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HomeMy WebLinkAboutE.J. WARD INC.INSURANCE ON FILE WORK MAY PROCEED Oq 0i ';NCEEXPIRES CITY CLERK DATE .1UL 1 2025 A-2025-105 CONTRACTOR AGREEMENT WITH EJ WARD INC. TO PROVIDE FUELING STATION IMPROVEMENTS THIS AGREEMENT is made and entered into on this 1st day of July, 2025 by and between EJ Ward, Inc., a Nevada corporation ("Contractor"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California ("City") RECITALS A. Santa Ana Municipal Code (SAMC) Section 2-807(d) for Non -Bid Purchases allows contracts to be exempted from competitive bidding through an open market purchase when vendors have been awarded a similar type of purchase contract by another public agency after going through a competitive process. B. Sourcewell, a cooperative government purchasing agency, awarded a contract to E.J. Ward, Inc. for Aboveground Fuel and Fluid Storage with Related Hardware, Software and Services (Contract No. 081524-EJW). Contract was awarded as a result of open, competitive bidding, and meets the City's requirement. C. Contractor represents that it is able and willing to provide such services described in the Scope of Work and Cost Proposal, which is attached hereto as Exhibit A. D. In undertaking the performance of this Agreement, Contractor represents that it is knowledgeable in its field and that any services performed by Contractor under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional consulting firm in the field. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the parties agree as follows: 1. SCOPE OF SERVICES Contractor shall perform during the term of this Agreement, the tasks and obligations including all labor, materials, tools, equipment, and incidental customary work required to fully and adequately complete the services described and set forth in Exhibit A, attached hereto and incorporated herein. 2. COMPENSATION a City agrees to pay and Contractor agrees to accept as total payment for its services the rates and changes identified in Exhibit A, which is attached hereto and incorporated by reference. The total compensation for services provided under the Agreement, including any extension periods, shall not exceed $624,416. The sttm is comprised of (1) a base amount of $567,651 and (2) a contingency in the amount of $56,765 for the entirety of the term. Page 1 of 10 b. Payment by City shall be made within forty-five (45) days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. City and Contractor agree that all payments due and owing under this Agreement shall be made through Automated Clearing House (ACH) transfers. Contractor agrees to execute the City's standard ACH Vendor Payment Authorization and provide required documentation. Upon verification of the data provided, the City will be authorized to deposit payments directly into Contractor's account(s) with financial institutions. Payment need not be made for work which fails to meet the standards of performance set forth in the Recitals which may reasonably be expected by City. 3. TERM This Agreement shall commence on July 1, 2025 and end on June 30, 2026, unless terminated earlier in accordance with Section 16, below. 4. PREVAILING WAGES Contractor is aware of the requirements of California Labor Code Section 1720, et seq., and 1770, et seq., as well as California Code of Regulations, Title 8, Section 16000, et seq., ("Prevailing Wage Laws"), which require the payment of prevailing wage rates and the performance of other requirements on "public works" and "maintenance" projects. Ifthe services being performed are part of an applicable "public works" or "maintenance" project, as defined by the Prevailing Wage Laws, and the total compensation is $1,000 or more, Contractor agrees to fully comply with such Prevailing Wage Laws. Contractor shall defend, indemnify and hold the City, its elected officials, officers, employees and agents free and harmless from any claim or liability arising out of any failure or alleged failure to comply with the Prevailing Wage Laws. 5. INDEPENDENT CONTRACTOR Contractor shall, during the entire term of this Agreement, be construed to be an independent contractor and not an employee ofthe City. This Agreement is not intended nor shall it be construed to create an employer -employee relationship, a joint venture relationship, or to allow the City to exercise discretion or control over the professional manner in which Contractor performs the services which are the subject matter of this Agreement; however, the services to be provided by Contractor shall be provided in a manner consistent with all applicable standards and regulations governing such services. Contractor shall pay all salaries and wages, employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. 6. OWNERSHIP OF MATERIALS This Agreement creates a non-exclusive and perpetual license for City to copy, use, modify, reuse, or sublicense any and all copyrights, designs, and other intellectual property embodied in plans, specifications, studies, drawings, estimates, and other documents or works of authorship fixed in any tangible medium of expression, including but not limited to, physical drawings or data magnetically or otherwise recorded on computer diskettes, which are prepared or Page 2 of 10 caused to be prepared by Contractor under this Agreement ('Documents & Data"), unless disclosure of such records is protected by the attorney -client privilege, attorney work product doctrine, and/or the Uniform Trade Secret Act or California Uniform Trade Secret Act. Contractor shall require all subcontractors to agree in writing that City is granted a non-exclusive and perpetual license for any Documents & Data the subcontractor prepares under this Agreement. Contractor represents and warrants that Contractor has the legal right to license any and all Documents & Data. Contractor makes no such representation and warranty in regard to Documents & Data which were provided to Contractor by the City. City shall not be limited in any way in its use of the Documents and Data at any time, provided that any such use not within the purposes intended by this Agreement shall be at City's sole risk. 7. INSURANCE Contractor shall procure and maintain for the duration of the agreement, the following insurance coverages: MINIMUM SCOPE AND LIMIT OF INSURANCE Contractor shall maintain limits of insurance coverage in the following minimum amounts and shall be at least as broad as: • Commercial General Liability (CGL): Insurance Services Office Form CG 00 01 covering COL on an "occurrence" basis, including products and completed operations, property damage, bodily injury and personal & advertising injury with limits no less than $1,000,000 per occurrence and $2,000,000 aggregate. • Automobile Liability (AL): Insurance Services Office Form CA 00 01 covering Code 1 (any auto), with combined single limits of $1,000,000. In the event Contractor does not maintain commercial automobile liability insurance, City will accept evidence ofpersonal automobile insurance with existing limits, which can be lower than $1,000,000. • Workers' Compensation (W/C): as required by the State of California, with statutory limits, and Employer's Liability Insurance with limit of no less than $1,000,000 per accident, per employee, per policy for bodily injury or disease. If Contractor maintains broader coverage and/or higher limits than the minimums shown above, City requires and shall be entitled to the broader coverage and/or the higher limits maintained by Contractor. Any available insurance proceeds in excess of the specified minimum limits of insurance and coverage shall be available to City. Other Insurance Provisions The insurance policies are to contain, or be endorsed to contain, the following provisions: • CGL and AL policies: City of Santa Ana, its City Council, its officers, officials, employees, agents, and volunteers are to be covered as additional insureds with respect to liability arising out ofwork or operations performed by or on behalfofthe Contractor including materials, parts, equipment, and personnel furnished in connection with such work or operations. Page 3 of 10 • All required insurance policies: Insurance company(ies) agrees to waive all rights of subrogation against City, its City Council, its officers, officials, employees, agents, and volunteers for losses paid under the terms of any policy which arise from work performed by Contractor for City. • All required insurance policies: For any claims related to this contract, Contractor's insurance coverage shall be primary and any insurance maintained by City, its City Council, its officers, officials, employees, agents, or volunteers shall not contribute with it. • All required insurance policies: A severability of interest provision must apply for all the additional insureds, ensuring that Contractor's insurance shall apply separately to each insured against whom a claim is made or suit is brought, except with respect to the insurer's limits ofliability. • Each insurance policy required herein shall provide that coverage shall not be canceled, suspended, voided, reduced in coverage or in limits, non -renewed by the carrier, or materially changed except after thirty (30) days prior written notice has been given to City. Ten (10) days prior written notice shall be provided to City for policy cancellation or non -renewal due to non-payment. • Certificate Holder on each Evidence of Insurance certificate shall be: City of Santa Ana, Attention: Water Resources Division, 20 Civic Center Plaza, M-85, Santa Ana, CA 92701. The name and location of event should be included in the Description of Operations section of each certificate. Self -Insured Retentions Self -insured retentions must be declared to and approved by the City. City may require Contractor to purchase coverage with a lower retention or provide proof of ability to pay losses and related investigations, claim administration, and defense expenses within the retention. Acceptability of Insurers Insurance is to be placed with insurers authorized to conduct business in the state of California with a current A.M. Best rating of no less than A. VE, unless otherwise acceptable to City. Verification of Coverage Contractor shall furnish City with original