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HomeMy WebLinkAboutCABIFORNIA INC. (SARTC FOUNTAIN REPLACEMENT) INSURANCE ON FILE WORK MAY PROCEED UNTIL iNS RANCE EXPIRES CITY OF SANTA ANA � ° 7'`' CONSTRUCTION CONTRACT AGREEMENT CITY PROJECT NO.: 24-6058 DATE: AUGE: AU 2 1 7024 �� SARTC FOUNTAIN REPLACEMENT p '.P rre)iwtr C J a".,,k41kw' This CONSTRUCTION CONTRACT is made and entered into this 6th day of August, 2024 by and between the City of Santa Ana, California, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California (hereinafter"CITY"), and Cabifornia Inc. (hereinafter"CONTRACTOR"). WITNESSETH: The CITY and the CONTRACTOR, for the consideration hereinafter named,mutually agree as follows: 1. CONTRACTOR agrees to perform all the work and furnish all the materials at its own cost and expense necessary to construct and complete in a good and workmanlike manner and to the satisfaction of the City Engineer of the CITY, the Fountain Replacement project at Santa Ana Regional Transportation Center (hereinafter referred to as the "WORK OF IMPROVEMENT") identified in and in accordance with the Contract Documents prepared by the City's Public Works Agency and approved by the City Council. 2. The complete Construction Contract consists of the"Contract Documents"as defined by the Standard Specifications for Public Works Construction and which include the following: • Notice Inviting Bids • Information to Bidders • Bid Proposal • Bid Bond • Contract Form • Contract Bonds • General Provisions • Special Provisions • Technical Provisions and Project Plans • Community Workforce Agreement • Appendices In case of conflict between the Contract Documents, the precedence of documents shall be as established in the Standard Specifications for Public Works Construction. 3. CITY agrees to pay and CONTRACTOR agrees to accept in full payment to complete the WORK OF IMPROVEMENT the sum total amount not to exceed Four Hundred Thirty Five Thousand Dollars and No Cents ($435,000.00), as set forth and identified in the BID PROPOSAL, which is attached hereto and incorporated herein as Exhibit"A." rev.09/01/2017 Page 1 of 3 The BID PROPOSAL contains a schedule of unit price(s) or lump sum(s) based on approximate quantities only, and the City does not expressly or by implication agree that the actual amount of work will correspond therewith, but reserves the right to increase or decrease the amount of any class or portion of the work or to omit portions of the work as may be deemed necessary or advisable. 4. CONTRACTOR agrees to complete the WORK OF IMPROVEMENT within the time specified in the Time for Completion of Improvements section of the BID PROPOSAL (Exhibit "A") including commencing construction within the timeframe therein specified after issuance of a Notice to Proceed. 5. The CONTRACTOR will pay,and will require all subcontractors to pay,all employees on the WORK OF IMPROVEMENT a salary or wage at least equal to the prevailing salary or wage established for such work as set forth in the wage determinations for this work in accordance with applicable State and Federal law. 6. If applicable, the CONTRACTOR shall adhere to the CITY'S Community Workforce Agreement (CWA), a pre-hire collective bargaining agreement,which establishes the labor relations policies and procedures for CONTRACTOR to follow in the crafts persons employed to complete the WORK OF IMPROVEMENT as more fully described in the CWA. The CWA may be found on the City's website at: http://www.Santa-ana.org/pwa/documents/CWA.pdf 7. CONTRACTOR shall, after award of this Contract, furnish two bonds to be approved by the CITY, one in the amount of One Hundred Percent (100%) of the Contract price, to guarantee the faithful performance of the work(Performance Bond),and one in the amount of One Hundred Percent(100%) of the Contract price to guarantee