The URL can be used to link to this page

Home My WebLink AboutAESCO INC. (2)-2011T INSURANCE NOT ON FILE A-2011-057-01 WORK MAY NDI PROCEED CLERK OF COUNCIL DATE: SEP 9 2011 FIRST AMENDMENT TO AGREEMENT THIS FIRST AMENDMENT TO AGREEMENT is entered into on July 25, 2011, by and between AESCO. Inc., a California corporation ("Consultant") 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"). 3 RECITALS: 1 A. The parties entered into that certain Agreement A-2011-057, dated March 7, 2011, (hereinafter "said Agreement") by which Consultant has provided material inspection and testing services for the City's capital improvement projects. B. The parties desire to amend Exhibit "C" Fee Schedule" to include fees for all services which Consultant may be requested to provide. WHEREFORE, in consideration of the covenants contained in said Agreement, and subject to all the terms and conditions of said Agreement, except those amended in this First Amendment to Agreement, the parties agree as follows: 1 . Section 2, COMPENSATION, shall be amended to supplement Exhibit C - Fee Schedule, with a new Exhibit C-1, Fee Schedule, attached hereto and incorporated by this reference. In the event a service is not included in Exhibit C, the service will be provided at the rate set forth in Exhibit C-1. 2. Except as hereinabove amended, all terms and conditions of said Agreement shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to Agreement on the date and year first written above. CITY OF SANTA ANA ATTEST: �/ , vo - / M�TO�-✓ MARIA D. HUIZAR -PWff M. WALTERS Clerk of the Council I t rim City ManagerJC-AL APPROVED AS TO FORM: l?Zu�ct-� �oa� ESC "aura Sheedy Assistant City Attorney RECOMMENDED FOR APPROVAL: A AM CHAMAA Eng Bering Manager RAUL GODINEZ, 11 DEBRA PEREZ Exe Director - Public rks Project Manager APPE=Xx C Page 1 o2 2 FSE SCHEDULE Tenting and Inapection Services goz the City of Santa Ana Capital Improvement Projects ITEM ESTIMATED QUANTITY UNIT HOVAiLY RATE/ UNIT COST* USTIlMAT39D COST Soil Inspection 1,000 Hours 72 72000 Concrets Inspection 1,500 Hours 72 108000 Masonry Inspection 800 Hours 72 57600 Re4riiEOrCing Steal Inspection 1,200 Hours 72 86400 Asphalt Concxete Inapection 500 Hours 72 36000 6" Conorete Cylinder 400 LAlits 20 8000 2x4 Mortar Sample 200 Units 20 4000 323x5 Grout Sample 200 Units 20 4000 Masonry Priams 150 Unita 50 7500 Ult-vmsonlc Tenting of Steel Conneatora 50 Rach 40 2000 Post Tension Reinforcing Inspection 200 Hour's 72 14400 Post Tenalon Concrete Inspection 200 Hours 72 14400 Structural Steel Inspection 100 Hours 72 7200 Conrnection Solt Torque Tent -Ing 100 Each 2S 2500 Pracnat Concrete 350 Hours 72 25200 Deputy Iriapection 100 Houra 72 7200 Mechanical Inapectian 100 Hours 72 7200 Plumbing Inepeation 100 Houses 72 7200 Electrical Inapection 100 Hours 72 7200 478,000 TOTAL ESTIMATED COST $ - 20 - APPENDIX C FEE SCHEDULE (CONTINUED) Firm: AESCO, Inc PROPOSED NOT -TO -EXCEED COST: 478,000 Address: 17782 Georgetown Lane Huntington Beach, Ca 92647 Name Adam Chama a PE GE T i t l e ( i t) Signature / ate VP 2-2-2011 Page 2 of 2 --A-ll hourly rates and unit costs shall include markups and the cost of traveling, vehicle, equipment, clerical service and typed reports. - 21 - AESCO FEE SCHEDULE 17782 Oeorgetown Lane Huntington Beach, California 92647 Tele: (714) 375-3830 Fax: (714)375-3831 Testing and Inspection Services City Wide Residential Street Repair - Phase 15 Corner of Maw 4,rthur and Ramona Santa Ana, California Project No. 11-7509 AESCO Project No. 20111293 Y-FnUnLY CPfARGES FOR 1PERS4nNNF7. Senior Engineer $145/hr Project Manager $145/hr Senior Staff E neer/Oeolo ist/Errvironmental Scientist $145/hr StaffEngmeer $115/hr Field Engineer $125/hr Nondestructive Examination Technician, UT, MT, LP $72/hr ACI Concrete Technician $72/hr ConcreteM.sphalt Batch Plant Inspector $72/hr Special Inspector Concrete Masonry, Steel, Welding, and Fireproofing) $72/hr Tor 6t Bolt Inspector $72/hr Field/Laboratory Technician $72/hr Data Processing, Technical Editing, or Reproduction $55/hr MAT ItIA7S'rESTI CG/LABORATORY CHARGES Compaction Tests $22/ea Review Concrete Mix l3esign by Others $150/ea Concrete Cylinder Compression Test $20/ea Concrete Cylinder Held in Reserve, C $20/ea Cube Prism Compression $20/ea Linear or Volumetric Shrinkage $85/test Moisture E)ensity Relationship $198/test LABORATORY TEST CHARGES Atterb Limits $130/test Percent Passing No. 200 $78/test Unconfined Compression $108/test Consolidation Test Without Rebound $252/test Consolidation Test With Rebound $300/test Direct Shear Test $115/point Unit Weight, mcluding Moisture Content $18/test Moisture Content $6/test Ildrometer Analysis $160/test Sieve Analysis $102,1est Unit Weight mclud' 1-ightweight Concrete $78/hest Core Compression mcluding T ASTM C39 $50/test 6" x 6" x 18" Flexural Beams Not Exceeding Referenced Size (ASTM C78, C293 or C--5 $72/test —3 x18" Flexural Beams CTM 523 $90/test Construction Material Testing/Inspection. ♦ Environmental ♦ Oeotecbnical Engineering Services 36 E / 4 C YU y 1T AESCO Proposal No. 2419 Expansion Index $115/test R Value $300/test Cylinders: Splitting Tensile Strep ASTM C496 $90/test Modulus of Elasticity Test ASTM C469 $150/test Diamond Sawing of Core or Cylinders ASTM C642 $25/test Coring of Test Panel in Lab ch $25/test Expansion Index ASTM 134829, UBC 18-2 $168/test Maximum 13ensity Method AB/C ASTM 131557, CTM 216 $174/test Maximum Density: Check Point ASTM IDI 55 $66/test Maximum Density: AASHTO C odified AASTO T-180 $21 0/test Moisture Content ASTM 132216, CTM 226 $38/test Moisture and Density Ring Sample ASTM 13293 $38/test Moisture and l3ensity Shelby Tube Sample ASTM 13293 $42/test (Drganic Impurities ASTM C40 $90/test Sand Equivalent ASTM 132419, CTM 217 $132/test Specific Gravity and Absorption: Corse ASTM C136. CTM 202 $102/test Specific Gravity and Absorption: Fine ASTM C128, CTM 207 $180/test Swell/Settlement Potential: One Dimensional ASTM D4546 $114/test Voids in A ate ASTM C290 $84test Soil Classification $25/test ASPHALT Bulk Specific 0mvity Of Compacted Sample. Or Core: CTM 308 and ASTM 132726) $48/test Bulk Specific Gravity of Compacted Sample or Core: Parafin Coated CTM 308 and ASTMD 1188 $132/test Extraction: % Bilumen ASTM D6306, CTM 382 $174/test Extraction: % Bilumen and Gradation (CTM 382, ASTM 176507, STM 135444, and CTM 202 $21 O/test Moisture Content CTM370 $90/test HVEEM Stabilometer Test with CT 304, 366, ASTM 131560 $350/test Maximum Lab Diensity Marshall ASTM 131559 and 0561 $234/test Specific Gravity and Absorption: Coarse ASTM C127, CTM 206 $108/test Specific Gravity and Absorption: Fine ASTM C128, CTM 207 $180/test FIELD ANALYSTS Soil Borings Drilled with Hollow Stem Auger Drill Rig $295/hour Backfill Boreholes with Bentonite I $12/bag I3rumming and Disposal of Cuttings I $360/drum ATFiRR C'HARf--FR PID/FID Usage $90/day Coring Machine Usage includes technician $150/hr Anchor load test eqLnpment includes technician $30/hr Hand A er Equipment $150/day Inclinometer Usage $42 /hr Vapor Emission Kits $108/kit Level D Personal Protective Equipment r person per da $48/p/d Rebar Locator (Pachometer)$12/hr Nuclear Density Gauge Usage $18/hr Field Vehicle Usage $66/day Construction Material Testing/Inspection ♦ Environmental • Geotechnical Engineering Services 37 EIESCO Proposal No. 2419 Skidmore $40/hr Torque Wrench, Small $18 /hr Torque Wrench, L e $25 /hr Torque Multiplier $40 /hr Air Meter $40 /hr Portable Concrete Laboratory — not including technicians $395/da Brass Mold $25 /ea Pull Test Equipment $60 /hr Concrete/ halt Coring Equipment $132 /hr Pachometer $60 /hr Schmidt Hammer $25 /hr F' roof Adhesion/Cohesion $18 /per test Ultrasonic E in went and Consumables $65 /hr tic Particle Equipment and Consumables $30 /hr Liquid Penetrating Consumables $25 /hr Direct Project Expenses Cost plus 15% NOTES • All tests not listed can be performed at either a quoted price or on an hourly basis. • Engineering consultation and evaluation in connection with any laboratory testing service will be charged at the rates listed above. • All labor rates are charged on actual hours worked. Minimum of four hours will be charged per service call and 8 hm thereafter. • Overtime rates at (identify 1.5) times the regular tates will be charged for work performed outside the 8 hrs shift. Construction Material Testing/Inspection ♦ Environmental ♦ Oeotecbnical Engineering Services 37 CERTIFICATE OF LIABILITY INSURANCE g/2 /20MI THIS CERTIFICATE IS ISSUED AS AMATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEOATTVELY 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. II the —tirl ate haklar le. an ADDITIONAL INSURED, the pollcyilsa) must be —domed. If SUBROGATION IS WANED, subject b Ne [arms and condRions of Iha Policy„ c rtatn Pd/cies may raqulm an end—na— Aslaterrent on Ihls prtlflcate deal nal —IN, tights to the ceRBlcala holder In Ifau of aurll Incl ...... I(.), fxY1U{]1.lCEN THE BRENNAN COMPANY 35 E Horizon Ridge Pkwy Ste 110-235 Handers On, NV 89002 , taIIC ciL :)ud Y Alto, =E^" •. ".t (702),6 9 6700 tZ4 ,Nat:(702)629-6701 ,0g„Eas13renco@aol.com IN9URERlE1 AFFORWNO COVERAGE N.ucs INSURER A: SCottsdala insurance Co an ___ GENERPl L.—LITY �. INSURED AesoO, InC.. 17782 Georgetown Lane Huntington Beach, Calif 92647 714 375 3830 INSURER e: The Hartf Ord INSURER C: Houston CaLsuc-Llt:y Com an EACH OCCURRENCE D: PREMISES IEa amaRence) NSURER E. NsuRER 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 INpfin.T ED: 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 h1AY HAVE BEEN REDUCED BY PAID CLAIMS.. Run LTR TYPE OF fNSURAfCE , taIIC ciL :)ud Y Alto, ACCORDANCE THE POLICY PROVISIONS. POLIC'Y'NUMBER I 90fIYYY) TMRtfODA'1'YY) —_ LIM1T5 ___ GENERPl L.—LITY �. EACH OCCURRENCE F 2.000,000 PREMISES IEa amaRence) 9 l0Q 000 CO,,IM6'RCIAL. sE'NERAL UAH4LITY CLAIMS-I.I E CI OCCUR MED EAP(A--Parsm) S A f_____ CPS1361100 5/2a/21'1 - 6/21/x011 PERsorrAlaADYINJuwr s 2.,000,000 _ GENERAL AGGREGATE S 2,000,000 _ G— AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP AGG 1 2, . 000 OOO POL CY PRQ _ dES:T LOc S A1iTpAlO$FLE. LLIBiL,TY a�.,,.t iZ0 s 1,000,000 LY RU'URY (Par B. ][ —AUTO Ail Os'mED SCHEDULED x AifTSl AUTOS NONOWNED }[ —E. AUTOS X A4RQ�i 72UEC707770 T/a9/2111 T/09/x111 SOpaLY I+UURY aardml) (Per 2 'Per accWen!} = s UMBRELLA LIALIX OCCUR .B E)v.CESS.-IA XSLS0057404 `/11/x111 a/xs/xotl FAGH OCCURRENCE. s 5,000,000 4GGREGATE L DEO RETENTIOIr 5 a vKk¢.KEria CGfdPENSATiOH A,tD EMPLOYERS' LUetLITY YIN re.c STATtt}} H- TORY LINITIS ER E.4 EACH ACCIDENT S afty MILK'RM1ETCfBF,.RTNER'f.kECUTItIE c.:. SCERVF.MRfA E>`•CtaLCrr N/A E.L. DISEASE - EA EMPLOYEE -- 5 luelnmtwy In NH) n Y<a. aesCnM trder. EL DISEASE -POLICY LIMIT S DESCRIP-1 Oi—ERATtOraS Calow C Professional _ Liability HC71027703 T/ov/1111 T/OL/x112 2,000,000. GESCRiPnON OF OPERATI04S'LOCATIO44S i VEHICLES fAlsx3aACARO t11, Ada3vofan R—'SC a40 nlusspaceo requ ) THE CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED WITH REGARDS TO AUTO AND GENERAL LIABILITY THE INSURANCE IS PRIMARY AND NOT CONTRIBUTORY WITH A 30 DAY NOTICE OF CANCE:LLATZON. APPJ20Vf�i ti, I C) J,(_)RNJ CFRTIFIC'r1T'F ei1711. OFR `L'—�T/ CANCFI I ATIAN The City O£ Santa Pi1bl1C wo=ks Agan SS 5 - — " `>11CL LAY OULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE: THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P.O. Box 1988 , taIIC ciL :)ud Y Alto, ACCORDANCE THE POLICY PROVISIONS. Santa Ana, Ca 92702 AF.ITHORI R R NTATI " 6Y 11988-2010 ACORD CORPORATION. All rights reserved_ ACORD25 (201(!05) The ACORD name and toga are registered marks of ACORD SCOTTSIIAIX INSURANCE COMPA_� ENDORSEMENT NO. ATTAc H ED TO ANO EN:6D RSEM ENT EFFEC THE DATE Fa RIVING APAFn'DF I12.O�A.N. STANDARDTIN.E) HAM ED INSURED AGENT NO. POLICY NVMHER ;L Sr^ -EL' HSi.^, Y,3GY= 7Ill 04{}Sr THIS ENDORSEMENT CHANGES THE POLICY_ PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS SPECIAL CONDITION If any of the endorsements below are attached to this policy, coverage provided by the additional insured endorsement is amended to be afforded on a primary, noncontributory or primary and noncontributory basis when and as agreed to in writing in a contract or agreement between you and the additional insured. Additional Insured - Owners, Lessees Or Contractors - Scheduled Person Or Organization (CG 20 10) Additional insured - State Or Political Subdivisions - Permits (CG 20 12) Additional Insured - Owners., Lessees Or Contractors - Automatic Status When Required In Construc- tion Agreement With You (CG 20 33) Additional Insured - Owners, Lessees Or Contractors - Completed Operations (CG 20 37) Other- (Specify title and form number) ' ?12 -slit AUTHORIZED REPRESENTATIVE DATE GLS -295s (7-08) P.O. 1 or 1 AGENT 93-2453_ r.ap Policy Number. Date Entered: 04/1.9/203.1 COR%J� CERTIFICATEa /203.XOF LIABILITY INSURANCE 4/ —4/19/2011h THS CERTIFICATE 18 ISSUED AS A MATTER OF NJFORMATION ONLY AND CONFERS NO MONTS UPON THE CERTIFICATE HOI rxo THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAQE AFFORDED BY THE POLICIES BELOW. THS CERTIFICATE OF MISURANCE DOES NOT CON8lTrL TE A CONTRACT BETWEEN THE 1891ANO INSURER(S), AUTHORIZED REPRESENTATME OR PRODUCER, AND THE CERTIFICATE HOLDER IMPORTANT_ it tha oxtMpEs holder Is an ADDITIONAL INSURED, the pe1N.y(les) must be arrtorsad- H SUBROGATION IS WAIVED, subject to the tarns amid cortdltlwm of the policy, Csrtaln poNGre ss may qulm an and irsenvenL A slotamem on this conificate doss not confer AShts to the certificate holder In lieu of such endo s . moa 793. a. •s OOMIlrraaae. =aa. 791 S. BROOIaiQRNT S2 AlD�Lt. CA 92806 JESSICA. Amami E PHONa (714)936-9321 (714)936-7434 6alatiiar•�^-^^sfysaii.aaa APFOROINO OWI91wOe NAIQ 8 -?I$ IMRTIOSD INeuR® AESCO R[R s Iww)Ren D- y I ALI P: 17762 GEORGE2OWW LN S2E 314 EI�FPX=O%'C8 HRACU, CA 92647- INaYRHiF- PRODUCTS - CO/PIOP AGG S TMS IS TO CERTIFY THAT THE POLICIES OF INSURANCE tISSUEDPTED BELOW HAVE BEEN ISUEO TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIMR O ANY REQUIREMENT. TE OR CONDITION OF ANY CONTACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 19 SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES_ LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTA TYPO OF l6URAND! POLICY WHIR LIMITS aeNSRAI LIAYIITY COMMERCUL GENERAL L `W CIAMSNADE = OCCUR PP RU V r l� AS F (J fG 14 EACHocc�NDE s y M® ExP ons S PERSONAL 6 ADV INAIRY S GERwL AnoREUAIe s GENL AGGREGATE UNIT APPUES PER: POLICY LOG PRODUCTS - CO/PIOP AGG S $ IUTOMOaIL! WMLITY Ann' AI ALL OWNED SCHEDULED AUit]S AUTOS H WEO AUTOS gtllp5 L -a u ra Stitt She Al]i St3II[ City :il[ d V I BODILY IN.AIRY (Pa PSlsvp $ BODILY MLIIiiY (P>�ipM,l) i S YMBRELLA LIAR OCCiIR E)[CESS Luc CLANS-N/1DE EACH OCCURRENCE s AGGREGATE y DED RETENTKYJS S A AMD WOR KERBa S COMPSATKTN011N,7X) a1IROYSRY Lua1LRY ANY PROPRIETOiVPARTN6LEJtECUDVE Y/N OFFICEAIL�BER IXCWD®9 ® (/AsndsevT In MO p �� M/A 72...Caw27OB /11/]011 /11/3011 EL EACH ACCKIENT y1. OOO. OOO E.L f%SEASE-EA EMPLOYEE 51.000.000 E.L nK�cc_PpxvLwrr $1.000.000 aaeCMPnON OF OPBIATIONB/ LOCATIONS / Va1K:LBS (.y�y, Acogo IDI. Adslwrt Rraswo f¢nsA.