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HomeMy WebLinkAboutLOENGREEN INC. (SANTA ANA CYPRESS CENTER RESTORATION) INSURANCE ON FILE WORK MAY PROCEED UN1 IL IFISLIFr;NCt_FXPi �_S CITY CLF—RV CITY OF SANTA ANA DATL OCT 3 1 2075 CONSTRUCTION CONTRACT O:FWA (I) PROJECT 22-6023 Lai Ipni Teti a(D2) SANTA ANA CYPRESS CENTER RESTORATION This CONSTRUCTION CONTRACT is made and entered into this 21 st day of October 2025 by and between the City of Santa Ana,California, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California (hereinafter "CITY"), and Loengreen Inc. (hereinafter"CONTRACTOR"). WITNESSETH: The CITY and the CONTRACTOR, for the consideration hereinafter named, mutually agree as follows: I. CONTRACTOR agrees to perform all the work and furnish all the materials at its own cost and expense necessary to construct and complete in a good and workmanlike manner and to the satisfaction of the City Engineer of the CITY, the Santa Ana Cypress Center Restoration Project (hereinafter referred to as the "WORK OF IMPROVEMENT") identified in and in accordance with the Contract Documents prepared by the City's Public Works Agency and approved by the City Council. 2. The complete Construction Contract consists of the"Contract Documents" as defined by the Standard Specifications for Public Works Construction and which include the following: • Notice Inviting Bids • Information to Bidders • Bid Proposal • Bid Bond • Contract Form • Contract Bonds • General Provisions • Special Provisions • Technical Provisions and Project Plans • Community Workforce Agreement • Appendices In case of conflict between the Contract Documents, the precedence of documents shall be as established in the Standard Specifications for Public Works Construction. 3. CITY agrees to pay and CONTRACTOR agrees to accept in full payment to complete the WORK OF IMPROVEMENT the sum total amount not to exceed Three Million Three Hundred Twenty-Two Thousand Five Hundred Twelve Dollars and No Cents ($3,322,512.00), as set forth and identified in the BID PROPOSAL, which is attached hereto and incorporated herein as Exhibit"A." The BID PROPOSAL contains a schedule of unit price(s) or lump sum(s) based on approximate quantities only,and the City does not expressly or by implication agree that the actual amount of work will correspond therewith, but reserves the right to increase or decrease the amount of any class or portion of the work or to omit portions of the work as may be deemed necessary or advisable. rev.09/01/2017 Page 1 of 3 4. CONTRACTOR agrees to complete the WORK OF IMPROVEMENT within the time specified in the Time for Completion of Improvements section of the BID PROPOSAL (Exhibit "A") including commencing construction within the timeframe therein specified after issuance of Notice to Proceed. 5. The CONTRACTOR will pay, and will require all subcontractors to pay,al l employees on the WORD OF IMPROVEMENT a salary or wage at least equal to the prevailing salary or wage established for such work as set forth in the wage determinations for this work in accordance with applicable State and Federal law. 6. If applicable, the CONTRACTOR shall adhere to the CITY'S Community Workforce Agreement (CWA), a pre-hire collective bargaining agreement, which establishes the labor relations policies and procedures for CONTRACTOR to follow in the crafts persons employed to complete the WORK OF IMPROVEMENT as more frilly described in the CWA. The CWA may be found on the City's website at: http://www.santa-ana.org/pwa/documents/CWA.pdf 7. CONTRACTOR shall, after award of this Contract, furnish two bonds to be approved by the CITY, one in the amount of One Hundred Percent (100%) of the Contract price, to guarantee the faithful performance of the work(Performance Bond), and one in the amount of One Hundred Percent(100%) of the Contract price to guarantee payment of all claims for labor and materials furnished (Payment Bond). This Contract shall not become effective until such bonds are supplied to and approved by the CITY. 8. CONTRACTOR shall, prior to the release of the performance and payment bonds or the retention payment, furnish a warranty performance and payment bond (Warranty Bond). Said Warranty Bond shall also be required as a condition of project acceptance. For projects up to Five hundred Thousand Dollars($500,000),the Warranty Bond amount shall be the greater of Ten Thousand Dollars($10,000) or Twenty Percent (20%) of the final contract price. For projects above Five Hundred Thousand Dollars($500,000),the Warranty Bond amount shall be the greater of One Hundred Thousand Dollars ($100,000) or Ten Percent (10%) of the final contract price. 