Loading...
HomeMy WebLinkAboutPSOMAS (9)A-2020-241-34-01 INSURANCE ON FILE WORK MAY PROCEED MAYOR UNTIL INSURAN46CCE EXPIRES o Valerie Amezcua N MAYOR PRO TEM Jessie Lopez CITY CLERK 4j COUNCILMEMBERS DATE: O Phil Bacena ►— Johnathan Ryan Hernandez CD Penaloza Thai Viet Phan Thai Benjamin Vazquez D., FOA 0) (:F- V111AYIPA I)fl�- September 11, 2023 CITY OF SANTA ANA PLANNING & BUILDING AGENCY 20 Civic Center Plaza • P.O. Box 1988 Santa Are, California 92702 www.santa-ana.org Psomas Attn: Jennifer Marks, Vice President 5 Hutton Centre Drive, Suite 300 Santa Ana, CA 92707 CITY MANAGER Kristine Ridge CITY ATTORNEY Sonia R. Carvalho CITY CLERK Jennifer L. Hall Re: Planning and Technical Services to Prepare an Initial Study/Mitigated Negative Declaration (IS/MND) for McDonald's at Santa Clara Avenue Project Dear Ms. Marks, Pursuant to Section I ("Scope of Services") of Agreement No. A-2020-241-34 entered into by Psomas ("Consultant") and the City of Santa Ana, dated July 10, 2023, Consultant hereby accepts this Letter Agreement for an assignment for on -call planning and technical services for the projected listed above. Consultant shall complete the services per the proposal revised and dated June 1, 2023 (attached as Exhibit A to this Letter Agreement) by November 30, 2023. Compensation is subject to Section 2 of the Agreement and the total compensation for this assignment shall not exceed $77,212.00. All other terms and conditions of said Agreement remain unchanged and in full force and effect. If you have any questions regarding this matter, please contact Ali Pezeshkpour or Jerry Guevara in the Planning and Building Services Agency at (714) 667-5481. Sincerely O Minh Thai Executive Director Planning & Building Services Agency APPROVED AS TO FORM: Sonia R. Carvalho City Attorney Jose Montoya Assistant City Attorney A-2020-241-34; Side letter 1 Valerie Amezcua Jessie Lopez Thai Vial Phan Mayor Mayor Pro Tom, Ward 3 word Yamezcua(Asanla-ana om . Bliss 0sana, ana oh ahan(AsaMa-ana om i dA4,7-- NSUL ANT Jennifer Marks Vice President SANTA ANA CITY COUNCIL B."non Vazquez Phil Bacana Johnatban Ryan Hernandez David Pani WeM2 Ward4 Ward Ward bvazouer aoriz-ana rim obacerral®sanlo-ana om om doenalozaRoanlo-ana om Balancing the Natural and Built Environment May 4, 2023 Revised June 1, 2023 Mr. Jerry C. Guevara VIA EMAIL Senior Planner JGuevara@santa-ana.org City of Santa Ana, Planning and Building Agency (M-20) Planning Division 20 Civic Center Plaza Santa Ana, California 92702 Subject: Proposal for Preparation of an Initial Study/Mitigated Negative Declaration (IS/MND) for McDonald's at Santa Clara Avenue Project in the City of Santa Ana, County of Orange Dear Mr. Guevara: Psomas appreciates the opportunity to submit a Scope of Work (SOW) and cost estimate for preparation of an Initial Study/Mitigated Negative Declaration (IS/MND) for McDonald's at Santa Clara Avenue Project (Project), located in SantaAna (City). The City of Santa Ana is the Lead Agency on the IS/MND. Psomas is a full -service environmental, engineering, construction management, and land survey firm. Psomas' Environmental and Resource Management Group provides California Environmental Quality Act (CEQA) and National Environmental Policy Act (NEPA) documentation; biological resources surveys and assessments; regulatory services and permitting; habitat restoration planning; cultural resources assessments and monitoring; air quality, greenhouse gas emissions, and noise analyses; and Geographic Information Systems (GIS) mapping and spatial analyses. Psomas proposes a Project team with CEQA expertise on in -fill re -development commercial projects with relevant experience in the California Environmental Quality Act (CEQA) to assist the City and the Project team with preparation of an IS/MND. 1, Alia Hokuki, AICP, am a Senior Project Manager with over 27 years of experience in preparing environmental documentation pursuant to CEQA for a variety of project types, including nonresidential in -fill projects, including commercial, retail, institutional (education and healthcare), and infrastructure projects. In addition, I will operate as the main point of contact to the City and Project team and be the day-to-day Project Manager with the responsibility of ensuring work is completed on schedule and within budget. I will be supported by a team of highly qualified and experienced in-house staff, and all technical analyses included in this SOW will be conducted by Psomas' technical staff. We understand that the Applicant's consultants have prepared a Water Quality Management Plan (WQMP); Hydrology and Hydraulics Report; Geotechnical Report; and Traffic Analysis, which will be provided to Psomas for incorporation into the IS/MND. 5 Hutton Centre Drive Attachment A includes our proposed SOW for preparing and processing the IS/MND; suite 300 AttachmentB includes the Cost Estimate for our work effort; and Attachment C includes the Santa Ana, CA 92707 Schedule for the Project. Tel 714.751.7373 Pax 714.545.8883 www.Psomas.com Mr. Jerry C. Guevara May 4, 2023 Revised June 1, 2023 Page 2 We appreciate the opportunity to provide the attached SOW, Cost Estimate, and Schedule, and we look forward to assisting the City and Project team with this Project. Please contact me by phone at 714.751.7373 or by email at Alia.Hokuki@Psomas.com if you have any questions or would like additional information. Sincerely, PSOMAS Vice President/Senior Project Manager Attachments: A — Scope of Work B — Cost Estimate C— Schedule R:%ProposaakCity of Santa Ana\McponaM_ISMNu 50423Aocx Exhibit A-1 to Side Letter 1 A-2020-241-34 ATTACHMENT A McDonald's at Santa Clara Avenue SCOPE OF WORK MCDONALD'S AT SANTA CLARA AVENUE PROJECT INITIAL STUDY/MITIGATED NEGATIVE DECLARATION May 4, 2023, Revised June 1, 2023 PROJECT UNDERSTANDING The McDonald's at Santa Clara Avenue Project (Project), involves re -development of the 36,538-square- foot (sf) site with a McDonald's drive -through fast food facility, located at 2101, 2107, and 2109 East Santa Clara Avenue. The site is currently developed with the two single-family residences with detached garages and associated improvements. The eastern and western residences are approximately 3,000 sf and 1,800 sf in size, respectively. The proposed Project will be developed as a 3,975-sf McDonald's fast-food restaurant with a drive - through lane and associated parking and landscaping. To accommodate development of the proposed Project, the two existing single-family residential units with detaches garages will be demolished. Local access is from East Santa Clara Avenue and North Tustin Avenue, and regional access is provided by State Route 55 (SR-55). The Project site is in a built -out and urbanized portion of the City of Santa Ana and is surrounded by residential development to the south across from East Santa Clara Avenue and commercial/retail to the east, north, and west. The Project site has a General Plan Land Use designation of General Commercial (GC) and Zoning designation of General Agricultural (At). A Zone Change is required to designate the site as Arterial Commercial (C5). Also, a Conditional Use Permit is required to allow the operation of the proposed drive -through lane. ENVIRONMENTAL ANALYSIS APPROACH Based on the Request for Proposal (RFP), the City has determined that an Initial Study/Mitigated Negative Declaration is required for the proposed re -development of the site. We concur that an IS/MND prepared in accordance with CEQA (California Public Resources Code, Sections 21000 et seq.) and the State CEQA Guidelines (California Code of Regulations, Title 14, Section 15000 et seq.), would be the appropriate CEQA document for the proposed Project. Additionally, Psomas will take into account the City's requirements and specifications and will use the CEQA Appendix G Environmental Checklist Form (2020 CEQA Guidelines) to prepare the IS/MND. SCOPE OF ENVIRONMENTAL SERVICES Below is the SOW for the proposed McDonald's at Santa Clara Avenue Project IS/MND based on our understanding of the Project and the information received from the City. This SOW includes the following tasks: • Task 1 Project Initiation • Task 2 Technical Analyses/Studies Task 3 Initial Study/Mitigated Negative Declaration • Task 4 Project Management, Meetings, and Public Hearings awrov QsltyowamaMaWcmnaia ISMNO-WOMAox A-t Cost Estimate Mc Donald's at Santa Clara Avenue Project TASK 1 PROJECT INITIATION Subtask 1.1 Kick -Off Meetin Psomas will attend a virtual or in -person kick-off meeting with the City, the Applicant, and the Project team, as appropriate. This meeting will provide an opportunity to discuss the approach to preparing the environmental document; further define the SOW; identify and discuss the key community issues and concerns, as applicable; and identify information needs. The Project schedule will be discussed, and key milestones defined. It is assumed that available Project information, including an updated site plan, as applicable, would be provided at this meeting. It is also assumed that the technical studies prepared by the Applicant (i.e., a Water Quality Management Plan [WQMP]; Hydrology and Hydraulics Report; Geotechnical Report; and Traffic Analysis) will be provided to Psomas for incorporation into the IS/MND, at this meeting. Psomas also assumes that considering the demolition of the existing residential units on the site, the Applicant will prepare a Phase I Environmental Site Assessment (ESA). If requested, Psomas will prepare and electronically submit the meeting minutes from the kick-off meeting to the City for review and comment. Upon receipt of comments, the meeting minutes will be revised and distributed. Subtask 1.1 Deliverables • Electronic Copies (email) of Draft and Final Meeting Minutes (if requested) Subtask 1.2 Data Collection and Site Visit Psomas will prepare a Data Needs Request to obtain data related to Project construction activities and operations that will be needed for the technical analyses contained in the IS/MND. Work can typically proceed on tasks that are not dependent on forthcoming information. Psomas will review existing City documents, including but not limited to the Santa Ana General Plan (2022); the General Plan Final Recirculated Draft EIR (2021) (General Plan EIR); the Zoning Ordinance; and otherpertinent documents. Additionally, Psomas will conduct a site visit to assist in the description of the environmental setting and to photographically document the site and surrounding area. Subtask 1.2 Deliverables Electronic Copy (email) of Data Needs Request Subtask 1.3 Proiect Description Upon receipt of Project information, Psomas will draft a Project description appropriate for an IS/MND. The Project description will ineludedetails related to short-term construction activities and long-term land uses and operations of the Project. The draft Project Description will be submitted