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HomeMy WebLinkAboutPrecision Concrete Cutting - 2026-09-01 SERVICE AGREEMENT BETWEEN THE CITY OF HUNTINGTON BEACH AND PRECISION CONCRETE CUTTING FOR SIDEWALK REPAIR SERVICES THIS AGREEMENT ("Agreement") is made and entered into by and between the City of Huntington Beach, a municipal corporation of the State of California, hereinafter called"City," and PRECISION CONCRETE CUTTING, hereinafter referred to as "Contractor." Recitals A. The City desires to retain a Contractor having special skill and knowledge in the field of sidewalk repair 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." Contractor hereby designates Ronald Durna, 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. 26-18250/417223 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) per year for each year during the term of this Agreement. Additional services required by other divisions and/or departments shall not count towards the Public Works Operations 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 Pi/I /2.1p, 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. 26-18250/417223 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, 26-18250/417223 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. 26-18250/417223 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. 26-18250/417223 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 Precision Concrete Cutting Attn: Director of Public Works Attn: Ronald Durna 2000 Main Street 13089 Peyton Drive, #C235 Huntington Beach, CA 92648 Chino Hills, CA 91709 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. 26-18250/417223 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; 26-18250/417223 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. 26-18250/417223 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. 26-18250/417223 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 PRECISION CONCRETE CUTTING municipal corporation of the State of California By: Role 1 Mayor �ha/al 4.r vt'l.. Print name ITS: (circle one)Chairman/P• rd- t/ Vice President City Clerk AND By: INITIATED AND APPROVED: Print •- ITS: (circle one ecretar Chief Financial Officer/Asst. Secre ary-Treasurer NeShttt r192wA- D u r 11Pi.. Director of Public Works APPROVED AS TO FORM: ...City Attorney REVIEWED AND APPROVED: City Manager COUNTERPART 26-18250/417223 10 35. Effective Date IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by and through their authorized officers. This Agreement shall be effective on the date of its approval by the Mayor. This Agreement shall expire when terminated as provided herein. CONTRACTOR CITY OF HUNTINGTON BEACH, a PRECISION CONCRETE CUTTING municipal corporation of the State of California By: Mayor 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 Director of Public Works APPROVED AS TO FORM: ?mot, h-City Attorney REVIEWED AND APPROVED: City Manager COUNTERPART 26-18250/417223 10 EXHIBIT "A" A. STATEMENT OF WORK: (Narrative of work to be performed) Provide Sidewalk Repair Services. B. CONSULTANT'S DUTIES AND RESPONSIBILITIES: SEE ATTACHED EXHIBIT A C. CITY'S DUTIES AND RESPONSIBILITIES: D. WORK PROGRAM/PROJECT SCHEDULE: 26-18250/417223 11 PROGRAM Sidewalk Repair Services and Responsibilities Services and Responsibilities 8.CONTRACTOR shall submit a detailed invoice setting forth the services performed,in 1.CONTRACTOR shall repair sidewalk trip hazards from 3/8"and up to 2 1/2"in designated accordance with the formula for saw-cutting calculations.All invoices must show the cut depth, work areas as determined by the MEMBER. size,length,width,address,the number of locations,and the date repaired for each 2.CONTRACTOR shall remove hazards completely,from one end of the raised sidewalk joint hazard removal.The billing unit for invoice calculation shall be the number of locations where to the other,if applicable,leaving a zero point of differential between slabs. one(I)location is up to 5 lineal feet. 3.CONTRACTOR shall not cause any damage to landscaping,trees,retaining walls,curbs, 9.CONTRACTOR shall guarantee specified repair slope(1:12,or based upon the Americans sprinkler heads,utility covers or other objects adjacent to sidewalks.If CONTRACTOR and/or with Disabilities Act and California Building Code)is achieved.If defined slope is not achieved, CONTRACTOR'S equipment does cause damage to above,the MEMBER must be notified CONTRACTOR must repair to specification at no additional charge within 24 hours of immediately and damages must be repaired at the CONTRACTOR's expense within 24 hours discovery. of the time the damage occurred. 10.CONTRACTOR shall guarantee that the removed trip hazard will have a uniform 4.CONTRACTOR shall completely and immediately clean up all debris after each hazard is appearance and texture.The finished surface shall have a co-efficient of friction of at least 0.6. repaired.All costs incurred for disposal of waste material shall be included in unit cost and not 11.Method of trip hazard removal shall entail precise saw-cutting performed with hand-held, paid for separately. electric-powered equipment,using a machined hub and flush-mounted,diamond-tipped 5.CONTRACTOR shall repair each sidewalk trip hazard without damage to adjacent slab(s)or blades.Must be capable of cutting at any angle and perform trip hazard removal in hard-to- curb(s). reach areas,around obstacles,on narrow walkways,and next to fences and retaining walls or m 6.CONTRACTOR shall cut dry with dust abatement mechanism.No water-cooling is allowed, buildings. X which creates slurry and contaminates storm drains or causes excessive environmental 12.CONTRACTOR shall make its best effort to cause a minimum of interruption,interference impact. or disturbance to the operation of stores,businesses,office buildings,hotels,churches,etc., 7.CONTRACTOR shall submit an itemized summary of all repaired hazards which includes: and allow access by pedestrians and emergency,delivery and service vehicles at all times. CO a)The specific hazard height—both high side and low side measurement—in 1/8ths of an Sidewalk repair equipment and all other items incidental to the work shall not be left or stored inch on the sidewalk or on private property while not in use. b)The actual length of the repair to the nearest 1/2 foot 13.CONTRACTOR shall take precautions during saw-cutting operations not to disfigure,scar, c)The total width of actual repair to the nearest 1/2 foot or impair the health of any tree on public or private property. d)The square feet of the effective panel from joint to nearest joint or score line e)The calculated unit for measurement shall be the square foot of the affected panel f)The physical location(address)of each repair g)Pictures of each repair,as requested h)Itemized cost of each repaired trip hazard iria ' ;'FCIsr)a Illre C NCRETE CUTTING Trip Hazaa Removal Spnalipts The information in this summary is confidential,and is to be used only by the intended recipient and Precision Concrete Cutting in evaluating the project. Any copying or unauthorized disclosure of this information is prohibited. EXHIBIT "B" Payment Schedule (Fixed Fee Payment) 1. CONSULTANT shall be entitled to monthly progress payments toward the fixed fee set forth herein in accordance with the following progress and payment schedules. SEE ATTACHED EXHIBIT B 2. Delivery of work product: A copy of every memorandum, letter, report, calculation and other documentation prepared by CONSULTANT shall 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. 3. CONSULTANT shall submit to CITY an invoice for each monthly progress 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. 