payment of all claims for labor and materials furnished (Payment Bond). This Contract shall not become effective until such bonds are supplied to and approved by the CITY. 8. CONTRACTOR shall, prior to the release of the performance and payment bonds or the retention payment, furnish a warranty performance and payment bond(Warranty Bond). Said Warranty Bond shall also be required as a condition of project acceptance. For projects up to Five Hundred Thousand Dollars($500,000),the Warranty Bond amount shall be the greater of Ten Thousand Dollars($10,000) or Twenty Percent (20%) of the final contract price. For projects above Five Hundred Thousand Dollars($500,000),the Warranty Bond amount shall be the greater of One Hundred Thousand Dollars ($100,000) or Ten Percent(10%) of the final contract price. 9. CONTRACTOR shall, after award of this Contract, furnish Certificates of Liability Insurance and Worker's Compensation Insurance as outlined in the General Provisions,to be approved by the CITY. 10. INDEMNIFICATION. To the fullest extent allowed by law, CONTRACTOR and its Subcontractors hereby agree to defend, indemnify, and hold harmless CITY, its City Council, boards and commissions, officers, agents, employees, representatives and volunteers (hereinafter collectively referred to as "Indemnitees"), through legal counsel acceptable to CITY, from and against any liability, claims, actions, costs, damages or losses, including reasonable costs and attorney's fees, for injury, including death to any person or damage to any property, arising directly or indirectly from, or in any manner relating to,any of the following: Page 2 of 3 (i) Performance or nonperformance of the Work of Improvement by CONTRACTOR or its Subcontractors of any lower tier; (ii) Performance or nonperformance by CONTRACTOR or its Subcontractors of any lower tier, of any of the obligations under the Contract Documents; (Hi) The construction activities of CONTRACTOR or its Subcontractors of any lower tier, either on the project site or on other properties; (iv) The payment or nonpayment by CONTRACTOR of any of its Subcontractors of any lower tier,for Work of Improvement performed on or off the project site;and (v) Any personal injury,property damage or economic loss to third persons related to and arising from the performance or nonperformance by CONTRACTOR or its Subcontractors of any lower tier,of the Work of Improvement. (vi) The indemnity obligations of Subcontractors provided by this Section shall be included in all subcontract documents issued by CONTRACTOR. Nothing in the Contract Documents shall be construed to give rise to any implied right of indemnity in favor of CONTRACTOR against CITY or any other Indemnitee. IN WITNESS WHEREOF, the parties hereto have executed this Construction Contract on the day and year first above written. ATTEST: CITY OF SANTA ANA R+ ''C\k,„41 AL JENNIFER I HA ' A: ALVARO NUNEZ City Cler. °A City Manager APPROVED A 0 FORM: SONIA R, CARVALHO CONTRACTOR: City Attorney Cabifornia Inc By: ft4.8., In J SE MONTOYA NAME:Lik v ,,,,,,,,, Assistant City Attorney TITLE pry; Qy,,fi RECOMMENDED FOR APPROVAL: Nabil Sab CDigitallysignedbyNabf[Saba a Date;2024.07.15 09:24:51 . 07'00' NABIL SABA,PE Executive Director Public Works Agency Page 3 of 3 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 24-6058 SARTC FOUNTAIN REPLACEMENT BID PROPOSAL TO: CITY COUNCIL OF THE CITY OF SANTA ANA FROM: (,p Incb;lord;a REQUIREMENT: The undersigned bidder declares ghat they have carefully examined the location of the proposed work, that they have examined the Contract Documents in its entirety and hereby proposes to furnish all material and do all the work required to complete the said work in accordance with said plans (if any) and the specifications for the unit price(s) or lump sum(s) set forth in the following schedule: Item