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Digital Installers, Inc. - 2026-06-02
SERVICE AGREEMENT BETWEEN THE CITY OF HUNTINGTON BEACH AND DIGITAL INSTALLERS, INC. FOR INSTALLATION OF SECURITY CAMERAS AT THE UTILITIES YARD 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 Digital Installers, Inc., hereinafter referred to as "Contractor." Recitals A. The City desires to retain a Contractor having special skill and knowledge in the field of installing security cameras. 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 Josh Bleijenbe who shall represent it and be its sole contact and agent in all consultations with City'uring 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. 26-18109/4129347 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 Thirty Thousand Dollars ($30,000.00) during the term of this Agreement. Additional services required by other divisions and/or departments shall not count towards the Public Works not to exceed amount. b. Payment by City shall be made within thirty (30) days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. Payment need not be made for work which fails to meet the standards of performance set forth in the Recitals which may reasonably be expected by City. c. Contractor shall be paid pursuant to the terms of Exhibit"B." 4. Term Time is of the essence of this Agreement. The services of Contractor are to commence ('/?.1 J„(P , 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. 26-18109/4129347 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, 26-18109/4129347 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. 26-18109/4129347 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. 26-18109/4129347 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 Digital Installers, Inc. Attn: Director of Public Works Attn: Josh Bleijenbar 2000 Main Street 1530 E. Wardlow Road Huntington Beach, CA 92648 Long Beach, CA 90807 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. 26-18109/4129347 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; 26-18109/4129347 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. 26-18109/4129347 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. 26-18109/4129347 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 DIGITAL INSTALLERS, INC. municipal corporation of the State of California By: kTj ayor tYs Print name ITS: (circle one) Chairman/President/ Vice President City Clerk AND By: INITIATED AND APPROVED: Print name ITS: (circle one) Secretary/Chief Financial Officer/Asst. Secretary-Treasurer erector of Public Works APPROVED AS TO FORM: City Attorney REVIEWED AND APPROVED: City Manager 26-18109/4129347 10 EXHIBIT "A" A. STATEMENT OF WORK: (Narrative of work to be performed) Installation of security cameras as the City Utilities Yard B. CONSULTANT'S DUTIES AND RESPONSIBILITIES: C. CITY'S DUTIES AND RESPONSIBILITIES: D. WORK PROGRAM/PROJECT SCHEDULE: 26-18109/4129347 11 EXHIBIT "B" Payment Schedule (Hourly Payment) A. Hourly Rate CONSULTANT'S fees for such services shall be based upon the following hourly rate and cost schedule: Installation $180 per hour first tech $150 per hour second tech Programming $200 per hour Management $250 per hour 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 26-18109/4129347 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. 26-18109/4129347 13 je• K.l l ® DATE(MM/DDIYYTY) ACORD CERTIFICATE OF LIABILITY INSURANCE Liee,- 05/21/2026 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Rochelle Garcia NAME: ARM Multi Insurance Services,Inc PHONE (530)206-7727 F I AX (530)662-1710 A No,Eat): 1(AIC,NoJ: 11 W Court St. �'1•tdL rochelle.garcia@arm-i.com ADDRESS: Suite D INSURER(S)AFFORDING COVERAGE NAIC I Woodland CA 95695 INSURERA: RLI Insurance Co 13056 INSURED INSURER B: Contractors Bonding&Ins Co 37206 Digital Installers,Inc INSURER C: 1530 E Wardlow Road INSURER D: INSURER 5: Long Beach CA 90807 INSURER F: _ COVERAGES CERTIFICATE NUMBER: 25-26 GL CA XS 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 TOALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWY MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD 1WD POLICY NUMBER IMM/DDIYYYY) (M IY MIDDYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 5 1,000,000 �/ DAMAGETO RENTED 300,000 I CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) 5 X $1,000 PD Ded per Occur 1.1EO EXP(Any one person) $ 5,000 A Y RKA0400255 10/08/2025 10/08/2026 PERSONAL SADVINJURY S 1.000,000 COIL AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE 5 2,000,000 POLICY n JECT PRO- LOC PRODUCTS-COMP/OPAGG S 2,000,000 OTHER. 