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HomeMy WebLinkAboutO.C. Vacuum, Inc. - 2024-02-20 t�'1NGT 2000 Main Street, Huntington Beach, CA - 4' �� City of Huntington Beach 92648 APPROVED 6-0-1 - (McKEON—ABSENT)coutai 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 3rd 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 /a�� /e) powerpowereVA LegistarTm 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: Project 'Vendor Contract Type" r};`' t Submn tted 9 t Cost " �4t 5h S Y fi 3 l3 0 lz 1 Er 7 RFP plus15% 4 n i r z i 3 1i t t 3✓}k 1 Y;' r ' t tl . 1 Contingency t;.at�ati'�<,...,..M�°...., 1.�..*7r<.� 9;t`•n. Oil Well Abandonment Excalibur Well Time&Materials $ 1,099,770 $ 164,966 S 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 Totat`,. � �{�C g.�: 254,l�282 S. 1,94%498. City of Huntington Beach Page 2 of 6 Printed on 2/14/2024 powere374 LegistarTM File #: 23-1050 MEETING DATE: 2/20/2024 Project ,z, VeI>dor �E*st�rravtfett ( ��'11obggih- F tcna/t�edt /Estimr�atteMd Tota7l Estimated Scope,of 1> (, lfi , ✓,,3..{F1 Y-I p }F C5 4!' sis IIii 41 �p 7 J in J+T I Ca t across All w0 'JWll� i {-y 4 � %FYWith T 23i24 with 1 % 24125 iwth 15% 25126 with 1 , 15% vv '. r � 5 ' contingency i 'Contincygen f r Contingency Contingency, s ``'.0 r ° 1tf. :� ;.i t t 4 7 j`, 5 4Yyo..71 t, sf ax; NAgS.Z: Oil well Abandonment Excalibur Well Services $ 632,368 $ 632,368 $ 1,264y734,Estimated scope of Corp. ; work completion $ . between FY 24/25 and FY 25/26 • Civic Center Lease O.C.Vacuum,Inc. $ 349,583 $ 116,528 466, $,' 111 75%of work estimated Closure to be completed in FY 4 , Y, '.`23/24,then remaining z, _F 25%of work to be ,' `_ '� 0 completed in FY 25/26 Miley Keck Tank Farm American Integrated $ 218,422 $ 218,422:'Estimated scope of Lease Restoration Services,Inc. t; a , work completion FY 24/25 $r . ..'632.368;, Siy, ;?48896' '.S- 1049;268 • 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 powereW 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 FY22/23C1P $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 powere37A LegistarT"^ 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 CalGEM permits for abandonment and all work to sufficiently abandon wells to CalGEM 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 powered LegistarTM File #: 23-1050 MEETING DATE: 2/20/2024 Project Vendor Contract Type Cost Submitted 15% Cost n RFP Contingency Submitted in RFP plus 15% Contingency Oil Wet Abandonment Excalibur Well Time&Materials $ 1,099,770 $ 164.966 $ 1,264,738 Services Corp. Civic Center Lease O.C.Vacuum,Inc. Foxed Price/Lump $ 405,514 $ 60,827 $ 466,341 Closure Sum Miley Keck Tank Farm American Integrated Foxed Price/Lump $ 189,932 $ 28,490 $ 218,422 Lease Restoration Services,Inc. Sum Total S 1.695,216 S 254282,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 * .1d-teekrot rth, fly_} City of Huntington Beach Page 6 of 6 Printed on 2/14/2024 power LegistarTM SERVICE AGREEMENT BETWEEN THE CITY OF HUNTINGTON BEACH AND O.C. VACUUM, INC. FOR CIVIC CENTER 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 O.C. Vacuum, 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 David Carrasco 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. 23-13802/324317 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 Four Hundred Five Thousand Five Hundred Fourteen Dollars ($405,514.00) 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 0.Z/20/2. , or as soon as practicable after the execution of this Agreement by City (the "Commencement Date") and terminate three (3) years from Commencement Date, unless terminated earlier in accordance with the provisions of this Agreement. Contract may be extended for 2 additional one-year periods if mutually agreed to in writing by both parties. The time for performance of the tasks identified in Exhibit"A" are generally to be shown in Exhibit"A." This schedule and Term may be amended to benefit the Project if mutually agreed to in writing by City and Contractor. In the event the Commencement Date precedes the Effective Date, Contractor shall be bound by all terms and conditions as provided herein. 5. Extra Work In the event City requires additional services not included in Exhibit"A" or changes in the scope of services described in Exhibit"A," Contractor will undertake such work only after receiving written authorization from City. Additional compensation for such extra work shall be allowed only if the prior written approval of City is obtained. 6. Disposition of Plans, Estimates and Other Documents Contractor agrees that title to all materials prepared hereunder, including, without limitation, all original drawings, designs, reports,both field and office notices, calculations, computer code, language, date or programs, maps, memoranda, letters and other documents, shall belong to City, and Contractor shall turn these materials over to City upon expiration or termination of this Agreement or upon Project completion, whichever shall occur first. These materials may be used by City as it sees fit. 23-13802/324317 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, 23-13802/324317 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. 23-13802/324317 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. 23-13802/324317 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 O.C. Vacuum, Inc. Attn: Fire Chief Attn: David Carrasco 2000 Main Street 9635 Santa Fe Springs Rd. Huntington Beach, CA 92648 Santa Fe Springs, CA 90670 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. 23-13802/324317 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; 23-13802/324317 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. 23-13802/324317 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. 23-13802/324317 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 O.C. VACUUM, INC. municipal corporation of the State of California By: „Aoti—_ r)a4A--tt..4.---b— Mayor OSc4 074 /C /`“ Lv Print name ITS: (circle one) Chairm resident/ Vice President City Clerk AND By: /iya/e Giyra5& INITIATED AND APPROVED: Print name ITS: (circle one) Secretary/Chief Financial Officer/ Secretary- asurer ;, " ' (///4/1 Fire Chief APPROVED AS TO FORM: COUNTERPART City Attorney CC( REVIEWED AND APPROVED: City Manager 23-13802/324317 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 O.C. VACUUM, INC. municipal corporation of the State of Californ By: AIk ' L . 'or Print name 16 / ITS: (circle one) Chairman/President/ )11 �"' Vice President City Clerk AND By: INITIATED AND APPROVED: Print name ITS: (circle one) Secretary/Chief Financial Officer/Asst. Secretary-Treasurer Qy Fire Chief APPROVED AS FORM: COUNTERPART City Attorney REVIEWED A APPR VED: City Manag r 23-13802/324317 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: 23-13802/324317 11 EXHIBIT A City of Huntington Beach �. 01' I r , ` � ` .OUNTN 1 Request for Proposals No. 23-0915-3 CIVIC CENTER LEASE CLOSURE RFP Due Date: Friday,September 15,2023 by 4:00pm RFP Administrator:Jennifer Anderson, Senior Buyer Jennifer.Anderson@surfcity-hb.org Submitted By:4,9:-4 .•„,.,.,,, . , , so . .. . `f,,n v i. r .o t .m:',O ii f ci:, ,•S e r V:j.,0 ,3,$,, PO Box 91951 City of Industry, CA 91715 Toll Free: (877) 984-8178 Phone: (562) 984-8178 Fax: (562) 984-7559 9635 Santa Fe Springs,Ca. 90670 562.984.8178 Fax 562.984.7559 E. j"v: 1.'F (7'(l: m:. 1f' '';t] 1 :S ef V ` + e s To Whom It May Concern, O.C. Vacuum, Inc. is a fully licensed, General A Contractor with a Certification in Hazardous Substances Removal and Remedial Actions. O.C. Vacuum,founded by Oscar Carrasco in 1978, is a California Corporation and a certified SBE (Small Business Enterprise) and WMBE (Woman/Minority Business'Enterprise),providing 24-hour emergency response, over the water spill response, storm water services, and hazardous and non-hazardous waste remediation, transportation services,well abandonment and Lease closure. O.C. Vacuum, Inc. is focused on providing effective and sustainable environmental services and solutions serving businesses,large and small, as well as state and federal agencies.With over 44 years of waste remediation and transportation experience, O.C. Vacuum prides itself in providing quality and reliable service to our customers. O.C. Vacuum,Inc.'s fleet is unmatched,new; clean air certified equipment ensures our ability to handle any project, at any time. Employees are 40-Hour HAZWOPER Certified, Confined Space Certified, Confined Space Rescue Certified, and TWIC (Transportation Worker Identification Credential) Certified.We are confident that with our experienced workforce,we will be able to service your needs with consistency and a high level of professionalism. O.C. Vacuum,Inc. is committed to keeping our land, lakes,rivers, and coastal waters protected. With a knowledgeable workforce, and a great support staff we are able to stay competitive and well informed in this ever-changing, dynamic industry. Our team is prepared to respond to your waste management and emergency response needs both effectively and efficiently, 24 hours a day, 7 days a week. All work shell be done by O.C. Vacuum,Inc. no subcontractors will be needed. Scope O.C. Vacuum, Inc. agrees to provide to the city all materials, equipment, labor, travel, and services to abandon facilities according to specifications listed in the Well Conditions and Abandonments Specifications. We agree to start work no later than(30) days after City approval, or mutually agreed upon time and to complete the work by the end of contract term. Well work and services shall be performed on the Civic Center lease located at 2000 Main Street, Huntington Beach, California as well the public right away from the Civic Center to the Miley Keck Tank Farm. See specific well locations in the Well Conditions and Abandonments Specifications Work shall not commence until: 1. The Contract has been awarded, executed, and approved by the City. 2. All California Geologic Energy Management Division(Cal-GEM) and Huntington Beach Fire Department permits have been obtained by the Contractor and made available to the City upon request. 9635 Santa Fe Springs, Ca. 90670 562.984.8178 Fax 562.984.7559 The operating hours shall be no earlier than 7:00am and no later than 7:00pm due to well proximity to residents. The activity shall comply with the noise control requirements stated in Section 8.40.090(D) of the Huntington Beach Municipal Code. City of Huntington Beach Civic Center Facilities Location: The Civic Center facilities are located just north of Civic Center 1 in the parking lot of the City of Huntington Beach Civic Center, located at 2000 Main Street,Huntington Beach, CA 92648. The scope includes the removal or abandonment of flowlines and pipelines that connect the three oil wells to the Miley Keck Tank Farm. Condition: The facilities are Active [Shut-In(non-operating)]. Equipment: Flowlines: Civic Center 2 and 3 connect to the manifold adjacent to Civic Center 1 Gas Lines: Civic Center 2 and 3 connect to the manifold adjacent to Civic Center 1 Gathering Line: Civic Center 1 to Miley Keck Tank Farm Gas Separator 1: Located adjacent to the Civic Center 1 Gas Separator 2: Located adjacent to the Civic Center 1 Ball Separator: Located adjacent to the Civic Center 1 Gas Release Vent: Located adjacent to the Civic Center 1 The following operations will be performed to remove and dispose of the Civic Center lease facilities: 1. All tanks,vessels, above-ground pipelines, debris, and other facilities shall be decommissioned and removed. Toxic or hazardous materials shall be removed and disposed of in accordance with Department of Toxic Substances Control requirements. a. LEL meter will be used to monitor air around work area. b. Vacuum truck will be used to pump liquids from tanks,Vessels and pipelines. c. Technicians will unbolt flanges to drain any liquids from pipelines in to vacuum truck. When necessary,pipes may be cold cut to drain and remove,then loaded into scrap bin. Tanks will be emptied, and pressure washed(hot water) till LEL is at 0%. Tanks will then be disconnected and removed for scrap. d. All tanks,vessels and pipelines will be hot water washed to the extend that they will be excepted at the metal recycler. e. All liquids will be profiled,manifested and hauled to Disposal facility. f. Break and remove all concrete and asphalt associated with tanks,vessels and pipelines then loaded into roll-off bins and hauled to concrete recycler. 2. O.C. Vacuum,Inc.will conduct daily tailgate safety meeting with all crew members. Topics shall include trip, slip, and fall,proper PPE, chemical awareness, safe driving protocols, emergency driving procedures in case of an accident, and evacuation procedures in case of a natural disaster. The meeting will be noted on the tailgate safety meeting form, along with the names and signatures of all personnel present. All O.C. Vacuum, Inc.personnel are confine space and rescue trained. All drivers and technical have 40hour haz-mat training. Construction shall be conducted,with minimum practicable surface disturbance. 9635 Santa Fe Springs,Ca. 90670 562.984.8178 Fax 562.984.7559 LEASE RESTORATION GUIDELINES Lease restoration leaves the site in a condition that blends with and is compatible with the surrounding land.It involves the plugging and abandonment of wells, and the removal of all surface facilities and oilfield related refuse from the property. Unless required in Well Conditions and Abandonment Specifications section,the City does not require the re-grading of well sites to match surrounding land contours,reseeding, or removal of roads. Restoration shall include compliance with Section 15.32.060 of the Huntington Beach Oil Code and include the following: 1. Construction,with minimum practicable surface disturbance, of temporary vehicle access to all wells and facilities. 2. Removal of any identifiable drums of chemicals that may be on the lease. a. O.C. Vacuum Inc. is a license hazardous waste transporter. All drums will be profiled and manifested for proper disposal. 3. Sampling and running sufficient tests on unknown fluids remaining in tanks, sumps and other containers, as directed,to categorize their contents as hazardous or nonhazardous as defined in Section 25117, Division 20, Chapter 6.5, of the California Health and Safety Code. a. On Site Haz cat of unknown fluids and solids from tanks, sumps, and containers. Materials will be profiled and manifest for proper disposal. 4. Sampling and running agricultural geochemical water analysis of produced water in tanks/sumps, as directed, if the water will not be disposed of on site. a. Produced water will be profiled and manifested for off site disposal. 5. Proper disposal of all produced water. (Sell/ship all oil, if applicable,retain invoices.) 6. Sampling of sump sludge,tank bottoms,unknown fluid filled drums, and facilities, as directed, for hazardous materials. a. On Site Haz cat of unknown fluids and solids from tanks, sumps, and containers. Materials will be profiled and manifest for proper disposal. 7. The performance of subsurface well work,removal of surface facilities not requiring the results of the laboratory analysis, and cleanup of oilfield refuse. Refuse and facilities removal includes,but is not limited to,removal of all: surface flowlines, electrical lines and power poles to the utility company meter, and production facilities and equipment. 8. Dispose or road mix tank bottoms and sump sludge if laboratory results show wastes are non-hazardous. Hazardous wastes must be disposed of in accordance with DTSC requirements. 9. Hazardous wastes must be disposed of in an appropriate manner. a. All waste will be profiled and manifested for disposal per DTSC requirements 10. Purging of oil from all buried pipelines and filling them with inert an inert fluid and verifying that the purged oil and fluid has exited the pipeline and performing the proper collection and disposal. The pipelines serving the three Civic Center lease wells shall be drained of fluids and cleaned. a.Vacuum truck will pump all fluids from pipelines flushing with hot water. Fluids will be profiled and manifested for proper disposal. The portions of these pipelines,including underground lines,within the property shall be removed, 9635 Santa Fe Springs, Ca. 90670 562.984.8178 Fax 562.984.7559 a. Above and underground lines will be excavated and removed to scrap bin. If needed we may vacuum excavate underground pipelines if near any utilities that are suspected in the area. and the portions of the pipelines located outside of the property shall be filled with controlled low strength material (CLSM). The ends of the lines shall be capped as per industry standards. The gathering line used to transfer oil and water to the Miley Keck Tank Farm (MKTF) shall be drained of fluids and cleaned. Portion of this gathering line within the Civic Center parking lot shall be removed. The Civic Center parking lot end of this gathering line shall be capped as per industry standards. a. Lines will be fitted with 2"valves on both ends to fill pipelines with cement slurry using a cement pumper, cement truck and vacuum truck to pump till lines are full. All lines outside of property will be capped. 