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HomeMy WebLinkAboutJ&S Striping - 2021-05-12 SERVICE AGREEMENT 13ETWEEN THE CITY OF HUNTINGTON I3EACII AND .I&S STRIPING FOR ON-CALL MAINTENANCE RE TRAFFIC SIGNAGE AND STRIPING CITYWIDE THIS AGREE1vlEN'I' ('`Agreement") is made and entered into by and bctNycen the City of Huntington Beach a municipal corporation of the State of California, hereinafter called "Cite." and J&S Striping, hereinafter retcrred to as "Contractor." Recitals A. The City- desires to retain a Contractor having special skill and knowledge in the field of maintenance re traffic signage and striping. and as needed pressure washer cleaning services. 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 reasonable be expected from a comparable company or firm in the field. Contractor has been selected to perform these services pursuant to Huntington Beach Iunicipal Code Chapter 3.02, NOW. THEREFORE. it is agreed by City and Contractor as follows: I. Scope of Services Contractor shall provide all services as described in Exhibit "A" which is attached hereto and incorporated into this Agreement by this retcrence. Thcsc services shall sometimes hereinafter be referred to as the "Project/Service." Contractor hereby designates Robert Aragon who shall represent it and be its sole contact and agent in all consultations with City during the performance ofthis Agreement. 2. City Staff Assistance City shall assign a stal't coordinator to work directly with Contractor in the performance ol' this Agreement. I 21.9700/254679 3. Compensation a. City agrees to pay. and Contractor agrees to accept as total payment for its services, the rates and charges identitied in Exhibit "B." The total sum to be expended under this Agreement. shall not exceed Twenty Nine Thousand Nine Hundred Dollars (529.900). b. Payment by City shall be made within thirty (30) days l'ollowinc receipt of proper invoice evidencing work perfornied, 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. C. Contractor shall be paid pursuant to the terms of Exhibit "B." 9. Term -time is of the essence regarding the Project/Service and execution of this Agreement. The services of Contractor are to commence May 112021 or as soon as practicable after the execution of this Agreement by City (the '`Commencement Date") and terminate November 11. 2021. unless terminated earlier in accordance with the provisions of this Agreement. Contract may be extended for two (2) additional one year periods if' mutually agreed to in writing by both parties. All tasks specified in Exhibit "A" shall be completed at the frequency time and schedule indicated in Exhibit "A". -fhe time for performance of the tasks identified in Exhibit "A" are generally to be shown in Exhibit "A." This schedule and Term may be amended to benefit the Project if mutually agreed to in writing by Cite 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 ol'Cih is obtained. 6. 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 Croy as it sees fit. 21-9700/254679 7. Hold Harmless Contractor hereby agrees to protect, defend, indemnify and hold harmless Cite, 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 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. 8. Workers Compensation Insurance Pursuant to California 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 furnish 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' emplovees. Contractor shall furnish to Cite 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. 9. General Liabilitv Insurance In addition to the workers' compensation and employer's liability insurance and Contractor's covenant to defend. hold harmless and indemnify 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. emplovees 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 (51,000,000) 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 ($1.000.000) for this Project/Service. This policy shall name Citv. 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 to the Project/Service shall be deemed excess coverage and that Contractor's insurance shall be primary. 3 21-9700/25-4679 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. 10. 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 Iyfillion Dollars ($1.000,000.00) per occurrence and a separate "Additional Insured Endorsement" page listing both the policy number and naming the "City of Huntington Beach, its officers, elected and/or appointed ofJiciols, eml)Ioyees, agents crud 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. 11. 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 police 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 hilly completed and accepted by City. The requirement for carrying the Ioregoing 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 tinnelq manner, the premiums on the insurance hereinabove required. 12. 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, a,,ents and employees and all business licenses. if any. in connection with the Project and/or the services to be performed hereunder. 4 21-9700/2»679 13. 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. 14. 