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HomeMy WebLinkAboutRolcom Corporation - 2022-12-01 AMENDMENT NO. 2 TO SERVICE AGREEMENT BETWEEN . THE CITY OF HUNTINGTON BEACH AND ROLCOM CORPORATION FOR REPAIR OF DAMAGED BEACH STAIRS THIS AMENDMENT is made and entered into by and between the CITY OF HUNTINGTON BEACH, a California municipal corporation,hereinafter referred to as "City,"and ROLCOM CORPORATION,hereinafter referred to as"Consultant." WHEREAS, City and Consultant are partieS to that certain agreement, dated December 11, 2022, entitled"Service Agreement Between the City of Huntington Beach and Rolcom Corporation for Repair of Damaged Beach Stairs"which agreement shall hereinafter be referred to as the"Original Agreement"; and City and Consultant wish to amend the Original Agreement to increase the amount of compensation to be paid to Consultant, NOW,THEREFORE, it is agreed by City and Consultant as follows: I. SCOPE OF WORK The Scope of Work of the Agreement is sin encled to include the additional duties as set forth in gX b it"A• 2. ADDITIONAL COMPENSATION In consideration of the services to be performed under the Original Agreement, City agrees to pay ConwItant at the rates specified in Exhibit B which is attached hereto and incorporated by reference into this Agreement. City further agrees to pay Consultant an additional sum not to exceed Thirty-Five Thousand Dollars ($35,000.00). The additional sum shall be added to the original sum of Fifty Thousand 24-14255/333432 1 Three Hundred Fifty Dollars ($50,350.00), for a new contract amount not to exceed Eighty Five Thousand Three Hundred Fifty Dollars ($85,350.00). 3. REAFFIRMATION Except as specifically modified herein, all other terms and conditions for the Original Agreement shall remain in full force and effect. IN WITNESS WHEREOF,the parties hereto have caused this Agreement to be executed by and through their authorized officers on March 12 , 2024. ROLCOM CORPORATION CITY OF HUNTINGTON BEACH, a municipal corporation of the State of California By: y /t,e;4 Ryan Todora print name ,Cr1k— ITS: (circle one)Chairm4/President/)'ice President Mayor AND By: Tam%awe City erk 3 z8 Ryan Todora ND APPROVED: ITS: (circle c ie)Secretarv/dhief Financial Officer/Asst. Secretary-Treasurer Director Pu lic Works APPROVED - " • F i Attorney 24-14255/333432 2 EXHIBIT "A"" A. STATEMENT OF WORK: (t•larratiVe of work to be Perf•zirrned) Install and repair the'concrete driveway approach at Dog Beach. B. CONSULTANT'S DUTIES AND RESPONSIBILITIES: Install,and repair the concrete driveway approach at Dog.Beach. C. CITY'S DUTIES AND RESPONSIBILITIES: D. WORK F'ROGRAM/PROJECT SCHEDULE: 24-1425/333432 3 • ACORE0 CERTIFICATE OF LIABILITY INSURANCE DATEIMMJDD/YYYY) 3/7/2024 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(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Certificate Team AssuredPartners of California Insurance Services,LLC lac No.Eel):800-591-9692 FAX j jam,NO):800-591-1845 215 Estates Dr. Suite 1 E-MAIL Roseville CA 95678 ADDREss: certificates.roseville@assuredpartners.com INSURER(S)AFFORDING COVERAGE _ NAIC INSURER A:James River Insurance Co. 12203. INSURED ROLCINC-01 INSURER B:Underwriters at Lloyd"s London Rolcom, Inc. 240 N. Ott Street INSURER C:Great American Insurance Co. 16891 Corona CA 92882 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 1966530630 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR !AWL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INS() WVO POLICY NUMBER IMM/DOIYYYY) (MMIDDJYYYYI A X COMMERCIAL GENERAL LIABILITY Y Y 001141563 3/17/2024 3/17/2025 EACH OCCURRENCE $1,000,000 DAMAGE TO CLAIMS-MADE f"' 1 OCCUR PREMISES(aENTED occurrrence) $100,000 MED EXP(Any one person) $5.000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY X JECT LOC PRODUCTS-COMP/OPAGG $2,000,000 _-OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (EA accident) _ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS AUTOS NON-OWNED PROPERTY DAMAGE ^ $ _ HIRED AUTOS AUTOS (Per accident) S A UMBRELLA LIAB X OCCUR 001141823 3/17/2024 3/17/2025 EACH OCCURRENCE S 5.000.000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $5.000,000 CED RETENTIONS $ WORKERS COMPENSATION PER l A AND EMPLOYERS'LIABILITY STATUTE..._._. ER Y!N ANY PROPRIETOR/PARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,descnbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ B Professional Liab ANE190330123 8/10/2023 8/10/2024 Each Occurrence 2,000,000 C Builders Risk IMP18499350700 3/17/2024 I 3/17/2025 Limit at Single Loc. 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more apace Is required) City of Huntington Beach,its officers,elected or appointed officials,employees,agents and volunteers are Additional Insureds under Gener Liability as per the attached endorsement(s).Coverage is primary and non-contributory under General Liability as per the attached endorsement(s).Waiver of s brogation is included under General Liability as per the attached endorsement(s).Notice of Cancellation:30 Days exceoLtor 1,0 ysfor-Nor a nt f remium in accordance with the policy provisions. ApPtiOvtif MICHAEL E.GATES CITY ATTORNEY CERTIFICATE HOLDER CANCELLATION CITY OF HUNTINGTON BEACH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Huntington Beach ACCORDANCE WITH THE POLICY PROVISIONS. Risk Management Dept. 2000 Main Street AUTHORIZED REPRESENTATIVE Huntington Beach CA 92648 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD RISK M9t,MAR.1.9'24ii'i..;.,; r POLICY NUMBER: 00114156-3 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 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): Location(s) Of Covered Operations City of Huntington Beach, its officers, elected or All operations of the Named Insureds 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 exclu- organization(s) shown in the Schedule, but only sions 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 equip- ment furnished in connection with such work, 2. The acts or omissions of those acting on your on the project(other than service, maintenance behalf; or repairs) to be performed by or on behalf of in the performance of your ongoing operations for the additional insured(s) at the location of the the additional insured(s) at the location(s) desig- operations has been completed, or nated above. 