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American Integrated Services, Inc. - 2024-02-20
h ;\ I N G 2000 Main Street, o ,Rear Huntington Beach,CA = City of Huntington Beach 92648 p APPROVED 7-9 ZIV JP1TV \ File#: 24-600 MEETING DATE: 9/3/2024 REQUEST FOR CITY COUNCIL ACTION SUBMITTED TO: Honorable Mayor and City Council Members SUBMITTED BY: Eric G. Parra, Interim City Manager VIA: Scott M. Haberle; Fire Chief PREPARED BY: Bonnie To, Principal Management Analyst Patrick Bannon, Capital Projects Administrator Subject: Approve and authorize execution of Amendment No. 1 to the American Integrated Services, Inc.agreement for the Miley Keck Tank Farm Lease Closure and approve an appropriation of $241,039 Statement of Issue: In February 2024, staff requested Council authorization to execute three (3) contracts related to the well abandonment and lease restoration project and approve an appropriation of$1,236,763 in HB Recovery Funds. During the oil well abandonment process, additional costs have been identified in the amount of $209,599 plus 15% contingency of$31,440. This brings to total budget request to $241,039 for the Miley Keck Tank Farm Lease Closure. Therefore, staff is requesting City Council approval and authorization to amend the agreement with American Integrated Services, Inc. for the Miley Keck Tank Farm Lease Closure, and to approve an appropriation of$241,039 from HB Recovery Funds. Financial Impact: Staff is requesting an appropriation of$241,039 from HB Recovery Funds for the Miley Keck Tank Farm Lease Closure. Additional contingency funding may be needed in the future depending on the progress of the work related to the project. Recommended Action: A) Approve and authorize Mayor and City Clerk to execute Amendment No. 1 to the American Integrated Services, Inc. agreement for the Miley Keck Tank Farm Lease Closure, in the amount of $149,599 plus a 15% contingency; and, B) Approve an appropriation of$241,039 from HB Recovery Funds to the Oil Well Abandonment business unit 31465001.82800. City of Huntington Beach Page 1 of 3 Printed on 8/28/2024 powerea1/LegistarM File#: 24-600 MEETING DATE: 9/3/2024 Alternative Action(s): Do not approve and direct staff accordingly. Analysis: As the oil well managers, the Fire Department prepared three (3) bids for services to abandon the wells, remove the equipment and piping, and restore the well site at Civic Center and the Miley Keck Tank Farm (MKTF) to California Department of Conservation, Geologic Energy Management (CaIGEM) standards. In February 2024, staff requested Council approval and authorization to execute three (3) contracts Oil Well Abandonment, Civic Center Lease Closure, and Miley Keck Tank Farm Lease Closure, along with an appropriation of$1,236,763 in HB Recovery Funds for the Project. As stated in February 2024, additional contingency funding may be needed in the future depending on the progress of the work for the three projects. Currently, during the oil well abandonment process, additional funding is needed in the amount of $209,599 plus 15% contingency of$31,440, bringing the total budget request to $241,039 for the Miley Keck Tank Farm Lease Closure. Therefore, staff is requesting City Council approval and authorization of an amendment to the American Integrated Services, Inc. agreement for the Miley Keck Tank Farm Lease Closure and approval of an appropriation of$241,039 from HB Recovery Funds. The additional funding would be split as follows: amendment to the American Integrated Services, _- Inc. contract in the amount of$149,599 plus a 15% contingency of$22,400, which would increase the existing agreement by $172,039, and an allocation of$69,000 ($60,000 plus a 15% contingency) for additional as-needed general environmental engineering services related to the Miley Keck Tank Farm Lease Closure process. Therefore, the total appropriation is $241,039 ($172,039 plus $69,000). Environmental Status: The requested action to approve a contract award for well abandonment and lease restoration is not subject to the California Environmental Quality Act (CEQA) pursuant to Sections 15060(c)(2) (the activity will not result in a direct or reasonably foreseeable indirect physical change in the • environment) and 15060(c)(3) (the activity is not a project as defined in Section 15378) of the CEQA Guidelines, California Code of Regulations, Title 14, Chapter 3, because it has no potential for resulting in physical change to the environment, directly or indirectly. Furthermore, since the proposed well abandonment and lease restoration activities are considered ministerial, the project for , which the contract is being awarded, is statutorily exempt from CEQA in accordance with Section 15268 of the CEQA Guidelines. The awarded contractor will obtain permits from the California Geologic Energy Management Division (Cal-GEM) consistent with applicable requirements. Strategic Plan Goal: Non Applicable -Administrative Item City of Huntington Beach Page 2 of 3 Printed on 8/28/2024 powere29g Leg istarTm File#: 24-600 MEETING DATE: 9/3/2024 For details, visit www.huntingtonbeachca.gov/strategicplan <http://www.huntingtonbeachca.gov/strategicplan>. Attachment(s): 1. American Integrated Services, Inc. Amendment 2. American Integrated Services, Inc. Change Order Request City of Huntington Beach Page 3 of 3 Printed on 8/28/2024 powers.Leg istarTm AMENDMENT NO. 1 TO AGREEMENT BETWEEN THE CITY OF HUNTINGTON BEACH AND AMERICAN INTEGRATED SERVICES, INC. FOR MILEY KECK TANK FARM LEASE CLOSURE THIS AMENDMENT is made and entered into by and between the CITY OF HUNTINGTON BEACH, a California municipal corporation, hereinafter referred to as "City," and AMERICAN INTEGRATED SERVICES, INC., a California Corporation, hereinafter referred to as "Contractor." WHEREAS, City and Contractor are parties to that certain agreement, dated February 20, 2024, entitled"Service Agreement Between the City of Huntington Beach and American Integrated Services, Inc. for Miley Keck Tank Farm Lease Closure"which agreement shall hereinafter be referred to as the "Original Agreement"; and City and Consultant wish to amend the Original Agreement to increase the amount of compensation to be paid to Contractor, NOW, THEREFORE, it is agreed by City and Consultant as follows: 1. ADDITIONAL COMPENSATION In consideration of the services to be performed under the Original Agreement, City agrees to pay Consultant at the rates specified in Exhibit B which is attached hereto and incorporated by reference into this Agreement. City further agrees to pay Consultant an additional sum not to exceed One Hundred Seventy Two Thousand Thirty Nine Dollars ($172,039.00). The additional sum shall be added to the original sum of One Hundred Eighty Nine Thousand Nine Hundred Thirty Two Dollars ($189,932.00), for a new contract amount not to exceed Three Hundred Sixty One Thousand Nine Hundred Seventy One Dollars ($361,971.00). 24-15157/350377 1 2. REAFFIRMATION Except as specifically modified herein, all other terms and conditions for the Original Agreement shall remain in full force and effect. IN WITNESS WHEREOF,the parties hereto have caused this Agreement to be executed by and through their authorized officers on &-rn Gryl-x„.L, , 2024. AMERICAN INTEGRATED SERVICES, CITY OF HUNTINGTON BEACH, a INC. municipal corporation of the State of California By: ►%, . 1 t print name Mayor ITS: (circle one)Chairman/PresidentNice President r P AND City Clerk By: INITIATED AND APPROVED: print name ITS: (circle one)Secretary/Chief Financial Officer/Asst. Secretary-Treasurer Fire Chief APPROVED AS TO FORM: tty ttorney VIEWED AND APPROVED: City Manager COUNTERPART 24-15157/350377 2 2. REAFFIRMATION Except as specifically modified herein, all other terms and conditions for the Original Agreement shall remain in full force and effect. IN WITNESS WHEREOF,the parties hereto have caused this Agreement to be executed by and through their authorized officers on ge`t4j yyi►�i , 2024. AMERICAN INTEGRATED SERVICES, CITY OF HUNTINGTON BEACH, a INC. municipal corporation of the State of California By: aftel PaA)t . / i -4e6reict� print name��- Mayor ITS: (circle one)Chairmat resident! ice President AND �� City Clerk By: j,t4. ✓�� INITIATED AND APPROVED: 1 c> r i iscii ITS: (circle on ,.' Chief Financial Officer/Asst. Secretary-Treasurer Fire Chief APPROVED AS TO FORM: tty ttorney VIEWED AND APPROVED: City Manager COUNTERPART 24-15157/350377 2 Ac R® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) L.------ 11/2 7/2 0214 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Dalena Baker NAME: Leavitt Great West Insurance Services, LLC PHONn.EMI: (877)229-4553 1 FAX Imo.NO), (e44)751-a0a4 AOINC.N3390 Colton Drive, Unit A AIL DREss:dalena-bakereleavitt.COM INSURER(S)AFFORDING COVERAGE NAM a Helena MT 59602 INSURER A:Nautilua Insurance Company 17370 INSURED INSURERB:Key Risk Insurance Company 10885 - American Integrated Services Inc INSURER C:National Indemnity Company 20087 PO Box 92316 INSURER 0:Great Divide Insurance Company 25224 INSURER E:Ironshore Specialty Insurance Company 25445 Long Beach CA 90809 INSURER F: I COVERAGES CERTIFICATE NUMBER:24-25 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 TYPE OF INSURANCE DL SUBR POLICY EFF POLICY EXP LIMITSLTR _MD MUD POLICY NUMBER 1MMIDDIYYYY) IMMIOD1YYYY► X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMSl,IADE n OCCUR DAMAGE EA PREMISES RENTED EopCX ergs) S 100,000 X Poll/Prof Lieb X Y 2CP2041242-11 8/31/2024 9/L/2025 MEO EXP(My one person) 5 5,000 X Dad $101( PERSONAL 8 ADV INJURY $ 1,000,000 GENLAGGREGATE UNIT APPLIESPER: GENERAL AGGREGATE $ 2,000,000 POUCY n JEC PRO �T LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: Poi/talon Llebilty S 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 _ fEe epddem) B X ANY AUTO BODILY INJURY(Per person) S ToOLXXXX �' ALL OWNED SCHEDULED x y 9AP2041402-L1 8/31/2024 9/1/2025 BODILY INJURY(Per accident) $ XXXXXXX AUTOS N N�-OWNED PROPERTY DAMAGE 5 XXXXXX)L X HIRED AUTOS X AUTOS !Peraoddan0 - Medcal payments 5 �UMBRELLAUAB X OCCUR EACH OCCURRENCE $ 15L000,000- c X EXCESSUAB CLAIMS-MADE AGGREGATE S 15,000,000 I DED I RETENTION$ X Y PPX2011213-11 8/31/2024 9/1/2025 $ WORKERS COMPENSATION PER AND EMPLOYERS'LIABIUTY x I STATUTE I ER ANY PROPRIETOAIPARTNERIEXECUTIVE Y7 N IA E.L.EACH ACCIDENT $ 1,000,000 D OFFICERTIEMBER EXCLUDED? L (Mandatory In NH) Y MCA2041241-11 9/1/2024 9/1/2025 E.L.DISEASE-EA EMPLOYEE S 1,000,000 If yea,desaibe under DESCRIPTION OF OPERATIONS below USG4H E.L.DISEASE-POUCY UMIT S 1,000,000 E 2nd Excess Layer Limit x3C0W0030847600 9/31/2021 9/1/2025 $10000,000OCC $10,000,000 agg A Pollution 5C92041242-11 9/31/2024 9/1/2025 51,000.000 OCC 525,000 ded DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Re: City of Huntington Beach, its officers, elected or appointed officials, employees, agents and volunteers are listed as additional insured for general liability and auto liability on a primary and j non-contributory basis. Waiver of subgrogation applies to general liability, auto liability and workers I compensation. Excess liability follows form over general liability, auto liability, employers liability, pollution liability and professional liability. APPROVED AS TO FOR Contractors Pollution and Professional Liability are included in the GL policy. Contractors Pollution on a Professional Liability are included in the GL policy: Pollution Liability limit $1,000,000 each occ, CERTIFICATE HOLDER CANCELLATION MICHAEL E. GATES CI t Y AT1 OHNhY SHOULD ANY OF THE ABOXIMCIFIIMILIMIllMISTEMVAIRACIND BEFORE City of Huntington Beach THE EXPIRATION DATE THEREOF,NOTICE WILL BE DEUVERED IN 2000 Main St ACCORDANCE WITH THE POLICY PROVISIONS. Huntington Beach, CA 92648 AUTHORIZED REPRESENTATIVE Jordan Carney/JOCARN I ' ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401) 1 COMMENTS/REMARKS $1,000,000 agg with $25,000 ded and,Professional Liability Limit $1,000,000 each occ.. $1,000,000 agg. with $25,000 Ded 1 ., t . r 0 R . 6 . t e . 1 I . • 7 R ri e . 4 i i OFREMARK -COPYRIGHT 2000, 'ANS SERVICES INC. 's s b • A . i THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION - ONGOING OPERATIONS - COVERAGE A, B, D.1 & D.4 Policy Number Policy Effective Date Policy Expiration Date Endorsement Effective Date ECP2041242-11 8/31/2024 9/1/2025 8/31/2024 This endorsement modifies insurance provided under the following: 9 ENVIRONMENTAL COMBINED POLICY SCHEDULE Name Of Additional Insured Person(s) Or Location(s) Of Covered Operations Organization(s) City of Huntington Beach, its officers, elected or appointed Miley Keck Tank Farm officials, employees, agents, and volunteers 19081 Huntington Street Huntington Beach, CA 92648 I. SECTION III—WHO IS AN INSURED is amended to include as an additional insured,the person(s)or organization(s) shown in the SCHEDULE, with whom you have agreed under a written contract or written agreement, in effect during this policy period, that such person(s) or organization(s) be added as an additional insured on this policy. Such contract or agreement must be executed and in effect prior to the performance of your work which is the subject of such contract or agreement. The insurance provided to the additional insured person(s) or organization(s) applies only with respect to liability for bodily injury or property damage covered under SECTION I—COVERAGE A—BODILY INJURY AND PROPERTY DAMAGE, Coverage D.1 — Contractors Pollution Legal Liability and Coverage D.4 — Microbial Substance Contractors Pollution Liability, or personal injury or advertising injury covered under SECTION I—COVERAGE B— PERSONAL AND ADVERTISING INJURY LIABILITY directly caused by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s)at the location(s)designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. We will not extend any insurance coverage to any additional insured that is not provided to you in this policy; and 3. 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. It. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to bodily injury or property damage occurring after: a. All work, including materials, parts or equipment furnished in connection with such work, on the project(other than service, maintenance or repairs)to be performed by or on behalf of the additional insured(s)at the location of the covered operations has been completed; or b. That portion of your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. III. With respect to the insurance afforded to these additional insureds, the following is added to SECTION V—LIMITS OF INSURANCE: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement;or 2. Available under the applicable limits of insurance; ECP 1247 01 21 Includes copyrighted material of Insurance Services Office,Inc.,used with its permission. Page 1 of 2 whichever is less. This endorsement shall not increase the applicable limits of insurance. IV. With respect to the insurance afforded to these additional insureds, the following is added to SECTION VI— REPORTING, DEFENSE,SETTLEMENT&COOPERATION: 1. Duties--Additional Insured An additional insured must see to it that: a. We are notified in writing as soon as practicable of an occurrence or offense which may result in a claim or suit; b. We receive written notice of a claim or suit as soon as practicable;and c. A request for defense and indemnity of the claim or suit will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured, if the contract or agreement requires that this coverage be primary and noncontributory. V. SECTION VII—CONDITION 10.—Other Insurance is amended by the addition of the following which supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to the additional insured person(s)or organization(s)shown in the SCHEDULE of this endorsement provided that: 1. The additional insured person(s)or organization(s)is a Named Insured under such other insurance; and 2. You have agreed in writing in a contract or agreement,in effect during this policy period,that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured person(s) or organization(s). Such contract or agreement must be executed and in effect prior to the performance of your work which is the subject of such contract or agreement. However, this provision does not apply if the other insurance available to the person(s)or organization(s)included as an additional Insured is Owners and Contractors Protective Liability, Railroad Protective Liability, or similar project- specific, primary insurance. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. ECP 1247 01 21 Includes copyrighted material of Insurance Services Office,Inc.,used with its permission. Page 2 of 2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED —OWNERS, LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION -- COMPLETED OPERATIONS— COVERAGE A, D.1 & D.4 Policy Number Policy Effective Date Policy Expiration Date Endorsement Effective Date ECP2041242-11 8/31/2024 9/1/2025 12/16/2024 This endorsement modifies insurance provided under the following: ENVIRONMENTAL COMBINED POLICY SCHEDULE Name Of Additional Insured Person(s) Or Location(s) And Description Of Completed Organization(s): Operations: City of Huntington f3each, its officers, elected or appointed 2000 Main St. officials, employees, agents and volunteers'. Huntington Beach, CA 92648 I. SECTION III—WHO IS AN INSURED is amended to include as an additional insured, the person(s)or organization(s) shown in the SCHEDULE,with whom you have agreed under a written contract or written agreement, in effect during this policy period, that such person(s) or organization(s) be added as an additional insured on this policy. Such contract or agreement must be executed and in effect prior to the performance of your work included in the products- completed operations hazard which is the subject of such contract or agreement. The insurance provided to the additional insured person(s)or organization(s) applies only with respect to liability for bodily injury or property damage covered under SECTION I—COVERAGE A—BODILY INJURY AND PROPERTY DAMAGE LIABILITY, Coverage D.1 — Contractors Pollution Legal Liability and Coverage D.4 — Microbial Substance Contractors Pollution Liability, directly caused by your work at the location designated and described in the SCHEDULE of this endorsement performed for that additional insured and included in the products-completed operations hazard. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. We will not extend any insurance coverage to any additional insured that is not provided to you in this policy;and 3. 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. II. With respect to the insurance afforded to these additional insureds, the following is added to SECTION V—LIMITS OF INSURANCE: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement;or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. Ill. With respect to the insurance afforded to these additional insureds, the following is added to SECTION VI— REPORTING, DEFENSE, SETTLEMENT& COOPERATION: 1. Duties --Additional Insured An additional insured must see to it that: a. We are notified in writing as soon as practicable of an occurrence which may result in a claim or suit; b. We receive written notice of a claim or suit as soon as practicable; and c. A request for defense and indemnity of the claim or suit will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not ECP 1249 01 21 Includes copyrighted material of Insurance Services Office,Inc.,used with its permission. Page 1 of 2 apply to insurance on which the additional insured is a Named Insured, if the written contract or written agreement requires that this coverage be primary and noncontributory. IV. SECTION VII—CONDITION 10.—Other insurance is amended by the addition of the following which supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to the additional insured person(s)or organization(s)shown in the SCHEDULE of this endorsement provided that: 1. The additional insured person(s)or organization(s)is a Named Insured under such other insurance;and 2. You have agreed in writing in a contract or agreement,in effect during this policy period,that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured person(s) or organization(s). Such contract or agreement must be executed and in effect prior to the performance of your work included in the products-completed operations hazard which is the subject of such contract or agreement. However, this provision does not apply if the other insurance available to the person(s)or organization(s) included as an additional Insured is Owners and Contractors Protective Liability, Railroad Protective Liability, or similar project- specific, primary insurance. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. 11 Ef ii 1, { ECP 1249 01 21 Includes copyrighted material of Insurance Services Office,Inc.,used with its permission. Page 2 of 2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ... ....... IV R.O .SU ROGATI N RIGHTS:OF:RECOVERY AGAINST:OTHERS:TO::US. .`: ' ;<DES GNATED. PERSON S OR::ORGANIZATION S. '; COVERAGE A` B?&`B Endorsement Effective.::. ::Policy Number: P,olicy Effective Date.:::'. :.:P.olicy Expiration,Date.:: ECP2041242-11 8/31/2024 9/112025 8/3112024 This endorsement modifies insurance provided under the.following: ENVIRONMENTAL COMBINED POLICY SCHEDULE Name of Person(s)or Organization(s): City of Huntington Beach, its officers, elected or appointed officials, employees,agents,and volunteers . I. The following is added to Paragraph 17.Subrogation of SECTION Vfl—CONDITIONS: : We waive any right of recovery against any person(s)or organization(s) shown in the SCHEDULE above because of payments we make under COVERAGE A-BODILY INJURY AND PROPERTY DAMAGE LIABILITY, COVERAGE : 13 — PERSONAL AND. ADVERTISING INJURY LIABILITY, and COVERAGE D, CONTRACTORS POLLUTION LIABILITY under this policy. Such waiver.by us applies only if: 1. The insured has agreed in writing in a contract or agreement with such persons)or organization(s)to waive its right of recovery;and 11i 2: The insured has waived its right of recovery against such person(s)or organization(s)prior to loss, r . . This endorsement applies only to the person(s)or organization(s)shown in the.SCHEDULE above. - r This waiver does not apply in any jurisdiction where such waiver is held to be illegal or against public policy or in any I situation where the person(s) or organization(s) against whom subrogation is to be waived is found to be solely negligent. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. ECP 1262 01 21 Includes copyrighted material of Insurance Services Office,inc„used with its permission. - Page 1 of 1 • • COMMENTS/REMARKS Additional Coverages: Leased/Rented .Equipment $1,500,000 q • I . 1 e 1 s i a El • • c . z i E . P. t • OFREMARK COPYRIGHT 2000', AMS SERVICES INC, • • THiS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ::CON. RACTU LLIABfLIITY: ...........::. : ::..:. ,' : ::: :' ':`.` ;.;;:Policy Number.::::::`:: ; Policy Effective Date.: ::: `::Policy Expiration Date Endorsement Effective:': : ECP2041242-11 8/31/2024 9/1/2025 8/31/2024 This endorsement modifies insurance provided under the following: ENVIRONMENTAL COMBINED POLICY SCHEDULE Scheduled Railroad(s): Designated Job Site(s): TBD TBD I. With respect to operations performed for,or affecting,a Scheduled Railroad at a Designated Job Site,definition number 27. Insured contract in SECTION IX—DEFINITIONS is deleted and replaced by the following: - - 27. insured contract means: For COVERAGE A-BODILY INJURY AND PROPERTY DAMAGE LIABILITY and COVERAGE B—PERSONAL AND ADVERTISING INJURY LIABILITY: . is a. A contract for a lease of premises.However,that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire to premises while rented to you or temporarily occupied by you with permission of the owner is not an insured contract; • - b. A sidetrack agreement; . c. Any easement or license agreement; d. An :obligation, as required by ordinance, to indemnify a municipality, except in connection with work for a municipality; • e. An elevator maintenance agreement; f. That part of any other contract or agreement pertaining to your business (including an indemnification of a municipality in connection with work performed for a municipality) under which you assume the tort liability of another party.to pay for bodily injury or property damage to a third person or organization. Tort liability means a liability that would be imposed by law in the absence of any contract or agreement. Paragraph f.does not include that part of any contract or agreement: • (1) That indemnifies an architect,engineer or surveyor for injury or damage arising out of: (a)- Preparing,approving or.failing to prepare or approve maps,shop drawings;opinions, reports,surveys, field orders,change orders or drawings and specifications;or 3 (b) Giving directions or instructions, or failing to give them, if that is the primary cause of the injury or damage; . (2) Under which the insured, if an architect, engineer or surveyor, assumes liability for an injury or damage arising out of the insured's rendering or failure to render professional services, including those listed in Paragraph(1)above and supervisory, inspection, architectural or engineering activities. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. • r . . • I. ECP 1205 08 23 Includes copyrighted material of Insurance Services Office,Inc.,used with its permission. Page i of 1 BAP2041402-11 BENV CA 06 09 17 ENDORSEMENT This endorsement forms a part of the policy to which it is attached. Please read it carefully. :'BU INE S A TO D O WHENRE. UIRED:BYCONTRACT: R'AGR This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM Section II-Liability Coverage A.-Coverage,1.Who is an insured,is amended to add: d. Any person or organization 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,excluding contracts or agreements for professional services,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 your operations or premises owned by or rented to you. 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. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. it Includes copyrighted material of insurance Services Office,Inc.,with its permission. BENV CA 06 09 17 Page 1 of 1 • WCA20.41241-11. WORKERS:COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 04 84 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT 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.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule Any person or organization as required in writing by contract or agreement prior to loss. ti ii WC 00 03 13 04 84 ©1983 National Council.on Compensation Insurance Page 1 of 1 POLICY NUMBER:BAP2o41402-11 • COMMERCIAL'AUTO . . CA04441013 • 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 enorsement: ' This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named American Integrated Services,Inc. ' Insured: Endorsement Effective 8/31/2024 Date: - f LIJ • 'SCHEDULE . Name(s)Of Person(s)Or Organization(s): ' • . ' Any Principal wherein such waiver has been included before loss as part of a contractual undertaking i by the Named Insured 11 Infoi nation required to_complete this:Schedule, if not shown above,will be shown in the Declarations, The Transfer Of Rights Of. Recovery Against i Others To Us condition does not apply to the person(s) or organizations) shown in the Schedule, but only to- the extent that subrogation is waived • . prior to the "accident" or the "loss" under a contract r with that person or organization. i y • • • f . t • k • 'G 5 k i • • 11 i ' CA 04,4410 13 ©Insurance Services Office, Inc.,2011 ' • Page.1 of 1 F THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER:OFs UBROGATION TRANSFER°.OF.RIGHTS OF RECOVE .Y.A AI :::°::::.:.:..... ..:... .... ..... .......... .. ....... . ...... . ... . ..: . ... . ... ...........R......G..:...NST;:OTHERS.�T:O:.U.S :::;:;;;::;'::,;.;.:; ....:......:.....: : '+';DESIGNAT>EDPERSONS °.OR O.RGANIZATIO S .:;' ::COVE AGE A'B.B�:D. : : : .':` ;: .Number.:`:::.::: Popov.Effective Date : Policy.Exiration.Date Endorsement Effective:::.. . .... .. ..:.:.........Date ...::: .... ... ECP2041242-11 8/31/2024 9/1/2025 8/31/2024' This endorsement modifies insurance provided under the following: ENVIRONMENTAL COMBINED.POLICY SCHEDULE Name of Person(s)or Organization(s): TBD I: The following is added to Paragraph 17. Subrogation of.SECTION VII—CONDITIONS: We waive any right of recovery.against any person(s)or organization(s)shown in the SCHEDULE.above because of payments we make under COVERAGE A—BODILY INJURY AND PROPERTY DAMAGE LIABILITY, COVERAGE B — PERSONAL AND ADVERTISING INJURY LIABILITY, and COVERAGE D , CONTRACTORS POLLUTION LIABILITY under this policy. Such waiver by us applies only if: 1. The insured has agreed in writing in a contract or agreement with such person(s) or organization(s)to waive its right of recovery;and I` 2. The insured has waived its right of recovery against such person(s)or organization(s)prior to loss. 1.1 This endorsement applies only to the person(s)or organization(s)shown in the SCHEDULE above. This waiver does not apply in any jurisdiction where such waiver is held to be illegal or against public policy or in any situation where the person(s) or organization(s) against whom subrogation is to be waived is found to be solely negligent. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. ,24 it { iIncludes copyrighted material of Insurance Services Office,Inc.,used with its permission. Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDI . TIONAL.;iNSU,RED:�=;:STATE OR.GOVERNMENTALAGENCYOR.;SUBDIVISIO:N.:OR••. , :;::; POLITICAL SUBDIVISION:--;PERMITS OR AUTHORIZATIONS Effective pate :.::' ;:policyEx piration Date '..: Endorsement effective :: .... . . ECP2041242-11 8/31/2024 9/1/2025 8/31/2024 This endorsement modifies insurance provided under the following: ENVIRONMENTAL COMBINED POLICY SCHEDULE State or Governmental Agency Or Subdivision Or TED Political Subdivision: I. SECTION III—WHO IS AN INSURED is amended to include as an additional insured any state or governmental agency or subdivision Or political subdivision shown in the SCHEDULE; with whom you have agreed under a written contract or written agreement, in effect during this policy period, that such state or governmental agency or subdivision or political subdivision be added as an additional insured on this policy, but only with respect to liability for bodily injury or property damage under SECTION I—COVERAGE A—BODILY INJURY AND PROPERTY DAMAGE LIABILITY, Coverage D.1 Contractors Pollution Legal Liability and Coverage D.4 - Microbial Substance Contractors Pollution Liability, or personal and advertising injury under SECTION I COVERAGE B — PERSONAL AND ADVERTISING INJURY LIABILITY directly caused with respect to operations performed by you or on your behalf for 1111 which the state or governmental agency'or subdivision or political subdivision has issued a permit or authorization. f Such contract or agreement must be executed and in effect prior to your operations which are the subject of the permit ii or authorization. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law;and 2. We will not extend any insurance coverage to such additional insured that is not provided to you in this policy;and 3. 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. II. This insurance does not apply to: 1. Bodily injury, property damage or personal and advertising injury arising out of operations performed for the federal government, state or municipality;or 2. Bodily injury or property damage included within the products-completed operations hazard. iII. With respect to the insurance afforded to these additional insureds, the following is added to SECTION V-LIMITS OF INSURANCE: The most we will pay on behalf of the additional insured Is the amount of insurance: 1. Required by the contract or agreement;or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. i IV. SECTION VII—CONDITION 10.—Other Insurance is amended by the addition of the following which supersedes any provision to the contrary: Primary And Noncontributory insurance This insurance is primary to and will not seek contribution from any other insurance available to any additional insured state or governmental agency or subdivision or political subdivision shown in the SCHEDULE to this endorsement . . provided that: E I. The additional insured state or governmental agency or subdivision or political subdivision is a Named Insured Includes copyrighted material of insurance Services Office,inc.,used with its permission. Page 1 of 2 • under such other insurance; and 2. You have agreed in writing in a contract or agreement,in effect during this policy period,that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured state or governmental agency or subdivision or political subdivision, Such contract or agreement must be executed and in effect prior to the performance of your operations,which are the subject of such contract or agreement. However, this provision does not apply if the other insurance available to the state or governmental agency or subdivision or political subdivision included as an additional insured is Owners and Contractors Protective Liability, Railroad Protective Liability, or similar project-specific, primary.insurance. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. ii { } Includes copyrighted material of Insurance Services Office,Inc.,used with its permission. Page 2 of 2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TICE OF CANCELLATION TO.DESIGNATED PERSON OR ORGANIZATION : .:::EndorsementPolic Number PolicEffie Pollc E iration.Date :Date . :....:...... ECP2041242-11 8131/2024 9/1/2025 8/31/204 This endorsement modifies insurance provided under the following: ENVIRONMENTAL COMBINED POLICY The following is added to SECTION VII—CONDITIONS 2. Cancellation: SCHEDULE Number of Days Advance Notice Of Cancellation: thirty(30)Days Name and Address of Designated Person(s) or T$D Organization(s): Additional Premium: $0 In consideration of the payment of an additional premium, and notwithstanding anything contained in the policy to the contrary,it is understood and agreed that if we cancel this policy on or before the expiration date set forth in the Declarations, we will mail or deliver to the first.Named Insured at the last known address, and the person(s) or organization(s)at the address designated in the SCHEDULE above,written notice of cancellation not less than the number of days shown in the SCHEDULE before the effective date of cancellation. Proof of mailing of notice shall be sufficient proof of notice, The effective date and hour of cancellation stated in the notice shall be the end of the policy period. This endorsement shall not apply if: 1. We cancel due to non-payment of premium, or • 2. The policy is non-renewed for any reason. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. i pL • Includes copyrighted material of Insurance Services Office,Inc.,used with its permission. Page 1 of 1 • POLICY#/ECP2041242-11 behalf of or for the benefit of you or others,to determine or warrant that such property or operations are safe or in compliance with environmental law,or any other law. b. We maybe permitted,but not obligated,to interview persons employed by the insured; c. The insured agrees to provide appropriate personnel to assist our representatives during any inspection. 8.Legal Action Against Us No person or organization has the right under this policy: a. To join us as a party or otherwise bring us into a suit asking for damages from an insured;or b. To sue us on this policy unless all of its terms have been fully complied with. A person or organization may sue us to recover on an agreed settlement or on a final judgment against an insured;but we will not be liable for damages that are not payable under the terms of this policy or that are in excess of the applicable limit of Insurance. An agreed settlement means a settlement and release of liability signed by us,the Insured and the claimant or the claimant's legal representative. For purposes of this condition, a consent judgment, stipulated judgment, agreed judgment, consent decree or consent order reached without our written agreement is neither an agreed settlement nor a final judgment. 9.Limitation of Damages Our damages for extra-contractual liability,bad faith,or similar damages under this policy is limited to one(1)times the relevant policylimit applicable to the underlying matter. 10.Other Insurance With respect to COVERAGES A,B and C,if other valid and collectible insurance is available to the insured for a loss we cover under COVERAGES A,B or C.of this policy,our obligations are limited as follows: a.Primary Insurance This insurance is primary except when Paragraph (2) below applies. If this insurance is primary, our obligations are not affected unless any of the other insurance is also primary. Then, we will share with all that other insurance by the method described in Paragraph(3)below. b.Excess Insurance (1)This insurance is excess over: (a)Any of the other insurance,whether primary,excess,contingent or on any other basis: (i) That is Fire,Extended Coverage,Builder's Risk,Installation Risk or similar coverage for your work; (ii) That is Fire insurance for premises rented to you or temporarily occupied by you with permission of the owner; (iii) That is insurance purchased by you to cover your liability as a tenant for property damage to premises rented to you or temporarily occupied by you with permission of the owner;or (iv) .if the loss arises out of the maintenance or use of aircraft, unmanned aircraft,autos or watercraft to the extent not subject to Exclusion a. of SECTION i - COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE LIABILITY. (b)Any other primary insurance available to you covering liability for damages arising out of the premises or operations,or the products and completed operations,for which you are an additional insured. £ (2)When this insurance is excess,we will have no duty under this policy to defend the insured against any suit,if any other insurer has a duty to defend the insured against that suit.If no other insurer defends,we will undertake to do so,but we will be entitled to the insured's rights against all those other insurers. (3) When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds: It (a) The total amount that all such other insurance would pay for the loss in the absence of this insurance;and (b) The total of all deductibles and self-insured amounts under all that other insurance. (4) We will share the remaining loss, if any,with any other insurance that is not described in this Excess Insurance provision 5 and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this policy. c.Method Of Sharing If all of the other insurance permits contribution by equal shares, we will follow this method also..Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any of the other insurance does not permit contribution by equal shares,we will contribute by limits.Under this method,each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable Limits of insurance of all insurers. With respect to COVERAGES D and E, if other valid and collectible insurance is available to any insured covering bodily injury, property damage, loss, cleanup costs, emergency remediation costs, claim(s), suit(s), damages and/or Supplementary Payments, including but not limited to defense costs,also covered by this policy, other than a policy that Is specifically written to apply in excess of this policy,the insurance afforded by this policy shall apply in fi. ECP 1200 03 22 Page 27 of 37 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF-SUBROGATION (TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US) AUTOMATIC STATUS - COVERAGE A, B & D Policy Number Policy Effective Date Policy Expiration Date Endorsement Effective Date ECP2041242-11 8/31/2024 9/1/2025 8/31/2024 This endorsement modifies insurance provided under the following: ENVIRONMENTAL COMBINED POLICY • I. The following is added to Paragraph 17.Subrogation of SECTION VII-CONDITIONS: - We waive any right of recovery against any person(s)or organization(s)because of payments we make under COVERAGE A—BODILY INJURY AND PROPERTY DAMAGE LIABILITY, COVERAGE B-PERSONAL AND ADVERTISING INJURY LIABILITY, and COVERAGE D-CONTRACTORS POLLUTION LIABILITY under this policy. Such waiver by us applies only if: 1. The insured has agreed in writing in a contract or agreement with such person(s)or organization(s)to waive . its right of recovery;and • 2. The insured has waived Its right of recovery against such person(s)or organization(s)prior to loss. This waiver does not apply in any jurisdiction where such waiver is held to be iliegal or against public policy or in any situation where the person(s)or organization(s)against whom subrogation is to be waived is found to be solely negligent. This endorsement does not apply to any person(s)or organization(s)designated in a SCHEDULE of person(s) or organization(s)against whom rights of recovery have been waived. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. • • • ( ( ECP 1260 01 21 Includes copyrighted material of Insurance Services Office,Inc.,used with its permission. Page 1 of 1 BAP2041402-11 COMMERCIAL AUTO CA 04 49 11 16 THIS.ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.. PRIMARY AND NONCONTRIBUTORY OTHER INSURANCE CONDITION 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. . A. The following is added to the Other.Insurance B. The following is added to the Other Insurance Condition in the Business Auto Coverage Form Condition in the Auto Dealers Coverage Form and the Other insurance: Primary And and supersedes any provision to the contrary: Excess Insurance Provisions in the Motor This Coverage. Form's Covered .Autos. Liability Carrier Coverage Form and supersedes any Coverage and General Liability Coverages are provision to the contrary: . primary.to and will not seek contribution from This .Coverage Forms. Covered Autos .Liability any .other insurance available to an "insured" Coverage is primary. to and will not seek under your policy provided that: contribution from any other insurance available 1. Such "insured" is a Named Insured under 1 - to an "insured" under your policy provided that: such other insurance; and 1. Such. "insured" is a Named Insured under 2. You have agreed in writing in a contract or such other insurance; and agreement that this, insurance would be 2. You have agreed in writing in a contract or , primary and would not seek contribution from agreement that this insurance would be any other insurance available to such primary and would not seek contribution from "insured", any other insurance available. to. .such. "insured". j i { u I. ipp3 13 CA 04 49 11 16 0 Insurance Services Office, Inc.,2016 Page 1 of 1 BAP2041402-11 COMMERCIAL AUTO CA 99 48 1.013 • THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. POLLUTION LIABILITY -- BROADENED COVERAGE FOR COVERED AUTOS - BUSINESS AUTO AND MOTOR CARRIER COVERAGE FORMS This endorsement modifies insurance provided under the following: • 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. • • A. Covered. Autos Liability -Coverage is changed "Covered pollution cost-or expense" does not. as follows: include any cost or expense arising out of the 1. Paragraph a.- of the Pollution Exclusion actual, alleged or. threatened discharge, applies only to liability assumed under a dispersal, seepage, migration, release or I contract or agreement. escape of"pollutants 1 2. With respect to the coverage: afforded by a. Before the "pollutants" or any property i Paragraph A.1. above, Exclusion B.6. Care, in which the "pollutants" are contained h Custody Or Control does not apply. are moved from the place where they rl B. Changes In Definitions are accepted by the "insured" for movement into or •onto the covered - For the purposes of this endorsement, Paragraph "auto"; or - D. of the Definitions Section is replaced by the b. After the "pollutants" or any property in following: . . . . : • - which the "pollutants" are contained are D. "Covered pollution cost -or expense" .means moved from the covered "auto" to the any cost or expense arising out of: place where they are finally. delivered, -_ - II 1. Any request, demand, order or statutory or disposed of or abandoned by the"insured". - 1 regulatory requirement that any "insured" or, , others test for, monitor, clean up, remove, Paragraphs a. and b. above do not apply ,j contain, treat, detoxify or neutralize, or in to "accidents". that occur away from any way respond to, or assess the effects premises owned by or rented to an of"pollutants"; or • "insured" with respect to "pollutants" not in 2. Any claim or "suit" by or on behalf of a or upon a covered "auto" if: . 1 governmental authority for damages (1) The "pollutants" or any property in because of testing for, monitoring, cleaning which the "pollutants" are contained up, removing, containing, treating, are upset, overturned or damaged as detoxifying or neutralizing, or in any way ' a result of the maintenance or use of 1 responding to or assessing the effects of a covered "auto"; and "pollutants". (2) The discharge, dispersal, seepage; - il - migration, release or escape of.the "pollutants" is caused directly by ii such upset, overturn or damage. r • [f Li 1 CA 99 48 10 13 ©Insurance Services Office, Inc., 2011 Page 1 of 1 t 'FORM MCS-90 OMB No.: 2126-0008 Expiration:06/30/2027 US DOT Number: Date Received: Please note,the expiration date as stated on this fort relates to the process for renewing the Information Collection Request for this form with the Office of Management and Budget.his requirement to collect information as requested on this form does not expire.For questions,please contact the Office of Registration,Registration Division. A Federal Agency may not conduct or sponsor,and a person is not required to respond to,nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a current valid OMB Control Number.The OMB Control Number for this information collection is 2126-0008.Public reporting for this collection of information is estimated to be approximately 2 minutes per response,including the time for reviewing instructions,gathering the data needed,and completing and reviewing the collection of information.All responses to this collection of information arc mandatory.Send comments regarding this burden estimate or any other aspect of this collection of information,including suggestions for reducing this burden to:Information Collection Clearance Officer,Federal Motor Carrier Safety Administration, MC-RRA,Washington,D.C.20590. (�.�.i United States Department of Transportation \l/ Federal Motor Carrier Safety Administration Endorsement for Motor Carrier Policies of insurance for Public Liability under Sections 29 and 30 of the Motor Carrier Act of 1980 FORM MCS-90 Issued to American Integrated Services,Inc. of 1502 E Opp St Los Angeles,CA 90744 (Motor Carrier name) (Motor Carrier state or province) Dated at 600 E Las Colinas,Blvd,Irving,TX 75039 on this 29 day of August,2024 Amending Policy Number: BAP2041402-11 Effective Date: 0B/31/2024 Name of insurance Company: Key Risk Insurance Company Countersigned by: (authorized company representative) The policy to which this endorsement is attached provides primary or excess insurance,as Indicated for the limits shown (check only one): El This insurance is primary and the company shall not be liable for amounts in excess of$ 1,000,000 for each accident. ❑ This insurance is excess and the company shall not be liable for amounts in excess of$ for each accident in excess of the underlying limit of$ for each accident. Whenever required by the Federal Motor Carrier Safety Administration(FMCSA),the company agrees to furnish the FMCSA a duplicate of said policy and all its endorsements.The company also agrees,upon telephone request by an authorized representative of the FMCSA,to verify that the policy is in force as of a particular date.The telephone number to call is:972-819-8861. Cancellation of this endorsement may be effected by the company or the insured by giving(1)thirty-five(35)days notice in writing to the other party(said 35 days notice to commence from the date the notice is mailed,proof of mailing shall be sufficient proof of notice),and (2)if the insured is subject to the FMCSA's registration requirements under 49 U.S.C.13901,by providing thirty(30)days notice to the FMCSA(said 30 days notice to commence from the date the notice Is received by the FMCSA at its office in Washington,DC). Filings must be transmitted online via the Internet at https:lloortal.fmcsa.dot.aovlUrsReaistrationWizardj (continued on next page) Ff1RM MCS_4111 Paton 1 of 3 Rev 6/312021 'FORM MCS-90 OMB No.:2126-0008 Expiration:06/30/2027 DEFINITIONS AS USED IN THIS ENDORSEMENT Accident includes continuous or repeated exposure to conditions Environmental Restoration means restitution for the toss, or which results in bodily injury,property damage,or environmental damage,or destruction of natural resources arising out of the damage which the insured neither expected nor intended. accidental discharge,dispersal,release or escape into or upon the Motor Vehicle means a land vehicle,machine,truck,tractor, land,atmosphere,watercourse,or body of water,of any trailer,or semitrailer propelled or drawn by mechanical power and commodity transported by a motor carrier.This shall include the used on a highway for transporting property,or any combination cost of removal and the cost of necessary measures taken to thereof. minimize or mitigate damage to human health,the natural Bodily Injury means injury to the body,sickness,or disease environment,fish,shellfish,and wildlife. to any person,including death resulting from any of these. Public Liability means liability for bodily injury,property Property Damage means damage to or loss of use of damage,and environmental restoration. tangible property. The insurance policy to which this endorsement is attached or violation thereof,shall relieve the company from liability or from the provides automobile liability insurance and Is amended to assure payment of any final judgment,within the limits of liability herein compliance by the insured,within the limits stated herein,as a described,irrespective of the financial condition,insolvency or motor carrier of property,with Sections 29 and 30 of the Motor bankruptcy of the insured.However,ail terms,conditions,and Carrier Act of 1980 and the rules and regulations of the Federal limitations in the policy to which the endorsement is attached shall Motor Carrier Safety Administration(FMCSA). remain in full force and effect as binding between the insured and the In consideration of the premium stated in the policy to which this company.The insured agrees to reimburse the company for any endorsement is attached,the Insurer(the company)agrees to pay, payment made by the company on account of any accident,claim,or within the limits of liability described herein,any final judgment suit involving a breach of the terms of the policy,and for any recovered against the insured for public liability resulting from payment that the company would not have been obligated to make negligence in the operation,maintenance or use of motor vehides under the provisions of the policy except for the agreement contained subject to the financial responsibility requirements of Sections 29 and in this endorsement. 