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HomeMy WebLinkAboutFACTORY MOTOR PARTS (ELLIOT AUTO SUPPLY CO., INC.) INSURANCE ON FILE WORK MAY PROCEED UNTIL NSU ANCE EXPIRES 1� 15I 2-4 A-2024-080 CITY C�ERK. DATE:JUN 1 a 2024&GREEMENT FOR CONSIGNMENT VEHICLE PARTS AND ACCESSORIES O.OM Pl(2) BETWEEN ELLIOTT AUTO SUPPLY CO.,INC AND ll.• CITY OF SANTA ANA (N.OrOu3)es- THIS AGREEMENT ("Agreement") is made and entered into on this 1st day of July, 2024 by and between Elliott Auto Supply Co., Inc. dba Factory Motor Parts, ("Contractor"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California("City"). RECITALS A. The City desires to retain a Contractor to establish a vendor-owned inventory (consignment) based model to provide miscellaneous fleet vehicle parts and accessories, necessary to maintain, repair, and operate the City's fleet of vehicles and equipment. B. Contractor represents that Contractor is able and willing to provide such services to the City. C. In undertaking the performance of this Agreement, Contractor represents that it is knowledgeable in its field and that any services performed by Contractor under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional consulting firm in the field. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the parties agree as follows: 1. SCOPE OF SERVICES Contractor shall perform during the term of this Agreement, the tasks and obligations required to supply an on and off-site inventory of parts and shop supplies necessary to maintain, repair and operate the City's fleet of vehicles and equipment including but not limited to, a full line of light and heavy duty equipment parts, Original Equipment Manufacturer (OEM) parts, small engine parts, hydraulic hoses, fasteners, tires, steel, welding supplies, safety supplies, chemicals, equipment, and all fluids associated with automotive vehicles (i.e. lubricants, antifreeze, brake fluids, etc.) as described and set forth in Exhibit A, attached hereto and incorporated by reference. 2. COMPENSATION a. City agrees to pay, and Contractor agrees to accept as total payment for its services for City, the rates and charges identified in Exhibit A. The total amount to be expended shall not exceed$500,000 per year, for a total amount not to exceed$1,500,000,during the term of this Agreement including any extensions. b. Payment by City shall be made within forty-five (45) days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. City and Contractor agree that all payments due and owing under this Agreement shall be made Page 1 of 8 #392321v1 through Automated Clearing House (ACH)transfers. Contractor agrees to execute the City's standard ACH Vendor Payment Authorization and provide required documentation. Upon verification of the data provided, the City will be authorized to deposit payments directly into Contractor's account(s) with financial institutions. Payment need not be made for work which fails to meet the standards of performance set forth in the Recitals which may reasonably be expected by City. 3. TERM This Agreement shall commence on the date first written above for a two (2) year term with the option for the City to grant up to a one, 1-year renewal, exercisable by a writing by the City Manager and the City Attorney, unless terminated earlier in accordance with Section 15, below. 4. INDEPENDENT CONTRACTOR Contractor shall, during the entire term of this Agreement, be construed to be an independent Contractor and not an employee of the City. This Agreement is not intended nor shall it be construed to create an employer-employee relationship, a joint venture relationship, or to allow the City to exercise discretion or control over the professional manner in which Contractor performs the services which are the subject matter of this Agreement; however, the services to be provided by Contractor shall be provided in a manner consistent with all applicable standards and regulations governing such services. Contractor shall pay all salaries and wages, employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. 5. OWNERSHIP OF MATERIALS This Agreement creates a non-exclusive and perpetual license for City to copy, use, modify, reuse, or sublicense any and all copyrights, designs, and other intellectual property embodied in plans, specifications, studies, drawings, estimates, and other documents or works of authorship fixed in any tangible medium of expression, including but not limited to, physical drawings or data magnetically or otherwise recorded on computer diskettes, which are prepared or caused to be prepared by Contractor under this Agreement ("Documents & Data"). Contractor shall require all subcontractors to agree in writing that City is granted a non-exclusive and perpetual license for any Documents & Data the subcontractor prepares under this Agreement. Contractor represents and warrants that Contractor has the legal right to license any and all Documents & Data. Contractor makes no such representation and warranty in regard to Documents & Data which were provided to Contractor by the City. City shall not be limited in any way in its use of the Documents and Data at any time, provided that any such use not within the purposes intended by this Agreement shall be at City's sole risk. 6. INSURANCE (Subject to revision per RMD requirements) Contractor shall procure and maintain for the duration of the contract insurance against claims for injuries to persons or damages to property which may arise from or in connection with Page 2 of 8 #392321v1 the performance of the work hereunder and the results of that work by the Contractor, his agents, representatives, employees or subcontractors. MINIMUM SCOPE OF INSURANCE Contractor shall maintain limits of insurance coverage in the following minimum amounts and shall be at least as broad as: 1. Commercial General Liability (CGL): Insurance Services Office Form CG 00 01 covering CGL on an "occurrence" basis, including products and completed operations, property damage, bodily injury and personal & advertising injury with limits no less than $1,000,000 per occurrence and$2,000,000 aggregate. 2. Automobile Liability: Insurance Services Office Form Number CA 00 01 covering any auto (Code 1), with combined single limits of$1,000,000. 3. Workers' Compensation: as required by the State of California, with Statutory Limits, and Employer's Liability Insurance with limit of no less than $1,000,000 per accident, per employee, per policy for bodily injury or disease. This requirement can be waived if Contractor has no employees. If the Contractor maintains broader coverage and/or higher limits than the minimums shown above, the City requires and shall be entitled to the broader coverage and/or higher limits maintained by the Contractor. Any available insurance proceeds in excess of the specified minimum limits of insurance and coverage shall be available to City. Other Insurance Provisions The insurance policies are to contain, or be endorsed to contain, the following provisions: 1. CGL and AL policies: City of Santa Ana, its City Council, its officers, officials, employees,agents, and volunteers are to be covered as additional insureds with respect to liability arising out of work or operations performed by or on behalf of the Permittee including materials, parts, equipment, and personnel furnished in connection with such work or operations. 2. All required insurance policies: Insurance company(ies) agrees to waive all rights of subrogation against City, its City Council, its officers, officials, employees, agents, and volunteers for losses paid under the terms of any policy which arise from work performed by Contractor for City. 3. All required insurance policies: For any claims related to this contract, Contractor's insurance coverage shall be primary and any insurance maintained by City, its City Council, its officers, officials, employees, agents, or volunteers shall not contribute with it. 4. All required insurance policies: A severability of interest provision must apply for all the additional insureds, ensuring that Contractor's insurance shall apply separately to each insured against whom a claim is made or suit is brought, except with respect to the insurer's limits of liability. 