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Home My WebLink AboutSLS PROPERTY SOLUTIONS, INC. (6) INSURANCE ON HLE WORK MAY PROCEED UNTIL tNSUR,1�d] E I_XF'Iou., 4Tv ayc i 6 2025 DATE: Bona Moe)rtd iota(pz) AGREEMENT WITH SLS PROPERTY SOLUTIONS,INC. TO PROVIDE ON-CALL TRASH,WEEDS,RUBBISH, SANITATION ABATEMENT, AND PROPERTY BOARD-UP SERVICES THIS AGREEMENT is made and entered into on this 5 h day of August, 2025 by and between SLS Property Solutions, Inc., a California 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. On June 3, 2025, City issued Request for Proposal ("RFP")No. 25-085 by which it sought qualified Contractors to provide on-call services for weeds, trash, rubbish, sanitation abatement, and property board-up services. B. Contractor submitted a responsive proposal that was among those selected by the City. Contractor represents that it is able and willing to provide the services described in the scope of work that was included in RFP No. 25-085 and attached as Exhibit A. Contractor's proposal shall be incorporated by reference as though fully attached here to this Agreement. C. Contractor was selected as one of four (4) vendors which qualified for this engagement. Only those Contractors approved by the City Council on August 5, 2025 shall be eligible to be engaged by the City for these services. 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 On an on-call basis, and at the City's sole discretion, 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 Scope of Services -Exhibit A, attached hereto and incorporated by reference. 2. COMPENSATION a. City neither warrants nor guarantees any minimum or maximum compensation to Contractor under this Agreement. Contractor shall be paid only for actual services performed under this Agreement at the rates and charges identified in Exhibit B. Contractor is one of four (4) Contractors selected under RFP 25-085. The total compensation for these services provided by all such Contractors selected under RFP Page 1 of 8 #2073677vl 25-085 shall not exceed the shared aggregate amount of Four Hundred and Fifty Thousand Dollars ($450,000) during the term of the Agreement, including any extension periods. 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 the date first written above for a three (3) year term with the option for the City to grant up to two(2), one(1) year renewals, exercisable by a writing by the City Manager and the City Attorney, unless terminated earlier in accordance with Section 15, below. 4. INDEPENDENT CONTRACTOR Contractor shall, during the entire term of this Agreement, be construed to be an independent Contractor and not an employee of the 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. 5. 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 caused to be prepared by Contractor under this Agreement ("Documents & Data"). 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 Page 2 of 8 #2073677vl 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. 6. INSURANCE Insurance requirements are attached hereto as Insurance Requirements -Exhibit C 7. 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 .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; and (2) from any claim that personal injury, damages,just compensation, restitution,judicial or equitable relief is due by reason of the terms of or effects arising from this Agreement. This indemnity and hold harmless agreement applies to all claims for damages,just compensation, restitution,judicial or equitable relief suffered, or alleged to have been suffered,by reason of the events referred to in this Section or by reason of the terms of, or effects, arising from this Agreement. The Contractor further agrees to indemnify,hold harmless, and pay all costs for the defense of the City, including fees and costs for special counsel to be selected by the City, 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. 8. 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. 9. 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 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 Page 3 of 8 #2073677vl 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. 10. 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 of non-use and nondisclosure shall not apply to any information that(a)has been disclosed in publicly available sources; (b)is,through no fault of the Contractor disclosed in a publicly available source; (e) 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. 11. CONFLICT OF INTEREST CLAUSE a. 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 seivices specified under this Agreement. b. No immediate family members of either the Mayor, City Council Member, or any appointed City Official, including appointed board and commission members, as defined under the City's Municipal Code, whose position with the City shall award or influence the award of this Agreement, or any competing contract or amendment thereof, shall be employed in any capacity by the Contractor or have any other direct or indirect financial benefit or interest in this Agreement. c. The section also prohibits the awarding of any agreement, contract, grant, or any amendment to those awards, to any former full-time employee for one-year from date of employee separation except for any CalPERS retiree as authorized by City Council resolution d. The Contractor must comply with all conflict of interest laws, ordinances, and regulations now in effect or hereafter to be enacted during the term of this Agreement. The Contractor warrants that it is not now aware of any facts which conflict with the prohibitions defined above. If the Contractor hereafter becomes aware of any facts that might reasonably be expected to create a conflict of interest, it must immediately make full written disclosure of such facts to the City. Full written disclosure must include, but is not limited to, identification of all persons implicated and a complete description Page 4 of S #2073677vl of all relevant circumstances. Failure to comply with the provisions of this paragraph will be a material breach of this Agreement. e. Contractor covenants that none of its directors, officers, employees, or agents shall participate in selecting or administrating any subcontract supported(in whole or in part) by City funds stemming from the Agreement where the awarding of the subcontract has any direct or indirect financial benefit or interest to any individual, as defined in subsections(b) and (c) above. 12. 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. 13. EXCLUSIVITY AND AMENDMENT 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 a conflict between the terms of this Agreement and any attachments hereto, the terms of this 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. 14. 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. 15. 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 Page 5 of 8 #2073677vl 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. 16. 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. 17. JURISDICTION-VENUE This Agreement has been executed and delivered in the State of California and the validity, 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. 18. PROFESSIONAL LICENSES Contractor shall, throughout the term of this Agreement, maintain all necessary licenses, pen-nits, 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. 19. 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) Page 6 of 8 #2073677vl P.O. Box 1988 Santa Ana, CA 92702-1988 Fax: 714- 647-6956 With courtesy copies to: Executive Director, Planning and Building Agency City of Santa Ana 20 Civic Center Plaza(M-29) P.O. Box 1988 Santa Ana, California 92702 To Contractor: Sarah L Strader, President SLS Property Solutions, Inc. 875 Iron Horse Dr., A-271 Park City, UT, 84060 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, 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. 20. 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. [signature page to follow] Page 7 of 8 #2073677vl IN WITNFSS%\.'FIF'.REOF.the parties hereto have CXCCLIted this Agi-eenient the date and year first ahovc written. ATTEST: CITY OF W 'TA AN .11 '�Ivaro Ntifiez J'ennircr L.All LE�� City Mana-or APPROVED AS TO FORM: SONIA R. CARVALHO CONTRACTOR: C'iiv Attorney B y PAelis%a ikl Crosthwaitc Sa-ah L Strader Senior Assistant City Attorney 4P .sident RECOMMENDED FOR APPROVAL: Ali PezeshkpMir Fxecutive Director Plannin- and Buildinu AocncN pazu 8 of 8 W10736770 EXHIBIT A SCOPE OF SERVICES #2Q73677v1 F CITY OF SANTA ANA EXHIBIT A SCOPE OF SERVICES Board Up Procedures: The USIA National Arson Prevention Initiative Board Up Procedures is incorporated herein by reference and are hereby accepted as Reference Specifications. These Reference Specifications are intended to govern certain construction materials, methods, and details with some additional modification herein. A. Security Measures 1) All openings in the basement, crawl spaces, garages, first floor doors and windows, and any point of entry accessible from a porch, fire escape or other potential climbing point shall be barricaded with plywood, 2x4 braces, carriage bolt sets, specialized head/drive screws, and nails, unless stated otherwise. NOTE: General contractor screws, particleboard, wafer board, Masonite, or other similar material shall NOT be used for purposes of boarding-up a building. 