Loading...
HomeMy WebLinkAboutGoforth & Marti dba G/M Business Interiors - 2023-02-10 SERVICE AGREEMENT BETWEEN . THE CITY OF HUNTINGTON BEACH AND GOFORTH&MARTI dba G/M BUSINESS INTERIORS FOR OFFICE FURNITURE, INSTALLATION AND RELATED SERVICES 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 Goforth&Marta dba G/M Business Interiors, a California Corporation hereinafter referred to as"Contractor." Recitals A. The City desires to retain a Contractor having special skill and knowledge in the field of office furniture, installation and related 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 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 Theresa Cummins, 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. 22-11862/291547 l 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 Eighty Thousand Fifty Eight Dollars Twenty Cents ($80,058.20) 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 f the essence of this Agreement. The services of Contractor are to commence a /a 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. 22-11862/291547 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, 22-11862/291547 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. 22-11862/291547 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. 22-11862/291547 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 Goforth&Marti dba G/M Business Attn: Director of Public Works Interiors 2000 Main Street Attn:Theresa Cummins Huntington Beach,CA 92648 1099 West La Cadena Drive Riverside, CA 92501 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. 22-11862/291547 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; 22-11862/291547 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. 22-11862/291547 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. 22-11862/291547 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 GOFORTH & MARTI dba G/M BUSINESS municipal corporation of the State of INTERIORS California By: A-- eA-1:. Mayor izur ridoiA. f Ea s le y Print name ITS: (circle one) Chairmaniesident/) ‘44141/ ed$444#1444) Vice President City Clerk AND By: eaG-c.c--t. � �-`-' INITIA D AND APPROV' Print name O, ITS: (circle one Secretary/i hief Financial Officer/Asst. Secretary- reasurer n ECU ��� Director of Pu•! •rks LAWinda P. APPROVED AS 0 FORM: City Attorney REVIEWED AND APPROVED: City Manage 22-11862/291547 10 EXHIBIT "A" A. STATEMENT OF WORK: (Narrative of work to be performed) SEE ATTACHED EXHIBIT A B. CONSULTANT'S DUTIES AND RESPONSIBILITIES: C. CITY'S DUTIES AND RESPONSIBILITIES: D. WORK PROGRAM/PROJECT SCHEDULE: 22-11862/291547 11 EXHIBIT "B" Payment Schedule (Fixed Fee Payment) SEE ATTACHED EXHIBIT B 1. CONSULTANT shall be entitled to monthly progress payments toward the fixed fee set forth herein in accordance with the following progress and payment schedules. 2. Delivery of work product: A copy of every memorandum, letter, report, calculation and other documentation prepared by CONSULTANT shall 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. 3. CONSULTANT shall submit to CITY an invoice for each monthly progress 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 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. 4. 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. 22-11862/291547 12 i/7(;:'I i- 0 ›- Z V) .. _ ui o 2 s4. LLJ i 2 < : Luca Riul Uc" C.: .....n... 0 UJ c[ CD U- ......1 LL C) 0 0 CC Z Ca LLJ z 2 o o ..,_00 r,c'-. 1-- < --- Li, o u Lu -/- ,.•.., Z Upi ...... I— ...,_ (J') < VI 0 -"' LLJ 0 CD c.r) 1 Lr)1-1-, >- o Lu0ciz 0 ,..., 0... ......... (-.) cc (i) a. Z _1 u.., ....., I— 0 U - Ul U < — 0 0 0 ') — X Z , 0 Z 2 w „H---, ' °1— LJJ UJ 1-1-, U —cc CC 0 Itt c) V) uj —I a. D v) 0- U-It_ 1---_ < (-)CL. v) v) Z Z a c7 cc —L.LI D %.0 — (...) CO V) - ) ...„, I*4--:-1..6„..,„,,,,,.3 = 0 —,...* P,„, ,,,, t,-- \ v.,0 o:;uvimsv "ss,,, 1,:t .,41 .....1 0 .. -- 0 Dr---------) LJJ U..II CI 1 U) 's . 1.• (..3 , 1 ` IP i A- - 1 lailiblit -I , ,-4161 ... . 1- L, t , .:,-,- 0 0. .0$$f 0 1 14 t * 11'' A , I \ 1 ' ' ' i 1 „-_,,mit .. ,,.,...,......„,„„,s , }0 1 q ,,„pr ,,,,to , 1.,.. 1 1 1„,,, , -, ,.: . D , r---) ----- ..., , 1 /7-1 ... ...CI A h..44.4t. ,1.4 - I ;1a1"-.1,46 41\ _I, ,--- ,,, *:' a? lif )/ Tb li o/Logimprit.mo-4,..,,yel-, , te, t 0 ' '4"" 4'.;"''' 1$ "".. 'I ' 4,, • :,:,,, ‹.., 1 i --- ' ,•.t v ;I:. I 0 ' , A\ ''4"1,' * '1,1° 7.,9 t5; k •,.. 1 - Ir„,..,.>„---_,-1 ,, ..... \ 0 + g+1 i 1 11VAA 9 NIISIX3 l''''''''‘'*-- '''''.''''''.1 te'' '''' 1 .l... F' a) F--z 0,2 --, - C.: •:;', v-) Z cm < c 0 ---I LL (r 5, I— I ID (.9 — -- ...„ ° = 5 v) 2 E w 0 w 0— - u z 0 u_l LL LLI CI- 0 ...'-- O (I) I-- U rr) z V) 1_1"1-1 0 1--H oir r--- CC CC LLJ-4 U- - CC Cn U Z litt . 1 CA. LLJ O. 0 U -1-.......,; " L/1 , -_,_.__.1- -'-- ' --) 0 ...... ...—, .L.,4„„ - .afetitr A.4,.1 II"'"" i‘li,,,...14+ ll 1 I. sofieurvi Apo 1 c% _ . cn g 111 ft - 1 1 1 ,,,,,J , ., .4, 4, 1 .1 1 ,i, . .„. , , . .---- .1t,.. 1 02 a,) ,•,•• ,.•,„,.• - ,ii„,s..., i „,„ •.•„..,,:..-L -,,,,,-.,,1 a , L visip,,„.. . .. f I L7 . „i ,,fr, 1'4 loft I i V 4 /II, '' >1 # , 1 I p I I , „‘,4. ,,,t. , L\--" I, ; z.s.„Tx,, /1 0 ' ,',-- - ,'" ";'- ' , ,/,-/N\i ,\-,' lf,co.,.'7 7tt,... i 1 ;,,f/ifl,"1,#, ? ; F----1" — 'i-= 3-- z - itli °."'" CC 1 rwtwLe '41.4 -„,..-- I) ... , ir- 'it 11 . I - up ' ' i. ...• ...,,,,,,,,vew-.40'40,',''''"v ' .... .W.-! " , tit ,„~-,,,,,,7,N, c I 4, -„`-',-. . i Ac,..., ,,,, 4 , p a , ,;,,,, se/ , d 1 _ . 1 i -4-_. / -.,- _-------„, .....?, *1----ti ,,---.) -‘:•',,, . 0 „ en ''',,,,;,,• t,..--.• ' .1,------- .s' ''''' ' `‘ '..' st*TVI r-----•, L_r--› ----,J lx3 ---- ° '. AA NLLS i. N. < I iiV . . I--- 45 I-- =-c) -.0 0 c?;, N) OOP-- t_3 11 8 3 9 9 9 MI 4 - O III y a 3 Mil H - oCW NI w9 4 s..N .. AF ; 9 4WVLL g 6 V O i W O p C g 5 $ M 3 ; U v w 0ce i r LL LA Z ' x ce "' 0 a Q z w0 mceD -J rA I- Lli w W F.F. - m Q 02 U Q z 13 0 Z Z uo0N ~ a LU 0 O ONC a m W z 3 w H Z N .4 0 O H Q -� .,• = apo I- CC 2 -- —-- z W v, m C7 O _ H X J O W O J W - O Q E avO > � Jen COm = J O > 0 OLL a. w U ~ Fa— F- wa. U_0 co 5@)J a. LLI V en J J ,, W ~ _ CC u_ N ol�!I � o � mJ owuo � LJ- 0 . U Z w -§ U O W ° J 0 _,, m Z g Q M U p `i w M�:_ a w O O ,,, � •' O � •� O Z J Z B " ��: a = ua a •- aXo E'" X Z U O: ... I, p m pww � Oai w._ - J O Do A Ci Y W j OC Y R 0 4 } L UJ U h- @gy mw U m w < cow w O U Z u p w w U w wH � U- V) O O } ; O g w � gI-0JJ O uw � Ou WzU zUz � Q> p a >w G W U OL X O Wwk, N J W CO W J U J a wUUYU LZLLQ � W < Um ~o < — �- aOu < ZaOOmO � -o 0 m •iii,i'ii, ' • ,_ -m- .. r:_...