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization oth- er than another contractor or subcontractor engaged in performing operations for a princi- pal as a part of the same project. CG 20 10 07 04 ©ISO Properties, Inc., 2004 Page 1 of 1 0 POLICY NUMBER. 00114156-3 COMMERCIAL GENERAL LIABILITY CG20370704 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 SCHEDULE Name Of Additional Insured Person(s) Location And Description Of Completed Opera- Or Organization(s): tions City of Huntington Beach, its officers, elected or All operations of the Named Insureds appointed officials, employees, agents and volunteers Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the 'products- completed operations hazard". CG 20 37 07 04 ©ISO Properties, Inc., 2004 Page 1 of 1 ❑ POLICY NUMBER: 00114156 3 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON CONTRIBUTORY ENDORSEMENT This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS Name Of Additional Insured Person(s) Or Organization(s): If no entry appears above, this endorsement applies to all Additional Insureds covered under this policy. Any coverage provided to an Additional Insured under this policy shall be excess over any other valid and collectible insurance available to such Additional Insured whether primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this insurance apply on a primary and noncontributory basis ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5031 US 04-10 Page 1 of 1 POLICY NUMBER:00114156-3 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: Where required by written contract or written agreement 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 0 AMENDMENT NO. 1 TO SERVICE AGREEMENT BETWEEN THE CITY OF HUNTINGTON BEACH AND ROLCOM CORPORATION FOR REPAIR OF DAMAGED BEACH STAIRS THIS AMENDMENT is made and entered into by and between the CITY OF HUNTINGTON BEACH,a California municipal corporation,hereinafter referred to as "City," and ROLCOM CORPORATION,hereinafter referred to as"Consultant." WHEREAS,City and Consultant are parties to that certain agreement,dated December 1,2022,entitled"Service Agreement Between the City of Huntington Beach and Rolcom Corporation for Repair of Damaged Beach Stairs"which agreement shall hereinafter be referred to as the"Original Agreement";and City and Consultant wish to amend the Original Agreement to increase the amount of compensation to be paid to Consultant, NOW,THEREFORE,it is agreed by City and Consultant as follows: 1. ADDITIONAL COMPENSATION In consideration of the services to be performed under the Original Agreement, City agrees to pay Consultant at the rates specified in Exhibit B which is attached hereto and incorporated by reference into this Agreement. City further agrees to pay Consultant an additional sum not to exceed Twenty Four Thousand Dollars ($24,000.00). The additional sum shall be added to the original sum of Twenty Six Thousand Three Hundred Fifty Dollars($26,350.00),for a new contract amount not to exceed Fifty Thousand Three Hundred Fifty Dollars($50,350.00). 22-12243/297282 1 2. REAFFIRMATION Except as specifically modified herein, all other terms and conditions for the Original Agreement shall remain in full force and effect. IN WITNESS WHEREOF,the parties hereto have caused this Agreement to be executed by and through their authorized officers on\,, .ecv be r '� 0,2022. ROLCOM CORPORATION CITY OF HUNTINGTON BEACH, a municipal corporation of the State of California By. Vu- rint name ITS: (circle one)Chairtnan/President/Vice President Mayor AND 4441, e0 jantiatttd City Clerk 6/Z.4/24 s By: INITI .�'D AND APPROV D: • print name ITS: (circle one)Secretary/Chief Financial /� Pi Officer/Asst.Secretary-Treasurer Director of Public Works' APPROVED • Ci Attorney itty 22-12243/297282 2 6P DATE ILIMIDDNYTYI CORD CERTIFICATE OF LIABILITY INSURANCE 10n6t2022 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(tes)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s), PRODUCER NAMEACT : Doug LlndioyyCRIS First Service Insurance PHONE FAX 215 Nc.NQ,Fadl'800-501-0602 ___ (ac,Nou800-591-1845 Estates Dr Ste 4 .MAIL csr24 firstsorvdceweb,com Roseville CA 95678 aDDxt i.._— e _ _.___ _--_ INSURER(S)AFFORDING COVERAGE NA/CA __ INSURER A:James River Insurance Co, 12203 INSURED ROLCO-1 INSURER a:Great American Insurance Co. 16601 RolN.T,Inc,Ott Street 240 INSURER C:UNDERWRITERS AT LLOYDS LONDON 15702 240 N. Corona CA 92882 INSURER D: INSURER E: INSURER F i COVERAGES CERTIFICATE NUMBER:1422468640 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 AI,L THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAiD CLAIMS. FISH TYPE OF INSURANCE COOL SUER POLICY EFF POLICY SXP LIMITSLTR 1NSD VND POLICY NUMBER IMVDDIYYYYI (MM/ODiYYYYI A X COMMERCIAL GENERA'.LIABILITY Y Y 001141661 3/170022 3/17/2023 EACH OCCURRENCE $t,0 OO000 CLAIMS•MADE I X1 OCCUR -DAMAGE I S RENTED 'J�Et,11SES Ee occurrence) _ $100,000 _J MED EXP(Any ono person) $6,000 PERSONAL&ADY INJURY $1,000,000 GENT.AGGREGATE� LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 ^i _ POLICY L"_J�Eco� I Loc APPROVED AS TO FORM PR000CTs-COMP/OP AGO $2,000,000 --_._.