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T.I.'S BY DESIGN
nr City of Santa Ana Clerk of the Council COMOf..._ce....UseO........... .__._...._...._ { COTC Office Use Only AGREEMENT TERMINATION FORM Please complete this form in its entirety when the attached agreement and all amendments (if any) are no longer in effect. - . . Note: If your agreement is grant related,please ensure that all grant retention requirements have been satisfied prior to signing the termination form. • Is the agreement(s) a permanent record?Yes No X Return form to the Clerk of the Council Office (M-30). Call 647-1520 if you have any questions. The agreement with L.L . by e_ (',j v No. A-2 On - 1% -0 \ was completed on gjif I and final payment has been made. (List all amendments. Use space below if needed.) 'Sty : C ., h' i . 6 X'O+56K Onyi QL'l raL4-1(1A41 Department: r)A — 'd . Hi vc . 11 ' Phone/Ext.: l\c i i ow/ -0I VYI o n Signature: DELIVERED FEB 2 2 2010 Date: d/ ?t/ /i. Revised: 10-18-16 0' - INSURANCE NOT ON FILE WORK MAY NE PROCEED CLERK OF COUNCIL DAVE: AUG 2 2 2017 Fe,t!� A (z-) CONSULTANT AGREEMENT Sr ✓tom S,,.,„,THIS AGREEMENT is made and entered into this I- day of.i_e4 , 2017, by and between T.I.'s By Design, California General Building Contractor License No. B565438 (hereinafter "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 (hereinafter "City"). RECITALS A. The City desires to retain a consultant having special skill and knowledge in the field of replacing existing domestic recirculation of hot water piping, to be completed at the Police Detention Facility. A-2017.1$6 B. Consultant represents that Consultant is able and willing to provide such services to the City. C. In undertaking the performance of this Agreement, Consultant represents that it is knowledgeable in its field and that any services performed by Consultant 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 Consultant shall perform those services as set forth in Exhibit A to this Agreement, attached herewith and incorporated herein by this reference. COMPENSATION a. City agrees to pay, and Consultant agrees to accept as total payment for its services, the rates and charges identified in Exhibit A. The total sum to be expended under this Agreement shall not exceed $150,000, which includes a $6,000 contingency above Contractor's quote of $144,000, during the term of this Agreement. 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 which may reasonably be expected by City This Agreement shall commence on the date first written above and terminate on December 31, 2017, unless terminated earlier in accordance with Section 15, below. The Term of this Agreement may be extended upon a writing executed by the City Manager and the City Attorney. 4. INDEPENDENT CONTRACTOR Consultant 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 Consultant performs the services which are the subject matter of this Agreement; however, the services to be provided by Consultant shall be provided in a manner consistent with all applicable standards and regulations governing such services. Consultant 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 Consultant under this Agreement ("Documents & Data"). Consultant 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. Consultant represents and warrants that Consultant has the legal right to license any and all Documents & Data. Consultant makes no such representation and warranty in regard to Documents & Data which were provided to Consultant by the City. City shall not be limited in any way in its use of the Documents and Data at any time, provided that any such use not within the purposes intended by this Agreement shall be at City's sole risk. Prior to undertaking performance of work under this Agreement, Consultant shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: a. Commercial General Liability Insurance. Consultant 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 act or occurrence arising out of Consultant'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. Consultant shall supply City with a fully executed additional insured endorsement in substantially the form attached hereto as Exhibit B upon execution of this Agreement. 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 provisions of Section 3700 of the Labor Code, Consultant, if Consultant 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, Consultant agrees to obtain and maintain any employer's liability Insurance with limits not less than $1,000,000 per accident. d. If Consultant 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 Consultant pursuant to this section: (i) Consultant shall maintain all insurance required above in full force and effect for the entire period covered by this Agreement. (ii) Certificates of insurance shall be furnished 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 canceled or reduced in coverage or changed in any other material aspect without thirty (30) days prior written notice to the City. If Consultant 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 terminate this Agreement. Such termination shall not affect Consultant's right to be paid for its time and materials expended prior to notification of termination. Consultant waives the right to receive compensation and agrees to indemnify the City for any work performed prior to approval of insurance by the City. [[►�7��!d►`It�y�+D Consultant agrees to 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 direct or indirect operations of the Consultant or its contractors, subcontractors, agents, employees, or other persons acting on their behalf which relates to the services described in section 1 of this Agreement; and (2) from any claim that personal injury, damages, just compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects arising from this Agreement. This indemnity and hold harmless agreement applies to all claims for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to have been suffered, by reason of the events referred to in this Section or by reason of the terms of, or effects, arising from this Agreement. The Consultant 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. 