30 of the Motor Carrier Act of 1980 regardless of whether or not each It is further understood and agreed that,upon failure of the company motor vehicle is specifically described in the policy and whether or to pay any final judgment recovered against the insured as provided not such negligence occurs on any route or in any territory authorized herein,the judgment creditor may maintain an action in any court of to be served by the insured or elsewhere.Such insurance as is competent jurisdiction against the company to compel such afforded,for public liability,does not apply to injury to or death of the payment. Insured's employees while engaged in the course of their The limits of the company's liability for the amounts prescribed in employment,or property transported by the insured,designated as this endorsement apply separately to each accident and any cargo.It is understood and agreed that no condition,provision, payment under the policy because of any one accident shall not stipulation,or limitation contained in the policy,this endorsement,or operate to reduce the liability of the company for the payment of any other endorsement thereon, final judgments resulting from any other accident. (continued on next page) FORM MCS-90 Page 2 of 3 ` FORM.MCS-90 OMB No.: 2126-0008 Expiration: 06/30/2027 SCHEDULE OF LIMITS - PUBLIC LIABILITY Type of carriage Commodity transported January 1, 1985 (1) For-hire(in interstate or foreign Property(nonhazardous) commerce,with a gross vehicle $750,000 weight rating of 10,001 or more pounds). (2) For-hire and Private(in interstate, Hazardous substances,as defined in,10 CFR 171.8,transported in $5,000,000 foreign,or intrastate commerce,with a cargo tanks,portable tanks,or hopper-type vehicles with capacities gross vehicle weight rating of 10,001 in excess of 3,500 water gallons;or in bulk Division 1.1, 1.2,and 1.3 or more pounds). materials,Division 2.3,Hazard Zone A,or Division 6.1,Packing Group 1,Hazard Zone A material;in bulk Division 2.1 or 2.2;or highway route controlled quantities of a Class 7 material,as defined in 49 CFR 173.403. (3) For-hire and Private(in interstate or Oil listed in 49 CFR ::)I;hazardous waste,hazardous $1,000,000 foreign commerce,in any quantity;or materials,and hazardous substances defined in 49 CFR 171.8 and in intrastate commerce,in bulk only; listed in 49 CFR 172.101, but not mentioned in(2)above or(4) with a gross vehicle weight rating of below. 10,001 or more pounds). (4) For-hire and Private(In interstate or Any quantity of Division 1.1, 1.2 or 1.3 material;any quantity of a $5,000,000 foreign commerce,with a gross Division 2.3, Hazard Zone A,or Division 6.1,Packing Group 1, vehicle weight rating of less than Hazard Zone A material;or highway route controlled quantities of a 10,001 pounds). Class 7 material as defined in 173.403. `The schedule of limits shown does not provide coverage.The limits shown in the schedule are for information purposes only. FORM MCS-90 Paae 3 of 3 ENDORSEMENT This endorsement forms a part of the policy to which it is attached. Please read it carefully. NOTICE TO OTHERS OF CANCELLATION, NONRENEWAL OR MATERIAL CHANGE Business Auto Policy If we cancel, non-renew or make a material change to the policy, we will provide written notice of same to the person(s) or organization(s) listed in the SCHEDULE below. The Notice will provide the effective date/hour of the cancelation/non-renewal/material change, and will be sent by Certified Mail — Return Receipt Requested, in accordance with the SCHEDULE below. Proof of mailing will be sufficient proof of notice. For purposes of this endorsement only, "material change" means a change to: • Policy term; • Removal of a Coverage Section; • Reduction in any of the Limits of Insurance specified in ITEM 2. Schedule of Coverage and Covered Autos on the Declarations page, or a reduction in any of the Limits of Insurance as modified by endorsement,where said reduction is not the result of a reserve or payment of claim(s)or claim expenses; or • Removal of an insured specifically identified by name in the policy. it SCHEDULE Name and Address of OtherPerson(s)or Organization(s): Number of Days' Prior Notice: 3a HAYS Includes copyrighted material of insurance Services Office,Inc.,with its permission. BENV CA 13(01 23) Page 1 of 1 WCA2041241-10 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 06 07 14 NOTIFICATION TO OTHERS OF CANCELLATION ENDORSEMENT This endorsement is used to add the following to Part Six of the policy. PART SIX CONDITIONS A. If we cancel this policy by written notice to you for any reason other than nonpayment of premium,we will mail or deliver a copy of such written notice of cancellation to the name and address corresponding to each person or organization shown in the Schedule below. Notification to such person or organization will be provided at least 10 days prior to the effective date of the cancellation or in accordance with the"Number of Days'Notice"indicated in the.Schedule below,whichever is longer. B. If we cancel this policy by written notice to you for nonpayment of premium,we will mail or deliver a copy of such written notice of cancellation to the name and address corresponding to each person or organization shown in the Schedule below at least 10 days prior to the effective date of such cancellation. C. If notice as described in Paragraphs A. or B. of this endorsement is mailed, proof of mailing will be sufficient proof of such notice. SCHEDULE Name and Address of Other Person(s)or Organization(s): ' Number of Days'Notice Information required to complete this Schedule,if not 30 shown,will be provided to the Company by the Broker of Record. Failure to furnish this information promptly,or providing incomplete or inaccurate information will relieve us of our obligations under this endorsement. . All other terms and conditions of this policy remain.unchanged. . } I. . 3 WC 99 06 06 07 14 Page 1 of 1 Miley Keck Tank Farm -Change Order Request-01, Rev. 03 7/3/2024 COR Task 1 -`No Change Testapitshave not been excavated. If Test Pits are to,be excavated,the rate provided in=the cost table applies($10,S4't Excavate Test Pits within the limits of MKTF Secondary Containment floor to determine extent of the oil contamination present.AQMD Rule 1166 applies. AIS has already applied for and was granted an AQMD Compliance Plan for the MKTF so we can excavate test pits.We cannot start until Friday morning, May 10, according to the approved plan.We can excavate no more than 2,000 cy and we must test the soil as we excavate to determine the level of contamination. If various trigger points are present in the soil, actions must be taken per the plan.AIS has included the crew and equipment to perform test pits excavation with water used for dust suppression. I suggest digging test pits at each corner of the containment and a location at the midpoint along each side of the containment area, as well as two (2) locations in the center of the containment area as shown below. • ■ ■ U We can excavate until we reach clean soil or approximately 6'below grade with the mini excavator on site. AIS has not included loading,transporting or diposing of any soil from test pits.Soil will remain on site or additional costs will be incurred if the soil hits the AQMD Compliance requirements. The cost listed in Item 1 on the COR Cost Table includes the equipment, materials and labor to excavate test pits for one 8-hour day.Additional days will result in additional daily charges. COR Task 2-The polys g barrier originallyinstalled alongth water reservoir, Vents was removed:a:ariginal instattatientrarnovaL costs were appLied to the' Invoicemitt is=task and coet wilt be.repeated wheneverhe.soil excavation 296 wor pornmenges to,prated the water source from contamiriatroit4an the4teit:raidito remediatian tasks-atsa; atetrom Gast Tala le apptres;tk*:210 88 Install poly sheeting barrier along the south and east wall vents tof the city's water reservoir storage facility.This was not presented as a requirement within the RFP or included in our Proposal to the City of HB but was required as part of the agreement with the Public Works Department to be able to access the MKTF from within the Public Works Department Yard. It required three laborers, an articulating boom lift, poly sheeting and 8-hours to install and seal the vents.Another day with the 3-man crew and the boomlift plus the construction debris transport&disposal for the waste material when the barrier is removed. This task has been half completed (installation) and the other half(removal)will be completed before demobilizing from the site so this change order amount will be included in the Invoice for the initial work. CO R Task 3-!'as arrd Cost rem ainr the s otta f rinrtia CO:R detai e.Rate is s stable ape '°es(t22,373.755r Sawcut concrete and remove all underground pipes that remain, including all aboveground stub-ups, present along the exterior north containment wall(removed), all pipes/drainlines running beneath the secondary containment floor will be removed and the underground pipe that runs south to north. Remove all abandoned oil processing pipes and water pipes within the tank farm, leaving only the protected natural gas line stubs at two locations on the property. MKTF • � 2 s , 41 1E1 I Goag(e Earth ? 414'4 ` 297 The cost shown on the COR Cost Table includes transport& disposal of the removed soil and concrete as non-hazardous. If the soil is determined to be contaminated per AQMD Rule 1166 additional costs will be incurred. COR Task 4-33% S7,5R71 QUO)of the original cost S;942.50)for this task completion was applied to the l Invoice submitted to City of itt even thought 50°!a of the worl has been completed.An-additional S 15 .711887 remains to be.paid oncevthis task is completed. Concrete Tank Bases and sumps removal is another cost that AIS has incurred and was not included in the RFP nor in the AIS Proposal to the City of HB.The RFP stated that interior secondary materials should be removed (rock). However, inside of Tanks 1 &3,there was a concrete floor, 7"thick within the tank.We had no choice but to break it out so we could remove the tanks.Additionally,there are concrete pads beneath Tanks 2&4 that require removal and (5) concrete sump pits.The change order amount shown as Item 4 has already been half utilized in removing,transporting, and disposing of the concrete to allow for scraping of the gravel from the containment interior. COR Task 5-No Change.:3,14 Swork on this task has been performed:;.If this*moo rl (*.to be completed,the cost providedin the Cost Table vw ll,appL{($'47,752.50). Remove the underground pipe and restore the vault area at the Huntington St loadout location. Remove fence, backfill excavation following pipes,fittings and valves removal and restore top 6"with topsoil and replace vegetation removed.Traffic control measures and coordination with Crimson Pipeline is included.An underground gas line, electric and water utilities are in the vicinity and hand digging will be required, as well as the use of a mini excavator. COR Task 6-ThisMob/Demob rate and Daily Standby Rate wilt apply asprovide4i the Cow le l$6,870 63/occurrence) The daily standby rate for any days that AIS cannot perform project duties while awaiting decisions to be made by the interested/controlling parties or delays caused by others.The Standby Rate can also be substituted as the demobilization rate or additional mobilization rate should they be required for any reason. COR Task 7-The daily rate provided=in the;Cost Table;tofexcavate contaminated soil under:*iimp Rute 1166 wiilapply.Thisis an average dailyrate($34 471..88)anticipate'', based on the parametersfoct n be[ Provided a daily rate to excavate, loadout,transport&dispose of estimated 100 tons of contaminated soil(greater than 1,000 ppm) per 10-hour work day,to the Soil Safe Facility located in Adelanto, CA, maintaining the highest level of protection to the community from hazards and odors associated with the higher levels of VOCs in the soil.This daily rate includes covering the stockpile(s)when not actively adding or removing soil to/from the stockpiles and applied soil tackifiers and/or deodorizers as required. Includes soil track out 298 prevention measures installed to prevent soil from leaving the site on transport vehicle tires, etc. The daily rate includes a crew of 7 people (2 operators and 3 technicians, 1 Supt. & 1 Soil Engineer to Log PID readings for all buckets of soil excavated and prior to loading into transport trucks. Includes 55 k track excavator, 3-cy front end loader, skidsteer,water truck(2,000-gallon) and a 200-gallon water buffalo for applying soil tackifier and/or deodorizing agent.Also includes installing and maintaining road plates at site entrance/exit to minimize soil track out.Also includes a street sweeper to control/collect any soil that is tracked out. zCO -Done/pengi eted.a0 Invoiced.0 AlS Ir[r+rorce#1 tokthe city of HB Secure the Excavation and Demobilize all equipment&Material from the MKTF Site. Cover&secure poly sheeting over the excavation area and secure the poly with sand bags along the concrete surface, drape the poly into the excavation covering the walls and place another sandbag at the base of the vertical wall to keep poly taut. Once the poly is stretched across the width of the excavation, another sandbag will be placed to secure the poly to the base of the vertical wall directly across from that placed on the opposite side. Stretch the poly up the vertical wall and secure the poly approximately one-foot from the edge of the vertical wall into the excavation.The purpose for the poly sheeting is to keep rainwater from flowing into the contaminated soil and causing contamination to run deeper into the soil within the excavation. Once completed,AIS will demobilize all personnel&equipment from the MKTF Site until the issues revolving the contaminated soil are addressed. ITEM I "C1 DESC IPTIQ i .,. ,y BIO QTY UOM UNITPRICE DURATION a I. ..._TEST PIT:;EXCAVATIONS -; . - .,� ...;. 1.: ..... . ._DAY ": $ ,..:10541.25 , ., 2'- POLY SHEETING BARRIER INSTALLED ALONG SOUTH& ST SIDES C Lw,' LS, $ '12,,216.88" Z..-:,• 3 ADDITIONAL.UNDERGROUND PIPING REMOVAL&RESTORATION .. .`:: 1 , LS $ 22,373 75:, 8 cONCRETETANK BASES,&"UNDERGROUND SUMPS REMOVAL&DISF S ... ''REMOVE'UNDERGROUND=PIPE TRANSFER'STATION WITHIN VAULT/ 6 MOBILIZATION/DEMOBI"LIZATION `a"';i " EACfi..::p, 7 � DAILY`RATE FOR CREWTOtEXCAVATE,;LOADOUT,,TRANSPORT&DISI 9 o .. ,. 0 , '10 a 14 0 0. 149598".75:. • 299 °',�`.`..?"�GjO '- CITY OF ( -- j HUNTINGTON BEACH CFc I/N... ' \#/# Lisa Lane Barnes I City Clerk �UNTYCe�� January 7, 2025 American Integrated Services, Inc. Attn: Joseph Reilly 1502 E. Opp Street Wilmington, CA 90744 To Whom It May Concern: Attached for your records is a fully executed copy of "Amendment No. 1 to Agreement between the City of Huntington Beach and American Integrated Services, Inc. for Miley Keck Tank Farm Lease Closure"approved by the Huntington Beach City Council on September 3, 2024. Sincerely, 00, 444%4 Attie. Lisa Lane Barnes City Clerk RE:ds Enclosure Office: (714)536—5405 I 2000 Main Street, Huntington Beach, CA 92648 I www.huntingtonbeachca.gov ---�. 2000 Main Street, Huntington Beach, CA City of Huntington Beach APPROVED 6-0-1 , 7,F7 (McKEON-ABSENT) �) File #: 23-1050 MEETING DATE: 2/20/2024 REQUEST FOR CITY COUNCIL ACTION SUBMITTED TO: Honorable Mayor and City Council Members SUBMITTED BY: Eric G. Parra, Interim City Manager VIA: Scott M. Haberle, Fire Chief PREPARED BY: Janice Van Mullem, Fire Marshal Bonnie To, Principal Management Analyst Subject: Approve and authorize execution of three (3) contracts: Oil Well Abandonment, Civic Center Lease Closure, and Miley Keck Tank Farm Lease Closure and approve an appropriation of $1,236,763 in HB Recovery Funds for the Project Statement of Issue: The City's oil production wells, located at the Civic Center, are not economically viable due to aging infrastructure, cost of maintenance and compliance, and expected loss in revenue. A presentation to City Council during a study session was provided on March 21, 2023 (attached) where the Fire Department was given direction to proceed with abandonment. The decision to proceed to well abandonment and lease restoration was based on several factors: 1. Production. Civic Center wells have averaged production of 16.4 barrels of oil per day from January 2010 through June 2017. At that time, pressure support was provided from another nearby production unit (Springfield), allowing the relatively high level of production. After the pressure support ended, Civic Center lease averaged 5.5 barrels per day. 2. Profit and Loss. The City performed a 3r, party economic analysis which concluded that the Civic Center will not be profitable considering oil production, fixed costs, maintenance required, and the expected price of oil. The lease has shown negative profits since at least 2015 (general fund). The breakeven oil price for the Civic Center lease is $214 a barrel (current market price is $80 per barrel, and the City receives at least 10% less than market price). 3. Aging Infrastructure. The Civic Center wells and associated equipment are aging and need significant investment to maintain. There are significant known repair costs totaling roughly $750k 4. Tank farm lease expiration 2024. The tank farm is leased, and the lease will expire on Sept City of Huntington Beach Page 1 of 6 Printed on 2/14/2024 powered Legistarr" ZiE�� File #: 23-1050 MEETING DATE: 2/20/2024 30, 2024. The abandonment is timed to coincide with the lease expiration. Lease costs will continue until abandonment is complete. The Fire Department, as the oil well managers, prepared three bids for service to abandon the three wells, remove the equipment and piping, and restore the well site at Civic Center and the Miley Keck Tank Farm (MKTF) to California Department of Conservation, Geologic Energy Management (CaIGEM) standards. Vendors submitted their RFP submissions and costs, and based on the RFP evaluation criteria the following firms were selected. The Fire Department requests City Council to provide funding and approve selected contractors for the three bids. In order to account for unanticipated costs, the Fire Department would like to incorporate 15% contingency for the projects as shown in the following table: Prn C#> Vendort�< T' j f� Cvrmac#TyfeV nE'�` Cost Submitted 15% ;Cost ' T fi 7 ftt t '*,,� n. �v �� t � 't.a.s9 3 � �r�x�3{S�d�p�,;�-x^'., J It Y �_ 1 �n.R F y -Contingexncy SuYmitted n},. •yt S }v5"S. say 3T fr q., }j S a7 �' [x 1 r� :.�J, s4 i•ti;.,. Fy v { I>-{ ry.. R�F�np T4 C f 4 t S; i a ! i P, , F � .,..x.r:.�."'._z..G .... .....�. ��..Z:''�,..,d N.. .. . .�SN� � _.t..:wi „�; 1' 5..,..n�'..a... ... >5 A ..;.0_.. ,7.. a s...�1�.,. •,?: Oil Well Abandonment Excalibur Well Time&Materials $ 1,099,770 $ 164,966 $ 1,264,738 Services Corp. Civic Center Lease O.C.Vacuum,Inc. Fixed Price/Lump $ 405,514 $ 60,827 $ 466,341 Closure Sum Miley Keck Tank Farm American Integrated Fixed Price/Lump $ 189,932 $ 28,490 $ 218,422 Lease Restoration Services,Inc. Sum o{• _ �,4�49� 1 '..1:: 1....r: :. ..':; ;.:�; .c,:.'t' l..-. '.���x.,,:7�VDW,L 96�':'� .».+::L�YFyGYG i�� 7,�TF�7f�K7�Q,;• City of Huntington Beach Page 2 of 6 Printed on 2/14/2024 powere3a4 LegistarTM File #: 23-1050 MEETING DATE: 2/20/2024 Pio ct " Vendor r Es seated Estimated Estimated Estimated Total' Estimated Scope of 1n f,, ,C6StS 0) CQS1S iil N YCoSt'a4'CQSS Atl c _Compietlon Y�:..1, tau,Jx '. 't '`v Y `r r , i C 4 r 23124'with 15 4125 wilh4 25l26• -.,�5% K .� r * 23� 1IY11i1 iaTIC �'HLJf 5� Ca/fCv i Contingency Contmgency Contingency r Corltl g� ' 1..,'kG fx.},L d 'a(.,,.r•., .�.. ., Oil Well Abandonment Excalibur Well Services $ 632,368 $ 632,368 $; 't,AS4,73b,Estimated scope of Corp. r' work completion between FY 24/25 and FY 25/26 • Civic Center Lease O.C.Vacuum,Inc. $ 34g,583 $ 116,528 S. 486,111;!:75%of work estimated Closure �. ,, ▪ to be completed in FY ▪ 23/24,then remaining 25%of work to be completed in FY 25/26 Miley Keck Tank Farm American Integrated $ 218,422 5 f `218,422:Estimated scope of Lease Restoration Services,Inc. work completion FY 24/25 TOtah'.'. , , . _f;.°_ �r;� ` ` : r . .; . � �i„'' . 568;'a(iJ,'",��� :;.'632;:i68: :�::'r t-0.748.$�6'`.'.T► ..:'1,�+.+.26• 8 r ... There may be additional contingency funding needed in the future depending on the progress of the work for the three projects. Financial Impact: City Council previously approved budget related to oil wells. These budgeted funds have accumulated from unused Equipment Replacement Funds for well repair and Capital Improvement Program (CIP) Infrastructure Funds for oil well abandonment. The following table shows the remaining balance available to be used toward the project: City of Huntington Beach Page 3 of 6 Printed on 2/14/2024 powereeJ7 /LegistarTM File #: 23-1050 MEETING DATE: 2/20/2024 Description Approved Budget Expenditures Balance FY20/21 Equipment Replacement $324,640 $111,905 $212,735 FY21/22 CIP $250,000 $0 $250,000 FY22/230 I P $250,000 $0 $250,000 Total $824,640 $111,905 $712,735 The total project cost is estimated at $1 ,949,268, which includes a 15% contingency. Staff is requesting an appropriation of $1 ,236,763 in HB Recovery Funds to Business Unit 31465001 to cover the remaining cost of the project. Recommended Action: A) Approve and authorize the Mayor and City Clerk to execute a $1 ,099,770 "Agreement between the City of Huntington Beach and Excalibur Well Services Corp. for Oil Well Abandonment;" and, B) Approve and authorize the Mayor and City Clerk to execute a $405,514 "Service Agreement between the City of Huntington Beach and O.C. Vacuum, Inc. for Civic Center Lease Closure;" and, C) Approve and authorize the Mayor and City Clerk to execute a $189,932 "Service Agreement between the City of Huntington Beach and American Integrated Services, Inc. for Miley Keck Tank Farm Lease Closure". D) Authorize the appropriation and transfer of $1,236,763 in HB Recovery Reserves to Business Unit 31465001 (Oil Well Abandonment) to fund the unbudgeted portion of the project. Alternative Action(s): Do not approve the agreement(s); and/or Request staff to obtain additional bids through the RFP process; and/or Request staff to re-evaluate bids based on additional criteria; and/or Request staff to evaluate cost and liability of idling the wells to CaIGEM standards. Analysis: Three RFPs were posted through Planet Bids on August 2, 2023. A mandatory pre-bid meeting occurred on August 16, 2023. Bids were due to the City by September 15, 2023. Additional negotiation for best and final were conducted for the oil well abandonment project. Bids were received on September 16, 2023. The bids were evaluated and scores were based on multiple factors including: • Compliance with RFP requirements - 5% • Firm qualifications - 25% • Experience and License requirements - 25% • Understanding of project - 20% • Cost/price - 15% City of Huntington Beach Page 4 of 6 Printed on 2/14/2024 powerE274 Leoistar' File #: 23-1050 MEETING DATE: 2/20/2024 • . References - 10% The bids were evaluated and scored independently by the three evaluators, and the results tallied by Contracting staff in Finance. For the Oil Well Abandonment Project, due to the high dollar amount and the technical complexity of the job, the evaluation also included a reference check and a 30- minute Teams interview to ask each bidder additional questions to help determine the best bid for the City. The bidders were also asked additional clarifying questions and asked to provide a "best and final" cost proposal. Both contractors were highly rated, the ultimate decision was based on the large cost differential between the two firms. Oil Well Abandonment Scope of this work includes abandonment of three wells at the Civic Center. The bids assumed that the three wells would be abandoned without a time gap. Well abandonment includes obtaining CaIGEM permits for abandonment and all work to sufficiently abandon wells to CaIGEM standards. Due to the complexity of well abandonment and the known issues down hole with Civic Center #3, this project is bid as time and materials. Civic Center Lease Closure Scope of this work includes removing all above ground equipment, removing any pipelines under Civic Center property, and inerting and capping the pipeline between Civic Center and MKTF. It will also include repaving at Civic Center 2, repaving any pipeline trenches, and providing clean dirt to grade at Civic Center 1 and 3 to allow for later phase improvements. This project is fixed price bid. Miley Keck Tank Farm Closure Scope of this work includes removing all above ground equipment, removing the secondary containment wall, removing underground pipeline under pavement, removing gravel and dirt inside the containment wall to hard-pan. The area of secondary containment will be left as exposed clean dirt and any trenches will be refilled with clean dirt to slab grade. This project is fixed price bid. Bid Selection After taking into consideration the evaluation criteria, the following firms with their associated costs were selected. In order to account for contingency, the Fire Department would like to incorporate 15% contingency for the projects as shown in the following table: City of Huntington Beach Page 5 of 6 Printed on 2/14/2024 powere3r 'LegstarTM File #: 23-1050 MEETING DATE: 2/20/2024 Project Vendor Contract Type Cost Submitted 15% Cost in RFP Contingency Submitted in RFP plus 15% Contingency Oil Well Abandonment Excalibur Well Time&Materials $ 1.099,770 $ 164,966 $ 1,264,736 Services Corp. Civic Center Lease O.C.Vacuum,Inc. Fixed Price/Lump $ 405,514 $ 60,827 $ 466,341 Closure Sum Miley Keck Tank Farm American Integrated Fixed Price/Lump $ 189,932 $ 28,490 $ 218,422 Lease Restoration Services,Inc. Sum Total S 1.695,216 S 254,282 S 1,949,498 Environmental Status: The requested action to approve a contract award for well abandonment and lease restoration is not subject to the California Environmental Quality Act (CEQA) pursuant to Sections 15060(c)(2) (the activity will not result in a direct or reasonably foreseeable indirect physical change in the environment) and 15060(c)(3) (the activity is not a project as defined in Section 15378) of the CEQA Guidelines, California Code of Regulations, Title 14, Chapter 3, because it has no potential for resulting in physical change to the environment, directly or indirectly. Furthermore, since the proposed well abandonment and lease restoration activities are considered ministerial, the project for which the contract is being awarded, is statutorily exempt from CEQA in accordance with Section 15268 of the CEQA Guidelines. The awarded contractor will obtain permits from the California Geologic Energy Management Division (Cal-GEM) consistent with applicable requirements. Strategic Plan Goal: Goal 2 - Fiscal Stability, Strategy A - Consider new revenue sources and opportunities to support the City's priority initiatives and projects. By reducing loses to General Fund due to aging oil production infrastructure, increased operational costs, and decreased production. Attachment(s): 1. Service Agreement between the City of Huntington Beach and Excalibur Well Services Corp. for Oil Well Abandonment 2. Service Agreement between the.City of Huntington Beach and O.C. Vacuum, Inc. for Civic* Center Lease Closure 3. Service Agreement between the City of Huntington Beach and American Integrated Services, Inc. for Miley Keck Tank Farm Lease Closure 4. Presentation to Council-May 16, 2023 5. Presentation to Council-February 20, 2024 T / �G &f� City of Huntington Beach ���JJJ Page 6 of 6 Printed on 2/14/2024 powered LegistarT' SERVICE AGREEMENT BETWEEN THE CITY OF HUNTINGTON BEACH AND AMERICAN INTEGRATED SERVICES,INC. FOR MILEY KECK TANK FARM LEASE CLOSURE 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 American Integrated Services, Inc., 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 Hazardous Substances Removal and Remedial Actions. 