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HCI Systems, Inc. - 2021-02-15
RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerks Office Nare� after signing/dating Da, am? CITY OF HUNTINGTON BEACH Z INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: �7r t .77 76e l SUBJECT: Bond Acceptance I have received the bonds for PrT- 7'L47' n"kS. // c . ( y NAM) CAPITAL PROJECTS (Includes CC's and MSC's)Performance Bond No. W�A15 /ri UC: 11 Payment Bond (Labor and Materials) Bond No. wel Warranty or Maintenance Bond No. TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. Approved (Cmlial Approval Date) CC No. Agenda Item No. MSC No. City Clerk Vault No. Other No. ?"'r46" )� SIRE System ID No. FEE) gAormsibond transmittal to treasure SERVICE AGREEMENT BETWEEN THE CITY OF HUNTINGTON BEACH AND HCI Systems Inc. FOR Civic Center Fire Alarm Panel Replacement THIS AGREEMENT ("Agreement') is made and entered into by and between the City of Huntington Beach a municipal corporation of the State of California, hereinafter called "City," and HCI Systems Inc._, a California comoration hereinafter referred to as "Contractor." Recitals A. The City desires to retain a Contractor having special skill and knowledge in the field of building fire alarm system installation. B. Contractor represents that Contractor is able and willing to provide such services to the City. 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 comparable company or firm in the field. Contractor has been selected to perform these services pursuant to Huntington Beach Municipal Code Chapter 3.02, NOW, THEREFORE, it is agreed by City and Contractor as follows: 1. Scope of Services Contractor shall provide all services as described in Exhibit A which is attached hereto and incorporated into this Agreement by this reference. These services shall sometimes hereinafter be referred to as the "Project." Contractor hereby designates Allen Kandel who shall represent it and be its sole contact and agent in all consultations with City during the performance of this Agreement. 2. City Staff Assistance City shall assign a staff coordinator to work directly with Contractor in the performance of this Agreement. 3. Compensation a. City agrees to pay, and Contractor 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 Page i of 9 2016 Agreement, shall not exceed $ 138,138.00 during the term of this Agreement. b. Payment by City shall be made within thirty (30) 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. 4. Term Time is of the essence of this Agreement. The services of Contractor are to continence 2/15/2021 or as soon as practicable after the execution of this Agreement by City (the "Commencement Date") and terminate 12/1/2021 , unless terminated earlier in accordance with the provisions of this Agreement. All tasks specified in Exhibit "A" shall be completed as described. This schedule and Term may be amended to benefit the Project if mutually agreed to in writing by City and Contractor. In the event the Commencement Date precedes the Effective Date, Contractor shall be bound by all terms and conditions as provided herein. 5. Extra Work In the event City requires additional services not included in Exhibit "A" or changes in the scope of services described in Exhibit "A," Contractor will undertake such work only after receiving written authorization from City. Additional compensation for such extra work shall be allowed only if the prior written approval of City is obtained. 6. Bonds Only bonds issued by California admitted sureties will be accepted. CONTRACTOR shall, prior to its performance of this Agreement, furnish the following two (2) bonds approved by the City Attorney: One in the amount of one hundred percent (100%) of the contract price to guarantee the CONTRACTOR's faithful performance of the work, and one in the amount of one hundred percent of the contract price to guarantee payment of all claims for labor and materials furnished. In addition, CONTRACTOR shall submit to CITY a bond in the amount of one hundred percent (100%) of the final contract price, including all change orders, to warrant such performance for a period of one (I) year after CITY's acceptance thereof within ten (10) days of filing of the Notice of Completion. 7. Disposition of Plans, Estimates and Other Documents Contractor agrees that title to all materials prepared hereunder, including, without limitation, all original drawings, designs, reports, both field and office notices, calculations computer code, language, data or programs, maps, memoranda, letters and other documents, shall belong to City, and Contractor shall turn these materials over to City upon expiration or termination of this Agreement or upon Project completion, whichever shall occur first. These materials may be used by City as it sees fit. Page 2 of 9 2016 8. Hold Harmless Contractor hereby agrees to protect, defend, indemnity and hold harmless City, its officers. elected or appointed officials, employees, agents, and volunteers from and against any and all, claims, damages, losses, expenses, judgments, demands and defense costs, and consequential damage or liability of any kind or nature, however caused, including those resulting from death or injury to Contractor's employees and damage to Contractor's property, arising directly or indirectly out of the obligations or operations herein undertaken by Contractor, caused in whole or in part by any negligent act or omission of the Contractor, any subcontractors, anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable, including but not limited to concurrent active or passive negligence, except where caused by the active negligence, sole negligence, or willful misconduct of the City. Contractor will conduct all defense at its sole cost and expense and City shall approve selection of Contractor's counsel. This indemnity shall apply to all claims and liability regardless of whether any insurance policies are applicable. The policy limits do not act as a limitation upon the amount of indemnification to be provided by Contractor. 9. Workers Compensation Insurance Pursuant to Califbria Labor Code Section 1861, Contractor acknowledges awareness of Section 3700 et seq. of this Code, which requires every employer to be insured against liability for workers' compensation: Contractor covenants that it will comply with such provisions prior to commencing performance of the work hereunder. Contractor shall obtain and fumish to City workers' compensation and employer's liability insurance in an amount of not less than the State statutory limits. Contractor shall require all subcontractors to provide such workers' compensation and employer's liability insurance for all of the subcontractors' employees. Contractor shall furnish to City a certificate of waiver of subrogation under the terms of the workers' compensation and employer's liability insurance and Contractor shall similarly require all subcontractors to waive subrogation. 10. General Liability Insurance In addition to the workers' compensation and employer's liability insurance and Contractor's covenant to defend, hold harmless and indemnity City, Contractor shall obtain and furnish to City, a policy of general public liability insurance, including motor vehicle coverage covering the Project/Service. This policy shall indemnify Contractor, its officers, employees and agents while acting within the scope of their duties, against any and all claims arising out or in connection with the Project/Service, and shall provide coverage in not less than the following amount: combined single limit bodily injury and property damage, including products/completed operations liability and blanket contractual liability, of One Million Dollars ($1,000,000) per occurrence. If coverage is provided under a form which includes a designated general aggregate limit, the aggregate limit must be no less than One Million Dollars (SI,000,000) for this Project/Service. This policy shall name City, its officers, elected or appointed officials. employees, agents, and volunteers as Additional Insureds, and shall specifically provide that any other insurance coverage which may be applicable Page 3 of 9 2016 to the Project/Service shall be deemed excess coverage and that Contractor's insurance shall be primary. Under no circumstances shall said above-mentioned insurance contain a self-insured retention, or a "deductible" or any other similar form of limitation on the required coverage. 11. Automobile Liability Insurance Contractor shall obtain and furnish to City an automotive liability insurance policy covering the work performed by it hereunder. This policy shall provide coverage for Contractor's automotive liability in an amount not less than One Million Dollars ($1,000,000.00) per occurrence and a separate "Additional Insured Endorsement" page listing both the policy number and naming the "Ciq, of Huntington Beach, its officers, elected or appointed officials, employees, agents and volunteers" as additional insured on the endorsement. The above-mentioned insurance shall not contain a self-insured retention, "deductible" or any other similar form of limitation on the required coverage except with the express written consent of City. 12. Certificate of Insurance Prior to commencing performance of the work hereunder, Contractor shall furnish to City a certificate of insurance subject to approval of the City Attorney evidencing the foregoing insurance coverage as required by this Agreement; the certificate shall: a. provide the name and policy number of each carrier and policy; b. state that the policy is currently in force; and c. promise that such policy shall not be suspended, voided or canceled by either party, reduced in coverage or in limits except after thirty (30) days' prior written notice; however, ten (10) days' prior written notice in the event of cancellation for nonpayment of premium. Contractor shall maintain the foregoing insurance coverage in force until the work under this Agreement is fully completed and accepted by City. The requirement for carrying the foregoing insurance coverage shall not derogate from Contractor's defense, hold harmless and indemnification obligations as set forth in this Agreement. City or its representative shall at all times have the right to demand the original or a copy of the Policy of insurance. Contractor shall pay, in a prompt and timely manner, the premiums on the insurance hereinaboverequired. 13. Independent Contractor Contractor is, and shall be, acting at all times in the performance of this Agreement as an independent contractor herein and not as an employee of City. Contractor shall secure at its own cost and expense, and be responsible for any and all payment of all taxes, social security, state disability insurance compensation, unemployment compensation and other payroll deductions for Contractor and its officers, agents and employees and all business licenses, if any, in connection with the Project and/or the services to be performed hereunder. Page 4 of 9 1016 14. Conflict of Interest Contractor 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. 15. 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 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. 16. Exclusivity and Amendment This Agreement represents the complete and exclusive statement between the City and Contractor, 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 [eons 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. 17. 