Description Qty Unit Unit Price Amount ---^ I Mobilization I LS S 30000 2 Demolition l LS S g QQoQ 3 Concrete work l LS S 3'$000 4 Metal stud framing,& I LS S a.2000 miscellaneous framing, 5 New gyp hoard,patching,new I LS S $ painting and caulking 0OQ 6 Tile work,complete with grout 1 LS S 8&000 S and sealing 7 Terracotta work,Complete with I LS $ OOp grout.and sealing g All plumbing fixtures and required 1 LS $ $ back supports,venting pipes, 93000 supply pipes,fountain equipment and accessories ---— 9 Service, power,switching, _--- I LS S 18 coo distribuition,light fixtures,data and comni uticntion conduits, control panel,general work _ l0 As-Built Plans I LS $5,000 $ II Construction Permit l LS $10,000 $ TOTAL BASE BID I S 1p3 5 000 -00 The lowest responsible bidder shall be selected based on the total base bid. The City reserves the right to award the Base Bid,and any, all, or none of the add-alternate bid items(if any). * The quantity for this bid item is shown for bid comparison only, This bid item shall not he subject to the"25%"limit as stated in Section 3-2 of the Standard Specifications. The actual P-8 of P-24 CTfY OF SANTA ANA PROPOSAL PROJECT NO.: 24-6058 SARTC FOUNTAIN REPLACEMENT amount for this item will be dictated by the actual quantity used, and the Agency reserves the tight to increase or decrease the quantity of this item accordingly. It This bid item is considered a Specialty Item per Section 3-2 of the Standard Specifications. TIME FOR COMPLETION OF IMPROVEMENTS AND LIQUIDATED DAMAGES The undersigned bidder hereby proposes to complete the Work for the total base bid amount shown above, within number 90 working days after the commencement date stated in the Notice to Proceed. Upon issuance of the Notice to Proceed, Contractor shall immediately place order for long-lead time items. Work shall be completed by December 2024.The liquidated damages amount, in lieu of the amount specified in Subsection 6-9 of the Standard Specifications, shall be $555 per calendar day. Name of Firm Cobignrnia Inc -. Signature of BIDDER Title 5o.eeni Mono mry,cx M. f) .nt (If an individual, so state. if a firm or co-partnership, state the firm name and give the names of all individual co-partners composing the firm. If a corporation, state legal name of corporation, and names of President, Secretary, Treasurer and Manager,thereof.) P-9 of P-24 / Exhibit 11 / ,.., N • s t- o LA VETA AV _1 u zit Z 9 GARDEN GROVE BLVD r- t m �. , . 1.M .I . .. „I 7 -- 1 1 uxj 2 FA6RHAVEN AV Q 1. rI J ~ Lt } ~ Project SANTA CLARA AV ILJ O SANTA CLARA AV ` `•.. 4 iE O Loca iiot 6 N:f STMINSTER AV I m . YrrH ST 1. _.,. _ 1TTH ST I � 1 I 5 0 1 z n SARTC WAf HINGTCN V >' 11 aN Q `. 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MC FltD6E3v A r 'A/1'1 I EDENcIER hV I m f4t E61NGER AV m EDINGER AV j 3 '< clm o 'VARNER AV - _ T WARNER AV • '41.-,r � c1- 0 bF,4 F —/� 1741 r �L SFGERSTROM AV jj O 1- .§ h DYER RD o}�,f, tA rf• Gi O et cc 0z �` _w.--•-- I--- �LL MACARTHUR BLVD m u. •1�l..Gy • Q. it 1 SUNR'LO $ AV 'it? r_ o i / J //.\\ °�s- ,........,,,1 o N��F fSANTAANA Project No. 24-6058: ,2i' \� P� SARTC Fountain Replacement °� j 1 PU9LIC WORKS AGENCY I SANTA ANA Exhibit 5 COST ANALYSIS CONSTRUCTION OF PROJECT NO 24-6058: SARTC Fountain Replacement Construction Contract $435,000.00 Contract Administration, Inspection and Testing $ 65,250.00 Contingencies $43,500.00 TOTAL ESTIMATED CONSTRUCTION COSTS $ 543,750.00 ":f N c CD N ti p N c'e) LLI H L',.. ----- -— r 8 o u) 1 L.> - rd. . ., ,t..„... .....\ ( '1/4.'.... ss.. ,73, r• al /'S /S ,„ ,." \./. lig I . s...., \ l 1 I S. i., (N /'4 Z N. I 1- (..., L /, ./N. 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Li] 0Q , / - r Q Q ' "Ils (e.....„_._--.--,_ ,'--.: \.. ry I . o cn z 7<------_.:1„..,) :\.-..1:-it. . a, C U 1PV. .. _It .. \\\14111;41-. -1-.1E ---, ..