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 Joseph Reilly 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. 23-13803/324318 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 One Hundred Eight Nine Thousand Nine Hundred Thirty Two Dollars ($189,932.00) during the term of this Agreement. b. Payment by City shall be made within thirty(30) days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. Payment need not be made for work which fails to meet the standards of performance set forth in the Recitals which may reasonably be expected by City. c. Contractor shall be paid pursuant to the terms of Exhibit"B." 4. Term Time is of the essence of this Agreement. The services of Contractor are to commence i2/2DJ2o21I, 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. 23-13803/324318 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, 23-13803/324318 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. 23-13803/324318 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. 23-13803/324318 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 American Integrated Services, Inc. Attn: Fire Chief Attn: Joseph Reilly 2000 Main Street 1502 E. Opp Street Huntington Beach, CA 92648 Wilmington, CA 90744 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. 23-13803/324318 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; 23-13803/324318 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. 23-13803/324318 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. 23-13803/324318 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 AMERICAN INTEGRATED SERVICES, INC. municipal corporation of the State of California By: Mayor P. David Herrera Print name ITS: (circle one) Chairman/ residen Vice President City Clerk A D By: INITIATED AND APPROVED: Print name ITS: (circle one) 'ecre ar,' hief Financial Officer/Asst. Secretary- reasurer Fire Chief John Georgagi APPROVED AS TO FORM: COUNTERPART C(t( City Attorney REVIEWED AND APPROVED: City Manager 23-13803/324318 10 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 AMERICAN INTEGRATED SERVICES, INC. municipal corporation of the State of Califord By: Mayor Print name ITS: (circle one) Chairman/President/ 6?44471, 94 -1444) Vice President City Clerk 42R42,yAE- AND By: INITIATED AND APPROVED: Print name ITS: (circle one) Secretary/Chief Financial Officer/Asst. Secretary-Treasurer Fire Chief APPROVED AS FORM: COUNTERPART CC City Attorney REVIEWE D ROVED: City Manager 23-13803/324318 10 EXHIBIT "A" A. STATEMENT OF WORK: (Narrative of work to be performed) See attached Exhibit A. B. CONSULTANT'S DUTIES AND RESPONSIBILITIES: SEE ATTACHED EXHIBIT A C. CITY'S DUTIES AND RESPONSIBILITIES: D. WORK PROGRAM/PROJECT SCHEDULE: 23-13803/324318 11 EXHIBIT A AIS Proposal #4301580 SAFELY SERVING OUR CLIENTS, ApoA��' COMMUNITIES AND THE ENVIRO lir NMENT FOR OVER 20 YEARS ` ,..,,, / rE�car�1��` a�` � �r� �c fire: vuL-0 Response to 1" < - Miley Keck Tank Farm Lease Closure .~ s RFP #23-0915-2 � � �, � A d oi, ,, Irv. Presented to 'i ,' t' `; Jennifer Andersoniii 1' � City of Huntington Beach '`am" F � ,. 't • I + . .: September 15 2023 . ,,- •"`�jrt7. ram,., i t' .t./ 4 , 'i ,4P7 f ., r' , .r:,,t.7 1 '4 A t i,,tt,-.f-_'.'' ,, ,, p .*,'-1,,:.*i,3',''‘f',,.,II,. 4'1,,.,E;„I,:,:d,1* - VNi.,e1 "f,.....'.-. r l. American Integrated Services, Inc. _,-.,f4°,,„*,"/',,4. -A- 4 P,,,,„.: , �ry 1502 E. Opp Street { < �.;< ¢. ? Wilmington,CA 90744 `' 888 423 6060 �y ram, � ` € w, www.americanintegrated.com REMEDIATION • DEMOLITION•• CONSTRUCTION •TRANSPORTATION • EMERGENCY RESPONSE City of Huntington Beach American Integrated Services,Inc. Miley Keck Tank Farm Lease Closure Proposal#4301580 Huntington Beach,CA . Table of Contents 1.0 Introduction 1 2.0 Project Understanding 1 3.0 Qualifications and Experience 5 • 3.1 PublicProjects i• +�,': 8 '`' 5 3.2 Private Projects _ s �' 9 4.0 Price 5.0 References t ' 10 6.0 AIS Contractors License........................ :;., � .:�, ,. 11 Attachments "' Attachment .Schedule w x Attachment 2 T j ruck toute:Map is Attachment 3 Color Illustrated Project Talks .£ ti • \ \,3 .. .F k,. o � i .c is `' `i • h � i City of Huntington Beach American Integrated Services,Inc. Miley Keck Tank Farm Lease Closure Proposal 4f 4301580 Huntington Beach,CA 1.0 Introduction American Integrated Services, Inc. (AIS) appreciates the opportunity to provide the City of Huntington Beach with our proposal for the Miley Keck Tank Farm Lease Closure. American Integrated Services, Inc. (AIS)is a full-service, minority owned environmental services company specializing in environmental construction and remedition, industrialldemolition and abatement,waste management and specialty transportation services, industrial cleaning services and 24/7 emergency response. Founded in 1998, with annual revenues exceeding$190M, AIS is recognized as an industry leader in providing turn-key environmental services, ranking in the top 20 of Engineering News-Record's (ENR) "All Environmental Firms"for the last five years AIS has.six.office locations and equipment yards stationed trategically throughout California and one Gulf Coast location`(Mauston, TX) Ais`employs a staff of over 40p employees including a large field staff .i consisting of heavy_equipm`er toperators and environmental technicians, construction abatement and; demolition specialists, emergency response and confined space trained•rescue crews, and hazardous waste certified drivers. Our in-housew,aste management specialists;have extensive experience managing a variety sot including both solid and liquid, non-hazardous, regulated wastes, RCRA hazardous land;banned/incinerator materials and-"kJ Alin, 44.Pigligakt4.0 TSCA wastes All field personnel are trained in 'accordance with 29 0FR4 014120 and State of California Title 8 for h k � t hazardous waste workers= In' addition, the majority of our staff are`confined space trained and trench/excavation certified per OSHA requirements Our staff also receives additional specialty training throughout the year,including confined space, asbestos acid lead training, AIS owns over;$',4S million dollars In equipment and assets including excavators,loaders,dozers,backhoes, bob cats, shoring hm amers and equiprrient, scissor hits, gear tru ks, ltiple•supervisor and support vehicles, hazardous�ce rtified� transportation vehicles (vacuum truck multiple roll-off trucks, bob-tails, ten wheelers, druid trucks, flatbeds, end dumps) and over 400 hazardous certified and specialized roll-off bins emergency response trailers and emergency response vehicles fk American Integrated's highly trained.and experienced staff combined with our extensive list of company owned equipment,make it possible for AIS to provide safe,high quality and cost-effective services without reliance-on subcontractors or 3rd party assistance" 2.0 Project Understanding The City of Huntington Beach (City) has elected to cease operations of three(3) City owned and operated oil wells and associated facilities. The Miley Keck Tank Farm is one of the facilities designated for decommissioning.AIS is providing the following scope of work and planning details to ensure the City that we have a thorough understanding of the project requirements and we will safely perform all aspects of the MKTF decommissioning with the highest degree of competency, with sensitivity to the impact the 1 City of Huntington Beach American Integrated Services,Inc. Miley Keck Tank Farm Lease Closure Proposal U 4301580 . Huntington Beach,CA project will have on the neighbors surrounding the MKTF and with deliberate and consistent care to protect the environment,the public,our employees and all adjacent facilities from injury or harm.AIS will install protective measures wherever necessary and will make all decisions with safety&protection as the primary considerations. , Should AIS be awarded the contract to decommission the Miley Keck Tank Farm with a Notice to Proceed and a signed contract,AIS would immediately start the Project Set up'Procedure and begin the process of assigning responsibilities for required duties such as making`the,proper notifications, obtaining the required permits,etc.Typically,there is an aplproximatelytwo week delay between receiving the contract , a, and Notice to Procced before the team would mobilize to the site;to`perform site tasks.This is to ensure all notifications and permits are in-hand before starting site woirk, including 811 (Dig Alert) Notification and that a Safe Work Plan and a Project Health &Safety Plan;are prepared and reviewed with the Team. Individual.:.task Activity Hazard.Analysis:(AHA) or Job Hazard Analysis forms will be completed with the representative teams for this project' NOTE.AIS,,did contact the City Fire Department for the purpose olegmegof,asking about permits and notification requirements for the project and was made aware thta the fire Department representative'will''be the City representative forthis project and;AlS would coorateh the nt wit Fire Departme earlyin the process to ensure the neighbors and adlacentfaciliti din es are properly notified of the tank cleaning & removal schedule and then contiAfirm that the tanks are sufficiently clean following pressure-washing to demolish • and remove to the recycler's facility. n AIS anticipates an ,Industrial Cleaning/Tank Cleaning Team 'to`' mobilize first and perform all equipment/pipes fluiyds�draining & collection and the pumping of oily water remaining in Tank #4 and remaining crude oil in\Tank#3 into various vacuum trucks for transport to the,,designated disposal facility (Crosby&Overton,or World;Oil), or crude'oil broker facility1(Plains Marketing, LP. or other), respectively. Secondly,the AIS Demolition Team will mobilize to the�site�once all draining,;pumping and cleaning has been completed and'all rema ning equipment, pipes, clarifiers, components and tanks are prepared for mechanical demolitionpe" rformed using an`excavator and hydraulic shear'to cut and segment the steel into sizes/configurations acceptable to the designated scrap metal recycler(Ecology Recycling or other). scrapmet The al,will be collected into piles and`once a`truckload of scrap is anticipated to be collected, a scrap metal`dispatcher will be called to supply an emp y truck, ,Following is a sequence of activities in bullet form for easier reading. • City of HB awards Contract and Notice-to-Proceed to AIS—The AIS Schedule, included with this Proposal, demonstrates that if the City awarded the contract and Notice-to-Proceed on 9/26/2023 (for example), AIS would mobilize on October 16, 2023, to commence site activities. The time before mobilization would be spent performing the following two bullet points. • AIS Team begins making required notifications to the Fire Department/City Representative for the project,AQMD, and procuring required permits (i.e., Demolition Permit) and call 811 (Dig Alert) 2 City of Huntington Beach American Integrated Services,Inc. Miley Keck Tank Farm Lease Closure Proposal#4301580 Huntington Beach,CA to ensure utilities in the work areas are identified/marked a minimum of three(3)days in advance of any underground disturbance on site and required project certificate of insurance. • AIS Team drafts Project Safe Work Plan and Site-Specific Health&Safety Plan, etc. Procure water meter from City of HB connect to a fire hydrant near the site to supply water to project for tank/equipment cleaning applications and dust suppression needs. Order required equipment and materials for delivery to the site. • Upon mobilizing to the site on the first day of site work, a Project meeting will be held to discuss the Safe Work Plan,the Project Health &Safety Plan, e hos ital route in case of emergency,the P job rules and required safety personal protective the An Evacuation Assembly Point for the Project will be established and shared witKitg6.464r0500 Work Authority will be held by all and the procedure for returning to work afterm :a stoppage will be discussed. The truck route established for this project,to minimize the pact on the neigingtonhborhood,will be identified in the field by placing signs,at the designate f street rn coers (Hunt St & Garfield St.) directing trucks from the MKTF demo project to follow the established route. The Truck Route Map is. attache:d.forareview .... .. • A Google Earth Photo of the MKTF Is Included to complement these bulleted tasks and it identifies the'varlous::tasks required on the project with Color coded blurbs to accompany the color- highlighted Work task areas, This Google Earth Photo also shows the intended locations to have the 2,000 gallon water truck stationed to supply wash/dustsuppression water fo'r the project and the location where AIS intends to load out the steel Arid/or CMU/ccohcrete Into end dump trucks/trailers.The water truck can be moved easily if access to the back parking lot is needed. The truckload evolution typically takes 15-20 minutes per,event'AIS anticipated 3-5 events per • day during the demolition phase. Y • Required equipment is received oe forthetan dr k aining and decon;phase: ; o 6 IYtemberAlS team 1 Supep sittintendent, 1 Equipment Operator&•3 Technicians o 1 certified electrician to verify the MKTF is;electrically isolated or perform LOTO and de- energize prior to AIS technicians p'erfnrming any tasks on equipment. o AIS 9iJ_BBL or20 BBL vacuum truck o ' 46'articulating boom lift w/full body harnesses '' o ''Trailer mounted pressure washer/steam cleaner 0 125 CFM Air Compressor 4 o Coppus blower&air hoses • o 60#Rivet buster&chisels Milegg o 2,000-gallon water truck o 2—AIS trucks with equipment trailer and all'equipment/heat stress prevention materials o 4-Gas Detector and all PPE&safety supplies o 1 Portable toilet facility with hand sink&drip tray • AIS will start draining equipment pumps/equipment of fluids,collect and containerize for disposal. • AIS will use the boom lift to access the roofs of the tanks to remove manway covers to inspect tanks. It is assumed that Tanks 1&2 are empty of product or wash liquids.Tank#3 is assumed to have approximately 2'of crude oil in the bottom of the tank.The estimated volume of crude oil is 3 City of Huntington Beach American Integrated Services,Inc. Miley Keck Tank Farm Lease Closure Proposal#4301580 Huntington Beach,CA 960 gallons. Tank #4 is assumed to be % full of oily wastewater. The estimated volume of wastewater in Tank#4 is 6,100 gallons.Samples will be taken and analyzed to ensure the crude oil and/or the oily water is acceptable to the waste facility and/or crude oil broker designated. • AIS vacuum truck will pump the oily water from Tank#4 and transport for disposal. An interior tank cleaning of the vacuum truck will occur once oily wastewater is completely removed and disposed. • AIS Vacuum Tanker will then drain the remaining crude oilfrom Tank#3 and transport it to the p gAga' er or tank will be cleaned following the crude oil broker urchasin the crude oil. n, the POt emptying of the crude oil. • Once tanks are drained, a coppus blower will be atta hed to a vent location on the top of each r .w t 3 empty tank and connected to a 125CFM air compJres£sor Ala;air hoses with tethers to prevent whipping of hoses should a connection betvueen'hoses works itself free. •.—.'he•compressor when turned nn to theopp�ls blower creates a venturl effect that will pull/vent the stale and potentially explosive vapors air from each tank. Each tank will,be independently checked'for explos.54:ive vapors before performing any work by introducing°a 4 gas meter collectionti tube into the interior tank space and measure the air at the`tank bottom 'middle and top ranges to identify the presence of flammable vapors If flammable vapors are detected:at less than 10% concentra•tion work can proceed'if flammiW able vapors are_detected above 10%concentration,the coppus blower will continue to„vent the vapors Continue this process until each and every tank is less than 1Q%concentration for flammable vapors before initiating the lemolition process. • Once flammable concentration in a particular tank is achieved the tankwill be accessed by using a rivet buster connected to the air compressor, io?press against the side of the tank and press hard as the piisei head on the rive. ..buster plunges a crease through the steel. Once the crease/opening has been started,the rivet busterwill cut!open the tank sufficiently for a person to easily ehter/exit the tank but at a height that will not allow.residual sludge in the tank bottom from pilling out • Once an access port has beeh created, use the 4 gas meter to check flammable vapors range. Ensure'the level is less than 10/before enteringthe tank ; • Enter the tank to:re"move sludge by shoveling`Waste into•55 gallon`drums for disposal. • Once slud`ge:has been shoveled from tank floor,use the pressure'washer to clean residual product free of tank interior walls, ceiling and floor`and collect wish=waster into totes or pump directly into AIS vac truck for transport&dispossal.Complete h�e`process until all tanks are clean. • Have cleaned tanks inspected by fire dept rep and once blessed as clean, demo will begin. • After all industrial cleaning functions are comple„ted ttte industrial cleaning team will demobilize and the demolition team will mobilize. • Demolition Team mobilization includes: o 1 AIS Superintendent, 1-Equipment Operator&2 Technicians o 75k Excavator o Hydraulic Shear o Skidsteer o Hydraulic Breaker 4 City of Huntington Beach American Integrated Services,Inc. Huntington Miley Keck TankBeach Farm,CA Lease Closure Proposal 11 4 30158 0 o 2 AIS Trucks with equipment trailers/tools/materials • The demo team on site will review all plans and AHAs/JHAs and walk the site to become familiar with any existing hazards. • The demo team will address removal of the pipe that runs above ground along the north property line to the street at Huntington St.The pipe will be drained at the low spot and liquids collected &containerized for disposal. • The pump house, pump and accessories will be demolishedby'shearingthe steel into acceptable lengths/sizes for acceptance to scrap metal faculty. Metal wtll be stockpiled until enough to fill an end dump truck is generated and then the truck,wil� be called, loaded & released. Weight tickets from each scrap load will be generated AIS ha4ons estimated $14,625A0 in reduction to this cost estimate based on the scrap metal grecovery antici ated between the tanks, pumps, pumphouse,piping, conduit,electrical panels,' tc,3 �y , • To access the`tanks far,demolition,the shorttYCMU secondary containment wall will be removed along the north side usirn°g a hydraulic breakervon`the excavator. Concrete rubble will be moved out of the way,'to be�combined with remaining CMIJ wall Waste later • Due to small space available the tanks will be'detmolished starting with Tank #1 and:It will'be sheared�down and cut up to load into scrap metal recycle truck in-place as much as possible.The piping and accessories will be cut like kindling wrth the shearand staged for loadout in scrap truck. • Continue process of shearing`down Tank#2,Tank#3 and Tank#4 along with all appurtenances and auxiliary equipmentand components. • Once all tanks and rneial within the secondary containment have been sheared and loaded out into scrap recovery trucks,the remaining east, south and west sections of the CMU wall will be broken and removed`using the hydraulic breaker on the excavator. • The gravel layer;covering the seco dar ,co.ntainment wall will be scraped up and collected for Y loadout to the disposal facility Sampling for acceptance will.have been done before shipping waste to-disposal facility ;k ;" ` ; • The crude oil delivery,pipe`from the Civic Center*webs will be capped at the NW corner of the 1MIKTF�by others but AIS'will saW cut the concrete covering fi�te pipe from the NW corner of the site to the secondary containment and Tank#2 on the site ,The delivery pipe will be drained and added o the scrap metal pile • :Concrete will be poured to restore the pipeline to grade Retiar and wire mesh will be used and the'concrete will be doweled into existing cocrete fo1 'added strength. '. r.. The RFP states that the gravel layer shall be removed to hard scope and then backfilled with clean soil and compacted.AIS included a price for that task but it seems that a hardscape surface would be better than a soil fill. • AIS will broom sweep and pressure wash the surface of the site prior to departing/demobilizing. • Demobilize all personnel, equipment and materials, including street signs, etc. • Close out any/all permits. 5 City of Huntington Beach American Integrated Services,Inc. Miley Keck Tank Farm Lease Closure Proposal#4301580 Huntington Beach,CA 3.0 Qualifications and Experience for Similar Projects AIS has extensive experience decontaminating and demolishing both above and below ground storage tanks, pumps and ancillary equipment. We have held a master agreement with the City of Los Angeles Department of Water & Power to provide the City with testing, removal, transportation, recycling, treatment and disposal of hazardous and industrial solid and liquid waste services since 2011. AIS has won the competition for this work three times and is under contract to perform these services through July of 2024. During this time, AIS has successfully decontaminated/demolished numerous above and below ground storage tanks, including four aboveground tanks at the Scattergood tank farm. In 2015,AIS completed the tank and fuel line decontamination and demolition project for NRG at the Encina station, a project valued at over$9 million,which included the cleaning and demolition of six ASTs and associated piping; and excavation, transportation and disposal of approximately 30,000 tons of hydrocarbon impacted soil substrate from the tank bottoms. AIS performed a similarly complex tank removal/soil remediation project at the Kiewit Shea Desalination plant in Carlsbad, located on the NRG Encina property in 2014. 