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HomeMy WebLinkAboutA8760 - Cora Constructors IncJ F 4ALM SA * c4tIF0RN�P MEMORANDUM To: City of Palm Springs Development Services Department Engineering Division Office of the City Clerk From: Engineering Division Subject: CP 20-15 — WASTEWATER TREATMENT PLANT BIOSOLIDS HANDLING AREA Date: April 27, 2021 Attached are the following documents: ✓ Contract Abstract J 2 sets of contract documents executed by Contractor and notarized ✓ Performance Bond Payment Bond Original Bid Copy Bid Bond of Certificates of Insurance for the required policies Copy of Bid Results Confirmation of status of contractor's license CONTRACT ABSTRACT 2 Originals: Agreement; 1 Original: Performance & Payment Bond and Insurance Contract Company Name: Cora Constructors Inc. Company Contact: Lynne Cazeault, Secretary Summary of Services: CP 20-15, Wastewater Treatment Plant Biosolids Handling Area Contract Price: $1,117,600.00 Funding Source: 420-6800-57046 Contract Term: To be determined by the Notice to Proceed Contract Administration Lead Department: Contract Administrator: Development Services — Engineering Division Joel Montalvo/Art Cervantes Contract Approvals Council Approval: April 8, 2021, Item I.K. Resolution Number: N/A Agreement Number: A8760 Contract Compliance Exhibits: Attached Signatures: Attached Insurance: Attached Bonds: Attached Contract Prepared By: Engineering Division Submitted on: 04/27/2021 By: Vonda Teed 1^� AGREEMENT (CONSTRUCTION CONTRACT) THIS AGREEMENT made thisA a, day of _, 20 V , by and between the City of Palm Springs, a charter city, organized and existing in the County of Riverside, under and by virtue of the laws of the State of California, hereinafter designated as the City, and Cora Constructors Inc., hereinafter designated as the Contractor. The City and the Contractor, in consideration of the mutual covenants hereinafter set forth, agree as follows: ARTICLE 1 — THE WORK For and in consideration of the payments and agreements to be made and performed by City, Contractor agrees to furnish all materials and perform all work required to complete the Work as specified in the Contract Documents, and as generally indicated under the Bid Schedule(s) for the Project entitled: WASTEWATER TREATMENT PLANT BIOSOLIDS HANDLING AREA CITY PROJECT NO. 20-15 The Work comprises of furnishing all materials, equipment, tools, labor, incidentals, all implied requirements, and all appurtenant work as required to complete construction of a new concrete area near the south end of the Wastewater Treatment Plant, removal of existing and construction of a new roadway to address drainage and slope, the installation and completion of new water service to wash down biosolids and street sweeper areas, and the installation and completion of new electrical service to provide lighting and surveillance for the south end of the plant as detailed within the contract documents. ARTICLE 2 -- COMMENCEMENT AND COMPLETION The Work to be performed under this Contract shall commence on the date specified in the Notice to Proceed by the City, and the Work shall be fully completed within the time specified in the Notice to Proceed. The City and the Contractor recognize that time is of the essence of this Agreement, and that the City will suffer financial loss if the Work is not completed within the time specified in Article 2, herein, plus any extensions thereof allowed in accordance with applicable provisions of the Standard Specifications, as modified herein. The parties also recognize the delays, expense, and difficulties involved in proving in a legal proceeding the actual loss suffered by the City if the Work is not completed on time. Accordingly, instead of requiring any such proof, the City and the Contractor agree that as liquidated damages or delay (but not as a penalty), the Contractor shall pay the City the sum specified in Section 6-9 of the Special Provisions for each calendar day that expires after the time specified in Article 2, herein. In executing the Agreement, the Contractor acknowledges it has reviewed the provisions of the Standard Specifications, as modified herein, related to liquidated damages, and has made itself aware of the actual loss incurred by the City due to the inability to complete the Work within the time specified in the Notice to Proceed. This Section does not exclude recovery of other damages specified in the Contract Documents. NWVTP BIOSOLIDS HANDLING AREA AGREEMENT FORM CITY PROJECT NO. 20-15 AGREEMENT AND BONDS - PAGE 1 FEBRUARY 2021 Liquidated damages may be deducted from progress payments due Contractor, Project retention or may be collected directly from Contractor, or from Contractor's surety. These provisions for liquidated damages shall not prevent the City, in case of Contractor's default, from terminating the Contractor. ARTICLE 3 — CONTRACT PRICE The City shall pay the Contractor for the completion of the Work, in accordance with the Contract Documents, in current funds the Contract Price(s) named in the Contractor's Bid Proposal and Bid Schedule(s), and any duly authorized Construction Contract Change Orders approved by the City. The amount of the initial contract award in accordance with the Contractor's Bid Proposal is $1.117,600. Contractor agrees to receive and accept the prices set forth herein, as full compensation for furnishing all materials, performing all work, and fulfilling all obligations hereunder. Said compensation shall cover all expenses, losses, damages, and consequences arising out of the nature of the Work during its progress or prior to its acceptance including those for well and faithfully completing the Work and the whole thereof in the manner and time specified in the Contract Documents; and, also including those arising from actions of the elements, unforeseen difficulties or obstructions encountered in the prosecution of the Work, suspension of discontinuance of the Work, and all other unknowns or risks of any description connected with the Work. ARTICLE 4 — THE CONTRACT DOCUMENTS The Contract Documents consist of the Notice Inviting Bids, Instructions to Bidders, the prevailing rate of per diem wages as determined by the Director of the California Department of Industrial Relations, the accepted Bid and Bid Schedule(s), List of Subcontractors, Local Business Preference Program — Good Faith Efforts, Non -Discrimination Certification, Non - Collusion Declaration, Bidder's General Information, Bid Security or Bid Bond, this Agreement, Worker's Compensation Certificate, Performance Bond, Payment Bond, Standard Specifications, Special Provisions, the Drawings, Addenda issued during bidding (if any), and all Construction Contract Change Orders and Work Change Directives which may be delivered or issued after the Effective Date of the Agreement and are not attached hereto. ARTICLE 5 — MUTUAL OBLIGATIONS For and in consideration of the payments and agreements to be made and performed by the City, the Contractor agrees to furnish all materials and perform all work required for the above stated project, and to fulfill all other obligations as set forth in the aforesaid Contract Documents. City hereby agrees to employ, and does hereby employ, Contractor to provide the materials, complete the Work, and fulfill the obligations according to the terms and conditions herein contained and referred to, for the Contract Price herein identified, and hereby contracts to pay the same at the time, in the manner, and upon the conditions set forth in the Contract Documents. Contractor specifically acknowledges and agrees to be bound by the Wage Rates and WWTP BIOSOLIDS HANDLING AREA AGREEMENT FORM CITY PROJECT NO. 20-15 AGREEMENT AND BONDS - PAGE 2 FEBRUARY 2021 Labor Code requirements specified in the Contract Documents, including the requirement to furnish electronic certified payroll records directly to the Labor Commissioner (via the Division of Labor Standards Enforcement), and shall pay the general prevailing rate of per diem wages as determined by the Director of the Department of Industrial Relations of the State of California. ARTICLE 6 — PAYMENT PROCEDURES The Contractor shall submit Applications for Payment in accordance with the Standard Specifications as amended by the Special Provisions. Applications for Payment will be processed by the City Engineer as provided in the Contract Documents. ARTICLE 7 — NOTICES All notices shall be in writing and either served by personal delivery or mailed to the other party. Written notice to the Contractor shall be addressed to Contractor's principal place of business unless Contractor designates another address in writing for service of notice. Notice to the City shall be addressed to the City as designated in the Notice Inviting Bids unless the City designates another address in writing for service of notice. Notice shall be effective upon receipt of five (5) calendar days after being sent by first class mail, whichever is earlier. Notice given by facsimile shall not be effective unless acknowledged in writing by the receiving party. ARTICLE 8 — INDEMNIFICATION The Contractor agrees to indemnify and hold harmless the City, and all of its officers and agents from any claims, demands, or causes of action, including related expenses, attorney's fees, and costs, based on, arising out of, or in any way related to the Work undertaken by the Contractor hereunder. This Article 8 incorporates the provisions of Section 7-15 "Indemnification," of the Special Provisions, which are hereby referenced and made a part hereof. ARTICLE 9 — PREVAILING WAGES Contractor agrees to fully comply with all applicable federal and state labor laws including, without limitation California Labor Code Section 1720, et seq., and 1770, et seq., as well as California Code of Regulations, Title 8, Section 16000, et seq. ("Prevailing Wage Laws"). Contractor shall bear all risks of payment or non-payment of prevailing wages under California law, and Contractor hereby agrees to defend, indemnify, and hold the City, its officials, officers, employees, agents and volunteers, free and harmless from any claim or liability arising out of any failure or alleged failure to comply with the Prevailing Wage Laws. Contractor specifically acknowledges and agrees to be bound by the Wage Rates and Labor Code requirements specified in the Contract Documents, including the requirement to furnish electronic certified payroll records directly to the Labor Commissioner (via the Division of Labor Standards Enforcement), and shall pay the general prevailing rate of per diem wages as determined by the Director of the Department of Industrial Relations of the State of California. WWTP BIOSOLIDS HANDLING AREA AGREEMENT FORM CITY PROJECT NO. 20-15 AGREEMENT AND BONDS - PAGE 3 FEBRUARY 2021 ARTICLE 10 -- CONFLICT OF INTEREST Contractor acknowledges that no officer or employee of the City has or shall have any direct or indirect financial interest in this Agreement nor shall Contractor enter into any agreement of any kind with any such officer or employee during the term of this Agreement and for one (1) year thereafter. Contractor warrants that Contractor has not paid or given, and will not pay or give, any third party any money or other consideration in exchange for obtaining this Agreement. ARTICLE 11--NON-DISCRIMINATION In connection with its performance under this Agreement, Contractor shall not discriminate against any employee or applicant for employment because of actual or perceived race, religion, color, sex, age, marital status, ancestry, national origin (i.e., place of origin, immigration status, cultural or linguistic characteristics, or ethnicity), sexual orientation, gender identity, gender expression, physical or mental disability, or medical condition (each a "prohibited basis"). Contractor shall ensure that applicants are employed, and that employees are treated during their employment, without regard to any prohibited basis. As a condition precedent to City's lawful capacity to enter this Agreement, and in executing this Agreement, Contractor certifies that its actions and omissions hereunder shall not incorporate any discrimination arising from or related to any prohibited basis in any Contractor activity, including but not limited to the following: employment, upgrading, demotion or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship; and further, that Contractor is in full compliance with the provisions of Palm Springs Municipal Code Section 7.09.040, including without limitation the provision of benefits, relating to non-discrimination in city contracting. ARTICLE 12 -- MISCELLANEOUS Terms used in this Agreement which are defined in the Standard Specifications and the Special Provisions will have the meanings indicated in said Standard Specifications and the Special Provisions. No assignment by a party hereto of any rights under or interests in the Contract Documents will be binding on another party hereto without the written consent of the party sought to be bound; and specifically, but without limitation, monies that may become due and monies that are due may not be assigned without such consent (except to the extent that the effect of this restriction may be limited by law), and unless specifically stated to the contrary in any written consent to an assignment, no assignment will release or discharge the assignor from any duty or responsibility under the Contract Documents. The City and the Contractor each binds itself, its partners, successors, assigns, and legal representatives, to the other party hereto, its partners, successors, assigns, and legal representatives, in respect of all covenants, agreements, and obligations contained in the Contract Documents. Each and every provision of law required to be included in these Contract Documents shall be deemed to be included in these Contract Documents. The Contractor shall comply with all requirements of applicable federal, state and local laws, rules and regulations, including, but not limited to, the provisions of the California Labor Code and California Public Contract Code which are applicable to this Work. WWTP BIOSOLIDS HANDLING AREA AGREEMENT FORM CITY PROJECT NO. 20-15 AGREEMENT AND BONDS - PAGE 4 FEBRUARY 2021 IN WITNESS WHEREOF, the City and the Contractor have caused this Agreement to be executed the day and year first above written. CITY OF PALM SPRINGS, CALIFORNIA By -\ir� Aav, Ju in Clifton, MA -CM City Manager A APPROVED AS TO FORM: By ./7¢ �Jeffrey S. allinger City Attorney RECOMMENDED: By�� Joel Montalvo, P.E. City Engineer APPROVED BY THE CITY COUNCIL: Date `l/n m/ I • K. Agreement No. WWTP BIOSOLIDS HANDLING AREA AGREEMENT FORM CITY PROJECT NO. 20-15 AGREEMENT AND BONDS - PAGE 5 FEBRUARY 2021 [IF CORPORATION, TWO NOTARIZED SIGNATURES, PRESIDENT OR VICE PRESIDENT AND SECRETARY OR TREASURER REQUIRED.] CONTRACTOR By: Cora Constructors Inc Firm/Company Name By: Signature (notarized) By: Signature (n arized) Name: Dennis Stockton Name: Lynne Cazeault Title: President Title: Secretary A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy or validity of that document. (This Agreement must be signed in the above (This Agreement must be signed in the above space space by one having authority to bind the by one having authority to bind the Contractor to the Contractor to the terms of the Agreement.) terms of the Agreement.) State ofAState of Wo l County of ss County of ss On qllquV before me, r),11 AWA ldbNN WIT personally appeared I.d1Yt' W(MO0 who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signatures(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. before me, hLbIJA personally appeared Ila 6i who proved to me the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signatures(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Notary Signature: ) 'h%) , Awt— S. M. RAZZA Notary Commission No. 2204706 z n Z _ NOTARY PUBLIC CALIFORNIA ''� RIVERSIDE COUNTY f W" JS ' ADMMING "FCAJULY 13 2021 fi paragraph is true and correct. WITNESS my hand and official seal. Notary Signature:J�JI , &Pfc-- Notary Seal: S. M. RAZZA °�0�'4•�. Commission No. 22047 NOTARY PUBLIC-CALIFORNIA A ABiiI W1#10 M �• 'MNrf°A1�4r�B�'mnmyEE16 FEBRUARY 2021 Bond No. 30117493 Premium: $12,573 PERFORMANCE BOND — PUBLIC WORKS KNOW ALL MEN BY THESE PRESENTS, WHEREAS, the City of Palm Springs, a charter city, organized and existing in the County of Riverside, California, as Obligee, (hereinafter referred to as the "City"), has awarded to the undersigned Contractor, (hereinafter referred to as the "Contractor"), an agreement for the work described as follows: WASTEWATER TREATMENT PLANT BIOSOLIDS HANDLING AREA CITY PROJECT NO. 20-15 (hereinafter referred to as the "Public Work"); and WHEREAS, the work to be performed by the Contractor is more particularly set forth in that certain Agreement (Construction Contract) for the said Public Work awarded to the Contractor and approved by the City for the Project hereinabove named, (hereinafter referred to as the "Contract'), which Contract is incorporated herein by this reference; and WHEREAS, the Contractor is required by said Contract to perform the terms thereof, and to provide a bond both for the performance and guaranty thereof. NOW, THEREFORE, we, the undersigned Contractor, as Principal, and: Western Surety Company a corporation organized and existing under the laws of the State of South Dakota , and duly authorized to transact business under the laws of the State of California, as Surety, are held and firmly bound unto the City in the sum of One Million One Hundred Seventeen Thousand Six Hundred Dollars ($1,117,600.00 ), said sum being not less than 100 percent of the total amount payable by the City under the terms to the said Contract, for which amount well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH, that if the bounden Contractor, his or its heirs, executors, administrators, successors, or assigns, shall in all things stand to and abide by, and well and truly keep and perform the covenants, conditions and agreements in