9. CONTRACTOR shall, after award of this Contract, furnish Certificates of Liability Insurance and Worker's Compensation Insurance as outlined in the General Provisions,to be approved by the CITY. 10. INDEMNIFICATION. To the fullest extent allowed by law, CONTRACTOR and its Subcontractors hereby agree to defend, indemnify, and hold harmless CITY, its City Council, boards and commissions, officers, agents, employees, representatives and volunteers (hereinafter collectively referred to as "Indemnitees"), through legal counsel acceptable to CITY, from and against any liability, claims, actions, costs, damages or losses, including reasonable costs and attorney's fees, for injury, including death to any person or damage to any property, arising directly or indirectly from, or in any manner relating to, any of the following: (i) Performance or nonperformance of the Work of Improvement by CONTRACTOR or its Subcontractors of any lower tier; (ii) Performance or nonperformance by CONTRACTOR or its Subcontractors of any lower tier, of any of the obligations under the Contract Documents; Page 2 of 3 (iii) The construction activities of CONTRACTOR or its Subcontractors of any Lower tier, either on the project site or on other properties; (iv) The payment or nonpayment by CONTRACTOR of any of its Subcontractors of any lower tier, for Work of Improvement performed on or off the project site; and (v) Any personal injury, property damage or economic loss to third persons related to and arising from the performance or nonperformance by CONTRACTOR or its Subcontractors of any lower tier, of the Work of Improvement. (vi) The indemnity obligations of Subcontractors provided by this Section shall be included in all subcontract documents issued by CONTRACTOR. Nothing in the Contract Documents shall be construed to give rise to any implied right of indemnity in favor of CONTRACTOR against CITY or any other Indemnitee. IN WITNESS WHEREOF, the parties hereto have executed this Construction Contract on the day and year first above written. ATTEST: CITY OF SANTA ANA 4 JENNIF HA L .A LVARO NUKE City Clerk City Manager APPROVED AS TO FORM: SONIA R. CARVALHO CONTRACTOR: City Attorney Loengreen Inc. By: r� t✓ . KAU NELLESEN NAME: Jeong Won Hong Assistant City Attorney TITLE: President RECOMMENDED FOR APPROVAL: Dgimlly eig'm by Rm'ft Ryas Rodolfo R05a5 oN:rn=RoaoHoReuxemakl=aus�ano- LJ Sorg,=us Ntl,M25.lUA6 I S.l S.Rfi-0TW RODOLFO ROSAS, P.E. Acting Executive Director Public Works Agency Page 3 of 3 EXHIBITA CITY OF SANTA ANA PROPOSAL PROJECT NO.: 22-6023 CYPRESS CENTER RESTORATION BID PROPOSAL TO: CITY COUNCIL OF THE CITY OF SANTA ANA FROM: LOENGREEN INC REQUIREMENT: The undersigned bidder declares that they have carefully examined the location of the proposed work, that they have examined the Contract Documents in its entirety and hereby proposes to furnish all material and do all the work required to complete the said work in accordance with said plans(if any) and the specifications for the unit price(s) or lump sum(s) set forth in the following schedule: Item Description Qty Unit Unit Price Amount 1 Division 0l: General Requirements 1 LS $ 66,077.00 $ 66,077.00 2 Division 02:Existing Conditions 1 LS $ 115,060.00 $ 115,060,00 3 Division 03:Concrete 1 LS $ 113,920.00 $ 113,920,00 4 Division 05:Metals I LS $ 237,116.00 $ 237,116,00 5 Division 06: Wood,Plastics,and Composites 1 LS $ 355,894.00 $ 355,894.00 6 Division 07:Thermal and Moisture Protection I LS $ 201,772.00 $ 201,772.00 7 Division 08:Openings 1 LS $ 162,833.00 $ 162,833.00 8 Division 09:Finishes 1 LS $ 267,259.00 $ 267,259.00 9 Division 10: Specialties I iLS $ 36,285.00 $ 36,285.00 10 Division 12:Furnishings 1 LS $ 41,157.00 $ 41,157.00 11 Division 21:Fire Suppression 1 LS $ 58,105.00 $ 58,105.00 12 Division 22:Plumbing 1 LS $ 279,026.00 $ 279,026.00 13 Division 23:Heating,Ventilating,and Air 1 LS $ 181,080.00 $ 181,080.00 Conditioning(HVAC) 14 Division 26:Electrical 1 LS $ 552,560.00 1 $ 552,560.00 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 22-6023 CYPRESS CENTER RESTORATION BIDDER'S STATEMENT BIDDER. understands and agrees that this Bid Proposal, Contract Documents and subsequent Construction Contract Agreement shall constitute the entire agreement between BIDDER and the AGENCY only after it has been accepted by the City Council,endorsed by the Clerk ofthe Council with her signature and official seal noting hereon the action of approval of the Council, signed by the Public Works Agency Executive Director or his/her duly authorized agent, and signed by the City Attorney, denoting his approval of the Form of this document, and its execution, and when it or an exact copy of it has been either delivered to BIDDER or deposited with the United States Postal,Service properly addressed to the BIDDER with the correct postage affixed thereto. BIDDER further agrees that upon delivery(as defined above) of the accepted agreement he/she will furnish AGENCY all required bonds and