electronically to the City for review and comment. Once approved by the City, the Project description will be distributed to the Project team to initiate technical analyses. Subtask 1.3 Deliverables Electronic Copy (email) of the Draft and Final Project Description a.wro osais�]] orsama MalMmD nM .ISMND-asoi2z.mox A-2 Cost Estimate McDonald's at Santa Clara Avenue Project TASK 2 TECHNICAL ANALYSES/STUDIES Subtask 2.1 Peer Review of Existine Technical Studies We understand thatthe Applicant will prepare and provide to Psomas a Water Quality Management Plan (WQMP); Hydrology and Hydraulics Report; Geotechnical Report; and Traffic Analysis. Upon receipt of the studies, Psomas' Project Manager and technical experts will conduct a peer review of the studies for adequacy and compliance with CEQA. Upon review of each of the studies for CEQA adequacy, a Memorandum will be prepared and submitted to City staff summarizing the comments and recommendations of the Project Manager and technical experts, as appropriate. If additional studies/reports are prepared by the Applicant and provided to Psomas for peer review and incorporation into the IS/MND, a budget augment will be required (through the contingency budget) for the additional peer review. Subtask 2.2 Deliverables • Electronic Copies (email) of Peer Review Memoranda Subtask 2.2 Pronosed Technical Analvses Several technical analyses will be prepared as part of IS/MND sections by Psomas' in-house technical experts in support of an adequate environmental document, consistent with CEQA requirements. These analyses include Air Quality, Energy, Greenhouse Gas (GHG) Emissions, and Noise. The scopes of the said analyses are provided below. Additionally, South Environmental as a subconsultant to Psomas will prepare a Historic Built Environment Assessment to analyze the Project's potential impacts related to historic resources. The scope is provided below. Air Oualitv and Greenhouse Gas Emissions Psomas will develop Air Quality and Greenhouse Gas (GHG) emissions analyses based on a review the Project site plans, traffic study, and related Project data. Pso nas will prepare a Data Needs Request for the Project team to provide data relative to phasing, construction methods, grading quantities, building energy use, stationary sources, vehicle traffic, and Project features related to the required technical analyses. Based on information provided, Psomas will draft reasonable worst -case scenarios for anticipated construction activities (i.e., most intensive phase, type of construction, construction start and completion dates, anticipated soil export and import, equipment mix) and long-term operations to be used as the basis of the air quality modeling. Psomas will conduct the air quality analysis consistent with the South Coast Air Quality Management District's (SCAQMD's) recommended methods for CEQA analyses and will evaluate the Project's contribution to regional emissions to the air basin as well as localized concentrations to uses proximate to the Project site. For the regional emissions analysis, Psomas will calculate the Project's construction and operational criteria pollutant regional (mass) emissions using the California Emissions Estimator Model (CaIEEMod). Model results will be compared with the SCAQMD's CEQA regional emissions thresholds to determine the potential for Project related impacts to the air basin's regional emissions. For theanalysis of potential impacts to the local area proximate to the Project site, the SCAQMD requires that Project -related construction emissions be evaluated against the localized significance thresholds (LSTs). LSTs are used to determine whether sensitive uses near the Project site are exposed to air pollution that exceeds the ambient air quality standards (AAQS). For the operations phase of the Project, it is expected that a qualitative analysis will demonstrate that the Project would not generate traffic congestion at a major intersection at a magnitude that would cause a local carbon monoxide (CO) a.wrw«aincnr 05.m. A,MDon®a_ismxoA-3 Cost Estimate Mc Donald's at Santa Clara Avenue Project "hotspot". Thus, no dispersion modeling is included in this SOW for CO analysis. Project related emissions of construction phase toxic air contaminants (TACs) and odors will also be addressed qualitatively. Additionally, the analysis will include an evaluation of Project conformity with the Air Quality Management Plan for the South Coast Air Basin. Psomas will prepare a GHG emissions analysis. The quantitative Project analysis will use the data and scenarios developed for the air quality analysis; assumptions for the Project's anticipated electricity, natural gas, and water usage; proposed Project features that would conserve energy and water; sustainability features; and other data relative to GHG emissions. Psomas will calculate construction and operational GHG emissions concurrently with the air quality emissions using CalEEMod. Psomas will compare the change in GHG emissions with criteria that have been recommended by the SCAQMD or a threshold determined by coordination with City staff. Psomas will also determine whether implementation of the Project would conflict with applicable State, regional, and the City's Climate Action Plan, Santa Ana Green policies, or regulations adopted for the purpose of reducing air quality and GHG emissions. The findings will be provided as Air Quality and.Greenhouse Gas Emissions sections in the IS/MND, and model results will be included as appendices in the IS/MND. Energy Psomas will develop an Energy Analysis for the Project, which includes a discussion regulatory setting, energy demands, Project energy efficiency measures, impact assessment, and any necessary mitigation measures. The regulatory setting will include a discussion of the local, State, and federal policies and regulations that apply to the Project. The discussion of Project related energy demands includes quantification of anticipated energy consumption from the construction and operations phases. Construction phase energy demand is due to diesel and gasoline consumption used during the development of the Project. The operations phase of the Project would consume energy related to lighting and heating needs as well as vehicle trips. Potential impacts will be assessed relative to Project consistencywith the City of Santa Ana's energy efficiency and conservation goals and State of California Energy Efficiency Standards. An Energy section in the 1S/MND will be developed with the findings of the energy analysis and quantification sheets provided as appendix to the 1S/MND. Noise Psomas will conduct noise and vibration analyses to evaluate potential impacts attributable to the Project. Psomas will visit the Project siteto identify existing noise sources and to measure existing noise levels at the Project site boundaries. Four short-term noise measures (20-minute measurements) will be taken at the Project boundaries. These measurements will document noise levels at the Project site from noise sources such as traffic along East Santa Clara Avenue, North Tustin Avenue, and noise sources from nearby commercial and residential uses. Psomas will analyze temporary noise and vibration impacts from construction activities and will also review the Project plans, design, and traffic impact analyses to evaluate operational noise impacts to offsite sensitive receptors. The Project is anticipated to involve noise sources, which include drive - through activities, HVAC (heating, ventilation, and air conditioning) units, and parking lot activities. The analysis will compare noise impacts with the standards in the City's General Plan and Noise Ordinance. Increases in traffic noise on local roadways will also be quantified using the Federal Highway Administrations RD-77-108 traffic noise model. If mitigation measures are required to minimize noise and vibration impacts, recommend measures will be coordinated with the City and Applicant. The findings will be summarized in the IS/MND and supporting calculations will be included as appendix in the IS/MND. R:W1op sds Clty of Santa Ma%MoDonaltl ISMNO-W0123dooz A-4 Cast Estimate Mc Donald's at Santa Clara Avenue Project Historic Built Environment Assessment As a subconsultant to Psomas, South Environmental will prepare a Historic Built Environment Assessment understanding that buildings located at 2101 East Santa Clara and 2109 East Santa Ana Avenue are more than 45 years old. Property Survey. The exterior portions of all accessible existing built environment within the Project site will be surveyed by a qualified architectural historian, and detailed notes and photographs of all buildings and structures will be taken. It is assumed the survey will take no more than one day to complete and that safe access to the exterior of both properties will be provided. Property Evaluation. South Environmental will complete a historic significance evaluation for the two properties, identified as 2101 East Santa Clara Avenue and 2109 East Santa Ana Avenue, in consideration of California Register of Historical Resources (CRHR) and City of Santa Ana designation criteria to determine if the properties are considered historical resources for the purposes of CEQA Guidelines Section 15064.5. This may include accessing local libraries and archives and contacting relevant historical societies. South Environmental will also review all available building permits and construction documents to determine the nature and extent of alterations made to the properties over time. The properties will be evaluated on the required State of California Department of Parks and Recreation Series 523 Forms (DPR forms). South Environmental will prepare a report that will address potential Project -related impacts under CEQA Guidelines Section 15064.5. The report will summarize the results of the survey, the property significance evaluations, and the Project's potential to impact historical resources under CEQA. All DPR forms will be included as an appendix to the report. TASK 3 INITIAL STUDY/MITIGATED NEGATIVE DECLARATION Subtask 3.1 Administrative Draft Initial Studv/Mitigated Negative Declaration Psomas will prepare an Administrative Draft IS/MND using the CEQA Environmental Checklist Form (Appendix G). In compliance with Section 15063 of the State CEQA Guidelines, the IS/MND will contain the location of the Project site; a discussion of the environmental setting; a description of the Project; identification of the Project's potential environmental effects; and a discussion of any required mitigation. The discussion of the environmental setting will be based on a review of existing information, including the General Plan EIR; technical studies provided by the Applicant and analyses prepared by Psomas; review of aerial photographs; and a site visit. The environmental analysis will include an explanation for all checklist