5 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea acc lent) X ANY AUTO BODILY INJURY(Per person) 5 g ^ OWNED SCHEDULED Y CKA0400351 10/08/2025 10/08/2026 BODILY INJURY(Per accident) 5 _ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE 5 AUTOS ONLY AUTOS ONLY (Per accident) S UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 1,000,000 B X EXCESS LIAB CLAIMS-MADE AGGREGATE 10/08/2025 10/08/2026 AGGREGATE S 1,000,000 DED I I RETENTION 5 0 Prod/Comp OpsAgg 5 1,000,000 WORKERS COMPENSATION I SPER TATUTE I I ER AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE NIA E L.EACH ACCIDENT 5 OFFICER/1.1EMBER EXCLUDED? (Mandatory In NH) E L DISEASE-EA EMPLOYEE 5 If yes,describe under DESCRIPTION OF OPERATIONS below, E L DISEASE-POLICY LIMIT 5 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) The City of Huntington Beach,its officers,elected or appointed officials,employees,agents and volunteers are included as additional insured as their interest may appear when required by written contract per RGL350 0817. Excess Liability is follow form general,auto,and employers liab'�ity. APPROVED AS 1 U FORM ,\\,\\ 30 day notice of cancellation except 10 day notice for nonpayment of premium per policy provisions. MICNAEI_J. CITV ATTORNEY CERTIFICATE HOLDER CANCELLATION CITY OF t-tttN7'INGTON Ri /\ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE VIGLIOTTA CII THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN The City of Huntington Beach ACCORDANCE WITH THE POLICY PROVISIONS. 2000 Main Street AUTHORIZED REPRESENTATIVE Huntington Beach CA 92648 "sor iotit I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD A�® CERTIFICATE OF LIABILITY INSURANCE DATE(M MlDDlYYY1� 05/04/2026 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 ACT Automatic Data Processing Insurance Agency,Inc. Automatic Data Processing Insurance Agency,Inc. AX ac No.Eat): 1-800-524-7024 I�ArX,No): E-MAIL ADDRESS: 1 Adp Boulevard INSURERS)AFFORDING COVERAGE NAIL# Roseland NJ 07068 INSURER A: The Pie Insuranco Company 21857 INSURED Digital Installers,Inc INSURERS: INSURER C: 1530 E Wardlow Rd INSURER D: INSURER E Long Beach CA 90807 INSURER F: COVERAGES CERTIFICATE NUMBER: 5030191 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE AWL SUER POLICY NUMBER YI�POLICY EFF POLICY EXP LIMITS (MM/DDfYYYI� (MMrDDlYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIM PREMISES OCCURDAMAGE TO RENTED (Ea occurrence) $ MED EXP(Any ono person) $ PERSONAL 8 ADV INJURY $ GENT.AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE S DEO I I RETENTION$ S WORKERS COMPENSATION I �/(PER I I OTH- AND EMPLOYERS'LIABILITY /lf STATUTE ER H. OFFICER/k EI MBER E ANY XCLUD D?ECUTIVE YYN N/A N WCPI2395601001 05/03/2026 05/03/2027 E.L.cncll ACCIDENT s 1,000,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below El.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Contractor License:870835 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The City of Huntington Beach ACCORDANCE WITH THE POLICY PROVISIONS. 2000 Main Street AUTHORIZED REPRESENTATIVE Huntington Beach CA 92648 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Policy Number: RKA0400255 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS -WHERE REQUIRED BY CONTRACT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE(Optional) Name of Additional Insured Persons or Organizations Locations of Covered Operations (pe r'Written con tract',provided the location iswithi n the (as required by"w itien contract'per Paragraph A bebw) "co era2e territory"of this Coverage Part) City of Huntington Beach,its officers,elected or appointed officials,employees,agents and Volunteers A. WHO IS AN INSURED (Section II) is amended available limits in this policy, or those limits to include as an insured: you agreed to provide in the "written 1. Any person(s) or organization(s) whom you contract". are required pursuant to a "written 3. With respect to the coverage provided contract" to add as an additional insured under this endorsement, the following duties on this policy; and are added to Section IV — Commercial 2. The particular person or organization, if General Liability Conditions,paragraph 2. any, scheduled above. Duties In The Event of Occurrence, Offense, Claim or Suit: B. When required in the "written contract", the e. An additional insured under this coverage provided to the additional insured endorsement will as soon as practicable: under this policy shall be primary and non- contributory to the additional insured subject to (1) Give written notice of an the limitations set forth below. "occurrence" to us which may result C. The insurance provided to the additional insured in a claim or "suit" under this is limited as follows: insurance; 1. The person or organization is an additional (2) Agree to trigger or activate any other insured only with respect to liability for insurance which the additional "bodily injury" or"property damage" caused, insured has for a loss we cover in whole or in part, by: under this Coverage Part by tendering the defense to the insurers a. Your acts or omissions; or of all such other insurance. b. The acts or omissions of those acting 4. If required by the "written contract", we on your behalf; waive the right of recovery we may have against the additional insured to which this In the performance of your ongoing operations as specified in the "written endorsement applies for payments we contract". make for "bodily injury" or "property damage" arising out of "your work" on the When required in the "written contract", the "written contract". coverage provided to the additional insured 5. Unless otherwise agreed in the "written by this endorsement will apply to "bodily contract", this insurance is excess over any injury" or "property damage" arising out of other insurance whether primary, excess, the "products-completed operations contingent or on any other basis that is hazard°. available to the additional insured. 2. The Limits of Insurance applicable to the D. SECTION V - DEFINITIONS is amended to additional insured are the lesser of the include the following definition: RLI INSURANCE COMPANY RGL 350 08 17 Includes copyrighted material of Page 1 of 2 Insurance Services Office, Inc.,with its permission. Policy Number. TBD "Written contract" means a written contract or during the term of this policy;and written agreement that requires you to make a „ person or organization an additional insured on 3. Executed prior to an occurrence this Coverage Part, provided the contract or resulting in "bodily injury" or "property agreement is: damage" for which the additional insured seeks coverage under this Coverage 1. Valid and legally enforceable; Part. 2. Currently in effect or becoming effective ALL OTHER TERMS AND CONDITIONS OF THIS POUCY REMAIN UNCHANGED. RLI INSURANCE COMPANY RGL 350 08 17 Includes copyrighted material of Page 2 of 2 Insurance Services Office,Inc.,with its permission. Policy Number:CKA0400351 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO ENHANCEMENT SCHEDULE OF COVERAGES ADDRESSED BY THIS ENDORSEMENT A. Broad Form Named Insured B. Employees As Insureds C. Blanket Additional Insured D. Blanket Waiver Of Subrogation E. Employee Hired Autos F. Fellow Employee Coverage G. Auto Loan Lease Gap Coverage H. Glass Repair Waiver Of Deductible I. Personal Effects Coverage J. Hired Auto Physical Damage Coverage K. Hired Auto Physical Damage—Loss Of Use L. Hired Car—Worldwide Coverage M. Temporary Transportation Expenses N. Amended Bodily Injury Definition—Mental Anguish O. Airbag Coverage P. Amended Insured Contract Definition—Railroad Easement Q. Coverage Extensions—Audio,Visual And Data Electronic Equipment Not Designed Solely For The Production Of Sound R. Notice Of And Knowledge Of Occurrence S. Unintentional Errors Or Omissions Contractors Bonding and Insurance Company RAU 300 01 17 Contains copyrighted material of Page 1 of 8 Insurance Services Office, Inc.,with its permission This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM A. Broad Form Named Insured that is executed by you before the "bodily in- The following is added to the SECTION II — jury"or"property damage"occurs. COVERED AUTOS LIABILITY COVER- D. Blanket Waiver Of Subrogation AGE, Paragraph A.1. Who Is An Insured The following is added to the SECTION IV— Provision: BUSINESS AUTO CONDITIONS, A. Loss Any business entity newly acquired or Condition, 5. Transfer of Rights Of Re- formed by you during the policy period, pro- covery Against Others To Us: vided you own fifty percent(50%)or more of We waive any right of recovery we may the business entity and the business entity is have against any person or organization to not separately insured for Business Auto the extent required of you by a contract exe- Coverage. Coverage is extended up to a cuted prior to any "accident" or "loss", pro- maximum of one hundred eighty (180) days vided that the "accident" or"loss" arises out following the acquisition or formation of the of the operations contemplated by such con- business entity. tract. The waiver