-.1 461 1,01.4.-?4# :flu.', .;, .., . . ....... .,......:.:..:-...... ......,..;:,:'„...,.,.„:4-4.kt4,,r. ....,:.:..:....:...:,...,... • :;,,M,V,-:.::ZP..,:1,:':1',..1'...--.-..i.;.w,f-'".''. . 444144,44!",44",4,:._' MI,i4.44•44' Pr',444i:4-4"4"4":"4- -i-P-L!,:.::::-... •11 .'i::;:.:',..v; ,,;.-."°,11.•:::,-::::•::..-. .4,-....41..:-....‘,.tit: :.,?.,:„.,,i,-,A.:'...:,•--.,,.-:,:i],,:s..,.....:,...:.,110,4$4 ti„i' ,,,,,,„„..,,, . .......„:.:,.....),:•,,:i.,!,„,t?,i., '','-e",..'11:: ...i.:':-•:':-:-...elkt Ififici .: .",:".:.•..."....".-.." ......,-",—"--.--,,,• ..,.- fh;q:,, , tftil 111 11:: rliti,W) :„........„,..... „.,....„,..,........„.....„...................,. ..... ;9,-;',4i.fet7o,,f-''•'','4A :'''''''.i;'I'. 3,;i'i.t9,,,,t0KA4,4-; fr,q:,.:;'1J•.Az"t"'. :.. ..,. •••:•.••••••....---: ..-.7i-:..;:yipo,,'..dt71;:..,,,.•glicqiff.'".., 'y' • 44444444",444.44":"'4444..4ti , ,' 4,), '". opz4.4v.Ii.re4..kt,0tV..4,.J:°:.'..:.':,i i..'.-..t,:.:.,-..I.,...11,).•ti,,,i.V4i3O;:,,,w--,.'.'.•,.f,,f",I,)'l,i';,""p:-1i"',,:,"-'.-,,•,,,.,!:,1 il -Il 7-T,'"114-..,. :ifi.:44"°:'im,-1''i',A:.'i p•'; ,,,,, ..• f LL ' ', •10•Y•Pfg. • ,•.4-0,.rv' LL ,'''—'— — — 11 —1 . ' ' ' :1'i...,Hifirgi, 'Ifs ,• ,,,I,,v,.:1'. en 1.. lotiqk" 'iv ' fP'•'• Lli .V.3:44; :.•10,•:- .40';':';11 :'''''' ' '..'''' - en ,J,,,,,w,"-;",-•.[,:,i• --4::.**0.1-...,:.,,t, • 1 ,:----. •,.::••, ' --.04•,•-•4t$:'" ''' A-'- 44'44,r4,i"'•!—'41liitt",4"11C,."--4',' ,:-'• ''.;44,44 ,,,q;,,,,, 144101,Aft,' •4` ,-',":‘, ft "4,i41.,'• '4.T 7f.",,Y4(1.C(.61.4*A-4,'4 t,-.,'' "(434/4' •"4-'"1"'''.;<-1:4;' 144' ', 0 ',',"''.1 1,, 1;,','414.4,1•.10 4:t t 14, -44-;44,1y44•:14i'',";itt-4-,,VI MEM irma •;.;!-,i':i.!Igii'::'''.::::.411131igi,-,V:Iii'gy,:j.4,10,t Ar6.::'!";.., --,,.,..,. .1:1,-gi:::,-7:,0•00,A,11-0,-: '•:'.,,,,,...1:•, ,,1-r 0111'4';',,,", .:.. ..i:,!,.,:,,. . ... ,,,..,,,........,„,..,„,. .....„:„..„.„, ,-.,-:.:-.,,,:?,-.,:eti7:::,,,,Ifi71,1,Y':?,'::11,0:', :,'f4'.i.:(.;;•:',,i. ..",,,,,eLly. ,..„,f,4 ii, t,,vb f',PI:" •A'AM,,,,Apik,p.i 1,44'-'4,14•4'W.'404'' ti.,;..1.,-4,i.,:-..,,'''''',' 'A. 4........-........,,Ag.t.4.,...1.0.;::,:po.Ap--.,-1,-...- -.k.. .00014.0,50010 4ifile*iik., 'L . .. -0 (.. C°0 M LLJ -J J \ LU CC < o N 2 J LIJ CC CC 0 cc up LU c LLJ CC ~ z > N_1 LU Q O Uo Ng = LLI L o N LLJ p N J v I- N OO NI z z n 0 Lu 0 D >- w Q 2 Y Q Q Q O , Q CC CC) O LO Q J u U m �` U -J �- CC w = O X U H-` UO CC 0 Q CO CC I- LU w I-cc Y N Q Q N w N p_ ci H 2 Q w Q O QzLl O0 > � = Q = ki) Ce � � OW • LL eZ � zpuo rj� 2U [ LLZ O D C�7 z H > w N p a Q O 1— 0 ' cn L U ,J L� O LIj Z > w OO OO J J O -, C O. cn N Q = U = a. J L_ a. F-- cn cn CD Q a. -+ G C W Q ,_ G 0 CO . . . . .D cc 0 J Q LL Ln LA C � � 0 Ln O m tl) >- a. < ni di 00 Li" rn N a`0 0 O 00 Lfl I N I! K' 0 LD r-I 00 O Lll N Cr) N N CO Q E- LL (7 0 O CO Zif)- VT 4 W = V > > Q W a mu > = U 2 L� w a W f- I— O p = W cc cc F-- O ,. >- n- w a L7 w 0 n 0 U g S C7 in Z F- _ OU U Q 0 C7 0 w • w, U ZJ K ii CC 0 N 7 H 0 cc g t w ¢ I LD F¢- a = J o O = > wZ • w 0 O LU• S 0 O 0• J J 0- LLJ N J J Q O Si Q d p W p w p\ U Z w cc d o > Ln I-- p < z W rN¢' a G Jw Q > S md -1 w jG < a GccZ ` 0L9 L7 L Z Y 0 F— cc w �, Z• p 0 ~ CC O un © O = w z S w S l7 Z U Q C O ZZ Z w 0 < w La 5 O 1-- 43 ct a o Q ¢ w ¢ LI- < 0 J ct _ CJ O w w �/ c7 4 o t5 a Q ¢ g w X N -� O Q' O O E X LLI cn W uj =v) U Q 0 LJL H "r. i m 0 w 0 q O ct F— 1— �] cc 0 LU w H z V) M m 2 -0 0 y,73 U z 0., 5 U O o O E -0 a ct 0 s_ 0 ct r. o ,>c E 5 o 0 V z I) U 0 V o bD a) .� O .o cs u, .sz U V • Q - cn N V J, to ct s. Ii O N S. S", > ccn ss-, cA C U cd J, cd a) s. :'— s O -O V� bV.Q O U . O 0 .� N ti) .-. U 0 U ..G •,-, i t cn •.. 0 l J .. U +- — .� U s. C. U u, O N F- cd •3 x O z sue, ct 'd •O Q s. z 3 m cu - 0 0 U on �, 4 0 0 •• s. o 0 CA U Z 'v . b 's. sq U c. s. Q, O _ U O U th •'. - U V c� z N I 0 0 - ct $., v; U s~ 5 •- °? O o U �' 3 O o .- E ° ,°? o to ' 0., 0 •— V1 bA •^" ,� N .- " c0( cd •� • O J, U i..i U z> •o" u ems.' ct O ^d 0 `�V . �C M a) E .b U :o c� ct ,, C ¢ H o cn V ct ct V 0 - 5 ti o o �" o SD, Ca a, v) Q d 3 a c24 = <¢ a, � U U (T) 1— CC dm cr 0 w H z cn w N... -) z , r-T-�•_ L a),` .rrrrii i bQ 70 w CD -, • °� c) 0 n ai -CIz + a.-, 0 O C >, x � o O ct • 0 ,.° o O bon Q o 4-- cd 0 0 'i, 0 C • ;. 'C s, —I "C7 t 0 O C ._., Cd 4) =" a.) Z to O `i t, O a O .fl L' - N E' ✓ ;o. a 0 0 . ,, O N 'd c� N 6 ^O N Z c 3 N v bD , 0 t1 W •' 1' ct ' 1 cd c� 0 �, �l `. cn O x W Q ct cc ct O +, O b4 0 Neij +., cn ZO -° i ci O N z O E E ,—, > bA N Ct -dc+--- v) s_, te •O C O + �, c� O 4-, Q, CA ct �, E I) 4 4 "0 0 0, cc _0 O 5 ct O O O v ^C Ct . 4� ,. N � s.., ,. , cd E t], '� .-- O .-, () cd cf') ..., ^" ,-- 0 C N U — U .- i ct by U cn Q Q ct d' ct 7t' O C:1-, cn CA .-, 0 O Z bA bA ; d 3 — cn C as U cn V = 0 cn -0 -0 O E-r 13 0 ,., ti U cn O� • 0 .d' �� bA O y 0 ' 1:1• C/ CYO CYO P4 L.) rC ' C.) VD F— N f— a> CC om EXHIBIT B Liv /7 trect#:. Riot Project ID I Who &Where Date: Quotation BRIAN POLIVKA-CITY MANAGER'S OFFICE 11/11/2022 208539 m. BILL TO: 2316 SHIP TO: CITY OF HUNTINGTON BEACH HB (MAIN) CITY OF HUNTINGTON BEACH P.O. BOX 784 2000 MAIN STREET HUNTINGTON BEACH CA 92648 HUNTINGTON BEACH CA 92648 BRIAN POLIVKA Phone: (714)536-5525 BRIAN POLIVKA Phone: (714)536-5525 Fax Fax: Product Counts: Systems 2 Desk Units 0 Tables 0 Files 0 Chairs 0 Storage 0 Ancillary 0 GRAND TOTAL $15,572.60 Product Summary/Scope of Work ***CONTRACT TO EXPIRE 11.14.2022 - PLEASE SUBMIT PO BEFORE 11.14.2022 """ COUNTY OF ORANGE MASTER CONTRACT RCA-017-18010014 SUBORDINATE CONTRACT NUMBER: CLIENT PO NUMBER: G/M BUSINESS INTERIORS TAX ID: 95-2091271 ***PREVAILING WAGE*** QUOTE FOR: HERMAN MILLER CANVAS OFFICE FOR: BRIAN POLIVKA - CITY MANAGERS OFFICE LEAD