+s� N wNw sFss� r,wps�,��o� 2V OW SANTA JIM& =S 8Al® AN ADD=2=raltax. 11MRMAD 8I=28 Opwim-r2Oe1. 30 DAY 802=423C CIUICIQLA2=OW 10 DAY !'OR NOW-WOnN MW OF PSZLbKr W CSS! Or fimmik AIA 1 SHOULD ANY OF THE ABOVE DIMCAMED POLICIES BE CANCELLED BEFORE e>Ar.rC t1O1R7t8 AOSBCY N-22 THE WSIATpN DATE TtllIIEOF. N WILL BE D4IVEREO IN ACCORDANCE WITH THE POLICY PROVE TPO SOT[ 1911 aaMT& ALOE. CA. 92702 1 AUTFIdallD—VIIIMITAT ACORD 26 (2070X)6) The ACORD rmme and logo aro rpVtarad Pr &—d aring rams Bold Pis-*—. —F—8—e -e M,P.'P PL*U." 80"00-T077 CERTIFICATE OF LIABILITY INSURANCE 12/2013 7/12/2013 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. IMWDD,YYYY) IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. Astatemem on this cartiBcate does not confer rights to the certificate holder In lieu of such endomemem(s). PRODUCER UUNIAUI NAME. The Brennan Company 35 E. Horizon Rid a Ste 110-235 g DAMAGE TO PREMISES (Ea oaunanca) $ 100,000. PHONE .702 629 6700 FAx .702 629 6701 me NO cur, Nol. ADDRESS: brenco@aol.com Henderson, Nevada 89002 INSURER(S) AFFORDING COVERAGE NAIC4 OC98533 INSURER A Burlington Insurance Company INSURED Aesco, Inc. INSURER B. The Hartford 17782 Georgetown Lane INSURER c. Houston Casualty Company Huntington Beach, Ca 92647 PERSONAL&ADV INJURY $2,000,000. INSURER D-. Preferred Employers Ins. Co. INSURER E: (714) 375-3830 yJ�1. ' l �� (• S INSURER F: COVERAGES CERTIFICATE NLMBER: 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. ILTN T'PE OFINSURANCE INsa POLICY NUMBER (MMIDDNYYY) IMWDD,YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE 52,000,000. DAMAGE TO PREMISES (Ea oaunanca) $ 100,000. COMMERCIAL GENERAL LIABILITY CLAIMS -MADE CI OCCUR MED EXP (Any onepereanl $ 5000 PERSONAL&ADV INJURY $2,000,000. A 154BW25662 6/24/2013 6/24/2014 X GENERAL AGGREGATE $2f000,000. GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG s2,000,000. $ POLICY PEOT FI LOG AUTOMOBILE LIABILITY Ee accident $1 ,000,000. BODILY INJURY (Per person) $ ANVAUTO 72UECTQ7770 7/9/2013 1/9/2014 BODILY INJURY (Per amplent) $ B ALLOWNED SCHEDULED AUTOS AUTOS ]{ PROPERTY DAMAGE $ NON -CED HIRED AUTOS ri AUTOS (Par acddenU E UMBRELLA UAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LAB CLAIMS -MADE DED I I RETENTION S E WORKERS COMPENSATION X WC STATU- OTH- TORV LIMITS ER AND EMPLOYERS'LIABILRA YIN 4/11/2013 /11/2014 1,000,000 D ANV ❑ NIA E.L EACH ACCIDENT $ 11000 000 E.L. DISEASE - EA EMPLOYEE E r OFFICWKW1494941 ERuMEMETORIPACLUDEEXECUTIYE EXCLUDED? (MantlMory in NM) (Mandatory in If yes, desonbe under 1,000,000 DESCRIPTION OF OPERATIONS below E . DISEASE- POLICY OMIT $ C Professional Liab. HCC 13 20777 07/09/13 7/09/43 $2,000,000.per claim $2,000,000. aggregate DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Atlach ACORD 101, Additional Remarks Sommule, a more space is required) APPROVED AS TO FORM Laura Sli heady orae r.PPTIFIr.ATF Hr11 rTFR CANCELLATION © 1988-201/ACORD CORPORATION. All rights reserved. ACORD25 (2010/05) The ACORD name and logo are regist rks of ACORO r SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Public Works Agency M-22 ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 1988 ffIJTFQiiIl REPRESENTATIVE V"I'Ll A Santa Ana, Calif 92702 I © 1988-201/ACORD CORPORATION. All rights reserved. ACORD25 (2010/05) The ACORD name and logo are regist rks of ACORO r POLICY NUMBER: 154BW22805 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any person or organization with whom you have agreed, in a written contract to waive the transfer of rights of recovery against others to us, provided such written waiver is fully executed prior to an "occurrence" in which coverage is sought under this policy. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. 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 wemay have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard". This waver applies only to the person or organization shown in the Schedule above. CG 2404 05 09 0 Insurance Services Office, Inc., 2008 Page 1 of 1 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT- OTHER INSURANCE (PRIMARY AND NON-CONTRIBUTORY COVERAGE) This endorsement modifies insurance provided urider the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Schedule of Additional Insured(s): Any person or organization named in an Additional Insured endorsement attached to this policy with whom you have agreed, in a written contract, that such person or organization should be provided primary and non-contributory coverage, but only when such written contract is fully executed prior to an 'occurrence" in which coverage is sought under this policy. With respect to the insurance afforded to the additional insured(s) scheduled above, Paragraph 4. Other Insurance of Sedan IV- Commercial General Liability Conditions is deleted and replaced by the following: 4. Other Insurance Notwithstanding other valid and collectible insurance available to the insured for a loss we cover under Coverages A and B of this Coverage Part, this insurance is primary and non- contributory. However, this endorsement: A. Applies only when you are required by contract, agreement or permit to provide primary and non-contributory coverage for the additional insured, provided such written contract, agreement or permit is fully executed prior to an 'occurrence" in which coverage is sought under this policy, and B. Does not apply to any claim, loss or liability due to the sole negligence of the additional insured. IFG-G-0094 12 07 Includes copyrighted material of Page 1 of 1 ISO Properties, Inc., with permission THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AUTOMATIC ADDITIONAL INSUREDS ENDORSEMENT CONSTRUCTION OR SERVICE CONTRACTS (TENDER OF ANY LOSS TO OTHER AVAILABLE INSURANCE, AND EXCLUSION OF EMPLOYEE INJURY) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM A. Section II - Who Is An Insured is amended to include as an additional insured any person(s) or organization(s) with whom you agree, by virtue of a written construction or service contract, written construction or service agreement or permit (all of these hereinafter called Contract), that qualifies as an "insured contract" as defined by the policy, to name as an additional insured with respect to liability arising out of your ongoing operations performed on the project or service specified in the Contract, including acts or omissions of the additional insured in connection with the general supervision of such operations. Except as provided above, this insurance does not apply to any "bodily injury", "property damage" or "personal and advertising injury" arising out of or resulting from the neglect or negligence of the additional insured beyond the general supervision of your ongoing operations. Insurance afforded by this endorsement applies provided the "bodily injury", "property damage" or "personal and advertising injury" occurs subsequent to the execution of the Contract and further provided that the "bodily injury", "property damage" or "personal and advertising injury" arises from "your work" during the policy term. 1. An "employee" of any insured, or a person hired to do work for or on behalf of any insured or a tenant of any insured, that arises out of and in the course of: a. Employment by any insured; or b. Performing duties related to the conduct of any insured's business, or 2. The spouse, child, parent, brother or sister of that "employee' as a consequence of Paragraph 1. above. These exclusions apply: Whether an insured may be liable as an employer or in any other capacity; and 2. To any obligation to share damages with or repay someone else who must pay damages because of the injury. C. The following is added to Section III — Limits Oflnsurance: Coverage for liability assumed by the Named Insured in a Contract shall only be to the extent of the negligence or fault of the Named Insured D. according to applicable principles of comparative fault and/or in accordance with applicable law. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to any "bodily injury" to The most we will pay in behalf of the additional insured is the Limits of Insurance required under the Contract for "bodily injury", "property damage" or "personal and advertising injury', but in no event will we pay more than the available Limits of Insurance afforded by this policy. With respect to insurance afforded to these additional insureds, the following is added to Paragraph 4. Other Insurance of Section IV — Commercial General Liability Conditions: If other valid and collectible insurance is available to the additional insured for a loss we cover under Coverage A or B, then the additional insured must also tender any loss to each such other insurance. Should such other insurance apply, then this insurance is excess over any other such insurance. BG -G-305 10 09 Includes copyrighted material of Page 1 of 1 ISO Properties, Inc., with its permission. CITY OF SANTA ANA OFFICE OF THE CITY ATTORNEY Certificate of Liability Insurance Checklist for Consultant/Sub-recipient Policies Name of Consultant/Sub-recipient: Aesco• 7 -hr_ - Date Certificate of Liability Insurance Submitted: Steps: (a) Obtain Copy of (Current) Contract; (b) Identify Insurance Paragraph in Contract; (c) Review Insurance Requirements Stated in the Contract and Compare with the Certificate of Insurance Submitted for Approval; and (d) Check -off Each Item Below During Your Review of the Submitted Certificate of Insurance: [X] 1. Name and Address of a Producer Qq 7. Policy Number and Check to Verify Insurance is Effective During Project Date �] 2. Name p+or Telephone Number for Producer Contact [y(] 3. Name and Address of Consultant/Sub X 4. Name of the Insurance Company(ies) [fit] 5. Boxes Checked Identifying the Type of Coverage [�p] 6. Additional Insured Box Maybe Checked and Separate Additional Insured Endorsement Form Must Be Attached (make sure the endorsement lists the insurance policy #) and Verify Primary Language on Acceptable Additional Insured Endorsement or Contract Term K 8. Correct Coverage Dollar Amounts Listed 9. Professional Liability Insurance Listed (if architect, engineer, attorney or accountant) [ ] 10. Project Description by Number or Location (if applicable) P< 11. Name of City and Address [� 12. Insurer's Signature Required not the consultant's signature) [fl 13. To Approve, Write "Reviewed by [sign your name]" on Every Page of Certificate of Insurance and All Endorsements and Write the Number of Pages (ex. 1/4 or 4/4) Contact the City Attorney's Office if you have any questions — Lisa Storck x5207. V; c so 6 COVERAGES t.erc urlL..+l elYvlvroo.. CEIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAIAED i HrS IS TO R i INDICATED. NOTV.ITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOV MAY HAVE BEEN REDUCED BY PAID CLAIMS. it 3x --- Ah SUER' DC7 - T 1111. TYPE CF INSURANCE �_ POLICY 14UNIDER RAMIODNYYY) IMNUDDINYY'C GENERAL LIABILITY CON!MERCAL GENERAL LIABILITY —ICIARAYMAOE I_I OCCUR A 154HW28440 6/24/2014 6/24/2015 $ ABOVE FOR THE POLICY PERIOD SMTH RESPECT TO ""ICH THIS IS SUBJECT TO ALL THE TERMS. DATE IIJV.CD'111" 'lc o'i`' CERTIFICATE OF LIABILITY INSURANCE 1D/1/2D74 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 INSURERIS). AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER- RVPORTANT: It Ne Comricate holder Is an ADDITIONAL INSURED, the palicy(les) muss Be andoned. It SUBROGATION IS WAIVED, subject to the tarns and condlllons of the Policy, certain policies may roqul,, an ondmaemenL Aslatement on ulis cortlicole does not confer rights to me canlBcne holds, In us. of such endorsemant(s). S 5000 PRCOLCER LAURIE BRENNAN HAUCKH 9114 Adams Ave #182 32,000,000. NAME. —T — IPEnMre."N E., (702)629-6700 li cernl:(702)629-6701 ADDRESS brencaol. com INSURERS) AFFORDING COVERAGE NAICI _ Huntington Beach, CA 92646 32, 000, 000. INSURER A: Burlin ton insurance Compan 5 31,000,000. _ OC98533 S ----- es_'ED Assoc, Inc. 17782 Georgetown Lane Huntington Beach, Ca 92647 AIOVUTO — ALLO:.-:[D — SCHKC '1-D H AUTOS AUTOS $ — C'+Cb:.E] 1, RED AUTOS AUTOS — — INSURER D The Hartford BOO�LY INJURY IFer w:carsl INSURER C Houston Casualty Company FRO0ERTY AS!AGE (Per amdmll INSURER Preferred Employers Ins. Co. 5 (714)375-3830 UNICRELIA UAB InSURERE OCCUR _ INSURER F. EACH OCCURRENCE COVERAGES t.erc urlL..