Certificates of Insurance including all required amendatory endorsements (or copies ofthe applicable policy language effecting coverage required by this clause) and a copy of the Declarations and Endorsement Page of the CGL policy listing all policy endorsements before work begins. However, failure to obtain the required documents prior to the work beginning shall not waive Contractor's obligation to provide them. City reserves the right to require complete, certified copies of all required insurance policies, including endorsements required by these specifications, at any time. Claims Made Policies If any of the required policies provide coverage on a claims -made basis: 1. The retroactive date must be shown and must be before the date of the contract or the beginning o f work. 2. Insurance must be maintained and evidence of insurance must be provided for at least three (3) years after completion of work. Page 4 of 10 3. If coverage is canceled or non -renewed, and not replaced with another claims -made policy form with a retroactive date prior to the contract effective date, Contractor must purchase "extended reporting" coverage for a minimum of three (3) years after completion of work. Subcontractors Contractor shall require and verify that all sub -contractors maintain insurance meeting all the requirements stated herein, and Contractor shall ensure that City is an additional insured on insurance required from subcontractors. Special Risks or Circumstances City reserves the right to modify these requirements, including limits, based on the nature of the risk, prior experience, insurer, coverage, or other special circumstances. 8. INDEMNIFICATION Contractor agrees to defend, and shall indemnify and hold harmless the City, its officers, agents, employees, contractors, special counsel, and representatives from liability: (1) for personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims for personal injury, including death, and claims for property damage, which may arise from the sole negligent operations of the Contractor, its subcontractors, agents, employees, or other persons acting on its behalf which relates to the services described in section 1 of this Agreement. Contractor shall not indemnify, defend or hold harmless the City from and against any liability, cost or expense arising out of the negligence or willful misconduct of the City or the independent acts ofthird parties not affiliated with Contractor. The Contractor further agrees to indemnify, hold harmless, and pay all costs for the defense of the City, including reasonable fees regarding any action by a third party challenging the validity of this Agreement, or asserting that personal injury, damages, just compensation, restitution, judicial or equitable relief due to personal or property rights arises by reason of the terms of, or effects arising from this Agreement. City may make all reasonable decisions with respect to its representation in any legal proceeding. Notwithstanding the foregoing, to the extent Contractor's services are subject to Civil Code Section 2782.8, the above indemnity shall be limited, to the extent required by Civil Code Section 2782.8, to claims that arise out of, pertain to, or relate to the negligence, recklessness, or willful misconduct of the Contractor. 9. INTELLECTUAL PROPERTY INDEMNIFICATION Contractor shall defend and indemnify the City, its officers, agents, representatives, and employees against any and all liability, including costs, for infringement of any United States' letters patent, trademark, or copyright infringement, including costs, contained in the work product or documents provided by Contractor to the City pursuant to this Agreement. 10. RECORDS Contractor shall keep records and invoices in connection with the work to be performed under this Agreement. Contractor shall maintain complete and accurate records with respect to Page 5 of 10 the costs incurred under this Agreement and any services, expenditures, and disbursements charged to the City for a minimum period of three (3) years, or for any longer period required by law, from the date of final payment to Contractor under this Agreement. All such records and invoices shall be clearly identifiable. Contractor shall allow a representative of the City to examine, audit, and make transcripts or copies of such records and any other documents created pursuant to this Agreement during regular business hours. Contractor shall allow inspection of all work, data, documents, proceedings, and activities related to this Agreement for a period of three (3) years from the date of final payment to Contractor under this Agreement, unless disclosure of such records is protected by the attorney -client privilege, attorney work product doctrine, and/or the Uniform Trade Secret Act or California Uniform Trade Secret Act. 11. CONFIDENTIALITY If Contractor receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Contractor agrees that it shall not use or disclose such information except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of like importance, but in no event less than reasonable care. "Confidential Information" shall include all nonpublic information. Confidential information includes not only written information, but also information transferred orally, visually, electronically, or by other means. Confidential information disclosed to either party by any subsidiary and/or agent of the other party is covered by this Agreement. The foregoing obligations ofnon-use and nondisclosure shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is, through no fault ofthe Contractor disclosed in a publicly available source; (c) is in rightful possession of the Contractor without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or (e) is independently developed by the Contractor without reference to information disclosed by the City. 12. CONFLICT OF INTEREST CLAUSE Contractor covenants that it presently has no interests and shall not have interests, direct or indirect, which would conflict in any manner with performance of services specified under this Agreement. 13. NON-DISCRIMINATION Contractor shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, gender identity, gender expression, gender, medical conditions, genetic information, or military and veteran status, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, teaching, training, utilization, promotion, termination or other employment related activities or any services provided under this Agreement. Contractor affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 14. EXCLUSIVITY AND AMENDMENT Page 6 of 10 This Agreement represents the complete and exclusive statement between the City and Contractor, and supersedes any and all other agreements, oral or written, between the parties. In the event of conflict between the terms of this Agreement and any attachments hereto, the terms ofthis Agreement shall prevail. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Contractor. The parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not bind or obligate Contractor or the City. Each party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any party, which is not embodied herein. 15. ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Contractor, Contractor may not assign, transfer, delegate, or subcontract any interest herein without the prior written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the City's ability to have any of the services which are the subject to this Agreement performed by City personnel or by other contractors retained by City. 16. TERMINATION This Agreement may be terminated by the City upon thirty (30) days written notice of termination. In such event, Contractor shall be entitled to receive and the City shall pay Contractor compensation for all services performed by Contractor prior to receipt of such notice of termination, subject to the following conditions: a. As a condition of such payment, the Executive Director may require Contractor to deliver to the City all work product(s) completed as of such date, and in such case such work product shall be the property of the City unless prohibited by law, and Contractor consents to the City's use thereof for such purposes as the City deems appropriate. b. Payment need not be made for work which fails to meet the standard of performance specified in the Recitals of this Agreement. 17. WAIVER No waiver of breach, failure of any condition, or any right or remedy contained in or granted by the provisions of this Agreement shall be effective unless it is in writing and signed by the party waiving the breach, failure, right or remedy. No waiver of any breach, failure or right, or remedy shall be deemed a waiver of any other breach, failure, right or remedy, whether or not similar, nor shall any waiver constitute a continuing waiver unless the writing so specifies. 18. JURISDICTION - VENUE This Agreement has been executed and delivered in the State of California and the validity, Page 7 of 10 interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the State of California. Both parties further agree that Orange County, California, shall be the venue for any action or proceeding that may be brought or arise out of, in connection with or by reason of this Agreement. 19. PROFESSIONAL LICENSES Contractor shall, throughout the term of this Agreement, maintain all necessary licenses, permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State of California, the City of Santa Ana and all other governmental agencies. Contractor shall notify the City immediately and in writing of its inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. 