__ OTHER: �,` $ - AUTOMOBILE LIABILITY y~r COMeINEO SINGLE LIMIT $ 13y;. (Eoaccklontt ANY AUTO CiH .L>".GATES BODILY INJURY(Per person) $ ALL OWNED SCHEDULED CITY ATTORNEY BODILY INJURY(Per accident) $ _AUTOS —NON AUTOS CITY OF HUNTINGTON BEACH PROPERTY DAMAGE $ ._ HIRED AUTOS _AUTOS (Paraccidonl) __- A UMBRELLA LICE X OCCUR 001141021 3/17/2022 3/17/2023 EACH OCCURRENCE S6,000000 . X EXCESS LICE CLAIMS•MADE AGGREGATE $6,000,000 DEU RETENTION$ $ WORKERS COMPENSATION P ATU1);., ERO L- AND EMPLOYERS'LIADILITY Y1ir — ANY PROPRIETOR/PARTNERIEXECUTIVE I I NIA EA.EACH ACCIDENT OFFICERIMEIJBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE,S II yes,describe under DESCRIPTION OF OPERATIONS below _ E.L.DISEASE-POLICY LIMIT $ B Builders flfsk 1MP104993505 3/17/2022 3/17/2023 Umll et Stage Loc. 2,000,000 C PrefesslonalLlab ANE100330122 $/10i2022 0110/2023 Each Occurrence 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may he attached Ii more space Is required) City of Huntington Beach,its officers,elected or appointed officials,employees,agents and volunteers are Addiltonal Insureds under General Liability as per the attached endorsement(s) Coverage Is primary and non-contributory under General Liability as per the attached endorsement(s).Waiver of subrogation Is included under General Liability as per the attached endorsement(s). Notice of Cancellation:30 Days except for 10 Days for Non-Payment of Premium in accordance with the policy provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Huntington Beach ACCORDANCE WITH THE POLICY PROVISIONS. Risk Management Dept. 2000 Main Street AUTHORIZED REPRESENTATIVE Huntington Beach CA 92648 ,i.-c:F.--0 01980-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014f01) Tho ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE °"T10/25/202_ ' "I HIS CERTIFICATE IS ISSUED AS AMATTEROF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTERTHE 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:IT the certifcale holder Is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed.If SUBROGATION IS WAIVED,subject to the terms end conditions of the policy,certain policies may requiro en endorsement.A statement on this certificate does not confer tights to tiro certificate holder In Reuel such endorsement(s). PRODUCER CONTACT NAME: Davin Wozencraft Davin Wozencra(t(9727371) PHONE FAX 660 N Santiago St (A/c,NO,LIT):949.476-9730 (A/c,No):866-538-7660 EMAIL Santa Ana CA 92701-3942 ADDRESS; dwOzencraft@farmorsagefll.com INSURER(S)AFFORDING COVERAGE NAIC N INSURED INSURER A: Truck Insurance Exchange 21709 INSURER a: Farmers insurance Exchange 21652 —� ROLCOM INC INSURERC: Mid Century Insurance Company 21687 240 OTT ST INSURER 0: INSURER E: CORONA CA 92882 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW I IAVE SEEN ISSUED TO THE INSURED NAME ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUI RIME N1,TERM OR CONCH ION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED MIME POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS,EXCLUSIONS AND CONOITIONS OFSUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BYPAID CLAIMS, MR TYPE OF INSURANCE ADDTL seen POLICY NUMBER POLICYEfF POLICYEXP LIMITS LTR INSR WVD (MM/DU/YYYY) (MM/DD/YYYY) COMMERCIALGENERALLIABILITY EACH OCCURRENCE $ '— DAMAGE TO RENTED $ CINMS MADE I OCCUR PREMISES(Ea Occurrence) I--__ MEDEXP(Any oneperson) $ PERSONAL&AOV INJURY $ GENT AGGREGATE LIMIT APPUESPER: GENERAL AGGREGATE $ POLICY(-1 PROJECT LLOC PRODUCTS•COMP/OPAGG $ �_.__ OTHER: ._______,_. $ COMBINED SINGLE LIMIT $ 1,000,000 AUTOMOBILE LIABILITY (Ea accident) —ANY AUTO BODILY INJURY(Per person) $ OWNED AUros — SCHEDULED BODILY INJURY(Per accident)Si A ONLY X AUTOS Y Y 604372641 05/21/2022 06/21/2023 —.-_. . HI RED AUTOS X NON-OWNED PROPERTY DAMAGE $ ONLY AUTOS ONLY (Per accident) -- $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESSLMAB CLAIMS-MADE AGGREGATE $ DEC RETENTION$ S WORKERS COMPENSATION PER OTHER $ AND EMPLOYERS'LIABILITY STATUTE ANY PROPRIETOR/PARTNER/ Y/N E.L.EACH ACCIDENT $ EXECUTIVE OFFICER/MEMBER N/A El.DISEASE-EAEMPLOYEE EXCLUDED?(Mandatory in NH) Il yes,describe under DESCRIPTION OF E.L.DISEASE-POLICY LIMIT $ OPERATIONS below — DESCRIPTION OF OPFI1ATIONS/LOCATIOHS/VEHICLES(ACORD IOl,Addltlonat Remarks Schedule,may he attached it more space Is required) City of Huntington Beach,its officers,elected or appointed officials,employees,agents and volunteer named as additional Insureds. CERTIFICATE HOLDER CANCELLATION __T City of Huntington Beach SHOULD ANY OF'IIIc'AUOVE DESCRIBED POLICIES lEE CANCELLED UEFOItItTFlE EXPIRATION Risk Management Dept, DATE THEREOF NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 2000 MAIN ST AUTHORIZED REPRESENTATIVE I ) • _HUNTINGTON BEACH CA_92648 ei. GGG✓✓✓ ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION.All Rights Reserved 31.I?69 I i-I5 The ACORD name and logo are registered marks of ACORD ---"--.".41 0 DATE(MAUDOWYYY) A`GI?D CERTIFICATE OF LIABILITY INSURANCE 10/25/2022 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 he endorsed. If SUBROGATION IS WAIVED,subject to the torms and conditions of the policy,certain policies may require an endorsement. A statement on Ns certificate dons not confer rights to the certificate holder in lieu of such ondoreoment(s). PRODUCER CONTACT Stephanie Major ELG Insurance Services, LLC PHONE 714 661-9920 AX 714 441 8795 1230 N.Jefferson Street, Unit B AJC.No,Exni (714) ratio,( ) EMAIL Ste hM et tnsurance.com Anaheim,CA 92807 �n�ua�.sl ...___l5 ij1__ License#: 0D01721 INSURERISI AFFORDING COVERAGE RAID E __ _ ' INSURER AI Ohio Security insurance Company 244 INSURED ".`__._ INSURER B:,__ -- Roicorn, Inc. INSURER C; 240 Ott St INSURER D: Corona,CA 92882 INSURERS: INSURER F: COVERAGES CERTIFICATE NUMBER: 00001305-0 REVISION NUMBER: 72 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR __.�._. —AWL MN`--- POLICY EFF POLICY EXP I.TR TYPE OF INSURANCE INSD MD POLICY NUMBER IAWJODrYYYYI (MM1D0/YYYYI LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED _ I CLAIMS-MADE n OCCUR ?MAMMA ascvrrence) $ MEO EXP(Any ono person) $ PERSONAL&ADV INJURY S GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1 POLICY 1PRO. LOC PRODUCTS-COMP/OP AGO $ __ 1 JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ IES SCORNED ANY AUTO BODILY INJURY(Per person) $ — OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY .__. AUrOS — HIRED NON•OYMED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ _ EXCESS LIAR CLAIMS-MADE AGGREGATE $ D£:O I I f RETENTION$ S AHWORKERS COMPENSATION - ANDEMPLOYERS'LIABILITY YIN Y XWS63608430 07i16i2022 07/15/2023 X Maui 'ER AIJYPROPRIETORJPARTNERIEXECUTIVE E.L.L.EACH ACCIDENT $ 1,000,000_ NIA OFFICER/MEMBER EXCLUDED? y(Mandatory In NH) s,L..DISEASE-EA EMPLOYEE $ 1,000,000 N ppos dose ibo under E.L.DISEASE•POLICY LIMIT $ 1,000,000 DESGIRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS/VEHHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more apace Is required) 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 Risk Management Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 2000 Main Street AUTHOR! •O REPRESENTATIVE: Huntington Beach,CA 92648 I (8CM) 391908.2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016(03) The ACORD name and logo are registered marks of ACORD Printod by SCM on 10/26/2022 at 11:24AM POLICY NUMBER: 001141561 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 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 City of Huntington Beach, its officers All operations of the Named Insureds elected or appointed officials,employees agent 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 exclu- organization(s) shown in the Schedule, but only sions 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 equip- ment furnished in connection with such work, 2. The acts or omissions of those acting on your on the project(other than service,maintenance behalf; or repairs) to be performed by or on behalf of In the performance of your ongoing operations for the additional insured(s) at the location of the the additional insured(s) at the location(s) deslg- covered operations has been completed;or noted above. 2. That portion of "your work" out of which the Injury or damage arises has been put to Its in- tended use by any person or organization oth- er than another contractor or subcontractor engaged in performing operations for a princi- eel es e part of the seme nmient. CG 20 10 07 04 m ISO Properties, Inc.,2004 Page 1 of 1 El POLICY NUMBER: 001141561 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 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): Location(s)Of Covered Operations City of Huntington Beach, Its officers All operations of the Named Insureds elected or appointed officials,employees agent 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 exciu- organization(s) shown in the Schedule, but only sions 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, All work, Including materials, parts or equip- 1. Your acts or omissions;or ment furnished in connection with such work, 2. The acts or omissions of those acting on your on the project(other than service,maintenance behalf; or repairs) to be performed by or on behalf of in the performance of your ongoing operations for the additional Insured(s) at the location of the the additional insured(s) at the location(s) desig- covered operations has been completed;or nated above. 2. That portion of "your work" out of which the Injury or damage arises has been put to its In- tended use by any person or organization oth- er than another contractor or subcontractor engaged In performing operations for a princi- nal as n nail of the same nrolect. CG 20 37 07 04 ©ISO Properties,inc.,2004 Page 1 of 1 ❑ 001141561 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON CONTRIBUTORY ENDORSEMENT This endorsement modifies Insurance provided under the following: ALL COVERAGE PARTS Name Of Additional Insured Person(s) Or Organization(s): If no entry appears above,this endorsement applies to all Additional Insureds covered under this policy. Any coverage provided to an Additional Insured under this policy shall be excess over any other valid and collectible Insurance available to such Additional Insured whether primary,excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this insurance apply on a primary and noncontributory basis. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5031 US 04-10 Page 1 of 1 POLICY NUMBER: 001141561 COMMERCIAL GENERAL LIABILITY CO24040609 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: Where required by written contract or written agreement 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 We waive any right of recovery we may have against Rights Of Recovery Against Others To Us of the person or organization shown in the Schedule Section IV—Conditions: above because of payments we make for Injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products- completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CO 24 04 06 09 ©Insurance Services Office, Inc.,2008 Page 1 of 1 0 POLICY NUMBER: 60437264I COMMERCIAL AUTO CA20480299 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies Insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With 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" under the Who Is An Insured Provi- sion 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 indi- cated below. Endorsement Effective: Countersigned By: 10/25/2022 Named Insured: ROLCOM INC (Authorized Representative) SCHEDULE Name of Person(s)or Organization(s): CITY OF HUNTINGTON BEACH, ITS OFFICERS, ELECTED OR APPOINTED OFFICIALS, EMPLOYEES,AGENTS,AND VOLUNTEER (If no entry appears above, information required to complete this endorsement will bo shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section II of the Coverage Form. CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 ❑ • THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. LIN FARMERS E3153 INSURANCE 1st Edition CHANGES IN TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM TRUCKERS 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. Endorsement Effective: Countersigned By: 10/26/2022 Named Insured: ROLCOM INC (Authorized Representative) SCHEDULE Name Of Person(s)Or Organizations); CITY OF HUNTINGTON BEACH,ITS