Loading...
HomeMy WebLinkAboutWEBER WATER RESOURCES, LLC-2016INSURANCE ON FILE A-2016-312 WORK MAY PROCEED UNTIL INSURANCE EXPIRES 5111'7 CLERK OF COU'CInr. AGRE1EMENT TO PROVIDE WATER WELL REHABILITATION SERVICES ON AN AS NEEDED BASIS THIS AGREEMENT is made and entered into this 15TH day of November, 2016 by and between WEBER WATER RESOURCES, LLC. ("Contractor"), and the CITY OF SANTA ANA, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California ("City"). RECITALS A. On August 16, 2016, the City issued Request for Proposal No. 16-090, by which it sought contractors to provide water well, pump and motor rehabilitation and repair services for the City of Santa Ana Public Works Agency Water Resources Division. B. Contractor submitted a responsive proposal that was selected by the City. Contractor represents that it is able and willing to provide the services described in the scope of work that was included in RFP No. 16-090 and attached herein as Exhibit A. C. In undertaking the performance of this Agreement, Contractor represents that it is knowledgeable in its field and that any services performed by Contractor under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional consulting firm in the field. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the parties agree as follows: SCOPE OF SERVICES On an as -needed basis, and at the sole discretion of City, Contractor shall furnish the services as set forth in Exhibit A, to this Agreement. Contractor's proposal is incorporated by reference as though fully set forth herein. 2. COMPENSATION a. City neither warrants nor guarantees any minimum or maximum compensation to Contractor under this Agreement. Contractor shall be paid only for actual services performed under this Agreement at the rates and charges identified in Exhibit B. The total annual sum to be expended under this Agreement shall not exceed $400.000. b. Payment by City shall be made within forty-five (45) days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. Payment need not be made for work which fails to meet the standards of performance set forth in the Recitals and Scope of Work, which may reasonably be expected by City. Page 1 of 9 3. TERM This Agreement shall commence on the date first written above and terminate on November 30, 2019, unless terminated earlier in accordance with Section 16, below. The term of this Agreement may be extended for an additional two (2) year period, upon a writing executed by the City Manager and the City Attorney. 4, INDEPENDENT CONTRACTOR Contractor shall, during the entire term of this Agreement, be construed to be an independent contractor and not an employee of the City. This Agreement is not intended nor shall it be construed to create an employer-employee relationship, a joint venture relationship, or to allow the City to exercise discretion or control over the professional manner in which Contractor performs the services which are the subject matter of this Agreement; however, the services to be provided by Contractor shall be provided in a manner consistent with all applicable standards and regulations governing such services. Contractor shall pay all salaries and wages, employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes, 5. OWNERSHIP OF MATERIALS This Agreement creates a, non-exclusive and perpetual license for City to copy, use, modify, reuse, or sublicense any and all copyrights, designs, and other intellectual property embodied in plans, specifications, studies, drawings, estimates, and other documents or works of authorship fixed in any tangible medium of expression, including but not limited to, physical drawings or data magnetically or otherwise recorded on computer diskettes, which are prepared or caused to be prepared by Contractor under this Agreement ("Documents & Data"). Contractor shall require all subcontractors to agree in writing that City is granted a non-exclusive and perpetual license for any Documents & Data the subcontractor prepares under this Agreement. Contractor represents and warrants that Contractor has the legal right to license any and all Documents & Data. Contractor makes no such representation and warranty in regard to Documents & Data which were provided to Contractor by the City. City shall not be limited in anyway in its use of the Documents and Data at any time, provided that any such use not within the purposes intended by this Agreement shall be at City's sole risk. 6. INSURANCE Prior to rmdertaking performance of work under this Agreement, Contractor shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: a. Commercial General Liability Insurance, Contractor shall maintain commercial general liability insurance naming the City, its officers, employees, agents, volunteers and representatives as additional insured(s) and shall include, but not be limited to protection against claims arising from bodily and personal injury, including death resulting therefrom and damage to property, resulting from any Page 2 of 9 act or occurrence arising out of Contractor's operations in the performance of this Agreement, including, without limitation, acts involving vehicles. The amounts of insurance shall be not less than the following: single limit coverage applying to bodily and personal injury, including death resulting therefrom, and property damage, in the total amount of $1,000,000 per occurrence, with $2,000,000 in the aggregate. Such insurance shall (a) name the CITY, its officers, employees, agents, volunteers and representatives as additional insured(s); (b) be primary with respect to insurance or self-insurance programs maintained by the CITY; and (c) contain standard separation of insureds provisions. b. Business automobile liability insurance, or equivalent form, with a combined single limit of not less than $1,000,000 per occurrence. Such insurance shall include coverage for owned, hired and non -owned automobiles. c. Worker's Compensation Insurance. In accordance with the California Labor Code, Contractor, if Contractor has any employees, is required to be insured against liability for worker's compensation or to undertake self-insurance. Prior to commencing the performance of the work under this Agreement, Contractor agrees to obtain and maintain any employer's liability insurance with limits not less than $1,000,000 per accident. d. If Contractor is or employs a licensed professional such as an architect or engineer: Professional liability (errors and omissions) insurance, with a combined single limit of not less than $1,000,000 per claim with $2,000,000 in the aggregate. e. The following requirements apply to the insurance to be provided by Contractor pursuant to this section: (i) Contractor shall maintain all insurance required above in fall force and effect for the entire period covered by this Agreement. (ii) Certificates of insurance shall be famished to the City upon execution of this Agreement and shall be approved by the City. (iii) Certificates and policies shall state that the policies shall not be cancelled or reduced in coverage or changed in any other material aspect, by consultant, without thirty (30) days prior written notice to the City, (iv) Contractor shall supply City with a fully executed additional insured endorsement. £. If Contractor fails or refuses to produce or maintain the insurance required by this section or fails or refuses to furnish the City with required proof that insurance has been procured and is in force and paid for, the City shall have the right, at the City's election, to forthwith terninate this Agreement. Such termination shall not affect Contractor's right to be paid for its time and materials expended prior to notification of termination. Contractor waives the right to receive compensation and agrees to Page 3 of 8 indemnify the City for any work performed prior to approval of insurance by the City. 7. INDEMNIFICATION Contractor agrees to defend, and shall indemnify and hold harmless the City, its officers, agents, employees, consultants, special counsel, and representatives from liability: (1) for personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims for personal injury, including death, and claims for property damage, which may arise from the negligent operations of the Contractor or its contractors, subcontractors, agents, employees, or other persons acting on their behalf which relates to the services described in section I of this Agreement; and (2) from any claim that personal injury, damages, just compensation, restitution, judicial or equitable relief is due by reason of the tents of or effects arising from this Agreement. This indemnity and hold harmless agreement applies to all claims for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to have been suffered, by reason of the events referred to in this Section or by reason of the terns of, or effects, arising from this Agreement. The Contractor further agrees to indemnify, hold, harmless, and pay all costs for the defense of the City, including fees and costs for special counsel to be selected by the City, regarding any action by a third party challenging the validity of this Agreement, or asserting that personal injury, damages, just compensation, restitution, judicial or equitable relief due to personal or property rights arises by reason of the terms of, or effects arising from this Agreement. City may make all reasonable decisions with respect to its representation in any legal proceeding. Notwithstanding the foregoing, to the extent Contractor's services are subject to Civil Code Section 2782.8, the above indemnity shall be limited, to the extent required by Civil Code Section 2782.8, to claims that arise of, pertain to, or relate to the negligence, recklessness, or willful misconduct of the Contractor. 