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MAJ ENGINEERING (TRAFFIC CALMING IMPROVEMENTS PHASE II)
INSUF+INCE ON FILE WORK MAY PROCEED UNTIL INSURANCE EXPIRES e q Z�z CITY OF SANTA ANA CITY CLERK '~ DATE: FEB 18 2025 CONSTRUCTION CONTRACT PROJECT 23-6036 ��•`�0.\ TRAFFIC CALMING IMPROVEMENTS PHASE II LAY This CONSTRUCTION CONTRACT is made and entered into this 27th day of November, 2024 by and between the City of Santa Ana, California, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California (hereinafter "CITY"), and MAJ Engineering(hereinafter"CONTRACTOR"). i WITNESSETH: The CITY and the CONTRACTOR, for the consideration hereinafter named,mutually agree as follows: 1. CONTRACTOR agrees to perform all the work and furnish all,the materials at its own cost and expense necessary to construct and complete in a good and workma like manner and to the satisfaction of the City Engineer of the CITY, the Traffic Calming Improvements Phase II Project (hereinafter referred to as the "WORK OF IMPROVEMENT") identified in and in accordance with the Contract Documents prepared by the City's Public Works Agency and approved by the City Council. 2. The complete Construction Contract consists of the"Contract Doc iments"as defined by the Standard Specifications for Public Works Construction and which include the following: • Notice Inviting Bids • Information to Bidders • Bid Proposal • Bid Bond • Contract Form • Contract Bonds • General Provisions • Special Provisions • Technical Provisions and Project Plans • Community Workforce Agreement • Appendices In case of conflict between the Contract Documents, the precedence of documents shall be as established in the Standard Specifications for Public Works Construction. 3. CITY agrees to pay and CONTRACTOR agrees to accept in full payment to complete the WORK OF IMPROVEMENT the sum total amount not to exceed Four Hundred Fifty four thousand, fifty four and No Cents ($454,054.00), as set forth and identified in the BID PROPOSAL,which is attached hereto and incorporated herein as Exhibit"A". The BID PROPOSAL contains a schedule of unit price(s)or lump sum(s) based on approximate quantities only,and the City does not expressly or by implication agree that the actual amount of work will correspond therewith, but reserves the right to increase or decrease the amount of any class or portion of the work or to omit portions of the work as may be deemed necessary or advisable. rev-08/01/2021 Page 1 of 3 4. CONTRACTOR agrees to complete the WORK OF IMPROVEMENT within the time specified in the Time for Completion of Improvements section of the BID PROPOSAL (Exhibit "A") including commencing construction within the timeframe therein specified after issuance of a Notice to Proceed. 5. The CONTRACTOR will pay,and will require all subcontractors to pay,all employees on the WORK OF IN PROVEMENT a salary or wage at least equal to the prevailing salary or wage established for such work as set forth in the wage determinations for this work in accordance with applicable State and Federal law. 6. If applicable, the CONTRACTOR shall adhere to the CITY'S Community Workforce Agreement (CWA),a pre-hire collective bargaining agreement,which establishes the labor relations policies and procedures for CONTRACTOR to follow in the crafts persons employed to complete the WORK OF IMPROVEMENT as more fully described in the CWA. The CWA may be found on the City's website at: littp://www.satita-aiia.org/pwa/documeiits/CWA.pcif 7. CONTRACTOR shall, after award of this Contract, furnish two bonds to be approved by the CITY, one in the amount of One Hundred Percent (100%) of the Contract price, to guarantee the faithful performance of the work(Performance Bond),and one in the amount of One Hundred Percent(100%) of the Contract price to guarantee payment of all claims for labor and materials furnished (Payment Bond). This Contract shall not become effective until such bonds are supplied to and approved by the CITY. 8. CONTRACTOR shall, prior to the release of the performance and payment bonds or the retention payment, furnish a warranty performance and payment bond(Warranty Bond). Said Warranty Bond shall also be required as a condition of project acceptance. For projects up to Five Hundred Thousand Dollars($500,000),the Warranty Bond amount shall be the greater of Ten Thousand Dollars($10,000) or Twenty Percent (20%) of the final contract price. For projects above Five Hundred Thousand Dollars($500,000),the Warranty Bond amount shall be the greater of One Hundred Thousand Dollars ($100,000)or Ten Percent(10%)of the final contract price. 