TIMES: DUE TO PANDEMIC AND SUPPLY CHAIN LOGISTICAL CONSTRAINTS, LEAD TIMES QUOTED TODAY WILL BE VARIABLE WITH POTENTIAL TO CHANGE AND ARRIVE LATER OR EARLIER THAN EXPECTED SCOPE OF WORK: 1) G/M TO RECEIVE AND INSPECT PRODUCT 2) G/M TO BRING TO SITE AND SET IN PLACE (02) EA. HERMAN MILLER CANVAS OFFICES (02) EA. HERMAN MILLER TU FREESTAND BOX/BOX/FILE PEDESTALS (02) EA. HERMAN MILLER TU FREESTANDING FILE/FILE PEDESTAL (02) EA. HERMAN MILLER CANVAS OVERHEAD STORAGE. Account Executive: Theresa Cummins(tcumminsaA,gmbi.net) Project PAS: Frances Arce AMA: Devon Nyquist(dnyquist©gmbi.net) Page: 1 800-686-6583 800-686-6583 Fax: 951-684-0837 G/M Business Interiors 9750 Irvine Blvd, Suite 108, Irvine CA, 92618 http://www.qmbi.net 3) PLEASE CONTACT BRIAN POLIVKA AT ( 714 ) 536 -5525 TO SCHEDULE SERVICES **DESIGN SERVICES BREAKDOWN*" PREVAILING WAGE NON TAXABLE DESIGN SERVICES: (6.25) HRS @ $50/HR = $ 312.50 CUSTOMER NET TOTAL: $ ""NOTE: QUOTE WILL NEED TO BE ADJUSTED IF SERVICES TO TAKE PLACE AFTER BUSINESS HOURS, OR DURING THE WEEKEND G/M Quotation # 208539 A Who/What/Where List List Ext Sell Sell Ext LOT 1 CITY MANAGERS OFFICE 47,671.00 47,671.00 14,162.51 14,162.511 Description: 2,1' Non-Tax Srvcs. Taxable Srvcs. Freight Design Fe (02)EA.HERMAN MILLER CANVAS OFFICES .00 .00 .00 .00 (02)EA.HERMAN MILLER TU FREESTAND BOX/BOX/FILE PEDESTALS (02) EEA. HERMAN MILLER TU FREESTANDING FILE/FILE PEDESTAL (02)EA.HERMAN MILLER CANVAS OVERHEAD STORAGE BOM: See Attached Bill of Materials Piece Count: 135 Account Executive:Theresa Cummins(tcummins@gmbi.net) Project PAS: Frances Arce AMA: Devon Nyquist(dnyquist5.gmbi.net) Page: 2 800-686-6583 800-686-6583 Fax: 951-684-0837 G/M Business Interiors 9750 Irvine Blvd, Suite 108, Irvine CA, 92618 http://www.gmbi.net G/M Quotation # 208539 BOM aw & B Who/WhatlWhere.• ;. • a: . wY � x List� � List Ext Sell Sell Ext LOT 1 Z G/M Services .00 .00 .00 .00 I Description: G/M Furniture Planning Services,if applicable,include field .00 .00 .00 312.50 measurements,drawing AutoCAD building shells,developing typical workstations and private office standards,space planning typicals into the floorplan,developing furniture color schemes,order specifications and receiving client approvals for all drawings and color schemes for order entry. G/M Project Management Services include drawings and field measure checks,order scheduling&routing,electrical consulting with contractors,field checks,monitoring construction progress along with delivery,assembly, punchlist coordination through final completion. G/M Project Services include receiving and inspecting of each product,shipping damage adjudication with vendors, transporting product if applicable,staging of products,delivery, setting in place of all furniture, level clean and polishing of all items,vacuum floors and recycling of all waste products associated with the furniture project. G/M Punchlist Services include formulation of the project punchlist,ordering and receiving of punchlist products,and delivery and assembly to finalize the punchlist and project. G/M Warranty Services Department is provided to offer clients our no-charge warranty service work for all furniture protected under valid factory warranties.G/M maintains electronic copies of our Client's invoices for warranty enforcement.For service requests,our Warranty Department may be contacted via e-mail at warranty@gmbi.net BOM: See Attached Bill of Materials Piece Count: Account Executive: Theresa Cummins(tcummins a(�gmbi.net) Project PAS: Frances Arco AMA: Devon Nyquist(dnyquist(agmbi.net) Page: 3 800-686-6583 800-686-6583 Fax: 951-684-0837 G/M Business Interiors 9750 Irvine Blvd, Suite 108, Irvine CA, 92618 http://www.gmbi.net G/M Quotation # 208539 Featured Product of the Month Product Subtotal: $14,162.51 * ' Services (Taxable) $0.00 Genes{ - K ' c 0, `4''''' ,( r I" • "'''' Freight(Taxable) $0.00 i ''o � ` 4' ��sii Services (Non-Taxable) $0.00 "�� k • f Design Services (Non-Taxable) $312.50 p ° , h . Taxable Subtotal: $14,162.51 tq t ja ' � ,rA Non-Taxable Subtotal: $312.50...r' g.», �n IMP' f I.2 0't' �°, Y wa Sales Tax(7.750%) $1,097.59 Y mir no GIM t credit cards 0% p 0 Purchasesaccep overs $10,000 reqatuiresfor a purchases surcharge u of 2.75to$1%,000 Total: $15,572.60 Net 30 Days 100% $15,572.60 I have reviewed the quote, the bill of materials,the drawings(if applicable),the color cards (if applicable), and other associated exhibits for my order. • I approve the colors,fabrics,and finishes as previously selected and correct as shown on the attached exhibit. • I am satisfied that the product I have selected is the correct size and is suitable and will perform for its intended purpose. • I am aware this product is manufactured to order and is not returnable to G/M or to the manufacturer. • I understand that legal title to the product will transfer upon delivery to my commercial or residential location and all associated labor is taxable until title transfers. • I am aware additional costs charged for inside delivery,staging,setting in place,assembly, leveling,cleaning, polishing, recycling of waste materials are separately stated and are elected as an additional contract option. • I am aware of the grand total price of this contract as shown on this quote. • G/M is ordering your furniture from a variety of manufacturers to be aggregated and received into our G/M operated warehouse.Once the final portion of your order has been received,a"ready to deliver" notification will be sent to you. G/M,at this point,will graciously,store your complete order for up to two weeks at no charge.If for some reason you cannot accept a timely delivery within two weeks,a quote for one month's handling and storage shall be calculated and forwarded to you. • This quote is valid for 30 days. Approved by: Signature Print Name/Title Date Account Executive: Theresa Cummins(tcumminsAgmbi.net) Project PAS: Frances Arce AMA: Devon Nyquist(dnyquistc gmbi.net) Page:4 800-686-6583 800-686-6583 Fax: 951-684-0837 G/M Business Interiors 9750 Irvine Blvd, Suite 108, Irvine CA, 92618 http://www.gmbi.net ch W W(� W J W Z a 0W cc LL LL 2 pce O �� O t) 1 N �C� NUU)) dN .