the said Contract and any alteration thereof made as therein provided, on his or its parts, to be kept and performed at the time and in the manner therein specified, and in all respects according to their intent and meaning; and shall faithfully fulfill the one year guarantee of all materials and workmanship; and indemnify and save harmless the City, its officers and agents, as stipulated in said Contract, then this obligation shall become null and void; otherwise it shall be and remain in full force and effect. The said Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration, or addition to the terms of the Contract or to the work to be performed thereunder or the Specifications accompanying the same shall in any way affect its obligations on this bond, and it does hereby waive notice of any such change, extension of time, alteration of addition to the terms of the Contract, or to the Public Work or to the Specifications. No final settlement between the City and the Contractor shall abridge the right of any beneficiary hereunder, whose claim may be unsatisfied. WWTP BIOSOLIDS HANDLING AREA PERFORMANCE BOND CITY PROJECT NO. 20-15 AGREEMENT AND BONDS - PAGE 1 FEBRUARY 2021 PERFORMANCE BOND — PUBLIC WORKS (CONTINUED) Contractor and Surety agree that if the City is required to engage the services of an attorney in connection with enforcement of the bond, each shall pay City's reasonable attorney's fees incurred, with or without suit, in addition to the above sum. SIGNED AND SEALED, this 12th day of April , 20 21 CONTRACTOR: Cora Constructors, Inc. Check one: individual, _ partnership, X corporation (This Performance Bond must be signed by representatives and/or officers having appropriate authority to bind the Contractor and Surety to the terms of the Performance Bond.) CONTRACTOR: By: Cora Constructors, Inc. signature (NOTARIZED) Print Name and Title: Dennis Stockton, President By: sign re (NOTARIZED) Print Name and Title: Lynne Cazeault, Secretary SURETY: By Western Surety Company signature (NOTARIZED) Print Name and Title: Susan C. Monteon, Attorney -in -Fact By submitting this Performance Bond, the Contractor and Surety acknowledge the provisions of the Contract Documents with regard to Section 6-4 "Default by the Contractor", as further amended by the Special Provisions. WWTP BIOSOLIDS HANDLING AREA PERFORMANCE BOND CITY PROJECT NO. 20-15 AGREEMENT AND BONDS - PAGE 2 FEBRUARY 2021 CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Riverside } On before me, S.M. Razza, Notary Public (Here insert name and title of the o cer personally appeared Dennis Stockton who proved to me on the basis of satisfactory evidence to be the persons} whose name(-•) Is re subscribed to the within instrument and acknowledged to me that <EDshe/they executed the same in Is er/their authorized capacity(ies), and that by Is er/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. ». WITNESS my hand and official seal. � S. M. RAzz,ZZA a Commission No. 22047Q6 ZZA U NOTARY PUBLIC-CALIFORNIA j / Z< RIVERSIDE COUNTY tary Public Signat a (Notary Public Seal) My Comm Expires JULY 13 2021 --------------- ADDITIONAL OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT PO4MW,6�, hAd (Title or description of attached document) (Tide or description of attached document continued) Number of Pages I Document Date*op CAPACITY CLAIMED BY THE SIGNER ❑ Individual (s) 21 Corporate Officer President (Title) ❑ Partner(s) ❑ Attorney -in -Fact ❑ Trustee(s) ❑ Other www.Noiary ,es.com 80U-•873-9865 INSTRUCTIONS FOR COMPLETING THIS FORM This form complies with current California statutes regarding notary wording and, f needed, should be completed and attached to the document Acknowledgments from other states may be completed for documents being sent to that state so long cis the wording does not require the California notary to violate California notary law. • State and County information must be the State and County where the document signer(s) personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s) personally appeared which must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her commission followed by a comma and then your title (notary public). • Print the name(s) of document signer(s) who personally appear at the time of notarization. • Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. I+e/she/they- is /ere ) or circling the correct forms. Failure to correctly indicate this information may lead to rejection of document recording. • The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines. If seal impression smudges, re -seal if a sufficient area permits, otherwise complete a different acknowledgment form. • Signature of the notary public must match the signature on file with the office of the county clerk. Additional information is not required but could help to ensure this acknowledgment is not misused or attached to a different document. Indicate title or type of attached document, number of pages and date. Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer, indicate the title (i.e. CEO, CFO, Secretary). • Securely attach this document to the signed document with a staple. CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Riverside On a l before me, S.M. Razza, Notary Public ere Insert name and title of the o cer— personally appeared Lynne Cazeault who proved to me on the basis of satisfactory evidence to be the person(6-) whose name(-e) Is are subscribed to the within instrument and acknowledged to me that heft& they executed the same in his fie their authorized capacity(ies), and that by his their signature(s) on the instrument the person(&), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS m hand and official seal. S. M. RAZZA y (amy Commission No. 2204706 ZNOTARY PUBLIC-CALIFORNIA 1RIVERSIDE COUNTY Comm Expires JULY 13 2021 Notary Public Sig re (Notary Public Se ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM This form complies ivith current California statutes regarding notat}• wording and. DESCRIPTION OF THE ATTACHED DOCUMENT ((needed, should be completed and attached to the docitnient..-lcknowledgments front other states may be completed_for documents being sent to that state so long as the wording does not require the California notan, to violate California notaq —l1 > law. (Title or description of attached document) • State and County information must be the State and County where the document signer(s) personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s) personally appeared Much (Title or description of attached document continued) must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her Number of Pages I Document Date �� commission followed by a comma and then your title (notar% public). • Print the naine(s) of document signer(s) who personally appear at the time of notarization. CAPACITY CLAIMED BY THE SIGNER • hldicate the correct singular or plural fonts be crossing off incorrect fours (i.e. W she tiay- is eia ) or circling the correct forts. Failure to correctly indicate this ❑ Individual (s) information may lead torejection ofdocuinentrecording. 0 Corporate Officer • The notary .seal impression must be clear and photographically reproducible. Secreta Impression must not cover text or lines. If seal unpression smudges. re -seal if a (Title) sufficient area permits, othenvise complete a different acknowledgment font. El Partner(s) • Signature of the notate public must match the signature on file with the office of the county clerk. ❑ Attorney -in -Fact Additional infortation is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document. ❑ Other hidicate title or type of attached document. number of pages and date. bidicate the capacity claimed by the signer. If the claimed capacity is a corporate officer, indicate the tale (i.e. CEO. CFO, Secretary). tvv,v.1 NnWyClasses.com 800-873-986_ • Securely attach this doctunent to the sighed document with it staple. PERFORMANCE BOND — PUBLIC WORKS (CONTINUED) The rate of premium on this bond is $14.40 i $8.70 per thousand. The total amount of premium charged: $12,573.00 (The above must be filled in by corporate surety). IMPORTANT: Surety companies executing bonds must possess a certificate of authority from the California Insurance Commissioner authorizing them to write surety insurance defined in Section 105 of the California Insurance Code, and if the work or project is financed, in whole or in part, with Federal, grant, or loan funds, it must also appear on the Treasury Department's most current list (Circular 570 as amended). THIS IS A REQUIRED FORM. Any claims under this bond may be addressed to: (Name and Address of Surety) Western Surety Company 151 N. Franklin St., 17th Floor Chicago, IL 60606 (Name and Address of Agent or Advantage Bonding Insurance Services, Inc. Representative for service of process in California if 6876 Indiana Ave., Suite H different from above) Riverside, CA 92506 (Telephone Number of Surety and Surety: 800-262-2000 Agent or Representative for service of process in California) Agent: 951-289-7227 WWTP BIOSOLIDS HANDLING AREA PERFORMANCE BOND CITY PROJECT NO. 20-15 AGREEMENT AND BONDS - PAGE 3 FEBRUARY 2021 State of _ County of On Date personally appeared PERFORMANCE BOND — PUBLIC WORKS (CONTINUED) ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy or validity of that document. before me, Name, Title of Officer NAME(S) OF SIGNER(S) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signatures(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State identified herein, that the foregoing paragraph is true and correct. Witness my hand and official seal. Signature of Notary ATTENTION NOTARY: Although the information requested below is OPTIONAL, it could prevent fraudulent attachment of this certificate to unauthorized document. THIS CERTIFICATE Title or Type of Document MUST BE ATTACHED TO THE DOCUMENT Number of Pages DATE of DOCUMENT DESCRIBED AT RIGHT: Signer(s) Other Than Named Above WWiP BIOSOLIDS HANDLING AREA PERFORMANCE BOND CITY PROJECT NO. 20-15 AGREEMENT AND BONDS - PAGE 4 FEBRUARY 2021 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFORNIA County of Riverside On April 12, 2021 before me, Date Janelle L. Tuominen , Notary Public, Insert Name of Notary exactly as it appears on the official seal personally appeared Susan C. Monteon Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), „... JANELLE L. TUOMINEN and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) COMM. #2347122 z acted, executed the instrument. � .. Notary Public • California o z S. Riverside County I certify under PENALTY OF PERJURY under the laws of M Comm. Expires Feb. 15, 2025 the State of California that the foregoing paragraph is true and correct. Witness my hand and official seal. Signature�� 41,k�_�� Place Notary Seal Above /Siggbture of Notary Public OPTIONAL Though the information below is not required by law it may prove valuable to persons relying on the document and could prevent fraudulent removal aniJ reattachment of the form to another document. Description of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Individual ❑ Corporate Officer—Title(s): ❑ Partner ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: Number of Pages: Signer's Name: ❑ Individual ❑ Corporate Officer—Title(s): — ❑ Partner ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: Western Surety Company POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT Know All Men By These Presents, That WESTERN SURETY COMPANY, a South Dakota corporation, is a duly organized and existing corporation having its principal office in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and seal herein affixed hereby make, constitute and appoint Susan C Monteon, Janelle L Tuominen, Individually of Riverside, CA, its true and lawful Attomey(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on its behalf bonds, undertakings and other obligatory instruments of similar nature - In Unlimited Amounts - and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said Attorney, pursuant to the authority hereby given, are hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By -Law printed on the reverse hereof, duly adopted, as indicated, by the shareholders of the corporation. In Witness Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be hereto affixed on this 27th day of July, 2020. ��►aEry WESTERN SURETY COMPANY ��34�,vo�F°sue, CA aul T. Bruflat, Vice President State of South Dakota ss County of Minnehaha On this 27th day of July, 2020, before me personally came Paul T. Bruflat, to me known, who, being by me duly sworn, did depose and say: that he resides in the City of Sioux Falls, State of South Dakota; that he is the Vice President of WESTERN SURETY COMPANY described in and which executed the above instrument; that he knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; that it was so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said corporation. My commission expires �� J. IVAOHR June 23, 2021ormypuwc Y /Jf OI J. Mohr, Notary Public CERTIFICATE I, L. Nelson, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in force, and further certify that the By -Law of the corporation printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said corporation this 12th day of April, 2021. + ETA°o `��ESTEnN SURETY COMPANY 3. 4O�p 01_v�y=- 1=+j - s*SV Ab�p�<�� 4i��dv • L. Nelson, Assistant Secretary Form F4280-7-2012 Go to www.cnasurety.com > Owner / Obligee Services > Validate Bond Coverage, if you want to verify bond authenticity. Authorizing By -Law ADOPTED BY THE SHAREHOLDERS OF WESTERN SURETY COMPANY This Power of Attorney is made and executed pursuant to and by authority of the following By -Law duly adopted by the shareholders of the Company. Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the corporate name of the Company by the President, Secretary, and Assistant Secretary, Treasurer, or any Vice President, or by such other officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint Attorneys in Fact or agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company. The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile. No. 5133-4 STATE OF CAiaF MU, DEF.ARTN ENT OF LNSURA INCE BANFRAMMOD Amended Certificate of Authority THIS IS TO adt=, That, ptlr=wd to the bawance Code rfthe State ofCalpbrMA The Ohio Casualty insormce Company ofNew Xmnpshtre, organized under the lawsofNew Ba"Vhrry subject to asArtwks afltutorpnrattrmor outer,�iruda»rerrtalvrgmrizatiarraldocumwrt� isherebycuthattaedmnx�sac�rwtthinthis�'ata,subja7toAlt provisioM of this CernficWe, fire following classes rf insuronm Flm Marko, Surety, Pla* Gies, Liability, WerlteW Comp"wation, Common Carrier Lbbtlity, Boiler sari Machinery, Burglary, Credit, Sprit0der, Automobile and llfbcenwueous as such classes are now or mV hereafter be c #bW in the Jwwwice Laws of the State of edpbrnja THLS CilliIMCATB is expressly conditioned trpmt the holder hereof tune and hereafter being in fall cotnpltance with all and not in violation ofar; of the applicable laws and lawful regsriretmrrts made urn authority of the laws ofthe State afCalifwwta as long as =h taws or requirements are in of irctand applicable, and as such laws and reguirements now mr, or may hereof ter he changed or amen&& IN WTINM WHEREOF. ePedw as of the 19" ` dcly of Mwch, 2013,1 have heirwao set mykand and causedrrry official asrrl to be agond*s 19"day ofMarek 3013. lave Ims fisaWIMG'ommuswe YG�..