2) Garage Doors and Openings at least 14'from ground level which are not accessible from a porch, fire escape, roof, or other climbing point can be secured with nails every 12" around the perimeter. For all openings, the plywood should be fitted so that it rests snugly against the exterior frame, butting up to the siding on wood frame buildings and up to the brick molding edge on brick buildings. It may be necessary to remove the staff bead so this fit can be flush and tight. 3) The structure shall be posted with a NO TRESPASSING sign at the completion of the board-up. 4) The Commercial property with full windows or glass facades shall be blacked out and adhesive shall be used to attach the plywood to the glass from the interior to prevent shattering. Plywood shall be secured to the window/glass framing. 5) ONLY Interior Boarding shall require blackout of windows and be secured with plywood and 2x4 braces fasten to the wall with deck nails and specialized star-drive head screws. B. Materials 1) Plywood, 1/2" (4 ply) exterior grade CDX 2) Braces - 2" by 4" by 8' (or longer) construction grade lumber 3) 318" (coarse thread) by 12" (or longer) carriage bolts (rounded head on weather side) 4) 318" (coarse thread) construction grade nuts CITY OF SANTA ANA 5) 112" (USS Standard) Flat washers with an inside diameter large enough to bypass the wrench neck inside the carriage bolt head so no lift edge is available beneath an installed carriage bolt head. 6) 318" (USS Standard) diameter flat washers for installation beneath the nut inside the building 7) Combination of 2"-3" deck nails and 2"-3" Star-drive screws; T-20, T-25, etc. C. Barrier Assembly 1) Plywood shall be cut to fit over the window and door openings, flush with outside of the molding/trimmer stud.Application of barriers shall be completed so that all lift or pry points are avoided. Plywood board shall be solid sheets without seams or joints. 2) The 2x4 braces shall be cut to fit the horizontal dimension of the plywood. Two exterior and two interior 2x4 braces shall be provided for each window and three sets for each door. 3) Window Assembly — Braces are located horizontally approximately 113 of the distance from the top and the bottom of the window. Bolt holes are located 113 of the length of the brace from the outside edge of the window jams. Prior to installation, the assembly should be pre-assembled and 318" holes drilled through all of the components. 4) Door Assembly—Door braces will be placed horizontally; one in the center of the doorway and one 1/2 the distance from the center to the top and one 112 distance from the center to the bottom of the doorway. Bolt holes are located 113 of the length of the brace from the outside edge of the doorframe. Prior to installation, the assembly should be pre- assembled and 318" holes drilled through all of the components. 5) Plywood used to cover exterior openings shall be nailed every 12" along the perimeter of the frame of the window, door, or opening. 6) The 2x4 braces on the interior and exterior of the assemblies shall be secured using 318" by 12" carriage bolt assemblies. Bolts shall be inserted through the predrilled holes from the exterior with a 112" washer place against the exterior brace, a 318" washer is placed against the interior brace. The bolt is tightened from the inside so that it slightly compresses the interior brace. The 2x4 Bottom Brace shall be cut to width of door trim and drilled to the floor to prevent opening. 7) Garage Door—the opening shall be covered with plywood and secured with a minimum of 3- inch-long deck or wood screws installed on 6-inch centers around the circumference of the opening. An interior or exterior 2x4 Bottom Brace is required to prevent it from opening and drilled to the floor with masonry screws (or as appropriate). NOTE: These specifications are subject to change upon case-by-case scenario. Any changes or recommendations shall be discussed during the walk-through of the property prior to a proposal, quote and or notice to proceed. (9) CITY OF SANTA ANA D. Window Boarding Specification D «I 112"COX PLYWOOD I � CUT TO TO COVER WINDOW OPENING I 1 SECURE TO STRUCTURE a I 1 WITH 1-518"(6D) GALVANIZED NAILS Ia a _ - _ _ s - - - s - - I , 2 X 4 BRACE ! 1 CUT TO OUTSIDE 1 I DIMENSION OF I i WINDOW TRIM I ! I ! I 1 2X4BRACE 9 I I CUT TO SIZE OF ! I PLYWOOD ! 1 E 1 I 1 / I 1 f ! I ! y fi r �•\ 1 I I .! a I A— _ 318"CARRIAGE BOLT —' I _®�__..__......._v_________ 1 12"LONGICOURSETHREAD I 1 `_"" -- NUT TO MATCH. WASHERS INSTALLED ON BOTH SIDES WINDOW -OUTSIDE VIEW ROUNDED HEAD OF BOLT ON OUTSIDE NOTES: 1) FOR DOUBLE HUNG WINDOWS, SLIDE SASH TO CENTER OF UNIT AND PASS BOLTS THROUGH OPENINGS AT TOP AND BOTTOM. 2) STORM WINDOWS SHOULD BE REMOVED AND STORED INSIDE STRUCTURE. 3) OUTSIDE TRIM MAY HAVE TO BE REMOVED TO ACCOMMODATE A FLUSH AND TIGHT FIT. 4) TIGHTEN NUTS FROM INSIDE ENOUGH TO SLIGHTLY COMPRESS 2X4 BRACE. 5) BRACE LOCATIONS: A = 1/3 B (SEE DIMENSION LOCATIONS ON DRAWING) NOTE: WINDOWS 3 FEET IN HEIGHT OR SHORTER ONLY REQUIRE ONE BRACE. 6) LOCATION OF BOLT HOLES: C = 1/3D (SEE DIMENSION LOCATIONS ON DRAWING) 7) THE PLYWOOD BOARD SHOULD BE SECURED WITH SCREWS EVERY 12"ALONG THE PERIMETER OF THE FRAME OF THE WINDOW, DOOR, OR OPENING, AND WITH DECK NAILS AT EVERY 6" MARK WHERE SCREW IS NOT PLACED. N�R ,!, `rl" CITY OF SANTA ANA E. Door Boarding Specifications _- --- IQ`COX PLYWOOD _ CUT TO FIT AGAINST I2"COX PLYWOOD — REMOVE TRIM AS - DOOR BAMD MOLDING OR CDT TO COVER DOOR NECESSARY TO \, OUTSIDE Of DOOR FRAME FRAME AND MOLDING 'I ELIMINATE PRY POINTS 'I 1 I 1 1 77 1 F I 1 1 1 I 1 1 I 1 1 ! I 1 1 1 1 I 1 ® Tov I 1 I I { 1 I 1 A I 1 I I ! 2X4SPACES i 1 CUT TO SIZE OF 1 i 1 PLYWOOD I i CENTER n 1 1 I 1 { 1 1 e 1 i 1 1 I I I 1 12'LONG ate• I CARRIAGE BOLT I I J I 1 WITH lIr WASHERS I 1 tJ I I ON BOTH SIDES 1 1 I I 1 � eorrcla 1 +' I 1 I 1 I 1 1 1 I I I 1 I 1 1 1 1 i 3+$'CARRIAGE BOLT 1 DOOR-OUTSIDE VIEW WITH 112•WASH€R DOOR-INSIDE VIEW NOTES: 1} IRON DOORS OR FRAMES MAY BE REMOVED AND STORED INSIDE BUILDING IF NECESSARY. 2) USE 318" X 12" CARRIAGE BOLTS - ROUNDED HEAD ON OUTSIDE OF BUILDING. LONGER BOLTS MAY BE NECESSARY. 3) TIGHTEN NUTS FROM INSIDE ENOUGH TO SLIGHTLY COMPRESS 2X4 BRACE. 4) IF PLYWOOD CAN NOT BE BUTTED AGAINST BAND MOLDING, CUT TO COVER OUTSIDE EDGE OF DOOR FRAME. 5) BOLT HOLES ARE LOCATED AS THEY ARE FOR WINDOWS (SEE WINDOW DETAIL) 6) CENTER BRACE LOCATED IN CENTER OF DOORWAY OPENING. TOP AND BOTTOM BRACES ARE POSITIONED WHERE A = 1f2B (SEE DIMENSION LOCATIONS ON DRAWING) 7) USE 2X4 BOTTOM BRACE - CUT TO WIDTH OF DOOR TRIM. DRILL TO THE FLOOR TO PREVENT OPENING. INTERIOR AND EXTERIOR BOTTOM BRACES WITH MASONRY SCREWS ARE MANDATORY WHEN BOARDING GARAGE DOORS. aCITY OF SANTA ANA F. Brace and Carriage Bolt Specification 1 ,2'COX PLYWOOD w. NB'USS STANDARD FLAT WASHER I!?'USS STANOARO FEAT WASHER BRACE BRACE i � ROUNDED HEAD OF$78" tt .4 CARRIAGE DOLT 9� ON WEATHER SIDE OF OPENM CONSTRUCTION GRADE NUT } COURSE THREAD i 31W HOLE IN BRACE AND r PLYWOOD--PRE-DRILLED DURING FABRICATION 3rB'7(t2"CARRIAGE BOLT COURSE THREAD ROUNDED HEAD NOTES: 1) USE 2" BY 4" BY 8' (OR LONGER) CONSTRUCTION GRADE LUMBER FOR BRACES. 2) USE 318" X 12" CARRIAGE BOLTS - ROUNDED HEAD ON OUTSIDE OF BUILDING 3) TIGHTEN NUTS FROM INSIDE ENOUGH TO SLIGHTLY COMPRESS WASHER INTO 2X4 BRACE. 4) USE 112"WASHER ON WEATHER SIDE TO ACCOMMODATE THE WRENCH NECK OF BOLT AND ELIMINATE PRY POINTS. G. Window Assembly MATERIALS REQUIRED PER WINDOW * 1 - 1/2" CDX PLYWOOD SHEET-CUT TO DIMENSIONS OF WINDOW FRAME (WEATHER SIDE) * 4-2X4 BRACES-CUT TO WIDTH OF PLYWOOD * 4-CARRIAGE BOLT ASSEMBLIES NUMBER OF WINDOWS TO BE SECURED (Nw): NUMBER OF WINDOWS BRACES REQUIRED: (Nvv X 4) CARRIAGE BOLT ASSEMBLIES REQUIRED (Bw): (NwX 4) (9) CITY OF SANTA ANA H. Door Assembly MATERIALS REQUIRED PER DOOR • 1 - 1/2" CDX PLYWOOD SHEET-CUT TO DIMENSIONS OF DOOR FRAME (WEATHER SIDE) 1 - 1/2" CDX PLYWOOD SHEET- CUT TO OUTSIDE DIMENSIONS OF DOOR FRAME TRIM (INSIDE) 6—2X4 BRACES -3 CUT TO WIDTH OF OUTSIDE PLYWOOD - 3 CUT TO WIDTH OF INSIDE PLYWOOD 1 -2X4 BOTTOM BRACE - CUT TO WIDTH OF DOOR TRIM DRILLED TO FLOOR (INSIDE) • 6-CARRIAGE BOLT ASSEMBLIES NUMBER OF DOORS TO BE SECURED (ND): NUMBER OF DOOR BRACES REQUIRED: (NE) X 6) NUMBER OF BOTTOM BRACES REQUIRED: (ND) CARRIAGE BOLT ASSEMBLIES REQUIRED (BD): (ND X 6) I. Carriage Bolt Assembly MATERIALS REQUIRED PER CARRIAGE BOLT ASSEMBLY + 1 -3/8"X 12' (OR LONGER IF NECESSARY) CARRIAGE BOLT-COURSE THREAD 1 - 1/2" USS STANDARD FLAT WASHER (WEATHER SIDE) • 1 -3/8" USS STANDARD FLAT WASHER (INSIDE) • 1 -3/8" CONSTRUCTION GRADE NUT-COURSE THREAD TOTAL CARRIAGE BOLT ASSEMBLIES REQUIRED FOR WINDOWS AND DOORS: (BW+ BD) J. Removal of Trash and Debris 1) The Contractor shall be responsible for the removal and proper disposal of all trash, debris, and waste materials generated during the demolition of any structure under this Agreement. This includes, but is not limited to, construction materials, rubble, hazardous waste, and any other by- products of the demolition process. 