certificate of liability insurance within ten (10) business days or the funds, check, draft, or BIDDERS bond substituted in lieu thereof accompanying this proposal shall become the property of the AGENCY and shall be considered as payment of damages due to the delay and other causes suffered by AGENCY because of the failure to furnish the necessary bonds and because it is distinctly agreed that the proof of damages actually suffered is difficult to ascertain; otherwise said funds, check, drafts, or BIDDER'S bond substituted in lieu thereof shall be returned to the undersigned. BIDDER understands that a bid is required for the entire work, the estimated quantities set forth in the bid schedule are solely for the purpose of comparing bids, and that Final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. The BIDDER also certifies that the bid is a balanced bid. In accordance with Section 7028.15 of the California Business and Professions Code, the undersigned certifies under penalty of perjury that the foregoing is true and correct. Name of Firm LOENGREEN INC Signature of BIDDER Title President (If an individual, so state. If a Firm or co-partnership, state the firm name and give the names of all individual co-partners composing the firm. If a corporation, state legal name of corporation, and names of President, Secretary, Treasurer and Manager, thereof) P-4 of P-19 AC R CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 09/3012025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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 UUNTACT mktd€r NAME: CAL-KOR Insurance Services PHONE (213)387-5000 F A C No Ext Alc,No (213)388-8695 3255 Wilshire Blvd E-MAIL ADDRESS: Ste 1500 INSURERS)AFFORDING COVERAGE NAIC# Los Angeles CA 90010 INSURERA: Gemini Insurance Company 10833 INSURED INSURER B: Kem er P Auto Commerical 38156 Loengreen Inc. INSURER C: Scottsdale Insurance Company 41297 2837 James M Wood Blvd INSURER D: SCIF 35076 INSURER E: The Ohio Casualty Insurance Company LOSAngeleS CA 90006 INSURERF: COVERAGES CERTIFICATE NUMBER: CL2512156591 REVISION NUMBER: THIS IS TO CE.RTIFYTHAT 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 POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMlDDlYYYY MMlDDlYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE N OCCUR PREMISES Ea occurrence $ 50,000 MED EXP Any one person) $ 5,000 A Y Y VCGPD33343 01/14/2025 01/14/2026 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATELIMITAPPLIESPER: GENERAL AGGREGATE $ 2.000,000 X POLICY❑J�CT LOC PRODUCTS-COMPIOPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY EO BINElds�DitSINGLELIMIT $ 1,000,000 ANYAUTO BODILY INJURY(Per person) $ B OWNED 1xx SCHEDULED Y Y 50007861301 09h1/2025 03/11/2026 BODILYINJURY(Peraccident) $ AUTOS ONLY AUTOS X HIRED NON-OWNED PROPERTY DAMAGEAUTOS ONLY AUTOS ONLY Per accident $ X UMBRELLALIAB X OCCUR $ 5,000,000 EACH OCCURRENCE C EXCESS LIAB CLAIMS-MADE Y Y CXS4042019 01/14/2025 01/14/2026 AGGREGATE $ 5,000,000 DED I X RETENTION$ 25,000 $ WORKERS COMPENSATION X1 STER ATUTE EORH AND EMPLOYERS'LIABILITY YI N D ANY PROPRIETORIPARTNERIEXECUTIVE N/A Y 92441452025 01I1212025 01/12/2026 E.L.EACH ACCIDENT $ 1,000,000 OFFICEWMEMBER EXCLUDED? (Mandatory 1n 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 Builder's Risk Cost of construction $1,150,000 E BM069570673 09/01/2025 09/01/2020 Soft Cost $400,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more apace Is required) *10-day notice for non-payment of premium. City of Santa Ana,its City Council,officers,officials,employees,agents,and volunteers are named as additional insured. Tu Tran DigltalIy signed by 7u Tran Nguyen Date.20 Nguyen 0B3119?OT00', APPROVED CERTIFICATE HOLDER CANCELLATION Hy 1 u Fran Nguyen et&:30 am;Oct 27 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. PWA-PFFR 20 Civic enter Piz,M-11 AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 ©1988.2015 ACORD CORPORATION. All rights roserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Policy Number:VCGP033343 CG 20 10 0413 Insured flame: Loengreen Inc Number: Effective Date: 01/14/2025 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 fart SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location(s)Of Covered Operations Any person or organization when you have agreed All locations for which you have agreed in a written in a written and executed contract prior to an and executed contract prior town "occurrence." "occurrence",that such person or organization be added as an additional insured on your policy. Information required to complete this.Schedule, if not shown above, will be shown in the Declarations. A. Section tl —Who.Is An Insured is amended 2. If coverage provided to the additional to include as an additional insured the insured is required by a contract or person(s) or organization(s) shown in the agreement,the insurance afforded to such Schedule, but only with respect to liability for additional insured will not be broader than "bodily injury", "property damage"or"personal that which you are required by the contract and advertising.injury" caused, in whole or in or agreement to provide for such additional part, hy� insured. 