- ,. By velerie 1. Ssrfaty for Netde Hoge NEi'i'iCEa Qua(ificAkm wkh tho Sectary OFSM must be =MpMod ss required by the Caiifom& Qacpnradm Gods promptly aftw isst Df*b Cent 6cft ofAtuh0". FM meta do sowili be a vioiedon ofing=caCoEicsectl(m 7oI wdWZbep=&for NwIdD9 this Cerdit ae of Authority pmm at to the covem m made iu the appftcation dwefor and the condltian coaftb-,d PAYMENT BOND — PUBLIC WORKS Bond No. 30117493 Premium Included in KNOW ALL MEN BY THESE PRESENTS, Performance Bond WHEREAS, the City of Palm Springs, a charter city, organized and existing in the County of Riverside, California, as Obligee, (hereinafter referred to as the "City"), has awarded to the undersigned Contractor, (hereinafter referred to as the "Contractor"), an agreement for the work described as follows: WASTEWATER TREATMENT PLANT BIOSOLIDS HANDLING AREA CITY PROJECT NO. 20-15 (hereinafter referred to as the "Public Work"); and WHEREAS, the work to be performed by the Contractor is more particularly set forth in that certain Agreement (Construction Contract) for the said Public Work awarded to the Contractor and approved by the City for the Project hereinabove named, (hereinafter referred to as the "Contract'), which Contract is incorporated herein by this reference; and WHEREAS, said Contractor is required to furnish a bond in connection with said Contract and pursuant to Section 9550 of the California Civil Code. NOW, THEREFORE, we, the undersigned Contractor, as Principal, and: Western Surety Company , a corporation organized and existing under the laws of the State of South Dakota , and duly authorized to transact business under the laws of the State of California, as Surety, are held and firmly bound unto the City, and to any and all persons, companies, or corporations entitled to file stop payment notices under Section 9100 of the California Civil Code, in the sum of One Million One Hundred Seventeen Thousand Six Hundred Dollars ($1,117,600 ), said sum being not less than 100 percent of the total amount payable by the City under the terms to the said Contract, for which amount well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH, that, if said Contractor, his or its heirs, executors, administrators, successors, or assigns, or Subcontractors, shall fail to pay for any materials, provisions or other supplies, implements, machinery, or power used in, upon, for, or about the performance of the Public Work contracted to be done, or to pay any person for any work or labor of any kind, or for bestowing skills or other necessary services thereon, or for amounts due under the Unemployment Insurance Code with respect to such work or labor, or for any amounts required to be deducted, withheld, and paid over to the Employment Development Department from the wages of employees of paid Contractor and his Subcontractors pursuant to Section 13020 of the Unemployment Insurance Code with respect to such work and labor as required by the provisions of Sections 9550 through 9560 of the Civil Code, the Surety or Sureties hereon will pay for the same in an amount not exceeding the sum specified in this bond, otherwise the above obligation shall be void. In addition to the provisions herein above, it is agreed that this bond will inure to the benefit of any and all persons, companies, and corporations entitled to serve stop payment notices under Section 9100 of the Civil Code, so as to give a right of action to them or their assigns in any suit brought upon this bond. wwTP BIOSOLIDS HANDLING AREA PAYMENT BOND CITY PROJECT NO. 20-15 AGREEMENT AND BONDS - PAGE 1 FEBRUARY 2021 PAYMENT BOND — PUBLIC WORKS (CONTINUED) The Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration, or additions to the terms of the said Contract or to the work to be performed thereunder or the Specifications accompanying the same shall in any way affect its obligations on this bond, and it does hereby waive notice of any such change, extension of time, alteration, or addition to the terms of the Contract or to the work or to the Specifications. No final settlement between the City and the Contractor hereunder shall abridge the right of any beneficiary hereunder, whose claim may be unsatisfied. Contractor and Surety, an admitted surety insurer, further agree that if the City or any entity or person entitled to file stop payment notices is required to engage the services of an attorney in connection with the enforcement of this bond, each shall be liable for the reasonable attorney's fees incurred, with or without suit, in addition to the above sum. SIGNED AND SEALED, this 12th day of April 12021 CONTRACTOR: Cora Constructors, Inc. Check one: individual, _ partnership, X corporation (This Payment Bond must be signed by representatives and/or officers having appropriate authority to bind the Contractor and Surety to the terms of the Payment Bond.) EXECUTED FOR THE CONTRACTOR: By: Cora Constructors, Inc. signature (NOTARIZED) Print Name and Title: Dennis Stockton, President By: "Z_ si ature (NOTARIZED) Print Name and Title: Lynne Cazeault, Secretary EXECUTED FOR THE SURETY: By Western Surety Company signature (NOTARIZED-, Print Name and Title: Susan C. Monteon, Attorney -in -Fact WWTP BIOSOLIDS HANDLING AREA PAYMENT BOND CITY PROJECT NO. 20-15 AGREEMENT AND BONDS - PAGE 2 FEBRUARY 2021 CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Riverside On before me, S.M. Razza, Notary Public ere insert name and trile of the o cer personally appeared Lynne Cazeault who proved to me on the basis of satisfactory evidence to be the person(--) whose name(-&) Is are subscribed to the within instrument and acknowledged to me that he/die they executed the same in his(h�their authorized capacity(46), and that by his their signature(-&) on the instrument the person(-&), or the entity upon behalf of which the person(-) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. S. M. RAZZA WITNESS my hand and official seal. ��� Commission No. 2204706 U -"w' - i 0 Z =;'i NOTARY PUBLIC-CALIFORNIA n �'�'� RIVERSIDE COUNTY �T� My Comm Expires JULY 13. 2021 rotary Public 8 i g n (Notary Public Seal) ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM This foam complies with current California statutes regarding notary ii ording and. DESCRIPTION OF THE ATTACHED DOCUMENT ifneeded. should be completed and attached to the doeuntent. Ack-nou,ledgments from other states may be completed for, documents being sent to that state so long as the wording does not require the California notmy to wolate California notaty 1Q'-L i law. (Title or scnption of attached document) • State and County information must be the State and County where the document signer(s) personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s) personally appeared which (Tit e or description of attached document continued) must also be the same date tine acknowledgment is completed. +9 ' ^,/ • The notary public nmst print his or her name as it appears within his or her Number of Pages _ Document Date 1/� ! >vlil commission followed by a coiruna and then your title (notary public). • Print the name(s) of document signer(s) who personally appear at the time of notarization. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. he she t rpr is ern ) or circling the correct forms. Failure to correctly indicate this ❑ Individual (s) information may lead to rejection of document recordung. 0 Corporate Officer • The notary seal impression must be clear and photographically reproducible. Secrete Impression must not cover text or lines. If seal impression smudges, re -seal if a (Title) e) sufficient area permits. otherwise complete a different acknowledgment form. ❑ Partner(s) • Signature of the notary public must match the signature on file with the office of the count". clerk. ❑ Attorney -in -Fact 4.4 Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document, Other Indicate title or type of attached document, number of pages and date. ❑ hndicate the capacity claimed by the signer. If the claimed capacity is a corporate officer. Indicate the title (i.e. CEO. CFO. Secretary). com 800-873-9865 • Securely attach this document to tine sighed document with a staple. CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Riverside On before me, S.M. Razza, Notary Public (Here insert name and it e or the o cer personally appeared Dennis Stockton who proved to me on the basis of satisfactory evidence to be the person(s) whose name(--) is re subscribed to the within instrument and acknowledged to me that {the/they executed the same in is er/their authorized capacity(ies), and that by is er/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(-) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. S. M. RAZZA WITNESS my hand and official seal. . ���'' Commission No. 2204706 (g Z ���"` NOTARY PUBLIC-CALIFORNIA j RIVERSIDE COUNTY t , My Comm Expires JULY 13 2021 otary Public Sig a (Notary Public Seal) ADDITIONAL OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT IA',W (Title or description of attached document) (Title or description of attached document continued) Number of Pages __L Document Date**R CAPACITY CLAIMED BY THE SIGNER ❑ Individual (s) O Corporate Officer President (Title) ❑ Partner(s) ❑ Attorney -in -Fact ❑ Trustee(s) ❑ Other vPwi.NotaryClasses.com 800-873-986 INSTRUCTIONS FOR COMPLETING THIS FORM This form complies with current California statutes regarding notary wording and. if needed, should be completed and attached to the document. Acknowledgments from other states may be completed for documents being sent to that state so long as the wording does not require the California notary to violate California notary law. • State and County information must be the State and County where the document signer(s) personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s) personally appeared which must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her commission followed by a comma and then your title (notary public). • Print the name(s) of document signer(s) who personally appear at the time of notarization. • Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. he/she/diet'; is /ere ) or circling the correct forms. Failure to correctly indicate this information may lead to rejection of document recording. • The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines. If seal impression smudges, re -seal if a sufficient area permits, otherwise complete a different acknowledgment form. • Signature of the notary public must match the signature on file with the office of the county clerk. Additional information is not required but could help to ensure this acknowledgment is not misused or attached to a different document. Indicate title or type of attached document, number of pages and date. Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer, indicate the title (i.e. CEO, CFO, Secretary). • Securely attach this document to the signed document with a staple. PAYMENT BOND — PUBLIC WORKS (CONTINUED) The rate of premium on this bond is $ n/a per thousand. Included in The total amount of premium charged: $ Performance Bond (The above must be filled in by corporate surety). IMPORTANT: Surety companies executing bonds must possess a certificate of authority from the California Insurance Commissioner authorizing them to write surety insurance defined in Section 105 of the California Insurance Code, and if the work or project is financed, in whole or in part, with Federal, grant, or loan funds, it must also appear on the Treasury Department's most current list (Circular 570 as amended). THIS IS A REQUIRED FORM. Any claims under this bond may be addressed to: (Name and Address of Surety) Western Surety Company 151 N. Franklin St., 17th Floor Chicago, IL 60606 (Name and Address of Agent or Advantage Bonding Insurance Services, Inc. Representative for service of process in California if 6876 Indiana Ave., Suite H different from above) Riverside, CA 92506 (Telephone Number of Surety and Surety: 800-262-2000 Agent or Representative for service of process in California) Agent: 951-289-7227 WWTP BIOSOLIDS HANDLING AREA CITY PROJECT NO. 20-15 PAYMENT BOND FEBRUARY 2021 AGREEMENT AND BONDS - PAGE 3 State of _ County of On Date personally appeared PAYMENT BOND — PUBLIC WORKS (CONTINUED) ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy or validity of that document. before me, Name, Title of Officer NAME(S) OF SIGNER(S) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signatures(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State identified herein, that the foregoing paragraph is true and correct. Witness my hand and official seal. Signature of Notary ATTENTION NOTARY: Although the information requested below is OPTIONAL, it could prevent fraudulent attachment of this certificate to unauthorized document. THIS CERTIFICATE Title or Type of Document MUST BE ATTACHED TO THE DOCUMENT Number of Pages DATE of DOCUMENT DESCRIBED AT RIGHT: Signer(s) Other Than Named Above VVVVTP BIOSOLIDS HANDLING AREA PAYMENT BOND CITY PROJECT NO, 20-15 AGREEMENT AND BONDS - PAGE 4 FEBRUARY 2021 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFORNIA } County of Riverside J On April 12, 2021 before me, Janette L. Tuominen Notary Public, Date Insert Name of Notary exactly as it appears on the official seal personally appeared Susan C. Monteon Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the JANELLE L. TU-00iEi- I person(s), or the entity upon behalf of which the person(s) COMM. #2347122 z acted, executed the instrument. X 0MV Notary Public • California ZRiverside County o 1 certify under PENALTY OF PERJURY under the laws of Comm. E res Feb. 15, 2M the State of California that the foregoing paragraph is true and correct. Witness my hand and official seal. Signature Place Notary Seal Above i ature of Not�Public����� OPTIONAL Though the information below is not required by law it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of the form to another document. Description of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Individual ❑ Corporate Officer—Title(s):_ ❑ Partner ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: Number of Pages: Signer's Name: ❑ Individual ❑ Corporate Officer—Title(s): — ❑ Partner ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: Western Surety Company POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT Know All Men By These Presents, That WESTERN SURETY COMPANY, a South Dakota corporation, is a duly organized and existing corporation having its principal office in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and seal herein affixed hereby make, constitute and appoint Susan C Monteon, Janelle L Tuominen, Individually of Riverside, CA, its true and lawful Attomey(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on its behalf bonds, undertakings and other obligatory instruments of similar nature - In Unlimited Amounts - and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said Attorney, pursuant to the authority hereby given, are hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By -Law printed on the reverse hereof, duly adopted, as indicated, by the shareholders of the corporation. In Witness Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be hereto affixed on this 27th day of July, 2020. E WESTERN SURETY COMPANY �We�PO�r�`e `+�::✓ FPaul T. Bruflat, Vice President State of South Dakota I ss County of Minnehaha On this 27th day of July, 2020, before me personally came Paul T. Bruflat, to me known, who, being by me duly sworn, did depose and say: that he resides in the City of Sioux Falls, State of South Dakota; that he is the Vice President of WESTERN SURETY COMPANY described in and which executed the above instrument; that he knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; that it was so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said corporation. My commission expires J. MOHR June 23, 2021 J. Mohr, Notary Public CERTIFICATE I, L. Nelson, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in force, and further certify that the By -Law of the corporation printed on the reverse hereof is still iu :orce. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said corporation this 12th day of April, 2021. as""Ert� WESTERN SURETY COMPANY _ 6 _ s tdax2i� L. Nelson, Assistant Secretary Form F4280-7-2012 Go to www.cnasurety.com > Owner / Obligee Services > Validate Bond Coverage, if you want to verify bond authenticity. Authorizing By -Law ADOPTED BY THE SHAREHOLDERS OF WESTERN SURETY COMPANY This Power of Attorney is made and executed pursuant to and by authority of the following By -Law duly adopted by the shareholders of the Company. Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the corporate name of the Company by the President, Secretary, and Assistant Secretary, Treasurer, or any Vice President, or by such other officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint Attorneys in Fact or agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company. The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile. No. 5133-4 STATE OF CAIHDRNIA Amended Certificate of Authority 'MIS is To C=TWY, 7U& pursuant to the bwmce Coale c+fthe State qfcaflforq The ilhio Caaualty Insurance Company ofNerw Haalpshire, organked artder the laws ofiVe►v Harrgwhire, subjeetto itsAncclesoflneorporaiton or atherfwrdrmentalorgmnzrootraldecutmrer, ishembyauthor topwaaawithmtho&ate,subjecttoall provitiotts of this Callftcate, the following classes ofiwura'rire: Ffi,e, Marine„ Surety, Plate Glass, Liability, Workers, Compmonflou, Common Carries Liability, ]Boiler and Al ahinery, BnrglaM Credit, Sprinkler, Automobile and Miscellaneous as such classes are now or may hereTler be dOrxd in the Insurance Laws of the State of California TWS CERTInCATE is expressly conditioned upon the holder hereof now and hereafter being to full compl#ance with all, and not in violation ofany, of the applicable laws and lawj%1 requtrerncnts made under authortty of the laws oftheState of Caltfornia as long as such laws or requiramen& are in a at and applicable, and as such laws and reguiremana ww are, or may hereafter he charAged or amend IN W.I wm wumoz effective as of the 19v` dtly of March, 2013, I have ha mmo set my hand attd caused my offiicial send to be, aftxed bits 196'day ojrMarch, I013. Dave Jones fnammuae Caner By Velefie I Sarfaiy for NMe Hoge cwkatay FtMCE! (2aalihtadon with the 8eastuy of Stm must be accomplished as mquhvd by the Cal kmEa Corpmadow Code ptamptly after issnascraftitisCcrtifzcatoofAttthar#lq. FailumtodosowlUbeag,4oMouoflnmmceCodesecdon7oiandv lbegrmta&for ravoJciag ties Cartiiicste of Authority p=uant to the covenams made in the application dwe£ar aoud the cmiitions s brnin. BID PROPOSAL AND ADDENDA ACKNOWLEDGEMENT FORM BID TO: CITY OF PALM SPRINGS, CALIFORNIA BID FROM: Cora Constructors Inc The undersigned Bidder proposes and agree, if this Bid is accepted, to enter into an Agreement with the City in the form included in the contract Documents (as defined in Article 4 of the Agreement) to perform the Work as specified or indicated in said Contract Documents entitled: WASTEWATER TREATMENT PLANT BIOSOLIDS HANDLING AREA CITY PROJECT NO.20-15 Bidder accepts all of the term and conditions of the Contract Documents, including without limitation those in the Notice Inviting Bids and the Instructions to Bidders dealing with the disposition of the Bid Security. This Bid will remain open for the period stated in the Notice Inviting Bids, unless otherwise required by law. Bidder will enter into an Agreement within the time and in the manner required in the Instructions to Bidders, and will furnish the insurance certificates, Performance Bond, Payment Bond, Warranty Bond, and all Permits required by the Contract Documents. Bidder has examined copies of all the Contract Documents, including the following Addenda, receipt of which is hereby acknowledged: Addendum Number NONE Addendum Number Addendum Number Addendum Number Addendum Number Addendum Number Addendum Number Addendum Number Date Received: Date Received: Date Received: Date Received: Date Received: Date Received: Date Received: Date Received: Bidder has familiarized itself with the nature and extent of the Contract Documents, the Work, the site, the locality where the Work is to be performed, the legal requirements wWfP BIOSOLIDS HANDLING AREA CITY PROJECT NO. 20-15 FEBRURARY 2021 BID PROPOSAL PAGE (federal, state, and local laws, ordinances, rules, and regulations), and the conditions affecting cost, progress, or performance of the Work, and has made such independent investigations as Bidder deems necessary. In conformance with the current statutory requirements of the California Labor Code Section 1860, et seq., the undersigned