HomeMy WebLinkAboutPREMO CONSTRUCTION, INC Recording Requested By,
And When Recorded Mail To: Recorded in Official Records, Orange County
City of Santa Ana,Public Works Agency M22 Hugh Nguyen, Clerk-Recorder
Civic Center Plaza,P.O.Box 1988
Santa Ana,CA 92702 111f! I11J 1I 1111111 11II11IIII11111111111111IN 111'INII NO FEE
* $ R 0 0 1 5 3 0 b 6 8 a $ *
2024000330072 9.42 am 12/19/24
603 RWIA N12 1
0.00 0.00 0.00 0.00 0.00 0.00 0.000.000.00 0.00
NOTICE OF COMPLETION
NOTICE IS HEREBY GIVEN that the undersigned City of Santa Ana, California, a
municipal corporation, with the address of City Hall, 20 Civic Center Plaza, Santa Ana,
California, 92701, is the owner of the property hereinafter described, that said owner has caused
A construction of BUS STOP IMPROVEMENTS under contract entered into on JUNE 6, 2024,
with PREMO CONSTRUCTION, INC., on which contract WESTERN SURETY COMPANY
is surety. The property on which such work improvement was placed is in the City of Santa Ana,
W o County of Orange, State of California, and described as Project No. 24-6995 located at: various
o z locations. The work improvement on said property was accepted as completed on DECEMBER
A
W 18, 2024.
� O
CITY OF SANTA ANA,A MUNICIPAL CORPORATION
w
w O By
qz ¢ Dated: z I` Principal Civil Engineer—Sean Thomas
CG TITLE
-------------------------------------------------------------------------------------------
O �
VERIFICATION
I, the undersigned, say: I am the Cily Engineer — Rodolfo Rosas of the City of Santa Ana,
California; I executed the foregoing Notice of Completion acting on behalf of the owner of the
property therein described; I make this verification on behalf of said corporation by authorization
of the City Council of the City of Santa Ana; I have read said notice and know the contents
thereof; and I declare under penalty of perjury that the facts therein stated are true.
Executed on PffCC2'3 Ak_ /9, , at Santa Ana, California
Ci Engineer—Rodolfo Rosas
THIS NOTICE OF COMPLETION MUST BE RECORDED WITHIN FIFTEEN(15)DAYS AFTER COMPLETION
fNSURANCE ON FILE
W,"RK MAY PROCEED CITY OF SANTA ANA
UNTfl INSUR,%NCE EXPIRES CONSTRUCTION CONTRACT
CITY CLE K PROJECT 24-6985
DATE. 6CT 0 2 2024 BUS STOP IMPROVEMENT PROJECT
This CONSTRUCTION CONTRACT is made and entered into this 61h day of June, 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 Premo
Construction, Inc. (hereinafter "CONTRACTOR").
0: PWA(Z)
DaKI14 mc� (0)
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 Bus Stop Improvements Project (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
• TechnicaI 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 Two Hundred Seventeen Thousand
Nineteen Dollars and Sixty -Two Cents ($217,019.62), as sct forth and identified in the BID
PROPOSAL, which is attached hereto and incorporated herein as Exhibit "A".
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.
rev, 08/01/2023 Page I of 3
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 wcbsite
at: http:l/www.santa-ana.ora/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°/a) 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:
(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;
Page 2 of 3
(iii) 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.
ATTEST:
APPROVED AS TO FORM:
SONIA R. CARVALHO
City Attorney
By: L4. om ;J�A.
J E MONTOYA
Assistant City Attorney
RECOMMENDED FOR APPROVAL:
BIL SABA, PE
Executive Director
Public Works Agency
CITY OF SANTA ANA
ALVARO NUNEZ
City Manager
CONTRACTOR:
Premo Construction, Inc.