1. Your acts or omissions; or B. With respect to the insurance afforded to 2. The acts or omissions of those acting on these additional insureds, the following your behalf; additional exclusions apply: in the performance of your ongoing operations This insurance does not apply to"bodily injury" for the additional insured(s) at the location(s) or"property damage" occurring after: designated above. 1. All work, including materials, parts or However: equipment furnished in connection with such work, on the project (other than 1. The insurance afforded to such additional service, maintenance or repairs) to be insured only applies to the extent performed by or on behalf of the additional permitted by law;and insured(s) at the location of the covered operations has been completed; or CG 20 10 04 13 ©Insurance Services Office, Inc., 2012 Page 1 of 2 2. That portion of"your work"out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the 'following is added to Section III—Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 10 04 13 ©Insurance Services Office, Inc., 2012 Page 2 of 2 Policy Number: VCGP033343 CG 20 12 12 19 Insured Name: Loengreen Inc Number: Effective Date:01/1412025 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS This endorsement modifies insurance provided under the following: Commercial General Liability Coverage Part Schedule State Or Governmental Agency Or Subdivision Or Political Subdivision: Any qualifying entity when you have agreed in a written and executed contract, prior to an "occurrence",that such qualifying entity be added as an additional insured on your policy 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 2. This insurance does not apply to: include as an additional insured any.state or governmental agency or subdivision or political a. 'Bodily injury", "property damage" or subdivision shown in the Schedule, subject to "personal and advertising injury" arising the following provisions: out of operations performed for the 1. This insurance applies only with federal government, state or respect to municipality; or operations performed by you or on your behalf.for which the state or governmental b. 'Bodily injury" or "property damage" agency or.subdivision or political subdivision included within the "products-completed has issued a permit or authorization. operations hazard". However: B. With respect to the insurance afforded to these a. The insurance afforded to such additional additional insureds, the following is added to insured only applies to the extent Section III—Limits Of Insurance: permitted by law; and If coverage provided to the additional insured is b. if coverage provided to the additional required by a contract or agreement, the most insured is required by a contract or we will pay on behalf of the additional insured is agreement, the insurance afforded to the amount of insurance: such additional insured will not be 1. Required by the contract or agreement; or broader than that which you are required 2. Available under the applicable limits of by the contract or agreement to provide insurance; for such additional insured. whichever is less. This endorsement shall not increase the applicable limits of insurance. CG 20 12 12 19 0 Insurance Services Office, Inc., 2018 Page 1 of 2 All other terms and conditions of this Policy remain unchanged. CG 20 12 12 19 © Insurance Services Office, Inc., 2018 Page 2 of 2 Policy Number:VCGP033343 CG 20 37 04 13 Insured Name: Loengreen Inc Number: Effective Date: 01/14/2025 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 SCHEDULE Name Of Additional Insured Person(s) Location And Description Of Completed Or Organization(s): Operations Any person or organization when you have agreed All locations and completed operations for which in a written and executed contract, prior to an you have agreed_ in a written and executed "occurrence", that such person or organization be contract prior to an"occurrence. added as an additional insured on your policy. Information required to complete this Schedule, if not shown above,will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the B. With respect to the insurance afforded to these person(s) or organization(s) .shown in the additional insureds, the following is added to Schedule, but only with respect to liability for Section III--Limits Of Insurance: "bodily injury"or"property damage caused, in whole or in part, by."Your work"at the location If coverage provided to the additional insured designated and described in the Schedule of is required by a contract or agreement, the this endorsement performed for that additional most we will pay on behalf of the additional insured and included in the "products- insured is the amount of insurance: completed operations hazard". 