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Home My WebLink AboutSUPERIOR HOT TAPPING SERVICES, INC (2)MAYOR Valerie Amezcua MAYOR PRO TEM Thai Viet Phan COUNCILMEMBERS Phil Bacerra Johnathan Ryan Hernandez Jessie Lopez David Penaloza Benjamin Vazquez INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURANIRES —J!c. CE EMP CITY CLERK DATE: MAR 0 6 2025 CITY OF SANTA ANA PUBLIC WORKS AGENCY 20 Civic Center Plaza • P.O. Box 1988 Santa Ana, California 92702 www.santa-ana.ora January 27, 2025 Superior Hot Tapping Services, Inc. 0AIAnt V 7923 Old Oak Court (� Riverside, CA 92506 Attn: Wade Brugger, President Re: Extension of Agreement (A-2022-008-02) for On Call Welding Services CITY MANAGER Alvaro Nunez CITY ATTORNEY Sonia R. Carvalho CITY CLERK Jennifer L. Hall Pursuant to Section 3 ("Term") of the above -referenced Agreement, entered into by Superior Hot Tapping Services, Inc., and the City of Santa Ana, dated January 18, 2022 the time period of the Agreement is hereby extended for an additional two-year period through January 17, 2027. Any insurance certificates are required to be extended and/or renewed to cover this extension. All other terms and conditions of the Agreement remain unchanged and in full force and effect. Sincerely, Nabil Saba, P.E. Executive Director, Public Works Agency CITY OF SANTA ANA ATTEST Alvaro Nunez City Manager APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney r City Cie Hall SUPERIOR HOT TAPPING SERVICES, INC. Kyle Nellesen Wade Brugger Assistant City Attorney President SANTA ANA CITY COUNCIL Valerie Amezcua Thai Viet Phan Benjamin Vazquez Jessie Lopez Phil Became Johnathan Ryan Hernandez David Panaloza Mayor Mayor Pro Tam,'Nard t Ward 2 Ward 3 Ward 4 Ward 5 Ward t; VamezC19,l1sanla-ana. or rphan, sameana.orp NazQueziNtsanla-aria oro lassie;opez(d)santa ana.oro pbacerr�santa-ana ore lrVanhemandeZ(,santa-ana-oro doenalozaiasante-ana.ord ACCOR" CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDDIYYYY) 02/1012025 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 CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(les) 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 Nataly Hague CISR James G. Parker Insurance PHONE (559) 222-7722 Fax (559) 222-1724 AIC No Ext A1C No License #0554959 E-MAILnhague@jgparker,com ADDRESS: P O BOX 3947 INSURERS)AFFORDING COVERAGE NAIC # INSURERA: Mesa Underwriters Specially Ins Co 36838. Fresno CA 93650 INSURED INSURER B : Infinity Select Ins Co 20260. Superior Hot Tapping Services Inc INSURER C : Scottsdale Insurance Company 41297 7923 Old Oak Court INSURER D : State Compensation Ins Fund 35076. INSURER E: Evanston Insurance Company 35378 Riverside CA 9250B INSURER F : COVERAGES CERTIFICATE NUMBER: 2b-2t5 UA 24-29 WC GL REVISION NIIMRFP- THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW-M-AVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, ILTR TYPE OF INSURANCE INSD WVD POLICYNUMBER MMI�6NYYY MMIDDIYYYF POLICY Y LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE RE aocCLAIMS-MADE❑OCCUR PREMISET EcUrrence 100,000 $ MED EXP (Any oneperson) $ 51000 PERSONAL & ADV INJURY $ 11000,000 A Y Y MPOO82001008411 07/31/2024 07131t2025 GEN'LAGGREGATE LIMITAPPLIES PER: JECT ❑ GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMPIOP AGO 2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accldeni 1,OOD,DOD X BODILY INJURY (Per person) $ ANYAUTD B OWNED F SCHEDULED AUTOS ONLY AUTOS Y Y 60001610301 01/06/2026 01/08/2025 BODILY INJURY (Per accldeni) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ X UMBRELLAI-JABX OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 C EXCESS LIAR CLAIMS -MADE XLS1228052 0713112024 07/31/2025 DEfl I I RETENTION $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIF.TORIPARTNFRIEXECUTIVE YIN QFFICERIMEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA Y 9334957-2024 0311512024 03115/2025 /� STATUFE ORH E.L. EACH ACCIDENT $ 1,DOO,000 E.L. DISEASE - EA EMPLOYEE $ 11000,000 E.L. DISEASE - POLICY LIMIT $ 1, 000,D00 Contractors Pollution wllnciderltal Aggregate Limit $2,000,000 E Professional Liability CPLMOL128094 12/2112024 03/15/2025 Each Pollution Condition $2,000,000 Each Act - E&O $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS !VEHICLES (ACORD 101, Addillonal Remarks Schedule, maybe attached If more space is required) TU Tfdr) gguau,:b Certificate holder Is included as addllional