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. Each month's bill shall include a total to date. That total shall provide the total fees and costs incurred to date for the project. A copy of memoranda, letters, reports, calculations, and other documentation prepared by CONSULTANT may be required to be submitted to the CITY to demonstrate progress towards completion of tasks. In the event the CITY rejects or has comments, on any such product, CITY shall identify specific requirements for satisfactory completion. Upon submission of any such invoice, if CITY is satisfied that CONSULTANT is making satisfactory progress toward completion of tasks in accordance with this Agreement, CITY shall approve the invoice, in which event payment shall be made within thirty (30) days of receipt of the invoice by CITY. 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. 26-18250/417223 12 4. Any billings for extra work or additional services authorized in advance and in writing by CITY shall be invoiced separately to CITY. All extra work or additional services will be in accordance with the extra work or additional services and if CITY is satisfied that the statement of hours worked and costs incurred is accurate. 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. 26-18250/417223 13 PROGRAM RATES TRIP HAZARD REMOVAL SMALL MEDIUM LARGE LINEAR FOOT PER LOCATION HAZARD CLASS 3/8"TO 1/2" >1/2"TO 1" >1" PRICE PER HAZARD 38.19 77.45 155.95 5 LINEAR FEET m X Additional Repair Services All other sidewalk repairs performed outside of the scope of services defined in the agreement will be billed at $60 per inch "I foot. The additional repair services are billed in "inch feet". An inch foot is calculated by measuring the average height of the sidewalk off-set and multiplying this average by the length of the cut. For example, a 4-ft wide sidewalk that consists of a .75" inch rise on one side and tapers down to a zero rise on the other, is calculated as follows: 0.75" + 0" x 4ft = 1.5 inch- 2 This example repair of 1.5 inch-feet would be billed at $90. Signature of Authorized Purchaser: Date: • , ECISI'N W CONCRETE CIITTIN ' i ` ;.ip Removal The information in this summary is confidential,and is to be used only by the intended recipient and Precision Concrete Cutting in evaluating the project. �r/ Any copying or unauthorized disclosure of this information is prohibited. ACORD DATE(MMlDDlYYYY) CERTIFICATE OF LIABILITY INSURANCE 7/16/2026 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 CONTNAME, Crystal Crystal McFarland Incline Insurance Services, Inc. PHONE FAX 510 Myrtle Ave,Suite 203 talc 110 E:IJ:650-413-7522 (NC.No):650-413-7524 E-MAIL South San Francisco CA 94080 A0Daiess: crystal@inclineinsurance.com' INSURER(S)AFFORDING COVERAGE NAM# _ INSURERA:Southlake Specialty Insurance Company 16999 INSURED SOUTCAL-01 INSURER B:Infinity Select Insurance Company 20260 Southern California Precision Concrete, Inc. DBA Precision Concrete INSURER Richmond National Insurance Company 17103 Cutting 13089 Peyton Dr.#C235 INSURER o:SlarNet Insurance Company 40045 — Chino Hills CA 91709 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER:1973592732 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.LIMITS SHOWN ARE INCLUSIVE OF AMOUNTS REQUESTED BY THE CERTIFICATE HOLDER AND MAY NOT REFLECT POLICY LIMIT AMOUNTS IN EXCESS OF THOSE REQUESTED. Not Applicable in WY INSR TYPE OF INSURANCE ADOL SUER POLICY EFF POLICY EXP M/ LIMITS LTR INSD WVO POLICY NUMBER (MOD/YYYYI (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY Y DCS0000800-00 6/2/2026 6/2/2027 EACH OCCURRENCE S 1,000,000 __ CLAIMS-MADE X OCCUR PRMMGESRENTED PPREMISES((Ea occurrence) $300,000 MED EXP(Any one person) $5,000 _ PERSONAL S ADV INJURY $1,000,000 GEN1 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY X FEC LOC PRODUCTS-COMP/OPAGG $2,000,000 -- — S OTHER: B AUTOMOBILE LIABILITY Y 50033225801 6/2/2026 6/2/2027 COH8iNE0SINGLELIMIT $1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS X HIRED x NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accidenq C UMBRELLA LIAB X OCCUR RN-7-0520074 6/2/2026 6/2/2027 EACH OCCURRENCE $2,000,000 X EXCESSLIAB CLAIMS-MADE AGGREGATE $2,000,000 DEO I I RETENTIONS $ - D WORKERS COMPENSATION BNET345608259 6/2/2026 6/2/2027 X I STATUTE I 10TH AND EMPLOYERS'LIABILITY Y/N -' ANYPROPRIETOR(PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 RS OFFICERELIBEREXCLUDED? NIA — (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under — DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) City of Huntington Beach,its officers,elected or appointed officials,employees,agents and volunteers are named as Additional Insured with regard to General Liability and Automobile Liability when required by written contract per the attached endorsement form.Primary and Noncontributory wording applies In favor of Additional Insured with regard to General Liability when required by written contract per the attached endorsement form. APPROVED AS TO FOR CERTIFICATE HOLDER CANCELLATION MICHAEL J.VIGLIOTT Ann.�CjCITY ATTCi NEV SHOULD THE THE EXPIRATION DA THERE NOTICE WILL`� R BEVEILLED BEFORE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Huntington Beach 2000 Main Street AUTHORIZED REPRESENTATIVE Huntington Beach CA 92648 e 1, ACORD 25(2025/12) ©1988-2025 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: DCS0000800-00 COMMERCIAL GENERAL LIABILITY CG 20 12 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision: As required by written contract and/or issued and valid permit(s). 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 a. "Bodily injury","property damage"or include as an additional insured any state or "personal and advertising injury"arising governmental agency or subdivision or political out of operations performed for the subdivision shown in the Schedule, subject to federal government, state or the following provisions: municipality; or 1. This insurance applies only with respect to b. "Bodily injury"or"property damage" operations performed by you or on your included within the"products-completed behalf for which the state or governmental operations hazard". agency or subdivision or political subdivision B. With respect to the insurance afforded to these has issued a permit or authorization. additional insureds,the following is added to However: Section III -Limits Of Insurance: a. The insurance afforded to such If coverage provided to the additional insured is additional insured only applies to the required by a contract or agreement,the most extent permitted by law;and we will pay on behalf of the additional insured is b. If coverage provided to the additional the amount of insurance: insured is required by a contract or 1. Required by the contractor agreement;or agreement, the insurance afforded to 2. Available under the applicable Limits of such additional insured will not be Insurance shown in the Declarations; broader than that which you are whichever is less. required by the contract or agreement to This endorsement shall not increase the applicable provide for such additional insured. Limits of Insurance shown in the Declarations. CG 20 12 0413 © Insurance Services Office,Inc.,2012 Page 1 of 1 POLICY NUMBER: DCS0000800-00 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 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 Organization(s) Location And Description Of Completed Operations All locations. As required by written contract. If anyone, other than the Additional Insured, provides similar insurance for the Additional Insured, then this insurance will apply as outlined in SECTION IV - COMMERCIAL LIABILITY CONDITIONS, paragraph 4. Other Insurance, subparagraph c. Method of Sharing. The inclusion of one or more Insured(s) under the terms of this endorsement does not increase our limits of liability. All other terms and conditions remain unchanged. 