2) All trash and trash and debris must be removed from the site within seven (7) days following the completion of demolition activities. The Contractor shall ensure the site is left in a clean and orderly condition, free of any remaining debris. (9) CITY OF SANTA ANA 3) Contractor shall comply with all applicable federal, state, and local laws, regulations, and ordinances related to the handling, transportation, and disposal of demolition debris, including obtaining any required permits and approvals. 4) The removal of trash and debris shall be subject to inspection and approval by the Director of the Santa Ana Planning and Building Agency, or their designee. The Contractor shall promptly address any deficiencies identified during such inspection. K. Fee Proposal Contractor shall submit a fee proposal as described below. This fee proposal shall be based on ON- CALL DEMOLITION SERVICES for the sample project site described below. The proposal will be used for fee comparison and evaluation purposes. Furthermore, this fee proposal will become part of Exhibit B of the Contract Agreement and will be used to compare with an actual task order quote requested by the City. Fee proposal shall include: 1. Description of work (summarized scope of services) 2. All costs, fees and other anticipated expenses, and total cost of the services (per spreadsheet below) 3. Schedule (from date of receiving a Notice to Proceed to task order completion) EXHIBIT B COMPENSATION Fee Proposal including hourly rates if applicable ##2073677vl AC"R©I CERTIFICATE OF LIABILITY INSURANCE r ATE(MMIDDIYYYY) �1 10/07/2025 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 Edward Taber NAME: Edward Taber Insurance PHONE 949IN Extl -421-3493 we Ne: 737 212-6650 1312 CHALK LN E-MAIL ADDRESS: Edward@Taberinsurance.com INSURERS AFFORDING COVERAGE NAIC p CEDARPARK TX 78613-1429 INsuRERA: Gotham[nsurance Company 25569 INSURED INSURER B: Capitol Specialty Insurance Corporation 10328 SLS Property Management Solutions Inc. INSURER C: Westchester Specialty Insurance Services Inc 524126 1776 Park Ave Ste 4-271 INSURER D INSURER E Park City UT 84060 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 ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVDPOLICY NUMBER MMIDDIYYYY) (MMIDDJrYYYYl LIMITS X COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES Ea occurrence $ 100'000 X WOS MED EXP(Any one person) $ 5,000 A X PNCWording Y Y GL202500023370 07/25/2025 07/25/2026 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO JECT ❑ LOD PRODUCTS-COMP/OP AGG S 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED S4NGLE LIMIT $ Ea acddent) ANY AUTO HOD ILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 2,000,000 B X EXCESS LIAR HCLAIMS-MADE Y CXS4059150 07/25/2025 C7/25/2026 AGGREGATE $ 2,000,000 ❑E❑ RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANYPROPRIETORJPARTN ERIEXECUTIV E OFFICERIMEMHER EXCLUOED7 ❑ N 1 A E.L.EACH ACCIDENT $ )Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S If yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 5 Pollution Occurrence 1,000,000 C TBA07092025 07/09/2025 07/09/2026 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached it more space is required) Project Information:: Provide On-Call Trash,Weeds,Rubbish&Sanitation Abatement and Board-Up Services for the City of Santa Ana,A-2022-1 03-0 1 City of Santa Ana Risk Management Division,its officers,employees,volunteers officials,agents and representatives are named as additional insured as respects general liability for services provided by the named insured Coverage Is Primary and Non-Contributory.Certificate holder will be given 30 day cancellation notice in writing if the above policy is changed and cancelled. olgital€ysig] Tu Tra n bXT— Coverage is primary by forms ISO CG 20 01 04 13,20 37 04 13 and MEGL 0241-01 05 16 Ng.yen Nguyen Da 2o25.1a.o7 APPROVED CERTIFICATE HOLDER CANCELLATION ByTu Trarr Nguyen at 70:02 am,Oct oa,zozs City Of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza,4th Floor Santa Ana Ca 92701 AUTHORIZED REPRESENTATIVE 6;7)� O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD '`�CC7lrZ�® CERTIFICATE OF LIABILITY INSURANCE r ATE(MMlnOIYYYY) OV1612025 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the poltcy(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 NAME: Josh Kashanl Wellington Partners Ins Svcs PHONE (818)492-4355 A Na. {855)933 5544 6303 Owensmouth Avenue E-MAIL certs W is rou com ADDRESS: @ p g p 1 Oth Floor INSURERS AFFORDING COVERAGE NAIC# Woodland Hills CA 91367 INSURER A: INSURED INSURER B S L S PROPERTY SOLUTIONS INC INSURER C: INSURERD: Omaha National Insurance Company 32107 919 East Santa Ana Blvd INSURER E i Santa Ana CA 92701 INSURER F; COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS 15 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 LTR POLICY NUMBER MM1DDIY'YYY MMfDD1YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 5 TO RENTED CLAIMS-MADE OCCUR PRDAMAGE EMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEI AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO- POLICY JECT LOC PRODUCTS-COMPIOPAGG $ OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 5 Ea accident ANY AUTO BODILY INJURY(Per person) 5 OWNED SCHEDULED BODILY INJURY Per accident)AUTOS ONLY AUTOS ( ) $ HIRED NON-OWNED PROPERTY UAMAGE AUTOS ONLY AUTOS ONLY Per accident $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE 5 EXCESS LIRE CLAIMS-MADE AGGREGATE 5 DEC) RETENTION$ g WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY Y f N /� STATUTE ER ANY PROPRIETORfPARTNERIEXECUTIVE E.L.EACH ACCIDENT $ 1.000,000 ❑ OFFICERIMEMBEREXCLUDED? N1A X ONCCO701450202 07/28/2025 07128/2026 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Waiver of Subrogation in favor of City of Santa Ana, its City Council,officers,officials,employees,agents,and volunteers" applies for Workers Compensation. 30 Day Notice of Cancellation. APPROVED CERTIFICATE HOLDER CANCELLATION 8y Tu Tran Nguyen of 7p;p2 am,Oct d7,2625 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Attention: Planning and Building Agency AUTHORIZED REPRESENTATIVE 20 Civic Center P{aza, M-20 Santa Ana CA 92701 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD ACOR" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDWYYYY) 10/06/2025 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 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 CONE CT JOSE GASTELUM StateFarm JOSE GASTELUM,AGENT PHONE FAX AIC Na 714 557-3344 Ext: AIC No 714-327-0198 = LID.NO.0D10779 EMAIL ZDRESS- JOSE@JOSEGASTELUM.COM ` 1780 E MCFADDEN AVE STE. 114 INSURER(S)AFFORDING COVERAGE NAIC f# SANTA ANA CA 92705 INSURER A: State Farm Mutual Automobile Insurance Company 25178 INSURED INSURER B: SLS PROPERTY SOLUTIONS,INC INSURER C: 919 E SANTA ANA BLVD INSURER D: SANTA ANA CA 92701 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. NOTWTHSTANDING 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 ADD SUB P 0 Ll C POL FCY-EX LTR TYPE OF INSURANCE INS❑ WVD POLICY NUMBER MMIDDIYYYY MMiDONYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTEDPREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE g POLICY El PRO- ❑ JECT LDC PRODUCTS-COMPlOPAGG $ OTHER: $ AUTOMOBILE LIABILITY 776 3587-F22-75E 06/22/2025 12/2212025 Efa a®ci eDtSINGLE LIMIT $ 2,000,000 ANY AUTO A OWNED v SCHEDULED Y Y 473 3354-F13-750 06/1312025 12/13/2025 BODILY INJURY(Per person) S AUTOS ONLY /� AUTOS BODILY INJURY(Per accident) s HIRED NON-OWNED AUTOS ONLY AUTOS ONLY Per accedent 5 UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE g DED I I RETENTION $ S WORKERS COMPENSATION PER DTH- AND EMPLOYERS'LIABILITY S ANY PROPRIETORIPARTNERIEXECUTIVE YIN E.L_EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? ❑ N 1 A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S If yes,describe Under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) 2018 Ford F150 P/U VIN ending in 6591 (473 3354-F13-75J)&2018 Ford F150 P/U VIN ending 8146(776 3587-F22-75). Agreement With SLS Property Solutions, Inc.,To Provide On-Call Trash,Weeds, Rubbish&Sanitation Abatement And Board-Up Services For The City Of Santa Ana. APPROVED CERTIFICATE HOLDER CANCELLATION ByTu Tran Nguyen at 10.02 ant,Oct 07,2025 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:PLANNING AND BUILDING AGENCY AUTHORIZED REPRESENTATIVE 20 CIVIC CENTER PLZ,M-20 Completed by an authorized State Farm representative.If signature SANTA ANA CA 92701 is required,please contact a State Farm agent. ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 1001486 132849A4 04-13-2022 POLICY NUMBER: GL202500023370 COMMERCIAL GENERAL LIABILITY CG 20 10 1219 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) Locations Of Covered Operations City of Santa Ana,its officers,employees and representatives,20 Civic All Commercial and/or Residential-Remodel/Repair work as Center Plaza,Santa Ana,CA 92705 required by written contract with the Insured 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", "property This insurance does not apply to "bodily injury" or damage" or "personal and advertising injury" "property damage"occurring after: 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 subcontractor law; and engaged in performing operations for a 2. If coverage provided to the additional insured is principal as a part of the same project. 