11. Complete the restoration and contact Cal-GEM for approval of work.Note: It is the responsibility of the Contractor to complete a satisfactory lease restoration per the Lease Restoration Guidelines References: 1. Excalibur Well Service 22034 Rosedale Hwy. Bakersfield, Ca, 93314 Kevin Araebaio (661) 978-1457 Well service support Vacuum trucks,roll-off trucks,Backhoe,cellar demo,vapor cone placement. 2. Rival Well Service 18812 Highway 65 Bakersfield Ca. 93308 Bob Gracin(661) 978-1461 Well service support Vacuum trucks,roll-off trucks,Backhoe, cellar demo, vapor cone placement 3. Craig Krununrich 1536 Eastman Ave.B Ventura, Ca. 93003 Phone(805) 766-1611 Huntington Beach project Removed Process tanks,pump jack,pipelines and placed vapor cone. 4. Galitzen Properties 3153rdSt. Huntington Beach Ca. 92648 Don Galitzen(714) 362-4651 Well service support Vacuum trucks,roll-off trucks,Backhoe, cellar demo, vapor cone placement 9635 Santa Fe Springs, Ca. 90670 562.984.8178 Fax 562.984.7559 Pricing 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($0.00)amount and will perform any such services indicated at no cost.to the City.In the event of a computational error, individual line-item prices will prevail over extended totals.The City will check bid calculations and recalculate bid totals.The net cost is calculated by subtracting the salvage value from the total cost. The total net sum is calculated by adding the total of all net costs. Project Manager Title: . David CarrascolGeneral Manager - Civic Center Operator Lease Well API Total Cost,$ Salvage Value,$ NetCost,$ • City of HB Civic Removal of $205,617.30 0 $205,617.30 Center Facilities City of HB Civic Lease $199,896.70 0 $199,896.70 Center Restoration The award will be determined based upon the lowest Total Net Sum bid for.all work after incentives and preferences have been:applied. Printed Name: David Carrasco Title; Tu5:1:1,a7N Signature: A %/ Company: . O:C.Vacuum,Inc. Email address: davidc@oc-vac.com 9635 Santa Fe Springs;Ca..90670 .562.984.81.78 Fax 562.984.7559 Licenses & Permits O.C. Vacuum, Inc.'s equipment and personnel are fully permitted to handle, package, transport, and dispose of various non-hazardous and hazardous waste streams in the State of California. Copies of all licenses & permits listed below are kept on file and available upon request. 1. State of California Contractors State License Board Number: 706710; General A Contractor; Hazardous Substances Removal and Remedial Actions Certification 2. State of California Department of Fish and Wildlife OSRO Rating Later 3. State of California Department of Fish and Wildlife Certificate of Financial Responsibility (OSRO) Certificate#3-2474-00-026 4. State of California Department of Fish and Wildlife Mobile Transfer Unit Facility Contingency Plan Approval#T4-20-3223 5. United States Coast Guard Facility Response Plan Approval 6. Department of Toxic Substances Control—Hazardous Waste Transporter Registration #0420 7. State of California Department of California Highway patrol—Hazardous Materials Transportation License#54136 Control#206604 CHP Carrier#519 8. State of California Department of Motor Vehicles—Motor Carrier Permit#0000519 9. U.S. Department of Transportation—Hazardous Materials Certificate of Registration Reg. #050712 553 091UW; HM Company ID#057340 10.Alliance for Uniform HazMat Transportation Procedures ID#UPM-498967-NV 11. State of California Department of Resources Recycling and Recovery—Registered Waste Tire Hauler#1489835 12. United States Environmental Protection Agency—Notification of PCB Activity TSCA #CAW000000729 13. City of Long Beach, Certified United Program Agency Permit#HC00002650 14. State of California Health and Human Services Agency, Department of Health Services —Medical Waste Transporter#420 15. Department of Public Health Medical Waste Management Program—Trauma Scene Waste Management Practitioner#260 16. County of Los Angeles—Public Health License—Sewage Pumper Truck License 17. California Environmental Protection Agency Air Resources Board —Certificate of Reporting Completion Truck and Bus Regulation ID#39875 18. Federal Motor Carrier—Motor Carrier Permit No. MC257168 19. Environmental Protection Agency- EPA ID No. CAT080032253 20. Huntington Beach Business Lic. 9635 Santa Fe Springs,Ca. 90670 562.984.8178 Fax 562.984.7559 ...----71F1GATE(MMIDD/YYYY) Accw CERTIFICATE OF LIABILITY INSURANCE • `�, 12/28/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Bolton Insurance Services LLC CONTACT 3475 E.Foothill Blvd., Suite 100 PHONE Pasadena, CA 91107 INC.No.Extl: (626)799-7000 (AX Nol; (626)583-2117 EMAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC p www.boltonco.com 6004772 INSURER A: Greenwich Insurance Company 22322 INSURED INSURER B: XL Insurance America,Inc. 24554 O.C.Vacuum Inc.P.O.Box 91951 INSURER C: Indian Harbor Insurance Company 36940 City of Industry CA 91715 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 72152722 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 INSURANCEADDL SUER POLICY EFF POLICY EXP LIMITS INSD WVD POLICY NUMBER (MM/DDIYYYY1 (MMIDDIYVYYI A / COMMERCIAL GENERAL LIABILITY GEC300138905 1/1/2023 1/1/2024 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE ✓ OCCUR PREMISES(Ea occurrence) $300,000 ✓ Ded$2,000 MED EXP(Any one person) $5,000 PERSONAL.&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY / 'i LOC PRODUCTS-COMP/OP AGG $2,000,000 $ OTHER: COMBINED SINGLE LIMIT $ B AUTOMOBILE LIABILITY AEC005115105 1/1/2023 1/1/2024 (Eaaccldentl 1,000,000 C ✓ ANY AUTO AEC005115205 BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) COmp/COiI Deductible $$2,000 C UMBRELLA LIAB I OCCUR UEC005115305 1/1/2023 1/1/2024 EACHOCCURRENCE $10,000,000 ✓ EXCESS LIAB ,CLAIMS-MADE AGGREGATE $10,000,000 DED ✓ RETENTION$10,000 - $ A WORKERS COMPENSATION WEC300139005 1/1/2023 1/1/2024 ,/ STATUTE ERH AND EMPLOYERS'LIABILITY Y/N E.L.EACH ACCIDENT $1,000,000 ANYPROPRIETORIPARTNERIEXECUTIVE N/A OFFICERIMEMBEREXCLUDED? Y(Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1.000.000 II yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 C Pollution Liability PEC00511930 1/1/2023 1/1/2024 $10,000,000 Each Pollution Condition C Professional Liability PEC00511930 1/1/2023 1/1/2024 $10,000,000 Each Claim $25,000 Deductible DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION • SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Proof of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 01 at I Cassandra Rosales ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 72152722 123-24 All Lines & Poll/Prof I Cory Hospedales 112/28/2022 9:29:15 AM (PST) I Page 1 of 1 . . - • . . . . ±. - t . a± . . i a• . .e of Califtrthin _ I . . i . . . . . . . • . ± CT..... - . . • • .. Cnnfrat . grz : faf.e 1-iitenz.e. Pf. r-Jr _ . _ill n . Pursuant to Chapter 9 of Division 3 of the Business and Professions Code - and the Rules and Regulations of the Contractors State License Board, r the Registrar of Contractors does hereby issue this license to - . . 0 C VACUUM INC - - . l ��/� dry^ to engage in the business or act in the capacity of a contractor • w ilk. o -Al, ^1" in the following classification{s}: cts oV b `f �; , A-GENERAL.ENGINEERING CONTRACTOR c C•"t°"l' a t c• `4ejail�1, Affairs4L rFOR� . Witness my hand and seal this day, May 18,1995 - Issued May 17, 1995 ' ' (r ignature of icensee /y ' Reg- Hof/Contractors - • This license is the property of the Registrar. of Contractors, is not. 706710 - - Signature of License Qualifier transferrable,and shall be returned to the Registrar upon demand . • - when suspended,.revoked,.or invalidated for any reason. lt.becomes LiccnscNumbcr - • - void if not renewed. - . rnzaaEV 4-91r 91-e79in - .. . b maufuualnn1uampit ml affirm�uu�almflumRagglalallmi1a111m11WI(�tl MIIIMIIIIIIanInpIMIII MIulto1ltumnIl4unnuu� illill nl111aun1a1i nalulinumillimillt biltinualulmulaannu illIll 2 l ' . . SATE Of CALIFORNIA ' - _ c STATE AND CONSUMER SERVICES AGENCY 'CONTRACTORS •STATE LICENSE BOARD T� . ,. ' • - HAZARDOUS SUBSTANCES::. ••. MOVAL AND REMEDIAL _ • ACTIONS tn.+ -IFICATIO.N • _ . - . Pursuant to the rovisio '•�".�'I cc.e,n 70 :"i'At�of. the �tC r arid Professions Code; theW. -Registrar of Contr:.;r;t�'lit :�_,•y c:, y that- r r� 7 g qualifying person . g has successfully co,�tt tt"-•a the ha:? '1.us _Si,`it., ances ,:. ::;:.• remedial' actions • • examination. - �;'�: 1 a ' `��..... . . .. ..i. . . Y2:!1..i- •.,.'ate. __ .-J;:e�:h: •�„•-._..: . --r-. • l ff _ € =`pt COHSv1 5 ": Y,Z 0y_:•+:'.• 't, .�i:�::;_! _ �' _�+ 'A��. .ualifier..•`DAVID CARRASCO , - . -c, RICISTRAR Of ,...✓ •j i CONIRACIORS - • - € 1 ' —•+— :'if License No.: 706710 • , llf�4�ySi�N� ,°-?'�r Business Narne; 0. C. VACUUM INC. WITNFM my hand andoff(cial seal this • This certification is the property of the dayaf Registrar of Contractors, is not 1ST SEPTIER 1995 • g c transferable,and shall be returned to the .8s•.rJ Q _ Registrar upon.demand..hen suspended, € Registrar of Conrrac ors t3l_3ti(I 2J91) rewkcd or invalidated for any reason attltllaintiluidiffilurnlAujtiltnilpinuluuiIIIIti stints(itutllnuutamlulmalallfnli rfaluuuilui ra[ 1n11n tons Qulutftaau paagltna alas( ml ai uaa na luiu(lalu Hitt N u u 4i u a u uu Iu � u u1 ta�pa utl u a4� , A - 66.93 L ? i 1 �s s f." r` R\' rl�fv de t�tiry \t f � 'b�.yam., ( [� 4f. .l'e ,." / 4,,A, � • \' `J 'tY i_'•t �e 1 ,J/ .!,u 15 "'.- j' 4'N i�_'b;, �,. A �c�'''�, A.� �„,v��.;'I�`'aoc � .x ‘JIvv`.�`�,' ,"�g�ti11- 'f`,. �r� � 1 �,., q�q j���y +f,� ,;rgt` �I�� 1.�g �� �gt�s�' :�. .. -444 "`J.:. y{"'^`. !' ,r Yes `'o.�-.i " `'._1 �� ��" ue .,25,4) Q 1"�E' v- 4'i? •:-!Ld 6 r w-h • ;., t Fin _.: 'h+:` .- : .. yk .. K• V..... cliet ,es.„,,... ,, , SUPPLIER CLEARINGHOUSE ; " w., 4. CERTIFICATE OF ELIGIBILITY � � { ). ' '1 ibli I, ,y sir l , . �,• t'. 4r ,m. !...v .;11:11 CERTIFICATION EXPIRATION DATE: December 28,2025 ':, ,,; The Supplier Clearinghouse for the Utility Supplier Diversity Program of the California Public Utilities Commission hereby • { i,:aft., a' certifies that it has audited and verified the eligibility of: its,,,,,, -1,'-z7A9v ..i'te‘1.0t,./7-' ri( ,f O.C. Vacuum, Inc. '• ;k r_, Women Business Enterprise (WBE).,..k.,-..Z*,._14,04.4"f n ' ' pursuant to Commission General Order 156, and the terms and conditions stipulated in the Verification Application Package. This +�' ;. Certificate shall be valid only with the Clearinghouse seal affixed hereto. Eligibility must be maintained at all times, and renewed within 30 days of any changes in ownership or control.Failure to comply . : • � ��; =1 may result in a denial of eligibility. The Clearinghouse may reconsider certification if it is determined that such status was k; i '•,,, obtained by false, misleading or incorrect information. Decertification may occur if any verification criterion under which r kriJ ; ,• ,4,10:. .,,, eligibility was awarded later becomes invalid due to Commission ruling. The Clearinghouse may request additional information 4 Ir,,,, 5 or conduct on-site visits during the term of verification to verify eligibility. s'< ,�a� This certification is valid only for the period that the above firm remains eligible as determined by the Clearinghouse. Utility �-.�'� t :_ tY companies may direct inquiries concerning this Certificate to the Clearinghouse at(800) 359-7998. kV - c, k� s VON: 94ES0050 DETERMINATION DATE:December 28, 2022 4 aricot� �-e,�a,-«+ .aA.rntaSy.na1+:.. •44 . L•�.h;.4';. , ,:a,:r tom,, rk -. ...a.r b�...c.'c:.. .y: - `s?-.:- - y, 7%`C C r '�- 1 1 : . `�• , i+ -�-4. ,.; - A'.. �xy -�Gr -�*•y_-t. ryf��� �'" � ��'"i� y .r�?` �` - _'4p N� ,..+.a. _�,`�"q� �•'�s 1;t, k * r r,a 1�." ; ,ti. �� cA7�+ { t @ -4�,-f 1 � '*' C` :, -n`�i " J== f (! o. `1 : } �,� i `�. r 's.f_ts j ��s::�• .,;\ j 1$ 4g' = ,,, it A Z4, _ t "`,J1 e 0' � 1 w�.%, t "ti .-' {'hi-\`l 4 . ` :.!W iy ri,.•'4 ,Z$�' iZ14:'F, �8. ;' J *tg '�.. ' ' c ur l� v^' F 44 . d i� .�.ko' _..A 4$ - q m dJ d,,4 • ,f . yrr ;"1 c 'r :a: Y .. . i ,,*IA .�. A4. ✓�';'' + °`� • s r ^: , .a � y���:: �., �� �r � .,+m^i*+_`'�•�•.�.,✓r�'� ? -.•. +fit. a>n? ...r c4a V {� ,P �f 3k � �T. yip>'J�:t.,: .f E • � 'Sti �'� �b�1.. g ..,-,,,..ausSv r ,,. {`.,a... .:,� ..�{�.,�.. t4'•i'u`r' ... 04" .ri:�� '9•p..,i1.•1 a• �t . 4w�w+A+ SUPPLIER CLEARINGHOUSE #. tTAN• *f, , ,..4 I1: CERTIFICATE OF ELIGIBILITY' filk Ar111"..t; 10,."' 1 �1 CERTIFICATION EXPIRATION DATE: December 28,2025 S The Supplier Clearinghouse for the Utility Supplier Diversity Program of the California Public Utilities Commission hereby 4 6'4 I ,` "� certifies that it has audited and verified the eligibility o11 f Il .' O.C. Vacuum, Inc. ,'' Minority Business Enterprise (MBE) 3-4‘1.',..1.3',i..., 1g;.1.1tcF..)-?4'94-1 pursuant to Commission General Order 156, and the terms and conditions stipulated in the Verification Application Package. This �' - ,. 4 Certificate shall be valid only with the Clearinghouse seal affixed hereto. (PAEligibility must be maintained at all times, and renewed within 30 days of any changes in ownership or control. Failure to comply ,411 �. may result in a denial of eligibility. The Clearinghouse may reconsider certification if it is determined that such status was , . !` :,` obtained by false, misleading or incorrect information. Decertification may occur if any verification criterion under which r# <i ii �, ll.'`. ► eligibility was awarded later becomes invalid due to Commission ruling. The Clearinghouse may request additional information ,tr-lr . .. or conduct on-site visits during the term of verification to verify eligibility.;;146illi: Ir; � This certification is valid only for the period that the above firm remains eligible as determined by the Clearinghouse. Utility IQ- . 4.. `2" companies may direct inquiries concerning this Certificate to the Clearinghouse at(800)359-7998. Via'."' p ri j. VON: 94ES0050 DETERMINATION DATE:December 28,2022 1'"..: gfili'l °, °ii'l "At J`,,,syatixv.� ,.;;;r. a yam.. ` : • •sy`'r"' ."` EgAAA:,3, C 1`iJ " ;' `. ,,� �: .. *_ -• 'y`'' �I' - h „�a`1 -. ''' 'k°FG:- .I!r. ` - 'r\. '`•`'fig 1�tik `tc' +•, „x- , !., Y , fZ r % e,aE. ) -i' M1.i��'�� y •o"'' a'f�. 5�. 1 JP Iti 2 F .1 ,•\ � {i .•: ' P '+' ' y-�i `�1 1.k '. , e:-' 1:'i dr4f1I' 'r `,•' _ .r, .t'f I" '"x•4;.*`� \--..<. 4�: .. :3 _e. 