8. INTELLECTUAL PROPERTY INDEMNIFICATION Contractor shall defend, indemnify and hold harmless the City, its officers, agents, representatives, and employees against any and all liability, including costs, and attorney's fees, for infringement of any United States' letters patent, trademark, or copyright contained in the work product or documents provided by Contractor to the City pursuant to this Agreement, 9. RECORDS Contractor shall keep records and invoices in connection with the work to be performed under this Agreement. Contractor shall maintain complete and accurate records with respect to the casts incurred under this Agreement and any services, expenditures, and disbursements charged to the City for a minimum period of three (3) years, or for any longer period required by law, from the date of final payment to Contractor under this Agreement. All such records and invoices shall be clearly identifiable. Contractor shall allow a representative of the City to examine, audit, and make transcripts or copies of such records and any other documents created pursuant to this Agreement during regular business hours. Contractor shall allow inspection of all work, data, documents, proceedings, and, activities related to this Agreement for a period of three Page 4 of 8 (3) years from the date of final payment to Contractor under this Agreement. 10. CONFIDENTIALITY If Contractor receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Contractor agrees that it shall not use or disclose such information except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of like importance, but in no event less than reasonable care. "Confidential hnformation" shall include all nonpublic information. Confidential information includes not only written information, but also information transferred orally, visually, electronically, or by other means. Confidential information disclosed to either party by any subsidiary aid/or agent of the other party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is, through no fault of the Contractor disclosed in a publicly available source; (c) is in rightful possession of the Contractor without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or (e) is independently developed, by the Contractor without reference to information disclosed by the City. 11. CONFLICT OF INTEREST CLAUSE Contractor covenants that it presently has no interest and shall not have interests, direct or indirect, which would conflict in any manner with performance of services specified under this Agreement. 12. NOTICE Any notice, tender, demand, delivery, or other communication pursuant to this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or mailed by first class or certified mail, postage prepaid, or sent by fax or other telegraphic communication in the manner provided in this Section, to the following persons: To City: Cleric of the City Council City of Santa Ana 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana, CA 92702-1988 Fax 714- 647-6956 Fred Mousavipour Executive Director Public Works Agency City of Santa Ana 20 Civic Center Plaza (M-36) P.Q. Box 1988 Santa Ana, CA 92702 Page 5 of 8 To Consultant: Fax 714-647-5622 Weber Water Resources, LLC 237 W. Orange Show Lane San Bernardino, CA 92408 Fax 909-386-1259 A party may change its address by giving notice in writing to the other party. Thereafter, any communication shall be addressed and transmitted to the new address. If sent by mail, communication shall be effective or deemed to have been given three (3) days after it has been deposited in the United States mail, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent by fax, communication shall be effective or deemed to have been given twenty-four (24) hours after the time set forth on the transmission report issued by the transmitting facsimile machine, addressed as set forth above. For purposes of calculating these time frames, weekends, federal, state, County or City holidays shall be excluded, 13. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Contractor regarding the subject matter herein, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terms of this Agreement and any attachments hereto, the terms of this Agreement shall prevail, This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Contractor. The parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not bind or obligate Contractor or the City. Each party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any party, which are not embodied herein. 14. ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Contractor, Contractor may not assign, transfer, delegate, or subcontract any interest herein without the prior written consent of the City and any such assigmnent, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the City's ability to have any of the services which are the subject to this Agreement performed by City personnel or by other consultants retained by City, 15. WAIVER No waiver of breach, failure of any condition, or any right or remedy contained in or granted by the provisions of this Agreement shall be effective unless it is in writing and signed by the party waiving the breach, failure, right or remedy. No waiver of any breach, failure or right, or remedy shall be deemed a waiver of any other breach, failure, right or remedy, whether or not Page 6 of 8 similar, nor shall any waiver constitute a continuing waiver unless the writing so specifics. 16. TERMINATION This Agreement may be terminated by the City upon thirty (30) days written notice of termination. In such event, Contractor shall be entitled to receive and the City shall pay Contractor compensation for all services performed by Contractor prior to receipt of such notice of termination, subject to the following conditions: a. As a condition of such payment, the Executive Director may require Contractor to deliver to the City all work product completed as of such date, and in such case such work product shall be the property of the City unless prohibited by law, and Contractor consents to the City's use thereof for such purposes as the City deems appropriate. b. Payment need not be made for work which fails to meet the standard of performance specified in the Recitals of this Agreement. 17. NON-DISCRIMINATION Contractor shall not discriminate because of race, color, creed, relation, sex, marital status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, training, utilization, promotion, termination or other employment related activities or in connection with any activities under this Agreement. Contractor affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 1.8. JURISDICTION -VENUE This Agreement has been executed and delivered in the State of California and the validity, Interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the State of California. Both parties further agree that Orange County, California, shall be the venue for any action or proceeding that may be brought or arise out of, in connection with or by reason of this Agreement. 