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HomeMy WebLinkAboutHILLSBOROUGH FENCE COMPANY (2) 0' PVvf}(1) iN URi0ii-.E 0'`I `I_E KOAPA,1 Oftiz(Dz) A-2023-06 3-01 A J. MAYOR CITY MANAGER Valerie Amezcua CITY LE-FV T Alvaro Nunez MAYOR PRO TEM UATr: MAY U 7 2026 el y,,. ' CITY ATTORNEY David Penaloza = Sonia R.Carvalho COUNCILMEMBERS CITY CLERK Phil Bacerra � Johnathan Ryan Hernandez q Jennifer L. Hall Jessie Lopez Thai Viet Phan Benjamin Vazquez CITY OF SANTA ANA PUBLIC WORKS AGENCY 20 Civic Center Plaza I PO Box 1988 Santa Ana,California 92702 www.santa-ana.org April 6, 2026 Hillsborough Fence Company Attn: Heidi Hunter, Vice President P.O. Box 1272, La Mirada, CA 90638 Re; Extension of A regiment No.A-2023-063-01 to provide on-call installation maintenance and repair services for fencing and gates Pursuant to Section 3 ("Term") of the above-referenced Agreement, entered into by Hillsborough Fence Company, and the City of Santa Ana, which commenced on April 18, 2023, the parties hereby exercise their option to extend the term of the Agreement for an additional one (1) year through April 17, 2027. Any insurance certificates are required to be extended and/or renewed to cover this extension. All other terms and conditions of the Agreement remain unchanged and in full force and effect. Sincerel dolfo Rosas, P.E. Acting Executive Director, Public Works Agency CITY OF SAFA ANA ATTEST w� Alvaro Nunez enni City Manager Ci Cle APPROVED A'S TO FORM CONTRACTOR le Nellesen Assistant City Attorney T lr; !Pre€,;t a SANTA ANA CITY COUNCIL Valerie Amezma David Penaluza Thai Viet Phan Benjamin Vazquez Jessie Lopez Phil Bacerra Johnathan Ryan Hernandez Mayor Mayer Pra Tem-Ward 6 Ward 1 Ward 2 Ward 3 Ward 4 Ward 5 yamezcuaOsanla-ana.orTl dpene€nzansanta-ana Orq Iphan(Mtnta-ana.ora hyazquezosanlaana.ci lessielnpeM( anla-ana.ora pacercaAsan to-ana om i!)anhemande l( .nta-ana oru AC RO " CERTIFICATE OF LIABILITY INSURANCE DArEIMMrDDYYYY) `� 12/15/2025 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 an this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER CONTACT Paul Hernandez StateFarm Paul Hernandez a CONS Ext: 562-943-2700 Are Nu 12232 La Mirada Blvd EMAIL , paul.hernandez.t2ke@statefarm.com Yi INSURERISI AFFORDING COVERAGE NAIC 4 La Mirada CA 90638 INSURER A: State Farm General Insurance Company 25151 INSURED INSURER B: State Farm Mutual Automobile Insurance Company 25178 HILLSBOROUGH FENCE COMPANY INSURERC: 16241 MCGILLRD INSURERD: INSURER E: LA MIRADA CA 906386209 1 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 MMIDDIYYYY MMIDDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 3,000,000 CLAIMS-MADE �OCCUR DAMAGE TO RENTED P E ES Ea occurrence S 100,000 MED EXP(Any ore person) $ 5,000 A Y Y 92-TA-XO77-4 12/02/2025 12/02/2026 PERSONAL&AOVINJURY $ 3,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 6,000,000 PRO- POLICY 71JECT X LOC PRODUCTS-COMPIOPAGG $ 6,000,000 OTHER:: $ AU70M091 COMBINE❑SINGLE LIWT 46 - E-e-0e . 