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HomeMy WebLinkAboutCHAMBERS GROUP (2)INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURANCE EXPIRES MAYOR CITY CLERK Valerie Amezcua DATE: MAYOR PRO TEM Thai Viet Phan COUNCILMEMBERS Phil Bacerra Johnathan Ryan Hernandez Jessie Lopez David Penaloza Benjamin Vazquez d : PPP to) (V4,110krza0 fA- Chambers Group, Inc. 3151 Airway Ave., Ste. F208 Costa Mesa, CA 92626 CITY OF SANTA ANA PLANNING & BUILDING AGENCY 20 Civic Center Plaza • P.O. Box 1988 Santa Ana, California 92702 wW W.santa-ana.oro March 21, 2024 A-2020-241-05A INTERIM CITY MANAGER Thomas R. Hatch CITY ATTORNEY Sonia R. Carvalho CITY CLERK Jennifer L. Hall Re: California Environmental Quality Act (CEQA) Peer Review Services for the Vista Charter School Change of Use Pursuant to Section 1 ("Scope of Services") of Agreement No. A-2020-241-05 entered into by Chambers Group, Inc. ("Consultant') and the City of Santa Ana, dated December 1, 2020, Consultant hereby accepts this Letter Agreement for an assignment for on -call environmental and planning services for the project listed above. Consultant began services on October 9, 2023, consistent with the terms of the Agreement, and completed the services per the proposal revised and dated August 23, 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 $8,271.00. All other terms and conditions of said Agreement remain unchanged and in full force and effect. Sincerely, Q ' Minh Thai Executive Director Planning & Building Services Agency APPROVED AS TO FORM: Sonia R. Carvalho City Attorney Brandon Salvatierra Deputy City Attorney 11 CONSULTANT Mike McEntee President SANTA ANA CITY COUNCIL Velene Amezcua Thai Viet Phan Benjamin Vazquez Jessie Lopez Phil Bacena Johnalban Ryan Namandez David Penaloze Mayor Mayor Pm Tent WaM 1 Ward Want Warr14 Ward5 WaM6 vamezcuaiIDsan a -aria or tohan(msanta-ana arc byazauez(dsana aria sielooeznsanla-ana ory obacenaBsanla-aria nm rvanM1emantlez(dsanla-aria om Eoenaloza(Asan a -a CEQA Peer Review Services City of Santa Ana Exhibit A to Side Letter dated 2/12/2024 Fernanda Arias, Assistant Planner City of Santa Ana — Planning and Building Agency (M-20) 20 Civic Center Plaza I P.O. Box 1988 Santa Ana, CA 92702 CHAMBERS GROUP August 23, 2023 Subject: California Environmental Quality Act (CEQA) Peer Review Services for the Vista Charter School Change of Use Dear Fernanda Arias, We would like to thank you for reaching out to Chambers Group to provide this proposal to peer review the Vista Charter School Change of Use Project (Proposed Project / Project) documents. The Project consists of changing the zoning designation of the property from M-1 to SD-82 and changing the use of an existing building from auto repair to administrative office use. As proposed, the Project requires approval of an amendment application (zone change) for a specific plan. We understand that Michael Baker is preparing a Categorical Exemption Memorandum for the Project. The memorandum will evaluate the Project's potential impact on the resource areas identified under CEQA. The memorandum will include a qualitative analysis of these resources with exception to air quality, greenhouse gas (GHG), and noise which will involve quantitative analyses. The purpose of conducting this peer review is to provide a legally adequate, unbiased, qualified, and objective 'Third Party' review of the Notice of Exemption (NOE) and Draft Memorandum and associated air quality, greenhouse gas and noise studies. The results of the peer review will serve as an informational document for the Proposed Project proponent, the public, the City staff, the Planning Commission, and the City Council. Technical review of the air quality, energy, GHG and noise reports will be reviewed by the following subconsultants: • Vista Environmental - Air Quality, GHG, and Noise Scope of Work Should further detailed technical reviews be necessary, a revised scope will be provided. Chambers Group can commence work on this project as soon as we receive written notice to proceed (NTP). We will accomplish the scope of work as described below. Scope of Work The Third -Party peer review, which will include review of technical studies for the Proposed Project, will be conducted to meet the statutory requirements of CEQA. Chambers Group's team is divided into two primary components: overall CEQA adequacy review and Subject Matter Expert (SME) review. The Chambers Group team consisting of environmental planners, biologists and cultural resources specialists will provide a CEQA adequacy review of the documents' respective