9. CONTRACTOR shall, after award of this Contract, furnish Certificates of Liability Insurance and Worker's Compensation Insurance as outlined in the General Provisions,to be approved by the CITY. 10. INDEMNIFICATION. To the fullest extent allowed by law, CONTRACTOR and its Subcontractors hereby agree to defend, indemnify, and hold harmless CITY, its City Council, boards and commissions, officers, agents, employees, representatives and volunteers (hereinafter collectively referred to as "Indemnitees"), through legal counsel acceptable to CITY, from and against any liability, claims, actions, costs, damages or losses, including reasonable costs and attorney's fees, for injury, including death to any person or damage to any property,arising directly or indirectly from,or in any manner relating to,any of the following: (i) Performance or nonperformance of the Work of Improvement by CONTRACTOR or its Subcontractors of any lower tier; (ii) Performance or nonperformance by CONTRACTOR or its Subcontractors of any lower tier, of any of the obligations under the Contract Documents; Page 2 of 3 (iii) The construction activities of CONTRACTOR or its Subcontractors of any lower tier, either on the project site or on other properties; (iv) The payment or nonpayment by CONTRACTOR of any of its Subcontractors of any lower tier,for Work of Improvement performed on or off the project site; and (v) Any personal injury, property damage or economic loss to third persons related to and arising from the performance or nonperformance by CONTRACTOR or its Subcontractors of any lower tier,of the Work of Improvement. (vi) The indemnity obligations of Subcontractors provided by this Section shall be included in all subcontract documents issued by CONTRACTOR. Nothing in the Contract Documents shall be construed to give rise to any implied right of indemnity in favor of CONTRACTOR against CITY or any other Indemnitee. IN WITNESS WHEREOF, the parties hereto have executed this Construction Contract on the day and year first above written. ATTEST: CITY OF S NTA ENN L. LL —=p . ALV' A O NUNEZ City C City Manager APPROVED AS TO FORM: SONIA R. CARVALHO CONTRACTOR: City Attorney MA3 Engineer'ng y: t, K)"LE NELLESEN A%^M.Cvr�r Assistant City Attorney TITLE: p w,er RECOMMENDED FOR APPROVAL: N k- 'e L/-31NABIL SABA, PE Executive Director Public Works Agency Page 3 of 3 Exhibit A MY OF SANTA ANA PROPOSAL PROJECT NO.:23-6036 TRAFFIC CALMING IMPROVEMENTS PHASE II BID PROPOSAL TO: CITY COUNCIL OF THE CITY OF SANTA ANA FROM: M AT REQUIREMENT: The undersigned bidder declares that they have carefully examined the location of the proposed work, that they have examined the Contract Documents in its entirety and hereby proposes to furnish all material and do all the work required to complete the said work in accordance with said plans(if any) and the specifications for the unit price(s)or lump sum(s)set forth in the following schedule: Item Description Qty Unit Unit Price Amount 1 Unclassified Excavation* 540 CY $ 135•00 $ '4210tov .00 2 Asphalt Concrete 403 TN $ 2`40.oo $ to 8 210.00a 3 Aggregate Base(AB)* 12 TN $ 100.00 $ 1, 200 .00 4 Soil Backfill* 46 TN $ 1,0.oo $ 2+74 6o.oo 5 %2 Sack Slurry* 20 TN $ 20A.vo $ A 0 So.ob 6 PCC Sidewalk(T=4") 1,173 SF $ 1 b.00 $ 1 -4-b S.00 7 PCC Driveway Approach(T=8") 81 SF $ 2 5.op $ 1# S63.00 8 PCC Curb Ramp 2,208 SF $ %q .00 $ k►, 192,Otl 9 PCC Curb and Gutter(Type A 2-6) 449 LF $ bq 00 $ 301 al g1.Qo 10 PCC Curb and Gutter(Type B-l) 46 LF $ 69. vo $ 3� \-4 l4,oo 11 PCC Modified Curb(Traffic Cicle) 58 LF $ 14115.00 $ 12 Colored Concrete-Brick Red,Topcast 58 SF $ $ Exposed Aggregate Finish(T=4") g S•oo L4 1 a 30.00 Colored Concrete including Rebar-Brick 13 Red,Topcast Exposed Aggregate Finish 118 SF $ ed 5.00 $ t of 0,50.00 (T=10")* 14 Adjust Manhole Frazee and Cover to 1 EA $ 1� $ 14 100 Finished Grade r 1 W.oo Oo 15 Adjust Existing Survey Monument France 