'C.z.r�' — .L.. _ Supplier Profile 1/10/22,1:31 PM Printed on: 1/10/2022 1:30:15 PM To verify most current certification status go to:https://www.caleprocure.ca.gov . Ds CALIFORNIA OSPARTMENT OF GENERAL SERVICES Office of Small Business & DVBE Services Certification ID:38539 Email Address: jr@oc-vac.com Legal Business Name: O C VACUUM INC Business Web Page: http://www.oc-vac.com Doing Business As(DBA) Name 1: • 0 C VACUUM INC Business Phone Number: 562/984-8178 Doing Business As(DBA) Name 2: Business Fax Number: 562/984-7559 Address: PO Box 91951 Business Types: City of Industry Construction , Service CA 91715 Certification Type Status From To SB Approved 01/10/2022 01/31/2024 Stay informed! KEEP YOUR CERTIFICATION PROFILE UPDATED! -LOG IN at CaleProcure.CA.GOV Questions? Email:OSDSHELP@DGS.CA.GOV Call OSDS Main Number:916-375-4940 707 3rd Street,1-400,West Sacramento,CA 95605 hops://caleprocure.ca,gov/pages/SuppllerProflie/supplier-profile-print.html Page 1 of 1 (1117/ LOS ANGELES COUNTY CONSUMER & BUSINESS AFFAIRS Board of Supervisors March 14, 2022 Hilda L.Solis OSCAR J CARRASCO Vendor#: 110367 First District O.C.VACUUM, INC. Certification Holly J.Mitchell PO BOX 91951 Record#: 091981 Second District CITY OF INDUSTRY, CA 91715-1951 Sheila Kuehl Third District CERTIFICATION FOR NON-FEDERALLY FUNDED COUNTY SOLICITATIONS Janice Hahn Fourth District Dear OSCAR J CARRASCO, Kathryn Barger Fifth District Congratulations!Your business is now certified as a Local Small Business Enterprise(LSBE)with the County of Los Angeles effective as of the date of this letter.Your LSBE certification expiration date is Director based on your California Department of General Services(DGS)small business certification.Your Rafael Carbajal certification expires on January 31, 2024. Chief of Staff Joel Ayala Your business is eligible for LSBE preference consideration in those County of Los Angeles solicitations which include the"Request for Preference Consideration"form.You must complete the form and provide a copy of this approval letter in your bid/proposal to receive the preference.To view your L.A. County LSBE certification status,visit: camisvr.co.la.ca.us/webven As a certified LSBE,your company is also eligible for a 15-day prompt payment through the "Countywide Small Business Payment Liaison and Prompt Pay Program."To request your free Prompt Payment Stamp please email the Office of Small Business at OSBC&dcba.lacounty.aov or call (323) 881-3964. The County of Los Angeles Department of Consumer and Business Affairs (DCBA) reserves the right to request additional information and/or conduct an on-site visit to verify your company's eligibility for this certification. Please contact our office immediately if your business experiences any changes that could affect eligibility during the certification period. For questions about this certification or to learn more about resources available to small businesses you can visit us online at DCBA.lacounty.Qov, email us at OSB aadcba.lacountv.4ov, or call us at(323) 881-3964. Sincerely, Rafael Carbajal Director • • Christian Olmos Program Chief, Office of Small Business RC:CO 1:4 1 `� dcba.Iacounty.goV 500 W.Temple St.,Suite B-96,Los Angeles CA,90012-2706 i %1 1,�;. info@dcba.lacounty.gov (213)974-1452 ' (800)593-8222 ' Fax:(213)687-1137 •':S!vioiMA✓ :.. CoNI Angal t GaUnky; ..... aaee 44ki l r 1#4 0.),9 ,2,90,'Frl Tr t elropQittxfl 4.0.0 rtg$lcn ,i4hortty. l An it a;rA gr i 5 r6d0,n6.1 :Metro October 19,2022 CUCP#24098 Metro File#2368 Ms.Irene Carrasco O.C.VACUUM,INC. PO BOX 91951 CITY OF INDUSTRY,CA 91715 Subject:Disadvantaged Business Enterprise Certification Dear Ms.Irene Carrasco: We are pleased to advise you that after careful review of your application and supporting documentation,the Los Angeles County Metropolitan Transportation Authority(Metro)has determined that your firm meets the eligibility standards to be certified as a Disadvantaged Business Enterprise(DBE)as required under the U.S.Department of Transportation(U.S.DOT)Regulation 49 CFR Part 26,as amended.This certification will be recognized by all of the U.S.DOT recipients in California.Your firm will be listed in the California Unified Certification Program(CUCP) database of certified DBEs under the following specific area(s)of expertise that you have identified on the NAICS codes form of the application package: NAICS 561210:FACILITIES SUPPORT SERVICES NAICS 562112:HAZARDOUS WASTE COLLECTION NAICS 562910:REMEDIATION SERVICES NAICS 562998:ALL OTHER MISCELLANEOUS WASTE MANAGEMENT SERVICES Your DBE certification applies only for the above code(s).You may review your firms information in the CUCP DBE database which can be accessed at the CUCP website at https://dot.ca.gov/programs/civil-rights/dbe-search.Any additions and revisions must be submitted to Metro for review and approval. In order to ensure your continuing DBE status,you are required to submit an annual update along with supporting documentation.If no changes are noted,then your DBE status remains current.If there are changes,Metro will review to determine continued DBE eligibility.Please note,your DBE status remains in effect unless Metro notifies you otherwise. Also,should any changes occur that could affect your certification status prior to receipt of the annual update,such as changes in your firm's name, business/mailing address,ownership,management or control,or failure to meet the applicable business size standards or personal net worth standard,please notify Metro immediately.Failure to submit forms and/or change of information will be deemed a failure to cooperate under Section 26.109 of the Regulations. Metro reserves the right to withdraw this certification if at any time it is determined that it was knowingly obtained by false,misleading,or incorrect information.Your DBE certification is subject to review at any time.The firm thereby consents to the examination of its books,records and documents by Metro. Congratulations,and thank you for your interest in the DBE program.Should you have any questions,please contact us at(213)922-2600.For information on Metro contracting opportunities,please visit our website at www.metro.net. Sincerely, Ramon Ortiz Manager,Certification Diversity&Economic Opportunity Department n les c4!un3.y. CItIi Gs.l tivfy!P1a�„ a►33?z; :aho 7%I :: :t �+ft Lns1Atrt l kar�'Tis�nspntint{an Au tnrl l ` t6i kiOla'q:04.0e0-10 tetra';hck 4 K Mete October 19,2022 Metro File#2368 Ms.Irene Carrasco O.C.VACUUM,INC. PO BOX 91951 CITY OF INDUSTRY,CA 91715 Subject: Small Business Enterprise Certification Dear Ms.Irene Carrasco: We are pleased to advise you that after careful review of your application and supporting documentation,the Los Angeles County Metropolitan Transportation Authority(Metro)has determined that your firm meets the eligibility standards to be certified as a Small Business Enterprise(SBE) as required under Metro's SBE Program.Your firm will be listed in Metro's SBE database of certified SBEs under the following specific areas of expertise: NAICS 561210:FACILITIES SUPPORT SERVICES NAICS 562112:HAZARDOUS WASTE COLLECTION NAICS 562910:REMEDIATION SERVICES NAICS 562998:ALL OTHER MISCELLANEOUS WASTE MANAGEMENT SERVICES Your SBE certification is valid for five years from the date of this letter and applies only for the above NAICS code(s).Any additions and revisions must be submitted to Metro for review and approval. In order to ensure your continuing SBE status,you are required to submit an annual update along with supporting documentation.If no changes are noted,then your SBE status remains current.If there are changes,Metro will review to determine continued SBE eligibility.Please note,your SBE status remains in effect unless Metro notifies you otherwise. After the five-year certification period,your entire file will be reviewed in order to ascertain continued SBE certification status.You will be notified of the pending SUE status review and any documentation updates necessary prior to the expiration date. Also,should any changes occur that could affect your certification status prior to receipt of the annual update application,such as changes in your firm's name,business/mailing address,ownership,management or control,or failure to meet the applicable business size standards or personal net worth standard,please notify Metro immediately. Metro reserves the right to withdraw this certification if at any time it is determined that it was knowingly obtained by false,misleading,or incorrect information.Your SBE certification is subject to review at any time.The firm thereby consents to the examination of its books,records, and documents by Metro. Congratulations,and thank you for your interest in Metro's SBE Program.Should you have any questions,please contact us at(213)922-2600.For information on Metro contracting opportunities,please visit our website at www.metro.net. Sincerely, Ramon Ortiz • Manager,"Certification Diversity&Economic Opportunity Department - CALIFORNIA HIGHWAY.PA 'ROL • , e , - a - P ,,' h LON.r .a.4 twd ■ ,- . .. ;0805 ; 8 Consee. ,e S L ie •a 4 r-a Reviews ,,. . ` There is establis - the : riiiaeiii aieralial or-_carrier safety' - - .'fE �o�: alif' ' compliance inspe • a progr a _ 3 e('. o Highway Patrol.; _ That program,lc fl=� as. - , a• u 'fie (BIT)"mirtim Program. requires:ail motor c.=n s a + • ? sic j a : 5 ted iIt C'aliforitia'to. . undergo an inspectio op .�eyr compliance with - law ' . re -ti C 0 19 e o e carrier safety: - ' applicable •1--� gala tingao,m -- • -- r• r al has thieve!, P+ I °•cutive satisfacto• -safety= - :This.is.to certify thatths :�, : �'... co fiance satin _as in. -,a'above: ,, orriia'-Highway Patrol , • � -.. . - ::: -. :..;: gip - ... � ' •' congratulates this terminal on = s`! •:•, .,a s achievement:and recognizes : - - = 'tlie:commitaient to highway " _ . ,d monstrated b: thepersonnel ..: - - --. - -: - - - ,;- -responsible for the operation of this terminal. ' = COlyIllifiSSIONER , ' - _. - _ - '. ..ARTi1dEN:T•O�CALIFORNIA HIGHWAY,PATROL. _ , _vigil State of California—Health and Human Services Agency California Department of Public Health 0 ....., .4 6,,,ii.it)CPH -giro. .scoa y,:Antoi,MD,MPH OfWIN NEWSOM. Slale PublIc haellfr011icer&Director. • :00etnor • MEDICAL WASTE TRANSPORTER HAULER , • . ANNUAL.VERIFICATION AND CONDITIONS Mays 1 I.,2020 The California Department of Public Health., Medical W.a.ate Management•Program (Department), has confirmed yoUr'cornpany is currently registered as a hazardous waste transporter with the Department of Toxic Substances Control (1.)TSC). The Department has also verified that your company is using a medical waste tracking: document per'CA Health and Safety Code (HSC) Section 118040, You are required to maintain your registration as a hazardous waste transporter and to abide by the conditions outlined on the enclOaed page per HSC sectionsi 180(10., 118040i Transporters of triediCal:WaSte WhO tnaintalh their annpal hazardous waste transporter registration with DISC and:submit medical vtiate:hauling:reportS quarterly to the Department will be added to the list of current medical ItanspOrter§:prOVided ori our Webalte, HaZatdotis:Mste Transporter RegistrOtiott.Nuttibet: 420: cornony nanid/adcifetglphotie! .Q.O.,.Vacuums'Ibo, :590e) Cheriy.AVentie Long 9e0Oty, California.00.806 (562).572-1(.144 Contaet'Per6.on: ()sear 1 Cattasco You ate subject to ail:applicable provisions of the Medical Waste.Managenient Act, Division 104, Part,14, Chapter 6, Of the Health and Safety Code and the conditions set forth on the'f011owingipage. If you have any questions please: contact I4,S. at(016)440.,5671.. Sneetal Singh, Ohief - • ,Etnergeney, Restoration &Waste Managethent Sectibn Medical Waste Management Program•MS 7405,IMS K-2'.,P..0.Box 997877 •-' - • •F•pi.:11 , 5acramento1 CA 0589977377.• (06)449-5571' :www.cdph.ca.coviiTiedicalwaste ?9,Z' '''''' U.S.Department of Commander 1001 S.Seaside Ave,Bldg 20 Homeland Security 69,AN United States Coast Guard San Pedro,OA 00731 Sector Los Angeles—Long Beach Staff Symbol:spw tMil Phone:(310)521-3745 United States --- Fax:(310)521-3763 Coast Guard 16611 /007- 19 FIN: LAMTR014 MISLE Activity#6624744 0.C.Vacuum, Inc. •Attn: Oscar J. Carrasco 5900 Cherry Avenue. Long Beach,CA 90805 FEB 1 9 2019 Dear Mr. Carrasco: ..... .•...................... •....... The Facility Response Plan(FRP)submitted for O.C. Vacuum,Inc.has met the requirements of Title 33 Code of Federal Regulations(CFR)Part 154,and has been approved. 0.C.Vacuum, Inc.must operate in compliance with.this FRP. Failure to comply with the requirements of 33 CFR Part 154, including those outlined in this FRP,may result in additional requirements being placed on O.C.Vacuum, Inc.,or rescission of this plan approval. Your facility is subject to inspection at any time by Coast Guard personnel to verify compliance with this plan. A copy of the FRP and any amendments must be made available to Coast Guard personnel upon request. This approval will remain valid until five years from the date of this letter-Mess rescinded in writing by this office. You must review this plan annually and submit any amendments to this office for re-approval as required by 33 CFR 154.1065. Keep a copy of this letter with the Facility Response Plan. I commend your efforts in developing a response plan that reflects your company's operating procedures and organizational structure. Please ensure that all parties with responsibilities under this plan are familiar with the procedures and requirements contained therein. If you have any questions,please contact our Waterfront Facilities Division at(310) 521-3745. Sincerely, 2 Wt I. D.MAHAR . Lieutenant Commander,U.S. Coast Guard Chief,Waterways Management Division By direction • ,,,,,,, ,;, State of California--,Natural,Resources Agency ,e,7,031A, 'GAVIN NEWSOM. Governor ,i,,,,7,-Yril181 DEPARTMENT OF FISH AND WILDLIFE CHARLTON H.BOPIHAM,Director 4,,,,r4V,1-1Eg I Office of poi Prevention and Response .F.o. Box 944209 7 Sacramento, CA 94244-2090'----'''.->- v.iWw‘wildlite.ca..goviosor February 19, 2021 Oscar J. CartaacQ Vice President. ac.Vacuum Environmental Services 5900.Cherty Avenue Long Beach, CalifOrnia.9.0805: SUBJECT: OIL$174.1 .RESPONSE 011GANIZATI0N.(0SR0),RENEWAL DRILL . . Dear W CatratOo:: Our staff conducted an unannounced 05)3Q,Ratit*tio*o.p„c: Vacuum Environmental Services on February 42021 at the CabtilleyStateteacKin San Pedro, California,Area Contingency Plan 5,(APO'$),•Title,;14. California Code of ReulatiOna, (p0R) section 8.19.03 :requirest*AcittOottatot tspi$.$0::4.Wdtterl,i:OpOttcpvaluaOrm the. perforrnanceoftheOSRO'after:every unannounced drill within 3'0 Calendar;days, 0.C. Vacuum Metallihe:objectivos of the:Unannbunted.08Rotkill, A report of 0.C., Vacuums Perfortrrietle, n.d*th the..etOWS firiditiOre•Otta"Ohott if you have:anyeluestions,:please contact Mr Jeff Poteet'at:(018).53,14301 or by e-mail at Jeff.PbteetOvVildlife,ta4OV: Sincerely, ,e6 Thomas M. Cullen, Jr AdministratOr. Office of Spill PteVentiOn.and'.RaspoilSe California Department of Fish and Wildlife ‘, cbitser..oilig:oro etties..: Wirdrife.Si.ne:e: I.Ss:V State of California—NaturatResOurces.Meriov *GAVIN NEWSOM. Governor DEPARTMENT OF AND WILDLIFE CHARLTON WBONHAM,Director ,scivtkpLirel Office of spill Prevention and.Response P.O. Sox 944209 Sacramento, PA 94244-2090 ww.w.Wildlife:ca.govlos0 IVIay.23, 2022 Mr. Oscar J. barra9pp Vice President Vacuum Eoviropm9ntal.Services' PO Box 91951 City of Industry, CA 9171.5,: SUBJECT;':Qii':PPitY13.04)onp0.,PrO4ni*ation (p$K).),TerrewialRating Renewal Dear Mr. CoeilsoQ! On March 23, 2022,4he Office of Spill Prevention and Response (OSPR) received an Oil spill RsporisofOtgorli*ltioh.Toosstoo Rating renewal application from Vacuum Environmental ServiCes.to renewbefollovving!rating: Inland Terrestrial As outlined in the VaPpdrh.Epyitonoental Services requested:oppR to evaluate the:serVice:.ratingsfoi;:kespOnse Planning .V&VI, „ 2 On May 51h and 1001'2022i OSPR staff viSitedthe:OiC.:environmental:SeMPeeAt the Santa Fe Springs, CA facility and conducted an on-site inspection and equipment • verification. Based on thi$10peotiOrt:00:'rovjew..of the application information, tt) PRis- granting O.C. VicuuMEnVirontnental'.$60)ceaa.,Terratri41‘-'0400 f.0:;RPA.'s I, V &VI (see attached Matri*), remain in effect until your application expires on May 23, 2026: , . Thinl(yoU4orycipt continued interest itorpviling ttiosesorooss:10..:COlitqfnikiltypki .,„ " have any questions regarding Ihe,infOrtnetioh,O,Ontain01 inffil,Ojettet,or OSP OBli0 Rating PrOb-taikploose.'oontoct•W Pay1:171iPhbOrni.