responses to provide an understanding of how the IS/MND conclusions were reached. Project -specific mitigation will be developed for impacts that are determinedto be potentially significant. The following discussion describes the work effort to be undertaken to assess potential environmental impacts of the Project relative to each topical issue. Aesthetics. The discussion in the IS/MND will assess the potential visual changes in comparison with the existing views of the site. The site is currently developed with two single-family residences and detached garages and associated improvements. Photographs of the site will be taken from different vantage points and incorporated into the discussion and analysis, but preparation of a visual simulation study is not included in this SOW. "Public views" of the site from the roadways will be analyzed, as required by the IS checklist question. If significant impacts are identified, in discussion with the City, Psomas will propose appropriate mitigation measures. The potential impacts emanating from the changed light and glare associated with the proposed residential development will also be analyzed in the IS/MND. Rw,oposas=y msanta AnaPomonala ISM ND-moizs.mox A-5 Cost Estimate Mc Donald's at Santa Clara Avenue Agricultural and Forest Resources. The site has been disturbed and developed. The Project site and the general area is within urban built-up land, and the Project site is not being used, nor anticipated to be used for agricultural purposes. Based on the RFP, the currently Zoning designation of the site is General Agricultural (At), but the Project requires a Zone Change from Al to Arterial Commercial (C5). No forest land occurs on the Project site or in the surrounding area. The IS/MND will contain a statement identifying the site's lack of agricultural and forestry resources. Air Quality. The findings of the Air Quality Analysis, under Subtask 2.1, will be incorporated in the Air Quality section of the IS/MND, and the data will be included as an appendix. Biological Resources. The proposed Project site is within a highly developed area of the City of Santa Ana. Based on a preliminary review of the Project site and surrounding environment by a Psomas biologist, on -site and surrounding resources are limited to ornamental trees. These resources will be characterized as part of the IS and mitigation measures will be identified, if needed, to avoid significant impacts related to nesting birds and raptors during Project construction. • Cultural Resources and Tribal Cultural Resources. Psomas will submit a request to the California Historical Resources Information System (CHRIS) at the South -Central Coastal Information Center (SCCIC) to conduct a records search for the Project site, including a'/2-mile search radius surrounding the Project site. The SCCIC currently estimates 2 to 3 months from the date of request to receive the results of the records search. Additionally, Psomas will request the Native American Heritage Commission (NAHC) conduct a search of the Sacred Lands File (SLF) database for the Project site. The NAHC currently estimates 6 to 8 weeks from the data of request to receive the results of the records search. This SOW does not include a cultural resources pedestrian survey of the Project site. Additionally, Psomas will provide tribal consultation support as needed to the Lead Agency to fulfill the agency -to -agency consultation requirements Assembly Bill 52 (AB 52). AB 52 requires a Lead Agency to provide formal notification to tribal representatives that are traditionally and culturally affiliated to the geographic area where a project is located. This task assumes the preparation of up to eight letters on Lead Agency letterhead; one round of review by the Lead Agency; and up to four hours of telephone consultation in concert with the Lead Agency, as needed, to consult with the tribes. The tribal representatives have 30 days to request consultation upon receiving the AB 52 notification letter. Psomas can provide further support related to tribal consultation, such as additional meetings, minutes, oradditional site visits, subject to a scope and budget augment. The results oftheabove records searches, and tribal consultations will be compiled and described in the Cultural Resources and Tribal Cultural Resources sections of the IS/MND, as appropriate. If significant impacts are identified, Psomas will recommend mitigation measures to address the impacts. Further, the findings of the Historic Built Environment Assessment Report, under Subtask 2.1, will be incorporated in the Cultural Resources section of the IS/MND, and the report will be included as an appendix. • Energy. The findings of the Energy Analysis, under Subtask 2.1, will be incorporated in the Energy section of the IS/MND, and the data will be included as an appendix. • Geology and Soils. We understand that a Geotechnical Report has been prepared by the Applicant's consultant and will be provided to Psomas for incorporation into the IS/MND. Upon peer review of the report, the findings will be incorporated in the Geology and Soils section of the IS/MND, and report will be included as appendix in the IS/MND. Additionally, Psomas will request a paleontological resources records search and literature review for the Project site from the Vertebrate Paleontology Section of the Los Angeles County Museum RVr, osain lly afsamae Wa Danala ism No-oeoi21mcx A-6 Cost Estimate Mc Donald's at Santa Clara Avenue of Natural History (NHM). The NHM provides a letter summarizing information on geological formations and known paleontological localities (if any) near the Project site, and a determination of the paleontological sensitivity of the geologic units underlying the site. The NMH currently estimates 2 to 3 weeks from the date of request to receive the results of the records search. • Greenhouse Gas Emissions. The findings of the GHG Emissions Analysis, under Subtask 2.1, will be incorporated in the GHG Emissions section of the IS/MND, and the data will be included as an appendix. • Hazards and Hazardous Materials. Psomas will contract with Environmental Data Resources (EDR) to complete a radius search of hazardous materials databases. Psomas will summarize the findings ofthereport in the Hazards and Hazardous Materials section of the IS/MND and include the report as an appendix. In light of the demolition of existing single-family residences and detached garages, we assume that a Phase I ESA will be prepared and will be provided to Psomas for incorporation intotheIS/MND. Upon peer review of the said reports/studies, the findings will be summarized in the Hazards and Hazardous section of the IS/MND, and the studies/reports will be included as appendices in the IS/MND. Additionally, Psomas will qualitatively address other potential impacts related to hazards, including potential impacts related to chemical transport, storage, and handling; airport hazards; emergency response and emergency evacuation plans; and wildland fires. Hydrology and Water Quality. We understand that a WQMP and a Hydrology and Hydraulics Report have been prepared and will be provided to Psomas for use in the IS/MND. It is assumed that information on hydrology and drainage will include the pre- and post -development conditions; theavailable capacity of existing infrastructure; andpotential impacts related to storm drainage. The analysis associated with water quality will identify tributaries, impaired waters, and pollutants of concern. It will also identify whether the total maximum daily load standards have been established; storm water rate and volume that dictates the Best Management Practices (BMPs) proposed; and the potential for hydrologic conditions of concern. Upon peer review of the said reports, the findings will be incorporated in the Hydrology and Water Quality section of the IS/MND, and the WQMP and Hydrology Hydraulics Report will be included as appendices to the IS/MND. • Land Use and Planning. Psomas will describe the existing condition of the site and the surrounding land uses based on a site visit (Task 1.2) and review of the relevant available documents and information and analyze the Project's compatibility with the surrounding uses. The Project requires a Zone Change and a Conditional Use Permit to accommodate the proposed development, including the operation of the drive -through lane. Psomas will also evaluate the proposed Project's consistency with relevant local planning documents, including the 2022 General Plan policies and the Zoning Ordinance. • Mineral Resources. Based on the California Department of Mines and Geology (CDMG), Generalized Mineral Land Classification of Orange County, California, the proposed Project site and the surrounding area are designated as MRZ-3, which identifies "area containing mineral deposits the significance of which cannot be evaluated from available data". The Mineral Resources section of the IS/MND will include a discussion of the findings. • Noise. The findings of the Noise Analysis, under Subtask 2.1, will be incorporated in the Noise section of the IS/MND, and the data will be included as an appendix. • Population and Housing. The proposed Project will replace the existing residences by a McDonald's drive -through establishment. The Project will result in direction population growth; however, the increase in employment will be discussed. Psomas will conduct the analysis using the latest demographic data from the Orange County Projections (OCP 2018) and other relevant documents. Wrn,asas=y ofSant e MaWcDonala ISM NO-aaies.no=. A-7 Cost Esltlnate McDonald's at Santa Clara Public Services and Recreation. Implementation of the proposed Project would not generate population at the Project site; however, the proposed Project has the potential to increase the demand for public services (i.e., fire and police). In the absence of residential population, the Project would not have impact pertaining to schools, parks, and libraries. Psomas understands that fire and police services will be provided by the Orange County Fire Authority and Santa Ana Police Department, respectively. The potential effects associated with implementation of the proposed Project are related to the provision of adequate service levels and the need to upgrade and/or provide additional facilities to serve the proposed Project. Psomas will coordinate with the above service providers to identify existing public service facilities and to determine whether the proposed Project can be adequately serviced without any increase in personnel or expansion of existing resources, including facilities. • Transportation. Psomas understands that the Applicant's traffic consultant has prepared a Traffic Analysis, which will be provided to Psomas for use in the IS/MND. Upon peer review of the said Analysis, the findings will be incorporated in the Transportation section