3.1 Public Projects Joint Base Lewis-McChord Tank Farm Decontamination/Demolition Tacoma, WA • Managed removal, cleaning, transportation and recycling of 50 ASTs, ranging in size from 300 — 25,000 gallons. • Project tasks included tank disconnection, emptying of tanks, cleaning of tanks, tank removal, recycling for scrap steel,After Action Report. • All scrap metal sent for reuse/recycling. Value: $206,000 Completed: 10/2018 • City of Huntington Beach American integrated Services,Inc. Miley Keck Tank Farm Lease Closure Proposal t14301580 Huntington Beach,CA Valley Generating Station- Tank Cleaning and Demolition Playa del Rey, CA • Cleaning/Dismantling of two tanks—160'diameter x 48' high • Decontaminated and demolished 2,069 LF of piping associated with the tanks. • Removal of approximately 7,300 barrels#6 fuel oil. • Asbestos abatement of floating roof paint, perimeter roof seals,vertical gaskets and support poles. Y,. Value: $846k .getirir;,;i3,..''''re..i...-- ":;:,';''''‘.:::„."7,,, . Completed: 06/2017 y ' r� .4 Riverbank Army Ammunition Plant Decommissioning Riverbank, CA • Closure of 23 permitted hazardous waste management units which included decontamination, demolition, recycling, excavation,transportation, disposal,and stormwater management. • Worksite near industrial tenants, requiring strict coordination and management of work schedule and traffic patterns on shared roadways • Excavation of impacted concrete and excavation (7' BGS) of soil impacted with hexavalent chromium, cadmium and other Title 22 metals. • Comply with USACE Three-Phase Quality Control Process as detailed in USACE ER-1180-1-6. • Work conducted under oversight of the US Army Corps of Engineers and the San Joaquin Valley Air Pollution Control Board,with zero dust tolerance. m .-� ',1 ,0 a i Value: $3.2M 1 '. ,, , I'r'`x` "'y �.' . e Completed: 01/2016 it , 4 I '� 1 1 1: ,! 4;, ado �_ *� 1 ' I ,, li ?,A4- a 4 y- E - i City of Huntington Beach American Integrated Services,Inc. Miley Keck Tank Farm Lease Closure Proposal#4301580 Huntington Beach,CA 3.2 Private/Other Work Experience Univar Tank Farm—San Jose, CA Tank Farm Decontamination/Demolition • Decontamination of chemical tank interiors are process lines. • Demolition and transportation/recycling of 35 ASTs. • Construction of ramp over containment walls to allow travel from tank to tank, preserving the integrity of the perimeter containment wall of tank farm. :; ,, _.^" i __� ; ;'14 .r Value: $248,300 t .> ,_1. Completed: 06/2021 ,{ _ yy+-" �„ J"f .v _.7 . 1;.. ., *fie t.. i Univar Tank Farm—Santa Fe Springs, CA Tank Farm Decontamination/Demolition ` Y , ;; • Decontamination of chemical tank interiors are process lines using confined space protocols. • Demolition and transportation/recycling of 27 ASTs. • Construction of ramp over containment walls to allow travel from tank to tank, preserving the integrity of the perimeter containment wall of tank farm. 41 4 i i Value: $164,659 j ,.. ' ', ` , ux Completed: 08/2020 _e 0 . s I wnw w I 8 City of Huntington Beach American Integrated Services,Inc. Miley Keck Tank Farm Lease Closure Proposal p 4301580 Huntington Beach,CA 4.0 Price PRICING SHEET A Bid Sheet and Response shall be submitted with your bid package in the format below. By submitting a bid, the Bidder is accepting the terms and conditions contained in this solicitation. The Bidder hereby , - proposes and agrees to furnish all labor, materials,travel, and equipment,to perform all work described herein, and such addenda thereto as may be issued prior to the submission deadline. The Bidder is required to bid on each item. Failure to indicate a dollar`amount for any item may be grounds to reject the bid.A zero-dollar($0.00)amount listed for any item„will'be interpreted and understood by the City to mean that the Bidder is indicating a zero-dollar ($0 00) amount and will perform any such services indicated at no cost to the City. In the event of a compu ational error, individual line-item prices will prevai.l,.over_extended=totals The City will check'bid calculations and recalculate bid totals.The net cost is calculated<by subtracting the salvage value from t i he total cost The total net sum is calculated by adding tie total of all net costs; • Project�Manager..Title: Sr. Proiect:Manager .,400,100.00 „. Operator Lease Well "'API Total Cost,$ Salvage Va1;ue,, 'Net Cost,$ nallini $ City of HB MKTF Removal of N/A $178,663 21 ,$15,458.00 $163,791.67 Facilities City of H B MKTF !ease N/A $26,14016 '' N/A $26,140.16 Restoration 'r i TOTAL $189,931.83 :: \j .r. £ 1 The award will be determined based upon the lowest Total Net Sum;bid for all work after incentives and preferences have been!applied: \ 4\ Printed Name Joseph L.Reilly v Title Sr Proiect Manager Signature: 9..,..r, L. AI_ ,..„,, 9 City of Huntington Beach American IntegratedServices,Inc. Miley Keck Tank Farm Lease Closure Proposal it 4301580 . Huntington Beach,CA 5.0 References • Mosaic Co. Todd Best • 306-527-1921 Todd.best@imosaicco.com Demolition of Steel Tank Y ri \ California Steel Industries JR Rivers 909-350-6300 John riversPamericanintei?rated corn ' . \ \ ``k { Y . . r `s V \ \ 5 k: 1'' \ £: } ' • \ \ . y i 1 10 City of Huntington Beach American Integrated Services,Inc. Miley Keck Tank Farm Lease Closure Proposal#4301580 Huntington Beach,CA • . 6.0 AIS Contractors License . . . . . ? .ii...;.i,••, ..... . ,i,...4.-.. ,....;:., a• , CONTRACTORS • • E :".1 STATE:LICENSE. BOARD •..., rAN,P.N.tin tr..to4t*-r.li Arg4itit ACTIVE LICENSE • . •,,, .. .... • . ,,a,„_,.......,:„ • , : —. -,........7 .,. , ... : . . : . . , . 757114 . .....• •,,, 11,if.,,,,.i.t...... .. .".„.,..• ...•• • .,. • •,,ntiVIG.0•RP . ..... .... ....... ... • • . • •• AMERICAN:INTEGRATED ;SERVICES . .. •• • • . . •. . . ... .. .. ,... A'HAZ,)-..021. 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Illustration Legend: Vow,. �� 2.Removeabove grade pipe that �% '� runs alongthe north of the - "` ^` , i :411 property line to the street. M � �, .:., w r 3.The pipeline that transportedr ? $� nuCs t�at" •-,,,..„ .4 • d^ fuel from the Civic Center to the �" A. MKTF will be abandoned by others ' '.` ., , "' totheNWcorneroftheMKTFand blind flanged- 0 .- . i %c ,kSv,t..,4vV:Aft;N,;:;.;:4',‘ 4-5,,*,,i*-1"5w.? ,6V- `' ' if- .r'Sf , :� , �� a ,. Y 4 Remove CMU secondary , j e. x ?, 4 d JG % ;_n+^ ' contatnmrrt watts to surra�nrp a L( § concrete grade&grind flush to , s. 4 k v iea e smpo h surface s ,�rv: �� , -. 5.Remove portion of chain-link rb ,� • `� ' fence at south/southwest corner a �ide ,\ O� of the containment wall. q P iH Y .kk.",, . .-:',41411;7t:'d41101944tkiitti:' '' - Iii•AlAA-t ',1"1",t,J, - ..,,ilt. t-,,,4 7,... ...... w" a - .`Qii,,,,1„. .,,,,i' , : ,; d 'coon- rs oi� s „.0'._; '_ x. P fit-``fir r; ` - 4 -r s 4.'''' ; e _ .. g, ,* : ..,` 1 , ,A-4,t ;�� .. fa= 1 4 y`'a�f` . Ufa' ' Q «+ ,"- " :> nra i 9--07,:1''[i 11:,59'4?•8�'iV, r� EXHIBIT "B" Payment Schedule (Hourly Payment) A. Hourly Rate CONSULTANT'S fees for such services shall be based upon the following hourly rate and cost schedule: Operator Lease Well API Total Cost:$t� Salvage Value,.. Net Cost,$ $ City of H B MKTF Removal of N/A S178?b6 ,21 .$1.5 458.00 $163,791.67 Faciti`es ��, City of HB MKTF Lease N/A $2b 1406 N/A $26,140.16 ';R'esto ratio n k TOTA'L $189,931.83 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 23-13803/324318 12 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. • 23-13803/324318 13 _ l s� �ity INSURANCE AND INDEMNIFICATION WAIVER 111 MODIFICATION REQUEST Hwr,7: . 1. Requested by: Risk Management 2. Date: December 18, 2023 3. Name of contractor/permittee: American Integrated Services, Inc. 4. Description of work to be performed: Decontamination/Demolition of Miley Keck Tank Farm Lease 5. Value and length of contract: $189,932 (2) month schedule 6. Waiver/modification request: $10,000 Deducible for General Liability 7. Reason for request and why it should be granted: City allows a $5,000 maximum deductible for General Liability. Please see attached financial statements. 8. Identify the risks to the City in approving this waiver/modification: Low Department Head Signature Date: APPROVALS Approvals must be obtained in the order listed on this form. Two approvals are required for a request to be granted. Approval from the City Administrator's Office is only required if Risk Management and the City Attorney's 0 ice disagree. 1. Ris Management a Approved ❑ Denied G fit% -4. - . / 2- /2' 2-3 Si ature Date 2. City Attorney's Office Approved ❑ Denied l 2"" 7Z- Z3 Signature Date 3. City Manager's Office ❑ Approved ❑ Deni ce(1/ Signature Date If approved, the completed waiver/modification request is to be submitted to the City Attorney's Office along with the contract for approval. Once the contract has been approved, this form is to be filed with the Risk Management Division of Human Resources RISK t1 t.DEC21 23k is 3:2405 Waiver Form 12/18/2023 8:28:00 AM Waiver Procedure To request a waiver,indicate here X❑and provide a brief description( 1—2 sentences)of the proposed work/project,its dollar value(if not a specific dollar amount,use an average,annual estimate or non-profit)and projected timeframe(per job or as-needed basis). For substantial dollar deductible/SIR amounts,a financial statement is required(Balance Sheet, Budget Reports,Dun&Bradstreet Repoit,etc.). Waiver Requested: Deductible limit. Our policy is written with a$10,000 deductible. Encroachment PermitD Private Property Work Permit❑ Consultant ServicesD Other: Construction Contractor Proposed Work: Decontamination/Demolition of Miley Keck Tank Farm Lease Dollar Value: $189,932 Projected Timeframe: 2 month schedule • • 106 Balance Sheet 12/91/23 American Integrated Services, Inc. Balance Sheet Period 11 At November 2023 Assets Current Assets *CASH ACCOUNTS $0.00 SBA Account(5000) 399,847.42 Cash in Bank-UB-8707 0.00 ***Startup Checking 0.00 Cash in Bank-ABB-3600 4,410,294.77 Employee Trust Account-UB-22 0.00 Oppenheimer Cash Mgmt Account 9,463,696.54 Oppenheimer Cash Mgmt 2 1,233,729.62 Money Market-UB-9571 0.00 Money Market-ABB 2,364.44 AIS-Citizens Bank 2,353,351.94 Petty Cash(Cecilia)-ABB-8101 (20,326.03) Petty Cash-UB-8561 0.00 Petty Cash(Ed Wardle) 0.00 Petty Cash(Larry Hartzel) 0.00 Petty Cash(Mark Acosta) 0.00 PC-Ed Wardle-ABB 3500 9,847.41 PC-LARRY H.-ABB 2429 6,181.14 PC-LOUISIANA 8686 1,675.04 Gulf Coast-PC Amegy 44,003.81 Cecilia-PC New (4,575.60) PC Cecilia-8901 44,362.54 Rapid Pay Cards(GCD)-3124 33,860.66 PC-Jennifer 2105 10,912.88 Rapid Pay Cards(AIS)-2238 85,139.48 Clearing 0.00 *CURRENT ASSETS 0.00 Account Receivables 29,299,617.91 ***Startup AR 0.00 Service Receivables 25,527,801.23 ***Startup SR 0.00 Unbilled Receivable 0.00 Other Receivable 79,256.00 Notes Receivables 0.00 Returned Checks/Fraud Checks 0.00 .Allowance for Doubt Account (1,135,778.24) Report 2-2-0-21 12/11/23 Ihuizenga Page 1 10:32 AM 407 Balance Sheet 12/11/23 Continued.,. Due From 374,566.75 Cost in Excess of Billings 7,018,348.95 Inventory 0.00 . ***Startup Inventory 0.00 Prepaid Insurance 3,279,247.35 Prepaid Expenses 558,712.84 Prepaid Fuel 0.00 Prepaid Federal Taxes 0.00 Prepaid State Taxes 231,003.00 Total Current Assets: $83,307,121.85 WIP Assets *WORK IN PROCESS 0.00 WIP-Costs 0.00 Total WIP Assets: 0.00 Long Term Assets *FIXED ASSETS 0.00 Investments 0.00 Right of Use(ROU)Asset 0.00 Equip Module Asset 0,00 Equipment&Machinery 31,536,316.24 Trucks&Autos 5,914,199.96 Office Equipment 144,643.40 Furniture and Fixture 65,521.60 Computers 397,495.43 Leasehold Improvements 472,203.80 Building 0.00 Land 0.00 Fixed Assets-Gulf 0.00 Fixed Assets-Gulf Region 6,941,108.53 Organizational Cost 0.00 Total Long Term Assets: 45,471,488.98 Accumulated Depreciation *ACCUM DEPREC 0.00 Equipment Accum Deprec 0.00 Accum Deprec-M&E (26,740,410.14) Accum Deprec-Trucks&Auto (5,159,127.29) Accum Deprec-Office Equipment (28,859.34) Accum Deprec-F&F (49,096.13) Accum Deprec-Computers (391,259.11) Accum Amort-Leasehold Imp. (514,315.81) Report 2-2-0-21 12/11/23 Ihuizenga Page 2 10:32 AM 408 Balance Sheet 12/11/23 Continued... Org Cost Amortization 0.00 Total Accumulated Depreciation: (32,883,067.82) Net Long Term Assets: 12,588,421.14 Other Assets *OTHER ASSETS 0.00 Deposits 271,485.09 Equipment Clearing 0.00 Receivable from PDHInvictus 1,829,964.23 Goodwill 408,750.00 Accumulated Amortization-Goodwill (97,500.00) AIS-TN&A JV-Investment 0.00 AIS/TN&A JV Distribution 0.00 Prepaid Income Tax-FTB 0.00 Allowance for Bad Debt(LT AR) (700,000.00) Suspense 76,294.43 Right of Use(ROU)Asset 196,121.00 Total Other Assets: 1,985,114.75 Total Assets: $97,880,657.74 Liabilities Current Liabilities *CURRENT LIABILITIES 0.00 Accounts Payable 4,997,307.33 *Startup AP 0.00 Accrued Accounts Payable 87,093.79 Notes Payable 419,096.35 Notes Payable(Leases) 0.00 Notes Payable(Cap Leases) 13,386.33 ST Lease Liability 65,233.00 Due to Officers-DH 0.00 Customer Deposits 89,770.63 Sales Tax Payable 0,00 Use Tax Payable 1,644.73 State Income Taxes Payable 144,499.58 Billings in Excess of Costs 3,003,352.97 Wages Payable 0.00 FIT Withholding 0.00 Medicare Payable 0.02 FICA Payable (0.01) FUTA Payable 0.00 Report 2-2-0-21 12/11/23 Ihuizenga Page 3 10:32 AM • 409 Balance Sheet 12/11/23 Continued... SIT Withholding-CA 0.00 SIT Witholdings 0.00 SUI/ETT Payable 0.00 SUI/ETT Payable 119.86 SDI Payable (3.06) Health/Dental Benefits Payable 14,907.25 Benefits Payable(by Employee) 0,00 401k Withheld 42,431.58 401K Loan Payments 11,608.39 Garnishments Payable (3,125.05) Worker's Comp Payable 527,183.50 Commissions Payable 0,00 Commissions Payable 0.00 Other Payables 104,423.68 Due To 18,410.50 Scrap Proceeds Due 35,874.05 Vacation Dues 13,147.06 Unapplied Cash 4,763.88 Deferred tax-current 583,000.00 Deferred tax-long term (297,622.00) Accrued payroll 0.00 Accrued P/R Taxes 0.00 Accrued 401K Profit Sharing 626,814.64 Accrued Payroll Liabilities 0.00 Accrued Vacation Payable 962,117.17 Accrued Sick Pay 0.00 Bonus Accrual 0.00 Accrued Expenses 884,583.37 Accrued Insurance 0.00 Accrued Interest 0.00 CitiBank 0.00 AMEX Business Management 0.00 AMEX Platinum 0.00 Chase(Southwest Airlines) 0.00 Union Bank 0.00 FEDEX 0.00 Hotel Engine 0.00 Shell 0.00 Wex 0.00 Home Depot 0.00 Divvy 0.00 DEFERRED COMPENSATION LIABILITY 0.00 • Total Current Liabilities: 12,350,019.54 Long Term Liabilities *LONG TERM LIAB 0.00 Report 2-2-0-21 12/11/23 Ihuizenga Page 4 10:32 AM 410 Balance Sheet 12/11/23 Continued... Equip LT Liab 0.00 Notes Payable-UT 4,939,751.43 Notes Payable-LT(Leases) 192,921.79 Notes Payable-Shareholder 0.00 Deferred Comp Liability 245,083.00 LT Lease Liability 133,808,00 Total Long Term Liabilities: 5,511,564.22 Total Liabilities: 17,861,683.76 Equity Equity/Capital *EQUITY 0.00 Common Stock 1,500.00 Treasury Stock (13,039,998.67) Paid in Capital-David H. 1,096,928.61 Distribution-DH (14,649,192.85) Distribution-OR 0.00 Distribution DH Trust (3,139,113.44) Distribution LH Trust (3,139,113.44) Distribution IH Trust 0.00 Distribution SH Trust 0.00 Retained Earn. (Current Year) 73,693,192.16 Accumulated Earnings PYs 12,753,915.75 ***Startup Equity 0.00 Subtotal Equity/Capital: 53,578,118.12 Owner's Drawing/Dividend *OWNERS DRAWING 0.00 Total Owner's Drawing/Dividend: 0.00 Current Profit(Loss): 26,440,955.86 Total Equity/Capital: 80,019,073.98 Total Liabilities+Equity: - $97,880,657.74 Report 2-2-0-21 12/11/23 Ihuizenga Page 5 of 5 10:32 AM 411 •,r ® DATE(MMIDDIYYYY) A ! E) CERTIFICATE OF LIABILITY INSURANCE 8/31/2024 12/7/2023 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 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER Lockton Insurance Brokers,LLC NAMEaCT 777 S.Figueroa Street,52nd Fl. PHONE C.No.Ext): WC.Not: CA License#OF15767 E-MAIL Los Angeles CA 90017 ADDRESS: (213)689-0065 INSURER(S)AFFORDING COVERAGE NAIC 0 _ INSURER A:Nautilus Insurance Company 17370 INSURED American Integrated Services,Inc. INSURER B:Key Risk Insurance Company 10885 1319084 1502 B.Opp Street INSURER C:Great Divide Insurance Company 25224 Wilmington CA 90744-3927 INSURER D: INSURER E: INSURER F: COVERAGES AMBINO5 CERTIFICATE NUMBER: 20116555 REVISION NUMBER: XXXXXXX 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. INSRLT TYPE OF INSURANCE NSD INVO POLICY NUMBER (ER MM!DDIYYYY) IMMIDDNYYY) ADDL LIMITS A X COMMERCIAL GENERAL LIABILITY y N ECP2041242-10 8/31/2023 8/31/2024 EACH OCCURRENCE $ 1,000,000 DGE RENTED CLAIMS-MADE X OCCUR PREMISES{Ea occurrence) $ 100,000 X Po11./Prof.Liab. MED EXP(My one person) $ 5,000 X Deductible:S 10K PERSONAL&ADV INJURY $ 1,000,000 GEM AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X JECT LOG PRODUCTS-COMP/OP AGO $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY Y N BAP2041402-10 8/31/2023 8/31/2024 Ea M IIINdED SINGLE LIMIT $ 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ XXXXXXX OWNED SCHEDULED BODILY INJURY(Per accident) $ XXXXXXX AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ XXXXXXX AUTOS ONLY - AUTOS ONLY (Per accident) $ XXXXXXX — A UMBRELLALIAB X OCCUR N N FFX2041243-10 8/31/2023 8/3I/2024 EACH OCCURRENCE $ 15,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 15,000,000 DED RETENTIONS Deductible $ 0 WORKERS COMPENSATION Y X 1 PEATUTE ERH C AND EMPLOYERS'LIABILITY YIN WCA2041241-10 9/1/2023 9/1/2024 ANYY IPROPRIETOR EXCLUDE ECUTIVE y NIA E.L.EACH ACCIDENT $ 1,000,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 U yyes,describe under E.L.DISEASE-POLICY LIMIT $ 1,000,000 bESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is recurred) Contractor's Pollution and Professional Liability arc included in the OL policy:Pollution Liability Limit:SI,000,000 Each Occ.SI,000,000 Agg,with S25,000 Ded,and Professional Liability Limit: SI,000,000 Each Occ.$I,000,000 Agg.with$25,000 Ded.The City of Huntington Beach,its officers,elected or appointed officials,employees,agents and volunteers are Additional Insured(s)as per the attached endorsement or policy language.Insurance provided to Additional Instmcd(s)is primary and non-contributory as per the attached endorsements or policy language.Waiver of subrogation applies as per the attached endorsements or policy language,where allowed by law.Notice of Cancellation applies as per attached endorsement or policy language. CERTIFICATE HOLDER CANCELLATION See Attachments SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20116555 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 REPR I ©1 88-201 C D CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD - 412 Attachment Code:D638427 Certificate ID:20116555 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL:;INSURED:-:OWNERS, LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION ONGOING OPERATIONS COVERAGE A, B, Policy Number Policy Effective Date Policy Expiration Date Endorsement Effective Date • ECP2041242-10 8/31/2023 8/31/2024 12/7/2023 This endorsement modifies Insurance provided under the following: ENVIRONMENTAL COMBINED POLICY SCHEDULE Name Of Additional Insured Person(s) Or Location(s) Of Covered Operations Organization(s) City of Huntington Beach, its officers, elected or appointed Miley Keck Tank Farm officials, employees,agents, and volunteers 19081 Huntington Street Huntington Beach. CA 92648 I. SECTION III—WHO IS AN INSURED is amended to include as an additional insured,the person(s)or organization(s) shown in the SCHEDULE,with whom you have agreed under a written contract or written agreement, in effect during this policy period,that such person(s)or organization(s)be added as an additional insured on this policy. Such contract or agreement must be executed and in effect prior to the performance of your work which is the subject of such contract or agreement. The insurance provided to the additional insured person(s)or organization(s)applies only with respect to liability for bodily injury or property damage covered under SECTION I—COVERAGE A—BODILY INJURY AND PROPERTY DAMAGE,Coverage D.1 —Contractors Pollution Legal Liability and Coverage D.4—Microbial Substance Contractors Pollution Liability, or personal injury or advertising injury covered under SECTION I—COVERAGE B— PERSONAL AND ADVERTISING INJURY LIABILITY directly caused by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s)at the location(s)designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. We will not extend any insurance coverage to any additional insured that is not provided to you in this policy;and 3. 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. II. With respect to the insurance afforded to these additional insureds,the following additional exclusions apply: This insurance does not apply to bodily injury or property damage occurring after: a. All work, including materials, parts or equipment furnished in connection with such work, on the project(other than service, maintenance or repairs)to be performed by or on behalf of the additional insured(s)at the location of the covered operations has been completed;or b. That portion of your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. III.With respect to the insurance afforded to these additional insureds,the following is added to SECTION V—LIMITS OF INSURANCE: The most we will pay on behalf of the additional insured is the amount of Insurance: 1. Required by the contract or agreement;or 2. Available under the applicable limits of insurance; 413 Attachment Code:D638427 Certificate ID:20116555 whichever is less. This endorsement shall not'Increase the applicable limits of insurance. IV.With respect to the insurance afforded to these additional insureds,the following is added to SECTION VI— REPORTING, DEFENSE, SETTLEMENT&COOPERATION: 1. Duties—Additional Insured An additional insured must see to it that: a. We are notified In writing as soon as practicable of an occurrence or offense which may result in a claim or suit; b. We receive written notice of a claim or suit as soon as practicable;and c. A request for defense and indemnity of the claim or suit will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured, If the contract or agreement requires that this coverage be primary and noncontributory. V. SECTION VII—CONDITION 10.—Other Insurance Is amended by the addition of the following which supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance Is primary to and will not seek contribution from any other insurance available to the additional insured person(s)or organization(s)shown in the SCHEDULE of this endorsement provided that: 1. The additional insured person(s)or organization(s)is a Named Insured under such other insurance; and 2. You have agreed in writing in a contract or agreement, in effect during this policy period,that this insurance would be primary and would not seek contribution from any other insurance available to the additional Insured person(s) or organization(s). Such contract or agreement must be executed and in effect prior to the performance of your work which is the subject of such contract or agreement. However, this provision does not apply if the other insurance available to the person(s)or organization(s)Included as an additional Insured is Owners and Contractors Protective Liability, Railroad Protective Liability,or similar project- specific, primary insurance. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. ECP 1247 01 21 Includes copyrighted material of Insurance Services Office,Inc.,used with Its permission. Ode 2 of 2 Attachment Code:D638428 Certificate ID:20116555 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED-OWNERS, LESSEES OR CONTRACTORS,. SCHEDULED PERSON OR ORGANIZATION -- COMPLETED OPERATIONS-COVERAGE A, Policy Number Policy Effective Date Policy Expiration Date Endorsement Effective Date ECP2041242-10 8/31/2023 8/31/2024 12/7/2023 This endorsement modifies insurance provided under the following: ENVIRONMENTAL COMBINED POLICY SCHEDULE Name Of Additional Insured Person(s) Or Location(s)And Description Of Completed OrganizatIon(s): Operations: City of Huntington Beach, its officers, elected or appointed Miley Keck Tank Farm officials, employees,agents, and volunteers 19081 Huntington Street Huntington Beach.CA 92648 I. SECTION III—WHO IS AN INSURED Is amended to include as an additional insured,the person(s)or organization(s) shown in the SCHEDULE,with whom you have agreed under a written contract or written agreement, in effect during this policy period, that such person(s)or organization(s)be added as an additional insured on this policy. Such contract or agreement must be executed and in effect prior to the performance of your work included in the products- completed operations hazard which is the subject of such contract or agreement. The insurance provided to the additional insured person(s)or organization(s)applies only with respect to liability for bodily injury or property damage covered under SECTION I—COVERAGE A—BODILY INJURY AND PROPERTY DAMAGE LIABILITY,Coverage D.1 —Contractors Pollution Legal Liability and Coverage D.4—Microbial Substance Contractors Pollution Liability,directly caused by your work at the location designated and described in the SCHEDULE of this endorsement performed for that additional insured and included in the products-completed operations hazard. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. We will not extend any insurance coverage to any additional insured that is not provided to you in this policy;and 3. 