OFFICERS,ELECTED OR APPOINTED OFFICIALS,EMPLOYEES, AGENTS,AND VOLUNTEERS Additional Premium $ (If no entry appears above,Information required to complete this endorsement will be shown In the Declarations as applicable to this endorsement.) The Transfer Of Rights Of RecoveryAgalnst Others To Us Condition does not apply to the person(s)or organization(s)shown in the Schedule.We will retain the additional premium shown above, regardless of any early termination of this endorsement or the policy. This endorsement Is part of your policy.It supersedes and controls anything to the contrary.It is otherwise subject to all the terms of the policy. E3153-ED1 6-06 Page 1 of 1 91-3153 E3153101 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 79 (Ed. 01-13) 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 en- gaged In the work described In the Schedule. The additional premium for this endorsement is$ 250 Schedule Person or Organization Where required by contract or written agreement FI I.__ i===1 ni Job Description This endorsement changes the policy to which it is attached and is effective on the date Issued unless otherwise stated. (The Information below is required only when this endorsement Is Issued subsequent to preparation of the policy.) 8 Endorsement Effective Endorsement No. 0007 Policy Effective 07/15/2022 Premium State Policy No. XWS (23) 63 60 84 30 Insured ROLCOM INC Insurance Company Ohio Security Insurance Company 19291 Countersigned by WC 99 06 79 (Ed. 01-13) © 2013 Liberty Mutual Insurance Includes copyrighted material of WCIRBwith its permission. SERVICE AGREEMENT BETWEEN THE CITY OF HUNTINGTON BEACH AND ROLCOM CORPORATION FOR REPAIR OF DAMAGED BEACH STAIRS 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 Rolcom Corporation, hereinafter referred to as"Contractor." Recitals A. The City desires to retain a Contractor having special skill and knowledge in the field of repairing damaged stairs. 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 Bert Vega, 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. 22-12039/294912 1 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`B." The total sum to be expended under this Agreement, shall not exceed Twenty Six Thousand Three Hundred Fifty Dollars ($26,350.00)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. c. Contractor shall be paid pursuant to the terms of Exhibit"B." 4. Term Time is of the essence of this Agreement. The services of Contractor are to commence i2/I/2 2, or as soon as practicable after the execution of this Agreement by City(the"Commencement Date") and terminate three (3) years from Commencement Date, unless terminated earlier in accordance with the provisions of this Agreement. Contract may be extended for 2 additional one-year periods if mutually agreed to in writing by both parties. The 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 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. 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, date 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. 22-12039/294912 2 7. Hold Harmless Contractor hereby agrees to protect, defend, indemnify 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. 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' 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. 9. General Liability 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, employees and agents while acting within the scope of their duties, against any and all claims arising out of 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, 22-12039/294912 3 the aggregate limit must be no less than 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 ($1,000,000) 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 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. 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 Million 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 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 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 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. This 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 hereinabove required. 22-12039/294912 4 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, agents and employees and all business licenses, if any, in connection with the Project and/or the services to be performed hereunder. 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 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 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. 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. 22-12039/294912 5 16. Assignment Inasmuch as to 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 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 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: Contractor: City of Huntington Beach Rolcom Corporation Attn: Director of Public Works Attn: Bert Vega 2000 Main Street 240 N. Ott Street Huntington Beach, CA 92648 Corona, CA 92882 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 any other transactions or event. 20. Modification No waiver or modification of any language in this Agreement shall be valid unless in writing and duly executed by both parties. 22-12039/294912 6 21. 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. 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 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 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. 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 of 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; 22-12039/294912 7 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. 28. 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. 29. Professional Licenses Contractor shall,through 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. 22-12039/294912 8 30. Attorney'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 non-prevailing 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. Governing 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, 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. 