of the IS/MND, and the Analysis will be included as appendix in the IS/MND. • Utilities and Service Systems. Implementation of the proposed Project would not generate population at the Project site; however, the proposed Project has the potential to increase the demand for wet and dry utility services (e.g., water, wastewater treatment, solid waste, electricity, gas, telephone, and cable). The preparation of a Water Supply Assessment (WSA) for the proposed Project is not required, as the Project is below thethreshold for WSA for non-residential uses. Psomas will coordinate with applicable utility providers to obtain the necessary information regarding existing capacity, supply, and future demand from the proposed Project. It is assumed that utility plan showing connections for wet and dry utilities will be provided by the Applicant's civil engineers. • Wildfire. According to CalFire, the Project site is not located within any fire hazard zone. Given that the site and general area is not within the path of a high fire hazard designation, no impacts to future development are anticipated. The fire hazard zones will be identified and described in detail in the IS/MND. Upon completion, the Administrative Draft IS/MND will be submitted for review by the City. Subtask 3.1 Deliverables • Electronic Copy (email) of Administrative Draft IS/MND Subtask 3.2 Proofcbeck Draft and Draft Initial Study/Mitigated Negative Declaration Following review of the Administrative Draft IS/MND by the City, Psomas will revise the document to incorporate comments received and prepare the Proofcheck Draft IS/MND. This task anticipates that comments received would require only one set of revisions. Psomas will then resubmit the document to the City for final approval prior to distribution. Since the proposed Project requires submittal to the State Clearinghouse (SCH), a 30-day public review period is required. Per the current requirements of the Office of Planning and Research (OPR), Psomas will post the IS/MND, including the appendices, the Notice of Intent (NOI), the Notice of Completion (NOC), and the State Clearinghouse (SCH) Summary Form on the SCH's website, and no hard copies will be submitted. Psomas will file the NOI to adopt an MND and the NOC with the County Clerk. A notice is also required to be published in local newspapers or, at a minimum, posted at the Project site. It is assumed that Psomas will prepare the notice, but theCity will post it at the Project site and submit it to the newspaper for publication. R"Woaaiawny oeseom AnaWcoonam ISMND-mmza.mo. A-8 Cost Estimate McDonald's at Santa Clara Avenue Project In addition to submittal to the SCH, it is assumed that electronic copies (USBs) of the IS/MND will be provided for City staff, the Applicant, and agency distribution. Psomas will distribute the USBs and hard copies of the NOI to public agencies, using a distribution list to be provided by the City. Additionally, theNOI will be distributed to the property owners around the site (radius to be determined by the City), based on a mailing list provided by the Applicant. Subtask 3.2 Deliverables • Electronic Copy (email) of the Proofcheck Draft IS/MND • Electronic Copies (email) of the NOI and NOC for Review and Approval by the City • Electronic Copy (email —Word and PDF) of the Draft IS/MND for the City • Electronic Copy of the IS/MND and appendices, NOI, NOC, and SCH Summary Form to be posted on the SCH website • Distribution of up of 30 Electronic Copies (USBs) of the IS/MND and a Hard Copy of the NOI to Agencies • Distribution of the NOI to the surrounding Property Owners • Preparation of Newspaper Notice • Filing the NOI and NOC with the County Clerk Recorder Subtask 3.3 Responses to Comments and Final Initial Study/Mitieated Neeative Declaration Once the public review period has ended, Psomas will coordinate with the City to review the comments received and to develop an approach on how to address the comments. Preparation of responses to comments on an IS/MND is not required by CEQA but recommended to assist the City in the decision - making process. All environmental comments on the IS/MND will receive responses. The Response to Comments (RTC) document will be submitted to the City for review and then revised based on comments received and transmitted to the City. The City's decision -making body must consider the proposed IS/MND together with any comments received during the public review process. A total of 30 hours of technical staff time is assumed to prepare the RTC document. Should a large number of comments be received, the estimated budget for completing the RTC document may need to be revised and a budget augment requested. One round of review by the City staff is assumed for the Final IS/MND. Psomas will prepare the Notice of Determination (NOD) for the Project, which will be signed by the City upon certification of the IS/MND and action on the Project. Psomas will file the NOD with the County Clerk and the SCH. This SOW does not include the filing fees for the County Clerk and the California Department of Fish and Wildlife fee (if the fee is not waived by CDFW), which will be paid by the Applicant at the time the NOD is filed. Subtask 3.3 Deliverables • Electronic Copy (email) of the Responses to Comments • Electronic Copy (email —Word and PDF) of the Final IS/MND for the City • Electronic Copies (USBs) of the Responses to Comments to Commenting Agencies • Electronic Copy of the Draft and Final NOD • Filing the NOD with the County Clerk Recorder R T,,.eWMCIy msama MaWd D..Wd ISMND-WO 3.d.. A-9 Cost Estimate Mc Donald's at Santa Clara Avenue Subtask 3.4 Mitigation Monitoring and Reporting Program Through the course of IS/MND preparation, if mitigation measures are identified, in compliance with Section 21081.6 of the California Public Resources Code, Psomas will prepare a Mitigation Monitoring and Reporting Program (MMRP) as part of the Final IS/MND document. The MMRP will be prepared in matrix format and will provide the timing and responsibility for each mitigation measure. It should be noted that, later during the public hearings, if the Planning Commission or City Council modify the Project and/or recommend standard conditions of approval/mitigation measures for the proposed Project, Psomas will revise theMMRP. However, substantial modifications to the MMRP are not assumed in the SOW and fees for this Project. Subtask 3.4 Deliverables Electronic Copy (email) of the Draft and Final MMRP TASK 4 PROJECT MANAGEMENT, MEETINGS, AND PUBLIC HEARINGS Subtask 4.1 Project Management Psomas will be responsible for managing the CEQA process for the City. This includes ongoing coordination with the City and Project team to ensure compliance with the SOW and schedule and to ensure that information is disseminated, as necessary. Subtask 4.1 Deliverables • Project Management Duration of Project Subtask 4.2 Proiect Meetings This task includes attendance at up to two coordination meetings (virtual or in -person), as necessary, with the City, the Applicant, and Project team (in addition to the Project Kick -Off meeting). This SOW assumes that the Project Manager will attend all meetings (three hours each, which includes preparation and travel time). Additional meeting attendance will be billed on a time and materials basis, based on hourly rates and subject to prior approval. Subtask 4.2 Deliverables Two (2) Meetings with the City and Project team Subtask 4.3 Public Hearings Psomas will attendthe Planning Commission and City Council hearings for a total of two public hearings (one Planning Commission and one City Council). Psomas will be available to provide advice and input to the City and address questions regarding CEQA; the environmental review process; and the findings of the IS/MND analyses, as appropriate. The preparation of visual aids for the public hearings are not included in this SOW. This task assumes public hearings will be attended by the Project Manager and up to two Psomas technical staff. The supporting staff in attendancewill be based on the issues that arise out of the public review process. Additional public hearing attendance will be billed on a time and materials basis, based on hourly rates and subject to prior approval. Subtask 4.3 Deliverables • Two (2) Public Hearings —one (1) Planning Commission and one (1) City Council reoaromaiaTlyorsaaaMawaoonald 8MND-m0123.aoox A-10 Cost Estimate McDonald's at Santa Clara Avenue Project ATTACHMENT B COST ESTIMATE MCDONALD'S AT SANTA CLARA AVENUE PROJECT INITIAL STUDY/MITIGATED NEGATIVE DECLARATION May 4, 2023, Revised June 1, 2023 Task Description Fee Task 1 Project Initiation 1.1 Kick -Off Meeting $1,194.00 1.2 Data Collection and Site Visit $948.00 1.3 Project Description $1,290.00 Task 2 Technical Analyses/Studies: 2.1 Peer Review of Existing Technical Studies (prepared by Applicant) $1,816.00 2.2 Proposed Technical Analyses Air Quality and Greenhouse Gas Emissions (Psomas) $10,580.00 Energy (Psomas) $4,370.00 Noise (Psomas) $7,590.00 Historic Built Environment Assessment (South Environmental) $8,265.00 Task 3 Initial Study/Mitigated Negative Declaration 3.1 Administrative Draft IS/MND $16,524.00 3.2 Proofcheck Draft and Draft IS/MND for Distribution $8,137.00 3.3 Responses to Comments and Final IS/MND $4,584.00 3A Mitigation Monitoring and Reporting Program (MMRP) $824.00 Task 4 Project Management, Meetings, and Public Hearings 4.1 Project Management $2,880.00 4.2 Meetings (two meetings) $960.00 4.3 Public Hearings (two public hearings) $3,550.00 Subtotal Professional Fees $73,512.00 ESTIMATED DIRECT EXPENSES EDR, Records Searches, Reprographics, Mailing, Mileage, Miscellaneous $3,700.00 GRAND TOTAL (TASKS 1 — 4) $77,212.00 aaaronosss> ly ofSaMannaWi owa_Wwo-amza.aoox B-1 Cost Estimate McDonald's at Santa Clara ASSUMPTIONS • Additional out -of -scope work efforts not explicitly described above will require a budget augment. • Changes to the Project description, Project design, grading, or assumptions that occur afterthe initiation of technical analysis/studies will result in additional costs. • The following information and reports will be provided by the Applicant: o Water Quality Management Plan (WQMP) o Hydrology and Hydraulics Report o Geotechnieal Report o Traffic Analysis • Additional review cycles of the IS/MND not described in this scope may require a budget augment. • Attendance at Project meetings and hearings are as outlined in this SOW; additional meetings and/or hearings can be attended on a time and materials basis. • Direct costs are based on best available information. • Delays in the schedule after the Project has been initiated may require a budget augment. R T,,.,-1 iry msama a�avamaoaia ismeo-W0123.m.. B-2 Cost Estimate McDonald's at Santa Clara Avenue ATTACHMENT C SCHEDULE MCDONALD'S AT SANTA CLARA AVENUE PROJECT INITIAL STUDY/MITIGATED NEGATIVE DECLARATION May 4, 2023, Revised June 1, 2023 This SOW assumes an up to six-month schedule, upon receipt of final information for the Project description. The six-month schedule for the preparation of the IS/MND does not include the approval process for the IS/MND. Psomas will work diligently and coordinate closely with the City and Project team to ensure the IS/MND is completed efficiently, on time, and within budget. All time -saving approaches will be utilized to speed up the schedule, However, Psomas will ensure that time -saving approaches will not jeopardize the quality of the document. TASK SCHEDULE DURATION Task 1 —Project Initiation Kick -Off Meeting Week l 1 Day Data Collection and Site Visit Week 1 1 Week Project Description Weeks I to 2 2 Weeks i City review of the Draft Project Description Week 3 f 1 Week Final Project Description Week 4 I Week Task 2 —Technical Analyses/Studies Peer Review of Applicant Prepared Analyses Weeks 3 to 4 2 Weeks I • Water Quality Management Plan (WQMP) 1 • Hydrology and Hydraulics Report • Geotechnical Report • Traffic Analysis Psomas Prepare Peer Review Memoranda Weeks 3 to 4 ! 