8. INTELLECTUAL PROPERTY INDEMNIFICATION Consultant shall defend and indemnify the City, its officers, agents, representatives, and employees against any and all liability, including costs, for infringement of any United States' letters patent, trademark, or copyright infringement, including costs, contained in the work product or documents provided by Consultant to the City pursuant to this Agreement. 9. RECORDS Consultant shall keep records and invoices in connection with the work to be performed under this Agreement. Consultant shall maintain complete and accurate records with respect to the costs incurred under this Agreement and any services, expenditures, and disbursements charged to the City for a minimum period of three (3) years, or for any longer period required by law, from the date of final payment to Consultant under this Agreement. All such records and invoices shall be clearly identifiable. Consultant 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. Consultant shall allow inspection of all work, data, documents, proceedings, and activities related to this Agreement for a period of three (3) years from the date of final payment to Consultant under this Agreement. 10. CONFIDENTIALITY If Consultant receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Consultant agrees that it shall not use or disclose such information except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of like importance, but in no event less than reasonable care. "Confidential Information" shall include all nonpublic information. Confidential Information includes not only written information, but also Information transferred orally, visually, electronically, or by other means. Confidential information disclosed to either party by any subsidiary and/or agent of the other party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is, through no fault of the Consultant disclosed in a publicly available source; (c) is in rightful possession of the Consultant without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or (e) is independently developed by the Consultant without reference to information disclosed by the City. 11. CONFLICT OF INTEREST CLAUSE Consultant covenants that it presently has no interests 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: Clerk 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 With courtesy copies to: MM Executive Director — Finance and Management Services Agency City of Santa Ana 20 Civic Center Plaza (M-17) P.O. Box 1988 Santa Ana, California 92702 Fax 714- 647 - City Attorney City of Santa Ana 20 Civic Center Plaza (M-29) P.O. Box 1988 Santa Ana, California 92702 Fax 714- 647-6515 To Consultant: T.I.'s By Design Kenneth M. Parr Owner 3595 Cadillac Avenue, Suite 103 Costa Mesa, CA 92626 Fax 714-4349324 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 asset 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 Consultant, 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 Consultant. 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 Consultant 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 Consultant, Consultant may not assign, transfer, delegate, or subcontract any interest herein without the prior written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the City's ability to have any of the services which are the subject to this Agreement performed. by City personnel or by other consultants retained by City. 15. TERMINATION This Agreement may be terminated by the City upon thirty (30) days written notice of termination. In such event, Consultant shall be entitled to receive and the City shall pay Consultant compensation for all services performed by Consultant 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 Consultant 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 Consultant consents to the City's use thereof for such purposes as the City deems appropriate. b. Payment need not be made for work which fails to meet the standard of performance specified in the Recitals of this Agreement. 16. DISCRIMINATION Consultant shall not discriminate because of race, color, creed, religion, 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. Consultant affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 17. JURISDICTION - VENUE This Agreement has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the State of California. Both parties further agree that Orange County, California, shall be the venue for any action or proceeding that may be brought or arise out of, in connection with or by reason of this Agreement. 18. PROFESSIONAL LICENSES Consultant shall, throughout 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. Consultant shall notify the City immediately and in writing of its inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. 19. MISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature hereinbelow has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. b. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. {Signature Page Follows} IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: IJIAF2tA D. HUIZAR Clerk of the Council APPROVED AS TO FORM: SONIA �ALR ALHO City or iT: By: v Ryan RECOMMENDED FOR APPROVAL: FRANCISCO GUTIERREZ Executive Director— Finance and Management Services CITY OF SANTA ANA ROBERT C Deputy City Manager T.I.'S BY DESIGN /E7N'4-PH'M. PARR Owner Tax ID# 33— 06 ?763 SCOPE OF SERVICES April 11, 2017 CITY OF SANTA ANA 20 Civic Center Plaza M-11 Santa Ana, CA 92701 RE: PRELIMINARY BID Police Station 60 Civic Center Plaza STATEMENT OF WORK: To perform replacement of existing domestic recirculation of hot water piping. We will gain access to equipment cat walk areas through existing access panels and through newly installed access panels that we will install as needed. We will schedule with Building Engineers for needed shut downs on water piping as needed for disconnect of old and reconnect of new piping. Piping systems will be in operation at the end of each day. All work to be performed during standard work hours. Work will start 2-3 weeks after approval and 6-8 weeks for completion. • Provide and install approx. 220' of 2" type '1" copper pipe on the 1" floor. • Install (6) new ball valves at the appropriate locations. • Provide and install approx. 240' of 1" type "L" copper pipe on the 3rd floor. • Install (4) new ball valves at the appropriate locations. • Insulate all the new hot water lines with Mansville fiberglass insulation. • Includes all clean up and debris removal. Total $ 81,600A0 • Provide and install approx. 40'of 2" type "L" copper on 15` floor in boiler area. • Provide and install (2) new ball valves in appropriate locations. • Insulate all hot water piping with mansville fiberglass insulation. Total $ 12,050.00 • Install needed access panels. Total $ 50,350.00 Grand Total $144,000.00 NOTE: Attached are specs for valve's and pipe mounts and copper pipes. The cost includes prevailing wages DIR # 1000038226 3595 Cadillac Avenue, Suite 103 • Costa Mesa, California 92626 (714)434-0596• Fax(714)434-9324 License No. 8565438 UIS I C fnprovonleenl t Specialist 8 Building Renovailom April 11, 2017 CITY OF SANTA ANA 20 Civic Center Plaza M-11 Santa Ana, CA 92701 RE: PRELIMINARY BID Police Station 60 Civic Center Plaza STATEMENT OF WORK: To perform replacement of existing domestic recirculation of hot water piping. We will gain access to equipment cat walk areas through existing access panels and through newly installed access panels that we will install as needed. We will schedule with Building Engineers for needed shut downs on water piping as needed for disconnect of old and reconnect of new piping. Piping systems will be in operation at the end of each day. All work to be performed during standard work hours. Work will start 2-3 weeks after approval and 6-8 weeks for completion. • Provide and install approx. 220' of 2" type '1" copper pipe on the 1" floor. • Install (6) new ball valves at the appropriate locations. • Provide and install approx. 240' of 1" type "L" copper pipe on the 3rd floor. • Install (4) new ball valves at the appropriate locations. • Insulate all the new hot water lines with Mansville fiberglass insulation. • Includes all clean up and debris removal. Total $ 81,600A0 • Provide and install approx. 40'of 2" type "L" copper on 15` floor in boiler area. • Provide and install (2) new ball valves in appropriate locations. • Insulate all hot water piping with mansville fiberglass insulation. Total $ 12,050.00 • Install needed access panels. Total $ 50,350.00 Grand Total $144,000.00 NOTE: Attached are specs for valve's and pipe mounts and copper pipes. The cost includes prevailing wages DIR # 1000038226 3595 Cadillac Avenue, Suite 103 • Costa Mesa, California 92626 (714)434-0596• Fax(714)434-9324 License No. 8565438 AM RYDESION Commemal Tenant tntprovement Specialist & Building Renovations CITY OF SANTA ANA 20 Civic Center Plaza M-11 Santa Ana, CA 92701 ATTN:John Aguilar I would like to introduce you to T. BY DESIGN. We are a full-service commercial renovation construction company with a difference. Our company was established several years ago by a knowledgeable, professional general contractor with the qualities that equal success. These basic ideals include: 1. Integrity 2. Hard Work 3. Communication 4. Commitment to Quality at a Reasonable Price. T.I.'S BY DESIGN specializes In building and tenant improvements from coordination in conceptual design and interior planning, to construction and turnkey completion. Since the majority of trades are in-house, projects are completed in a more efficient manner. I have enclosed a brief outline of the company and our areas of expertise, as well as a list of companies with which we are associated. We are able to accommodate any size project and would appreciate an opportunity to be placed on your bid list. Better still, I would be glad to meet with you at your earliest convenience to discuss your particular requirements. Please give me a call. I look forward to meeting with you in person. Sincerely, T.I.'S BY DESIGN /1,enneth M. Parr Owner 3595 Cadillac Avenue, Suite 103 • Costa Mesa, California 92626 (714)434-0596 • Fax(714)434-9324 License No. B565438 M O rDESIG r Commercial Tenant tmpruveaient 5pecia1w. & Building Rennvatiom T.L'S BY DESIGN Commercial Renovation/Tenant Hnprovements T.L'S BY DESIGN is a full-service commercial renovation company ready to service any requirements' for all projects and interests that you have whether commercial office, industrial complex, or retail centers. In this industry, communication is an essential tool to get quality work performed the way you want it performed, THE FIRST TIME, enabling you to conserve your two most valuable assets — your time and your money. At T.L'S BY DESIGN, we offer you a highly personalized service providing continuous communication before, during and after the project