-. _� pZ H 020 W O ��- W ti 2 F" u-2 C7 a o 0 2 5 Q u�. �� w O_ < w Qz 1w 0 o w a u) 0 0 1 CI W I. a"7P' c N W 2 t H d W U) W Z 2I4c p I I W Z O T h � Q Q a. Z Z , J4 yY � U QWW V) t , ,,.1� tO cc .11. t H 000 f :# . ** s*t.iR \ : ', a . \ ' " ,., ,:i .,k.''' t,' i q N n m } m U • h O LLIIt e`t y • W 7 ,C a 0 a) LiJ o L w (� 1, _ I— f C C !°t V m /�1 Z Z � 0 i— F W `� c ram+ ZM(') `: Z J cl, CD Z ✓ a Z V 6 � c Q I CD Y 2 `tea° o IA N N E'- 3 . W " �_ B • U a d w Iwo, fp .. YoHavae HoIOMu+nH 1 1 1-2 is Hives 000Z a A q p t /� ' M0b38 NQIJNI1Nf1M dQ l�ll'J e `- PL. rn f1a I I 0 'NZb/£9 I NZti/ 9 I in L.L. 2:11ti8/L0O z 4- R zco LL 1117Z/9£d8L I- 1, Q? z N V M ¢ ti�\� (j S 0 (i) in CO '/ co '- rzw d r cv1E5 \ U ..:.....)Li2 2l148/LO9 o � M ceLn Y' 0 Z W N (p o , el o N 6�'L q Z Z .a. Q 11VZ/9£d8l a) Z d ¢ m "o co0 0 o ~ w ` LL a 13 I Im �f' NZb/£9 NZ4/£9 > bit ? 2l1b8/LOO o.0 o c o 0Ei 0 0 E Q 00 u_ _ D [n a) ILcn cci y Y /N O v O Z 0] S F-� f� V � � rill0 II r �ww��w/ 3QQ �� � W cif M co NZP/ 9 L NZt7/£5 0 blti8/LOD z LL o _ cv ti Z ACV co Q� �; m Co CT 1117Z/5£ d8I' J i f— 77, ^ J CY o 17.00 Q v ` `•00 \�0�� p Co 0 �-- co - CO w_-, / C J h j N rzw£4 rcv/£5 ri 2:1t8/L0J co i, co co 44-7 ce Q 0,9i E- co p o IT o co o rn N �6d\ Alf ct)co V4 r_ z Q 23117Z/9C del, z DJ) co .1,— co 0 C N CO I— Li. 0- U- co a 1 I 0 m o 6>61 ^ NZt'/£9 NZP/£5 o bt�� 211178/LOD 0 U W ( M "Fla q O t N N h ti I pm NZt7/E9 NZt/E9 "' Lt79/L09 z Q z o co o ¢ NI- Q cow 11tiZ/9£ d8 i• CO H `. Z O "a' 1• Q01 F- cG O w Q a 0 5 iV 1— m V) S/Hd v), m�tr)_co I I I M f'Ef#-AE£ f Zwcs b1178/L0O -) H co o3 Qoo _ Q -J I-' a <C14 0Z o M co z i 0 2:1117Z/9C d8I. z o 00 CD Q Q c 2 Ip(13 oo co v �6' NZ17/E9 NZ17/E9 "' bt�% 2:11t�8/LOC a) z W dr O Ll. NZP/£s NZt7/£9 vs tO J z co u LL 2 litZ/s£ z O M M <Lo In —O � � m co r- w W O 0-3 0 CO C O co co a rZP/£s rZt/£s `d9 ij09 CO CO LO CO 00 .. CO O LO - M 2:1117Z/s£ Z co LL LL C 03 (.0 3- a) 0 H NZP/£s NZ7/E9 ` 9 OJ 7 ( 5 ¥ . Tr j ) k ] I § cp. Q • 2 ) .. ) « _� i— o 2 § 7J ƒ 7 o 9 rn \ / �/ %o 07 2 O ± O O § § co § 4 \ k 4 § _ # / ƒ #\ °10 CO' O@ 3 « a § § 0 m § \ \ CV • 7 & 00 / Oo I k \ § co « N N cn & A w § co o�• § °/ / ) xq= \ OS @ �\ L > co § \ �� d & - i \ 3 c'S§ co@ a m e _ e 4 + CB k t ® 3 \ 2 = \ ) 4/ ƒ 0© _ g \ CT) { q� CO k \ k \« & e a q¥ D) \ ' a7 0L 5 ❑ 2 0 i Q7 I § § = O 6 / / \ k W -� co8 $ � ^ 6A f \ N c Z O Z it 0 W N y k t,r,"1 i , r 1 i i i , ,, ,,,,,..-,,,,,,o-, aC F ...a twww su; d .. i4 dC 4w�'✓` ,' 1 ems, , `� $ i is 1 • "A,, w � ,„ice tI \ _ — M rm--, CITY OF HUNTINGTON BEACH 11/10/2022 2 BRIAN POLIVKA-CITY MANAGER'S 4:52.01 PM ,..,,. A ( ) Quote# 208539 Department: CITY MANAGERS OFFICE Sales Order# Discount% List Price Sell Price Item Qty Contract Product Unit Extended Unit Extended ELEVATE 1 2 GMDPW 123.00 246.00 39.10 78.20 Elevate TM Desk Mount Power(white) • • Tag: CITY MANAGERS OFFICE 2 2 GMSPW 82.00 164.00 26.09 52.18 To Elevate TM Surge Protector • •WHITE Tag: CITY MANAGERS OFFICE HERMANMILLER 3 4 232092-226 .00 .00 .00 .00 ok Lock Plug&Keys • • Tag: CITY MANAGERS OFFICE 4 4 232092-227 .00 .00 .00 .00 % Lock Plug&Keys • • Tag: CITY MANAGERS OFFICE 5 2 G1331. 29.00 58.00 7.95 15.90 72.60 % Cord Cleat 2/Pkg • • Tag: CITY MANAGERS OFFICE 6 2 FT121.257 121.00 242.00 35.21 70.42 70.90 % Conn 90,Universal,2way,90 deg-for 53H frames and higher • • Tag: CITY MANAGERS OFFICE 7 2 FT121.357 137.00 274.00 39.87 79.74 70.90 % Conn 90,Universal,3way-for 53H frames and higher • • Tag: CITY MANAGERS OFFICE 8 5 FT128.53 40.00 200.00 11.64 58.20 70.90 % Connection Hardware,Frame-to-Frame 53H • • Tag: CITY MANAGERS OFFICE 9 2 FT128.68 43.00 86.00 12.51 25.02 70.90 Connection Hardware, Frame-to-Frame 68H • • Tag: CITY MANAGERS OFFICE Account Executive: Theresa Cummins Project Designer Frances Arce Page. 1 Job Captain Devon Nyquist _ CITY OF HUNTINGTON BEACH 11/10/2022 2.. / BRIAN POLIVKA -CITY MANAGER'S 4:52:01 PM ' Quote# 208539 Department: CITY MANAGERS OFFICE a A co \ � PO# Sales Order# Discount% List Price Sell Price Item Qty Contract Product Unit Extended Unit Extended HERMANMILLER 10 2 G6160.BB 638.00 1,276.00 178.00 356.00 72.10 % Twist LED Task Light,Starter unit,Brkt Att • • Tag: CITY MANAGERS OFFICE 11 2 G6160.CB 460.00 920.00 128.34 256.68 72.10 % Twist LED Task Light,Add-on unit,Brkt Att • • Tag: CITY MANAGERS OFFICE 12 2 DU15S.D 158.00 316.00 48.51 97.02 69.30 % Height-Adjustable Vertical Cable Manager 91 • •white Tag: CITY MANAGERS OFFICE 13 2 FT110.5330J 286.00 572.00 83.23 166.46 70.90 % Frame,Base Covers,Pwr/Data knockouts 53H 30W 98 • •studio white Tag: CITY MANAGERS OFFICE 14 2 FT110.5330N 273.00 546.00 79.44 158.88 70.90 % Frame,Base Covers,no knockouts 53H 30W 98 • . studio white Tag: CITY MANAGERS OFFICE 15 2 FT110.5342J 323.00 646.00 93.99 187.98 70.90 % Frame,Base Covers,Pwr/Data knockouts 53H 42W 98 • . studio white Tag: CITY MANAGERS OFFICE 16 4 FT110.5342N 305.00 1,220.00 88.76 355.04 70.90 % Frame,Base Covers,no knockouts 53H 42W 98 • • studio white Tag: CITY MANAGERS OFFICE 17 2 FT110.6848J 367.00 734.00 106.80 213.60 70.90 % Frame,Base Covers,Pwr/Data knockouts 68H 48W 98 • • studio white Tag: CITY MANAGERS OFFICE 18 2 FT110.6848N 349.00 698.00 101.56 203.12 70.90 % Frame,Base Covers,no knockouts 68H 48W 98 • • studio white Tag: CITY MANAGERS OFFICE Account Executive: Theresa Cummins Project Designer Frances Arce Page: 2 Job Captain Devon Nyquist F �� CITY OF HUNTINGTON BEACH 11/10/2022 /+ BRIAN POLIVKA-CITY MANAGER'S 4:52:01 PM 0 c ) Quote# 208539 CO i Department: CITY MANAGERS OFFICE `----'' PO# Sales Order# Discount% List Price Sell Price Item Qty Contract Product Unit Extended Unit Extended HERMANMILLER 19 4 FT112.48AP 57.00 228.00 16.59 66.36 70.90 % Frame Top Cap,Standard Ptd 48W 98 • • studio white Tag: CITY MANAGERS OFFICE 20 2 FT114.0760G5A 704.00 1,408.00 204.86 409.72 70.90 % Frame Top Screen,Ptd Std Top Cap 2 Frm,Opal Etched 1/4 thick,7H 60W 98 • •studio white Tag: CITY MANAGERS OFFICE 21 3 FT114.0784G5A 874.00 2,622.00 254.33 762.99 70.90 % Frame Top Screen,Ptd