1. Required by the contract or agreement; or However: 2. Available under the applicable Limits of 1. The insurance afforded to such additional Insurance shown in the Declarations; insured only applies to the extent whichever is less. permitted by law; and This endorsement shall not increase the 2. If coverage provided to the additional applicable Limits of Insurance shown in the insured is required by a contract or Declarations. 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 04 13 ©Insurance Services Office, Inc„2012 Page 1 of 1 Policy Number: VCGP033343 CG 24 04 12 19 Insured Name: Loengreen Inc Number: Effective Date: 01/14/2025 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: Commercial General Liability Coverage Part Schedule Name Of Person(s)Or Organization(s): Any person or organization you have agreed in a written and executed contract, prior to an 'occurrence", that you would provide such person or organization a waiver of transfer of rights of recovery against others to us on your policy. Information required to complete this Schedule, if not shown above; will be shown in the Declarations. The following is added to Paragraph B. Transfer Of Rights Of Recovery Against Others To Us of Section IV--Conditions: We waive any right of recovery against the person(s) or organization(s). shown .:in the Schedule above because of payments we make. under this Coverage fart. Such waiver by us applies only to the extent: that the insured has waived its right of recovery against such person(s.) or organization(s) prior. to loss. This endorsement applies only to the person(s) or organization(s)-shown in the Schedule above. H other terms..and conditions of this Policy remain unchanged. CG 24 04 12 19 0 Insurance Services Office, Inc„ 2018 Page 1 of 1 Policy Number: VCGP033343 VE 05 86 01 16 Insured Name: Loengreen Inc Number: Effective Date: 01/14/2025 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -- LESSOR OF LEASED EQUIPMENT- AUTOMATIC STATUS WHEN REQUIRED IN LEASE AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: Commercial General Liability Coverage Part APPLICATION OF ENDORSEMENT: (Enter below any limitations on the application of this endorsement.). Schedule Limitations on application of this endorsement: Automatic additional insured status does not apply to any persons) or organization(s)from whom you lease crane or scaffolding equipment. A. Section 11 — Who Is An Insured is amended to include as an additional insured any person(s) or organization(s) from whom you lease equipment when you and such person(s) or organization(s) have agreed in writing in a contract or agreement that such person(s) or organization(s) be added as an additional insured on your policy. Such person(s) or organization(s) is an insured only with respect to liability for"bodily injury" or "property damage" caused in whole or in part, by your maintenance, operation or use of equipment leased to you by such person(s) or organization(s). However the insurance afforded to such additional insured: 1. Does not apply to the additional insured's sole negligence; 2. Only applies to the extent permitted by law; and 3. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A persons or organization's status as an additional insured under this endorsement ends when their contract or agreement with you for such leased equipment ends. R. With respect to the insurance afforded to these additional insureds, this insurance does not apply to any "occurrence"which takes place after the equipment lease expires. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III— Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement you have entered into with the additional insured; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Includes copyrighted material of Insurance Services Office, Inc. with its permission VE 05 86 01 16 Page 1 of 1 Policy Number:VCGP033343 VE 09 73 04 20 Insured Name: Loengreen Inc Number: Effective Date. 01/14/2025 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTIIER INSURANCE CONDITION This endorsement modifies insurance provided under the following: Commercial General Liability Coverage Part The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other Commercial General Liability insurance available to an additional insured under your policy, but only if: (1) The additional insured is a Named Insured under such other Commercial General Liability insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other Commercial General Liability insurance available to the additional