1 OD0 O0G ANY AUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED Y Y AUTOS ONLY /� AUTOS BODILY INJURY(Per accident) s HIRED NON-OWNED AUTOS ONLY AUTOS ONLY Per accident s UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE g DED I I RETENTION $ g WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY $ ANY PROPRIETORIPARTNERIEXECUTIVE Y 1 N OFFICERIMEMBER EXCLUDED7 NIA E.L.EACH ACCIDENT (Mandatory in NH) E.L.DISEASE-FA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 10,Additional Remarks Schedule,maybe attached if more space is required) APPROVED By Tu Tran Nguyen of 7:24 am,Jan 26,2026 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF SANTA ANA-PUBLIC WORKS AGENCY ACCORDANCE WITH THE POLICY PROVISIONS, 20 CIVIC CENTER PLZ AUTHORIZED R PRESENTATIVE SANTA ANA CA 92701-4058 �` This form was system-geroreled on 12/15/2025 O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 1001486 2005 155279 205 01-19-2023 Ac"J?" CERTIFICATE OF LIABILITY INSURANCE FDATE(MMDDIYYYY, �� 2/26/2026 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 endorsements . PRODUCER CONTACT PAUL HFRNANDEZ ME NA StateFarm PHONE FAX PAUL HFRNANDEZ Arc No,Ext: nim 12232 LA MIRADA BLVD E-MAIL LA MIRADA,CA 90638 INSURER(SIAFFORDING COVERAGE NAIL# INSURER A: State Farm Fire and Casualty Company 25143 INSURED INSURER B HILLSBOROUGH FENCE COMPANY INSURERC: 16241 MCGILLRD INSURERD: LA MIRADA,CA 90638 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, NSR ADD SUB POLICY EFF POLICY EXP L7R TYPE OF INSURANCE INSD WVD POLICY NUMBER MM0DIYYYY MMIDDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S DAMAGE TO RENTED S CLAIMS-MADE OCCUR PREMISES Ea occurrence MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER, GENERAL AGGREGATE PRO- POLICY LOC PRODUCTS-GOMPlOPAGG $ OTHER: $ AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT Ea accident $ 1,000,000 ANY AUTO 561 0386 B06 75B 02-6-2026 08-06-2026 BODILY INJURY{Per person) S A OWNED SCHEDULED AUTOS ONLY AUTOS BODILY[NJURY{Per accident) S HIRED NON-OWNED AUTOS ONLY X AUTOS ONLY Per accident S S UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION S $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETORlPARTNERIEXECUTIVE Y f N E.L.EACH ACCIDENT 5 OFFICERIMEMBER EXCLUDED? N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 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,may be attached if more space is required) APPROVED By.TuTianh/guyen-at.&Izam,.A1 ra3,saat CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF SANTA ANA-PUBLIC WORKS AGENCY ACCORDANCE WITH THE POLICY PROVISIONS. 20 CIVIC CENTER PLAZA AUTHORIZED REPRESENTATIVE SANTA ANA,CA 92701 /J Q 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 1001486 132a49.14 04-In-2022 CERTHOLDER COPY Sc r CCMPrN5AT1QN P.O. BOX 8192, PLEASANTON, CA 94588 INSURANCE CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 07-03-2025 GROUP: POLICY NUMBER: 9362729-2025 CERTIFICATE ID: 5 CERTIFICATE EXPIRES: 07-03-2026 07-03-2025/07-03-2026 CITY OF SANTA ANA SC ATTN: PUBLIC WORKS AGENCY 20 CIVIC CENTER PLZ # M-11 SANTA ANA CA 92701-4058 This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 10 days advance written notice to the employer. We will also give you 10 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. Authorized Representative President and CEO EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #2570 ENTITLED WAIVER OF SUBROGATION EFFECTIVE 2025-07-03 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. THIRD PARTY NAME: CITY OF SANTA ANA ENDORSEMENT #1651 - SCOTT HUNTER, P - EXCLUDED. ENDORSEMENT #1651 - HEIDI HUNTER, S,T - EXCLUDED. EMPLOYER HILLSBOROUGH FENCE COMPANY DBA: HILLSBOROUGH FENCE COMPANY PO BOX 1272 LA MIRADA CA 90637 [SLG,CN] 1REV,7-2014} PRINTED 09-04-2025 STATE FARM GENERAL INSURANCE COMPANY A SPOOK COMPANY Wf7H HOME OFFICES IN BLOOMINGTON.ILLINOIS DECLARATIONS COVERAGE SUMMARY NOV202025 Po Box2915 Policy Number 92-TA-XO77-4 Bloomington IL 6 1 702-291 5 Named Insured Policy Period Effective Date