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. II. With respect to the insurance afforded to these additional insureds, the following is added to SECTION V—LIMITS OF INSURANCE: The most we will pay on behalf of the additional insured is the amount of Insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. III.With respect to the insurance afforded to these additional Insureds,the following is added to SECTION VI— REPORTING, DEFENSE,SETTLEMENT& COOPERATION: 1. Duties--Additional Insured An additional insured must see to it that: a. We are notified In writing as soon as practicable of an occurrence which may result in a claim or suit; b. We receive written notice of a claim or suit as soon as practicable;and c. A request for defense and indemnity of the claim or suit will promptly be brought against any policy issued by 415 Attachment Code:D638428 Certificate ID:20116555 another insurer under which the additional insured may be an insured in any capacity.This provision does not apply to insurance on which the additional insured Is a Named Insured, If the written contract or written agreement requires that this coverage be primary and noncontributory. IV.SECTION VII—CONDITION 10.—Other Insurance is amended by the addition of the following which supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to the additional insured person(s)or organization(s)shown in the SCHEDULE of this endorsement provided that: 1. The additional insured person(s)or organization(s)is a Named Insured under such other insurance;and 2. You have agreed in writing in a contract or agreement,in effect during this policy period,that this insurance would be primary and would not seek contribution from any other insurance available to the additional Insured person(s) or organization(s). Such contract or agreement must be executed and in effect prior to the performance of your work included In the products-completed operations hazard which Is the subject of such contract or agreement. However, this provision does not apply if the other insurance available to the person(s)or organization(s)included as an additional Insured is Owners and Contractors Protective Liability, Railroad Protective Liability, or similar project- specific, primary insurance. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. ECP 1249 01 21 Includes copyrighted material of Insurance Services Office,Inc.,used with its permission. ri&Oe 2 of 2 Attachment Code:D501438 Certificate ID:20116555 POLICY#ECP2041242-10 behalf of or for the benefit of you or others,to determine or warrant that such property or operations are safe or in compliance with environmental law, or any other law. b. We may be permitted,but not obligated,to interview persons employed by the insured; c, The insured agrees to provide appropriate personnel to assist our representatives during any inspection. 8.Legal Action Against Us No person or organization has the right under this policy: a. To join us as a party or otherwise bring us into a suit asking for damages from an insured;or b. To sue us on this policy unless all of its terms have been fully complied with. A person or organization may sue us to recover on an agreed settlement or on a final judgment against an Insured;but we will not be liable for damages that are not payable under the terms of this policy or that are in excess of the applicable limit of insurance. An agreed settlement means a settlement and release of liability signed by us,the Insured and the claimant or the claimant's legal representative. For purposes of this condition, a consent judgment, stipulated judgment, agreed judgment, consent decree or consent order reached without our written agreement is neither an agreed settlement nor a final judgment. 9.Limitation of Damages Our damages for extra-contractual liability,bad faith, or similar damages under this policy is limited to one(1)times the relevant policy limit applicable to the underlying matter. 10.Other Insurance With respect to COVERAGES A,B and C,if other valid and collectible insurance is available to the Insured for a loss we cover under COVERAGES A,B or C of this policy,our obligations are limited as follows: a.Primary Insurance This insurance is primary except when Paragraph (2) below applies. If this insurance is primary, our obligations are not affected unless any of the other insurance is also primary. Then, we will share with all that other insurance by the method described in Paragraph(3)below. b.Excess Insurance (1)This insurance is excess over: (a)Any of the other insurance,whether primary,excess,contingent or on any other basis: (i) That is Fire, Extended Coverage,Builder's Risk,Installation Risk or similar coverage for your work; (ii) That is Fire insurance for premises rented to you or temporarily occupied by you with permission of the owner; (iii) That is insurance purchased by you to cover your liability as a tenant for property damage to premises rented to you or temporarily occupied by you with permission of the owner;or (iv) If the loss arises out of the maintenance or use of aircraft, unmanned aircraft, autos or watercraft to the extent not subject to Exclusion a. of SECTION I - COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE LIABILITY. (b)Any other primary insurance available to you covering liability for damages arising out of the premises or operations, or the products and completed operations,for which you are an additional insured. (2)When this insurance is excess,we will have no duty under this policy to defend the insured against any suit,if any other insurer has a duty to defend the insured against that suit. If no other insurer defends,we will undertake to do so,but we will be entitled to the insured's rights against all those other insurers. (3) When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, If any, that exceeds: (a) The total amount that all such other insurance would pay for the loss in the absence of this insurance;and (b) The total of all deductibles and self-insured amounts under all that other insurance. (4)We will share the remaining loss, if any,with any other Insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this policy. c.Method Of Sharing If ail of the other insurance permits contribution by equal shares, we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any of the other insurance does not permit contribution by equal shares,we will contribute by limits. Under this method,each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable Limits of Insurance of all insurers. With respect to COVERAGES D and E, if other valid and collectible insurance is available to any insured covering bodily injury, property damage, loss, cleanup costs, emergency remediation costs, claim(s), suit(s), damages and/or Supplementary Payments, Including but not limited to defense costs,also covered by this policy, other than a policy that is specifically written to apply in excess of this policy,the insurance afforded by this policy shall apply in ECP 1200 03 22 Page 27 of 37 417 Attachment Code:D564113 Certificate ID:20116555 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION TO DESIGNATED PERSON OR ORGANIZATION Policy Number Policy Effective Date Policy Expiration Date Endorsemen Dat e Effective e ECP2041242-10 8/31/2023 8/31/2024 8/31/2023 This endorsement modifies insurance provided under the following: ENVIRONMENTAL COMBINED POLICY The following is added to SECTION VII-CONDITIONS 2.Cancellation: SCHEDULE Number of Days Advance Notice Of Cancellation: thirty(30)Days Name and Address of Designated Person(s)or AS PER SCHEDULE ON FILE Organization(s): Additional Premium: $0 In consideration of the payment of an additional premium, and notwithstanding anything contained in the policy to the contrary, it is understood and agreed that if we cancel this policy on or before the expiration date set forth in the Declarations, we will mall or deliver to the first Named Insured at the last known address, and the person(s) or organization(s) at the address designated in the SCHEDULE above, written notice of cancellation not less than the number of days shown in the SCHEDULE before the effective date of cancellation. Proof of mailing of notice shall be sufficient proof of notice. The effective date and hour of cancellation stated in the notice shall be the end of the policy period. This endorsement shall not apply if: 1. We cancel due to non-payment of premium,or 2. The policy is non-renewed for any reason. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. ECP 1234 10 21 Includes copyrighted material of Insurance Services Office,Inc.,used with Its permission. Page 1 of 1 418 Attachment Code:D472048 Certificate ID:201 16555 POLICY#BAP2041402-10 BENV CA 06 ENDORSEMENT This endorsement forms a part of the policy to which it is attached. Please read it carefully. Business Auto -Additional Insured When Required by Contract or Agreement This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM Section II—Liability Coverage A.—Coverage, 1.Who is an Insured, is amended to add: d. Any person or organization 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, excluding contracts or agreements for professional services,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 your operations or premises owned by or rented to you. 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. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. includes copyrighted material of Insurance Services Office,Inc.,used by permission BENV CA 06 Page 1 of 1 419 Attachment Code:D507015 Certificate ID:20116555 COMMERCIAL AUTO CA04491116 POLICY#BAP2041402-10 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY OTHER INSURANCE CONDITION 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. A. The following is added to the Other Insurance B. The following is added to the Other Insurance Condition in the Business Auto Coverage Form Condition in the Auto Dealers Coverage Form and and the Other Insurance — Primary And supersedes any provision to the contrary: Excess Insurance Provisions in the Motor This Coverage Form's Covered Autos Liability Carrier Coverage Form and supersedes any Coverage and General Liability Coverages are provision to the contrary: primary to and will not seek contribution from any This Coverage Form's Covered Autos Liability other insurance available to an "insured" under Coverage is primary to and will not seek your policy provided that: contribution from any other insurance available to ' 1. Such "insured" is a Named Insured under such an"insured"under your policy provided that: other Insurance; and 1. Such "insured" is a Named Insured under 2. You have agreed in writing in a contract or such other insurance; and agreement that this insurance would be 2. You have agreed in writing in a contract or primary and would not seek contribution from agreement that this Insurance would be any other insurance available to such"insured". primary and would not seek contribution from any other insurance available to such "Insured". CA 04 4911 16 ©Insurance Services Office, inc.,2016 Page 1 of 1 420 Attachment Code:D576883 Certificate ID:20116555 ENDORSEMENT Policy#BAP2041402-10 This endorsement forms a part of the policy to which it is attached.Please read It carefully. • NOTICi_ I O O IN1~RS OF eANUELLA i ION,T1ONKI_NEWAL OR MA 11KIAL,UHANGI Business Auto Policy If we cancel, non-renew or make a material change to the policy,we will provide written notice of same to the person(s)or organization(s) listed in the SCHEDULE below. The Notice will provide the effective date/hour of the cancelation/non-renewal/material change, and will be sent by Certified Mail—Return Receipt Requested, in accordance with the SCHEDULE below. Proof of mailing will be sufficient proof of notice. For purposes of this endorsement only, "material change"means a change to: • Policy term; • Removal of a Coverage Section; • Reduction in any of the Limits of Insurance specified in ITEM 2. Schedule of Coverage and Covered Autos on the Declarations page, or a reduction in any of the Limits of Insurance as modified by endorsement,where said reduction is not the result of a reserve or payment of claim(s) or claim expenses; or • Removal of an insured specifically identified by name in the policy. • SCHEDULE Name and Address of Other Person(s)or Organization(s): Number of Days'Prior Notice: PER SCHEDULE ON FILE ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. Includes copyrighted material of Insurance Services Office,Inc.,with Its permission. BENV CA 13(01 23) Page 1 of 1 421 Attachment Code:D576966 Certificate ID:20116555 • WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY ENDORSEMENT -NOTICE TO OTHERS OF CANCELLATION, NONRENEWAL OR MATERIAL CHANGE • This endorsement is used to add the following to Part Six of the policy. PART SIX CONDITIONS If we cancel, non-renew or make a material change to the policy, we will provide written notice of same to the person(s)or organization(s)listed in the SCHEDULE below. The Notice will provide the effective date/hour of the cancelation/non-renewal/material change, and will be sent by Certified Mail—Return Receipt Requested, in accordance with the SCHEDULE below. Proof of mailing will be sufficient proof of notice. For purposes of this endorsement only, "material change"means a change to: • Policy period; • Removal of a Coverage Section; • Reduction in the Limits of Insurance for Coverage B, Employer's Liability, specified in Coverage 3.B on the Worker's Compensation Information Page, where said reduction is not the result of a reserve or payment of claim(s); or • Removal of an insured specifically identified by name in the policy. SCHEDULE Name and Address of Other Person(s)or Organization(s): Number of Days prior Notice: PER SCHEDULE ON FILE All other terms and conditions of this policy remain unchanged. Endorsement Effective 9/1/2023 Policy No.WCA2041241-10 Endorsement No. Insured American Integrated Services,Inc. Premium$ Insurance Company:Great Divide Insurance C Countersigned by: 422 WC 99 06 08 CA(01 23) Miscellaneous Attachment:M71951 Certificate ID:20116555 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY (Ed.04-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy.We will not enforce our right against the person or organization named in the Schedule.(This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 2%of the California workers'compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description PER SCHEDULE ON FILE Notes: 1.This endorsement may be used to waive the company's right of subrogation against named third parties who may be responsible for an injury. 2.The sentence in ()is optional with the company. It limits the endorsement to apply only to specific jobs of the insured,and only to the extent that the insured is required to obtain this waiver. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below Is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective:9/1/2023 Policy No.WCA2041241-10 Endorsement No. Insured:American Integrated Services, Inc. Insurance Company: Great Divide Insurance Co. Countersigned By WC 04 03 86(Ed.84) 423 - � E�°�� City of ._- .untington Beach �, 2000 Main Street ♦ Huntington Beach, CA 92648 o a =- - - - (714) 536-5227 ♦ www.huntingtonbeachca.gov tr0 .- z 9t� a C 4rtse.. `cthe City Clerk FcouNT ' G9 Rollin Estanislau,ce City Clerk February 29, 2024 American Integrated Services, Inc. Attn: Joseph Reilly 1502 E. Opp Street Wilmington, CA 90744 Dear Mr. Reilly: • Enclosed is a fully executed copy of the Service Agreement between the City of Huntington Beach and American Integrated Services, Inc. for Miley Keck Tank Farm Closure, approved by City Council on February 20, 2024. Sincerely, • Ilkltt, 9A044,11410-44) Robin Estanislau, CMC City Clerk RE:ds Enclosure • Sister City: Anjo, Japan „,,,,......,„ TIN 0N G 70%•• •• 4, \ c ••••••�c.pRP0RATF •••• o • 6' Economic Feasibility of ________ ___ ___ __ ••. <) _ _ --- - •• 37 \ Oil Wells Owned and , ,„ ,, _1 � A � ; ' Operated by the City ____ _ _ __ _____ _ ,_ _ _ . _____ _ __ _ _ __. .. _____ • _______ _ • qc- ,, ^ , ”- . /, )/r , , Scott M. Haberle, Fire Chief -- Thomas Walker, Evans and Walker \,ta � :• Study Session - March 21 , 2023 F •••• Ct ,,# 0 U NTH( �ii4/// Table of Contents • Background • Civic Center & Huntington Beach Oil Field . • Analyzing Civic Center Oil Operations g, • Conditions Assessment �, - :...�, • Cost to Reactivate Oil Production & Plan to ! i Resume Operations } - • Options '•b=y,i, »#-:i *it 4 r ---- 19„ 441.. r - , T t . ..A..41',.. - __ ! -t L �I7 ' T`', ..I " , ` .iCB3' i e. N. ...tea • ,:.'i'' � '�."�. _ i+'"'.` - Yt .�"x!''.W "`w SC .01 1 f..�^wv`'+= i-wS !' it +1� z i { ', f j . `>i• I . 1 R ( I \ °T I N G — T o � \\�.••'�pRPORgessesseseT��.�4/ Ilk ,ep ‘ Ilk • ___- -... 4,7niii.'ii ,„ t C) \ ,r rif l • -- - - - Background _�_ / )1) ': ? JP _ -- • . Apb tv 'S) if I 1' 0 1 Necu. 77, i9o ;) , •• \<.e In. •••• V I Ct ,,i / 0 P O O low N T�f 4wii�// Huntington Beach Oil Field J i , , , ,-,__,:.,,,,,„,,-,-,--.,,._,,,a,,....._-_,,,i� Oil 3,480 barrels voirADiscovered . Water 147,670 barrels 42 ��1 1920 v 223 active wells r Xs- i11 Gallons= 1 Barrel 1,tr 1,',64"', (BBL) o ! 10 KILOMETERS 4 1. , , t 1... ' 86% produced water— re-injected _ _ �A* ", Id , �` 46 injection wells -It >�4 � .s Civic Center— never injected but -�_ benefited from nearby water injection _ ��to IN GTO "i � . ' .. " .,,.. Opt •to..,,,,?B �' cGUNTY cP"- Civic Center Wells Civic Center 3 Civic Center 2 Civic Center 1 1 2M21.636 N1 ?, .�_.,.,..�� JJ YYY Goa,aEs* t�..i -�fl 1 f(aa:tr4 l 1 I7g"' • 4\l _ I�lrt. .l_ ;�.u....te!:r1'7`:_ ' '' . .t. %Yr . " t _ untmgtonBeach A s The City owns three oil wells, the Civic i •L1Jf I IA :�� nnpoe 8.crh,CA J .r t -�•11� ° Center 1 , 2 & 3 "4, '` y• r • The wells are located in the Civic Center Rif, it T 41. 'f 4^a w= K " .4. ,A of s� �': parking lot -- IV I�` >.l ` S ~ � t':a; r In .1 �_ d ,t 4 ,, al tt1t -' • jts t, . • _i` 4: ' 1 ,z • The wells were acquired as a part of the t s` City acquisition of the Civic Center r r property in 1971 A Huntimtan 7 + 1 �' �.�" EIRI h Efennrnic '1��t � ..{. � ` bC we Genre.,• {�!. r f r t _ r'e L , t....t-. .-. . )1,1 kf. :b —,,, .1...:-i.7::- '..1,:-;1117 ' .1 :,:7,7 ."—4 7,!..-:::_Lk;t-... 17: 41111-fl 1 1 1 GO EMtit 1 60m t Came&396m 33'Po•83'N1trarum 18m 9 ~� ---- -- 9\ Geom.IaE.1 n ` t ntzlb.e.,ya mn+.,e.`s.mio,m,..m4/10t88 ram V 11189. 815W/07 O 7 n1e.178111m10.1.En(�W YpIM1trC�lFULCVw.9�'7t�NaI�tCQI�VIIHutQONWYIrCII\3._ ,11 O....''+ C 1 9i _� ,ouNTY cl>11 Five Areas of Interest in Analyzing Oil Operations i ,,,••A M 111 I .0. ►�� .\/... ►i ► 4lit 41° i • I&O c t Process Oil, Gas Product Operating Assess and Water Pricing Expenses Condition Production Anatomy of Production , pim;,,n - J ilarse hd '• Gear * NI im10.2 , , Mowr -. ... ,t Valuta i ., . - '.141iLl Wellhead- eea - '--r- -4- - - , . , "ff''' ..' :': Z',7,111;?i:V h ;i4V Casing 4 .1 Tubing .1.,.:.:?..1g.... I 1 ..,. ....,... Sucker rod `.:.',. .--'-'-`, 1 1 r :',•-::-. Cement 7,:;. ::x:,.',... 1 I -,'..,‘•a% .....,........,r,„-- . ,...:.,Pump *Tv.,ik:t&. 't '' .e.• "--7....*:•-: .;.-7: ; :-.1-,......i, li. Oil SDnii - .kr.'- V.11: °''‘‘..t ...... 0 ".. 1,•-.Lf-,.,.,,• ,' .. ,0 N E \ s'-',.'''-, ....•••<",' ---cou-riii-0*•\>' Process Water Gas Water Discharge to Flared Pretreated—Gravity Separation Sanitary Sewer * * +MM ..,, it T. ..,.._ 411,--7-'611:- ' .7.! k • y, , - , �. ,� ij, , +� .�, / � ::.:6- if .i ::-:.• i ; hi,, 1 i F; ix >� i Ilf I-- r 46. ._ _ _.. rii .v_ i P . Ilk, Production Fluid Oil Sold Pipeline to Tank Farm (via Truck) Production Fluid + Gas ��KTINGTp -- me (11%oil/89%water) Pay 1/6 Royalty 9 Gathered from 3 wells 9 _.....: � To Mineral Rights Lease coniiiit - Process _ ,...T-1,, +.!...• •'.•••••01;1-='.1. -0,-.r 1} , - ' • Barfield f1: l� . r .Y.E� _ '� Miley Keck Tank Farm T ,r�L. Myr '-y 14 *W., `. • Civic Center Oil Wells , j. A, d l;, `x',�� _ 1.'s..(1-.;7. I °--,..• .4, ... '.(2-r,s-,,!..- ,,,,......^1.-, ,p.,, , LA '1• 7-Tilkyj.""4",' 1 4' Im .:-Lt4ik..lirr, N 4-e ;liA sa;. ' :. • ,..-..Z Vy r ©h Pipeline " i A •au� ,•Y. x7 _ i. ! t Connecting wells to tank farm E , �„ y*`,}x '.�; �" Appx.%Z mile, 6" steel pipe i irk L' ' �p� , '.,5 , v ,� 'l( rr‘ ii A- `i � i ' r i& A A. a »,n A * ie ' t 3 '• f� � �rt..' _{ - ....`{ ii " - *' j4,,, , EbIt i i '' i , ="R,„,-,-.,*...'',, :•...r__,.., ,...ry1,--„,- r .: , " -_ �4 ' ,g, ce •:2,.... .3_,..1 .I. mr:. 4.7. __ , ....,-.1:7. . , ,i,_._,‘_i---- ,.,,,,r',,,,..,- . ?.. ,...--i. .._ Angus Petroleum . ' . `' z -,, . =i ; ac. X" ` Springfield Unit —: � 1€�, k F L� a "+ •41 ` i ��r'�UNTING,Dy_ Nearest water injection wells ' �, _ � t ys .•. t''"' °E 89=; _jit....-.... • - `.cg �Up ��i_.w ...ak .s ,. Production - Springfield Unit held: 9vnsingcon hacb [aaa Nava: Spainyfield Un_c Ne11: all Ov ASOF(NOHy ._,___;I. _ Mg z—z* m '� Operator ceased water t..2 '� injection (pressure support) M in July 2017 r "`'�'' Oil production dropped -,,,,Thiw.., significantly- shortly after . �, the loss of pressure support r [ . fl '--• rt p._ Lit III III I l l I l l II III III 5 5 a i J 5 L 9 i i i i 5 U 1// Ii �N iINGTp 09 10 11 12 13 14 15 16 17 16 19 20 21 22 11�`T aims 011 Cum: 1,e5'.5e mb1 E-at ea,ova 5u.a_NNce 11 O: BF` Oil Nam: 0.09 Imb1 Gas Nu: 0.0:IMcf a Oil CUR: 1.150 55 Nhbl Gas CUR: 047.41 YNc£ 11~ : %0: %Q `-_ u-6 c,,,,,'1 Production - Civic Center Civic Center lease averaged 16.4 barrels of oil per day from C.eld: Buntingtcu Beach hell All January 2010 through June : oo. 2017 (prior to loss of pressure R = support) ii3 84 Civic Center lease averaged 5.5 . i i i . il im k 8 L barrels of oil per day from July 1hh Nm i i (after207 t loss ofroug pressureove ber support).2021 P ,I; j .I .k - This is a decrease of 10.9 1 barrels of oil per day. Ill E E E 1 1 1 Ill Ill ill lit ill I . 1 1, LL 1 10 11 12 13 14 1S 16 17 .8 19 20 21 22 ��, NTINGT 9vt Gas C. 2'4."")BEcf l�f.Q.._ 0y 01L o_.,: :.C_Mbbl 6 0::Mttcf ,l 0_ 8\ Oil CUR: 51'."3 Vbb_ Ca UR: :^4. "104cf . ' •yf Z\ u \ G Q \�- Ou i' t .'ll Product Price Historical and Forecast Oil Prices 140.00 120.00 J -tn. 100.00 2 80.00 -a 60.00 /4 v a 40.00 ‘AVA 20.00 Jan-14 Jan-15 Jan-16 Jan-17 Jan-18 Jan-19 Jan-20 Jan-21 Jan-22 Jan-23 Jan-24 Jan-25 Jan-26 —Brent Spot Price,$/BBL —City of HB Oil Price,$/BBL —Differential(Brent minus HB),$/BBL ♦ Avereage Differential,$/BBL • NYMEX Brent Futures Prices(Avg of Weds in Dec 2022) • Forecast of HB Oil Price,$/BBL Produ ction and Gross Revenue - Civic Center ., Year ._ .„ . (Paid), = Barre 2015 $41.29 5,463 $225,560 2016 $29,41 4,680 $137,643 Loss of injection support 2017 $42.33 5,460 $231,138 from Springfield Unit �._w.�� Mid-2017 2018 $61.71 2,133 $131,626 2019 $58.87 2,130 $119,009 2020 $27.00 1,470 $39,687 _ '��,UUNTINGI d�; 2021 $61.26 1,223 $74,923 '��F ....,.,._�y pQ `--tEcoNTY t,,,,/ Average Monthly Revenue • Gross Revenue, $ 25,000.00 Loss of injection support from Springfield Unit 20,000.00 Collapse in oil prices 15,000.00 due to Covid-19 i 10,000.00 5,000.00ill I 2015 2016 2017 2018 2019 2020 2021 „N�NIINGTp4, i' 11 \_coUNTV te,,,' Average Monthly Revenue, Expense, and Net Profit •Gross Revenue,$ ■ Expenses(including CaIGEM Assessment and Royalty Payment),$ G Net Profit, $ 30,000.00 25,000.00 20,000.00 15,000.00 10,000.00 5,000.00III II II II J J 11(5,000.00) , 1 1 (10,000.00) (15,000.00) (20,000.00) 2015 2016 2017 2018 2019 2020 2021 2022 A.-. ;Nei': i;i 'n. *Does not include staff cost. , 2a; Q���cDUNTV i:', ' Monthly Operating Expenses Expense Monthly Cost Tank battery lease $7,150 Pumper charge $3,800 Maintenance $5,550 Compliance $2,200 Total $18,700 ,,��µnricroy 'CAmu Remaining Reserves (Capacity • Reserves (SPEE) "Those quantities of petroleum anticipated to be commercially recoverable by application of development projects to know accumulations from a given date forward under defined conditions. " Not -;:,ems: .. No Economic Reserves • Civic Center is not economic and therefore reserves are zero oFUUNTNGTyBv • Civic Center will produce 5.5 BBLs/day with full production 20F�U0NTV UP,\o Decision to Halt Production 2021 -22 Factors Decision • Loss of Springfield Unit injection • Halt production • Collapse in oil prices • Investigate cost of abandonment • 3rd party economic analysis • Minimize expenditures where • Aging infrastructure possible • Potential Redevelopment • Tank farm lease expiration 2024 0,''oE�pNtwi-i0;,-, a O� i'\c "f I N,,,,.......... rodlwmb'l" ISic\ wasesseio. * mlik, c ••.••c pRPORgrp•,•• . o • 6' ‘ _ - -_ . C, Conditions /(I / • • _ • - �- • Assessment • -'yam" ,,, �1J, . tl -� E 0 a k'' •• P .• • Q F Ctt ,i0 0 NTH �ii/•0r/ ond • itmion - Wells Cost for Known Condition Assessment Well Component Condition or Maintenance Vendor Downhole Discussed in Oil Well Civic Center 1,2,3 POOR/INOPERABLE Well Reactivation slides Services Pumping Units AC Pumping FAIR/GOOD $3,700 Unit Repair Electric Motors Discussed in Starter not up to code POOR/INOPERABLE Well Reactivation slides Innovative Electric �0NTINGJpy . .,,,, ;S O: :Q :.r *C�cDUNTY`P,\Eae Condition - Pipingand T Cost for Known Condition Assessment or Well Component Condition Maintenance Vendor Piping and Tanks FAIR/GOOD $26,255 Applus Tank Farm Secondary RM Baker FAIR/GOOD $14,975 Containment International TOTAL: $41,230 JI 1 S Lrafs L.r.r, ; 4. flif :, , lb.,. 4 LoE,,,,o cro s60°67 f+ f -_- �. e� '° Fla „x,'..