+l elYvlvroo.. CEIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAIAED i HrS IS TO R i INDICATED. NOTV.ITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOV MAY HAVE BEEN REDUCED BY PAID CLAIMS. it 3x --- Ah SUER' DC7 - T 1111. TYPE CF INSURANCE �_ POLICY 14UNIDER RAMIODNYYY) IMNUDDINYY'C GENERAL LIABILITY CON!MERCAL GENERAL LIABILITY —ICIARAYMAOE I_I OCCUR A 154HW28440 6/24/2014 6/24/2015 $ ABOVE FOR THE POLICY PERIOD SMTH RESPECT TO ""ICH THIS IS SUBJECT TO ALL THE TERMS. LIMITS EACH OCCURRENCE 52, 000, 000. TJAIAAGE'T PREMISES (Es a rma) s 100, 000. __- MED EXW(Anyclw Ferzon) S 5000 PERSONAL4AOV INJURY 32,000,000. GENERAL AGGREGATE 52, 000, 000. GE!R FGGN EGA iE L'JAR 4PFUES FER s'p_iCY PI �I LCC W TC/CB'`.E LM O LItt-- PRCO'JCT$ �OGAP AcG 32, 000, 000. ..o- u Ea a:vCem �L `' 5 31,000,000. _ B00'LY RCURY IFI arzml 800 S ----- - AIOVUTO — ALLO:.-:[D — SCHKC '1-D H AUTOS AUTOS $ — C'+Cb:.E] 1, RED AUTOS AUTOS — — 72UECTQ7770 /9/2014 7/9/2015 BOO�LY INJURY IFer w:carsl S FRO0ERTY AS!AGE (Per amdmll 5 5 UNICRELIA UAB OCCUR EACH OCCURRENCE 5 AGGREGATE f —_-_- EXCESS LIAO CLAIMIaMADE 3 BLD-_. I_IRETERRCN S yIUIJNLfli CCMPENSAi)CII -- --- YsC SLATW Olyb X TONY LIIAITS ER __ ELEACH ACGCE`JT 1, 000AjllrO0O 5 _ _ _ D AND EMPLOYERS' LIABILITY YIN r ".D;R L1cRPARtNLREACCJT:YE Or„1R4LVREA FAcwcew IMan u.." m'J ayes csa.!.v unanl c=sc n.:n0,. GF onnA-cls c>�A NIA WKW1494941 4/11/2014 - 4/11/2015 ELGSEA$E. EA EhIPLOYEE 5 1, DOD, OOO S 11000,000 — C Professional Liab. HCC 1421080 07/09/14 07/09/15 $2,000,000.per claim $2,000,000. aggregate "'^1,.P'I:C"^CS'ERAi:C.YS'LCCALIb:S rVEn:CIsS IA'..aUACORp t01 AGSfsnal Rem.a,az SAev'c'a.l¢pesPd'S rs reT•radl EVEG 8r CiAu.6-20"-a...,.L....... ........ ..... ... ACORD25 (2010!05) The ACORD name and logo are re0)slered marks of ACORO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF. NOTICE Rs.LL BE DELIVERED IN Public Works Agency M-22 ACCORDMCE VATH THE POLICY PROVISIONS P.O. Box 1988 / AUTnCRSED'REPR—IJAI.tE Santa Ana, Calif 92702 n CiAu.6-20"-a...,.L....... ........ ..... ... ACORD25 (2010!05) The ACORD name and logo are re0)slered marks of ACORO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AUTOMATIC ADDITIONAL INSUREDS ENDORSEMENT CONSTRUCTION OR SERVICE CONTRACTS (TENDER OF ANY LOSS TO OTHER AVAILABLE INSURANCE, AND EXCLUSION OF EMPLOYEE INJURY) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM A. Section II - Who Is An Insured is amended to include as an additional insured any person(s) or organization(s) with whom you agree, by virtue of a written construction or service contract, written construction or service agreement or permit (all of these hereinafter called Contract), that qualities as an "insured contract' as defined by the policy, to name as an additional insured with respect to liability arising out of your ongoing operations Performed on the project or service specified in the Contract, including acts or omissions of the additional insured in connection with the general supervision of such operations. Except as provided above, this insurance does not apply to any "bodily injury", 'property damage" or "personal and advertising injury, arising out of or resulting from the neglect or negligence of the additional insured beyond the general supervision of your ongoing operations. Insurance afforded by this endorsement applies provided the "bodily injury', "property damage" or "personal and advertising injury" occurs subsequent to the execution of the Contract and further provided that the "bodily injury', "Property damage" or "personal and advertising injury" arises from "your work" during the policy term. 1. An "employee" of any insured, or a person hired to do work for or on behalf of any insured or a tenant of any insured, that arises out of and in the course of: a. Employment by any insured; or b. Performing duties related to the conduct of any insured's business; or 2. The spouse, child, parent, brother or sister of that "employee" as a consequence of Paragraph 1. above. These exclusions apply: 1. vvnemer an insured may be liable as an employer or in any other capacity, and 2. To any obligation to share damages with or repay someone else who must pay damages because of the injury. C. The following is added to Section III — Limits Ofinsurance: Coverage for liability assumed by the Named Insured in a Contract shall only be to the extent of the negligence or fault of the Named Insured D. according to applicable principles of comparative fault and/or in accordance with applicable law. B. With respect to the insurance afforded to these, additional insureds, the following additional exclusions apply: This insurance does not apply to any "bodily injury" to: BG -G-305 10 09 The most we will pay in behalf of the additional insured is the Limits of Insurance required under the Contract for "bodily injury", "property damage" or "personal and advertising injury", but in no event will we pay more than the available Limits of Insurance afforded by this policy. With respect to insurance afforded to these additional insureds, the following is added to Paragraph 4. Other Insurance of Section IV — Commercial General Liability Conditions: If other valid and collectible insurance is available to the additional insured for a loss we cover under Coverage A or B, then the additional insured must also tender any loss to each such other insurance. Should such other insurance apply, then this insurance is excess over any Other such insurance. Includes copyrighted material of ISO Properties, Inc., with its permission. R£ f1tE0 aY VIC11 Aoss 7-11 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT— OTHER INSURANCE (PRIMARY AND NON-CONTRIBUTORY COVERAGE) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS -COMPLETED OPERATIONS LIABILITYCOVERAGE PART Schedule of Additional Insured(s): Any person or organization named in an Additional Insured endorsement attached to this policy with whom you have agreed, in a written contract, that such person or organization should be provided primary and non-contributory coverage, but only when such written contract is fully executed prior to an "occurrence" in which coverage is sought under this policy. A Paragraph C. of this endorsement replaces cover under the applicable Coverage Part to paragraph 4. Other Insurance of Section IV- which this endorsement is modifying, this Commercial General Liability Conditions, but insurance is primary and non-oontributory. only with respect to the insurance afforded to the However, this endorsement: additional insureds) scheduled above. 1. Applies only when you are required by contract, agreement or permit to provide B. Paragraph C. of this endorsement replaces primary and non-contributory coverage for paragraph 4. Other Insurance of Section IV- the additional insured, provided such written Product s-Cornp feted Operations Liability contract, agreement or permit is fully Conditions, but only with respect to the executed prior to an 'occurrence" in which insurance afforded to the additional insured(s) coverage is sought under this policy,and scheduled above. 2. Does not apply to any claim, loss or liability due to the sole negligence of the additional C. Otherinsurance insured. Notwithstanding other valid and colectible insurance available to the insured for a loss we IFG-G-0094 02 12 Includes copyrighted material of Pagel of 1 IS 0 Properties, I nc., with permission POLICYNUMBER: 154BW28440 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE flame Of Person Or Organization: Any person or organization with whom you have agreed, in a written contract to waive the transfer of rights of recovery against others to us, provided such written waiver is fully executed prior to an "occurrence" in which coverage is sought under this policy. Information required to complete this Schedule, 0 not shown above, will be shown in The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Cond icons: We waive anyright of recovery wemay have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or .your work' done under a contract with that person or organization and included In the "products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CO 2404 05 09 © Insurance Services Office, Inc., 2008 Page t of 1 ❑ CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 4/2$/2015 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 DOTES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING ENSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. POLICY NUMBER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the poliicy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. Astatement on this certificate does not confer rights to the certificate holder in Ileo of such endorsement(s). PRODUCER...... NAME: LAURIE BRENNAN HAUCK 9114 Adams Ave #182 PHONE FAX IC Ne, Ext: (702) 629-6700 AIC , No): (7 02) 62'9-6701 I.", ADDSs: brbrenco@aol.com Huntington Beach, CA 92646 OC98533 IINSUREI AFFORDING COVERAGE I # INSURER. A'. Burlington T,Ln511ranG:e Company INSURED Aesco, Inc,. INSURER 8: The Hartford 17762 Georgetown Lane MED EXP (Anyone person) $ 5000 INSURER c; Houston Casualty Company Huntington Beach, Ca 92647 INSURER. D: INSURER E: (714) 375-3830 INSURER F: COVERAGES CERTIFICATE NUMBERS RFk/lglnN NI IN,Ii 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. INSIR LTR TYPE OF INSURANCE AUDL IiWVD SUBR POLICY NUMBER. (MMIDDlYYYYy (MMIDDlYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE s2,000,000, p"Urrence) ,._ (Ea100,000.. OENERALLIAt31LITY COMMERCIALPREMISES MED EXP (Anyone person) $ 5000 (CLAIMS -MADE CI OCCUR A 154BW28440 6/24/2014 6/24/20115 PERSONAL /&ADV INJURY s2,000,000. GENERAL AGGREGATE $2,000,000. GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG s2,000,000. POLICY PRO- El LOC JBCT AUTOMOBILE LIABILITY Ea accident $ 1,000,000, BODILY INJURY (Per person) $ ANYAUTO ALL "WINED SCHEDULED AUTOS AUTOS,'. 72UECTQ7 770 7/9/2014 7/9/2015 BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCE'SSLtlAe CLAIMS -MADE AGGREGATE $ DED '.., RI=TENTION $ S WORKERS COMPENSATION'+ AND EMPLOYERS' LIABILITY YIN Y . ANPRO,'RIF.TCJRfRARTNERfEXECIJTq"JF.' CFFICEWMEIMBER EXCLUDED? (Mandatory, in NH NIA 72 7 WWE -I TS7 Q 4/11/2015 4/1.1/201.6 0TH - kVC YS TORY LIMITS ER E.L. EACH ACCIDENT $ 1,000,000 Q F.L. DISEASE- EA EMPLOYEE .5 1,000,000 Ityes, describe hinder DESCRIPTION OF OPERATIONS beiew E.L. DISEASE- POLICY LIMITS 1,000,000 C Professional Liab. HCC1421080 07/(79/14 07/09/15 $2,000,001 claim $2,000,000. aggregate DESCRIPTION OF OPERATIONS /LOCATIONS /'VEHICLES (Allach ACORD 101, Additional Remarks SChedui'e„if morespaceis required) ,h\ E. .I'ff Q...Y v q tl `II iC . �. � 01- - X & F 5 7 V” t'VA �.y` % � IL.�. �_.uj - , t'(T.,,,. . .,...,.m .... ,.. HL.- W .N tl r It.. I R....� N "'r II_. ,Y' t"�I 'y) -:P.... h�,.„N' �'.;......� .. CERTIFICATE HOLDER CANCELLATION City of Santa Ana. Public Works Agency M-22 P.O. Box 1988 Santa. Ana, Calif 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD CORPORATION. All rights rt serv,--ri ACORD25 (2010/05) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDYYYYY).. 8/6/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS IPPON THE CERTIFICATE HOLDER. THIS TYPE OF INSURANCE CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES POLICY NUMBER BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED (MMIDD1YYYY) REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. GENERAL LIABILITY IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, One policy(ies) must be endorsed. It SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. Astatement on this certificate does not confer rights to the EACH OCCURRENCE s2,000,000. certificate holder in lied of such endorsement(s). X COMMERCIAL GENERAL LIABILITY PRODUCER CONLAM NAME: LAURIE BRENNAN HAUCK 9'114 Adams Ave #182 MED EXP (Anyone person) $ 5000 PH4?NE FAx )629-6700 (AIC,Ndp:(702)629'®6701 CLAIMS -MADE L -- I...00CUR LArC,Nro,Exl: ,-MAIL DDRE.5S: brenco@aol.com Huntington Beach, CA 92646 A OC98533 INSURER(S) AFFORDING COVERAGE MAEC# INSURER A: The 5/24/2016 INSURED Aesco, Inc. GENEtrRAL. AGGREGATE... $2,0100,000. INSURER B: Trumbull Insurance Company 19666 17782 Georgetown Lane INSURER c: Houston Casualty Company Huntington Beach, Ca 92647 PRODUCTS - COMP/CP AGG s2,000,000. INSURER D: PRO- P'OLICY J OC LOG (714) 375-3830 INSURER E;, INSURER F: S UUVE,RAUES 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. INS'.... LTR TYPE OF INSURANCE INSR ,V.yo POLICY NUMBER (MWDDIYYYY) (MMIDD1YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE s2,000,000. X COMMERCIAL GENERAL LIABILITY PREIMIS.S $ 100 000. ES (Ea occurrerrcey... , MED EXP (Anyone person) $ 5000 CLAIMS -MADE L -- I...00CUR A x 154BW321.78 6/24/2015 5/24/2016 PERSONAL &ADV INJURY S2,000,000. GENEtrRAL. AGGREGATE... $2,0100,000. GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/CP AGG s2,000,000. PRO- P'OLICY J OC LOG S AUTOMOBILE LIABIUT'N Ea accidentS 1,000,000, BODILY INJURY (Per person) $ A X ANYAUTO ALLOWNEDSCHEDULED AUTOS AUTOS X, x.. 72UECTQ'.7770 7/7/2015 7/7/2.016 BODILY INJURY (Per accrdenl) S NON( -OWNED %'t HIRED AUTOS AUTOS PROPERTY DAMAGE. (Per accident) S S UMBRELLA LIAR OCCUR EACH OCCURRENCE '$ EXCESS L.JAB CLAIMS•MADE AGGREGATE $ DED I I RETENTION 5 $ B WORKERS COMPENSATION ANDFMPLOYERIPARTILITY UTiVP ANY PRalP9MBT4RfPARTUUID?F.C' - YIN ® IMFICERYMEtv98ER EXCLGICYED? (¢Mandatory in NH) NAA 72'fr�dECi<4.T6780 4/11/2015 4/11/2016 X I WC S'rATU- OTH-. LIMITSNT ER. ELL_. EACH ACCIDETORY 7 $ 1,(}0'(7, 00�} E.L. DISEASE- EA EMPLOYEE S1,000,000 If yes., describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT S1,000,000 C Professional Liab, HCC1421080 07/09/15 07/09/16 $2,000,000.per claim $2,0,00,000, aggregate DESCRIPTION OF OPERATIONS d LOCATIONS I VEHICLES (Attach ACORD 10,1, Additional Remarks Schedaile,'rf morespace is required) CONTRACT # A-2011--057 Certificate holder is names as an additional insured per the attached form Primary/Non Contributory wording applies per the attached form r� AE,SCO A-2011057-01 REVIEWED BYt �// � EUNICE HEREMA (P'C 1 OF 7) CERTIFICATE HOLDER rANr.FI I ATinN City of Santa Ana. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Its Officers, Employees, Agents ACCORDANCE WITH THE POLICY PROVISIONS. Volunteers and. Representatives AUTNO PRESENTATIVE 20 Civic Center Plaza Santa Ana, Ca 92701 N%WfQ 1988-20M ACORD CORPORATION. All rights reserved. ACORD25 (2010105) The ACORD Blame and IDgo are registered marks of ACORD AESCO A0011-057-01 REVIEWED BY: EUNICE HEREDIA (PG 2 OF 7) THiS El�,IDORSEMENT CHANGES THE POLICY, PLEASE READ VT CAREFULLY, AUTOMATIC ADDITIONAL INSUREDS ENDORSEMENT CONSTRUCTION OR SERV'I(,,,E COWMAC Ts CTEKIDER OF ANY LOSS TO OTHER AVAILABLE AGURANCE, AND EXCLUSION OF EMPLOYEE INJJRY) This mKiOmemms MoMps WOMM Ptovided urider die fdlowiPPg� COMMERGAL GENFRAL. 1'_.1ABHJTY C'OVERAGE FORV A, Section H- INho Is An kwumd I amended M include as wi ad0tional inSLWed any persor-i() or organization(s) with whorn you agiee,, by OQue of a wrju-tN-con,,;tructiou or- cw&= written const wton m sewle alvemera or perA (aN of these hereinaftei called COMMU), that quames as an Insuied contract" as dofiried by the POHCY, to name as an additional insured wjili "aspect to ItabHily WIM9 OW of your ongoing operations PeafOrMed OF' the ploject or service specified in the Contract, including acts or omissions of tj,ac- adcPhonal insured in connection witi, the gerierai supervision of suoj,j oper,atio�,�s_ Exec -apt as Pl'ovided Hbove, this WISY11ce does carat @.PP1Y to any "bodily injury", 11 Property damage" of "personal and advertising injury" arising out of or reaMhg hwn the neglect or negligence of adelftional i11$Uied beyond the neral c. si -ations jP -ipen/js�orj of you� Ongoing opej 5sumnce alloaed by Lhis endorsement appils provided the "hodfly h1my "ploperty dwaye" a "PsrsonaJ and advmhsing injury" ocmgs subsequent to the execution of t8"je C3efVw(,, and fulher provicre%ci that the "bodily inp,py", "propely damage" or "personal and adveMsTig injury"' arises fronj 'Your wol" during he poky t8Q,n 1. An "empjoyae, of any MWed, or a pason faired to do work for of On behaff of any insured O 2 1:0-Iarll Of any k1sul'o'd, fha�: Whes OW of and in he couive of: a. Empioynienf by arry insured; oi b. Perforftiq du[jE..,s r,Ojatpq to tine conduct Of any 41SLfled's business; or Z The spouse, child, paa-ejjL brotj-14;1- or sjate,J of that "employee" as a oonsecluerrce, of Paragraph 1. above, These exclusions appjyn -1. Wheger aia inSIXOd may be HaNe as an employer or in any 00-lor r.,,apaci[y; and 2To any Obflgation to shate, damages, wrth ie -pay someone el,, , wlfio j-ijk,Pst p�jy damages beMuSe of Me injury. C. 'Me f0iicMing is added M Seeflon M — Limits Of Nswome: Coverage bi Halo% assn me6 by Me Nmne6 Pound T; a Contrad shall only be to the eqwj 0 the neglymme of' fauft of the Narried Insured D4 accornng to aophcable principles of cornparadve fault aricjjoc, in accordance witli appka& %w. B. 111h respect to Me Qmvine alloMed to Umse EddIUM121 ksweds, Me 110wing addlYnW snowurs appy: Thl insurance cbes not a}aply to rarjyf jwy, to Fh(:,, rflOEn We wffl Pay fn boh0 01c the addifiona� inSulod 9 Vie Limit of Insurance requKd Urld&the Contract fol "I,),o(jjjy PnjUly`, 'Proper -ti, Wautge" Or "Posonai and advPrtiging InjUll"Y", WU h no even! wiH we P�IY r7loie, than the availatle Livits of Insurance afforded by this fatal Pty. Win respect to insLr1rance aff()j'Cjoe tc) t1jesp acid aLjon,Aj fr-isured!s, the fcfflosryjng jc, atdrlr d to Paragraph 4, Qfljqr Insurance oi ScicUoj�,t IV Coinrnerciai Ganora�l Liability (�,'Ondiflcins-: A OME1 vAid and colluue tswams Hv',V1,&e tr,) the additiarramsued kt -,.I lo3s c0ve�' UIIC16r Coveiage A or B, the ME, addrl4.)nal insued Q)Usf also tender any ju;ss to eH01 suW richer Nsuranc, Shodd su di oHer Howwo apoy, then HIS KSLHanca 1 exneq, OMT any o0mr such nsawoe EG -6206 10 0P MCIUCIM CPWYhWd MasOM �f Page i ot -,t ISO ROWNS, &a, w0h 0 peurhxDn_ AESCO A-2011-057-01 REVIEWED BY- � EUNICE HEREDIA (PG 3 OF 7) TR�S ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. RAU 11111RAIM711A This endorsement r"nodifies insurance provided Under thefoflowing: COMMERDAL GENERAL LIABILITY COVERAGE PART PRODUCT -COMPLETED OPERA-riONS LABILITY COVERAGE PART Any person of- organization named in an Additional Insured endorsement attached to this policy with whom you have agreed, in a written Contract, that such person or organization should be provided primary and non-contributory coverage, but only when such written contract is fully executed prior to an ""occurrence" in which coverage is sought under this policy. A. Paragraph C. of this endorsement replaces paragraph 4. Other Insurance of Section IV - Commercial General Liability Conditions, but only with respect to the insurance afforded to the additional insured(s) scheduled above, B. Paragraph C. of this endorsement replaces paragraph 4. Other Insurance of Section W. Product s -Co nip feted Operations Liability Conditions, but only with respect to the insurance afforded to the additional insured(s) scheduled above. C. Other insurance Notwithstanding other valid and collectible insurance available to the insured for a loss we, cover under the applicable Coverage Part to which this endorsement is modifying, this insurance is primary and ncx7-oontrlbutory. However, this endorsement: 1. Applies only when you are required by contract, agreement or permit to provide primary and non-contributory coverage, for the additional insured, provided such written contract, agreement or permit is fully executed prior to an "occurrence" in which coverage is sought Under this policy, and 2. Does not apply to any claim, loss of, liability due to the sole, negligence of the additional insured. IPG- -009 02'12 Includes copyrighted materlal of Page .1 of 1 ISO Properties, lric, with permission AESCO A-201 1-057-01 REVIEWED BY:EUNICE HEREDIA (PG 4 OF 7) POLICYNUMBER: 154BW32178 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurarce provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART OggI 1111I, Name 01 Person Or Organization: Any person or organization with whom you have agreed, in a written contract to waive the transfer of rights of recovery against others to us, provided such written waiver is, fully i executed prior to an "occurrence" in which coverage is sought under this policy. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8, Transfer Of Rights Of Recovery Against Others To Us of Section IV— Cond ftions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or darnage arising out of your ongoing operations or. "your work" done under a contract with that person or organization and included ii the "products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. GO 24 04 05 00 Z InSUrance, Services Office, Inc., 2005 Page 'l of1 0 AESCO A-201 1-057-01 REVIEWED BY: POLICY NUMBER,:� 72 USC TQ7770 EUNICE HEREDIA (PG 5 OF 7) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED AND RIGHTS OF RECOVERY AGAINST OTHERS This endorsement modifies insurance provided under the foNowing: BUSINESS AUTO COVERAGE FORM A. Any person or organization whom you are required by contract to name as additional insured is an "insured" for LIABILITY COVERAGE but only to the extent that person or organization qualifies as an "insured"' under the WHO IS AN INSURED provision of Section ]I - LIABILITY COVERAGE. B. For any person or organization for whom you are required by contract to provide a waiver of subrogation, the Loss Condition - TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US is applicable, Form HA 99 13 01 87 Printed in U,S,A AESCO A-201 1-057-01 REVIEWED BY: EUNICE HEREDIA (PG 6 OF 7) THIS ENDORSEMENT CHANGES TFIE POLICY. PLEASE READ ITCAREFULLY. WAIVER OF OUR R1GH,rT0 RECOVER FROM OTHERSENDORSEMEN I- - CALIFORNIA POfty NUrnber; '72 VIEC IJJ67I10 Endorsement Number: Effecflvc-Date. 04/1.1/15 Fffective hour is the sarne Lis stated an the Inforniabon Page of the policy. Named Insured and Address: AES'CO TNC' IT782 GEORGE,rmqb) LINT HA-QqT1NG,T(-)N BEAC, CA 92647 We have the right to recover our payments from anyone liable for an injury covered by this policy. We wih not enforce our right against the person or organization narned in the Schedule. (This agreement applies only to the extent that you perform work Linder a written contract that requires you to obtain this agreement frorn us,) You must maintain payroill records accurately segregating the remuneration Of Your employees while engaged in the work described in the Schedule The additional prernium for this endorsement shah' be premium otherwise due on such remuneration. PdNY OR ORGA1VIZA-11ON FROM WHOM YOU ARE REQUIRE1, BY NRI'712N CONITP—z�'I"J' OR �-\GREEMRNT '10 OBTTLILN THIS 1�,IAIVI-�R OF R'1G-HTE, PROM US-. SCHEDULE 0 (j i 7 1[ F, �-S tr ied by 2 % of the California workers' compensation ,Job Description AS 1REQ1jTRED BY NRI TTEN CONTRACT, Al-iihorized Rapresenr aflvH Forrn WC 04 03 06 Printed in U,S.A. Process Date, ti i PoHcy Expirad: on, Date: 0 4 / 1 1 ff AESCIVA O A00 1 405501 REMEWED BY EUMCE HEREDIA (PG 7 OF 7) ADDHIONAL IINSURED_LINDC,&,� FOR COWMERCIAL GFNFRAL LIABILLF)l POLICY 111SUNHICe COrnpany Bu,, I ip_cm This, Worsernent modifies such insurance as is afForded by be pnwkkms of Policy 4 _251SWA1,11 8, " relating to the 1`61lovving: L Ile Chy of Sam Ana, 20 (A OcCerdmWaza, Santa Ana, C'alif'ornia 92701 is officers, employees, as Barts, vMunteers and representatives are named as additional insureds Qdltioml irtsumde) with regard to liability and defense of suits arising from the operations and uses Performed by or on behalf orthe named insured. 2. With respect to claims arising out of he opuijti(,)jjs arl(l uses per-f(),nned by or an bArtifoFthe nanwd inaved, such inswunce as is aff'orded by this policy is primary and is not additional to or• contributing; with any, other insurance carded by or for the benefit of'ffie additional i ns,n-eds. 3, This insurance applies scparatdy to each inawed against whore dahn is made or suit is brought except wil respect to the compHnyJ wits orlAbHhy, file inclusion oPwry person or organization as an insured shA not aflict any right Wch such person cw (ugarilzation would have as as c:lairnm if not so induded 4 With respea to the additional insureds, this insurance shall not be cancelled, or materially reduced in coverage or limits except idler thirty (30) clays written notice has been given to the City or Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701 (`Conjimio" oFthe Wowing &Chdhg CtX"1terSiL_1natLH-C, is re(JUil-ed to make this endorsement ert`ectjve.) '2 4 Effective this endorsement rorm as a part. of Policy # -ilia t.�4 r 7,a . ... . ............ . - Issued to Natlncd CourneNgned by 'Authol ize , (I " - - --- CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 7/12/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS TYPE OF INSURANCE CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES POLICY NUMBER BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED LIMITS REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. GENERAL LIABILITY IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. Astatement on this certificate does not confer rights to the EACH OCCURRENCE s2,000,000. certificate holder in lieu of such endorsement(s). Yi COMMERCIAL GENERAL LIABILITY PRODUCER LAURIE BRENNAN HAUCK 9114 Adams Ave #182 NAME: PHONE A/C,No, EXt: (702)629-6700 (NC,Ne):(702)629-6701 -MAIL ADDRESS: brenGO@aol brenco@aol.com Huntington Beach, CA 92646 OC98533 INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: The Hartford INSURED Aesco, Inc. INSURER B: Trumbull Insurance Company 19666 17782 Georgetown Lane INSURER C: Houston Casualty Company Huntington Beach, Ca 92647 INSURER D: (714) 375-3830 6/24/2016 INSURER E: PERSONAL &ADV INJURY s2,000,000. INSURER F: X Y 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 LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER - POLICY EFF (MM/DD/YYYY) POLICY EX (MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE s2,000,000. Yi COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ 100,000. MED EXP (Anyone person) $ 5000 CLAIMS -MADE I OCCUR I "" A 154BW35919 6/24/2016 6/24/2017 PERSONAL &ADV INJURY s2,000,000. X Y GENERAL AGGREGATE $2,000,000. F GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000. POLICY PRO LOC JECT $ _ AUTOMOBILE LIABILITY Ea accident $1, 000,000. X ( ANYAUTO BODILY INJURY (Per person) $ ALLOWNED SCHEDULED 72UECTQ7770 7/7/2016 7/7/2017 BODILY INJURY Per accident)$ ( .A AUTOS AUTOS }{ Y NON -OWNED X X PROPERTY DAMAGE ' $ HIRED AUTOS AUTOS (Per accident) UMBRELLA LAS OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION X I WC STATU- OTH- AND EMPLOYERS' LIABILITY Y/N TORY LIMITS ER E.L. EACH ACCIDENT $ 1,000,000 B ANY PROPRIETOR/PARTECUTIVE ❑ N/A 4/11/2016 4/11/2017 OFFICER/MEMBER EXCLUUDED?DED' (Mandatory In NH) 72WECKU6780 E.L. DISEASE - EA EMPLOYEE $ 11000,000 Ifyes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,00 C Professional Liab. HCC 16 22130 07/09/16 07/09/17 $2,000,000.per claim $2,000,000. aggregate DESCRIPTION OF OPERATIONS / LOCATIONS ( VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if morespace is required) RE: RFP15-055 Geotechnical, special inspection & material testing A-2011-057-01 for inspection & testing services A-2016-111 for inspection & testing services Certificate holder is named as an additional insured per the attach d form Primary/Non Contributory wording applies per the attached form ..... --... . � ...