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 2. If coverage provided to the additional insured is include as an additional insured the person(s) or required by a contract or agreement, the organization(s) shown in the Schedule, but only insurance afforded to such additional insured will with respect to liability for "bodily injury" or not be broader than that which you are required "property damage"caused, in whole or in part, by by the contract or agreement to provide for such "your work" at the location designated and additional insured. described in the Schedule of this endorsement performed for that additional insured and included in the "products-completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and CG 20 37 04 13 ©Insurance Services Office, Inc., 2012 Page 1 of 2 B. With respect to the insurance afforded to these additional insureds, the following is added to Section III- Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement,the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement;or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 ©ISO Properties, Inc., 2004 CG 20 37 04 13 O POLICY NUMBER: DCS0000800-00 COMMERCIAL GENERAL LIABILITY CG 20 01 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the additional insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and CG 20 01 04 13 ©Insurance Services Office, Inc.,2012 Page 1 of 1 POLICY NUMBER: DCS0000800-00 COMMERCIAL GENERAL LIABILITY CG 25 03 03 97 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Projects: As Required by Written Contract (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. For all sums which the insured becomes legally 4. The limits shown in the Declarations for Each obligated to pay as damages caused by Occurrence, Fire Damage and Medical "occurrences" under COVERAGE A (SECTION Expense continue to apply. However, instead I), and for all medical expenses caused by of being subject to the General Aggregate accidents under COVERAGE C (SECTION I), Limit shown in the Declarations, such limits which can be attributed only to ongoing will be subject to the applicable Designated operations at a single designated construction Construction Project General Aggregate project shown in the Schedule above: Limit. 1. A separate Designated Construction Project B. For all sums which the insured becomes legally General Aggregate Limit applies to each obligated to pay as damages caused by designated construction project, and that limit "occurrences" under COVERAGE A (SECTION is equal to the amount of the General I), and for all medical expenses caused by Aggregate Limit shown in the Declarations. accidents under COVERAGE C (SECTION 1), 2. The Designated Construction Project General which cannot be attributed only to ongoing Aggregate Limit is the most we will pay for the operations at a single designated construction sum of all damages under COVERAGE A, project shown in the Schedule above: except damages because of"bodily injury" or 1. Any payments made under COVERAGE A for "property damage" included in the "products- damages or under COVERAGE C for medical completed operations hazard", and for expenses shall reduce the amount available medical expenses under COVERAGE C under the General Aggregate Limit or the regardless of the number of: Products-Completed Operations Aggregate a. Insureds; Limit,whichever is applicable; and b. Claims made or"suits"brought; or 2. Such payments shall not reduce any Designated Construction Project General c. Persons or organizations making claims or Aggregate Limit. bringing"suits". C. When coverage for liability arising out of the 3. Any payments made under COVERAGE A for "products-completed operations hazard" is damages or under COVERAGE C for medical provided, any payments for damages because of expenses shall reduce the Designated "bodily injury" or "property damage" included in Construction Project General Aggregate Limit the "products-completed operations hazard" will for that designated construction project. Such reduce the Products-Completed Operations payments shall not reduce the General Aggregate Limit, and not reduce the General Aggregate Limit shown in the Declarations Aggregate Limit nor the Designated Construction nor shall they reduce any other Designated Project General Aggregate Limit. Construction Project General Aggregate Limit for any other designated construction project shown in the Schedule above. CG 25 03 03 97 Copyright, Insurance Services Office, Inc., 1996 Page 1 of 2 O D. If the applicable designated construction project E. The provisions of Limits Of Insurance (SECTION has been abandoned, delayed, or abandoned ill) not otherwise modified by this endorsement and then restarted, or if the authorized shall continue to apply as stipulated. contracting parties deviate from plans, blueprints, designs, specifications or timetables, the project will still be deemed to be the same construction project. Page 2 of 2 Copyright, Insurance Services Office, Inc., 1996 CG 25 03 03 97 O KEMPER Auto Kemper Aut Great o aCoks mmeray, cial 1170 450 COMMERCIAL Alpharetta, GA 30022 Underwritten by: Infinity Select Insurance Company Customer Service: (800)722-3391 Claims Service:(800)353-6737 BLANKET ADDITIONAL INSURED ENDORSEMENT 50033225801 06/02/2027 12:01 a.m. Southern California Precision Concrete, Inc. %.r 02Y 2581 Highgate Ct Chino Hills,CA 91709 Southern California Precision Concrete, Inc. This endorsement is attached to and forms a part of the policy, No changes will be effective prior to the time changes are requested. This endorsement amends the policy as follows. Please read it carefully. 1. The definition of"Insured" is amended to include as an insured any person or organization which you are obligated by virtue of a written contract or agreement to add as an additional insured. Such person or organization is an additional insured only with respect to liability arising out of your ongoing operations performed for the additional insured. There is no coverage for acts or omissions of any additional insured, their agent(s), or their employee(s). A person's or organization's status as an additional insured under this endorsement ends when your operations for that additional insured are completed. 2. The additional Insured(s)shall not increase our limits of liability. 3. We will pay damages only if such damages arise out of acts of omission of: a. You; or b. Any other insured except an additional insured added under the terms of this endorsement. We will not pay damages when the damages are caused solely by a person or organization added as an additional insured under the terms of this endorsement, their agent(s), or their employee(s). All other terms, limits, conditions and provisions of the policy remain unchanged. 500BAE01 AMEND DATE:06/02/2026 ENDORSEMENT: 1-1 Endorsement 3 Name Insured: Southern California Precision Concrete, Inc., DBA Precision Concrete Cutting Policy Effective Date: 6/2/2026 Policy Expiration Date: 6/2/2027 This Endorsement Effective 12:01 A.M. 8/12/2026 Forms Part of Policy No: DCS0000800-00 In consideration of the premium shown below, it is hereby understood and agreed this endorsement is attached to and forms part of the above policy and is effective as shown above. This endorsement amends only the changes which are indicated by the check in the box immediately preceding such change: 1. Policy is 6. Endorsement is null and void 2. Item(s)listed below are added to the 7. Description of item(s)is amended as shown below. policy schedule. 3. Name of Insured is amended as shown 8. Limit of Liability is as shown below. below. 4. Insured mailing address is amended as 9. Policy Reinstated shown below. 