Std Top Cap 2 Frm,Opal Etched 1/4 thick,7H 84W 98 • • studio white Tag: CITY MANAGERS OFFICE 22 1 FT123.115NP 54.00 54.00 15.71 15.71 70.90 % Conn Cover 90-Deg, 1 Side Covered,No Base Ptd 15H(for use w/42H and 53H frames) 98 • • studio white Tag: CITY MANAGERS OFFICE 23 1 FT123.153BP 61.00 61.00 17.75 17.75 70.90 % Conn Cover 90-Deg, 1 Side Covered,Base Cover Ptd 53H 98 • • studio white Tag: CITY MANAGERS OFFICE 24 1 FT123.168BP 71.00 71.00 20.66 20.66 70.90 Conn Cover 90-Deg,1 Side Covered,Base Cover Ptd 68H 98 • •studio white Tag: CITY MANAGERS OFFICE 25 2 FT123.253BP 79.00 158.00 22.99 45.98 70.90 % Conn Cover 90-Deg,2 Sides Covered,Base Cover Ptd 53H 98 • •studio white Tag: CITY MANAGERS OFFICE 26 2 FT123.315NP 90.00 180.00 26.19 52.38 70.90 % Conn Cover 90-Deg,3 Sides Covered,No Base Ptd 15H(for use w/42H and 53H frames) 98 • • studio white Tag: CITY MANAGERS OFFICE 27 2 FT126.1AP 41.00 82.00 11.93 23.86 70.90 % Top Cap,Conn 90-Deg,Connects-1 Frame Top Caps Ptd 98 • • studio white Tag: CITY MANAGERS OFFICE Account Executive: Theresa Cummins Project Designer Frances Arce Page: 3 Job Captain Devon Nyquist --- CITY OF HUNTINGTON BEACH 11/10/2022 G c } BRIAN POLIVKA -CITY MANAGER'S 4.52:01 PM Quote# 208539 ,..., ADepartment: CITY MANAGERS OFFICE ��. PO# Sales Order# Discount List Price Sell Price Item Qty Contract Product Unit Extended Unit Extended HERMANMILLER 28 1 FT126.2BP 41.00 41.00 11.93 11.93 70.90 Top Cap,Conn 90-Deg,Connects-2 Frame Top Caps,180-Deg Ptd 98 • • studio white Tag: CITY MANAGERS OFFICE 29 1 FT126.3AP 41.00 41.00 11.93 11.93 70.90 % Top Cap,Conn 90-Deg,Connects-3 Frame Top Caps Ptd 98 • • studio white Tag: CITY MANAGERS OFFICE 30 1 FT140.06 225.00 225.00 65.48 65.48 70.90 % Power Entry, External Direct Connect 6'long LZ • • PVC-free Tag: CITY MANAGERS OFFICE 31 2 FT150.30 169.00 338.00 49.18 98.36 70.90 % Base Power Harness 30W LZ • • PVC-free Tag: CITY MANAGERS OFFICE 32 2 FT150.42 184.00 368.00 53.54 107.08 70.90 % Base Power Harness 42W LZ • • PVC-free Tag: CITY MANAGERS OFFICE 33 2 FT150.48 196.00 392.00 57.04 114.08 70.90 % Base Power Harness 48W LZ • • PVC-free Tag: CITY MANAGERS OFFICE 34 2 FT155.A 233.00 466.00 67.80 135.60 70.90 % 15 Amp Receptacle 4 Circuit,Duplex,Circuit A 6/Pkg 98 • •studio white Tag: CITY MANAGERS OFFICE 35 2 FT160.53BP 82.00 164.00 23.86 47.72 70.90 % Finished End,Base Cover Ptd 53H 98 • •studio white Tag: CITY MANAGERS OFFICE 36 2 FT16G.18P 64.00 128.00 18.62 37.24 70.90 % Finished End, Gallery Panel,Standard Painted Trim 18H 98 • • studio white Tag: CITY MANAGERS OFFICE Account Executive: Theresa Cummins Project Designer Frances Arce Page: 4 Job Captain Devon Nyquist --°--- CITY OF HUNTINGTON BEACH 11/10/2022 �, BRIAN POLIVKA -CITY MANAGER'S 4:52:01 PM A ( G Quote# 208539 Department: CITY MANAGERS OFFICE PO# Sales Order# Discount% List Price Sell Price Item Qty Contract Product Unit Extended Unit Extended HERMANMILLER 37 3 FT290.24L 44.00 132.00 12.80 38.40 70.90 % Surface Cantilever,for 20"-or 24"deep surface,lft-hnd 91 • •white Tag: CITY MANAGERS OFFICE 38 3 FT290.24R 44.00 132.00 12.80 38.40 70.90 % Surface Cantilever,for 20"-or 24"deep surface,rt-hnd 91 • •white Tag: CITY MANAGERS OFFICE 39 1 FT115.3524LL 525.00 525.00 152.78 152.78 70.90 % Gallery Panel,Lam/TP Edge, Left Attachment 35H 24W 98 • • studio white 98 • • studio white Tag: CITY MANAGERS OFFICE 40 1 FT115.3524LR 525.00 525.00 152.78 152.78 70.90 % Gallery Panel, Lam/TP Edge,Right Attachment 35H 24W 98 • • studio white 98 • • studio white Tag: CITY MANAGERS OFFICE 41 2 FT170.11487 127.00 254.00 36.96 73.92 70.90 % Lower Tile,Tackable Fabric 11 H 48W 98 • • studio white 2101 • •grasscloth silver birch Tag: CITY MANAGERS OFFICE 42 6 FT170.3048T 220.00 1,320.00 64.02 384.12 70.90 % Lower Tile,Tackable Fabric 30H 48W 98 • •studio white 2101 . • grasscloth silver birch Tag: CITY MANAGERS OFFICE 43 1 FT174.48 304.00 304.00 88.46 88.46 70.90 % Tile,Lower Open 48W 98 • • studio white 98 • • studio white Tag: CITY MANAGERS OFFICE 44 8 FT180.4830T 206.00 1,648.00 59.95 479.60 70.90 % Tile,Full-Height,Tackable Fabric 48H 30W 98 • • studio white 2101 • •grasscloth silver birch Tag: CITY MANAGERS OFFICE Account Executive: Theresa Cummins Project Designer Frances Arce Page: 5 Job Captain Devon Nyquist ---•---„, CITY OF HUNTINGTON BEACH 11/10/2022 BRIAN POLIVKA-CITY MANAGER'S 4:52:01 PM Quote# 208539 ,...., A 1,,,, co i Department: CITY MANAGERS OFFICE ` ' PO# Sales Order# Discount% List Price Sell Price Item Qty Contract Product Unit Extended Unit Extended HERMANMILLER 45 12 FT180.4842T 272.00 3,264.00 79.15 949.80 70.90 % Tile,Full-Height,Tackable Fabric 48H 42W 98 • • studio white 2101 • • grasscloth silver birch Tag: CITY MANAGERS OFFICE 46 8 FT181.3348T 229.00 1,832.00 66.64 533.12 70.90 % Upper Tile,Tackable Fabric 33H 48W 98 • •studio white 2101 • • grasscloth silver birch Tag: CITY MANAGERS OFFICE 47 2 FT411.48 252.00 504.00 73.33 146.66 70.90 % Shelf 48W 98 • •studio white SM • • on module Tag: CITY MANAGERS OFFICE 48 2 FTS10.2496LF 732.00 1,464.00 213.01 426.02 70.90 % Rectangular Surface,Sq-Edge,Lam Top/Thermo Edge,24D 96W, Frame Atch 98 • • studio white 98 • • studio white Tag: CITY MANAGERS OFFICE 49 2 FV43F.F81548LAL 1,947.00 3,894.00 566.58 1,133.16 70.90 % Ovhd Stg Cab,Sliding Full Enclsr,Canvas Frm Conn, Lam Case/Doors, Trans Plstc Door, Lock 15H 48W KA • • keyed alike 98 • • studio white 98 • •studio white J9 • • opal frosted Tag: CITY MANAGERS OFFICE 50 2 LW100.24BBF 784.00 1,568.00 250.10 500.20 68.10 % Ped W-Pull,Freestd 24D B/B/F SB • • full-extension ball-bearing XS • •textured paint on smooth steel 98 • • studio white KA • • keyed alike 2F • • raised height 3M • • drawer divider in one box drawer, pencil tray in one box drawer, 2 fi Tag: CITY MANAGERS OFFICE Account Executive: Theresa Cummins Project Designer Frances Arce Page: 6 Job Captain Devon Nyquist „ CITY OF HUNTINGTON BEACH 11/10/2022 2 �' BRIAN POLIVKA-CITY MANAGER'S 4:52:01 PM 0k'. A , Quote# 208539 Department: CITY MANAGERS OFFICE .