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. CG 20 10 12 19 O Insurance Services Office, Inc.,2018 Page 1 of 2 C. With respect to the insurance afforded to these 2. Available under the applicable limits of additional insureds, the following is added to insurance; 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. will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or Page 2 of 2 0 Insurance Services Office, Inc.,2018 CG 20 10 12 19 POLICY NUMBER: GL202500023370 COMMERCIAL GENERAL LIABILITY CG 20 3712 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations City of Long Beach,Public Works Service Bureau,1651 San All Commercial and/or Residential-RemodellRepalr work as required Francisco Ave.,Long Beach,CA 90813 by written contract with the Insured. City of Santa Ana,Its officers,employees and representatives,20 All Commercial and/or Residential-Remodel/Repair work as required Civic Center Plaza,Santa Ana,CA 92705 by written contract with the Insured. City of Ontario,208 Emporium St.,Ontario,CA 91762 All Commercial and/or Residential-RemodellRepalr work as required by written contract with the Insured. 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 "Your lty damage" caused, in whole ig a part, by required by a contract or agreement, the most we your work at the location designated and described in the Schedule of this endorsement will pay on behalf of the additional insured is the performed for that additional insured and included amount of insurance: 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; 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 is applicable limits of insurance, 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. CG 20 37 12 19 0 Insurance Services Office, Inc.,2018 Page 1 of 1 COMMERCIAL GENERAL LIABILITY CO 20 01 1219 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 (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 1219 ©Insurance Services Office, Inc., 2018 Page 1 of 1 COMMERCIAL GENERAL LIABILITY CG20331219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -- OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN A WRITTEN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured any person or additional insureds, the following additional organization for whom you are performing exclusions apply: operations when you and such person or This insurance does not apply to: organization have agreed in writing in a contract or agreement that such person or organization be 1. "Bodily injury", "property damage" or "personal added as an additional insured on your policy. and advertising injury" arising out of the Such person or organization is an additional rendering of, or the failure to render, any insured only with respect to liability for "bodily professional architectural, engineering or injury", "property damage" or "personal and surveying services, including: advertising injury"caused, in whole or in part, by: a. The preparing, approving, or failing to 1. Your acts or omissions; or prepare or approve, maps, shop drawings, 2. The acts or omissions of those acting on your opinions, reports, surveys, field orders, change orders or drawings and behalf; specifications;or in the performance of your ongoing operations for the additional insured. b. Supervisory, inspection, architectural or engineering activities. However, the insurance afforded to such This exclusion applies even if the claims additional insured: against any insured allege negligence or other 1. Only applies to the extent permitted by law; wrongdoing In the supervision, hiring, and employment, training or monitoring of others by 2. Will not be broader than that which you are that insured, if the "occurrence" which caused required by the contract or agreement to the "bodily injury" or "property damage", or the provide for such additional insured. offense which caused the "personal and advertising injury", involved the rendering of or A person's or organization's status as an the failure to render any professional additional insured under this endorsement ends architectural, engineering or surveying when your operations for that additional insured services. are completed. CG 20 33 12 19 0 Insurance Services Office, Inc.,2018 Page 1 of 2 2. 'Bodily injury" or "property damage" occurring C. With respect to the insurance afforded to these after: additional insureds, the following Is added to a. All work, including materials, parts or Section 1il--Limits Of Insurance: equipment furnished in connection with The most we will pay on behalf of the additional such work, on the project (other than insured Is the amount of insurance: service, maintenance or repairs) to be 1. Required by the contract or agreement you performed by or on behalf of the additional have entered into with the additional insured; insured(s) at the location of the covered or operations has been completed; or b. That portion of"your work"out of which the 2• Available under the applicable limits of injury or damage arises has been put to its insurance; intended use by any person or organization whichever is less. other than another contractor or This endorsement shall not increase the subcontractor engaged in performing applicable limits of insurance. operations for a principal as a part of the same project. Page 2 of 2 0 Insurance Services Office, Inc.,2018 CG 20 33 12 19 COMMERCIAL GENERAL LIABILITY CO 20 39 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN WRITTEN CONSTRUCTION AGREEMENT WITH YOU (COMPLETED OPERATIONS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART A. Section II — Who Is An Insured is amended to 2. Supervisory, Inspection, architectural or include as an additional insured any person or engineering activities. organization for whom you have performed This exclusion applies even if the claims against operations when you and such person or any insured allege negligence or other wrongdoing organization have agreed in writing in a contract or in the supervision, hiring, employment, training or agreement that such person or organization be monitoring of others by that insured, if the added as an additional insured on your policy. "occurrence" which caused the "bodily injury" or Such person or organization is an additional "property damage"involved the rendering of or the insured only with respect to liability for "bodily injury"or"property damage"caused, in whole or in failure to render any professional architectural, part, by "your work" performed for that additional engineering or surveying services. insured and included In the "products-completed C. With respect to the insurance afforded to these operations hazard". additional insureds, the following is added to However, the insurance afforded to such Section III—Limits Of Insurance: additional insured: The most we will pay on behalf of the additional insured is the amount of insurance: d 1. aOnly applies to the extent permitted by law; 1. Required by the contract or agreement you 2. Will not be broader than that which you are have entered into with the additional insured; required by the contract or agreement to or provide for such additional insured. 2. Available under the applicable limits of B. With respect to the insurance afforded to these insurance; additional insureds, the following additional whichever is less. exclusion applies: This endorsement shall not increase the This insurance does not apply to: applicable limits of insurance. "Bodily injury" or "property damage" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: 1. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications;or CG 20 39 12 19 0 Insurance Services Office, Inc., 2018 Page 1 of 1 COMMERCIAL,GENERAL LIABILITY CG24531219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) - AUTOMATIC 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 The following is added to Paragraph S. Transfer Of Rights Of Recovery Against Others To Us of Section IV—Conditions: We waive any right of recovery against any person or organization, because of any payment we make under this Coverage Part, to whom the insured has waived its right of recovery in a written contract or agreement. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person or organization prior to loss. CG 24 53 12 19 0 Insurance Services Office, Inc.,2018 Page 1 of 1 Stateftm State Farm Mutual Automobile Insurance Company 92918-4-A MATCH 01013 MUTL VOL 4M, PO BBi Box ngf n8L 61702-2068 DECLARATIONS PAGE NAMED INSURED 01013 PAGE 1 OF 2 75-2EDB-4 A A POLICY NUMBER 776 3587-F22 75E — 401013 LU 0° POLICY PERIOD 0CT 912025 to DEC 22 2025 SLS PROPERTY SOLUTIONS, INC 12:01 A. .Stan ar Time 875 IRON HORSE DR STE A271 PARK CITY UT 84060-5158 STATE FARM PAYMENT PLAN NUMBER 1256610923 AGENT _ JOSE GASTELUM 1780 E MCFADDEN AVE STE 114 SANTA ANA,CA 92705-4648 — PHONE:(714)557-3344 DO NOT PAY PREMIUMS SHOWN ON THIS PAGE. IF AN AMOUNT IS DUE,THEN A SEPARATE STATEMENT IS ENCLOSED. YOUR CAR ELM- 2018 FORD F150 PICKUP 1 FI'MFi EP9JKF18146 003HOXI O -ram -- �_s -- Limit-Each Accident -M i - , C Medical Payments Coverage $15 48 F Mow G Collision Coverage-$500 Deductible $212 03 U Uninsured Motor Vehicle Coverage _ _ $32 38 ERE Each .