5. Policy term is amended to: 10 Other,as shown below Effective 8/12/2026, CG 2037 0413 has been amended to include the following: City of Huntington Beach, its officers, elected or appointed officials, employees, agents and volunteers. Endorsement 3 Breakdown: Premium: $250.00 TRIA: $0.00 Inspection & Policy Fee: Total: $250.00 Premium S250.00 Broker Fee 50.00 Policy Fee 50.00 Inspection Fee 50.00 SI.Tax 57.50 Stamping Fee 50.45 Authorized Representative Total 5257.95 Issue Date: 8/12/2026 ,ic ,r, . , AC CERTIFICATE CERTIFICATE OF LIABILITY INSURANCE DAT4/28 o2s THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Barbara Shepherd The Baldwin Group West, LLC PHONE ((FAx 15901 Red Hill Ave, Ste 100 _(A(c.HL E:u:(714)505-7000 1(Arc.No):(714)573-1770 Tustin CA 92780 EMAIL ADDREss: barbara.shepherdg.vgbib.com INSURER(S)AFFORDING COVERAGE NAIL INSURER A:Middlesex Insurance Company 23434 INSURED SOUTH47 INSURER B:Clear Spring Property and Casu 15563 Southern California Precision Concrete, Inc. Dba Precision Concrete Cutting INSURER C: 2581 Highgate Ct INSURER D: _ Chino Hills CA 91709 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1383455956 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INS° WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y V A0253953002 6/2/2025 6/2/2026 EACH OCCURRENCE S1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) S 500,000 X 5,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 53,000,000 POLICY X PRO- LOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: ded_ $5,000 A AUTOMOBILE LIABILITY Y V A0253953001 6/2/2025 6/2/2026 CO!,IBINED SINGLE LIMIT $1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED (Per BODILY INJURY $ AUTOS ONLY AUTOS accident) X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) S A X UMBRELLA LIAR X OCCUR A0253953003 6/2/2025 6/2/2026 EACH OCCURRENCE $2,000,000 EXCESS LAB CLAIMS-MADE AGGREGATE $2,000,000 DED I I RETENTIONS S B WORKERS COMPENSATION Y CSWC03008802 6/2/2025 6/2/2026 X I STATUTE 110TH AND EMPLOYERS'LIABILITY Y!N ANYPROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT S 1,000,000 OFFICER/MEMBER EXCLUDED? I-1 N/A (Mandatory In NH) E.L.DISEASE-FA 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 attached If more space Is required) Umbrella is Excess over the General Liability,Auto Liability and Employers Liability. APPROVED AS TO Fn Certificate holder(s)is/are named as Additional Insured per the attached endorsements as required by written contract subject to the terms& the policy per attached endorsements: t3v, GL Al CG 2010 1219 GL Al/WOS/PNC Blanket CG 71 25 0622 MICHAEL J.VIGLIOTTA WC WOS Blanket WC 04 03 06 CITY Al TORNEY AUTO Al CA 70 57 1013 See Attached... CITY OF HUN}'INGTON 13EACy - CERTIFICATE HOLDER CANCELLATION - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Huntington Beach 2000 Main Street AUTHORIZED REPRESENTATIVE Huntington Beach CA 92647 ,--.•I _ ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: SOUTH47 _ LOC#: ACCDREP ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED The Baldwin Group West,LLC Southern California Precision Concrete,Inc. Oba Precision Concrete Cutting POLICY NUMBER 2581 Highgate CI Chino Hilts CA 91709 CARRIER NAIL CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: _ 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE AUTO PNC CA 76 01 0615 AUTO WOS CA 04 44 1013 30 days notice of cancellation/10 days for non-payment of premium Additional Insured:City of Huntington Beach,its officers,elected or appointed officials,employees,agents and volunteers ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: A0253953002 COMMERCIAL GENERAL LIABILITY CG 20 10 12 19 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 Organization(s) Location(s) Of Covered Operations City of Huntington Beach, its offices, elected or All locations per written contract, agreement or permit. appointed Description: officials, employees, agents and volunteers Trip hazard removal 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", This insurance does not apply to "bodily injury" or "property damage" or "personal and advertising "property damage"occurring after: injury"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 in the performance of your ongoing operations for on behalf of the additional insured(s) at the the additional insured(s) at the location(s) location of the covered operations has been designated above. completed; or 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 law; and subcontractor engaged in performing 2. If coverage provided to the additional insured operations for a principal as a part of the same is required by a contract or agreement, the project. 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. Change effective 04/28/2026 CG 2010 1219 ©Insurance Services Office, Inc., 2018 Page 1 of 2 A0253953 05/07/2026 Middlesex Insurance Company 523bf29d-e4b0-42ec-b90d-97afe5ed7955 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 Change effective 04/28/2026 Page 2 of 2 ©Insurance Services Office, Inc., 2018 CG 20 10 12 19 A0253953 05/07/2026 Middlesex Insurance Company 523bf29ds4b0-42ec-b90d-97afesed7955 POLICY NUMBER: A0253953002 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 Organization(s) Location And Description Of Completed Operations City of Huntington Beach, its offices, elected or All locations per written contract, agreement or appointed permit. Trip Hazard removal 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 "your work" at the location designated and required by a contract or agreement, the most we 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 in the "products-completed operations hazard". 1. Required by the contract or agreement; or However: 2. Available under the applicable limits of 1. The insurance afforded to such additional insurance; insured only applies to the extent permitted by whichever is less. law; and This endorsement shall not increase the 2. If coverage provided to the additional insured applicable limits of insurance. is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. Change effective 04/28/2026 CG 20 37 12 19 ©Insurance Services Office, Inc., 2018 Page 1 of 1 A0253953 05/07/2026 Middlesex Insurance Company 9692bf2e•2389-44bd-bb40-0ceebc33f1e0 COMMERCIAL GENERAL LIABILITY CG 71 25 06 22 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTORS BLANKET ADDITIONAL INSUREDS, PRIMARY & NONCONTRIBUTORY, WAIVER OF SUBROGATION This endorsement modifies the coverage provided under the following Coverage Form(s): COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Coverage enhancements are listed below. For details of each coverage, please read the corresponding policy provisions in the body of this endorsement. 1. Additional Insureds-Automatic Status for 13 Additional Insured Types A. Owners, Lessees Or Contractors-Automatic Status When Required In A Written Construction Agreement With You B. Owners, Lessees Or Contractors-Automatic Status When Required In Written Construction Agreement With You (Completed Operations) C. State or Governmental Agency or Subdivision or Political Subdivision- Permits or Authorizations D. Lessor of Leased Equipment E. Owners or Other Interests From Whom Land Has Been Leased F. Manager or Lessor of Premise G. Mortgagee,Assignee, or Receiver H. Controlling Interest I. Co-owner Of Insured Premises J. Executors, Administrators, Trustees Or Beneficiaries K. State Or Governmental Agency Or Subdivision Or Political Subdivision-Permits Or Authorizations Relating To Premises L. Vendors M. Grantor of Franchise 2. Primary and Noncontributory -Other Insurance Condition 3. Waiver Of Transfer Of Rights Of Recovery Against Others To Us(Waiver Of Subrogation)- Automatic With respect to the coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. 1. Additional Insureds - Automatic Status for 13 A. Owners, Lessees Or Contractors - Additional Insured Types Automatic Status When Required In A Section II - Who Is An Insured is amended to Written Construction Agreement With You include the following as additional insureds when 1) A person or organization with respect to you have agreed to add that person or liability for "bodily injury", "property organization as an Additional Insured on your damage" or "personal and advertising policy in a written contract or written agreement injury"caused, in whole or in part, by: with that person or organization, or because of a a. Your acts or omissions; or permit issued by a state or political subdivision; b. The acts or omissions of those acting provided the injury or damage occurs subsequent on your behalf; to the execution of the contract or agreement or issuance of the permit and while the contract, in the performance of your ongoing agreement or permit remains in effect. operations for the additional insured. CG 71 25 06 22 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 5 A0253953 with its permission. 