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HomeMy WebLinkAboutJ&S Striping - 2025-11-18 SERVICE AGREEMENT BETWEEN THE CITY OF HUNTINGTON BEACH AND J&S STRIPING FOR ON-CALL MAINTENANCE RE:TRAFFIC SIGNAGE AND STRIPING CITYWIDE 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 J&S Striping, hereinafter referred to as "Contractor." Recitals A. The City desires to retain a Contractor having special skill and knowledge in the field of maintenance re traffic signage and striping, and as needed pressure washer cleaning services. B. Contractor represents that Contractor is able and willing to provide such services to the City. C. In undertaking the performance of this Agreement, Contractor represents that it is knowledgeable in its field and that any services performed by Contractor under this Agreement will be performed in compliance with such standards as may reasonably be expected from a comparable company or firm in the field. Contractor has been selected to perform these services pursuant to Huntington Beach Municipal Code Chapter 3.02, NOW, THEREFORE, it is agreed by City and Contractor as follows: 1. Scope of Services Contractor shall provide all services as described in Exhibit"A"which is attached hereto and incorporated into this Agreement by this reference. These services shall sometimes hereinafter be referred to as the "Project/Service." Contractor hereby designates Robert Aragon 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. 1 25-17163/391845 3. Compensation a. City agrees to pay, and Contractor agrees to accept as total payment for its services,the rates and charges identified in Exhibit"B." The total sum to be expended under this Agreement, shall not exceed Twenty Five Thousand Dollars ($25,000). 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 regarding the,Project/Service and execution of this Agreement. The services of Contractor are to commence ���,�-r !p ,. 2025 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 two (2) additional one year periods if mutually agreed to in writing by both parties. All tasks specified in Exhibit "A" shall be completed at the frequency., time, and schedule indicated in Exhibit "A". 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, data 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. 2 25-17163/391845 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 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 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, 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. 3 25-17163/391845 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 and/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 other 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. The 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. 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. 4 25-17163/391845 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 to 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. 16. Assignment Inasmuch as 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 5 25-17163/391845 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 mail-return receipt requested: To City: To Contractor: City of Huntington Beach J&S Striping Attn: John Nguyen Attn: Robert Aragon 2000 Main Street 1544 S. Vinyard Avenue Huntington Beach, CA 92648 Ontario, CA 91716 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. 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. 6 25-17163/391845 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; 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. 7 25-17163/391845 28. Jurisdiction - Venue This Agreement and all questions relating to its validity, interpretation, performance, and enforcement shall be governed 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, throughout 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 their inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. 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 nonprevailing 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, 8 25-17163/391845 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. 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 City Manager. This Agreement shall expire when terminated as provided herein. CONTRACTOR CITY OF HUNTINGTON BEACH, a J&S STRIPING municipal corporation of the State of California By: Mayor 67cia_ coV Print name ITS: (circle one) Chairma 'residen Vice President City Clerk AND By: INITIATED AND APPROVED: Print name ITS: (circle orzejTszetary)Chief Financial Officer/Asst. Secretary-Treasurer Director of Public Works vAi APPROVED AS TO FORM: Pk-A OP City Attorney REVIEWED AND APPROVED: City Manager COUNTERPART 25-17163/391845 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. 