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 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 Contractors retained by City. 18. City Emplovees and Officials Contractor shall employ no City official nor any regular City employee in the work performed pursuant to this Agreement. No officer or employee of City shall have any financial Page 5 of 9 20M interest in this Agreement in violation of the applicable provisions of the California Government Code. 19. Notices Any notices, certificates, or other communications hereunder shall be given either by personal delivery to Contractor's agent (as designated in Section 1 hereinabove) or to City as the situation shall warrant, or by enclosing the same in a sealed envelope, postage prepaid, and depositing the same in the United States Postal Service, to the addresses below. City and Contractor may designate different addresses to which subsequent notices, certificates or other communications will be sent by notifying the other party via personal delivery, a reputable overnight carrier or U.S. certified U.S. certified mail-return receipt requested: To City: To Contractor: City of Huntington Beach Allen Kandel Attn: John Martin 1731 Reynolds Ave, 2000 Main Street Irvine, CA 92614 Huntington Beach, CA 92648 20. Consent When Citv's consent/approval is required under this Agreement, its consent/approval fir one transaction or event shall not be deemed to be a consent/approval to any subsequent occurrence of the same or any other transactions or event. 21. Modification No waiver or modification of any language in this Agreement shall be valid unless in writing and duly executed by both parties. 22. Section Headings The titles, captions, section, paragraph and subject headings, and descriptive phrases at the beginning of the various sections in this Agreement are merely descriptive and are included solely for convenience of reference only and are not representative of matters included or excluded from such provisions, and do not interpret, define, limit or describe, or construe the intent of the parties or affect the construction or interpretation of any provision of this Agreement. 23. Interpretation of this Agreement The language of all parts of this Agreement shall in all cases be construed as a whole, according to its fair meaning, and not strictly for or against any of the parties. If any provision of this Agreement is held by an arbitrator or court of competent jurisdiction to be unenforceable, void, illegal or invalid, such holding shall not invalidate or affect the remaining covenants and provisions of this Agreement. No covenant or provision shall be deemed dependent upon any other unless so Page 6 of 9 2016 expressly provided here. As used in this Agreement, the masculine or neuter gender and singular or plural number shall be deemed to include the other whenever the context so indicates or requires. Nothing contained herein shall be construed so as to require the commission of any act contrary to law, and wherever there is any conflict between any provision contained herein and any present or future statute, law, ordinance or regulation contrary to which the parties have no right to contract, then the latter shall prevail, and the provision of this Agreement which is hereby affected shall be curtailed and limited only to the extent necessary to bring it within the requirements of the law. 24. Duplicate Original The original of this Agreement and one or more copies hereto have been prepared and signed in counterparts as duplicate originals, each of which so executed shall, irrespective of' the date of its execution and delivery, be deemed an original. Each duplicate original shall be deemed an original instrument as against any party who has signed it. 25. Immigration Contractor shall be responsible for full compliance with the immigration and naturalization laws of the United States and shall, in particular, comply with the provisions of the United States Code regarding employment verification. 26. Legal Services Subcontracting Prohibited Contractor and City agree that City is not liable for payment of any subcontractor work involving legal services, and that such legal services are expressly outside the scope of services contemplated hereunder. Contractor understands that pursuant to Huntington Beach City Charter Section 309. the City Attorney is the exclusive legal counsel for City; and City shall not be liable for payment of any legal services expenses incurred by Contractor. 27. Confidentialih• Contractor recognizes that in the performance of its duties under this Agreement, it must conduct its activities in a manner designed to protect information of a sensitive nature from improper use or disclosure. Contractor warrants that it will use reasonable efforts consistent with practices customary in the facilities management industry in recruiting, training and supervising employees and in otherwise performing its duties hereunder in order to achieve this result. In the furtherance of this, Contractor agrees, at the request of the City, to require its employees to execute written undertakings to comply with the foregoing confidentiality provision. 28. Discrimination Contractor 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. Contractor affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. Paec 7 of 9 2016 29. Jurisdiction - Venue This Agreement and all questions relating to its validity, interpretation, performance, and enforcement shall be government and construed in accordance with the laws of the State of California. 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. 30. Professional Licenses Contractor 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 Huntington Beach and all other governmental agencies. Contractor shall notify the City immediately and in writing of her inability to obtain or maintain such permits, licenses. approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. 31. AttorneV's Fees In the event suit is brought by either party to construe, interpret and/or enforce the terms and/or provisions of this Agreement or to secure the performance hereof, each party shall bear its own attorney's fees, such that the prevailing party shall not be entitled to recover its attorney's fees from the nonprevailing party. 32. Survival Terms and conditions of this Agreement, which by their sense and context survive the expiration or termination of this Agreement, shall so survive. 33. Governing Law This Agreement shall be governed and construed in accordance with the laws of the State of California. 34. Signatories 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 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. 35. Entirety (a) The parties acknowledge and agree that they are entering into this Agreement freely and voluntarily following extensive arm's length negotiation, and that each has had the opportunity to consult with legal counsel prior to executing this Agreement. The parties also rage 8 of 2016 acknowledge and agree that no representations, inducements, promises, agreements or warranties, oral or otherwise, have been made by that party or anyone acting on that parry's behalf, which are not embodied in this Agreement, and that that party has not executed this Agreement in reliance on any representation, inducement, promise, agreement warranty, fact or circumstance not expressly set forth in this Agreement. (b) All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. 36. Effective Date IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by and through their authorized officers. This Agreement shall be effective on the date of its approval by the City Manager. This Agreement shall expire when terminated as provided herein. CONTRACTOR: �iC t Stt � YtC CITY OF HUNTINGTON BEACH, a municipal corporation of the State of By California �`t111U V tt11t1 INITIATED AND APP print name ITS: (circle one)Chairrn Presider ice President AND Sean Crumbyy P.E. Public Works Director By: 0onu APPROVED AS TO FORM: print name ITS:Leircle one SccretaryNice-Presiden hie 1 inancral Ofli /Asst. Secretary-Treasurer City Attorney Attorney VIEWED AND APPROVED: D-- — City Manager RECEIVED: 4qAt, q4f444d l� _ City Clerk 412.212 Page 9 of 9 2016 EXHIBIT " A" Ontario• Pasadena a San Diego• Irvine a Fresno• Sacramento• Hayward s"alem+ Inc. Tekphale:49771331-2084 Fax:(909)629-7774 n1RM 1000000044 CA Cowrn for Uc: 90549J Project: City of HB Civic Center & PD Fire Panel Upgrade 2000 Main St Huntington Beach, CA. 92648 PROPOSAL FOR FIRE ALARM SYSTEM REV2 CUSTOMER City of Huntington Beach Public Works Department John Martin 2000 Main St. / PO Box 190 Huntington Beach, CA. 92648 714-715-9210 john.martin@surfcity-hb.org January 11, 2021 Allen Kandel akandel:a hosysium net Direct: 949-933-1356 Office: 909-628-7773 Page 1 of 5 Ontario• Pasadena a San Diego• Irvine• Fresno• Sacramento• Hayward (�� tit,lrma lu. Telephmc:(877)331.2084 reR:19091629-7774 D1Ra 1000000046 CA Coerrartor Lle:903193 Project: City of HB Civic Center & PD Fire Panel Upgrade 2000 Main St Huntington Beach, CA. 92648 Date: January 11, 2021 FIRE ALARM PROPOSAL HCI proposes to install a complete systcm(s)as described below. This proposal is based on: JOB WALK ONLY SCOPE OF WORK GENERAL INCLUSIONS HCI has included an extended warranty as part of this project as follows;one(1)year parts and labor and an additional four(4) years pans for a total of five(5)years on any new equipment installed. This warranty will require that no other FLS contractor adds, deletes, removes or relocates any device tied to the system in order for this warranty to stay valid. Ibis proposal Includes Prevailing Wage labor rates per spectttcauon. HCI will not sign any PLA or PSA labor sor"rnrntt. Applicable taxes and freight. This proposal is valid for(90)days from the date of this proposal. Engineered drawings are provided only if expressly listed below. AutoCAD backgrounds must be provided by Customer. Data submittals will be provided 4-5 weeks after this proposal is executed by Customer. GENERAL EXCLUSIONS No work shall commence until Customer signs this proposal indicating acceptance of terms. Any and all Painting,patching, access hatches, fire or sound caulking, fire stopping unless specifically listed below. 