06/02/2025 Middlesex Insurance Company 6d525234-c31f-4dc6•bd2c-fce4813d55b1 A person's or organization's status as an B. Owners, Lessees Or Contractors additional insured under this endorsement Automatic Status When Required In Written ends when your operations for that Construction Agreement With You additional insured are completed. (Completed Operations) 2) With respect to the insurance afforded to 1) Any person(s) or organization(s) with these additional insureds, the following respect to liability for "bodily injury" or additional exclusions apply: "property damage" caused, in whole or in This insurance does not apply to: part, by "your work" performed for that additional insured and included in the a. "Bodily injury", "property damage" or "personal and advertising injury" arising products-completed operations hazard", out of the rendering of, or the failure to but only when that portion of the products-completed operations hazard"is render, any professional architectural, engineering or surveying services, not excluded by endorsement. including: 2) With respect to the insurance afforded to 1. The preparing, approving, or failing these additional insureds, the following to prepare or approve, maps, shop additional exclusion applies: drawings, opinions, reports, This insurance does not apply to: surveys, field orders, change orders "Bodily injury" or "property damage" or drawings and specifications; or arising out of the rendering of, or the failure 2. Supervisory, inspection, to render, any professional architectural, architectural or engineering engineering or surveying services, activities. including: This exclusion applies even if the claims a. The preparing, approving, or failing to against any insured allege negligence or prepare or approve, maps, shop other wrongdoing in the supervision, drawings, opinions, reports, surveys, hiring, employment, training or field orders, change orders or drawings monitoring of others by that insured, if and specifications; or the "occurrence" which caused the b. Supervisory, inspection, architectural or "bodily injury" or"property damage", or engineering activities. the offense which caused the"personal and advertising injury", involved the This exclusion applies even if the claims rendering of or the failure to render any against any insured allege negligence or professional architectural, engineering other wrongdoing in the supervision, hiring, or surveying services. employment, training or monitoring of "Bodily by that insured, if the "occurrence" b. injury" or "property damage" which caused the "bodily injury" or occurring after: "property damage" involved the rendering 1. All work, including materials, parts of or the failure to render any professional or equipment furnished in architectural, engineering or surveying connection with such work, on the services. project (other than service, C. State or Governmental Agency or maintenance or repairs) to be Subdivision or Political Subdivision - performed by or on behalf of the Permits or Authorizations additional insured(s) at the location Any state or governmental agency or of the covered operations has been subdivision or political subdivision, subject to completed; or the following provisions: 2. That portion of "your work" out of 1) This insurance applies only with respect to which the injury or damage arises operations performed by you or on your has been put to its intended use by behalf for which the state or governmental any person or organization other agency or subdivision r political than another contractor or subdivision has issued a permit or subcontractor engaged in authorization. performing operations for a principal as a part of the same project. 2) This insurance does not apply to: Page 2 of 5 Includes copyrighted material of Insurance Services Office, Inc., CG 71 25 06 22 A0253953 with its permission. 06/02/2025 Middlesex Insurance Company 6d525234-c31 t 4dc6•bd2o-(ce4813d55b1 a. "Bodily injury", "property damage" or F. Manager or Lessor of Premise "personal and advertising injury" arising Any person(s) or organization(s) with respect out of operations performed for the to liability for "bodily injury", "property federal government, state or damage" or "personal and advertising injury" municipality; or caused, in whole or In part, by you or those b. "Bodily injury" or "property damage" acting on your behalf in connection with the included within the ownership, maintenance or use of that part of "products-completed operations the premises leased to you by the additional hazard". insured person(s)or organization(s), subject to D. Lessor of Leased Equipment the following additional exclusions: 1) Any person(s) or organization(s) with This insurance does not apply to: respect to liability for "bodily injury", 1) Any "occurrence" which takes place after "property damage" or "personal and you cease to be a tenant in that premises. advertising injury" caused, in whole or in 2) Structural alterations, new construction or part, by your maintenance, operation or demolition operations performed by or on use of equipment leased to you by such behalf of the person(s) or organization(s) person(s)or organization(s). shown in the Schedule. 2) With respect to the insurance afforded to G. Mortgagee, Assignee, or Receiver these additional insureds, this insurance does not apply to any "occurrence" which Any person(s) or organization(s) with respect takes place after the equipment lease to their liability as mortgagee, assignee or expires. receiver and arising out of the ownership, E. Owners or Other Interests From Whom maintenance or use of a premises by you. Land Has Been Leased This insurance does not apply to structural 1) Any person(s) or organization(s) with alterations, new construction and demolition respect to liability for "bodily injury", operations performed by or for such additional "property damage" or "personal and insured person(s)or organization(s). advertising injury" caused, in whole or in H. Controlling Interest part, by you or those acting on your behalf 1) Any person(s) or organization(s) with in connection with the ownership, respect to their liability arising out of: maintenance or use of that part of the land a. Their financial control of you;or leased to you by the additional insured person(s)or organization(s). b. Premises they own, maintain or control 2) With respect to the insurance afforded to while you tease or occupy these these additional insureds, the following premises. additional exclusions apply: 2) This insurance does not apply to structural alterations, new construction and This insurance does not apply to: demolition operations performed by or for a. Any "occurrence" which takes place that person or organization. after you cease to lease that land; I. Co-owner Of Insured Premises b. Structural alterations, new construction Any person(s) or organization(s) with respect or demolition operations performed by to their liability as co-owner of a premises or on behalf of the additional insured co-owned by you and covered under this person(s)or organization(s). insurance. J. Executors, Administrators, Trustees Or Beneficiaries Any executor, administrator, trustee or beneficiary of your estate or living trust while acting within the scope of their duties as such. CG 71 25 06 22 Includes copyrighted material of Insurance Services Office, Inc., Page 3 of 5 A0253953 with its permission. 