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 City Manager. This Agreement shall expire when terminated as provided herein. CONTRACTOR CITY OF HUNTINGTON BEACH, a J&S STRIPING municipal corporation of the State of California By: Mayor Print name ITS: (circle one) Chairman/President/ A-41441 Vice President City Clerk AND By: INITIATED AND APPROVED: Print name ITS: (circle one) Secretary/Chief Financial Officer/Asst. Secretary-Treasurer Director of Public Works APPROVED AS TO FORM: PP City Attorney REVIEWED AND APPROVED: City Manager COUNTERPART 9 25-17163/391845 EXHIBIT A 10a t „..1 >< l '•+ 1544 S.Vineyard Ave Ontario,California 91761 � ,P. firk . (909)947-8073 FAX (909)947-9489 24tIRA ` �� � Lic. No,538211 CUSTOMER: Proposal & Contract HUNTINGTON BEACH CITY OF Proposal: 15620 2000 MAIN ST Dale: 9/29/2025 HUNTINGTON BEACH,CA 92648 Phone: (714)475-4525 Attention: JOHN NGUYEN FAX: (714)375-5001 I/we hereby agree to furnish all labor,material and equipment for the completion,in a good workman like manner,of the work described below: Job Address: HUNTINGTON BEACH-ON CALL STRIPING item No. Description Quantity U/M UnitPrice Total Price Schedule 1 1 ON CALL SERVICE FOR SIGNAGE AND STRIPING NOT TO 10 LS 25,000.000 25,000.00 EXCEED THE AMOUNT OF$25,000.00 BASED ON UNIT COST SERVICE ITEMS Total: $25,000.00 Total Proposal Price: $25,000.00 Special Conditions: ACCEPTANCE (By Owner,Agent,or General Contractor) I/we accept the within proposal. You are authorized to perform the work comprehended hereunder and t/we agree to pay the said amount in accordance with the terms set forth.All of the terms on the reverse side are incorporated rein and made a part hereof. J&S Striping HUNTINGTON BEACH CITY OF Ro Aragon Date: Accepted By: 1 1/2%SERVICE CHARGE PER MONTH APPLIED TO ALL PAST DUE BALANCES. ALL QUOTES GOOD FOR 90 DAYS. Page 1 of 1 EXHIBIT B HUNTINGTON BEACh 2025-2026 SIGNS Date: [ Unit Price Quantity Total 1 REMOVE SIGN&POST EA 98.000 0.00 2 REMOVE SIGN AND POST REPAIR SIDEWALK EA 125.000 0.00 3 FURNISH AND INSTALL SIGN EA 185.000 0.00 4 FURNISH AND INSTALL SIGN IN TOP SOIL EA 295.000 0.00 5 FURNISH AND INSTALL SIGN IN CONCRETE(CORE) EA 395.000 0.00 6 DRAINS TO OCEAN STENCILING(PAINT) EA 18.500 0.00 7 INSTALL FURNISH SIGN EA 145.000 0,00 8 0.00 9 0.00 10 0.00 11 0.00 12 0.00 13 0.00 14 0.00 15 0.00 16 0,00 17 0.00 18 0_00 19 0.00 20 0.00 21 0.00 22 0.00 23 0.00 24 0.00 25 0.00 26 0-00 27 0.00 28 0.00 29 I 0.00 37 0.00 31 0.0o 32 o.o0 33 0.CD 34 0.00 35 0.00 Grand total 0.00 / 7+- PAINT STRIPING 4" HUNTINGTON BEACH ITEM# Date 2025-2026 U/M PRICE Quantity Total 1 DETAIL 1 LF 0.1100 0.00 2 DETAIL 24 LF 0.1400 0.00 3 DETAIL 8 LF 0.1200 0.00 4 DETAIL 15 LF 0.1600 0.00 5 DETAIL 21 LF 0.2000 0.00 6 DETAIL 27B LF 0.1200 0.00 7 DETAIL 28 LF 0.2000 0.00 8 DETAIL 31 LF 0.2000 0.00 9 DETAIL 37b LF 0.1300 0.00 10 DETAIL 38A LF 0.1300 0.00 11 DETAIL 39 LF 0.1200 0.0o 12 DETAIL 39A LF 0.1200 0.00 13 DETAIL 40 LF 0.1600 0.00 14 12"LIMIT LINE OR X-WALK SF 1.2200 0.00 15 24"RR LIMIT LINE SF 2.0000 0.00 16 MARKINGS SF 1.2500 0.00 17 6"CURB LF 1.6500 0.00 18 8"CURB LF 1.6800 0.00 19 12"CURB LF 1.7600 0.00 20 REMOVE LANE STRIPE LF 3.7500 0.00 21 REMOVE 12" LIMIT LINE OR X-WALK SF 4.0000 0.00 22 REMOVE THERMO PAINT MARKINGS SF 4.0000 0.00 23 REMOVE CURB LF 3.6500 0,0o 24 DETAIL 10 LF 0.2400 0.00 25 DETAIL 23 LF 0.3400 0.00 26 DETAIL 26 LF 0.0800 0.00 27 DETAIL 30 LF 0.3400 0.00 28 DETAIL 37C LF 0.2400 0.00 29 DETAIL 38C LF 0.2400 0.00 30 DETAIL 40A LF 0.1800 0.00 31 DETAIL 41A LF 0.1900 0.00 32 'TYPE C _ EA 3.6500 0.00 33 TYPE D EA 3.6500 0.00 34 TYPE G EA 3.5500 0.00 35 TYPE H EA 3.5500 0.o0 36 TYPE A&AY EA 1.9500 0.00 37 8"CERMIC EA 72.0000 0.00 38 PARKING STALLS EA 8.8500 0.00 39 4"X-HATCH AREA LF 1.6500 0.00 40 HANDICAP LEGEND EA 65.0000 0.00 41 12" LETTERS EA 1.4500 0.00 42 2"BLACK LF 0.1000 0.00 43 LAYOUT LF 0.1600 0.00 Grand Total 0.00 THERMO STRIPING 4"striping HUNTINGTON BEACH ITEM# Date 2025 THRU 2026 UWM PRICE Quantity Total 1 DETAIL 1 LF 0.8100 0.00 2 DETAIL 24 LF 0.8000 0.00 3 DETAIL B l LF 0.8100 0.00 4 DETAIL 15 LF 1.5900 0.00 5 DETAIL 21 LF 1.6100 0.00 6 DETAIL 278 LF 0.8000 0.00 7 DETAIL 28 ONE SIDE LF 1.6000 0.00 8 DETAIL 31 ONE_SIDE LF 1.5600 0.00 9 DETAIL 37b l LF 1.0000 0.00 10 DETAIL 38A LF 1.1200 0.00 11 DETAIL 39 LF 0.9200 0.00 12 DETAIL 39A LF 0.8000 0.00 13 DETAIL 40 LF 0.5500 0.00 14 12"LIMIT LINE OR X-WALK SF 3.2500 0.00 15 24"RR LIMIT LINE SF 6.2500 0.00 16 MARKINGS SF 4.7500 0.00 17 6"CURB LF 