confirms the following as its certification: I am aware of the provision of Section 3700 of the Labor Code, which require every employer to be insured against liability for worker's compensation, or to undertake self-insurance in accordance with the provisions, before commencing the performance of the Work of this Contract. To all the foregoing, and including all Bid Schedule(s), List of Subcontractors, Non - Collusion Declaration, Bidder's General Information, and Bid Bond contained in these Bid Forms, said Bidder further agrees to complete the Work required under the Contract Documents within the Contract Time stipulated in said Contract Documents, and to accept in full payment therefore the Contract Price based on the Lump Sum or Unit Bid Price(s) named in the aforementioned Bid Schedule(s) Dated: March 22, 2021 By: ILI (Signature) Printed Name: _ Lynne Cazeault Title: Secretary WhTP BIOSOLIDS HANDLING AREA BID PROPOSAL CITY PROJECT NO.20-15 PAGE 2 FEBRURARY 2021 BASE LUMP SUM BID SCHEDULE WASTEWATER TREATMENT PLANT BIOSOLIDS HANDLING AREA CITY PROJECT NO.20-15 Description The items of work shall include but are not limited to: all materials, equipment, tools, labor, incidentals, all implied requirements, and all appurtenant work as required to complete construction of a new concrete area near the south end of the Wastewater Treatment Plant, removal of existing and construction of a new roadway to address drainage and slope, the installation and completion of new water service to wash down biosolids and street sweeper areas, and the installation and completion of new electrical service to provide lighting and surveillance for the south end of the wastewater treatment plan as detailed within the contract documents. TOTAL BID PRICE For the lump sum price of: $ /�/%�®�. DU (Price in figures) a (Price in word) - SPECIAL ACKNOWLEDGEMENT: The Lump Sum Price identified in this Bid Schedule identifies and commits the Bidder to a "Firm Fixed Price" cost, and all other incidental or additional costs required to complete the work as identified in the technical specification requirements. The Lump Sum Price is inclusive of all other costs, including all materials, supplies, labor, vehicles, equipment and ancillary costs required to complete the work. Cora Constructors Inc Name of Bidder or Firm The following listed documents shall be fully executed and submitted with the Bid not later than seven (7) calendar days of the bid opening. Base Lump Sum Bid Schedule — Schedule of Values Base Lump Sum Bid Schedule — Schedule of Values Detailed Itemized List WWTP BIOSOLIDS HANDLING AREA BID PROPOSAL CITY PROJECT NO. 20-15 PAGE 3 FEBRURARY 2021 MIN=S OF THE MEETING OF THE BOARD OF DIRECTORS OF CORA CONSTRUCTORS, INC. A Cahfomia Corporation The Board of Directors held its meeting on January 3, 2018 at 3:00 p.m. at their corporate office located at 75-140 St. Charles Place Suite A, Palm Desert, CA 92211. Dennis E. Stockton, Director df Cora Constructors, Inc. officiated as Chairman of the meeting and acting as President, recorded the minutes of the meeting. AUTHORIZATION TO SIGN The purpose of this meeting is to add Lynne Cazeauh as Secretary of Cora Constructors, Inc. with authority to bind the corporation by her signature for any and all documents deemed necessary to conduct the business of the Corporation. The motion was made and carried unanimously. THEREFORE, BE IT RESOLVED, that Lynne Cazeault is Secretary of Cora Constructors, Inc. and given the authority to sign any and all documents on behalf of Cora Constructors, Inc., and that such signature is binding to the corporation. There being no further business, on motion made and carried, the meeting was adjourned at 3:15 p.m. Respectfully Submitted, De . Stock -ton, President BIDDER'S LIST OF SUBCONTRACTORS As required under Section 4104 of the Public Contract Code, the Bidder shall list below the name and the location of the place of business of each subcontractor who will perform work or labor or render service to the prime contractor in or about the construction of the work or improvement, or a subcontractor licensed by the State of California who, under subcontract to the prime contractor, specially fabricates and installs a portion of the work or improvement, in an amount in excess of one-half of 1 percent of the prime contractor's total bid or, in the case of bids for the construction of streets or highways, including bridges, in excess of one-half of 1 percent of the prime contractor's total bid or ten thousand dollars ($10,000), whichever is greater. After the opening of Bids, no changes or substitutions will be allowed except as otherwise provided by law. The listing of more than one subcontractor for each item of Work to be performed with the words "and/or" will not be permitted. Failure to comply with this requirement will render the Bid as non -responsive and may cause its rejection. Special Note: The Prime Contractor shall perform not less than 50% of the Work identified in this Bid. In the event a Bidder lists subcontractors who will perform Work under this Bid in excess of 50% of the Work identified in this Bid, the Bid shall be considered non -responsive. A. BIDDER'S PORTION OF WORK Page 1 of 2- 1. Name of Wime Contractor: Cora Constructors Inc 2. Bid Items I Portion of Work to be Self -Performed (if less than 100% of the contract): Concrete, Labor, operator, carpentry, iron worker 3. Dollar Amount of Work Self- 4. Percentage of Work Self- 5. Date: Performed: Performed:: A 9 _! /, / 07 / /Q 3 / 2 2 / 21 By signing the Bid Form, Contractor hereby certifies that it will perform not less than 50% of the Contract Work with Its own forces. B. LIST OF SUBCONTRACTORS 1. Type of Subcontractor (Check One) OKFirst Tier; ❑ Second Tier, ❑ Supplier, ❑ Service Contractor (e.g. Trucking) 2. Subcontractor Name: Manhole Builders Inc 3. Address: 11762 De Palma Rd., Ste 1-C PMB 234 Corona, CA 92883 4. Bid Items/Portion of Work: Manhole 5. Phone No.: 6. Contractor's License No.: 7. Annual Gross Receipts: 951-681-0601 831892 ❑ < $1 M [X< $5M ❑ < $10M 8. Amount of Contracted Work: 9.DIR Public Works Contractor 7,640.00 Registration No: 100012259 ❑ < $15M ❑ > $15M 10. Percentage of Contracted Work: 11. DBE Firm? ❑YesNo 12. DBE Certification No.: .01 WNrP BIOSOLIDS HANDLING AREA BIDDERS LIST OF SUBCONTRACTORS CITY PROJECT NO.20.16 FEBRUARY 2021 BIDDER'S LIST OF SUBCONTRACTORS - (Continued) Copy this page as needed to provide a complete listing, Page 2 of 2 1. Type of Subcontractor (Check One) M First Tier; ❑ Second Tier, ❑ Supplier; ❑ Service Contractor (e.g. Trucking) 2. Subcontractor Name: Big Bear Electric 3. Address: P.O. Box 3001, Big Bear City, CA 92314 4. Bid Items/Portion of Work: Electrical 5. Phone No.: 6. Contractor's License No.: 7. Annual Gross Receipts: 909-547-6363 972582 0<$1M 9<$5M 11<$10M ❑ < $15M ❑ > $15M 8. Amount of Contracted Work: 9. DIR Public Works Contractor 32,842.00 Registration No: 10 0 0 0 0 2 3 3 0 10. Percentage of Contracted Work: 11. DBE Firm? IN Yes ❑ No 12. DBE Certification No.: .049. 1797161 1. Type of Subcontractor (Check One) ❑ First Tier, ❑ Second Tier; Trucking) ❑ Supplier; ❑ Service Contractor (e.g. 2. Subcontractor Name: 3. Address: 4. Bid Items/Portion of Work: 5. Phone No.: 6. Contractor's License No.: 7. Annual Gross Receipts: ❑ < $1 M © < $5M ❑ < $10M ❑ < $15M ❑ > $15M 8. Amount of Contracted Work: 9. DIR Public Works Contractor Registration No: 10. Percentage of Contracted Work: 11. DBE Firm? ❑ Yes ❑ No 12. DBE Certification No.: 1. Type of Subcontractor (Check One) ❑ First Tier; ❑ Second Tier; Trucking) ❑ Supplier, ❑ Service Contractor (e.g. 2. Subcontractor Name: 3. Address: 4, Bid Items/Portion of Work: 5. Phone No.: 6. Contractor's License No.: 7. Annual Gross Receipts: ❑ < $1 M ❑ < $5M ❑ < $10M ❑ < $15M ❑ > $15M 8. Amount of Contracted Work: 9. DIR Public Works Contractor Registration No: 10. Percentage of Contracted Work: 11. DBE Firm? C] Yes []No 12. DBE Certification No.: WWrP BIOSOLIDS HANDLING AREA BIDDERS LIST OF SUBCONTRACTORS CITY PROJECT NO, 20-15 FEBRUARY 2021 LOCAL BUSINESS PREFERENCE PROGRAM WASTEWATER TREATMENT PLANT BIOSOLIDS HANDLING AREA CITY PROJECT NO.20-15 It is the policy of the City to promote employment and business opportunities for local residents and firms on all contracts and give preference to local residents, workers, businesses, contractors, and consultants to the extent consistent with the law and interests of the public. The contract for this project is subject to the provisions of Section 7.09.030 of the Palm Springs Municipal Code, "Local Business Preference Program", subsection (5) "Local Preference in Public Works Contracts (Sub -Contracting)", which states: Local Preference in Public Works Contracts (Sub -Contracting). The prime contractor shall use good faith efforts to sub -contract the supply of materials and equipment to local business enterprises and to sub -contract services to businesses whose work force resides within the Coachella Valley'. The prime contractor shall submit evidence of such good faith efforts at the time of submission of bids. Good faith efforts may be evaluated by placing advertisements inviting proposals in local newspapers, sending request for proposals to local sub -contractors, or by demonstrating that no local sub -contractors are qualified to perform the work or supply the materials or equipment. Any notice inviting bids which may require the use of sub -contractors shall include notification of this subsection. The City Council or Director may reject as non -responsive the bid of any contractor proposing to use sub -contractors that fail to comply with the requirements of this subsection. FAILURE TO IDENTIFY GOOD FAITH EFFORTS ON THESE FORMS MAY BE SUFFICIENT CAUSE TO FIND THE BID NON -RESPONSIVE. BIDDERS SHALL ENSURE ALL APPROPRIATE GOOD FAITH EFFORTS ARE IDENTIFIED. Check all that apply: I@ I am a local business located in the Coachella Valley. IN I made efforts to subcontract bid item(s), supply of materials, and/or services to local businesses in the Coachella Valley ❑ and I am using at least one to subcontract on this project. Ighowever, none were selected as a subcontractor for this project. IX I made efforts to subcontract bid item(s), supply of materials, and/or services to local businesses whose workforce resides in the Coachella Valley $ and I am using at least one to subcontract on this project. ❑ however, none were selected as a subcontractor for this project. I 'Coachella Valley" means the area between the Salton Sea on the south, the San Jacinto and Santa Rose Mountains on the west, and the Little San Bernardino Mountains on the east and north. Forthe purposes of this definition, "Coachella Valley" includes the cities of Beaumont and Banning and the unincorporated areas between Banning and the City of Palm Springs. WWTP BIOSOLIDS HANDLING AREA LOCAL BUSINESS PREFERENCE PROGRAM CITY PROJECT NO.20-15 PAGE 1 FEBRUARY 2021 Bidders shall provide sufficient information to demonstrate that they have made good faith efforts to comply with the Local Business Preference Program. In the event no local firms are listed as a subcontractor on the "List of Subcontractors" submitted with its Bid, Bidders shall provide the following information: 1. A list of bid item(s), materials/supplies to be furnished, and/or services provided (i.e. hauling, crane, surveying) made to local businesses in the Coachella Valley: 2. A list of local subcontractors or businesses solicited for bids for this project. For each provide the following information: SEE ATTACHED DOCUMENT a. Name of firm solicited b. Date of initial solicitation c. Follow up methods (email, phone, in person) w/ dates 3. A list of publications used to solicit bids from businesses located in the Coachella Valley. If none, state as such. For each provide the following information: a. Name of publication None b. Date(s) of advertisement 4. A list of Coachella Valley subcontractors, suppliers of materials, and/or businesses who provide services, who were selected to be a part of your bid on this project. For each provide the following information: SEE ATTACHED DOCUMENT a. Name of Company b. Bid item(s), materials supplied and/or services provided c. Estimated cost of materials or services provided d. Percentage of total project bid 5. A list of Coachella Valley subcontractors, suppliers of materials, and/or businesses who provide services, who were ultimately not selected to be a part of your bid on this project. VW TP BIOSOLIDS HANDLING AREA LOCAL BUSINESS PREFERENCE PROGRAM CITY PROJECT N0.20-15 PAGE 2 FEBRUARY 2021 LOCAL BUSINESS PREFERENCE PROGRAM 3.22.21 LIST OF LOCAL SUPPLIERS Section 1 1. Superior Ready Mix -Ready Mix Concrete/Aggregates86160 Avenue 54, Coachella, CA 92236 2. Arts Concrete Pumping Boom Pumping 31225 Ave. Del Yermo, CA 92234 3. White Cap-Rebar 81760 Oleander Ave, Indio, CA 92201 4. Site One Piping Materials 74991 Velie Way, Palm Desert, CA 92260 5. Spartan Sawcutting 19020 N Indian Canyon Dr Suite 5C, Desert Hot Springs LIST OF LOCAL SUBCONTRACTORS Section 2 6. Brudvik Electric -Electrical SUB 600 S Eugene Rd, Palm Springs, CA 92264 (NO BID) 7. Barajas Masonry 42901 Lima Hall Rd, Bermuda Dunes, CA 92203 (NO BID) 8. Bogart Masonry 51613 Twentynine Palms Highway, Morongo Valley, CA (NO BID) b) Date of initial solicitation =3.08.21 Follow up 3.22.21 c) Emailed and Phoned=3.08.21 and 3.22.21 Section 3 Section 4 9. Superior Ready Mix -Ready Mix Concrete/Aggregates86160 Avenue 54, Coachella, CA 92236 10. Arts Concrete Pumping Boom Pumping 31225 Ave. Del Yermo, CA 92234 11. White Cap-Rebar 81760 Oleander Ave, Indio, CA 92201 12. Site One Piping Materials 74991 Velie Way, Palm Desert, CA 92260 13. Spartan Sawcutting 19020 N Indian Canyon Dr Suite 5C, Desert Hot Springs Section S 14. Brudvik Electric -Electrical SUB 600 S Eugene Rd, Palm Springs, CA 92264 (NO BID) 15. Barajas Masonry 42901 Lima Hall Rd, Bermuda Dunes, CA 92203 (NO BID) 16. Bogart Masonry 51613 Twentynine Palms Highway, Morongo Valley, CA (NO BID NON -COLLUSION DECLARATION The undersigned declares: I am the Secretary of Cora Constructors Inc , the (Title of Officer) (Firm/Company) party making the foregoing bid. The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation. The bid is genuine and not collusive or sham. The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid. The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, or to refrain from bidding. The bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder. All statements contained in the bid are true. The bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, to any corporation, partnership, company, association, organization, bid depository, or to any member or agent thereof, to effectuate a collusive or sham bid, and has not paid, and will not pay, any person or entity for such purpose. Any person executing this declaration on behalf of a bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of the bidder. declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on March 22, 2021 at Palm Desert CA (Date) (City) (State) VWVrP BIOSOLIDS HANDLING AREA CITY PROJECT NO, 20-15 NON COLLUSION DECLARATION FEBRUARY 2021 CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Riverside On NIP before me, S.M. Razza,-Notary Public 777 era insert name an tla OT the officer) personally appeared Lynne Cazeault r who proved to me on the basis of satisfactory evidence to be the person(* whose name(-s) Is are subscribed to the within instrument and acknowledged to me that he le they executed the same in his el'their authorized capacity(ies), and that by his i fe their signature(s) on the instrument the person(&), or the entity upon behalf of which the person() acted, executed the instrument. certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. &,;V— otary Public S' ure S. M. RAZZA• I o�. Commission No. 22047Q6 Z =� NOTARY PUBLIC-CALIFORNIA 9 %�'� 'e' RIVERSIDE COUNTY i (Notary Public Seal) ADDITIONAL OPTIONAL INFORMATION INSTRUCTION'S FOR COMPLETING THIS FORM t his form complies with current California statutes regarding notary trot -ding and, DESCRIPTION OF THE ATTACHED DOCUMENT if'nee-ded, should be completed and attached to the doenment. Acknowledgments font other states may be completed for documents being sent to that stale so long l(f ��l� /may^/ as the wording does' not require the California notary to Wolate California notary ! f+Y 4 (Title or description of attached document) • State and County infonnation must be the State and Cotaity where the document signer(s) personally appeared before the notary public for achiowledgmeat. • Date of notarization must be the date that the signer(s) peisonally appeared which (Title or descr'pbon ofattached document continued) nutst also be the scone date the acknowledgment is completed, j 7n • 'Fhe nctary public must print his or her name as it appears within his or her Number of Pages _! Document Date /�� commission followed by a conwra mid then your title (notary public). • Print the Bame(s) of document signers) who, personally appear at the time of notarization. CAPACITY CLAIMED BY THE SIGNER • Indicate the comet singular or plural fonts by crossing off incorrect forms (i.e. tte!she`tke; - is 'are ) or circling the correct forms. Failure to correctly indicate this ❑ Individual (s) infonnation may lead to rejection ofdocurnentrecordatg, Corporate Officer • The notary seat impression must be clear and photographically reproducible. SecretaW ltnpression must not corer text or lines. If seal impression smudges. re -seal if a ('e) sufficient area permits, othanvise complete a different aclmo%+lodgment form. El Partner(s) • Signature of the notary public nntst match the signature on file with flte office of the counh� elerly ❑ Attorney -in -Fact . Additional infonnation is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused cr attached to a different document. Other Indicate title or type of attached document; number of pages and date. ❑ •S Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer, Indicate the title (i.e. CEO, CFO, Secretary). wvn,+r.Ploka yC;l : s s.rott'i t;00-E373-Sd8i�5 Securely attach this docnmentto the signed document with a staple, CERTIFICATION OF NON-DISCRIMINATION BY CONTRACTORS In connection with its performance under this Agreement, Contractor shall not discriminate against any employee or applicant for employment because of actual or perceived race, religion, color, sex, age, marital status, ancestry, national origin (i.e., place of origin, immigration status, cultural or linguistic characteristics, or ethnicity), sexual orientation, gender identity, gender expression, physical or mental disability, or medical condition (each a "prohibited basis"). Contractor shall ensure that applicants are employed, and that employees are treated during their employment, without regard to any prohibited basis. As a condition precedent to City's lawful capacity to enter an agreement with Contractor, and in executing this Agreement, Contractor certifies that its actions and omissions hereunder shall not incorporate any discrimination arising from or related to any prohibited basis in any Contractor activity, including but not limited to the following: employment, upgrading, demotion or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship; and further, that Contractor is in full compliance with the provisions of Palm Springs Municipal Code Section 7.09.040, including without limitation the provision of benefits, relating to non-discrimination in city contracting. We agree specifically: 1. To establish or observe employment policies, which affirmatively promote opportunities for minority persons at all job levels. 