-�' PO# Sales Order# Discount% List Price Sell Price Item Qty Contract Product Unit Extended Unit Extended HERMANMILLER 51 2 LW100.24FF 678.00 1,356.00 216.28 432.56 68.10 % Ped W-Pull,Freestd 24D F/F SB • • full-extension ball-bearing XS • •textured paint on smooth steel 98 • • studio white KA . • keyed alike 2F • • raised height 1M • • 2 file converters in each file drawer Tag: CITY MANAGERS OFFICE 52 2 DU6ECS.246060LD 6,862.00 13,724.00 2,106.63 4,213.26 69.30 % Renew 90 Deg Ext Cnr TbI,C-Foot,Sq-Edge,Lam Top/Thermo Edge,Elec Ext Range,24D 60W L 60W R NNP • • no power access SRM • • digital read out with memory 98 • • studio white 98 • • studio white 98 • •studio white leg with studio white foot PSC • • simple cable NNN • • no cutout 57 • • glides Tag: CITY MANAGERS OFFICE Product Subtotal: $14,162.51 Account Executive: Theresa Cummins Project Designer Frances Arco:* Page: 7 Job Captain Devon Nyquist Client#: 164812 GMBUSIN ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MM!DD/YYYY) 11/04/2022 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 QF 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 poilcy(ies)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 any rights to the certificate holder In lieu of such endorsement(s). PRODUCER rharreCT Kris Hughes EPIC Insurance Midwest P(HHpph o Est); FAX AIC,V ); - (A/C,No); 560 5th Street,Suite 202 E-MAIL ADDRESS: certificates rr ap icbrokers.com Grand Rapids,MI 49504 INSURER(S)AFFORDING COVERAGE NAIC a INSURER A;National Union Fire Ins Co of Pittsburg 19445 INSURED INSURER B:New Hampshire Insurance Company 23841 Goforth&Marti Inc.dba GM Business INSURER C:HISCOX Insurance Company Inc. 10200 GM Business interiors 1099 W.La Cadena Dr. INSURER D Riverside,CA 92501 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 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, EXCLUSIONSR AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCEDp�Cy� BY PAID CLAIMS.L ITSR TYPE OF INSURANCE OMRL WUVBo POLICY NUMBER IIIMBXW() (NPIpOMDDnYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY X X 5180177 03/01/2022 03/0112023 EACH OCCURRENCE $1,000,000 CLAIMS-MADE a OCCUR PREMIS SYEaEaTwErence) s300,000 MED EXP(Any one person) $25,000 _ PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY X JECT LOG PRODUCTS-COMP/OP AGO $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY X X 2961606 03/01/2022 03/01/2023lEaac IdQDISINGLELIMIT $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED —SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) — UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LEAS H CLAIMS-MADE AGGREGATE $ DED [RETENTION$ $ A WORKERS COMPENSATION X 80756387(CA) 03/01/2022 03/01/2023 X STATUTE IPRH AND EMPLOYERS'LIABILITY B ANY PROPRIETOR/PARTNER/EXECUTIVED WC014122637 03/0112022 03/01/2023 E.L.EACH ACCIDENT $1,000,000 OFFICER!MEMSER EXCLUDED? i<J N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 byyes describe under DESCRIPTION OF OPERATIONS below E,L.DISEASE-POLICY LIMIT $1,000,000 C Professional Liab ANE405372522 03/01/2022 03/01/2023 1,000,000 Each Occ 2,000,000 Agg DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if morn space is required) City of Huntington Beach, its officers,elected or appointed officials,employees,agents and volunteers are APPO ED AS TO FORM Included as Additional Insured with respects to General Liability and Automobile Liability as req ed ,-„�-:,,� contract or written agreement.Coverage is considered primary and non-contributory.30 days tics o cancellation Is included. MICHAEL E.GATES CITY ATTORNEY CERTIFICATE HOLDER CANCELLATION CITY OF HUNTINGTON BEACH Cityof Huntington Beach SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE g THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 2000 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Huntington Beach,CA 92648 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) 1 of 1 The ACORD name and logo are registered marks of ACORD #S43685171M4077010 KWI01 POLICY NUMBER: GL 5180177 COMMERCIAL GENERAL LIABILITY CG20101219 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 The City of Huntington Beach,its officers,elected or appointed officials,employees,agents and volunteers 2000 Main Street Huntington Beach,CA 92648 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II - Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for "bodily injury", This insurance does not apply to "bodily injury" "property damage" or "personal and advertising or "property damage" occurring after: injury" caused, in whole or in part, by: 1. All work, including materials, parts or 1. Your acts or omissions; or equipment furnished in connection with such 2. The acts or omissions of those acting on work, on the project (other than service, your behalf; maintenance or repairs) to be performed by in the performance of your ongoing operations or on behalf of the additional insured(s) at for the additional insured(s) at the location(s) the location of the covered operations has designated above. been completed; or However: 2. That portion of "your work" out of which the injury or damage arises has been put to 1. The insurance afforded to such additional its intended use by any person or insured only applies to the extent permitted organization other than another contractor or by law; and subcontractor engaged in performing 2. If coverage provided to the additional operations for a principal as a part of the insured is required by a contract or same project. agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 10 12 19 ® Insurance Services Office, Inc., 2018 Page 1 of 2 C. With respect to the insurance afforded to these 2. Available under the applicable limits of additional insureds, the following is added to insurance; Section III — Limits Of Insurance: whichever is less. If coverage provided to the additional insured is This endorsement shall not increase the required by a contract or agreement, the most applicable limits of insurance. we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or Page 2 of 2 0 Insurance Services Office, Inc., 2018 CG 20 10 12 19 POLICY NUMBER:GL 5180177 COMMERCIAL GENERAL LIABILITY CG 20 37 1219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations The City of Huntington Beach,its officers, elected or appointed officials,employees, agents and volunteers 2000 Main Street Huntington Beach,CA 92648 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section III — Limits Of Insurance: with respect to liability for "bodily injury" or If coverage provided to the additional insured is "property damage" caused, in whole or in part, required by a contract or agreement, the most by "your work" at the location designated and we will pay on behalf of the additional insured described in the Schedule of this endorsement is the amount of insurance: performed for that additional insured and 1. Required by the contract or agreement; or included in the "products-completed operations hazard". 