Loading...
HomeMy WebLinkAboutALL AMERICAN ASPHALT (GRAND AVENUE ROADWAY REHABILITATION FROM MCFADDEN AVENUE TO FIRST STREET)INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURANCE EXPIRES CITY CLERK CITY OF SANTA ANA oArE. MAR 2 5 2025 CONSTRUCTION CONTRACT AGREEMENT 6 PW PROJECT 23-6702 GRAND AVENUE ROADWAY REHABILITATION FROM MCFADDEN AVENUE TO FIRST STREET This CONSTRUCTION CONTRACT is made and entered into this 2011' 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 ofthe State of California (hereinafter "CITY"), and All American Asphalt (hereinafter "CONTRACTOR"). WITNESSETH: The CITY and the CONTRACTOR, for the consideration hereinafter named, mutually agree as follows: 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 Grand Avenue Roadway Rehabilitation from McFadden Avenue to First Street 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: • Notico 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. 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 One Million Seven Hundred Ninety Three Thousand Nine Hundred Ninety Nine Dollars and No Cents ($1,793,999.00), as set forth and identified in the BID PROPOSAL, which is attached hereto and incorporated herein as Exhibit "A," and in accordance with Section 2-7.1 of the Greenbook: Standard Specifications for Public Works Construction. 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 rev. 08/01/2023 Page 1 of 3 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/pwaidocuments/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. 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; Page 2 of 3 (ii) Performance or nonperformance by CONTRACTOR or its Subcontractors of any lower tier, of any of the obligations under the Contract Documents; (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. r APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney By: �� n ;J;w— JONE MONTOYA Assistant City Attorney RECOMMENDED FOR APPROVAL: Digitally signed by Nabil Saba N a I I Saba pate: 2024.08.05 14:57:16 -07'00' NABIL SABA, PE Executive Director Public Works Agency CITY OF SANTA ANA d44 I'll . LVARO NUNEZ City Manager CONTRACTOR: All American Asphalt NAME. Edwa d J. Carlson TITLE:Vice President Page 3 of 3 CALIFORNIA ALL-PURPOSE ACKNOWLEDOEMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who si.-ned the cincument to which this certificate is attached and not the tnrthfiolness_ accuracv or vnlidiry oft€far dnciment. State of California County of Riverside On 07/31/2024 before me, Kimberly Deiro Notary Public Dale Here Insert name and Title of the Officer personally appeared Edward J. Carlson Nam;40f Sign" ov r KIMBERLY DEtRO Notary PUbtiC - California Z s m Riverside County ° Commissionlf 249t436 My Comm. Expires May 27, 2028 who proved to me on the basis of satisfactory evidence to be the person(s) whose name(rs) islaFe subscribed to the within instrument and acknowledged to me that hel&haAlwy executed the same in his. te04heiF authorized capacity(ies), and that by hislher,#teiF signature(&) on the instrument the person(&), or the entity upon behalf of which the person(&) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the forgoing paragraph is true and correct. WITNESS my hand and official seal. Signature Place Notary Seal Above Slg rk wo OPTIONAL Though the information below is not required by law, it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document Construction Contract - City of Santa Ana Document Date: 07/31/2024 Signer(&) Other Than Named Above: NIA Capacity(ies) Claimed by Signer(s) Signer's Name: Edward J. Carlson ❑ Individual X Corporate Officer —Title($): Vice President ❑ Partner F) o Limited o General RIGHT THUMBPRINT ❑ Attorney in Fact OF SIGNER ❑ Trustee Top of thumb here ❑ Other: Signer is Representing: Number of Pages: Signer's Name: NIA ❑ Individual n Corporate Officer — Title(s): NIA ❑ Partner ❑ © Limited :i General ❑ Attorney in Fact ❑ Trustee ❑ Other; NIA Signer is Representing: I NIA EXHIBIT A CITY OF S.ANTA A,NA PROPOSAL PROJECT NO.: 23-6702 GRAND AVENUE ROADWAY REHABILITATION FROM MCFADDEN AVENUE TO FIRST STREET BIDPROPOSAL TO; CITY COUNCIL OF TIDE CITY OF SANTA ANA FROM: All American Asphalt REQUIREMENT: The undersigned bidder declares that they have carefully examined the location of the proposed work, that they have examined the Contract Documents in its entirety and hereby proposes to furnhh 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 fortth in the following schedule: item Descriptions