06/02/2025 Middlesex Insurance Company 6d525234-c31f-4dc6•bd2c•fce4813d55b1 K. State Or Governmental Agency Or 1) "Bodily injury" or "property damage" for Subdivision Or Political Subdivision - which the vendor is obligated to pay Permits Or Authorizations Relating To damages by reason of the assumption of Premises liability in a contract or agreement. This Any state or governmental agency or exclusion does not apply to liability for subdivision or political subdivision, subject to damages that the vendor would have in the the following additional provision: absence of the contract or agreement; This insurance applies only with respect to the 2) Any express warranty unauthorized by you; following hazards for which the state or 3) Any physical or chemical change in the governmental agency or subdivision or product made intentionally by the vendor; political subdivision has issued a permit or 4) Repackaging, except when unpacked authorization in connection with premises you solely for the purpose of inspection, own, rent or control and to which this demonstration, testing, or the substitution insurance applies: of parts under instructions from the 1) The existence, maintenance, repair, manufacturer, and then repackaged in the construction, erection or removal of original container; advertising signs, awnings, canopies,cellar 5) Any failure to make such inspections, entrances, coal holes, driveways, adjustments, tests or servicing as the manholes, marquees, hoist away openings, vendor has agreed to make or normally sidewalk vaults, street banners or undertakes to make in the usual course of decorations and similar exposures; or business, in connection with the 2) The construction, erection or removal of distribution or sale of the products; elevators; or 6) Demonstration, installation, servicing or 3) The ownership, maintenance or use of any repair operations, except such operations elevators covered by this insurance. performed at the vendors premises in L. Vendors connection with the sale of the product; 1) Any person(s)or organization(s)(referred to 7) Products which, after distribution or sale throughout this endorsement as vendor), by you, have been labeled or relabeled or but only with respect to liability for "bodily used as a container, part or ingredient of injury" or "property damage" arising out of van other endor; orthing or substance by or for the "your products" which are distributed or sold in the regular course of the vendor's 8) "Bodily injury" or "property damage" business. arising out of the sole negligence of the However: vendor for its own acts or omissions or those of its employees or anyone else a. The insurance afforded to such vendor acting on its behalf. However, this only applies to the extent permitted by exclusion does not apply to: law; and (1) The exceptions contained in b. If coverage provided to the vendor is Subparagraphs d.or f.;or required by a contract or agreement, the insurance afforded to such vendor will not be broader than that which you are required by the contract or agreement to provide for such vendor. 2) With respect to the insurance afforded to these vendors, the following additional exclusions apply: a. The insurance afforded the vendor does not apply to: Page 4 of 5 Includes copyrighted material of Insurance Services Office, Inc., CG 71 25 06 22 A0253953 with its permission. 06/02/2025 Middlesex Insurance Company 6d525234-c31f•4dc8•bd2cdce4813d55bf (2) Such inspections, adjustments, tests or This endorsement shall not increase the servicing as the vendor has agreed to applicable limits of insurance. make or normally undertakes to make in If there is any difference in coverage afforded the usual course of business, in to an additional insured in this endorsement connection with the distribution or sale and that provided under another additional of the products. insured endorsement attached to this policy, b. This insurance does not apply to any the broader coverage will apply to that insured person or organization, from whom additional insured. you have acquired such products, or any 2. Primary And Noncontributory Insurance ingredient, part or container, entering into, accompanying or containing such The following is added to the Other Insurance products. Condition and supersedes any provision to the contrary: M. Grantor of Franchise This insurance is primary to and will not seek Any person(s) or organization(s) with respect contribution from any other insurance available to to their liability as grantor of a franchise to you. an additional insured under your policy provided However: that: 1.The insurance afforded to such additional (1) The additional insured is a Named Insured insureds only applies to the extent permitted under such other insurance; and by law; and (2) You have agreed in writing in a contract or 2. If coverage provided to the additional insured is agreement that this insurance would be required by a contract or agreement, the primary and would not seek contribution from insurance afforded to such additional insured any other insurance available to the additional will not be broader than that which you are insured. required by the contract or agreement to 3. Waiver Of Transfer Of Rights Of Recovery provide for such additional insured. Against Others To Us(Waiver Of Subrogation) - With respect to the insurance afforded to Automatic these additional insureds, the following is The following is added to Paragraph 8. Transfer added to Section III -Limits Of Insurance: Of Rights Of Recovery Against Others To Us of If coverage provided to the additional insured Section IV-Conditions: is required by a contract or agreement, the We waive any right of recovery against any most we will pay on behalf of the additional person or organization, because of any payment insured is the amount of insurance: we make under this Coverage Part, to whom the 1. Required by the contract or agreement; or insured has waived its right of recovery in a 2. Available under the applicable limits of written contract or agreement. Such waiver by us insurance; applies only to the extent that the insured has waived its right of recovery against such person whichever is less. or organization prior to loss. CG 71 25 06 22 Includes copyrighted material of Insurance Services Office, Inc., Page 5 of 5 A0253953 with its permission. 06/02/2025 Middlesex Insurance Company 6d525234-c31 f-4dc6•bd2c•fc84813d55bf WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 04-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 2.50% of the California workers' compensation premium otherwise due on such remuneration. SCHEDULE PERSON OR ORGANIZATION JOB DESCRIPTION Any Person or Organization for which the insured has agreed by written contract executed prior to loss to furnish this waiver This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 6/2/2025 12:01 AM Policy No.CS-WC-030088.02 Endorsement No. 0 Insured Southern California Precision Concrete,Inc. Premium Included Insurance Company Clear Spring Property and Casualty Company Countersigned by ©1998 by the Workers'Compensation Insurance Rating Bureau of California. All rights reserved. From the WCIRB's California Workers' Compensation Insurance Forms Manual© 1999. POLICY NUMBER: A0253953001 COMMERCIAL AUTO CA 76 01 06 15 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED - PRIMARY AND NONCONTRIBUTORY - COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM AUTO DEALERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s)or organization(s)who are"insureds"for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated. Named Insured: Southern California Precision Concrete, Inc. dba: Precision Concrete Cutting Endorsement Effective Date: 6/2/2025 SCHEDULE Name Of Person(s) Or Organization(s): As required per Written Agreement or Contract Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Each person or organization shown in the B. Primary And Noncontributory Insurance Schedule is an "insured" for Covered Autos This insurance is primary to and will not seek Liability Coverage, but only to the extent that contribution from any other auto insurance issued person or organization qualifies as an "insured" to the person or organization in the schedule under the Who Is An Insured provision contained under your policy provided that: in: (1) (1) The person or organization is a Named Insured Paragraph A.1. of Section II - Covered Autos under such other insurance; and Liability Coverage in the Business Auto and Motor Carrier Coverage Forms; or (2) Prior to the "accident" you have agreed in writing in a contract or agreement that this (2) Paragraph O.2. of Section I - Covered Autos Coverages of the Auto Dealers Coverage insurance would be primary and would not C Corm. seek contribution from any other insurance Favailable to the person or organization. CA 76 01 06 15 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 A0253953 with its permission. 