19. PROFESSIONAL LICENSES Contractor shall, tbroughout the term of this Agreement, maintain all necessary licenses, permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State of California, the City of Santa Ana and all other governmental agencies. Contractor shall notify the City immediately and in writing of its inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agrm-hent, Page 7 of 8 20. MISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature herein below has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. b. All exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: MARIA D. HUIZAR Clerk of the Council APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney By: 14 u, h JOHN M. FUNK Assistant City Attorney RECOMME DED FOR APPROVAL: J SA IPOI Executive Director Public Works Agency CITY OF SANTA AN l DAVID CAVAZOS City Manager WEBER WATER RESOURCES, LLC �� NAME: TITLE: 6e necek \ Vim'` Clnn dtc ( Page 8 of 8 CITY or'S xA ANA RFP NO.: 1&090 WATER WELL, PUMP AND MOTOR. REPAIR SERVICES Apoendix ATTACHMENT 1: SCOPE OF WORK A. General Description The Contractor shall provide water well easing, pump and motor rehabilitation; repair, replacement and related services for the City of Santa Ana at various locations within the City. The general scope of services is described, below.. 8.. Work Description The Contractor shall provide all necessary supervision„ labor, materials, tools, and equipment to perform pump pulling and Installations, water well rehabilitations,, well casing repairs and installations, water well video inspections,, electric motor repairs, electric motor raw. indings, and repairseruces on various types of pumps and, motors, on an as assigned 'basis at various locations throughout the City., The Contractor shall meet with the Water Production project manager prior to starting any work at the works€to. Access to the worksite shall be controlled by the Public Works Agency according to the security standards in place at that time, The Contractor's services shall include, but are not necessarily limited to, the following: The Contractor shall provide transportation for its heavy duty equipment, such as, but not limited to, drilling rig, pump rig, flatbed truck, boom truck, tractor trailer, as requested by the City to and from. Contractor's facility to each Water Production worksite. All electric motor repair work shall be transported by the Contractor to an EASA Accredited Member facility for repair and returned to the City, when repairs are complete All. water discharged shall be through an NPDES 'Facility approved by the Project Manager. It shall be. the Contractor's responsibility to propose a m. ethod to discharge water that is NFIDES compliant andtnay include methods such as water detention through storage tanks: or other conforming strategies. 1. PUMP REMOVAL( NSTALLATiON SERVICE The Contractor shall be qualified to perform water well pumps removal enol Installation. At the initial, setup for pullfnrd a well pump, the Contractor shall perform loekoutitagout of the electrical and hydraulic systems. 2. WELL PERFORMANCE TESTING SERVICE The Contractor shall be qualified to perform well performance testing. After initial well performance testing setup, all testing data shall be given to the. City representative upon completion of testing. The Contractor shall furnish and install t h e development engine temporarily used to power the test pump process to flush out all sand and small grit out of the area around the well to prevent clogging of the. distribution system: All water discharged shall be through an approved facility approved by the Project Manager. The Contractor shall provide the Project Manager with its evaluation and recommendation, including cost estimates per project. All testing work shall be subject to the Project Manager's written approval prior to commencing any work by the Contractor. Well performance testing shall be done in accordance with AWWA Al 00-97 standards. 3. WATERWORKS PUMP REPAIR SERVICE The Contractor shall be qualified to repair of one or more of the following pump units: QT'V OF SA TAANA RFP NCI,. 16-090 WATER WELL, PUMP AND MOTOR REPAIR SERVICES submersibles., boosters, horizontal split case, well turbines, and engine wafer, Repair of ail pumps may include, but not limited to, line shafts, bearings, right -angle -gears, housing/frame, column pips complete rebuild of pump/motor unit, motor rewinding, seals, impellers, rotor shaft, power/control cable attachments, thermal/moisture sensors, and all other appurtenant components. Furnish new replacement vertical turbine pumps, Well pumps, motors, and mechanical seats as needed, :Repair and service pump station natural gas or diesel -run engines, generators, equipment housings, and appurtenant parts including, but not limited to, radiators, starters, water cooling pumps, gear drives, etc. The Contractor shall provide the Project Manager with its evaluation and'recommendation,, including cost estimates per project. All repair Work shall be subject to Projedt Manager's written approval prior ito commencing any work by the Contractor. The Contractor shall pickup avid deliver pumps and motors (booster pump) for repairs from all sftes requested. 4. WELL. VIDEO SURVEY SERVICE The Contractor shall be qualified to perform water well videoinspections using color video equipment with side soan and down -hole survey views, Videos shall be produced In DVD format in standard definition with a pixel resolution of 640 x 480 pixels or at higher resolutions. Ability to perform these surveys at higher resolutions will be given higher consideration. The video survey unit shalt simultaneously transpose the City's name, well name, footage and the rate of inspection on the monitor screen and the video record, A footage counter/mcorder shall read in feet and be accurate within 2 percent of the actual footage.. The video survey camera shall be capable of right angle or normal downhole viewing with a change in camera lens -or mechanfeal movement of the camera. At the direction of the City, the Contractor must be able to provide right angle vfevving to view any casing section in. a direct elevation view. 5. WELL REHABILITATION AND TREATMENT SERVICE Tice Contractor shall be qualified to provide well rehabilitation and treatment services. Furnish ail portable engine -driven pornps, necessary to perform wall redevelopment and rehabilitation. Costs for temporary piping, sound proofing, and related equipment require approval by the Project Manager. To perform these tasks, the Contractor' 'shelf have the capability to perform mineral analysis,, chemical treatment, water quality testing, zone testing, well casing patches and similar casing ropairs/improvements, and mechanical treatment on well casings, All chemicals used in treating wells shall' 'be State approved for the purpose: intended, must be National Sanitation Foundation (NSF) approved, and Public Works approved for quantity and conearrtratfon. The Contractor's estimates shall include the typical type and concentration of chemicals (acids, Inhibitors, polymers, neutralizers, etc.) to be used; the typical appropriate contact time for the chemicals; and the typical procedure for Introducing, mixing, and neutralizing chemicals In the well. In addition, the name(s) and phone numbers of any company (les) that will supply the treatment chemicals shall be provided. Completed Material Safety Data Sheets (MSDS) for all chemicals used shall include the methods of mechanical treatment (dual swab, w(relnylon brush, sonar jetting, etc.). 6. ELECTRIC MOTOR REPAIR AND REFURBISHMENT The successful Contractor shall provide all transportation, labor,, materials, tests and equipment, CITY OF SANTA ANA RFP rice.; 16.090 WA"T"ER WELL, PWP AND MOTOR REPAIR SERVICES delivery/pick,up for the repair and refurbishment of electric motors and perform any recondition or rewiring as.n:acessary to return the. equipment.fuliy operational, All electric motor repair -shall be done In an EASA Accredited Member service shop, no exceptions. a. Ail work shall be In accordance with the Electrical Apparatus Service Association's (EASA) Recommended Practice, AR100-2015.1atest edition and the National Electrical Manufacturers Association (NEMA) standards for service and repair of electrical apparatus, b. Work shall be in conformance with standards set by, but not limited to, the following organizations; 1, Underwriters Laboratories (UL) a. Underwriters Laboratories — Certified motors shall be recertified after repair. b. Contractor's shop or his sub -contractor's shop shall be UL -certified to rebuild explosion -proof electric motors for use in hazardous environments. 