NAME: Mohammad Ghiassi
TITLE: President
Page 3 of 3
EXHIBIT A
CITY OF SA1E TA ANA
i
PROPOSAL /��i r,
PROJECT
�NO.: 24-6985
BUIS STOP IMPROW-Mi N1" PItOJJ�C"]'
BID PROPOSAL
TO. CITY CO€;N01. OF ME CITY OF SriiVTA ANA
FROM- Pr-emo construct -ion Inc.
Ei`EQU IItI;MENT-
The undersigned bidder declares that they have carefully examined the location of the proposetl
work, that tlr-y have exaniinex] the C onlraet Documents in its entirety and hereby proposes to
furavish all material and do all the work regent—rd to Complete. the said ivurk in accordance Willi said
plans (if any) and the specifications for tite unit price(s) or lump suin(s) set forth ill the rollttwirig
schedille.:
1 Fklmit bh & inst:ail Transit Admlism-g
Shelter
2 FumFA & Isastnll Bohr P olver far Trnsit
Advertising Sheller
3 Furnish & Install Sicul Bench (Including
secure Nuts)
3 Furnish & I mall 32 (14110n Trash
Receptnelc (Induding Secure Mas K,
Mader Pudkock) —
5 PCC Sidewalk (-t --6"1`
6 1 PCC Si&--wvalk (TA-)"
7 1 Install New'flee (M4 Box)-
9 1 Removal & Disposal of Ping Retich *
9 Removal & Dispoml of Existing
RL'e.-.piaele t
Ili ('xltiSMICtikell PMAI
i
#.alit - Ui it Priec Atttrturtt
i
i l,r�
: I
19,956 ` 19956.0`
34
PA
I A —
28
200
SF
1340
2
SF -
FA
16
1 "'71.b2 12,491.62
2,100.00 71,400.00
1,949.00 54,572.00
S 22.00 4,400,00
s 16.00 -- - 20,800,00
$ 1,500.00 3,000.00
1000-OC 16,000.00
500.00 9,500.00
$5.31I{I $5,360
P- I of P-17
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 24-6985
BUS STOP Il PROVEWNT PROTECT
TOTAL BASE BID $ 217,019.62
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 fan• bid comparison only. This bid item shall not he
subject to the "251/a" limit as stated in Section 7-35 ofthe Standard Specifications. The actual
amount for this item will be dictated by the actual quantity used, and the Agency reserves the
right to increase or decrease the quantity of this item accordingly,
'q This bid item is considered a Specialty Item per Section 3 2 of the Standard Specifications.
TME FOR COMPLETION OF DMROV ;S ,A:1+11) I tt�IYli+AT7Ei! DAMAGES
The undersigned bidder hereby propowstoCompletedie Workfor thetotalbase bid amountshown
above, within Six Ell) wodci�da after the commencement date stated in the Notice to
Proceed. Upon issuance of the Notice to Proceed, Contractor shall immediately place order for
long -Mead time items (Tolar Bus Shelter and Solar Power Trash Receplacles, and Benches), Work
shall be completed by Noveruber' t, 2024.
The liquidated damages amount„ in lieu ofthe annonnt speciTed in Subsection fa 9 of the Standard
Spedfications,'hall be $1,500 per calendar day.
Narrre of Firm Cman Hon Inc.
e , ., t r, ,
Title _c. D
(If all individual, so state. Ifafinal or co-paonership, sloe the fum name and give the names of
all individual co-partners composing the Farm_ If a corporation, state legal name of corporation,
and names of President, Secretary, Treasurer and :Massager, themor)
P-2 of P-17
AC o® CERTIFICATE OF LIABILITY INSURANCE DATE {MMlPDlYYYY}
09/0612024
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 1NSURER(Sj, 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 endorsoment(s).