Insured with respects to General Liability 9 applies p y per form CG2010 1185 attached. Waiver ofSubrogation afion a lies NgUye E'� —1. regarding the General Liability per form CG2404 1093. Waiver of subrogation applies to the Workers compensation per form 2572 attached. Additional 7 SA2.,a Insured, Waiver of Subrogation and Primary Non-contributory wording basis In respects to Auto perform 50461AlSO1, 50461SWFO1, and 500PNGVOI n ,o sxaasnrc attached. "Supercedes Certificate Issued 01-D8-25` APPROVED By Tu Tran Nguyen of 10.54 am, Feb 10, 2025 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,Attn: Public Works Agency, ACCORDANCE WITH THE POLICY PROVISIONS, Water Resources Div (M-85) 215 S Center Street AUTHORIZED REPRESENTA71VE Santa Ana CA 92701 / X Afi�� V 1980.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: MP0082001008411 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - (FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Name of Person or Organization: Any person or organization to which you are obligated by virtue of a written contract to provide insurance such as is afforded by this policy, but only with respect to (1) occurrences taking place after such written contract has been executed and (2) occurrences resulting from work performed by you during the policy period, or occurrences resulting from the conduct of your business during the policy period. A person or organization that qualifies as an "insured" under the above paragraph of this Endorsement shall be an additional insured solely with respect to such additional insured's liability for "bodily injury," property damage" or "personal and advertising injury" caused in whole or in part by your acts or omissions in the performance of "your work" for the additional insured on or at "commercial construction projects." For the purposes of this Endorsement, "commercial construction projects" are defined as buildings or structures constructed for commercial use and also includes apartments, hotels, homes for the aged, dormitories or barracks. However, "commercial construction projects" shall not include any building or structure which contains individual owner occupied units or dwellings. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising outof "yourwork" for that insured by orfor you. CG 20 10 1185 Copyright, Insurance Services Office, Inc., 1984 Page 1 of 1 POLICY NUMBER: MP0082001008411 COMMERCIAL, GENERAL_ LIABILITY CG24041093 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Dame of Person or Organization: Any person or organization to which you are obligated by virtue of a written contract to provide insurance such as is afforded by this policy, but only with respect to (1) occurrences taking place after such written contract has been executed and (2) occurrences resulting from work performed by you during the policy period, or occurrences resulting from the conduct of your business during the policy period. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV -- COMMERCIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following: 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 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". This waiver applies only to the person or organization shown in the Schedule above. CG 24 0410 93 Copyright, Insurance Services Office, Inc., 1992 Page 1 of 1 ❑ WAIVER Osl olq T BAS'l S 9334957 -24 NE 8-56-62-27 146Mt & EFFECTIVE MARCH 15,2024 AT 12.01 A.M. P1R SAI�I:pF1AI�l�[��1� . PI1�0� AND EXPIRING MARCH 15 , 2 0 2 5 AT 12.01 A.M. At '1Z [i-1 AEI. PAOIFIC. RYA.NDARD TIME OR THE 'I'ilill:1NbIO,A`IT150 AT PACIF:I0 OTAWAnb 11 mr. SUPERIOR HOT TAPPING SERVICES, INC. 7923 OLD OAK CT RIVERSIDE, CA 92506 WE HAVE THE RIGHT TO RECOVER OUR PAYMENTS FROM. 'IC°ONS IA :FORAN tNJ=t 00VjZFZP ,-SYTfIIS FQX T Y A L .Tft: .EMEjTT APPi,W ONLY TO�11E 'E blf TIIA� ;I'W PERFO1ilkil WoE EC' UmgR- A Willi-tim 6614*0 Trt t §AQ' tji0& lib €.� M ANY pxlRs l - OR QRG.mlZA!rxoN F.oR W914 TFIr ti�: its m COkAhm T, 6. itm-mIgi1. Tki-6 'mT.VEIi > NAIVRR OF. I40THI.NG IN THI$ RNPOA� 1 f ONO. O GOAD ED SkI,ALL DR I1�Lb TO ia.AAY, . AI,'1`49, tK.AN OR FJ41' tqn ANY.0I: THE 7"'1=R14ip, COIVEIIT"6 9 A0Rr.EI+�tN*9, 0R ;LIIif1ITA. TION . OV T!kli8 . po1,icy rileR TIs1A 1 s srATSR NdtillNa OLSOY'F IRE IN 'MIS. POUCY SHALk 86 HELP TO VAk AI.'FO, WAIVE 00 LIMIT fHS TEAMS, O0NDI!`I+;I'6k9,.. 