--- 6?),„4",; ...r Q i O Z O Q z Q O --, z m m 0 `t wO CT) w IY w w w QC eL x. oj'' ,.-..- ) Exhibit 5 COST ANALYSIS CONSTRUCTION OF PROJECT NO 24-6058: SARTC Fountain Replacement Construction Contract $435,000.00 Contract Administration, Inspection and Testing $ 65,250.00 Contingencies $43,500.00 TOTAL ESTIMATED CONSTRUCTION COSTS $543,750.00 '717 NI "4. CD Q NI <0 w ti li_5 4'2i r••:: 0 g--- u ii; t,. .:-,.",4._-,•:,fr. tu [ L. . 40• , -%/ . . s.0 1 - . 1 1 , .--- ,;../ •/ .z., C\I u., CIO >- _.„..-S- -• .„,,, i,. vc•,,Ilif- L. ,,z„0 I Z _..,„< ....) r„ e. 41, , %.-.,, -,..;* • .P, - X 0111/• /... e-, . - _______ - N„.." \.-, ir-..t ,:'' 1.1J ,,„ / A • , r < 5 Z U1— ) -7. ,... 4._ a i/. z ,...._ 8 .. .4.. .. :.. 40 r ...,.. ' n's I. . N ,'. R" ...4 ,, D ..., . (..) 0 D. 1--.... LL çç irir \ ,‘,--,N .I.::k •--V!.... :::, 0 a- [-- 1-. 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I / 2 N CO Q & n- W I- \ Z 0 \ >e , . , . 0 s. c0 / S � 0 Z 11. \) .12« z §\ § \ In ) / 7 in z \Z/ [ / § 2 \ / u. \ 2 �L\ ll o w ® �� 0 0ct k m k 0 _j B \\ / m ) - Q / co\\76( I— \ f / — � z .o � 90 < & 0 z w�/\ / c LL _ § 0 \ 0 f2k w ) 0 \ / e ce\\\ \ CI \ 3 0 o I : <_ - . f ® _�:: ° 2 - - --- — . . a. . . . >- >. c• cep . / S f \ \v\ wQ w . I- < . « ` _ . I— 0 \ 2 = - 3 - - . . / z O ® LU L.L. W CI_ \ -3 _ - @ � « . Q \ z 2 \ LI\ 0 . w / am a6 ± 2 / ACcoRD® DATE(MM/DD/YYYY) `� CERTIFICATE OF LIABILITY INSURANCE 08/01/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Elliott Gould EZ Insurance Services, Inc NAME: 2960 Harbor d Suite D PHONE Ext): 44754-90 • FAX No: (714)75 -9035 COSTA MES ngie E-MAIL ADDRE S: UT D O License#: ikt INS '(S)AFFORDING OVERAGE NAIC# INSURER ,: otham suranceff111� Comp�y/- 255 9 INSURED INSURE L N In ltae ae vE l 0 CABIFORNIA INC. INSUR 2 C: Na ilus Insura Company 17370 26611 NACCOME DR INSL' ERD: - CioMarine Q 42374 MISSION VALçQAvO A92691 IN' ,RERE: a e• 2024.08. 1 5 COVERAGES t a I •N N• NDCATD. NOTWITHSTANDNGANT,TERM OR ND'i I•r OF ANY ONTR�• ' 0 IP-3 G .• , . ITHV ' .P•T CT-4 T ' H THIS RHOS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AF•OP',ED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN./I^:. HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTRINSD WVD POLICY NUMBER IMM/DD/YYYY) (MM/DD/YYYYt — A X COMMERCIAL GENERAL LIABILITY Y GL202400023595 07/30/2024 07/30/2025 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 300,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY JE� LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY Y MOO 0077809 00 07/30/2024 07/30/2025 COM(Eaaccc accident)SINGLE LIMIT $ 1,000,000_ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY X AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) $ C UMBRELLA LIAB X OCCUR AN1320849 07/30/2024 07/30/2025 EACH OCCURRENCE $ 1,000,000 X 1 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED RETENTION$ - S WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ - D BOND 100784209 08/03/2023 08/03/2025 California Contract 25,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) GENERAL LIABILITY POLICY HAS BLANKET AI, BLANKET WOS &BLANKET PNC ENDORSEMENTS.See Attached. City of Santa, its officers,empolyees,agents and representative are Additional Insureds with respect to General and Auto Liability per the attached endorsements as required by written contract. Insurance is Primary and Non-Contributory.30 Days Notice of Cancellation with 10 Days Notice for Non-Payment of premium in accordance with policy provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRI\ CITY OF SANTA ANA THE EXPIRATION DATE THEREOF,NO RISK MANAGEMENT DIVISION ACCORDANCE WITH THE POLICY PRC r" =<_ Risk Ma>mgentenEUitiisiort 1. 20 CIVIC CENTER PLAZA &{nPPRavmsr. AUTHORIZED REPRESENTATIVE °I+`°I�� rl S^ A,;u'44 SANTA ANA, CA 92702 Risk Management Specitdist/ ` II—....r ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Printed by EGG on 08/01/2024 at 09:38AM AW CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) `.