120VAC power, fire-rated backboards, trenching,backfill,outdoor or underground raceway, fire caulking,penetrations through rated-structure, X-ray or sonar of slabs or coring. Any possible penetration of the roof is excluded and to be provided by others. (This would exist if there is no spare conduilt to be used). Any and all asbestos containment and/or abatement. Any and all existing alarms, supervisory,and troubles on existing panel(s). (It is assumed that any existing panels that will be added to, shall be clear of all. If panel is not clear at time of additions, HCI takes no responsibility to fix existing conditions unless and until Customer issues a change order with the extra costs necesssary to clear the panel(s).) HCI will not be replaceing or adding any visual alarms in this project. All existing to remain. FIRE ALARM SCOPE OF WORK HCI proposes to furnish and install the fire alarm system using the existing conduit, wire and boxes for the all the devices listed below for the fire life safety system. HCI will remove the existing fire alarm panel in the PD and provide the same functions they currently have on the new EST4 panel. A LCD annuicator will replace the existing one in the command center of the PD for acknowleding and silenecing of the devices in the PD building. HCI will provide and install twenty five(25)new smoke detectors and four(4)heat detectors in the basement of the PD. Page 2 of 5 nciOntario a Pasadena a, San Diego a Irvine a Fresno is Sacramento a Hayward ��1�� �v•tems In. Tekphone:(877)331-2Da4 Fax (9t19)629.7714 111Rk 1000000044 CA Catrramr Lie:905493 Project: City of HB Civic Center & PD Fire Panel Upgrade 2000 Main St Huntington Beach, CA. 92648 This proposal will be a one to one replacement of all intiating devices and panels as decribed below using new EST4 UL listed devices per the scope of work provided by the City of Huntinngton Beach. All existing wiring and conduit to remain and be reused. Upgrade to existing wiring and conduit is excluded. All device counts are provided by the survey and lists provided by the City of Huntington Beach. This proposal includes plan check,permit and inspection. Permit fees have been eliminated as the City of HB will have these waived. HCI shall famish installation drawings and submittals to the contractor for approval after this proposal is executed by Customer. This proposal includes a Cellular dialer(DACT) for connection to a 24 hour off-site monitoring facility. Programming shall be provided at an additional cost if the owner selects to utilize a monitoring service other than that provided by HCI- HCI will provide a separate monitoring agreement. This proposal excludes magnetic door holders and magnetic door holder power. Magnetic door holder release modules arc included. This proposal excludes sprinkler waterflow and tamper switches and adjustment of these switches. Sprinkler Monitor Modules are included. Duct detectors will he furnished by HCI Systems as pan of the fire alarm system Duct detector housings shall be mounted by Mechanical Contractor. If units are exposed to weather a suitable NEMA-311 enclosure shall be furnished by others. This proposal includes required relays for shutdown of mechanical equipment. Final termination to mechanical equipment shall be provided by others. The following is a list of system components to be furnished by HCI based on the bid documents and the items listed above: QM. OCSCRIPTION 1 FIRE ALARM CONTROL PANEL WIBATTERIES(EST4)a TWO NODE PANELS 2 REMOTE ANNUNCIATORS(4-LCD) 1 GRAPHIC ANNUNCIATOR 1 PRINTER. 120VAC 1 DIALER MODULE.POTS DUAL-LINE 1 CELLULAR DIALER 12 10-AMP 24VDC ADAIAUX POWER SUPPLY WIBATTERIES 1 LED STROBE. MULTI-CANDELA WHITE 43 MANUAL PULL STATION. INTELLIGENT DOUBLE-ACTION 35 MULTI-CRITERIA SMOKE DETECTOR 0 HEAT DETECTOR HEAD. 135/ROR INTELLIGENT 35 SMOKEJHEATtCO DETECTOR BASE.INTELLIGENT 13 DUCT DETECTOR. INTELLIGENT 13 DUCT DETECTOR SAMPLE TUBE, 120' 30 MONITOR MODULE, SINGLE POINT 4 MONITOR MODULE.DUAL POINT 26 SIGNAL SYNC MODULE(POWER SUPPLY) 10 SIGNAL SYNC MODULE(ADA ROOM STROBE CONTROL) 15 CONTROL RELAY-AUXILIARY FUNCTIONS 20 FIREMAN'S TELEPHONE JACK 6 FIREMAJTS TELEPHONE HANDSET Page 3 of 5 (Ono. Ontario a Pasadena a San Diego a Irvine a Fresno a Sacramento a Hayward Sys le ins Inc. rdephone(977)331-2084 Fan:49091628-7774 DIRK toonsmf CA Contractor LJce 905493 Project: City of HB Civic Center & PD Fire Panel Upgrade 2000 Main St Huntington Beach,CA. 92648 1 FIREMAN'S TELEPHONE ENCLOSURE(HOLDS 5) 15 INTERFACE RELAY. 10AMP RATING SPDT 120VAC COIL 1 DOCUMENTSTORAGE LOT INSTALLATION DRAWINGS d SUBMITTALS LOT PLANCHECK&PERMIT LOT CUSTOMER TRAINING FIRE ALARM W/PLAN CHECK FEES: $ 138.138.00 Alternate Nl Is Provide and Install Smoke Detectors in the PD Basement 4 Provide and Install Heat detectors in the PD Basement ADD: S 11,750.00 General conditions and Clarifications Payments are due within 30 days after submission of an invoice. Overdue payments shall bear interest at the rate of 1.5%per month from the date on which payment is due until paid. If any arbitration or action at law or equitv shall be brought on account of this Agreement or to enforce or interpret any of its provisions,the presailmg party shall be entitled to recover from the other party its actual anomevs'fees.which shall be made a pan of any award or judgment rendered. This proposal is hissed on the published project schedule at bid time Anv changes or delays to the project schedule not withm HCI's control will he subject to additional charges In order to proceed with design.HCI trust hale a hard copy of all rcict ant current contract drawings and specifications CAD files for contract drawings arc not acceptable If applicable,HCI shall make esery reasonable attempt to obtain a ti is IN plan check However. HCI is In rim way responsible for any delays whalsoc%cr due to plan check officials or procedures The liability for any work requested by Customer to be perforned.prior to HCI obtaining plan check approval.shall be the sole responsibility of Customer company requesting said work Such requests must be made in writing. This proposal includes electronic copies In PDF of submittals and drawings only.unless otherwise specified in specifications. If Customer requires hardcopy of drawings it shall be subject to additional cost Any changes to the project bevtwW the bid documents for am reason whatsoever outside of 1-1171's control,whether caused by Owner revisions or construction modifications,arc subject to Change Order Access to am raceway,conduit,junction box or dcsice that cannot be safely reached from a 12 foot ladder shall be furnished by others This includes throughout Installation,testing and the contract warrants period. Podmm type ladders arc excluded HCI requires a reasonable amount of time min pretest the entire system including interface with other trades. Failure of other trades to complete thetr work m a timely manner which causes HCI to incur additional expenses to meet the construction schedule will be subIec1 to additional charges. All work(installation,testing and inspections)shall be scheduled during regular business hours only. Any work or inspections scheduled outside regular business hours will be subject to additional charges. HCl will be responsible fix scheduling syslem related inspections. System inspections scheduled by others.resulting in additional cost to HCI,shall be subject to additional charges HL I shall have the right to terminate this Agreement for any reason,Ann or without cause,and at any time upon presiding a 3U-days written notice to Customer. In such esenL HCI shall provide a credit It Customer for work not performed and such credit shall he the sole and exclusne remedy to VuUnrnrr By issuing a contract to HCI to perform the work proposed herein.Customer hereby agrees that this proposal and all items contained within is made pan of and incorporated in said contract issued for the performance of this work Page 4 of 5 fictOntario a Pasadena a San Diego a Irvine a Fresno a Sacramento a Hayward L,41W s. .t. m, Ini . Tdtyhune(977,111-204 F.x i9(Nih2x="4 AIRa 1000000046 CA Cowrnrtwr Lie: 905195 Project: City of HB Civic Center & PD Fire Panel Upgrade 2000 Main St Huntington Beach, CA. 92648 This proposal is based on HCI's standard insurance coverage Any requests for additional coverage beyond HCI's standard limits shall be subject to additional charges unless specifically included above. Copies of HCPs standard insurance coverage are available upon request. .A bond is not provided for this project. If a bond is required by the Customer,it shall he requested by Customer in writing prior to the issuarsce of a contract. The additional cost of said bxmd shall be added to the price quoted herein HCI's current Hond Rate is I.I%. HCI will not accept am deduction or back charge without a valid reasonable written nonce to HCI HCI must provide written acceptance to the back charge or deduction If Customer requires special wording for Walser Of Subrogation Certificate,Customer shall request in writing such Certificate from HCl and Customer agrees to add and pay S3al to the proposed cost herein HCI will not be bound to any labor agreements unless HCI independently executes such agreements. The person executing this Agreement on behalf of Customer represents and warrants that they are authorized to do so by Customer to bind Customer it,all terms herein As a further inducement to HCI to enter into this Agreement.the person executing this Agreement agrees to guarantee the performance of Customer herein and to be personally liable for any payments not made by Customer The Parties ackmowicdge that tits Agreement is the result of gad faith negotiations between the Parties through their respective counsel Any statute or rule of cunstrucnon that any ambiguity is to be resolved against the Party that caused such an ambiguity shall not be employed in the interpretation or enforcement of this Agreement This Agreement may be executed in counterparts,each of which shall be deemed an original.and all of which taken together shall constitute one and the same mstrument. In addition,the Parties agree that facsimile and or electronic signatures shall be acceptable to evidence the Panics'assent to this Agreement and arc deeitied equivalem to original 'wet ink"signatures for all purposes under this Agreement Company: City of Huntington Beach Public Works Department Signature: Printed Name: Title: Datc: Respectfulli Submitted By: Alen Mandel Page 5 of 5 Bond No. WCN5940713 PERFORMANCE BOND KNOW ALL PERSONS BY THESE PRESENTS: WHEREAS, City of Huntington Beach(hereafter referred to as'City*) has, by written agreement dated February 15.2021, entered into a contract with HCI Systems, Inc. 1354 b Farkside Place Ontario CA 91761 (name and address of Contractor) (hereinafter referred to as*Principal*), for performance of the work described as follows: Civic Center Fire Alarm Panel Replacement (Project Title) WHEREAS, said contract, and all documents referenced therein (hereinafter collectively 'Contract'), are incorporated herein by this reference made a part hereof as though set forth herein in full;and Said Principal is required under the terms of the Contract to furnish a bond guaranteeing the prompt,full and faithful performance of said Contract, by a duly admitted surety insurer under the laws of the State of California(hereinafter referred to as'Surety); and Surety is certified and listed in the U.S. Department of the Treasury Circular 570, and has provided proof of sufficient bonding limitations as shown in said circular to provide bonds in the amount required by said Contract;and Surety has provided financial strength ratings from reputable companies, such as from A.M.Best,Moody s, or Standard 8 Poor's, to validate that Surety has positive ratings of being secure or Stable; and Surety is registered and listed with the California Department of Insurance, NOW, THEREFORE,we. the undersigned, as Principal,and Old Republic Surety Company 14728 Pipeline Avenue,Suite E,Chino Hills CA 91709 (name and address of Surety) as Surety, are held and firmly bound unto Ciby in the penal sum of One Hundred Thirtv Eight Thousand One Hundred'1'hirty Eight R 00/100 Dollars ($ 138,138.00 ),this amount being not less than one hundred percent of the price set forth in the Contract,in lawful money of the United States,for the payment of which sum,well and truly to be made, we bind ourselves, our heirs,executors, administrators and successors,jointly and severally,firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT if the Principal shall promptly,fully and faithfully perform each and all of the covenants,obligations and things to be done and performed by the Principal in strict accordance with the terms of the Contract as said contract may be altered,amended or modified from time to time;and if the Principal