insured. Coverage granted to an additional insured remains subject to all terms, conditions, limitations, and exclusions set forth in the endorsement form that conferred the additional insured status. In the event of conflict between this endorsement and an endorsement conferring additional insured status, then the endorsement conferring additional insured status shall govern the scope of coverage available to the additional insured. All other terms and conditions of this Policy remain unchanged. VE 09 73 04 20 Includes copyrighted material of Insurance Services Office, Inc. Page 1 of 1 with its permission KEMPERAutoKemper Auto Commercial 11700 Great Oaks Way, Suite 450 COMMERCIAL Alpharetta, GA30022 Underwritten by: Infinity Select Insurance Company Customer Service: (800)722-3391 Claims Service:(800)353-6737 COMMERCIAL AUTO DECLARATION POLICY NUMBER:50007861301 POLICY PERIOD:0911112025 To:031111112026 Loengreen Inc P.O.Box 279 This policy is effective no earlier than the date and time on which the La Canada,CA 91012 application is accepted by the Company and shall expire at 12:01 a,m.on the last day of the policy period shown on the Declarations Page.If the policy is cancelled for nonpayment, it may be continued with or without a lapse in coverage,contingent upon valid payment and in accordance with our underwriting rules. The following coverages and limits apply to each described vehicle as shown below.Coverages are defined in the policy and are subject to the terms and conditions contained in the policy,including amendments and endorsements. No changes will be effective prior to the time changes are requested. Deductible # Year Make I Model VIN Number COL I COM 1 FTC 1 2023 CHEVROLET-SILVERADO MEDIUM DUTY 1HTKJPVK2PH735537 1000/1000/NIA COVERAGES-LIMITS OF LIABILITY PREMIUMS FOR VEHICLES THE COVERAGE IS APPLICABLE ONLY IF A PREMIUM IS INDICATED VEH 1 611PD Liability $1,000,000 CSL 1338 Uninsured Motorist-BI $100,000 CSL 61 Comprehensive 241 Hired Auto-Bodily Injury 71 Hired Auto-Property Damage 23 Non-Owned-Bodily Injury 71 Non-Owned-Property Damage 23 Roadside Assistance Five Disablementstannual 13 term Medical Payments $5,000 18 Collision Deductible Waiver $1000 Deductible 527 PREMIUM BY VEHICLE: 2,386 TOTAL VEHICLE PREMIUM(S): $2,386.00 FEES: $105.00 .see reverse for fee schedule ENDORSEMENTS MADE A PART OF THIS POLICY: TOTAL POLICY PREMIUM: $2,491.00 50461AE201,50461AIS01,504618WF01,50461NOE01, 50461HAE01,500PNCV01 This Policy provides reduced liability coverage limits when an insured auto is being operated by a regular permissive driverwho was not disclosed on the policy application or otherwise as a driver to be covered by this policy,or was not disclosed within (30)days after becoming a driver subsequent to the date of application.Liability limits drop to the minimum California Statutory Liability Limits which are$30,000 for Bodily Injury per person, $60,000 for Bodily Injury per accident, and $15,000 for Property Damage per accident, See PART A-LIABILITY, ADDITIONAL DEFINITIONS USED IN PART A ONLY,Paragraph 1.13 and PART A-LIABILITY EXCLUSION 27. FOR YOUR PROTECTION CALIFORNIA LAW REQUIRES THE FOLLOWING TO APPEAR ON THIS FORM. ANY PERSON WHO KNOWINGLY PRESENTS FALSE OR FRAUDULENT INFORMATION TO OBTAIN OR AMEND INSURANCE COVERAGE OR 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. SEE REVERSE FOR ADDITIONAL INFORMATION 50400DCPG04 Page 1 of 2 AMEND DATE: 10/23/2025 ENDORSEMENT:4-2 Additional Information: Agency Information: APPLIED RISK SERVICES INC Please mail all inquiries to: PO Box 3646 Kemper Commercial Auto Omaha, NE 68103-0646 11700 Great Oaks Way,Suite 450 Alpharetta, GA 30022 Please fax all inquiries to: (877)722-3391 DRIVER INFORMATION: # DRIVER NAME EXCL SR22 1 Jeong Won Hung No No 2 Gyujin Jeong No No 3 Kenneth Kijae Song No No 4 Peter Kim No No 5 Kook Hyun Chung Yes No 6 Dong Hyun Park No No VEHICLE LOSS PAYEEIADDITIONAL INTEREST INFORMATION: VEH# NAME TYPE ADDRESS CITY STATE ZIP 1 North Mill Credit Trust,ISAOA Lienholder 9 Executive Cir,Ste 230 Irvine CA 92614 RATING CRITERIA: VEH# DRV# DRV VEH PERSONAL VEH GARAGING STATED VALUE VEH VEH PNTS GVW USE USE ZIP (INCL:ADDL.EQUIP STATED VALUE) RADIUS BODY 1 2 0 19500 NO H 91011 $82,944.00 500 406 POLICY LEVEL INFORMATION: PAID-IN-FULL: ❑YES x�NO PHYSICAL DAMAGE ONLY: YES Ox NO CDL DISCOUNT Ej YES ❑x NO PRIOR COVERAGE: px YES NO BUSINESS EXPERIENCE: ❑YES ONO STATE FILING: YES EX NO FEDERAL FILING: n YES ONO CGL OR BOP DISCOUNT: YES 0 NO RATED OCCUPATION: General Contractor (Commercial) ADDITIONAL DRIVER: 0 YES NO OCCUPATION CODE: B01 For Personal Use coverage,refer to"Rating Criteria"for each vehicle listed above. PAY PLAN OPTION: 16.67%Down Pay -5 Installments SCHEDULE OF APPLICABLE FEES: DESCRIPTION AMOUNT DESCRIPTION AMOUNT Waiver of Subrogation Fee $25.00 Additional Insured Fee $50.00 