20. NOTICE Any notice, tender, demand, delivery, or other communication pursuant to this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or mailed by first class or certified mail, postage prepaid, or sent by fax or other telegraphic communication in the manner provided in this Section, to the following persons: To City: City Clerk City of Santa Ana 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana, California 92702 Fax: 71.4- 647-6956 With courtesy copies to: Executive Director Parks, Recreation, and Community Services City of Santa Ana 20 Civic Center Plaza P.O. Box 1988 Santa Ana, California 92702 To Contractor: FJ Ward Inc. 12621 Silicon Drive, Suite 113 San Antonio, TX 78249 A party may change its address by giving notice in writing to the other party. Thereafter, any communication shall be addressed and transmitted to the new address. If sent by mail, Page 8 of 10 communication shall be effective or deemed to have been given three (3) days after it has been deposited in the United States mail, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent by fax, communication shall be effective or deemed to have been given twenty-four (24) hours after the time set forth on the transmission report issued by the transmitting facsimile machine, addressed as set forth above. For purposes of calculating these time frames, weekends, federal, state, County or City holidays shall be excluded. 21. CALIFORNIA AIR RESOURCES BOARD (CARE) COMPLIANCE Contractor shall comply, and shall ensure all subcontractors comply, with all applicable requirements ofthe most current version of the regulations imposed by California Air Resources Board ("CARB") including, without limitation, all applicable terms of Title 13, California Code of Regulations Division 3, Chapter 9 and all pending amendments ("Regulation"). Throughout the Project, and for three (3) years thereafter, Contractor shall make available for inspection and copying any and all documents or information associated with Contractor's and its subcontractors' fleets including, without limitation, the Certificates of Reported Compliance ("CRCs"), fuel/refueling records, maintenance records, emissions records, and any other information the Contractor is required to produce, keep or maintain pursuant to the Regulation upon two (2) calendar days' notice from the City. Contractor shall be solely liable for any and all costs associated with compliance with the Regulation as well as for any and all penalties, fines, damages, or costs associated with any and all violations, or failures to comply with the Regulation. Contractor shall defend, indemnify and hold harmless the City, its officials, officers, employees and authorized volunteers free and harmless from any claims, liabilities, costs, penalties or interest arising out of any failure or alleged failure to comply with the Regulation. 22. MISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature herein below has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. b. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. [signatures appear cnfollowingpagej Page 9 of 10 IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written.. APPROVED AS TO FORM SONIA R. CARVALHO City Attorney BY: Kyle T' lesen Assistant City Attorney RECOMMENDED FOR APPROVAL b I I Digitally signed by Nabil Saba Saba Date: 2025.06.16 10:37:35 -0700' Nabil Saba Executive Director Public Works Agency CITY OF SAN ANA Alvaro Nunez City Manager CONTRACTOR: E.J. Ward Inc. By: Title: Chief Operating Officer Page 10 of 10 EXHIBIT A EXHIBITA waiw9f. OVR PflO CESs SirnplyFuel Solutions an E.l Ward, Inc company City of Santa Ana• Sao swlth Fuel Hardware& Labor (mwwvl 6)•5-19-202S Sourcewell #0B1524-E1W Includes -Tank Level Monitoring and Compliance Reporting Module Tank Level Monitoring and Compliance Reporting Module - (Requires connection to an existing compatible TLS) Part# Description -Cloud Hosted Fuel View IDT Software Application City Price Month Extended LOT.saa5 Hooting Fuel View IOT- Includes Cellular Communication - 24x7x365 Call Center Support. 24 xlonths Live Data Included: (3) FCT4GT&(2) n s Cell Modem - Key* Entry, FOB, CANcelver and VG use enabled Software User and Administrator Training • Online (2hr Session) Year 1 785.00 $9,420.00 Part# Model/Description City Price Extended FC ,tOT•SH 5-hose Cellular IOT Terminal - Keypad Entry, FDO, CANceiver and TAG use enabled EXCLUDED: Any con standard cellular antenna configuration caused IV a local environmental condition outside Ei. Wad control. 1 $7,462.68 1,462,69 FCT-IOT• 10i 10,hose Cellular IOT Terminal -Keypad Entry, FOB, CANcetver and TAG use enabled EXCLUDEDI Any not standard cellular antenna configuration caused by a Loral environmental condition outside El. Mkrd control. 1 7,960.19 $7,960.19 C45MART•OBOX Sman D3OX with Firmware License 2 $2,781.93 - $5,563,86 TLS-GC-IOT Serial t Ether Intelligent Ada; w PwrSply 2 $80.a KIT-HOTSPOT Cellular Hotspet Kit* TLS or Other 2 $1,991.96 $3,983.91 KEY-ENCODE-5321 Encoder Key rob Mifam 2434 1 $684.02 W Charge KEY400-1434 Key Fab Mifare Unprogrammed 1434 b 11.98 No Charge Shipping and Handling 1 $1,250.DD $1,250,00 Subtotal 27,088-46 Part# Model/Description Qty Price Extended LABOR FV Software Implementation/ Account Activation- 24 Months Live Data Included 1 $1,999.20 Ab Charge MISC API or Flat File Exportto RTA 1 V199.20 No Charge WBORPM Project Management (per hour) 40 $160,00 $6,400.00 Part# Corporate Yard, 215 S Center St.Santa Ana CA• Model Description City Pr ce Extended LABOR and SCOPE: Generate CAD drawings and submit for permits with Orange County environmental health. Remove 1 $201,317,65" $201,317.65 HARDWARE existing system and Install (1) IOT unit an outside Island. Damo existing emu conduit from Inside island bo Quote 25.00SSs breaker panel and a Install rigid explosion proof conduit from breaker panel to IOT. Remove (9) dispenser and Prevailing Wage Is Install only (6) new dispensers (4-dual product dual hose unleaded &2-single product single hose diesel). Included. Existing ground mounted diesel filters will Le, removed as new diesel dispenser comes with Internal filter. Old dispensers removed Rom bland will he drained and left on site for customer to dispose of. The 2 existing unleaded and I existing diesel dispensers not being replaced will be removed from the fuel Island, pipe risers will In capped and UDC openings will be covered. New comm/coritrDl wiring will he pulled from each rew dispenser to the IOTs.. (1) Ward cellular wireless network unit will be Installed to connect Veeder Root to IOT. NOTE: Ward b provide cellular wireless tank monitor connection. Bird netting in place will be moved and secured during workand put back h place after work Is completed, Custumenau the preparedto be withoutfuelforat feast 5-7 days during this mull week project IOTs WILL MUSr COME WITH CURRENT LOOP COMMUNICATION FOR CONTROLLING WAYNE SELECT DIGITAL DISPENSERS DIRECT WrrH D-BOX. EXCLUSIONS: -if unforeseen conditions are encountered once Installation begins B Wad will notify the City and ask for clarification on how to proceed and will advise of any additional cast Part# Santa Ana PD• 50 Civic Center Plaza, Santa Ana CA- Model/pescrlption Qty Prim Extended LABOR and SCOPE: Remove existing system and install (1) LOTnd areaute existing conduit and dispenser to IOT as needed 114,256.25 14,256.25 HARDWARE and install (1) nevv conduit from dispenser 1 /2 to IOT surface mounted to the fuel Island. Existing power Cluate 24-0199sit 1 and wire will be reused. New control and pulsar vuring will be pulled from each dispenser to the IOT (2) Prevailing Wage Is Gas boy pulse outputboards will be supplied and Installed as needed. (1) Ward cellular wireless network unit included. will b. Installed to conect the EVOM EXCLUSIONS: -If unforeseen conditions are encountered once Installation begins B Ward will notify the City and ask for clarification an how to proceed and will advise of any additional cast 12621 Silicon Drive, Suite 113, San Antonio, TX 78249 Tel: 210- 824-7383 www.eiward.com EXHIUITA twarty- ELEVATE YOUR PROCE ' SimplyFuel Solutions s en EEj Ward, Inc. company Part& TL5 Replacement- ModeVDescription Qty price Extended LABOR and 1 $297,128.75 $297,11.12,7S HARDWARE Prevailing Wage Is Overview of the Project Scope: included, Remove existing TLS Replace it with a VR 45O Includes Removal, Install, Permitting_. Enclosure Cabinet Includes Sensor Cable Replacement Includes Relocating to Car Wash Building COMPLETE PROJECT SCOPE FOR TL5 PROJECT 19 N NOTES SECTION Parts! FutuFe CNG fuel control terminal - Modell Description Qty Price Extended FCT-IOT--SH 5-hose Cellular TOT Terminal -Keypad Entry, FOB, CANcalver and TAG use enabled 1 $7,462,68 $7,462.69 EXCLUDED: Any non standard cellular antenna Configuration caused by a local environmental condition outside EJ, Ward control, CL-SMART-DBOX Smart D-BOX with Firmware License 1 $2,781.93 $2,781,93 LABORPM Project Management (per hour) 8 $160,00 $1,280.00 Shipping and Handling 1 $525.00 $525,Oo Subtatol $531,142.25 Hardware, One (tl year Warranty I Year 1 Subtotal $567,O5D.72 Project Contingency 10% $56,765.D7 Total $624,413.79 Notes; 1, QuatevaliduntilH-19-2025 2. Annual agreement required on all Saas Implementations, longer fixed fee terms available upon request. 3. Includes Lifetime Software Version Updates while on a Saas Agreement 4, Includes 24006$ Cali Center Support and lifetime IOT FCT parts replacement while an the Seas platform (service labor at annual quoted rates) S A Maximum of 24 Falling months of live data will be available. at additional cast longer archive periods am available for all SaaS customers. fv Warranty DOES NOT indude Hardware or Software that is dedared "END OF LIEF' or previously declared unsupportable 7, Software use governed by the End User License Agreement (ELLA) CONTRACTOR SCOPE OF WORK: FOR WEEDER ROOT pROJECT) Generate drawings and submit for permits with Orange County environmental health, Remove Veeder Root console system and Install 0 )new Weeder Root TLS•450PIus with ethernet and RS-232 Port. All existing Probes, sensorsr overfill valve, line teak detectors, cabling and wire will be reused. (5) New DPLLD line leak detectors will need to be supplied and replaced as existing are not compatible, (1) New Overfill Alarm and Acknowledgment Switch will be supplied to replace existing unit. Overfill Alarm will be relocated to above red door R is currently mounted next to. New Console will be installed in the same place existing unit it located. Relocate Weeder Root Console to Room at Fuel Island. New power and control wire conduits will be ran from breaker and junction boxes at Fuel Area IN EMT. Existing sensors will be intercepted at an existing inground transltionr from which approximately 300' trench will be ran to the fuel Island hullding. Fuel Sere will Sawcut and dome approx. 