1 EA $ '3 50.0 0 $ '3 5 0 . cc, and Cover Adjust Water Valve Frame and Cover to 16 Finished Grade 4 EA $ nj 5 D.oa $ 1,400 .00 17 Catch Basin and RCP Pipe Removal 1 LS $ 10i k 5$, v $ 1o1�4'59.vo 18 Install New Catch Basin(V=3',L=20') 1 EA including Local Depression 20�585.bo P-1 of P-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.:23-6036 TRAFFIC CALMING IMPROVEMENTS PHASE H Item Description Qty Unit Unit Price Amount Install New Catch Basin(V=10',L=5) l9 including Local Depression l ' $13t b$ fk7 $ 13j 685.oa 20 Construct 18"RCP I Including Concrete 33 LF $ Collar 3v0.O� 21 Install 8"SDR-35 PVC Pipe Incl. 6 LF $ r249�on $ 1 Trenching,Removals,Bedding,and Backfill +k gg ov 22 Furnish&Install Modular Wetland System 1 LS $ 46,ona.00 $ 4 b,ooc.00 23 Project Advertising Sign 1 EA $ 3,260.00 $ '3,Ss0.ca 24 Signing and Striping 1 I LS $ 2'f,Coo,a, $ 25i, 25 Construction Permit I I EA $5,216 $5,216 TOTAL BASE BID $ �j�(� p fj 1, , od The lowest responsible bidder shall be selected based on the total base bid.The City reserves the right to award the Base Bid,and any,all,or none of the add-alternate bid items(if any). The quantity for this bid item is shown for bid comparison only. This bid item shall not be subject to the"25%"limit as stated in Section 7-3.5 of the Standard Specifications. The actual amount for this item will be dictated by the actual quantity used,and the Agency reserves the right to increase or decrease the quantity of this item accordingly. j This bid item is considered a Specialty Item per Section 3-2 of the Standard Specifications. TIME FOR COMPLETION OF IMPROVEMENTS AND LIQUIDATED DAMAGES The undersigned bidder hereby proposes to complete the Work for the total base bid amount shown above, within Sixty (60) working dates after the commencement date stated in the Notice to Proceed. The Iiquidated damages amount, in lieu of the amount specified in Subsection 6-9 of the Standard Specifications,shall be$1,250 per calendar day. Name of Firm M A5 �v►GcX'r' Signature of BIDDERwiD�!JC +fir Title (If an individual,so state. If a firm or co partnership,state the firm name and give the names of all individual co-partners composing the firm. If a corporation,state legal name of corporation, and names of President, Secretary,Treasurer and Manager,thereof.) P-2 of P-17 MAJ Engineering 14608 Fawn Path Rd, Chino Hills, CA 91709 Phone # 323.317.7122 Project: City of Santa Ana Traffic Calming Project Phase 2 PROJECT 23-6036 Submittal # 09 - Revision 01 Certificate of Insurance Spec Section — General Conditions MAJ ENGINEERING CERTIFICATION. SUBMITTALS AND SHOP DRAWINGS REVIEW. We hereby certify the (equipment)(material)(article) shown and marked in the submittal is that proposed to be incorporated with Project Specifications & Drawings, is in compliance with contract documents and can be installed in the allowed space. &ad p4v" Submitted to: City of Santa Ana 20 Civic Center Plaza, Santa Ana, CA 92702 11/12/2024 A� CER`TIFICATE OF LIABILITY INSURANCE DATE(MM/DDlYYYY) 10/08/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must 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 Premier Service Insurance Agency NAME, MANAL SULLIVAN _ 501 N.Brookhurst St.Ste#150 PHONE aC NNNE 714-533-8600 _ AX No):714-533_-86.00 — Anaheim CA 92801 E-MAIL EgL— ADD REss:PSIA.MANAL@YAHOO.COM INSURER(S)AFFORDING COVERAGE NA_I_C# _ INSURER A:SCOTTSDALE INSURANCE COMPANY 41297 INSURED MAJ ENGINEERING INSURER 14608 FAWN PATH RD. INSURERC: CHINO CA 91709 INSURER D: ' INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLiSUBR POLICY EFF POLICY EXP -- -- LTR TYPE OF INSURANCE INSD I WVD POLICY NUMBER MMIDDIYYYY)I(MMIDDIYYYYII LIMITS A t/ COMMERCIAL GENERAL LIABILITY 1 , 11 EACH OCCURRENCE l$2,000,000 It CLAIMS-MADE 1-1 OCCUR VHPUD-T 8/09/2024 08/09 -DAMAGE To RENTCDl2025 PREMISES Ea occurrence) $100,000 - MED EXP(Any one person) $5,000 _ PERSONAL&ADVINJURY $�I,000,000 GFN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY❑PET ❑LOC PRODUCTS-COMPIOPAGG $2,000,000 OTHER. $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY P _ AUTOS ONLY _ AUTOS (Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAR OCCUR ! EACH OCCURRENCE $ tEXCESS LIAB CLAIMS-MADEP AGGREGATE _ $ L RETENTIONS $ _ WORKERS COMPENSATION ' OT AND EMPLOYERS'LIABILITY Y/N I I PER EERH ANYPROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $ _ OFFICERIMEMBEREXCLUDED? ❑ NIA _ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under -- -- DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 71 irdHI DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The City of Santa Ana,its City Council,its officers,officials,employees,agents and volunteers are to be covered as additional insured ith respect to liability arising out of work or operations performed by or on behalf of the contractor,including materials,parts,equipment, and personnel furnished in connection with such work or operations. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO THE CITY OF SANTA ANA. WAIVER OF SUBROGATION IS INCLUDED. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE AND ADDITIONAL INSURED: THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana 20 Civic Center Plaza-Ross Annex AUTHORIZED REPRESENTATIVE Santa Ana CA 92702 MANAL SULLIVAN _ Manal Sullivan ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD — Produced using Forms Boss Web software.www.Formsooss.com;y Impressive Publishing 800.208.1977 APPROVED [By Luisa Najera at 2:27 pm,Jan 09,2025 CPS4073447 10/28/2024 AGENCY CUSTOMER ID: 040BQ A`"1?0 ADDITIONAL REMARKS SCHEDULE — - Page 1 of 1 AGENCY NAMED INSURED Premier Service Insurance Agency MAJ ENGINEERING POLICY NUMBER 14608 FAWN PATH RD. CPS4073447 CHINO CA 91709 CARRIER NAIC CODE SCOTTSDALE INSURANCE COMPANY 41297 EFFECTIVE DATE:08J09J 024 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Pollution additional insured per CPS4073447 POLLUTION PRIMARY NON-CONTRIBUTORY wording per CPS4073447 Pollution waiver f subrogation applies per CPS4073447.30 Days notice of cancellation applies per CPS4073447. ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of WCORD Produced using Forms Boss Web software.www.FormsBoss.com;y Impressive Publishing 800-208-1977 APPROVED By Laisa 144cra at 2:29 pm,Jan K 20251 CPS4073447 1110&2024 i AGENCY CUSTOMER ID: 049BQ LOC#: 1 AC" ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED Premier Service Insurance Agency MAd ENGINEERING POLICY NUMBER 14608 FAWN PATH RD. -CARRIER NAIC CODE CHINO CA 91709 Scottsdale Insurance Company 41297 EFFECTIVE DATE: 081091 024 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate Of Liability Insurance:notes Coverage:Pollution Liability including Transportation Pollution Liability Insurer:Scottsdale Insurance Company Policy Number:CPS4073447 Policy Term: Limits:$1,000,000 Per Occurance $2,000,000 Aggregate $5,000 Deductible ACORD 101 (2008101) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD APPROVED POLICY NUMBER: VHPUD-T 1L 00 17 1198 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION TO OTHERS This endorsement modifies the coverage provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE With respect to the coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. SCHEDULE Name Of Person(s) Or Organization(s) Number of Days Notice City of Santa Ana 30 Risk Management Division 20 Civic Center Plaza Santa Ana, CA 92701 information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following additional condition is added: c. Will not extend the cancellation effective A. Notice of Cancellation to Others date nor impact or negate any cancellation 1. If we send notice of cancellation to the Named of the policy; Insured shown in the declarations,for a reason 3. We are not obligated to notify the person(s) or other than nonpayment of premium, we will organization(s) shown in the schedule of the provide notice of such cancellation to the expiration, renewal on different terms or person(s) or organization(s) listed in the nonrenewal of the policy to which this schedule of this endorsement(the schedule); endorsement is attached; and 2. This notice: 4. The provisions of this endorsement do not a. Will be provided not less than the number entitle the person(s) or organization(s) listed in the schedule to any benefits, rights nor of days shown in the schedule prior to the protections not already provided for under the cancellation effective date indicated in the policy. schedule; All other terms and conditions of the policy remain b. If mailed,will be sent to the mailing address unchanged. known to us at that time, with proof of mailing constituting sufficient proof of notice; and IL 00 17 1198 Page 1 of 1 VHPUD-T 2pZg Scottsdale Insurance Company APPROVED BY Laisa AWera at 2:29 pm,Jan 69,2M Effective Date: 11/o8/2o24 PolicyNumber: VHPUD-T Endorsement Number: 3 .