Vehicle Fee-Distributed $30.00 50400DCPG04 Page 2 of 2 AMEND DATE: 10/23/2025 ENDORSEMENT:4-2 KEMPERAutoKemper Auto Commercial 11700 Great Oaks Way, Suite 450 COMMERCIAL Alpharetta, GA 30022 Underwritten by: Infinity Select Insurance Company Customer Service: (800)722-3391 Claims Service:(800)353-6737 PRIMARY AND NONCONTRIBUTORY ENDORSEMENT 50007861301 03/11/2026 12:01 a.m. Loengreen Inc _ P.O.Box 279 La Canada, CA 91012 Loengreen Inc This endorsement is attached to and forms a part of the listed policy.The following endorsement applies only if Form Number 500PNCV01 appears on your Declarations Page. This endorsement modifies the insurance provided under your COMMERCIAL AUTO POLICY. PART A—LIABILITY COVERAGE OTHER INSURANCE—PART A ONLY The following is added to this section: The coverage afforded under your Commercial Auto Policy is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: a. You have agreed in writing in a contractor agreement that the coverage afforded under your Commercial Auto Policy would be primary and would not seek contribution from any other insurance available to such additional insured; and b. Such additional insured is a named insured under such other insurance. ALL OTHER TERMS, LIMITS, CONDITIONS, AND(PROVISIONS OF THE POLICY REMAIN UNCHANGED. INSURED COPY AMEND DATE : 10/23/2025 500PNCV01 ENDORSEMENT:4-2 KEMPERAuto Kemper Auto Commercial 11700 Great Oaks Way, Suite 450 COMMERCIAL Alpharetta, GA30022 Underwritten by: Infinity Select Insurance Company Customer Service:(800)722-3391 Claims Service:(800)353-6737 ADDITIONAL NAMED INSURED ENDORSEMENT 50007861301 03/11/2026 12:01 a.m. Loengreen Inc P.O. Box 279 La Canada, CA 91012 Loengreen Inc This endorsement is attached to and forms a part of the listed policy. No changes will be effective prior to the time changes are requested. City of Santa Ana, its City Council, officers,officials, employees, agents, and volunteers. Part A-Liability Coverage, is changed as follows: The definition of insured is changed to include the additional insured named above. Adding an insured will not increase the limit of our liability.The insurance provided by this endorsement will be excess over any other valid and collectible insurance. All other parts of this Policy remain unchanged. INSURED COPY AMEND DATE : 10/23/2025 60461AIS01 ENDORSEMENT:4-2 KEMPERAuto Kemper Auto Commercial 11700 Great Oaks Way, Suite 450 COMMERCIAL Alpharetta, GA 30022 Underwritten by: Infinity Select Insurance Company Customer Service:(800)722-3391 Claims Service: (800)353-6737 WAIVER OF SUBROGATION 50007861301 03/11/2026 12:01 a.m. Loengreen Inc P.O. Box 279 La Canada, CA 91012 Loengreen Inc This endorsement is attached to and forms a part of the listed policy.No changes will be effective prior to the time changes are requested. In return for your premium payment shown below,we agree that our rights of subrogation or rights of recovery under the policy will not apply against the following person or organization: City of Santa Ana, its City Council, officers, officials, employees, agents, and volunteers. (name of person or organization) Additional premium in the amount of$25.00 will be retained by us regardless of any early termination of this endorsement or the policy. All other policy provisions remain unchanged. INSURED COPY AMEND DATE., 10/23/2025 50461 SWF01 ENDORSEMENT:4-2 ENDORSEMENT AGREEMENT BROKER COPY COMPENSATION WAIVER OF SUBROGATION BLANKET BASIS 9244145-25 FUND RENEWAL SC HOME OFFICE 9-86-45-54 SAN FRANCISCO EFFECTIVE JANUARY 12, 2025 AT 12.01 A.M. PAGE 1 OF 1 ALL EFFECTIVE DATES ARE AND EXPIRING JANUARY 12, 2026 AT 12.01 A.M. AT 12:01 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME LOENGREEN, INC. PO BOX 279 LA CANADA, CA 91012 WE HAVE THE RIGHT TO RECOVER OUR PAYMENTS FROM ANYONE LIABLE FOR AN INJURY COVERED BY THIS POLICY. WE WILL NOT ENFORCE OUR RIGHT AGAINST THE PERSON OR ORGANIZATION NAMED IN THE SCHEDULE. THIS AGREEMENT APPLIES ONLY TO THE EXTENT THAT YOU PERFORM WORK UNDER A WRITTEN CONTRACT THAT REQUIRES YOU TO OBTAIN THIS AGREEMENT FROM US. THE ADDITIONAL PREMIUM FOR THIS ENDORSEMENT SHALL BE 2.00% OF THE TOTAL POLICY PREMIUM. SCHEDULE PERSON OR ORGANIZATION JOB DESCRIPTION ANY PERSON OR ORGANIZATION BLANKET WAIVER OF FOR WHOM THE NAMED INSURED SUBROGATION HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS OF THIS ENDORSEMENT, COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: JANUARY 14, 2025 2572 AUTHORIZED REPRESENT IVE PRESIDENT AND CEO SCIF FORM 10217 IREV.7-20141 OLD DP 217 CITY OF SANTA ANA Risk Management a division of Human Resources Managing Risk through ,Awareness and Action AFFIDAVIT OF EXEMPTION FOR PROFESSIONAL LIABILITY INSURANCE l Jeong Won Hong/President ("Representative"), attest that I am an authorized (Name and Title of vendor Representative) representative of LO E