5. Each insurance policy required herein shall provide that coverage shall not be canceled, suspended, voided, reduced in coverage or in limits, non-renewed by the carrier, or materially changed except after thirty (30) days prior written notice has been given to Page 3 of 8 #392321v1 City. Ten (10) days prior written shall be provided to City for policy cancellation or non-renewal due to non-payment. 6. Certificate Holder on each Evidence of Insurance certificate shall be: City of Santa Ana, 20 Civic Center Plaza, Santa Ana, CA 92701. The name and location of event should be included in the Description of Operations section of each certificate. Self-Insured Retentions Self-insured retentions must be declared to and approved by the City. The City may require the Contractor to purchase coverage with a lower retention or provide proof of ability to pay losses and related investigations, claim administration, and defense expenses within the retention. Acceptability of Insurers Insurance is to be placed with insurers authorized to conduct business in the state of California with a current A.M. Best's rating of no less than A:VII, unless otherwise acceptable to the City. Verification of Coverage Contractor shall furnish the City with original Certificates of Insurance including all amendatory endorsements (or copies of the applicable policy language effecting coverage required by this clause) and a copy of the Declarations and Endorsement Page of the CGL policy listing all policy endorsements to the City before work begins. However, failure to obtain the required documents prior to the work beginning shall not waive the Contractor's obligation to provide them. The City reserves the right to require complete, certified copies of all required insurance policies, including endorsements required by these specifications, at any time. Claims Made Policies If any of the required policies provide coverage on a claims-made basis: 1. The Retroactive Date must be shown, and must be before the date of the contract or the beginning of contract work. 2. Insurance must be maintained and evidence of insurance must be provided for at least three (3) years after completion of the work. 3. If coverage is canceled or non-renewed,and not replaced with another claims-made policy form with a Retroactive Date prior to the contract effective date, the Contractor must purchase "extended reporting" coverage for a minimum of three(3) years after completion of work. Subcontractors Contractor shall require and verify that all sub-contractors maintain insurance meeting all the requirements stated herein, and Contractor shall ensure that City is an additional insured on insurance required from subcontractors. Special Risks or Circumstances City reserves the right to modify these requirements, including limits, based on the nature of the risk, prior experience, insurer, coverage, or other special circumstances. Page 4 of 8 #392321v1 7. INDEMNIFICATION Contractor agrees to defend, and shall indemnify and hold harmless the City, its officers, agents,employees, contractors, special counsel, and representatives from liability: (1) for personal injury,damages,just compensation, restitution,judicial or equitable relief arising out of claims for personal injury, including death, and claims for property damage, which may arise from the negligent operations of the Contractor, its subcontractors, agents, employees, or other persons acting on its behalf which relates to the services described in section 1 of this Agreement; and (2) from any claim that personal injury, damages,just compensation, restitution,judicial or equitable relief is due by reason of the terms of or effects arising from this Agreement. This indemnity and hold harmless agreement applies to all claims for damages,just compensation, restitution,judicial or equitable relief suffered, or alleged to have been suffered, by reason of the events referred to in this Section or by reason of the terms of, or effects, arising from this Agreement. The Contractor further agrees to indemnify, hold harmless, and pay all costs for the defense of the City, including fees and costs for special counsel to be selected by the City, regarding any action by a third party challenging the validity of this Agreement, or asserting that personal injury, damages, just compensation, restitution,judicial or equitable relief due to personal or property rights arises by reason of the terms of, or effects arising from this Agreement. City may make all reasonable decisions with respect to its representation in any legal proceeding. Notwithstanding the foregoing, to the extent Contractor's services are subject to Civil Code Section 2782.8, the above indemnity shall be limited, to the extent required by Civil Code Section 2782.8, to claims that arise out of, pertain to, or relate to the negligence, recklessness, or willful misconduct of the Contractor. 8. INTELLECTUAL PROPERTY INDEMNIFICATION Contractor shall defend and indemnify the City, its officers, agents, representatives, and employees against any and all liability, including costs, for infringement of any United States' letters patent, trademark, or copyright infringement, including costs,contained in the work product or documents provided by Contractor to the City pursuant to this Agreement. 9. RECORDS Contractor shall keep records and invoices in connection with the work to be performed under this Agreement. Contractor shall maintain complete and accurate records with respect to the costs incurred under this Agreement and any services, expenditures, and disbursements charged to the City for a minimum period of three (3) years, or for any longer period required by law, from the date of final payment to Contractor under this Agreement. All such records and invoices shall be clearly identifiable. Contractor shall allow a representative of the City to examine, audit, and make transcripts or copies of such records and any other documents created pursuant to this Agreement during regular business hours. Contractor shall allow inspection of all work, data, documents, proceedings, and activities related to this Agreement for a period of three (3) years from the date of final payment to Contractor under this Agreement. 10. CONFIDENTIALITY If Contractor receives from the City information which due to the nature of such Page 5 of 8 #392321v1 information is reasonably understood to be confidential and/or proprietary, Contractor agrees that it shall not use or disclose such information except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of like importance,but in no event less than reasonable care. "Confidential Information"shall include all nonpublic information. Confidential information includes not only written information, but also information transferred orally, visually, electronically, or by other means. Confidential information disclosed to either party by any subsidiary and/or agent of the other party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure shall not apply to any information that(a) has been disclosed in publicly available sources; (b) is, through no fault of the Contractor disclosed in a publicly available source; (c) is in rightful possession of the Contractor without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or (e) is independently developed by the Contractor without reference to information disclosed by the City. 11. CONFLICT OF INTEREST CLAUSE Contractor covenants that it presently has no interests and shall not have interests, direct or indirect, which would conflict in any manner with performance of services specified under this Agreement. 12. NON-DISCRIMINATION Contractor shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, gender identity, gender expression, gender, medical conditions, genetic information, or military and veteran status, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, teaching, training, utilization, promotion, termination or other employment related activities or any services provided under this Agreement. Contractor affirms that it i.s an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 13. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Contractor, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terms of this Agreement and any attachments hereto, the terms of this Agreement shall prevail. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Contractor. The parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not bind or obligate Contractor or the City. Each party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any party, which is not embodied herein. 14. ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Contractor, Page 6 of 8 #392321v1 Contractor may not assign, transfer, delegate, or subcontract any interest herein without the prior written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the City's ability to have any of the services which are the subject to this Agreement performed by City personnel or by other Contractors retained by City. 15. TERMINATION This Agreement may be terminated by the City upon thirty (30) days written notice of termination. In such event, Contractor shall be entitled to receive and the City shall pay Contractor compensation for all services performed by Contractor prior to receipt of such notice of termination, subject to the following conditions: a. As a condition of such payment, the Executive Director may require Contractor to deliver to the City all work product(s) completed as of such date, and in such case such work product shall be the property of the City unless prohibited by law, and Contractor consents to the City's use thereof for such purposes as the City deems appropriate. b. Payment need not be made for work which fails to meet the standard of performance specified in the Recitals of this Agreement. 16. WAIVER No waiver of breach, failure of any condition, or any right or remedy contained in or granted by the provisions of this Agreement shall be effective unless it is in writing and signed by the party waiving the breach, failure, right or remedy. No waiver of any breach, failure or right, or remedy shall be deemed a waiver of any other breach, failure, right or remedy, whether or not similar, nor shall any waiver constitute a continuing waiver unless the writing so specifies. 17. JURISDICTION -VENUE This Agreement has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the State of California. Both parties further agree that Orange County, California, shall be the venue for any action or proceeding that may be brought or arise out of, in connection with or by reason of this Agreement. 18. PROFESSIONAL LICENSES Contractor shall, throughout the term of this Agreement, maintain all necessary licenses, permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State of California, the City of Santa Ana and all other governmental agencies. Contractor shall notify the City immediately and in writing of its inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. Page 7 of 8 #392321v1 19. NOTICE Any notice, tender, demand, delivery, or other communication pursuant to this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or mailed by first class or certified mail, postage prepaid, or sent by fax or other telegraphic communication in the manner provided in this Section, to the following persons: To City: Clerk of the City Council City of Santa Ana 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana, CA 92702-1988 Fax: 714- 647-6956 With courtesy copies to: Executive Director, Public Works Agency City of Santa Ana 20 Civic Center Plaza (M-21) P.O. Box 1988 Santa Ana, California 92702 Fax: 714-647-5635 To Contractor: Elliott Auto-Supply Co., Inc. Attn: Dana Carney 2610 S. Birch Street Santa Ana, CA 92707 Fax: 702-459-0432 A party may change its address by giving notice in writing to the other party. Thereafter, any communication shall be addressed and transmitted to the new address. If sent by mail, communication shall be effective or deemed to have been given three (3) days after it has been deposited in the United States mail, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent by fax, communication shall be effective or deemed to have been given twenty-four(24) hours after the time set forth on the transmission report issued by the transmitting facsimile machine, addressed as set forth above. For purposes of calculating these time frames, weekends, federal, state, County or City holidays shall be excluded. 20. MISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature herein below has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify City fully, including reasonable costs and Page8of8 #39232lv1 attorney's fees, for any injuries or damages to City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. b. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: CITY OF SANTA AN 04, Jennifer L. ). Alvaro Nunez City Cl- Acting City Manager APPROVED AS TO FORM: SONIA R. CARVALHO CONTRACTOR: City Attorney BYaCIAE. 015 44 z). Andrea Garcia-Miller Name: Dana Carney Assistant City Attorney Title: Sr. Fleet Manager RECOMMENDED FOR APPROVAL: Nabil Saba Executive Director Public Works Agency Page 9 of 8 #392321v1 EXHIBIT A PARTS PRICING LIST N N l!)to IN COcc Ico to cn n /m� Oa V7 O O � l00 eco mi ,N•I N N an MO CO N m `C' O O m c N N N N N m aL J O W .-1 co m m V a a ti N N1 N m m LA V) O 0 O N K C J m W O N ni ID a 00 co al m m e.j m N m 01 IN O S W CO m m W X C' CO O �..� m N N N m ^ IN Y O O m CC Q rt W C O W CO Z N N ml N ei J l0 e^.I m W O ce K OC m W W m Q an X d O W 0 l0 m N q a1 N I-' 0 O O O Z U IN M W S Z u1 aA In `"� el IN tO tD m C J J ui f' O Q Q H Q ¢ H C7 Z C U v W <a� ~ m C7 C e..l N N m p O i0 YU}} O N 0 l0 O p m N N Q Q }d} O O d W LL W C n W O co Cr �¢ a I- m LL �-i M 01 N N Y W m y Q U T a N C N N Y O Q N N O Z Q m M e-1 Z C h a a = Q Y Q W Y Y Q W Y 3 O 0 K CO CO C O CO 5 H ° 0 0 N 3 H m 0` LL Q O Q O O o p IL a• mI tD tD C' J K Q N O Q Q O N m W N ~ ei Y LI Z W W m com CO OmO Q < co m Q Q Z Q 2 I-: m CO W a m O O a a Z O e1 Q U J U W W c O O Z_ a0 tD Q W O Y Y N CO CO m CO C O W H Z m 00 d• 17 C m LL C O K NNN00O00 LL > = 0 2 200Nm av~ia ¢ LLw � Q ce FCcoLF ea ce m., mLL ca CC C0e:E C C a ZLLR' LL au or 0Q, Z m 7 J J J S J CO an n cO N JN. • m d CO m m a W LL W LL LL aQ W •Y LL K LL Q Q m C' W O.U. �! {7. 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(0 tO t 0 00 to N t 0 § ! § § j § § y, c § ; ° ° @ ! ) % ( i § \ \ ] Fi / \ § ] ( ( ) / \ § � ( J ` < ] � v-i• / ; Ee ! § [ } / L » � . . ; z : ; \ 288 u o. z IL CC co 2 Fe u_ ) ) B ( N § ° » � ° ° 33 O00 B ° 1.0 § § § 0l , � ; : ! ! § y § § / / : m ; m 5 : : \ , § , _ § U ) / ( ( f \ § § ! a ) r® 00 8 co co - § § Bk > § � § ( ( j § : ( imam LO 4 - - - 1 tp or- 1NN000 From: City of Santa And To: Gutierrez,Denisse; EMoralesln Santa-ana.orq; Lomeli,Gabriela Subject: Internal Notice of Compliance Date: Monday,December 11,2023 10:01:52 AM NOTICE OF COMPLIANCE CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL Contractor Elliott Auto Supply Co., Inc Name: Project A-2023-161 Number: Project First Amendment To Agreement With Factory Motor Parts Name: To Provide Miscellaneous Vehicle Parts The Certificate of Insurance (COI) submitted indicates that the coverages are in compliance with the insurance requirements. No further action is required at this time. The compliant coverage(s) are: TYPE OF INSURANCE POLICY EXPIRATION COI DATE I FILE NAME NUMBER DATE City-of-Santa- Ana Elliott-Auto- AUTOMOBILE LIABILITY 2139543 11/15/2024 11/13/2023 Su_23-24-A11-Liabi_l1- 13- 2023_1424680087_1.pdf City-of-Santa- Ana Elliott-Auto- GENERAL LIABILITY 2D39543 11/15/2024 11/13/2023 Su 23-24-A11-Liabi 11- 13- 2023_1424680087_1.pdf City-of-Santa- WORKERS Ana Elliott-Auto- COMPENSATION AND 2L39543 11/15/2024 11/13/2023 Su23-24-All-Liabi11- EMPLOYERS'LIABILITY 13- 2023_1424680087_1.pdf Thank you, AC RO®® CERTIFICATE OF LIABILITY INSURANCE GATE(MMIDDIYVYV) 4......