2 Available under the applicable limits of insurance; However: 1. The insurance afforded to such additional whichever is less. insured only applies to the extent permitted This endorsement shall not increase the by law; and applicable limits of insurance. 2 If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 37 12 19 ® Insurance Services Office, Inc., 2018 Page 1 of 1 POLICY NUMBER: GL 518-01-77 COMMERCIAL GENERAL LIABILITY CG 20 01 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance policy provided that: Condition and supersedes any provision to the (1)The additional insured is a Named Insured contrary: under such other insurance; and Primary And Noncontributory Insurance (2)You have agreed in writing in a contract This insurance is primary to and will not or agreement that this insurance would seek contribution from any other insurance be primary and would not seek contribu available to an additional insured under your tion from any other insurance available to the additional insured. CG 20 01 04 13 0 Insurance Services Office, Inc., 2012 Page 1 of 1 ENDORSEMENT This endorsement, effective 1 2:01 A.M. 01/23/2023 forms a part of Policy No. CA 2961606 issued to GOFORTH&MARTI-DBA:GM BUSI By NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - WHERE REQUIRED UNDER CONTRACT OR AGREEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM SCHEDULE ADDITIONAL INSURED:The City of Huntington Beath,its officers,elected or appointed officials,employees,agents and volunteers 2000 Main Street Huntington Beach,CA 92648 I. SECTION II- LIABILITY COVERAGE, A. Coverage, 1.-Who Is Insured,is amended to add: d. Any person or organization, shown in the schedule above, to whom you become obligated to include as an additional insured under this policy, as a result of any contract or agreement you enter into which requires you to furnish insurance to that person or organization of the type provided by this policy, but only with respect to liability arising out of use of a covered "auto". However, the insurance provided will not exceed the lesser of: (1) The coverage and/or limits of this policy, or (2) The coverage and/or limits required by said contract or agreement. Authorized Representative or Countersignature (in States Where Applicable) 87950 (10/05) BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date Is indicated below. (The follow'ng"attaching clause' need be completed only when this erdorsemant Is issued subsequent to preparation of the policy). This endorsement, effective 12:01 AM 03/01/2022 forms a part of Policy No. WC 080-75-6387 issued to GOFORTH&MARTI-DBA:GM BUSINESS INTERIORS By NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH,PA. We have a right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against any person or organization with whom you have a written contract that requires you to obtain this agreement from us, as regards any work you perform for such person or organization. The additional premium for this endorsement shall be 2.00 % of the total estimated workers compensation premium for this policy. WC 04 03 61 Countersigned by ,' 4'" (Ed. 11190) Authorized Representative ENDORSEMENT This endorsement, effective 12:01 A,M. 01/31/2023 forms a part of Policy No: ca 2961606 Issued to GOFORTH& MARTI- DBA: GM BUS By NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LIMITED ADVICE OF CANCELLATION TO SCHEDULED ENTITIES SCHEDULE NAME OF PERSON OR ORGANIZATION E-MAIL OR U.S. POSTAL SERVICE ADDRESS 2000 Main Street The City of Huntington Beach, its officers,elected Huntington Beach, or appointed officials, employees, agents and CA 92648 volunteers 108538(03/11) Page 1 of 2 This policy is amended as follows: In the event that the Insurer cancels this policy for any reason other than non-payment of premium, and 1. the cancellation effective date is prior to this policy's expiration date; 2. the First Named Insured is under an existing contractual obligation to notify a certificate(s)holder(s)when this policy is canceled (hereinafter, the"Certificate Holder(s)")and has provided the Insurer, either directly or through it's broker of record, either: (a) the name of the entity shown on the certificate, a contact name at such entity and the U.S.Postal Service mailing address of each such entity;or (b) the email address of a contact at each such entity;and 3. prior to the effective date of cancellation, the First Named Insured confirms to the Insurer, either directly or through its broker of record, that the persons or organizations set forth in the Schedule above, as well as their respective addresses listed, should continue to be a part of the Schedule and,if not, the names of the persons or organizations that should be deleted, the Insurer will provide advice of cancellation (the "Advice") to each such Certificate Holder(s)confirmed by the First Named Insured in writing to be correctly a part of the Schedule within 30 days after the First Named Insured confirms the accuracy of the Schedule above with the Insurer; provided, however,that if a specific number of days is not stated above, then the Advice will be provided to such Certificate Holder(s) as soon as reasonably practicable after the First Named Insured confirms the accuracy of the Schedule above with the Insurer. Proof of the insurer emailing the Advice, using the information provided and subsequently confirmed by the First Named Insured in writing, will serve as proof that the Insurer has fully satisfied its obligations under this endorsement. This endorsement does not affect, in any way, coverage provided under this policy or the cancellation of this policy or the effective date thereof, nor shall this endorsement invest any rights in any entity not insured under this policy. The following Definitions apply to this endorsement: 1. First Named Insured means the Named Insured shown on the Declarations Page of this policy. 