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 lollowing 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 perfomlance specified in the Recitals of this Agreement. 15. 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 terms or conditions of any purchase order or other instrument that are inconsistent with. or in addition to. the terms and conditions hereof, shall not bind or obligate Contractor or the City. Each party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any party. or anyone acting on behalf of any party, which are not embodied herein. 16. 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. 17. City Employees 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 5 21 9700/254679 interest in this Agreement in violation of' the applicable provisions of the California Government Code, 18. Notices Any notices, certificates, or other communications hereunder shall be Liven 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 mail-return receipt requested: To City: To Contractor: City of Huntington Beach J&S Striping Attn: John NLuven Attn: Robert Aragon 2000 (Main Street 1544 S. Vinyard Avenue Huntington Beach, CA 92648 Ontario, CA 91716 19. Consent When City's consent/approval is required under this Agreement, its consent/approval for one transaction or event shall not be deemed to be a consent/approval to any subsequent occurrence of the same or anv 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. 21. Section Fleadinps 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. 22. 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 an 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 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. 6 21-97001254679 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. 23. 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. 24. Immigration Contractor shall be responsible for full compliance with the immigration and naturalization laws ol'the United States and shall. in particular, comply with the provisions of'the United States Code regarding employment verification. 25. 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. 26. Confidentiality, 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. 27. 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. 7 21 9700125,4679 28. Jurisdiction - Venue This Agreement and all questions relating to its validity, interpretation, performance. and enforcement shall be governed and construed in accordance with the laws of the State of California. ]'his .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. 29. 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 their inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. 30. AttorneN'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 attornev's fees from the nonprevailina party. 31. Survival Terms and conditions of this Agreement. which by their sense and context survive the expiration or termination of this Agreement. shall so survive. 32. Coverninp, Law This Agreement shall be governed and construed in accordance with the laws of the State of California. 33. 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. 34. 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 acknowledge and agree that no representations, inducements, promises, agreements or warranties. 8 21 97001254079 oral or otherwise, have been made by that party or anyone acting on that party'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. 35. 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 Manaeer. This Agreement shall expire when terminated as provided herein. CONTRACTOR: CITY OF HUNTINGTON BEACH, a municipal corporation of the State of J&S STRIPING California INITIATED AND APPROVED: print name IT'S: (circle one) Chairma iden ice President Director of Public Works AND APPROVED AS TOFORM: By: 4City Attorney print name ITS: (circle one) SecretaryNice-President/Chief Financial Officer/Asst. Secretary-Treasurer REVIEWED AND APPROVED: City Manager RECEIVED: �.�rwrrri"ART City Clerk 9 21-9700/254679 oral or otherwise, have been made by that party or anyone acting on that party'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. 35. 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: CITY OF HUNTINGTON BEACH, a municipal corporation of the State of 1&S STRIPING California INITIATED AND APPRO By: n r 3/('V am print ne I"I S: (clydeone)Chairm reside a nt! ice President Director of Public Works AND APPROVED AS TO FORM: By. 4City Attomoey prim name ITS: ( ircle one)SecretaryNice-President/Chief Financial Officer/Asst.Secretary -Treasurer RE I 'WED A APPROVED: City Manager RECEIVED: COUNTERPART City Clerk 9 21-971101254679 Exhibit A 00 1544 S.Vineyard Ave Ontario, California 91761 (909)947-8073 FAX: (909) 947.9489 '- ) Lic. No. 538211 CUSTOMER: Proposal & Contract Proposal: 13290 HUNTING'1'ON BEACH CITY OF Date: 5/3/2021 2000 MAIN ST HUNTINGTON BEACH,CA 92648 Phone: (71 75-) FAX: (7 N)375-5001001 Attention: JOHN NGUYFN Uwe hereby agree to furnish all labor,material and equipment for the completion,In a good workman like manner,of the work described below: Job Address: HUNTING'rON BEACH -ON CALL STRIPING Item