2. American National Standards Institute (ANSI) 3. American Society for Testing and Materials (ASTM) 4,. National Electrical Code (NEC) 5. National Fire Protection Agency (NEPA) 6. National Electrical Manufacturers Association (NEMA) Recondition/Repair of Electric Motors Reconditioning/repair of electric motors shall include the testing, disassembling, inspection, cleaning, dipping, baking of windings, replacame`ntof bearings, assembly, testing and painting and at minimum Include the following: a. Pre-DisassenrblyTest 1. Using a 1 OOOV meg-cram meter, conduct verification of insulation integrity, Record the insulation resistance of the motor as brought in from the City. Acceptable criteria is 5 meg-ohms or higher. 2. Verify that heaters are operational and that other attached features, such as thermocouples, have continuity.. 3. Single-phase test to check for open rotors. (After disassembly, rotors will be inspected for evldence of.damaged, cracked or open circuit bars or and rings. If there Is evidence of faults, the rotor will be growl,tested.) The detection of any defect during testing shall. be reported promptly to th.e. Engineer 4. Documentation covered under this section shall Include the condition of mechanical fits (Le, shaft run out), cracked, broken or missing parts, test run at full voltage, current readings, meg reading and surge comparison test as received, The Engineer shall be notified if acceptable criteria are not met. b. Motor Disassembly 1. Completely disassemble motor and steam clean all mechanical parts using a mild detergent compatible with winding insulation; thoroughly rinse; bake dry. 2. Disassembly documentation shall include the cause of failure and/or conditions contributing to failure. c, Motor Inspection C"Ti'1",,O SANTA ANA RYP NO;: 16-090 WATER'h'ELL,, PUMP AND MOTOR REPAIR SERVICE'S 1. Visually Inspect coils and windings for excessive wear, signs of conductor overheating or fatigue that possibly would not be apparent during an electrical test, 2. All stators shall be surge- tested with an electronic surHe tester specifically designed to apply a surge voltage stress test simultaneously between turns of a coil, between phases, from winding to ground and to detect, short-circuited turns in winding under test. Testing shall be per EASA,IEEE 52.2,-11.2 and 7.2.3 standards. Infrared Imaging shall be provided, pre aped post test, d. Mechanical Fit 1. Measure the bearing bores, shells, housings and shaft journals using a micrometer. Shaft fits and housing fits shall comply with ARI DO -2'015. Machine work shall be approved by the, Engineer before being performed or machine work may not be pard for, gearing journals, sea[ surfaces and bearing housing restoration shall be done by metalizing and machining or boring and sleeving. Documentation of before and after measurements shall be made. 2. Replace bearings per manufacturer's specifications. All grease fittings, plugs, etc, shall be replaced unless otherwise indicated by the Engineer, Bearings shall be properly lubricated and bearing o.il reservoirs shall drained for shipping and installation. The Contractor shall be responsible for filling the bearing oil reservoir upon installation. All equipment shall be tagged with Information as to whether or not bearing oil reservoirs were filled and what type of lubricant was used, e. Rotor Balancing 1. All rotors of motors rated at 50 HP/360011800 RPM and above shall be dynamically balanced, with the rotor running at rated speed where practical, but not less than 600 RPM In the batanoe stand. The balancing speed shall also be rapid enough so the. balance machine sensitivity can reliably measure the maximum allowable residual unbalance. 2. A printout tape from the balanoefanalyzer shall be furnished detailing the final balance values. This tape will be attached to the recondition/repair/rewind documents when the motor is delivered. f. Motor t.eads Motor leads shall be permanently tagged: with non-magnatic .markers, Motor lead configuration shall not be altered. g. Insulation 1, windings shall. be double -dipped with Class kt varnish and baked. 2, Maohine-finished surfaces bore of .thp stator lamination and periphery of the rotor laminations shall be cleaned of all varnish and foreign materials. Photo documentation of this process shall be made prior to and after lamination, h.. Final Test 1. A 1000 volt meg-ohm meter shalt be used to verify insulation continuity. This reading shall be documented. After reassembly, motor shall be test -run at rated voltage and frequency. No load voltage and phase currents shall be recorded. Vibration mils displacement shall be measured and recorded in the horizontal, vertical and axial planes on both ends of the motor, or top and bottom of vertical motors and documentation of current reading and vibration readings shall be provided to the Engineer. 2. A 5KV meg-ohm meter shall be used to verify insulation continuity of all 4160V motors. I. Paint 1. Exterior of motor shalt be properly cleaned of rust and foreign material, prime painted and finish painted with a good grade of machinery enamel, the same color as received unless otherwise specified. Nameplates, machined surfaces and internal parts shall be protected from paint. CITY OF SANTA r4NA. RFP NO,: 16T090 WATER WELL, PUMP AND MOTOR REPAIR SERVICES 2, When needed, the interiors of motor frames and parts shall he painted with an insulating paint. This includes rottars, bearing brackets, frame interiors and air deflectors. Windings shall not be painted. Incidentals 1, in .the event that the motor Is in poor oondktion and cannot be repaired, reconditioned or made ss new, the Contractor shall notify the Engineer immediately. 2. All incidental parts requiring replacement, such as bearings, coils, etc, shall be considered included. in other iterns of bid and no additional compensation shall be. allowed. 7. REWINDING OF ELECTRIC MOTORS When rewinding is done in conjunction with a recondition or repair; many of the items below will be redundant and shall not be performed or charged for twice, The items below apply to stator only (including all labor, materials and testing necessary for work completion) and shall at a minimum include: a. Pre-nisassembly Test 1. Using a 1 000 meg-ohm meter, conduct verification for insulation integrity. Acceptable criteria is 1.5 meg-ohms or higher. 2. A 5KV meg-ohm meter shall be used to verify insulation Integrity of all 4160V motors. 3. Verify that heaters are operational and other attached features such as thermocouples have continuity, 4. Pre -disassembly documentation shall include the condition of mechanical fits (i.e. shaft run out), cracked, broken or missing parts, test run at full voltage, current readings, meg reading and surge comparison test as received. They Engineer shall be notified if acceptable criteria are not met, b. Stripping 1. Windings shall be removed by tariperature-controlled burnout with oven temperature suppression. Burn -.out temperature shalt not exceed 750.degrees Fahrenheit, 2. Windings shall he removed In such a fashion not to damage or distort the, cons iron., Upon removal of the old windings and insulation, the core shalt be thoroughly cleaned and inspected for burrs, etc. 3. After theburnout procedure, the Contractor shall perform a stator core loss test to ensure the stator laminations are not heat damaged, If the stator core losses exceed four (4) Watts per pound of care steel, notify the Engineer prior to proceeding forward. c. Winding I . General. Rewound motors shall meet or exeeed.ail O.E.M. operating characteristics, unless otherwise specified by the Engineer. NEMA Glass F insulation shall be used, unless otherwise specified. Magnet wire shall be a Quad Build, insulated wire of domestic manufacture that meets or exceeds NEMA specification MW -35A. After winding and prior to resits treatment, windings will be surge -comparison tested and the results documented. 2. The copper cross-sectional area shall be at least as large as the original winding, 3. Resin Treatment: Windings shall be double -dipped with Class M varnish and baked. 