300' lineal feet of concrete, excavate 18" deep, Install Y' pvc, dispose of debris, drill and set dowels In remaining slab 24" on center, Rackflll and pour and finish concrete, PVC will be ttansitioned to steel prior to rising out of trench with a seal offand extend be Weeder root as needed in EMT. Supply and pull new 2-wire shielded with drain cable from existing Inground transition to the new Weeder Root location. Trench will be coned and caution taped offto block traffic, Covering trench N not included, wood or steel plates to span trench for traffic Is not Included, customer Is welcome to supply and set steel plates in small area for traffic passage during work. Supply and pull new 2wdre shielded with drain cable from existing Veeder Root to (36) Weeder Root Sensors, Probes, PLLDs, etc Fuel Sam will terminate and land wire In existing Vander Root and Splice wire at oath sensor/probes existing junction box. Total cable amount not to exceed 13,090 feet. Alan R b assumed all existing conduit bath above and below ground is in good condition and will allow old cable removal and new cable Installation. I: Is also assumed all conduit and junctions meet the requirement for dedication to sensor and probe cables only, If any other cabling or wiring is found to he co -mingling it will have to he removed and rerouted at an additional cast. This Includes low voltage or communication cable/wire. This work Is limited to the (5) tanks (3-unl JAM 1-wa) and 9-fuel dispensers. Replacement ofjunctlon boxes due to frozen/missing/broken lids up to (1(l) units are included In this quote along with (90) seal offs. upon completion perform function test of all sensors, positive shutdown and overfill alarm. Schedule and perform ill final inspection/ monitor cart with Orange County Environmental Health. NOTE; Prevailing Wage it Included. I is assumed all existing sensors and probes are Weeder Root MFG and air cabling for sensors and probes are Belden 2-wire with shield and drain, if not Replacement Sedsars and Probes and Cabling are not included In this quote, TRENCH WILL CROSS THE YARD AND CREATE HINDRANCE ON YARD TRAFAC, Contractor will work Monday thru Friday lam to 4pm and will not be restricted in access unless a city recognized holiday Is encountered during project. EXCLUSIONS: If unforeseen conditions are encountered once Installation begins FJ Ward will notify the Cityand ask for Clarification an how to proceed and will advise ofany additional cast. Any requests by the city not specifically mentioned in the above scope ofwork will be an additional cost. Bonding ofany kind. 12621 Silicon Drive, Suite 113, San Antonio, TX 78249 TO 210- 824-7383 www.emward.com Client#: 150916 EJWAR ACORD,,, CERTIFICATE OF LIABILITY INSURANCE DATE(MMfDD1YYYY) 03/06/2025 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 pollcy(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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Danelle Touchstone USI Insurance Services LLC -CL PHONE 210 524 2094 FAX 610 524-1904 AIC, No, Exk : _ A7C, No SuitNorth Loop 1604 West E-MAIL danelle.touchstone@usi.com Suite 410 San Antonio, TX 78249 INSURERS) AFFORDING COVERAGE NAIC q INSURER A: Atlantic Specialty Insurance Company 27154 INSURED E.J. Ward, Inc. INSURER B : 12621 Silicon dr., Ste 113 INSURER C San Antonio, TX 78249 INSURER D : INSURER E : INSURER F CUVERAGE5 CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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. IN RR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MMfDD1YYYY POLICY EXP 00IDDIYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR 7110163580006 09/01/2024 09101/2025 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTE❑ PREMISES Ea occurrence _ $5OO OOO MED EXP (Anyone person) $15,000 PERSONAL & ADV INJURY S 1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY � JEC LOC GENERAL AGGREGATE $2,000,000 GEN'L I PRODUCTS - CCMPIOPAGG $2,000,000 $ OTHER: A AUTOMOBILE LIABILITY 7110163580006 09101/2024 09/01/202 EOa MIED aacid.ntSINGLE LIMIT $1,000,000 X ANY AUTO BODILY INJURY (Par person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Par accident ( } $ X HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY PROPERTY DAMAGE Par accidant $ A X UMBRELLA LIAB X OCCUR 7110163580006 09/0112024 0910112025 EACH OCCURRENCE $10 000OOO AGGREGATE S10 000 000 EXCESS LIAR CLAIMS -MADE ❑ED I X RETENTIONS10000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? NIA 4060454430006 09101/2024 09101/202 X PER OTH- S ATU ER E.L. EACH ACCIDENT - $1,OOD OOO i E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below ! EL DISEASE - POLICY LIMIT $1,000,000 A Professional Liab 7600104500006 09/01/2024 0910112025 10,000,000 ea claimlagg Cyber Liability 7600104500006 09/01/2024 0910112025 10,000,000 ea claimlagg Retention $50,000 DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Project Name and Location: Upgrade Fueling Stations Proj #25-6038 - City Corporate Yard nbY The General Liability and Auto Liability policy includes a Blanket Additional Insured endorsement that Tu Tran DuTaln Nguy provides Additional Insured and a Waiver of Subrogation status to, City of Santa Ana, its City Council, Date 2025.0701 officers, officials, employees, agents and volunteers, only when there is a written contract or written Nguyen ,0264-07'00' agreement between the named insured and the certificate holder that requires such status. The General (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION APPROVED SyTu Tran Nguyen at 10:23 am, Jul Oi, 2025 City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Public Works Agency - ACCORDANCE WITH THE POLICY PROVISIONS. Water Resources 215 S. Center St. M-85 AUTHORIZED REPRESENTATIVE Santa Ana, CA 92703 I O 1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) 1 of 2 The ACORD name and logo are registered marks of ACORD #S48436548IM46412308 DDTHZ DESCRIPTIONS (Continued from Page 1) 1 Liability policy contains "Primary and Noncontributory" endorsement that applies when required by written contract between the named insured and the certificate holder. The Workers Compensation policy provides a Waiver of Subrogation when required by written contract between the named insured and City of Santa Ana, its City Council, officers, officials, employees, agents and volunteers. 7AUI I I A Zb.3 IZU9 WU41 Z oT Z #5484365481M46412308 POLICY NUMBER: 711-01-63-58-0006 COMMERCIAL GENERAL LIABILITY CG20101219 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) BLANKET PER SCHEDULE ON FILE WITH NAMED INSURED Location(s) Of Covered Operations Location Building 1 1 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section 111 — 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: 1. 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 CG 20 10 1219 © Insurance Services Office, Inc., 2018 Page 1 of 2 E-INSURED 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 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 which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in 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: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. Page 2 of 2 O Insurance Services Office, Inc., 2018 CG 20 10 12 POLICY NUMBER: 711-01-63-58-0006 COMMERCIAL GENERAL LIABILITY CG20371219 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 PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organization(s) BLANKET PER SCHEDULE ON FILE WITH NAMED INSURED Location And Description Of Completed Operations Location Building 1 1 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. CG 20 37 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 2 E-INSUREO A. Section 11 — 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: 1. 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; whichever is less. This endorsement shall not increase the applicable limits of insurance. Page 2 of 2 0 Insurance Services Office, Inc., 2018 CG 20 37 12 19 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not en- force our right against the person or organization named in the Schedule, (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit any one not named in the Schedule. Schedule NY ALL PERSONS OR ORGANIZATIONS ON FILE WITH THE INSURED PA ALL PERSONS OR ORGANIZATIONS ON FILE WITH THE INSURED CT ALL PERSONS OR ORGANIZATIONS ON FILE WITH THE INSURED FL ALL PERSONS OR ORGANIZATIONS ON FILE WITH THE INSURED This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise slated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 09/01/2024 Policy No. 406-04-54-43-0006 Endorsement No. Insured E . J . WARD, INC. Premium $ Insurance company Atlantic Specialty Insurance Company Countersigned By WC 00 03 13 04 84 ©1983 National Council on Compensation Insurance. Page 1 of 1 E-INSURED WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT — CALIFORNIA This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attached clause" need be completed only when this endorsement is issued subsequent to preparation of the policy.) This endorsement, effective on September 01, 2024 (DATE) Policy No. 406-04-54-43-0006 of the Atlantic Specialty insurance Company (NAME OF INSURANCE COMPANY) issued to E . J . WP tRD, INC. Premium (if any) $ at 12:01 A.M. standard time, forms a part of Endorsement No. Authorized Representative 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 2.00 % of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description ALL PERSONS OR ORGANIZATIONS ON FILE WITH THE INSURED WC 252 (D4 84) Copyright 1984, Intact Insurance Group USA LLC E-INSURED WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY TEXAS WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement applies only to the insurance provided by the policy because Texas is shown in Item 3.A. of the Information Page. 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, but this waiver applies only with respect to bodily injury arising out of the operations described in the Schedule where you are required by a written contract to obtain this waiver from us. This endorsement shall not operate directly or indirectly to benefit anyone not named in the Schedule. The premium for this endorsement is shown in the Schedule. Schedule 1. O Specific Waiver Name of person or organization (X) Blanket Waiver Any person or organization for whom the Named Insured has agreed by written contract to furnish this Waiver. ALL PERSONS OR ORGANIZATIONS ON FILE WITH THE INSURED 2. Operations: 3. Premium The premium charge for this endorsement shall be 2.0 percent of the premium developed on payroll in connection with work performed for the above person(s) or organization(s) arising out of the operations described. 