----- 08/08/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must 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 Steve Almanza NAME: Steven Almanza Agency ONE (A/CC No.Ext): (562)861-0301 FAX No): (424)358 4847 22939 Hawthorne Blvd.Unit 311 E-MAIL .coml t almanza sevenamanzaa enc ADDRESS: S @ 9 Y Torrance,CA 90505 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: INSURED INSURER B CABIFORNIA INC. INSURER C: DBA CABIFORNIA INSURER D: Clear Spring Property Casualty Company 15563 26611 Naccome Dr. INSURERE: Mission Viejo CA 92691 INSURER F: COVERAGES CERTIFICATE NUMBER: 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 LTR INSR wVD POLICY NUMBER IMMIDD/YYYY) IMM/DDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PR S( RENTED PREMISES(Ea occurrence) $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PECDT n LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ - $ WORKERS COMPENSATION "( TORY LIMITS OTH- AND EMPLOYERS'LIABILITYER D OFFICER/MEMBER EXCLUDED?ANY PROPRIETOR/PARTNER/EXECUTIVE YYN N/A CWCO2822900 01/27/2024 01/27/2025 E.L.EACH ACCIDENT $ 1,000,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF nlnTlr.F win RF nFl IVFRFn lid Risk Management Division ACCORDANCE WITH THE POLICY PR(` / „0,9a, Riniati isgement Division 20 Civic Center Plaza AUTHORIZED REPRESEN NE ? = RE1lIE1rlED&APPROV®BY: Santa Ana CA 92702 i; I / Risk Management Specialist ACORD 25(2010/05) ot 88- .10 ACORD7 _ The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 00029446 LOC#: AC o® ADDITIONAL REMARKS SCHEDULE Page 2 of AGENCY NAMED INSURED EZ Insurance Services, Inc CABIFORNIA INC. POLICY NUMBER N/A CARRIER NAIC CODE Multiple Carriers EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Vehicles Summary # Year Make Model VIN Fleet ID Co Vehicle# 1 2020 RAM 1500 BIG H 1C6RREFG5LN333680 1 Locations Summary Loc# Description Address Location 1 26611 NACCOME DR MISSION VIEJO,CA 9269 Location 1 26611 NACCOME DR MISSION VIEJO,CA 92691 RiskManagementDivision `4 REVIEWED&APPROVED BY: , -- Risk Management Specialist ACORD 101 (2008/01) ©2008 ACORD/ The ACORD name and logo are registered marks of ACORD Printed by EGG on August 01,2024 at 09:38AM INTERLINE IL 3133 0923 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART SCHEDULE Designated Person Or Organization: CITY OF SANTA ANA 20 CIVIC CENTER PLAZA SANTA ANA, CA 92702 If we cancel this policy, we will endeavor to mail written notice of cancellation to the person or organization shown in the Schedule above at least 30 days (10 days for non-payment of premium) in advance of the effective date of cancellation. All other terms and conditions remain unchanged. \ '��1� a4f Risk meat Division 3 d c REVIEWED&APPROVED BY: Ata,v46 ilk; Risk Management Specialist IL 3133 0923 ©2023 Coaction Specialty Insurance Group, Inc. Includes copyrighted material of Insurance Services Office, Inc.,with its permission 1-4 BRISTOL WEST Noir INSURANCE GROUP Underwritten by:COAST NATIONAL INSURANCE COMPANY Vehicle 1 PREMIUM $1,348.00 Year/Make/Model: 2020 RAM 1500 BIG H Vehicle Identification#: 1 C6RREFG5LN333680 ACV/Stated Amount (including $2,000 permanently attached equipment)** ACV Surcharge: No Discounts: PACKAGE Garaging Zip Code: 92691 Radius: 300 MILES Loss Payee: N/A Additional Interest: CITY OF SANTA ANA 20 CIVIC CENTER PLAZA SANTA ANA CA 92701 **A vehicle's stated amount should indicate its current retail value, including any special or permanently attached equipment. In the event of a total loss the maximum amount payable is the lesser of the Stated Amount or Actual Cash Value, less deductible. Be sure to check stated amounts of your vehicle at every renewal. Coverage Per Person Per Accident Deductible Premium*" Limit Limit BODILY INJURY AND PROPERTY DAMAGE