Qty unit Unit Price Amount 1 UncIassifed Excavation* 1,060 Cy $ $ 215.00 227,900.00 2 AC Pavement* 1,990 TN $ $ 150.00 298,500.00 3 Cold Mill (2-31811) Expeetpavement 305,000 SF $ $ Fabric 2" Below Existing Surface 0.54 164, 700.00 4 Asphalt Rubber and Aggregate Membrane 33,990 SY $ $ 7.00 237,930.00 5 Asphalt Rubber Hot Mix (ARFiM) 3,900 TN $ $ 147.18 574,002.00 6 PCC Sidewalk (T=41) 100 SF $ $ 31.88 3,188.00 7 PCC Driveway Approach (T= 8") 600 SF $ $ 22.00 13,200.00 8 PCC Curb and Gutter (Type A 2-8) 500 LF $ $ 97.00 48,5D0.00 9 Cross -Gutter (Local Street) 1,400 SF $ $43,400.00 31.00 10 Furnish and Install Detectable Warning 1 EA $ $ Surface (Caltrans STD. A88A) 3,400.00 3,400.00 11 Adjust Sewer and Drainage Manhole to 15 EA $ $ Finished Grade 1,550.00 23,250.00 12 Furnish and Install New Water Valve 25 BA $ $ Frame and Cover to Finished Grade 1, 250.00 31,250.00 13 Furnish and Install Traffic Loops Type F 9 RA $ $ 471.00 4,239,00 P-1 ofP-18 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 23-6702 GRAND AVENUE ROADWAY REHABILITATION FROM MCFADDEN AVENUE TO FIRST STREET Item Description Qty Unit Unit Price Amount 14 Furnish and Install Traffic Loops Type E 30 EA $ 448.00 $ 13,440.00 15 Project Advertisement Sign 2 FA $ 3,800.00 $7,600.00 46 signing and striping I LS $33,000.00 $ 33,000.00 ` 17 Construction. Permit i LS $8,500 $8,500 18 SCRRA Right -of -Entry Permit 1 LS $ 58,630.00 $ 58,630.00 TOTAL BASE BID $ 1,793,999.00 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 be subject to the "25%" limit as stated in Section 7-3.5 of the 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. This bid item is considered a Specialty Item per Section 3-2 of the Standard Specifications. TIME FOR COMPLETION OF IMPROVEMENTS AND LIOUIDATED DAMAGES The undersigned bidder hereby proposes to complete the Work for the total base bid amount shown above, within number (50) working dates, after the commencement date stated in the Notice to Proceed. The liquidated damages amount, in lieu of the amount specified in Subsection 6-9 of the Standard Specifications, shall be $5,000 per calendar day. Name of Firm All American Asphalt Signature of BIDDER Title Edward J. Carlson, Vice President (If an individual, so state. If a firm or co -partnership, state the finn 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-2 of P-18 A4C"J?6r CERTIFICATE OF LIABILITY INSURANCE llb� DATE(MM)DDIYYYY) 3I4I2025 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 Edgewood Partners Insurance Center P.O. BOX 5003 San Ramon CA 94583 CONTACT Certificates Department PHONE FAx o E : 559A51-3200 fAIC. No): 925-901-0671 ADDRess: EPICcerts@epicbrokers.com INSURER S AFFORDiNG COVERAGE NAIC p INSURERA: Arch SpecialtyInsurance Company 21199 Ucenae#: OB29370 INSURED ALLAMER31 All American Asphalt P.O. Box 2229 INSURER B : Zurich American Insurance Company 16535 INSURERC: Great American Insurance Company 16691 INSURER D Corona, CA 92878 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:2073587077 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 LTR TYPE OF INSURANCE ADDL INqE1 SUBR WVn POLICY NUMBER POLICY EFF IMMIDWYYYY POLICY EXP MMIDD)YYYY)LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx_1 OCCUR DPC100565608 8/1/2024 811/2025 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any One person) $ PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY [Z] PE ' LOG GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMPIOP AGG $ 2,000,000 $ OTHER: B AUTOMOBILE LIABILITY SAP557108812 8/1/2024 8/112025 COMBINEDSINGLELIMIT Ea accident $2,000,00C X ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULE{] AUTOS ONLY AUTOS GOD ILY INJURY Per accident ( 1 $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident S $ C UMBRELLA LIAB X OCCUR TLJE347403604 8/1/2024 8/1/2025 EACH OCCURRENCE S 10,000,000 X EXCESS LIAB CLAIMS -MADE AGGREGATE S 10,000,000 DED I X I RETENTION Following -Form $ g WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y 1 N ANYPROPRIETORIPARTNEPJFXECUTIVE OFFICERIMEMBEREXCLUDED7 El NIA VVC593205711 8/1/2024 8/1/2025 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $1.000,000 (Mandatory in NH) If yes, describe under E.L, DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below B Contractor's Equipment CPP567109412 811/2024 8/112025 $5,000,000 Limit Special Forrn Tu Tran 4 .'',,,^� DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Nguye Certificate Holder is Additional insured if Required by Written