� WAIVER OF SUBROGATION —CONTRACTORS POLLUTION LIABILITY This endorsement modifies insurance provided under the Contractors Pollution Liability Coverage applicable to this policy. All other terms and conditions of this Policy remain unchanged. In consideration of the premium charged for the Policy, it is hereby understood and agreed that Clause XIX. SUBROGATION is deleted in its entirety and replaced with the following: XIX. SUBROGATION In the event of any payment under this Insurance, the Underwriters shall be subrogated to all the Insureds' rights of recovery therefore against any person or organization, and the Insured shall execute and deliver instruments and papers and do whatever else is necessary to secure such rights. The Insured shall do nothing to prejudice such rights. The Underwriters agree to waive its rights of recovery against any person or entity for a Claim which is covered pursuant to this Policy, but only where indemnity or contractual obligation has been provided by the Named Insured pursuant to a written contract. Any recoveries shall be applied first to subrogation expenses, second to the Named Insured to the extent of any payments in excess of the Limit of Liability, third to Damages, Cleanup Costs and Claims Expenses paid by the Underwriters, and fourth to the Deductible. Any additional amounts recovered shall be paid to the Named Insured. CG 2149 11/2024 APPROVED By Luna A era at 229 pn% Jam 09.2M5 COMMERCIAL GENERAL LIABILITY VHPUD-T THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTIHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2)You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the This insurance is primary to and will not seek additional insured. 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 CG 20 01 0413 © Insurance Services Office, Inc., 2012 Page 1 of 1 VHPU D-T i 1/08/2024 Scottsdale Insurance Company APPROVED By Luisa Alajera at 2.29 pm,Jan 69,2025 POLICY NUMBER: VHPUD-T COMMERCIAL GENERAL LIABILITY CG20100413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organizations) Location(s)Of Covered Operations Any person or organization you are required to add as All locations per written contract, agreement or permit an Description: additional insured under a written contract or All jobs performed that have a written contract, agreement agreement or permit in effect prior to any accident, injury, loss or damage 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 B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for "bodily injury", This insurance does not apply to "bodily injury"or "property damage" or "personal and advertising "property damage" occurring after: injury" caused, in whole or in part, by: 1. All work, including materials, parts or 1. Your acts or omissions; or equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs)to be performed by or in the performance of your ongoing operations for on behalf of the additional insured(s) at the the additional insured(s) at the location(s) location of the covered operations has been designated above. completed; or However: 2. That portion of "your work" out of which the injury or damage arises has been put to its 1. The insurance afforded to such additional intended use by any person or organization insured only applies to the extent permitted by other than another contractor or law; and subcontractor engaged in performing 2. If coverage provided to the additional insured operations for a principal as a part of the same is required by a contract or agreement, the project. 