--- 11/13/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Debbie Stocker Arthur J. Gallagher Risk Management Services, LLC PHONE FAX 4201 Westown Parkway C No Exit;515-309-6215 (A/C,No): Suite 120 ADDRESS: debble stocker@ajg.com West Des Moines IA 50266 INSURER(8)AFFORDING COVERAGE NAIC# INSURER A:EMC Insurance Companies 21415 INSURED INSURERS:Employers Mutual Casualty Company 21415 Elliott Auto Supply Co., Inc dba Factory Motor Parts 1380 INSURER c:Navigators Insurance Company 42307 Corporate Center Curve Suite 200 INSURERD: Eagan MN 55121-1200 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER:1424680087 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 ADDLSUBR POLICYEFF POLICY EXP R TYPE OF INSURANCE W LIMITS INSO VD POLICY NUMBER IMM/DD!YYYY) IMM/DD/YVYY) A X COMMERCIAL GENERAL LIABILITY V Y 2D39543 11/15/2023 11/15/2024 EACH OCCURRENCE $2,000,000 DAMAGE TO RENED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $2,000,000 X 100,000 MED EXP(Any one person) $5,000 PERSONAL SADV INJURY $2,000,000 GENII_AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000 POLICY PRO- JECT X LOC PRODUCTS-COMP/OP AGG $3,000,000 OTHER: Property Damange $2,000,000 B AUTOMOBILE LIABILITY Y 2139543 11/15/2023 11/15/2024 COMBINED SINGLE LIMIT $2,000,000 A 2E39543 11/15/2023 11/15/2024 (Ea accident) B X ANY AUTO 2G39543 11/15/2023 11/15/2024 BODILY INJURY(Per person) $ B OWNED SCHEDULED 2T39543 11/15/2023 11/15/2024 B AUTOS ONLY X AUTOS 2Z39543 11/15/2023 11/15/2024 BODILY INJURY(Per accident) $ x HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) Ded Comp/Collision $1,000 B X UMBRELLALIAB X OCCUR 2J39543 11/15/2023 11/15/2024 EACH OCCURRENCE $3,000,000 O NY23EXRZOFH7JIV 11/15/2023 11/15/2024 X EXCESSLIAB CLAIMS-MADE AGGREGATE $3,000,000 DED X RETENTION$In non Excess Liability $10,000,000 B WORKERS COMPENSATION 2N39543 11/15/2023 11/15/2024 X STATUTE EOTH Statutory B AND EMPLOYERS'LIABILITY Y/N 2P39543 11/15/2023 11/15/2024 B ANYPROPRIETOR/PARTNER/EXECUTIVE 2M39543 11/15/2023 11/15/2024 E.L.EACH ACCIDENT $1,000,000 B IM OFFICEREMBEREXCLUDED? N N/A 2L39543 11/15/2023 11/15/2024 (Mandatory In NH) 2R39543 11/15/2023 11/15/2024 E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 A GARAGE LIABILITY 2E39543 11/15/2023 11/15/2024 Auto Only- Ea Ace $500,00D DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Elliott Auto Supply Co., Inc.inclusive of Factory Motor Parts and Splash Products RE: Project#A-2019-085 The City of Santa Ana,20 Civic Center Plaza,Santa Ana,California 92702;its officers,employees,agents and volunteers are included as Additional Insured under the General Liability policy per form CG71S4(10/13)and auto liability policy per form CA7270(03/07)as per written contract requirement pursuant to and subject to the policy's terms,definitions,conditions,and exclusion.The insurance provided in the General Liability policy is Primary and Non-Contributory and any other insurance shall be excess only,and not contributing per form CG7184(10/13)as per written contract requirement pursuant to and subject to the policy's terms,definitions,conditions,and exclusion.Waiver of Subrogation applies to the Additional insureds as respects to the General Liability per form CG7555(4/13),pursuant to and subject to the policy's terms when required in a written contract or agreement per form CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Risk Management Division 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana CA 92702 T-il 314�p«r°`Cr I `t/t ! ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Policy Number: 2139543; 2E39543; 2G39543; 2T39543; 2Z39543 COMMERCIAL AUTO (J THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. COMMERCIAL AUTO AMENDMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM The BUSINESS AUTO COVERAGE FORM Is amended to include the following clarifications and extensions of coverage.With respect to coverage provided by this endorsement,the provisions of the Coverage Form apply unless modified by the endorsement. A. BLANKET ADDITIONAL INSURED D. COVERAGE EXTENSIONS — SUPPLEMENTARY SECTION II—LIABILITY COVERAGE, A.1.Who Is PAYMENTS An Insured is amended by adding the following: SECTION II — LIABILITY COVERAGE, A.2.a. d. Any person or organization who is a party to a Coverage Extensions, Supplementary Payments written agreement or contract with you in which (2)and(4) are replaced by the following: you agree to provide the type of insurance (2) Up to $3,000 for the cost of bail bonds afforded under this Business Auto coverage (including bonds for related traffic law Form. violations) required,because of an "accident" This provision applies to claims for "bodily Injury" or we cover. We do not have to furnish these "properly damage"which occur after the execution of bonds. any written agreement or contract. (4) All reasonable expenses Incurred by the B. NEWLY FORMED OR ACQUIRED "insured"at our request, Including actual loss of ORGANIZATIONS earnings up to $350 a day because of time off SECTION II—LIABILITY COVERAGE, Al.Who Is from work. An Insured is amended by adding the following; a PHYSICAL DAMAGE—TOWING j e. Any organization which you acquire or form after SECTION III—PHYSICAL DAMAGE COVERAGE, the effective date of this policy in which you A.2.Towing is replaced with the following: maintain ownership or majority Interest.However: We will pay for towing and labor costs incurred, (1) Coverage under this provision is afforded subject to the following: only up to 180 days after you acquire or form the organization, or to the end of the policy a. Up to $100 each time a covered "auto" of the period,whichever is earlier. private passenger type is disabled;or ' (2) Any organization you acquire or form will not b. Up to $500 each time a covered "auto" other be considered an"insured"if: than the private passenger type is disabled. (a) The organization is a partnership or a However,the labor must be performed at the place joint venture;or of disablement. • ' (b) That organization is covered under other F. LOCKSMITH SERVICES • similar insurance. SECTION III — PHYSICAL DAMAGE COVERAGE, (3) Coverage under this provision does not apply A,4,Coverage Extensions is amended by adding the to any claim for "bodily Injury" or "property following: damage" resulting from an "accident" that We will pay up to$50 per occurrence for necessary occurred before you formed or acquired the locksmith services for keys locked inside a covered organization. private passenger"auto" for which Comprehensive C. SUBSIDIARIES AS INSUREDS coverage is provided. The deductible is waived for SECTION II—LIABILITY COVERAGE, A.1.Who is these services. An Insured Is amended by adding the following: G. PHYSICAL DAMAGE — TRANSPORTATION_ f- Any legally incorporated subsidiary in which you EXPENSES own more than 50% of the voting stock on the SECTION III—PHYSICAL DAMAGE COVERAGE, effective date of this policy. Flowever, "Insured" A.4. Coverage Extensions subparagraph a. does not Include any subsidiary that is an Transportation Expenses is replaced by the insured" under any other automobile liability following: policy or was an"insured"under such a policy but for termination of that policy or the exhaustion of the policy's limits of liability. CA7270(7-14) Includes copyrighted material of ISO Properties,Inc.with Its permission. pine 1 of 3 (1) We will pay up to$75 per day to a maximum of J. PERSONAL PROPERTY OF OTHERS $1,000 for temporary transportation expense SECTION III — PHYSICAL DAMAGE`COVERAGE, incurred by you because of the total theft of a A.4.Coverage Extensions is amended by adding the ( covered "auto" of the private passenger type. I following: We will pay only for those covered "autos" for which you carry either Comprehensive or We will pay up to$500 for loss to personal property of Specified Cause Of Loss Coverage, We will others In or on your covered"auto", pay for temporary transportation expenses This coverage applies only in the event of "loss" to Incurred during the period beginning 46 hours your covered auto" caused by fire, lightning, after the theft and ending, regardless of the explosion, theft, mischief or vandalism, the covered policy's expiration, when the covered "auto" is "auto's" collision with another object, or the covered returned to use or we pay for its"loss". "auto's"overturn, (2) if the temporary transportation expenses you No deductibles apply to this coverage. incur arise from your rental of an "auto" of the K. RENTAL REIMBURSEMENT private passenger type, the most we will pay is SECTION III — PHYSICAL DAMAGE COVERAGE, the amount it costs to rent an "auto" of the A.4. Coverage Extensions is amended by adding private passenger type which is of the same the following: "auto".like kind and quality as the stolen covered 1. This coverage applies onlyto a covered"auto"for which PHYSICAL DAAGE COVERAGE is H. AUDIO, VISUAL, AND DATA ELECTRONIC provided on this policy. EQUIPMENT COVERAGE ADDED LIMITS 2. We will pay for rental reimbursement expenses In addition to the Each Accident Limit of Insurance incurred by you for the rental of an "auto" and subject to the provisions of Paragraph C.2, of because of"loss"to a covered "auto". Payment Section III Physical Damage of the coverage applies in addition to the otherwise applicable form, we will pay up to$1,000 for"loss" in any one amount of each coverage you have on a covered "accident" to all electronic equipment that "auto".No deductibles apply to this coverage. reproduces, receives, or transmits audio, visual or 3. We will pay only for those expenses incurred data signals. during the policy period beginning 24 hours after I. HIRED AUTO PHYSICAL DAMAGE the "loss" and ending, regardless of the policy's SECTION Ill — PHYSICAL DAMAGE COVERAGE, expiration,with the lesser of the following number A.4. Coverage Extensions is amended by adding the of days: . following: a. The number of days reasonably required to if hired "autos" are covered "autos" for Liability repair or replace the covered"auto". If"loss" Coverage, and If Comprehensive, Specified is caused by theft, this number of days is Causes of Loss, or Collision coverage is provided added to the number of days It takes to locate for any "auto" you own, then the Physical Damage the covered'auto"and return it to you;or coverages provided are extended to "autos" you b. 30 days. hire,subject to the following limit and deductible: 4. Our payment is limited to the lesser of the 1. The most we will pay for loss to any hired following amounts: j. "auto" Is the lesser of Actual Cash Value, a. Necessary and actual expenses incurred;or $75,000, or Cost of Repair, minus the b. $50 per day,subject to a$1,500 limit. deductible. . 5. This coverage does not apply while there are 2. The deductible will be equal to the largest spare or reserve"autos"available to you for your deductible applicable to any owned "auto" for operations. that coverage. No deductible applies to "loss" 6. If"loss" results from the total theft of a covered caused by fire or lightning. "auto" of the private passenger type, we will pay 3. Subject to the above limit and deductible under this coverage only that amount of your provisions, we will provide coverage equal to rental reimbursement expenses which is not the broadest coverage applicable to any already provided for under the Physical Damage covered"auto"you own. — Transportation Expense coverage extension included in this endorsement. 7. Coverage provided by this extension is excess over any other collectible Insurance and/or endorsement to this policy i I CA7270(7-14) Includes copyrighted material of ISO Properties,Inc.with IN perinIssion. Page 2 of 3 , L. AIRBAG COVERAGE P. UNINTENTIONAL FAILURE TO DISCLOSE SECTION III - PHYSICAL DAMAGE COVERAGE, EXPOSURES B.3.a. Exclusions is amended by adding the SECTION IV - BUSINESS AUTO CONDITIONS, following: 6.2. Concealment, Misrepresentation, or Fraud is If you have purchased Comprehensive or Collision amended by adding the following: Coverage under this policy, the exclusion relating to If you unintentionally fail to disclose any exposures mechanical breakdown does not apply to the existing at the Inception date of this policy,we will not accidental discharge of an airbag. deny coverage under this Coverage Part solely M. LOSS TO TWO OR MORE COVERED AUTOS because of such failure to disclose. However, this FROM ONE ACCIDENT provision does not affect our right to collect additional SECTION III - PHYSICAL DAMAGE COVERAGE, premium or exercise our right of cancellation or non- D.Deductible Is amended by adding the following: renewal If a Comprehensive, Specified Causes of Loss or 4 MENTAL ANGUISH Collision Coverage"loss"from one"accident"involves SECTION V- DEFINITIONS, C. Is replaced by the two or more covered "autos", only the highest following: deductible applicable to those coverages will be "Bodily injury" means bodily injury, sickness or applied to the"accident. disease sustained by a person, including mental This provision only applies if you carry anguish or death resulting from bodily Injury, sickness Comprehensive, Collision or Specified Causes of or disease. Loss Coverage for those vehicles, and does not R. LIBERALIZATION extend coverage to any covered"autos"for which you If we revise this endorsement to provide greater do not carry such coverage. coverage without additional premium charge, we will N. WAIVER OF DEDUCTIBLE- GLASS REPAIR OR automatically provide the additional coverage to all REPLACEMENT endorsement holders as of the day the revision is SECTION III - PHYSICAL DAMAGE COVERAGE, effective in your state. D.Deductible is amended by adding the following: If a Comprehensive Coverage deductible is shown in the Declarations it does not apply to the cost of repairing or replacing damaged glass. O. DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT,OR LOSS SECTION IV BUSINESS AUTO CONDITIONS, A.2.Duties in the Event of Accident,Claim,Suitor Loss Is amended by adding the following: d. Your obligation to notify us promptly of an "accident", claim, "suit or"loss" is satisfied if you send us the required notice as soon as practicable after your Insurance Administrator or anyone else designated by you to be responsible for Insurance matters is notified,or in any manner made aware, of an "accident, claim, "suit" or "loss". • CA7270(7-14) Includes copyrighted material of ISO Properties,Inc.with its permission. Page 3 of 3 �, COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES - AUTOMATIC STATUS WHEN REQUIRED IN WRITTEN CONTRACT OR AGREEMENT- PRIMARY AND NONCONTRIBUTORY This endorsement modifies the insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured: additional insureds, the following is added to 1. Any person or organization from whom you Section III—Limits Of Insurance: lease real property when you and such person The most we will pay on behalf of the additional or organization have agreed in writing In a Insured is the amount of insurance: contract or agreement that such person or 1. Required by the contract or agreement organization be added as an additional insured described In Paragraph A.1.;or on your policy; and 2. Any other person or organization you are 2. Available under the applicable Limits of required to add as an additional insured under Insurance shown in the Declarations; the contract or agreement described in whichever Is less. Paragraph 1.above. This endorsement shall not increase the applicable Such person(s) or organization(s) is an additional Limits of Insurance shown in the Declarations. Insured only with respect to liability for "bodily C. The following Is added to the Other Insurance injury", "property damage" or "personal and Condition and supersedes any provision to the advertising injury" caused, in whole.or in part, by contrary: the ownership, maintenance or use of that part of primary and Noncontributory Insurance the premises leased to you and subject to the following exclusions: This insurance Is primary to and will not seek This insurance does not apply to: contribution from any other Insurance available to an additional insured under your policy provided 1. Any "occurrence" which takes place after you that: cease to be a tenant in that premises. (1) The additional insured Is a Named Insured 2. Structural alterations, new construction, or under such other insurance; and demolition operations performed by or on behalf of the additional Insured. (2) You have agreed In writing in a contractor agreement that this insurance would be primary However, the insurance afforded to such additional and would not seek contribution from any other insured described above: insurance available to the additional Insured. 