applies only to the person This provision does not apply to any person or organization designated in such contract. or organization for which coverage is ex- cluded by endorsement. E. Employee Hired Autos B. Employees as Insureds 1. The following is added to the SECTION II - COVERED AUTOS LIABILITY The following is added to the SECTION II — COVERAGE, Paragraph A.1. Who Is COVERED AUTOS LIABILITY COVER- An Insured Provision: AGE, Paragraph A.1. Who Is An Insured An "employee" of your is an "insured" Provision: while operating an "auto" hired or rented Any "employee" of yours is an "insured" under a contract or agreement in that while using a covered "auto" you don't own, "employee's" name, with your permis- hire or borrow in your business or your per- sion, while performing duties related to sonal affairs. the conduct of your business. C. Blanket Additional Insured 2. Changes In General Conditions: The following is added to the SECTION II — Paragraph 5.b. of the Other Insurance COVERED AUTOS LIABILITY COVER- Condition in the BUSINESS AUTO AGE, Paragraph A.1. Who Is An Insured CONDITIONS is deleted and replaced Provision: with the following: Any person or organization that you are re- b. For Hired Auto Physical Damage quired to include as an additional insured on Coverage, the following are deemed this coverage form in a contract or agree- to be covered"autos"you own: ment that is executed by you before the (1) Any covered "auto" you lease, "bodily injury" or "property damage" occurs hire, rent or borrow; and is an "insured" for liability coverage, but only for damages to which this insurance applies (2) Any covered "auto" hired or and only to the extent that person or organi- rented by your "employee" un- zation qualifies as an "insured" under the der a contract in that individual Who Is An Insured provision contained in "employee's" name, with your SECTION II - COVERED AUTOS LIABIL- permission, while performing ITY COVERAGE. duties related to the conduct of The insurance provided to the additional your business. However any insured will be on a primary and non- auto" that is leased, hired, rent- contributory basis to the additional insured's ed or borrowed with a driver is own business auto coverage if you are re- not a covered"auto". quired to do so in a contract or agreement Contractors Bonding and Insurance Company RAU 300 01 17 Contains copyrighted material of Page 2 of 6 Insurance Services Office,Inc.,with its permission F. Fellow Employee Coverage for "loss" to wearing apparel and other SECTION II - COVERED AUTOS LIABIL- personal effects which are: ITY COVERAGE, Exclusion B.5. does not (1) Owned by an"insured"; and apply if you have workers compensation in- surance in-force covering all of your em- (2) In or on your covered "auto"; ployees. No deductible applies to Personal Ef- fects Coverage. G. Auto Loan Lease Gap Coverage SECTION III - PHYSICAL DAMAGE COV- J. Hired Auto Physical Damage Coverage ERAGE, C. Limit Of Insurance, is amend- The following is added to SECTION III - ed by the addition of the following: PHYSICAL DAMAGE COVERAGE, A. In the event of a total "loss" to a covered Coverage,4. Coverage Extensions: "auto" shown in the Schedule of Declara- d. Hired Auto Physical Damage Cover- tions, we will pay any unpaid amount due on age the lease or loan for a covered"auto"less: If hired "autos" are covered "autos" for 1. The amount paid under the PHYSICAL Liability Coverage and this policy also DAMAGE COVERAGE section of the provides Physical Damage Coverage for policy; and an owned "auto", then the Physical 2, Any: Damage Coverage is extended to "au- tos" that you hire, rent or borrow subject a. Overdue lease/loan payments at the to the following: time of the"loss"; (1) The most we will pay for "loss" in b. Financial penalties imposed under a any one"accident" to a hired, rented tease for excessive use, abnormal or borrowed "auto" is the lesser of: wear and tear or high mileage. (a) $60,000 c. Security deposits not returned by (b) The actual cash value of the the lessor; damaged or stolen property as d. Costs for extended warranties, of the time of the"loss"; or Credit Life Insurance, Health, Acci- (c) The cost of repairing or replac- dent or Disability Insurance pur- chased with the loan or lease; and ing the damaged or stolen prop- erty with other property of like e. Carry-over balances from previous kind and quality. loans or leases. (2) An adjustment for depreciation and H. Glass Repair—Waiver Of Deductible physical condition will be made in SECTION III - PHYSICAL