PRODUCER CONTACT r
NAME: illl0 �• rite
Bearstar Insurance Services PHONE
AIC No Ext (88 j 0 r 8 687
2151 Michelson Dr E-DDRESS: MAIL t'no@bearst ns.com
A
Suite 150 AngieDI NAIC #
Irvine CA 92612 INSURERA: C,,af BIb8,9pWaky1fms LID 37745
INSURED INSURER F . Star. mpe atlOn In a e nd
Premo ConstruAv, Inc. INSUREF J : UnItUd1tNual • •
17192 Murphy V eve
o
INSURE rR D
Irvine CA 92623".SURER F
COVERAGES CERTIFICATE NUMBER- CL2372800432 RFVISIr)M MIIMRCR-
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTH I POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
INSD
WVD
POLICY NUMBER
POLICY EFF
MMIDDIYYyy
POLICY EXP
MMIDDNYYY
LIMITS
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE Fx_1 OCCUR
FACHOCCURRENCE
$ 1,000,000
JAUGF
PREMISES EaoTTu once
$ 100,000
MED EXP (Any one perscn)
$ 3,000
PERSONAL & ADV INJ URY
$ 1,000,000
A
Y
CKOICAK001820-01
07/2712024
07/27/2025
GEN'LAGGREGATELIMIT APPLIES PER:
PRO-
X POLICY ❑ PRG ❑ LOG
JECT
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS
S 2,000,000
S
OTHER:
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea accident
S 1,000,000
BODILY I NJURY(Per person)
$
ANYAUTO
C
OWNED SCHEOULED
AUTOS ONLY AUTOS
CA110611610
09/06/2024
03106/2025
BODILY INJURY (Per accident)
$
X
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
H
PROPERTY DAMAGE
Per accident
$
$
UMBRELLA LAB
HCLAIMS-MADE
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
DFD I I RETENTION $
$
8
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETORIPARTNEWEXECUTIVE
OFFICERIMEMBER EXCLUDED?
{Mandatory in NH}
If yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
9343425-2024
08I0112024
08/01/2025
/� SPER TATUTE ERH
E-L.EACHACCIDENT
5 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. DISEASE -POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS ! LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space is required)
City of Santa Ana Project 4 24-6985
Bus slop Improvement Project
City of Santa Ana, its City Council, its officers, officlals,employeos, agents, and volunteers are named as additional insureds
CAN
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 PRO'
20 Civic Center Plaza 4 "`c o Risk MaugetnentDivisirnt
AUTHORIZED REPRESENTA;r �' r REVIEWED & APPROVED BY.
Santa Ana CA 92701E
A f"tavda
Risk Management Specialut
@ 1988.2015
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
POLICY NUMBER
EFFECTIVE DATE AND TIME
INSURED
CK01CAK001820-01
7127/2024
Premo Construction Inc
DBA Premo Construction Inc
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED - ONGOING OPERATIONS -
OWNERS, LESSEES OR CONTRACTORS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
SECTION II - WHO IS AN INSURED, is amended to include, for COVERAGE A - BODILY INJURY AND
PROPERTY DAMAGE LIABILITY only, as an additional insured, any person, entity or organization for
whom the Named Insured is performing ongoing operations only when the Named Insured has agreed
with the person, entity or organization in an "insured contract" to name the person, entity or organization
as an "additional insured."
1. Such person, entity or organization is only an "additional insured" with respect to liability for "bodily
injury" or "property damage" caused, in whole or in part, by the ongoing operations of the Named
Insured performed for the additional insured.
2. The "insured contract" must be currently in effect or become effective during the policy period, be
executed prior to the "bodily injury" or "property damage" first happening and be between the
Named Insured and the "additional insured."
3. This coverage does not apply to "bodily injury" or "property damage" after:
a. "Your work" for the additional insured has been completed; or
b. That portion of "your work" out of which the "bodily injury" or "property damage" arises has been
put to its intended use by any person or organization.
4. The applicable limit of our liability shall not be increased by the inclusion of the additional insured
under the policy.
5. We shall have no duty to indemnify the additional insured for damages, claims or any other liabilities
arising from actions, inactions, errors or omissions of the "additional insured."