No. Description Quantity U/M UnitPrice Total Price Schodule 1 1 ON CALL SERVICES FOR SIGNAGE AND STRIPING NOT TO 1.0 LS 29,900.000 29,900.00 EXCEED THE AMOUNT OF$29,900.00 BASED ON UNIT COST SERVICE ITEMS ---- Total: $29,900.00 Total Proposal Price: $29,900.00 Special Conditions: ACCEPTANCE (By Owner,Agent.or General Contractor) Itwe accept the within proposal. You are authorized to perform the work comprehended hereunder and I/we agree to pay the said amount in accordance with the terms set forth.All of the terms on the reverse side are incorporated herein and made a part hereof. J R S Striping HUNTINGTON BEACH CITY OF Robert Aragon Date: Accepted By. 1 1/2%SERVICE CHARGE PER MONTH APPLIED TO ALL PAST DUE BALANCES. ALL QUOTES GOOD FOR 90 DAYS. Page 1 of 1 Exhibit B PAINT STRIPING 4' 2021 THRU 2022 ITEM # Date U/M PRICE Quantity Total 1 DETAIL 1 LF 1 0.0700 0.00 2 DETAIL 24 jLF0.1000 0.00 3 DETAIL 8 0.0800 0.00 4 DETAIL 15 0.1200 0.00 5 DETAIL 21 0.1700 0.00 6 DETAIL 276 0,0800 0.00 7 DETAIL 28 LF 0.1700 0.00 8 DETAIL 31 LF 0.1700 0.00 9 DETAIL 37b LF 0.1000 0.00 10 DETAIL 38A LF 0.1000 0.00 11 DETAIL 39 LF 0.1000 0.00 12 DETAIL 39A LF 0.0900 0.00 13 DETAIL 40 LF 0.0800 0.00 14 12" LIMIT LINE OR X-WALK SF 1.1000 0.00 15 24"RR LIMIT LINE SF 1.9500 o.0a 16 MARKINGS SF 1.1500 0.00 17 6" CURB LF 0.4500 0.00 18 8" CURB LF 0.5000 0.00 19 12" CURB LF 0.7200 o.ao 20 REMOVE LANE STRIPE LF 3.7500 0.00 21 REMOVE 12"LIMIT LINE OR X-WALK SF 4.0000 0.00 22 REMOVE THERMO PAINT MARKINGS SF 4.0000 1 0.00 23 REMOVE CURB LF 2.1000 0.00 24 DETAIL 10 LF 0.2000 0.00 25 DETAIL 23 LF 0.3000 0.00 26 DETAIL 26 LF 0.0400 0.00 27 DETAIL 30 LF 0.3000 0.00 28 DETAIL 37C LF 0.2000 0.00 29 DETAIL 38C LF 0.2000 0.00 30 DETAIL 40A LF 0.1500 0.00 31 DETAIL 41A LF 0.1500 0.00 32 TYPE C EA 2.2000 0.00 33 TYPE D EA 2.2000 0.00 34 TYPE G EA 2.2000 o.oa 35 TYPE H EA 2,2000 0.00 36 TYPE A 8 AY EA 1.7500 0.00 37 8" CERMIC EA 30.0000 0.00 38 PARKING STALLS EA 7.5000 0.00 39 4"X-HATCH AREA LF 1.4500 0.00 40 HANDICAP LEGEND EA 53.0000 0.00 38 12" LETTERS t: 1.3500 0.00 36 2" BLACK LF 0,0600 0.00 38 LAYOUT LF 0.1600 0.00 Grand Total 0.00 PAINT STRIPING 6"STRIPING 2021 THRU 2022 ITEM # Date U/M PRICE 1 DETAIL 1 IYELLOW SKIP LF 0.8000 2 DETAIL 24 YELLOW SOLID LF 0.1000 3 DETAIL 8 1WHITE SKIP LF 0.1800 4 DETAIL 15 YELLOW SOLID / SKIP LF 0.1200 5 DETAIL 21 IDOUBLE YELLOW LF 0.1800 6 DETAIL 27B SOLID WHITE LF 0.1000 7 DETAIL 28 DBL/DBL YELLOW LF 0.1800 8 1 DETAIL 31 TWO WAY LEFT LF 0.1800 9 DETAIL 37b LF 0.1000 10 DETAIL 38A LF 0.1000 11 DETAIL 39 LF 0.1000 12 DETAIL 39A LF 0.0900 13 DETAIL 40 WHITE SKIP LF 0.0900 14 12" LIMIT LINE OR X-WALK SF 1.1000 15 24" RR LIMIT LINE SF 1.9500 16 MARKINGS SF 1.1500 17 6" CURB LF 0.4500 18 8" CURB LF 0.5000 19 12" CURB LF 0.7200 20 REMOVE LANE STRIPE LF 3.7500 21 REMOVE 12" LIMIT LINE OR X-WALK SF 4.0000 22 REMOVE THERMO PAINT MARKINGS SF 4.0000 23 REMOVE CURB LF 2.1000 24 DETAIL 10 LF 0.2000 25 DETAIL 23 LF 0.3000 26 DETAIL 26 LF 0.0400 27 DETAIL 30 LF 0.3000 28 DETAIL 37C LF 0.2000 29 DETAIL 38C LF 0.2000 30 DETAIL 40A LF 0.1500 31 DETAIL 41A LF 0.1500 32 TYPE C EA 2.2000 33 TYPE D EA 2.2000 34 TYPE G EAJ 2.2000 35 TYPE H EA 2.2000 36 TYPE A & AY EA 1.7500 37 8" CERMIC EA 30.0000 38 PARKING STALLS EA 7.5000 39 4" X-HATCH AREA LF 1.4500 40 HANDICAP LEGEND EA Fj3.0000 38 12" LETTERS EA 1.3500 38 2" BLACK LF 0.0800 38 ILAYOUT LF 0.1600 2021-2022 THERMOPLASTIC ITEM# Date UIM PRICE ouantity Total 1 DETAIL 1 LF 0.7700 0.00 2 DETAIL 8 LF 0.7700 0.00 3 DETAIL 15 LF 1.5500 0.00 4 DETAIL 21 LF 1.1000 0.00 5 DETAIL 27B LF 0.7000 0.00 6 DETAIL 28 LF 2.1000 0.00 7 DETAIL 31 LF 1.7000 0.00 8 DETAIL 37BA LF 1.0000 o.oa 9 DETAIL 38A LF 1.0700 0.00 10 DETAIL 39 LF 0.8600 0.00 11 DETAIL 39A LF 0.3500 0.00 12 DETAIL 40 LF 0.4500 0.00 13 12" LIMIT LINE OR X-WALK SF 2.1000 0.00 14 24" THERMO SF 3.7500 0.00 15 MARKINGS SF 6.7500 0.00 16 REMOVE LANE STRIPE LF 3.7500 0.00 17 REMOVE 12"LIMIT LINE OR X-WALK SF 4.0000 0.00 18 REMOVE THERMO MARKINGS I SF 4.0000 0.00 19 REMOVE CURB I LF 4.5000 0.00 20 LAYOUT STRIPE & MARKINGS LF 0.1600 0.00 21 TYPE C EA 2.2000 0.00 22 TYPED EA 2.2000 0.00 23 TYPE G EA 2.2000 0.00 24 TYPE H EA 2.2000 0.00 25 TYPE DB EA 15.0000 0.00 26 2" BLACK LF 0.0800 0.00 0.00 27 0.00 2s 0.00 29 0.00 30 0.00 31 Grand Total 0.00 2021-2022 THERMOPLASTIC ITEM# Date U/M PRICE Quantity Total 1 DETAIL 1 6" LF 0.8100 0.00 2 DETAIL 8 6" LF 0.8100 0.00 3 DETAIL 15 6" LF 1.7000 0.00 4 DETAIL 21 6" LF 1.3600 0.00 5 DETAIL 27B 6" LF 0.8600 0.00 6 DETAIL 28 6" LF 2.6200 0.00 7 DETAIL 31 6" LF 1.9600 0.00 8 DETAIL 37BA LF 1.0000 0.00 9 DETAIL 38A LF 1.0700 0.00 10 DETAIL39 LF 0.8600 0.00 11 DETAIL 39A LF 0.3500 0.00 12 DETAIL 40 6" LF 0.6200 0.00 13 12" LIMIT LINE OR X-WALK SF 2.1000 o.ao 14 24"THERMO SF 3.7500 0.00 15 MARKINGS SF 6.7500 0.00 16 REMOVE LANE STRIPE LF 3.1500 0.00 17 REMOVE 12"LIMIT LINE OR X-WALK SF 4.0000 0.00 18 REMOVE THERMO MARKINGS SF 4.0000 o.ao 19 REMOVE CURB I LF 4.5000 0.00 20 LAYOUT STRIPE & MARKINGS LF 0.1600 0.00 21 TYPE C EA 2.2000 0.00 22 TYPE D EA 2.2000 0.00 23 TYPE G EA 2.2000 0.00 24 TYPE H EA 2.2000 0.00 25 TYPE DB EA 15.0000 0.00 26 2" BLACK LF 0.0800 