shall indemnity and save harmless Citv and all of City's officers, agents and employees (hereinafter collectively referred to as"Obligees')fromany and all losses, liability and damages, claims,judgments, stop notices,fees and costs of every description,whether imposed by law or in equity, which may be incurred by the Obligees by reason of the failure or default on the part of the Principal in the performance of any or all of the terms or the obligations of the Contract, including all alterations, amendments and modifications thereto, and any warranties or guarantees required thereunder, then this obligation shall be void; otherwise, it shall be and shall remain in full force and effect. Surely stipulates and agrees,for value received,that no adjustment of the time or price in the Contract of any alteration,change, deletion,addition or other modification to the Contract, or the work to be performed thereunder,shall in any way affect, limit, restrict,impair or release the obligations of the Surety under this Bond. Surety waives notice of any adjustment of contract or contract price,and any other alteration,change, deletion, addition or other modification to the Contract, or the work to be performed thereunder, and agrees 154;S4/117174 Bond ,;O.N\'CN5940713 to automatically adjust the penal sum of this Bond to reflect such adjustments, alteiations,changes, deletions, additions or other modifications. Surety agrees to provide written confirmation of such adjustments in the penal sum to City on not less than a quarterly basis. Surety also waives the provisions of Civil Code§§2845 and 2849. The obligations of this Bond shall survive the completion of the work described in the Contract as to all obligations and liabilities of the Principal which survive completion of the work. IN WITNESS WHEREOF, each party represents and warrants that this instrument has been duly executed by Principal and Surety, on the dale set forth below, that the name of each corporate party being affixed hereto is such party's proper legal name and that the individuals signing this instrument have been duly authorized pursuant to the authority of its governing body. Surety, by execution of this bond,waives any defense which Surety has or may have by reason of any failure of the Principal to execute or properly execute this bond. Dated: February 22,2021 ATTEST FICI Systems, Inc. (Corporate Seal) (Principal Name) By:— Name:�t RnpSL2xivz0.. t Title: L_Q,p . ATTEST Old Republic Surety Company (Corporate Seal) __ (Sanely Na77 Narne: Andrew SysvnAttorney-in-Fact (Signature of Attorney-in-Fact for Surety) (Attach Attorney-in Fact Certificate) t909 367-201 5 (Area Code 8 Telephone Number for Surety) APPROVED AS TO � By. /Michael E.Gates,City Attorney • Y I� t Note: This bond must be executed in duplicate and dated, all signatures must be notarized,and evidence of the authority of any person signing as adomay-in-fact must be artached. PERFORMANCE BOND Page 2 of 2 15-7584/117174 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 s�:e:�,er- ,r.Y:,scrn.:c�',crc.�.cacyerFra.rssr:�sh:.,cs'.E:.csrsrsscnersss A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness, accuracy, or validity of that document. State of California ) County of Jnrl )° .i1Nll1) dVi1" ) On :')ziII-;':I before me, tililfiitifi � D,7iV Lc t.1' r _L` Date Here Insert Name and Title of the Officer personally appeared ilI, ( L'% Name(sJ of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) 6,kafe subscribed to the within instrument and acknowledged to me that i1�lsy executed the same in Lhis!#er-4heir authorized capacity(ies), and that by hislherAheir signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. v [SASEL Cee^ER0 C 9 i,o,Iv,.b 223792e WITNESS my hand and official seal. 7,f GUSLIC UUFORNIA E,,.a,. Iz.eis� Signature_f ' Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑ Guardian or Conservator ❑Trustee ❑ Guardian or Conservator ❑ Other: CI Other: Signer Is Representing: Signer Is Representing: E4'YTO�.`G%T.&"SRPFC,Gee+.��4R+1��SL'�sZ"L:7�G'GLv.'C53,'C4 d0T�.G:+iC.':'G"riC+r�.4�FC'R'S3c 1'SRS�L"''Gw +F¢�CRI�s'+R`YL'�'L(SS:J.;'.. ©2016 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item 145907 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 s ,�vrec�.-r<vrv�r�eaicc�s5cuttss.C'�r:r.-a.�r-,-s�5a��;:car:�^acrc3',ccas,+r.-<.rre.�.er.rxr.,c�cs A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California ) County of Orange ) On 2/22/2021 before me, Nfaria Sin, Notary Public Date Here insert Name and Title of the Officer personally appeared Andrew Sasyn Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. ' oI'� MW'h1A 5Y5Y.4 Notary?ublic California WITNESS my hand and official seal. Orange County -= _M, Commission:2311715 My Comn.Expires Nov 7, 2021 ,r R:.•� ...;..�f �t :..1 Signature / FL Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑Corporate Officer — Title(s): ❑Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Partner — [] Limited ❑ General ❑ Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact Trustee ❑ Guardian or Conservator ❑Trustee ❑ Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Signer Is Representing: �c�:�:.cv�:Vczs�crcvzsec=r.=�za.=�ez�ec�-sr�arc�•�.st:�ecs�cJvz.^�>c.�= ©20i6 National Notary Association • www.NationalNotary.org - 1-800-US NOTARY(1-800-876-6827) Item #5907 * OLD REPUBLIC SURETY COMPANY *** POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS:That OLD REPUBLIC SURETY COMPANY, a Wisconsin stock insurance corporation,does make, constitute z^c appoint: Andrew Sysyn of San Juan Capistrano. CA its true and lawful Attorney(s)-in-Fact, with full power and authority for and on behalf of the company as surety, to execute and deliver and affix the seal of the company thereto (if a seal is required), bonds, undertakings, recognizances or other written obligations in the nature thereof (other than bail bonds, bank depository bonds, mortgage deficiency bonds, mortgage guaranty bonds, guarantees of installment paper and note guaranty bonds, self-insurance workers compensation bonds guaranteeing payment of benefits. asbestos abatement contract bonds, waste management bonds,hazardous waste remediation bonds or black lung bonds),as follows: ALL WRITTEN INSTRUMENTS and to bind OLD REPUBLIC SURETY COMPANY thereby, and all of the ads of said Attemeys-in-Fact, pursuant to these presents, are ratified anc confirm;,!. This appointment is made under and by authority of the board of directors at a special meeting held on February 18, 1982. This Power of Attorney is signed and sealed by facsimile under and by the authority of the following resolutions adopted by the board of directors of the OLD REPUBLIC SURETY COMPANY on February 18,1982. RESOLVED that, the president, any vice-president or assistant vice president. in conjunction with the secretary or any assistant secretary, may appcal; attorneys-in-fact of agents with authority as defined or limited in the instrument evidencing the appointment in eadi case,for ano on behalf of the ccmpanv tc execute and deliver and affix the seal of the company to bonds, undertakings, recognizances, and suretyship obligations of all kinds: and said officers m.y remove any such attorney-in-fact or agent and revoke any Power of Attorney previously granted to such person. RESOLVED FURTHER,that any bond,undertaking,recognizance,or suretyship obligation shall be valid and binding upon the Company (i) when signed by the president, any vice president of assistant vice president,and arrested and sealed (if a seal be required) by any secretary of assi_ta secretary: or (u) v hen signed by the president, any vice president or assistant vice president, secretary or assistant secretary, and countersigned and sealed if a seai ce required)by a duly authorized attorney-in-fact or agent;or (iii) when duly executed and sealed (if a seal be required) by one or more atorneys-in-fact or agents pursuant to and within the limits of the al.thn- evidenced by the Power of Attorney issued by the company to such person or persons. RESOLVED FURTHER that the signature of any authorized officer and the seal of the company may he affixed by facsimile to any Power of Attorney ;.- certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the company; and s:ci-, signature and seal when so used shall have the same force and effect as though manually affixed. IN VATNESS WHEREOF, OLD REPUBLIC SURETY COMPANY has caused these presents to be signed by its proper officer, and its corporate seat tc be afiixer.:his 9th ca.;of October 2020 ;•"'�•c�Ae OLD REPUBLIC SURETY COMPANY SEAL ; --- - --- 4u..,an!Seaa!a • Presiden! STATE OF WSCONSIN,COUNTY OF WAUKESHA-SS On this 9th day of October 2020 •personally came before me, Alan Pavlic and Karen J Haffner to me known to be the individuals and officers of the OLD REPUBLIC SURETY CO!MP'Lli" who executed the above instrument, and they each acknowledged the execution of the same, and being by me duly sworn, did severally depose and sa,! that they are the said officers of the corporation aforesaid, and that the seal affixed to the above instrument is the seat of the corporation, and that said corpora!=_ seal and their signatures as such officers were duty affixed and subscribed to the said instrument by the authority of the board of directors of said corporation. ♦M P...... , / qqq V N'ol`an P:Nd My Commission Expires: Seoternber 28, 2022 CERTIFICATE (Expiration of notary's commission does not invalidate this lost.o!:-• I, the undersigned, assistant secretary of the OLD REPUBLIC SURETY COMPANY, a IPhsconsin corporation. CERTIFY that the foregoing and attaci_d Pourer of Attorney remains in full force and has not been revoked; and furthermore, that the Resolutions of the board of directors set forth in the Power sf Attorney.are now in force. -yQJO`conro� C': Tq 7199 o' SEAL °_ Signed and sealed at the City of Brookfield.WI this n day of Februar y 2021 o• : OP.SC 222523ae1 1� Assis.