LIABILITY $1,000,000 CSL $981.00 MEDICAL PAYMENTS $2,000 $11.00 UNINSURED/UNDERINSURED MOTORIST BODILY $300,000 CSL $108.00 INJURY COMPREHENSIVE $1,000 $35.00 COLLISION DEDUCTIBLE WAIVER $1,000 $143.00 TOWING AND LABOR $3.00 ($75 PER INCIDENT/$300 PER TERM) RENTAL REIMBURSEMENT $19.00 ($30 PER DAY/30 DAYS MAXIMUM) HIRED AUTO $1,000,000 CSL $48.00 **Excludes all fees including the policy fee, fraud fee, SR22 fee(if applicable)and installment/EFT fee(if applicable). Risk M rtmtDivision REviarAip&APPROVED Sy: A Act' ® Risk Management Specialist f CV-ENDECO4 06/19 Issued Date: 07/31/24 Page 2 of 3 COMMERCIAL GENERAL LIABILITY CG20391219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN WRITTEN CONSTRUCTION AGREEMENT WITH YOU (COMPLETED OPERATIONS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART A. Section II — Who Is An Insured is amended to 2. Supervisory, inspection, architectural or include as an additional insured any person or engineering activities. organization for whom you have performed This exclusion applies even if the claims against operations when you and such person or any insured allege negligence or other wrongdoing organization have agreed in writing in a contract or in the supervision, hiring, employment, training or agreement that such person or organization be monitoring of others by that insured, if the added as an additional insured on your policy. "occurrence" which caused the "bodily injury" or Such person or organization is an additional "property damage" involved the rendering of or the insured only with respect to liability for "bodily failure to render anyprofessional architectural, injury" or"property damage"caused, in whole or in engineering or surveying services. part, by "your work" performed for that additional insured and included in the "products-completed C. With respect to the insurance afforded to these operations hazard". additional insureds, the following is added to However, the insurance afforded to such Section III—Limits Of Insurance: additional insured: The most we will pay on behalf of the additional 1. Only applies to the extent permitted by law; insured is the amount of insurance: and 1. Required by the contract or agreement you 2. Will not be broader than that which you are have entered into with the additional insured; or required by the contract or agreement to provide for such additional insured. 2. Available under the applicable limits of B. With respect to the insurance afforded to these insurance; additional insureds, the following additional whichever is less. exclusion applies: This endorsement shall not increase the This insurance does not apply to: applicable limits of insurance. "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 / 4. "<< Risk ManagenentDMsion q I, „a". ;'vr REVIEWED&APPROVED Br =it �- Risk Management Specialist CG 20 39 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 ADDITIONAL INSURED ENDORSEMENT Insurance Company Gotham Insurance Company This endorsement modifies such insurance as is afforded by the provisions of Policy # GL202400023595 _relating to the following: 1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; it officers, employees, agents and representative are named as additional insureds ("additional insureds") with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured. 2. With respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insureds. 3. This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the company's imits of liability. The inclusion of any person or organization as an insured shall not affect any right which such person or organization would have as a claimant if not so included. 