01190MONTO OR 6MITAT1ONS OF 7HIS EIrIF1 )RgEMENT. COUNTERSIGN00 ANQ 15SUIlD AT. SAID FRANCISCQ �11,17'H�f�1�� F1�1'��SEfUT Imo: S�1.F tr.{7.E3� tAi.�i? INI�v.7'^�at41 MARCH 15, 2024 PRE$IPEN11 ANO 090 I OF 1 2 ��.? mo.6p 2a KEMPERAuto Kemper Auto Commercial 11700 Great Oaks Way, Suite 450 COMMERCIAL Alpharetta, GA30022 Underwritten by: Infinity Select Insurance Company Customer Service: (800) 722-3391 Claims Service: (800) 353-6737 WAIVER OF SUBROGATION City of Santa Ana 20 Civic Center Plz Santa Ana, CA 92701 50001616301 1 01/06/2026 12:01 a.m. Superior Hot Tapping Services Inc This endorsement is attached to and forms a part of the listed policy. No changes will be effective prior to the time changes are requested. In return for your premium payment shown below, we agree that our rights of subrogation or rights of recovery under the policy will not apply against the following person or organization: City of Santa Ana (name of person or organization) Additional premium in the amount of $225.00 will be retained by us regardless of any early termination of this endorsement or the policy. All other policy provisions remain unchanged. ADDL INSURED COPY AMEND DATE: 02/04/2025 50461SWF01 ENDORSEMENT : 3-5 Kemper Auto Commercial KEMPERAuto .11700 Great Oaks Way, Suite 450 COMMERCIAL Alpharetta, GA30022 Underwritten by: Infinity Select Insurance Company Customer Service: (800) 722-3391 Claims Service: (800) 353-6737 City of Santa Ana 20 Civic Center Piz Santa Ana, CA 92701 PRIMARY AND NONCONTRIBUTORY ENDORSEMENT 60001616301 E 01/06/2026 12:01 a.m. Superior Hot Tapping Services Inc This endorsement is attached to and forms a part of the listed policy. The following endorsement applies only if Form Number 500PNCV01 appears on your Declarations Page, This endorsement modifies the insurance provided under your COMMERCIAL AUTO POLICY. PART A — LIABILITY COVERAGE OTHER INSURANCE — PART A ONLY The following is added to this section: The coverage afforded under your Commercial Auto Policy is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: a. You have agreed in writing in a contractor agreement that the coverage afforded under your Commercial Auto Policy would be primary and would not seek contribution from any other insurance available to such additional insured; and b. Such additional insured is a named insured under such other insurance. ALL OTHER TERMS, LIMITS, CONDITIONS, AND PROVISIONS OF THE POLICY REMAIN UNCHANGED. ADDL INSURED COPY AMEND DATE: 02/04/2025 500PNCV01 ENDORSEMENT: 3-5 KEMPERAuto Kemper Auto Commercial 11700 Great Oaks Way, Suite 450 COMMERCIAL Alpharetta, GA 30022 Underwritten by: Infinity Select Insurance Company Customer Service: (800) 722-3391 Claims Service: (800) 353-6737 ADDITIONAL_ NAMED INSURED ENDORSEMENT 50001616301 01/06/2026 12:01 a.m. City of Santa Ana 20 Civic Center Piz Santa Ana, CA 92701 Superior Hot Tapping Services Inc This endorsement Is attached to and forms a part of the listed policy. No changes will be effective prior to the time changes are requested. City of Santa Ana Part A - Liability Coverage, is changed as follows: The definition of insured is changed to include the additional insured named above. Adding an insured will not increase the limit of our liability. The insurance provided by this endorsement will be excess over any other valid and collectible insurance. All other parts of this Policy remain unchanged. ADDL INSURED COPY AMEND DATE: 02/04/2025 50461AIS01 ENDORSEMENT: 3-5 / A� " CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 01 /13/2026 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 Nataly Hague CISR NAME: James G. Parker Insurance (559) 222-7722 q/c, (559) 222-1724 ACNE. Ext : No): License #0554959 E-MAIL nhague@jgparker.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # P O Box 3947 Fresno CA 93650 INSURERA: Mesa Underwriters Specialty Ins Co 36838. INSURED INSURER B : Infinity Select Ins Co 20260. Superior Hot Tapping Services Inc INSURER C : Palomar Excess and Surplus Ins Co 16754 7923 Old Oak Court INSURER D : State Compensation Ins Fund 35076. INSURER E Riverside CA 92506 INSURER F COVERAGES CERTIFICATE NUMBER: 25-26 GL UMB BA WC 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 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 MWDD/YYYY POLICY EXP MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE OCCUR DAMAGE TO PREM SES Ea 0NcurrDence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 A Y Y