Expiration Dale M-23-3EC5-FB85 F E 1 Year DEC gDEC 2 2025 DEC 2 2026 HILLSBOROUGH FENCE COMPANY time atlfhe prremses I�ocafion,ends at 12:01 am standard 16241 MCGILL RD LA MIRADA CA 90638-6209 Agent and Mailing Address PAUL HERNANDEZ — 12232 LA MIRADA BLVD LA MIRADA CA 90638-1306 — PHONE: (562) 943-27DO Artisan And Service Contractor Policy Automatic Renewal-Ifthe policy period is shown as 12 months,this policy will be renewed automatically subjectto the premiums,rules and forms in effect for each succeeding policy period.If this policy is terminated,we will give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law. Entity:Corporation Policy Premium $ 4,835.00 Discounts Applied: Renewal Year Years in Business Claim Record Prepared NOV 20 2025 0 Copyright,State Fafm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,inc.,with its permission. 010079 290 1 Continued on Reverse Side of Page Page 1 of 8 N 530 666 92 05 31201 f01r2231c! DECLARATIONS(CONTINUED) Artisan And Service Contractor Policy for HILLSBOROUGH FENCE COMPANY Policy Number 92-TA-XO77-4 SECTION I-PROPERTY SCHEDULE Location Location of Limit of Insurance* Limit of Insurance* Seasonal Number Described Increase- Premises Coverage A- Coverage B- Business Buildings Business Personal Personal Property Property 001 16241 MCGILL RD No Coverage $ 2,700 25% LA MIRADA CA 90638-6209 *As of the effective date of this policy,the Limit of Insurance as shown includes any increase in the limit due to Inflation Coverage. SECTION I-INFLATION COVERAGE INDEX(ES) Cov A-Inflation Coverage Index: NIA Cov B-Consumer Price Index: 324.0 SECTION I-DEDUCTIBLES Basic Deductible $1,000 Special Deductibles: Equipment Breakdown $1,000 Other deductibles may apply-refer to policy. Prepared NOV 20 2025 O Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 includes copyrighted material of Insurance Services Office,Inc.,with its permission. 010079 Continued on Next Page 'Page 2 of 8 DECLARATIONS(CONTINUED) Artisan And Service Contractor Policy for HILLSBOROUGH FENCE COMPANY Policy Number 82-TA-XO77-4 SECTION I-EXTENSIONS OF COVERAGE-LIMIT OF INSURANCE-EACH DESCRIBED PREMISES The coverages and corresponding limits shown below apply separately to each described premises shown in these _ Declarations, unless indicated by"See Schedule." If a coverage does not have a corresponding limit shown below, but has"Included" indicated, please refer to that policy provision for an explanation of that coverage. LIMIT OF COVERAGE INSURANCE Accounts Receivable On Premises $10,000 Off Premises $5,000 Arson Reward $5,000 Collapse Included Damage To Non-Owned Buildings From Theft, Burglary Or Robbery Coverage B Limit Debris Removal 25%of covered loss Equipment Breakdown Included Fire Department Service Charge $2,500 Fire Extinguisher Systems Recharge Expense $5,000 Forgery Or Alteration $10,000 Glass Expenses Included Increased Cost Of Construction And Demolition Costs (applies only when buildings are 10% insured on a replacement cost basis) Money Orders And Counterfeit Money $1,000 Newly Acquired Business Personal Property(applies only If this policy provides $100,000 Coverage B-Business Personal Property) Newly Acquired Or Constructed Buildings(applies only if this policy provides $250,000 Coverage A-Buildings) Ordinance Or Law-Equipment Coverage Included Outdoor Property $5,000 Prepared NOV 20 2025 ©Cupyrlghtt,Stale Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 010080 tea Continued on Reverse Side of Page Page 3 of & N