sections, including overall CEOA management and supervision of the SMEs'review, and examine the document from the aspect of overall policy considerations, analysis, and CEQA compliance. SMEs will perform an adequacy review of their corresponding sections of the document and associated technical reports to confirm the legal adequacy of the analysis and provide recommendations and suggested edits to the documents. This includes consistency with regional requirements and databases including but not limited to the California Department of Fish and Wildlife (CDFW), California Natural Diversity Database (CNDDB), the California Native Plant Society's Electronic Inventory (CNPSEI), and the United States Fish and Wildlife (USFWS). The peer review will consist of analysis of all pertinent resources related technical document needed. Chambers Group will prepare a comment matrix and will indicate deficiencies or questions where necessary within the matrix to clarify or bring a particular document into conformance with CEQA. Our scope assumes one single round of review, and two rounds of comments. Should additional rounds be required, a separate scope and cost will be prepared. =in`� 1979 CGI Proposal 964296 www.chambersgroupinc.com CEQA Peer Review Services CHAMBERS City of Santa Ana GROUP We assume we will receive the following documents prepared by Michael Baker and/or the City. • CEQA Exemption Memorandum and NOE • Air Quality, GHG and Noise Reports • Screening Form verifying the Project is screened out of further Vehicle Miles Traveled (VMT) Analysis CHAMBERS GROUP TEAM RESOURCE AREA REVIEWS REVIEWERS Aesthetics, Light, and Glare Agriculture and Forestry Resources Biological Resources Cultural Resources Geology/Soils Hazards and Hazardous Materials Hydrology and Water Quality Land Use/Planning Chambers Group Mineral Resources Population/Housing Public Services Recreation Transportation/Traffic Tribal Cultural Resources Utilities/Service Systems Wildfire Mandatory Findings of Significance Vista Environmental Air Quality/GHG/Noise Project Management hours have been incorporated into this scope of work. Project Management tasks cover communication and coordination with the City, coordination with staff for completion of impact analysis, and Project progress and budget monitoring. Attendance at any City or public meetings, including Planning Commission and City Council meetings, is not included. Should the Project require further coordination than anticipated, or if attendance at public meetings is requested, Chambers Group can attend on a time and materials basis. Assumptions • This scope does not include any onsite survey, testing, data recovery, analysis, monitoring, reporting, or similar programs. • The cost assumes peer review of documents/reports prepared as noted in the RFP. If any additional technical studies require peer review, or if there are significant changes required after the first round of review, an updated scope and cost will be necessary. • This scope assumes no more than two rounds of review, and one virtual meeting lasting no more than 1 hour to discuss the comments. • This scope assumes that all necessary project information to support the analysis will be received. • If the project description, site plan, or technical studies are revised, any revisions to the comments will be done under a separate estimate. -41M%ow 2 Est CGI Proposal#6429b /IPA 1979 www chambersgroupinc.com CEQA Peer Review Services City of Santa Ana Costs CHAMBERS GROUP The services described in each task will be performed on a fixed fee basis. This estimate was determined based on the information provided in the RFP and the expected level of effort to review and provide suggested revisions/analysis. TASK COST ESTIMATED SCHEDULE Task 1: CEQA Exemption Memorandum $6,776.00 Upon receipt of all documentation, preliminary review comments will be provided within 2 weeks. Task 2: Air Quality/GHG/Noise Technical Review $1,495.00 Responses to the comments received TOTAL $8,271.00 from Michael Baker will be reviewed within 1 week. Authorization The services proposed herein are in compliance with the terms and conditions of the Master Services Agreement (MSA) to provide On -Call Environmental Planning Services, dated December 2020. Chambers Group considers the pricing and other business information the property of Chambers Group. This proposal and the information contained herein shall not be used for any purpose other than as specifically stated and shall not be disclosed to any other party without Chambers Group's written consent. If this scope of work and cost meet with your satisfaction, please execute this letter and return it to Chambers Group as our authorization to begin work. The schedule and cost quoted herein are valid for 30 days. Thank you for the opportunity to provide this proposal, and we look forward to having the opportunity to continue working with you. Please call or email me if you have any questions or comments regarding this proposal; my contact information is provided below. Sincerely, CHAMBERS GROUP, INC. �' gC-6 Mike McEntee President mmcentee@chambersgroupinc.com 949-261-5414 3151 Airway Ave., Suite F208 Costa Mesa, CA 92626 pV,!!