MP0082001009708 03/15/2025 03/15/2026 LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ❑X PRO ❑ LOC JECT: MOTHER PRODUCTS-COMP/OPAGG $ 2,000,000 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ ANYAUTO B OWNED SCHEDULED AUTOS ONLY AUTOS Y Y 50001616302 09/02/2025 09/02/2026 BODILY INJURY (Pe r accide nt) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 C EXCESS LAB CLAIMS -MADE PESXS014672 03/15/2025 03/15/2026 DED I I RETENTION $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABI LI TY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA Y 9334957-2025 03/15/2025 03/15/2026 X STATUTE EORH E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000,000 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Digitally sig Certificate holder is included as additional insured with respects to General Liability per form CG2010 1185 attached. Waiver of Subrogation applies Tu Tran by Tu Tran regarding the General Liability per form CG2404 1093. Waiver of subrogation applies to the Workers compensation per form 2572 attached. Additional Nguyen Insured, Waiver of Subrogation and Primary Non-contributory wording basis in respects to Auto per form 50461AIS01, 50461SWF01, and 500PNCV01 Ng uyen Date: 2026. attached. 12:54:22 -08 APPROVED CERTIFICATE HOLDER CANCELLATION ley Tu Tran Nguyen at 12:54 pm, Jan 14, 2026 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. Attn: Heidi Chou AUTHORIZED REPRESENTATIVE 215 S Center Street M-85 Santa Ana CA 92701 / X Ali V-4 �w � @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD KEMPERAuto COMMERCIAL Customer Service: (800) 722-3391 Kemper Auto Commercial 11700 Great Oaks Way, Suite 450 Alpharetta, GA 30022 Underwritten by: Infinity Select Insurance Company WAIVER OF SUBROGATION Claims Service: (800) 353-6737 (Copy To I Policy ID Number I Expiration Date 50001616302 09/02/2026 12:01 a.m. City of Santa Ana 20 Civic Center Plz Santa Ana, CA 92701 I Named Insured I Superior Hot Tapping Services Inc This endorsement is attached to and forms a part of the listed policy. No changes will be effective prior to the time changes are requested. In return for your premium payment shown below, we agree that our rights of subrogation or rights of recovery under the policy will not apply against the following person or organization: City of Santa Ana (name of person or organization) Additional premium in the amount of $125.00 will be retained by us regardless of any early termination of this endorsement or the policy. All other policy provisions remain unchanged. ADDL INSURED COPY AMEND DATE: 09/02/2025 50461SWF01 ENDORSEMENT: 1-1 KEMPERAuto COMMERCIAL Customer Service: (800) 722-3391 Copy To City of Santa Ana 20 Civic Center Plz Santa Ana, CA 92701 Kemper Auto Commercial 11700 Great Oaks Way, Suite 450 Alpharetta, GA 30022 Underwritten by: Infinity Select Insurance Company Claims Service: (800) 353-6737 PRIMARY AND NONCONTRIBUTORY ENDORSEMENT Policy ID Number Expiration Date 50001616302 09/02/2026 12:01 a.m. Named Insured Superior Hot Tapping Services Inc This endorsement is attached to and forms a part of the listed policy. The following endorsement applies only if Form Number 500PNCV01 appears on your Declarations Page. This endorsement modifies the insurance provided under your COMMERCIAL AUTO POLICY. PART A — LIABILITY COVERAGE OTHER INSURANCE — PART A ONLY The followina is added to this section: The coverage afforded under your Commercial Auto Policy is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: a. You have agreed in writing in a contractor agreement that the coverage afforded under your Commercial Auto Policy would be primary and would not seek contribution from any other insurance available to such additional insured; and b. Such additional insured is a named insured under such other insurance. ALL OTHER TERMS, LIMITS, CONDITIONS, AND PROVISIONS OF THE POLICY REMAIN UNCHANGED. ADDL INSURED COPY 500PNCV01 AMEND DATE: 09/02/2025 ENDORSEMENT: 1-1 KEMPERAuto COMMERCIAL Customer Service: (800) 722-3391 Kemper Auto Commercial 11700 Great Oaks Way, Suite 450 Alpharetta, GA 30022 Underwritten by: Infinity Select Insurance Company Claims Service: (800) 353-6737 ADDITIONAL NAMED INSURED ENDORSEMENT Copy To Policy ID Number Expiration Date 50001616302 09/02/2026 12:01 a.m. City of Santa Ana Named Insured 20 Civic Center Piz Santa Ana, CA 92701 Superior Hot Tapping Services Inc This endorsement