4. With respect the additional insureds, this insurance shall not be cancelled, or materially reduced in coverage or limits except after thirty (30) days written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701. (Completion of the following,Including countersignature, is required to make this endorsement effective.) Effective 07/30/2024 ,this endorsement form as part of Policy# GL202400023595 —_ Issued to CABIFORNIA INC. Name Insured Countersigned by . --- _- Risk Mmmgement Division Page 20 of 20 % REVIEWED&APPROVED BY: Risk Management Specialist / COMMERCIAL GENERAL LIABILITY CG20331219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN A WRITTEN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured any person or additional insureds, the following additional organization for whom you are performing exclusions apply: operations when you and such person or This insurance does not apply to: organization have agreed in writing in a contract or agreement that such person or organization be 1. "Bodily injury", "property damage" or "personal added as an additional insured on your policy. and advertising injury" arising out of the Such person or organization is an additional rendering of, or the failure to render, any insured only with respect to liability for "bodily professional architectural, engineering or injury", "property damage" or "personal and surveying services, including: advertising injury" caused, in whole or in part, by: a. The preparing, approving, or failing to 1. Your acts or omissions; or prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, 2. The acts or omissions of those acting on your change orders. or drawings and behalf; specifications; or in the performance of your ongoing operations for b. Supervisory, inspection, architectural or the additional insured. engineering activities. However, the insurance afforded to such This exclusion applies even if the claims additional insured: against any insured allege negligence or other 1. Only applies to the extent permitted by law; wrongdoing in the supervision, hiring, and employment, training or monitoring of others by 2. Will not be broader than that which you are that insured, if the "occurrence" which caused required by the contract or agreement to the "bodily injury" or "property damage", or the provide for such additional insured. offense which caused the "personal and advertising injury", involved the rendering of or A person's or organization's status as an the failure to render any professional additional insured under this endorsement ends architectural, engineering or surveying when your operations for that additional insured services. are completed. RiskMa genumEDiMision ^ REVIEWED APPROVED &APPRED BY: ®' Risk Management Specialist CG 20 33 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 2 2. "Bodily injury" or "property damage" occurring C. With respect to the insurance afforded to these after: additional insureds, the following is added to a. All work, including materials, parts or Section III—Limits Of Insurance: equipment furnished in connection with The most we will pay on behalf of the additional such work, on the project (other than insured is the amount of insurance: service, maintenance or repairs) to be 1. Required by the contract or agreement you performed by or on behalf of the additional have entered into with the additional insured; insured(s) at the location of the covered or operations has been completed; or b. That portion of"your work" out of which the 2. Available under the applicable limits of injury or damage arises has been put to its insurance; intended use by any person or organization whichever is less. other than another contractor or This endorsement shall not increase the subcontractor engaged in performing applicable limits of insurance. operations for a principal as a part of the same project. f RiskManagementDivision &A iEVIEWEDPPROVEDEY: r. o ® Risk Management Specialist Page 2 of 2 © Insurance Services Office, Inc., 2018 CG 20 33 12 19 COMMERCIAL GENERAL