�t (GI Pioposal a(saz9„ Authorized By: City of Santa Ana Signature Date www.chambeisgioupinc.com CERTIFICATE OF uignmy signea F DAM (MM DO rYYY) )e 5/9/2023 THIS CERTIFICATE IS ISSUED AS MATTER OF INFORMATION ONLYAND CO RS NO RIGHTi k'll�f{F,�Cr$j�TIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, E END OR ALTER TH JV ED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTAC�Ie�"1 E)�ft- Zff2Wn.lLg'HORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER//���\ ���/// ������ V IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must Ve ndorsed. I O ED, subject to the terms and conditions of the policy, certain policies may require an endorsement. k -Atement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER „,„-_ Driscoll & Driscoll Insurance Agency, Inc. 41235 lath St west, Suite B Palmdale CA 93551 INSURED REBL (661)266-9390 (AIC No)' 1961126a-9391 e. CertsMDriscollandDriscoll.com Chambers Group, Inc INSURER D: 3151 Airway Ave, Suite P208 INSURER E: Costa Mesa CA 92626 INSURER F: C11VFRAr]FS CFOTIClr ATC MItMGCC•1T.119411PO9 u„nae ve. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TOALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR rypE OF ADOL SUBR POLICY NUMBER POLICY EFF MMIOOIYYYY POLICY UP MMIDCNYYY LIMITS X COMMERCIAL GENERALLIABILITY EACH OCCURRENCE $ 1, 000, 000 A CLAIMS -MADE OOCCUR DAMAGE TO RENTED PREMISES Is ocramence $ 100, 000 MED UP (Any one person) $ 10,000 X Y ECP2026303-15 5/12/2023 5/12/2024 PERSONAL &ADV INJURY S 11000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE S 2,000,000 X ❑ PRO ❑ POLICY JECT LOG PRODUCTS-COMP/OPAGG $ 2,000,000 S OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 11000,000 X BODILY INJURY (Per parson) $ B ANYAUTO BODILY INJURY (Per accident) $ AOSCHEDULED AUTOS AUTOG EA22031737-11 5/12/2023 5/12/2029 NON -OWNED HIREDAUTOS AUTOS PROPERTY DAMAGE Pera'ent $ $ UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 10,000,000 X AGGREGATE $ 10,000,000 A EXCESS UAB CLAIMS -MADE FFX2026322-15 5/12/2023 5/12/2024 DED RETENTION $ $ WORKERS COMPENSATION X PER OTH- ST UTE ER AND EMPLOYERS' LIABILITY YIN E.L. EACH ACCIDENT $ 11000,000 ANY PROPRIETORIPARTNERIEXECUTIVE NIA C OFFICERIMEMBER EXCLUDED? N❑ (Mandatory in NH) wvE 5055233 03 5/12/2023 5/12/2024 E.L. DISEASE - EA EMPLOYEE $ 1.000,000 If yes, deacdbe no., E.L. DISEASE -POLICY LIMIT $ 1,000 000 DESCRIPTION OF OPERATIONS below A Conti Pollution Liability MCP2026303-15 5/12/2023 5/12/2024 Per Occl Agg 1 M / 2 M A Pio£essional Liability ECP2026303-15 5/12/2023 5/12/2024 Claims Made 1,000,000 DESCRIPTON OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is inquired) Blanket Waiver applies to the General Liability Policy per form # ECP 1260 01 21. Blanket Primary & Non -Contributory wording applies to the General Liability Policy per form # ECP 1246 01 21. Blanket Additional Insured applies to the General Liability Policy per form # ECP 1246 01 21 & ECP 1248 01 21, in favor of: City of Santa Ana, officers, agents, employees, and volunteers. 10 day Notice of Cancellation for Non-payment & 30 day for all other. City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL RE DELIVERED IN ACCORDANCE WITH THE POLICY PROI '%en'yr RmkMwgettmdlTivulDn AUTHORIZED REPRESENTATIVE (. REVIEV•tED i= tS lMlial Boss Driscoll, Sr/DM Risk Manage-mentSpedalist © 1988-2014 ACI ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025 (201401) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -- OWNERS, LESSEES OR CONTRACTORS AUTOMATIC STATUS — ONGOING OPERATIONS — COVERAGE A, B, DA & D.4 Policy Number Policy Effective Date Policy Expiration Date Endorsement Effective Date ECP2026303-15 5/12/2023 5/12/2024 5/12/2023 This endorsement modifies insurance provided under the following: ENVIRONMENTAL COMBINED POLICY I. SECTION III —WHO IS AN INSURED is amended to include as an additional insured: 1. Any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement, in effect during this policy period, that such person or organization be