is attached to and forms a part of the listed policy. No changes will be effective prior to the time changes are requested. Additional Insured City of Santa Ana Part A - Liability Coverage, is changed as follows: The definition of insured is changed to include the additional insured named above. Adding an insured will not increase the limit of our liability. The insurance provided by this endorsement will be excess over any other valid and collectible insurance. All other parts of this Policy remain unchanged. ADDL INSURED COPY AMEND DATE: 09/02/2025 50461AIS01 ENDORSEMENT: 1-1 Additional Named Insureds Other Named Insureds Superior Arc Welding Inc Corporation, Insured Multiple Names, on GL UMB/EX, WC Policies I OFAPPINF (02/2007) COPYRIGHT 2007, AMS SERVICES INC I POLICY NUMBER: MP0082001009708 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - (FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Name of Person or Organization: Any person or organization to which you are obligated by virtue of a written contract to provide insurance such as is afforded by this policy, but only with respect to (1) occurrences taking place after such written contract has been executed and (2) occurrences resulting from work performed by you during the policy period, or occurrences resulting from the conduct of your business during the policy period. A person or organization that qualifies as an "insured" under the above paragraph of this Endorsement shall be an additional insured solely with respect to such additional insured's liability for "bodily injury," property damage" or "personal and advertising injury" caused in whole or in part by your acts or omissions in the performance of "your work" for the additional insured on or at "commercial construction projects." For the purposes of this Endorsement, "commercial construction projects" are defined as buildings or structures constructed for commercial use and also includes apartments, hotels, homes for the aged, dormitories or barracks. However, "commercial construction projects" shall not include any building or structure which contains individual owner occupied units or dwellings. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" for that insured by or for you. CG 20 10 11 85 Copyright, Insurance Services Office, Inc., 1984 Page 1 of 1 0 POLICY NUMBER: MP0082001009708 COMMERCIAL GENERAL LIABILITY CG 24 04 10 93 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any person or organization to which you are obligated by virtue of a written contract to provide insurance such as is afforded by this policy, but only with respect to (1) occurrences taking place after such written contract has been executed and (2) occurrences resulting from work performed by you during the policy period, or occurrences resulting from the conduct of your business during the policy period. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV — COMMERCIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following: 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 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". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 10 93 Copyright, Insurance Services Office, Inc., 1992 Page 1 of 1 ❑ ENDORSEMENT AGREEMENT BROKER COPY HOME OFFICE SAN FRANCISCO ALL EFFECTIVE DATES ARE AT 12:01 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME WAIVER OF SUBROGATION BLANKET BASIS EFFECTIVE MARCH 15, 2025 AT 12.01 A.M. AND EXPIRING MARCH 15, 2026 AT 12:01 A.M. SUPERIOR HOT TAPPING SERVICES, INC WADE BRUGGER 7923 OLD OAK CT RIVERSIDE, CA 92506 WE HAVE THE RIGHT TO RECOVER OUR PAYMENTS FROM ANYONE LIABLE FOR AN INJURY COVERED BY THIS POLICY. WE WILL NOT ENFORCE OUR RIGHT AGAINST THE PERSON OR ORGANIZATION NAMED IN THE SCHEDULE. THIS AGREEMENT APPLIES ONLY TO THE EXTENT THAT YOU PERFORM WORK UNDER A WRITTEN CONTRACT THAT REQUIRES YOU TO OBTAIN THIS AGREEMENT FROM US. THE ADDITIONAL PREMIUM FOR THIS ENDORSEMENT SHALL BE 2.00% OF THE TOTAL POLICY PREMIUM. (ZrT4FT)TTT F PERSON OR ORGANIZATION ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER JOB DESCRIPTION BLANKET WAIVER OF SUBROGATION 9334957-25 RENEWAL NE 8-56-62-27 PAGE 1 OF 1 NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS OF THIS ENDORSEMENT. COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: 2572 AUTHORIZED REPRESENT IVE SCIF FORM 10217 (REV.7-2014) MARCH 18, 2025 PRESIDENT AND CEO OLD DP 217