±.l!Secre!a - -- Artisan Bonding & Ins Services LLC Mond No. bVCN5940713 PAYMENT BOND (LABOR AND MATERIALS) KNOW ALL PERSONS BY THESE PRESENTS: WHEREAS, City of Huntington Beach(hereafter referred to as'City') has awarded to HCI Systems, Inc. I1g4 S Parkcide_j?face Ontario CA 91761 (name and address of Contractor) (hereinafter referred to as'Principal*),a contract('Contract')for the work described as follows: Civic Center Fire Alarm Panel Replacement (Project Title) WHEREAS, Principal is required under the terms of the Contract and the California Civil Coca to furnish a bond to secure the payment of claims of laborers,mechanics,materialmen, and other persons as provided by law, by a duly admitted surety insurer under the laws of the State of California (hereinafter referred to as 'Surety'): and Surety is certified and listed in the U.S. Department of the Treasury Circular 570, and has provided proof of sufficient bonding limitation, as shown in said circular to provide bonds in the amount required by said Contract: and . Surety has provided financial strength ratings from reputable companies, such as from A.M. Best, Moody's or Standard &Poor's, to validate that Surety has positive ratings of being secure or stable, and Surety is registered and listed with the California Department of Insurance. NOW THEREFORE,we, the undersigned Principal, and Old Republic Surety Company__ 14728 Pipeline Avenue, Suite E Chino Hills,CA 91709 (name and address of Surety) as Surety, are held and finely bound unto City in the penal sum of One Hundred Thirty Eight Thousand One Hundred Thirty Eight C 00/100 dollars($ 138,!3S.00 ), ihic amount being not less than one hundred percent(100%) of the total price set forth in the Contract,in lawful money of the United States of America, for the payment of which.sum,well and truly-to be made,we bind ourselves,and each of our heirs, executors, administrators, successors, and assigns,jointly and severally, firmly by these presents. THE CONDITION OF PHIS OBLIGATION IS SUCH THAT, if the Principal, his, her, or its heirs, executors, administrators, successors or assigns,or subcontractors shall fail to pay any of the persons named in Section 3181 of the California Civil Code('Claimants') for all labor, materials or services used or reasonably required for use in performance of the work described in the Contract, or any amounts due under the Unemployment Insurance Code with respect to work or labor performed by any such Claimant, or prevailing .wages due and penalties incurred pursuant to Sections 1774, 1775, 1813 or 1815 of the Labor Code, or any amounts required to be deducted,withheld and paid over to the Employment Development Department from the wages of employees of the Principal and Subcontractors pursuant to Section 13020.of the Unemployment Insurance Code with respect to the work or labor performed under the Contract, Surety will pay for the same, in an amount not exceeding the penal sum specified in this bond:otherwise,this obligation shall be null and void. This bond shall inure to the benefit of any of the persons named in Section 3181 of the California Civil Code so as to give a right of action to such persons or their assigns. In case any action is brought upon this bond, Surety further agrees to pay all court costs and a reasonable attorney's fee in an amount fixed by the court. PAYMENT BOND Page 1 of 2 15:584/117351, Surety stipulates and agrees,for value received, that no change,extension of time, alteration, addition or modification to the terms of the Contract,or any contract document or any work to be performed thereunder, whether made after notice or not, shall in any way affect, impair or release the obligations of Surety under this bond. Surety hereby waives notice of any such change, extension of time,alteration,addition,or modification to the terms of the Contract,the contract documents or the work thereunder. Surety also waives the provisions of California Civil Code§§ 2845 and 2849. IN WITNESS WHEREOF, each party represents and warrants that this instrument has been duly executed by Principal and Surety, on the date set forth below, that the name of each corporate party being affixed hereto is such party's proper legal name and that the individuals signing this instrument have been duly authorized pursuant to the authority of its governing body. Surely, by execution of this bond,waives any defense which Surety has or may have by reason of any failure of the Principal to execute or property execute this bond. Dated: February 22, 2021 ATTEST HCI Svsterns, Inc. (Corporate Seal) Principal Name) By: Name: Lille: C *0. ATTEST Old Republic Surety Company (Corporate Seal) (Surety Na e) �— i Name: Andrew Sysyn, Attorney-in-Fact (Signature of Anorney-in-Fact for Surety) (Attach Attorney.in-Fact Certificate) eq�b 367-2015 (Area Code 8 Telephone Number for Surety) APPROVED ASTO/r URM: ay: Gy�% Michael E.Gates,tity Attorney E i. Note: This bond must be executed in duplicate and dated,all signatures must be notarized, and evidence of the authority of any person signing as artomey-in-fact must be attached. PAYMENT BOND Page 2 of 2 15-4584/117357 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California ) County of ,,iIII )S Il')flb lw, ) On 7 _1 a t before me, ate Here Insert Name and Title of the Officer mot. personally appeared n f n:. (i)I� i C 7 Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) qs/are subscribed to the within instrument and acknowledged to me that ice/she/they executed the same in ns/hecRheir authorized capacity(ies), and that by I.& her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph �° • MONICA 6ABEL CORDERO is true and correct. 4. 1, Cor,im.# 2237926 N 6'o-RRY PUBUC-CALIFORNIA WITNESS my hand and official seal. $eN BER:uRWY C• Nb R,r CCNY,EAF.AF.F 12.2022 Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional. completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Corporate Officer — Title(s): ❑Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑Partner — ❑ Limited ❑ General ❑ Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑ Guardian or Conservator ❑Trustee ❑ Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Signer Is Xccal ©2016 National Notary Association • www.NationalNotarv.org • 1-800-US NOTARY(1-800-876-6827) Item #5907 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 ycC+`S.cY<:£+:Y'.GP.�Y�4'iY'.CSLY�.r.C.Gt`:.^CSSA:L'65;&.t:(ii'Ye1�.cY;f.�cz�.c:fifa:S�"C�c`.c:P.�rrnzr..-fc�s^C �„�^.-r.-nerrnff.^Ge A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached. and not the truthfulness,accuracy, or validity of that document. State of California ) County of Orange ) On 2/22/2021 before me, Maria Svvssyn, Notary Public Date Here Insert Name and Title of the Officer personally appeared Andrew Sysyu Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signattire(s)on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. /v—� .u�.ftl;.cySYN e WITNESS my hand and official seal. - o - Ncta^:Puolc (ali�c:r,ia ;ice `tea0. ., � '�'�,T/� COr1155100�1311715 My(oaa.Expires t4av i, 2023 F. Signature ��� Signature of Notary Public Place Notary Seat Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: Corporate Officer — Title(s): ❑Corporate Officer — Title(s): Fj Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑General ❑ Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑ Guardian or Conservator ❑Trustee ❑Guardian or Conservator ❑ Other: ❑ Other: Signer Is Representing: Signer Is Representing: ©2016 National Notary Association • www.NationalNotary.ore - 1-800-US NOTARY (1-800-876-6827) Item a5907 * OLD REPUBLIC SURETY COMPANY POWER OF ATTORNE`i KNOW ALL MEN BY THESE PRESENTS:That OLD REPUBLIC SURETY COMPANY, a Wisconsin stock insurance corporation,does make, constitute arc! appoint: Andrew Sysyn of San Juan Capistrano. CA its true and lawful Attorney(s)-in-Fact, with full power and authority for and on behalf of the company as surely, to execute and deliver and affix the seal of the company thereto (if a seal is required), bonds, undertakings, recognizances or otter written obligations in the nature thereof. (other than bail bonds, bank depository bonds, mortgage deficiency bonds, mortgage guaranty bonds, guarantees of installment paper and note guaranty bonds, self-insurance workers compensation bonds guaranteeing payment of benefits, asbestos abatement contract bonds, waste management bonds,hazardous waste remediation bonds or black lung bonds),as follows: ALL WRITTEN INSTRUMENTS and to bind OLD REPUBLIC SURETY COMPANY thereby, and all of the acts of said Attorneys-in-Fact, pursuant to these presents. are ratified an. corinn d This appointment is made under and by authority of the board of directors at a soecial meeting held on Februar: 18, 1982. This Power of Attorney is signed and sealed by facsimile under and by the authority of the following resolutions adopted by the board of directors of the Cl_ - REPUBLIC SURETY COMPANY on February 18,1982. RESOLVED that, the president, any vice-president or assistant vice president, in conjunction with the secretary or any assistant secretary, may app_. ,e adorneys-in-fact or agents with authority as defined or limited in the instrument evidencing the appointment in each case,for and on behalf of the company.c execute and deliver and affix the seal of the company to bonds, undertakings, recognizances, and suretyship obligations of all kinds; and said oficers nl[.y remove any such attorney-in-fact or agent and revoke any Paver of Attorney previously granted to such person. RESOLVED FURTHER,that any bond,undertaking,recognizance,or suretyship obligation shall be valid and binding upon the Company it) when signed by the president. any vice president or assisian;vice president, and attested and sealed (if a seal be required)by any secretary or aslct- secretary:or (ii) when signed by the president, any vice president or assistant vice president, secretary or assistant secretary, and countersigned 2r,d sealed (if a seal ::_ required)by a duly authorized attorney-in-fact or agent,or (iii) when duly executed and sealed (if a seal be required) by one or more attorneys-in-fact or agents pursuant to and within the limits of the authorty evidenced by the Power of Attorney issued by the company to such person or persons. RESOLVED FURTHER that the signature of any authorized officer and the seal of the company may be affixed by facsimile to any Power of Attorney -or cerification thereof authorizing the execution and delivery of any bond, undertaking,recognizance, or other suretyship obligations of the company; and ; i. signature and seal when so used shall have the same force and effect as though manually affixed. IN WITNESS WHEREOF, OLD REPUBLIC SURETY COMPANY has caused these presents to be signed by its proper officer, and its corporate seal to ce affixed this 9th day of October 2020 ,.•••' sugEr: OLD REPUBLIC SURETY COMPANY SEAL i a, 3 F ff President -_- STATE OF WISCONSIN,COUNTY OF WAUKESHA-SS On:his 9th day of October 2020 personally came before me, Alan Pavllc and Karen J Haffner to me known to be the individuals and officers of the OLD REPUBLIC SURETY COMPAr,!' who executed the above instrument, and they each acknowledged the execution of the same, and being by me duly sworn, did severally depose and say: Ili at they are the said officers of the corporation aforesaid,and that the seal affixed to the above instrument is the seal of the corporation, and that said corporate ai and their sionatures as such officers were duly affixed and subscribed to the said instrument by the authority of the board of directors of saidcorporation. .'AeB�i4% NolaN Pua1K ..-.._ My Commission Expires: September 28. 2022 CERTIFICATE (Expiration of notary's commission does not invalidate this instrum.,-_nt) h the undersignec, assistant secretary of the OLD REPUBLIC SURETY COMPANY, a Nksconsln corporation. CERTIFY that the foregoing and attached Power of Attorney remains in full force and has not been revoked: and furthermore• that the Resolutions of the board of directors set forth in the Pews: <4 Attorney,are now in force. •w`G SUNET`., �q gg t SEAL !.