05/31/2024 Middlesex Insurance Company 1 00001 0000000000 24152 0 N 6cdf2687•ab63-41e0.9130.23b8934cc996 POLICY NUMBER: A0253953001 COMMERCIAL AUTO CA 04 4410 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named insured: Southern California Precision Concrete, Inc. dba: Precision Concrete Cutting Endorsement Effective Date: 6/2/2025 SCHEDULE Name(s) Of Person(s) Or Organization(s): �J As required per Written Agreement or Contract Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. CA 04 44 10 13 ©Insurance Services Office, Inc., 2011 Page 1 of 1 A0253953 05/31/2024 Middlesex Insurance Company 'f 00001 0000000000 24152 0 N ac7e1241.6133-47c4-6&d-80ccd262da2b COMMERCIAL AUTO CA 70 57 10 13 SPECIAL BROAD FORM AUTO ENDORSEMENT This endorsement modifies the insurance provided under the following: BUSINESS AUTO COVERAGE FORM 1. Broadened Who Is An Insured 5. Towing Under Section II - Covered Autos Liability We will pay up to the limit shown in the Coverage, the following is added to Coverage Declarations for towing and labor costs incurred A.1.Who Is An Insured: each time a covered "auto" of the private A. Employees As Insureds passenger type is disabled. However, the labor must be performed at the place of disablement. Any"employee"of yours is an "insured"while using a covered "auto"you don't own, hire or 6. Physical Damage Coverage Extensions borrow in your business or personal affairs. The following replaces the Coverage Extensions B. Newly Acquired Organizations under Section III -PHYSICAL DAMAGE: Any organization you newly acquire or form, A. Transportation Expenses other than a partnership, joint venture or We will pay up to $50 per day to a maximum limited liability company, and over which you of $1000 for temporary transportation maintain ownership or majority interest, will expense incurred by you because of the total qualify as a Named Insured if there is no other theft of a covered "auto" of the private similar insurance available to that organization. passenger type. However: We will pay up to $75 per day to a maximum 1. Coverage under this provision is afforded of $1500 for temporary transportation only until the 90th day after you acquire or expense incurred by you because of the total form the organization of the end of the theft of a covered "auto" of the truck or van policy period;whichever is earlier; and type with a Gross Vehicle Weight of less than 2. Coverage does not apply to "bodily injury", 10,000 pounds used as a private passenger "property damage" or "covered pollution vehicle. cost or expense" that occurred before you We will pay only for those covered "autos" for acquired or formed the organization. which you carry either Comprehensive or 2. Broadened Supplementary Payments Specified Causes of Loss Coverage. We will pay for temporary transportation expenses Coverage Extension 2.a. Supplementary incurred during the period beginning 48 hours Payments under Section II - Covered Autos after the theft and ending, regardless of the Liability Coverages is amended as follows: policy's expiration, when the covered "auto" is A. Paragraph 2.a.(2) is amended to pay up to returned to use or we pay for its"loss". $3000 for cost of bail bonds; and B. Loss Of Use Expenses B. Paragraph 2.a.(4) is amended to pay for loss For Hired Auto Physical Damage, we will pay of earnings up to $500 a day because of time expenses for which an "insured" becomes off from work. legally responsible to pay for loss of use of a 3. Fellow Employee Bodily Injury Extension vehicle rented or hired without a driver under a The Fellow Employee exclusion contained in written rental contract or agreement. We will Section II - Covered Autos Liability Coverage pay for loss of use expense if caused by: does not apply. 1. Other than collision only if the Declarations 4. Accidental Airbag Discharge indicate that Comprehensive Coverage is provided for any covered"auto"; The following is added to Exclusion B.3.a. under 2. Specified Causes Of Loss only if the Section III - PHYSICAL DAMAGE: Declarations indicate that Specified This exclusion does not apply to the accidental Causes of Loss Coverage is provided for discharge of an airbag in a covered auto for a loss any covered "auto"; or that Physical Damage Coverage is shown in the Declarations. CA 70 57 1013 Page 1 of 3 A0200442 09/19/2023 Middlesex Insurance Company 1 00002 0000000000 23262 0 N a73e2efdd4le-446d-a0ddcc9a4ccIec54 SPECIAL BROAD FORM AUTO ENDORSEMENT-CONTINUED 3. Collision only if the Declarations indicate that C. The most we will pay for "loss" to any hired Collision Coverage is provided for any covered "auto"in any one"accident" is the lesser of: "auto". (1) $50,000 However, the most we will pay for any expenses (2)The actual cash value of the "auto" at the for loss of use is $50 per day, to a maximum of time of the"loss" $1000. 7. Rental Reimbursement (3) The cost of repair or replacement with other property of like kind and quality A. For any covered "auto" for which D. The following deductible provisions apply: Comprehensive and Collision coverages are provided, we will pay for rental reimbursement (1) The deductible will be equal to the largest expenses incurred by you for the rental of an deductible applicable to any owned "auto" "auto" because of"loss" to a covered "auto". for that coverage shown in the Payment applies in addition to the otherwise Declarations. applicable amount of each coverage you have (2) No deductible will apply to "loss" caused on a covered "auto". No Physical Damage by fire or lightning. Coverage deductibles apply to this coverage. E. Any "auto" that is leased, hired, rented or B. We will pay only for those expenses incurred borrowed with a driver is not a covered "auto" during the policy period beginning 24 hours under this coverage extension. after the "loss" and ending, regardless of the 9. Auto Loan And Lease Gap Coverage policy's expiration, with the number of days reasonably required to repair or replace the Section III - PHYSICAL DAMAGE is amended by covered "auto". If "loss" is caused by theft, the addition of the following: this number of days is added to the number of A. In the event of a total "loss" to a covered days it takes to locate the covered "auto" and "auto" shown in the Declarations, we will pay return it to you. any unpaid amount due on the lease or loan C. Our payment is limited to the lesser of the for a covered "auto", less: following amounts: (1) The amount paid under the policy's (1) Necessary and actual expenses incurred; Physical Damage Coverage; and or (2) Any: (2)$50 per day, to a maximum of$1000. (a) Overdue lease/loan payments at the D. Our payment under this coverage extension is time of the"loss"; excess over any other rental reimbursement (b) Financial penalties imposed under a coverage available to you. lease for excessive use, abnormal wear E. This coverage does not apply while there are and tear or high mileage; spare or reserve "autos" available to you for (c) Security deposits not returned by the your operations. lessor; F. If "loss" results from the total theft of a (d) Costs for extended warranties, Credit covered "auto" of the private passenger type, Life Insurance, Health, Accident or we will pay under this coverage only that Disability Insurance purchased with the amount of your rental reimbursement loan or lease; and expenses which is not already provided for (e) Carry-over balances from previous under the Physical Damage Coverage loans or leases. Extension. 