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HomeMy WebLinkAboutSouthwest Lift & Equipment, Inc. - 2023-03-01 (2) SERVICE AGREEMENT BETWEEN THE CITY OF HUNTINGTON BEACH AND SOUTHWEST LIFT& EQUIPMENT,INC. FOR SHOP EQUIPMENT AND LIFT REPAIR AND MAINTENANCE 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 Southwest Lift&Equipment, Inc. hereinafter referred to as "Contractor." Recitals A. The City desires to retain a Contractor having special skill and knowledge in the field of shop equipment and lift repair and maintenance 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: I. Scope of Services Contractor shall provide all services as described in Exhibit"A,"which is attached hereto and incorporated into this Agreement by this reference. These services shall sometimes hereinafter be referred to as the "Project." Contractor hereby designates Jana Wingenfeld,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. 23-12471/303371 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 Three Hundred Thousand Dollars ($300,000.00) during the term of this Agreement. Additional services required by other divisions and/or departments shall not count towards the Public Works Operations annual not to exceed amount. 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 i of the essence of this Agreement. The services of Contractor are to commence ' �? , or as soon as practicable after the execution of this Agreement by City(the"Ctnrrtencement 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. 23-12471/303371 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, 23-12471/303371 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. 23-12471/303371 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. 23-12471/303371 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 I 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 Southwest Lift&Equipment, Inc. Attn: Director of Public Works Attn: Jana Wingenfeld 2000 Main Street 254 E .Valley Street Iuntington Beach, CA 92648 San Bernardino, CA 92408 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. 23-12471/303371 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; 23-12471/303371 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. 23-12471/303371 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. 23-12471/303371 9 0 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 SOUTHWEST LIFT&EQUIPMENT, INC. municipal corporation of the State of California '''', I'? wig:3_ By: 0020Mayor De 1-1V°4 0( a Print name ?--SAIfi"/ 94-/-4ilL4j4") ITS: (circle one) Chairman/President/ � Vice President City Clerk cSAA/-72 AND By: c\Q W (1 \to e k A INITIA ED AND APPROV 0 Print naMe / �, ITS: (circle one) Secretary/Chief Financial e Offices/Asst. Secretary-Treasurer _/_� , — Director of Publi- Wo s APPROVED AS TO FORM: City Attorney .•‘. _,WED A k' • AP' •OVED: • 1 City gager . 23-12471/303371 10 EXHIBIT "A" A. STATEMENT OF WORK: (Narrative of work to be performed) Shop equipment and lift repair and maintenance services. B. CONSULTANT'S DUTIES AND RESPONSIBILITIES: C. CITY'S DUTIES AND RESPONSIBILITIES: D. WORK PROGRAM/PROJECT SCHEDULE: 23-12471/303371 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: "SEE ATTACHED EXHIBIT B" 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 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. EXHIBIT B Various Fleet Operations-Vehicle Repair Services and Shop Equipment Repair and Maintenance Services SHOP EQUIPMENT SERVICES(HOSE REEL/SHOP MACHINERY INSTALLATION, REPAIR AND MAINTENANCE,ETC.) Company Name:Southwest Lift & Equipment Date:9/14/2022 Instructions for completing Quote/Bid Sheet: 1. Complete Quote/Bid Sheet and enter pricing for ONLY those services your firm can provide. 2. Attach and include in your submittal only those bid sheets you are quoting. 3. Attach a current rate sheet/fee schedule and include with your submittal. 