`E Each Person, Each Accident Ui Uninsured Motor Vehicle Propedy Damage Coverage $2.57 IMPORTANT NOTICE For your protection California law requires the following to appear with this policy: Any person who knowingly presents false or fraudulent information to obtain or amend Insurance coverage or to make a claim for the payment e f a loss is guilty of a crime and may be subject to fines and confinement in state prison. Replaced policy number 7763587-75D. Notice of insurance information collection practioes-personal,family,or household insurance transactions: We may collect customer information from persons other than the individual or individuals appplying for coverage.Such customer information as well as other personal or privileged information subsequently collected may,in certain circumstances,be disclosed to third parties without your authorization as permitted by law. You have the right to submit a written request to access,earreot amend,or delete your personal information and the right to receive a response within 30 days of submitting your request. It we deny your request,you have the right to file.a statement with us containing the information you feel is accurate and fair along with the reasons you disagree with our denial.Instructions on how to file such request and our full privacy notice can be found www.statefarm.00Woustomer-earelprivacy�secudty!privacy or contact your State Farm Agent. Your total renewal premium for JUN 22 2025 to DEC 22 2025 Is$2,104,23. Location used to determine rate charged-019 E SANTA ANA BLVD,SANTA ANA CA 92701.3920. CONTINUED 21733 185 See Reverse Side ri o s05 aU(o1Mfo) This policy Is Issued by State Farm Mutual Automobile Insurance Company. MUTUAL CONDITIONS 1. Membership.While this policy is in force,the first insured shown on the Declarations Page is entitled to vote at all meetings of members and to receive dividends the Board of Directors in Its discretion may declare In accordance with reasonable classifications and groupings of policyholders established by such Board. 2. No Contingent Liability, This policy Is non-assessable. 3. Annual Meeting. The annual meeting of the members of the company shall be held at its home office at Bloomington, Illinois,on the second Monday of June at the hour of 10:00 A.M., unless the Board of Directors shall elect to change the time and place of such meeting, In which case, but not otherwise, due notice shall be mailed each member at the address disclosed In this policy at least 10 days prior thereto. In Witness Whereof, the State Farm Mutual Automobile Insurance Company has caused this policy to be signed by its President and Secretary at Bloomington,Illinois. Secretary President Important... California law requires us to provide you with information for filing complaints with the Slate Insurance Department regarding the coverage and service provided under this policy. Complaints should be filed only after you and Stalb Farm or your agent or other company representative have failed to reach a satisfactory agreement an a problem. Please forward such complaints to: California Department of Insurance Consumer Services Division 300 South Spring Street Los Angeles,CA 90013 Or file a complaint through the Department of Insurance's Internel Web site(www.insurance.ca.gov) Or call tell free 1-800-927-HELP(4357) NOTICE We are required to furnish you with the following Information: t. An automobile liability insurance company may cancel a policy before the end of the current policy period for reasons described in the provision titled Cancellation which is located in the General Terms sect€on of your policy (refer to the Contents in the beginning of your policy for the page number). 2. An automobile liability lnsurance company may increase the premium or refuse to renew the policy for any of the following reasons: a. Accident involvement by an insured,and whether an insured is at fault in the accident b. A change in,or an addition of,an insured vehicle. G. A change In,or addition of,an insured under the policy. d, A change in the location of garaging of an Insured vehicle. e. A change in the use of the insured vehicle. f. Convlotions for violating any provision of the Vehicle Code or the Penal Code relating to the operation of a motor vehicle. g.The payment made by an insurer due to a claim filed by an insured or a third party. An automobile liability insurance company may increase the premium or refuse to renew the policy for reasons that are not listed above but which are lawful and not unfairly discriminatory. cavb2 B10 5tateFarm State Farm Mutual Automobile Insurance Company 92918-4-A MATCH 01013 MUTL VOL PO Box 2368 Bloomington It 61702-2368 DECLARATIONS PAGE 01013 PAGE 2 OF 2 NAMED INSURED 75-2ED8-4 A A POLICY NUMBER 776 3587-F22-75E �01013 I POLICY PERIOD OCT 01 2025 to DEC 22 2025 875 IRON HORSE DR 5TE A271 SL5 PROPERTY SOLUTIONS, 12:01 A.M.Standard Time PARK CITY UT 84060-5158 STATE FARM PAYMENT PLAN NUMBER 1256610923 ExGEPT10NS,POLICY BOOKL T&ENDCMEMEWS(Sm pol boa-Met_&r kOQual.en►dorsetrterrts for covcra9e detwAivi) . YOUR POLICY CONSISTS OF THIS DECLARATIONS PAGE THE POLICY BOOKLET FORM 9805S�1BAND NT ENDORSEMENREN AL TS APPLY, INCLUDING THOSE ISSUED TO YOU CREDITOR- FORD MOTOR CREDIT - LIEN INSURANCE SERVICE CENTER, PO BOX 390858, MINNEAPOLIS MN 55439-0858. 01 ffI /EpOEgSgIGGUNADENGITNIEERINGNSEOEQICYCENTERARNPA ANSANTALANAWCCAK8UO1I4658. G2 6028BU ADDITIONAL I�JSURED CITY OF ONITAH6, 303 E B ST, N 91764-4196. 03 6028BU ADDITIONAL INSURED-CITY OF SANTA ANA ATTENTION: PLANNING & 603OGFNG20 BUSINE55NNAMEDLINSORE�NTA ANA CA 92�01-9999. 6I25 AMENDATORY ENDORSEMENTT 6126 D EXCESS COVERY RAGE FOR &SONAL VEHICLE SHARING. 6289DW SINGLE LIMIT LIABILITY COVERAGE. 6196AA - WAIVER OF SUBROGATION UNDER THE LIABILITY COVERAGE FOR CITY OF SANTA ANA PUBLIC WORKS AGENCY, CIP/DESIGN ENGINEERING; CITY OF SANTA ANA PLANNING AND BUILDING. Agent: JOSE GASTELUM Telephone: C714)557-3344 21734/16185 Prepared OCT 03 2025 2EDB-138A 15518456 G4.2 05,Q 2(01a925rc) (a1a0z4c) 139X0 (OU025M St fCF81m State Farm Mutual Automobile insurance Company pa Y 92918-4-A MATCH 01012 MUTL VOL 0*0 PO ° 66 Bloomington L 61702-2368 DECLARATIONS PAGE NAMED INSURED 01012 PAGE 1 OF 2 76-2EDB-4 A A POLICY NUMBER 473 3354-F13-750 5 PROPERTY SOLUOLUTIO o SOLUTIONS, POLICY PERIOD OCT 012025 to DEC 13 2025 875 IRON HORSE DR STE A271 NS, INC, i2:01 A.M.Standard Time PARK CITY UT 84060-5158 STATE FARM PAYMENT PLAN NUMBER 1256610923 AGENT _ JOSE GASTELUM — 1780 E MCFADDEN AVE STE 114 SANTA ANA,CA 92705-4648 — PHONE:(714)557-3344 DO NOT PAY PREMIUMS SHOWN ON THIS PAGE. IF AN AMOUNT IS DUE,THEN A SEPARATE STATEMENT IS ENCLOSED. YOUR CAR 2018 FORD F150 PICKUP 1 FfMF1 CB3JKE76591 000HCX10 Limit-Each Accident =t=:!! Pa menfs Coverage $14 95 G n� Collision Coverage,p 500 Deductible $217.04 U Uninsured Motor Vehicle Coverage $37.46 Each Person, Each Accident U1 _ Uninsured Motor Vehicle Property Damaae Cgveraae $2 97,•- - IMPORTANT NOTICE For your protection California law requires the following to appear with this policy: Any person who knowingly presents false or fraudulent Information to obtain or amend insurance coverage or to make a claim for the payment of a loss Is guilty of a crime and may be subject to fines and confinement in state prison. Replaced policy number 4733354 75N. Notice of insurance information collection practices-personal,family,or household insurance transactions: We may collect customer information from persons other than the individual or individuals applying for coverage.Such customer information as well as other personal or privileged information subsequently collected may,rn certain circumstances,be disclosed to third parties without your authorization as permitted by law. You have the right to submit a written request to access,correct amend,or delete your personal information and the right to receive a response within 30 days of submitting your request. l#we deny your request,you have the right to fits a statement with us containing the information you feel is accurate and fair along with the reasons you disagree with our denial.Instruotions on how to file such request and our full privacy notice can be found www.statefarm.com/customer-care/privaoy-securitylprivacy or contact your State Farm Agent. Your total renewal premium for JUN 113 2025 to DEC 13 2025 Is$2,342.36. Location used to determine rate charged-919 E SAWA ANA BLVD,SANTA ANA CA 92701-3920. CONTINUED 21729116184 See Reverse Side 11S 155 {o1aU.205�Z(old2bfo) This policy is issued by State Farm Mutual Automobile Insurance Company. MUTUAL CONDITIONS 1. Membership.While this policy is in force,the first insured shown on the Declarations Page Is entitled to vote at all meetings of members and to receive dividends the Board of Directors In its discretion may declare in accordance with reasonable classifications and groupings of policyholders established by such Board. 