1. Only applies to the extent permitted by law,and D. All other terms and conditions of this policy remain 2. Will not be broader than that which you are unchanged. required by the contract or agreement to provide for such additional insured. C67184(10-13) Includes copyrighted material of ISO Properties,Inc.with its permission. Page 1 of 1 Policy Number: 2D39543 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES - AUTOMATIC STATUS WHEN REQUIRED IN WRITTEN CONTRACT OR AGREEMENT- PRIMARY AND NONCONTRIBUTORY This endorsement modifies the insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM A. Section II — Who Is An Insured Is amended to B. With respect to the insurance afforded to these Include as an additional insured: additional insureds, the following is added to 1. Any person or organization from whom you Section III—Limits Of Insurance; lease real property when you and such person The most we will pay on behalf of the additional or organization have agreed in writing in a insured is the amount of insurance: contract or agreement that such person or 1. Required by the contract or agreement organization be added as an additional insured described in Paragraph A.1.;or on your policy; and 2. Any other person or organization you are 2. Available under the applicable Limits of Insurance shown In the Declarations; required to add as an additional insured under the contract or agreement described in whichever is less. Paragraph 1.above, This endorsement shall not increase the applicable Such person(s) or organization(s) is an additional Limits of Insurance shown in the Declarations. Insured only with respect to liability for "bodily C. The following is added to the Other Insurance Injury, "property damage" or 'personal and Condition and supersedes any provision to the advertising injury" caused, In whole or in part, by contrary; the ownership, maintenance or use of that part of Primary and Noncontributory Insurance the premises leased to you and subject to the following exclusions: This insurance is primary to'and will not seek This insurance does not apply to: contribution from any other Insurance available to an additional Insured under your policy provided 1. Any "occurrence' which takes place after you that: cease to be a tenant in that premises, (1) The additional Insured is a Named Insured 2, Structural alterations, new construction, or under such other insurance;and demolition operations performed by or on (2) You have agreed in writing in a contract or behalf of the additional insured, agreement that this insurance would be primary However, the Insurance afforded to such additional and would not seek contribution from any other Insured described above: insurance available to the additional insured. 1. Only applies to the extent permitted by law;and D. All other terms and conditions of this policy remain 2, Will not be broader than that which you are unchanged. required by the contract or agreement to provide for such additional insured. CG7184(10-13) Includes copyrighted materiel of ISO Properties,Inc.WIN Its permission. Page 1 of I Policy Number: 2D39543 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET WAIVER OF SUBROGATION WHEN REQUIRED IN A WRITTEN CONTRACT OR AGREEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV—Conditions: We waive any right of recovery we may have against any person or organization against whom you have agreed to waive such right of recovery in a written contract or agreement because of payments we make for Injury or damage arising out of your ongoing operations or"your work" done under a contract with that person or organization and included In the"products-completed operations hazard". Ii It CG7555(10-13) Includes copyrighted material of ISO properties,Inc.with its permission. Page 1 of 1 7 I 711/12/2025 E(MM/DD/YYYY) ACOR" CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Francisco Honzura Arthur J. Gallagher Risk Management Services, LLC PHONE FAX 4201 Westown Parkway A/c No Ext: A/C,No): E-MSuite 120 ADDRESS: francisco_honzura@ajg.com West Des Moines IA 50266 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: EMC Insurance Companies 21415 INSURED INSURER B: Employers Mutual Casualty Company 21415 Elliott Auto Supply Co., Inc dba Factory Motor Parts 1380 INsuRERc: EMCASCO Insurance Company 21407 Corporate Center Curve Suite 200 INSURERD:Twin City Fire Insurance Company 29459 Eagan MN 55121-1200 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER:464160266 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICYNUMBER MM/DD MM/DD A X COMMERCIAL GENERAL LIABILITY Y Y 2D39543 11/15/2025 11/15/2026 EACH OCCURRENCE $5,000,000 DAMAGES( RENTED CLAIMS-MADE OCCUR PREMISES Ea occurrence) ccurrence) $1,000,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $6,000,000 X POLICY❑ PRO JECT LOC PRODUCTS-COMP/OP AGG $6,000,000 OTHER: Property Damange $2,000,000 B AUTOMOBILE LIABILITY Y Y 2139543 11/15/2025 11/15/2026 COMBINED SINGLE LIMIT $5,000,000 B 2E39543 11/15/2025 11/15/2026 Ea accident B X ANY AUTO 2T39543 11/15/2025 11/15/2026 BODILY INJURY(Per person) $ B OWNED SCHEDULED 2Z39543 11/15/2025 11/15/2026 AUTOS ONLY X AUTOS BODILY INJURY(Per accident) $ X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident OP Comp/Collision $1,000 D UMBRELLA LAB X OCCUR 10HVZBU5CM1 11/15/2025 11/15/2026 EACH OCCURRENCE $10,000,000 X EXCESS LAB CLAIMS-MADE AGGREGATE $10,000,000 DED RETENTION$ $ C WORKERS COMPENSATION Y 2N39543 11/15/2025 11/15/2026 X PER OTH- B AND EMPLOYERS'LIABILITY Y/N 2P39543 11/15/2025 11/15/2026 STATUTE ER Statutory B ANYPROPRIETOR/PARTNER/EXECUTIVE 2L39543 11/15/2025 11/15/2026 E.L.EACH ACCIDENT $1,000,000 B OFFICER/MEMBEREXCLUDED? N N/'�` 2R39543 11/15/2025 11/15/2026 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 B Garage Liability 2E39543 11/15/2025 11/15/2026 Auto Only- Ea Acc $500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE: Project#A-2019-085 The City of Santa Ana,20 Civic Center Plaza,Santa Ana, California 92702; its officers,employees,agents and volunteers are included as Additional Insured under the General Liability policy per form CG7184(10/13)and auto liability policy per form CA7270(03/07)as per written contract requirement pursuant to and subject to the policy's terms,definitions,conditions,and exclusion.The insurance provided in the General Liability policy is Primary and Non-Contributory and any other insurance shall be excess only,and not contributing per form CG7184(10/13)as per written contract requirement pursuant to and subject to the policy's terms,definitions,conditions,and exclusion.Waiver of Subrogation applies to the Additional insureds as respects to the General Liability,Auto Liability and Workers Compensation policies, pursuant to and subject to the policy's terms when required in a written contract or agreement per form CG7555(4/13),WC000313(4/84),and CA0444(10/13). APPROVED CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 4:08 pm,Mar 09, 2026 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attention: Joaquin Avalos ACCORDANCE WITH THE POLICY PROVISIONS. Public Works Agency—Fleet Services 215 S Center St, M-83 AUTHORIZED REPRESENTATIVE Santa Ana, CA 92703 +� USA W ^ @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 2139543; 2E39543; 2G39543; 2T39543; 2Z39543 COMMERCIAL AUTO CA04441013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Endorsement Effective Date: SCHEDULE Name(s) Of Person(s) Or Organization(s): 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. CA 04 44 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 Policy Number: 2139543; 2E39543; 2G39543; 2T39543; 2Z39543 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTO AMENDMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM The BUSINESS AUTO COVERAGE FORM is amended to include the following clarifications and extensions of coverage.With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. A. BLANKET ADDITIONAL INSURED D. COVERAGE EXTENSIONS — SUPPLEMENTARY SECTION Il— LIABILITY COVERAGE, A.1. Who Is PAYMENTS An Insured is amended by adding the following: SECTION II — LIABILITY COVERAGE, A.2.a. d. Any person or organization who is a party to a Coverage Extensions, Supplementary Payments written agreement or contract with you in which (2)and (4) are replaced by the following: you agree to provide the type of insurance (2) Up to $3,000 for the cost of bail bonds i afforded under this Business Auto coverage (including bonds for related traffic law Form. violations) required. because of an "accident" This provision applies to claims for "bodily injury" or we cover. We do not have to furnish these "property damage" which occur after the execution of bonds. any written agreement or contract. (4) All reasonable expenses incurred by the B. NEWLY FORMED OR ACQUIRED "insured" at our request, including actual loss of ORGANIZATIONS earnings up to $350 a day because of time off SECTION 11— LIABILITY COVERAGE, A.1. Who Is from work. An Insured is amended by adding the following: E. PHYSICAL DAMAGE--TOWING e. Any organization which you acquire or form after SECTION III — PHYSICAL DAMAGE COVERAGE, the effective date of this policy in which you A.2.Towing is replaced with the following: maintain ownership or majority interest. However: We will pay for towing and labor costs incurred, (1) Coverage under this provision is afforded subject to the following: only up to 180 days after you acquire or form the organization, or to the end of the policy a. Up to $100 each time a covered "auto" of the period,whichever is earlier. private passenger type is disabled; or (2) Any organization you acquire or form will not b. Up to $500 each time a covered "auto" other be considered an"insured"if: than the private passenger type is disabled. (a) The organization is a partnership or a However, the labor must be performed at the place joint venture;or of disablement. (b) That organization is covered under other F. 'LOCKSMITH SERVICES similar insurance. SECTION III — PHYSICAL DAMAGE COVERAGE, (3) Coverage under this provision does not apply A.4. Coverage Extensions is amended by adding the to any claim for "bodily injury" or "property following: damage" resulting from an "accident" that We will pay up to $60 per occurrence for necessary occurred before you formed or acquired the locksmith services for keys locked inside a covered organization. private passenger "auto" for which Comprehensive C. SUBSIDIARIES AS INSUREDS coverage is provided. The deductible is waived for SECTION 11— LIABILITY COVERAGE, A.1.Who is these services. An Insured is amended by adding the following: G. PHYSICAL DAMAGE — TRANSPORTATION f. Any legally incorporated subsidiary in which you EXPENSES own more than 50% of the voting stock on the SECTION III— PHYSICAL DAMAGE COVERAGE effective date of this policy. However, "insured" A.4. Coverage Extensions subparagraph a. does not include any subsidiary that is an Transportation Expenses is replaced -by the "insured" under any other automobile liability following: policy or was an"insured"under such a policy but for termination of that policy or the exhaustion of the policy's limits of liability. le CA7270(7-14) Includes copyrighted material of ISO Properties,Inc.with Its permission. Page 1 of 3 r (1) We will pay up to $75 per day to a maximum of J. PERSONAL PROPERTY OF OTHERS $1,000 for temporary transportation expense SECTION III — PHYSICAL DAMAGE COVERAGE, incurred by you because of the total theft of a AA.Coverage Extensions is amended by adding the covered "auto" of the private passenger type. following: We will pay only for those covered "autos" for which you carry either Comprehensive or We will pay up to$500 for loss to personal property of Specified Cause Of Loss Coverage. We will others in or on your covered"auto". pay for temporary transportation expenses This coverage applies only in the event of "loss" to incurred during the period beginning 48 hours your covered "auto" caused by fire, lightning, after the theft and ending, regardless of the explosion, theft, mischief or vandalism, the covered policy's expiration, when the covered "auto" is "auto's" collision with another object, or the covered returned to use or we pay for its"loss". "auto`s"overturn. (2) If the temporary transportation expenses you No deductibles apply to this coverage. incur arise from your rental of an "auto" of the K. RENTAL REIMBURSEMENT private passenger type, the most we will pay is SECTION Ill — PHYSICAL DAMAGE COVERAGE, the amount it costs to rent an auto" of the A.4. Coverage Extensions is amended by adding private passenger type which is of the same the following: like kind and quality as the stolen covered "auto". 1. This coverage applies only to a covered"auto"for H. AUDIO, VISUAL, AND DATA ELECTRONIC which PHYSICAL DAMAGE COVERAGE is provided on this policy. EQUIPMENT COVERAGE ADDED LIMITS 2. We will pay for rental reimbursement expenses In addition to the Each Accident Limit of Insurance incurred by you for the rental of an "auto" and subject to the provisions of Paragraph C.2. of because of "loss" to a covered "auto". Payment Section III Physical Damage of the coverage applies in addition to the otherwise applicable form, we will pay up to $1,000 for"loss" in any one amount of each coverage you have on a covered "accident" to all electronic equipment that "auto".No deductibles apply to this coverage. reproduces, receives, or transmits audio, visual or 3. We will pay only for those expenses incurred data signals. during the policy period beginning 24 hours after I. HIRED AUTO PHYSICAL DAMAGE the `loss" and ending, regardless of the policy's SECTION III — PHYSICAL DAMAGE COVERAGE, expiration,with the lesser of the following number A.4. Coverage Extensions is amended by adding the of days: following: a. The number of days reasonably required to If hired "autos" are covered "autos" for Liability repair or replace the covered "auto". If"loss" Coverage, and if Comprehensive, Specified is caused by theft, this number of days is c Causes of Loss, or Collision coverage is provided added to the number of days it takes to locate for any "auto" you own, then the Physical Damage the covered"auto"and return it to you;or coverages provided are extended to "autos" you b. 30 days. hire, subject to the following limit and deductible: 4. Our payment is limited to the lesser of the 1. The most we will pay for loss to any hired following amounts: "auto" is the lesser of Actual Cash Value, a. Necessary and actual expenses incurred; or $75,000, or Cost of Repair, minus the b. $50 per day, subject to a$1,500 limit. deductible. 5. This coverage does not apply while there are 2. The deductible will be equal to the largest spare or reserve "autos" available to you for your deductible applicable to any owned "auto" for operations. that coverage. No deductible applies to `loss" 6. If "loss" results from the total theft of a covered caused by fire or lightning. "auto" of the private passenger type, we will pay 3. Subject to the above limit and deductible under this coverage only that amount of your provisions, we will provide coverage equal to rental reimbursement expenses which is not the broadest coverage applicable to any already provided for under the Physical Damage covered "auto"you own. — Transportation Expense coverage extension included in this endorsement. 