2. To communicate this policy to all persons concerned, including all company employees, outside recruiting services, especially those serving minority communities, and to the minority communities at large. 3. To take affirmative steps to hire minority employees within the company. FIRM Cora Constructors Inc NAME OF PERSON SIGNING Lynne Cazeault TITLE OF PERSON SIGNING_ Secretary DATE March 22, 2021 Please include any additional information available regarding equal opportunity employment programs now in effect within your company. _Igone WWTP BIOSOLIDS HANDLING AREA CERTIFICATION OF NON-DISCRIMINATION CITY PROJECT NO.20-15 FEBRUARY 2021 CITY OF PALM SPRINGS BIDDER'S GENERAL INFORMATION The Bidder shall furnish the following information. Failure to complete all Items will cause the Bid to be non -responsive and may cause its rejection. 1. BIDDER/CONTRACTOR'S Name: Cora Constructors Inc 2 3 In Address: 75140 St. Charles Place Ste A Palm Desert, Ca. 92211 Telephone Number: (760 ) 674-3201 Contact Person: Lynne Cazeault E-Mail: lynne coraconstructors.com Tax Identification Number: 20-2005772 TYPE OF FIRM: ❑ Individual ❑ Partnership ❑ Limited Liability Company ®Corporation (State CA ❑ Other (specify) Minority Business Enterprise(MBE) Women Business Enterprise(WBE) Small Disadvantaged Business (SDB) Veteran Owned Business Disabled Veteran Owned Business CONTRACTOR'S LICENSE: Primary Classification A, B State License Number(s) 766304 Supplemental License Classifications N/A DIR Public Works Contractor Registration No. 1000001126 BUSINESS LICENSE: Do you currently have an active City of Palm Springs Business License? Yes X No If Yes, License No.: WWTP BIOSOLIDS HANDLING AREA BIDDER'S GENERAL INFORMATION CITY PROJECT NO. 20-15 PAGE 1 FEBRURARY2021 BIDDER'S GENERAL INFORMATION (Continued) 5. Number of years' experience as a contractor in this specific type of construction work: 17 6. List at least three related projects completed to date: a. Name of Project: Pump Station No. 8 Contact: Vincent Chee Phone: 310-285-2521 Location of Project (City/State): Beverly Hills. CA Contract Amount $1,184,762.48 Date Completed 11/4/19 7 Description of Work Done: Demo, grading, site work, asphalt paving, concrete and concrete repair, piping, valves, catch basin, pump and motor assemoly. y ro- neuma is tanKs and appurtenances, metering vaults, with hatch, magnetic flow meter and valves, fire pump, roofing, windows, electrical and appurtenances. SCAFA panel modifications. b. Name of Project: Bluff Groundwater Treatment System Contact: Chad Blais Phone: 951-270-5678 Location of Project (City/State): Norco, CA Contract Amount $1,360,767.43 Date Completed 5/12/20 Description of Work Done: Demo, tanks, pumps and appurtenances, concrete, electrical and appurtenances, testing, disinfection, piping and site work. C. Name of Project: Equipping Fairhaven Well No. 3 Contact: Ryan Lee Phone: 909-305-5427 Location of Project (City/State): Orange, CA Contract Amount 1,626,866.83 Date Completed 9/20 Description of Work Done: Clear, grub, constructs cuts and fills to build the pads required for the roads, well building and disinfection building . Import Class II aggregate base. All grading and placement of fill. Furnish and install a 3-room electrical and disinfection building including all footings, foundations, floor slab, wood frame, structural elements. Electrical fixtures, floor drain system, shower and eye wash station. Install chemical analyzers Sodium Hypchlorite chemical pumps, electrical. Name of Project Manager/Superintendent: Kevin Huculak, Danny Cumming 8. Name(s) of person(s) who inspected job site: Emily Samarin WWfP BIOSOLIDS HANDLING AREA BIDDER'S GENERAL INFORMATION CITY PROJECT NO. 20-15 PAGE 2 FEBRURARY 2021 9. Surety Company and Agent who will provide the required Bonds: Name of Surety CNA Surety Address 333 S. Wabash Ave., 41st Floor, Chicago, IL 60604 Surety Company Advantage Bonding Insurance, 6876 Indiana Ave., Ste H, Riverside, CA 92506 Agent Sue Monteon Telephone Numbers: Surety ( 312 Agent ( 951 WW TP BIOSOLIDS HANDLING AREA CITY PROJECT NO. 20-15 FEBRURARY2021 822-5024 289-7227 BIDDER'S GENERAL INFORMATION PAGE PUBLIC INTEGRITY DISCLOSURE APPLICANT DISCLOSURE FORM 1. Name of Entity Cora Constructors Inc 2. Address of Entity (Principle Place of Business) 7 140 St. Charles Place Ste A Palm Desert CA 92211 3. Local or California Address (if different than #2) same 4. State where Entity is Registered with Secretary of State California 5. ype anti y If other than Califomia, is the Entity also registered in California? ElYes ❑ No N Corporation ❑ Limited Liability Company ❑ Partnership ❑ Trust ❑ Other (please specify) 6. Officers, Directors, Members, Managers, Trustees, Other Fiduciaries (please specify) Note: /f any response is not a natural person, please identify all officers, directors, members, managers and otherfiduciariesforthe member, manager, trustorotherentity Dennis Stockton IN Officer ❑ Director ❑ Member ❑ Manager ❑ General Partner ❑ Limited Partner ❑ Other Lynne Cazeault ® Officer Cl Director ❑ Member ❑ Manager ❑ General Partner ❑ Limited Partner ❑ Other N/A ❑ Officer ❑ Director ❑ Member ❑ Manager ❑ General Partner ❑ Limited Partner ❑ Other CITY OF PALM SPRINGS - PUBLIC INTEGRITY DISCLOSURE APPLICANT DISCLOSURE FORM Page 1 of 2 WWrP BIOSOLIDS RANDLING AREA CITY PROJECT NO.20-15 FEBRUARY 2021 7. Owners/Investors with a 5% beneficial interest in the Applicant Entity or a related entity EXAMPLE: Jane Doe 50%, ABC Company, Inc. [name of owner/investor] [percentage of beneficial interest in entity and name of entity] A. Dennis Stockton 100%, Cora Constructors Inc [name of owner/investor] [percentage of beneficial Interest in entity and name of entityl B. N/A [name of owner/investor] [percentage of beneficial interest in entity and name of entity] C. NIA [name of owner/investor] [percentage of beneficial interest in entity and name of entity] D. NIA [name of owner/investor] [percentage of beneficial interest in entity and name of entity] E. N/A [name of owner/investor] [percentage of beneficial Interest in entity and name of entity] I DECLARE UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNIA THAT THE FOREGOING IS TRUE AND CORRECT. Signature of Disclosing Party, Printed Name, Title Date do_'J_a� March 22, 2021 PENALTIES Falsification of information or failure to report information required to be reported may subject you to administrative action by the City. CITY OF PALM SPRINGS -PUBLIC INTEGRITY DISCLOSURE APPLICANT DISCLOSURE FORM Page 2of2 VWVTP BIOSOLIDS HANDLING AREA CITY PROJECT NO.20-15 FEBRUARY 2021 C®PY BID BOND KNOW ALL PERSONS BY THESE PRESENTS, That Cora Constructors, Inc. as Principal, and Western Surety Company as Surety, are held and firmly bound unto the City of Palm Springs, California, hereinafter called the "City" in the sum of: Ten Percent Total Amount of Bid (10% amount of bid) dollars for the (not less than 10 percent of the total amount of the bid) payment of which sum, well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by these presents. WHEREAS, said Principal has submitted a Bid to said City to perform the Work required under the Bid Schedule(s) of the City's Contract Documents entitled: WASTEWATER TREATMENT PLANT BIOSOLIDS HANDLING AREA CITY PROJECT NO. 20-15 NOW THEREFORE, if said Principal is awarded a Contract by said City, and within the time and in the manner required in the "Notice Inviting Bids" and the "Instructions to Bidders" enters into a written Agreement on the Form of Agreement included with said Contract Documents, fumishes the required Certificates of Insurance, and furnishes the required Performance Bond and Payment Bond, then this obligation shall be null and void, otherwise it shall remain in full force and effect. In the event suit is brought upon this Bond by said City, and City prevails, said Surety shall pay all costs incurred by said City in such suit, including a reasonable attomey's fee to be fixed by the court. SIGNED AND SEALED, this 9th day of March EXECUTED FOR THE PRINCIPAL: By Cora Constructors, Inc. Signat (NOTARIZED) Print Name and Title - Dennis Stockton, President By Signature (NOTARIZED) Print Name and Title: Lynne Cazeault, Secretary 2021 EXECUTED FOR THE SURETY: By Western Surety Company Signature (NOTARIZED) Print Name and Title: Janelle L. Tuominen, Attorney -in -Fact VWVTP BIOSOLIDS HANDLING AREA BID BOND (BID SECURITY FORM) CITY PROJECT NO.20-15 FEBRUARY 2021 CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County 22of Riverside } 11 On '/ !0 MP before me, S.M. Razza, Notary Public ere insert name ano title or t e officer) personally appeared Lynne Cazeault who proved to me on the basis of satisfactory evidence to be the person(-&) whose name(-') Is are subscribed to the within instrument and acknowledged to me that he/4ie they executed the same in his their authorized capacity(4s), and that by his their signature(-&) on the instrument the person(-&), or the entity upon behalf of which the person(g) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. S. M. WZA WITNESS my hand and official seal. d�TM Commission No. 220470s ��.< V =mod°j`m NOTARY PUBLIC-CALIFORNIA � A N J/J Z RIVERSIDE COUNTY t / I /� I / m ` My Comm Expires JULY 13 2021 Kotaryy Public Si re (Notary Public Seal) ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM This form complies with current California statutes regarding notat)' hording and. DESCRIPTION OF THE ATTACHED DOCUMENT u'fneeded. should be completed and attached to the document. Acknowledgments from other states may be c'on:pleted for documents being sent to that state so long I r �j�/►�' as the wording does not require the California notary to violate California notaq �✓ / la r. (Title or description of attached document) • State and County information must be the State and County where the document signer(s) personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s) personally appeared wluch (Tit e or description of attached document continued) must also be the same date the acknowledgment is completed. • 11me notary public must print his or her name as it appears within his or her Number of Pages _I Document Date commission followed by a commia and then your title (notan public). • Print the name(s) of document signer(s) who personally appear at the time of notarization. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect formms (i.e. he'she the;- is era ) or circling the correct forms. Failure to correctly indicate this Individual (s) information may lead to rejection of document recording. 0 Corporate Officer • The notary seal impression must be clear and photographically reproducible. Seereta Impression must not cover test or lines. If seal impression smudges. re -seal if a (Title) sufficient area permits. othc%ise complete a different acknowledgment form. ❑ Partner(s) • Signature of the notary public must match the signature on file with the office of the county clerk. ❑ Attorney -in -Fact additional information is not required but could help to ensure this p Trustee(s) acknowledgment is. not misused or attached to a different document. Other Indicate title or type of attached document. number of pages and date. ❑ Indicate the capacit. claimed by the signer. If the claimed capacity is a corporate officer. indicate the title (i.e. CEO. CFO. Secretary). wmw AotaryClasses.corn 800-573- )865 • Securely attach this docunnen t to the signed document «itln a staple. CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Riverside On before me, S.M. Razza, Notary Public (Here insert name and title of the officer) personally appeared Dennis Stockton who proved to me on the basis of satisfactory evidence to be the person(s) whose name(-) Is re subscribed to the within instrument and acknowledged to me that {die he/they executed the same in Is er/their authorized capacity(ies), and that by Is er/their signature(e) on the instrument the person(, or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal.�� S. M. RAZZAA = ission No. z Comm22047P6 Z NOTARY PUBLIC-CALIFORNIA A �'' RIVERSIDE COUNTY My Comm Expires JULY 13 2021 IflOtary Public Si6gaigre (Notary Public Seal) ADDITIONAL OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT &&_4 (Title or description of attached document) (Tide or description of attached document continued) Number of Pages --I— Document Date — CAPACITY CLAIMED BY THE SIGNER ❑ Individual (s) O Corporate Officer President (Title) ❑ Partner(s) ❑ Attorney -in -Fact ❑ Trustee(s) ❑ Other _es cofr INSTRUCTIONS FOR COMPLETING THIS FORM This form complies with current California statutes regarding notary wording and, if needed, should be completed and attached to the document. Acknawledgments from other states may be completedfor documents being sent to that state so long cis the wording does not require the California notary to violate California notary 1mv. • State and County information must be the State and County where the document signer(s) personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s) personally appeared which must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her commission followed by a comma and then your title (notary public). • Print the name(s) of document signer(s) who personally appear at the time of notarization. • Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. he/she/dwz - is /are ) or circling the correct forms. Failure to correctly indicate this information may lead to rejection of document recording. • The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines. If seal impression smudges, re -seal if a sufficient area permits, otherwise complete a different acknowledgment form. • Signature of the notary public must match the signature on file with the office of the county clerk. . Additional information is not required but could help to ensure this acknowledgment is not misused or attached to a different document. Indicate title or type of attached document, number of pages and date. Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer, indicate the title (i.e. CEO, CFO, Secretary). • Securely attach this document to the signed document with a staple. CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFORNIA County of Riverside } On March 9, 2021 Date before me, Susan C. Monteon Insert Name of Notary exactly as it appears on the official seal personally appeared Janelle L. Tuominen Name(s) of Signers) S`USAN C. MON�EONN Commission No. 2201347 { e NOTARY PUBLIC CALIFORNIA RIVERSIDE COUNTY My Comm Fxpves JULY 13 2021 Place Notary Seal Above , Notary Public, who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. Witness my hand and official seal. Signature A M-a-Cct._L° . Signature of Notary Public Susan C. Monteon OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of the form to another document. Description of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Individual ❑ Corporate Officer—Title(s):_ ❑ Partner ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: Top of thumb here Number of Pages: Signer's Name: ❑ Individual ❑ Corporate Officer—Title(s): — ❑ Partner ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: Western Surety Company E C O PY POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT Know All Men By These Presents, That WESTERN SURETY COMPANY, a South Dakota corporation, is a duly organized and existing corporation having its principal office in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and seal herein affixed hereby make, constitute and appoint Susan C Monteon, Janelle L Tuominen, Individually of Riverside, CA, its true and lawful Attomey(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on its behalf bonds, undertakings and other obligatory instruments of similar nature - In Unlimited Amounts - and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said Attorney, pursuant to the authority hereby given, are hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By -Law printed on the reverse hereof, duly adopted, as indicated, by the shareholders of the corporation. In Witness Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be hereto affixed on this 27th day of July, 2020. E o~ WESTERN SURETY COMPANY a ��%pPGggl�;e` a$s�.Sf Av:P�Yf �►H DpV� aul T. Bruflat, Vice President State of South Dakota County of Minnehaha ss On this 27th day of July, 2020, before me personally came Paul T. Bruflat, to me known, who, being by me duly swom, did depose and say: that he resides in the City of Sioux Falls, State of South Dakota; that he is the Vice President of WESTERN SURETY COMPANY described in and which executed the above instrument; that he knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; that it was so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said corporation. My commission expires -- J. MOHR kmxwpuavc June 23, 2021 �3 0 UTHOAKM(R CERTIFICATE J. Mohr, Notary Public 1, L. Nelson, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in force, and further certify that the By -Law of the corporation printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said corporation this 9th day of March, 2021. rArR T}Os WE.STERNT SURETY COMPANY oaao�j:+sa 9Wt`}_ -fti Sf Ay'v0 Daicy Form F4280-7-2012 L. Nelson, Assistant Secretary Go to www.cnasurety.com > Owner / Obligee Services > Validate Bond Coverage, if you want to verify bond authenticity. Client#: 438457 CORACONST ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MMfDD/YYYY) 4/14/2021 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER Marsh & McLennan Agency LLC Marsh &McLennan Ins. Agency LLC CONTACT NAME: PHONE FAX A/C No Ext : A/C, No): ADDRIESS: ConstructionCerts@MarshMMA.com PO Box 85638 San Diego, CA 92186 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Valley Forge Insurance Company 20508 INSURED Cora Constructors, Inc. INSURER B : Continental Casualty Company 20443 Zurich American Insurance Company INSURER C : P Y 16535 75140 St. Charles Place, Suite A Palm Desert, CA 92211-5183 INSURER D INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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 LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7 OCCUR PD Ded:10,000 X X 6072729289 0101 /2020 10/01/2021 EACH OCCURRENCE $1 OOO 000 PREMISES (Ea occu ence) $300 000 X MED EXP (Anyone person) $5 000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY a JECOT LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2,000,000 $ B AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X AUTOS ONLY X NON -OWNED AUTOS ONLY X X 6072640497 0/01/2020 10/01/2021 COMBINED SINGLE LIMIT Ea $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) S PROPERTY DAMAGE Per accident $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITYLITE ANY PROPRIETOR/PARTNER/EXECUTIVE Y I N OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A X WC551375805 10/01/2020 10/01/2021 OTH- X PER ER I E.L. EACH ACCIDENT $1 OOO 000 E.L. DISEASE - EA EMPLOYEE $1 000 000 E.L. DISEASE - POLICY LIMIT S11,0009000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Palm Springs, its officials, employees and agents are included as additional insureds with respects to Auto and General Liability per attached endorsements. Waiver of Subrogation applies to General Liability, Auto Liability and Workers Compensation per attached endorsements. Primary and Noncontributory wording applies per attached endorsements. 30 Days Notice of Cancellation provided to certificate holder. City of Palm Springs 3200 E. Tahquitz Canyon Way Palm Springs, CA 92262 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) 1 of 1 #S82025471M6450645 © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD WSJDC INSURED: Cora Constructors, Inc. POLICY #: 6072640497 POLICY PERIOD: 10/01/2020 TO 10/01/2021 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTORS EXTENDED COVERAGE ENDORSEMENT - BUSINESS AUTO PLUS - This endorsement modifies insurance provided under the following. BUSINESS AUTO COVERAGE FORM 1. LIABILITY COVERAGE A. Who Is An Insured The following is added to Section II, Paragraph A.1., Who Is An Insured: 1. a. Any incorporated entity of which the Named Insured awns a majority of the voting stock on the date of inception of this Coverage Form; provided that, b. The insurance afforded by this provision A.1. does not apply to any such entity that is an "insured" under any other liability "policy" providing "auto" coverage. 2. Any organization you newly acquire or form, other than a limited liability company, partnership or joint venture, and over which you maintain majority ownership interest. The insurance afforded by this provision A.2.: a. Is effective on the acquisition or formation date, and is afforded only until the end of the policy period of this Coverage Form, or the next anniversary of its inception date, whichever is earlier. b. Does not apply to: (1) "Bodily injury" or "property damage" caused by an "accident" that occurred before you acquired or formed the organization; or (2) Any such organization that is an "insured" under any other liability "policy" providing "auto" coverage. 3. Any person or organization that you are required by a written contract to name as an additional insured is an "insured" but only with respect to their legal liability for acts or omissions of a person, who qualifies as an "Insured" under Section II — Who Is An Insured and for whom Liability Coverage is afforded under this policy. If required by written contract, this insurance will be primary and non- contributory to insurance on which the additional insured is a Named Insured. 4. An "employee" of yours is an "insured" while operating an "auto" hired or rented under a contract or agreement in that "employee's" name, with your permission, while performing duties related to the conduct of your business. "Policy," as used in this provision A. Who Is An Insured; includes those policies that were in force on the inception date of this Coverage Form but: 1. Which are no longer in force, or 2. Whose limits have been exhausted. B. Bail Bonds and Loss of Earnings Section II, Paragraphs A.2. (2) and A.2. (4) are revised as follows. 1. In a.(2), the limit for the cost of bail bonds is changed from $2,000 to $5,000; and 2. In a.(4), the limit for the loss of earnings is changed from $250 to $500 a day. C. Fellow Employee Section II, Paragraph B.6 does not apply. Such coverage as is afforded by this provision C. is excess over any other collectible insurance PHYSICAL DAMAGE COVERAGE A. Glass Breakage —Hitting A Bird Or Animal —Falling Objects Or Missiles The following is added to Section III, Paragraph A.3.. Form No: CNA63359XX (04-2012) With respect to any covered "auto," any deductible shown in the Declarations will not apply to glass breakage if such glass is repaired, in a manner acceptable to us, rather than replaced. B. Transportation Expenses Section III, Paragraph AA.a. is revised, with respect to transportation expense incurred by you, to provide: a. $60 per day, in lieu of $20; subject to b. $1,800 maximum, in lieu of $600. C. Loss of Use Expenses Section III, Paragraph AA.b. is revised, with respect to loss of use expenses incurred by you, to provide: a. $1,000 maximum, in lieu of $600. D. Hired "Autos" The following is added to Section III. Paragraph A.: 5. Hired "Autos" If Physical Damage coverage is provided under this policy, and such coverage does not extend to Hired Autos, then Physical Damage coverage is extended to: a. Any covered "auto" you lease, hire, rent or borrow without a driver; and b. Any covered "auto" hired or rented by your "employee" without a driver; under a contract in that individual "employee's" name, with your permission, while performing duties related to the conduct of your business. c. The most we will pay for any one "accident" or "loss" is the actual cash value, cost of repair, cost of replacement or $75,000, whichever is less, minus a $500 deductible for each covered auto. No deductible applies to "loss" caused by fire or lightning. d. The physical damage coverage as is provided by this provision is equal to the physical damage coverage(s) provided on your owned "autos." e. Such physical damage coverage for hired "autos" will: (1) Include loss of use, provided it is the consequence of an "accident' for which the Named Insured is legally liable, and as a result of which a monetary loss is sustained by the leasing or rental concern. (2) Such coverage as is provided by this provision will be subject to a limit of $750 per "accident." E. Airbag Coverage The following is added to Section Ill, Paragraph B.3.: The accidental discharge of an airbag shall not be considered mechanical breakdown. F. Electronic Equipment Section III, Paragraphs B.4.c and BA.d. are deleted and replaced by the following: c. Physical Damage Coverage on a covered "auto" also applies to "loss" to any permanently installed electronic equipment including its antennas and other accessories. d. A $100 per occurrence deductible applies to the coverage provided by this provision. G. Diminution In Value The following is added to Section Ill, Paragraph B.6.: Subject to the following, the "diminution in value" exclusion does not apply to: a. Any covered "auto" of the private passenger type you lease, hire; rent or borrow, without a driver for a period of 30 days or less, while performing duties related to the conduct of your business; and b. Any covered "auto" of the private passenger type hired or rented by your "employee" without a driver for a period of 30 days or less, under a contract in that individual "employee's" name, with your permission, while performing duties related to the conduct of your business. c. Such coverage as is provided by this provision is limited to a "diminution in value" loss arising directly out of accidental damage and not as a result of the failure to make repairs; faulty or incomplete maintenance or repairs; or the installation of substandard parts. d. The most we will pay for "loss" to a covered "auto" in any one accident is the lesser of: (1) $5,000; or (2) 20% of the "auto's" actual cash value (ACV). III. Drive Other Car Coverage — Executive Officers The following is added to Sections 11 and III. 1. Any "auto" you don't own, hire or borrow is a covered "auto" for Liability Coverage while being used by, and for Physical Damage Coverage while in the care. custody or control of, any of your "executive officers," except: a. An "auto" owned by that "executive officer' or a member of that person's household, or b. An "auto" used by that "executive officer" while working in a business of selling, servicing, repairing or parking "autos." Such Liability and/or Physical Damage Coverage as is afforded by this provision. (1) Equal to the greatest of those coverages afforded any covered "auto'; and (2) Excess over any other collectible insurance. 2. For purposes of this provision, "executive offices" means a person holding any of the officer positions created by your charter, constitution, by-laws or any other similar governing document, and, while a resident of the same household, includes that person's spouse. Such "executive officers" are "insureds" while using a covered "auto" described in this provision. IV. BUSINESS AUTO CONDITIONS A. Duties In The Event Of Accident, Claim, Suit Or Loss The following is added to Section IV, Paragraph A.2.a.: (4) Your "employees" may know of an "accident" or "loss." This will not mean that you have such knowledge, unless such "accident" or "loss" is known to you or if you are not an individual, to any of your executive officers or partners or your insurance manager. The following is added to Section IV, Paragraph A.2.b.: (6) Your "employees" may know of documents received concerning a claim or "suit." This will not mean that you have such knowledge, unless receipt of such documents is known to you or if you are not an individual, to any of your executive officers or partners or your insurance manager. B. Transfer Of Rights Of Recovery Against Others To Us The following is added to Section IV, Paragraph A.S. Transfer Of Rights Of Recovery Against Others To Us: We waive any right of recovery we may have, because of payments we make for injury or damage, against any person or organization for whom or which you are required by written contract or agreement to obtain this waiver from us. This injury or damage must arise out of your activities under a contract with that person or organization. You must agree to that requirement prior to an "accident" or "loss'.. C. Concealment, Misrepresentation or Fraud The following is added to Section IV, Paragraph B.2.: Your failure to disclose all hazards existing on the date of inception of this Coverage Form shall not prejudice you with respect to the coverage afforded provided such failure or omission is not intentional. D. Other insurance The following is added to Section IV, Paragraph B.S.: Regardless of the provisions of Paragraphs S.a. and S.d. above, the coverage provided by this policy shall be on a primary non-contributory basis. This provision is applicable only when required by a written contract. That written contract must have been entered into prior to "Accident" or "Loss." E. Policy Period, Coverage Territory Section IV, Paragraph B. 7.(5).(a). is revised to provide: a. 45 days of coverage in lieu of 30 days V. DEFINITIONS Section V. Paragraph C. is deleted and replaced by the following: "Bodily injury" means bodily injury, sickness or disease sustained by a person, including mental anguish, mental injury or death resulting from any of these. INSURED: Cora Constructors, Inc. POLICY #: 6072729289 POLICY PERIOD: 10/01/2020 TO 10/01/2021 CNA Contractors' General Liability Extension Endorsement It is understood and agreed that this endorsement amends the COMMERCIAL GENERAL LIABILITY COVERAGE PART as follows. If any other endorsement attached to this policy amends any provision also amended by this endorsement, then that other endorsement controls with respect to such provision, and the changes made by this endorsement with respect to such provision do not apply. TABLE OF CONTENTS 1. Additional insureds 2. Additional Insured - Primary And Non -Contributory To Additional Insured's Insurance 3. Bodily Injury — Expanded Definition 4. Broad Knowledge of Occurrence/ Notice of Occurrence _._ � .._. S. Broad Named Insured —__.______..°.._.__..............__ 6. Broadened Liability Coverage For Damage To Your Product And Your Work 7. Contractual Liability - Railroads 8. Electronic Data Liability 9. Estates, Legal Representatives and Spouses 10. Expected Or Intended Injury — Exception for Reasonable Force 11. General Aggregate Limits of Insurance — Per Project 12. In Rem Actions 13. Incidental Health Care Malpractice Coverage 14. Joint Ventures/Partnership/Limited Liability Companies IS. Legal Liability — Damage To Premises / Alienated Premises / Property In The Named Insured's Care, Custody or Control 16. Liquor Liability 17. Medical Payments 18. Non -owned Aircraft Coverage 19. Non -owned Watercraft 20. Personal And Advertising Injury — Discrimination or Humiliation 21. Personal And Advertising Injury - Contractual Liability 22. Property Damage -Elevators 23. Supplementary Payments 24. Unintentional Failure To Disclose Hazards 25. Waiver of Subrogation — Blanket 26. Wrap -Up Extension: OCIP CLIP, or Consolidated (Wrap -Up) Insurance Programs CNA74705XX (1-15) Page 1 of 18 Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance services Office, Inc., with its permission, INSURED: Cora Constructors, Inc. POLICY #: 6072729289 POLICY PERIOD: 10/01/2020 TO 10/01/2021 CMA Contractors' General Liability Extension Endorsement 1. ADDITIONAL INSUREDS a. WHO IS AN INSURED is amended to include as an Insured any person or organization described in paragraphs A. through H. below whom a Named Insured is required to add as an additional insured on this Coverage Part under a written contract or written agreement, provided such contract or agreement: (1) is currently in effect or becomes effective during the term of this Coverage Part; and (2) was executed prior to: (a) the bodily injury or property damage; or (b) the offense that caused the personal and advertising injury, for which such additional insured seeks coverage. b. However, subject always to the terms and conditions of this policy, including the limits of insurance, the Insurer will not provide such additional insured with: (1) a higher limit of insurance than required by such contract or agreement; or (2) coverage broader than required by such contract or agreement, and in no event broader than that described by the applicable paragraph A. through H. below. Any coverage granted by this endorsement shall apply only to the extent permissible by law. A. Controlling interest Any person or organization with a controlling interest in a Named Insured, but only with respect to such person or organization's liability for bodily injury, property damage or personal and advertising injury arising out of: 1. such person or organization's financial control of a Named Insured, or 2. premises such person or organization owns, maintains or controls while a Named Insured leases or occupies such premises; provided that the coverage granted by this paragraph does not apply to structural alterations, new construction or demolition operations performed by, on behalf of, or for such additional insured. B. Co-owner of Insured Premises A co-owner of a premises co -owned by a Named Insured and covered under this insurance but only with respect to such co -owner's liability for bodily injury, property damage or personal and advertising injury as co-owner of such premises. C. Lessor of Equipment Any person or organization from whom a Named Insured leases equipment, but only with respect to liability for bodily injury, property damage or personal and advertising injury caused, in whole or in part, by the Named Insured's maintenance, operation or use of such equipment, provided that the occurrence giving rise to such bodily injury, property damage or the offense giving rise to such personal and advertising injury takes place prior to the termination of such lease D. Lessor of Land Any person or organization from whom a Named Insured leases land but only with respect to liability for bodily injury, property damage or personal and advertising Injury arising out of the ownership, maintenance or use of such land, provided that the occurrence giving rise to such bodily injury, property damage or the offense giving rise to such personal and advertising injury takes place