22-12039/294912 9 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 Mayor. This Agreement shall expire when terminated as provided herein. CONTRACTOR CITY OF HUNTINGTON BEACH, a ROLCOM CORPORATION municipal corporation of the State of a California limited liabilit core ration California y. � Mayor 1 Print name 9A -iallg.1444) ITS: (circle one) Chairman/President/ Vice President City Clerk /2//%2.2 —SAND By: 4 —„,t---r6doal\c-- INITIATE AND APPROV Print name ITS: (circle one) Secretary/Chief Financial Officer/Asst. Secretary-Treasurer Director of Public rk APPROVED AS FORM: City Attorney ikl REV Li ED ND APPROVED: 14444°46i Cite 22-12039/294912 10 EXHIBIT "A" A. STATEMENT OF WORK: (Narrative of work to be performed) Repair Damaged Stairs at 17th Street and Pacific Coast Highwy B. CONSULTANT'S DUTIES AND RESPONSIBILITIES: Demo/Cut back damaged stairs, dowel/epoxy rebar and reform steps for new concrete. C. CITY'S DUTIES AND RESPONSIBILITIES: D. WORK PROGRAM/PROJECT SCHEDULE: 22-12039/294912 11 EXHIBIT "B" Payment Schedule (Hourly Payment) A. Hourly Rate CONSULTANT'S fees for such services shall be based upon the following hourly rate and cost schedule: $160.00 per hour B. Travel Charges for time during travel are not reimbursable. C. Billing 1. All billing shall be done monthly in fifteen (15) minute increments and matched to an appropriate breakdown of the time that was taken to perform that work and who performed it. 2. Each month's bill should include a total to date. That total should provide, at a glance,the total fees and costs incurred to date for the project. 3. A copy of memoranda, letters, reports, calculations and other documentation prepared by CONSULTANT may be required to be submitted to CITY to demonstrate progress toward completion of tasks. In the event CITY rejects or has comments on any such product, CITY shall identify specific requirements for satisfactory completion. 4. CONSULTANT shall submit to CITY an invoice for each monthly payment due. Such invoice shall: A) Reference this Agreement; B) Describe the services performed; C) Show the total amount of the payment due; D) Include a certification by a principal member of CONSULTANT's firm that the work has been performed in accordance with the provisions of this Agreement; and E) For all payments include an estimate of the percentage of work completed. Upon submission of any such invoice, if CITY is satisfied that CONSULTANT is making satisfactory progress toward completion of tasks in accordance with this Agreement, CITY shall approve the invoice, in which event payment shall be made within thirty (30) days of receipt of the invoice by CITY. Such approval shall not be unreasonably withheld. If CITY does not approve an invoice, CITY shall notify CONSULTANT in writing of the reasons for non-approval and the schedule of performance set forth in Exhibit "A" may at the option of CITY be suspended until the 22-12039/294912 12 parties agree that past performance by CONSULTANT is in, or has been brought into compliance, or until this Agreement has expired or is terminated as provided herein. 5. Any billings for extra work or additional services authorized in advance and in writing by CITY shall be invoiced separately to CITY. Such invoice shall contain all of the information required above, and in addition shall list the hours expended and hourly rate charged for such time. Such invoices shall be approved by CITY if the work performed is in accordance with the extra work or additional services requested, and if CITY is satisfied that the statement of hours worked and costs incurred is accurate. Such approval shall not be unreasonably withheld. Any dispute between the parties concerning payment of such an invoice shall be treated as separate and apart from the ongoing performance of the remainder of this Agreement 22-12039/294912 13 Bid Proposal/Quote Date: 10/17/2021 -701E '-4r,,,,-7:10-71T 77- "'Tr Ptr-Teztrtra7 Subject Repair Damaged Stairs 0 LCO M -rzer,,graa:: IT 4=P rsx Customer., Huntington Beach Public Works i, Attention Tarp,-Tint!. Rolcom corporation Contact Bert Vega 4 " ,1,747,ria-Ure`, -,A4S72,,ZZ.S."' 240 N Ott Street Phone.: 951.278.1040 8.0.W.: Repair DamagedStairs Corona,CA 92882-1172.Email: gyemovolraprnom, 5,E4wL.R.:§9x4-INF, , -calz Offloo:951-2781040 Site#: 17th/20th Street and PCH Fax:951.2784387 %:" :71Wr _ ARICiRIZT? Scope of Work twitasiM 0-A-AAcw- .teitoc 1 Repair Damaged Stairs 2 Demo/cut back damaged slake,dowel/epoxy rebar and reform steps for new concrete 3 PW-LR-1000982917 4 5 Customer Provided Materials WIlattaYealKttitzaWitaiSasti**a&WA-4-*;,40 .7-itIF:ologfAoKgAFX1Aqrf-:, 1 2 3 Description and Costs 4uAbsntof-=-4t,-,siro.A-wogoqr,o4:4-mw-zg#YA- ommpaonbgtim"-*" I'•4KA''',w'V''-O‘"4,,,,,'" OiMIty Demo/cut back damaged stairs,dowel/epoxy rebar and reform steps 1 for new concrete 2 Labor for stair repair(PW-LR-1000982917) 160hr $21,600.00 3 4 Material 1 $4,750.00 5 6 9 10 Total Cost Total Cost(Labor!Materials/Equipment) I $26,350.00 Clarifications Liviteav42, ratkuoAttmommorstget 1 2 8 4 8 9 10 VOPDc, e-O ) Si-00 (ki\-iv / e DATE(MWDDIYYYY) ,Atf______oRco CERTIFICATE OF LIABILITY INSURANCE 10/25/2022 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((es)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT First Service Insurance PHONE Doug Lindley,IRIS 215 Estates Dr Ste 4 (No,No.Ext1.800-591-9692 lac,No):800-591-1845 Roseville CA 95678 ADDRESS; csr24@firstserviceweb.