2 Weeks ! City Review of Memoranda Week 5 1 Week Applicant Finalize the Reports Weeks 6 to 7 j 2 Weeks Prepare Technical Analyses Weeks 3 to 5 3 Weeks • Air Quality and Greenhouse Gas Emissions (Psomas) • Energy (Psomas) j • Noise (Psomas) � • Historic Built Environment Assessment (South Environmental) Task 3 -Initial Study/Mitigated Negative Declaration i Administrative Draft IS/MND Weeks 5 to 8 4 Weeks City and Applicant Review Weeks 9 to 11 3 Weeks i Proofcheck Draft IS/MND Weeks 12 to 14 ! 3 Weeks aw,oposais=y of8aoff a aAMcooneiaisMrvo-ao123.eoc. C-1 Cost&timate TASK City and Applicant Review Draft IS/MND for Distribution 30-Day Public Review Responses to Comments and Final IS/MND City and Applicant Review Revised RTC and Final IS/MND City and Applicant Review Mitigation Monitoring and Reporting Program City Review and Approval of MMRP Mc Donald's at Santa Clara Avenue SCHEDULE DURATION Week 15 1 Week Week 16 - I Week .._ Weeks 17 to 20 4 Weeks Weeks 20 to 21 2 Weeks Weeks 22 to 23 2 Weeks Week 24 1 Week Week 25 1 Week Week 23 1 Week Week24 1 Week Psomas Prepare and File the NOD Upon Certification of IS/MND Task 4---- Project Management, Conference Calls, and Public Hearings Project Management Through Project Completion Conference Calls 4 Four Calls (TBD) Public Hearings (1 Planning Commission, I City Council) TBD 1 Day 25 Weeks 1 Day Each 1 Day Each R.W( p0v 1=ity msama AnM6n natd ISM N0-WU123 dwX C-2 Cost Estimate A-2020-241-34-01 Villareal, Francine From: City of Santa Ana <certificate-request@ctrax.jdidata.com> Sent: Tuesday, August 22, 2023 8:41 AM To: PBA Admin; Mazariego, Diana; Reyes, Erendida; Burk, lames; Polezhaev, Katerina; Burrola, Melissa; Aguirre, Robert Subject: Internal Notice of Compliance NOTICE OF COMPLIANCE (Tr) SI AFF: PRINT THIS PAGE AND INCLUDE R'ITH AGREEMENT TO THE CLERK OF THE COUNCIL Contractor Psomas, Inc. Name: Project TBD (058) Number: Project Agreement To Provide On -Call Environmental And Planning services Name: Related To CEQA And NEPA - Psomas 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 AUTOMOBILE LIABILITY GENERAL LIABILITY PROFESSIONAL LIABILITY WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Thank you, City of Santa Ana Risk Management Division in partnership with CTrax Plus Services Team 8/22/2023 11:40 AM POLICY NUMBER CA4489706 GL5268212 DPR5003444 EXPIRATION COI DATE DATE 04/01/2024 07/31/2023 04/01/2024 07/31/2023 10/15/2023 07/31/2023 FILE NAME COI EXP 10.15.23.pdf COI EXP 10.15.23.pdf COI EXP 10.15.23.pdf WC015893764WC015893765 04/02/2024 04/01/2023 SBR08_56426746_32827.pdf 1 A� " CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDYYYY) 3/29/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. olicy, certain licies may require an endorsement. A statement on If SUBROGATION IS WAIVED, subject to the terms and conditions of tk0tNTA this certificate does not confer rights to the certificate h dd s PRODUCER :C Sharon Brubakerkllarftl�t yling Ins. Brokerage/ IC E FAX ceveNo770.756.6599 euc No): 770.756.6599 /..` E-MAILDate. r li rt e i .c M I F�Suft7yeved o ' N R AF DI VERAGE NAIC# 1INSURERB: r INSURERA: National Union Fire Ins Co of Pittsburg19445 _ INSURED Psomas 865 South Figueroa Street INSURERC: Suite 3200 INSURERD: Los Angeles CA 90017 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:1332236825 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR OF INSURANCE ADDLTYPE INSD WVDUBR POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MM /DD YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY GL5268212 4/1/2024 4/1 /2025 EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE � OCCUR DAMAGE PREM SESOEa occurrence) rrence $ 500,000 _7TED MED EXP (Any one person) $ 25,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY JECT LOC PRODUCTS - COMP/OP AGG $ 4,000,000 $ OTHER: A AUTOMOBILE LIABILITY CA4489706 4/1/2024 4/1 /2025 COMBINED SINGLE LIMIT Ea accident $ 2,000,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY(per.. UMBRELLALIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ EXCESS LIAB DED RETENTION $ $ A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN WC015893764 AOS) WC015893765 (CA) 4/1/2024 4/1/2024 4/1 /2025 4/1 /2025 XOTH- STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $2,000,000 OFFICER/MEMBER EXCLUDED? F-F] N I A E.L. DISEASE - EA EMPLOYEE $ 2,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 3SAN050099; On -Call Environmental Services - CEQA and NEPA, RFQ No. 20-100. City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as Additional Insureds with respects to General & Automobile Liability where required by written contract. The above referenced liability policies are primary & non-contributory where required by written contract. Waiver of Subrogation in favor of Additional Insured(s) where required by written contract & allowed by law. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PRC Risk Management Division �N RAMuogemenfDhblon 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE it REVIEWED Sr APPROVED BY: Santa Ana CA 92702A ' g `et1. 7 -- Risk ManacJennentSpecialist © 1988-2015 ACORD ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ACCOR " CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 9/28/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER AssuredPartners Design Professionals Insurance Services, LLC 3697 Mt. Diablo Blvd Suite 230 Lafayette CA 94549 CONTACT NAME: Lisa Shimizu-Fookes PHONE FAX A/C No EXt : 714-427-3482 A/C, No): ADDRESS: CertsDesignPro@AssuredPartners.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: XL Specialty Insurance Co. 37885 License#: 6003745 INSURED PSOMASO-01 PSOMAS INSURER B 865 S. Figueroa Street, Suite 3200 INSURERC: INSURER D : Los Angeles CA 90017 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1586487023 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL I SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY ❑ PRO JECT ❑ LOC PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN PER OTH- STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ NIA E.L. DISEASE- EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Professional Liab & Poll. Liab Y DPR5033899 10/15/2024 10/15/2025 Per Claim $2,000,000 Claims -Made Form Aggregate Limit $2,000,000 Retro Date: 10/15/1947 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Additional Insured Status is not available on Professional Liability Policy. 3SAN050200 - Santa Ana Environmental and Planning Services, Santa Ana, CA. Insurance coverage includes waiver of subrogation per the attached endorsement. 30 Dav Notice of Cancellation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL RE DELIVERED IN ACCORDANCE WITH THE POLICY PRC City of Santa Ana RiakMuwgernentDhb1crn 20 Civic Center Plaza xr REVIEWED & APPROVED BY: Santa Ana CA 92701 AUTHORIZED REPRESENTATIVE r -- Risk Management Specialist © 1988-2015 ACORD ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Policy Number: DPR5033899 2. The specific nature and extent of the injury or damage that has been sustained; and 3. How the INSURED first became aware of such CIRCUMSTANCE(S), then any CLAIM(S) that may subsequently be made against the INSURED arising out of such reported CIRCUMSTANCE(S) shall be deemed to have been made on the date first written notice of the CIRCUMSTANCE(S) was received by the Company. This right conferred upon the INSURED in this Paragraph shall terminate at the end of the POLICY PERIOD and shall not exist during the Automatic Extended Reporting Period or Optional Extended Reporting Period. XI. OTHER CONDITIONS A. Cancellation This Policy may be canceled by the NAMED INSURED by surrender thereof to the Company or any of its authorized agents or by mailing to the Company written notice stating when thereafter the cancellation shall be effective. This Policy may be canceled by the Company by mailing to the NAMED INSURED, at the address stated in Item 1. of the Declarations, written notice stating when, not less than thirty (30) days thereafter (or ten (10) days thereafter for non-payment of premium), such cancellation shall be effective. The mailing of notice as aforesaid shall be sufficient proof of notice. The time of surrender or the effective date and hour of cancellation stated in the notice shall become the end of the POLICY PERIOD. Delivery of such written notice either by the NAMED INSURED or by the Company shall be equivalent to mailing. If this Policy is canceled, earned premium shall be computed in accordance with the Company's guidelines with respect to cancellation. Premium adjustment may be made either at the time cancellation is effected or as soon as practicable after cancellation becomes effective, but payment or tender of unearned premium is not a condition of cancellation. B. Action Against The Company No action may be brought against the Company unless, as a condition precedent thereto, there shall have been full compliance with all of the terms of this Policy, nor until the amount of the INSURED'S obligation to pay shall have been finally determined either by judgment against the INSURED in a contested proceeding after final judgment has been rendered and any appeal decided, or by written agreement of the INSURED, the claimant and the Company. No person or organization shall have any right under this Policy to join the Company as a party to any action against the INSURED to determine the INSURED'S liability, nor shall the INSURED or the INSURED'S legal representative join the Company in such action. Bankruptcy or insolvency of the INSURED or the INSURED'S estate shall not relieve the Company of any of its obligations hereunder. C. Assignment This Policy may not be assigned or transferred without written consent of the Company. D. Subrogation In the event of any payment under this Policy, the Company shall be subrogated to all the INSURED'S