2. insurer means the insurance company shown in the header on the Declarations Page of this policy. All other terms, conditions and exclusions shall remain the same. 411" AUtti RIZED REPRESENTATIVE 108538(03/11) Page 2 of 2 ENDORSEMENT This endorsement, effective 12:01 A.M. 01/31/2023 forms a part of Policy No: GL 5180177 Issued to GOFORTH&MARTI - DBA: GM BUS By NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LIMITED ADVICE OF CANCELLATION TO SCHEDULED ENTITIES SCHEDULE NAME OF PERSON OR ORGANIZATION E-MAIL OR U.S. POSTAL SERVICE ADDRESS 2000 Main Street The City of Huntington Beach, its officers, elected Huntington Beach, or appointed officials, employees, agents and CA 92648 volunteers 108538 (03/11) Page 1 of 2 This policy is amended as follows: In the event that the Insurer cancels this policy for any reason other than non-payment of premium, and 1. the cancellation effective date is prior to this policy's expiration date; 2. the First Named Insured is under an existing contractual obligation to notify a certificate(s)holder(s)when this policy is canceled(hereinafter, the"Certificate Holder(s)")and has provided the Insurer, either directly or through it's broker of record, either: (a) the name of the entity shown on the certificate,a contact name at such entity and the U.S.Postal Service mailing address of each such entity;or (b) the email address of a contact at each such entity;and 3. prior to the effective date of cancellation,the First Named Insured confirms to the Insurer, either directly or through its broker of record, that the persons or organizations set forth In the Schedule above, as well as their respective addresses listed, should continue to be a part of the Schedule and, If not,the names of the persons or organizations that should be deleted, the Insurer will provide advice of cancellation (the"Advice")to each such Certificate Holder(s) confirmed by the First Named Insured in writing to be correctly a part of the Schedule within 30 days after the First Named Insured confirms the accuracy of the Schedule above with the Insurer; provided, however, that if a specific number of days is not stated above, then the Advice will be provided to such Certificate Holder(s) as soon as reasonably practicable after the First Named Insured confirms the accuracy of the Schedule above with the Insurer. Proof of the Insurer emailing the Advice, using the information provided and subsequently confirmed by the First Named Insured in writing, will serve as proof that the Insurer has fully satisfied its obligations under this endorsement. This endorsement does not affect, in any way, coverage provided under this policy or the cancellation of this policy or the effective date thereof, nor shall this endorsement invest any rights in any entity not insured under this policy. The following Definitions apply to this endorsement: • 1. First Named Insured means the Named Insured shown on the Declarations Page of this policy. 2. Insurer means the insurance company shown in the header on the Declarations Page of this policy. All other terms, conditions and exclusions shall remain the same. - � �►` /AUTH•RIZEO REPRESENTATIVE 108538(03/11) Page 2 of 2 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following"attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy). forms a part of Policy No.WC 080756387 This endorsement, effective 12:01 AM I/31/2023 issued to Goforth&Marti By NATIONAL UNION FIRE INS.0 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 Organization Job Description The City of Huntington Beach, its officers, elected or appointed officials, employees, 2000 Main Street agents and volunteers Huntington Beach,CA 92648 • e ast WC 04 03 06 Countersigned by (Ed. 04/84) Authorized Representative WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT--CALIFORNIA This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy). forms a part of Policy No,WC 080756387 This endorsement, effective 12:01 AM 1/31/2023 Issued to Goforth&Marti By NATIONAL UNION FIRE INS.0 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 Organization Job Description The City of Huntington Beach, its officers, elected or appointed officials,employees, 2000 Main Street agents and volunteers Huntington Beach, CA 92648 WC 04 03 06 Countersigned by (Ed. 04/84) Authorized Representative POLICY NUMBER: CA 2961606 COMMERCIAL AUTO CA 04 44 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: GOFORTH&MARTI-DBA:GM BUSI Endorsement Effective Date: 01/31/2023 SCHEDULE Name(s) Of Person(s) Or Organization(s): The City of Huntington Beach,its officers,elected or appointed officials,employees, agents and volunteers 2000 Main Street Huntington Beach,CA 92648 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. CA 04 44 10 13 0 Insurance Services Office, Inc., 201 1 Page 1 of 2 U The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. Page 2 of 2 0 Insurance Services Office, Inc., 2011 CA 04 44 10 13 El POLICY NUMBER: GL 5180177 COMMERCIAL GENERAL LIABILITY CG 24 04 12 19 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS SCHEDULE Name Of Person(s) Or Organization(s): The City of Huntington Beach,its officers,elected or appointed officials,employees,agents and volunteers 2000 Main Street Huntington Beach,CA 92648 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 against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. CG 24 04 12 19 0 Insurance Services Office, Inc., 2018 Page 1 of 1