4.Fill in the company name above and the four(4)boxes below,circle$ or%sign for markup. ITEM NORMAL BUSINESS HOURS AFTER HOURS&WEEKENDS Labor hourly rate $165.00 $247.50 Materials markup $or% $or% • Bid Sheets Vehicle Shop/Equipment Repair Maintenance RFQ 2022 Various Fleet Operations-Vehicle Repair Services and Shop Equipment Repair and Maintenance Services IN GROUND AND ABOVE GROUND VEHICLE LIFT INSTALLATION,REPAIR AND MAINTENANCE Company Name:Southwest Lift & Equipment Date:9/14/2022 Instructions for completing Quote/Bid Sheet: I.Complete Quote/Bid Sheet and enter pricing for ONLY those services your firm can provide. 2. Attach and include in your submittal only those bid sheets you are quoting. 3. Attach a current rate sheet/fee schedule and include with your submittal. 4. Fill in the company name above and the four(4)boxes below,circle$or%sign for markup. ITEM RATE Labor hourly rate $165.00 Materials markup $ or% Bid Sheets Vehicle Shop/Equipment Repair Maintenance RFC/2022 Ii; Ql`' / / i4 ''r ice. k„,... , ' INC,- Heavy Duty Hydraulic Lifts and Shop Equipment September 14,2022 RE:Vehicle,Shop, and Equipment Repair and Maintenance Services Invitation#t 2022-0914 Company Rate Sheet Please see the following: Shop Equipment Services Normal Business Hours After Hours/Weekends (Hose,reel/shop machinery $165.00/hour $247.50/hour installation,repair and maintenance) In ground and above ground Normal Business Hours 20%Materials markup vehicle lift Installation,repair, $165.00/hour and maintenance Thank you for your consideration, Jana Wingenfeld-Treasurer Southwest Lift&Equipment (909)867-9820 www.southwestlift.com 254 E.Valley Street,San Bernardino CA 92408 Tel:(909)867-9820. Fax:1909)867-9821.lifts@southwestilft.com ttfl..r „.--..4,11 SWLIF-1 OP ID:CC ,A RL CERTIFICATE OF LIABILITY INSURANCE D IDD/YYYY) �" 02/172l17I2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER 817-640-5035 aUACT Jim Beam,C1C Monroe&Monroe Insurance P or�E 817-640-5035 f F 817-640-0131 Agency, Ltd. (a�c, o,Ext1: (ticX,No): 2921 Galleria Dr., Suite 102 n'tess: Arlington,TX 76011 Jim Beam,CIC INSURER(S1 AFFORDING COVERAGE NAIL It INSURERA:Great American Ins Cos. 22136 _INSURED INSURERB:Nationwide Mutual Ins Co 42579 Southwest Lift& Equipment Inc INSURER C; 254 E Valley Street INSURER D San Bernardino,CA 92408 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. in TYPE OF INSURANCE Assn wvo POLICY NUMBER (MMInn/YY V). (MM1onYYEYV1 LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 02GL1091466 01/04/2023 01/04/2024 pREMISESO(Eeoc upnce) $ 100,000 A x Professional Llab 02GL1091466 01/04/2023 01/04/2024 MEDEXP(Any one person) $ 0 A x Pollution Llab 02GL1091468 01/04/2023 01/04/2024 PERSONAL&AOVINJURY $ 1,000,000 GEN'L AGGREGA E LIMIT APPL S PER: GENERAL AGGREGATE $ 3,000,000 POLICY j�T IJ LOC PRODUCTS-COMP/OPAGG $ 3,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED accident SINGLE LIMIT $ 1,000,000 X ANY AUTO ACPBA3029986045 01/0412023 01/04/2024 BODILY INJURY(Per person) $ AUTOSAp ONLY �AUTOgWULEOp pBODILY INJURYp (Per accident) $ AUTOS ONLY ,— AUTOS ONLY (I'er aecRdntl AMAGE $ $ A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 X EXCESS LIAB CLAIMS-MADE 02XS227414 01/04/2023 01/0412024 AGGREGATE $ 2,000,000 DED X RETENTIONS 10000 $ WORKERS COMPENSATION PER STATUTE FOTH AND EMPLOYERS'LIABILITY Y!N ANY PROPRIETORIPARTNERIEXECUTIVE ( I N I A EL,EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? l (Mandatory In NH) EL,DISEASE-EA EMPLOYEE $ If yyes describe under DESCRIPTION OF OPERATIONS below E.L,DISEASE-POLICY LIMIT $ A Lsd/Rntd Equipt 02CIM31376 01/04/2023 01/0412024 Item/Loc 300K/500K A Inst Bailee 02CIM31376 01/04/2023 01/04/2024 Limit 35,000 DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) The General Liability and Auto Liabiltty policy includes a blanket additional insured and waiver of subrogation endorsement that provides APPR VED S TO FORM additional insured and waiver of subrogation status to City of Huntington Beach, Its officers,elected or appointed officals,employees, agents and —..-- -- volunteers only when there Is a written"Insured contract"**SEE NOTES** B—.Y. MICHAEL E.GATES CITY ATTORNEY CERTIFICATE HOLDER CANCELLATION ui 1 Y OF HUNTINGTON BEACH HUNTBEA 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. 