rights of recovery therefor against any person or organization, and the INSURED shall execute and deliver instruments and papers and do whatever else is necessary to secure such rights. The INSURED shall do nothing after a CLAIM(S) to prejudice such rights. However, it is agreed that the Company waives its rights of subrogation under this Policy against clients of the INSURED as respects any CLAIM(S) arising from PROFESSIONAL SERVICES, or CONTRACTING SERVICES under the client's contract requiring waiver of subrogation, but only to the extent required by written contract. �N Rick Maragernent Division tt REVIEWED & APPROVED BY: LDD 050 1116 Page 15 of 16 �ritSpecialist © 2016 X.L. America, Inc. All Rights Reserved. May not be copied without permission. This endorsement, effective 12:01 a.m., 10/15/2024 forms a part of Policy No. DPR5033899 Issued to PSOMAS by XL Specialty Insurance Company. iaL�y�i•1_�Z�1:7•y�►�i1���if1:T_1�C���:1�ai1�Ly'�»�_F9�:7�_1�1�r�_17�111��'� NOTICE OF POLICY CANCELLATION — BLANKET NOTICE TO DESIGNATED ENTITIES This endorsement modifies insurance provided under the following: PROFESSIONAL, ENVIRONMENTAL AND NETWORK SECURITY LIABILITY POLICY — ARCHITECTS, CONSULTANTS AND ENGINEERS Section XI.OTHER CONDITIONS, Paragraph A. Cancellation is amended by the addition of the following: In the event that the Company cancels or non -renews this Policy during the POLICY PERIOD, the Company agrees to provide thirty (30) days' prior written notice of cancellation or non -renewal of this Policy to any entity with whom the NAMED INSURED agreed in a written contract or agreement would be provided with notice of cancellation or non -renewal of this Policy, provided that: 1. The Company receives, at least thirty (30) days prior to the date of cancellation or non -renewal, a written request from the NAMED INSURED to provide notice of cancellation to entities designated by the NAMED INSURED to receive such notice; and 2. The written request includes the name, address and email of each person or entity designated by the NAMED INSURED to receive such notice. The Company will assume that the list provided to the company by the NAMED INSURED is a complete and accurate list. This endorsement does not apply to non -renewal of the Policy at the end of the POLICY PERIOD or cancellation of the Policy for non-payment of premium to a premium finance company authorized to cancel the Policy. Furthermore, nothing contained in this endorsement shall be construed to provide any rights under the Policy to the entities receiving notice of cancellation pursuant to this endorsement, nor shall this endorsement amend or alter the effective date of cancellation stated in the cancellation notice issued to the NAMED INSURED. All other terms and conditions of the Policy remain unchanged. �N RAMumgernenf Division tt REVIEWED & APPROVED BY. LDD 465 0620 Page 1 of 1 " ---- Risk M�r�ac�errreritSpecialist © 2020 X.L. America, Inc. All Rights Reserved. May not be copied without permission. Policy #DPR5018205 2. The specific nature and extent of the injury or damage that has been sustained; and 3. How the INSURED first became aware of such CIRCUMSTANCE(S), then any CLAIM(S) that may subsequently be made against the INSURED arising out of such reported CIRCUMSTANCE(S) shall be deemed to have been made on the date first written notice of the CIRCUMSTANCE(S) was received by the Company. This right conferred upon the INSURED in this Paragraph shall terminate at the end of the POLICY PERIOD and shall not exist during the Automatic Extended Reporting Period or Optional Extended Reporting Period. XI. OTHER CONDITIONS A. Cancellation This Policy may be canceled by the NAMED INSURED by surrender thereof to the Company or any of its authorized agents or by mailing to the Company written notice stating when thereafter the cancellation shall be effective. This Policy may be canceled by the Company by mailing to the NAMED INSURED, at the address stated in Item 1. of the Declarations, written notice stating when, not less than thirty (30) days thereafter (or ten (10) days thereafter for non-payment of premium), such cancellation shall be effective. The mailing of notice as aforesaid shall be sufficient proof of notice. The time of surrender or the effective date and hour of cancellation stated in the notice shall become the end of the POLICY PERIOD. Delivery of such written notice either by the NAMED INSURED or by the Company shall be equivalent to mailing. If this Policy is canceled, earned premium shall be computed in accordance with the Company's guidelines with respect to cancellation. Premium adjustment may be made either at the time cancellation is effected or as soon as practicable after cancellation becomes effective, but payment or tender of unearned premium is not a condition of cancellation. B. Action Against The Company No action may be brought against the Company unless, as a condition precedent thereto, there shall have been full compliance with all of the terms of this Policy, nor until the amount of the INSURED'S obligation to pay shall have been finally determined either by judgment against the INSURED in a contested proceeding after final judgment has been rendered and any appeal decided, or by written agreement of the INSURED, the claimant and the Company. No person or organization shall have any right under this Policy to join the Company as a party to any action against the INSURED to determine the INSURED'S liability, nor shall the INSURED or the INSURED'S legal representative join the Company in such action. Bankruptcy or insolvency of the INSURED or the INSURED'S estate shall not relieve the Company of any of its obligations hereunder. C. Assignment This Policy may not be assigned or transferred without written consent of the Company. D. Subrogation In the event of any payment under this Policy, the Company shall be subrogated to all the INSURED'S rights of recovery therefor against any person or organization, and the INSURED shall execute and deliver instruments and papers and do whatever else is necessary to secure such rights. The INSURED shall do nothing after a CLAIM(S) to prejudice such rights. However, it is agreed that the Company waives its rights of subrogation under this Policy against clients of the INSURED as respects any CLAIM(S) arising from PROFESSIONAL SERVICES, or CONTRACTING SERVICES under the client's contract requiring waiver of subrogation, but only to the extent required by written contract. Risk Management Division LDD 050 1116 Page 15 of 16 ;f� REVIEWED&APPROVED BY.' © 2016 X.L. America, Inc. All Rights Reserved. Risk Management Specialist May not be copied without permission. This endorsement, effective 12:01 a.m., 10/15/2023 forms a part of Policy No. DPR5018205 Issued to PSOMAS by XL Specialty Insurance Company. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF POLICY CANCELLATION — BLANKET NOTICE TO DESIGNATED ENTITIES This endorsement modifies insurance provided under the following: PROFESSIONAL, ENVIRONMENTAL AND NETWORK SECURITY LIABILITY POLICY — ARCHITECTS, CONSULTANTS AND ENGINEERS Section XI. OTHER CONDITIONS, Paragraph A. Cancellation is amended by the addition of the following: In the event that the Company cancels or non -renews this Policy during the POLICY PERIOD, the Company agrees to provide thirty (30) days' prior written notice of cancellation or non -renewal of this Policy to any entity with whom the NAMED INSURED agreed in a written contract or agreement would be provided with notice of cancellation or non -renewal of this Policy, provided that: The Company receives, at least thirty (30) days prior to the date of cancellation or non -renewal, a written request from the NAMED INSURED to provide notice of cancellation to entities designated by the NAMED INSURED to receive such notice; and 2. The written request includes the name, address and email of each person or entity designated by the NAMED INSURED to receive such notice. The Company will assume that the list provided to the company by the NAMED INSURED is a complete and accurate list. This endorsement does not apply to non -renewal of the Policy at the end of the POLICY PERIOD or cancellation of the Policy for non-payment of premium to a premium finance company authorized to cancel the Policy. Furthermore, nothing contained in this endorsement shall be construed to provide any rights under the Policy to the entities receiving notice of cancellation pursuant to this endorsement, nor shall this endorsement amend or alter the effective date of cancellation stated in the cancellation notice issued to the NAMED INSURED. All other terms and conditions of the Policy remain unchanged. �N RAMumgernenf Division tt REVIEWED & APPROVED BY. LDD 465 0620 Page 1 of 1 �ritSpecialist © 2020 X.L. America, Inc. All Rights Reserved. May not be copied without permission. ENDORSEMENT This endorsement, effective 12:01 A.M. 04/01/2024 forms a part of Policy No. CA4489706 issued to Psomas by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA. ADDITIONAL INSURED - WHERE REQUIRED UNDER CONTRACT OR AGREEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM SCHEDULE ADDITIONAL INSURED: ANY PERSON OR ORGANIZATION FOR WHOM YOU ARE CONTRACTUALLY BOUND TO PROVIDE ADDITIONAL INSURED STATUS BUT ONLY TO THE EXTENT OF SUCH PERSON'S ORD ORGANIZATION'S LIABILITY ARISING OUT OF THE USE OF A COVERED "AUTO". I. SECTION II - COVERED AUTOS LIABILITY COVERAGE, A. Coverage, 1. - Who Is Insured, is amended to add: d. Any person or organization, shown in the schedule above, to whom you become obligated to include as an additional insured under this policy, as a result of any contract or agreement you enter into which requires you to furnish insurance to that person or organization of the type provided by this policy, but only with respect to liability arising out of use of a covered "auto". However, the insurance provided will not exceed the lesser of: (1) The coverage and/or limits of this policy, or (2) The coverage and/or limits required by said contract or agreement. AUTHORIZED REPRESENTATIVE Risk Muoganent Division tt REVIEWED & APPROVED BY: -- Risk Management Specialist 87950 (9/14) Includes copyrighted material of Insurance Services Office, Inc. with its permission. Page 1 of 1 ENDORSEMENT This endorsement, effective 12:01 A.M. 04/01/2024 forms a part of Policy No. CA4489706 issued to Psomas by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA. INSURANCE PRIMARY AS TO CERTAIN ADDITIONAL INSUREDS This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM Section IV - Business Auto Conditions, B., General Conditions, 5., Other Insurance, c., is amended by the addition of the following sentence: The insurance afforded under this policy to an additional insured will apply as primary insurance for such additional insured where so required under an agreement executed prior to the date of accident. We will not ask