2. No Contingent Liability. This policy is non-assessable. 3. Annual Meeting. The annual meeting of the members of the company shall be hold at its home office a1 Bloomington, Illinois,on the second Monday of June at the hour of 10:00 A.M., unless the Board of Directors shall elect 10 change the time and place of such meeting, in which case, but not otherwise, due notice shall be mailed each member at the address disclosed in this policy at least 10 days prior thereto. In Witness Whereof, the State Farm Mutual Automobile Insurance Company has caused this policy to be signed by its President and Secretary at Bloomington,Illinois. Secrelaryy President Important... California law requires us to provide you with informatlon for filing complaints with the State Insurance Department regarding the coverage and service provided under this policy. Complaints should be filed only after you and Stag Farm or your agent or other company representative have failed to reach a satisfactory agreement on a problem. Please forward such complaints to; California Department of Insurance Consumer Services Division 300 South Spring Street Los Angeles,CA 90013 Or file a complaint through the Department of Insurance's Internet Web site(www.insurance.ca.gov) Or call toll free 1-800-927-HELP(4357) NOTICE We are required to furnish you with the following Information: 1. An automobile liability insurance company may cancel a policy before the and of the current policy period for reasons described in the provision titled Cancellation which is located in the General Terms section of your policy (rotor to the Contents in the beginning of your policy for the page number). 2. An automobile liability Insurance company may increase the premium or refuse to renew the policy for any of the following reasons: a. Accident involvement by an insured,and whether an insured Is at fault in the accident. b. A change in,or an addition of,an insured vehicle. c. A change in,or addition of,an insured under the policy, d. A change in the location of garaging of an insured vehicle. e, A change in the use of the Insured vehicle. f. Convictions for violating any provision of the Vehicle Code or the Penal Code relating to the operation of a motor vehicle, g.The payment made by an Insurer due to a claim filed by an Insured or a third party, An automobile liability insurance company may increase the premium or refuse to renew the policy for reasons that are not listed above but which are lawful and not unfairly discriminatory. Gwta B14 StafeFarm State Farm Mutual Automobile Insurance Company Q Pa Y 92918-4-A MATCH 01012 MUTL VOL PO Box 2,96$ Bloomington IL 61702-2268 DECLARATIONS PAGE PAGE 2 OF 2 01012 NAMED INSURED 75-2EDB-4 A A POLICY NUMBER 473 3354-F13-750 SLSG 4m� POLICY PERIOD OCT 01 2025 to DEC 13 2025 875 IRON HORSE DR STE A271 PROPERTY SOLUTIONS, INC. 12:01 A.M.Standard Trme 75 PARK CITY UT 84060-5158 STATE FARM PAYMENT PLAN NUMBER 1256610923 EXCEPTIONS,POLICY BOOKLET&ENDORSEMENTS IiSi:e policy booldet&individual endorsemerds lbr coverage details,). FORM 9805BY CONSISTS SENDORSEMENTS DECLARATIONS MCLUDINGLT'HOSE©OISS BOOKLET TO YOU WITH ANY SOBSEQUENT RENEWAL NOTICE. CREDITOR- FORD MOTOR CREDIT - LIEN INSURANCE SERVICE CENTER, PO BOX 390858, MINNEAPOLIS MN 55439-0858. 01 6028BU UZA DR 5AD ADDITIONAL IINSUUpRD—OVERLAND, PACIFIC, & CUTLER, INC, 5000 AIRPORT 02 6028BU ADDITy�IdNAL INSURED SEARAAVPggR2Og YORBA LINDA AND BUENA PARK, INC, 21520 ©33R6028BUDADDITIIONALRBINSUREDANEICTGEN8ASSOCIATES INC DBA SERVICEMASTER 0456028BUOADDITIONALPIIN5SUURED-CIfYGOF LLgO�pNp,,GABEgqACH3PUB IC ORKS - PUBLIC SERV 05R60NBU6ADDITIONALNINSURED-CITY0OF SANTA ANA9020 CIVIC CENTER PLZ, SANTA ANA CA 92701-4058. SANTIAGOUSTREEETIOLOFTSIMAINTANCE CORP, PACIFIC IVONRKARMAN AVEASTEE106,LIRVIINE CA 92606. 07 60286U ADDITIONAL INSURED-CALIFORNIA DOT CALTRANS DIV OF PROC AND CONTRACTS, 1727 30 H ST MSG 65 SACRAMENTO CA 95816-7005. 08 6028BU ADDITIONAL INSURED-CfTY OF ONTARIO, 303 E B ST, ONTARIO CA 91764-4196.09 6028BU 11��IONAL FF ggqq gg AGENCY 18,6828BUNADpNpIGI�TTIIO ALNINSUREDICITYCOFTSANTA ANAANATTENTION: PLANNINGB& BUILDING20 CIyIC CENTER PLAZA SANTA ANA CA 92�01-9999. 6196AA BU YER OF SUBROGATION UNDER THE LIABILITY COVERAGE. 603OGF U511NESS NAMED INSURED. 6126MD AMENDATORY EERFOREPERSONAL VEHICLE SHARING. 6129J AMENDATORY ENDORSEMENT. 6289OW SINGLE LIMIT LIABILITY COVERAGE. 6196AA - WAIVER OF SUBROGATION UNDER THE LIABILITY COVERAGE FOR CITY Q� SANTA ANA PUBLIC WORKS AGENCY, CEP/DESIGN ENGINEERING; CITY OF SANTA A PLANNING AND BUILDING AGENCY. Agent: JOSE GASTELUM Telephone:(714)557-3344 21730f/1�61184A z (u7ao cy (alno�ac) Prepared OCT 03 2025 2EDB-B8A 13SX0 (ota06vdj WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC ON 04 WS A (Ed.01-19) 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. Blanket Waiver:The additional premium for this endorsement shall be 2%of the California workers'compensation premium otherwise due on such remuneration. Specific Waiver:The additional premium for this endorsement shall be 5%of the California workers'compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description Blanket Waiver of Subrogation As respects to all CA jobs performed by the named insured during the policy period where by written contract a waiver of subrogation is required prior to the commencement of 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 07/28/2025 Policy No. ONCCO7014502-02 Endorsement No. Insured Insurance Company Omaha National Casualty Company SLS Property Solutions, Inc. Countersigned By CITY OF SANTA ANA Risk Management a division of Human Resources t Managing Risk through Awareness and Action AFFIDAVIT OF EXEMPTION FOR PROFESSIONAL LIABILITY INSURANCE r r I,o i ( , (..Representative"),attest that I am an authorized iNamc and Title of Venl r 'spas.+cn¢.it a{tl representative of U — t T 1n0 -,--(--Company-),and Consultan t'ompunp Name) possess the authority to legally bind Company. [it my capacity as Representative of Company,I represent and confirm the following,as relates to the agreement between Company and City of Santa Ana,agreement munber ��"r LLP cz ("Agreement°')to provide orl-('Of(-Tic, h t( WJ1. _ )f mi - 1"Services-): t Services to br rrnti ided under agreemem contras) During the course and scope of Company's agreement''.vith the City of Santa Ana, Company will not use the services of an expert necessitating professional liability/errors &omissions liability insurance covera,e in the performance of Services to, for,or on behalf of City of Santa Ana, If at any time it is found that Company is not adhering to any and:or all of the statements in this document and does not maintain the minitnurtt professional liability insurance coveragge as required in the Agreement, it will be considered a breach of Agreement rendering:the Agreetent null and void and Company will be fully liable for any and all damages. I i v/'a �gnalur4 "Stv` ..Ia LL / r� Pnnt Name J 1 ale Contact Information.i.e..TApiltifie Nun+e an&0 Ftnait Akldnts5 Affidavit of Exemption for Professional Liability Insurance 11 12,2024 7EJ(MMIDDNYYY) ° CERTIFICATE OF LIABILITY INSURANCE /20/2026 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT JOSE GASTELUM NAME: StateFarm JOSE GASTELUM,AGENT A/CNNo Ext: 714-557-3344 A/� No): 714-327-0198 =• LIC. NO.OD10779 E-MAIL JOSE@JOSEGASTELUM.COM 1780 E MCFADDEN AVE STE. 114 INSURER(S)AFFORDING COVERAGE NAIC# SANTA ANA CA 92705 INSURER A: State Farm Mutual Automobile Insurance Company 25178 INSURED INSURER B SLS PROPERTY SOLUTIONS, INC INSURER C: 919 E SANTA ANA BLVD INSURER D SANTA ANA CA 92701 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 ADD SUB POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAM CLAIMS-MADE 1:1OCCUR P R E M SEST OER ENccurrDence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO- POLICY LOC PRODUCTS-COMP/OP AGG $ JECT OTHER: $ AUTOMOBILE LIABILITY 776 3587-F22-75E 12/22/2025 06/22/2026 EOa aIN cccdent)s LE LIMIT $ 2,000,000 ANY AUTO 473 3354-F13-750 12/13/2025 06/13/2026 BODILY INJURY(Per person) $ A OWNED SCHEDULED Y Y BODILY INJURY AUTOS ONLY X AUTOS (Per accident) $ HIRED NON-OWNED AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER $ ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? ❑ NIA E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) 2018 Ford F150 P/U VIN ending in 6591 (473 3354-F13-75J)&2018 Ford F150 P/U VIN ending 8146(776 3587-F22-75). Agreement With SLS Property Solutions, Inc.,To Provide On-Call Trash,Weeds, Rubbish&Sanitation Abatement And Board-Up Services For The City Of Santa Ana. APPROVED CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 1:00 pm,Jan 20,2026 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF SANTA ANA ACCORDANCE WITH THE POLICY PROVISIONS. ATTN: PLANNING AND BUILDING AGENCY AUTHORIZED REPRESENTATIVE �J 20 CIVIC CENTER PLZ, M-20 SANTA ANA CA 92701 �(/JL��:�� ,c Y raz_"�, ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 1001486 132849.14 04-13-2022 StateFarm STATE FARM i�® DATE OF NOTICE: OCT 03 2025 PO Box 2368 CODE: Bloomington IL 6 1 70 2-2368 98A AT1 23 A 002890 0093 CITY OF SANTA ANA NOTE: PLEASE NOTIFY STATE FARM AT THE ATTENTION: PLANNING & ADDRESS LISTED AT THE TOP, LEFT CORNER BUILDING20 CIVIC CENTER PLAZA OF THIS PAGE REGARDING ANY CHANGE OF SANTA ANA CA 92701 ADDRESS INFORMATION. 