1.6500 0.00 18 8"CURB LF 1.6800 0.00 19 12"CURB LF 1.7600 0.0o 20 REMOVE LANE STRIPE LF 3.7500 0.00 21 REMOVE 12" LIMIT LINE OR X-WALK SF 4.0000 0.00 22 REMOVE THERMO PAINT MARKINGS SF 4.0000 0.00 23 REMOVE CURB LF 3.6500 0.00 24 LAYOUT LF 0.1600 0.00 25 TYPE C EA 3.6500 0.00 26 TYPE D EA 0.6500 0.00 27 TYPE G EA 3.5500 0.00 28 TYPE H EA 3.5500 0.00 29 TYPE DB EA 15.0000 0.00 30 2"BLACK LF 0.1000 0.00 31 0,00 32 0.00 33 0.00 34 0.00 35 0.00 36 0,00 37 0.00 38 0.00 39 0.00 40 0.00 38 0.00 38 0.0o 38 0.00 Grand Total 0.00 • PAINT STRIPING 6"striping HUNTINGTON BEACH ITEM# Date 2025 THRU 2026 U/M PRICE Quantity Total 1 DETAIL 1 LF 0.1200 0.00 2 DETAIL 24 LF 0.1500 0.00 3 DETAIL 8 LF 0.1300 0.00 4 DETAIL 15 LF 0.1700 0.00 5 DETAIL 21 LF 0.2100 moo 6 DETAIL 278 LF 0.1300 0,0o 7 DETAIL 28 LF 0.2100 0.0o 8 DETAIL 31 LF 0.2100 0.00 9 DETAIL 37b LF 0.1400 0.o0 10 DETAIL 38A LF 0.1400 moo 11 DETAIL 39 LF 0.1400 0.00 12 DETAIL 39A LF 0,1300 0.00 13 DETAIL 40 LF 1.7000 0.00 14 12"LIMIT LINE OR X-WALK SF 1.2200 moo 15 24"RR LIMIT LINE SF 2.0000 moo 16 MARKINGS SF 1.2500 0.00 17 6"CURB LF 1.6500 0.00 18 8"CURB LF 1.6800 moo 19 12"CURB LF 1.7600 0.00 20 REMOVE LANE STRIPE LF 3.7500 0,o0 21 REMOVE 12"LIMIT LINE OR X-WALK SF 4.0000 0.0o 22 REMOVE THERMO PAINT MARKINGS SF 4.0000 0.00 23 REMOVE CURB LF 3,6500 0.00 24 DETAIL 10 , LF 0.2400 0.00 25 DETAIL 23 LF 0.3400 0,00 26 DETAIL 26 LF 0,0800 0.00 27 DETAIL 30 LF 0.3400 0.00 28 DETAIL 37C LF 0.2400 0.00 29 DETAIL 38C LF 0.2400 0.00 30 DETAIL 40A LF 0.1800 0.0o 31 DETAIL 41A LF 0.1900 0.00 32 TYPE C EA 3.6500 0.00 33 TYPE D EA 3.6500 0.00 34 TYPE G EA 3.5500 0.00 35 TYPE H EA 3.5500 0.00 36 TYPE A&AY EA 1.9500 0.00 37 8"CERMIC EA 72.0000 0.0a 38 PARKING STALLS EA 7.5000 ' 0,00 39 4"X-HATCH AREA LF 1,6500 0.00 40 HANDICAP LEGEND EA 65.0000 0.00 38 12"LETTERS EA 1.4500 0.00 38 2"BLACK LF 0.1000 0.00 38 LAYOUT LF 0.1600 moo Grand Total 0.00 -- T THERMO STRIPING 6"striping HUNTINGTON BEACH ITEM # Date 2025 THRU.2026 U/M PRICE 1 DETAIL 1 LF 0.8500 2 DETAIL 24 LF 0.8900 3 DETAIL 8 LF 0.8500 4 DETAIL 15 LF 1.6500 5 DETAIL 21 LF 1.6500 6 DETAIL 27B LF 0.8900 7 DETAIL 28 LF 1.6500 8 DETAIL 31 LF 1.6000 9 DETAIL 37b LF 1.0000 10 DETAIL 38A LF 1.1200 11 DETAIL 39 LF 0.9200 12 DETAIL 39A LF 0.8000 13 DETAIL 40 LF 0.5500 14 12" LIMIT LINE OR X WALK SF 3.2500 15 24" RR LIMIT LINE SF 6.2500 16 MARKINGS SF 4.7500 17 6" CURB LF 1.6500 18 8" CURB LF 1.6800 19 ' 12" CURB LF 1.7600 20 REMOVE LANE STRIPE LF 3.7500 21 REMOVE 12" LIMIT LINE OR X-WALK SF 4.0000 22 REMOVE THERMO PAINT MARKINGS SF 4.0000 23 REMOVE CURB LF 3.6500 24 LAYOUT LF 0.1600 25 TYPE C EA 3.6500 26 TYPE D EA 0.6500 27 TYPE G EA 3.5500 28 TYPE H EA 3.5500 29 TYPE DB EA 15.0000 30 2" BLACK LF 0.1000 31 32 33 34 35 36 I \ki ACORD�' DATE(MMIDDIYYYY) cc• CERTIFICATE OF LIABILITY INSURANCE 11/6/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(ies)must 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: Annette Romero Acrisure Southwest Partners Insurance Services, LLC PHONE FAX 611 Anton Blvd., Suite#1400 WC.No.EMI; 949-486-7904 (Arc.Not: Costa Mesa, CA 92626 A ADD DREDRE SS: aromero@acrisure.com INSURER(S)AFFORDING COVERAGE NAIC wwW.patrisk.com 0K07568 INSURER A: Valley Forge Insurance Company A+XV 20508 INSURED INSURER e: American Casualty Company of Reading,PA A+XV 20427 J &S Striping, Inc. INSURER C: Continental Insurance Company A+XV 35289 1544 S.Vineyard Avenue Ontario CA 91761 INSURER o: Insurance Company of the West A+XV 27847 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 87893953 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. IUBR POLICY EFF POLICY EXP L SR TYPE OF INSURANCE AINSD DDL SWYD POLICY NUMBER IMMI D!YYYY) (MM/DIYYYY) LIMITS A / COMMERCIAL GENERAL LIABILITY / / 7018598845 3/29/2025 3/29/2026 EACH OCCURRENCE $1,000,000DAMAGE TO RENTED CLAIMS-MADE ✓ OCCUR PREMISES(Ea occurrence) $1,000,000 MED EXP(Any one person) $15,000 PERSONAL 8 ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY / 78i IA LOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: $ B AUTOMOBILE LIABILITY ✓ ✓ 7018491424 3/29/2025 3/29/2026 $o 1111NdEeO1SINGLE LIMIT $1,000,000 ✓ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY ._ AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY (Per accident) Uninsured motorist comb$1,000,000 C ✓ UMBRELLA LIAR ,rf OCCUR 7018491441 3/29/2025 3/29/2026 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE S5,000,000 DEO ✓ RETENTION$10,000 $ D WORKERS COMPENSATION ✓ WSD506490103 3/29/2025 3/29/2026 ,, STATUTE EORH AND EMPLOYERS'LIABILITY ANYPROPRIETORIPARTNERIEXECUTIVE YIN E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBEREXCLUDED7 