is completed. Our fully developed, diversified staff performs all aspects of commercial renovation, 'including building and tenant repair projects. In all areas, we work as closely as possible with you to ensure accuracy in designing and executing your visions of your commercial enviromnent. T.L'S BY DESIGN can help you to achieve and maintain a quality, professional and safe working environment for all of your projects while setting an example for these ideals within our own company. AREAS OF EXPERTIESE: * LOBBY/COMMON AREA RENOVATION * BUILDING IMPROVEMENTS *TENANTIMPROVEMENTS * CEILING REPLACEMENT/REPAIR. * INTERIOR DESIGN/SPACE PLANNING * INTERIOR/EXTERIOR BUILDING REPAIRS * A.D.A. IMPROVEMENTS * WALL COVERING/PAINTING * FLOOR COVERINGS * PLUMBING * ELECTRICAL CONCRETE/MASONRY * ASPHALT/STRIPPING * H.V.A.C./MECHANICAL 3595 Cadillac Avenue, Suite 103 • Costa Mesa, California 92626 (714) 434-0596 • Fax (714) 434-9324 License No. 8565438 amU'S SYDESIGN CammeTenant Improvememespecsnt 5pecialisl & RUiiding Renovauans COMPLETED PROJECTS AND CURRENT RETERENCES: EMBEE / TRIUMPH GROUP $ 250,000.00 Annually 2136 S. Hathaway St. Santa Ana, CA 927058 (714)546-9842 Contact: Barry Winn PRINCELAND MANAGEMENT 30275 Tomas Rancho Santa Margarita, CA 92688 (949)380-1319 Cornact: Shannon Shimizu BOULEVARD BUICK, GMC 2800 Cherry Ave. Signal Hill, CA 90755 (562) 492-1000 Contact: Ron Charron THE BOEING COMPANY 2401 E. Wardlow Rd. Long Beach, CA 90807 (562) 593-8763 Contact: Jerry Robinson. TO'WNSGAXE CAPITAL CORPORATION 2801 Townsgate Rd, Suite 240 Westlalce Village, CA 91361 (805) 379-5130 Contact: Joe Clums HARBOR FAMILY CHIROPRACTIC 220011arbor Blvd., Suite B-160 CosmMesa, CA 92627 (949)515-5170 Contact: Stacey Halpern D -LINK S 700,000.00 17595 Mt. Herrmann St. Fountain Valley, CA 92708 (714) 713-3533 Contact: Nick Felix EASTER SEALS $ 480,000.00 1801 E. Edinger Ave. Santa Ana, CA 92705 (714)834-111]x 232 Contact: Carol Vyn SAMBAZON $ 85,000.00 1160 Callecordilicra Sao Clemente, CA 92673 (949)498-8618 Contact: Mark Eddy VENTURE 1051 S. East. St. Anaheim, CA 92805 (714) 765-3740 Comaten Toe Nguyen ORANGE COUNTY ORTHOPEDICS 15825 Laguna Canyon Rd., # 103 Irvine, CA 92618 (949) 451-1454 Contact: Dr. Greenbaum PAX INDUSTRIES $ 150,000.00 1561 W. MacArthur Blvd. Costa Mesa, CA 92626 (714) 850-1330 Contact: Tom Kawaguchi DAINESE USA. INC. $ 300,000.00 1645 Superior Costa Mesa, CA 92626 (949) 645-9500 Contact: Roberto Sadowsky NET SYSTEMS, INC. 17173 Gillette Ave. Irvine, CA 92614 (949) 752-5100 Contact: Fares Koudsi ACS DEVELOPMENT GROUP S 150,000.00 16148 Sand Canyon Ave. Irvine, CA 92618 (949) 307-0328 Contact: Moe FORMA 3050 Pullman Ave. Costa Mesa, CA 92626 (714)673-6200 Contact: Scott 3595 Cadillac Avenue, Suite 103 • Costa Mesa, California 92626 (714)434-0596• Fax(714)434-9324 License No. B565438 IV I, j 1:4 H a EJ i I I q3NIFHAUJ 14 1 qA I I I i Job Name Contractor Location Wholesaler Engineer _ Streamline' Product Description: Tube Fittings • Valves Streamline' CopperTube for use in plumbing and mechanical applications. Available sizes (Type K, L, M, & DWV) ranging from "to 8" in diameter.All tube shall be manufactured in the United States. Material: Streamline's CopperTube shall be made from material in compliance with ASTM B75 and of UNS C 12200 grade of copper. Key Specifications: StreamlineO Copper7ube (type K, L, M) shall conform to the NSF/ANSI 61 Annex G requirements and is manufactured to meet ASTM 1388. Copper drainage tube (DWV) is made to meet ASTM 8306. Copper refrigeration coils, ACR/Nitrogenized straight lengths and line sets are made to meet the chemical, mechanical, cleanness and eddy current testing requirements of the applicable specifications cfASTM 8280. Installation: Installations shall comply with the latest applicable building codes for the local jurisdiction, For detailed installation instructions, consult the Copper Developement Association at copperorg. References: ASTM B75 Seamless CopperTube C 12200 99.9% Pure Copper (can be used for potable water) NSF/ANSI 61. Annex G Safe Drinking Water Act (third party certification) ASTM B88 Seamless Copper Water and Gas Tube (Type K, L, M) ASTM 8280 Seamless CopperTube for Air Conditioning and Refrigerants ASTM 8306 Seamless Drainage Tube Code (DVM ORE MADE IN VSA A BRAND Or MUELLER INDUSTMES AllaamL���lT`ir1 Streamline° Copper Tube sets the standard for quality, consistency and service in the plumbing industries. With a full line of copper tube products to support most all plumbing supply and DWV applications, Streamline' Copper Tube is available in all common types including Type K, Type L, Type M and DV,/V. Each piece oFtube is incised marked and color coded for easy, long lasting identity. Manufactured in accordance with applicable standards, our ongoing commitment to quality continues to make Streamline Copper Tube the preferred and specified brand of industry professionals. TYPE K RATED WORKING PRESSURE - NOM DIA - —— WT/FT FTlBNDL 1 WA -UL- i 150 F I 200'F 300'F400'17 — i + 1/4 0 145 1 500 0.035 ! 913 8G0 842 537 3/e 0269500 0.049 88S I/2500 _i ... 0.049 � 1 758 _— 1-----y-- 713 I 698 _ 446 -� - 5/8 .,0918_ _ 200 _ �_ 0.049 626 ! 589 X77 �- 368 314 _._� 0.641 200 1 0.065 724 682 j— 668 __.._ 426 1 _ 0.839 100 0.065557 t _524 513 327 1 114 + 1.04 100 0.065 452 425 _ 4116 f 266 ! 111/2 1.36 f 100i 0.072 420 i 396 387 247 2 -- _ 2.06 r 0.083 370 1 348 341 217 -- 0.095 I 338 _ 319 _� 312 , 199 3 i 400_ ! -1 0,109 328 308 302 312 4 512 651 0.120 0.134 _311 306___ 793 288 L 286 28? 