0 ADDITIONAL INSUREWS NOTICE OF COVERAGE State Farm Mutual Automobile Insurance Company 2EDB-FB8AA NAMED INSURED: POLICY NO: 473 3354-F13-750 COVERAGE: SLS PROPERTY SOLUTIONS,INC. YR/MAKE/MODEL: 2018 FORD PICKUP BI AND PD LIABILITY 875 IRON HORSE DR STE A271 VIN/CAMPER: 1 FTMFICB3JKE76591 $z MIL $250 DED.COMP. N PARK CITY UT 84060-5158 AGENT NAME: JOSE GASTELUM $500 DED.COLL. o AGENT PHONE: (714)557-3344 o ENDORSEMENT NO: 6028BU POLICY EFFECTIVE c OCT 01 2025 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policy#4733354-75N. The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance provided and subject to all policy provisions.The additional insured will be given 20 days notice if the policy is terminatedUntil such notice „ is provided,it shall be presumed that the required renewal premiums have been paid.The additional insured must notify us within 10 days of g any change of interest or ownership coming to their attention.Failure to do so will render this policy null and void. 0 N ADDITIONAL INSURED'S NOTICE OF COVERAGE State Farm Mutual Automobile Insurance Company 2EDB-FB8AA NAMED INSURED: POLICY NO: 776 3587-F22-75E COVERAGE: SLS PROPERTY SOLUTIONS,INC YR/MAKE/MODEL: 2018 FORD PICKUP BI AND PD LIABILITY 875 IRON HORSE DR STE A271 VIN/CAMPER: 1 FTMF1 EP9JKF78146 $2 MIL PARK CITY UT 84060-5158 AGENT NAME: JOSE GASTELUM $ DED.COMP. AGENT PHONE: (714)557-3344 $50 0 0 DED.LOLL. ENDORSEMENT NO: 6028BU POLICY EFFECTIVE OCT 01 2025 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policy#7763587-75D. The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance provided and subject to all policy provisions.The additional insured will be given 20 days notice if the policy is terminatedUntil such notice is provided,it shall be presumed that the required renewal premiums have been paid.The additional insured must notify us within 10 days of N any change of interest or ownership coming to their attention.Failure to do so will render this policy null and void. N O O FRT StateFarm AState Farm Mutual Automobile Insurance Company 15114-4-A MATCH 01815 MUTL VOL ID PO Box 2368 Bloomington IL 61702-2368 DECLARATIONS PAGE PAGE 1 OF 2 NAMED INSURED 01815 75-2EDB-4 A A POLICY NUMBER 776 3587-F22-75F 001820 0058 POLICY PERIOD OCT 01 2025 to JUN 22 2026 SLS PROPERTY SOLUTIONS INC 12:01 A.M. Standard Time 875 IRON HORSE DR STE A271 PARK CITY UT 84060-5158 STATE FARM PAYMENT PLAN NUMBER 1256610923 AGENT JOSE GASTELUM 1780 E MCFADDEN AVE STE 114 SANTA ANA, CA 92705-4648 PHONE:(714)557-3344 DO NOT PAY PREMIUMS SHOWN ON THIS PAGE. IF AN AMOUNT IS DUE, THEN A SEPARATE STATEMENT IS ENCLOSED. YOUR CAR YEAR...:: MADE: MODEL:: ...._E. OY..ST'1fLE........ .... EHILE ID=_NtMEfER........ CAS 2018 FORD F150 PICKUP 1 FTMF1 EP9JKF78146 003HCX10 YMIOi.S OERAGE S� 1M1TS PFEIII[1UM A .. Lilrty overe174 Limit-Each Accident $2,0C1000C1 C Medical Payments Coverage $49.89 ......Li I Each Person . $10,000 13 OProh'ersvo'Ovrgo Odc� bl5. G Collision Coverage - $500 Deductible $673.42 H Ergery Road Sorsaoe Coer €g 5. U Uninsured Motor Vehicle Coverage $104.33 o1[1y 1nf [ry L im�ts Each Person, Each Accident U1 Uninsured Motor Vehicle Property Damage Coverage $8.28 Tgrt [ mtum fr500.011.4096 C'1' ff1 to JC1I 212E € l This rat YII C1{IjROFfTANT At�� IW ........ IMPORTANT NOTICE For your protection California law requires the following to appear with this policy: Any person who knowingly presents false or fraudulent information to obtain or amend insurance coverage or to make a claim for the payment of a loss is guilty of a crime and may be subject to fines and confinement in state prison. Replaced policy number 7763587-75E. New Policy Form Notice of insurance information collection practices - personal, family, or household insurance transactions: We may collect customer information from persons other than the individual or individuals applying for coverage. Such customer information as well as other personal or privileged information subsequently collected may, in certain circumstances, be disclosed to third parties without your authorization as permitted by law. You have the right to submit a written request to access, correct, amend, or delete your personal information and the right to receive a response within 30 days of submitting your request. If we deny your request, you have the right to file a statement with us containing the information you feel is accurate and fair along with the reasons you disagree with our denial. Instructions on how to file such request and our full privacy notice can be found www.statefarm.00m/customer-care/privacy-security/privacy or contact your State Farm Agent. This policy is issued by State Farm Mutual Automobile Insurance Company. MUTUAL CONDITIONS 1. Membership. While this policy is in force, the first insured shown on the Declarations Page is entitled to vote at all meetings of members and to receive dividends the Board of Directors in its discretion may declare in accordance with reasonable classifications and groupings of policyholders established by such Board. 2. No Contingent Liability. This policy is non-assessable. 3. Annual Meeting. The annual meeting of the members of the company shall be held at its home office at Bloomington, Illinois, on the second Monday of June at the hour of 10:00 A.M., unless the Board of Directors shall elect to change the time and place of such meeting, in which case, but not otherwise, due notice shall be mailed each member at the address disclosed in this policy at least 10 days prior thereto. In Witness Whereof, the State Farm Mutual Automobile Insurance Company has caused this policy to be signed by its President and Secretary at Bloomington, Illinois. Secretary President Important . . . California law requires us to provide you with information for filing complaints with the State Insurance Department regarding the coverage and service provided under this policy. Complaints should be filed only after you and Stag Farm or your agent or other company representative have failed to reach a satisfactory agreement on a problem. Please forward such complaints to: California Department of Insurance Consumer Services Division 300 South Spring Street Los Angeles, CA 90013 Or file a complaint through the Department of Insurance's Internet Web site(www.insurance.ca.gov) Or call toll free 1-800-927-HELP(4357) NOTICE We are required to furnish you with the following information: 1. An automobile liability insurance company may cancel a policy before the end of the current policy period for reasons described in the provision titled Cancellation which is located in the General Terms section of your policy (refer to the Contents in the beginning of your policy for the page number). 2. An automobile liability insurance company may increase the premium or refuse to renew the policy for any of the following reasons: a. Accident involvement by an insured, and whether an insured is at fault in the accident. StateFarm AState Farm Mutual Automobile Insurance Company 15114-4-A MATCH 01815 MUTL VOL ID PO Box 2368 Bloomington IL 61702-2368 DECLARATIONS PAGE PAGE 2 OF 2 01815 NAMED INSURED 75-2EDB-4 A A POLICY NUMBER 776 3587-F22-75F SLSoolszo POLICY PERIOD OCT 01 2025 to JUN 22 2026 875 IRON HORSE DR STE A271 PROPERTY SOLUTIONS INC 12:01 A.M. Standard Time 75 PARK CITY UT 84060-5158 STATE FARM PAYMENT PLAN NUMBER 1256610923 F EI Tt 3t � �LET�EF#SEM i. p � y ...................................................fircrI�II ------------------------ FORM 9805BY CONSISTS OF IACLUDINGLTHOSEOOISSUED TO YOU WITH ANY SOBSEQUENT RENEWAL NOTICE. CREDITOR— FORD MOTOR CREDIT — LIEN INSURANCE SERVICE CENTER, PO BOX 390858, MINNEAPOLIS MN 55439-0858. 01 6028BU ADDITIONAL INSURED—CITY OF SANTA ANA PUBLIC WORKSAGENCY GIP/DESIGN ENGINEERING 20 CIVIC CENTER PLZ SANTA ANA CA 92701-4658. 02 6028BU ADDITIONAL INSURED—CITY OF ONTARI6, 303 E B ST, ONTARIO CA 91764-4196. 03 6028BU ADDITIONAL INSURED—CITY OF SANTA ANA ATTENTION: PLANNING & BUILDING20 CIVIC CENTER PLAZA SANTA ANA CA 92M1-9999. 04 6028BU ADDITIONAL INSURED—CITY OF SANTA ANA, ISAOA, 20 CIVIC CENTER PLZ, SANTA ANA CA 92701-4058. 603OGF BUSINESS NAMED INSURED. 6125A AMENDATORY ENDORSEMENT. 6126MD EXCESS COVERAGE FOR PERSONAL VEHICLE SHARING. 6129J AMENDATORY ENDORSEMENT. 6289DW SINGLE LIMIT LIABILITY COVERAGE. 6196AA — WAIVER OF SUBROGATION UNDER THE LIABILITY COVERAGE FOR — CITY OF SANTA ANA PUBLIC WORKS AGENCY; GIP DESIGN ENGINIEERING; CITY OF SANTA ANA, ISAOA. This policy is issued by State Farm Mutual Automobile Insurance Company. MUTUAL CONDITIONS 1. Membership. While this policy is in force, the first insured shown on the Declarations Page is entitled to vote at all meetings of members and to receive dividends the Board of Directors in its discretion may declare in accordance with reasonable classifications and groupings of policyholders established by such Board. 2. No Contingent Liability. This policy is non-assessable. 