I Y 1 N/A A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000.000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attachod If more space Is required) Re:JSJN 4841-S/On-Call Maintenance regarding Traffic Signage and Striping Citywide-Huntington Beach,CA City of Huntington Beach,its officers,elected or appointed officials,employees,agents and volunteers are named as additional insureds as Additional Insured as respects to General Liability and Auto Liability per endorsement attached wheraMitibrOMEIriflinTatFiaRM Coverage is Primary and Non-contributory.Waiver of subrogation applies to GL,Auto and WC. *GENERAL LIABILITY DED$5,000*30 days notice of cancellation, 10 days for non-payment of premium. By: _ MICHAEL J.VIGLIOTTA CITY ATTOfNEY CERTIFICATE HOLDER CANCELLATION CITY or t IUN f INGTON BEACH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Huntington Beach THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn:John Nguyen ACCORDANCE WITH THE POLICY PROVISIONS. 2000 Main Street Huntington Beach CA 92648 AUTHORIZED REPRESENTATIVE I Dave Jacobson ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 97897953 zs/26 GL/AU/Uesl WC I Annette Aoeero I11/6/2025 12:36:09 Pn: (PST) 1 Paje 1 of 10 This certificate cancels and supersedes AI,L previously issued certificates. J&S Striping,Inc. POLICY NUMBER: 7018598845 COMMERCIAL GENERAL LIABILITY CG 20 10 1219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organizations) Location(s)Of Covered Operations Cityof Huntington Beach,its officers,elected or appointed offcials,employees,agents and volunteers Information required to complete this Schedule,if not shown above,will be shown in the Declarations. A. Section II —Who Is An Insured is amended to B. With respect to the Insurance afforded to these include as an additional insured the person(s) or additional Insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for"bodily injury", "property This insurance does not apply to"bodily injury"or damage" or "personal and advertising injury" "property damage"occurring after caused,in whole or in part,by: 1. All work, including materials, parts or 1. Your acts or omissions;or equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the in the performance of your ongoing operations for location of the covered operations has been the additional insured(s) at the location(s) completed;or designated above. However: 2. That portion of "your work" out of which the injury or damage arises has been put to its 1. The insurance afforded to such additional intended use by any person or organization insured only applies to the extent permitted by other than another contractor or subcontractor law;and engaged in performing operations for a 2. If coverage provided to the additional insured is principal as a part of the same project. 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 10 12 19 ©insurance Services Office,Inc.,2018 Page 1 of 2 T9i9s 9c rI fc6a teeL/Ava/nwceslsx aIn d sutpteer se"deers A113/revzso uisy 6119s uMM d(PcseTr ti fic te so.f o C. With respect to the insurance afforded to these 2. Available under the applicable limits of additional insureds, the following is added to Insurance; Section III—Limits Of Insurance: whichever is less. If coverage provided to the additional insured is This endorsement shall not increase the required by a contract or agreement, the most we applicable limits of insurance. will pay on behalf of the additional Insured is the amount of insurance: 1. Required by the contract or agreement;or Page 2 of 2 0 Insurance Services Office,Inc.,2018 CG 20101219 87993953 125/26 OL/AU/UMH/MC I Annette Roa.ero L 11/6/2025 12:36,09 PM (PST) I Page 6 0£ 10 . This certificate cancels and supersedes ALL previouslyissued certif testes. • J&S Striping,Inc. POLICY NUMBER: 7018598845 COMMERCIAL GENERAL LIABILITY CG 20 37 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organlzation(s) Location And Description Of Completed Operations 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" or If coverage provided to the additional insured is "property damage" caused, In whole or In part, by required by a contract or agreement, the most we "your work" at the location designated and will pay on behalf of the additional insured is the described in the Schedule of this endorsement amount of Insurance: performed for that additional insured and included 1. Required by the contract or agreement;or in the"products-completed operations hazard". 