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. CG 20 10 0413 ©Insurance Services Office, Inc.,2012 Page 1 of 2 VH PU D-T 11/08/2024 Scottscale Insurance company APPROVED —� C. With respect to the insurance afforded to these 2. Available under the applicable Limits of additional insureds, the following is added to Insurance shown in the Declarations; Section III - Limits Of Insurance: whichever is less. If coverage provided to the additional insured is This endorsement shall not increase the required by a contract or agreement, the most we applicable Limits of Insurance shown in the will pay on behalf of the additional insured is the Declarations. amount of insurance: 1. Required by the contract or agreement; or Page 2 of 2 ©Insurance Services Office, Inc., 2012 CG 2010 04 13 VHPUD-T Scottsdale Insurance Company 11/0812024 APPROVED By Loilsa AWP-ra of 2.30 nm.Jan 09.2025 POLICY NUMBER: VHPUD-T COMMERCIAL GENERAL LIA131LITY CG 20 37 0413 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 Person(s) Location And Description Of Completed Or Organization(s) Operations Any person or organization you are required to add as All locations and jobs performed that have a written an contract, agreement or permit additional insured under a written contractor agreement in effect prior to any accident, injury, loss or damage 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 B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section III -Limits Of Insurance: with respect to liability for "bodily injury" or If coverage provided to the additional insured is "property damage" caused, in whole or in part, by requireii by a contract or agreement, the most we "your work" at the location designated and will pay on behalf of the additional insured is the described in the Schedule of this endorsement amount of insurance: performed for that additional insured and included in the"products-completed operations hazard". 1. Required by the contract or agreement; or However: 2. Available under the applicable Limits of 1. The insurance afforded to such additional Insurance shown in the Declarations; insured only applies to the extent permitted by whichever is less. law; and This endorsement shall not increase the 2. If coverage provided to the additional insured applicable Limits of Insurance shown in the is required by a contract or agreement, the Declarations. 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. CG 20 37 0413 ©Insurance Services Office, Inc.,2012 Page 1 of 1 VHPUD-T 11/0812024 Scottsdale Insurance Company APPROVED �Dy I- Najera at 2.30 pm,Jan 09,"25 POLICY NUMBER: VHPUD-T COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any person or organization from whom you are required to waive your right to recover under a written contract or agreement in effect prior to any loss or damage 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 we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products-completed operations hazard".This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 VH PU D-T 11/08/2024 Scottsdale Insurance Company APPROVED Sy Luisa Maim a3 2.30 pM Jan 69,2025 Effective Date: 11j08/2024 PolicyNumber: VHPUD-T Endorsement Number: 1 OTHER INSURANCE— PRIMARY WITHOUT RIGHT OF CONTRIBUTION This endorsement modifies Insurance provided underthe Contractors Pollution Liability coverage applicable to this policy. All other terms and conditions of this Policy remain unchanged. In consideration of the premium charged for the Policy, it is hereby understood and agreed that Clause XII1. OTHER INSURANCE is deleted in its entirety and replaced with the following: Xlll. OTHER INSURANCE Subject to Clause VII. and VIII., where other valid and collectible insurance is available to the Insured for any Pollution Condition or Claim, this insurance shall apply as primary insurance versus any other valid and collectable insurance, and the Underwriters will have no right of contribution against any other insurance company providing insurance fora Pollution Condition or a Claim on a primary basis. CPL208 12/2016 +RP 1•uisaNaieraPRUM Evat.2:��.pm;Jan:09,.2025 Effective Date:11/08/2024 PolicyNumber:VHPUD-T Endorsement Number:3 ADDITIONAL_ INSURED— OWNERS, LESSEES OR CONTRACTORS--SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: CONTRACTORS POLLUTION LIABILITY COVERAGE PART All other terms and conditions of this Policy remain unchanged. SCHEDULE Name of Additional Insured Person(s) Or Location(s) of Covered Operations organization s : Any person(s) or organization(s)where this All project locations where this endorsement is required by contract. endorsement is required by contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. 