0.00 27 0.00 28 0.00 29 0.00 30 0.00 31 0.00 Grand Total 0.00 HUNTINGTON BEACH Dete: Unit Price Quantity Total 1 REMOVE SIGN 8 POST EA 98.000 0.00 2 REMOVE SIGN AND POST REPAIR SIDEWALK EA 1 125.000 0.00 3 FURNISH AND INSTALL SIGN EA 185.000 0.00 4 FURNISH AND INSTALL SIGN IN TOP SOIL EA 265.000 0.00 6 FURNISH AND INSTALL SIGN IN CONCRETE(CDR EA 350.000 0.00 6 DRAINS TO OCEAN STENCILING(PAINT) EA 18.500 D.00 7 0.00 8I IC.DD 9 D.00 10 0.00 t 1 0.00 12 0.00 13 0.00 14 0.00 15 D.Co 16 o.ao 17 0.00 18 0.00 19 0.00 20 0.00 21 0.00 22 0.00 23 0.00 coo F28 0.00 0.00 0.00 a.00 0.00 e.co o.00 0.00 0.00 33 34 0.00 35 0.00 Grand total 0.00 ALA vR CERTIFICATE OF LIABILITY INSURANCE °ATS4n° 21 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(los)must have ADDITIONAL INSURED provisions or be endorsed. if SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may requlro an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endoraomunt(s). QUINTACT Wl°°ucFR Patriot Risk&Insurance Services NAME: Annette Romero AX 2415 Cam us Drive, Suite#200 O NTAEaO' 948-486-7904 [.EFMX vim: Irvine, CA 92612 _e L o aromaro al(lsk.com WSURERIS)AFFORDING COVERAGE NAILS w .palrisk.com OK07568 INSURER A: Zurich Americanlnsuranco Company 18535 INSuaeo INSURER S: Navigators Insurance Compalry 42307 J &S Striping, Inc. 1544 S.Vineyyard Avenue INSURER C: Ontario CA 91761 INSURER°: INSUflER E INSURER f: COVERAGES CERTIFICATE NUMBER: 615347 5 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN OR TYPE OP INSURANCE . aX POLICY NUMBER POLIO I PM O PIP UMR9 A COMMERCIAL GENERAL LIABILITY / V G1.0027665504 3129/2021 3/29/2022 EACH OCCURRENCE S1 OD0000 UAMAUE IV CIAIALSAAOE �OCCU0. 6 E�� $500000 _ �5000 Uetluclide NED EXP M em W. $10000 PE RSONAL a ADV INJURY $1000000 GENT.AGGREGATE LIMIT APR"PER: GENERAL AGGREGATE s2,000,000 PCIICy�JECj 0 LOC PROUXTS-COSWNW AGO S2,000,000 O HER: Ann $ A AUTOMOBILELIABIUTY 7 7 8A 02 5 I 2912021 3(292022 I LRAIT IT 000000 ANYAUTO n BODILY WAIRY IN, ii.) $ OWMED SCHEDULED ![Y EMILY WARY(Pe,dean) S _ Auros ONLY AUToa HA E. DATES $ HIRED ONLY �OS ONLY CITY ATTORNEY Ppar E Uninsured mote isl com $1 000.000 B UMBRELLA LIAR t/ OCCUR SE21EXCZ04UGVC 329/2021 3129/2022 EACH OCCURRENCE 54,000000 EXCESS LAB CLAIMS-uAOE AGGREGATE 14 0110,000 DEB RETENTION O 1 A WCRNEASCOMPENSATION WCO27665704 3r292021 32W022 / 0,CAB2,EERH ANo EMPLOYERS'LAmLITY MYPROPRIETOPJPARTHENEXECUTIVE YIN E.L.EACHALODENT S1000ODO UFFICERAIEMBERFXCLIAE01I NIA IMa.ft.,M NMI El.DISEASE-EA EMPLOYEE 11,000.000 e ll''n.d.MT ix. OESCMPION°F OPERATIONS bsP E.L.DISFASE-PUNICYUMIT $1000000 DgnMPnO OFOPERATWNSILOCATgHSIVEHICLE9 (ACORO TeI.AddeleRd Mnvb BdudNP,IeryGWlrtEcd Bmon cDEcr N,Kulnd) R°: On-Coll Slripprig-Hunfington Beach,CA/JSJN 4417-5 the City of Huntington Beach its officers,elected or appointed officials,employees,agents and volunteers are named as additional Insureds in res�acis to the General Liability and Auto Liability,Includes Primary and Non-contributory rr the attached endorsements as required by written contract.Waiver of subrogaVon applies to GL.Auto and WC Days notice of cancellmion, 10 days for non-payment of premium. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Huntington Beach THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 2000 Main Street ACCOROANCE WITH THE POLICY PROVISIONS. Huntington Beach CA 92648 AUTHORIZED REPRESENTATNE Dove Jacobson U 01988.2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORO 1X53.19s 111/]l DL/AU/Utla/4C - ITY er IWmin9ton Beach I Mnette Kf CO 1 5/4/M] ],Ll,u IM IPpr: I P.ee L of 10 mi. ce rt if ScA t. ca co . S.G Dupere.dea ALL prevl.u.ly i...ed CeMLffc.te.. i Additional Insured — Owners, Lessees Or Contractors — ZURICH' Scheduled Person Or Organization i PoOcy No. Eff. Dato of Poi. Exp. Date of Pol. Eff.Date of End. Producer No. Addl.Prom Return Prom. GL0027665504 0=912021 03129/2022 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. .I i Named Insured: d a S st%ng,Inc. 1544 S.V•ineyand Avenue Address(Including ZIP Code): Ontario CA 91761 This endorsement modifies Insurance provided under the: Commercial General Liability Coverage Part SCHEDULE Name Of Additional Insured Person(s) Location And Description Of Covered Operations Or Organization(s) . The City of Huntington Beach,Its ol6cere,olocled or appointed On-Call Striping to ee 11u l ton oach CA 17 A. Section II —Who Is An Insured is amended to Include as an additional Insured the person or organization shown in the Schedule above, whom you are required to add as an additional insured on this policy under a written contract or written agreement. Such person or organization is an additional Insured only with respect to liability for"bodily Injury", "property damage"or"personal and advertising Injury"caused,in whole or In part, by: 1. Your acts or omissions;or 2. The acts or omissions of those acting on your behalf, In the performance of your ongoing operations or "your work" as included in the "products-completed operations hazard', which Is the subject of the written contract or written agreement at the Location designated and described in the Schedule above. However,the Insurance afforded to such additional insured: 1. Only applies to the extent permitted by law;and 2. Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured. B. With respect to the Insurance afforded to these additional insureds,the following additional exclusion applies: This insurance does not apply to: I I I U-GL-1177-F Cw(04/13) Pago 1 of 2 srsr.,ss ar(» aL/MIMA/Mc - crTr or IIIA'I' 9@a�°®YILAh4°S(,At@L4df2d91�i° 6t5°4'iF@A AUd°9cd4f 1"�l�Jt§84"?d$9lan. This cartif Cate canes is and supersedes ALL previously issued cart[ lcates. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering or failure to render any professional architectural, engineering or surveying services including: a. The preparing, approving or falling to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, Inspection, architectural or engineering activities. This exclusion applies even if the claims against any Insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, If the"occurrence' which caused the "bodily Injury" or "property damage', or the offense which caused the "personal and advertising injury", Involved, the rendering of or the failure to render any professional architectural, engineering or surveying services. C. The following is added to Paragraph 2, Duties In The Event Of Occurrence, Offense, Claim Or Suit of Section IV - Commerclal General Liability Conditions: The additional insured must see to it that: 1. We are notified as soon as practicable of an"occurrence'or offense that may result in a claim; 2. We receive written notice of a claim or"suit'as soon as practicable;and 3. A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy Issued by another Insurer under which the additional insured may be an insured in any capacity. This provision does not apply to Insurance on which the additional Insured Is a Named Insured, if the written contract or written agreement requires that this coverage be primary and non-contributory. D. For the purpose of the coverage provided by this endorsement: 1. The following is added to the Other Insurance Condition-of Section IV - Commercial General Liability Conditions: Primary and Noncontributory Insurance ' This Insurance is primary to and will not seek contribution from any other Insurance available to an additional Insured provided that: a. The additional insured is a Named Insured under such other Insurance; and b. You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other Insurance available to the additional Insured. 2. The following paragraph is added to Paragraph 4.1b.of the Other Insurance Condition of Section IV-Commercial General Liability Conditions: This insurance is excess over: Any of the other Insurance, whether primary, excess, contingent or on any other basis, available to an additional Insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense,claim or"suit"- This provision does not apply to any policy in which the additional insured Is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and non- contributory basis. E. With respect to the Insurance afforded to the additional insureds under this endorsement, the following is added to Section III-Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement referenced in Paragraph A.of this endorsement; or 2. Available under the applicable Limits of Insurance shown in the Declarations, whichever is less. This endorsement shall not Increase the applicable Limits of Insurance shown In the Declarations. All other terms and conditions of this policy remain unchanged. U-GL-1177-F CW l04/17) Page 2 of 2 Includes copyrighted material of Insurance Services Olaco,Inc.,Win Its pennisslon- 4l5)tl9S e1/1] OL/AU/MRP W - CITY OF Nmt LptM Y"ech I a^^etto N ro 15/Nl0]I l,)6,U 1. iPDTI 1 11." ) O[ 10 nis ter it ceto carwe o and suporaedes ALL previously tooued Corti lceto.. J & S Striping, Inc. POLICY NUMBER:GL0027665504 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: The Chy or Huntington Beach Its officers,elected or appointed ofgclals, employees,agents and volunteers Information required to complete this Schedule, if not shown above,will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV—Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products- completed operations hazard". This waiver applies only to the person or organization shown In the Schedule above. CG 24 04 05 09 ®Insurance Services Office, Inc., 2008 Page 1 of 1 ❑ 61534 lls 1 }l/ra aUau/wm/xc - u" or xunc b,gcon aeecn I Am,etta rom ro I sHtell )HHu oe (rm) 1 r.y. . oa ra Yhta certificate cancelo and •uperaedea ALL previwuly loaned certi4cetee. Coverage Extension Endorsement ZURICH Policy No. Elf. Date of Pol. Exp. Date of Pol. Eff.Date of End. Producer No. Merl.Prem Return Prem. BAP027665804 3t2912021 3/29/2022 5/412021 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies Insurance provided under the: Business Auto Coverage Form Motor Carrier Coverage Form A. Amended Who Is An Insured 1. The following is added to the Who Is An Insured Provision In Section II—Liability Coverage: The following are also"insureds": a. Any "employee" of yours is an "Insured" while using a covered "auto" you don't own, hire or borrow for acts performed within the scope of employment by you. b. Anyone volunteering services to you is an "Insured" while using a covered "auto" you don't own, hire or borrow to transport your clients or other persons in activities necessary to your business. c. Anyone also who furnishes an'auto" referenced in Paragraphs a. and b. above. d. Any person(s) or organization(s) where required by written contract or written agreement executed prior to any"accident" provided the"accident"arises out of operations contemplated by such contract or agreement. 