8. Hired Auto Physical Damage B. This coverage extension applies to covered autos that are loaned or leased for a period of A. If you have Comprehensive or Specified six months or longer and which have been Causes of Loss and Collision Coverages provided Physical Damage Coverage. The provided on your owned "autos" you may "loss" must be caused by damage for which extend Physical Damage Coverage to any coverage is shown in the Declarations. "autos" you lease, hire, rent or borrow; g 10.Persona) Effects provided you have Liability Coverage for hired "autos". The following is added to A. Coverage under B. The hired"auto"must be of like kind and used Section III-Physical Damage Coverage: as the "autos" owned and covered under this Coverage Form. Page2of3 CA70571013 A0200442 09/19/2023 Middlesex Insurance Company SPECIAL BROAD FORM AUTO ENDORSEMENT-CONTINUED A. We will extend Physical Damage Coverage on Knowledge of an "accident", claim,"suit"or"loss" a covered "auto" to include personal property by an agent or "employee" of an insured or owned by you, a relative or an"employee"that receipt of any demand, notice, summons or other is in the covered "auto" at the time of "loss". legal paper in connection with a claim or"suit" by The "loss" must be caused by damage for any agent or "employee" of any insured shall not which coverage is shown in the Declarations. in itself constitute knowledge of the named There must be evidence of forced entry for insured or receipt of the named insured, unless a loss caused by theft. partner, member, manager, executive officer or B. The exclusion referring to tapes, records, director shall have such knowledge or shall have discs or other similar audio, visual or data received such demand, notice, summons or legal electronic devices designated for use with paper. audio, visual or data electronic equipment 13.Unintentional Failure To Disclose Hazards does not apply. Under Section IV - Business Auto Conditions, C. The most we will pay for any one"loss" under the following is added to General Conditions this coverage extension is $500. No Physical B.2.Concealment, Misrepresentation Or Fraud: Damage Coverage deductible applies to this If in your representations to us you unintentionally coverage extension. failed to disclose all hazards and exposures D. Coverage provided by this Personal Effects subject to this insurance, we shall not deny all extension is excess over any other collectible coverage under this policy because of such insurance. oversight. E. The coverage extension does not apply to the 14.Mental Anguish following property: A. The definition of"bodily injury" under Section (1) Any device designed or used to detect V-Definitions is replaced by the following: speed-measuring equipment such as radar "Bodily injury"means bodily injury, sickness or or laser detectors and any jamming disease sustained by a person, including apparatus intended to elude or disrupt "mental anguish" or death resulting from any speed-measurement equipment; of these at any time. (2)Any electronic equipment that reproduces, B. The following definition is added to Section V receives or transmits audio, visual or data -Definitions: signals; "Mental anguish" means extreme pain or (3)Tools; distress inflicted upon an individual's (4)Jewelry, precious metals and loose gems; emotional and intellectual condition with (5) Money and securities; or regard to the individual's response to the environment. (6) Property specifically insured or covered under the Business Personal Property Coverage of this policy. 11.Glass Deductible Under Section III - PHYSICAL DAMAGE, the following is added to A.3. Glass Breakage - Hitting A Bird Or Animal - Falling Objects Or Missiles Coverage: The Comprehensive Coverage deductible shown in the Declarations does not apply to glass breakage if such glass is repaired rather than replaced. 12.Broad Knowledge Of Accident, Claim, Suit Or Loss Under Section IV - Business Auto Conditions, the following is added to Loss Conditions A.2. Duties In The Event Of Accident,Claim, Suit Or Loss: CA70571013 Page3of3 A0200442 09/19/2023 Middlesex Insurance Company 3 00002 0000000000 23262 0 N a73e2erd-d41e-4464-a0ddre9a4cclec54 410:10� "p'GT° City of Huntington Beach O�( VCiyj'•� L ,� Business License P.O. Box 190 9 �Q (714)536-5267 FAX (714) 536-5934 Huntington Beach, CA 92648-2702 couNfsi Jason Schmitt City Treasurer PRECISION CONCRETE CUTTING 13089 PEYTON DR#C235 CHINO HILLS, CA 91709 Dear Business Owner: Thank you for your payment. Attached is your City of Huntington Beach Business License certificate. Please note that approximately one month prior to the license expiration date,you will be mailed a renewal notice for the upcoming year. If for any reason your renewal notice does not arrive,you are still responsible for renewing and paying your business license prior to the expiration date. Penalties will be incurred if the payment is not received by the expiration date. Please post the business license in public view. If you do not transact business from a fixed location within the City,you must carry this license with you at all times. If a vehicle license plate number is displayed on the Business License certificate below,you must carry a copy of the certificate in that vehicle. Please contact the Business License office if there are any changes to: ownership, address, business name, business vehicle,or type of business conducted.Additionally, please notify our office if you discontinue your business. The Gender Tax Repeal Act of 1995(Act) prohibits a business from discriminating based on a person's gender for prices of similar or like-kind goods and services. However,the Act does not prohibit price differences based on the amount of time,difficulty, or cost of providing the services. In addition to prohibiting discrimination based on a person's gender,the Act requires certain businesses to clearly and conspicuously disclose to customers in writing the pricing for each standard service provided.The posting requirement applies to barbers and hair salons,tailors or businesses providing aftermarket clothing alterations,dry cleaners,and laundries providing services to individuals.To access the Department of Consumer Affairs publication, please use the following webpage: https://www.barbercosmo.ca.gov/consumers/gender_policy.pdf. To access the publication in Korean,Spanish,Vietnamese, Traditional Chinese, Simplified Chinese, or Tagalog,please use the following webpage: https://www.dca.ca.gov/publications/index.shtml There are many resources available to our business owners. Listed below are a few that might be of interest and assistance to you. Office of Business Development -(714)536-5582 Service Corps of Retired Executives-(714)550-7369 Huntington Beach Chamber of Commerce-(714)536-8888 Fictitious Business Name Information-(714)834-2889 CA Department of Tax and Fee Administration-(949)440-3473 Community Development-(714)536-5271 If you have any questions, please call a Business License representative at (714)536-5267. City of Huntington Beach Business License License Number Business Name/Service Address POST IN PUBLIC VIEW A325163 PRECISION CONCRETE CUTTING Effective Date W.INGTD c::1,(�'+ycavo%4rfo.. � 06/01/2026 Owner/Corporation Expiration Date SOUTHERN CALIFORNIA PRECISION CONCRETE INC c�i 05/31/2027 i^ -Tr; License Type v. oe= \- •-• � i Amount Paid CONTRACTOR ;OUtvri $138.36 THIS LICENSE IS ONLY FOR THE BUSINESS AND TYPE SHOWN. IT IS FOR THE PERSON TO WHOM ISSUED AND IS NON-TRANSFERABLE. RENEWAL IS DUE ON OR BEFORE THE EXPIRATION DATE.