DGL 1067 1219
RAMmagmeKDiv I=
REVIaum & APPROhV®BY:
'®'
Risk Management Spedalist
6. Our duty to contractually indemnify the additional insured under an "insured contract" pursuant to
this endorsement shall be limited to that sum derived by applying the percentage of fault of the
Named Insured as determined by the trier the trier -of -fact to the total damage sum allocated by the
trier -of -fact to the "additional insured," Under no circumstances shall we pay more than this
proportionate contractual indemnity share required of the policyholder in the "insured contract."
7. Any contractual indemnity payments made on behalf of any additional insured under an "insured
contract' shall reduce the applicable limits of insurance on a dollar for dollar basis. Any contractual
indemnity payments paid to or on behalf of the "additional insured" pursuant to this endorsement
are subject to the terms, conditions and limitations of the policy.
8. This endorsement does not create a duty on our part to defend the additional insured or to
participate in, contribute to, or reimburse any person, organization or entity for any fees or expenses
incurred in the defense of the "additional insured."
SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, Condition 2. Duties In The Event
Of Occurrence, Offense, Claim Or Suit of the policy is amended to include:
An additional insured under this endorsement shall in addition to complying with all provisions of the
policy:
1. Give written notice to us of an occurrence or an offense which may result in a claim or "suit' within
thirty (30) days of notice to the "additional insured."
2. Give written notice to us of a claim or "suit' brought against the "additional insured" within thirty (30)
days of the additional insured being served with the claim or "suit."
3. Give written notice to any other insurer who has or may have coverage under its policy or policies
for a claim, "suit" or demand for defense or indemnity within thirty (30) days of the "additional
insured" being served with the claim, "suit' or demand for defense or indemnity. Such notice must
demand the full coverage available under the policy. The "additional insured" will not take any action
to waive or limit such other coverage available to it.
4. Obtain and provide to us copies of each and every policy from each and every insurer identified
pursuant to the preceding paragraph.
The following is added to SECTION V - DEFINITIONS: ADDITIONAL INSURED
"Additional insured" means any person or organization that the Named Insured has agreed in an
"insured contract" to name as an "additional insured" and has been named or identified by description
in an "additional insured" endorsement issued and attached to the policy. Coverage is afforded under
this policy for an additional insured for Coverage A liability only.
"Bodily injury" and "property damage" coverage is afforded to the "additional insured(s)" as provided in
the insuring agreement and subject to all policy provisions, provided that the "bodily injury" or "property
damage" also:
1. First takes place after the execution of the "insured contract"; and
2. Arises from "your work" performed for the "additional insured"(s) during the policy period or arises
from "your" "ongoing operations."
All other Terms and Conditions of this Policy remain unchanged
DGL 1067 1219
a ��sti�E
Risk MRnAgernetztDivisian
REVIEWED & APPROVED BY. -
Risk ManagementSpeci4ist
POLICY NUMBER
EFFECTIVE DATE AND TIME
INSURED
CK01CAK001320-01
7/2712024
Premo Construction Inc
DBA Premo Construction Inc
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED - ONGOING OPERATIONS - PRIMARY AND
NON-CONTRIBUTORY - OWNERS, LESSEES OR CONTRACTORS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
SECTION II - WHO IS AN INSURED, is amended to include, for COVERAGE A - BODILY INJURY AND
PROPERTY DAMAGE LIABILITY only, as an additional insured, any person, entity or organization for
whom the Named Insured is performing operations only when the Named Insured has agreed with the
person, entity or organization in an insured contract to name the person, entity or organization as an
additional insured.
1. Such person, entity or organization is only an additional insured with respect to liability for "bodily
injury" or "property damage" caused, in whole or in part, by the ongoing operations of the Named
Insured performed for the additional insured.
2. The "insured contract" must be currently in effect or become effective during the policy period, be
executed prior to the "bodily injury" or "property damage" first happening and be between the
Named Insured and the additional insured.