any insurer that has issued other insurance to such additional insured to contribute to the settlement of loss arising out of such accident. All other terms and conditions remain unchanged. I Authorized Representative or Countersignature (in States Where Applicable) Risk Muoganent Division tt REVIEWED & APPROVED BY. -- Risk Management Specialist 74445 (10/99) Includes copyrighted material of Insurance Services Office, Inc. with its permission. Page 1 of 1 ENDORSEMENT This endorsement, effective 12:01 A.M. 04/01/2024 forms a part of Policy No. CA4489706 issued to Psomas by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM Section IV - Business Auto Conditions, A. - Loss Conditions, 5. - Transfer of Rights of Recovery Against Others to Us, is amended to add: However, we will waive any right of recover we have against any person or organization with whom you have entered into a contract or agreement because of payments we make under this Coverage Form arising out of an "accident" or "loss" if: (1) The "accident" or "loss" is due to operations undertaken in accordance with the contract existing between you and such person or organization; and (2) The contract or agreement was entered into prior to any "accident" or "loss". No waiver of the right of recovery will directly or indirectly apply to your employees or employees of the person or organization, and we reserve our rights or lien to be reimbursed from any recovery funds obtained by any injured employee. AUTHORIZED REPRESENTATIVE Risk Muoganent Division tt REVIEWED & APPROVED BY. -- Risk Management Specialist 62897 (6/95) Includes copyrighted material of Insurance Services Office, Inc. with its permission. Page 1 of 1 POLICY NUMBER: GL5268212 COMMERCIAL GENERAL LIABILITY CG20101219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations ANY PERSON OR ORGANIZATION WHOM YOU PER THE CONTRACT OR AGREEMENT. BECOME OBLIGATED TO INCLUDE AS AN ADDITIONAL INSURED AS A RESULT OF ANY CONTRACT OR AGREEMENT YOU HAVE ENTERED INTO. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. RiskMuoganenf Division tt REVIEWED & APPROVED BY: e AAgo -- Risk Management Specialist CG 20 10 12 19 (D Insurance Services Office, Inc., 2018 A. Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. Risk Muoganent Division tt REVIEWED & APPROVED BY: -- Risk Management Specialist Page 2 of 2 (? Insurance Services Office, Inc., 2018 POLICY NUMBER: GL5268212 COMMERCIAL GENERAL LIABILITY CG20371219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations ANY PERSON OR ORGANIZATION WHOM YOU PER THE CONTRACT OR AGREEMENT. BECOME OBLIGATED TO INCLUDE AS AN ADDITIONAL INSURED AS A RESULT OF ANY CONTRACT OR AGREEMENT YOU HAVE ENTERED INTO. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. CG 20 37 12 19 0 Insurance Services Office, Inc., 2018 �N Rick Muoganent Division tt REVIEWED & APPROVED BY: -- Risk Management Specialist Page 1 of 1 POLICY NUMBER: GL5268212 COMMERCIAL GENERAL LIABILITY CG 20 01 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. �N RAMuoganenf Division tt REVIEWED & APPROVED BY: -- Risk Management Specialist CG 20 01 12 19 0 Insurance Services Office, Inc., 2018 Page 1 of 1 POLICY NUMBER: GL5268212 COMMERCIAL GENERAL LIABILITY CG24041219 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS SCHEDULE Name Of Person(s) Or Organization(s): PURSUANT TO APPLICABLE WRITTEN CONTRACT OR AGREEMENT YOU ENTER INTO. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV - Conditions: We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. CG 24 04 12 19 0 Insurance Services Office, Inc., 2018 �N Rick Management Division tt REVIEWED & APPROVED BY: -- Risk Management Specialist Page 1 of 1 BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy). This endorsement, effective 12:01 AM 04/01/2024 forms a part of Policy No. WC WC015893765 Issued to Psomas By NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA, We have a right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against any person or organization with whom you have a written contract that requires you to obtain this agreement from us, as regards any work you perform for such person or organization. The additional premium for this endorsement shall be 2.00 % of the total estimated workers compensation premium for this policy. j aN. xAMumiganent%blm tt REVIEWED & APPROVED BY: WC040361 Countersigned by_________________�� (Ed. 11/90) �ritSpecialist AI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 3/27/2025 Edgewood Partners Insurance Agency 3780 Mansell Rd.Suite 370 Alpharetta GA 30022 Greyling COI Specialist 770.756.6599 770.756.6599 greylingcerts@greyling.com National Union Fire Ins Co of Pittsburg 19445 Psomas 865 South Figueroa Street Suite 3200 Los Angeles CA 90017 420765923 A X 2,000,000 X 500,000 25,000 2,000,000 4,000,000 X GL5268212 4/1/2025 4/1/2026 4,000,000 A 2,000,000 X X X CA4489706 4/1/2025 4/1/2026 A A X N WC72113158 (AOS) WC72113159 (CA) 4/1/2025 4/1/2025 4/1/2026 4/1/2026 2,000,000 2,000,000 2,000,000 3SAN050099;On-Call Environmental Services -CEQA and NEPA,RFQ No.20-100. City of Santa Ana,its officers,employees,agents,volunteers and representatives are named as Additional Insureds with respects to General &Automobile Liability where required by written contract.The above referenced liability policies are primary &non-contributory where required by written contract.Waiver of Subrogation in favor of Additional Insured(s)where required by written contract &allowed by law. City of Santa Ana Planning and Building Agency 20 Civic Center Plaza Santa Ana CA 92701 ENDORSEMENT This endorsement, effective 12:01 A.M. 04/01/2025 forms a part of Policy No.CA4489706 issued to Psomas by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA. ADDITIONAL INSURED - WHERE REQUIRED UNDER CONTRACT OR AGREEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM SCHEDULE ADDITIONAL INSURED: AUTHORIZED REPRESENTATIVE I. SECTION II - COVERED AUTOS LIABILITY COVERAGE, A. Coverage, 1. - Who Is Insured, is amended to add: d. Any person or organization, shown in the schedule above, to whom you become obligated to include as an additional insured under this policy, as a result of any contract or agreement you enter into which requires you to furnish insurance to that person or organization of the type provided by this policy, but only with respect to liability arising out of use of a covered "auto". However, the insurance provided will not exceed the lesser of: (1) The coverage and/or limits of this policy, or (2) The coverage and/or limits required by said contract or agreement. ANY PERSON OR ORGANIZATION FOR WHOM YOU ARE CONTRACTUALLY BOUND TO PROVIDE ADDITIONAL INSURED STATUS BUT ONLY TO THE EXTENT OF SUCH PERSON'S OR ORGANIZATION'S LIABILITY ARISING OUT OF THE USE OF A COVERED "AUTO". 87950 (9/14) Includes copyrighted material of Insurance Services Office, Inc. with its permission.Page 1 of 1 ENDORSEMENT This endorsement, effective 12:01 A.M. 04/01/2025 forms a part of Policy No.CA4489706 issued to Psomas by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM All other terms and conditions remain unchanged. Authorized Representative orCountersignature (in States WhereApplicable) INSURANCE PRIMARY AS TO CERTAIN ADDITIONAL INSUREDS Section IV - Business Auto Conditions, B., General Conditions, 5., Other Insurance, c., is amended by the addition of the following sentence: The insurance afforded under this policy to an additional insured will apply as primary insurance for such additional insured where so required under an agreement executed prior to the date of accident. We will not ask any insurer that has issued other insurance to such additional insured to contribute to the settlement of loss arising out of such accident. 74445 (10/99)Includes copyrighted material of Insurance Services Office, Inc. with its permission.Page 1 of 1 ENDORSEMENT This endorsement, effective 12:01 A.M. 04/01/2025 forms a part of Policy No.CA4489706 issued to Psomas by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA. BUSINESS AUTO COVERAGE FORM AUTHORIZED REPRESENTATIVE This endorsement modifies insurance provided under the following: WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (2) (1) The contract or agreement was entered into prior to any "accident" or "loss". No waiver of the right of recovery will directly or indirectly apply to your employees or employees of the person or organization, and we reserve our rights or lien to be reimbursed from any recovery funds obtained by any injured employee. Section IV - Business Auto Conditions, A. - Loss Conditions, 5. - Transfer of Rights of Recovery Against Others to Us, is amended to add: The "accident" or "loss" is due to operations undertaken in accordance with the contract existing between you and such person or organization; and However, we will waive any right of recover we have against any person or organization with whom you have entered into a contract or agreement because of payments we make under this Coverage Form arising out of an "accident" or "loss" if: 62897 (6/95)Includes copyrighted material of Insurance Services Office, Inc. with its permission.Page 1 of 1 POLICY NUMBER: ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s)Location(s) Of Covered Operations COMMERCIAL GENERAL LIABILITY CG 20 10 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. GL5268212 ANY PERSON OR ORGANIZATION WHOM YOU BECOME OBLIGATED TO INCLUDE AS AN ADDITIONAL INSURED AS A RESULT OF ANY CONTRACT OR AGREEMENT YOU HAVE ENTERED INTO. PER THE CONTRACT OR AGREEMENT. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Insurance Services Office, Inc., 2018CG 20 10 12 19 Page of1 2 A.Section II – Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1.Your acts or omissions; or 2.The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1.The insurance afforded to such additional insured only applies to the extent permitted by law; and 2.If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B.With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1.All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2.That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C.With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1.Required by the contract or agreement; or 2.Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. Insurance Services Office, Inc., 2018 CG 20 10 12 19Pageof22 ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s)Location And Description Of Completed Operations COMMERCIAL GENERAL LIABILITY CG 20 37 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART POLICY NUMBER:GL5268212 ANY PERSON OR ORGANIZATION WHOM YOU BECOME OBLIGATED TO INCLUDE AS AN ADDITIONAL INSURED AS A RESULT OF ANY CONTRACT OR AGREEMENT YOU HAVE ENTERED INTO. PER THE CONTRACT OR AGREEMENT. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II – Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products-completed operations hazard". However: 1.The insurance afforded to such additional insured only applies to the extent permitted by law; and 2.If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B.With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1.Required by the contract or agreement; or 2.Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. CG 20 37 12 19 Page ofInsurance Services Office, Inc., 2018 1 1 POLICY NUMBER: PRIMARY AND NONCONTRIBUTORY - COMMERCIAL GENERAL LIABILITY CG 20 01 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 20 01 12 19 Insurance Services Office, Inc., 2018 Page 1 of 1 OTHER INSURANCE CONDITION The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1)The additional insured is a Named Insured under such other insurance; and (2)You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART GL5268212 POLICY NUMBER: WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) COMMERCIAL GENERAL LIABILITY CG 24 04 12 19 This endorsement modifies insurance provided under the following: SCHEDULE Name Of Person(s) Or Organization(s): COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS GL5268212 PURSUANT TO APPLICABLE WRITTEN CONTRACT OR AGREEMENT YOU ENTER INTO. Information required to complete this Schedule, if not shown above, will be shown in the Declarations.Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV – Conditions: We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV – Conditions: We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. CG 24 04 12 19 Insurance Services Office, Inc., 2018 Page 1 of 1 BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy). This endorsement, effective 12:01 AM 04/01/2025 forms a part of Policy No. WC WC72113159 (CA) Issued to Psomas By NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA. We have a right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against any person or organization with whom you have a written contract that requires you to obtain this agreement from us, as regards any work you perform for such person or organization. The additional premium for this endorsement shall be 2. 00 % of the total estimated workers compensation premium for this policy. WC 04 03 61 (Ed. 11/90) Countersigned by _ Authorized Representative SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 3/27/2025 Edgewood Partners Insurance Agency 3780 Mansell Rd.Suite 370 Alpharetta GA 30022 Greyling COI Specialist 770.756.6599 770.756.6599 greylingcerts@greyling.com National Union Fire Ins Co of Pittsburg 19445 Psomas 865 South Figueroa Street Suite 3200 Los Angeles CA 90017 420765923 A X 2,000,000 X 500,000 25,000 2,000,000 4,000,000 X GL5268212 4/1/2025 4/1/2026 4,000,000 A 2,000,000 X X X CA4489706 4/1/2025 4/1/2026 A A X N WC72113158 (AOS) WC72113159 (CA) 4/1/2025 4/1/2025 4/1/2026 4/1/2026 2,000,000 2,000,000 2,000,000 3SAN050099;On-Call Environmental Services -CEQA and NEPA,RFQ No.20-100. City of Santa Ana,its officers,employees,agents,volunteers and representatives are named as Additional Insureds with respects to General &Automobile Liability where required by written contract.The above referenced liability policies are primary &non-contributory where required by written contract.Waiver of Subrogation in favor of Additional Insured(s)where required by written contract &allowed by law. City of Santa Ana Planning and Building Agency 20 Civic Center Plaza Santa Ana CA 92701 ENDORSEMENT This endorsement, effective 12:01 A.M. 04/01/2025 forms a part of Policy No.CA4489706 issued to Psomas by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA. ADDITIONAL INSURED - WHERE REQUIRED UNDER CONTRACT OR AGREEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM SCHEDULE ADDITIONAL INSURED: AUTHORIZED REPRESENTATIVE I. SECTION II - COVERED AUTOS LIABILITY COVERAGE, A. Coverage, 1. - Who Is Insured, is amended to add: d. Any person or organization, shown in the schedule above, to whom you become obligated to include as an additional insured under this policy, as a result of any contract or agreement you enter into which requires you to furnish insurance to that person or organization of the type provided by this policy, but only with respect to liability arising out of use of a covered "auto". However, the insurance provided will not exceed the lesser of: (1) The coverage and/or limits of this policy, or (2) The coverage and/or limits required by said contract or agreement. ANY PERSON OR ORGANIZATION FOR WHOM YOU ARE CONTRACTUALLY BOUND TO PROVIDE ADDITIONAL INSURED STATUS BUT ONLY TO THE EXTENT OF SUCH PERSON'S OR ORGANIZATION'S LIABILITY ARISING OUT OF THE USE OF A COVERED "AUTO". 87950 (9/14) Includes copyrighted material of Insurance Services Office, Inc. with its permission.Page 1 of 1 ENDORSEMENT This endorsement, effective 12:01 A.M. 04/01/2025 forms a part of Policy No.CA4489706 issued to Psomas by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM All other terms and conditions remain unchanged. Authorized Representative orCountersignature (in States WhereApplicable) INSURANCE PRIMARY AS TO CERTAIN ADDITIONAL INSUREDS Section IV - Business Auto Conditions, B., General Conditions, 5., Other Insurance, c., is amended by the addition of the following sentence: The insurance afforded under this policy to an additional insured will apply as primary insurance for such additional insured where so required under an agreement executed prior to the date of accident. We will not ask any insurer that has issued other insurance to such additional insured to contribute to the settlement of loss arising out of such accident. 74445 (10/99)Includes copyrighted material of Insurance Services Office, Inc. with its permission.Page 1 of 1 ENDORSEMENT This endorsement, effective 12:01 A.M. 04/01/2025 forms a part of Policy No.CA4489706 issued to Psomas by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA. BUSINESS AUTO COVERAGE FORM AUTHORIZED REPRESENTATIVE This endorsement modifies insurance provided under the following: WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (2) (1) The contract or agreement was entered into prior to any "accident" or "loss". No waiver of the right of recovery will directly or indirectly apply to your employees or employees of the person or organization, and we reserve our rights or lien to be reimbursed from any recovery funds obtained by any injured employee. Section IV - Business Auto Conditions, A. - Loss Conditions, 5. - Transfer of Rights of Recovery Against Others to Us, is amended to add: The "accident" or "loss" is due to operations undertaken in accordance with the contract existing between you and such person or organization; and However, we will waive any right of recover we have against any person or organization with whom you have entered into a contract or agreement because of payments we make under this Coverage Form arising out of an "accident" or "loss" if: 62897 (6/95)Includes copyrighted material of Insurance Services Office, Inc. with its permission.Page 1 of 1 POLICY NUMBER: ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s)Location(s) Of Covered Operations COMMERCIAL GENERAL LIABILITY CG 20 10 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. GL5268212 ANY PERSON OR ORGANIZATION WHOM YOU BECOME OBLIGATED TO INCLUDE AS AN ADDITIONAL INSURED AS A RESULT OF ANY CONTRACT OR AGREEMENT YOU HAVE ENTERED INTO. PER THE CONTRACT OR AGREEMENT. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Insurance Services Office, Inc., 2018CG 20 10 12 19 Page of1 2 A.Section II – Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1.Your acts or omissions; or 2.The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1.The insurance afforded to such additional insured only applies to the extent permitted by law; and 2.If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B.With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1.All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2.That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C.With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1.Required by the contract or agreement; or 2.Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. Insurance Services Office, Inc., 2018 CG 20 10 12 19Pageof22 ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s)Location And Description Of Completed Operations COMMERCIAL GENERAL LIABILITY CG 20 37 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART POLICY NUMBER:GL5268212 ANY PERSON OR ORGANIZATION WHOM YOU BECOME OBLIGATED TO INCLUDE AS AN ADDITIONAL INSURED AS A RESULT OF ANY CONTRACT OR AGREEMENT YOU HAVE ENTERED INTO. PER THE CONTRACT OR AGREEMENT. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II – Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products-completed operations hazard". However: 1.The insurance afforded to such additional insured only applies to the extent permitted by law; and 2.If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B.With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1.Required by the contract or agreement; or 2.Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. CG 20 37 12 19 Page ofInsurance Services Office, Inc., 2018 1 1 POLICY NUMBER: PRIMARY AND NONCONTRIBUTORY - COMMERCIAL GENERAL LIABILITY CG 20 01 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 20 01 12 19 Insurance Services Office, Inc., 2018 Page 1 of 1 OTHER INSURANCE CONDITION The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1)The additional insured is a Named Insured under such other insurance; and (2)You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART GL5268212 POLICY NUMBER: WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) COMMERCIAL GENERAL LIABILITY CG 24 04 12 19 This endorsement modifies insurance provided under the following: SCHEDULE Name Of Person(s) Or Organization(s): COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS GL5268212 PURSUANT TO APPLICABLE WRITTEN CONTRACT OR AGREEMENT YOU ENTER INTO. Information required to complete this Schedule, if not shown above, will be shown in the Declarations.Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV – Conditions: We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV – Conditions: We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. CG 24 04 12 19 Insurance Services Office, Inc., 2018 Page 1 of 1 BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy). This endorsement, effective 12:01 AM 04/01/2025 forms a part of Policy No. WC WC72113159 (CA) Issued to Psomas By NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA. We have a right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against any person or organization with whom you have a written contract that requires you to obtain this agreement from us, as regards any work you perform for such person or organization. The additional premium for this endorsement shall be 2. 00 % of the total estimated workers compensation premium for this policy. WC 04 03 61 (Ed. 11/90) Countersigned by _ Authorized Representative