2. Available under the applicable limits of However: insurance; 1. The insurance afforded to such additional whichever is less. insured only applies to the extent permitted by law;and This endorsement shall not Increase the 2. If coverage provided to the additional insured is applicable limits of insurance. required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 37 12 19 ©insurance Services Office, Inc.,2018 Page 1 of 1 87893953 25/26 GL/Au/ur0ajwc I Annette 12ort.ero 111/6/2025 12:36:09 PM PST) I Page 0 Of 10 This certificate cancels and supersedes ALL previously issued certlficares. Blanket Additional Insured - Owners, Lessees or Contractors -with Products-Completed Operations Coverage Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART It is understood and agreed as follows: I. WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this coverage part, but only with respect to liability for bodily injury, property damage or personal and advertising injury caused in whole or in part by your acts or omissions,or the acts or omissions of those acting on your behalf: A. in the performance of your ongoing operations subject to such written contract;or B. in the performance of your work subject to such written contract,but only with respect to bodily injury or property damage included in the products-completed operations hazard,and only if: 1. the written contract requires you to provide the additional insured such coverage;and 2. this coverage part provides such coverage. II. But if the written contract requires: A. additional insured coverage under the 11-85 edition,10-93 edition,or 10-01 edition of CG2010,or under the 10-01 edition of CG2037:or B. additional insured coverage with"arising out of'language;or C. additional insured coverage to the greatest extent permissible by law; then paragraph I.above is deleted in its entirety and replaced by the following: WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this coverage part,but only with respect to liability for bodily injury,property damage or personal and advertising injury arising out of your work that is subject to such written contract. III. Subject always to the terms and conditions of this policy,including the limits of Insurance,the Insurer will not provide such additional insured with: A. coverage broader than required by the written contract:or B. a higher limit of insurance than required by the written contract. IV. The insurance granted by this endorsement to the additional insured does not apply to bodily injury, property damage,or personal and advertising Injury arising out of: A. the rendering of,or the failure to render,any professional architectural,engineering,or surveying services, including: 1. the preparing,approving,or failing to prepare or approve maps,shop drawings,opinions,reports, surveys,field orders,change orders or drawings and specifications:and 2. supervisory,inspection,architectural or engineering activities;or B. any premises or work for which the additional insured is specifically listed as an additional insured on another endorsement attached to this coverage part. V. Under COMMERCIAL GENERAL LIABILITY CONDITIONS,the Condition entitled Other Insurance is amended to add the following,which supersedes any provision to the contrary in this Condition or elsewhere in this coverage part: CNA75079XX(10-16) Policy No: 7018598845 Page 1 of 2 Endorsement No: J&S Striping,Inc. Effective Date: 03/29/2025 Insured Name: Copyright CNA Ali Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 87893953 125/26 GL/AU/UISB/Nc i Annette Romero I11/6/2025 12,36:09 PM (PST) I Page 2 of 10 This certificate cancels and supersedes ALL previously issued certificates. Blanket Additional Insured - Owners, Lessees or Contractors -with Products-Completed Operations Coverage Endorsement Primary and Noncontributory Insurance With respect to other insurance available to the additional insured under which the additional insured is a named insured,this insurance is primary to and will not seek contribution from such other insurance,provided that a written contract requires the insurance provided by this policy to be: 1. primary and non-contributing with other insurance available to the additional insured;or 2. primary and to not seek contribution from any other insurance available to the additional insured. But except as specified above,this insurance will be excess of all other insurance available to the additional insured. VI. Solely with respect to the insurance granted by this endorsement,the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: The Condition entitled Duties In The Event of Occurrence,Offense,Claim or Suit is amended with the addition of the following: Any additional