__.. REVIEWED E C (P, C)/)� CERTIFICATE HOLDER CANCELLATION City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Its Officers, Employees, Agents ACCORDANCE WITH THE POLICY PROVISIONS. Volunteers and Representatives AU REPRES NTATIVE 20 Civic Center Plaza Santa Ana, Ca 92701 © 198872010 ACORD CORPORATION. All rights reserved. ACORD25 (2010/05) The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AUTOMATIC ADDITIONAL. INSUREDS ENDORSEMENT CONSTRUCTION OR SERVICE COWRACTS (TENDER OF ANY LOSS TO OTHER AVAILABLE INSURANCE, AND EXCLUSION OF EMPLOYEE INJURY) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL, LIABILITY COVERAGE FORM A. Section 11 - Who Is An Insured is amended to include as an additional insured any person(s) or organization(s) with whom you agree, by virtue of a written construction or service contract, written construction or service agreement or permit (all of these hereinafter called Contract), that qualifies as an "insured contract" as defined by the policy, to name as an additional insured with respect to liability arising out of your ongoing operations performed on the project or service specified in the Contract, including acts or omissions of the additional insured in connection with the general Supervision of such operations. Except as provided above, this insurance does not apply to any "bodily injury", "property damage" or "personal and advertising injury" arising out of or resulting from the neglect or negligence of the additional insured beyond the general supervision of your ongoing operations. Insurance afforded by this endorsement applies provided the "bodily injury", "property darnage" or "personal and advertising injury" occurs subsequent to the execution of the Contract and further provided that the "bodily injury", "property damage" or "personal and advertising injury" arises from "your work" during the policy term. 1. An "employee" of any insured, or a person hired to do work for or on behalf of any insured or a tenant of any insured, that arises out of and in the course of: a. Employment by any insured; or b. Performing duties related to the conduct of any insured's business; or 2. The spouse, child, parent, brother or sister of that "employee" as a consequence of Paragraph 1. above. These exclusions apply: Whether an insured may be liable as an employer or in any other capacity; and 2. To any obligation to share damages with or repay someone else who must pay damages because of the injury. C. The following is added to Section M -- Urnits Ofinsurance: Coverage for liability assumed by the Named Insured in a Contract shall only be to the extent of the negligence or fault of the Named Insured D, according to applicable principles of comparative fault and/or In accordance with applicable law. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to any "bodily injury" to: The Most we will pay in behalf of the additional insured is the Limits of Insurance required under the Contract for "bodily injury", "property damage" or "personal and advertising injury", but in no event will we pay more than the available Limits of Insurance afforded by this policy. With respect to insurance afforded to these additional insureds, the following is added to Paragraph 4., Other Insurance of Section IV Counmercial General Liability Conditions: If other valid and collectible insurance is available to the additional insured for a loss we cover under Coverage A or B, then the additional insured must also tender any loss to each Such other Insurance, Should such other insurance apply, then this insurance is excess over any other such insurance, Includes copyrighted material of ISO Properties, Inc., with its Dermission. 7' EUMCE OREMA (PG VfV REVIEWED BY� I'- -- ---- ---- ------- - POLICY NUMBER- 154BW35919 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 mem S 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 Name Of Additional Insured Person(s) Or Or anization(s): zw� Location And DescriRtion Of Corn meted 0 Any owner, lessee or contractor with whom you Any and all of your completed operations. have agreed, in a written contract, that such person or organization should be added as an additional insured on your policy, provided such written contract is fully executed prior to an "occurrence" in which coverage is sought under this policy. Information _Lt9wired o complete this Schedule, if not shown above, will be shown in the DeclargtiorLs Section 11 — Who Is An Insured is arnended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by ,.your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products - completed operations hazard". CG 20 37 07 04 (g-) ISO Properties, Inc., 2004. -Page I of RE\flEWED Ely EUNCE MEwar DIA 'THIS ENDORSEMENT CHS NGES "rHE POLICY. PLEASE READ IT CAREFULLY. AM EN DME NT -- OTHE R I NSU RANCE (PRIMARY AND NON-CONTRIBUTORY COVERAGE) This endorsement modifies il'ISUrance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS -COMPLETED OPERATIONS LIABILITY COVERAGE PART Schedule of Additional IIISLIred(s): Any person or organization named in an Additional Insured endorsement attached to this policy with whom You have agreed, in a written contract, that such person or organization Should be provided primary and non-contributory coverage, but only when such written contract is fully executed prior to an "occurrence" in which coverage is Sought under this policy. Paragraph C. of this endorsement replaces cover under the applicable Coverage Part to paragraph 4. Other Insurance of Section IV- which this endorsement is modifying, this Commercid General Liability Conditions, but i nsurance is primary and non-contributory, only with respect to the insurance afforded to the However, this endorsement: additional insured(s) scheduled above. 1. Applies only when You are required by contract, agreement or permit to provide BParagraph C. of this endorsement replaces primary and non-contributory coverage for paragraph 4. Other Insurance of Section IV- the additional insured, provided such written Product s-Compieted Operations Liability contract, agreement or permit is fully Conditions, but only with respect to the executed prior to an "occurrence" in which insurance afforded to the additional insured(s) coverage is sought Under this policy, and scheduled above, 2. Does not apply to any claim, loss or liability due to the sole negligence of the additional C. Other Insurance insured. Notwithstanding other valid and collectible insurance available to the insured for a loss we iFG-G-0094 02 12 Include,; copyrighted material of Pace 1 of 1 IS 0 Properties, Inc., with permission -'.-'VVE EUNICE HEREDIA (PG REV4. D E hl - _7 .. . ....... . POLICY N UMBER: 154BW35919 COMMERCIAL GENERAL LIABILITY GG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AG Al NST OT H ERS TO US 'This endorse rnent modifies insurance provided under, the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART Name Of Person Or Organ Any person or, organization with whom you have agreed, in a written contract to waive the transfer of rights of recovery against others to us, provided such written waiver is fully executed prior, to an "occurrence" in which coverage is sought under this policy. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragr�h 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Gond it ions: We waive any right of recovery wemay have against the person or, organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done Linder a contract with that person or organization and included h the "products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 0 Insurance Services Office, Inc., 2008 Page I of RD EUNIGE � ff.-� REDIA (PG.57 ZZ " �.. --7__ POLICY NUMBER: 72 UEC TQ7770 ,Xo THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED AND RIGHTS OF RECOVERY AGAINST OTHERS This endorsement modifies insurance provided under the following: A. Any person or organization whom you are required by contract to name as additional insured is an "insured" for LIABILITY COVERAGE but only tothe extent that person ororganization qualifies as an "insured" under the WHO |G8NINSURED provision of Section U -LIABILITY COVERAGE. 8 For any person urorganization for whom you are required bycontract tuprovdoawakerofsobmgobon the Loos Condition 'TRANBFER OF RIGHTS OF RECOVERY AGAINST OTHER' TO US is applicable. ' Form HA 991301@T Printed inU£-A. . AM THIS ENDORSEMEN r CHANGES THE POLICY. PLEASE READ I r CAREFt.1U.M. WAIVER OF OUR RIGH"'I'TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA PoiicyNurnberr FT.3f"'t8i1 Endorsement Nurnber: Effective Date-, I/ L 'o Effective hour is the sarne as stated on the Intormation Page of the policy. Narmed insured and Address- AE;;C0 TNC , 1-;78.'2 GE0RG!2;'.L'0NQ11 LN HUNTI.NGTONi 9264-11 We have the right to recover- our payments from anyone liable 1br an injury covered by this policy. We will riot 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 agr8eMeilt from US,) YDU TTILJsl maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional Prerr1iUrn for this endorsement shall be prerniurn otherwise due on SUch remuneration. Person or Organizaflon ANY !'"IERSON LA!' CPG?-NIZP'j 'r-Ft,0M WHON YOU ARE RTQUIFELD 5V ('YD1\)TP1J-,,C'T OP T() THIS, % of the California workers' compensation Job Description T.. j j I 'i�j T T T F. N Countersigned by,,_ AUtl16i'Tz"e'cd Representative Form WC 04, 03 06 (1) Printed in U.S. iraticm Dale� Process Date: 02 pmicy 11-r REAEVVED Y x' F r E(.)MCE HERMA (r, . . .... ..... `CC31 R A S.,i!' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 7/5/2017 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 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 LAURIE BRENNAN HAUCK 9114 Adams Ave #182 Huntington Beach, CA 92646 CONTACT NAME: PHONE (Air, NU F4B 702) 629-6700 a No (702) 629-6701 E-MAIL JDrencoUaol. com ADDRESS: GENERAL LIABILITY OC98533 INSURERS AFFORDING COVERAGE NAIC# INSURER A: Burlington Insurance Com an INSURED Aesco, Inc. INSURERS: The Hartford 19666 17782 Georgetown Lane INSURERC Houston Casualty Company Huntington Beach, Ca 92647 INSURER D: The Hartford (714) 375-3830 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 BYPAID CLAIMS, INSRPOLICY LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE s2,000,000. }% COMMERCIAL GENERAL LIABILITY CLAIMS -MADE --1 OCCUR PREMISES Ea o.urren e $ 100,000. MED EXP (Anyoneperson) $' 5000 A K Y 154BW40150 6/24/2017 6/24/2018 1 PERSONAL&ADV INJURY s2,000,000. GENERAL AGGREGATE $2,000,000. GEN'LAGGREGATE LIMITAPPLIES PER: PRODUCTS - COMP/OPAGG s2,000,000. POLICY PRO LOC $ AUTOMOBILE LIABILITY COBINED SINGLE LIMIT _ 1000006— Ea Maccident r r BODILY INJURY (Per person) $ B X ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS }[ NON -OWNED AUTOS X Y 72UECTr•�7770 Y 7/']/201']7/']/201$ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION '•'•1 WORKERS COMPENSATIONX WC STATU- OTH- D AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE =72WECKU OFFICER/MEMBER EXCLUDED? U N/A p 67 Q0 4/11/2017 /11/2018 E.L. EACH ACCIDENT $ 1r 000/000 E.L. DISEASE - EA EMPLOYEE $ 1100010 (Mandatory in NH) Ifyes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT 1,000,000 C Professional Liab. HCC 17 22635 07/09/1707/09/18$2,000,000 per claim 1$2,000,000. aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101,Additional Remarks Schedule, if more space is required) RE: RFP15-055 Geotechnical, special inspection & material testing A-2011-057-01 for inspection & testing services A-2016-111 for inspection & testing services Certificate holder is named as an additional insured per the attached form. Primary/Non Contributory wording applies per ,t�h _o ( REVIEWED BY: EUNICE HERE.DIA (PG � OF ) Cit of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Its Officers, Employees, Agents ACCORDANCE WITH THE POLICY PROVISIONS. Volunteers and Representatives 20 C1V1C Center Plaza AUT,MWED REPRESENTA VE Santa Ana, Ca 92701 OAWOL © 19#C-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT- OTHER INSURANCE (PRIMARY AND NON-CONTRIBUTORY COVERAGE) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS -COMPLETED OPERATIONS LIABILITY COVERAGE PART Schedule of Additional Insured(s): Any person or organization named in an Additional Insured endorsement attached to this policy with whom you have agreed, in a written contract, that such person or organization should be provided primary and non-contributory coverage, but only when such written contract is fully executed prior to an "occurrence" in which coverage is sought under this policy. A. Paragraph C. of this endorsement replaces cover under the applicable Coverage Part to paragraph 4. Other Insurance of Section IV- which this endorsement is modifying, this Commercial General Liability Conditions, but insurance is primary and non-contributory. only with respect to the insurance afforded to the However, this endorsement: additional insured(s) scheduled above. 1. Applies only when you are required by contract, agreement or permit to provide B. Paragraph C. of this endorsement replaces primary and non-contributory coverage for paragraph 4. Other Insurance of Section IV- the additional insured, provided such written Products -Completed Operations Liability contract, agreement or permit is fully Conditions, but only with respect to the executed prior to an "occurrence" in which insurance afforded to the additional insured(s) coverage is sought under this policy, and scheduled above. 