()SPeO.BkO,Ftating Coordinator, at(014:223-9603:or by e-mail at PaukOichtiorri0Wildlite.ta:Po . Sincerely• , f f JOlie YamaWto Apting Administrator Office of PPP Prevention and Response California Department of Ophi.andWilofro: C000rviott-Catiftri64,Wia1ifi 3i.t4e.g, IS.70 State of California Natural Resources Agency .EDMUND G.BROWN JR., Governor *'" CALIFORhIIA' DEPARTMENT OF FISH AND WILDLIFE CHARLTON H.BONHAM,Director $ , 4 voLotirr i Office of Spill Prevention and Response � mq.0 ry5 i 4665 Lainpson Ave, Suite C ;: K;6 " 1 Los Alamitos, CA;90720 Telephone: (562)342-7212 • www.wi l d life.ca:gov. March 31, 2018 O.C. Vacuum Environmental.Services Mr. Oscar J. Carrasco 5900 Cherry Ave. • • Long Beach, CA .90805 Dear Mr. Carrasco Your California Facility Oil $pill Contingency Plan has been reviewed for compliance with the California Code of Regulations Title 14, Subchapter 3, Sections 815, .816, and 817. Based on this review the following plan is:approved: O.C.Vacuum Environmental Services Control Number: T4-20-3223 • A copy of this letter should be kept on the facility covered by this contingency plan. This approval expires on March 31,.2023. Your California Facility OH Spill Contingency Plan must be kept current at all times. Promptly send plan revisions to all plan recipients. When submitting plan revisions to OSPR, use the letterhead address, with "attention: Prevention Branch." The current California regulations regarding Oil Spill Contingency Plans can be located through the Internet at: http://www.wildlife.ca.aov • We appreciate your,efforts to improve the safety of California's marine environment. If you have any questions regarding this approval, contact Mr. Christian Syre, at telephone number (562) 343-8061 or by e-mail at Christian.syre©wildlife.ca.gov. Sincerely, inccereely, • Jon Victoria • Field Supervisor, Prevention Branch Office of Spill Prevention and Response cc: Mr. Christian Syre Mr. Ted Mar • Conserving California's Wildlife Since.1870• • STATE OF CALIFORNIA CONTROL NUMBER LICENSE NUMBER ISSUE DATE EFFECTIVE DATE EXPIRATION DATE lT tY �f ' DEPARTMENT OFCALIFORNIAHIGHWAYPATROL 262657 227287 •911312022 10/1/2022 9/30/2023 "F ` HAZARDOUS MATERIALS CHP GRRIERNUMBER LOCATION Duplicate Replacement ",�;;; :' • CA 519 550 Initial / Renewal : TRANSPORTATION LICENSE d CHP 360H(REV, 1/00)OPI 062 PROPERTY OF THE CALIFORNIA HIGHWAY PATROL(CHP) The original valid license must•bekept at the licensee`s place of business as indicated on the license ... ._ • and a legible copy Must be carded In any vehicle or combination transporting hazardous materials and LICENSEE NAME AND PHYSICAL STATION ADDRESS(it different than below) must be presented to any CHP officer upon request,This license Is NONTRANSFERABLE and must be surrendered to the CHP upon demand of:aS required by law,Amajority change in ownership or • control of the licensed activity shall require a new license.This license may be renewed by submitting • O.C,VACUUM INC. an application end appropriate fee to the CHP.Persons whose licenses have expired or are otherwise 9635 Santa Fe Springs Roadno longer valid must Immediately cease the activity requiring a license.THERE iS NO GRACE . PERIOD.For licensing Information contact CHP,Commercial Vehicle Section at(916)843-3400. SANTA FE SPRINGS CA,US 90670 This carrier is on the special routing/safe stopping place mailing lists as indicated below: ; LICENSEE NAME AND MAILING ADDRESS 0 (HMX)Explosives subject to Division 14,California Vehicle Code(CVC). (HMPH)Poison Inhalation Hazard materials In bulk packages'Subject to Division Attention:OSCAR CARRASCO 14.3,CVC, O.C.VA000M INC. (HMRCQ)Highway Route Controlled Quantity radioactive materials subject to PO Box 91951 • Division 14.5,CVC, CITY OF INDUSTRY CA,.US 91715 -'-- Any person who dumps,spills,or causes the release of hazardous materials or hazardous waste upon any highway shall Immediately notify the CHP or the agency having jurisdiction for that highway. The minimum line for failure to make the appropriate notification Is 52,000.00,(CVC Section 23112.5) I • • • 1.. CALIFORNIA STATE TRANSPORTATION AGENCY DEPARTMENT OF MOTOR VEHICLES Registration Operations Division MS G875 ' P,O.BOX 932370 Sacramento;CA.94232-3700 :���'l� (916)657-6153 • • 0, 11/24/2014 7,, • • 0,C VACUUM,INC, • 5900 CHERRY AVE • ' LONG BEACH, CA 90805 •• • • °`�.° NON-EXPIRING • Q . MOTOR CARRIER PERMIT • A Public Service Agency. : Combined Carrier • • Valid ' Valid, DES:* . , T OF MOTOR VEHICLES From 12/01/2014 Through: Non-Expiring • Rt s,tr t i rations Division' P, : ' 1 70 Sacramento,CA.94232-3700 CM: .000051.9 • ; r' The*Li carrier nand obispermit is'subject to %�I„ . :;, . ,•,:.1•,::: It: �;:: ..•. • . .. the.Uniiiec C rear Reg'%stV, n Act(UCRA) of 2005 4., d is g ,a ,a*ton*4. 'ring permit of the g, t,«. O C VACUUM INC• : '..,.,..�s• � �• ' 5900 CHERRY AVE LONG BEACH, CA 90805 �'' ).-- '''' i i wt01 !kO'' 'R ,X t,, ,,,.-„— µ}• ietz 'etafri' „ • j'• r 00:• .Oyu CoGC.,o x• 1"' ..A.,� I,. y a • ram;. Pmt Date N/A Office# 154 Not Va,11}t 9 „ta ey;Q., '1'v Operations • 'Y h;ji4 K.4 5 v d •Account#: 22627 Tech ID: ## n - Y Sequence,#: #NNN Amt Paid: No Fee" !!!IMPORTANT REMINDERS!!! . 1. • This non-expiring:Motor Carrier Permit(MCP)will remain valid us long as you continue to • • " , conduct,interstate operations,The Unified Carrier Registration'Act(UCRA)of 2005 exempts, • , • combined`carriers.(carriers who operate both intra and interstate)from,MCP.'requireriieptsr,:. , • 2, Federal Motor Cartier Safety'.Administration insurance requirements'must�be maintained,,;,'• ; '' 3. If iou commence intrastate only operations,you•must+renewyour MCP: . •California Relay Telephone Service for the deaf or,hearing impaired from TDD Phones:.1-800-735-2929;from Voice . Phones: 1-800-735-2922 Mc 2200 M(REV.0112011) ' A Public Seivice Agency V 111 1 JUJU 1.3 l t1 1 J!1U V l' AtY1JJ'1W11iC7. DEPARTMENT OF TRANSPORTATION PIPELINE AND HAZARDOUS MATERIALS SAFETY ADMINISTRATION elill HAZARDOUS MATERIALS CERTIFICATE OF REGISTRATION Mir FOR REGISTRATION YEAR(S) 2020-2023 Registrant: 0 C VACUUM INC ATTN: Oscar J Carrasco PO BOX 91951 CITY OF INDUSTRY, CA 91715 This certifies that the registrant is registered with the U.S. Department of Transportation as required by 49 CFR Part 107,Subpart G. This certificate is issued under the authority of 49 U.S.C. 5108. It is unlawful to alter or falsify this document. Reg.No: 052020550127CE Effective: July 1,2020' Expires: June 30,2023 HM Company ID: 57340 Record Keeping Requirements for the Registration Program The following must be maintained at the principal place of business for a period of three years from the date of issuance of this Certificate of Registration: (1) A copy of the registration statement filed with PHMSA;and (2) This Certificate of Registration Each person subject to the registration requirement must furnish that person's Certificate of Registration (or a copy)and all other records and information pertaining to the information contained in the registration statement to an authorized representative or special agent of the U.S.Department of Transportation upon request. Each motor carrier(private or for-hire)and each vessel operator subject to the registration requirement must keep a copy of the current Certificate of Registration or another document bearing the registration number identified as the"U.S.DOT Hazmat Reg.No."in each truck and truck tractor or vessel(trailers and semi-trailers not included)used to transport hazardous materials subject to the registration requirement. The Certificate of Registration or document bearing the registration number must be made available,upon request,to enforcement personnel. For information,contact the Hazardous Materials Registration Manager,PHH-52,Pipeline and Hazarclnns Materials Safety Administration.U.S.Department of Transportation. 12110 New jersey • i.-:''P!i,''', •..ai. :iSi•':glk:•;';..!..::!!,,,. • •Ok4A,P,:•:fiT,a. . . . ::IllAk‘.::•W:'•''i':',::0r • , .•.„.-,- ..0,,•.. a. . 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Equity involves providing resources according to the need to help diverse populations achieve their highest state of health and other functioning. Inclusion strives for an environment that offers affirmation, celebration, and appreciation of different approaches, styles,perspectives, and experiences. • O.C. Vacuum,Inc. Diversity,Equity and Inclusion Policy is committed to workforce diversity, creating equity across our systems and fostering and advancing a culture of inclusion. Our culture of belonging is about uniting different backgrounds,beliefs and experiences in an environment where everyone feels valued and works together to achieve greater outcomes. Our Credo outlines our responsibility to create an inclusive environment and respect the dignity and diversity of all people. It guides how we engage with one another and inspires us to take purposeful action to support the consumers, customers, employees and communities we serve. This makes diversity, equity and inclusion (DEI) everyone's responsibility—that of every employee. The Diversity,Equity&Inclusion Policy,DEI Strategy, sets out the principles and requirements by which O.C.Vacuum, Inc. will enhance diversity, equity and inclusion throughout the organization. The Policy is applicable—but not limited—to our practices and policies on recruitment and selection; compensation and benefits;professional development and training;promotions; transfers; social and recreational programs; layoffs;terminations; and the ongoing development of a work environment built on the premise of gender and diversity equity. The Policy applies to all employees and anyone conducting work on behalf of O.C. Vacuum Inc. or any of its operating companies. The O.C.Vacuum Inc. Office of Diversity, Equity&Inclusion is responsible for building and leading the Company's global evidence- based strategy to advance DEI. Our Global DEI strategy is based on four strategic pillars designed to accelerate how we bring innovative environmental solutions to an increasingly diverse world. Our Global DEI strategy enables us to foster our culture of inclusion and belonging,build a workforce that reflects the diverse communities we serve,infuse DEI into all areas of our business to drive innovation and growth, and transform talent and business systems to achieve equitable access and outcomes for all. The four pillars within the Company's evidence-based strategy are intentionally interconnected and must work together. The outcome is to foster a culture of belonging aligned around a global inclusion strategy that reflects local nuances and regional priorities across the globe. It is also critical to embed DEI into our business strategies to better serve the needs of our diverse consumers and customers. We believe this positions our businesses to deliver on our promise to solve the world's most challenging environmental issues. We are continuing our work to build a workforce that reflects the diversity of our communities. We seek to create a globally diverse workforce that 9635 Santa Fe Springs, Ca. 90670 562.984.8178 Fax 562.984.7559 better reflects the vast range of communities we serve, to ensure that we really understand and serve global and local markets. We are also elevating our focus on achieving equitable access and outcomes. Policy Guidelines Diversity, Equity&Inclusion Vision: Be yourself, change the world. Our vision at O.C. Vacuum Inc. is for every person to use their unique experiences and backgrounds together—to spark solutions that create a better,healthier world. Diversity,Equity&Inclusion Mission: Make diversity, equity and inclusion how we work every day. Our mission is to make diversity, equity and inclusion our way of doing business. We will advance our culture of belonging where open hearts and minds combine to unleash the potential of the brilliant mix of people, in O.C. Vacuum Inc. Diversity,Equity&Inclusion every corner of O.C.Vacuum,Inc. We will create equity by tailoring tools and resources to meet individual needs, and by continuously improving our systems and processes so everyone has the opportunity to reach their full potential. Employee Responsibilities: DEI is everyone's responsibility at O.C. Vacuum, Inc. It requires purposeful action every day. Every employee is responsible for: • Respecting the dignity and diversity of all people. • Creating an inclusive environment that is free from discrimination, harassment and bullying. • Enhancing their awareness of potential unconscious bias and how that might hinder our ability to be more inclusive and collaborative with one another. • Focusing on conscious inclusion to be more intentional with their actions to drive diversity, equity and belonging. • Committing to an individual goal as part of annual goals and objectives-setting to O.C. Vacuum, Inc. meet our DEI responsibilities. People Leader Responsibilities: Additionally,people leaders are accountable for specific DEI responsibilities and for achieving DEI outcomes as part of their job performance. These responsibilities include but are not limited to: • Ensuring that employment-related decisions are free from discrimination. • Setting individual DEI goals to foster diverse representation and an inclusive environment within their teams. • Engaging in conscious inclusion and other behaviors that promote equity. 9635 Santa Fe Springs,Ca. 90670 562.984.8178 Fax 562.984.7559 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,$ Salvage Value,$ Net Cost,$ City of HB Civic Removal of $205,617.30 0 $205,617.30 Center Facilities City of HB Civic Lease $199,896.70 0 $199,896.70 Center Restoration 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 23-13802/324317 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. 23-13802/324317 13 / ef Ac CORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDD/YYYY} `..rf 12/27/2023 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 policydes)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 endorsemenl(s). PRODUCER CONTACT • NAME: Bolton Insurance Services LLC PHONE FAX 3475 E.Foothill Blvd., Suite 100 ore.No.Ext); (626)799-7000 (Arc.No!: (626)563-2117 Pasadena,CA 91107 AD AIL INSURER(S)AFFORDING COVERAGE NAIC# www.bollonco.com 6004772 INSURERA: Greenwich Insurance Company 22322 INSURED INSURERB: XL Insurance America,Inc. 24554 O.C.Vacuum Inc. P.O.Box 91951 INSURERC: Indian Harbor Insurance Company 36940 City of Industry CA 91715 INSURERD: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 77926456 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. ILTR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP DI LIMITS INSO_WVO POLICY NUMBER IMMIOYVYY) IMMIDDIYYYY! A �/ COMMERCIAL GENERAL LIABILITY ✓ GEC300138906 1/1/2024 1/1/2025 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE ✓ OCCUR PREMISES(Ea occurrence) $300,000 ✓ 2,000 Ded MED EXP(Any one person) $10,000 PERSONAL a ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY PRO I JECT I LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER; $ B AUTOMOBILE LIABILITY ✓ AEC005115106 1/1/2024 1/1/2025 COMBINED ISINGLE LIMIT $1,000,000 C ✓ ANY AUTO AEC005115206 BODILY INJURY(Per person) $ OWNED — SCHEDULED BODILY INJURY(Per accident) $ _AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) Comp/Coil Deductible $$2,000 UMBRELLA LIAB L/ OCCUR UEC005115306 1/1/2024 1/1/2025 EACH OCCURRENCE $10,000,000 1 EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 DED ✓ RETENTION$10,000 $ A WORKERS COMPENSATION ✓ WEC300139006 1/1/2024 1/1/2025 / STA UTE I ERH AND EMPLOYERS'LIABILITY ANYPROPRIETORlPARTNERIEXECUTIVE YIN E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBEREXCLUDED7 Y NIA (Mandatory In NH) EL.DISEASE-EA EMPLOYEE $1.000.000 If yes,descdbe under DESCRIPTION OF OPERATIONS below E,L.DISEASE-POUCYLIMIT $1,000,000 DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Re:All Operations of the Named Insured. GL&Auto Additional Insureds apply per CG20260413&X1C4111013 attached,only If required by written contract/agg e-ant, t� TO FORM GL Primary&Non-Contributory Wording applies per X1L4240605 attached.Excess Policy is Follow Form.WC Walvd ° tts t on applies per WCOp'Q1306 84. Additional Insured(s):City of Huntington Beach,its officers,elected or appointed officials,employees,agents and volunteers. / //, f3y_' MICHAEL E.OATES C:ITV ATTORNEY CERTIFICATE HOLDER CANCELLATION GI}'V bH NUNTINCYbBEtd BEACI4 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES CANCELLED BEFORE City of Huntington Beach THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn:Fire Chief ACCORDANCE WITH THE POLICY PROVISIONS. 2000 Main Street Huntington Beach CA 92648 AUTHORIZED REPRESENTATIVE 41, Cassandra Rosales ©19B8-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 77926456 124-25 All Lines I Cory Hospedalee 112/27/2023 12,55,42 SN (PST) I Page 1 of 7 GEC300138906 COMMERCIAL GENERAL LIABILITY CG 20 26 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Ornanization(s): The City of Huntington Beach, Its Officers,Elected or Appointed Officials, Employees,Agents, and Volunteers. Information required to complete this Schedule,if not shown above,will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section III—Limits Of Insurance: with respect to liability for"bodily injury", "property If coverage provided to the additional insured is damage" "personal personal and advertising injury" required by a contract or agreement, the most we caused, In whole or in part, by your acts or will pay on behalf of the additional insured is the omissions or the acts or omissions of those acting amount of insurance: on your behalf: 1. Required by the contractor agreement;or 1. In the performance of your ongoing operations;or 2. Available under the a IEcable Limits of 2. In connection with your premises owned by or insurance shown in the Qeclarations; rented to you. whichever is less. However: This endorsement shall not increase the 1. The insurance afforded to such additional applicable Limits of Insurance shown in the Declarations. Insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured, CG 20 26 0413 ©Insurance Services Office, Inc., 2012 • Page 1 of 1 77926456 124-25 All Lines I Cory Hospedalee 112/27/2023 12;55:42 PM (PST) I Page 3 of 7 ENDORSEMENT# This endorsement,effective 12:01 a.m., I/1/2024 forms a part of Policy No. GEC300I38906 by Greenwich Insurance Company. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY INSURANCE CLAUSE ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS COVERAGE PART It is agreed that to the extent that Insurance is afforded to any Additional Insured under this policy,this insurance shall apply as primary and not contributing with any insurance carried by such Additional Insured,as required by written contract. All other terms and conditions of this policy remain unchanged. XIL 424 0605 ©,2005,XL America, Inc. 77926456 1 24-25 All Lines 1 Cory Hospedale0 1 12/27/2023 12:55:42 PM (PST) 1 Page 4 of 7 POLICY NUMBER: AEC005115106 XIC 411 1013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AUTOMATIC ADDITIONAL INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM AUTO DEALERS COVERAGE FORM A. COVERED AUTOS LIABILITY COVERAGE, Who Is An Insured, is amended to include as an "insured" any person or organization you are required in a written contract to name as an additional insured, but only for"bodily injury" or"property damage"otherwise covered under this policy caused, in whole or in part, by the negligent acts or omissions of: 1. You,while using a covered"auto"; or 2. Any other person,except the additional insured or any employee or agent of the additional insured, operating a covered"auto"with your permission; Provided that: a. The written contract is in effect during the policy period of this policy; b. The written contract was signed by you and executed prior to the"accident"causing"bodily injury" or"property damage"for which liability coverage is sought;and c. Such person or organization is an "insured" solely to the extent required by the contract, but in no event if such person or organization is solely negligent. B. The Limits of insurance provided for the Additional Insured shall not be greater than those required by contract and,in no event shall the Limits of Insurance set forth in this policy be increased by the contract. C. General Conditions, Other Insurance is amended as follows: Any coverage provided hereunder shall be excess over any other valid and collectible insurance available to the additional Insured whether such insurance is primary, excess, contingent or on any other basis unless the contract specifically requires that this policy be primary. All terms, conditions, exclusions and limitations of this policy shall apply to the liability coverage provided to any additional insured,and in no event shall such coverage be enlarged or expanded by reason of the contract. All other terms and conditions of this policy remain unchanged. XIC 411 1013 ©2013 X.L.America, Inc. All Rights Reserved. Page 1 of 1 May not be copied without permission. Includes copyrighted material of Insurance Services Office,Inc.,with Its permission. 77926455 124-25 All Lines 1 Cory Hospedales 112/27/2023 12:55:42 PM (P511 1 Page 2 of 7 GEC300138906 IL 0017 11 98 COMMON POLICY CONDITIONS •All Coverage Parts included in this policy are subject to the following conditions. A. Cancellation b. Give you reports on the conditions we find; 1. The first.Named Insured shown in the Declare- and tions may cancel this policy by mailing or deity- c. Recommend changes. ering to us advance written notice of cancella- 2. We are not obligated to make any inspections, tion. surveys, reports or recommendations and any 2. We may cancel this policy by mailing or deliver- such actions we do undertake relate only to fin- ing to the first Named Insured written notice of surability and the premiums to be charged. We cancellation at least: do not make safety inspections. We do not un- a. 10 days before the effective date of cancel- dertake to perform the duty of any person or lation if we cancel for nonpayment of premi- organization to provide for the health or safety urn;or of workers or the public. And we do not warrant b. 30 days before the effective date of cancel- that conditions: lation if we cancel for any other reason. a. Are safe or healthful; or 3. We will mail or deliver our notice to the first b. Comply with laws, regulations, codes or Named Insured's last mailing address known to standards. us. 3. Paragraphs 1.and 2.of this condition apply not 4. Notice of cancellation will state the effective only to us, but also to any rating, advisory, rate date of cancellation. The policy period will end service or similar organization which makes an- on that date. surance inspections, surveys, reports or rec- ommendations. 5. If this policy is cancelled, we will send the first 4. Paragraph 2.of this condition does not apply Named Insured any premium refund due. If wepp y to cancel, the refund will be pro rata. If the first any inspections, surveys, reports or recom- Named Insured cancels, the refund may be mendations we may make relative to certifica- less than pro rata, The cancellation will be ef- tion, under state or municipal statutes, ordi- fective even if we have not made or offered a nances or regulations, of boilers, pressure ves- refund. sels or elevators. 6. If notice is mailed, proof of mailing will be suffi- E. Premiums cient proof of notice. The first Named Insured shown in the Declara- B. Changes lions: This policy contains all the agreements between 1• Is responsible for the payment of all premiums; you and us concerning the insurance afforded, and The first Named Insured shown in the Declarations 2. Will be the payee for any return premiums we is authorized to make changes in the terms of this pay. policy with our consent. This policy's terms can be F. Transfer Of Your Rights And Duties Under This amended or waived only by endorsement issued Policy by us and made a part of this policy. C. Examination Of Your Books And Records Your rights and duties under this policy may not be transferred without our written consent except in We may examine and audit your books and rec- the case of death of an individual named insured. ords as they relate to this policy at any time during If you die, your rights and duties will be transferred the policy period and up to three years afterward. to your legal representative but only while acting D. Inspections And Surveys within the scope of duties as your legal representa- 1. We have the right to: live. Until your legal representative is appointed, anyone having proper temporary custody of your a. Make inspections and surveys at any time; property will have your rights and duties but only with respect to that property. IL 00 1711 98 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 ❑ 77926456 124-25 All Lines I Cory Iloapedalee 1 12/27/2023 12:55.42 PM (P52) 1 Page 5 of 7 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (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 Where required by written agreement signed prior to loss All California Operations. 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 1/1/2024 Policy No.WEC300139006 Endorsement No. Insured C. vxc,mn,1110. Insurance Company Greenwich Insurance Company „i Countersigned By WC040306 Page 1ofI (Ed,04-84) Copyright 1984 Workers'Compensation insurance Rating Bureau of California.All Rights Reserved. 77926456 124-25 All Lines 1 Cozy Hoepedales 112/27/2023 12455142 PM (PST) 1 Page 6 of 7 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 06 01 A • (Ed.12-93) CALIFORNIA CANCELATION ENDORSEMENT This endorsement applies only to the insurance provided by the policy because California Is shown in item 3.A,of the Information Page. The cancelation condition In Part Six(Conditions)of the policy is replaced by these conditions: Cancelation: 1. You may cancel this policy.You must mail or deliver advance written notice to us stating when the cancelation is to take effect. 2. We may cancel this policy for one or more of the following reasons: a. Non-payment of premium; b. Failure to report payroll; c. Failure to permit us to audit payroll as required by the terms of this policy or of a previous policy issued by us; d. Failure to pay any additional premium resulting from an audit of payroll required by the terms of this policy or any previous policy issued by us; e. Material misrepresentation made by you or your agent; f. Failure to cooperate with us in the investigation of a claim; g. Failure to comply with Federal or State safety orders; h. Failure to comply with written recommendations of our designated loss control representatives; I. The occurrence of a material change In the ownership of your business; j. The occurrence of any change in your business or operations that materially Increases the hazard for frequency or severity of loss; k. The occurrence of any change in your business or operation that requires additional or different classification for premium calculation; I. The occurrence of any change in your business or operation which contemplates an activity excluded by our reinsurance treaties. 3. If we cancel your policy for any of the reasons listed in(a)through(f),we will give you 10 days advance written notice, stating when the cancelation Is to take effect.Mailing that notice to you at your mailing address shown in Item 1 of the information Page will be sufficient to prove notice.If we cancel your policy for any of the reasons listed in items(g)through (I),we will give you 30 days advance written notice;however,we agree that in the event of cancelation and reissuance of a policy effective upon a material change In ownership or operations,notice will not be provided. 4. The policy period will end on the day and hour stated in the cancelation notice. 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 1/1/2024 Policy No, WEC300139006 Endorsement No. Insured insurance Company O.C.Vacuum Inc. Greenwich Insurance Company Countersigned By 01998 by Workers'Compensation Insurance Rating Bureau of California. All rights reserved. • 77926456 124-25 All Linea I Cory tcospedelee 112/27/2023 12:55142 PM (PST) I Page 7 of 7 1TING � ,?,VO` �..-...°�°' City of Huntington Beach • - , 2000 Main Street • Huntington Beach, CA 92648 U y ), (714) 536-5227 ♦ www.huntingtonbeachca.gov nogva ��o��l Office of the City Clerk 0UN TY 0�S Robin Estanislau, City Clerk February 29, 2024 O.C. Vacuum, Inc. Attn: David Carrasco 9635 Santa Fe Springs Road Santa Fe Springs, CA 90670 Dear Mr. Carrasco: Enclosed is a fully executed copy of the Service Agreement between the City of Huntington Beach and O.C. Vacuum for Civic Center Lease Closure, approved by City Council on February 20, 2024. Sincerely, e6717-19714-1461-) Robin Estanislau, CMC City Clerk RE:ds Enclosure Sister City: Anjo, Japan 1.141- X, ACORD® DATE(MMIDD/YYYY) CERTIFICATE.OF LIABILITY INSURANCE �,./' 12/12/2023 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 policy(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 CONTACT NAME Bolton Insurance,Services LLC PHONE. FAX 3475 E.Foothill Blvd., Suite 100 E-MAIL (626)"799-7000 E- (A/c.No): (626)583-2117 Pasadena,CA 91107 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# www.boltonco.com 6004772 INSURER A: Greenwich Insurance.Company 22322 INSURED INSURER a: XL Insurance America;:Inc. 24554 O.C..Vacuum Inc. INSURER c: Indian Harbor Insurance Company 36940. P.O.Box91951 City of Industry CA 91715 INSURERD: INSURERS: INSURER F: COVERAGES CERTIFICATE NUMBER: 77592441 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED-, NOTWITHSTANDING ANY REQUIREMENT,TERM'OR CONDITION OF ANY CONTRACT OR OTHER_DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR -ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER IMMIDD/YYYY) (MMIDD/YYYY) LIMITS A �y COMMERCIAL GENERAL LIABILITY ,/ GEC300138905 1/1/2023 1/1/2024 EACH OCCURRENCE . S1;,000,000 DAMAGE TO RENTED CLAIMS-MADE I OCCUR PREMISES(Ea occurrence) $300,000 / 2,000 Ded MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY "$1,000,000 GENLAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $2,000,000 POLICY PRO JECT LOC PRODUCTS-COMP/OP AGO $2,000,000. OTHER:. S B AUTOMOBILE LIABILITY AEC005115105, 1/1/2023 1/1/2024 CG a deDSINGLELIMIT S1,000,000 C �/ ANYAUTO AEC005115205 BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY _ AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) Comp/Coll Deductible $82,000 C UMBRELLALIAB ✓ OCCUR UEC005115305 1/1/2023 il1/2024 EACH OCCURRENCE S 10,000,000 — f EXCESS LMAB CLAIMS-MADE AGGREGATE, $10,000,000.. DED / RETENTION S:IO,000 $ A WORKERS COMPENSATION 1 WEC300139005 1/1/2023 1/1/2024 ✓ STATUTE ERH AND EMPLOYERS'LIABILITY Y:IN ANYPROPRIETORIPARTNERIEXECUTIVE N IA - E.L.EACH ACCIDENT $.1,000,000 OFFICERIMEMBEREXCLUDED2 Y (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1.000.000° If yes,describe under .. DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY LIMIT S'1,000,00U DESCRIPTION OF OPERATIONS I LOCATIONS,/VEHICLES(ACORD.101,Additional Remarks Schedule,may be attached if more space is required) ' Re;All Operations of the Named insured. GL&Auto Additional Insureds apply per CG20260413&XIC411.1013attached,only if required by written contract/agreement. GL Primary&'Non-Contributory Wording applies.perXIL4240605 attached.Excess Policy is Follow Form.WC;G)[aPRSdh rdlcjStiEi Wl per W 1 if. 06484. Additional Insured(s);City of Huntington'Beach,its officers,elected or appointed officials,employees,agents and volunteers. I By: MICFHAEL E.GATES CITY ATTORNEY CERTIFICATE HOLDER CANCELLATION CiTY CV HUPITINGTn?REACH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Huntington;Beach THE EXPIRATION DATE" THEREOF, NOTICE WILL BE DELIVERED IN Attn::Fire Chief ACCORDANCE WITH THE POLICY"PROVISIONS. 2000 Main Street Huntington Beach CA 92648 AUTHORIZED REPRESENTATIVE dils i,a I Cassandra Rosales ©1.988-2015 ACORD CORPORATION. All rights reserved, ACORD 25(2016/03) The ACORD name and logo are,registered marks of ACORD 368 77592441 123-24..A11 dines I Cory'3iospedales I '12/12/2023 8.:55:52.A?] (PST), I Page.1 of 7 GEC300.13.4905 COMMERCIAL GENERAL LIABILITY CG 2026 0.413 THIS ENDORSEMENT CHANGES,THE POLICY.. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON, OR. ORGANIZATION This,endorsement modifies insurance provided;under the following: COMMERCIAL GENERAL LIABILITY COVERAGE.PART SCHEDULE Name Of Additional Insured Person(s).OrOrdanization(s) The City of Huntington,Beach; Its Officers,Elected or Appointed Officials,Employees,Agents;and Volunteers.. information required to complete this Schedule, if not shown above,will be shown in.the Declarations_ A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section III—Limits Of Insurance:. with respect to liability for"bodily injury", "property if coverage provided.to the additional insured is damage" or "personal and advertising injury" required by a contract or agreement, the most we caused, in whole or in part, by your acts or will pay on behalf of the additional insured is the omissions or the acts or omissions of those acting amount of insurance: on your behalf:. 