183 180 5 _ 3.9 13.90 �_ -- = _-_ 0.1 GO j 0.192 _ _ 293 i f- .295 276_i 277 _ 270 271_ _ 172 I 17_3 1 1 r _r_ a _ _ 25.90 _ _= _ 0.271 314 2.95 Tables g ve computed allowable stress for annealed copper tube at indicated temperature. A BRAND OF MUELLER INDUSTRIES 0 llifxh• • : r-144Ar�1 TYPE M RATED WORKING PRESSURE (PSIG) Tube Fittings Valves NOM DIA WTIFT FT/BNDL j WALL T 150 F _. 200 F 300°F_ j _400°F____; 3/8 0 145 1 1 0.025 1 485 1 447 j 285 _ 1/2 0.204 0.028 420 1_395 _456 _ _ 381 247 _500 _ 1 500 3/4 0328 t q0.__ 346 f 326 _ 319204 _ .,_ _ - _. 1 0465 -- -2_ i 100 �_ 01035 286 i 270 26-1 i.. 169_ 1 1/4 0,682 100 0.042 1 287 271 265 169 I I/2 :_ 094 100 _ 0.049 282 i _2_65 _ 2 146 0.058 _ i.__ 0.065 254 233 1 239234 219 i.__ 'i —215 149 137__1 203 3 268 - 0.072 1 215 203 y 199 127 i 31/2 358 j 0.083 214 "L02 I 197 4— 126 ----� 4 i 466 0.095 i 213 1 201 1_ 197 126 .66 09 1 86 1183_1-82 1 i 116 6 892 165 __ t 0.122 186 175 ; _ 171 ; 109 8 - _ 0'17 19S 180 115_ _ Table give computed allowable stress For annealed copper tube at indicated temperature. TECHNICAL DATA Values of allowable internal working pressure for coppertube in service are based on the formula from ANSI 631, Standard Code for Pressure Piping: P= P = Allowable Pressure S = Allowable stress T= Wall thickness D Max = Outside Diameter 2Stm D max - 0.8 on @ 1507 S = S 100 PSIG annealed @ 200°F S= 480OPSIG annealed @ 300°F S= 4700 PSIG annealed @ 400°F S= 3000 PSIG annealed All ratings listed for types K, L, M, DVW and refrigeration service tube in the preceding charts are calculated for tube in the annealed condition. These values should be used when soldering, brazing or welding is employed for joining components in a system. While the ratings for hard drawn tube are substantially higher, they should only be used for systems using properly designed flare or compression mechanical joints, since joining by any heating process might anneal (soften) the tube. In designing a system, careful consideration should also be given to joint ratings as well as those ofthe components. A BRAND OF MUELLER INDte$TiilE3 M COPPER TUBE AND SOLDER TYPE FITTINGS I . Cut tube square with the cutter or fine hack saw (32 tooth blade is recommended). Remove Burr. 2. Clean outside end of copper tube thoroughly with sand cloth or sandpaper equal depth of fitting. Leave no dark spots. 3. Clean inside of fitting carefully to tube stop with wire brush. Note: Sand cloth or sandpaper may also be used. 4. Using a brush, apply light uniform coat of soldering flux to the outside of the tube and inside of the fitting. S. Slip tube into f tting to tube stop. Turn tube back and forth once or twice to distribute flux evenly. 6. Apply heat uniformly around the fitting with torch. When solder melts upon contact with heated fitting, the proper soldering temperature has been reached. Remove flame and feed solder slightly off center at the bottom orthe joint. Proceed across the bottom of the fitting and up to the top center position. Return to the starting point, and then proceed up the incomplete side to the top, again, overlapping the solder metal. Wipe off surplus solder with a piece of doth. CAUTION: No not overheat the joint or direct the flame into the face of the fitting cup. Overheating could burn the flux, which will destroy its effectiveness and the solder will not enter the joint properly. 7 ti -- ikt 1. Cut tube to length & remove burr with file or scraper 2. Clean outside of tube with sandpaper or sand cloth. r Li 20, 1 3. Clean inside of fitting with wire .�.. brush, sand doth or sandpaper. r J � 1 4. Apply flux thoroughly to inside of fitting. �....,. A BRAND OF MUELLER INDUSTRIES a S. Apply flux thoroughly to outside of tube - assemble ,.., tube and fOn g. A BRAND OF MUELLER INDUSTRIES a 6. Apply heat with torch. When ,.., solder melts upon contact with heated fitting, the proper temp for soldering has been reached. Remove flarne & feed solder to the joint at one or two points until a ring of solder appears at the end of the felting. A BRAND OF MUELLER INDUSTRIES a 1' r �d 1. = Cush-A-NatorO tion is manufactured in the United States and made from a new Incredibly durable thermoplastic rubber that resists high r.life against vibration fatigue. The Cush-A-NatorO is made from a proprietary thermoplastic vulcanized materia{ cross- ance rubber and thermoplastic elastomers, which produces the highest operating temperature range in the industry, HT04 e i•'B 1 HT04SS HT04S6 B '/a" (0,25) HT06 HT06SS HT0686 'h" (0,37) 11708 HT0898 T08S6 11'" (0.50) 11710 HT1A8S T1086 55h"ff)62) HT12 N712"uS HT12S6 '/a" (0.75) HT14 H1`14SS MT14S6/o" (0.87)_ HT16 HT16SS HT1686 i"(1.00) tIT16 HTi£SS H'i18S6 1'!u" (1.12) HT20 HT20SS HT20S6 1,W (1.25) HT22 -24 HT22SS —FT i3/a" (1.37 TT _HT245S _ HT24S6 1%f (1.50)_ H_T26 HT26SS WNW Vh` (1:62) 11728 HT28SS HT28SG P/." (1.75) H730 HT30S5 MT30S6 1'!s" (1.87) HT32 CN32SS hIT3_2S6 2" (2,00) _HT34 _HT32SS HT34SS HT3480 2'!d' (292) HT36_ HT36S5 _ HT3656 2'A" (2.25) HT38 MUSS HT38S6 2'h" (2.37) H'r40 NT40SS HT40% 24x" (2.60) 4T42� HT4285 HT42S6 .251x" 2.62) - HT46 H1465S RT46S6 2%" {2.R7) HT46 HT48SS HT48SG 3"(3A0) HT50 HISS HT508_S HT56S5 rIT50S6 HT56S6 3'!e1(3.12� 3'!d' 3.Ci0) ' H76d_ 1176455 CN64% 4" (4.9P) HT66 �HT72 HT66SS _HT64S6 HT66S6 _ __ 4'/,-(4,12) CM2 1177255 HT72S6 4'h"{4,50 HT13PS6 ;h�4D� 9 KR +yy 1 fi - 8 dile GUSh•R HT17PS6 °77 (1 050) HT21PS6 1"(1315) iT30PS6 1'h (18001 T38p56 ?" f? 775' HT56PS6 s (3.500) operating range of HTfi4PS6 3'Ix" (4.000( _0*)- }� 275°F HT72PS6 4' 4.500 CN065S GNO656 (45°G to 135-C) GN04 CN04SS CN0486 ® 1 IMF 'ld'f0,25�_ CNQfi —NO CN065S GNO656 '/0"(037)_ CS —CN 08SS CN00S6 (0 50) CN1O CN105S CN1056 55h"ff)62) CN12 CN128S CN1236_ CN46P CN14 MUSS CN14SGs CN56P GN16 _ CN165S CN16S6 CN64P___CN64PSS CN13 —C CN188S C,Ni886 C1172P -N-20 CN205S CN2056 1'U' (1.25) CN22 CN228S CN2256 fh"(1.37 - CN24 C124SS —CM CN24S6_ 1'. (1.50) _ 5SCN26 -26 GN26SG CN26 GN28SS CN28S6 Ph" (1.76) 530 CN30.SS CN3036_ _ (7.87) _ CN32. CN32SS GN32866 2-(2.00) GN34 CN34SS_ CN3436� 2'/n" (2.12) CN36 CN36SS CN36S6 2'N1' (2.25) CN38_ CN30sS CN38S6 2xly"{2.37 GN40 CN40SS GN40S6_ CN42 CN428S CN42S6 __2'1.50) 25h" (2.62) GN46 5468S CN46S62ler2.87) C.N48� CN488S CN4356 3"{3.00) C.