prior to the C14A74705XX (1-15) Page 2 of 18 Copyright CNJA A0 Rights Reserved. Includes copyrighted material of Insurance services office, Inc., with its permission. INSURED: Cora Constructors, Inc. POLICY #: 6072729289 POLICY PERIOD: 10/01/2020 TO 10/01/2021 CHA Contractors' General Liability Extension Endorsement termination of such lease. The coverage granted by this paragraph does not apply to structural alterations, new construction or demolition operations performed by, on behalf of, or for such additional insured. E. Lessor of Premises An owner or lessor of premises leased to the Named Insured, or such owner or lessor's real estate manager, but only with respect to liability for bodily injury, property damage or personal and advertising injury arising out of the ownership, maintenance or use of such part of the premises leased to the Named Insured, and provided that the occurrence giving rise to such bodily injury or property damage, or the offense giving rise to such personal and advertising injury, takes place prior to the termination of such lease. The coverage granted by this paragraph does not apply to structural alterations, new construction or demolition operations performed by; on behalf of, or for such additional insured. F. Mortgagee, Assignee or Receiver A mortgagee, assignee or receiver of premises but only with respect to such mortgagee, assignee or receiver's liability for bodily injury, property damage or personal and advertising Injury arising out of the Named Insured's ownership, maintenance, or use of a premises by a Named Insured. The coverage granted by this paragraph does not apply to structural alterations, new construction or demolition operations performed by, on behalf of, or for such additional insured G. State or Governmental Agency or Subdivision or Political Subdivisions — Permits A state or governmental agency or subdivision or political subdivision that has issued a permit or authorization but only with respect to such state or governmental agency or subdivision or political subdivision's liability for bodily injury, property damage or personal and advertising injury arising out of: 1. the following hazards in connection with premises a Named Insured owns, rents, or controls and to which this insurance applies: a. the existence, maintenance, repair, construction, erection, or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoistaway openings, sidewalk vaults, street banners, or decorations and similar exposures, or b. the construction, erection, or removal of elevators; or c. the ownership, maintenance or use of any elevators covered by this insurance, or 2. the permitted or authorized operations performed by a Named Insured or on a Named Insured's behalf. The coverage granted by this paragraph does not apply to: a. Bodily injury, property damage or personal and advertising injury arising out of operations performed for the state or governmental agency or subdivision or political subdivision; or b. Bodily injury or property damage included within the products -completed operations hazard With respect to this provision's requirement that additional insured status must be requested under a written contract or agreement, the Insurer will treat as a written contract any governmental permit that requires the Named Insured to add the governmental entity as an additional insured. H. Trade Show Event Lessor 1. With respect to a Named Insured's participation in a trade show event as an exhibitor, presenter or displayer, any person or organization whom the Named Insured is required to include as an additional insured; but only with respect to such person or organization's liability for bodily injury; property damage or personal and advertising injury caused by: CNA74705XX (1-15) Page 3 of 18 copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. INSURED: Cora Constructors, Inc. POLICY #: 6072729289 POLICY PERIOD: 10/01/2020 TO 10/01/2021 C� Contractors' General Liability Extension Endorsement 1 a. the Named Insured's acts or omissions, or b. the acts or omissions of those acting on the Named Insured's behalf, in the performance of the Named Insured's ongoing operations at the trade show event premises during the trade show event. 2. The coverage granted by this paragraph does not apply to bodily injury or property damage included within the products -completed operations hazard 2. ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY TO ADDITIONAL INSURED'S INSURANCE The Other Insurance Condition in the COMMERCIAL GENERAL LIABILITY CONDITIONS Section is amended to add the following paragraph: If the Named Insured has agreed in writing in a contract or agreement that this insurance is primary and non- contributory relative to an additional insured's own insurance, then this insurance is primary, and the Insurer will not seek contribution from that other insurance. For the purpose of this Provision 2., the additional insured's own insurance means insurance on which the additional insured is a named insured. Otherwise, and notwithstanding anything to the contrary elsewhere in this Condition, the insurance provided to such person or organization is excess of any other insurance available to such person or organization. 3. BODILY INJURY — EXPANDED DEFINITION Under DEFINITIONS, the definition of bodily injury is deleted and replaced by the following: Bodily injury means physical injury, sickness or disease sustained by a person, including death, humiliation; shock; mental anguish or mental injury sustained by that person at any time which results as a consequence of the physical injury, sickness or disease. 4. BROAD KNOWLEDGE OF OCCURRENCE! NOTICE OF OCCURRENCE Under CONDITIONS, the condition entitled Duties in The Event of Occurrence, Offense, Claim or Suit is amended to add the following provisions: A. BROAD KNOWLEDGE OF OCCURRENCE The Named Insured must give the Insurer or the Insurer's authorized representative notice of an occurrence, offense or claim only when the occurrence, offense or claim is known to a natural person Named Insured, to a partner, executive officer, manager or member of a Named Insured or an employee designated by any of the above to give such notice. B. NOTICE OF OCCURRENCE The Named Insured's rights under this Coverage Part will not be prejudiced if the Named Insured fails to give the Insurer notice of an occurrence; offense or claim and that failure is solely due to the Named Insured's reasonable belief that the bodily injury or property damage is not covered under this Coverage Part. However, the Named Insured shall give written notice of such occurrence, offense or claim to the Insurer as soon as the Named Insured is aware that this insurance may apply to such occurrence, offense or claim. S. BROAD NAMED INSURED WHO IS AN INSURED is amended to delete its Paragraph 3. in its entirety and replace it with the following 3. Pursuant to the limitations described in Paragraph 4. below, any organization in which a Named Insured has management control: a. on the effective date of this Coverage Part; or CNA74705XX (1-15) Page 4 of 18 copyright CNA Ail Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. INSURED: Cora Constructors, Inc. POLICY #: 6072729289 TJj POLICY PERIOD: 10/01/2020 TO 10/01/2021 Contractors' General Liability Extension Endorsement b. by reason of a Named Insured creating or acquiring the organization during the policy period, qualifies as a Named Insured, provided that there is no other similar liability insurance, whether primary, contributory, excess, contingent or otherwise, which provides coverage to such organization, or which would have provided coverage but for the exhaustion of its limit, and without regard to whether its coverage is broader or narrower than that provided by this insurance. But this BROAD NAMED INSURED provision does not apply to: (a) any partnership, limited liability company or joint venture; or (b) any organization for which coverage is excluded by another endorsement attached to this Coverage Part. For the purpose of this provision, management control means: A. owning interests representing more than 50% of the voting, appointment or designation power for the selection of a majority of the Board of Directors of a corporation; or B. having the right, pursuant to a written trust agreement, to protect, control the use of, encumber or transfer or sell property held by a trust. 4. With respect to organizations which qualify as Named Insureds by virtue of Paragraph 3. above, this insurance does not apply to. a. bodily Injury or property damage that first occurred prior to the date of management control, or that first occurs after management control ceases; nor b. personal or advertising injury caused by an offense that first occurred prior to the date of management control or that first occurs after management control ceases. S. The insurance provided by this Coverage Part applies to Named Insureds when trading under their own names or under such other trading names or doing -business -as names (dba) as any Named Insured should choose to employ. 6. BROADENED LIABILITY COVERAGE FOR DAMAGE TO YOUR PRODUCT AND YOUR WORK A. under COVERAGES; Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete exclusions k. and 1. and replace them with the following. This insurance does not apply to: k. Damage to Your Product Property damage to your product arising out of it, or any part of a except when caused by or resulting from: (1) fire, (2) smoke; (3) collapse; or (4) explosion. 1. Damage to Your Work Property damage to your work arising out of it, or any part of a and included in the products -completed operations hazard. This exclusion does not apply: CNA74705XX (1-15) Page 5 of 18 Copyright CNA Ali Rights Reserved. Includes copyrighted material of Insurance Sennces Office. Inc., with its permission. INSURED: Cora Constructors, Inc. POLICY #: 6072729289 POLICY PERIOD: 10/01/2020 TO 10/01/2021 Contractors' General Liability Extension Endorsement (1) If the damaged work, or the work out of which the damage arises, was performed on the Named Insured's behalf by a subcontractor; or (2) If the cause of loss to the damaged work arises as a result of. (a) fire; (b) smoke; (c) collapse, or (d) explosion. S. The following paragraph is added to LIMITS OF INSURANCE: Subject to S. above, $100,000 is the most the Insurer will pay under Coverage A for the sum of damages arising out of any one occurrence because of property damage to your product and your work that is caused by fire, smoke, collapse or explosion and is included within the product -completed operations hazard. This sublimit does not apply to property damage to your work if the damaged work, or the work out of which the damage arises, was performed on the Named Insured's behalf by a subcontractor. C. This Broadened Liability Coverage For Damage To Your Product And Your Work Provision does not apply if an endorsement of the same name is attached to this policy. 7. CONTRACTUAL LIABILITY — RAILROADS With respect to operations performed within 50 feet of railroad property, the definition of insured contract is replaced by the following: Insured Contract means: a. A contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire to premises while rented to a Named Insured or temporarily occupied by a Named Insured with permission of the owner Is not an insured contract; b. A sidetrack agreement; c. Any easement or license agreement; d. An obligation, as required by ordinance, to indemnify a municipality, except in connection with work for a municipality; e. An elevator maintenance agreement; If. That part of any other contract or agreement pertaining to the Named Insured's business (including an indemnification of a municipality in connection with work performed for a municipality) under which the Named Insured assumes the tort liability of another party to pay for bodily injury or property damage to a third person or organization. Tort liability means a liability that would be imposed by law in the absence of any contract or agreement. Paragraph f. does not include that part of any contract or agreement. (1) That indemnifies an architect, engineer or surveyor for injury or damage arising out of: (a) Preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (b) Giving directions or instructions, or failing to give them, if that is the primary cause of the injury or damage, CNA74705XX (1-15) Page 6 of 18 Copyright CNA AA Rights Reserved- Includes copyrighted material of Insurance Services office, Inc.. with its permission. INSURED: Cora Constructors, Inc. POLICY #: 6072729289 POLICY PERIOD: 10/01/2020 TO 10/01/2021 1 Ida Contractors' General Liability Extension Endorsement (2) Under which the Insured, if an architect, engineer or surveyor, assumes liability for an injury or damage arising out of the insured's rendering or failure to render professional services, including those listed in (1) above and supervisory, inspection, architectural or engineering activities 8. ELECTRONIC DATA LIABILITY A. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete exclusion p. Electronic Data and replace it with the following. This insurance does not apply to. p. Access Or Disclosure Of Confidential Or Personal Information And Data -related Liability Damages arising out of. (1) any access to or disclosure of any person's or organization's confidential or personal Information, including patents, trade secrets, processing methods, customer lists, financial information, credit card information, health information or any other type of nonpublic information; or (2) the loss of, loss of use of, damage to, corruption of inability to access, or inability to manipulate electronic data that does not result from physical injury to tangible property. However, unless Paragraph (1) above applies, this exclusion does not apply to damages because of bodily injury. This exclusion applies even if damages are claimed for notification costs, credit monitoring expenses, forensic expenses, public relation expenses or any other loss, cost or expense incurred by the Named Insured or others arising out of that which is described in Paragraph (1) or (2) above. B. The following paragraph is added to LIMITS OF INSURANCE. Subject to 5. above, $100,000 is the most the Insurer will pay under Coverage A for all damages arising out of any one occurrence because of property damage that results from physical injury to tangible property and arises out of electronic data. C. The following definition is added to DEFINITIONS Electronic data means information, facts or programs stored as or on, created or used on, or transmitted to or from computer software (including systems and applications software), hard or floppy disks, CO-ROMS, tapes, drives; Cells; data processing devices or any other media which are used with electronically controlled equipment. D. For the purpose of the coverage provided by this ELECTRONIC DATA LIABILITY Provision, the definition of property damage in DEFINITIONS is replaced by the following: Property damage means: a. Physical injury to tangible property, including all resulting loss of use of that property. All such loss of use shall be deemed to occur at the time of the physical injury that caused it, b. Loss of use of tangible property that is not physically injured. All such loss of use shall be deemed to occur at the time of the occurrence that caused it; or c. Loss of, loss of use of, damage to, corruption of, inability to access, or inability to properly manipulate electronic data, resulting from physical injury to tangible property. All such loss of electronic data shall be deemed to occur at the time of the occurrence that caused it. For the purposes of this insurance, electronic data is not tangible property CNA74705XX (1-15) Page 7 of 18 Copyright CNA Adl Rights Reserved, includes copyrighted material of insurance services Office, Inc., with its permission. INSURED: Cora Constructors, Inc. POLICY #: 6072729289 POLICY PERIOD: 10/01/2020 TO 10/01/2021 1 �- Contractors' General Liability Extension Endorsement E. If Electronic Data Liability is provided at a higher limit by another endorsement attached to this policy, then the $100,000 limit provided by this ELECTRONIC DATA LIABILITY Provision is part of, and not in addition to, that higher limit. 9. ESTATES, LEGAL REPRESENTATIVES, AND SPOUSES The estates, heirs, legal representatives and spouses of any natural person Insured shall also be Insured under this policy; provided, however, coverage is afforded to such estates, heirs, legal representatives, and spouses only for claims arising solely out of their capacity or status as such and, in the case of a spouse; where such claim seeks damages from marital community property, jointly held property or property transferred from such natural person insured to such spouse. No coverage is provided for any act, error or omission of an estate, heir, legal representative, or spouse outside the scope of such person's capacity or status as such, provided however that the spouse of a natural person Named Insured and the spouses of members or partners of joint venture or partnership Named Insureds are Insureds with respect to such spouses' acts; errors or omissions in the conduct of the Named Insured's business. 10. EXPECTED OR INTENDED INJURY — EXCEPTION FOR REASONABLE FORCE Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete the exclusion entitled Expected or Intended Injury and replace it with the following: This insurance does not apply to: Expected or Intended Injury Bodily injury or property damage expected or intended from the standpoint of the Insured. This exclusion does not apply to bodily injury or property damage resulting from the use of reasonable force to protect persons or property. 