3. This coverage does not apply to "bodily injury" or "property damage" after:
a, "Your work" for the additional insured has been completed; or
b. That portion of "your work" out of which the "bodily injury" or "property damage" arises has been
put to its intended use by any person or organization.
4. The applicable limit of our liability shall not be increased by the inclusion of the additional insured
under the policy.
5. We shall have no duty to indemnify the additional insured for damages, claims or any other liabilities
arising from actions, inactions, errors or omissions of the additional insured.
6. Our duty to contractually indemnify the additional insured under an "insured contract" shall be limited
to that sum derived by applying the percentage of fault of the Named Insured as determined by the
trier the trier -of -fact to the total damage sum allocated by the trier -of -fact to the additional insured.
Under no circumstances shall we pay more than this proportionate contractual indemnity share.
7. Any contractual indemnity payments made on behalf of any additional insured under an "insured
contract" shall reduce the applicable limits of insurance on a dollar for dollar basis. Any contractual
indemnity payments are subject to the terms, conditions and limitations of the policy.
a oa. ee Rusk munement Dm9wn
ReAEW =D & APPRovm Sr.
A+j�, Aav44
Ruk Management Sped list
DGL 1069 1219
8. This endorsement does not create a duty on our part to defend the additional insured or to
participate in, contribute to, or reimburse any person, organization or entity for any fees or expenses
incurred in the defense of the additional insured.
SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, Condition 2. Duties In The Event
Of Occurrence, Offense, Claim Or Suit of the policy is amended to include:
An additional insured under this endorsement shall in addition to complying with all provisions of the
policy:
1. Give written notice to us of an 'occurrence" or an offense which may result in a claim or "suit" within
thirty (30) days of notice to the additional insured.
2. Give written notice to us of a claim or "suit" brought against the additional insured within thirty (30)
days of the additional insured being served with the claim or "suit."
3. Give written notice to any other insurer who has or may have coverage under its policy or policies
for a claim, "suit" or demand for defense or indemnity within thirty (30) days of the additional insured
being served with the claim, "suit" or demand for defense or indemnity. Such notice must demand
the full coverage available under the policy. The additional insured will not take any action to waive
or limit such other coverage available to it.
Obtain and provide to us copies of each and every policy from each and every insurer identified
pursuant to the preceding paragraph.
The coverage provided by this endorsement is primary and non-contributory and no insurance held or
owned by the additional insured shall be called upon to cover damages under this policy up to the limits of
this policy, but only if the "bodily injury" or "property damage" under this policy is caused directly, in whole
or in part, from your ongoing operations performed for the additional insured.
All other Terms and Conditions of this Policy remain unchanged
DGL 1069 1219
a"x� "_.ce R[Sli il�➢17AE2H7Cntj}iV1S1011
c�+ REVIEWED & APPROVED BY.-
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` � �cevaela
' Risk Management Specialist
POLICY NUMBER EFFECTIVE DATE AND TIME INSURED
Premo Construction Inc
CK01CAK001820-01 712712024 DBA Premo Construction Inc
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
SCHEDULE
Name of Person or Organization: Location(s) Of Covered Operations
Any person or organization against whom Any construction project performed by you for any
subrogation is required to be waived by an person or organization against whom subrogation
"insured contract." is required to be waived by an "insured contract."
SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, 8. Transfer Of Rights Of
Recovery Against Others To Us is deleted in its entirety and replaced by the following:
8. Transfer Of Rights Of Recovery Against Others To Us
If any insured has rights to recover all or part of any payment we have made under the applicable
Coverage Part, those rights are transferred to us. The insured must do nothing after loss to impair
such rights. At our request, such insured will bring "suit" or transfer those rights to us and help us
enforce them.
We waive any right of recovery we may have against the person or organization shown in the
Schedule above because of payments we make for "bodily injury" or "property damage" arising out
of "your work" done under an "insured contract" with that person or organization at the designated
construction project.