`,N50 CN56 GN16SS CN56S3 CN5056 CN6686 _ 37e'(3,12) 3'(1'(3.50) CN64 C_N645S CN64% 4"(4.00) CN66 GN_6655 CN6_6S6 4'/n" 4.12) CM2 CN725S CN74S6 4'/2' 4.50 sfanaar�' . �59'F fo 275°.F] CN14P CN14PS9 CN14PS8 'h"(0.840) CN17P CNI7P8S CN'17PSB 'h"(1.050) CN2.1P CN21PS5 CN21PSG 9"(1?16) GN30P MOM CN30PS6 1'/f (1.900) -. CN38P CN38P88 CN38PS6 CN46P CM46PSS CN48PS6 2'!z°(2.fi75) CN56P CN56PSS CN56PS6 3"(3.500) CN64P___CN64PSS CN84PS8 3Ve°(4.000) C1172P CN72PSS CN72PS6 4" 4.500) Padkiage Viega ProPresse Ball ModGI 2970.1 ZL i Description The Zero Lead bronze ball valve is equipped with a full port, Zero Lead bronze body. The ball valve features EPDM sealing elements, EPDM stem seals and Viega's Smart Connect• feature for easy Identification of unpressed connections during pressure testing. Features • 316 stainless steel bail • Eco Brass" blowout -proof stem • Lockable metal handle • Reinforced PTFE seats • Smart Correct feature Ratings • 250 GWP • Temperature Pange. C°F - 260-F • Max. Operating Pressure: 250 psi Approvals • Conforms to MSS SP -110 • NSF - UP Code • NSF 61 Annex G • ASME A112.4.14 • Listed by NSF to Commercial Hot L3 u rJ� r_ F A—At — L LI V1��3 MOM Cornponent Material - Body Zero Lead Bronze C87700 Ball 816 Stainless Steel Seat Reinforced PTFE Stem Eco Sra*,g C69300 Stem Seats EPDM Nut One plated Steel Handle Zino plated Steel Handle Cover Polyvinyl Sealing Element EPDM R64rW6"re �'� Part No. - Size (1) A (in) Al (in) L (in) L7 {in) L2 (in) L3 (In) 79115 1 Yx" 1.80 1.39 2.91 2.80 3.36 6.12 79120 2" 1.77 1.83 3.35 340 3.67 6.12 'Zero Lead identifies Viega®products meeting the lead free requirements of NSF 61-G through testing under NSF/ANSI 372 (0.25% or less maximum weighted average lead content). Vlega LLC, 12303 Airport Way, Ste. 395 • Broomfield, GO 80021 • Ph: 800-976.9813 • Fax: 800.976-9817 SM -PP 1116 (Ball Valves) 3ofW Submittal cm Package I Viega ProPress"' Ball Valves For TvDes K. Land M Hard Cower Tubloica in 1/211 to 2T_vriid v a nar Ti ilainx in 1/911 tat I IIA" ProPross Insertion Depth Chart I Tube Size 1.1 11/' 1. 1 1W, "I Read and understand all instructions for installing Illegal ProPress fittings, Failure to follow all instructions may result in extensive property damage, serious injury or cleaft 1. Cut copper tubing at right angles using displacement - type cutter or fine-toothed steel saw. 2. Remove burr from inside and outside of tubing to prevent cutting sealing element. 3. Check seal for correct fit. Do not use oils or lubricants. Use only Viega ProPress Shiny Black EPDM or Dull Black FKM sealing elements. Note: For applications requiring Viega ProPress with FKM sealing elements, remove the factory -Installed EPDM sealing element and replace with FKM sealing element, 4. Mark proper insertion depth as indicated by the Viega ProPress Insertion Depth Chart. Improper insertion depth may result in improper seal, 5. While turning slightly, slide ball valve onto tubing to the marked depth. Note: End of tubing must contact stop. 6. Insert appropriate Viega jaw into the pressing tool and push in, holding pin until it locks in place, 7. Open the jaw and place at right angles on the valve. Visually check insertion depth using mark on tubing. 8. Start pressing process and hold the trigger until the jaw as engaged the valve. 9. After pressing, the jaw can be opened again. Note: Only ball valves marked with NSF -610 are allowed for use in potable water systems. Leak Testing with Smart Connece- Unpressed connections are located by pressurizing the system with air or water. When testing with water the proper pressure range is 15 psi to 85 psi maximum. Leak testing with air can be dangerous at high pressures. When testing with compressed air the proper pressure range is 1/2 psi to 45 psi maximum. Following a successful leak test, the system may be pressure tested tip to 200 psi with air, or up to 600 psi with water, if required by local code requirements or project specifications, Vlega LLL, 12303 Airport Way, Ste. 395 - Broomfield, CO 80021 ® lsh: 800-976-9819 % Fax; 800-976-9817 SM -PP 1116 (Ball Valves) is Of 16 fill 6 7 ProPross Insertion Depth Chart I Tube Size 1.1 11/' 1. 1 1W, "I Read and understand all instructions for installing Illegal ProPress fittings, Failure to follow all instructions may result in extensive property damage, serious injury or cleaft 1. Cut copper tubing at right angles using displacement - type cutter or fine-toothed steel saw. 2. Remove burr from inside and outside of tubing to prevent cutting sealing element. 3. Check seal for correct fit. Do not use oils or lubricants. Use only Viega ProPress Shiny Black EPDM or Dull Black FKM sealing elements. Note: For applications requiring Viega ProPress with FKM sealing elements, remove the factory -Installed EPDM sealing element and replace with FKM sealing element, 4. Mark proper insertion depth as indicated by the Viega ProPress Insertion Depth Chart. Improper insertion depth may result in improper seal, 5. While turning slightly, slide ball valve onto tubing to the marked depth. Note: End of tubing must contact stop. 6. Insert appropriate Viega jaw into the pressing tool and push in, holding pin until it locks in place, 7. Open the jaw and place at right angles on the valve. Visually check insertion depth using mark on tubing. 