added as an additional insured on this policy; and 2. Any other person or organization you are explicitly required to add as an additional insured under the contract or agreement described in Paragraph 1. above. Such contract or agreement must be executed and in effect prior to the performance of your work which is the subject of such contract or agreement. Such person(s) or organization(s) is an additional insured only with respect to liability for bodily injury or property damage under SECTION I — COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY, Coverage DA — Contractors Pollution Legal Liability and Coverage DA — Microbial Substance Contractors Pollution Liability, or personal injury or advertising injury under SECTION I - COVERAGE B — PERSONAL AND ADVERTISING INJURY LIABILITY directly caused by: a. Your acts or omissions; or b. The acts or omissions of those acting on your behalf, in the performance of your ongoing operations for the additional insured described in Paragraph 1. or 2. above. However, the insurance afforded to such additional insured described above: a. Only applies to the extent permitted bylaw; and b. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured, and c. Will not extend beyond that which is provided to you in this policy. A person's or organization's status as an additional insured under this endorsement ends when your operations for the person or organization described in Paragraph 1. above are completed. II. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: a. Bodily injury, property damage or personal and advertising injury arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: (1) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (2) Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the occurrence which caused the bodily injury or property damage, or the offense which caused the personal and advertising injury, involved the rendering of, or the failure to render any professional architectural, engineering o b. Bodily injury or property damage occurring after: fr oIA I r REVItYJEp & APPRMM BY. qAG°-'ham (1) All work, including materials, parts or equipment furnished in connection with su °I than service, maintenance or repairs) to be performed by or on behalf of the additic ® of the covered operations has been completed; or Risk Management spedalist ECP 1246 01 21 Includes copyrighted material of Insurance services Office, Inc., used with its permission. Pagel of 2 (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. III. With respect to the insurance afforded to these additional insureds, the following is added to SECTION V — LIMITS OF INSURANCE: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contractor agreement described in Paragraph 1.1., or 2. Available under the applicable limits of insurance, whichever is less. This endorsement shall not increase the applicable limits of insurance IV. With respect to the insurance afforded to these additional insureds, the following is added to SECTION VI — REPORTING, DEFENSE, SETTLEMENT & COOPERATION: 1. Duties —Additional Insured An additional insured must see to it that: a. We are notified in writing as soon as practicable of an occurrence or offense which may result in a claim or suit; b. We receive written notice of a claim or suit as soon as practicable; and c. A request for defense and indemnity of the claim or suit will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured, if the contract or agreement requires that this coverage be primary and noncontributory. V. SECTION VII —CONDITION 10. —Other Insurance is amended by the addition of the following which 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 a person(s) or organization(s) included as an additional insured under this endorsement provided that: 1. The additional insured persons) or organization(s) is a Named Insured under such other insurance; and 2. You have agreed in writing in a contract or agreement, in effect during this policy period, that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured person(s) or organization(s). Such contract or agreement must be executed and in effect prior to the performance of your work which is the subject of such contract or agreement. However, this provision does not apply if the other insurance available to the person(s) or organization(s) included as an additional insured is Owners and Contractors Protective Liability, Railroad Protective Liability, or similar project - specific, primary insurance. VI. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a SCHEDULE of additional insureds, and which endorsement applies to that designated additional insured. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. - Rkk MnrugemaeEDividan REVIEWED & APPRtwm ft, "® ® A- f, Aa,,d- Risk Management Specialist ECP 1246 01 21 Includes copyrighted material of Insurance Services Office, Inc., used with its permission. Page 2 of 2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -- OWNERS, LESSEES OR CONTRACTORS AUTOMATIC STATUS — COMPLETED OPERATIONS — COVERAGE A, D.1 & DA Policy Number Policy Effective Date Policy Expiration Date Endorsement Effective Date ECP2026303-15 5/12/2023 5/12/2024 5/12/2023 This endorsement modifies insurance provided under the following: ENVIRONMENTAL COMBINED POLICY I. SECTION III —WHO IS AN INSURED is amended to include as an additional insured: 1. Any person or organization for whom you have performed operations when you and such person or organization have agreed in writing in a contract or agreement, in effect during this policy period, that such person or organization be added as an additional insured on this policy; and 2. Any other person or organization you are explicitly required to add as an additional insured under the contract or agreement described in Paragraph 1. above. Such contract or agreement must be executed and in effect prior to the performance of your work included in the products -completed operations hazard which is the subject of such contract or agreement. Such persons) or organization(s) is an additional insured only with respect to liability for bodily injury or property damage under SECTION I — COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY, Coverage D.1 — Contractors Pollution Legal Liability and Coverage DA — Microbial Substance Contractors Pollution Liability, directly caused by your work performed for the additional insured described in Paragraph 1. or 2. above, and included in the products -completed operations hazard. However, the insurance afforded to such additional insured described above: a. Only applies to the extent permitted by law, and b. Will not be broader than that which you are required by the contractor agreement to provide for such additional insured; and c. Will not extend beyond that which is provided to you in this policy. II. Wth respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: a. Bodily injury or property damage arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: (1) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (2) Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the occurrence which caused the bodily injury or property damage involved the rendering of, or the failure to render any professional architectural, engineering or surveying services. III. With respect to the insurance afforded to these additional insureds, the following is added to SECTION V — LIMITS OF INSURANCE: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement described in Paragraph 1.1., or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. IV. With respect to the insurance afforded to these additional insureds, the following R®lrMnup.ADMsion Re Ewm & Aeraovm By. ® Risk Management Spedalist Is ECP 1248 01 21 Includes copyrighted material of Insurance Services Office, Inc., used with its permission. Page 1 of 2 REPORTING, DEFENSE, SETTLEMENT & COOPERATION: 1. Duties —Additional Insured An additional insured must see to it that: a. We are notified in writing as soon as practicable of an occurrence which may result in a claim or suit; b. We receive written notice of a claim or suit as soon as practicable; and c. A request for defense and indemnity of the claim or suit will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured, if the contract or agreement requires that this coverage be primary and noncontributory. V. SECTION VII —CONDITION 10. —Other Insurance is amended by the addition of the following which 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 a person(s) or organization(s) included as an additional insured under this endorsement provided that: 1. The additional insured person(s) or organization(s) is a Named Insured under such other insurance; and 2. You have agreed in writing in a contract or agreement, in effect during this policy period, that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured person(s) or organization(s). Such contract or agreement must be executed and in effect prior to the performance of your work included in the products -completed operations hazard which is the subject of such contract or agreement. However, this provision does not apply if the other insurance available to the person(s) or organization(s) included as an additional insured is Owners and Contractors Protective Liability, Railroad Protective Liability, or similar project - specific, primary insurance. VI. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a SCHEDULE of additional insureds, and which endorsement applies to that designated additional insured. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. RIAMamgemenf Di Icn RE Ewm & APPRmm BY: ®' Risk Management Specialist ECP 1248 0121 Includes copyrighted material of Insurance services Office, Inc., used with its permission. Page 2 of 2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF SUBROGATION (TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US) AUTOMATIC STATUS — COVERAGE A, B & D Policy Number Policy Effective Date Policy Expiration Date Endorsement Effective Date ECP2026303-15 5/12/2023 5/12/2024 5/12/2023 This endorsement modifies insurance provided under the following: ENVIRONMENTAL COMBINED POLICY The following is added to Paragraph 17. Subrogation of SECTION VII — CONDITIONS: We waive any right of recovery against any person(s) or organization(s) because of payments we make under COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY, COVERAGE B — PERSONAL AND ADVERTISING INJURY LIABILITY, and COVERAGE D—CONTRACTORS POLLUTION LIABILITY underthis policy. Such waiver by us applies only if: 1. The insured has agreed in writing in a contract or agreement with such person(s) or organization(s) to waive its right of recovery; and 2. The insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This waiver does not apply in any jurisdiction where such waiver is held to be illegal or against public policy or in any situation where the person(s) or organization(s) against whom subrogation is to be waived is found to be solely negligent. This endorsement does not apply to any person(s) or organization(s) designated in a SCHEDULE of person(s) or organization(s) against whom rights of recovery have been waived. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. j'��q� r°1� Ride Management Divielan REVIEWtaSAPPRQVm BV: Risk Management Specialist ECP 1260 01 21 Includes copyrighted material of Insurance services Office, Inc., used with its permission. Pagel of 1 BE NV CA 06 09 17 ENDORSEMENT This endorsement forms a part of the policy to which it is attached. Please read it carefully. BUSINESS AUTO —ADDITIONAL INSURED WHEN REQUIRED BY CONTRACT OR AGREEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM Section II - Liability Coverage A. - Coverage, 1. Who is an Insured, is amended to add: d. Any person or organization 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, excluding contracts or agreements for professional services, 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 your operations or premises owned by or rented to you. 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. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. Includes copyrighted material of Insurance Services ice, Inc., with its perrnissic BENV CA 06 09 17 RiskMarugmentDinsim 1 REVIEWED&APPRIWDBY. �•. ® Risk Management Spetlalis[ page 1 Of 1 POLICY NUMBER: BAP2037737-11 COMMERCIAL AUTO CA 04 44 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Chambers Group, Inc. Endorsement Effective Date: 05/12/23 SCHEDULE Name(s) Of Person(s) Or Organization(s): Any Principal wherein such waiver has been included before loss as pad of a contractual undertaking by the Named Insured Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation Is waived prior to the "accident" or the "loss" under a contract with that person or organization. Risk Mumpmeit Division REVIEWED & APPROVE RV: A,.I AaP44 ® Risk Management Specialist CA 04 44 10 13 ©Insurance Services Office, Inc.,2011 Page 1 of 1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 34 (Ed. 8-00) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - BLANKET We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us). The additional premium for this endorsement shall be otherwise due. Person or Organization ANY PERSON/ORGANIZATION FOR WHOM THE NAMED INSURED IS REQUIRED UNDER WRITTEN CONTRACT TO FURNISH THIS WAIVER. 2 % of the total California Workers' Compensation premium Schedule Job Description ALL CALIFORNIA OPERATIONS This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 05/12/2023 Policy No. WVE 5055233 03 Insured CHAMBERS GROUP INC Insurance Company INSURANCE COMPANY OF THE WEST WC 99 06 34 (Ed. 8-00) Countersigned By Endorsement No. Premium $ INCL. Risk Mawgement DW[m 4W�, RE E&ED&APPRwmBY.. +. 49z, A"V44 ® Risk Pnanagemen[Specialist _ INSURED