4. Check all coils for overall coil' shape. Perform a high frequency turn -to -turn dielectric test (surge test) in accordance with. IEEE 522. Submit test results to the City. This shall be done prior to installation into the stater. d. Motor Leads: Motor lead's that are replaced must be the same length and configuration as the original leads. Leans will be permanently tagged with iron -magnetic markers. Lead lengths shall be identified by the City when 9 request for service is made. CITY CDT SANTA ANA RFP NO_ 16-090 WATER WELL, PUMP AND MOTOR REPAIR SERVICES e. Insulation; Windings shall be double -dipped with Class H varnish and baked. Insulation shall be tested Phase -to -phase and phase -to -ground at 1.00Q volts do and yield a one minute test result of 1 QQQ rneg- ohms or better, Filial Test: A'1000 volt meg-dhm meter shall be used to verify frisulatlon continuity. This reading shall be documented. After reassembly, motor shall be test -run, at full voltage and documentation of current reading and vibration readings shall be provided to the and user. (NOTE: a 5KV meg.-ohm meter shall be used on all 4180V motors.) Copper DC resistance tests,, phase -to -phase, on rotor winding from slip rings shall be performed. If the rewound rotor fails to pass any test, the rotor shall be rejected. The Contractor shall rebuild and retest until all tests are approved by the City, 8. PUMP RECONDITIONING a. Disassemble and clean. b. Replace seals and ball bearings per EASA Standards, Vendor shall use only manufacturer - recommended ball bearings and mechanical seals,. c. Change oil,. d. Test windings and rewind as necessary. e. Reassemble and test. f, Document and photograph all conditions before and after disassembly, seat and ball bearing replacements and final testing.. 9. MACHINE WORK Machine work shall apply to, butnot be limited to, the drilling and tapping of broken bolts, the repairing of damaged locking rings and stators, the replacing of power cords, power card assemblies and power cord connectors and repairs to impellers, covers, volutes, mountirrg rails, bearing journals, and pump shafts:. 10. QUALIFICATIONS a. All electric motor repair shops shall be. EASA Accredited and shall provide a copy of the certification Upon request by the City. Failure to provide a scuts -contractor that is an EASA Accredited Member as a part of the proposal may be grounds for proposal rejection.. b, Contractor or Contractors subcontractor shall be :certified as an UL Facility and shatf provide a copy of the certification 'Upon request by the City. c. Contractor shall be responsible for obtaining all OZM, technical documents, drawings and parts when necessary. d, Contractor shall have all engineering, design, metallaing, welding, heat treating, machining, balancing, calibrating and testing capabilities necessary to completely refurbish/rewind electric motors. e. Equipment used for inspecting, calibrating and testing pumps and motors shad be up-to-date and have calibration certificates, less than one year old, traceable to NIST standards where applicable. 11, DOCUMENTATION All work performed to recondition, repair and/or rewind motors shall be supplemented with reports that verify all processes to accomplish each job order. Documentation shalt include, but is not limited to, the following: a. Pre-Dlsassembly Testing report for all activities as described, b. Photo documentation of existing condition prior to fulfilling each described criteria of the disassembly test, c. Motor Disassembly report, including photo documentation before and after cleaning. CITY OF SANTA ANA RFP NO,; 26-090 WATER WELL, PUMP ANIS MOTOR REPAIR SERVICES d. Motor Inspection report, including stator core loss testing results. Photo documentation of coils, windings and conductors showing any signs of excessive wear or failure, a. Mechanical fitmeasurements shall be recorded as specified, Photo documentation shall be submitted for all replaced bearings„ greaso Pittings, plugs, etc. f. Rotor balancingreport as specified, g. Insulation report as specified above. Before and after photo documentation of the windings prior to varnishing and baking. h. Final test report as speclfied: I. Pump Reconditioning report as specified, All testing, inspections and incidentals related to required reports shall be considered included within the bid items for said testing report and no additional compensation shall be allowed. C. Security Requirements Public Works Agency field, representative will unlock the Public Works Agency facilities entry gates on the first day of work to allow Contractor access. Contractor shall then supply their own padlock(s) for entry gates to all PulclicWorks Agency facilities. Contractor's padlock(s) shall look onto the Public Works. Agency's padlock connecting to the chain-link, which enables both the Public Works Agency field representative and Contractor to unlock the entry gates. After completion of work, pedlock(s) shall be removed by the Contractor, Contractor andlor subcontractors shall notify the Public Works Agency field representative upon arrival and departure to or from jobsite. €7.. Parts, Materials and Warranties The Public Works Agency will reimburse the Contractor for the best of repair parts, materials, and replacement equipment; plus 15 percent markup, provided the Contractor has obtained the City's prior written approval of Qontractoes written estimate. All replacement equipment shalt, be approved by the Public Works Agency prior to the purchasing of the equipment. The Contractor shall provide manufacturer documentation to the Public Works Agency for any replacement equipment. The Contractor shall submit an Invoicewith attached applicable receipts for a partieutar job to the Project Manager. The Contractor shall assure that all materials, parts, and workmanship supplied shall.ba free from original or developed defects. Contractor shall provide a minimum of one year warranty for materials, pans and workmanship, Should original ordeveloped defects andlor failures appearwithin the minimum warranty of one year after work completion, Contractor shall, at its expense, rectify soon defects andlor failures and make, all replacements and adjustments that are required. Corrective work shall be performed by the Contractor and given the highest priority after Public Works Agency's notification to do so, and shall be completed to the satisfaction of the Project Manager, The Contractor shall proceed diligently to complete said work within the time allotted as approved by the Project Manager. E. As -Needed Repairs At the direction of Project Manager, the Contractor shall provide a written estimate including labor and parts, materials and equipment needed to perform the As-Noeded. Repairs. Upon written approval from the Project Manager, the Contractor shall perform the As -Needed Repairs, The cost for parts and materials will be paid in accordance with the Section C above. CITE' OF SANTA, ANA. RFP NO.; 16-090 WATER WELL, .PUMP AND MOTOR REPAIR SHaV CES At its sole and absolute discretion, Public Works Agency reserves the right to obtain services from other sources to complete anyAs-Needed Repairs,. F. Additional'Work/t„ocation All additional work provided herein shall commence on the specified date established, The Contractor shall proceed diligently to complete said work within thetime allotted. Additional work/locations may be added during the Contract period. Upon request by the Project Manager, the Contractor shall provide a written quotation for any additional work/loca.tlon(s), based on the rates quoted in Exhibit C. The Contractor shall be paid for additional work/locations in accordance with the rates submitted. Upon Contract Manager's negotiation and acceptance of the Contractor's written quotation the additional work/location(s) may be added to the Contract by amendment or change order. G. Hours and. Days of Service Contractor shall respond within 24 hours' notification to an authorized Public Works representative's service request, Hours of service will be primarily 7 a,m. to 8 p,rn., Monday through Friday, each week. The Project. Manager may alter the hours and days of services when necessary.. H. Utilities The Public Works Agency will not provide utilities, 1. Storage Faollities The Public Works Agency will hot provide storage facilities for the Contractor. The Public. Warks Agency will. not be liable or responsible for any damage, by whatover means',, or for theft of materials or equipment on the jobsite. J. Removal of Debris All debris derived from these services shall be removed from Public Works property and become the property of the Contractor, The Contractor shall dispose of aft debris from diose services in a legally established area approprfaPe for type of debris being disposed. Disposal shall be at the Contractor's expense. The Contractor shall not allow any debris from its operations under this Contract to be deposited In the storm drains andfor gutters in violation of the National Pollutant Discharge Elimination System. K. Special Safety Requiremeents All Contractor's operators shall to observe all applicable State of California Occupational Safety and Health Administration (Cal/OSHA) and Public Works' safety requirements while at Public Works job sites. Hard hats shall be provided by Contractor and shall be worn at all times. Suitable clothing, gloves, and shoes that meet Cal/OSHA requirements aro required. L. Additional Responsibilities of the Contractor CITY OF SANTA. ANA RFP NO.; 1.6-090 WATER WELL, PUMP AND MOTOR REPAIRSERVICES Contractor and or Contractor's subcontractors must possess and maintain the following active and valid licenses as applicable to Individual subcontractor; 1. State of California Water Well Drilling Contractor's C-57 License or Contractor's "A" License, 2. State of California Limited Specialty Contractor's Qw 6.1 � .subcategory Machinery and Pump. Contractor's D-2.1 License. 