= Signed and sealed at the Ciiy of Brookfield,WI this fl day of Februar y 2021 of sis._al Secraa Artisan Bonding & Ins Services LLC 4'6,12021 Company Profile CALIF RNIA DEPARTMENT OF COMPANY PROFILE Company Profile Company Search Company Information Company Search Results OLD REPUBLIC SURETY COMPANY Company P.O. BOX 1635 Information MILWAUKEE, WI 53201 Old Company Names Old Company Names Effective Date Agent for Service Reference Information Agent For Service NAIC Group List Melissa DeKoven Lines of Business 2710 Gateway Oaks Drive, Suite ISON Workers' Sacramento CA 95833-3505 Compensation Complaint and Reference Information Request for Action/Appeals Contact Information NAIC x: 40444 Financial Statements -� PDF's Califomia Company ID x: 3254-0 Annual Statements J Date Authorized in California: �, 12/14/1990 Quarterly Statements License Status: UNLIMITED-NORMAL Company Complaint Company Company Type: Property&Casualty Performance &Comparison Data State of Domicile: WISCONSIN Company Enforcement Action back to top Composite Complaints Studies Additional Info NAIC Group List Find A Company Representative In NAIC Group x: 0150 OLD REPUBLIC GRP Your Area View Financial Lines Of Business Disclaimer The company is authorized to transact business within these lines of insurance. For an explanation of any of these terms, please refer to the glossary. LIABILITY MISCELLANEOUS SURETY back to top C 2008 California Department of Insurance https//interactive.web.insurance.ca.gov/companyprofile/companyproftle?event=companyProfile&doFunction=getCompanyProfile&eid=6989 1/1 4r612021 Surety Bonds-List of Certified Companies Old Republic Surety Company (NAIC #40444) BUSINESS ADDRESS: P.O. BOX 1635, MILWAUKEE, WI 53201 - 1635. PHONE: (262) 797-2640. UNDERWRITING LIMITATION b/: $7,897,000. SURETY LICENSES c,f/: AL, AZ, AR, CA, CO, DC, FL, GA, ID, IL, IN, IA, KS, MD, MN, MS, MO, MT, NE, NV, NM, NC, ND, OH, OK, OR, PA, SC, SD, TN, TX, UT, VA, WA, WV, WI, WY. INCORPORATED IN: Wisconsin. Back To Top P Pacific Indemnity Company (NAIC #20346) BUSINESS ADDRESS: 202B Hall's Mill Road, Whitehouse Station, NJ 08889. PHONE: (215) 640-1000. UNDERWRITING LIMITATION b/: $337,101,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Wisconsin. PACIFIC INDEMNITY INSURANCE COMPANY (NAIC #18380) BUSINESS ADDRESS: 348 WEST O'BRIEN DRIVE, HAGATNA, GU 96910. PHONE: (671) 477-8801. UNDERWRITING LIMITATION b/: $2,484,000. SURETY LICENSES c,f/: GU, MP. httpsJhw .fiscal.treasury.gov/surety-boridsAist-certified-companms.html#o 61192 - Old Republic Surety Company-Company Profile-Best's Credit Rating Center Old Republic Surety Company AMB #. 002814 NAIC #: 40444 FEIN #: 391395491 Mailing Address P.O. Box 1635 Milwaukee, Wisconsin 53201 United States Web: www.orsurety.com Phone: 262-797-2640 Fax: 262-797-9495 View Additional Address Information AM Best Rating Unit: AMB #: 002976 - Old Republic Insurance Companies Assigned to insurance companies that have, in our opinion, a superior ability to meet their ongoing insurance obligations. Am'WE �ES� A+ Superior View additional news, reports and products for this company. Based on AM Best's analysis, 058439 - Old Republic International Corporation is the AMB Ultimate Parent and identifies the topmost entity of the corporate structure. View a list of operating Insurance entities in this structure. Best's Credit Ratings Financial Strength View Definition Rating (Rating Category): A+ (Superior) Affiliation Code: g (Group) Outlook (or Implication): Stable Action: Affirmed Effective Date: May 21. 2020 Initial Rating Date: June 30. 1982 Long-Term Issuer Credit View Definition https:Uralings.ambest.com/CompanyProrile.aspx?ambnum=2814&URabngld=0&bl=0&AUISrc=9&PPP=&AltNum=O&Ext_User=&Exl_Misc=&Portal=O& 1/5 4/6/2021 Old Republic Surety Company-Company Profile-Best's Credit Rating Center Rating (Rating Category): aa- (Superior) Outlook (or Implication): Stable Action: Affirmed Effective Date: May 21, 2020 Initial Rating Date: June 20, 2005 Financial Size Category View Definition Financial Size Category: XV ($2 Billion or greater) u Denotes Under Review Best's Rating Best's Credit Rating Analyst Rating Office: A.M- Best Rating Services, Inc. Senior Financial Analyst: Robert Valenta, CPCU Director: Jennifer Marshall, CPCU, ARM Note: See the Disclosure information Form or Press Release below for the office and analyst at the time of the rating event. Disclosure Information Disclosure Information Form View AM Best's Rating Disclosure Form Press Release AM Best Affirms Credit Ratings of Subsidiaries of Old Republic International Corporation May 21, 2020 View AM Best's Rating Review Form Rating History AM Best has provided ratings & analysis on this company since 1982. Financial Strength Rating Effective Date Rating 5/21/2020 A+ https://ratings.ambest.com/CompanyProfile.aspx?ambnum=2814&URating Io=O&bl=0&AIISrc=g&PPP=&A[tNum=O&Ext_User=&Ext_Misc=&Portal=0&... 2/5 4/6/2021 Old Republic Surety Company-Company Profile-Best's Credit Rating Center 5/17/2019 A+ 4/25/2018 A 4/13/2017 A 1 211 8/2 0 1 5 A Long-Term Issuer Credit Rating Effective Date Rating 5/21/2020 aa- 5/17/2019 aa- 4/25/2018 a 4/13/2017 a 12/18/2015 a Best's Credit & Financial Reports Best's Credit Report - financial data included in Best's Credit Report reflects the data used in determining the current credit rating(s) for AM Best Rating Unit: AMB #: 002976 - Old Republic Insurance Companies. 1 Best's Credit Report - Archive - reports which were released prior to the current Best's Credit Report.1 Best's Financial Report - financial data included in Best's Financial Report reflects the most current data I-,available to AM Best, including updated financial exhibits and additional company information, and is available to subscribers of Best's Insurance Reports. View additional news, reports and products for this company. https://ratings.ambest.com/CompanyProrile.aspx?ambnum=2814&U Rating Id=O&bl=O&AltSrc=g&PPP=&AltNum=O&Ext_User=&Ex1_Misc=&Portal=0&... 315 416/2021 Old Republic Surety Company-Company Profile-Best's Credit Rating Center Press Releases Date Title May 21, 2020 AM Best Affirms Credit Ratings of Subsidiaries of Old Republic International Corporation May 17, 2019 AM Best Takes Various Rating Actions on Subsidiaries of Old Republic International Corporation Apr 25, 2018 A.M. Best Affirms Credit Ratings of Subsidiaries of Old Republic International Corporation Apr 13, 2017 A.M. Best Affirms Credit Ratings of Subsidiaries of Old Republic International Corporation Dec 18, 2015 A.M. Best Affirms Ratings of Most Subsidiaries of Old Republic International Corporation a2 Page size: 10 16 items in 2 pages Find a Best's Credit Rating Enter a Company Name Go Advanced Search How to Get a A+ Best's Credit Rating .` Best's Credit Ratings Mobile App European Union Disclosures A.M. Best(EU) Rating Services B.V. (AMB-EU), a subsidiary of A.M. Best Rating Services, Inc., is an External Credit Assessment Institution (ECAI)in the EU. Therefore, credit ratings issued and endorsed by AMB-EU may be used for regulatory purposes in the EU as per Directive 2013/361EU. United Kingdom Disclosures A.M. Best—Europe Rating Services Limited (AMBERS), a subsidiary of A.M. Best Rating Services, Inc., is an External Credit Assessment Institution(ECAI)in the United Kingdom(UK). Therefore, Credit Ratings issued and endorsed by AMBERS may be used for regulatory purposes in the United Kingdom as per the Credit Rating Agencies(Amendment, etc.)(EU Exit) Regulations 2019. Australian Disclosures A.M. 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Best Company, Inc. and/or its affiliates ALL RIGHTS RESERVED. htips://ratings.ambest.com/CompanyProfile.aspx?ambnum=2814&URatingld=0&bl=0&AltSrc=9&PPP=&AItNum=O&Ext_User=&Ext Misc=&Portal=0&... 5/5 HCISYST-01 MALIGN A�fRO CERTIFICATE OF LIABILITY INSURANCE s/y2oMaX2X1YYi THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERIS),AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policylies)must have ADDITIONAL INSURED provisions Or be endorsed. H 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 ri his to the certificate holder in lieu of such andomement(s). PRODUCER Lkense a OM70471 CONTACT Ana Briceno Orton Risk Management Insurance Services,An Alem Group Insurance PHONE A o.Ertl (949)608 d918 -� ; icy,LLC p 1900 Quail Street Suite 110 Ib%JSs abriceno@Drionrisk.com Newport Beach,CA 92660 INSURE R(S)AFFORDING COVERAGE NAM:/ INSURER A.Everest Indemnity Insurance Company 10861 INSURED INSURERS Federal Insurance Company _20281 HCI Systems, Inc. INSURER C 3742 W.Gettysburg Ave.,Suite 102 INSURER o Frasno,CA 93722 USURER E NSWER F NUMBER;ERAGES CERTIFICATE ER: 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 XraR TYPE OF NSUIUNCE AD _SUBR POLICY Mums" POLICY err POLX;vy LIMITS .INSDYC(D. A X coass iscpu GarlsaaL LJaeIITY 1,000.D00 EACH OCCURRENCE S CWMSMADE X OCCUR 51 G L01427D201 3MM21 3/2/2022 TDRENTED 500.000� X EMI ES its 9mmenw1 f X $5,000,000 Per Proj. MED EXP I"ar peivw) $ 10,000 X 13UPD Deductible$15,000 1.000.000'. PERSONAL a ANIWURv 1 GENL AGGREGATE U{M�IT APPLIES PE R GENERAL AGGREGATE a 2,000,()DO!()DO!POLICY X JpEEj VC LOC PROOTS-CONNOR AGO . 2,)00,000'i OTHERProf.Liability a 1,000.000 B AUTOMOBILE LABILITY COMBINED SINGLE OMIT 1.000.0000 (Ea acaaet) ,1_— X ANY AVTO X 64309497 M2=21 31212022 SOOILY INIURY(Par prn(M) .} OWNED SGHEOOLEO AuTOS ONLY X ANUpTNO�SWNE ECCIILL�Y IWURAY m L1((P sarrX).f_ X Z%ONLY X .AUT05011L� (PM rCORenMX) E .f_. X Csw ow.Pu. A X uMMELIA LIAe X OCCUR EACH CCCURRENCE -1 10.000,000 EXOESSLAB CLAIMS-MADE 61C000SIB5201 312J2021 312r2022 _AGGREGATE e_ 10.000,000 DED X RETENnoNs 10,000 BAIND wossuess OY LIABILITY YINX PER - EP - ANY PROP111ETORNARTNER/FJtECInIVE 6B309498 312Y1021 L2/2022 E L EACH ACCIDENT a 1,DOO.D00 r EIICLUDEDa Y NIA lei E L DISEASE EA EMPLOYEE_s 1'OOD'DOO n ewMDN OF O 1,000,000 RIPTI OPERAT plpry A E P LI Y LIMIT A Prof.Liability 51 G L014270201 3/2/2021 302022 hlDluded In GL Limit C Crime/Employee Theft BD3H14753300 8/1812020 8/18/2021 S 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD tet,AOaXIM,aI RwnFrLL$CIYXUM,mAYW Bea hW M mon aprp Ia,gMrNi RE:CC-1437 Central Park Parking Lot Improvements- City of Huntington Beach,its officere,elected or appointed officials,employees,agents and volunt"m am included aAfaPgmlft06%&10 PORM terms of the attached General Liability and Auto Liability Endorsements. Primary wording applies per the terms of the attached General Liability and Auto Liability Endorsements- By; MICHAEL E.GATES 30 Days'Notiu of Cancellation;10 Days'Notice for Non-Psyment(non.reporting it applicable)apply per policy Movle)IIIIIlIII ATTORNEY CTTY OF HUNTINGTON BEACH CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Huntington Beach THE EXPIRATION DATE ACCORDANCE WITH THE PO CYRPROVISIONS.NOTICE WILL BE DELIVERED IN 2000 Main Sit Huntington Beach,CA 92648 - ---- AUT1r1RMEDREPRESENTATVE oyot ACORD 25(2016103) ®19W2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Policy No. 51GLO14270201 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization s Location And Description Of Completed Operations The City of Huntington Beach, its officers, elected or appointed officials, employees,agents and volunteers Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section III— Limits Of Insurance: with respect to liability for 'bodily injury' or II coverage provided to the additional insured is property damage" caused, in whole or in part, by required by a contract or agreement, the most we .your work' at the location designated and will pay on behalf of the additional insured is the described in the Schedule of this endorsement amount of insurance: performed for that additional insured and included in the 'products-completed operations 1. Required by the contract of agreement, or hazard". 2. Available under the applicable Limas of However: Insurance shown in the Declarations. 1. The insurance afforded to such additional whichever is less. insured only applies to the extent permitted This endorsement shall not increase the applicable by law, and Limits of Insurance shown in the Declarations. 