8. Start pressing process and hold the trigger until the jaw as engaged the valve. 9. After pressing, the jaw can be opened again. Note: Only ball valves marked with NSF -610 are allowed for use in potable water systems. Leak Testing with Smart Connece- Unpressed connections are located by pressurizing the system with air or water. When testing with water the proper pressure range is 15 psi to 85 psi maximum. Leak testing with air can be dangerous at high pressures. When testing with compressed air the proper pressure range is 1/2 psi to 45 psi maximum. Following a successful leak test, the system may be pressure tested tip to 200 psi with air, or up to 600 psi with water, if required by local code requirements or project specifications, Vlega LLL, 12303 Airport Way, Ste. 395 - Broomfield, CO 80021 ® lsh: 800-976-9819 % Fax; 800-976-9817 SM -PP 1116 (Ball Valves) is Of 16 Certificate Number Report Reference Issue bats 20160323-EX6157 EX6157-20021021 2016 -MARCH -23 Issued to: k 100 N BROADwAY.sulTE 600 WICHITA KS 67202 This is to certify that FITnNGS, RUBBER GASKETED representative samples of ProPress Fittings, 2, 2-112, 3 and 4 in. sizes Zero Lead ProPress Fittings in the 2 in. Size Have been investigated by UL in accordance with the Standard(s) indicated on this Certificate. Standard(s) for safety. UL 213, Rubber Gasketed Fittings for Fire -Protection Service ULC/OPD-C213, Rubber Gasketed Fittings for Fire Protection Service Additional information: See the UL Online Certifications Directory at www.ul.com(databasefor additional information Only those products bearing the UL Certification Mark should be considered as being covered by UL's Certification and Follow -Up Service. Look for the UL Certification Mark on the product. Bn�en M.d�ronli d; pinnnrNOMAmerlavn Cerygyi�on f'mLmm ULM. wn otala lUL (bcumwRtlun ivvefvinp VL AMrk vervl nn rovJ gaMo1 VL LLO NV eram�eullrogzw llw��menl VL. Por GJJeNoga taeaetl aonV�ot eloael UL Cuatam¢rBaMaeRapreaentative at�(UJ/tllromrnnp nullloceHo tl Page 1 of i TISBYDE-01 PNEARHOE 144:711l o CERTIFICATE OF LIABILITY INSURANCE �-"�� D06113/2ATE Y7 06/1312017 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Llceri OC88587 ACT RMT CDS Insurance Services 2001 E. Financial Way, Suite 200 Glendora, CA 91741 PHONE : (626) 610.9500 A/c, FAX (AIC, Na, Ext): Ne):(626) 610-9299 AD%J INSURERS AFFORDING COVERAGE NAIC N X INSURER A: Financial Pacific Insurance Co 31453 88316542 INSURED INSURER B: ONTO Security Ins Co 24082 T I's by Design 3595 Cadillac Avenue INSURER C: National Liability & Fire Company 20052 DAMAGE TO RENTED urrencs 100,000 PREMISES (Ea Suite 103 INSURER D: INSURER E: Costa Mesa, CA 92626 INSURER F COVERAGES CFRTIFICATF NHMRFR• RFVI6InN 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDLSUBR INSD MD POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X X 88316542 03/12/2017 03/12/2018 EACH OCCURRENCE $ 1'606'006 DAMAGE TO RENTED urrencs 100,000 PREMISES (Ea MED EXP (Any oneperson) 5,000 PERSONAL &ADV INJURY 1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY [_] UER8T 7 LOC GENERAL AGGREGATE 2,006,000 GEN'L X PRODUCTS - COMP/OP AGO $ 2,000,000 OTHER: B AUTOMOBILE LIABILITY CEOMBINED SINGLE LIMIT andIdent)$ 1,000,000 BODILY INJURY P.,person) $ X ANY AUTO BAS (17) 57668974 12/01120161210112017 OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ ROPERTV AMAGE Per accident $ X HR X NON -OWNED MRS S ONLY AUTOS ONLY UMBRELLA LIAR OCCUR EACH OCCURRENCE AGGREGATE EXCESS LIAB CLAIMS -MADE OED RETENTION$ O AND EMPLOYERSELIABILIITY ANYPROPRIETOR/PARTNERIEXECUTIVE YIN �MatlaR/ME NHR EXCLUDED? If yes, describe under DESCRIPTION OF OPERATIONS below N/A V9WC857904 06105/2017 06/05/2016 X STATUTE OTH- E.L. EACH ACCIDENT 11000,000 E.L. DISEASE - EA EMPLOYE 1,96D,DDD E.L. DISEASE - POLICY LIMIT 1,000,000 O ESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is requ /red) All endorsements apply as per written contract. City of Santa Ana, its Officers, Agents and Employee arelis named as additional Insured as respects General Liability if required by written contract per attached endorsement(s) CG 20 1OR 12 11. Should any of the above described policies be cancelled or reduced prior to the expiration date thereof, the issuing insurer and/or agent will endeavour to mail 30 days written notice to the Certificate Holder, but failure to do so shall impose no ligation or Iiabil'ty of any kind upon the insurer, its agents or representatives. � O 0 CERTIFICATE HOLDER CANCELLATION y ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana its Officers, Agents and Employee 20 Civic Center Dr, THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE >� ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD UEM POLICY NUMBER] 85315542 03-12-2017 CG 20 10R12 11 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS (WITH LIMITED COMPLETED OPERATIONS COVERAGE) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART BUSINESSOWNERS COVERAGE FORM SCHEDULE NAME OF PERSON OR ORGANIZATION Any person or organization to whom or to which the named insured is obligated by a virtue of a written contract to provide insurance that is afrorded by this policy. Wnere required by contract, the officers, officials,, employees, directors, subsidiaries, partners, successors, parents:, divisions, architects, surveyors and engineers are included as additional insureds. All other entities, including but not limited to agents, volunteers, servants, members and partnerships are included as additional insureds; if required by contract, only when acting within the course and scope of their duties controlled and supervised by the primary (first) additional insured. If an Owner Controlled Insurance Program