`.3� y ,-. \9yCf ,\Eoe/..' //',...'......._ T IN1— NI\ ......... 0 ... r * Imik • , --e. ,S0 1 ft 4'1\ ••.••c.oRP 0Rg7- •••• • _ %• .• Cost t Re -activate _ .__ I i 11( r "II . t° * 0 _ ___,_ ____ __ _ _ • - ___ .__ _ _ ______ _ _ _ ___ - : a, 0 41"4777 ij , V) ' • "....., f �••'• tFB P:•• ••� 17, � gp9 , �. 0 F � r Cçjj\\4l,# 0 U NTH // ii�// Known Repair Costs Well Component Cost Estimate Estimate From Civic Center 1 $46,300 Oil Well Services Civic Center 3 - Remove fish 2-7/8" $544,950 Oil Well Services liner and junk - Casing repair $89,000 Oil Well Services Pumping Unit Electrical $65,200 Innovative Electrics Fencing $2,750 Nowlin Fencing Inc Total: $748,200 * Does not include required maintenance and repair from conditions assessment „oiNGTpN rn 9 _Q 9yC�couNTY GP\E� Breakeven Oil Price Historical and Forecast Oil Prices 225.00 Assumptions: mimmisimmon • 5.5 Barrels of oil per day 200.00 • $793,130 in reactivation costs 175.00 co • $18,700 monthly expenses co 150.00 Result: To • $214 per barrel 125.00 a) 100.00 m u 75.00 A ��� 5 50.00 4%i 25.00 ; Jan-14 Jan-15 Jan-16 Jan-17 Jan-18 Jan-19 Jan-20 Jan-21 Jan-22 Jan-23 Jan-24 Jan-25 Jan-26 Jan-27 Jan-28 ,���NTINcro —Brent Spot Price,$/BBL —City of HB Oil Price,$/BBL ',9�; —Differential(Brent minus HB),$/BBL ♦ Avereage Differential,$/BBL • NYMEX Brent Futures Prices(Avg of Weds in Dec 2022) • Forecast of HB Oil Price,$/BBL `ycF_�_ooNrrcA;��oQ�, }Break Even Oil Price,$/BBL Plan to Resume Operations ,,,t, ,t.,:..,,„vt, t ,t Contract Other Negotiate Negotiate Oil Restart Wells Contracts& Tank Farm and Gas Pumper Permits Lease Mineral Lease Physical outlay of Establish contract Set up oil well Negotiate new Negotiate oil and gas funds needed to re- with pumper to chemicals,water agreement with Tank lease with Elysium to start well and tank operate the wells testing, gas testing, Farm LLC at lower royalty rate battery etc. for compliance significantly lower and operations cost otoiNGIpy OE Bf ti_ C+9 = Q � vy4e• TY•GPI<'' N ,,,,.......,.. ti" . T ING .G\1/4\ ........ _TOAi / 1.1,,,, �� .• • \ • ji ii i //rr��, u•i, I Options • • . _ -___,, . ./ ., ,,, . , e , . ... • __ • ik 0 _ _ • .. , % C. • • . - - -- .0 ' e. 07 •••• 77, 19:��,.. e • a •.,.• C°ON #0° CP .ii..// Full Costs (One Time and Annual) Assessments (wells, tanks/piping) $44,930 IMP VOWKnown Repairs $748,200 Unknown Repairs—from Assessments TBD Total One Time Costs $793,130 plus TBD costs Total Annual Costs (Operation and Maintenance Costs) $224,400 Total One Time Costs plus Total Annual Costs $1,017,530 Revenue (Annual) Oil revenue (2,000 barrel/yr @$80.00/barrel) $160,000 - Minus Royalty Payment $26,667 Total Annual Revenue $133,333 Pros Cons • Maintaining oil production Continued liability until well abandonment ',���NYINGTp, Continued costs that outweigh revenues ;4 9s,. Aging infrastructure Sell Costs . .�► ��...,� Unknown TBD None N/A Pros Cons 41Y* Allows potential future City oil production Unlikely interest Unknown cost to prepare oil unit for sale/lease Still need to address tank farm lease Will impact development of Civic Center I,i apNTING74` `y. :2 s \Cf�UUNTV LP�\E'/ Idle Wells Costs Revenue IMP One time - unknown ', ' (minimum repair to well 3 Minimum - $544,950 None N/A Annual costs TBD Pros Cons <IY* Possible re-activation at later time Still requires casing repair on well #3 Requires ongoing compliance and maintenance costs City retains closure liability Retain tank farm lease �uNTINGTp` yr^ S\ FCoUNTN t ' Abandonment Costs (One time) • Revenue 4- Abandon Wells — to be Est. $1,500,000 None N/A `41111110 �--� studied if requested by Council <T> Removes liability Expensive one-time investment Potential to re-develop over wells Permanent closure — no option for future oil production Can phase the abandonment into multi- End of life issues with tank farm lease year 1' oE*�NTINGTpye� `Cf�DUNTV CO'�\E'I Summary ME . „M F 'r•o.-r Sell / Lease Idle Abandon Costs - One Time -$793,130 -TBD -$544,950 minimum -$1,500,000 estimated - Annual -$224,000 -N/A -TBD -N/A - Repair -TBD from assessment - Est. Total -$1,017,530 plus TBD costs -TBD One Time Costs -$544,950 min plus TBD costs -$1,500,000 estimated Revenue - Annual $133,333 N/A N/A N/A Pros • Maintaining oil production • Allows potential future City oil • Possible re-activation at later time • Removes liability production • Potential to re-develop over wells • Can phase the abandonment into multi-year Cons • Continued liability until well • Unlikely interest • Still requires casing repair on well#3 • Expensive one-time investment abandonment • Unknown cost to prepare oil unit • Requires ongoing compliance and ma • Permanent closure- • Continued costs for sale/lease intenance costs no option for future oil production that outweigh revenues • Still need to address tank farm lease • City retains closure liability • End of life issues with tank farm • Aging infrastructure lease • Will impact development of Civic • Must retain tank farm lease Center 4 . Questions . e,--------- ,„70___ 0......: %,._.\ see%''•...•..--'.-\,t t 0 ,COUNIN .1:',/ ilk►/I�►4�, /� 11N ...... G7Q4, U Re uest for Cit Council %6 \ o . ' \ Action on Oil Wells i. ________ __ ____ ___ • - -- __ \ Owned a n d Operated by - . _, {, ` •. c-) . , • . , the City______ _ • romowitui4:- �, -);� Q ` Scott M. Haberle, Fire Chief -• - — - 4 , , Thomas Walker, Evans and Walker • -— - -______ L - ir 40. $ 7 •••• FB P�:• O / City Council Meeting - February 20, 2024 e •• 1, 1909 , .• ••••....•••- Ctt , #0 r o NT�f 4°tIO1P40,0107 Agenda • Action to be taken • Background • Rationale for abandonment and lease restoration • Process employed to obtain bids for work • Results of bidding process IiiNT I NGTp',IYI- of .� ..;_�Q11 \�'C�;.:...:r,.sag sO.•\�@ 11 F I � NTY Pi/I Action Abandon wells and restore the two sites Civic Center Wells K 1 Acquired as a part of City acquisition of the Civic Center property in 1971 . Uneconomic since �-'"`� y, 1 2014 and idle since 2021 . - r_____.�,� I •1 Civic Center 3 Civic Center 2 Civic Center 1 1-` H ., � 1 __ •t- 1y� his' ' !'t " • fQ 4 � Bl it: �f r roe, _ 5::: lig r = ' MileyKeck Tank Farm K ' �=� ' ; ' !.1 Located -1 mile north of the Civic Center ,,1��N1v�cro— ",� ' from at 19081 Huntington Street Rented 't� ». �" , �•� • =��- �-' Tank Farm LC through October 2024. Background Production - Civic Center Civic Center lease averaged 16.4 barrels of oil per day from ra.ld: lwcie$cee Nase Calm Name `i'i``""` N72 !11 January 2010 through June : oo• 2017 (prior to loss of pressure L support) a Civic Center lease averaged 5.5 • 0 v.A\it barrels of oil per day from July �= kt g8 2017 through November 2021 1 1 (after loss of pressure support). e . ,11 II I ilBil"II y This is a decrease of 10.9 barrels of oil per day. Ili ! ll III III ill ill ill tit ii lial L 111 __, 10 11 12 13 14 15 16 17 •8 19 20 21 22 n.s oal Cum: 5E7.-:MSc_ _:.c 5.C 2'4.^^.lacf EEEapNTINGTp oil Ile: 0.00 l6cl G :MEcE llp`1,•a",..,,,,""='`: Ga1 CUR: 54/./2MUM- Ga :74.77 mkt 11u.i -.7\ Ce-A ``sCDUNTY`p`\E' Rationale Average Monthly Revenue, Expense, and Net Profit (Lease lost money from 2015 through 2021 ) ■Gross Revenue,$ ■ Expenses(including CaIGEM Assessment and Royalty Payment),$ Net Profit,$ 30,000.00 25,000.00 20,000.00 EE . ' II (5,000.00) (10,000.00) (15,000.00) (20,000.00) 2015 2016 2017 2018 2019 2020 2021 ,�'�Nnnicr' �:�..:.......::....ems *Does not include staff cost. :'2 Process • Divided project into 3 components: • Remove Miley Keck Tank Farm and restore lease (site) • Remove Civic Center equipment and partially restore lease • Abandon Civic Center wells and complete lease restoration • Submit Request for Proposals for 3 components • RFPs released August 2, 2023 • Job walk on August 16, 2023 • Receive bids on September 15, 2023 • Analyzed bids and requested clarification from bidders • Determined most responsive bidders and prepared Request � NTINGrOy. for City Council Action ,.' � � w ° .(11 �DUNTV C ,ii# Results • Miley Keck Tank Farm Removal and Site Restoration • 3 firms submitted bids • American Integrated Services, Inc. was the most responsive bidder • Vendor submitted cost of $189,932 in the RFP • Proposed Costs with 15% Contingency: $218,422 • Civic Center Equipment Removal and Partial Site Restoration • 2 firms submitted bids • O.C. Vacuum, Inc. was the most responsive bidder • Vendor submitted cost of $405,514 in the RFP • Proposed Costs with 15% Contingency: $466,341 • Civic Center Well Abandonment and Final Site Restoration • 2 firms submitted bids • Excalibur Well Services was the most responsive bidder • Vendor submitted cost of $1 ,099,770 in the RFP. • Proposed Costs with 15% Contingency: $1,264,746 • Time & Materials contract which may require additional contingency funds to I,,�\\\sNTiNcro�_` 11 :aoo.ron..F.. �F\ account for unknown well conditions ' y\ Q • Estimated total cost will be $1,949,498 when including a 15% contingency. �;;..' o ''F 1 _e_pg,"..• '''.' ".•.'.::......_;•-.e.:::" ..- Questions? , t-,fri(1-1 - --- fiii„3 rAiltu ti • _.,...:1q:.. . _ __ . •.• .. _ --__ •••.- ,r ; .i if 11$,Ilf;:13i(jrtiiiiiL,_Rttid.iN, .111_-.1- !-...' —-F-.-f;-----•''. *..---:%;-., , =1„:%/4. -------,, - - r• -.....1-4 -..="--- _„,,,.., ' - '' -.,-:-.' 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California c.avta%eatom.tioventot 1lavtd Shehtnaa.Daecua ;rot Department of Conservation ologlc Energy Management 0i918ion Department of Conservation Geologic Energy Management Division Surety Bond Public Resources Code§§3204,3205,3205.1,and 3205.2 Bond No. 20B.BJE6804 API#0405902421 KNOW ALL PERSONS BY THESE PRESENTS,that the undersigned JOIj Ce_ k - N k� [Name of Individual) d/b/a City of Huntington Beach [Name of Company (Principal]) 2000 Main St.,Huntington Beach,('A 92648 [Address],as Principal,and Hartford Fire Insurance Company [Name of Surety Company] One Hartford Plaza,Hartford,CT 06155 [Address] organized and existing under the laws of the State of Connecticut and licensed to do business in the State of California, as Surety, are held and firmly bound unto the Department of Conservation, Geologic Energy Management Division in the penal sum of Twenty Five Thousand and no/100*****DOLLARS ($25,000.00**"*** for the payment of which sum we hereby jointly and severally bind ourselves,our successors, and assigns. In the event of forfeiture by the Principal, the Obligee agrees that, in the aggregate,it shall not demand in excess of the penal sum of this bond. THE CONDITION OF THE ABOVE OBLIGATIONS is that that if above bounden Principal, shall well and truly comply with all the provisions of Division 3 (commencing with Section 3000) of the Public Resources Code and shall obey all lawful orders of the State Oil and Gas Supervisor or the district deputy or deputies,subject to subsequent appeal as provided in that division,and shall pay all charges,costs,and expenses incurred by the supervisor or the district deputy or deputies in respect of the well or wells or the property or properties of the principal,or assessed against the well or wells or the property or properties of the principal, in pursuance of the provisions of that division,then this obligation shall be void;otherwise, it shall remain in full force and effect.Now,if the Principal completes all obligations, the bond may only be terminated and cancelled,and the surety relieved of all obligations thereunder in accordance with the provisions of Section 3207 of the Public Resources Code. The amount of Surety's liability may only be reduced by the Department of Conservation, Geologic Energy Management Division.If the penal sum of this bond requires adjustment, it shall be by use of an Increase/Decrease Rider, The Surety will give notice of cancellation of the bond at least 120 days prior to such cancellation and prompt notice to the Principal and the Department of Conservation, Geologic Energy Management Division of any of the follow: 1) any notice received or action filed alleging the insolvency or bankruptcy of the Surety, 2) any notice received alleging any violations or regulatory requirements which could result in suspension or revocation of the Surety's license to do business,3) the Principal has failed to renew or pay associated premium causing the bond to lapse. In the event the Surety becomes unable to fulfill its obligations under the bond for any reason, notice shall be given immediately to the Principal and the Department of Conservation,Geologic Energy Management Division.Upon the incapacity of the Surety by reason of bankruptcy, insolvency,or suspension or revocation of its license, the Principal shall be deemed to be without bond coverage in violation of the Public Resources Code. (Rev.04/2020) Page 1 of 2 1% California Gavat Nosloin,Govetuot Department of Conservation tsrvtJShaFa[wu,Ducctat Geologic ttteigy Management Itivii.on IN WITNESS THEREOF, the Principal and Surety have hereunto set their signatures and seals as of the dates set forth below. Date: Li I 1 le )J City of Huntington Beach (Company-[Principal]) BY: i14ICL hit a,s Lt. SEAL OF PRINCIPAL (Signature of Its • dua) Title: btru f7j L hi • SPIV'('r ^.,py ooe ItA, La c k s I declare under penalty of perjury,under the laws of the State of California, that I have executed the foregoing bond under an unrevoked Power of Attorney. Hartford Fire Insurance Company (Surly Company) / { , r, (�7�'� SEAL OF SURETY Bi:\))�L 61 V!�`LUAV (Signature of Attorney-in-Fact for Surety) Rachel A.Chaveriat Typed or Printed Name Title: Attorney in Fact Executed in Knoxville on April 11,2024 under the laws of the State of California. Where one signs by virtue of a Power of Attorney for a Surety Company,such fully executed Power of Attorney must be filed with this bond. Please identify the agent acting on behalf of the surety who will accept notices, papers,and other documents,if applicable. Agent: Rachel A.Chaverint Title: Attorney in Fact Address: Marsh USA LL(•,1111 Northshoi•e Dr.,Knoxville,TN 37919 Phone Number:86 -769-7700 Email Address:rachel,u.chaveriat(n'marsh,com COMPLETED NOTORIZED ACKNOWLEDGMENT OF PERMITTEE [PRINCIPAL' "Attach loose notarial certificate' COMPLETED NOTARIZED ACKNOWLEDGMENT OF SURETY 'Attach loose notarial certificate' (Rev.04/2020) Page 2 of 2 CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of CYAryvi County of 1 0110G( 1� } On Ayi I IPr7s,( y before me, 1)D hrik,.. vd(1"2e4( ,Notary Public i tHere,resent name a'd t t a cl he after) personally appeared dVICei M Zt- -� who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. rh� DONNA SWITZER Notary Public-California - +v ?,,o Orange County sTSjt°t i jØ'MY Commissiok470457 Comm.Expires Nov 9,2027 Notary Public Aigrtattire (Notary Pubic Seal) ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM Ms P.m complies u ith current C'ahtJnka statau regarding tu tars wording and, DESCRIPTION OF THE ATTACHED DOCUMENT tine-Jed,should he.xim etc.1.nd,rtexhedtothed.xurnnt .1cimami. t+rro.nls from other states may he eamrJct..1 J.%r doe uni.ins being sent to that(tote so;ong as the wording does no!requite the CA Pot nia notary to s ieIate C'aliKrrri;a n,daty (Title or dascrpbon of attached document) • State and County information must be the Slate and County where the document signer(s)personally appeared before the notary public for ackitossladgmcist (Title or des rpt en of attached document continued) • Date of notarization must be the date that the signer(s)peisonaih appealed(sutch mutt also he the same date the acknowledgment is completed • The notary public must print his or her name as it appears sssthin his or her Number of Pages Document Dale commission foltossed by a comma and then your title(notary public) • Print the nante(s) of document signer(s) who personally appear at the time of notarization. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossutg off incorrect forms(i.e. he she they,-is ere)or circling the sorrcct founts Fallow to cornett)tndtcate lists ❑ Individual (s) uitutmauon may lead to le)eetion of document recording ❑ Corporate Officer • 'The notary seal Impression must be clear and photogtaphicalt) reproductblc. Impression must not coser test or lines If seal impression smudges,re-seal of a (Title) sufficient area permits,others Ise complete a different acknowledgment form ❑ Partner(() • Signature of the notary public must match the signature on file sstth the oftice of the county clerk ❑ Attorney-in-Fact Additional information is not required but could help to ensue this ❑ Trustee(s) acknosledgment is not misused or attached to a different document Other Indicate title or type of attached document,number of pages and date ❑ •. Indicate the capacity claimed by the signer if the claimed capacity is a corporate officer,indicate the title(I.e.CEO,CFO,Secretary) .!on .v•,,.v Not,i • Securely attach this document to the signed document ss ith a staple. Direct inquiries/Claims to: THE HARTFORD POWER OF ATTORNEY BOND,T-11 One Hartford Plaza Hartford,Connecticut 06155 Bond.Claims@thehartford.com cell:888.2664488 or fax:860.757-6835 KNOW ALL PERSONS BY THESE PRESENTS THAT: Agency Name: MARSH USA LLC X Hartford Fire Insurance Company,a corporation duly organized under the laws of the State of Connecticut S Hartford Casualty Insurance Company,a corporation duly organized under the laws of the State of Indiana X Hartford Accident and Indemnity Company,a corporation duly organized under the laws of the State of Connecticut Hartford Underwriters Insurance Company,a corporation duly organized under the laws of the State of Connecticut Twin City Fire Insurance Company,a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of Illinois,a corporation duly organized under the laws of the State of Illinois Hartford Insurance Company of the Midwest,a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of the Southeast,a corporation duly organized under the laws of the State of Florida having their home office in Hartford, Connecticut,(hereinafter collectively referred to as the"Companies")do hereby make,constitute and appoint, up to the amount of Un1imitN,1 : Rachel A.Chaveriat of Knoxville,TN their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above, to sign its name as surety(ies)only as delineated above by ®, and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof,on behalf of the Companies in their business of guaranteeing the fidelity of persons,guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. In Witness Whereof, and as authorized by a Resolution of the Board of Directors of the Companies on May 23, 2016 the Companies have caused these presents to be signed by its Assistant Vice President and its corporate seals to be hereto affixed,duly attested by its Assistant Secretary. Further,pursuant to Resolution of the Board of Directors of the Companies,the Companies hereby unambiguously affirm that they are and will be bound by any mechanically applied signatures applied to this Power of Attorney, ., 1,4* ,, „...., „ 0 CY1/1{.,(12// t /ef- t,)t.D --rO.h ii (.',f^I,u�z Shelby Wiggins,Assistant Secretary Joelle L.LaPierre,Assistant Vice President STATE OF FLORIDA SS. Lake Mary COUNTY OF SEMINOLE On this 20th day of May,2021,before me personally came Joelle LaPierre,to me known,who being by me duly sworn,did depose and say:that (s)he resides in Seminole County,State of Florida; that (s)he is the Assistant Vice President of the Companies, the corporations described in and which executed the above instrument;that(s)he knows the seals of the said corporations; that the seals affixed to the said instrument are such corporate seals; that they were so affixed by authority of the Boards of Directors of said corporations and that(s)he signed his/her name thereto by like authority. .• 09-e-4- et-----!...o)/C J4;�i�.1...c;' Jessica Ciccone ,.r.; " My Commission HH 122280 Expires.tune 20.2025 I,the undersigned,Assistant Vice President of the Companies, DO HEREBY CERTIFY that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies,which is still in full force effective as of April 11,2024 Signed and sealed in Lake Mary, Florida. ,... fott ,,.>, ,-..,:,...... I"g e 7' ..... (,:e:: ::.f. le.:!:."::::::.:\'.i .'.4tc'000"•tro,. . vi u �"S' �,••.•r•� ,,�101 or€ 7-11 y1 4i yr 1079 y1 (r /.x J Keith D.Dozois,Assistant Vice President 1 CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT I A notary public or other officer completing this certificate verifies only the identity I of the individual who signed the document to which this certificate is attached, ' I and not the truthfulness, accuracy, or validity of that document. State of Tennessee } County of Knox } On April 11,2024 before me, Carolyn E.Wheeler ,Notary Public there inert name artd t le otihe off,cer) personally appeared Rachel A.Chaveriat who proved to me on the basis of satisfactory evidence to be the person(s) whose names) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signatures) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. 0., } t f t�''� •� ,(N E. K, /',. `tee-•. • tiF0 : WITNESS my hand and official seal. °P• STATE 7D TENNESSEE : NOTARY Post lc NotaryPublic Signature (NotaryPublic Seal) ��"/ XCOtl"'- \`- 9 i � My Commission Expires: January 2,2028 ttt�ttt1\ ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING fNG'THIS FORM Thn fnrnr.cmplio tiith cut rent('ah/irrniastattrtcs regarding ehitIi wording.m( DESCRIPTION OF THE ATTACHED DOCUMENT it neca.d..ihank/be s.rny>krtd,n:J,m.a'lNJto the.AK:mrcnr .t.Arroml.st'Fm.ors from other states mot'he conrrdcted t,,•r J.xaments hcrng sett to(kW stone so long OS the wording not rtq ire the('ablornia'rotary to ssiofate C'ulrtin era n.