LIABILITY CG20011219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the additional insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and Risk DivAsian r' _ REVIEWED&APPROVED BY: t��l o 114.fe Flcele Risk Management Specialist CG 20 01 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 ° 1 1 r CITY OF SANTA ANA PUBLIC WORKS AGENCY CONTRACT CHANGE ORDER ►r u Project Number Project No. 24-6058 SARTC Fountain Replacement Change Order Number 1 To Cabifornia Inc.,26611 Naccome Dr.Mission Viejo,Ca 92691. Contractor You are hereby directed to make the he-e n changes from the plans and specifications or do the following described work not included in the plans and specifications on this contract. NOTE THIS CHANGE ORDER IS NOT EFFECTIVE UNTIL APPROVED BY THE CITY COUNCIL OR CITY MANAGER. Unless otherwise stated,rates for rental of equipment cover only such time as equipment is actually used and no allowance will be made for idle time. Change requested by PUBLIC WORKS AGENCY The compensation both time and cost set forth in this change order comprises the total compensation due the Contractor,all Subcontractors,and all Suppliers for all work performed per this change order,including impact on unchanged work. By signing this change order, the Contractor acknowledges and agrees on behalf of himself, all Subcontractors,and all Suppliers, that the stipulated compensation includes payment for all work contained in this change order,plus all payment for interruption of schedules, extended field overhead, home office overhead, profit, delay, and all impact, ripple effect or cumulative impact on all other work under this Contract.The signing of this change order constitutes full mutual accord and satisfaction for all changes and work performed on this project, and that the time and cost paid per this change order constitutes the total equitable adjustments owed the Contractor, all Subcontractors, and all Suppliers for all work performed on this project. The Contractor on behalf of himself, all Subcontractors, and all Suppliers agrees to waive all rights,without exception or reservation of any whatsoever to file any further claim related to this project. TOTAL COST THIS CHANGE ORDER DECREASE $ INCREASE $ $35,000.00 By reason of this order the CONTRACT TIME completion will be adjusted as follows: 5 working days We the undersigned contractor have given careful consideration to the change proposed and hereby agree,if this proposal is approved,that we will provide all equipment,furnish all matenais,except as may otherwise be noted above,and perform all service necessary for the work above specified,and will accept as full payment therefor the prices shown above. Accepted.Date Oq_1U— 2o2 N Contractor Cabifornia Inc. By �/ o Titre Snort! A10kimnAG+dr Cro Approval recommended oy Ljc� _ Date .=k t\4t.1 201 BLICWORKS AGENCY EXECUrI - IRECTOR Approved by w" Date L 12/20 CITY MANAGER Attest: � = \ - Date ��,.ea( CITYCLERK , . Page 2 of 2 r CITY OF SANTA ANA 99 PUBLIC WORKS AGENCY ivtur f CONTRACT CHANGE ORDER Project Number Project No.24-6058 SARTC Fountain Replacement Change Order Number 01 To Cabifornia Inc.,26611 Naccome Or, Mission Viejo,Ca 92691 — — Contractor You are hereby directed to make the herein changes from the plans and specifications or do the following described work not included in the plans and specifications on this contract. NOTE THIS CHANGE ORDER IS NOT EFFECTIVE UNTIL APPROVED BY THE CITY COUNCIL OR CITY MANAGER. Unless otherwise stated,rates for rental of equipment cover only such time as equipment is actually used and no allowance will be made for idle time. Change requested by PUBLIC WORKS AGENCY/PARKS, FLEET AND FACILITIES _ EXTRA WORK AT AGREED PRICE 1. To compensate the contractor for increase in trench dimensions due to design adjustment. per PCO#01. TOTAL AGREED PRICE=$35,000.00 Page'I of 2