2000 Main Street Huntington Beach,CA 92648 AUTHORIZEDREPRESENTATIVE I evrwic. ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD �", SWLIF-1 OP ID:CC ACORLY CERTIFICATE OF LIABILITY INSURANCE DDDIYYYY) `.� 02117211712023 THIS CERTIFICATE 1S 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. j IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(Ies) must have ADDITIONAL INSURED provisions or be endorsed. 1 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 817-640-5035 ACT Jim Beam,DID Monroe&Monroe Insurance PHONE 817-640-5035 I Ppcx 817-640-0131 Agency,Ltd. (EA�I1C,1p,�Wass, No,Eat): (AI ,No): 2921 Galleria Dr., Suite 102 Wass, Arlington,TX 76011 Jim Beam,CIC INSURERSS1 AFFORDING COVERAGE NAIL II IN5ugffRA:Great American Ins Cos. 22136 INSURED INSURER .Nationwide Mutual Ins Co 42579 Southwest Lift& Equipment Inc INSURER C: 254 E Valtey Street San Bernardino,CA 92408 INSURER 0: 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LIMITS ITR TYPE OF INSURANCE WWI wvn POLICY NUMBER y,.fM1nDIYYYY)_(MMmn/YYYY} A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE [X I OCCUR 02GL1091468 01/04/2023 01/04/2024 pREMISES/Eo oNcnurence) $ 100,000 A x Professional Liab 02GL1091466 01/0412023 01104/2024 MED EXP(Any one person) $ 0 A x Pollution Liab 02GL1091466 01/0412023 01/0412024 PERSONAL&ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLES PER: GENERAL AGGREGATE $ 3,000,000 POLICY X J281, LOC PRODUCTS-COMP/OP AGG $ 3,000,000 OTHER: $ B AUTOMOBILE LIABILITY tEaacccident SINGLE LIMIT $ 1,000,000 X ANY AUTO — g pU ACPBA3029986045 01/04/2023 01/04/2024 BODILY INJURY per person) $ _OWNED ONLY _ AUTOSSwLEDp BODILY INJURY(Per acclde5fl.S _AUTOS ONLY — AUTOS ONLY P O lOsnttl AMAGE $ ( S A UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 2,000,000 _ X EXCESS LIAB CLAIMS-MADE 02)(S227414 01/04/2023 01/0412024 AGGREGATE $ 2,000,000 DEO X RETENTION$ 10000 $ WORKERS COMPENSATION P ATtITE FR 0TH AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE ROOIM IIETOR EXCLUDED?RHEEXECUn� N/A E.L.EACH ACCIDENT S OFF(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S It yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A LsdlRntd Equlpt 02CIM31376 01/0412023 01/04/2024 Item/Loc 300K/600K A Inst Bailee 02CIM31376 01/04/2023 01/04/2024 Limit 35,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) The General Liability and Auto Liabiltty policy includes a blanket additional insured and waiver of subrogation endorsement that provides APPR VED S TO FORM additional insured and waiver of subrogation status to City of Huntington Beach,Its officers,elected or appointed officals,employees,agents and ________ - volunteers only when there is a written"insured contract"**SEE NOTES'" BY: MICHAEL E.GATES CITY ATTORNEY CERTIFICATE HOLDER CANCELLATION LA i Y OF HUNTINGTON BEACH HUNTBEA 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. 2000 Main Street Huntington Beach,CA 92648 AUTHORIZED RE PRESENTATIVE ev._ ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Cllent#:32498 SOUTHWELIF ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(AIMIDWYYYY)12108/2022 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 polloyiles)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain polio(es 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 `CT Vickie J.Garcia Fred A.Moreton&Company Insurance Agency Dirt, ;801 531.1234 rk ,No);801-5314117 P.O.Box 58139 Amami:vgarcia©rnoreton.com Salt Lake City,UT 84158-0139 INSURERS)AFFORDING COVERAGE NATO 801 531-1234 INSURER A s PACIFIC COMPENSATION INSURANCE CO INSURED INSURER B t Southwest Lift&Equipment INSURERC; 254 E Valley Street San Bernardino,CA 92408 INSURER t INSURER!: 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN�pRppE��D�cUy�C�EEDD BYCPAID CLAIMS. TYPEOFtNSURANCE MIR VND POUCYIEW NUMBER IMINDDIYYYIII Iapilli ) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE E S CLAIMS-MADE OCCUR PREMIBEe lka o0�Dinoe) $ MEDEXP(Any ono person) $ PERSONAL R ADV INJURY $ OEM AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S —1 POLICY O- JECT LOC PRODUCTS•COMP/OP