DAMAGE COV- ERAGE, the event of a total"loss". D. Deductible is amended by add- (3) If repair or replacement results in ing the following: better than like kind or quality, we No deductible for a covered "auto"will apply will not pay for the betterment. to glass damage if the glass is repaired ra- (4) A deductible equal to the highest ther than replaced. Physical Damage deductible appli- I. Personal Effects Coverage cable to any owned auto will apply. (5) This Coverage Extension will not The following is added to SECTION 111 - apply to: PHYSICAL DAMAGE COVERAGE, A. Coverage,4.Coverage Extensions: (a) Any "auto" that is hired, rented c. Personal Effects Coverage or borrowed with a driver; or In the event of a total theft loss of your (b) Any "auto" that is hired, rented covered "auto" we will pay up to $400 or borrowed from your "employ- ee". Contractors Bonding and Insurance Company RAU 300 01 17 Contains copyrighted material of Page 3 of 6 Insurance Services Office,Inc.,with its permission K. Hired Auto Physical Damage — Loss Of (b) You will not make any settle- Use ment without our consent. The following is added to SECTION II - (c) We will reimburse you: COVERED AUTOS LIABILITY COVER- AGE, A.2.Coverage Extensions: (i) For the amount of damages because of liability imposed c. We will pay sums which you legally upon you by law on account must pay to the lessor of a covered"au- of"bodily injury"or"property to" which you have leased without a damage" to which this in- driver for thirty (30) days or less for the surance applies, and lessor's loss of use of the covered "au- to", provided: (ii) For all reasonable expenses incurred with our consent in (1) This insurance provides compre- connection with the investi- hensive, specified causes of loss or gation, settlement or de- collision coverage on the covered fense of such claims or "auto"; "suits". Reimbursement for (2) The loss of use results from the expenses will be part of the covered "auto" being damaged in an Limit of Insurance for liabil ity coverage shown in the "accident"while you are leasing it. Business Auto Coverage We will pay up to a maximum limit of Declarations, and not in ad- $1,500 for this coverage extension. dition to such limits. L. Hired Car—Worldwide Coverage (3) The limit of insurance for Liability The following is added to SECTION II — Coverage shown in the Business COVERED AUTOS LIABILITY COVER- Auto Coverage Declarations is the AGE, A.2. Coverage Extensions: most we will reimburse you for the sum of all damages imposed on d. Hired Car—Worldwide Coverage you, as set forth in paragraph (2)(c) above, and all expenses incurred by (1) We will pay all sums an "insured" you arising out of any single "acci- legally must pay as damages be- dent"or"loss". cause of "bodily injury" or "property damage" to which this insurance (4) You must maintain the greater of the applies, caused by an "accident° following primary auto liability insur- which occurs outside of the United ance limits: States of America, the territories (a) Compulsory admitted insurance and possessions of the United with limits required to be in force States of America, Puerto Rico and to satisfy the legal requirements Canada resulting from the mainte- of the jurisdiction where the ac- nance, or use of any covered "auto" cident occurs; or of the private passenger type you lease, hire, rent or borrow without a (b) Insurance limits required by law driver for thirty (30)days or less. and issued by a government en- tity or by an insurer licensed or (2) With respect to any claim made or permitted by law to do business "suit" instituted outside the United in the jurisdiction where the "ac- States of America, the territories cident"occurs; or and possessions of the United States of America, Puerto Rico, and (c) Auto liability insurance limits of Canada: at least $300,000 combined sin- gle limit or$100,000 per person (a) You shall undertake the investi- gation, settlement and defense � $300,000 per accident Bodily Injury, $100,000 Property Dam- of such claims and "suits" and keep us advised of all proceed- ings age. and actions. Contractors Bonding and Insurance Company RAU 300 01 17 Contains copyrighted material of Page 4 of 6 Insurance Services Office,Inc.,with its permission If you fail to comply with the above O. Airbag Coverage this insurance is not invalidated. The following is added to SECTION III - However in the event of a "loss", we PHYSICAL DAMAGE COVERAGE B. Ex- will pay pay only to the extent that we would have been liable had you so elusions 3.a.: complied. However, this exclusion will not apply to ac- (5) The insurance provided by this coy- cidental discharge of an airbag due to me- erage extension is excess over any chanical or electrical breakdown. other collectible insurance available P. Amended Insured Contract Definition — to you whether on a primary, ex- Railroad Easement cess, contingent or any other basis. SECTION V — DEFINITION paragraph H. M. Temporary Transportation Expenses "Insured contract" is modified as follows: SECTION III - PHYSICAL DAMAGE COV- 1. Paragraph H.3. is replaced by the fol- ERAGE, A.4. Coverage Extensions, sub- lowing: paragraph a. Transportation Expense is deleted and replaced by the following: 3. Any easement or license agree- ment. a. Transportation Expenses 2. Paragraph H.6.a. is deleted. (1) We will pay up to a maximum of $1,500 for temporary transportation Q. Coverage Extensions — Audio, Visual expense incurred by you because of And Data Electronic Equipment Not De- Physical Damage to a covered "au- signed Solely For The Production Of to". Sound (2) We will pay only for those covered SECTION III - PHYSICAL DAMAGE COV- "autos" for which you carry Compre- ERAGE B. Exclusions, exception pare- hensive, Collision or Specified graph a. to exclusion 4.c. and 4.d. is deleted Cause of Loss Coverage. and replaced with the following: (3) We will pay only for those expenses a. Equipment and accessories used with incurred by you during the period of such equipment, except for tapes, rec- time that begins twenty-four (24) ords, discs or other electronic media de- hours after the covered loss" and vice, provided such equipment is per- ends at the time when the covered manently installed in the covered "auto" "auto"can be reasonably repaired or at the time of the "loss" or is removable replaced. from the housing unit which is perma- nently installed in the covered "auto" at (4) This coverage does not apply while the time of the "loss", and such equip- there are spare or reserve "autos" ment is designed to be solely operated available to you for your operations. by use of the power from the "autos" N. Amended Bodily Injury Definition - Men- electrical system, in or upon the covered tal Anguish "autos", or The following is added to SECTION V - R. Notice Of And Knowledge Of Occurrence DEFINITIONS, Definition C.: SECTION IV - BUSINESS AUTO CONDI- "Bodily injury" also includes mental anguish, TIONS, A.2. Duties In The Event Of Acci- but only when the mental anguish arises dent, Claim, Suit or Loss, subparagraph a. from other bodily injury, sickness or disease. is deleted and replaced with the following: a. In the event of"accident", claim, "suit"or "loss", you must give us or our author- ized representative prompt notice of the "accident"or"loss" including: Contractors Bonding and Insurance Company RAU 300 01 17 Contains copyrighted material of Page 5 of 6 Insurance Services Office, Inc.,with its permission (1) How, when and where the "acci- dent"or"loss"occurred; (2) The "insured's" name and address; and (3) To the extent possible, the names and addresses of any injured person and witnesses. Your duty to give us or our authorized representative prompt notice of the "ac- cident" or "loss" applies only when the "accident"or"loss" is known to: (1) You, if you are an individual; (2) A partner if you are a partnership; or (3) An executive officer or insurance manager, if you are a corporation. S. Unintentional Errors Or Omissions SECTION IV - BUSINESS AUTO CONDI- TIONS, B. General Conditions; 2. Con- cealment, Misrepresentation or Fraud is amended by adding the following: The unintentional omission of, or uninten- tional error in, any information given by you shall not prejudice your rights under this in- surance. However, this provision does not affect our right to collect additional premium or exercise our right of cancellation or non- renewal. Contractors Bonding and Insurance Company RAU 300 01 17 Contains copyrighted material of Page 6 of 6 Insurance Services Office,Inc.,with its permission Form W-9 Request for Taxpayer Give form to the (Rev.March 2024) Identification Number and Certification requester. Do not Department of the Treasury Go to www.irs.gov/FormW9 for instructions and the latest information. Send to the IRS. Internal Revenue Service 9 Before you begin.For guidance related to the purpose of Form W-9,see Purpose of Form,below. 1 Name of entity/individual.An entry is required.