2. The following is added to the Other Insurance Provision in the Conditions Section: Coverage for any person(s) or organization(s) where required by written contract or written agreement executed prior to any'accident'will apply on a primary basis and any Insurance maintained by the additional "insured" will apply on an excess basis. However, in no event will this coverage extend beyond the terms and conditions of the coverage form. B. Amendment—Supplementary Payments Paragraphs a.(2)and a.(4) of the Coverage Extensions Provision In Section II— Liability Coverage are replaced by the following: (2) Up to$5,000 for the cost of bail bonds(including bonds for related traffic law violations)required because of an "accident"we cover. We do not have to furnish these bonds. (4) All reasonable expenses Incurred by the"Insured'at our request, including actual loss of eamings up to$500 a day because of time off from work. C. Fellow Employee Coverage The Fellow Employee Exclusion contained in Section Il—Liability Coverage does not apply. D. Driver Safety Program Liability and Physical Damage Coverage 1. The following Is added to the Racing Exclusion In Section II—Liability Coverage: This exclusion does not apply to covered "autos' participating In a driver safety program event, such as, but not limited to, auto or truck rodeos and other auto or truck agility demonstrations. U-CA-424-E CW(04-11) Page 1 of 5 ar:,r..s r/» ar.rauruia we . clrr o.(fE'n ,�F °BY1�An)°Si"S{6@L@d �SiuS74FR7Si°5!f$,i PWFgAF•1 Wllhelq In"ldsslon. Th1a cae[lt teat* canca. a and anpercedaa ALL peavi Waly laaued carLlrtcareo. i 2, The following is added to Paragraph 2. in the Exclusions of Section III — Physical Damage Coverage of the Business Auto Coverage Form and Paragraph 2.b, in the Exclusions of Section IV — Physical Damage Coverage of the Motor Carrier Coverage Form: i This exclusion does not apply to covered 'autos" participating in a driver safely program event, such as, but not limited to, auto or truck rodeos and other auto or truck agility demonstrations. l E. Lease or Loan Gap Coverage The following Is added to the Coverage Provision of the Physical Damage Coverage Section: Lease Or Loan Gap Coverage In the event of a total"loss"to a covered"auto",we will pay any unpaid amount due on the lease or loan for a covered i 'auto", less: a. Any amount paid under the Physical Damage Coverage Section of the coverage form; and b. Any: (1) Overdue lease or loan payments at the time of the "loss'; (2) Financial penalties Imposed under a lease for excessive use,abnormal wear and tear or high mileage; (3) Security deposits not returned by the lessor; (4) Costs for extended warranties, credit life insurance, health, accident or disability insurance purchased with the loan or lease;and (5) Carry-over balances from previous leases or loans. F. Towing and Labor The following is added to Paragraph A.2. of the Physical Damage Coverage Section: We will pay up to$75 for towing and labor costs incurred each time a covered "auto'of the private passenger type is disabled. However, the labor must be performed at the place of disablement. G. Extended Glass Coverage The following is added to Paragraph A.3.a.of the Physical Damage Coverage Section: If glass must be replaced, the deductible will be $100 or the deductible shown in the Declarations, whichever Is less. If glass can be repaired and is actually repaired rather than replaced, the deductible will be waived. You have the option of having the glass repaired rather than replaced, H. Hired Auto Physical Damage—Increased Loss of Use Expenses The Loss Of Use Expenses Provision of the Physical Damage Coverage Section Is replaced by the following: Loss Of Use Expenses For Hired Auto Physical Damage,we will pay expenses for which an "insured' becomes legally responsible to pay for loss of use of a vehicle rented or hired without a driver under a written rental contract or written rental agreement. We will pay for loss of use expenses if caused by: (1) Other than collision only if the Declarations indicate that Comprehensive Coverage is provided for any covered "auto"; (2) Specified Causes Of Loss only if the Declarations indicate that Specified Causes Of Loss Coverage is provided for any covered "auto'; or (3) Collision only If the Declarations Indicate that Collision Coverage is provided for any covered"auto'. However, the most we will pay for any expenses for loss of use Is$100 per day, to a maximum of$3000. I. Personal Effects Coverage The following is added to the Coverage Provision of the Physical Damage Coverage