Contract Excluding Workers Compensation 2025.a3.as #362821 Job #23-67021 RE: Grand Avenue Roadway Rehabilitation from McFadden Avenue to First Street 1 n a:55�<-00n0 City of Santa Ana, its City Council, officers, officials, employees, agents, and volunteers. APPROVED By Tu Tran Nguyen at 10:54 am, Mar 05, 2025 . ten I IVI%IM I c nvL.vcrt I,ANGtLLA I IUN 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. Attention: Public Works Agency — CIP Engineering 20 Civic Center Plaza, M-22 AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 f Ur 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD DATE(MMIDDIYYYY) A`C)R v® CERTIFICATE OF LIABILITY INSURANCE 9/24/2024 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). CONTACT PRODUCER NAME: - Certificates. Department_FAX — Ed ewood Partners Insurance Center PHONE 55g-451-3200 tAJC No}: 925-901-0671 P.N. Box 5003 E-MAIL EhlCcerts a icbrokers.com San Raman, CA 94583 AopRE$s. -_—.. _ _@�..._ _ OVERAGE NAiC M INSURERS Ai FFORDING.0 Www.epicbrokers.com CA LICENSE #0B29370 INsuRERA - Steadfast Insurance.CompanY _ __ ___, 26387 INSURED INSURERS.: _ ---'- All American Asphalt INSURERC: P.O. Box 2229 Carona CA 92878 INSURER D --- INSURER E :-'_---' INSURER F OVERAGES CERTIFICATE NUMBER: 82049639 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 CH THIS CERTIFICATE MAYYIBESISSUED OR MAY PERTAIN, THE INSURANCE AFFORDETHTANDING ANY REQUIREMENT, TERM OR CONDITION OD BY THE F ANY OPOLLICIES DESCRIBED NTRCT OR OTHER OHE EIN SCUMENT WSUB SUBITH JECT ALL ECT TO THIETERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. --- - POLICYY EFF �LICY E%P_ IIMITS INSR LTR TYPE OF INSURANCE �uw� COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY a JECT LOC OTHER', AUTO MOBILELIABILITY ANY AUTO ' AWNED SCHEDULED J AUTOS ONLY AUTOS MIRED NON -OWNED AUTOS ONLY AUTOS ONLY i I UMBRELLALIAB OCCUR EXCESS LIAR d1E F OED RETENTION S WORKERS COMPENSATION l AND EMPLOYERS' LIABILnY Y I N ANYPROPRIETDRIPARTNEPJEXECUTIVE ❑ NIA OFF ICERIMEMBEREXCtUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below A CDnlractDrS PDllu50n DAMAGE YO RENTE PREMISES Ea occurranne S __.__._... .._ _MED EXP (Any one person) PERSONAL ii ADV INJURY $ .— I5 COMBINED SINGLE LIMIT S j6e acoidenl _J- -- -- BODILY INJURY (Per person) S BODILY INJURY {Per accident)' S PROPERTY DAMAGE 5 .Per acctdenL) ,.,_ �.. ----- S EACH OCCURRENCE AGGREGATE _........ 15 .._-- .....---...._ E.L. EACH ACGIDENT S _-- __..— E.L. DISEASE - EA EMPLOYEE S E-L- DISEASE - POLICY LIMIT S 811 12225 $2,000,000 Each Loss 1 T.000,000 A99 DESCRIPTION OF OPERATIONS I LOCATIONS! VEHICLES (ACORD 1at, Additional Remarks Schedule, may be attached It more space is required) #36282 / Job #23-67021 RE: Grand Avenue Roadway Rehabilitation from McFadden Avenue to First Street 1 City of Santa Ana 20 Civic Center Plaza Santa Ana CA 92701 APPROVED By Tu Tran Nguyen at 10:54 am, Mar 05, ANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL. BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Maleah Cantrell ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD S21k196341241(M1I'0lh+tion(FU1 P"Cific Pettey) (iabncla B,rnagan 242O2412,1650P1.1IPDT)IPagc IofI Waiver of Transfer Rights of Recovery Against Others Blanket as Required by Contract ZURICH Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer Add'I Prom. Return Prom. CPL 0125821-03 08/01/2023 08/01/2025 08/01/2023 17088000 __________ __________ Named Insured and Mailing Address: ALL AMERICAN ASPHALT 400 E 6TH ST CORONA, CA 92879-1521 Producer: EDGEWOOD PARTNERS INSURANCE CENTER 3633 INLAND EMPIRE BLVD STE 640 ONTARIO, CA 91764-4964 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: Professional Environmental Consultant's Liability Insurance Policy Professional Environmental Consultant's Liability Insurance Policy - Claims Made and Reported Coverage Professional Consultant's Liability Insurance Policy - Claims Made and Reported Coverage Contractor's Pollution Liability Insurance Policy Contractor's Pollution Liability Insurance Policy - Claims Made and Reported Coverage In consideration of the payment of premium and the Deductible by you and in reliance upon the statements in the Application made a part hereof, we agree with you, subject to all the terms, exclusions and conditions of the policy that CONDITIONS, Condition O., Subrogation is amended by the addition of the following: We waive any right of recovery we may have against any person or organization whom you are required to waive your right of subrogation by a written contract or written agreement executed and effective prior to the performance of your services which is the subject of such written contract or written agreement. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. STF:-ENVL-1627-A CW (04110) Page 1 of 1 [AMUIR PO Box 5003 San Ramon, CA 94583 Phone: 925.244.7700 Fax: 925.901-0244 Email EPICcerts@epicbrokers.com CERTIFICATE HOLDER: City of Santa Ana To: Whom it may concern Regarding: Notice of Cancellation Date Issued: 31412025 Named Insureds): All American Asphalt Policy Number(s): DPC100585608 BAP557108812 TUE347483604 VVC593205711 CPP557109412 Should the above described policy be cancelled before the expiration date thereof, we will mail 30 days written notice to the above referenced Certificate Holder; except, 10 days notice for non-payment of premium. Sincerely, epicbrokers.com edgewood partners insurance center ca license OB29370 COMMERCIAL GENERAL LIABILITY CG20100413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location(s) Of Covered Operations Any person or organization where the Named Any location where required by written contract or Insured has agreed to add as an additional insured agreement, provided the contract or agreement is by written contract or agreement, provided the executed prior to any "occurrence" or offense. contract or agreement is executed prior to any "occurrence" or offense Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of 2. If coverage provided to the which the injury or damage arises additional insured is required by a has been put to its intended use by contract or agreement, the any person or organization other insurance afforded to such than another contractor or additional insured will not be subcontractor engaged in CG 20 10 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III -- Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: All other terms and conditions of this policy remain unchanged. 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Endorsement Number: This endorsement is effective on the inception date of this policy unless otherwise stated herein. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Policy Number: €?PC100585608 Named Insured: All American Asphalt Endorsement Effective Date: 08ro112024 #362821 Job #23-67021 RE: Grand Avenue Roadway Rehabilitation from McFadden Avenue to First Street 1 City of Santa Ana, its City Council, officers, officials, employees, agents, and volunteers. CG 20 10 04 13 © Insurance Services Office, Inc., 2012 Page 2 of 2 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations Any person or organization where the Named Insured All locations where required by contract. has agreed to add as an additional insured by written contract or agreement, provided the contract or agreement is executed prior to any 'occurrence" or offense Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 37 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 All other terms and conditions of this Policy remain unchanged. Endorsement Number: This endorsement is effective on the inception date of this policy unless otherwise stated herein. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Policy Number: DPC100585608 Named Insured: All American asphalt Endorsement Effective Date: 08/01/2024 #362821 Job #23-6702 / RE: Grand Avenue Roadway Rehabilitation from McFadden Avenue to First Street! City of Santa Ana, its City Council, officers, officials, employees, agents, and volunteers. CG 20 37 04 13 O Insurance Services Office, Inc., 2012 Page 2 of 2 COMMERCIAL GENERAL LIABILITY CG 20 01 04 13 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 PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: All other terms and conditions of this policy remain unchanged. (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. #362821 Job #23-67021 RE: Grand Avenue Roadway Rehabilitation from McFadden Avenue to First Street 1 City of Santa Ana, its City Council, officers, officials, employees, agents, and volunteers. Endorsement Number: This endorsement is effective on the inception date of this policy unless otherwise stated herein. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Policy Number: DPCIO0585608 Named Insured: All American Asphalt Endorsement Effective Date: 08)01/2024 CG 20 01 04 13 c0 Insurance Services Office, Inc., 2012 Page 1 of 1 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 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 PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any person or organization where the waiver of our right to recover is permitted by law and is required by written contract or agreement, provided the contract or agreement is executed prior to any occurrence or offense Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer for injury or damage arising out of your ongoing Of Rights Of Recovery Against Others To Us operations or "your work done under a contract of Section IV — Conditions: with that person or organization and included in the "products -completed operations We waive any right of recovery we may have hazard". This waiver applies only to the person against the person or organization shown in the or organization shown in the Schedule above. Schedule above because of payments we make All other terms and conditions of this policy remain unchanged. Endorsement Number, This endorsement is effective on the inception date of this policy unless otherwise stated herein. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Policy Number:DPC100585608 Named Insured: All American Asphalt Endorsement Effective Date:08101I2024 #362821 Job #23-67021 RE: Grand Avenue Roadway Rehabilitation from McFadden Avenue to First Street / City of Santa Ana, its City Council, officers, officials, employees, agents, and volunteers. CG 24 04 05 09 O Insurance Services Office, Inc., 2008 Page 1 of 1 POLICY NUMBER: BAP557108812 COMMERCIAL AUTO CA 20 48 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage providcd in the Covorago Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured:All American Asphalt Endorsement Effective Date: 08/01/2024 SCHEDULE Name Of Person(s) Or Organization(s): ANY PERSON OR ORGANIZATION TO WHOM OR WHICH YOU ARE REQUIRED TO PROVIDE ADDITIONAL INSURED STATUS ON A PRIMARY, NON-CONTRIBUTORY BASIS, IN A WRITTEN CONTRACT OR WRITTEN AGREEMENT EXECUTED PRIOR TO LOSS, EXCEPT WHERE SUCH CONTRACT OR AGREEMENT IS PROHIBITED BY LAW. IInformation required to complete this Schedule if not shown above, will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.I. of Section II — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. #362821 Job #23-67021 RE: Grand Avenue Roadway Rehabilitation from McFadden Avenue to First Street! City of Santa Ana, its City Council, officers, officials, employees, agents, and volunteers. CA 20 48 10 13 O Insurance Services Office, Inc., 2011 Page 1 of 1 POLICY NUMBER: BAP557108312 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: All American Asphalt Endorsement Effective Date: 08/01/2024 SCHEDULE Name(s) Of Person(s) Or Organization(s): ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. #362821 Job #23-67021 RE: Grand Avenue Roadway Rehabilitation from McFadden Avenue to First Street 1 City of Santa Ana, its City Council, officers, officials, employees, agents, and volunteers. CA 04 4410 13 O Insurance Services Office, Inc., 2011 Page 1 of 1 WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT- CALIFORNIA 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.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 0 . 00 % of the California workers' compensation pre- mium otherwise due on such remuneration. Schedule Person or Organization Job Description ALL PERSONS AND/OR ALL CA OPERATIONS ORGANIZATIONS THAT ARE REQUIRED BY #362821 Job #23-67021 RE: Grand Avenue Roadway Rehabilitation from McFadden WRITTEN CONTRACT OR Avenue to First Street I AGREEMENT WITH THE INSURED, EXECUTED City of Santa Ana, its City Council, officers, officials, employees, agents, and PRIOR TO THE volunteers. ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON AND/OR ORGANIZATION Policy Number: WC593205711 Named Insured: All American Asphalt Endorsement Effective Date: 08/01/2024 WC 252 (4-84) WC 04 03 06 (Ed. 4-84) Page 1 of 1 To: From: Subject: Risk Management Analyst Human Resources Department Date: August 21, 2024 Sean Thomas, Principal Civil Engineer •---�_ Public Works Agency RISK MANAGEMENT CERTIFICATE OF INSURANCE REVIEW PROJECT NO.23-6702 GRAND AVENUE ROADWAY REHABILITATION FROM MCFADDEN AVENUE TO FIRST STREET The Public Works Agency's Constauction Services Team has reviewed the scope of the project and can confirm that the contractor does not have a need to employ a licensed professional. Due to this exclusion for this project, we confirmed that Professional Liability Insurance (errors and omissions) is not required. Please feel free to contact me at 714-647-5655 if you have any questions.