(For a sole proprietor or disregarded entity,enter the owner's name on line 1,and enter the business/disregarded entity's name on line 2.) Digital Installers, Inc. 2 Business name/disregarded entity name,if different from above. Digital Installers, Inc. 3a Check the appropriate box for federal tax classification of the entity/individual whose name is entered on line 1.Check 4 Exemptions(codes apply only to only one of the following seven boxes. certain entities,not individuals; Q see instructions on page 3): ❑ Individual/sole proprietor ❑ C corporation Q S corporation ❑ Partnership ❑ Trust/estate y ❑ LLC.Enter the tax classification(C=C corporation,S=S corporation.P=Partnership) . . . . Exempt payee code(if any) 6 c .O Note:Check the"LLC"box above and,in the entry space,enter the appropriate code(C,S,or P)for the tax '4N u classification of the LLC,unless it is a disregarded entity.A disregarded entity should instead check the appropriate Exemption from Foreign Account Tax o box for the tax classification of its owner. Compliance Act(FATCA)reporting ❑ Other(see instructions) code(if any) au 3b If on line 3a you checked"Partnership"or"Trust/estate,"or checked"LLC"and entered"P"as its tax classification, andyou are providing this form to a partnership, trust,or estate in whichyou have an ownership (Applies to accounts maintained p p, interest, check tn4 outside the United States.) this box if you have any foreign partners,owners,or beneficiaries.See instructions ❑ 5 Address(number,street,and apt.or suite no.).See instructions. Requester's name and address(optional) co 1530 E. Wardlow Road 6 City,state,and ZIP code Long Beach, CA 90807 7 List account number(s)here(optional) Part I Taxpayer Identification Number(TIN) Enter your TIN in the appropriate box.The TIN provided must match the name given on line 1 to avoid Social security number backup withholding.For individuals,this is generally your social security number(SSN).However,for a resident alien,sole proprietor,or disregarded entity,see the instructions for Part I,later.For other entities,it is your employer identification number(EIN). If you do not have a number,see How to get a or TIN,later. Employer identification number Note:If the account is in more than one name,see the instructions for line 1.See also What Name and Number To Give the Requester for guidelines on whose number to enter. 2 0 — 2 4 4 4 1 2 7 Part II Certification Under penalties of perjury,I certify that: 1.The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me);and 2.I am not subject to backup withholding because(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding;and 3.I am a U.S.citizen or other U.S. person(defined below);and 4.The FATCA code(s)entered on this form(if any)indicating that I am exempt from FATCA reporting is correct. Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.For real estate transactions,item 2 does not apply.For mortgage interest paid, acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and,generally,payments other than interest and dividends,you are uir to sign the certification,but you must provide your correct TIN.See the instructions for Part II,later. Sign Signature of r / i (! e Here U.S.person Date .N14`)(.4 L/'t ) ��� S New line 3b has been added to this form.A flow-through entity is General Instructions required to complete this line to indicate that it has direct or indirect Section references are to the Internal Revenue Code unless otherwise foreign partners,owners,or beneficiaries when it provides the Form W-9 noted. to another flow-through entity in which it has an ownership interest.This Future developments. For the latest information about developments change is intended to provide a flow through entity with information related to Form W-9 and its instructions,such as legislation enacted regarding the status of its indirect foreign partners,owners,or after they were published,go to www.irs.gov/FormW9. beneficiaries,so that it can satisfy any applicable reporting requirements. For example,a partnership that has any indirect foreign What's New partners may be required to complete Schedules K-2 and K-3.See the Partnership Instructions for Schedules K-2 and K-3(Form 1065). Line 3a has been modified to clarify how a disregarded entity completes this line.An LLC that is a disregarded entity should check the Purpose of Form appropriate box for the tax classification of its owner.Otherwise, it should check the"LLC"box and enter its appropriate tax classification. An individual or entity(Form W-9 requester)who is required to file an information return with the IRS is giving you this form because they Cat.No.10231X Form W-9(Rev.3-2024)