2. Does not apply to any claim, loss or liability due to the sole negligence of the additional C. Other Insurance insured. Notwithstanding other valid and collectible insurance available to the insured for a loss we IFG-G-0094 02 12 Includes copyrighted material of Page 1 of 1 ISO Properties, Inc., with permission rf EUNICE HEREDIA (Pc2Or-5 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AUTOMATIC ADDITIONAL INSUREDS ENDORSEMENT CONSTRUCTION OR SERVICE CONTRACTS (TENDER OF ANY LOSS TO OTHER AVAILABLE INSURANCE, AND EXCLUSION OF EMPLOYEE INJURY) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM A. Section II - Who Is An Insured is amended to include as an additional insured any person(s) or organization(s) with whom you agree, by virtue of a written construction or service contract, written construction or service agreement or permit (all of these hereinafter called Contract), that qualifies as an "insured contract" as defined by the policy, to name as an additional insured with respect to liability arising out of your ongoing operations performed on the project or service specified in the Contract, including acts or omissions of the additional insured in connection with the general supervision of such operations. Except as provided above, this insurance does not apply to any "bodily injury', "property damage" or "personal and advertising injury" arising out of or resulting from the neglect or negligence of the additional insured beyond the general supervision of your ongoing operations. Insurance afforded by this endorsement applies provided the "bodily injury', "property damage" or "personal and advertising injury' occurs subsequent to the execution of the Contract and further provided that the "bodily injury", "property damage" or "personal and advertising injury" arises from "your work" during the policy term. 1. An "employee" of any insured, or a person hired to do work for or on behalf of any insured or a tenant of any insured, that arises out of and in the course of: a. Employment by any insured-, or b. Performing duties related to the conduct of any insured's business; or 2. The spouse, child, parent, brother or sister of that "employee" as a consequence of Paragraph 1. above. These exclusions apply: 1. Whether an insured may be liable as an employer or in any other capacity; and 2. To any obligation to share damages with or repay someone else who must pay damages because of the injury. C. The following is added to Section III — Limits Oflnsurance: Coverage for liability assumed by the Named Insured in a Contract shall only be to the extent D of the negligence or, fault of the Named Insured according to applicable principles of comparative fault and/or in accordance with applicable law. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to any "bodily injury" to: BG -G-305 10 09 The most we will pay in behalf of the additional insured is the Limits of Insurance required under the Contract for "bodily injury", "property damage" or "personal and advertising injury", but in no event will we pay more than the available Limits of Insurance afforded by this policy. With respect to insurance afforded to these additional insureds, the following is added to Paragraph 4. Other Insurance of Section IV — Commercial General Liability Conditions: If other valid and collectible insurance is available to the additional insured for a loss we cover under Coverage A or B, then the additional insured must also tender any loss to each such other insurance. Should such other insurance apply, then this insurance is excess over any other such insurance. Includes copyrighted material of ISO Properties, Inc., with its permission. Page 1 of 1 El/iE ED BY: EUNIC:E HEREDIA (PG CJI -5 ) POLICY NUMBER: 72 UEC TO7770 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED AND RIGHTS OF RECOVERY AGAINST OTHERS This endorsement modifies insurance provided under the following: A. Any person morganization whom you are required by contract to name as additional insured is an "insured" for LIABILITY COVERAGE but only to the extent that person or organization qualifies as an "insured" under the WHO |OANINSURED provision ofSection D - LIABILITY COVERAGE. B. For any person ororganization for whom you are required bycontract topmvdeawakmrofaubmgoVon the Luun Condition -TRAN5FER OF RIGHTS OF RECOVERY AGAINST OTHERS ' TO UG is applicable. ' Form HA3913U1 87 Printed in U.S.A. WIN R Policy Number: 7/2 WEC KU6780 Endorsement Number: Effective Date: 0 4 / 11 / 17 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: AESCO INC. 1.7782 GEORGETOWN LN HUNTINGTON BEAC, CA 926/47 We have the right to recover our payments frorn 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 pet -form work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be premium otherwise due on such remuneration. ;ZEEMEI�= ANY PERSON OR ORGANIZATION FROM WHOM YOU ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT TO OBTAIN THIS WAIVER OF RIGHTS FROM US, CITY OF ARCADIA, ITS OFFICIALS OFFICERS AND EMPLQYE!�'S 240 W HUNTINGTON DR ARCADIA, CA 91.007 % of the California workers' compensation 12MMES= AS REQUIRED BY WRITTEN CONTRACT. SOIL TESTING Countersigned by Authorized Representative Form WC 04.03 06 (1) Printed in U.S.A. Process Date: 02 / 18 / 17 Policy Expiration Date: 04/11/18 EUNICE HEREDIA (PG50 - -I lc J[ CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 7/6/2018 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(les) must 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 LAURIE BRENNAN HAUCK 9114 Adams Ave #182 Huntington Beach, CA 92646 CONTACT NAME: PHONE F (702)-6700629 aAXNe:(702)629-6701 E-MAIL JDrenco@aol.com ADDRESS: GENERAL LIABILITY OC98533 INSURERS AFFORDING COVERAGE NAIC# INSURERA: Burlington Insurance Company INSURED Aesco, Inc. INSURER B: The Hartford 19666 17782 Georgetown Lane INSURER C: Houston Casualty Company Huntington Beach, Ca 92647 INSURER D: The Hartford (714) 375-3830 INSURER E: INSURER F COVERAGES CFRTIFICATF NLIMBFR RFVIRION NIIMRFR- 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 BYPAID CLAIMS. INSR LTR TYPE OF INSURANCE AUUL15UbK INSR WVD POLICYNUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $2 000 000. X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 100 000. MED EXP An one erson $ 5000 CLAIMS -MADE r X r OCCUR 1 PERSONAL& ADV INJURY s2,000, 000. A y 15413W46127 6/24/2018 6/24/2019 X GENERAL AGGREGATE s2,000,000. GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS - COMP/OP AGG s2'000,000. POLICY 7 PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT0,000. Ea accident i BODILY INJURY (Per person) $ X'� ANYAUTO 72UECT(� 7770 Q '] / /20187/7/2019 B ALL OWNED SCHEDULED AUTOS AUTOS }{ jt BODILY INJURY (Per accident) $ X HIRED AUTOS �{ NON -OWNED AUTOS PROPERTY DAMAGE $ Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LAB CLAIMS -MADE DED I I RETENTION WORKERS COMPENSATION - OTH- }{ I WC STATUTORY AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE 1�1 e 72WECKU6780 4/11/2018 /11/2019 I FIR E.L. EACH ACCIDENT $ 1,000,000 D OFFICER/MEMBER EXCLUDED? ILJI NIA E.L. DISEASE - EA EMPLOYEE $ 1,000,0 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below 1 0 0 0,500 E.L. DISEASE -POLICY LIMIT r C Professional Liab. HCC 1823089 07/09/1807/09/19$2,000,000 per claim $2,000,000. aggregate DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: RFP15-055 Geotechnical, special inspection & material testing A-2011-057-01 for inspection & testing services A-2016-111 for inspection & testing services Certificate holder is named as an additional insured per the atta hed form. Primary/Non Contributory wording applies per the attached form REVIEWED BY: EUNICE HEREDIA (PG OF } (`FRTIPI(:OTF wni r1FR rAKlr FI I ATIr)KI City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Its Officers, Employees, Agents ACCORDANCE WITH THE POLICY PROVISIONS. Volunteers and Representatives AUTHORIZESENTATIVE 20 Civic Center Plaza Santa Ana, Ca 92701 a as %*y 1988-201IFACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 154BW46127 COMMERCIAL GENERAL LIABILITY CG 20 37 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations Any owner, lessee or contractor with whom you Any and all of your locations and completed have agreed, in a written contract, that such person operations or organization should be added as an additional insured on your policy, provided such written contract is fully executed prior to an 'occurrence" in which coverage is sought under this 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. If coverage provided to the additional insured is Include as an additional insured the person(s) or required by a contract or agreement, the organization(s) shown in the Schedule, but only insurance afforded to such additional insured will with respect to liability for "bodily injury" or not be broader than that which you are required "property damage" caused, in whole or in part, by by the contract or agreement to provide for such "your work" at the location designated and additional insured. described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and CG 20 37 04 13 U Insurance Services Office, Inc., 2012 Page 1 of 1 REVIEwEC? aY., EUNICE HE REDIA (r�G , of .} POLICY N UMBER: 154BW46127 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any person or organization with whom you have agreed, in a written contract to waive the transfer of rights of recovery against others to us, provided such written waiver is fully executed prior to an 'occurrence" in which coverage is sought under this policy. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragreph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV— Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 0 REVfEWED f3Y:AAA EUNICE HEREDIA (PC OF } THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT - OTHER INSURANCE (PRIMARY AND NON-CONTRIBUTORY COVERAGE) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART Schedule of Additional Insured(s): Any person or organization named in an Additional Insured endorsement attached to this policy with whom you have agreed, in a written contract, that such person or organization should be provided primary and non-contributory coverage, but only when such written contract is fully executed prior to an 'occurrence" in which coverage is sought under this policy. A. Paragraph C. of this endorsement replaces paragraph 4. Other Insurance of Section IV - Commercial General Liability Conditions, but only with respect to the insurance afforded to the additional Insured(s) scheduled above. B. Paragraph C. of this endorsement replaces paragraph 4. Other Insurance of Section IV - Products -Completed Operations Liability Conditions, but only with respect to the insurance afforded to the additional insured(s) scheduled above. C. Other Insurance However, this endorsement: 1. Applies only when you are required by contract, agreement or permit to provide primary and non-contributory coverage for the additional insured, provided such written contract, agreement or permit is fully executed prior to an 'occurrence" In which coverage is sought under this policy, and 2. Does not apply to any claim, loss or liability due to the sole negligence of the additional insured. Notwithstanding other valid and collectible All other terms and conditions of this Policy insurance available to the insured for a loss we remain unchanged. cover under the applicable Coverage Part to which this endorsement is modifying, this insurance is primary and non-contributory. IFG-G-0094 0317 Includes copyrighted material of ISO Properties, Inc., with its permission. Page 1 of 1 COMMERCIAL GENERAL LIABILITY CG 20 33 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN 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 include as an additional insured any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured. However, the insurance afforded to such additional insured: 1. Only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person's or organization's status as an additional insured under this endorsement ends when your operations for that additional insured are completed. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: 1. "Bodily injury", "property damage" or "personal and advertising Injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily Injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. CG 20 33 0413 © Insurance Services Office, Inc., 2012 Pa e 1 of 2 REUEEwED BY: Eli[[CE HRECk[A (PqF } 2. "Bodily injury" or "property damage" occurring after: a. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or b. 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: 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. Page 2 of 2 0 Insurance Services Off' REVIEWED BY: EUNICE HEREDIA (PG O ) POLICY NUMBER: 72 UEC TQ7770 THIS ENDORSEMENT CHANGES POLICY. PLEASE READ . {:....R. IT CAREFULLY. ADDITIONAL INSURE ,ii' O i AND OTHERSRIGHTS OF RECOVERY AGAINST This endorsement modifies Insurance provided under the following: BUSINESS AUTO) COVERAGE FORA A. Any person or organization whom you are required by contract to name as additional Insured is an "insured" for LIABILITY COVERAGE but only to the extent that person or organization qualifies as an "insured" under the WHO IS AN INSURED provision of Section II - LIABILITY COVERAGE. B. For any person or organization for whom you are required by contract to provide a waiver of subrogation, the Loss Condition - TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US is applicable. Forms HA 9913 01 07 Printed in U.S.A. Policy Number. 