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:James River Insurance Co. 12203 INSURED ROLCO-1 INSURER e:Great American Insurance Co. 16691 Rolcom,Inc.240 N.Ott Street INSURER c:UNDERWRITERS AT LLOYDS LONDON 15792 Corona CA 92882 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1422458540 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. TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS ILTR INSD MO POLICY NUMBER IMMIDDIYYYY! (MMIDDIYYYY! A X COMMERCIAL GENERAL LIABILITY Y Y 001141581 3/17/2022 3/17/2023 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE I X I OCCUR PREM SES(a occurrence) $100,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY X yogiI l L. APPROVED AS TO FORM PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ AUTOMOBILE LIABILITY j COMBINED SINGLE LIMIT $ By;___ _ (Ea accident) ANY AUTO CCH .GATES BODILY INJURY(Per person) $ _ ALL OWNED SCHEDULED CITY ATTORNEY BODILY INJURY(Per accident) $ AUTOS AUTOSON-O OF HUNTINGTON BEACH A ED CITY PROPERTY !DAMAGE $ _ HIRED AUTOS _ AUTOS $ A UMBRELLA LIAR X OCCUR 001141821 3/17/2022 3/17/2023 EACH OCCURRENCE $5,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED RETENTION$ $ WORKERS COMPENSATION PER ERH AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE I I N I A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ It yes,describe under E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below B Builders Risk IMP184993505 3/17/2022 3/17/2023 Unlit et Single Loc. 2,000,000 C Professional Llab ANE190330122 8/1012022 8/10/2023 Each Occurrence 2,000.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) City of Huntington Beach,its officers,elected or appointed officials,employees,agents and volunteers are Additional Insureds under General Liability as per the attached endorsement(s).Coverage Is primary and non-contributory under General Liability as per the attached endorsement(s).Waiver of subrogation Is included under General Liability as per the attached endorsement(s). Notice of Cancellation:30 Days except for 10 Days for Non-Payment of Premium in accordance with the policy provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Huntington Beach ACCORDANCE WITH THE POLICY PROVISIONS. Risk Management Dept. 2000 Main Street AUTHORIZED REPRESENTATIVE Huntington Beach CA 92648 X.0 r ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD ACO® OA7E(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 10/25/2022 THIS CERTIFICATE IS ISSUED AS AMATTEROF 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 BE LOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT NAME: Davin Wozencraft Davin Wozencraft(9727371) PHONE FAX 660 N Santiago St (A/C,NO,EXT):949-475-9730 (n/C,No):866-538-7660 E-MAIL Santa Ana CA 92701-3942 ADDRESS: dwozencraft@farmersagent.com INSURER(S)AFFORDING COVERAGE NAIC INSURED INSURER A: Truck Insurance Exchange 21709 INSURER B: Farmers Insurance Exchange 21652 ROLCOM INC INSURER C: Mid Century Insurance Company 21687 240 OTT ST INSURER D; CORONA CA 92882 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPEOFINSURANCE ADDTL SUER POLICY NUMBER POtICYEFF POLICY EXP LIMITS LTR 1NSD WVD (MM/DO/YYYY) (MM/DD/YYYY) COMMERCIAL GENERALUABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES(EaOccurrence) MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY I I PROJECT I I LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNEDAUTOS SCHEDULED A ONLY X AUTOS Y Y 604372641 05/21/2022 05/21/2023 BODILY INJURY(Per accident)$ Ni HIRED AUTOS X NON-OWNED PROPERTY DAMAGE ONLY AUTOS ONLY (Per accident) $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER AND EMPLOYERS'LIABILITY STATUTE OTHER $ ANY PROPRIETOR/PARTNER/ Y/N N/A E.L.EACH ACCIDENT $ EXECUTIVE OFFICER/MEMBER E.L.DISEASE-F1IEMPLOYEE EXCLU DED?(Mandatory In NH) If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) City of Huntington Beach,its officers,elected or appointed officials,employees,agents and volunteer named as additional Insureds. CERTIFICATE HOLDER CANCELLATION City of Huntington Beach SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Risk Management Dept. DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, 2000 MAIN ST AUTHORIZED REPRESENTATIVE —HUNTINGTr1N-BEACH CA-92648 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION.All Rights Reserved 31-1769 11-15 TheACORD name and logo are registered marks of ACORD ® DATE(MMIDDNYYY) A�.a CERTIFICATE OF LIABILITY INSURANCE 10/25/2022 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 1NSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CNTNAMTACT Stephanie Major ELG Insurance Services, LLC 1230 N.Jefferson Street, Unit B PHONE FAX (714)561-9920 INC.No):(714)441-8795 IL Anaheim,CA 92807 ADDRESS: StephM@eiginsurance.com __ License#: 0 D01721 INSURER(S)AFFORDING COVERAGE NAIC t/ INSURERA: Ohio Security Insurance Company 24082 INSURED INSURERS: Rolcom, Inc. INSURERC: 240 Ott St INSURER D: Corona,CA 92882 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 00001305-0 REVISION NUMBER: 72 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 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRL TYPE OF I ADEL NSURANCE NSD SWVD POLICY NUMBER IUER MMIODYIYYYPY} IMMIDDY,YYYPYI- LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) S PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ D AUTOMOBILE LIABILITY COMBIINldenl)SINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ _ AUTOS ONLY _ AUTOS ONLY (Per accident) $ UMBRELLA LIAB __ OCCUR EACH OCCURRENCE $ _ EXCESS LIAR CLAIMS-MADE AGGREGATE S DED RETENTIONS $ A WORKERS ANDEMPLOYERS OMPENIA ILOITN Y YIN Y XWS63608430 07/15/2022 0711612023 X STA7t}TE OTH- ER ANY PROPRIE / ARTNE I Y NIA ECUTIVE E.L.EACH ACCIDENT $ 1,000,000 YI ER (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 tt es,describe under EL.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,AddlUonal Remarks Schedule,may be attached It more space Is required) 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 Risk Management Dept, ACCORDANCE WITH THE POLICY PROVISIONS. 