4. Advance Premium This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The Information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 09/01/2024 Policy No, 406-04-54-43-0006 Endorsement No. insured E.J. WARD. INC. Premium $ Insurance Company Atlantic Specialty Insurance Company Countersigned By WC 42 03 04B 06 14 E-INSURED Page 1 of 1 Policy Number: 711-01-63-58.0006 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BROAD FORM AUTOMOBILE ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM This endorsement extends certain coverages. The following listing and the headers in this endorsement are only for convenience. Provisions in this endorsement might be modified by other endorsements. Read the entire policy carefully to determine rights, duties and what is and is not covered. A. Drive Other Car Coverage -- Executive Officers and Certain Individuals B. Section II — Covered Autos Liability Coverage 1. Additional Insured —Written Contract, Agreement, Permit or Authorization 2. Broadened Named Insured 3. Employees as Insureds (Including Employee Hired Autos and Fellow Employee Coverage) 4. Newly Acquired or Formed Organizations 5. Supplementary Payments — Bail Bonds and Loss of Earnings C. Section III — Physical Damage Coverage 1. Hired Auto Physical Damage Coverage 2. Towing -- Any Covered Autos 3. Transportation Expenses Increased 4. Loss of Use Expenses Increased S. Other Coverage Extensions a. Airbag Discharge b. Auto Theft Reward c. Loan/Lease Gap Coverage d. Rental Reimbursement B. Diminution in Value 7. Communications Equipment 8. Deductible Waived For Glass Repair D. Section IV— Business Auto Conditions 1. Duties in Event of Accident, Claim, Suit or Loss 2. Waiver of Transfer or Rights of Recovery Against Others to Us (Waiver of Subrogation) Automatic When Required by Written Contract or Agreement E. Section V — Definitions 1. Bodily Injury — Includes Mental Anguish 2. Executive Officer A. Drive Other Car Coverage — Executive Officers and Certain Individuals 1. The following is added to Section I -- Covered Autos: Drive Other Car Coverage a. For Covered Autos Liability Coverage and Physical Damage Coverage, "autos" in the care, custody or control of an "insured" described in Paragraph 2. below, which you do not own, hire, lease or borrow, are covered "autos". But this does not include any "auto": (1) Owned by any "insured" described in Paragraph 2. below, or any member of their household, including any "auto" that is owned but not insured; (2) Used by an "insured" described in Paragraph 2. below while working in the business of selling, servicing, repairing or parking autos; or (3) Insured or covered under another policy. b. If Medical Payments, Uninsured/Underinsured Motorist, Personal Injury Protection or other compulsory coverages required by the governing jurisdiction are provided by this policy, then an "insured" described in Paragraph 2. below, and their family members residing in the same household, are "insureds" while: (1) Occupying as a passenger; or (2) A pedestrian when struck by; any "auto" you do not own, hire, lease or borrow, except an "auto" owned by an "insured" described in Paragraph 2. below or members of their household, or an "auto" insured or covered under any other policy. VCA 20102 23 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 5 E-INSURED 2. With respect to Drive Other Car Coverage only, Paragraph A.1. Who is an Insured of Section II — Liability Coverage is amended to include as an "insured" the following: If you are designated in the Declarations as: a. An individual, you and your spouse. b. A partnership, your partners and their spouses. c. An organization other than an individual or a partnership, your "executive officers" and their spouses. 3. Limit of Insurance and Deductible The most we will pay for Drive Other Car Coverage is the single highest Limit of Insurance for the applicable coverage for an "auto" you own. The Deductible for Drive Other Car Coverage is the largest Deductible for the applicable coverage for an "auto" you own. 4. Other Insurance Regardless of the existence of other insurance or Paragraph B.S. Other Insurance of Section IV — Business Auto Conditions, Drive Other Car Coverage is primary. B. Section II —Covered Autos Liability Coverage 1. Additional Insured —Written Contract, Agreement, Permit or Authorization Paragraph A.I. Who is an Insured of Section II — Covered Autos Liability Coverage is amended to include as an additional "insured" any person or organization with whom you have agreed in a written contract, agreement, permit or authorization to provide insurance such as is afforded under this Coverage Form but only with respect to liability for "bodily injury" or "property damage" caused in whole or in part by your maintenance, operation or use of a covered "auto". But this insurance does not apply: a. Unless the written contract or agreement has been executed or the permit or authorization has been issued prior to the "accident" that caused the "bodily injury" or "property damage"; b. To any person or organization included as an "Insured" under any other provisions of this policy, including this or any other endorsement; c. To the independent acts or omissions of such person or organization; or d. To any lessor of "autos" when their contract or agreement with you for such ]eased "auto" ends or the lessor or its agent takes possession of the "auto". 2. Broadened Named Insured Paragraph A.1. Who is an Insured of Section II — Covered Autos Liability Coverage is amonded to include as a Named Insured any legally incorporated entity in which you maintain ownership of more than 54 percent of the voting stock on or after the effective date of this endorsement, but only if there is no other similar insurance available to that organization. This insurance does not apply to any organization that is an insured under another policy or would be an insured under such policy but for its termination or the exhaustion of its limits of insurance. 3. Employees as Insureds (Including Employee Hired Autos and Fellow Employee Coverage) a. Paragraph A.1. Who is an Insured of Section II — Covered Autos Liability Coverage is amended to include as an "insured" your "employee" while: (1) Using a covered "auto" you do not own, hire or borrow In your business or your personal affairs. (2) Operating an "auto" hired or rented under a contract or agreement in that "employee's" name, with your permission, while performing duties related to the conduct of your business. b. Exclusion B.S. Fellow Employee of Section II — Covered Autos Liability is deleted. c. The following is added to B.S.b of Section IV— Business Auto Conditions: Any covered "auto" hired or rented without a driver by your "employee" under a contract or agreement in that "employee's" name, with your permission, while performing duties related to the conduct of your business is also deemed to be a covered "auto" you own. 4. Newly Acquired or Formed Organizations Paragraph A.1. Who is an Insured of Section II — Covered Autos Liability Coverage is amended to include as an "insured" any organization you newly acquire or form, other than a partnership or joint VCA 20102 23 Includes copyrighted material of Insurance Services Office, Inc., wish its permission. Page 2 of 5 venture, and over which you maintain ownership or majority interest, if there is no other similar insurance available to that organization. But: (1) Coverage under this provision is afforded only until the end of the policy period; and (2) Coverage does not apply to "bodily injury" or "property damage" caused by an "accident" that occurred before you acquired or formed the organization. S. Supplementary Payments — Bail Bonds and Loss of Earnings In Paragraph A.2.a. Supplementary Payments of Section Il -- Covered Autos Liability, the following replaces Paragraphs (2) and (4): (2) Up to $3,500 for cost of bail bonds (including bonds for related traffic law violations) required because of an "accident" we cover. We do not have to furnish these bonds. (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day because of time off from work. C. Section III — Physical Damage Coverage 1. Hired Auto Physical Damage Coverage a, If hired "autos" are covered "autos" under Section II — Covered Autos Liability Coverage and this policy provides Comprehensive, Specified Causes of Loss or Collision Coverage, any "auto" you lease, hire, rent or borrow will be deemed a covered "auto' for Physical Damage Coverage, subject to the provisions in Paragraph b. below. However, we will only provide such Physical Damage Coverage to borrowed "autos" when: (1) You have agreed to provide physical damage coverage to such "autos" by written contract or agreement; and (2) Such contract or agreement was entered into prior to "loss" to such "auto'. b. For Hired Physical Damage Coverage provided by paragraph a. above: (1) The most we will pay for "loss" to any hired "auto' is the lessor of: (a) $75,000 for "autos" of the private passenger type and $50,000 for all other "autos"; (b) The actual cash value of the damaged or stolen property as of the time of the "loss"; or (c) The cost of repairing or replacing the damaged or stolen property with other property of like kind and quality. (2) The Deductible is the largest Deductible for the applicable coverage for an "auto' you own. (3) This insurance is excess over any other valid and collectible insurance, whether such insurance is primary, excess, contingent or on any other basis. 2. Towing -- Any Covered Autos The following replaces Paragraph A.2. Towing of Section III -- Physical Damage Coverage: Provided that a premium charge for Towing and Labor is shown in the Declarations, we will pay up to the Limit shown in the Declarations, plus an additional $50, for towing and labor costs incurred each time a covered "auto' is disabled. However, the labor must be performed at the place of disablement. 