72 WEC KU6780 Endorsement Number: Effective Date: 04/11/18 Effective hour is the same as stated on the Information Page of the policy, Named Insured and Address: AESCO INC. 17782 GEORGETOWN LN HUNTINGTON BEAC CA 92647 We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described In the Schedule. The additional premium for this endorsement shall be 2 % of the California workers' compensation premium otherwise due on such remuneration. 60«�:ffiI€1� 103�� Any person or organization from whom you are required by written contract or agreement to obtain this waiver of rights from us Form WC 04 03 06 (1) Printed in U.S.A. Process Date: 03/02/18 Policy Expiration Date: 04111119 - -I lc J[ CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 7/6/2018 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(les) must 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 LAURIE BRENNAN HAUCK 9114 Adams Ave #182 Huntington Beach, CA 92646 CONTACT NAME: PHONE F (702)-6700629 aAXNe:(702)629-6701 E-MAIL JDrenco@aol.com ADDRESS: GENERAL LIABILITY OC98533 INSURERS AFFORDING COVERAGE NAIC# INSURERA: Burlington Insurance Company INSURED Aesco, Inc. INSURER B: The Hartford 19666 17782 Georgetown Lane INSURER C: Houston Casualty Company Huntington Beach, Ca 92647 INSURER D: The Hartford (714) 375-3830 INSURER E: INSURER F COVERAGES CFRTIFICATF NLIMBFR RFVIRION NIIMRFR- 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 BYPAID CLAIMS. INSR LTR TYPE OF INSURANCE AUUL15UbK INSR WVD POLICYNUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $2 000 000. X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 100 000. MED EXP An one erson $ 5000 CLAIMS -MADE r X r OCCUR 1 PERSONAL& ADV INJURY s2,000, 000. A y 15413W46127 6/24/2018 6/24/2019 X GENERAL AGGREGATE s2,000,000. GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS - COMP/OP AGG s2'000,000. POLICY 7 PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT0,000. Ea accident i BODILY INJURY (Per person) $ X'� ANYAUTO 72UECT(� 7770 Q '] / /20187/7/2019 B ALL OWNED SCHEDULED AUTOS AUTOS }{ jt BODILY INJURY (Per accident) $ X HIRED AUTOS �{ NON -OWNED AUTOS PROPERTY DAMAGE $ Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LAB CLAIMS -MADE DED I I RETENTION WORKERS COMPENSATION - OTH- }{ I WC STATUTORY AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE 1�1 e 72WECKU6780 4/11/2018 /11/2019 I FIR E.L. EACH ACCIDENT $ 1,000,000 D OFFICER/MEMBER EXCLUDED? ILJI NIA E.L. DISEASE - EA EMPLOYEE $ 1,000,0 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below 1 0 0 0,500 E.L. DISEASE -POLICY LIMIT r C Professional Liab. HCC 1823089 07/09/1807/09/19$2,000,000 per claim $2,000,000. aggregate DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: RFP15-055 Geotechnical, special inspection & material testing A-2011-057-01 for inspection & testing services A-2016-111 for inspection & testing services Certificate holder is named as an additional insured per the atta hed form. Primary/Non Contributory wording applies per the attached form REVIEWED BY: EUNICE HEREDIA (PG OF } (`FRTIPI(:OTF wni r1FR rAKlr FI I ATIr)KI City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Its Officers, Employees, Agents ACCORDANCE WITH THE POLICY PROVISIONS. Volunteers and Representatives AUTHORIZESENTATIVE 20 Civic Center Plaza Santa Ana, Ca 92701 a as %*y 1988-201IFACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 154BW46127 COMMERCIAL GENERAL LIABILITY CG 20 37 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations Any owner, lessee or contractor with whom you Any and all of your locations and completed have agreed, in a written contract, that such person operations or organization should be added as an additional insured on your policy, provided such written contract is fully executed prior to an 'occurrence" in which coverage is sought under this 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. If coverage provided to the additional insured is Include as an additional insured the person(s) or required by a contract or agreement, the organization(s) shown in the Schedule, but only insurance afforded to such additional insured will with respect to liability for "bodily injury" or not be broader than that which you are required "property damage" caused, in whole or in part, by by the contract or agreement to provide for such "your work" at the location designated and additional insured. described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and CG 20 37 04 13 U Insurance Services Office, Inc., 2012 Page 1 of 1 REVIEwEC? aY., EUNICE HE REDIA (r�G , of .} POLICY N UMBER: 154BW46127 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any person or organization with whom you have agreed, in a written contract to waive the transfer of rights of recovery against others to us, provided such written waiver is fully executed prior to an 'occurrence" in which coverage is sought under this policy. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragreph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV— Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 0 REVfEWED f3Y:AAA EUNICE HEREDIA (PC OF } THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT - OTHER INSURANCE (PRIMARY AND NON-CONTRIBUTORY COVERAGE) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART Schedule of Additional Insured(s): Any person or organization named in an Additional Insured endorsement attached to this policy with whom you have agreed, in a written contract, that such person or organization should be provided primary and non-contributory coverage, but only when such written contract is fully executed prior to an 'occurrence" in which coverage is sought under this policy. A. Paragraph C. of this endorsement replaces paragraph 4. Other Insurance of Section IV - Commercial General Liability Conditions, but only with respect to the insurance afforded to the additional Insured(s) scheduled above. B. Paragraph C. of this endorsement replaces paragraph 4. Other Insurance of Section IV - Products -Completed Operations Liability Conditions, but only with respect to the insurance afforded to the additional insured(s) scheduled above. C. Other Insurance However, this endorsement: 1. Applies only when you are required by contract, agreement or permit to provide primary and non-contributory coverage for the additional insured, provided such written contract, agreement or permit is fully executed prior to an 'occurrence" In which coverage is sought under this policy, and 2. Does not apply to any claim, loss or liability due to the sole negligence of the additional insured. Notwithstanding other valid and collectible All other terms and conditions of this Policy insurance available to the insured for a loss we remain unchanged. cover under the applicable Coverage Part to which this endorsement is modifying, this insurance is primary and non-contributory. IFG-G-0094 0317 Includes copyrighted material of ISO Properties, Inc., with its permission. Page 1 of 1 COMMERCIAL GENERAL LIABILITY CG 20 33 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN 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 include as an additional insured any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured. However, the insurance afforded to such additional insured: 1. Only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person's or organization's status as an additional insured under this endorsement ends when your operations for that additional insured are completed. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: 1. "Bodily injury", "property damage" or "personal and advertising Injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily Injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. CG 20 33 0413 © Insurance Services Office, Inc., 2012 Pa e 1 of 2 REUEEwED BY: Eli[[CE HRECk[A (PqF } 2. "Bodily injury" or "property damage" occurring after: a. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or b. 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: 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. Page 2 of 2 0 Insurance Services Off' REVIEWED BY: EUNICE HEREDIA (PG O ) POLICY NUMBER: 72 UEC TQ7770 THIS ENDORSEMENT CHANGES POLICY. PLEASE READ . {:....R. IT CAREFULLY. ADDITIONAL INSURE ,ii' O i AND OTHERSRIGHTS OF RECOVERY AGAINST This endorsement modifies Insurance provided under the following: BUSINESS AUTO) COVERAGE FORA A. Any person or organization whom you are required by contract to name as additional Insured is an "insured" for LIABILITY COVERAGE but only to the extent that person or organization qualifies as an "insured" under the WHO IS AN INSURED provision of Section II - LIABILITY COVERAGE. B. For any person or organization for whom you are required by contract to provide a waiver of subrogation, the Loss Condition - TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US is applicable. Forms HA 9913 01 07 Printed in U.S.A. Policy Number. 72 WEC KU6780 Endorsement Number: Effective Date: 04/11/18 Effective hour is the same as stated on the Information Page of the policy, Named Insured and Address: AESCO INC. 17782 GEORGETOWN LN HUNTINGTON BEAC CA 92647 We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described In the Schedule. The additional premium for this endorsement shall be 2 % of the California workers' compensation premium otherwise due on such remuneration. 60«�:ffiI€1� 103�� Any person or organization from whom you are required by written contract or agreement to obtain this waiver of rights from us Form WC 04 03 06 (1) Printed in U.S.A. Process Date: 03/02/18 Policy Expiration Date: 04111119 - -I lc J[ CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 7/6/2018 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(les) must 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 LAURIE BRENNAN HAUCK 9114 Adams Ave #182 Huntington Beach, CA 92646 CONTACT NAME: PHONE F (702)-6700629 aAXNe:(702)629-6701 E-MAIL JDrenco@aol.com ADDRESS: GENERAL LIABILITY OC98533 INSURERS AFFORDING COVERAGE NAIC# INSURERA: Burlington Insurance Company INSURED Aesco, Inc. INSURER B: The Hartford 19666 17782 Georgetown Lane INSURER C: Houston Casualty Company Huntington Beach, Ca 92647 INSURER D: The Hartford (714) 375-3830 INSURER E: INSURER F COVERAGES CFRTIFICATF NLIMBFR RFVIRION NIIMRFR- 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 BYPAID CLAIMS. INSR LTR TYPE OF INSURANCE AUUL15UbK INSR WVD POLICYNUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $2 000 000. X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 100 000. MED EXP An one erson $ 5000 CLAIMS -MADE r X r OCCUR 1 PERSONAL& ADV INJURY s2,000, 000. A y 15413W46127 6/24/2018 6/24/2019 X GENERAL AGGREGATE s2,000,000. GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS - COMP/OP AGG s2'000,000. POLICY 7 PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT0,000. Ea accident i BODILY INJURY (Per person) $ X'� ANYAUTO 72UECT(� 7770 Q '] / /20187/7/2019 B ALL OWNED SCHEDULED AUTOS AUTOS }{ jt BODILY INJURY (Per accident) $ X HIRED AUTOS �{ NON -OWNED AUTOS PROPERTY DAMAGE $ Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LAB CLAIMS -MADE DED I I RETENTION WORKERS COMPENSATION - OTH- }{ I WC STATUTORY AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE 1�1 e 72WECKU6780 4/11/2018 /11/2019 I FIR E.L. EACH ACCIDENT $ 1,000,000 D OFFICER/MEMBER EXCLUDED? ILJI NIA E.L. DISEASE - EA EMPLOYEE $ 1,000,0 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below 1 0 0 0,500 E.L. DISEASE -POLICY LIMIT r C Professional Liab. HCC 1823089 07/09/1807/09/19$2,000,000 per claim $2,000,000. aggregate DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: RFP15-055 Geotechnical, special inspection & material testing A-2011-057-01 for inspection & testing services A-2016-111 for inspection & testing services Certificate holder is named as an additional insured per the atta hed form. Primary/Non Contributory wording applies per the attached form REVIEWED BY: EUNICE HEREDIA (PG OF } (`FRTIPI(:OTF wni r1FR rAKlr FI I ATIr)KI City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Its Officers, Employees, Agents ACCORDANCE WITH THE POLICY PROVISIONS. Volunteers and Representatives AUTHORIZESENTATIVE 20 Civic Center Plaza Santa Ana, Ca 92701 a as %*y 1988-201IFACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 154BW46127 COMMERCIAL GENERAL LIABILITY CG 20 37 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations Any owner, lessee or contractor with whom you Any and all of your locations and completed have agreed, in a written contract, that such person operations or organization should be added as an additional insured on your policy, provided such written contract is fully executed prior to an 'occurrence" in which coverage is sought under this 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. If coverage provided to the additional insured is Include as an additional insured the person(s) or required by a contract or agreement, the organization(s) shown in the Schedule, but only insurance afforded to such additional insured will with respect to liability for "bodily injury" or not be broader than that which you are required "property damage" caused, in whole or in part, by by the contract or agreement to provide for such "your work" at the location designated and additional insured. described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and CG 20 37 04 13 U Insurance Services Office, Inc., 2012 Page 1 of 1 REVIEwEC? aY., EUNICE HE REDIA (r�G , of .} POLICY N UMBER: 154BW46127 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any person or organization with whom you have agreed, in a written contract to waive the transfer of rights of recovery against others to us, provided such written waiver is fully executed prior to an 'occurrence" in which coverage is sought under this policy. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragreph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV— Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 0 REVfEWED f3Y:AAA EUNICE HEREDIA (PC OF } THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT - OTHER INSURANCE (PRIMARY AND NON-CONTRIBUTORY COVERAGE) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART Schedule of Additional Insured(s): Any person or organization named in an Additional Insured endorsement attached to this policy with whom you have agreed, in a written contract, that such person or organization should be provided primary and non-contributory coverage, but only when such written contract is fully executed prior to an 'occurrence" in which coverage is sought under this policy. A. Paragraph C. of this endorsement replaces paragraph 4. Other Insurance of Section IV - Commercial General Liability Conditions, but only with respect to the insurance afforded to the additional Insured(s) scheduled above. B. Paragraph C. of this endorsement replaces paragraph 4. Other Insurance of Section IV - Products -Completed Operations Liability Conditions, but only with respect to the insurance afforded to the additional insured(s) scheduled above. C. Other Insurance However, this endorsement: 1. Applies only when you are required by contract, agreement or permit to provide primary and non-contributory coverage for the additional insured, provided such written contract, agreement or permit is fully executed prior to an 'occurrence" In which coverage is sought under this policy, and 2. Does not apply to any claim, loss or liability due to the sole negligence of the additional insured. Notwithstanding other valid and collectible All other terms and conditions of this Policy insurance available to the insured for a loss we remain unchanged. cover under the applicable Coverage Part to which this endorsement is modifying, this insurance is primary and non-contributory. IFG-G-0094 0317 Includes copyrighted material of ISO Properties, Inc., with its permission. Page 1 of 1 COMMERCIAL GENERAL LIABILITY CG 20 33 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN 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 include as an additional insured any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured. However, the insurance afforded to such additional insured: 1. Only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person's or organization's status as an additional insured under this endorsement ends when your operations for that additional insured are completed. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: 1. "Bodily injury", "property damage" or "personal and advertising Injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily Injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. CG 20 33 0413 © Insurance Services Office, Inc., 2012 Pa e 1 of 2 REUEEwED BY: Eli[[CE HRECk[A (PqF } 2. "Bodily injury" or "property damage" occurring after: a. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or b. 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: 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. Page 2 of 2 0 Insurance Services Off' REVIEWED BY: EUNICE HEREDIA (PG O ) POLICY NUMBER: 72 UEC TQ7770 THIS ENDORSEMENT CHANGES POLICY. PLEASE READ . {:....R. IT CAREFULLY. ADDITIONAL INSURE ,ii' O i AND OTHERSRIGHTS OF RECOVERY AGAINST This endorsement modifies Insurance provided under the following: BUSINESS AUTO) COVERAGE FORA A. Any person or organization whom you are required by contract to name as additional Insured is an "insured" for LIABILITY COVERAGE but only to the extent that person or organization qualifies as an "insured" under the WHO IS AN INSURED provision of Section II - LIABILITY COVERAGE. B. For any person or organization for whom you are required by contract to provide a waiver of subrogation, the Loss Condition - TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US is applicable. Forms HA 9913 01 07 Printed in U.S.A. Policy Number. 72 WEC KU6780 Endorsement Number: Effective Date: 04/11/18 Effective hour is the same as stated on the Information Page of the policy, Named Insured and Address: AESCO INC. 17782 GEORGETOWN LN HUNTINGTON BEAC CA 92647 We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described In the Schedule. The additional premium for this endorsement shall be 2 % of the California workers' compensation premium otherwise due on such remuneration. 60«�:ffiI€1� 103�� Any person or organization from whom you are required by written contract or agreement to obtain this waiver of rights from us Form WC 04 03 06 (1) Printed in U.S.A. Process Date: 03/02/18 Policy Expiration Date: 04111119 - -I lc J[ CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 7/6/2018 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(les) must 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 LAURIE BRENNAN HAUCK 9114 Adams Ave #182 Huntington Beach, CA 92646 CONTACT NAME: PHONE F (702)-6700629 aAXNe:(702)629-6701 E-MAIL JDrenco@aol.com ADDRESS: GENERAL LIABILITY OC98533 INSURERS AFFORDING COVERAGE NAIC# INSURERA: Burlington Insurance Company INSURED Aesco, Inc. INSURER B: The Hartford 19666 17782 Georgetown Lane INSURER C: Houston Casualty Company Huntington Beach, Ca 92647 INSURER D: The Hartford (714) 375-3830 INSURER E: INSURER F COVERAGES CFRTIFICATF NLIMBFR RFVIRION NIIMRFR- 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 BYPAID CLAIMS. INSR LTR TYPE OF INSURANCE AUUL15UbK INSR WVD POLICYNUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $2 000 000. X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 100 000. MED EXP An one erson $ 5000 CLAIMS -MADE r X r OCCUR 1 PERSONAL& ADV INJURY s2,000, 000. A y 15413W46127 6/24/2018 6/24/2019 X GENERAL AGGREGATE s2,000,000. GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS - COMP/OP AGG s2'000,000. POLICY 7 PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT0,000. Ea accident i BODILY INJURY (Per person) $ X'� ANYAUTO 72UECT(� 7770 Q '] / /20187/7/2019 B ALL OWNED SCHEDULED AUTOS AUTOS }{ jt BODILY INJURY (Per accident) $ X HIRED AUTOS �{ NON -OWNED AUTOS PROPERTY DAMAGE $ Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LAB CLAIMS -MADE DED I I RETENTION WORKERS COMPENSATION - OTH- }{ I WC STATUTORY AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE 1�1 e 72WECKU6780 4/11/2018 /11/2019 I FIR E.L. EACH ACCIDENT $ 1,000,000 D OFFICER/MEMBER EXCLUDED? ILJI NIA E.L. DISEASE - EA EMPLOYEE $ 1,000,0 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below 1 0 0 0,500 E.L. DISEASE -POLICY LIMIT r C Professional Liab. HCC 1823089 07/09/1807/09/19$2,000,000 per claim $2,000,000. aggregate DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: RFP15-055 Geotechnical, special inspection & material testing A-2011-057-01 for inspection & testing services A-2016-111 for inspection & testing services Certificate holder is named as an additional insured per the atta hed form. Primary/Non Contributory wording applies per the attached form REVIEWED BY: EUNICE HEREDIA (PG OF } (`FRTIPI(:OTF wni r1FR rAKlr FI I ATIr)KI City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Its Officers, Employees, Agents ACCORDANCE WITH THE POLICY PROVISIONS. Volunteers and Representatives AUTHORIZESENTATIVE 20 Civic Center Plaza Santa Ana, Ca 92701 a as %*y 1988-201IFACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 154BW46127 COMMERCIAL GENERAL LIABILITY CG 20 37 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations Any owner, lessee or contractor with whom you Any and all of your locations and completed have agreed, in a written contract, that such person operations or organization should be added as an additional insured on your policy, provided such written contract is fully executed prior to an 'occurrence" in which coverage is sought under this 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. If coverage provided to the additional insured is Include as an additional insured the person(s) or required by a contract or agreement, the organization(s) shown in the Schedule, but only insurance afforded to such additional insured will with respect to liability for "bodily injury" or not be broader than that which you are required "property damage" caused, in whole or in part, by by the contract or agreement to provide for such "your work" at the location designated and additional insured. described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and CG 20 37 04 13 U Insurance Services Office, Inc., 2012 Page 1 of 1 REVIEwEC? aY., EUNICE HE REDIA (r�G , of .} POLICY N UMBER: 154BW46127 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any person or organization with whom you have agreed, in a written contract to waive the transfer of rights of recovery against others to us, provided such written waiver is fully executed prior to an 'occurrence" in which coverage is sought under this policy. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragreph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV— Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 0 REVfEWED f3Y:AAA EUNICE HEREDIA (PC OF } THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT - OTHER INSURANCE (PRIMARY AND NON-CONTRIBUTORY COVERAGE) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART Schedule of Additional Insured(s): Any person or organization named in an Additional Insured endorsement attached to this policy with whom you have agreed, in a written contract, that such person or organization should be provided primary and non-contributory coverage, but only when such written contract is fully executed prior to an 'occurrence" in which coverage is sought under this policy. A. Paragraph C. of this endorsement replaces paragraph 4. Other Insurance of Section IV - Commercial General Liability Conditions, but only with respect to the insurance afforded to the additional Insured(s) scheduled above. B. Paragraph C. of this endorsement replaces paragraph 4. Other Insurance of Section IV - Products -Completed Operations Liability Conditions, but only with respect to the insurance afforded to the additional insured(s) scheduled above. C. Other Insurance However, this endorsement: 1. Applies only when you are required by contract, agreement or permit to provide primary and non-contributory coverage for the additional insured, provided such written contract, agreement or permit is fully executed prior to an 'occurrence" In which coverage is sought under this policy, and 2. Does not apply to any claim, loss or liability due to the sole negligence of the additional insured. Notwithstanding other valid and collectible All other terms and conditions of this Policy insurance available to the insured for a loss we remain unchanged. cover under the applicable Coverage Part to which this endorsement is modifying, this insurance is primary and non-contributory. IFG-G-0094 0317 Includes copyrighted material of ISO Properties, Inc., with its permission. Page 1 of 1 COMMERCIAL GENERAL LIABILITY CG 20 33 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN 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 include as an additional insured any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured. However, the insurance afforded to such additional insured: 1. Only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person's or organization's status as an additional insured under this endorsement ends when your operations for that additional insured are completed. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: 1. "Bodily injury", "property damage" or "personal and advertising Injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily Injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. CG 20 33 0413 © Insurance Services Office, Inc., 2012 Pa e 1 of 2 REUEEwED BY: Eli[[CE HRECk[A (PqF } 2. "Bodily injury" or "property damage" occurring after: a. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or b. 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: 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. Page 2 of 2 0 Insurance Services Off' REVIEWED BY: EUNICE HEREDIA (PG O ) POLICY NUMBER: 72 UEC TQ7770 THIS ENDORSEMENT CHANGES POLICY. PLEASE READ . {:....R. IT CAREFULLY. ADDITIONAL INSURE ,ii' O i AND OTHERSRIGHTS OF RECOVERY AGAINST This endorsement modifies Insurance provided under the following: BUSINESS AUTO) COVERAGE FORA A. Any person or organization whom you are required by contract to name as additional Insured is an "insured" for LIABILITY COVERAGE but only to the extent that person or organization qualifies as an "insured" under the WHO IS AN INSURED provision of Section II - LIABILITY COVERAGE. B. For any person or organization for whom you are required by contract to provide a waiver of subrogation, the Loss Condition - TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US is applicable. Forms HA 9913 01 07 Printed in U.S.A. Policy Number. 72 WEC KU6780 Endorsement Number: Effective Date: 04/11/18 Effective hour is the same as stated on the Information Page of the policy, Named Insured and Address: AESCO INC. 17782 GEORGETOWN LN HUNTINGTON BEAC CA 92647 We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described In the Schedule. The additional premium for this endorsement shall be 2 % of the California workers' compensation premium otherwise due on such remuneration. 60«�:ffiI€1� 103�� Any person or organization from whom you are required by written contract or agreement to obtain this waiver of rights from us Form WC 04 03 06 (1) Printed in U.S.A. Process Date: 03/02/18 Policy Expiration Date: 04111119