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 37 04 13 C Insurance Services Office, Inc., 2012 Page 1 of 1 Policy No.51GLO14270201 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Locations Of Covered Operations The City of Huntington Beach,its officers,elected or appointed officials,employees,agents and volunteers Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for 'bodily injury", "property This insurance does not apply to 'bodily injury" or damage" or 'personal and advertising injury' •property damage" occurring after: caused, in whole or in part, by: 1. Your acts or omissions; or 1. All work, including materials, parts or equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf, maintenance or repairs) to be performed by or in the performance of your ongoing operations for on behalf of the additional insured(s) at the the additional insured(s) at the location(s) location of the covered operations has been designated above. completed; or However: 2. That portion of "your work" out of which the injury or damage arises has been put to its 1. The insurance afforded to such additional intended use by any person or organization insured only applies to the extent permitted by other than another contractor or subcontractor law; and engaged in performing operations for a 2. If coverage provided to the additional insured is principal as a part of the same project. required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 10 04 13 0 Insurance Services Office, Inc., 2012 Page 1 of 2 C. With respect to the insurance afforded to these 2. Available under the applicable Limits of additional insureds, the following is added to Insurance shown in the Declarations, Section III —Limits O1 Insurance: whichever is less. If coverage provided to the additional insured is This endorsement shall not increase the required by a contract or agreement, the most we applicable Limits of Insurance shown in the will pay on behalf of the additional insured is the Declarations. amount of insurance: 1. Required by the contract or agreement;or Page 2 of 2 0 Insurance Services Office, Inc., 2012 CG 20 10 04 13 Policy No. 51GLO14270201 COMMERCIAL GENERAL LIABILITY CG 20 01 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the additional insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and CG 20 01 04 13 0 Insurance Services Office, Inc., 2012 Page 1 of 1 Policy #: 54309497 COMMERCIAL AUTO 16.02-0316 Ed. 10 14 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON-CONTRIBUTORY LIABILITY INSURANCE This endorsement modifies insurance provided under the following: BUSINESS AUTO 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:Advanced Leasing, Inc.:HCI Systems,Inc.;HC Integrated Systems,Inc.;Advanced Monitoring,Inc.;HCI Services,Inc. Endorsement Effective Date: 03/02/2021 SCHEDULE Name(s) Of Person(s) Or Organization(s): WHERE REQUIRED BY WRITTEN CONTRACT. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Item 5.—"Other Insurance" of Item B. —"General Conditions" under Section IV—"Business Auto Conditions": e. Regardless of the provisions of Paragraph 5.a. through d. above, for any liability arising out of the ownership, maintenance, use, rental, lease, loan, hire or borrowing by an "insured" of a covered 'auto" for which an -insured" is contractually obligated to provide primary insurance coverage to a client, this Coverage Form will be primary and non-contributory with respect to the Persons or Organizations in the schedule, regardless of the availability or existence of other collectible insurance under any other Coverage Form or policy that applies on a primary basis. 16-02-0316 Ed. 10 14 Page 1 of 3 Insured: HCI Systems, Inc. Term: 3/2/2021 - 3/2/2022 Policy +: 54309497 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: HCI Systems,Inc. Endorsement Effective Date: 3/2/2021 SCHEDULE Name Of Person(s) Or Organization(s): WHERE REQUIRED BY WRITTEN CONTRACT . Information required to complete this Schedule if not shown above will be shown in the Declarations. 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 A1. of Section II — 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 20 48 10 13 0 Insurance Services Office, Inc., 2011 Page 1 of 1 19 Mobile Only those "autos" that are land vehicles and that would qualify under the definition Equipment of"mobile equipment"under this policy if they were not subject to a compulsory or Subject To financial responsibility law or other motor vehicle insurance law where they are Compulsory Or licensed or principally garaged. Financial Responsibility Or Other Motor Vehicle Insurance Law Only B. Owned Autos You Acquire After The Policy SECTION II—COVERED AUTOS LIABILITY Begins COVERAGE 1. If Symbols 1, 2, 3, 4, 5, 6 or 19 are entered A. Coverage next to a coverage in Item Two of the We will pay all sums an "insured" legally must pay Declarations, then you have coverage for as damages because of"bodily injury" or"property 'autos" that you acquire of the type described damage" to which this insurance applies, caused for the remainder of the policy period. by an "accident" and resulting from the ownership, 2. But, if Symbol 7 is entered next to a coverage maintenance or use of a covered"auto". in Item Two of the Declarations, an "auto" you We will also pay all sums an "insured" legally must acquire will be a covered "auto" for that pay as a "covered pollution cost or expense" to coverage only if: which this insurance applies, caused by an a. We already cover all "autos" that you own "accident" and resulting from the ownership, for that coverage or it replaces an "auto" maintenance or use of covered "autos". However, you previously owned that had that we will only pay for the "covered pollution cost or coverage, and expense" if there is either "bodily injury" or b. You tell us within 30 days after you acquire '.property damage" to which this insurance applies it that you want us to cover it for that that is caused by the same"accident". coverage. We have the right and duty to defend any C. Certain Trailers, Mobile Equipment And "insured" against a "suit" asking for such damages Temporary Substitute Autos or a "covered pollution cost or expense". However, we have no duty to defend any "insured" against a If Covered Autos Liability Coverage is provided by "suit" seeking damages for "bodily injury" or this Coverage Form, the following types of ..property damage" or a "covered pollution cost or vehicles are also covered "autos" for Covered expense" to which this insurance does not apply. Autos Liability Coverage: We may investigate and settle any claim or "suit" 1. "Trailers" with a load capacity of 2,000 pounds as we consider appropriate. Our duty to defend or or less designed primarily for travel on public settle ends when the Covered Autos Liability roads. Coverage Limit of Insurance has been exhausted 2. "Mobile equipment" while being carried or by payment of judgments or settlements. towed by a covered "auto". 1. Who Is An Insured 3. Any "auto" you do not own while used with the The following are"insureds": permission of its owner as a temporary a. You for any covered"auto". substitute for a covered "auto" you own that is out of service because of its: b. Anyone else while using with your permission a covered "auto" you own, hire a. Breakdown, or borrow except: b. Repair; (1) The owner or anyone else from whom c. Servicing; you hire or borrow a covered "auto". d. "Loss", or This exception does not apply if the e. Destruction. covered "auto" is a "trailer" connected to a covered "auto"you own. Page 2 of 12 © Insurance Services Office, Inc., 2011 CA 00 01 10 13 (2) Your "employee" if the covered "auto" is These payments will not reduce the Limit of owned by that "employee" or a member Insurance, of his or her household. b. Out-of-state Coverage Extensions (3) Someone using a covered "auto" while While a covered "auto" is away from the he or she is working in a business of state where it is licensed, we will: selling, servicing, repairing, parking or storing "autos" unless that business is (1) Increase the Limit of Insurance for yours. Covered Autos Liability Coverage to 4 Anyone other than meet the limits specified by a ( ) y your "employees", compulsory or financial responsibility partners (if you are a partnership), law of the jurisdiction where the covered members (if you are a limited liability "auto" is being used. This extension company) or a lessee or borrower or does not apply to the limit or limits any of their "employees', while moving specified by any law governing motor property to or from a covered "auto". carriers of passengers or property. (5) A partner (if you are a partnership) or a (2) provide the minimum amounts and member (if you are a limited liability types of other coverages, such as no- company) for a covered "auto" owned by fault, required of out-of-state vehicles by him or her or a member of his or her the jurisdiction where the covered "auto" household. is being used. c. Anyone liable for the conduct of an We will not pay anyone more than once for "insured" described above but only to the the same elements of loss because of extent of that liability. these extensions. 2. Coverage Extensions B. Exclusions a. Supplementary Payments This insurance does not apply to any of the We will pay for the"insured": following: (1) All expenses we incur. 1. Expected Or Intended Injury (2) Up to $2,000 for cost of bail bonds "Bodily injury" or "property damage" expected (including bonds for related traffic law or intended from the standpoint of the violations) required because of an "insured". "accident" we cover. We do not have to 2. Contractual furnish these bonds. (3) The cost of bonds to release Liability assumed under any contract or agreement. attachments in any "suit" against the "insured" we defend, but only for bond But this exclusion does not apply to liability for amounts within our Limit of Insurance. damages: (4) All reasonable expenses incurred by the a. Assumed in a contract or agreement that is "insured" at our request, including actual an "insured contract", provided the "bodily loss of earnings up to 5250 a day injury" or "property damage" occurs because of time off from work. subsequent to the execution of the contract (5) All court costs taxed against the or agreement, or "insured" in any "suit" against the b. That the "insured" would have in the "insured" we defend. However, these absence of the contract or agreement. payments do not include attorneys' fees 3. Workers' Compensation or attorneys' expenses taxed against the Any obligation for which the "insured" or the "insured". "insured's" insurer may be held liable under (6) All interest on the full amount of any any workers' compensation, disability benefits judgment that accrues after entry of the or unemployment compensation law or any judgment in any "suit" against the similar law. "insured" we defend, but our duty to pay interest ends when we have paid, offered to pay or deposited in court the part of the judgment that is within our Limit of Insurance. CA 00 01 10 13 ©Insurance Services Office, Inc.. 2011 Page 3 of 12 4. Employee Indemnification And Employer's b. After it is moved from the covered "auto" to Liability the place where it is finally delivered by the "Bodily injury"to: "insured". a. An "employee" of the "insured" arising out 8• Movement Of Property By Mechanical of and in the course of: Device (1) Employment by the"insured"; or "Bodily injury" or "property damage" resulting from the movement of property by a (2) Performing the duties related to the mechanical device (other than a hand truck) conduct of the"insured's" business; or unless the device is attached to the covered b. The spouse, child, parent, brother or sister .auto". of that "employee" as a consequence of 9, Operations Paragraph a. above. "Bodily injury" or "property damage" arising out This exclusion applies: of the operation of: (1) Whether the "insured" may be liable as a. Any equipment listed in Paragraphs 6.b. an employer or in any other capacity; and 6.c. of the definition of "mobile and equipment'; or (2) To any obligation to share damages with b. Machinery or equipment that is on, attached or repay someone else who must pay to or part of a land vehicle that would damages because of the injury. qualify under the definition of "mobile But this exclusion does not apply to "bodily equipment" if it were not subject to a injury" to domestic "employees" not entitled to compulsory or financial responsibility law or workers' compensation benefits or to liability other motor vehicle insurance law where it assumed by the "insured" under an "insured is licensed or principally garaged. contract". For the purposes of the Coverage 10. Completed Operations Form, a domestic "employee" is a person "Bodily injury" or"property dama damage" out engaged in household or domestic work y l ry g g performed principally in connection with a of your work after that work has been residence premises. completed or abandoned. 