This waiver applies only if the designated construction project shown in the Schedule above is
completed and only to the construction project designated in the above Schedule.
All other Terms and Conditions of this Policy remain unchanged.
DGL 1082 1219
4 0.ham
RisleM=agemedDMslan J
REAFWED&APPRCNmBr. i
®'
Risk Management Specialist
Page 1 of 1
POLICY NUMBER
EFFECTIVE DATE AND TIME
INSURED
CKOICAK001820-
01
7/27/2024
Premo Construction Inc
DBA Premo Construction Inc
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS -
BLANKET COMPLETED OPERATIONS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE FORM
SCHEDULE
Name Of Additional Insured Person(s) Or
Location(s) Of Covered Operations
Organization(s):
Any Additional Insured Person or Organization
Any location of Additional Insured Person or
if products -completed operations hazard
Organization where work is performed by you if
coverage is required by insured contract.
products -completed operations hazard
coverage is required by insured contract.
SECTION Il - WHO IS AN INSURED, is amended to include, for COVERAGE A - BODILY INJURY,
PROPERTY DAMAGE, only, as an additional insured, the person, entity or organization designated in
this endorsement for whom the Named Insured has performed operations only when the Named Insured
has agreed with the person, entity or organization in an "insured contract" to name the person, entity or
organization as an additional insured.
1. Such person, entity or organization is only an additional insured with respect to liability for "bodily
injury" or "property damage" caused, in whole or in part, by "your work" at the location designated in
this endorsement performed for the additional insured under the "insured contract" and included in
the "products -completed operations hazard."
2. The "insured contract" must be currently in effect or become effective during the policy period, be
executed prior to the "bodily injury" or "property damage" first happening, and be between the
Named Insured and the additional insured.
3. The applicable limit of our liability shall not be increased by the inclusion of the additional insured
under the policy.
4. We shall have no duty to indemnify the additional insured for damages, claims or any other liabilities
arising from actions, inactions, errors or omissions of the additional insured.
5. Our duty to contractually indemnify the additional insured under an "insured contract' shall be limited
to that sum derived by applying the percentage of fault of the Named Insured as determined by the
trier -of -fact to the total damage sum allocated by the trier -of -fact to the additional insured. Under no
circumstances shall we pay more than this proportionate contractual indemnity share.
DGL 1068 1219
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Risk Management Specialist
6. Any contractual indemnity payments made on behalf of any additional insured under an "insured
contract" shall reduce the applicable limits of insurance on a dollar for dollar basis. Any contractual
indemnity payments are subject to the terms, conditions and limitations of the policy.
7. This endorsement does not create a duty on our part to defend the additional insured or to
participate in, contribute to, or reimburse any person, organization or entity for any fees or expenses
incurred in the defense of the additional insured.
SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, and SECTION IV - PRODUCTS/
COMPLETED OPERATIONS LIABILITY CONDITIONS, Condition 2. Duties In The Event Of
Occurrence, Offense, Claim Or Suit of the policy is amended to include:
An additional insured under this endorsement shall in addition to complying with all provisions of the
policy:
1. Give written notice to us of an occurrence or an offense which may result in a claim or "suit" within
thirty (30) days of notice to the additional insured.
2. Give written notice to us of a claim or "suit" brought against the additional insured within thirty (30)
days of the additional insured being served with the claim or "suit."
3. Give written notice to any other insurer who has or may have coverage under its policy or policies
for a claim, "suit or demand for defense or indemnity within thirty (30) days of the additional insured
being served with the claim, "suit" or demand for defense or indemnity. Such notice must demand
the full coverage available under the policy. The additional insured will not take any action to waive
or limit such other coverage available to it.
4. Obtain and provide to us copies of each and every policy from each and every insurer identified
pursuant to the preceding paragraph.
All other Terms and Conditions of this Policy remain unchanged.
DGL 1068 1219
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