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 Damages and Claims Expenses 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. B.With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to Damages or Claims Expenses 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 CPL271 12-2016 APPROVED By Luisa Na¢era a12.30 pm,,far►09,2025 z.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. CPL271 12 2016 APPROVED By!a®sa M*era at 2:30 pa%Jan G4,202: Effective Date: 11fo812024 PolicyNumber: VHPUD-T Endorsement Number: 4 ADDITIONAL INSURED —OWNERS, LESSEES OR CONTRACTORS--COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: All other terms and conditions of this Policy remain unchanged. CONTRACTORS POLLUTION LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s)Or Location And Description Of Completed Organ ization(s): Operations Any person(s) or organization(s) where this All project locations where this endorsement is required by contract. endorsement is required by contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. 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 Damages and Claims Expenses 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. CPL275 12-2016 APPROVED By Luisa Majera at 2.30 pn Jan 69,20 � DATE(MMIDDIYYYY) , AC4 R" CERTIFICATE OF LIABILITY INSURANCE 11/a812024 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 Automatic Data ProcessingInsurance Agency. Inc, NAME: Automatic Data Processing Insurance Agency, Inc. (AIIaNIJ Ext: 1-800-524-7024 we No): E-MAIL ADDRESS: 1 Adp Boulevard INSURER(S)AFFORDING COVERAGE NAIC# Roseland NJ 07068 INSURER A: The Pie Insurance Company 21857 INSURED Jarrar,Ahmad INSURER B: INSURER C: DBA:Maj Engineering INSURER D, 14608 Fawn Path Road INSURER E: Chino Hills CA 91709 INSURERF: COVERAGES CERTIFICATE NUMBER: 3943542 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR S POLICY NUMBER MMIDDIYYYY MMiVD1YYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCEDAMAGE TO RENT1757- $ CLAIMS-MADE LOCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑ PRO- ❑LCC PRODUCTS-COMPIOP AGG $ JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGE LIMIT $ Ea awldent ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ ri-DED I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YINATUTE ER ANY PROPRIETORIPARTNERIEXECUTIVE E.L.E.L,EACH ACCIDENT $ 1,000,000 A OFFICERIMEMBEREXCLUDED7 �Y NIA Y WCP11381000-000 06/25/2024 06/25/2025 1,000,OOD (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ Ir es,describe under 1,000,DOD ❑ASCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) This certificate of insurance includes a Waiver or Subrogation in favor of the certificate holder. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. ATTN:Risk Management Division,4th Floor AUTHORIZED REPRESENTATIVE 20 Civic Center Plaza Santa Ana CA 92701 s �I��� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD --- ----- (APPROVED 0.1 r.11 .. r r.....«o.er...... r•....nn:one 5 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed.04-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy.We will not enforce our right against the person or organization named in the Schedule.(This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described In the Schedule. The additional premium for this endorsement shall be 0.05 %of the California workers'compensation premium otherwise due on such remuneration, Schedule Person Or Organization Job Description CONCRETE OR CEMENT WORK-pouring or finishing of concrete sidewalks, driveways, patios, curbs or gutters —including the making or stripping of forms—employees whose regular hourly wage equals or exceeds$32.00 per City of Santa Ana hour Assignment of this classification is subject to verification at the time of final audit that the employee's regular hourly wage equals or exceeds$32.00 per hour. The payroll of an employee whose regular hourly wage is not shown to equal or exceed $32.00 per hour shall be classified as 5201(1), Concrete or Cement Work. 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 12/01/2024 Policy No. WC PI 1381000-000 Endorsement No. 002 Insured Jarrar, Ahmad Insurance company The Pie Insurance Company Countersigned By / WC 04 03 06 (Ed.04-84) '.APPROVED