3, Have a minimum of five years of experience performing groundwater wells and pump pulling. services. If a Subcontractor is used, Subcontractor must also have a minimum of five years of experience performing services as stated above. Also,. the Contractor's project manager(s), and Subcontractor's project manager(a), If any, must have a minimum of five years of experience performing groundwater wells, pump pulling services, video inspections andlor motor repairs, In addition; the Contractor's project manager(s) and Subcontractor's project manager(s), if any, must have the following certifications: 4. State of California Division of Occupational Safety and Health Administration Hazardous. Waste Operations Emergency Response (HAZWOPER) Certification 5, National Ground Water Association (NGWA) Certification—Pump Installation 6. Electrical Apparatus Service Association (EASA) Accredited Member Status Provide all labor, equipment, materials, tools, and supervision required to perform as -needed pump pulling and machines repair services, All material, parts, and equipment shall be new, high grade, and tree from deflects. Such products shall conform to all Federal„ State, and local regulations as they relate to water wells services. Obtain all necessary' City, County, State, and Federal permits and/or,foenses for Contractors activities at. no cast to the Public Works.Agency. Immediately notify Public Works of any changes In. the Contractor's lhsuran,, e% permits, and licenses, Failure to do so may result In the immediate termination, of this Contract for default, Utilize protective clothing and equipment as required by Cal/OSHA and/or other regulatory agencies. M, Prevailing Wage The Director of the Department of Industrial Relations of the. State of California has ascertained. the prevailing rate of per diem wages In dollars, based on a working day of dight hours, for each crap or type of worker or mechanic needed to execute any construction or maintenance contract, which may be awarded by Public Works: The current prevailing wage rates as adopted by the Director of the Department of Industrial Relations are Incorporated herein by reference and may be accessed at http://www.dir.ca.gov/. The Contractor is required' to pay the prevailing wage rate referred to above and is responsible for selecting the classification of workers which will be required to perform this service in accordance with the Contractor's method of performing the work, Pursuant to Section 1775 of the Labor Code (State. of California) Contractor shall forfeit $50 for each calendar day, or portion thereof, for each worker paid less than the stipulated prevailing wage rates for any public work done under this Contract or by any subcontractor, PROPOSERS CERTIFICATION and PROPOSAL ITEM PRICING The Project shall consist of rehabilitation of Well No. 30. The highest rated firm shall be selected as the firm that will receive an opportunity for the work with bid Items listed. Separate bids shall be requested for future work from the three (3) highest firms that are awarded a contract. Site: Well 30 CITY OF SANTA ANA Yaskawa 150 hp, 3ph, 480VAC, Frame SSU-444TP RFP NO.: 16-090 Water lube , 14FHC, 3STG, 200 feet overall length, 12 -inch diameter, 20 -feet sections WATER WELL, PUMP AND MOTOR REPAIR SERVICES 18 -inch casing, 989 feet deep, Johnson's Hi -Cap 8FMNBiT B None PROPOSERS CERTIFICATION and PROPOSAL ITEM PRICING The Project shall consist of rehabilitation of Well No. 30. The highest rated firm shall be selected as the firm that will receive an opportunity for the work with bid Items listed. Separate bids shall be requested for future work from the three (3) highest firms that are awarded a contract. Site: Well 30 Motor: Yaskawa 150 hp, 3ph, 480VAC, Frame SSU-444TP Exiting Pump: Water lube , 14FHC, 3STG, 200 feet overall length, 12 -inch diameter, 20 -feet sections Wall: 18 -inch casing, 989 feet deep, Johnson's Hi -Cap Housing: None Location: 4426 West First St., Santa Ana General IX. Unit X. Quantity Price Total New complete Pump, 3,000 GPM at 165 feet Thi, high efficient 83.1%) Ea. 1 _. _ 6,548.00 11,548.00 _ 12 -inch 5 feet column & collar Ea, 2 _ 1,128.60 1 Aa - 12 -inch 10 -feet column & collar Ea. 25 203 89 10 -feet 416 SS 1 11/16 -inch line shaft & coupling Ea. 26 270.00 7,020.00 12 -inch threaded bronze retainers Ea. 27 298.00 6,561.00 Rubber line shaft bearings Ea. _24300 27 13.50 64 10 -foot 1 15/16 -Inch head shaft with coupling Ea. 1 378.00 378.0 12 -inch 20 feet of suction pipe Ea. 1 1 378.00 378.0 SS 12 -inch suction cone strainer Ea. 1 675.00 7 New discharge head 12" Ea. 1 6 21 0 300 'of SS sounding tube. Ft 300 810.00 810,00_ Sounding Kit Ea. 1 101.25 1 Motor Work Refurbish 150 HP, 480VAC, 3Ph, 601-lz 2 Top Bearings (2-7226GM) Ea. 1 1,128.60 _ 1 BQ_ Bottom bearing (1-6220) Ea. 203 89 Two band heaters 115v Set 1 376.00 376.00 Three coil thermostat NC or NO Set 1 298.00 298.00 Set of tin plated copper Set 1 40.50 40.50 CITY OF SANTA ANA RFP NO.: 16-090 WATER WELL, PUMP AND MO'FOR REPAIR SERVICES terminals or lugs p SET 1 243.00 243.00 oil Telluswin _ LS 1__ 202.50 202.60_ in Rewinding of Electric Motor LS 1 4,898.OD 4,898.00 — Mobilization & set-up 1 250:00 1,250.00 Under Water video of well (before) _ 1,100.001,19244_ Wire brushing of well section under water & arforations 9,100.00 9100.00 Chemical treatment during wire brushing (optional) 2 Ta.1 26 350.00 26 350.00 Bail & dispose of all dirt & debris 2L350.00___R Jet of perforations L4?0feet, three Intervals) 3 6 0. 0 6.340.00Under Water video of well (after) _ QQQ 00 Demobillzation & piok-up LS 1 1,250.tl0 1,25000 R * NOTE . ALL PRICING INCLUDES APPLICABLE SALES TAX, Proposed new pump: Make: Natlonal PumpModel No.: H14MC 'GPM: 3,000 TDH: 165 Eff.: 84'6 % + NOTE: THIS DESIGN POINT WILL OPERATE IN SLIGHT OVERLOAD WITH 1 50H MOTOR. 1. Motor refurbishing includes shop work, labor and material to perform the following: disassembling, steam cleaning, inspection, replace bearings, heaters, dipping (one thin layer, baking, reassembling, testing) 2. Chemical treatment during wire brushing will not be used in the evaluation of the bids. If chemical treatment Is applied, the bid price must include cost of the chemicals, chemicals handling (application & mixing), used chemicals neutralization and disposal. 3. Sonar Jet must be performed by SONAR -Jet by Water Well redevelopers, Inc. (714) 632-7003 4. Chemical treatment during wire brushing will not be used in the evaluation of the bids. If chemical treatment is applied, the bid price must include cost of the chemicals, chemicals handling (application & mixing), used chemicals neutralization and disposal. 5. Pump base will be replaced, and attached to existing discharge pipe. If welding is needed, will be bill at time and material. 6. Concrete around the pump base will have to be removed and replaced. 7. New Stainless Steel line for sounding will be provided and installed, with necessary mounting brackets, and one gauge calibrated for sounding. 