DECLARATIONS(CONTINUED) Artisan And Service Contractor Policy for HILLSBOROUGH FENCE COMPANY Policy Number 92-TA-XO77-4 Personal Effects(applies only to those premises provided Coverage B-Business $2,500 Personal Property) Personal Property Off Premises $15,000 Pollutant Clean Up And Pemoval $10,000 Preservation Of Property 30 Days Property Of Others(applies only to those premises provided Coverage B-Business $2,500 Personal Property) Signs $2,500 Valuable Papers And Records On Premises $10,000 Off Premises $5,000 SECTION II-DEDUCTIBLES Business Liability-Property Damage $1,000 Other deductibles may apply-refer to policy, SECTION If-LIABILITY OF COVERAGE LIMIT INSURANN CE Coverage L-Business Liability $3,000,000 Coverage M-Medical Expenses (Any One Person) $5,000 Damage To Premises Rented To You $100,000 LIMIT OF AGGREGATE LIMITS INSURANCE Products/Completed Operations Aggregate $6,000,000 General Aggregate $6,000,000 Prepared NOV 20 2025 CCopyright,State Farm Mutual Automobile Insurance Company,2008 OMP-4000 Includes copyrighted material of Insurance Services Office,Inc„with its permissian, 010080 Continued on Next Page Page 4 of 8 DECLARATIONS(CONTINUED) Artisan And Service Contractor Policy for HILLSBOROUGH FENCE COMPANY Policy Number 92-TA-Xd77-4 Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable annual period. Please refer to Section II-Liability in the Coverage Form and any attached endorsements. Your policy consists of these Declarations,the BUSINESSOWNERS COVERAGE FORM shown below,and any other fortes and endorsements that apply,including those shown below as well as those issued subsequent to the issuance of this policy. FORMS AND ENDORSEMENTS CMP-4101 Businessowners Coverage Form CMP-4260.2 Amendatory Endorsement-CA CMP-4261 Amendatory Endorsement FE-6999.3 Terrorism Insurance Cov Notice CMP-4600 Artisan and Service Contractor CMP-4687 Exclusion Silica CMP-4786.2 Addl Insd Owners Lessee Sched CMP-4839 Loss Payable CMP-4787 Waiver of Trans Rgt of Recov FD-6007 Inland Marine Attach Dec SCHEDULE OF ADDITIONAL INTERESTS Interest Type: Addl Insured-Section 11 Interest Type: Loss Payee Endorsement#: CMP47862 Endorsement#: CMP4839 Loan Number: N/A Loan Number: CITY OF SANTA ANA MARWEST COMMERCIAL REAL ESTATE 20 CIVIC CENTER PLZ LLC AS MANAGING AGENT SANTA ANA CA 927014058 C/O REGISTRY MONITORING INSURANCE SERVICES INC 15241 LAGUNA CANYON RD IRVINE CA 926183146 Interest Type: Addl Insured-Section II interest Type: Addl Insured-Section 11 Endorsement#: CMP47862 Endorsement#: CMP47862 Loan Number: N/A Loan Number: N/A MOHAWK INDUSTRIES INC COUNTY OF ORANGE SHERIFF C/O INSURANCE COMPLIANCE PURCHASING DIVISION PO BOX 12010 ATTN YVETTE TORRES HEMET CA 925468010 320 N FLOWER ST STE 108 SANTA ANA CA 927035000 Prepared NOV 20 2025 Q Copyright,State Farm Mutual Automobile Insurance Company,200E CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 010081 290 Continued on Reverse Side of Page Page 5 of 8 N DECLARATIONS(CONTINUED) Artisan And Service Contractor Policy for HILLSBOROUGH FENCE COMPANY Policy Number 92-TA-XO77-4 Interest Type: Addl Insured-Section II Interest Type: Addl Insured-Section II Endorsement#: CMP4787 Endorsement#: CMP47862 Loan Number: WA Loan Number: NIA COUNTY OF ORANGE SHERIFF MIK CONSTRUCTION INC PURCHASING DIVISION 11727 ARKANSAS ST ATTN YVETTE TORRES ARTESIA CA 907011711 320 N FLOWER ST STE 108 SANTA ANA CA 927035000 Interest Type: Addl Insured-Section II Interest Type: Addl Insured-Section ll Endorsement#: CMP47862 Endorsement#: CMP4787 Loan Number: NIA Loan Number: NIA ORANGE COUNTY PUBLIC WORKS ORANGE COUNTY PUBLIC WORKS 601 N ROSS ST FL 4 601 N ROSS ST FL 4 SANTA ANA CA 927014091 SANTA ANA CA 927014091 Interest Type: Addl Insured-Section II Interest Type: Addl insured-Section II Endorsement#: CMP47862 Endorsement#: CMP4787 Loan Number: N/A Loan Number: NIA BAKER ELECTRIC BAKER ELECTRIC 1298 PACIFIC OAKS PL 1298 PACIFIC OAKS PL ESCONDIDO CA 92029 ESCONDIDO CA 92029 Interest Type: Addl Insured-Section II Interest Type: Add!Insured-Section II Endorsement#: CMP47862 Endorsement#: CMP4787 Loan Number: NIA Loan Number: N/A CITY OF SANTA ANA RISK CITY OF SANTA ANA RISK MANAGEMENT DIVISION MANAGEMENT DIVISION 20 CIVIC CENTER PLAZA 20 CIVIC CENTER PLAZA SANTA ANA CA 92702 SANTA ANA CA 92702 Interest Type: Addl Insured-Section II Interest Type: Addl Insured-Section II Endorsement#: CMP47862 Endorsement#: OMP47861 Loan Number: NIA Loan Number: NIA. DALKE AND SONS CONSTRUCTION CITY OF SANTA ANA-PUBLIC WORKS 4585 ALLSTATE DR AGENCY RIVERSIDE CA 925011701 20 CIVIC CENTER PLZ SANTA ANA CA 927014058 Prepared NOV 20 2025 ©Copyright,State Farm Mutual Automobile lnsurance Company,2008 OMP-4000 includes copyrighted material of Insurance Services Office,Inc.,with its permission. 010081 Continued on Next Page Page. 6 of B DECLARATIONS(CONTINUED) Artisan And Service Contractor Policy for HILLSBOROUGH FENCE COMPANY Policy Number 92-TA-XO77-4 Interest Type: Addl Insured-Section II Endorsement#: OMP47862 Loan Number: WA CTG CONSTRUCTION INC 433 LECOUVREUR AVE _ WILMINGTON CA 907446035 SCHEDULE OF OPERATIONS Description of Operations Stat Premium Base*! Section II Estimated Class Estimated Exposure Premium FENCE ERECTION CONTRACTORS 234 P. 29000 $ 4,210.00 "PREMIUM BASES P.PER$1000 PAYROLL I.PER$1000 TOTAL COST This policy is issued by the State Farm General Insurance Company. Participating Policy You are entitled to participate in a distribution o#the earnings of the company as determined by our Board of Directors in accordance with the Company's Articles of Incorporation,as amended. In Witness Whereof,the State Farm General Insurance Company has caused this policy to be signed by its President and Secretary at Bloomington,lllinois. �J Secretary President Prepared NOV 20 2025 Copyright,State Farm Mutual Automobile Insurance Company,2000 CMP-4000 Includes copyrighted material or insurance Services Office,Inc.,with its permission. 01008E 290 Continued on Reverse Side of Page Page 7 of 8 N StafeFarm • State Farm Mutual Automobile Insurance Company 73631-4-A MATCH 00809 MUTL VOL PO Box 2368 Bloomington IL 61702-2368 DECLARATIONS PAGE NAMED INSURED 00809 75-3EC5-4 A A POLICY NUMBER 561 0386-606-75C goastn onse HUNTER, SCOTT M POLICY PERIOD FEB 06 2026 to AUG 06 2026 DBA NILLSBOROUGH FENCE COMPANY 12:01 A.M.Standard Time 16241 MCGILL RD LA MIRADA CA 90638-6209 STATE FARM PAYMENT PLAN NUMBE9 1191029423 AGENT _ PAULHERNANDEZ 12232 LA MIRADA BLVD LA MIRADA,CA 90638-1306 PHONE:(562)943-2700 ❑O NOT PAY PREMIUMS SHOWN ON THIS PAGE. IF AN AMOUNT IS DUE,THEN A SEPARATE STATEMENT IS ENCLOSED. YOUR CAR YEAR MAKE MODEL -BODY STYLE VEHICLE ID.NUMBER CLASS NONOWNED AUTO 6600ELOOGO SYMBOLS COVERAGE&LIMITS PREMIUMS Liability Coverage s_.._._ s` _ . ... ._ ,e :... .. $34,92 ... :_ Bodily Injury Limits Each Person; Each Accident $1,000,000 $1,000,000 Property Damage Lim�t Each Accident _ $1.000.000 Total premium for FEB 06 2026 to AUG 06 2026. $34.92 This is not a bill.. IMPORTANT MESSAGES IMPORTANT NOTICE For your protection California law requires the fallowing 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 5610386-75B. 