3. Annual Meeting. The annual meeting of the members of the company shall be held at its home office at Bloomington, Illinois, on the second Monday of June at the hour of 10:00 A.M., unless the Board of Directors shall elect to change the time and place of such meeting, in which case, but not otherwise, due notice shall be mailed each member at the address disclosed in this policy at least 10 days prior thereto. In Witness Whereof, the State Farm Mutual Automobile Insurance Company has caused this policy to be signed by its President and Secretary at Bloomington, Illinois. Secretary President Important . . . California law requires us to provide you with information for filing complaints with the State Insurance Department regarding the coverage and service provided under this policy. Complaints should be filed only after you and Stag Farm or your agent or other company representative have failed to reach a satisfactory agreement on a problem. Please forward such complaints to: California Department of Insurance Consumer Services Division 300 South Spring Street Los Angeles, CA 90013 Or file a complaint through the Department of Insurance's Internet Web site(www.insurance.ca.gov) Or call toll free 1-800-927-HELP(4357) NOTICE We are required to furnish you with the following information: 1. An automobile liability insurance company may cancel a policy before the end of the current policy period for reasons described in the provision titled Cancellation which is located in the General Terms section of your policy (refer to the Contents in the beginning of your policy for the page number). 2. An automobile liability insurance company may increase the premium or refuse to renew the policy for any of the following reasons: a. Accident involvement by an insured, and whether an insured is at fault in the accident. b. a 603OGF BUSINESS NAMED INSURED f n w This endorsement is a part of the policy. Because of the type of named insured shown on the tn Declarations Page of this policy and the changes made below, all references to resident vela- while CA and non-owned cars in the policy are deleted. Except for the changes this endorsement your w makes,all other provisions of the policy remain the same and apply to this endorsement. a tern t- trailt oo M 1. DEFINITIONS 3. any other person or organization (3) The follo � vicariously liable for the use of a You or Your is changed to read: vehicle by an insured as defined THE. cv You or Your means the named insured in 1. or 2. above, but only for FOR O or named insureds shown on the Decla- such vicarious liability. This DAN o rations Page. provision applies only if the ve- FRO_ Z~ 2. LIABILITY COVERAGE hicle is: a. neither owned by, nor hired 1 o a. Additional Definition F a by, that other person or or- I Insured is changed to read: ganization-,and F Insured means: b. neither available for, nor 1. you for: being used for, carrying E- persons for a charge. a. the ownership, maintenance, D or use of: Insured does not include the United States of America or any of 1 C (1) your car, its agencies. (2) a newly acquired car; b. Exclusions I or F U (1) Exclusion 5. is changed to read: (3) a trailer, and 2 1 �1 FOR BODILY INJURY TO O b. the maintenance or use of a THAT INSURED'S FELLOW F temporary substitute car; EMPLOYEE WHILE THE D 0. FELLOW EMPLOYEE IS IN 2. any person for his or her use of: THE COURSE AND SCOPE I a. your car; OF HIS OR HER EMPLOY- MENT; F b. a newly acquired car, T (2) Exclusion 7. is changed to read: c. a temporary substitute car; or WHILE MAINTAINING OR 3. 1 USING A VEHICLE IN F ��. d. a trailer while attached to a CONNECTION WITH THAT d car described in a., b., or c. INSUREDS EMPLOYMENT I ;9 above. IN OR ENGAGEMENT OF Such vehicle must be used with ANY KIND IN A CAR BUSI- I ayour permission, express or NESS. This exclusion does not 1 W implied, and within the scope apply to: of that permission; and a. you; or Page 1 of 3 6030GF 0,Copyright, State Farm Mutual Automobile Insurance Company,2015 0,C4 temporary substitute car, or a b. Exclusions trailer owned by you; Exclusion 2. is deleted. AMENDATORY ENDI w (4) Exclusions 7. and 9. are deleted. 5. PHYSICAL DAMAGE COVERAGES � 4. UNINSURED MOTOR VEHICLE COV- This endorsement is a 1 N ERAGE Additional Definitions cv of the policy remain the a. Additional Definitions a. Covered Vehicle is changed to read: too o Covered Vehicle means: PHYSICAL DAMAGE M Insured is changed to read: Limits and Loss Settle r- Insured means: 1. your car; Item 1.a. is changed to 1. any person while occupying: 2. a newly acquired car; 1. We have the r 10 a. your car; 3. a temporary substitute car; and following ways Z b. a newly acquired car, or 4. a camper that is designed to be a. Pay the cc mounted on a pickup truck and to the repi, c. a temporary substitute car. is shown on the Declarations (1) We h; Such vehicle must be used Page; vehic within the scope of your con- including its parts and its equip- (a) T sent. Such person occupying a ment that are common to the use of (p) p public or livery conveyance is the vehicle as a vehicle. However, x not an insured, and parts and equipment of campers (c) P 2. you or any person entitled to re- must be securely fixed as a perma- O cover compensatory damages as nent part of the camper. O� a result of bodily injury to an b. Insured is changed to read: (� insured defined in item 1. Uabove. Insured means you. a (i O a If O a O The ri Ei condi U recon or no H restor H You e W or oth (2) The c acoves (3) If the of the Page 3 of 3 6030GF 6125A 0,Copyright, State Farm Mutual Automobile Insurance Company,2015 c b. If Other Me, 6126MD EXCESS COVERAGE FOR PERSONAL VEHICLE SHARING or Similar V w This endorsement is a part of the policy. Except for the changes this endorsement makes, all other The first p � provisions of the policy remain the same and apply to this endorsement. changed to re �N' 1. LIABILITY COVERAGE 2. MEDICAL PAYMENTS COVERAGE The Me. w provided 00 a. Exclusions a. Exclusions primary tn � Exclusion 15.is replaced by the following: (1) Exclusion 3. is replaced by the fol- who sus r- THERE IS NO COVERAGE FOR lowing: o attached attached ON AN INSURED FOR THE OWN- THERE IS NO COVERAGE car or a t ERSHIP MAINTENANCE OR ° USE OF YOUR CAR OR ANEWLY FOR AN INSURED WHO IS in person Z cv OCCUPYING A VEHICLE Medical I ACQUIRED CAR WHILE USED WHILE IT IS RENTED OR by this o IN PERSONAL VEHICLEIq LEASED TO OTHERS BY AN coverage A,CC SHARING. This exclusion does INSURED. This exclusion tives wl not apply to you and resident rela- does not apply to you and resi- while oc fives when, and only if, the full dent relatives while occupying trailer at amount of all available limits of all your car or a newly acquired or a trail Wother liability bonds, policies, and car while used in personal personal self-insurance plans that apply have vehicle sharingwhen and only y 3. UNINSURED been used tt by payment v ibeenudg- if, the full amount of all availa- COVERAGE ments or settlements, or have been p ble limits of all other sources of offered in writing. medical payments coverage or a. Exclusions Ub. If Other Liability Coverage Applies similar vehicle insurance that Exclusion 6. i a The first paragraph of item 2. is apply have been paid. THERE p changed to read: (2) Exclusion 15. is replaced by the AN INS The Liability Coverage provided by following: PYING LY ACC this policy applies as primary cov- THERE IS NO COVERAGE USED Ii erage for the ownership, mainte- FOR AN INSURED WHO IS SHARIA nance, or use of your car or a OCCUPYING YOUR CAR OR not appl} E. trailer attached to it, except while A NEWLY ACQUIRED CAR fives wh x your car or a trailer attached to it is WHILE USED IN PERSON amount c U used in personal vehicle sharing. AL VEHICLE SHARING other sot The Liability Coverage provided by This exclusion does not apply vehicle c [� to you and resident relatives been aic this policy applies as excess cover- when and only if, the full p age for the ownership, mainte- amount of all available limits b. If Other U: nance, or use of your car or a of all other sources of medical Coverage Al Wtrailer attached to it while your car payments coverage or similar The first p or a trailer attached to it is used in vehicle insurance that apply changed to re W personal vehicle sharing. have been paid. Page 1 of 3 6126MD ©,Copyright, State Farm Mutual Automobile Insurance Company,2013 ©,C4 coverage or similar coverage primary coverage for a loss to your that apply have been paid. car, except while your car is used 6289DW SINGLE L b. If Other Physical Damage Coverage in personal vehicle sharing. The or Similar Coverage Applies physical damage coverages provid- This endorsement is tn 1; The first paragraph of item 3. is ed by this policy apply as excess provisions of the poll" N changed to read: coverage for a loss to your car LIABILITY COVE] The physical damage coverages while it is used in personal vehicle The Limits provision M provided by this policy apply as sharing. ing: � Limit 1. The Liability on the Declai ity Coverage Z 2. The limit sho for all dama€ 0 R accident. 3. This Liabilit, reduced by f damages mac W der the Unin erage of this O O U W O a O O H x U H H W W W W Page 3 of 3 6126MD ©,Copyright, State Farm Mutual Automobile Insurance Company,2013 ©,C4