+?.ny /air tT t'a or descrpton of attached document) • State and Count) information must be the State and County inhere the document II signer(s)personally appeared before the notary public for ackttomledgment • Date of notarization must be the date that the signer(s)personally appealed mhrch IT t e cr descriptaxialathkhed document cont nued) must also be the same date the acknoss lcdgment is completed • the notary public must print his of her name as it appears us Willi his or her Number of Pages Document Date_ _ commission follossed by a comma and then your title(notary public) • Print the name(s) of document signets) mho personally appear at the time of notarization CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing utimssxrect terms rte. he,she they-is air)or circling the correct toms Failure to correctly indicate this ❑ Individual (s) information may lead to rejection ofdocuntent recording ❑ Corporate Officer • The notary seal impression must be clear and photographically reproducible Impression must not loser test or lines. If seal impression smudges,re-seal if a (Title) sufficient area permits,other INC complete a different acknosslcdgmcnt form El Partner(s) • Signature oldie notary public must match the signature on tile myth the office of the county clerk ❑ Attorney-in-Fact Additional information is not required but could help to ensure this O Trustee(s) acknossledgmcnt is not misused or attached to a different document OtherIndicate title or type of attached document,number of pages and date ❑ •.ti Indicate the capacity claimed by the signer If the claimed capacity is a corporate officer,Indicate the title(re.CEO,CFO,Secretary) . , • Securely attach this document to the signed document ss ith a staple. --__ MkCalifornia Oavw Now urn,t love uo Department of Conservation sn.afw Director C:t3uluyt�tttetgy Manny iiturtt ilwlstwt Department of Conservation Geologic Energy Management Division Surety Bond Public Resources Code§§ 3204, 3205,3205.1,and 3205.2 Bond No. 20BSBJE6805 APB/0405902422 KNOW ALL PERSONS BY THESE PRESENTS,that the undersigned �^ii C` ) . [Name of Individual] d/b/a City of Huntington Bench [Name of Company (Principal)] 2000\lain St.,Huntington Bench,CA 92648 [Address], as Principal,and Hartford Fire Insurance Company [Name of Surety Company) One Hertford Plaza,Hartford,C'T 06155 [Address] organized and existing under the laws of the State of Connecticut and licensed to do business in the State of California,as Surety,are held and firmly bound unto the Department of Conservation,Geologic Energy Management Division in the penal sum of Twenty Fire Thousand and no/100*****DOLLARS ($25,000.00*•****) for the payment of which sum we hereby jointly and severally bind ourselves,our successors, and assigns. In the event of forfeiture by the Principal,the Obligee agrees that,in the aggregate, it shall not demand in excess of the penal sum of this bond. THE CONDITION OF THE ABOVE OBLIGATIONS is that that if above bounden Principal,shall well and truly comply with all the provisions of Division 3 (commencing with Section 3000) of the Public Resources Code and shall obey all lawful orders of the State Oil and Gas Supervisor or the district deputy or deputies,subject to subsequent appeal as provided in that division,and shall pay all charges,costs,and expenses incurred by the supervisor or the district deputy or deputies in respect of the well or wells or the property or properties of the principal,or assessed against the well or wells or the property or properties of the principal, in pursuance of the provisions of that division, then this obligation shall be void;otherwise, it shall remain in full force and effect.Now, if the Principal completes all obligations,the bond may only be terminated and cancelled,and the surety relieved of all obligations thereunder in accordance with the provisions of Section 3207 of the Public Resources Code. The amount of Surety's liability may only be reduced by the Department of Conservation, Geologic Energy Management Division. If the penal sum of this bond requires adjustment,it shall be by use of an Increase/Decrease Rider. The Surety will give notice of cancellation of the bond at least 120 days prior to such cancellation and prompt notice to the Principal and the Department of Conservation, Geologic Energy Management Division of any of the follow: 1) any notice received or action filed alleging the insolvency or bankruptcy of the Surety,2) any notice received alleging any violations or regulatory requirements which could result in suspension or revocation of the Surety's license to do business,3) the Principal has failed to renew or pay associated premium causing the bond to lapse. In the event the Surety becomes unable to fulfill its obligations under the bond for any reason, notice shall be given immediately to the Principal and the Department of Conservation,Geologic Energy Management Division. Upon the incapacity of the Surety by reason of bankruptcy, insolvency, or suspension or revocation of its license, the Principal shall be deemed to be without bond coverage in violation of the Public Resources Code. (Rev.04/2020) Page 1 of 2 California COWNCW804 (i' (Uu Department of Conservation i).,„ash i =N,,.i>a��,.t IN WITNESS THEREOF,the Principal and Surety have hereunto set their signatures and seals as of the dates set forth below. Date: LO W J j L. City of Huntington Beach / (Company-[Principal]) By: SEAL OF PRINCIPAL �(Siignature of IndivIdualj_ Title: lrut Lt V-e Skrers le� �f • ae1 S I declare under penalty of perjury,under the laws of the State of California,that I have executed the foregoing bond under an unrevoked Power of Attorney. Hurtford Fire Insurance Company (Sur Compan ) SEAL OF SURETY By: VI ' ` "-otAx.utitai+-/ (Signature of Attorney-in-Fact for Surety) Rachel A.Chus•eriat Typed or Printed Name Title: Attorney in Fact Executed in Knoxville on April 11,2024 under the laws of the State of California. Where one signs by virtue of a Power of Attorney for a Surety Company,such fully executed Power of Attorney must be filed with this bond. Please identify the agent acting on behalf of the surety who will accept notices,papers,and other documents,if applicable. Agent: Rachel A.Chaveriat Title: Attorney in Fact AddreSS: Marsh USA LLC,1111 Northshore Dr.,Knoxville,ille,TN 37919 Phone Number:865-769-770o Email AddreSS:rachel.a.chaveriat(n'marsh.cont COMPLETED NOTORIZED ACKNOWLEDGMENT OF PERMITTEE [PRINCIPAL' 'Attach loose notarial certificate' COMPLETED NOTARIZED ACKNOWLEDGMENT OF SURETY 'Attach loose notarial certificate' (Rev.04/2020) Page 2 of 2 Direct Inquiries/Claims to: THE HARTFORD POWER OF ATTORNEY BONHartford,One Hartford Plaza n 06165 Bond.Ctaimafa)thehartford.com call:888.2663488 or fax:860.757-5835 KNOW ALL PERSONS BY THESE PRESENTS THAT: Agency Name: MARSH USA LLC X Hartford Flre Insurance Company,a corporation duly organized under the laws of the State of Connecticut X Hartford Casualty insurance Company,a corporation duly organized under the laws of the State of hidiana X Hartford Accident and Indemnity Company,a corporation duly organized under the laws of the State of Connecticut Hartford Underwriters Insurance Company,a corporation duly organized under the laws of the State of Connecticut Twin City Fire Insurance Company,a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of Illinois,a corporation duly organized under the laws of the State of Illinois Hartford Insurance Company of the Midwest,a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of the Southeast,a corporation duly organized under the laws of the State of Florida having their home office in Hartford,Connecticut, (hereinafter collectively referred to as the"Companies")do hereby make,constitute and appoint, up to the amount of Un1iiiir.-:c-I : Rachel A.Chaveriat of Knoxville,TN their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above, to sign its name as surety(ies)only as delineated above by ®, and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof,on behalf of the Companies in their business of guaranteeing the fidelity of persons,guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. In Witness Whereof, and as authorized by a Resolution of the Board of Directors of the Companies on May 23, 2016 the Companies have caused these presents to be signed by its Assistant Vice President and its corporate seals to be hereto affixed, duly attested by its Assistant Secretary. Further,pursuant to Resolution of the Board of Directors of the Companies,the Companies hereby unambiguously affirm that they are and will be bound by any mechanically applied signatures applied to this Power of Attorney. je",mas,til. ,„A ----.) '.',....,:.,:\ „.....r.,.........t.,:z..,..\ :"mu ••• lit '•ir....1).\ i ........„,.... 1. i.9 8 r 0 e„,..n„,„4 , ir,fy.v...,....,,:i., fi.,;,„.,,......4,.. , : ,,,.-1:. i t , . ,....„ ;,..,...„...i.. .., ti, ..70. t :01, u.,9 7 tl „%i 1,, • li t .� 1 i Shelby Wiggins,Assistant Secretary Joelle L.LaPierre,Assistant Vice President STATE OF FLORIDA ss. Lake Mary COUNTY OF SEMINOLE On this 20th day of May,2021,before me personally came Joelle LaPierre,to me known,who being by me duly sworn,did depose and say:that (s)he resides in Seminole County,State of Florida; that (s)he is the Assistant Vice President of the Companies, the corporations described in and which executed the above instrument;that(s)he knows the seals of the said corporations; that the seals affixed to the said instrument are such corporate seals; that they were so affixed by authority of the Boards of Directors of said corporations and that(s)he signed his/her name thereto by like authority. 944.41-e....-ceas Cci,-;;...,--.' _en-z) n. )- .r�z. ti (VVV444 Jessica Ciccone .!j,r,:0." MyConmussionHH 122280 Expires June 20.2025 I,the undersigned,Assistant Vice President of the Companies,DO HEREBY CERTIFY that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies,which is still in full force effective as of April 11,2024 . Signed and sealed in Lake Mary,Florida. E ) 7 '.71"..). r �ywy�� aye q. • i , 1.' x.-A",',) *',4!4::.. - i 461e0 1 '-i'k ta*Va) lk Ig.it I * Keith D.Dozois,Assistant Vice President CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of Tennessee } County of Knox } On April 11,2024 before me, Carolyn E.Wheeler ,Notary Public (Here mserl name and tie oltne ci5cer) personally appeared Rachel A.Chaveriat who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws oftJierlalte of California that the foregoing paragraph is true and correct. `‘` E. h ... ••. ! Qsure tr* WITNESS my hand and official seal. = U: TEN EOF SEE NOTARY �/ PUBLIC x[ Notary Pu lac Signature (Notary Public Seal) //'7iOk coitICA r r t t ttr`r``` My Commission Expires: January 2,2028 • ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM Ihis larnr evngrlies with chi rent Colit ornfa Aloha's reginding WW1'ti rNJurR rim), DESCRIPTION OF THE ATTACHED DOCUMENT needed„should he.arnplcted and atrixlr.d to the Jo::inient:lc Anoniedgrnrntr from other states may be completed Jar documents being sent to that stab!.co long OS the wording Jocs not require the(abilienria n,stas).to violate(:aliUun:.t N,sr,3ra lmr (Title or d.scnpt.on of attached document) • State and County information must to the State and County where the document signers)personally appeared before the notary public for acknowledgment • Date of notarization must be the date that the signers)personally appeared which (T)Ue or descrpt en of attached document conin ur d} must also be the same date the acknowledgment is completed • The notary public must print his or her name as it appears within Iris or her Number of Pages Document Date commission followed by a comma and then your title(notary public) • Print the name(s) of document signer(s) who personally appear at the time of notarization. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing obi'►nrotrect Corms ti.e. he.she they.-is air)or circling the correct forms.Failure to correctly tndtcate this ❑ Individual(s) information may lead to rejection of document recording ❑ Corporate Officer • The notary seal impression must be cleat and photographically reproducible Impression must not corer text or lines. if seal impression smudges,re-seal if a (Title) sufficient area permits,otherwise complete a different acknowledgment form ❑ Partner(s) • Signature of the notary public must match the signature on file with the office of i the county clerk. ❑ Attorney-in-Fact Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document. Other Indicate title or type of attached document,number of pages and date I ❑ Indicate the capacity claimed by the signer. If the claimed capacity a a corporate officer,indicate the title(re.CEO,CFO,Secretary). .+ ,+n sr.v,v NoturyClai sos cony lr''R l3 9885 • Securely attach this document to the signed document with a staple. • CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of Cali rr l („, County of Uy ilnl } On AVO (Q ,202..Liii before me, 0ph{1jj(,..cjc.1?-2M- n,Notary Public A! (Here one name and t cot a c/tcer) personally appeared Jpy(JI� who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNE- my hand and official seal. , -.:°.;.T,,DONNASWI ZER Notary Public-California Orange County PIdi„Ls,��ry� Commission#2470457APLIIP 41,r00 My Comm,Expires Nov 9,2027 Notary Public S. : ure (Notary Public Seal)• I I ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM This farm complies pith curzent C'ah)arnia sratotes regarsiing notary wording end, DESCRIPTION OF THE ATTACHED DOCUMENT if needed..<huiirab.•COItiplct.J,ml rrr.uhc.dta the<iacumecnt.4thkastfagot ors from other states may he conrl'dct 11.r iesattcnfs heitrg serif to that stair so long as the wording does not r- sire the C n',fsrnia trotart hi riot*Calir rr no rs.>ary /an (Title or description of attached document) • State and County infonnatuin must be the State and Count)sshere the document signers)personally appeared hetore the notary public for acfarosslcdgnrcnt • Date of notarization must be the date that the signer(s)personally appeared stitch (Tate or descnpt on of attached document continued) must also be the same date the acknoss lodgment is completed • the notary public must print his or her name as it appears union his or her ^ Number of Pages Document Date commission foltoaed b)a comma and then your title(note)public) • Print the names) of document signci(s) Mho personally appear at the time of notarization CAPACITY CLAIMED BY THE SIGNER • indicate the correct singular or plural forms b)crossing opt'incorrect forms(i.e. he,she they';is efe)or circling the correct forms.Failure to cornett)indicate this ❑ Individual (s) information may lead to rejection of document recording_ ❑ Corporate Officer • The notary seal impression must be clear and photographically reproducible. Impression must not coser test or lines.If seal impression smudges, re-seal if a (Title) sufficient area permits,otherssise complete a different ackrtostedgntent form ❑ Partner(s) • Signature of the notary public insist match the signature on tile soh the office of the county clerk. ❑ Attorney-in-Fact Additional information is not required but could help to ensure this ❑ Trustee(s) acknossledgmcnt is not misused or attached to a different document. Other Indicate title or type of attached document,lumber of pages and date ❑ 4. indicate the capacity clamped by the signer If the elaimed capacity'is a corporate officer,indicate the title(i.e.( ITO,CFO,Secretary) • Securely attach this document to the signed document a ith a staple. California Gavot Ntnwxuaf.Go' I' t Department of Conservation p«e shaaf<uo'00"0 .xtutogty t=ntt.Ny Mart4getNZftt t ivf140n Department of Conservation Geologic Energy Management Division Surety Bond Public Resources Code§§3204,3205,3205.1,and 3205.2 Bond No. 2o1SBJE6806 API#0405902447 KNOW ALL PERSONS BY THESE PRESENTS,that the undersigned IOtle (-(. ?a ' L [Name of Individual] d/b/a City of Huntington Beach [Name of Company (Principal)) 2000 Main St.,Huntington Beach,CA 92648 [Address],as Principal,and Hartford Fire Insurance Company [Name of Surety Company] One Hartford Plaza,Hartford,CT 06155 [Address] organized and existing under the laws of the State of Connecticut and licensed to do business in the State of California,as Surety,are held and firmly bound unto the Department of Conservation,Geologic Energy Management Division in the penal sum of Tssenty Five Thousand and no/100*****DOLLARS ($25,000.00******) for the payment of which sum we hereby jointly and severally bind ourselves,our successors,and assigns. In the event of forfeiture by the Principal,the Obligee agrees that,in the aggregate,it shall not demand in excess of the penal sum of this bond. THE CONDITION OF THE ABOVE OBLIGATIONS is that that if above bounden Principal, shall well and truly comply with all the provisions of Division 3 (commencing with Section 3000) of the Public Resources Code and shall obey all lawful orders of the State Oil and Gas Supervisor or the district deputy or deputies,subject to subsequent appeal as provided in that division,and shall pay all charges,costs,and expenses incurred by the supervisor or the district deputy or deputies in respect of the well or wells or the property or properties of the principal,or assessed against the well or wells or the property or properties of the principal, in pursuance of the provisions of that division,then this obligation shall be void;otherwise, it shall remain in full force and effect.Now,if the Principal completes all obligations, the bond may only be terminated and cancelled,and the surety relieved of all obligations thereunder in accordance with the provisions of Section 3207 of the Public Resources Code. The amount of Surety's liability may only be reduced by the Department of Conservation, Geologic Energy Management Division.If the penal sum of this bond requires adjustment,it shall be by use of an Increase/Decrease Rider. The Surety will give notice of cancellation of the bond at least 120 days prior to such cancellation and prompt notice to the Principal and the Department of Conservation, Geologic Energy Management Division of any of the follow: 1)any notice received or action filed alleging the insolvency or bankruptcy of the Surety,2) any notice received alleging any violations or regulatory requirements which could result in suspension or revocation of the Surety's license to do business,3) the Principal has failed to renew or pay associated premium causing the bond to lapse. In the event the Surety becomes unable to fulfill its obligations under the bond for any reason, notice shall be given immediately to the Principal and the Department of Conservation,Geologic Energy Management Division.Upon the incapacity of the Surety by reason of bankruptcy,insolvency,or suspension or revocation of its license, the Principal shall be deemed to be without bond coverage in violation of the Public Resources Code. (Rev.04/2020) Page 1 of 2 California Cigvin Naeu+m.(k'euw' r Department of Conservation Baud Shandom.uitecket -iivt t nnttfy Management Clivtzion IN WITNESS THEREOF,the Principal and Surety have hereunto set their signatures and seals as of the dates set forth below. Date: City of Huntington Reach (Company.-[Principal)) By: '. fl1 /ha,t ,--- SEAL OF PRINCIPAL (Signature of Individual)_ .t Title: t✓1 c f--3 i t z S(i re t' I declare under penalty of perjury,under the laws of the State of California,that I have executed the foregoing bond under an unrevoked Power of Attorney. Hartford Fire Insurance Company (Surety Company) SEAL OF SURETY By: �L� �"J)•C.� Cl (ANXIA 1' `' (Signature of Attorney-in-Fact for Surety) Rachel A.Chaveriat Typed or Printed Name Title: Attorney in Fact Executed in Knoxville on April 11,2024 under the laws of the State of California. Where one signs by virtue of a Power of Attorney for a Surety Company,such fully executed Power of Attorney must be filed with this bond. Please identify the agent acting on behalf of the surety who will accept notices, papers,and other documents,if applicable. Agent: Rachel A.Chaceriat Title: Attorney in Fact Address:Marsh USA LLC,1111 Not'thshore Dr.,Knossille,TN 37919 Phone Number:865-769-7700 Email Address:rachel.a.chaseiiat(n'marsh.conn COMPLETED NOTORIZED ACKNOWLEDGMENT OF PERMITTEE [PRINCIPAL] [Attach loose notarial certificate] COMPLETED NOTARIZED ACKNOWLEDGMENT OF SURETY jAttach loose notarial certificate] (Rev.04/2020) Page 2 of 2 _._ __ �. ate. i 1 CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of CIA } i County of a'latr } 1 i On I l ip �� before me, T .. S AJiin& � b 2 ,Notary Public r i (Here msen name and t ne of the officer) personally appeared U ()IQ) 14. 2(42' , who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITN gamy hand d official seal. !!!5NOtaFSWIRnIa • DOTZE ic CaliforOrange CountyCommission ar 2470457 y Comm.Expires Nov 9,2027 Notary Public Signature (Notary Public Seal) INSTRUCTIONS FOR COMPLETiNG THIS FORM ADDITIONAL OPTIONAL INFORMATION 77iis/arm complies with current C'ulr/oruia stouucs tegarsling notary ir.Nding and, DESCRIPTION OF THE ATTACHED DOCUMENT i!'n wde.i AiNnthibt'completed thedocurnent.icinoal.'Ji nk efts from other states may he completed ier,beumitns being sent to that.stale at)long as the hording does no!Iequue the Cali/or nia)nua))`to violate C'alifor)ua mShny lun. (T tie or descrpt on of attached document) • State and County urfannation must he the State and Contu ) where the document signers)personally appeared bellre the notary public for acknowledgment • Date of notarization must be the date that the signeits)personally appealed winch (Ire or descrpt cn of attached document continued) must also be the same date the acknowledgment is completed i • fhe notary public must print his or her name as it appears within his or her Number of Pages Document Date commission fiiltowed by a comma and then your title(notary nubile) • Print the names) of document signets) who personally appear at the time of notarization. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing oft mccursxt firms tie. he she they-is ere)or circling the correct tOnns.ratline to sweetly indicate thin ❑ Individual(s) information may lead to rejection of document recording ❑ Corporate Officer • The notary seal impression must be clear and photographically reproducible. impression must not coser te\t or lines. If seal impression smudges,re-seal if a (Title) sufficient area permits,otherwise complete a different acknowledgment form ❑ Partner(s) • Signature of the notary public must match the signature on tile with the office of the county clerk. ❑ Attorney-in-Fact + Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document. Other 4. indicate title or type of attached document.number of pages and date ❑ Indicate the capacity claimed by the signer. If the claimed rapacity is a corporate officer,indicate the title(i c.CP.O,ClO,Secretary) • Securely attach this document to the signed document with a staple. 4k Direct Inquiries/Claims to: THE HARTFORD POWER OF ATTORNEY BON ,Tii11 Hartford,One Hartford Plaza n 06165 Bond.Claims hehartfordcon, call:888-266-488 or fax:860.757.5835 KNOW ALL PERSONS BY THESE PRESENTS THAT: Agency Name: HARSH USA LLC x Hartford Fire Insurance Company,a corporation duly organized under the laws of the State of Connecticut X Hartford Casualty Insurance Company,a corporation duly organized under the laws of the State of Indiana X Hartford Accident and Indemnity Company,a corporation duly organized under the laws of the State of Connecticut i Hartford Underwriters Insurance Company,a corporation duly organized under the laws of the State of Connecticut Twin City Fire Insurance Company,a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of Illinois,a corporation duly organized under the laws of the State of Illinois Hartford Insurance Company of the Midwest,a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of the Southeast,a corporation duly organized under the laws of the State of Florida having their home office in Hartford, Connecticut,(hereinafter collectively referred to as the"Companies")do hereby make, constitute and appoint, up to the amount of Unlimited ; Rachel A.Chaveriat of Knoxville,TN their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above,to sign its name as surety(ies)only as delineated above by ®, and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof,on behalf of the Companies in their business of guaranteeing the fidelity of persons,guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. In Witness Whereof, and as authorized by a Resolution of the Board of Directors of the Companies on May 23, 2016 the Companies have caused these presents to be signed by its Assistant Vice President and its corporate seals to be hereto affixed,duly attested by its Assistant Secretary. Further,pursuant to Resolution of the Board of Directors of the Companies,the Companies hereby unambiguously affirm that they are and will be bound by any mechanically applied signatures applied to this Power of Attorney. :4.eizo.."`14") .„,,,. :...2::::,;.1.1',. t: t glek\p, riffo..„„44"4.:".1NA 1,;90.,,,.....,,.•,-;\ f,/..«01.°4•44 �•..+ (4144 \J. vur ! t<-\to7o,,ii �v.; 9 t\ int9 ��? l Shelby Wiggins,Assistant Secretary Joelle L.LaPierre,Assistant Vice President STATE OF FLORIDA SS. Lake Mary COUNTY OF SEMINOLE On this 20th day of May,2021,before me personally came Joelle LaPierre,to me known,who being by me duly sworn,did depose and say:that (s)he resides in Seminole County,State of Florida; that (s)he is the Assistant Vice President of the Companies, the corporations described in and which executed the above instrument;that(s)he knows the seals of the said corporations;that the seals affixed to the said instrument are such corporate seals; that they were so affixed by authority of the Boards of Directors of said corporations and that(s)he signed his/her name thereto by like authorityy.. / '•' t+r0. ' Jessica Ciccone :u r•_e My C'onunission HH 1222S0 Expires June 20.2025 I,the undersigned,Assistant Vice President of the Companies, DO HEREBY CERTIFY that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies,which is still in full force effective as of April 11,2024 . Signed and sealed in Lake Mary,Florida. tr i•ti ,+'.A: a'^v'i r tffi.,AlV,.C1. • r.. ED • } ''f, • •"`:•`f �ti:.'"• ,..a.r. e . •.r Keith D.Dozois,Assistant Vice President _.-_ __ CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of Tennessee } County of Knox } On April 11,2024 before me, Carolyn E.Wheeler ,Notary Public Mere insert name and tie of the effceri personally appeared Rachel A.Chaveriat who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s)on the instrument the person(s), or the entity upon behalf of 11 which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws,:dikleSrtiif�9f California that o\. ...-. tiF the foregoing paragraph is true and correct. .. . Q . STATE • p OF . TENNESSEE WITNESS my hand and official seal. - NOTARY PUBLIC ti £a0t?aSignature (Notary Public Seal) t t t t t t t t t s s My Commission Expires: January 2,2028 i i ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM ...s1-urm complies walk eanent(alrtimrnia ata(ates regarding near) wording and, DESCRIPTION OF THE ATTACHED DOCUMENT i1 needed should be svinplete d and ottaehcd to the Joctm c+t .1:rinou icdgmc»ts .front other stares may he completed icr doctonents being sent to lh,t state so long os the wording does not require the Ca ih nnia t tali to viclaee eolitotIL's ulnae), tint (Title or description of attached document) • State and Count) information must be the State and County where the document { s,gnerts)personally appeared before the notary public for a,lotowledgment , • Date of notarization must be the date that the signer(s)personally appeased sshtch l (Title or descripfon of athehed document continued) must also be the saute date the acknowledgment is completed • The notary public must print his or her name as it appears within his or her I Number of Pages__._ ,Document Date commission followed by a comma and then your title(notary puhlici • Print the names) of document signcits) who personally appear at the time of i notarization. CAPACITY CLAIMED SY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrectforms Re. hes she they-is ere)or circling the correct limns.Failure to correctly indicate this O Individual (s) information may lead to rejection of&content recording ❑ Corporate Officer • The notary seal impression must be clear and photographically reproducible. I impression must not corer test or lines. If scat impression smudges,re-seal if a (Title) sufficient area permits,otherwise complete a different acknowledgment form. El Partner(s) • Signature of the notary public must match the signature on file with the office of 1 the county clerk 0 Attorney-in-Fact •? Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to adifferent document Other Indicate title or type of attached document,number of pages and date ❑ --- Indicate the capacity claimed by the signer. If the clammed capacity is a corporate officer,indicate the title(a e.CI 0,CIO,Secretary) • Securely attach this document to the signed document with a staple.