N G7 RE E N I N G p ("Company") and (Consultant/Company Name) possess the authority to legally bind Company. In 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 number 22-6023 ("Agreement")to provide Construction Service ("Services"): (Services to be provided under agreement/contract) During the course and scope of Company's agreement with the City of Santa Ana, Company will not use the services of an expert necessitating professional liability/errors & omissions liability insurance coverage 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 minimum professional liability insurance coverage as required in the Agreement, it will be considered a breach of Agreement rendering the Agreement null and void and Company will be fully liable for any and all damages. Jeon Won Hon Digitally signed by Jeong Won Hong 10109/2025 Date:2025.10.09 13:36:30�-07'00' Signature Date Jeong Won Hong Print Name President Title james.h@Ig-enc.com Contact Information,i.e-,Telephone Number and/or Email Address Affidavit of Exemption for Professional Liability Insurance 11.12.2024 CITY OF SANTA ANA f t PUBLIC WORKS AGENCY * * CONTRACT CHANGE ORDER , •1 it Project Number Project No. 22-6023 Cypress Center Restoration Change Order Number 1 To Loengreen, Inc. Contractor You are hereby directed to make the herein changes from the plans and specifications or do the following described work not included in the plans and specifications on this contract. NOTE.THIS CHANGE ORDER IS NOT EFFECTIVE UNTIL APPROVED BY THE CITY COUNCIL OR CITY MANAGER. Unless otherwise slated,rates for rental of equipment cover only such time as equipment is actually used and no allowance will be made for idle lime. Change requested by PUBLIC WORKS AGENCY EXTRA WORK AT AGREED PRICE 1. To compensate the contractor for costs associated with reframe and refinish bathroom wall. (PCO#2) AGREED PRICE = $23,138.00 2. To compensate the contractor for costs associated with wall reframing for bathroom. (PCO#3) AGREED PRICE = $11,166.50 • 3. To compensate the contractor for cost associated with reframing, roofing, and finish work necessary to accommodate the revised structural configuration. (PCO#4 AGREED PRICE = $30,498.69 TOTAL AGREED CHANGE ORDER= $64,803.19 Page 1 of 2 4 r CITY OF SANTA ANA f PUBLIC WORKS AGENCY • CONTRACT CHANGE ORDER �FFkk Project Number Project No. 22-6023 Cypress Center Restoration Change Order Number 1 To Loengreen Inc. Contractor You are hereby directed to make the herein changes from the plans and specifications or do the following described work not included in the plans and specifications on this contract. NOTE:THIS CHANGE ORDER IS NOT EFFECTIVE UNTIL APPROVED BY THE CITY COUNCIL OR CITY MANAGER. Unless otherwise stated,rates for rental of equipment cover only such time as equipment is actually used and no allowance will be made for idle time. Change requested by PUBLIC WORKS AGENCY The compensation both time and cost set forth in this change order comprises the total compensation due the Contractor, all Subcontractors, and all Suppliers for all work performed per this change order, including impact on unchanged work. By signing this change order, the Contractor acknowledges and agrees on behalf of himself, all Subcontractors, and all Suppliers, that the stipulated compensation includes payment for all work contained in this change order, plus all payment for interruption of schedules, extended field overhead, home office overhead, profit, delay, and all impact, ripple effect or cumulative impact on all other work under this Contract. The signing of this change order constitutes full mutual accord and satisfaction for all changes and work performed on this project, and that the time and cost paid per this change order constitutes the total equitable adjustments owed the Contractor, all Subcontractors, and all Suppliers for all work performed on this project. The Contractor on behalf of himself, all Subcontractors, and all Suppliers agrees to waive all rights, without exception or reservation of any whatsoever to file any further claim related to this project. TOTAL COST THIS CHANGE ORDER: DECREASE $ INCREASE $ 64,803.19 By reason of this order the CONTRACT TIME completion will be adjusted as follows: 10 Working Days We the undersigned contractor have given careful consideration to the change proposed and hereby agree,if this proposal is approved,that we will provide all equipment,furnish all materials except as may otherwise be noted above,and perform all service necessary for the work above specified,and will accept as full payment therefor the prices shown above. Accepted,Date r/��/�>CContractor Loengreen, Inc. By Title _! enC<+---- Approval recomm nded by OL ���� � Date -5/Wc.lj PUaLI r WORK 'GENC 1,3 e'rIVE D CTOR Approved by Date p tr5 CITY MANAGER J h, Attest: Date GANN LE Page 2 of 2