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 submittirg your request. If we deny your request,you have the right to file a statement with us containing the information you feet 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.com/customer-care/privacy-security/privacy or contact your State Farm Agent. EXCEPTIONS POLICY BOOKLET&ENDORSEMENTS(See policy Booklet&Individual erkdomements for coverage details:) YOUR POLICY CONSISTS OF THIS DECLARATIONS PAGE THE POLICY BOOKLET - FORM 9805Bl1BAND ANY ENDRENORSEMENTS NTICTHAT APPLY, INCLUDING THOSE ISSUED TO YOU WITHE. 6028BU ADDITIONNAL INSURED-CITY OF SANTA ANA ATTN PUBLIC WORKS AGENCY, 20 CIVIC CENTER INSURED701-4058. 6125A AMENDATORY ENDORSEMENT. 6126MD EXCESS COVERAGE FOR PERSONAL VEHICLE SHARING. 6129J AMENDATORY ENDORSEMENT. 61300 AMENDATORY ENDORSEMENT -EFF FEB 17 2026. 6165 S EMPLOYERS NON-OWNED CAR LIABILITY COVERAGE. 6196AA - WAIVER OF SUBROGATION UNDER THE LIABILITY COVERAGE THE CITY OF SANTA ANA ATTN PUBLIC WORKS AGENCY. Agent: PAULHERNANDEZ Telephone: (562)943-2700 1 0 1 00/05990 See Reverse Side Prepared MAR 31 2025 3EC5-A62 155.3866 CA.z US-zF)oz(ol aoz5lt} (�ta0254cj 14SXUN {.1a925te) This policy is issued by State Farm Mutual Automobile Insurance Company. MUTUAL CONDITIONS I. 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 at 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 Slam 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 calf 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. It. 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 :av42 BIC Wa 06690I LO 44l F p •. :a o a c C70U 0 O 0 ? °' w i2 a vim; s Q L. v a ti `o di � o y Vq W 4 � wV'J �, `o C� q F T t7d� a aQc O;Z C :a ^v L •*J � � rr W U ��, Lz7 3: aQ � i a L v +� � � C c3 r >• �' ❑ as °� o ��Y U €� L) a, s m o FOwO Ja �U CL o •b d L c s ri r� 73 77. 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A Lo to DSL-909-98E0 195 .jaQumN 4aRod Ido lm00g A3I'I0d HAOA O.L H:)V lv awald Endorsement Agreement STATE Waiver of Subrogation FUND 9362729-2025 Home Office Renewal San Francisco 5C All Effective Dates are $-63-15-13 at 12:01 AM Pacific Page 1 of 1 Standard Time or the Time Indicated at Effective July 3, 2025 at 12:01 AM Pacific Standard Time and Expiring July 3, 2026 at 12:01 AM HILLSBOROUGH FENCE COMPANY PO BOX 1272 LA MIRADA, CA 90637-1272 Anything in this policy to the contrary notwithstanding, it is agreed that the State Compensation Insurance Fund waives any right of subrogation against, City of Santa Ana which might arise by reason of any payment under this policy in connection with work performed by, HILLSBOROUGH FENCE COMPANY It is further agreed that the insured shall maintain payroll records accurately segregating the remuneration of employees while engaged in work for the above employer. It is further agreed that premium an the earning of such employees shall be increased by 3.00%. Nothing in this endorsement shall be held to vary, alter,waive or extend any of the terms, conditions, agreements,or limitations of this policy other than as above stated.Nothing elsewhere in this policy shall be held to vary, alter, waive or limit the terms, conditions,agreements or limitations in this endorsement. Countersigned and Issued at San Francisco July 2, 2025 2570 Authorized Representative President and CEO SF—END Rev.2/2025 OLD DP 217