2000 Main Street AUTHORI O REPRESENTATIVE Huntington Beach,CA 92648 r 1 (SCM) ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Printed by SCM on 10/26/2022 at 11:24AM POLICY NUMBER: 001141561 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 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): Location(s)Of Covered Operations City of Huntington Beach, its officers All operations of the Named Insureds elected or appointed officials, employees agent 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 exclu- organization(s) shown in the Schedule, but only slons 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. All work, Including materials, parts or equip- 1. Your acts or omissions;or ment furnished in connection with such work, 2. The acts or omissions of those acting on your on the project(other than service, maintenance behalf; or repairs) to be performed by or on behalf of in the performance of your ongoing operations for the additional insured(s) at the location of the the additional insured(s) at the location(s) desig- covered operations has been completed; or nated above. 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization oth- er than another contractor or subcontractor engaged in performing operations for a princi- nal as a Hart of tha same nroiant. CG 20 10 07 04 ©ISO Properties, Inc., 2004 Page 1 of 1 13 POLICY NUMBER: 001141561 COMMERCIAL GENERAL LIABILITY CG20100704 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): Location(s)Of Covered Operations City of Huntington Beach, its officers All operations of the Named Insureds elected or appointed officials, employees agent 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 exclu- organization(s) shown in the Schedule, but only sions 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. All work, Including materials, parts or equip- 1. Your acts or omissions; or ment furnished in connection with such work, 2. The acts or omissions of those acting on your on the project(other than service,maintenance behalf; or repairs) to be performed by or on behalf of in the performance of your ongoing operations for the additional insured(s) at the location of the the additional insured(s) at the location(s) desig- covered operations has been completed;or nated above. 2. That portion of "your work" out of which the Injury or damage arises has been put to Its in- tended use by any person or organization oth- er than another contractor or subcontractor engaged In performing operations for a princi- nal as a part of the same nrniect. CG 20 37 07 04 ©ISO Properties, Inc., 2004 Page 1 of 1 0 • 001141561 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON CONTRIBUTORY ENDORSEMENT This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS Name Of Additional Insured Person(s) Or Organization(s): If no entry appears above,this endorsement applies to all Additional Insureds covered under this policy. Any coverage provided to an Additional Insured under this policy shall be excess over any other valid and collectible insurance available to such Additional Insured whether primary,excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this insurance apply on a primary and noncontributory basis. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5031 US 04-10 Page 1 of 1 POLICY NUMBER: 001141561 COMMERCIAL GENERAL LIABILITY CO 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: Where required by written contract or written agreement 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 We waive any right of recovery we may have against Rights Of Recovery Against Others To Us of the person or organization shown in the Schedule Section IV—Conditions: 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 ❑ POLICY NUMBER: 604372641 COMMERCIAL AUTO CA 20 48 02 99 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With 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" under the Who Is An Insured Provi- sion 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 indi- cated below. Endorsement Effective: Countersigned By: 10/25/2022 Named Insured: ROLCOM INC (Authorized Representative) SCHEDULE Name of Person(s) or Organization(s): CITY OF HUNTINGTON BEACH, ITS OFFICERS, ELECTED OR APPOINTED OFFICIALS, EMPLOYEES,AGENTS,AND VOLUNTEER (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section II of the Coverage Form. CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 ❑ THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. FARMERS E3153 INSURANCE 1st Edition CHANGES IN TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM TRUCKERS 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. Endorsement Effective: Countersigned By: 10/25/2022 Named Insured: ROLCOM INC (Authorized Representative) SCHEDULE Name Of Person(s)Or Organization(s): CITY OF HUNTINGTON BEACH,ITS OFFICERS, ELECTED OR APPOINTED OFFICIALS,EMPLOYEES, AGENTS,AND VOLUNTEERS Additional Premium $ (If no entry appears above,information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) The Transfer Of Rights Of Recovery Against Others To Us Condition does not apply to the person(s)or organization(s)shown in the Schedule.We will retain the additional premium shown above, regardless of any early termination of this endorsement or the policy. This endorsement is part of your policy.It supersedes and controls anything to the contrary.It is otherwise subject to all the terms of the policy. E3153-ED1 6-06 Page 1 of 1 91-3153 E3153101 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 79 (Ed. 01-13) 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 en- gaged In the work described in the Schedule. The additional premium for this endorsement is$ 250 Schedule g mow= Person or Organization Where required by contract or written agreement f...... o �.-a I a Job Description This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement Is issued subsequent to preparation of the policy.) Endorsement Effective Endorsement No. 0007 Policy Effective 07/15/2022 Premium State Policy No. XWS (23) 63 60 84 30 Insured ROLCOM INC Insurance Company Ohio Security Insurance Company 19291 Countersigned by WC 99 06 79 (Ed. 01-13) Co 2013 Liberty Mutual Insurance Includes copyrighted material of WCIRB,with its permission.