1. Required by the contract or'agreement; or 1. In the performance of your ongoing operations; or 2. Available under the. applicable Limits of Insurance shown in the Declarations; 2. In connection with your premises owned by or rented to you. whichever is less. However: This endorsement shall not increase the 1. The insurance afforded to such additional, applicable Limits of Insurance shown in the insured only applies to the.extent permitted by Declarations. law;and 2. If coverage provided to the additional insured is required by 'a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured:. CG 20-26 04 13 O Insurance Services Office, Inc.,20.12 Page 160 1 77542441 123-24 All Lines I Cory llosPodsles 1 12/12/2023 8,55:52'.AM (PST) 'I Page 3 of 7 ENDORSEMENT This endorsement,effective 12:01,e.m., 1/1/2023 forms a.partof Policy No. GEC300138905 by Greenwich Insurance Company. THIS ENDORSEMENT CHANGES THEPOLICY. PLEASE READ IT CAREFULLY. PRIMARY INSURANCE CLAUSE ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS COVERAGE PART It is agreed that to the extent that insurance is afforded to any Additional Insured under this pbliCy,this insurance shall apply as primary and not contributing with any insurance carried by such Additional Insured,as required by written contract. All other terms and conditigns of this policy remain unchanged. XIL 424 0605 ©,2005,XLArncrica, Inc. 370 77502442 1 23-24 All Lines I Cory Bospedales 1 12/22/2023 015S(52 A14 (PST) I PaBe 4 ot7 POLICY NUMBER: AEC005115105 XIC 411 1013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AUTOMATIC ADDITIONAL INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM AUTO DEALERS COVERAGE FORM A. COVERED AUTOS LIABILITY COVERAGE, Who Is An Insured, is amended to include as an "insured" any person or organization you are required in a written contract to name as an additional insured, but only for"bodily injury" or"property damage"otherwise covered under this policy caused, in whole or in part, by the negligent acts or omissions of: 1. You,while using a covered"auto"; or 2. Any other person, except the additional insured or any employee or agent of the additional insured, operating a covered"auto"with your permission; Provided that: a. The written contract is in effect during the policy period of this policy; b. The written contract was signed by you and executed prior to the"accident" causing "bodily injury" or"property damage"for which liability coverage is sought; and c. Such person or organization is an"insured" solely to the extent required by the contract, but in no event if such person or organization is solely negligent. B. The Limits of Insurance provided for the Additional Insured shall not be greater than those required by contract and, in no event•shall the Limits of Insurance set forth in this policy be increased by the contract. C. General Conditions,Other Insurance is amended as follows: Any coverage provided hereunder shall be excess over any other valid and collectible insurance available to the additional insured whether such insurance is primary, excess, contingent or on any other basis unless the contract specifically requires that this policy be primary. All terms, conditions, exclusions and limitations of this policy shall apply to the liability coverage provided to any additional insured,and in no event shall such coverage be enlarged or expanded by reason of the contract. All other terms and conditions of this policy remain unchanged. XIC 411 1013 ©2013 X.L.America, Inc. All Rights Reserved. Page 1 of 1 May not be copied without permission. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 371 77592441 123-24 All Lines 1 Cory Hosp'edales 112/12/2023 8:55:52 AN (PST) 1 Page 2 of 7 GEC300138905 IL 00 1711 98 COMMON POLICY CONDITIONS All Coverage Parts included in this policy are subject to the following conditions. A. Cancellation b. Give you reports on the conditions we find; 1. The first Named Insured shown in the Declare- and tions may cancel this policy by mailing or deliv- c. Recommend changes. ering to us advance written notice of cancella- 2. We are not obligated to make any inspections, tion. surveys, reports or recommendations and any 2. We may cancel this policy by mailing or deliver- such actions we do undertake relate only to fin- ing to the first Named Insured written notice of surability and the premiums to be charged. We cancellation at least: do not make safety inspections. We do not un- a. 10 days before the effective date of cancel- dertake to perform the duty of any person or lation if we cancel for nonpayment of premi- organization to provide for the health or safety urn; or of workers or the public. And we do not warrant that conditions: b. 30 days before the effective date of cancel- lation if we cancel for any other reason. a. Are safe or healthful; or 3. We will mail or deliver our notice to the first b. Comply with laws, regulations, codes or Named Insured's last mailing address known to standards. us. 3. Paragraphs 1.and 2. of this condition apply not 4. Notice of cancellation will state the effective only to us, but also to any rating, advisory, rate date of cancellation. The policy period will end service or similar organization which makes in- on that date. surance inspections, surveys, reports or rec- ommendations. 5. If this policy is cancelled, we will send the first Named Insured any premium refund due. If we 4. Paragraph 2.of this condition does not apply to cancel, the refund will be pro rata. If the first any inspections, surveys, reports or recom- Named Insured cancels, the refund may be mendations we may make relative to certifica- less than pro rata. The cancellation will be ef- tion, under state or-municipal statutes, ordi- fective even if we have not made or offered a nances or regulations, of boilers, pressure ves- refund. sels or elevators. 6. If notice is mailed, proof of mailing will be suffi- E. Premiums cient proof of notice. The first Named Insured shown in the Declara- B. Changes tions: This policy contains all the agreements between 1. Is responsible for the payment of all premiums; you and us concerning the insurance afforded. and The first Named Insured shown in the Declarations 2. Will be the payee for any return premiums we is authorized to make changes in the terms of this pay. policy with our consent. This policy's terms can be F. Transfer Of Your Rights And Duties Under This amended or waived only by endorsement issued Policy by us and made a part of this policy. C. Examination Of Your Books And Records Your rights and duties under this policy may not be transferred without our written consent except in We may examine and audit your books and rec- the case of death of an individual named insured. ords as they relate to this policy at any time during If you die, your rights and duties will be transferred the policy period and up to three years afterward. to your legal representative but only while acting D. Inspections And Surveys within the scope of duties as your legal representa- 1. We have the right to: tive. Until your legal representative is appointed, anyone having proper temporary custody of your a. Make inspections and surveys at any time; property will have your rights and duties but only with respect to that property. IL 00 1711 98 Copyright, Insurance Services Office, Inc., 1998 Page 1372f 1 El 77592441 1 23.24 All Lines 1 Cory Hospedales 1 12/12/2023 8:55.52 AM (PST) 1 Page 5 of 7 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (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 Where required by written agreement signed prior to loss All California Operations. 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 1/1/2023 Policy No.WEC300139005 Endorsement No. Insured Insurance Company Greenwich Insurance Company O.C.Varuum A/'l oit• Countersigned By WC 04 03 06 Page 1 of 1 (Ed.04-84) Copyright 1984 Workers`Compensation insurance Rating Bureau of California.All Rights Reserved. 373 77592441 1 23-24 All Lines 1 Cory Hospedales 1 12/12/2023 8:55152 AM (PST) 1 Page 6 of 7 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 06 01 A (Ed.12-93) CALIFORNIA CANCELATION ENDORSEMENT This endorsement applies only to the insurance provided by the policy because California is shown in Item 3.A.of the Information Page. The cancelation condition in Part Six(Conditions)of the policy is replaced by these conditions: Cancelation: 1. You may cancel this policy.You must mail or deliver advance written notice to us stating when the cancelation is to take effect. 2. We may cancel this policy for one or more of the following reasons: a. Non-payment of premium; b. Failure to report payroll; c. Failure to permit us to audit payroll as required by the terms of this policy or of a previous policy Issued by us; d. Failure to pay any additional premium resulting from an audit of payroll required by the terms of this policy or any previous policy issued by us; e. Material misrepresentation made by you or your agent; f. Failure to cooperate with us in the investigation of a claim; g. Failure to comply with Federal or State safety orders; h. Failure to comply with written recommendations of our designated loss control representatives; i. The occurrence of a material change in the ownership of your business; J. The occurrence of any change in your business or operations that materially increases the hazard for frequency or severity of loss; k. The occurrence of any change in your business or operation that requires additional or different classification for premium calculation; I. The occurrence of any change in your business or operation which contemplates an activity excluded by our reinsurance treaties. 3. If we cancel your policy for any of the reasons listed in(a)through(f),we will give you 10 days advance written notice, stating when the cancelation is to take effect.Mailing that notice to you at your mailing address shown in Item 1 of the Information Page will be sufficient to prove notice.If we cancel your policy for any of the reasons listed in Items(g)through (I),we will give you 30 days advance written notice;however,we agree that in the event of cancelation and reissuance of a policy effective upon a material change in ownership or operations,notice will not be provided. 4. The policy period will end on the day and hour stated in the cancelation notice. This endorsement changes the policy to which It is attached and is effective on the dale Issued unless otherwise staled. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 1/1/2023 Policy No. WEC300139005 Endorsement No. Insured Insurance Company O.C.Vacuum Inc. Greenwich Insurance Company Countersigned By ©1998 by Workers'Compensation Insurance Rating Bureau of California. All rights reserved. 374 77592441 123-24 All Lines 1 Cozy Hospedales 112/12/2023 0:55:52 AM (PST) 1 Page 7 of 7 ilor,,,.......„... TIN \-\\ N G T v4, ,,,,„., ••.• -,,, P0RArF •••___________ ____ _ __ ____ • \ o • 6' Economic Feasibilityof A... - •• " Oil Wells Owned and __ __ „V"______, . �� _-----„__-_=_-_------- . _ ; , : . 1 Operated by the Cityy _ _ _ • 1 _ ____ __,__, _ _ __ • ____ ______ _, __ _ __, _ ._ . • • ti. N . �- ,/�)/,y, Scott M. Haberle, Fire Chief • t-�� --�— - -� Thomas Walker, Evans and Walker <kis. 0 •••• FB' P,••• ' Study Session - March 21 , 2023 F Ct ,,/# 0 P NTy IIIIW �ii/// Table of Contents • • Background " ', Y • Civic Center & Huntington Beach Oil Field ' ; • Analyzing Civic Center Oil Operations i ►w-;' rq\ , • Conditions Assessor ent j�,_&1 —F ;r ,� b •; • Cost to Reactivate Oil Production & Plan to ..„- - ' Resu: 0ati0n5 per - a, • i =s b�S Aii‘issinfiniiimirsiyagi sa al t,✓ / mow E tl 3F F'.:� F 1L i 4t tly aA ,Its .. -" f '� - r - '� --~ ,r- _ L ,., .-. F.A :. ,,, ,, hr a 11E 1. A N - .. �Illlrt T F B '�' F S F ..,-' -,,,, 1FnF _ „n .w1G I,i!'p .'cc.`.�'. -O_ l6�FE aS. 1 --- L y t - ."m ,r -.4,4 . ,..i�, e5,k= ti_- - .3Fc ,,. �i {Y� a -te` -, ..., '"-4 ,� Gip — - V" L �L :: v it ,,,,.....,... I N G70'" vgb'Ilim„\, ‘ ..........• * , 6�C •' c P � RA T . lik 1 • \� CO � . • -------- - - -",; -- - -- % "7 _____ _ __,„ _ a • • Background --- : ,c $ ,0,---, ------ ,,___ _ _ ____ _ _ . _ ____ ,._...., __A._ ____ -_-- - -- ___ - ),u • , t „ _, . . _ . , .. •. ce --- - - ---- o • •_ . -. _____ _ _ .. - -- • Al Fwessesseess°OUNTN !1/4** .. \<c 0 C IF ii�// Huntington Beach Oil Field -,..- - :: - - , r ,s� :, ,;(4 ``,,s , `,,, 'X Oil - 3,480 barrels rr • Discovered ` . 4 Water - 147,670 barrels n 2 T �•` 1920 1 -. '�� - Ee�' 223 active wells 1 1 1. s 10 MILES 1.> _ ". Gallons= 1 Barrel I,NIII14,',1 f (BBL) 0 S 10 KILpAETEPS J e —.,, 86% produced water— re-injected 1 ., , 1 I 1 _ _ '"�'"''' `' 46 injection wells �. 1 i A Civic Center— never injected but benefited from nearby water injection , ,i1�N1INcr ..- a oAAII /__r n\ U1 _ S •\� •..r cr FCDiiNTY���\i/,I Civic Center Wells Civic Center 3 Civic {Center 2 Civic Center 1 DAM e566M f cayL P�fi. 77.4. S The City owns three oil wells, the Civic • Sk 4� � er e,i - r9t1 untmgto eea h X • ��jjv c u _ �1-!ls+: t*P ,: .n n;lot b rr..a 1... N Center 1 , 2 & 3 -— = '. The wells are located in the Civic Center • I --� L. ,a � '. �� '.P{j parking lot -;� '- tti '• .,I, s The wells were acquired as a part of the q `: .: ~1.; t, �"_`- _ tl'*[• t 4 City acquisition of the Civic Center �;8 �, . property in 1971 Air h Huntington 7 `- %rill,. A � --' '-I. A v pe4T �� ?' ,r sKt 'for r'"� t ktt�iltEt{+(�\ •�A J i ! i:" 9`4 :• '�'-� -- L L�_t.s I:-.� + fi �i �NTINGTO"Irr i. • :..ram.,.. ,w+ Y 1 Go Earth , 60m 1 tamers 396m 99.4r43•N 11Y9959V! -a 11 ..- —_ --'•,t` \ (•tie• 9n. coop.nF�,t ;Li. c I••y 1 ,y•.�y �i q ' �� . • )=1eb:s..nwP•�,�,me,,,,wn,pme..rwireemniir-mmsma,1.0.59ni..3rae1imnm�rAnaa.mrduosU.•4), ,C001,2lcw,huiugwlaOC1,4 In CO1JNTY CP;II! Five Areas of Interest in Analyzing Oil Operations ,-,0 IA IF .. .. , . . , As:. ro r4 • I / (illy© Imo / / 1 1 1 Process Oil, Gas Product Operating Assess and Water Pricing Expenses Condition Production Anatomy of Production r-1 V..alki lig F.'man ',rani /tors,: min courlt>.---• , ' h.ilaeLe ne.e "" - Motor . •-•... \ 101-0,h ..-„,.....Mr•In 6. ' . , • OF — a I Wellhead , MI air : ... -:.•.61-.-W"6''W-V".."0:44'''.:'",-.1' .3.':;-'''''',..s?,:.:s. .. '.'.;,;:u... li ?r,''‘.7:TIVI •'...74Y.,' Casing ::,),,,. ...,i,,F.;?..:,.,.. ,•?(.:1,;,:i., Tubing .:Y.,;... ,.,iiII . ,•4:4•-c4-ti-, Sucker rod i ! Cement _ Pump L.t!': r.::-• 1,1"14. • 1----"_-:.II,• '" '----=.-..---= -4;c.ik.,..z.;,:: ..,s.,...,'. . •%-t-- '.....-r-,1 : . --Soutar --_„„,,, Process Water Gas Water Discharge to Flared Pretreated—Gravity Separation Sanitary Sewer Ar * f1q , , , iii:. .Hivirroitior.."----.411.11S4,,,'1,... / ij -- ' -...''5, . , , ..‘ Aoki c ‘*, !ii 1,-- 1 , . _ A I * M-ti ', -- I! ', Ir- r........' INI -.J -- __1 iv:, i.,,,, :,,. ,:t,...,,,, ® ( I q w... h t. i7.. of _ '�' /I 1'7! /'a -"JP rt D: %hi ., P Oil Sold aA Production Fluid Pipeline to Tank Farm (via Truck) ,,,' 00I N670y_` Production Fluid + Gas .. ems, la (11%oil/89%water) Pay 1/6 Royalty Gathered from 3 wells To Mineral Rights Lease `9?cfCOUNTY CPi\40e=; Process �T 1 . 4 {° _Y Miley Keck Tank Farm r. Civic Center Oil Wells rfr r - ` ;pps 4., . _ N. IV ,i 04 &:U.:i,t7411 Z Vet% 'v3 �����cci . _Y., s '0.1417"' O , zt p ,,.�� r . . -., _ Pipeline w� . ;—�< �' '1 �n Connecting wells to tank farm E; I i ,..^ ,/CO t 1• on `• R" ,,,• �_ Appx.% mile, 6 steel pipe ii7t ^ y d a r ;lit J -."44TW.11,:.- . '..***s ***:- 1 ' 3. ‘. '‘!...„......• '-T-r v *41-;.'7.?-9J' — ' S;IL2S.110,, .'• - ' Mir, ,.FPS--ir .,+. ',,4 , r IP i.,, :', ;1/20,17: _ c 4. 1., E "T S••-i '0 1l1 i. J1.,'' V. '='age it..�, k ; ', " , '�41• - 4 4 . - • C Angus Petroleum .� � �y Y+p Cv ,F k.-:,... =-, .e0, _ iN.--2,L7 .- !4,.. ' :4,42. r., • „lot:- 11._.. . Itrt, ... . ,4 . , 4,, .4,_, L.,,,„,4,t ,..., ,tr,.,f. . 0.-.ihg.,..1 _ 1 - 1 - r -- ' "'-.,� �,; ; '= --`'j � Springfield Unit11-1 ' 1' Nearest water injection wells ,�--��._ e,-- 4 ! •_ 0;' ► '_, %: a �. •r.4 "r.Ylk; . QQ2 „ . *-'1 s- _ K' ePL2 a ,�Cf'- .-`fit�i arse.:.ii47` --'S i!` --as 4 _ 174.-i: -`UUNTV�'-, Production - Springfield Unit Eaeld: 9uceingc�n 9eacb C.ee 9aaie: 5pe ingfield^..._c Well: All WVf ASOF(Now 1 ilt Operator ceased water 45 t'� - injection (pressure support) 1.._44i1r____ � in July 2017 Oil production dropped — significantly- shortly after Ft•;. the loss of pressure support \, 7---,,,.? f 1 ....N._ p_ La III 1 1 1) 1 1_ 11 1 III . . _ NUNiINGT� 09 10 11 12 13 14 15 18 17 18 19 20 21 22 e_ae a.l Ca l,es.se Imt_ .._a:caa C•...: 5u.0 Ife�f Off% '••;BF OIL R : :.C-Imbl Faa 0.es: :.G: M!!cf ti:' '•9 311 ET:I: I.ff"_f5 llbbl Faa ElI: 541.41 KKcf .C� U: ; 9. 2 Fc0UNTY C''' Production - Civic Center Civic Center lease averaged 16.4 barrels of oil per dayfrom Feld: fi r 'turn 5:_S Well�:i.. _,._��«t�t January 2010 through June ie:l, ,_: ov. 2017 (prior to loss of pressure UI -! support) n" 0 _ SR. O ii —le 88 �_ �_ -- 8 Civic Center lease averaged 5.5 0 1 barrels of oil per dayfrom July Ala :1111k1 : II i `+�. ;Jo- ._ 2017 through November 2021 (after loss of pressure support). MMIIIIIIIIIIMI!■LMII IIII11111,1iI11411■ I- This is a decrease of 10.9 barrels of oil per day. III III III III III III 1 I 1. 1 1 1 II 11 1 4 \1 10 11 12 13 14 15 16 17 8 19 20 21 22 E:.c Os:C . 5E^.'1 Itbl 4.at Gas C 2'!1.^'[0[c' I11'''‘,VN1INGIpy-- 0:1 Ra+: 0.02 lbbl 6 '- : :.0=IMcE fit.: 0s1 EOR: 547.73 Ibb: 6a W.: 2^f.77 IMcf 1' ..f 0: r 4 t 9 'Q211 pl `-_OVN11 t ,a'Il Product Price Historical and Forecast Oil Prices 120.00 J m m - 100.00 c 80.00 � e 60.00 (13 cu 40.00 ‘1\\T•A 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 Production and Gross Revenue - Civic Center Avg Pric: (Paid), Bar . 