insured pursuant to this endorsement will as soon as practicable: 1. give the Insurer written notice of any claim, or any occurrence or offense which may result in a claim; 2. send the Insurer copies of all legal papers received,and otherwise cooperate with the Insurer in the Investigation, defense,or settlement of the claim;and 3. make available any other insurance,and tender the defense and indemnity of any claim to any other insurer or self-insurer,whose policy or program applies to a loss that the Insurer covers under this coverage part. However,if the written contract requires this insurance to be primary and non-contributory,this paragraph 3.does not apply to insurance on which the additional insured is a named insured. The Insurer has no duty to defend or indemnify an additional insured under this endorsement until the Insurer receives written notice of a claim from the additional insured. VII. Solely with respect to the insurance granted by this endorsement,the section entitled DEFINITIONS is amended to add the following definition: Written contract means a written contract or written agreement that requires you to make a person or organization an additional insured on this coverage part, provided the contract or agreement: A. is currently in effect or becomes effective during the term of this policy;and B. was executed prior to: 1. the bodily injury or property damage; or 2. the offense that caused the personal and advertising injury: for which the additional insured seeks coverage. Any coverage granted by this endorsement shall apply solely to the extent permissible by law. All other terms and conditions of the Policy remain unchanged. This endorsement,which forms a part of and is for attachment to the Policy issued by the designated Insurers,takes effect on the effective date of said Policy at the hour stated in said Policy,unless another effective date is shown below,and expires concurrently with said Policy. CNA75079XX(10-16) Page 2 of 2 Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office.Inc.,with as permission, 87893953 I25/26 GL/AU/u'c'e tMC I Annette Rocr.eco 11/6/2025 12:36:09 PM (PST) I Page 3 of 10 This certificate cancels and supersedes ALL previously issued certificates. 7018491424 CNA J&S Striping,Inc. CNA63359XX (Ed. 04/12) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTORS EXTENDED COVERAGE ENDORSEMENT - BUSINESS AUTO PLUS - This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM I. LIABILITY COVERAGE 4. An"employee"of yours is an"Insured"while A. Who is An Insured operating an "auto" hired or rented under a contract or agreement in that "employee's" The following is added to Section II, Paragraph name, with your permission, while A.1.,Who Is An Insured: performing duties related to the conduct of 1. a. Any incorporated entity of which the your business. Named Insured owns a majority of the "Policy," as used In this provision A.Who Is An voting stock on the date of Inception of insured, includes those policies that were in this Coverage Form; provided that, force on the Inception date of this Coverage b. The insurance afforded by this provision Form but: A.1. does not apply to any such entity 1. Which are no longer in force;or that is an "insured" under any other 2. Whose limits have been exhausted. liability "policy" providing "auto" coverage. B. Bail Bonds and Loss of Earnings 2. Any organization you newly acquire or form, Section II, Paragraphs A.2. (2) and A.2. (4) other than a limited liability company, are revised as follows: partnership or joint venture, and over which 1. In a.(2), the limit for the cost of bail bonds is you maintain majority ownership interest. changed from$2,000 to$5,000;and The insurance afforded by this provision A 2: 2. In a.(4), the limit for the loss of earnings is changed from$250 to$500 a day. a. Is effective on the acquisition or C. Fellow Employee formation date, and is afforded only until the end of the policy period of this Section II,Paragraph B.5 does not apply. Coverage Form, or the next anniversary of its inception date, whichever is Such coverage as is afforded by this provision earlier. C. is excess over any other collectible Insurance. b. Does not apply to: II. PHYSICAL DAMAGE COVERAGE (1) "Bodily Injury" or "property damage" A. Glass Breakage- Hitting A Bird Or Animal- caused by an "accident" that occurred before you acquired or Falling Objects Or Missiles formed the organization;or The following is added to Section Ill, (2) Any such organization that is an Paragraph A.3.: "insured" under any other liability With respect to any covered "auto," any "policy"providing "auto"coverage. deductible shown in the Declarations will not 3. Any person or organization that you are apply to glass breakage if such glass Is required by a written contract to name as an repaired, in a manner acceptable to us, rather additional insured is an "insured" but only than replaced. with respect to their legal liability for acts or B. Transportation Expenses omissions of a person, who qualifies as an "insured" under Section II - Who Is An Section III, Paragraph A.4.a. is revised, with Insured and for whom Liability Coverage is respect to transportation expense incurred by afforded under this policy. If required by you,to provide: written contract, this insurance will be a. $60 per day, in lieu of$20;subject to primary and non-contributory to insurance on which the additional insured is a Named b. $1,800 maximum, in lieu of$600. Insured. CNA63359XX Copyright,CNA Corporation,2000. Page 1 of 3 (Ed.04/12) Includes copyrighted material of the Insurance Services Office used with Its permission. 87893953 125/26 GL/AU/Ud0/FC I Annette Romero i 11/6/2025 12:36:"9 PM (PST) I Page 10 This certificate cancels and supersedes ALL previously issued certificates. 1 CNA CNA63359XX (Ed.04/12) C. Loss of Use Expenses Section III, Paragraphs B.4.c and B.4.d. are Section III, Paragraph A.4.b. is revised, with deleted and replaced by the following: respect to loss of use expenses incurred by c. Physical Damage Coverage on a covered you,to provide: "auto" also applies to "toss" to any a. $1,000 maximum,in lieu of$600. permanently installed electronic equipment including its antennas and other D. Hired"Autos" accessories. The following is added to Section III. d. A$100 par occurrence deductible applies to Paragraph A.: the coverage provided by this provision. • 5. Hired "Autos" G. Diminution In Value if Physical Damage coverage is provided under The following is added to Section ill, this policy, and such coverage does not extend Paragraph B.6.: to Hired Autos,then Physical Damage coverage Subject to the following, the "diminution In is extended to: value"exclusion does not apply to: a. Any covered "auto"you lease,hire,rent a. Any covered "auto" of the private or borrow without a driver;and passenger type you lease, hire, rent or b. Any covered "auto" hired or rented by borrow, without a driver for a period of your "employee"without a driver, under 30 days or less,while performing duties a contract in that individual related to the conduct of your business; "employee's" name, with your and permission, while performing duties b. Any covered "auto" of the private related to the conduct of your business. passenger type hired or rented by your c. The most we will pay for any one "employee"without a driver for a period "accident" or "loss" is the actual cash of 30 days or less, under a contract in value, cost of repair, cost of that individual "employee's" name, with replacement or $75,000, whichever is your permission, while performing less, minus a $500 deductible for each duties related to the conduct of your covered auto. No deductible applies to business. "loss"caused by fire or lightning. c. Such coverage as is provided by this d. The physical damage coverage as is provision Is limited to a "diminution in provided by this provision is equal to the value" loss arising directly out of physical damage coverage(s) provided accidental damage and not as a result on your owned"autos." of the failure to make repairs; faulty or e. Such physical damage coverage for incomplete maintenance or repairs; or hired"autos"will: the installation of substandard parts. (1) Include loss of use, provided it is d. The most we will pay for "loss" to a covered "auto" in any one accident is the consequence of an "accident" the lesser of: for which the Named insured is legally liable, and as a result of (1) $5,000;or which a monetary toss is sustained (2) 20% of the "auto's" actual cash by the leasing or rental concern. value(ACV). (2) Such coverage as is provided by III. Drive Other Car Coverage—Executive Officers this provision will be subject to a limit of$750 per"accident," The following Is added to Sections II and Ill: E. Airbag Coverage 1. Any "auto" you don't own, hire or borrow is a The following is added to Section 111, covered"auto"for Liability Coverage while being used by, and for Physical Damage Coverage Paragraph B.3.: while in the care, custody or control of, any of The accidental discharge of an airbag shall not your"executive officers,"except: be considered mechanical breakdown. a. An "auto" owned by that "executive officer" F. Electronic Equipment or a member of that person's household;or CNA63359XX Copyright,CNA Corporation,2000. Page 2 of 3 (Ed.04/12) includes copyrighted material of the insurance Services Office used with its permission. 