AGO $ OTHER: _ AUTOMOBILE LIABILITY O BsBINEED SINGLE LIMITlEa a ANY AUTO BODILY INJURY(Pet parson) S OWNEO SCHEDULED BODILY INJURY(Per soc{denl) $ UT ONLY AUTOS PAUTOS ONLY _ AUT ONLY _(Paccident)DOE S UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMSAW E AGGREGATE DED RETENTION= J S A WORKERS COMPENSATION X 1022898 07/18/2022 07/16/2023 X sr�TUTs �R AND EMPLOYERS'LI�ABILITY EC<nNE Y I N OWEl.EACH ACCIDENT $1,000,000 �dgg EXaDEE D7 N N!A (NMaanndatory In NH) E.L.DISEASE•EA EMPLOYEE S1,000.000 ender DESCRIPTITIOONNOF OPERATIONS below El.DISEASE•POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached N more space N resulted) Waiver of Subrogation applies per attached form. CA Lic#0522220 CERTIFICATE HOLDER CANCELLATION NY OFBE CANCELLED City of Huntington Beach THEULD EXPIRATIONNE DATEVE THEREOF, NOTICEDESCRIBEDIES WILL BE DELIVERED O NE 2000 Main St ACCORDANCE WITH THE POLICY PROVISIONS, Huntington Beach,CA 92648 AUTTHHORI2DDRREEPRESENTATTIVE 01988-2015 ACORD CORPORATION.All rights reserved. ACORD 28((2016103) 1 of 1 The ACORD name and logo are registered marks of ACORD #816969291M1679551 VICOA HOLDER CODE HUNTBEA SWLIF-1 PAGE 2 NOTEPAD. INSURED'SNAME Southwest Lift& OP ID:CC Date 02/1712023 between the named insured and the certificate holder that requires such status. The General Liability policy contains a special endorsement with "primary and noncontributory" wording that applies to City of Huntington Beach, its officers,elected or appointed officals, employees, agents and volunteers The General Liability policy includes an endorsement providing that 30 days notice of cancellation will be furnished to the certificate holder. Policy No. 02-GL-001091466 GREAT AMERICAN INSURANCE COMPANY ML 13 57 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: City of Huntington Beach, its officers,elected or appointed officials,employees, agents and volunteers 1. WHO IS AN INSURED(Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability caused, in whole or in part,by your performance of"your work"for that insured. However: A. The insurance afforded to such additional insured only applies to the extent permitted by law;and B. If coverage provided to the additional insured is required by written "insured contract", the insurance afforded to such additional insured will not be broader than that which you are required by the written "insured contract"to provide for such additional insured. 2. With respect to 1.above the following additional provisions apply: 4. Other Insurance The insurance afforded by this Coverage Part is primary insurance and we will not seek contribution from any other insurance available to the insured unless the other insurance is provided by a contractor other than the above named additional insured. We shall be considered as excess insurance of any other Insurance provided by a contractor other than the above named additional Insured. This amendment applies only when you have agreed by written "insured contract" to designate the person or organization listed above as an additional insured subject to all provisions and limitations of this policy. All other conditions remain unchanged. ML 13 57 0413 Includes copyrighted material of Insurance Services Office, Page 1 of 1 Inc.,with its permission Policy No. 02-GL-001091466 GREAT AMERICAN INSURANCE COMPANY ML 10 80 07 11 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 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: Any person or organization for whom the named insured Is operating under a written "insured contract" when such contract requires a waiver of transfer of rights of recovery against others. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) 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 work" done under a contract with that person or organization. This waiver applies only to the person or organization shown in the Schedule above. ML 10 80 07 11 Includes copyrighted material of Insurance Services Office, Page 1 of 1 Inc.,with its permission Policy No. 02-GL-001091466 GREAT AMERICAN INSURANCE COMPANY ML 10 81 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any person or organization for whom the named insured has agreed by written "insured contract" to designate as an additional insured subject to all provisions and limitations of this policy. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown In the Schedule, but only with respect to liability caused, in whole or in part, by your performance of ongoing operations for that insured. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law;and 2. If coverage provided to the additional insured is required by written "insured contract", the insurance afforded to such additional insured will not be broader than that which you are required by the written "insured contract"to provide for such additional insured. ML 10 81 0413 Includes copyrighted material of Insurance Services Office, Page 1 of 1 Inc.,with its permission Policy ACPBA3029986045 COMMERCIAL AUTO CA 20 48B 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 This endorsement Identifies person(s)or organlzation(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 Indicated below SCHEDULE Name of Person(s)or Organization(s): Any person or organization which you have agreed to name as an additional Insured in a written contract,exe- cuted prior to a loss,other than a contract for the lease or rental of a vehicle. _ (If no entry appears above,Information required to complete this endorsement MI 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 All terms and conditions of this policy apply unless modified by this endorsement CA 20 488 02 99 Copyright,Insurance Services Office,Inc, 1998 Page 1 of ACP BA 86-0-6958045 LLUZ 21027 INSURED COPY CA2048029900 6001 48 0002829 Policy#ACPSA3029986045 COMMERCIAL AUTO AC 04 44B 0316 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET 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 With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. The Transfer Of Rights Of Recovery Against Others To Us Condition does not apply to any person(s) or organization(s)to the extent that subrogation is waived prior to any "accident"or"loss"under a written contract with that person or organization, AC 04 44B 0316 Includes copyrighted material of Insurance Services Office,Inc. Page 1 of 1 with Its permission. ACP BA 30-0-8886045 LING 21020 INSURED COPY AC0444031800 0001 48 0009488 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY GopperPorr t WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-BLANKET Insurance Companies 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). The additional premium for this endorsement shall be 2.00% of the California workers'compensation premium otherwise due (minimum$250). Schedule Person or Organization Job Description Any person or organization for whom the named RE All California Operations Insured is required under written contract to furnish this waiver This endorsement changes the policy to which it is attached and is effective on the policy effective date unless otherwise stated. This endorsement, effective on 07/16/2022 at 12:01 A.M.standard time,forms a part of Policy Number 1022698 of the Pacific Compensation Insurance Company Policy Effective Date 07/16/2022 to 07/16/2023 NCCI Carrier Code 11555 insured Name Southwest Lift&Equipment Endorsement No. 31 Premium$ 33,403 Counter Signed at Phoenix, AZ on 08/11/2022 by " r (\ Authorized Representative WC 99 0315 1 Doc Type:SFCOR 1 of 1 10117 Client#:32498 SOUTHWELIF ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDb1YYYY)12/0812022 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 OP 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 polloy(les)must have ADDITIONAL INSURED provisions or be endorsed, If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain potictee may require an endorsement.A statement on this certificate does not confer any rights to the certificate holder In lieu of such endorsement(*). PRODUCER O ACT Vickie J.Garcia Fred A.Moreton&Company Insurance Agency rat ,801 531-1234 r ,No),801-531-8117 __ P.O.Box 68139 RDRD ESS:vgarcla©moreton,com Salt Lake