7. Coverage provided by this extension is excess over any other collectible insurance and/or endorsement to this policy CA7270(7-14) Includes copyrighted material of 180 Properties,Inc.with its permission. Pago 2 of 3 L. AIRBAG COVERAGE P. UNINTENTIONAL FAILURE TO DISCLOSE SECTION III — PHYSICAL DAMAGE COVERAGE, EXPOSURES B.3.a. Exclusions is amended by adding the SECTION IV -- BUSINESS AUTO CONDITIONS .. following: B.2. Concealment, Misrepresentation, or Fraud is If you have purchased Comprehensive or Collision amended by adding the following: Coverage under this policy, the exclusion relating to If you unintentionally fail to disclose any exposures mechanical breakdown does not apply to the existing at the inception date of this policy, we will not accidental discharge of an airbag. deny coverage under this Coverage Part solely M. LOSS TO TWO OR MORE COVERED AUTOS because of such failure to disclose. However, this FROM ONE ACCIDENT provision does not affect our right to collect additional SECTION III — PHYSICAL DAMAGE COVERAGE, premium or exercise our right of cancellation or non- D.Deductible is amended by adding the following: renewal. If a Comprehensive, Specified Causes of Loss or Q MENTAL ANGUISH Collision Coverage"loss"from one accident"involves SECTION V — DEFINITIONS, C. is replaced by the two or more covered "autos", only the highest following: deductible applicable to those coverages will be "Bodily injury" means bodily injury, sickness or applied to the"accident". disease sustained by a person, including mental This provision only applies if you carry anguish or death resulting from bodily injury, sickness Comprehensive, Collision or Specified Causes of or disease. Loss Coverage for those vehicles, and does not R. LIBERALIZATION extend coverage to any covered"autos"for which you If we revise this endorsement to provide greater do not carry such coverage. coverage without additional premium charge, we will N. WAIVER OF DEDUCTIBLE — GLASS REPAIR OR automatically provide the additional coverage to all REPLACEMENT endorsement holders as of the day the revision is SECTION III — PHYSICAL DAMAGE COVERAGE, effective in your state. i D. Deductible is amended by adding the following: If a Comprehensive Coverage deductible is shown in the Declarations it does not apply to the cost of repairing or replacing damaged glass. O. DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT,OR LOSS SECTION IV -- BUSINESS AUTO CONDITIONS, A.2.Duties in the Event of Accident,Claim,Suitor Loss is amended by adding the following: d. Your obligation to notify us promptly of an "accident', claim, "suit" or"loss" is satisfied if you send us the required notice as soon as practicable after your Insurance Administrator or anyone else designated by you to be responsible for insurance matters is notified,or in any manner made aware, of an "accident", claim, "suit" or "loss". CA7270(7-14) Includes copyrighted material of ISO Properties,Inc.with its permission. Pago 3 of 3 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES - AUTOMATIC STATUS WHEN REQUIRED IN WRITTEN CONTRACT OR AGREEMENT - PRIMARY AND NONCONTRIBUTORY This endorsement modifies the insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured: additional insureds, the following is added to 1. Any person or organization from whom you Section III—Limits Of Insurance: lease real property when you and such person The most we will pay on behalf of the additional or organization have agreed in writing in a insured is the amount of insurance: contract or agreement that such person or 1. Required by the contract or agreement organization be added as an additional insured described in Paragraph A.1.; or on your policy; and 2. Any other person or organization you are 2• Available under the applicable Limits of required to add as an additional insured under Insurance shown in the Declarations; the contract or agreement described in whichever is less. Paragraph 1.above. This endorsement shall not increase the applicable Such person(s) or organization(s) is an additional Limits of Insurance shown in the Declarations. insured only with respect to liability for "bodily C. The following is added to the Other Insurance injury", "property damage" or "personal and Condition and supersedes any provision to the advertising injury" caused, in whole or in part, by contrary: the ownership, maintenance or use of that part of Primary and Noncontributory Insurance the premises leased to you and subject to the following exclusions: This insurance is primary to and will not seek This insurance does not apply to: contribution from any other insurance available to an additional insured under your policy provided I. Any "occurrence" which takes place after you that: cease to be a tenant in that premises. (1) The additional insured is a Named Insured 2. Structural alterations, new construction, or under such other insurance; and demolition operations performed by or on (2) You have agreed in writing in a contract or behalf of the additional insured. agreement that this insurance would be primary However, the insurance afforded to such additional and would not seek contribution from any other insured described above: insurance available to the additional insured. 1. Only applies to the extent permitted by law; and D. All other terms and conditions of this policy remain 2. Will not be broader than that which you are unchanged. required by the contract or agreement to provide for such additional insured. CG7184(10-13) Includes copyrighted material of ISO Properties,Inc.with its permission. Page 1 of 1 I _ Policy Number: 2D39543 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES - AUTOMATIC STATUS WHEN REQUIRED IN WRITTEN CONTRACT OR AGREEMENT - PRIMARY AND NONCONTRIBUTORY This endorsement modifies the insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured: additional insureds, the following is added to 1. Any person or organization from whom you Section III—Limits Of Insurance: lease real property when you and such person The most we will pay on behalf of the additional or organization have agreed in writing in a insured is the amount of insurance, contract or agreement that such person or 1. Required by the contract or agreement organization be added as an additiona[ insured described in Paragraph A.1.; or on your policy: and 2. Any other person or organization you are 2• Available under the applicable Limits of required to add as an additional insured under Insurance shown in the Declarations; the contract or agreement described in whichever is less. Paragraph 1,above. This endorsement shall not increase the applicable Such person(s) or organization(s) is an additional Limits of insurance shown in the Declarations. insured only with respect to liability for "bodily C. The following is added to the Other Insurance injury", "property damage" or "personal and Condition and supersedes any provision to the advertising injury" caused, in whole or in part, by contrary; the ownership, maintenance or use of that part of Primary and Noncontributory Insurance the premises leased to you and subject to the following exclusions: This insurance is primary to and will not seek This insurance does not apply to: contribution from any other insurance available to an additional Insured under your policy provided 1. Any "occurrence" which takes place after you that: cease to be a tenant in that premises_ (1) The additional insured is a Named Insured 2. Structural alterations, new construction, or under su& other insurance;and demolition operations performed by or on (2j You have agreed in writing in a contract or behalf of the additional insured. agreement that this insurance would be primary However, the insurance afforded to such additional and would not seek contribution from any other insured described above: insurance available to the additional insured, 1. Only applies to the extent permitted by law; and D. All other terms and conditions of this policy remain 2. Will not be broader than that which you are unchanged. required by the contract or agreement to provide for such additional insured. CG7184(10-13) Includes copyrighted material of ISO Properties,Inc.with 4s permission, Page 1 of 1 Policy Number: 2D39543 i COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET WAIVER OF SUBROGATION WHEN REQUIRED IN A WRITTEN CONTRACT OR AGREEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV—Conditions; We waive any right of recovery we may have against any person or organization against whom you have agreed to waive such right of recovery in a written contract or agreement because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the"products-completed operations hazard". i f f CG7555(t0-13) Includes copyrighted material of ISO Properties,Inc.with its permission. Page 1 of 1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Policy No. 2P39543 Endorsement No. Insured Premium i Insurance Company Countersigned by t WC 00 03 13 (Ed. 4-84) ©1983 National Council on Compensation insurance. i