3. Transportation Expenses Increased In Paragraph AA.a. Transportation Expenses of Section III — Physical Damage Coverage, the amounts we will pay for temporary transportation expenses incurred by you because of the total theft of a covered "auto' of the private passenger type are increased to $75 per day, to a maximum of $2,250. 4. Loss of Use Expenses Increased The following replaces the last paragraph in Paragraph AA.b. Loss Of Use Expenses of Section III — Physical Damage Coverage: However, the most we will pay for any expenses for loss of use is $1,000. 5. Other Coverage Extensions If you have Physical Damage Coverage, the following are added to Paragraph A.4. Coverage Extensions of Section III — Physical Damage Coverage: VCA 20102 23 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 3 of 5 a, Airbag Discharge We will pay to reset or replace a covered "auto's" airbag that accidentally discharges without the "auto" being involved in an "accident" if the airbag is not covered under a manufacturer's warranty and you did not intentionally cause the discharge. No Deductible applies to this Coverage Extension. b. Auto Theft Reward If you have Comprehensive or Specified Cause of Loss Coverage, we will pay a reward up to $2,000 for information leading to the arrest and conviction of anyone stealing a covered "auto". But we will not pay a reward to you, any family members or "employees" or any public officials while performing their duties. c. Loan/Lease Gap Coverage If a covered "auto" is subject to a loan or long-term lease that requires, in writing, that the lender or lessor be a loss payee, and you are legally obligated for the remaining balance on the loan or lease, we will pay the difference between the actual cash value of the "auto" at the time of "loss" and the remaining balance on your loan or lease. But we will not pay for: (1) Any amount paid under the policy's Physical Damage Coverage; or (2) Any amounts for abnormal or excess wear and tear, additional or high mileage charges, carry- over balances from previous loans or leases, extended warranties or insurance purchased with the loan or lease, lease termination fees, taxes, overdue payments, unreturned security deposits or any penalties, interest or charges resulting from overdue payments. For purposes of this provision, a long-term lease is a lease for a period of six months or longer. d. Rental Reimbursement We will pay for expenses to rent an "auto" of the private passenger type because of "loss" to a covered "auto" of the private passenger type. But- (1) We will only pay expenses incurred during the policy period at the time of the "loss" and ending, regardless of the policy period, six days after the "loss". (2) The most we will pay is the lesser of: (a) Reasonable and necessary expenses actually incurred; or (b) $50 per day. (3) This coverage does not apply if a spare or reserve "auto" is available to you. (4) If "loss" is because of the total theft of a covered "auto", we will pay only those amounts that are not already covered under Transportation Expenses. No Deductible applies to this Coverage Extension. 6. Diminution in Value The following is added to Exclusion 13.6. of Section III — Physical Damage Coverage: This exclusion does not apply to "diminution in value" of a covered "auto" of the private passenger type used in the conduct of the "insured's" business that is leased, rented, hired or borrowed without a driver for a period of 30 days or less. But the most we will pay for such "diminution in value" is the lesser of: a. 20 percent of the actual cash value of the "auto" as of the time of the "loss"; or b. $7,500. 7. Communications Equipment The following is added to Paragraph B. Exclusions of Section Ili — Physical Damage Coverage: Exclusions 4.c. and 4.d. do not apply to communications equipment, including its antenna and other accessories, that is permanently installed in, and not removable from, a covered "auto" and designed for use as a: a. Citizen's band radio; b. Two-way mobile radio or telephone; c. Scanning monitor receiver; or d. GPS navigation system. VCA 20102 23 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 4 of 5 No Deductible applies to "loss" to such communications equipment. But the most we will pay for all such communications equipment is $5,000 for any one "loss". 8. Deductible Waived For Glass Repair The following is added to Paragraph D. Deductible of Section III — Physical Damage Coverage: No Deductible applies if glass that is damaged is repaired rather than replaced. D. Section IV — Business Auto Conditions 1. Duties in the Event of Accident, Claim, Suit or Loss The following is added to Paragraph A.2. Duties in the Event of Accident, Claim, Suit or Loss of Section IV — Business Auto Conditions: The requirements that you must notify us of an "accident", claim, "suit" or "loss", or send us documents concerning a claim or "suit", apply only if the "accident", claim, "suit" or "loss" is known to: (1) You, if you are an individual; (2) A partner, if you are a partnership; (3) An "executive officer" or insurance or risk manager, if you are a corporation; or (4) A manager, if you are a limited liability company. The requirement that you must notify us as soon as practicable of an "accident", claim, "suit" or "loss" does not apply if you report the "accident", claim, "suit" or "loss" to your workers' compensation insurer and the "accident", claim, "suit" or "loss" later develops into a liability claim for which coverage is provided by this policy. But as soon as you become aware that an "accident", claim, "suit" or "loss" is a liability claim rather than a workers' compensation claim, you must comply with all parts of Paragraph A.2. Duties in the Event of Accident, Claim, Suit or Loss of Section IV — Business Auto Conditions. 2. Waiver of Transfer or Rights of Recovery Against Others to Us (Waiver of Subrogation) Automatic When Required by Written Contract or Agreement The following is added to Paragraph A.5. Transfer of Rights of Recovery Against Others to Us of Section IV — Business Auto Conditions: This condition does not apply to any person(s) or organization(s) for whom you are required to waive subrogation with respect to the coverage provided under this Coverage Form, but only to the extent that subrogation is waived: a. Under a written contact or agreement with such person(s) or organization(s); and b. Prior to the "accident" or the "loss." E. Section V— Definitions 1. Bodily Injury -- Includes Mental Anguish The following is added to Paragraph C. of Section V — Definitions: "Bodily injury" includes mental anguish resulting from bodily injury, sickness, or disease sustained by a person at any time. 2. Executive Officer The following is added to Section V — Definitions: "Executive officer" means a person holding any of the officer positions created by your charter, constitution, bylaws or any other similar governing document. VCA 20102 23 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 5 of 5 POLICY NUMBER: 711-01-63-58-0006 COMMERCIAL GENERAL LIABILITY CG 24 04 12 19 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: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS SCHEDULE Name Of Person(s) Or Organization(s): BLANKET PER SCHEDULE ON FILE WITH NAMED INSURED Information required to complete this Schedule, if not shown above, will be shown in the Declarations. ! The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. CG 24 04 12 19 O Insurance Services Office, Inc., 2018 Page 1 of 1 E-INSURED / A� " CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 12/09/2025 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 Pamela Sancho NAME: Insurance One Agency, L.C. (210) 402-0288 q c, (210) 402-4032 ACNE. Ext : No): 601 Embassy Oaks E-MAIL psancho@insuranceoneagency.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Suite 101 San Antonio TX 78216-2019 INSDRERA : Atlantic Specialty Insurance 27154 INSURED INSURER B : Argonaut Insurance Co 19801 E.J. Ward, Inc. INSURER C : 12621 Silicon Dr INSURER D : INSURER E : San Antonio TX 78249 INSURER F : COVERAGES CERTIFICATE NUMBER: CL2510221993 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 PRRETED SES Ea occurrrence $ 500,000 X MED EXP (Any one person) $ 10,000 Pollution Liability PERSONAL &ADV INJURY $ 1,000,000 A 7110163580007 09/01/2025 09/01/2026 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY ❑ PRO ❑ LOC JECT PRODUCTS-COMP/OPAGG $ 2,000,000 Employee Benefits $ 1,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ ANYAUTO A OWNED SCHEDULED AUTOS ONLY AUTOS 7110163580007 09/01/2025 09/01/2026 BODI LY I NJ U RY (Pe r accide nt) $ X PROPERTY DAMAGE Per accident $ HIRED �/ NON -OWNED AUTOS ONLY /� AUTOS ONLY X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 A EXCESS LAB CLAIMS -MADE 7110163580007 09/01/2025 09/01/2026 DED I X1 RETENTION $ 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABI LI TY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N/A WC929268845524 09/01/2025 09/01/2026 X1 STER ATUTE 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 $ Each Claim Limit $10,000,000 A Errors &Omissions, Information Risk Communication Liabilitty 7600104500007 09/01/2025 09/01/2026 Aggregate Limit $10,000,000 Retention $50,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The General Liability & Auto liability policies has a provision providing a blanket additional insured, a waiver of subrogation, primary and noncontributory status to any entity who requests such treatment in a written contract or agreement. The Workers Compensation policy includes a blanket waiver of subrogation which is applied only when the certificate holder has a written contract to obtain such waiver from the insured. Digitally signed Tu Tran by Tu Tran Nguyen Nguyen084700-0800 APPROVED r IFRTIFIr ATIF Nr1I IIFR rAKIrIFI I ATIr1N IBy Tu Tran Nguyen at 8:46 am, Dec 10, 2025 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana - Human Resources Department ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ADDITIONAL COVERAGES Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Business Auto Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium rOFADTLCV Copyright 2001, AMS Services, Inc. Argonaut Insurance Company 711 Broadway, San Antonio, TX 78215 P.O. Box 469011, San Antonio, TX 78246 WC000001A NCCI CARRIER CODE NO. 14095 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE 1. The Insured: E . J. WARD INC Mailing address:12621 SILICON DR STE 113 San Antonio, TX 78249-3447 Other workplaces not shown above: See Schedule Policy No. WC 929268845524 Renewal of: NEW Individual Partnership X Corporation or Federal Employers I.D.