City,UT 84158-0139 INSURER(II)AFFORDING COVERAGE NAlC e 801 631.1234 INSURERA s PACIFIC COMPENSATION INSURANCE CO INSURED INSURER B t Southwest Lift&Equipment INSURER C t 254 E Valley Street INSURER 0 t San Bernardino,CA 92408 INSURER E s INSURER P s 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED��Cy� D BY PAIDCLAIMS. Ng TYPE OF INSURANCE �Ngp�4Y p POLICY NUMBER (MIAIDDIYYYY) (MNW� LIMITS COMMERCIAL,GENERAL LIABILITY EACH OCCURRENCE S _._ CLAIMS-MADE OCCUR PREMISES{Fa opps anee) $ MED EXP(Any one pew) $ PERSONAL a ADV INJURY $ GEN'L AGGREGATE UNIT APPUES PER: GENERAL AGGREGATE $ PRO- POLICY JECT LOC PRODUCTS•COMP/OP AGO $ OTHER: _ AUTOMOBILE LIABILITY COMBINED SINGLE LIMITMe $ ANY AUTO BODILY INJURY(Per person) $ — OWNED ' SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIR�EgD NON-OWNED PROPS rMAGE _ AUTOS ONLY _ AUTOS ONLY ,-( et nI) ______ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB ClA/MS-MADE AGGREGATE *$ DED RETENTION 8 $ A WORKERS COMPENSATION X 1022898 0711812022 07116/2023;X Inure ure I 127:1• AND EMPLOYERS'LIABILBY o iggpRIETOR/PF TN�glE1(ECUTIVE YN N IA E.L.EACH ACCIDENT 11,000,000 (Mandatory In NH) LU ED+ E.L,DISEASE.EA EMPLOYEE $1,000,000 If yss desorlbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE•POLICY LIMIT $1,000,0 00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached N more space le required) Waiver of Subrogation applies per attached form. CA Lic#0522220 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 2000 Main St ACCORDANCE WITH THE POLICY PROVISIONS. Huntington Beach,CA 92848 AUTHORIZED REPRESENTATIVE I 01988.2015 ACORD CORPORATION.All rights reserved. ACORD 25(2018/03) 1 of 1 The ACORD name and logo are registered marks of ACORD VICGA #818969291M1879651 NOTEPAD: HOLDER CODE HUNTBEA SWLIF-1 PAGE 2 INSURED'S NAME Southwest Lift& OP ID:CC Date 02/17/2023 between the named insured and the certificate holder that requires such status. The General Liability policy contains a special endorsement with "primary and noncontributory" wording that applies to City of Huntington Beach, Its officers,elected or appointed officals, employees, agents and volunteers The General Liability policy includes an endorsement providing that 30 days notice of cancellation will be furnished to the certificate holder. Policy No. 02-GL-001091466 GREAT AMERICAN INSURANCE COMPANY ML 13 57 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: City of Huntington Beach, Its officers, elected or appointed officials, employees, agents and volunteers 1. WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability caused, in whole or in part, by your performance of"your work"for that Insured. However: A. The insurance afforded to such additional insured only applies to the extent permitted by law; and B. If coverage provided to the additional Insured is required by written "Insured contract", the insurance afforded to such additional insured will not be broader than that which you are required by the written "insured contract"to provide for such additional Insured. 2. With respect to 1.above the following additional provisions apply: 4. Other Insurance The insurance afforded by this Coverage Part is primary insurance and we will not seek contribution from any other insurance available to the insured unless the other insurance is provided by a contractor other than the above named additional insured. We shall be considered as excess insurance of any other insurance provided by a contractor other than the above named additional Insured. This amendment applies only when you have agreed by written "Insured contract" to designate the person or organization listed above as an additional insured subject to all provisions and limitations of this policy. All other conditions remain unchanged. ML 13 57 0413 Includes copyrighted material of Insurance Services Office, Page 1 of 1 Inc.,with Its permission Policy No. 02-GL-001091468 GREAT AMERICAN INSURANCE COMPANY ML 10 80 0711 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 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: Any person or organization for whom the named insured is operating under a written "insured contract" when such contract requires a waiver of transfer of rights of recovery against others. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) 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 work" done under a contract with that person or organization. This waiver applies only to the person or organization shown in the Schedule above. ML 10 80 0711 Includes copyrighted material of Insurance Services Office, Page 1 of 1 inc.,with its permission Policy No. 02-GL-001091466 GREAT AMERICAN INSURANCE COMPANY ML 10 81 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any person or organization for whom the named insured has agreed by written "insured contract" to designate as an additional insured subject to ail provisions and limitations of this policy. (If no entry appears above, Information required to complete this endorsement will be shown In the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability caused, in whole or in part, by your performance of ongoing operations for that insured. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law;and 2. if coverage provided to the additional insured is required by written "Insured contract", the insurance afforded to such additional insured will not be broader than that which you are required by the written "insured contract" to provide for such additional insured. ML 10 81 0413 Includes copyrighted material of Insurance Services Office, Page 1 of 1 Inc.,with its permission Policy ACPBA3029986045 COMMERCIAL AUTO CA 20 48B 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 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 indicated below J SCHEDULE Name of Person(s)or Organization(s): Any person or organization which you have agreed to name as an additional insured In a written contract,exe- cuted prior to a toss,other than a contract for the lease or rental of a vehicle.• (If no entry appears above,Information required to complete this endorsement will be shown In the Declarations es 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 AU terms and conditions of this policy apply unless modified by this endorsement. CA 20 488 02 99 Copyright,Insurance Services Office,Inc, 1998 Page 1 of 1 ACP BA 30-0-9 95 0 0 45 LLUZ 2t027 INSURED COPY CA2045029000 0001 48 0002829 i Policy MCPBA3029986045 COMMERCIAL AUTO AC 04 44B 0316 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET 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 With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. The Transfer Of Rights Of Recovery Against Others To Us Condition does not apply to any person(s) or organization(s)to the extent that subrogation is waived prior to any "accident"or'lose under a written contract with that person or organization, AC 04 44B 0316 Includes copyrighted material of Insurance Services Office, inc. Page 1 of 1 with its permission. ACP SA 30-0-9986044 LINO 21020 INSURED COPY AC0444031800 0001 40 0009408 1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY CoPPe o1n- WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-BLANKET Insurance Companies 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). The additional premium for this endorsement shall be 2.00% of the California workers'compensation premium otherwise due (minimum$250). Schedule Person or Organization Job Description Any person or organization for whom the named RE All California Operations Insured is required under written contract to furnish this waiver This endorsement changes the policy to which It Is attached and Is effective on the policy effective date unless otherwise stated. This endorsement, effective on 07/16/2022 at 12:01 A.M.standard time,forms a part of Policy Number 1022698 of the Pacific Compensation Insurance Company Policy Effective Date 07/16/2022 to 07/16/2023 NCCI Carrier Code 11555 Insured Name Southwest Lift&Equipment Endorsement No. 31 Premium$ 33,403 Counter Signed at Phoenix, AZ on 08/11/2022 by Onabc- . Authorized Representativo WC 99 0315 1 Doc Type:SFCOR 1 of 1 10117