Section: Personal Effects Coverage a. We will pay up to$750 for"loss"to personal effects which are: (1) Personal property owned by an"insured"and u-CA-424-E CW(04-11) Page 2 of 5 arei.res I xi rwruae cc . CITY oa 11L44i4,92orn°BY11�'(aS�aRI@141�� (�d`40S�PS'�f�aS�FF�P{' �vd4F 1���f$1b4rr1dsslon. R is car tif(n m.care cancels and vupersedoe ALL previwaly /naued certificates. I I (2) In or on a covered 'auto". i b. Subject to Paragraph a. above, the amount to be paid for"loss"to personal effects will be based on the lesser of: (1) The reasonable cost to replace;or (2) The actual cash value. c. The coverage provided In Paragraphs a. and b. above, only applies in the event of a total theft of a covered 'auto". No deductible applies to this coverage. However, we will not pay for "loss" to personal effects of any of the following: (1) Accounts, bills, currency, deeds, evidence of debt, money, notes, securities, or commercial paper or other documents of value. (2) Bullion, gold, silver, platinum, or other precious alloys or metals; furs or fur garments; jewelry, watches, precious or semi-preclous stones. (3) Paintings, statuary and other works of art. (4) Contraband or property in the course of Illegal transportation or trade. (5) Tapes, records, discs or other similar devices used with audio,visual or data electronic equipment. Any coverage provided by this Provision is excess over any other Insurance coverage available for the same"loss". J. Tapes, Records and Discs Coverage 1. The Exclusion In Paragraph B.4.a. of Section III — Physical Damage Coverage in the Business Auto Coverage Form and the Exclusion in Paragraph B.2.c. of Section IV — Physical Damage Coverage in the Motor Carrier Coverage Form do not apply. 2. The following is added to Paragraph 1.a. Comprehensive Coverage under the Coverage Provision of the Physical Damage Coverage Section: We will pay for "loss" to tapes, records, discs or other similar devices used with audio, visual of data electronic equipment. We will pay only if the tapes, records, discs or other similar audio, visual or data electronic devices: (a) Are the property of an"insured'; and (b) Are in a covered "auto"at the time of"loss". The most we will pay for such "loss" to tapes, records, discs or other similar devices is $500. The Physical Damage Coverage Deductible Provision does not apply to such *loss'. K. Alrbag Coverage The Exclusion In Paragraph B.3.a. of Section III—Physical Damage Coverage In the Business Auto Coverage Form and the Excluslon In Paragraph B.4.a. of Section IV — Physical Damage Coverage in the Motor Carrier Coverage Form do not apply to the accidental discharge of an airbag. L. Two or More Deductibles The following is added to the Deductible Provision of the Physical Damage Coverage Section: If an accident is covered both by this policy or coverage form and by another policy or coverage form Issued to you by us,the following applies for each covered"auto'on a per vehicle basis: 1. If the deductible on this policy or coverage form is the smaller(or smallest)deductible, it will be waived; or 2. If the deductible on this policy or coverage form is not the smaller (or smallest) deductible, it will be reduced by the amount of the smaller(or smallest)deductible. M. Physical Damage—Comprehensive Coverage—Deductible The following Is added to the Deductible Provision of the Physical Damage Coverage Section: Regardless of the number of covered"autos"damaged or stolen, the maximum deductible that will be applied to Comprehensive Coverage for all"loss"from any one cause Is $5,000. U-CA424-ECW(04.11) Pago 3 of 5 11114715 1 ]r(22 O./Ap/ )WC C Tr or jll•T�C1Ty'COT'B hte l�[lT�f?bc�10 IUS/115NT10 �l YVH'1 /'9 11f:r104rl�ss on. Thla car tif Cate cancalle and auparaodaa ALL prcvloue ly faoued cerOticatae. i N. Temporary Substitute Autos—Physical Damage 1. The following Is added to Section I—Covered Autos: Temporary Substitute Autos—Physical Damage If Physical Damage Coverage is provided by this coverage form on your owned covered "autos", the following types of vehicles are also covered 'autos"for Physical Damage Coverage: j Any "auto" you do not own when used with the permission of its owner as a temporary substitute for a covered 'auto"you do own but Is out of service because of its: 1. Breakdown; i 2. Repair; 3. Servicing; 4. "Loss'; or 5. Destruction. 2. The following is added to the Coverage Provision of the Physical Damage Coverage Section: Temporary Substitute Autos—Physical Damage We will pay the owner for"loss"to the temporary substitute "auto" unless the "loss"results from fraudulent ads or omissions on your part. If we make any payment to the owner,we will obtain the owner's rights against any other party. The deductible for the temporary substitute "auto" will be the same as the deductible for the covered "auto" it replaces. O. Amended Duties In The Event Of Accident, Claim, Suit Or Loss Paragraph a.of the Duties In The Event Of Accident, Claim, Suit Or Loss Condition is replaced by the following: a. In the event of"accident",claim,"suit"or"loss', you must give us or our authorized representative prompt notice