87091953 25/26 GL/AU/UMB/WC i Annette Se eto i 11/6/2025 12,16,09 PM (PST) i Page $ of 10 This certificate cancels and supersedes ALL previously issued cert ficates. CNA63359XX CNA (Ed.04/12) b. An "auto" used by that "executive officer" The following is added to Section IV, while workingin a business of selling, Paragraph A.5. Transfer Of Rights Of g servicing,repairing or parking"autos."„ Recovery Against Others To Us: • Such Liability and/or Physical Damage We waive any right of recovery we may have, Coverage as is afforded by this provision. because of payments we make for injury or (1) Equal to the greatest of those damage, against any person or organization for coverages afforded any covered"auto"; whom or which you are required by written and contract or agreement to obtain this waiver from us. (2) Excess over any other collectible This injury or damage must arise out of your Insurance. activities under a contract with that person or 2. For purposes of this provision, "executive organization. officer" means a person holding any of the You must agree to that requirement prior to an officer positions created by your charter, "accident"or"loss." constitution, by-laws or any other similar governing document, and, while a resident of C. Concealment,Misrepresentation or Fraud the same household, includes that person's The following is added to Section IV, spouse. Paragraph 8.2.: Such "executive officers" are Insureds" while Your failure to disclose all hazards existing on the using a covered "auto" described in this date of inception of this Coverage Form shall not provision. prejudice you with respect to the coverage afforded IV. BUSINESS AUTO CONDITIONS provided such failure or omission is not intentional, A. Duties in The Event Of Accident, Claim,Suit D. Other Insurance Or Loss The following is added to Section IV, The following is added to Section IV, Paragraph B.5.: Paragraph A.2.a.: Regardless of the provisions of Paragraphs 5.a. (4) Your "employees" may know of an and 5.d. above, the coverage provided by this "accident" or "loss." This will not mean policy shall be on a primary non-contributory that you have such knowledge, unless basis. This provision is applicable only when such "accident" or "loss" is known to required by a written contract. That written you or if you are not an individual, to contract must have been entered into prior to any of your executive officers or "Accident"or"Loss." partners or your insurance manager. E. Policy Period,Coverage Territory The following is added to Section iV, Section IV,Paragraph B.7.(5).(a).is revised to Paragraph A.2.b.: provide: (6) Your "employees" may know of a. 45 days of coverage in lieu of 30 days. documents received concerning a claim or "suit." This will not mean that you V. DEFINITIONS have such knowledge, unless receipt of Section V. Paragraph C. Is deleted and replaced such documents is known to you or if by the following: you are not an individual,to any of your executive officers or partners or your "Bodily injury" means bodily injury, sickness or Insurance manager. disease sustained by a person, including mental B. Transfer Of Rights Of Recovery Against anguish, mental injury or death resulting from any of Others To Us these. CNA63359XX Copyright,CNA Corporation,2000. Page 3 of 3 (Ed.04/12) Includes copyrighted material of the Insurance Services Office used with its permission. 67s93953 I25/26 GL/Au/us�/sc I Annette Ro,rsro l 11/6/2o2s 12r36:09 PM (PST) i page 9 of 10 This certificate cancels and supersedes ALL previously issued certificates. • WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 34 (Ed. 8-00) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT- BLANKET We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule.(This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us). The additional premium for this endorsement shall be 3%of the total California Workers'Compensation premium otherwise due. Schedule Person or Oraanization Job Description ANY PERSON/ORG WHEN REQUIRED ALL CA OPERATIONS BY WRITTEN CONTRACT Policy Number WSD506490103 Insured:J&S Striping,Inc. Endorsement Effective:3/29/2025 Coverage Provided by: Ins Co of the West Issue Date:11/6/2025 Countersigned by: We 99 06 34 (Ed.8-00) 07693953 125126 Gt/AU/UMB/SC i Annette Rorcxro 111/16/2025 12:36:09 PM (PST) 1 Page 10 of 10 This cer iflcate cancels and supersedes LL previously issued certificates.