is involved; the coverage applies to off- site operations only. If the purpose of this endorsement is for bid purposes only, then no coverage applies. WHO IS AN INSURED: (Section Il) This section is amended to include as an insured the person or organization within the scope of the qualifying language above, but only to the extent that the person or organization is held liable for your acts or omissions in the course of "your work" for that person or organicatiu i by ur ror you. The "products - completed operations hazard" portion of the policy coverage as respects the additional insured does not apply to any work involving or related to properties intended for residential or habitational occupancy (other than apartments). This clause does not affect the "products - completed operations` coverage provided to the named insured(s). WAIVER OF SURROGATION the qualifying language above because of payments we make for injury. LOCATION OF JOB: Tne job location must be within the state or domicile of the named insured, or within any contiguous State thereto. DESCRIPTION OF WORK: The type of work performed must be that as described under classifications in the CGL Coverage Part Declarations, PRIMARY CLAUSE': When this endorsement applies and when required by written contract, such insurance as Is afforded by the general liability policy is primary Insurance and other Insurance shall be excess and shall not contribute to the insurance afforded by this endorsement. EXCLUSION This insurance provided to the additional insured does not apply to "bodily injury"; "property damage" or "personal and advertising injury" arisiny out or all erchiLect's, enyineer5 ur surveyor's rendering or failure to render any professional services, including: 1. The preparing, approving, or failing to prepare or approve, maps, designs, shop drawings, opinions, reports, surveys, field orders, change orders, or drawings and speclrlcatlons; and 2. Supervisory, inspection, architectural or engineering activities. We waive any right of recovery, when required Endorsement EFFECTIVE DATE: SEE DEC by written contract, that we may have against the person or organization within the scope of Endorsement EXPIRATION DATE: SEE DEC CG 20 101112 11 Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission 1308 POLICY NUMBER: 88316542 03-12-2017 CG 20 1OR 12 11 THIS ENDORSEMENT CHANGES THE POLICY.. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED- OWNERS, LESSEES OR CONTRACTORS (WITH LIMITED COMPLETED OPERATIONS COVERAGE) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL. LIABILITY COVERAGE PART BUSINESSOWNERS COVERAGE FORM NAME OF PERSON OR ORGANIZATION Any person or organization to whom or to which the named insured is obligated by a virtue of a written contract to provide insurance that is afforded by this pollCy. Where required by contract, the officers; officials, employees, directors, subsidiaries, partners, successors, parents, divisions, architects, survpyors and engineers are included as additional insureds. All other entities, including but not limited to agents, volunteers, servants, members and partnerships are included as additional Insureds; if required by contract, only when acting within the course and scope of their duties controlled and supervised by the primary (first) additional insured, if an Owner Controlled Insurance Program Is involved, the coverage applies to off- site operations only, If the purpose of this endorsement is for bid purposes only, then no coverage applies. WHO IS AN INSURED: (Section It) This section is amended to include as an insured the person or organization within the scope of the qualifying language above, but only to the extent that the person or organization is held liable for your acts or omissions in the course of "your work" for that person or uiganizaliun by ur fur yuu. The "pruducrs- compieted operations hazard" portion of the policy coverage as respects the additional insured does not apply to any work involving or related to properties intended for residential or habitational occupancy (other than apartments). This clause does not affect the "products - completed operations" coverage provided to the named insureds). WAIVER OF SURROGATION: We waive any right of recovery, when required by written contract, that we may have against the person or organization within the scope of CG 20101111.211 the qualifying language above because of payments we make for injury. LOCATION OF JOB: The Job location must be wilnin the state of domicile of the named insured; or within any contiguous State thereto. DESCRIPTION OF WORK: The type of work performed must be that as described under classifications in the CGL Coverage Part Declarations. PRIMARY CLAUSE:. When this endorsement applies and when required by written contract, such insurance as is afforded by the general liability policy is primary insurance and other insurance shall be excess and shall not contribute to the insurance afforded by this endorsement. EXCLUSION This insurance provided to the additional insured does not apply to "bodily injury', ".property damage" or "personal and advertising injury" arising out or an aiu-hiiect's, engineer's ur surveyor's rendering or failure to render any professional services, including: t. The preparing, approving, or failing to prepare or approve, maps, designs, shop drawings, opinions; reports,. surveys, field orders, change orders, or drawings and specricatlons. and 2. Supervisory, inspection, architectural or engineering activities. Endorsement EFFECTIVE DATE: SEE DEC Endorsement EXPIRATION DATE: SEE DEC Includes copyrighted material of Insurance Services Office, Inc., wfth its permission Page 1 of 1