5. Fellow Employee In this exclusion, your work means: "Bodily injury" to: a. Work or operations performed by you or on your behalf; and a. Any fellow "employee" of the "insured" arising out of and in the course of the fellow b. Materials, parts or equipment furnished in "employee's" employment or while connection with such work or operations. performing duties related to the conduct of Your work includes warranties or your business; or representations made at any time with respect b. The spouse, child, parent, brother or sister to the fitness, quality, durability or performance of that fellow"employee" as a consequence of any of the items included in Paragraph a. or of Paragraph a. above. b.above. 6. Care, Custody Or Control Your work will be deemed completed at the earliest of the following times: "Property damage" to or"covered pollution cost or expense" involving property owned or (1) When all of the work called for in your transported by the "insured" or in the contract has been completed, "insured's" care, custody or control. But this (2) When all of the work to be done at the exclusion does not apply to liability assumed site has been completed if your contract under a sidetrack agreement. calls for work at more than one site; or 7. Handling Of Property (3) When that part of the work done at a job "Bodily injury" or "property damage" resulting site has been put to its intended use by from the handling of property: any person or organization other than another contractor or subcontractor a. Before it is moved from the place where it is working on the same project. accepted by the "insured" for movement into or onto the covered "auto"; or Page 4 of 12 ©Insurance Services Office, Inc., 2011 CA 00 01 10 13 Work that may need service, maintenance, Paragraphs b. and c. above of this exclusion correction, repair or replacement, but which is do not apply to "accidents" that occur away otherwise complete, will be treated as from premises owned by or rented to an completed. "insured" with respect to "pollutants" not in or 11. Pollution upon a covered"auto" if: "Bodily injury" or"property damage" arising out (a) The "pollutants" or any property in of the actual, alleged or threatened discharge, which the "pollutants" are contained dispersal, seepage, migration, release or are upset, overturned or damaged as escape of"pollutants": a result of the maintenance or use of a. That are, or that are contained in any a covered "auto'; and property that is: (b) The discharge, dispersal, seepage, migration, release or escape of the (1) Being transported or towed by, handled ..pollutants" is caused directly by or handled for movement into, onto or such upset, overturn or damage. from the covered "auto"; 12. War (2) Otherwise in the course of transit by or on behalf of the "insured'; or 'Bodily injury" or "property damage" arising directly or indirectly out of: (3) Being stored, disposed of, treated or processed in or upon the covered a. War, including undeclared or civil war, ..auto" b. Warlike action by a military force, including b. Before the "pollutants" or any property in action in hindering or defending against an which the "pollutants" are contained are actual or expected attack, by any moved from the place where they are government, sovereign or other authority accepted by the "insured" for movement using military personnel or other agents, or into or onto the covered "auto'; or c. Insurrection, rebellion, revolution, usurped c. After the "pollutants" or any property in power or action taken by governmental which the "pollutants" are contained are authority in hindering or defending against moved from the covered "auto" to the place any of these. where they are finally delivered, disposed of 13. Racing or abandoned by the "insured". Covered "autos" while used in any professional Paragraph a. above does not apply to fuels, or organized racing or demolition contest or lubricants, fluids, exhaust gases or other stunting activity, or while practicing for such similar"pollutants" that are needed for or result contest or activity. This insurance also does from the normal electrical, hydraulic or not apply while that covered "auto" is being mechanical functioning of the covered "auto" or prepared for such a contest or activity. its parts if: C. Limit Of Insurance (1) The "pollutants" escape, seep, migrate Regardless of the number of covered "autos", or are discharged, dispersed or released "insureds", premiums P paid, claims made or directly from an "auto" part designed by vehicles involved i the laccidents we its manufacturer to hold, store, receive the most will pay for the total of all damages and "covered or dispose of such "pollutants"; and pollution cost or expense" combined resulting from (2) The"bodily injury", "property damage" or any one "accident" is the Limit Of Insurance for '.covered pollution cost or expense" Covered Autos Liability Coverage shown in the does not arise out of the operation of Declarations. any equipment listed in Paragraphs 6.b. and 6.c. of the definition of "mobile equipment". CA 00 01 10 13 © Insurance Services Office, Inc., 2011 Page 5 of 12 All "bodily injury", "property damage" and "covered 3. Glass Breakage—Hitting A Bird Or Animal— pollution cost or expense" resulting from Falling Objects Or Missiles continuous or repeated exposure to substantially If you carry Comprehensive Coverage for the the same conditions will be considered as damaged covered "auto", we will pay for the resulting from one"accident". following under Comprehensive Coverage: No one will be entitled to receive duplicate a. Glass breakage; payments for the same elements of "loss" under this Coverage Form and any Medical Payments b. "Loss" caused by hitting a bird or animal; Coverage endorsement, Uninsured Motorists and Coverage endorsement or Underinsured Motorists c. "Loss"caused by failing objects or missiles. Coverage endorsement attached to this Coverage However, you have the option of having glass Part. breakage caused by a covered "auto's" SECTION III—PHYSICAL DAMAGE COVERAGE collision or overturn considered a "loss" under A. Coverage Collision Coverage. 1. We will pay for"loss" to a covered "auto" or its 4. Coverage Extensions equipment under: a. Transportation Expenses a. Comprehensive Coverage We will pay up to 520 per day, to a From any cause except: maximum of $600, for temporary transportation expense incurred by you (1) The covered "auto's" collision with because of the total theft of a covered another object, or "auto" of the private passenger type. We (2) The covered "auto's" overturn. will pay only for those covered "autos" for b. Specified Causes Of Loss Coverage which you carry either Comprehensive or Specified Causes Of Loss Coverage. We Caused by: will pay for temporary transportation (1) Fire, lightning or explosion; expenses incurred during the period (2) Theft; beginning 48 hours after the theft and ending, regardless of the policy's expiration, (3) Windstorm, hail or earthquake; when the covered "auto" is returned to use (4) Flood; or we pay for its"loss". (5) Mischief or vandalism, or b. Loss Of Use Expenses (6) The sinking, burning, collision or For Hired Auto Physical Damage, we will derailment of any conveyance pay expenses for which an "insured" transporting the covered "auto". becomes legally responsible to pay for loss of use of a vehicle rented or hired without a c. Collision Coverage driver under a written rental contract or Caused by: agreement. We will pay for loss of use (1) The covered "auto's" collision with expenses if caused by: another object, or (1) Other than collision only if the (2) The covered 'auto's"overturn. Declarations indicates that Comprehensive Coverage is provided 2. Towing for any covered "auto'; We will pay up to the limit shown in the (2) Specified Causes Of Loss only if the Declarations for towing and labor costs Declarations indicates that Specified incurred each time a covered "auto" of the Causes Of Loss Coverage is provided private passenger type is disabled. However, for any covered "auto'; or the labor must be performed at the place of disablement. Page 6 of 12 0 Insurance Services Office, Inc., 2011 CA 00 01 110 13 Insured: HCI Systems, Inc. Term: 3/2/2021 - 3/2/2022 Policy #: 54309497 COMMERCIAL AUTO 16-02-0316 Ed. 10 14 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON-CONTRIBUTORY LIABILITY INSURANCE This endorsement modifies insurance provided under the following: BUSINESS AUTO 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: HCI SYSTEMS, INC. Endorsement Effective Date: 03/02/2021 SCHEDULE Name(s) Of Person(s) Or Organization(s): WHERE REQUIRED BY WRITTEN CONTRACT. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Item 5. —"Other Insurance" of Item B. —"General Conditions" under Section IV—"Business Auto Conditions": e. Regardless of the provisions of Paragraph 5.a. through d. above, for any liability arising out of the ownership, maintenance, use, rental, lease, loan, hire or borrowing by an "insured" of a covered "auto" for which an "insured" is contractually obligated to provide primary insurance coverage to a client, this Coverage Form will be primary and non-contributory with respect to the Persons or Organizations in the schedule, regardless of the availability or existence of other collectible insurance under any other Coverage Form or policy that applies on a primary basis. 16-02-0316 Ed. 10 14 Page 1 of 3 RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's office (Name) after signing/dating (Date) a4 CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: �rl �� 20c/ SUBJECT: Bond Acceptance I have received the bonds for MC-77 Inc. (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) �i Performance Bond No. "Ns /U6):7'1.3 Payment Bond (Labor and Materials) Bond No. VP(, 0 & Warranty or Maintenance Bond No. TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. Approved (Council Approval Date) CC No. Agenda Item No. MSC No.,, City Clerk Vault No. Other No SIRE System ID No. / QD gJforms/bond transmittal to treasurer City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ w%v%v.huntingtonbeachca.gov Office of the City Clerk Robin ) stanislau, City Clerk April 28, 2021 HCI Systems, Inc. Attn: Allen Kendel 1731 Reynolds Ave. Irvine, CA 92614 Dear Mr. Kendel: Enclosed is a copy of the "Service Agreement between the City of Huntington Beach and HCI Systems, Inc for Civic Center Fire Alarm Replacement." Sincerely, 444O, 2& dnzdj v Robin Estanislau, CMC City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan • Waitakere, New Zealand