# See Schedule Inter/Intrastate Risk I.D. # 917146896 Other I.D. # 2. The policy period is from 0 9/0 1 / 2 025 12:01 a.m. to 0 9 / 01 / 2 02 6 12:01 a.m. standard time at the Insured's mailing address. 3. A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: CA, CO, CT, FL, MD, NJ, NY, PA, TN, VA, WI B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident $ 1,000,000 each accident Bodily Injury by Disease $ 1,000,000 policy limit Bodily Injury by Disease $ 1,000,000 each employee C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: All states except states designated in Item 3.A. of the Information Page and IL,ND,OH,TX,WA,WY D. This policy includes these endorsements and schedules: See Schedule 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Premium Basis Rate Per Code Total Estimated $100 of Estimated Classification No. Annual Remuneration Remuneration Annual Premium See Item 4. Extension WC 00 00 01A Total Estimated Annual Premium and Surcharges $ Deposit Premium $ 10,749 Minimum Premium $ 826 (CA) 5191 Premium Adjustment Period: Annual Countersigned by: Servicing Office: 9208 — Chicago, IL (800) 422-9120 Producer: TRIDENT INSURANCE SERVICES, LLC 711 Broadway San Antonio, TX 78215 Producer Code: 920A-DO8 Expense Constant $ 11,258 295 Date: 09/11/2025 Copyright 1987 National Council on Compensation Insurance. COMMERCIAL GENERAL LIABILITY CG 20 01 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance 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: (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. CG 20 01 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 E-INSURED POLICY NUMBER: 711-01-63-58-0007 COMMERCIAL GENERAL LIABILITY CG20101219 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) BLANKET PER SCHEDULE ON FILE WITH NAMED INSURED Location(s) Of Covered Operations Location Building 1 1 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: 1. 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 CG 20 10 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 2 E-INSURED 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 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 which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in 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: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. Page 2 of 2 © Insurance Services Office, Inc., 2018 CG 20 10 12 POLICY NUMBER: 711-01-63-58-0007 COMMERCIAL GENERAL LIABILITY CG20371219 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 Persons Or Organization(s) BLANKET PER SCHEDULE ON FILE WITH NAMED INSURED Location And Description Of Completed Operations Location Building 1 1 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. CG 20 37 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 2 E-INSURED 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: 1. 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; whichever is less. This endorsement shall not increase the applicable limits of insurance. Page 2 of 2 © Insurance Services Office, Inc., 2018 CG 20 37 12 19 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 per- form 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 . 02 0 % of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization BLANKET— CA Job Description Where Required By Written Contract This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Date: 0 9/ 01 / 2 0 2 5 Policy No. WC 929268845524 Endorsement No. Policy Effective Date: 0 9/ 01 / 2 0 2 5 to 0 9/ 01 / 2 0 2 6 Premium $ Insured: E.J. WARD INC DBA: Carrier Name / Code: Argonaut Insurance Company Countersigned by WC 04 03 06 (Ed. 4-84) Page 1 of 1 POLICY NUMBER: BA-00646504-25-42-G EFFECTIVE DATE: 11/01/2025 ISSUE DATE: 10/30/2025 LISTING OF FORMS, ENDORSEMENTS AND SCHEDULE NUMBERS THIS LISTING SHOWS THE NUMBER OF FORMS, SCHEDULES AND ENDORSEMENTS BY LINE OF BUSINESS IL TO 02 11 89 COMMON POLICY DECLARATIONS IL T8 01 01 01 FORMS ENDORSEMENTS AND SCHEDULE NUMBERS IL TO O1 01 07 COMMON POLICY CONDITIONS COMMERCIAL AUTO CA TO 76 02 15 BA/AD/MC COV PART SUPP SCH ( ITEM 2) CA TO O1 02 15 BA- COVERAGE PART DECS (ITEMS 1 & 2) CA TO 02 02 15 BUSINESS AUTO COVERAGE PART DECLARATIONS (ITEM 3) CA TO 03 02 15 BUS AUTO COV PART DECLARATIONS-4&5 CA TO 30 02 16 BUSINESS AUTO/MC COV PART -UM SUPPL SCHD CA TO 31 02 15 TABLE OF CONTENTS -BUSINESS AUTO COV FORM CA 00 01 10 13 BUSINESS AUTO COVERAGE FORM CA O1 07 10 13 CONNECTICUT CHANGES CA O1 43 05 17 CALIFORNIA CHANGES CA O1 96 10 13 TEXAS CHANGES CA 02 67 01 21 FLORIDA CHANGES - CANCELLATION AND NONRENEWAL CA 03 05 10 13 CALIFORNIA CHANGES - WAIVER OF COLLISION DEDUCTIBLE CA 04 24 10 13 California Auto Medical Payments Coverage CA 21 09 10 13 TEXAS UNINSURED/UNDERINSURED MOTORISTS COVERAGE CA 21 54 11 16 CA UM MOTORISTS COVERAGE - BODILY INJURY CA 21 57 03 16 CONNECTICUT UNINSURED AND UNDERINSURED MOTORISTS COVERAGE CA 22 10 08 25 FLORIDA PERSONAL INJURY PROTECTION CA 22 32 11 18 NEW YORK MANDATORY PERSONAL INJURY PROTECTION ENDORSEMENT CA 22 46 11 16 VA MED EXP & INCOME LOSS BENEFITS END CA 22 64 10 13 TEXAS PERSONAL INJURY PROTECTION ENDORSEMENT CA 31 07 11 18 NEW YORK SUPPLEMENTARY UNINSURED/UNDERINSURED MOTORISTS ENDORSEMENT CA 99 03 10 13 AUTO MEDICAL PAYMENTS COVERAGE CA 99 23 10 13 RENTAL REIMBURSEMENT COVERAGE CA 99 95 10 13 TEXAS SUPPLEMENTARY DEATH BENEFIT CA T4 20 02 15 AUTO COVERAGE PLUS ENDORSEMENT CA T4 52 02 16 SHORT TERM HIRED AUTO - ADDITIONAL INSURED AND LOSS PAYEE CA T4 59 02 15 AMENDMENT OF EMPLOYEE DEFINITION CA T4 74 02 16 BLANKET ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY WITH OTHER INSURANCE CA T4 99 02 16 BLNKT ADDL INSD-PNC W/OTHR INS-CNTRCTR CA T6 25 07 18 ROADSIDE ASSISTANCE COVERAGE CA T6 44 07 24 LONG TERM LEASED AUTOS COVERED AS OWNED AUTOS CA FO 51 02 15 TEXAS CHANGES - CANCELLATION AND NONRENEWAL IL T8 01 01 01 PAGE: 1 OF 2 POLICY NUMBER: BA-00646504-25-42-G EFFECTIVE DATE: 11/01/2025 ISSUE DATE: 10/30/2025 COMMERCIAL AUTO (CONTINUED) CA O1 16 01 25 VIRGINIA CHANGES - BUSINESS AUTO COVERAGE FORM CA O1 28 08 25 FLORIDA CHANGES CA 02 25 06 20 NEW YORK CHANGES - CANCELLATION CA 21 21 07 23 UNINSURED MOTORISTS ENDORSEMENT - VIRGINIA CA 21 72 08 25 FLORIDA UNINSURED MOTORISTS COVERAGE - NONSTACKED CA F2 93 10 22 NEW YORK CHANGES IN BUSINESS AUTO AND MOTOR CARRIER COVERAGE FORMS INTERLINE ENDORSEMENTS IL T4 27 06 19 ADDITIONAL BENEFITS IL T4 12 03 15 AMNDT COMMON POLICY COND-PROHIBITED COVG IL 00 21 09 08 NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT (BROAD FORM) IL O1 83 08 08 NEW YORK CHANGES - FRAUD POLICY HOLDER NOTICES PN T2 27 06 19 LOSS CONTROL SERVICES (TEXAS) PN CB 27 07 17 IMPT NOTICE REGARDING CONSUMER REPORTING PN CB 31 07 17 USE OF CREDIT INFORMATION DISCLOSURE PN CB 63 07 23 COMML AUTO VA OPT ELEC DEC UIM MOTOR COV PH TO 11 04 89 FLORIDA FAILURE TO MAINTAIN INSURANCE PN T1 01 10 19 NOTICE - IMPORTANT INFORMATION REGARDING YOUR INSURANCE - VIRGINIA PN TO 60 05 10 IMPORTANT NOTICE - RISK MANAGEMENT PLANS - FLORIDA PN T2 19 05 10 IMPORTANT NOTICE - CONTACT INFO - FLORIDA IL T8 01 01 01 PAGE: 2 OF 2 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AUTO COVERAGE PLUS ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GENERAL DESCRIPTION OF COVERAGE — This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. BLANKET ADDITIONAL INSURED B. EMPLOYEE HIRED AUTO C. EMPLOYEES AS INSURED D. SUPPLEMENTARY PAYMENTS — INCREASED LIMITS E. TRAILERS — INCREASED LOAD CAPACITY F. HIRED AUTO PHYSICAL DAMAGE G. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES — INCREASED LIMIT A. BLANKET ADDITIONAL INSURED The following is added to Paragraph A.1., Who Is An Insured, of SECTION II — COVERED AUTOS LIABILITY COVERAGE: Any person or organization who is required under a written contract or agreement between you and that person or organization, that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to be named as an addi- tional insured is an "insured" for Covered Autos Liability Coverage, but only for damages to which this insurance applies and only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Section II. B. EMPLOYEE HIRED AUTO 1. The following is added to Paragraph A.1., Who Is An Insured, of SECTION II — COV- ERED AUTOS LIABILITY COVERAGE: H. AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT — INCREASED LIMIT I. WAIVER OF DEDUCTIBLE — GLASS J. PERSONAL PROPERTY K. AIRBAGS L. AUTO LOAN LEASE GAP M. BLANKET WAIVER OF SUBROGATION performing duties related to the conduct of your business. 2. The following replaces Paragraph b. in B.S., Other Insurance, of SECTION IV — BUSI- NESS AUTO CONDITIONS: b. For Hired Auto Physical Damage Cover- age, the following are deemed to be cov- ered "autos" you own: (1) Any covered "auto" you lease, hire, rent or borrow; and (2) Any covered "auto" hired or rented by your "employee" under a contract in an "employee's" name, with your permission, while performing duties related to the conduct of your busi- ness. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". An "employee" of yours is an "insured" while C. EMPLOYEES AS INSURED operating a covered "auto" hired or rented The following is added to Paragraph A.1., Who Is under a contract or agreement in an "em- An Insured, of SECTION II — COVERED AUTOS ployee's" name, with your permission, while LIABILITY COVERAGE: CA T4 20 02 15 © 2015 The Travelers Indemnity Company. All rights reserved. Page 1 of 3 Includes copyrighted material of Insurance Services Office, Inc. with its permission. COMMERCIAL AUTO Any "employee" of yours is an "insured" while us- ing a covered "auto" you don't own, hire or borrow in your business or your personal affairs. D. SUPPLEMENTARY PAYMENTS — INCREASED LIMITS 1. The following replaces Paragraph A.2.a.(2) of SECTION II — COVERED AUTOS LIABILITY COVERAGE: (2) Up to $3,000 for cost of bail bonds (in- cluding bonds for related traffic law viola- tions) required because of an "accident" we cover. We do not have to furnish these bonds. 2. The following replaces Paragraph A.2.a.