreement,which is executed before a loss,to waive your rights of recovery from oth- ers,we agree to waive our rights of recovery. This waiver of rights shall not be construed to be a waiver with respect to any other operations in which the insured has no contractual interest. INTERNAL USE ONLY u-GL-925-B Cw(IM1) Page 1 0£I 0 NAMED INSUREDS ��RICH Policy Number: WC8650385-02 Company Workers' General Camp Liability LEGENCE HOLDINGS LLC X X BUILDING SYSTEMS HOLDINGS LLC X X ICS CONSULTING LLC X X CPMI LLC X X FOSTER JACOBS&JOHNSON, INC. X X OBERMILLER NELSON ENGINEERING LLC X X PROVIDENT ENERGY CONSULTING X X CMTA, INC. X X RE TECH ADVISORS LLC X X ENGINEERED SOLUTIONS, INC. X X BLACK BEAR ENERGY, INC. X X SHADPOUR CONSULTING ENGINEERS X X LORD GREEN REAL ESTATE STRATEGIES, INC. X X LEGENCE PAYROLL ADVISORY LLC X X OCI ASSOCIATES, LLC. X X P2S, LP X X P2S, INC. X X AMA CONSULTING ENGINEERS P.C. (CA) X X AMA CONSULTING ENGINEERS P.C. N X X AMA CONSULTING ENGINEERS HOLDINGS LLC X X TM TECHNOLOGY PARTNERS, LLC X X AMA MANAGEMENT SERVICES LLC X X AMA COMMISSIONING +BUILDING SYSTEMS, X X LLC TECHNICAL SYSTEMS SOLUTIONS& X X MEASUREMENT, LLC SKYLINE ENGINEERING, LLC X X AMA DESIGN-BUILD, LLC X X OCI ASSOCIATES LLC DBA CMTA X TMR ENGINEERING LLC x AMA DESIGN BUILD LLC X Legence Holdings LLC 5 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 43 BLANKET NOTIFICATION TO OTHERS OF CANCELLATION OR NONRENEWAL ENDORSEMENT This endorsement adds the following to Part Six of the policy. PART SIX CONDITIONS Blanket Notification to Others of Cancellation or Nonrenewal 1. If we cancel or non-renew this policy by written notice to you, we will mail or deliver notification that such policy has been cancelled or non-renewed to each person or organization shown in a list provided to us by you if you are required by written contract or written agreement to provide such notification. However, such notification will not be mailed or delivered if a conditional notice of renewal has been sent to you. Such list: a. Must be provided to us prior to cancellation or non-renewal; b. Must contain the names and addresses of only the persons or organizations requiring notification that such policy has been cancelled or non-renewed;and c. Must be in an electronic format that is acceptable to us. 2. Our notification as described in Paragraph 1. above will be based on the most recent list in our records as of the date the notice of cancellation or non-renewal is mailed or delivered to you. We will mail or deliver such notification to each person or organization shown in the list: a. Within seven days of the effective date of the notice of cancellation, if we cancel for non-payment of premium; or b. At least 30 days prior to the effective date of: (1) Cancellation„ if cancelled for any reason other than nonpayment of premium; or (2) Non renewal, but not including conditional notice of renewal. 3. Our mailing or delivery of notification described in Paragraphs 1. and 2. above is intended as a courtesy only. Our failure to provide such mailing or delivery will not: a. Extend the policy cancellation or non-renewal date; b. Negate the cancellation or non-renewal; or c. Provide any additional insurance that would not have been provided in the absence of this endorsement. 4. We are not responsible for the accuracy„ integrity, timeliness and validity of information contained in the list provided to us as described in Paragraphs 1.and 2. above. All other terms and conditions of this policy remain unchanged. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 06/20/2025 Policy No. WC8650385-02 Endorsement No. Insurer Legence,LLC. Premium $ Insurance Company WC 99 06 43 Page 1 of 1 (Ed.01-13) Includes copyright material of the National Council on Compensation Insurance,Inc.used with its permission. C 2012 Copyright National Council on Compensation Insurance,Inc.All Rights Reserved. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 04-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT 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.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON AND/OR ORGANIZATION This endorsement changes the policy to which it Is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Policy No.WC8650385-02 Endorsement No. Insured : LEGENCE HOLDINGS, LLC Premium $ Insurance Company:ZURICH AMERICAN INSURANCE COMPANY Countersigned by WC124 (4-84) Page 'I of 1 WC 00 03 13 Copyright 1983 National Council on Compensation Insurance,Inc. Uniform FormsT"'