8. Sound attenuation shall be required for major work. Sound attenuation for engine noise shall be limited to a maximum of 75 dB(A) at 23 feet when operating at full rated load. Sound proofing solution to be approved by the Engineer. ^� a 7—b ���1 bV fitipi� Ci 0, 1 2 3 4 5 6 7 8 Santa Ana RFP 16.090 Fee Proposal Discipline Pump Rig Rate, 3 man crew* Cable Tool Drill Rig, 2 man crew* Cable Tool Drill Rig, 3 man crew* 17T Crane and 2 man crew* Field Service Technician* Shop Labor- Mechanic/Machinist Shop Labor - Helper Project Management * Prevailing Wage Rates - On Site Only 12 Crew Mobilization and Demobilization 3 Man Crew - Each Occurrence 13 Crew Mobilization and Demobilization 2 Man Crew - Each Occurrence Hourly Rate $380.00 $300.00 $380.00 $250.00 $150.00 $90.00 $65.00 $75.00 $650.00 $450.00 ACORH CERTIFICATE OF LIABILITY INSURANCE lkoi rDATE 12/6/2016Dmnv) 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 endorsements . PRODUCER Lovitt & Touche' Inc - Tempe 1050 West Washington St, #233 Tempe AZ 85281 NAMEACT Sandy Coons, CISR PHONE 602-986-2250 FAX 602-956-2258 c "° ao AILBESS. scoons@lovitt-touche.com INSURERS AFFORDING COVERAGE NAIC # V INSURERA:Zurich American Ins Cc '16535 EACH OCCURRENCE INSURED WEBER -7 INSURER B:TravelersProperty Casualty CcofA ',25674 Weber Water Resources CA, LLC 237 W Orange Show Lane San Bernardino CA 92408 INSURER C:'' INSURER D: IX INSURER E, $100,000 INSURER F : $10,000 COVERAGES CERTIFICATE NUMBER. 2144497151 RFVISION NIIMFi 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 ADOLSUBR INSD Me POLICY NUMBER POLICYEFF 1 POLICYEXP MMIDOIYYYY I MMIDDIYYVYI LIMITS A COMMERCIAL GENERAL LIABILITY Y V GL03889012 5/1/2016 �'5/1/2017 EACH OCCURRENCE $1,000,000 CLAIMS -MADE OCCUR IX DAMAGE TO RENTED PREMISES Ea occurrence $100,000 MED EXP (Any one person) $10,000 Contractual Llab PERSONAL If ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY [ X ] jEOT E] LOC PRODUCTS-COMPIOPAGG $2,000,000 I $ OTHER: A AUTOMOBILE LIABILITY Y Y BAP3889011 X5/1/2016 511/2017 COMB I NED SI HOLE 01 (Ee accident $1,000,000 BODILY NJU RV(Perparson) $ X ANY AUTO AUTOS NED SCHEDULED $HIRED AUTOS X NON-OWNEDERTY DAMAGE ccldsnt) F $AUTOS IS B X UMBRELLA LIAB X OCCUR Y Y ZUP15R7391716NF 5/1/2016 5/1/2017 EACH OCCURRENCE $10 000,000 AGGREGATE $10,000,000 EXCESS LIAB CLAIMS -MADE DED X RETENTION$0 $ A WORKERS COMPENSATION EMPLOYERS' LIABILITY YIN ANYCERIMEMBEREXCL ERIEXECUTIVE ❑ R/MEMBER EXCWOEO? N NIA y WC3889013 5/1/2016 5/1/2017PER 'ET'_ 'X STATUTE ER EL EACH ACCIDENT $1,000,000 EL DISEASE - EA EMPLOYE $1,000,000 (Manda NH) es If describe under Dyes, IPTI N OF O DESCRIPTION OF OPERATIONS below EL DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if mare space is required) Certificate Holder and owner (if applicable) are additional insureds as respects general liability, automobile liability and excess liability if required in a written contract. Waiver of .Subrogation applies to the general liability, auto liability, excess liability and workers compensation if required in a written contract. The general liability and automobile is primary and certificate holder's insurance is non-contributory if required by written contract. Certificate Holder will be given 30 days notice of cancellation with the exception of 10 day notice for non-payment of premium. (Per See Attached... CERTIFICATE HOLDER CANCELLATION @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Santa Ana Water Resources Division THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Rudy Rosas ACCORDANCE WITH THE POLICY PROVISIONS. 220 S. Daisy Ave (M-85) Santa Ana CA 92703 AUTHORIZED REPRESENTATIVE @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: WEBER -7 _ LOC #: AC ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED Levitt & Touche' Inc - Tempe Weber Water Resources CA, LLC 237 W Orange Show Lane San Bernardino CA 92408 POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE:CERTIFICATE OF LIABILITY INSURANCE forms:UGL-1466-D CW 12-13, UGL-1465-D CW 12-13, UGL1327-B CW 04/13, CG2503 05/09, CG2404 05/09, CA2048 02/99, CA0444 03/10, WC040306 04/84, UGL1114-A CW 10/02, UCA-1114A, U -WC -332-A) Re: RFP No. 16-090. Water well casing, pump and motor rehabilitation, repair, replacement and related services for the City of Santa Ana at various locations within the City. © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 19 Additional Insured — Owners, Lessees Or Contractors — ZURICH Ongoing Operations — Scheduled Policy No. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part SCHEDULE Name of Person or Organization: T. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Adi Prem Return Prem. GLO3889012 1 5/1/2016 5/1/2017 5/1/2016 AGREEMENT, EXECUTED PRIOR TO LOSS, N/A N/A I THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part SCHEDULE Name of Person or Organization: Location and Description of Ongoing Operations: Additional Premium: ONLY THOSE PERSONS OR ORGANIZATIONS ONLY WHERE REQUIRED BY WRITTEN REQUIRED BY WRITTEN CONTRACTOR CONTRACTOR AGREEMENT, EXECUTED INCL. AGREEMENT, EXECUTED PRIOR TO LOSS, PRIOR TO LOSS, EXCEPT WHERE SUCH EXCEPT WHERE SUCH CONTRACT OR CONTRACT OR AGREEMENT IS NOT AGREEMENT IS NOT PERMITTED BY LAW PERMITTED BY LAW A. Section II — Who Is An Insured is amended to include as an insured any person or organization shown in the Schedule of this endorsement, but only with respect to liability arising out of your ongoing operations performed for that insured at or from the corresponding location designated and described in the Schedule. However, if you have entered into a construction contract with an additional insured person or organization shown in the Schedule of this endorsement, the insurance afforded to such additional insured only applies to the extent permitted by law. B. With respect to the insurance afforded to any additional insured shown in the Schedule of this endorsement, the following additional exclusion applies: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the site of the covered operations has been completed; or 2. That portion of 'your work' out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. All other terms and conditions of this policy remain unchanged. U -GL -1485-D CW (12-13) Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. a Additional Insured— Owners, Lessees Or Contractors— ZURICH Completed Operations — Scheduled Policy No. Eff. Date of Pal. Exp. Date of Pal. Eff. Date of End. I Producer No. Adi Pram Return Prem. GL08889012 5/1/2016 5r1/2on 5Iv2o1s NIA N/A THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part SCHEDULE Name of Person or Organization: Location and Description of Additional Completed Operations: Premium: ONLY THOSE PERSONS OR ORGANIZATIONS REQUIRED WRITTEN CONTRACT ONLY WHERE REQUIRED BY WRITTEN AGREEMENT, EXECUTED PRIOR TO LOSS, T, LO CONTRACT OR AGREEMENT, EXECUTED EXCEPT WHERE SUCH CONTRACTOR PRIOR TO LOSS, EXCEPT WHERE SUCH INCL. AGREEMENT IS NOT PERMITTED BY LAW CONTRACT OR AGREEMENT IS NOT PERMITTED BY LAW Section II — Who Is An Insured is amended to include as an insured any person or organization shown in the Schedule of this endorsement, but only with respect to liability arising out of "your work" at or from the corresponding location designated and described in the Schedule performed for that insured and included in the "products -completed operations hazard". However, if you have entered into a construction contract with an additional insured person or organization shown in the Schedule of this endorsement, the insurance afforded to such additional insured only applies to the extent permitted by law. All other terms and conditions of this policy remain unchanged. U -GL -146&D CW (12-13) Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with Its permission. Other Insurance Amendment - Primary And Non. Contributory ' O ?r ZURICH Policy No. Eff. Date of Pol. Exp. Data of Pol. Eff. Date of End. Producer No, Ad 0. Prem Return Prem. GL03889012 5/1/2016 5/112017 5/1/2016 N/A N/A THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured: WEBER WATER RESOURCES CA, LLC Address (including ZIP Code): 237 W Orange Show Lane, San Bernardino, CA 82408 This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part 1. The following paragraph is added to the Other Insurance Condition of Section IV — Commercral General Liability Conditions: This insurance is primary insurance to and will not seek contribution from any other insurance available to an additional insured under this policy provided that: a. The additional insured is a Named Insured under such other insurance; and b. You are required by a written contract or written agreement that this insurance would be primary and would not seek contribution from any any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV — Commercial General Liability Conditions: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same 'occurrence", offense, claim or "suit". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and non-contributory basis. All other terms and conditions of this policy remain unchanged. IJ -GL -1 327-9 CW (04/ 13) Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Insured Corry POLICY NUMBER: GL03889012 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 THAT REQUIRES YOU TO WAIVE YOUR RIGHTS OF RECOVERY, IN A WRITTEN CONTRACT OR AGREEMENT WITH THE NAMED INSURED THAT IS EXECUTED PRIOR TO THE ACCIDENT OR LOSS. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or 'your work" done under a contract with that person or organization and included in the "products - completed operations hazard". This waiver applies Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 inswed copy Page 1 of 1 ❑ POLICY NUMBER: GL03889012 COMMERCIAL GENERAL LIABILITY CG 25 03 05 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A GENERAL AGGREGATE LIMIT APPLIES TO EACH CONSTRUCTION PROJECT WHERE THE NAMED INSURED IS PERFORMING OPERATIONS, HOWEVER, A GENERAL AGGREGATE LIMIT DOES NOT APPLY TO ANY CONSTRUCTION PROJECT WHERE THE NAMED INSURED IS PERFORMING OPERATIONS THAT ARE INSURED UNDER A WRAP UP OR ANY OTHER CONSOLIDATED OR SIMILAR INSURANCE PROGRAM. A. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" under Section I — Coverage A, and for all medical expenses caused by accidents under Section I —Coverage C, which can be attributed only to ongoing operations at a single designated construction project shown in the Schedule above: 1. A separate Designated Construction Project General Aggregate Limit applies to each designated construction project, and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations. 2 The Designated Construction Project General Aggregate Limit is the most we will pay for the sum of all damages under Coverage A, except damages because of "bodily injury" or "property damage" included in the "products - completed operations hazard", and for medical expenses under Coverage C regardless of the number of: a. Insureds; b. Claims made or "suits" brought; or c. Persons or organizations making claims or bringing "suits". CG 25 03 05 09 3. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the Designated Construction Project General Aggregate Limit for that designated construction project. Such payments shall not reduce the General Aggregate Limit shown in the Declarations nor shall they reduce any other Designated Construction Project General Aggregate Lirnit for any other designated construction project shown in the Schedule above. 4. The limits shown in the Declarations for Each Occurrence, Damage To Premises Rented To You and Medical Expense continue to apply. However, instead of being subject to the General Aggregate Limit shown in the Declarations, such limits will be subject to the applicable Designated Construction Project General Aggregate Limit. 0 Insurance Services Office, Inc., 2008 Naorod Copy POLICY NUMBER: BAP3889011 COMMERCIAL AUTO CA 04 44 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: WEBER WATER RESOURCES CA, LLC Endorsement Effective Date: 5/1/2016 SCHEDULE Narne(s) Of Person(s) Or Organization(s): AS PER WRITTEN CONTRACT OR WRITTEN AGREEMENT Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the 'loss" under a contract with that person or organization. CA 04 44 10 13 0 Insurance Services Office, Inc., 2011 Page 1 of 1 Insured Copy POLICY NUMBER: BAP3889011 COMMERCIAL AUTO CA 20 48 10 13 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM Wth respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: WEBER WATER RESOURCES CA, LLC Endorsement Effective Date: 5/1/2016 P19'F4_61M Name Of Person(s) Or Organization(s): ONLY WHERE YOU ARE REQUIRED TO PROVIDE ADDITIONAL INSURED STATUS OR ADDITIONAL INSURED STATUS ON A PRIMARY, NON—CONTRIBUTORY BASIS, IN A WRITTEN CONTRACT OR WRITTEN AGREEMENT EXECUTED PRIOR TO LOSS, EXCEPT WHERE SUCH CONTRACT OR AGREEMENT IS PROHIBITED BY LAW. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section If — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20451013 © Insurance Services Office, Inc., 2011 Page 1 of 1 Insured Copy WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY 0TOTOrREN WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT- CALIFORNIA NDORSEMENT- CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be mium otherwise due on such remuneration. Person or Organization ALL PERSONS OR ORGANIZATIONS, WHEN REQUIRED BY A WRITTEN CONTRACT. Schedule % of the California workers' compensation pre - WC 252 (4-84) WC 04 03 06 (Ed. 4-84) Page 1 of 1 Policy Number GLO 3889012 - ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY Named Insured WEBER WATER RESOURCES, LLC Effective Date: 5/1/2016 12:01 A.M., Standard Time Agent Name LOVITT & TOUCHE INC Agent No. 09192-000 BLANKET NOTIFICATION TO OTHERS OF CANC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. IF WE CANCEL THIS COVERAGE PART BY WRITTEN NOTICE TO THE FIRST NAMED INSURED FOR ANY REASON OTHER THAN NONPAYMENT OF PREMIUM, WE WILL DELIVER ELECTRONIC NOTIFICATION THAT SUCH COVERAGE PART HAS BEEN CANCELLED TO EACH PERSON OR ORGANIZATION SHOWN IN A SCHEDULE PROVIDED TO US BY THE FIRST NAMED INSURED. SUCH SCHEDULE: 1. MUST BE INITIALLY PROVIDED TO US WITHIN 15 DAYS: A. AFTER THE BEGINNING OF THE POLICY PERIOD SHOWN IN THE DECLARATIONS; OR B. AFTER THIS ENDORSEMENT HAS BEEN ADDED TO POLICY; 2. MUST CONTAIN THE NAMES AND E—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nsurance for this coverage part provided by: Policy IVu moer ZURICH AMERICAN INSURANCE COMPANY BAP 3889011 Renewal of Number 11 BLANKET NOTIFICATION TO OTHERS OF CANC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE: COMMERCIAL AUTO COVERAGE PART A. IF WE CANCEL THIS COVERAGE PART BY WRITTEN NOTICE TO THE FIRST NAMED INSURED FOR ANY REASON OTHER THAN NONPAYMENT OF PREMIUM, WE WILL DELIVER ELECTRONIC NOTIFICATION THAT SUCH COVERAGE PART HAS BEEN CANCELLED TO EACH PERSON OR ORGANIZATION SHOWN IN A SCHEDULE PROVIDED TO US BY THE FIRST NAMED INSURED. SUCH SCHEDULE: 1. MUST BE INITIALLY PROVIDED TO US WITHIN 15 DAYS: A. AFTER THE BEGINNING OF THE POLICY PERIOD SHOWN IN THE DECLARATIONS; OR B. AFTER THIS ENDORSEMENT HAS BEEN ADDED TO POLICY; 2. MUST CONTAIN THE NAMES AND E—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nsurance for thiso overage part provided by: ZURICH AMERICAN INSURANCE COMPANY This endorsement changes the insurance as is afforded by the policy relating to the following: Named Insured Policy Number WEBER WATER RESOURCES, LLC WC 3889013 BLANKET NOTIFICATION TO OTHERS OF CANCELLATION THIS ENDORSEMENT IS USED TO ADD THE FOLLOWING TO PART SIX OF THE POLICY. PART SIX — CONDITIONS F. NOTIFICATION TO OTHERS OF CANCELLATION 1. IF WE CANCEL THIS POLICY BY WRITTEN NOTICE TO YOU FOR ANY REASON OTHER THAN NONPAYMENT OF PREMIUM, WE WILL DELIVER ELECTRONIC NOTIFICATION TO EACH PERSON OR ORGANIZATION SHOWN IN A SCHEDULE PROVIDED TO US BY YOU. SUCH SCHEDULE: A. MUST BE INITIALLY PROVIDED TO US WITHIN 15 DAYS: AFTER THE BEGINNING OF THE POLICY PERIOD SHOWN IN THE DECLARATIONS; OR AFTER THIS ENDORSEMENT HAS BEEN ADDED TO POLICY; B. MUST CONTAIN THE NAMES AND E—MAIL ADDRESSES OF ONLY THE PERSONS OR ORGANIZATIONS REQUIRING NOTIFICATION THAT THIS POLICY HAS BEEN CANCELLED; C. MUST BE IN AN ELECTRONIC FORMAT THAT IS ACCEPTABLE TO US; AND D. MUST BE ACCURATE. SUCH SCHEDULE MAY BE UPDATED AND PROVIDED TO US BY YOU DURING THE POLICY PERIOD. SUCH UPDATED SCHEDULE MUST COMPLY WITH PARAGRAPHS B. C. AND D. ABOVE. 2. OUR DELIVERY OF THE ELECTRONIC NOTIFICATION AS DESCRIBED IN PARAGRAPH 1. OF THIS ENDORSEMENT WILL BE BASED ON THE MOST RECENT SCHEDULE IN OUR RECORDS AS OF THE DATE THE NOTICE OF CANCELLATION IS MAILED OR DELIVERED TO YOU. DELIVERY OF THE NOTIFICATION AS DESCRIBED IN PARAGRAPH 1. OF THIS ENDORSEMENT WILL BE COMPLETED AS SOON AS PRACTICABLE AFTER THE EFFECTIVE DATE OF CANCELLATION TO YOU. 3. PROOF OF EMAILING THE ELECTRONIC NOTIFICATION WILL BE SUFFICIENT PROOF THAT WE HAVE COMPLIED WITH PARAGRAPHS 1. AND 2. OF THIS ENDORSEMENT. 4. OUR DELIVERY OF ELECTRONIC NOTIFICATION DESCRIBED IN PARAGRAPHS 1. AND 2. OF THIS ENDORSEMENT IS INTENDED AS A COURTESY ONLY. OUR FAILURE TO PROVIDE SUCH DELIVERY OF ELECTRONIC NOTIFICATION WILL NOT: A. EXTEND THE POLICY CANCELLATION DATE; B. NEGATE THE CANCELLATION; OR C. PROVIDE ANY ADDITIONAL INSURANCE THAT WOULD NOT HAVE BEEN PROVIDED IN THE ABSENCE OF THIS ENDORSEMENT. 5. WE ARE NOT RESPONSIBLE FOR THE ACCURACY, INTEGRITY, TIMELINESS AND VALIDITY OF INFORMATION CONTAINED IN THE SCHEDULE PROVIDED TO US AS DESCRIBED IN PARAGRAPHS 1. AND 2. OF THIS ENDORSEMENT. ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. U -WC -332-A(07-94) Page 1 Last page