of the"accident", claim, "suit"or"loss". However, these duties only apply when the"accident', claim,"suit"or "loss"is known to you(if you are an individual), a partner(if you are a partnership), a member(if you are a limited liability company)or an executive officer or Insurance manager(if you are a corporation). The failure of any agent, servant or employee of the "Insured"to notify us of any"accident",claim, "suit"or"loss" shall not Invalidate the Insurance afforded by this policy. Include, as soon as practicable: (1) How, when and where the"accident"or"loss"occurred and if a claim is made or"suit"is brought, written notice of the claim or"suit" Including, but not limited to, the date and details of such claim or"suit' (2) The"insured's'name and address;and (3) To the extent possible, the names and addresses of any injured persons and witnesses. If you report an"accident", claim, "suit"or"loss"to another insurer when you should have reported to us,your failure to report to us will not be seen as a violation of these amended duties provided you give us notice as soon as practicable after the fact of the delay becomes known to you. P. Waiver of Transfer Of Rights Of Recovery Against Others To Us The following Is added to the Transfer Of Rights Of Recovery Against Others To Us Condition: This Condition does not apply to the extent required of you by a written contract, executed prior to any "accident" or "loss", provided that the "accident'or"loss"arises out of operations contemplated by such contract. This waiver only applies to the person or organization designated in the contract. Q. Employee Hired Autos— Physical Damage Paragraph b. of the Other Insurance Condition In the Business Auto Coverage Form and Paragraph I. of the Other Insurance—Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form are replaced by the following: For Hired Auto Physical Damage Coverage,the following are deemed to be covered "autos" you own: U-CA-424-E CW(04.11) Page 4 of 5 ors J,' a,/as m./su/see/xc . c,rt ar rh �7en°�1.�Qh,e�„r��(grl f.IS3°S94yf615°S;�jp3j P(QFPr�P.F.t''Q1l atti�4rMssl°n. This ca r[lt Kate cance a and supersedes ALL prevl cualy issued certificates. i I (1) Any covered "auto"you lease,hire, rent or borrow; and (2) Any covered 'auto" hired or rented under a written contract or written agreement entered Into by an"employee" or elected or appointed official with your permission while being operated within the course and scope of that "employee's"employment by you or that elected or appointed official's duties as respect their obligations to you. However,any"auto"that Is leased, hired, rented or borrowed with a driver Is not a covered "auto". R. Unintentional Failure to Disclose Hazards The following is added to the Concealment, Misrepresentation Or Fraud Condition: However,we will not deny coverage under this coverage form if you unintentionally: (1) Fail to disclose any hazards existing at the Inception date of this coverage form;or (2) Make an error, omission, Improper description of"autos"or other misstatement of information. You must notify us as soon as possible after the discovery of any hazards or any other Information that was not provided to us prior to the acceptance of this policy. S. Hired Auto—World Wide Coverage Paragraph(5)(a)of the Policy Period,Coverage Territory Condition is replaced by the following: (a) A covered "auto'is leased, hired, rented or borrowed for a period of 60 days or less; and T. Bodily Injury Redefined The definition of"bodily injury"In the Definitions Section is replaced by the following: "Bodily injury" means bodily Injury, sickness or disease, sustained by a person including death or mental anguish, resulting from any of these at any time. Mental anguish means any type of mental or emotional Illness or disease. All other terms and conditions of this policy remain unchanged. U-CA-424 E CW(04-11) /(��I�1�1��(�,,��ya y(`(��,1�,,F y� p p1^I I^� �p1�1�-Q Q ^��q (�(���-q 1^ r�1 5 Page 5 d 5 LI SIf]f5 21(22 OL/AU/M%(WC - C1tY 01(I111n11aCCr1-6dlLiC')'xA18�(lr1FEdY[U",USIi/�a]ta]'i RA YYlr1l P1�j1A 1OV5sIon, This cer Llf cote canoe a and supersedes ALL previously issued certi(ica[ea. I WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT- CALIFORNIA We have the right to recover our payments from anyone liable for an Injury covered by this policy. We will not enforce our right against the person or organization named In the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged In the work described In the Schedule. The additional premium for this endorsement shall be % of the California workers'compensation premium otherwise due on such remuneration. Schedule Person or Oraanlzadon Job Description WHERE REQUIRED BY WRITTEN CONTRACT WHERE REQUIRED BY WRITTEN CONTRACT This endorsement Is executed by the Premium$ Effective Date 3/29/2021 Expiration Dale 3/29/2022 For attachment to Policy No, WCO27665704 WC 04 03 06 Page 1 of 1 ED:4/1984 61514795 I 21 }] OLJAVJUIm WC - CITY Of NOnLINLen OOLC6 I e OtL6 PMeiO 15J6/3901 11161i1 Mt ICVII I Ci90 10 O: 19 Thla cortir(cute ounce la aad euperaedca ALL prevloualy teaUed Certif Kates.