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 2018 $61.71 2,133 $131,626 Mid 2017 2019 $58.87 2,130 $119,009 2020 $27.00 1,470 $39,687 __ 2021 $61.26 1,223 $74,923 ,yoE . ._._.. �9�� `C��GGNTY tws',''I 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 5,000.00 i I 2015 2016 2017 2018 2019 2020 2021 _ a ram. `i,i`0`.u s Q,' --COUNTY t,t;,o,� Average Monthly Revenue, Expense, and Net Profit ■Gross Revenue,$ I Expenses(including CalGEM Assessment and Royalty Payment),$ -. Net Profit,$ 30,000.00 25,000.00 20,000.00 15,000.00 II 10,000.00 5,000.00 . .1 .. (5,000.00) 4' Y (10,000.00) (15,000.00) (20,000.00) 2015 2016 2017 2018 2019 2020 2021 2022 ,,r ��N1ING toy 1� . •` `.* *Does not include staff cost. `. \_ t000,;TV ,.'�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 ,"*. 11 NGTpy O1 \-SOL/N1V CP�\.'�, 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 No Economic Reserves • Civic Center is not economic and therefore reserves are zero • rNINGlp'� • Civic Center will produce 5.5 BBLs/day with full production \c` ouruiv cP;�'' 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 �„,,;,-INGTp i/c .' yBf 1 ti_' 9 � 's 9 zsJ + y'OQI `-1:fObNTY 6i.`", / _,............. I N G rOwvqb'I'k \ \ _ ............. 4/ ... c , „oil P 0 RAre .% <5) Nikk Conditions rri,i i ,,,' 'n,,-,y , ,, _. . . Z-C:7!-- A --, % i . __ ... __ _ ssessmen;.II- v = 1 • F ••• • 17, I go U I •olb ‘<icN I 0 Ct /0i°U , P NTH / �ii►0/- • on � ion - eils 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 FAIR/GOOD $3,700 AC Pumping Unit Repair Electric Motors Discussed in Starter not up to code POOR/INOPERABLE Well Reactivation slides Innovative Electric ti! n ix vy.,,, CFcoUNTY Lp` Condition — Piping and Tanks 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 . ,. 11): % CrOMOver Line 7' , 1 't' !-- -'1 I Miley Merle/NUM i '11 ,....... r i 1 • ,; , 1 ' ' i ' V.:1:. ,- - i'4.4'''' ' V\,\--,',q,I r.,-;.. - -"7:, ;'.'. ':,.. , . • : , -,...... • , - <-, C" 7r. - .-.04- . -I.1'.1%.°I.IF:- -- • - !-•,,:' ' gl•"!)4/•;z.4" ::' '''. __ -- , •o•,,,, , . ,,,-•,,,,:,, MIN ,.___,..,. • _ . . - ---• . --- counm 0L' G inIN .4110. \Ofir %-15 - * •••••••. _ 0Z7:6 . 6' 1\Iv• - •. Cost Re -activate-- n i1i1 ' iTIT .• c- -,--z-- - - ----- • Z_ _ _______ __ ____ __ _ • _____ _ __ _ -- : , 0 .. , ....-,-: ,,, ),___,._,,, ,. ,. _ • 4 . .. _ .____ 0_ . _____,- - .---.-7------ ----'----7---- _0 <kip A F �..•; 7' 19 O9:••• ‘<CI OY ••,..•• C Ae\0 t ,#_ v is. , N T�( 40:010P4►/—il Known Repair Costs Well Component Cost Estimate Estimate Fro 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 '/ '(INGTo4<No! 'e 4 icif 1111is `,_COUNTY 0""�l Breakeven Oil Price Historical and Forecast Oil Prices 225.00 Assumptions: ammissi • 5.5 Barrels of oil per day 200.00 • $793,130 in reactivation costs • 175.00 $18,700 monthly expenses `n.. 150.00 Result: To • $214 per barrel 125.00 a) a 100.00 ca a-' 75.00 a. 111111111.1ftwaimummummummen 50.00 11%1 25.00 ...J........ .............. ..... Jan-14 Jan-15 Jan-16 Jan-17 Jan-18 Jan-19 Jan-20 Jan-21 Jan-22 Jan-23 Jan-24 Jan-25 Jan-26 Jan-27 Jan-28 ,,E*.NT�Ncroy -Brent Spot Price,$/BBL —city of HB Oil Price,$/BBL -Differential(Brent minus HB),$/BBL ♦ Avereage Differential,$/BBL :9'."' -;_ • NYMEX Brent Futures Prices(Avg of Weds in Dec 2022) • Forecast of HB Oil Price,$/BBL ouNTrcP;),Q' +Break Even Oil Price,$/BBL ID i an o ResumeOperations :,,,,,4„,.,,,,,, ,„ .,, ., _, ,,,,, ,,..„,,...,_._ _. „,,, ,.,,,,„ „„,.„..„,,,,,, ,., 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 ,,NtING/0 ` 9 S 0r 4111110. 111110, 1,,A° TING ,4 \\\) seillilise 4/ Ilk *See Ile • _ _ 53 ‘ % <<‘ 1 . • • • - - - 7 -- - -- -• 'V %h _ frvi'M .• C) S • -- - • ., `- : ions , , )* ,.. ..... c _....... ___ , . _ _ . ..... . . .. _ _______ . __ _ to • 1 F B•. , ` � ' •� 17 1909 P � � �. `c 40 cIlea i.ikte. P�� 0 t ',,, _ v NTH --.. Full Costs (One Time and Annual) Assessments (wells, tanks/piping) $44,930 4111111.0 Known 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<1* Maintaining oil production Continued liability until well abandonment ''Io�apN�INGIONB�` Continued costs that outweigh revenues 9= Aging infrastructure 9?CE�OUNTY C.P�\�`Q/' Sell — Costs Revenue liillialk `� ��..!:�._ Unknown TBD None N/A <TII> 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 O�a,:,"X^ Ipyd' :9n� `: Q f '�cDONTV cl\i', Idle Wells Costs Revenue 411111110 One time - unknown ��II t'° n (minimum repair to well 3 Minimum - $544,950 None N/A 1 Annual costs TBD Pros Cons 41r* Possible re-activation at latertime Still requires casing repair on well #3 Requires ongoing compliance and maintenance costs City retains closure liability Retain tank farm lease „�;oenHc�oa cE��UNTY tt`NY Abandonment _ Costs (One time) -`p R1Mb Mil Revenue Abandon Wells — to be Est. $1,500,000 None N/A 1`1-' studied if requested by Council Cons 4i> 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 r��gTINGTp' 1 V 92 1 ._CDUNTV Summary ull Production ,. 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 latertime • 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 Questions ? •,4,041.''''''' ........ /,.►i�i_ •40iING T •....•.. 0 •. Request for CityCouncil c ••.• •0RP0RgTF •,• \ ► . ooc<< Action on Oil Wells __ _ -- .-- -- - •• V \ Owned and Operated by •• c) __ _ - _ „_-_,-__- ---- - -___ _ , ____,__ . the City _____ _ ____,____, . _ _ ___ _ • 1 _ _____ ___ __ - _ • ....Alio-it-7J�,, �; Q , Scott M. Haberle, Fire Chief • — — — • , Thomas Walker, Evans and Walker—-----: ;-_ - JP 4;k 7 ••••Fee e - Ps• • ' City Council Meeting — February 20, 2024 • • 11, 1 •909 , .• CO P Allah INTH #1 F C Agenda • Action to be taken • Background • Rationale for abandonment and lease restoration • Process employed to obtain bids for work • Results of bidding process . 11 4�NiING. 1 O i'.c°wrour�°'•.d 11 . FDUNTY C?�\il Action Abandon wells and restore the two sites Civic Center Wells Acquired as a part of City acquisition of the Civic Center property in 1971 . Uneconomic since 2014 and idle since 2021 . :~ n yam"" v Civic Center 3 Civic Center 2 Civic Center 1 F_ i 4 .'..r-- S ' n'.•�` - �� as 1 = n onuou � '• _ v n na .. �. V} .en•, ,'mow . •.,rr t• -.9A- �'� . •-P { E 4 1 ' 1.,),_ .t.1 I n .. .o. 1, 1. 17 FA z -, ,-,. r r., --lk - ., .., #.4,4„-: lef! t it,. i r oft ._ . ...- . .......,..„-, "-. *i _ Miley Keck Tank Farm ' ,. _ry i ' i1.i Located - 1 mile north of the Civic Center ,''�\\\,r' ...TOE': 0' � 1 ' from - :_ �, at 19081 Huntington Street Rented i� • �•�- •�•r�`r' •m ' Tank Farm LC through October 2024. �- n w�'•., e oQ i ,�F ..... •\>. •� %NI:I;/II Background Production - Civic Center Civic Center lease averaged 16.4 barrels of oil per day from held:"'": Caw, `""` R2: All January 2010 through June : oo. 2017 (prior to loss of pressure iji!!IPIP!! n support) 11 ' �' Civic Center lease averaged 5.5 �`` barrels of oil per day from July 1�--I � ' i,,roilk, 8 2017 through November 2021 (after loss of pressure support). iiii .i ;; I ,r; 8 This is a decrease of 10.9 I I , 1 barrels of oil per day. 1 II ,0 „ 12 13 14 15 76 17 8 19 20 27 22 .._ ... C,? .• -1 Imt_ W A: _'4.^,WW1 1 a.% \c -4- ` . UNTY C9';'\''i .R 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 15,000.00 10,000.00 5,000.00 d. „„ii, (5,000.00) (10,000.00) (15,000.00) (20,000.00) 2015 2016 2017 2018 2019 2020 2021 •...Nrrncroy *Does not include staff cost. --Sout TY Ga���oQll 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 ,�<NTti_; �U for City Council Action ^w _ iz 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 �o"oo"Gfr�ti� account for unknown well conditions _; • Estimated total cost will be $1,949,498 when including a 15 /o contingency. ��`-cOUMTV C;�oQll ..... Questions? ,/, t4 t• 7$ .. ..1 1641 l„fff tlr-4.4,e•. ..!.-'1./ '- I 1 ' . I . ., „,,, •••-•".."is." - i _ -_ •-,7:::- -- :::,-..7;r_.:-. •''•-•-•'....'"!,...- --- ,L;halrie:f.... V I.' 1 ''''., -.• ' .-,,7„....--.7:97,44,=,..-7,,..,-.... —---_-r-,..",........--.....7.: '1 -,i--, :',,'• !. ' , ,i It[Mil: j_ilgiVii Lleilidll g '' .11>'' 4-77:-.-''"•-•'--..'"I .04 t V---:".r;altv,,T-7. —, - —• - —114.1, ''''''.'—,—:— .7-41.":* \ — -• , ,,,:,--- 1 I E ..-.#,_-_-- "-"- \ ..!',--i,•:....-- ,, „:,1,... -.; , , is, i.-.7-• r . ‘k,....,_---_,... .._-:... • I \\\ N:,,,-;---,47„,.. ;',,b_ t ,or•-;. 00:7;,. «.. iv.' ?. e,',61:„L`-•'-cii.' S.,. , i 73*--4'it. r.i.r.7-71_T"''''t --... "1:•':',1 r ' ---; _.../ ...r.:".:..:---", .) • - -.7 ' • -' "• - .,,.-. ' v #.-141,1;74r:N"1"(— :Mil. i aft r•-% .ft . - 03.,- ^IP: -•.. -.e‹.." California ( S'W NC1•0/11(iO,tUO4,1 DemI i shstu,u.Uumot Department of Conservation Department of Conservation Geologic Energy Management Division Surety Bond Public Resources Code§§3204,3205,3205.1,and 3205.2 Bond NO, 2011s8JE6804 API#0405902.121 KNOW ALL PERSONS BY THESE PRESENTS,that the undersigned _ 011 CC' �(. ,-tt c S [Name of Individual] d/b/a City of Huntington Beach [Name of Company (Principal)] 2000 Mein St.,Huntington Beech,CA 92648 [Address],as Principal,and Hartford Fire 1nurance Company [Name of Surety Company] One Hertford Plaza,Hertford,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 ($ **"**),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 Not out,t„„,ttw,t t>+w Shatotott,Duo.t t \ Department of Conservation IN WITNESS THEREOF,the Principal and Surety have hereunto set their signatures and seals as of the datesset forth below. l/ Date: '1 1 I Is ,)t4 City of Huntington Beach (Company—[Principal]) By: ' tr/i r_ 7 a SEAL OF PRINCIPAL (Signature of Ir)di-iduai) Title: l't'1u f-i7 L t 1 f 'n.S Li re V. JpyQte l,f. /ct c ks 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 (Surl�.(y Compalnny)/ / (� SEAL OF SURETY By 1(JJOR� X (it ' l./f'`w Wyk" (Signature of Attorney-in-Fact for Surety) Rachel A.Chnrerlot 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.('haverint Title: Attorney in Fact Address: Marsh I SA LLC,1111 Nortltsitore llr„Knoxville,TN 37919 Phone Number:865-769-7700 Email Address:rachef,o,chaterhu(n;mnreh,comt COMPLETED NOTORIZED ACKNOWLEDGMENT OF PERMITTEE [PRINCIPAL' jAttach loose notarial certificate' COMPLETED NOTARIZED ACKNOWLEDGMENT OF SURETY jAttach 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 i 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 C l- j�-y-)A (A (/ --- } County of 0h/lr0 e) } i On 4 7vO,ZL, before me, �Dhfll_�10( Z Notary Public r IHaa libel name aui It.eltifTi.t) personally appeared JD'/('.e1 M 2a/vg4/ , who proved to me on the basis of satisfactory evidence to be the person(s) whose III 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. WIT es-8 my hand and official seal. �,.,�;, DONNA SWITZER J ��� 'a Notary Public•California AA Ai Wi .� Orange County I Y`.,iVN *° Commission N2470457 NotaryPublic nature " . " My Comm.Expires Nov 9,2027 (Notary Public Seal) i ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING efts FORM T1rtr Join.amrlrtsStith i41 rent(Woos moArttnttrsn•g.tiSiing notary iruch gothi,, DESCRIPTION OF THE ATTACHED DOCUMENT (f ii.,d,.1,should be,onniirtsd ond.;uach..1 to ti::•doe tomtit .4c Anon tedg.tars from other stares may he coomrsl.t..I1.v.1.;,tarn.tits horn,,;soil i,t'hat crate.so ltatg OS the Wording does nal Ic.Ir.ire the Ca:rfar ma rttvoty to t ia•1,Ne Call ot n;a n.4 u) lat. I Ill a or descrpl,in of attached document) • State and County inlwumumun lutist be the Mate and Cowry sshuc the document signerts)personally appeared below.the notary public for acknosshdp,icnl • Date or not.uirauurt must be the dale that tie signet(;)peisonallt appealed sshteb . (Ttlbor deschpt en of attached document continued) must also he the same date the act.nusskdgntent is completed • The notary public must print his or het mune as It appears within his or his Number of Pages•____Document Date___ _ commission fottossed by a comma and then your title(notary public) • Print the names) or document stgnctto) sslto personae/) oppe.tr Ai the tine of not:uVabon. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by clossntg oil utwucet Iurno(t.e. He.she the}-is tare)or circling the correct forms Failure to coueetly indicate this [I Individual(s) information may lead to tejectwn of document re..Wrdin ❑ Corporate Officer • the notary seal impression insist be clear and photographically temoducibte. Impression anus not coo test or lines. If seal impression smudges,rc•scal If a i (Tiller sufficient area permits,others toe complete a different acknowledgment form. • Signature of the notary public must match the signature on tile with the office of " ❑ Partner(s) • the county clerk. ❑ Attorney-In-Fact 0., 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,nuntb..r of pages and date ❑ as Indicate the capacity .lammed by the signer. If the claimed capacity is a • corporate officer,indicate the title(I C.CFO,CI t),Secretary). I•.wr,,r:.wn.v.sw Nut.i,yC1.r,,••:.sc=tit hero.ri.1 • Securely attach this document to the signed document ss rib a staple. Direct inquiries/Claims to: THE HARTFORD POSER OF ATTORNEY BONHartford,ConDnectclut06166 t heh artiord.com call:888.26G-3488 or fax:860.767.5836 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 Indiana X Hartford Accident and Indemnity Company,a corporation duly organized tinder 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 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. tv iyol ,•..0:4 ja„ `o.,w tat«y .�.r;�y r,f�.„, `Sbg • ,, • t00> ~ f.a ,r+�40! ilt`'.,:...\�'1/2 i r�(„cowourt- 2) ��� \\ x�.i I\r,, ,+ �.tUra 1 107a . ri7o 3.�ro79 •1 4aj �I t)1` -Lori.D --%O. tYAS2..4 UU Li Shelby Wiggins,Assistant Secretary Joelle L.LePierre,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. F ,, jt4.4-L_Ci•�'' N. •i Jessica Ciccone t i,'ii.`.,'` My Commission HH 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. ,/ ��a �n (411,.1 el) ,�t•'r„ .' / " ttoo'e+, ti r.. 0.sr I .7. 07...,:. ?,."0"..... ,, S e,\.I!!... a ,.►,W.. \• ra?a. :E ,l�l•r117t l 1919 k (a) ,.........‘ t. Keith D.Dozois,Assistant Vice President CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT I 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, l'' and not the truthfulness, accuracy, or validity of that document. 1 i State of Tennessee } County of Knox } On April 11,2024 before me, Carolyn E.Wheeler Notary Public 1Ffere mcii same and tt.d onhe o Lcer) 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 of tf�e State of California that the foregoing paragraph is true and correct. � ,-----;.: ��te��NiE rt�'ti WITNESS my hand and official seal. U�; STATE ,`�p _ • rENNEssEE NOTARY vurt.te Notary Public Signature (Notary Public Seal) *"•/"/OXCOIR'•' ‘•`` My Commission Expires: January 2,2028 /ztt11111hsst ADDITIONAL OPTIONAL INFORMATION ill INSTRUCTIONS FOR COMPLETING THIS FORM rlurf„rm.cmi.firsauh crawnCalifornia slam",r,rgar.iongnotiny'tics ohny aia, DESCRIPTION OF THE ATTACHED DOCUMENT 'err..J..1..th,a1Jhe,.umpfrt.ol and,tnocl.Jtodoe la,.ion ir .1,Anon:Mon au,i front other stow.,mos he eanipletr,l h'r,la...ntent3 h,u,g Neill ill ili.il xioie,o L.,,,,,t or the warding,.,es nct,a•gi,i,e the C'brae ni.r rota')tot I w,Ne Cabral n�.r n.'.}oty lab lTd'a or descr pt on of attached doeurrrcnt) • State and Count) information tnuNt be the State and Count),.hare the document signer(s)personally appeared before the notary public lot ackiiossledgmcut • Date of notarization must be the date Mat the signors)personally appealed\.huc h ,4i (T•te or descr.pl en of attached document contnued) must also be the same date the acknosslcdgment is completed 1 • the noliuy public must print his or her name as it appears within his or list t4 Number of Pages Document Date- _ connnission fiotomed b)a eonmta and then)our title(iota,)public) • Print the nanic(s) of document signetts) tsho personally appear at tic time of notarization. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing tilt insuncet toms(i.e. Ire she they-is ate)or circling the correct forms.Failure to correctly 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 coscr test or lines.If seal tnrptcssion smudges,rc•scat if a (Me) sufficient area permits,othenuse complete a dittcreut acknooledgment(Olin • ❑ Partner(s) • Signature of the notary public must match the signature on the tsith the office of the county clerk. ❑ Attorney-in-Fact Additional information is not required bin could help to ensure this (....... [] Trustee(s) aektioe Iedgnsent is not misused or attached to a diticrenl document. 