(4) of SECTION II — COVERED AUTOS LIABILITY COVERAGE: (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day be- cause of time off from work. E. TRAILERS — INCREASED LOAD CAPACITY The following replaces Paragraph C.1. of SEC- TION I — COVERED AUTOS: 1. "Trailers" with a load capacity of 3,000 pounds or less designed primarily for travel on public roads. F. HIRED AUTO PHYSICAL DAMAGE The following is added to Paragraph A.4., Cover- age Extensions, of SECTION III — PHYSICAL DAMAGE COVERAGE: Hired Auto Physical Damage Coverage If hired "autos" are covered "autos" for Covered Autos Liability Coverage but not covered "autos" for Physical Damage Coverage, and this policy also provides Physical Damage Coverage for an owned "auto", then the Physical Damage Cover- age is extended to "autos" that you hire, rent or borrow subject to the following: (1) The most we will pay for "loss" to any one "auto" that you hire, rent or borrow is the lesser of: (a) $50,000; (b) The actual cash value of the damaged or stolen property as of the time of the "loss"; or (c) The cost of repairing or replacing the damaged or stolen property with other property of like kind and quality. (2) An adjustment for depreciation and physical condition will be made in determining actual cash value in the event of a total "loss". (3) If a repair or replacement results in better than like kind or quality, we will not pay for the amount of betterment. (4) A deductible equal to the highest Physical Damage deductible applicable to any owned covered "auto". (5) This Coverage Extension does not apply to: (a) Any "auto" that is hired, rented or bor- rowed with a driver; or (b) Any "auto" that is hired, rented or bor- rowed from your "employee". G. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES — INCREASED LIMIT The following replaces the first sentence in Para- graph A.4.a., Transportation Expenses, of SECTION III — PHYSICAL DAMAGE COVER- AGE: We will pay up to $50 per day to a maximum of $1,500 for temporary transportation expense in- curred by you because of the total theft of a cov- ered "auto" of the private passenger type. H. AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT — INCREASED LIMIT Paragraph C.1.b. of SECTION III — PHYSICAL DAMAGE COVERAGE is deleted. I. WAIVER OF DEDUCTIBLE — GLASS The following is added to Paragraph D., Deducti- ble, of SECTION III — PHYSICAL DAMAGE COVERAGE: No deductible for a covered "auto" will apply to glass damage if the glass is repaired rather than replaced. J. PERSONAL PROPERTY The following is added to Paragraph A.4., Cover- age Extensions, of SECTION III — PHYSICAL DAMAGE COVERAGE: Personal Property Coverage We will pay up to $400 for "loss" to wearing ap- parel and other personal property which is: (1) Owned by an "insured"; and (2) In or on your covered "auto". This coverage only applies in the event of a total theft of your covered "auto". No deductibles apply to Personal Property cover- age. Page 2 of 3 © 2015 The Travelers Indemnity Company. All rights reserved. CA T4 20 02 15 Includes copyrighted material of Insurance Services Office, Inc. with its permission. COMMERCIAL AUTO K. AIRBAGS The following is added to Paragraph B.3., Exclu- sions, of SECTION III — PHYSICAL DAMAGE COVERAGE: Exclusion 3.a. does not apply to "loss" to one or more airbags in a covered "auto" you own that in- flate due to a cause other than a cause of "loss" set forth in Paragraphs A.1.b. and A.1.c., but only: a. If that "auto" is a covered "auto" for Compre- hensive Coverage under this policy; b. The airbags are not covered under any war- ranty; and c. The airbags were not intentionally inflated. We will pay up to a maximum of $1,000 for any one "loss". L. AUTO LOAN LEASE GAP The following is added to Paragraph AA., Cover- age Extensions, of SECTION III — PHYSICAL DAMAGE COVERAGE: Auto Loan Lease Gap Coverage for Private Passenger Type Vehicles In the event of a total "loss" to a covered "auto" of the private passenger type shown in the Schedule or Declarations for which Physical Damage Cov- erage is provided, we will pay any unpaid amount due on the lease or loan for such covered "auto" less the following: (1) The amount paid under the Physical Damage Coverage Section of the policy for that "auto"; and (2) Any: (a) Overdue lease or loan payments at the time of the "loss"; (b) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; (c) Security deposits not returned by the les- sor; (d) Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability Insurance purchased with the loan or lease; and (e) Carry-over balances from previous loans or leases. M. BLANKET WAIVER OF SUBROGATION The following replaces Paragraph A.S., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV — BUSINESS AUTO CONDI- TIONS: 5. Transfer Of Rights Of Recovery Against Others To Us We waive any right of recovery we may have against any person or organization to the ex- tent required of you by a written contract exe- cuted prior to any "accident" or "loss", pro- vided that the "accident" or "loss" arises out of the operations contemplated by such con- tract. The waiver applies only to the person or organization designated in such contract. CA T4 20 02 15 © 2015 The Travelers Indemnity Company. All rights reserved. Page 3 of 3 Includes copyrighted material of Insurance Services Office, Inc. with its permission. COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY WITH OTHER INSURANCE This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM PROVISIONS 1. The following is added to Paragraph A.1.c., Who Is An Insured, of SECTION II — COVERED AUTOS LIABILITY COVERAGE: This includes any person or organization who you are required under a written contract or agreement between you and that person or organization, that is signed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to name as an additional insured for Covered Autos Liability Coverage, but only for damages to which this insurance applies and only to the extent of that person's or organization's liability for the conduct of another "insured". 2. The following is added to Paragraph B.S., Other Insurance of SECTION IV — BUSINESS AUTO CONDITIONS: Regardless of the provisions of paragraph a. and paragraph d. of this part S. Other Insurance, this insurance is primary to and non-contributory with applicable other insurance under which an additional insured person or organization is the first named insured when the written contract or agreement between you and that person or organization, that is signed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, requires this insurance to be primary and non-contributory. CA T4 74 02 16 © 2016 The Travelers Indemnity Company. All rights reserved. Page 1 Of 1 Includes copyrighted material of Insurance Services Office, Inc. with its permission. COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY WITH OTHER INSURANCE - CONTRACTORS This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM PROVISIONS 1. The following is added to Paragraph c. in A.1., Who Is An Insured, of SECTION II — COVERED AUTOS LIABILITY COVERAGE: This includes any person or organization who you are required under a written contract or agreement, that is signed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to name as an additional insured for Covered Autos Liability Coverage, but only for damages to which this insurance applies and only to the extent of that person's or organization's liability for the conduct of another "insured". 2. The following is added to Paragraph B.S., Other Insurance of SECTION IV — BUSINESS AUTO CONDITIONS: Regardless of the provisions of paragraph a. and paragraph d. of this part S. Other Insurance, this insurance is primary to and non-contributory with applicable other insurance under which an additional insured person or organization is a named insured when a written contract or agreement with you, that is signed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, requires this insurance to be primary and non- contributory. CA T4 99 02 16 © 2016 The Travelers Indemnity Company. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc. with its permission. POLICY NUMBER: 7 6 0— 01— 0 4— 5 0— 0 0 0 7 INFORMATION TECHNOLOGY SOLUTIONSTM THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF SUBROGATION - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: INFORMATION TECHNOLOGY SOLUTIONSTM— COMPLETE Endorsement Number: 21 Endorsement Effective Date: 0 9/ 01 / 2 0 2 5 SCHEDULE Designated Person or Organization: Additional Limitations: The following is added to Paragraph V. Transfer of Rights of Recovery Against Other to Us of SECTION VIII — CONDITIONS: However, if the insured has agreed in a written contract or agreement with the person or organization shown in the Schedule above to waive that insured's right of recovery against that person or organization, we waive our right of recovery against that person or person, but only for payments we make for an error or omission, information risk incident, communication incident or violation of a privacy regulation that: 1. Is committed after the execution of the contract or agreement; and 2. Arises out of the work performed under the contract or agreement; subject to any additional limitations listed in the Schedule above. OBTI PR 349 03 25 Page 1 of 1 E-INSURED POLICY NUMBER: 760-01-04-50-0007 INFORMATION TECHNOLOGY SOLUTIONSTM THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF SUBROGATION WHEN REQUIRED BY WRITTEN CONTRACT OR AGREEMENT This endorsement modifies insurance provided under the following: INFORMATION TECHNOLOGY SOLUTIONS TM_ COMPLETE Endorsement Number: 13 Endorsement Effective Date: 0 9/ 01 / 2 0 2 5 The following is added to Paragraph V. Transfer of Rights of Recovery Against Other to Us of SECTION VIII — CONDITIONS: However, if the insured has agreed in a written contract or agreement with another person or organization to waive that insured's right of recovery against that person or organization, we waive our right of recovery against that person or person, but only for payments we make for an error or omission, information risk incident, communication incident or violation of a privacy regulation committed after the execution of the contract or agreement. OBTI PR 272 08 15 Copyright 2015, Intact Insurance Group USA LLC Page 1 of 1 E-INSURED