'i Other Indicate title or type ofattached document,number of pages and date O y Indicate the capacity claimed by the signer. If the claimed capacity is a i corporate officer,indicate the title(i.e.C'LU,Cl 0,Secretary). ) ii 1,\ •,'.,on.s.e'w Not,uyr'i.r: , , n,Oren i ri ,• • Secwely attach this document to the signed document s.irh a staple. d1f E California ti.ie New nee tkmcau,i Department of Conservation De,el Donne Department of Conservation Geologic Energy Management Division Surety Bond Public Resources Code§§3204,3205,3205.1,and 3205.2 Bond No. 20135BJE6805 APW 0405902422 KNOW ALL PERSONS BY THESE PRESENTS,that the undersigned t!i ` [ ?cl c [Name of Individual] d/b/a City of Huntington Beech [Name of Company (Principal)] 2000 Mein St.,Huntington Beech,CA 92648 [Address],as Principal,and Hertford Five Inherence Contpony [Name of Surety Company] One Hartford Plazo,Hartford,CT 06155 [Address] organized and existing under the laws of the State of "ttoecticat 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 Thousund 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 r14 \ Department of Conservation IN WITNESS THEREOF,the Principal and Surety have hereunto set their signatures and seals as of the dates set forth below. Date: !I i�/, 'j City of lIuntington Beach (Company-[Principal]) By: ,'It r. I • t SEAL OF PRINCIPAL (ignature of findivlduoi) Title: t 1 t'Ou hi; 1_,r IV-P ci Sit t cl tJ << pat- ") 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 (SufrA Company SEAL OF SURETY By C Gr • (�{�i,Mu1 (Signature of Attorney-in-Fact for Surety) Rachel A.Chaverlat Typed or Printed Name Title: Attorney 1n 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.Chnreriut Title: Attorney in Fact Address: Marsh USA LLC,1111 Northsltore Dr.,Knoxville,TN J7919 Phone Number:865-769-7700 Email Address:t'tchel.a.chaveriagnpuush.cont COMPLETED NOTORIZED ACKNOWLEDGMENT OF PERMITTEE(PRINCIPAL' 'Attach loose notarial certificatel COMPLETED NOTARIZED ACKNOWLEDGMENT OF SURETY 'Attach loose notarial certificatel (Rev.04/2020) Page 2 of 2 Direct inquiries/Claims to: THE HARTFORD POWER OF ATTORNEY Hart Connecticut06155 Bond.Clalmspthehartford.cenn call:868-2883488 or lax:860-767.6836 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 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 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 Me amount of Uni.Lnhi red : 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. �y �1 � ..n�•r; v eur► 1Y7� / C ;t • 1 v Shelby Wiggins,Assistant Secretary Joelle L.LaPlerre,Assistant Vice President STATE OF FLORIDA ss. Lake Mary COUNTY OF SEMINOLE On this 20th day of May,2021,before me personally came Joelle LaPlerre,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. .• 00_4 j_4.2,c_e‘ L/✓�Y2� y � Jessica Ciccone } •a•', My Commission HH 1222SO Expires Jane 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. 44, , s � A •t•,r,: .� ... ' �.y vats. i91'�� 4 • su.t.r.,: r �e�i• ,y�rwip^. tr, �i i,r',reo++t,q Rtfii' rear a • 8 / ..... 7 .,..• ) ., • '�!. rA i '4u0► r r_ !07`C,F ./J'79/j k oal1 P 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 Were rimed name and t to al the oT6cer) 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 oftthe,Mate of California that the foregoing paragraph is true and correct. E E...•. tiFs`• WITNESS my hand and official seal, : 6O`E _ TENNESSEE NOTARY • ( / Q - pu&ic • � L, l/l/Y Notary Pu lic Signature (Notary Public Seal) i�zz,OX' I t t t tts�\` My Commission Expires: January 2,2028 ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLE'I'iNG'' trot FORM oiJ rlur Jatnt t cnglhes •a idt CtelCnr('a!i/oruiJ shMur+iegai,ling nowt .ur,Jutg r;,rJ, DESCRIPTION OF THE ATTACHED DOCUMENT i/n.d..r,shnttld he.onipklsl and uttaeh.dto the.loa,nient.t•AnonAA:nunt.r h o n other starts nr.m he contrletc,1 t,r.A;c iintuit.0 being urn)or that stao ,o long g as lireiiording.lo•s not)e quit e the Calth»flea notall'rntY LIcC'alifotu;.r)i 4ij' lai tTn:-a or descr won of attached document) • State aml County inhumation must be the State and County ty where the document signerts)personally appeared before the notary public tar ucknookdgmcnt • Date of notarization must be the date that the signors)personalty appealed which (Lee Or descrpt en of attached document coat sued) must also be the sane date the acknost iedgtucnt Is c.unpleled • the notary public must print his or her name as it appears ssithin his at her Number of Pages _Document Date_ commission followed by a comma and then your title(notary public) • Print the flamers) of document signors) who personally appear at the Irate of notarization. CAPACITY CLAIMED BY THE SIGNER • Indicate the cornet singular or plural forms by classing off Msornel Lain s 0.e. he:she they-,-is err)or circling the correct f:mns.1-atltne to correctly indicate lint ❑ Individual(s) inhumation may lead to teitstion of dos:unterit rccotding ❑ Corporate Officer • The notary seal impression Hurst be clear and photographically. reproducible Impression must nut ruler tat or lines. If seal impression smudges,re-seal ifa (Title) sufficient area permits,othernisa complete a different acknouledgntent(Olin ❑ Partner(s) • Signature erthe notary public must match the signature on file with the office stf the county clerk. ❑ Attorney-in-Fact Additional intonation is not required but could help to ensure this [] Trustee(s) acknowledgment is not misused or attached to a dilIercnt do umeut. Other str 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 Ire.CEO,CI 0,Secretary). .1)i s.r;•,,,,,, , . • Securely attach this document to the signed document with a staple. �iI CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT Ii A notary public or other officer completing this certificate verifies only the identity i 1 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 County of Oyj/10(/} } On Ayr; 1 I t pr e207,,,.t) before me, )D1,11'1/1_$ i J I -P� ,Notary Public , (Here'men name and tt a d Oka)w) iipersonally appeared tJD\QI, V. 7(rl�/i who proved to me on the basisrof 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 I which the person(s)acted, executed the instrument. i 1 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. f DONNA SWITZER Rai .'r r/;.A,:.+ Notary Public•CaNTornla 11 • !r j o Orange County},�� Commission N 2470457 p `•, • • My Comm,Expires Nov 9,2027 1p Notary Public S a are (Notary Public Seal) • i i, ADDITIONAL OPTIONAL INFORMATION INS'TRUC1lUNS lY)R l'U\1tsL1;l'INCi CH15 FORM,do pine,(MOO a lilt t um nr C.M fonri,r arattru s rrg.uwlnig n.fitn nwr.fing airs/, DESCRIPTION OF THE ATTACHED DOCUMENT U' cite'./••thnnfdh;oomiph1„l.,n,f.,tr.ithe.1r,,lIt,Aulenient .a,kw),l,•.li$i„ors punt other sidle.,tour he conipkt„l/,r.1,:...rwful hem);wcnl ao rh.:t st.rre.A.)t.n.g as rh,,wording beg not rcq;41 a tire Ca:it.!I His)HAfdf1 fit,..:1.Xr CAP.fi..!164,24 ton (Tito or descrpt on of attacheddocumenl) • State and Count) information aunt be the State and Count)sshate the document signers)personally appeared before the notary public for ackitosstedgmcnt i (idea or descripton of attached document continued) • Date of notarization must be the date that the signer(s)persunatl)uppeascd winds • must also be the same date the acknowledgment is completed I — • the notary public must print his or her name as itappears \uthitt his or hcr Number of Pages Document Date — commission billowed by a comma and then your title(notary public) • Print the namets) of document signet(n) who personally appear at the time of 1 notarvation CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crsnssn*off incorrect forms tiC. Fte;shc they;is ere)or circling the correct taros.raduie to coned/)indicate this O Individual(s) information may lead to rejection sit document iccurding. D Corporate Officer • The notar seal impression must be clear and photographically reproducible. Impression must not curer lest or lines.If seal impressioo smudges,re-seal if a 1 (Tit e sufficient area permits,otherwise complete.t dst'b roiil acktiowledgnment fount i El Partner(s) • Signature of the notary public!mist match the signature on lilt with the°like of the county clerk. D Attorney-in-Fact Additional information is not tequuul but could help to ensure this I L) Trustee(s) acknowledgment is not misused or attached to a ditietent document. Other 4. Indicate title or type of attached docuntent,number of pages and date ❑ indicate the capacity claimed by the signer if the claimed capacity is a corporate officer,indicate the title(tee CFO,C'tCS,Secretary). i • Securely attach this document to the signed document,Sidi a staple. II AFT a. .. _ .. , California (;,»ri,,,,, Department of Conservation !3, r�.'t,"a„ i,,.�,.,` Department of Conservation Geologic Energy Management Division Surety Bond Public Resources Code§§3204,3205,3205.1,and 3205.2 Bond No, 20llSBJE6806 API#0405902447 KNOW ALL PERSONS BY THESE PRESENTS,that the undersigned )Uiit't ' i Lack (Name of Individual] d/b/a city of Huntington Beach [Name of Company (Principal)) 2000 Blain St.,Huutiugton Beech,CA 92648 (Address],as Principal,and linrtford Fire Insurance Company [Name of Surety Company] One Hartford Plaza,Hartford,CT 06155 [Address] organized and existing under the laws of the State of Chute►ieut 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 rite Thousand nod nonoo••*•rt DOLLARS ($25,000.00s"«°'•),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 ,,,,,,: .•,,,,,,,, its",v;i,h,t•.1, E,I,, , Department of Conservation IN WITNESS THEREOF,the Principal and Surety hove hereunto set their signatures and seals as of the dates set forth below. Date: 11/r ,:�C{ City of Huntington Beach (Compan -[Principal)) By: P1)rt 111 fi ark's.__.. SEAL OF PRINCIPAL [SOT nature of K dR'idual Title: LJ i- , '[ 1VFtt5tl1'f'r_. (-tic ire I ci, fr 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 Ltsw tutce Company. (Surety Company) ,1} SEAL OF SURETY By��LC �t�' "`-'� C1 V)-�VW (Signature of Attorney-in-Fact for Surety) Rachel A.Chuveriat 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 No thshore Dr.,Knoxville,TN 37919 Phone Number:865-769-7700 Email Address:rochel.o.chaveriat(o'mnrsh.cotn COMPLETED NOTORIZED ACKNOWLEDGMENT OF PERMITTEE IPRINCIPAL1 '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, 1t ' 1 State of Cjiwv - - ) County of_hatr>$) } l ii 1... ,I On )1p before me, nn�l.._ w 2 Notary Public i (Here mien name and ttie ofihe ether) personally appeared J Dirt) M. 2 /Z'45 , 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 j which the person(s) acted, executed the instrument. i 91 1 I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITN S'my hand d official seal. .H DONNA SWITZER _ i A Notary Public-California 1 Wr ar „l Orange County .,r5./o Commission H 2470457 ( _ — , °+su•• ' My Comm,Expires Nov 9,2027 Notary Public Signature (Notary Public Seal) N. ADDITIONAL OPTIONAL INFORMATION Ti INSTRUCTIONS FOR COts1PLl's'riTiCi inJ ',awry FORM ns/nwn.urnplies moth cut rent C uhpnrna"Jana(r iegmJoO;',awry it otding and. DESCRIPTION OF THE ATTACHED DOCUMENT Owed.. slmntld be cumph-t,d and attach",ill the da.r,n ear .isAuun Astgnt.ors from other states mast,he eonrpla..1ler,!,+cunt.mrr l:.vnggtACM r.r that state eo kng oc the wording dues not I.quire the Cahlormia ndtmy 10 id,a,tt:Colt/nr rt:a n„tJiy. taw (Tillo or descnpt on of attached dccumonl) • State and County uitomn si on must he the State and Count)%/core the document signetts)personally appealed before the notary public for ackttossledgment • Date of notarization must be the date that the signerts)petsunally uppcated sr Inch (Tito or desetipton of attached document manned) must also be the sante date the acknoss Icdgment is completed s • The notar) public must print his or her name as it appears ssitluu his or her ! Number of Pages_ Document Date __ __ commission iiitlossed by a comma utd then your title(notary public) • Print the namc(s) of document stencils) ssho personally appear at the time of notaization. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing oil bs..onect forms(i.e. trestle they.,-, is.044)0r circling the correct COMM ratline to correctly indicate tins ❑ Individual(s) information may lead to rejection of recording ❑ Corporate Officer • The notary seal impression must be clear ;and photographieally icpro.luctble. Impression must not corer test or lines.If seal impression snmdges,re-seal if a (Tiller— sufficient area permits,otherssIse complete a diticrent acknowledgment form ❑ Partner(s) • Signature of the now) public must match the signature on Ille ssuh the ollice of I the county clerk. ❑ Attorney-in-Fact •. Additional information is not reyuacd but could help to ensure this ❑ Trustee(s) aeknossledgment is not misused or attached to a different document. Other indicate title or type of attached document,number of pages and dale t 0 •' Indicate the capacity claimed by the signer.If the claimed capacity is a corporate officer,indicate the title(t C.(.t 0,CI 0,Secretary), ' ,1;-Lotto ,;:I i ,t, ' •, • Securely anach this document to the signed document stilt a staple. a .. _ „ :.. ______ _ v __- Direct inquiries/Claims to: THE HARTFORD POWER OF ATTORNEY BONHartfoOne Hartford Plaza rd,Connecticut n 08168 Bond.Ciaimat *heharttord.com cell:888.266.3488 or fax:860.767-6836 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 tire 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 Unliu,it.ed : 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. _�,0 41 •� ,ny1t�1?'^ ♦r•..,. , r•cy` .�rw.y.t 4.,Y" (AI , , r ► t•Y0 1 t r w..:r.. s,'osooMra ^ �, ► 1 %� �•..Y '`.o„ r �•uN► \� `107a F s(�D79r� ',�r•10 � • cY`'u{,`J1� tl y t/,'J iU1(. (v'�t: ,t� l Shelby Wiggins,Assistant Secretary Joelle L.LaPierre,Assistant Vice President STATE OF FLORIDA ss. Lake Mary COUNTY OF SEMINOLE On this 201h day of May,2021,before me personally came Joelle LaPierre,to me known,who being by me duty 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. to 'y.���•,'c Jassuca Ciccoue myConmussionHH 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. trut\ (4se• (fi) Il� ...a•,..,,�; • ►OOr ,., %.1 C '♦I rfir • } 1• �'-N'A• \NAM+ 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 iHere msen name and I l e cf the a �cir� r 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,'a`F ijeES ec9f California that the foregoing paragraph is true and correct, • Q-o. • •.FF� J.: STATE . OF TnNNES$EE WITNESS my hand and official seal. = NOTARY OUeIrC ryry 'o '.� E' 1�X/W l ',�,In, cl �0N Notary Public Signature (Notary Public Seal) rr t t t+ My Commission Expires: January 2,2028 ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM Ilusltna.vnrplreshiih eta tit(Wool but sraurat.sre,r;,nhitg wren.wonhirl;r,ia.. DESCRIPTION OF THE ATTACHED DOCUMENT if neededshotd.]hecottipekdotriton,iclr.ltothe,Ju:in,.nr .1.knobicdgtt.ucr jrorn other sores near'he compldrd fe.r d„e+.aunts being sent to dial stale so long • as the uswding dies not requite the(',riol.4 ui.r a:ot t»io r ietote C'tlilorn 1 not,zr). !ern (Ida ordescnptanol attached documenl) • State and Count) information trust tic the State and Count)oboe the document signers)personal')appeared belirre the notary public for aclomosslcdgment • Date of notarization must be the date that the signers)personall)uppcated which (Title Ofdescripton of attached do,:ument continued) must also be the same date the acknoss ledgntent is completed • The notrsr) public must print his or her name as it appears within his or her Number of Pages _ Document Date commission follossed by a comma and then your title(iota)public) • Print the mammal of document signu(s) ssho 'seasonally appear at the tame of notartJation. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms b) crossing off mconcet forms(t.e. ❑ Individual(s) !sessile they;is are)or circling the canedtilrmMS.fattuneto conceits indicate tthis information may lead to rejection of docunseat lccoailing ❑ Corporate Officer • The notary seal impression must be dear and photographically reproducible. • Impression must not coact text or lines. If seal impression smudge,,is-seal if a (Y It 9 sufficient area permits,otherwise complete a different acknowledgment foi • Signature of the notary public must match the signature on file malt the office of ❑ Partner(s) the county clerk. ❑ Attorney-in-Fact Additional information is not acquired but could help to ensure this L] Trustee(s) ac)uhossledgmcnt is not misused or attached to a different document Other4. Indicate title or type of attached document,number of pages and dare ❑ — — b Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer,indicate the title tic C l.O,CIO,Secretary) Omni sxssW NUi..0y 'hs,><'s 1.-011 Son r; • Securely attach this document to the signed document ss Ma a staple.