11. GENERAL AGGREGATE LIMITS OF INSURANCE - PER PROJECT A. For each construction project away from premises the Named Insured owns or rents; a separate Construction Project General Aggregate Limit, equal to the amount of the General Aggregate Limit shown in the Declarations, is the most the Insurer will pay for the sum of: 1. All damages under Coverage A, except damages because of bodily injury or property damage included in the products -completed operations hazard, and 2. All medical expenses under Coverage C, that arise from occurrences or accidents which can be attributed solely to ongoing operations at that construction project. Such payments shall not reduce the General Aggregate Limit shown in the Declarations, nor the Construction Project General Aggregate Limit of any other construction project. B. All, 1. Damages under Coverage B, regardless of the number of locations or construction projects involved; 2. Damages under Coverage A; caused by occurrences which cannot be attributed solely to ongoing operations at a single construction project, except damages because of bodily injury or property damage included in the products -completed operations hazard; and 3. Medical expenses under Coverage C caused by accidents which cannot be attributed solely to ongoing operations at a single construction project, will reduce the General Aggregate Limit shown in the Declarations. C. The limits shown in the Declarations for Each Occurrence, for Damage To Premises Rented To You and for _ Medical Expense continue to apply, but will be subject to either the Construction Project General Aggregate CNA74705XX (1-15) Page 8 of 18 Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, inc., with its permission INSURED: Cora Constructors, Inc. POLICY #: 6072729289 POLICY PERIOD: 10/01/2020 TO 10/01/2021 Contractors' General Liability Extension Endorsement Limit or the General Aggregate Limit shown in the Declarations, depending on whether the occurrence can be attributed solely to ongoing operations at a particular construction project. D. When coverage for liability arising out of the products -completed operations hazard is provided, any payments for damages because of bodily injury or property damage included in the products - completed operations hazard will reduce the Products -Completed Operations Aggregate Limit shown in the Declarations, regardless of the number of projects involved. E. If a single construction project away from premises owned by or rented to the Insured has been abandoned and then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications or timetables; the project will still be deemed to be the same construction project. F. The provisions of LIMITS OF INSURANCE not otherwise modified by this endorsement shall continue to apply as stipulated. 12. IN REM ACTIONS A quasi in rem action against any vessel owned or operated by or for the Named Insured; or chartered by or for the Named Insured; will be treated in the same manner as though the action were in personam against the Named Insured. ik�Pl_:ITi:[�Z1T�iT_T>�7_L�I�L+T•%1TI7sICI Solely with respect to bodily injury that arises out of a health care incident: A. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Insuring Agreement is amended to replace Paragraphs 1.b.(1) and 1.b.(2) with the following' b. This insurance applies to bodily injury provided that the professional health care services are incidental to the Named Insured's primary business purpose, and only if: (1) such bodily injury is caused by an occurrence that takes place in the coverage territory. (2) the bodily injury first occurs during the policy period. All bodily injury arising from an occurrence will be deemed to have occurred at the time of the first act, error, or omission that is part of the occurrence: and B. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to: i. add the following to the Employers Liability exclusion This exclusion applies only if the bodily injury arising from a health care incident is covered by other liability insurance available to the Insured (or which would have been available but for exhaustion of its limits), ii. delete the exclusion entitled Contractual Liability and replace it with the following: This insurance does not apply to: Contractual Liability the Insured's actual or alleged liability under any oral or written contract or agreement; including but not limited to express warranties or guarantees. iii. add the following additional exclusions This insurance does not apply to, Discrimination CNA74705XX (1-15) Page 9 of 18 Copyright CNAAtt Rights Reserved. Includes copyrighted material of Insurance SeNces office, Inc., with its pemdssion. INSURED: Cora Constructors, Inc. POLICY #: 6072729289 POLICY PERIOD: 10/01/2020 TO 10/01/2021 ,CAR ! i Contractors' General Liability Extension Endorsement any actual or alleged discrimination, humiliation or harassment, including but not limited to claims based on an individual's race, creed, color, age, gender, national origin, religion, disability, marital status or sexual orientation. Dishonesty or Crime Any actual or alleged dishonest, criminal or malicious act, error or omission. Medicare/Medicaid Fraud any actual or alleged violation of law with respect to Medicare, Medicaid, Tricare or any similar federal, state or local governmental program, Services Excluded by Endorsement Any health care incident for which coverage is excluded by endorsement. C. DEFINITIONS is amended to: I. add the following definitions Health care incident means an act: error or omission by the Named Insured's employees or volunteer workers in the rendering of a. professional health care services on behalf of the Named Insured or b. Good Samaritan services rendered In an emergency and for which no payment Is demanded or received_ Professional health care services means any health care services or the related furnishing of food, beverages, medical supplies or appliances by the following providers in their capacity as such but solely to the extent they are duty licensed as required. a. Physician; b. Nurse; c. Nurse practitioner; d. Emergency medical technician. e. Paramedic; f. Dentist: g. Physical therapist; h. Psychologist, L Speech therapist, j. Other allied health professional; or Professional health care services does not include any services rendered in connection with human clinical trials or product testing. Ill. delete the definition of occurrence and replace it with the following: Occurrence means a health care incident. All acts, errors or omissions that are logically connected by any common fact, circumstance, situation; transaction; event, advice or decision will be considered to constitute a single occurrence; iii. amend the definition of Insured to: CNA74705XX (1-15) Page 10 of 18 Copyright CNA All Rights Reserved Includes copyrighted material of Insurance services Office Inc., with its permission INSURED: Cora Constructors, Inc. POLICY #: 6072729289 POLICY PERIOD: 10/01/2020 TO 10/01/2021 2 CNA Contractors' General Liabilitv Extension Endorsement a. add the following: • the Named insured's employees are Insureds with respect to. (1) bodily injury to a co -employee while in the course of the co -employee's employment by the Named Insured or while performing duties related to the conduct of the Named Insured's business: and (2) bodily injury to a volunteer worker while performing duties related to the conduct of the Named insured's business; when such bodily injury arises out of a health care incident. • the Named Insured's volunteer workers are Insureds with respect to: (1) bodily Injury to a co -volunteer worker while performing duties related to the conduct of the Named Insured's business, and (2) bodily injury to an employee while in the course of the employee's employment by the Named Insured or while performing duties related to the conduct of the Named Insured's business; when such bodily injury arises out of a health care incident. b. delete Subparagraphs (a), (b), (c) and (d) of Paragraph 2.a.(1) of WHO IS AN INSURED. D. The Other Insurance condition is amended to delete Paragraph b.(1) in its entirety and replace it with the following: Otherinsurance b. Excess Insurance (1) To the extent this insurance applies, it is excess over any other insurance, self insurance or risk transfer instrument, whether primary, excess, contingent or on any other basis, except for insurance purchased specifically by the Named Insured to be excess of this coverage. 14, JOINT VENTURES / PARTNERSHIP / LIMITED LIABILITY COMPANIES WHO IS AN INSURED is amended to delete its last paragraph and replace it with the following: No person or organization is an Insured with respect to the conduct of any current or past partnership, joint venture or limited liability company that is not shown as a Named Insured in the Declarations, except that if the Named Insured was a joint venturer, partner, or member of a limited liability company and such joint venture, partnership or limited liability company terminated prior to or during the policy period; such Named Insured is an Insured with respect to its interest in such joint venture, partnership or limited liability company but only to the extent that: a. any offense giving rise to personal and advertising injury occurred prior to such termination date, and the personal and advertising injury arising out of such offense first occurred after such termination date, b. the bodily injury or property damage first occurred after such termination date; and c. there is no other valid and collectible insurance purchased specifically to insure the partnership, joint venture or limited liability company; and If the joint venture, partnership or limited liability company is or was insured under a consolidated (wrap-up) insurance program, then such insurance will always be considered valid and collectible for the purpose of paragraph c. above. But this provision will not serve to exclude bodily Injury, property damage or personal and advertising injury that would otherwise be covered under the Contractors General Liability Extension CNA74705XX (1-15) Page 11 of 18 Copyright CNA AI1Rights Reserved, includes copyrighted material of Insurance Services Office, Inc., with its permission. INSURED: Cora Constructors, Inc. POLICY #: 6072729289 POLICY PERIOD: 10/01/2020 TO 10/01/2021 1 Contractors' General Liability Extension Endorsement Endorsement provision entitled WRAP-UP EXTENSION: OCIP, CCIP, OR CONSOLIDATED (WRAP-UP) INSURANCE PROGRAMS. Please see that provision for the definition of consolidated (wrap-up) insurance program. 15. LEGAL LIABILITY — DAMAGE TO PREMISES J ALIENATED PREMISES / PROPERTY IN THE NAMED INSURED'S CARE, CUSTODY OR CONTROL A. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete exclusion j. Damage to Property in its entirety and replace it with the following: This insurance does not apply to: j. Damage to Property Property damage to (1) Property the Named Insured owns, rents, or occupies, including any costs or expenses incurred by you, or any other person, organization or entity, for repair, replacement, enhancement, restoration or maintenance of such property for any reason, Including prevention of Injury to a person or damage to another's property; (2) Premises the Named Insured sells, gives away or abandons, If the property damage arises out of any part of those premises, (3) Property loaned to the Named Insured, (4) Personal property in the care, custody or control of the Insured, (6) That particular part of real property on which the Named Insured or any contractors or subcontractors working directly or indirectly on the Named Insured's behalf are performing operations, if the property damage arises out of those operations, or (6) That particular part of any property that must be restored, repaired or replaced because your work was incorrectly performed on it. Paragraphs (1), (3) and (4) of this exclusion do not apply to property damage (other than damage by fire) to premises rented to the Named Insured or temporarily occupied by the Named Insured with the permission of the owner, nor to the contents of premises rented to the Named Insured for a period of 7 or fewer consecutive days. A separate limit of insurance applies to Damage To Premises Rented To You as described in LIMITS OF INSURANCE. Paragraph (2) of this exclusion does not apply if the premises are your work. Paragraphs (3), (4), (5) and (6) of this exclusion do not apply to liability assumed under a sidetrack agreement. Paragraph (6) of this exclusion does not apply to property damage included in the products - completed operations hazard. Paragraphs (3) and (4) of this exclusion do not apply to property damage to: i, tools, or equipment the Named Insured borrows from others; nor ii. other personal property of others in the Named Insured's care, custody or control while being used in the Named Insured's operations away from any Named Insured's premises. However, the coverage granted by this exception to Paragraphs (3) and (4) does not apply to. a. property at a job site awaiting or during such property's installation, fabrication, or erection, CNA74706XX (1-15) Page 12 of 18 Copyright CNA All Rights Reserved. Includes copyrighted material or Insurance Services Office, Inc., with its permission. INSURED: Cora Constructors, Inc. POLICY #: 6072729289 POLICY PERIOD: 10/01/2020 TO 10/01/2021 1 CNA Contractors' General Liability Extension Endorsement b. property that is mobile equipment leased by an Insured; c. property that is an auto, aircraft or watercraft; d. property in transit; or e. any portion of property damage for which the Insured has available other valid and collectible insurance, or would have such insurance but for exhaustion of its limits, or but for application of one of its exclusions. A separate limit of insurance and deductible apply to such property of others. See LIMITS OF INSURANCE as amended below. B. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete its last paragraph and replace it with the following: Exclusions c. through n. do not apply to damage by fire to premises while rented to a Named Insured or temporarily occupied by a Named Insured with permission of the owner, nor to damage to the contents of premises rented to a Named Insured for a period of 7 or fewer consecutive days. A separate limit of insurance applies to this coverage as described in LIMITS OF INSURANCE. C. The following paragraph is added to LIMITS OF INSURANCE: Subject to 5. above, $25,000 is the most the Insurer will pay under Coverage A for damages arising out of any one occurrence because of the sum of all property damage to borrowed tools or equipment, and to other personal property of others in the Named Insured's care, custody or control, while being used in the Named Insured's operations away from any Named Insured's premises. The Insurer's obligation to pay such property damage does not apply until the amount of such property damage exceeds $1,000. The Insurer has the right but not the duty to pay any portion of this $1,000 in order to effect settlement. If the Insurer exercises that right, the Named Insured will promptly reimburse the Insurer for any such amount. D. Paragraph 6., Damage To Premises Rented To You Limit, of LIMITS OF INSURANCE is deleted and replaced by the following: 6. Subject to Paragraph 5. above, (the Each Occurrence Limit), the Damage To Premises Rented To You Limit is the most the Insurer will pay under Coverage A for damages because of property damage to any one premises while rented to the Named Insured or temporarily occupied by the Named Insured with the permission of the owner, including contents of such premises rented to the Named Insured for a period of 7 or fewer consecutive days. The Damage To Premises Rented To You Limit is the greater of: a. $500,000; or b. The Damage To Premises Rented To You Limit shown in the Declarations. E. Paragraph 4.b.(1)(a)(ii) of the Other Insurance Condition is deleted and replaced by the following: (ii) That is property insurance for premises rented to the Named Insured, for premises temporarily occupied by the Named Insured with the permission of the owner; or for personal property of others in the Named Insured's care, custody or control; 16. LIQUOR LIABILITY Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete the exclusion entitled Liquor Liability. This LIQUOR LIABILITY provision does not apply to any person or organization who otherwise qualifies as an additional insured on this Coverage Part. CNA74705XX (1-15) Page 13 of 18 Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services office, Inc., with its permission. INSURED: Cora Constructors, Inc. POLICY #: 6072729289 POLICY PERIOD: 10/01/2020 TO 10/01/2021 Contractors General Liability Extension Endorsement 17. MEDICAL PAYMENTS A. LIMITS OF INSURANCE is amended to delete Paragraph 7. (the Medical Expense Limit) and replace it with the following: 7. Subject to Paragraph S. above (the Each Occurrence Limit), the Medical Expense Limit is the most the Insurer will pay under Coverage C — Medical Payments for all medical expenses because of bodily injury sustained by any one person. The Medical Expense Limit is the greater of: (1) `b15,000 unless a different amount is shown here: or (2) the amount shown in the Declarations for Medical Expense Limit. B. Under COVERAGES, the Insuring Agreement of Coverage C — Medical Payments is amended to replace Paragraph 1.a.(3)(b) with the following, (b) The expenses are incurred and reported to the Insurer within three years of the date of the accident; and This Paragraph B. does not apply to medical expenses incurred in the state of Missouri. 18. NON -OWNED AIRCRAFT Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended as follows: The exclusion entitled Aircraft, Auto or Watercraft is amended to add the following. This exclusion does not apply to an aircraft not owned by any Named Insured; provided that 1. the pilot in command holds a currently effective certificate issued by the duly constituted authority of the United States of America or Canada, designating that person as a commercial or airline transport pilot: 2. the aircraft is rented with a trained, paid crew to the Named Insured, and 3. the aircraft is not being used to carry persons or property for a charge. 19, NON -OWNED WATERCRAFT Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete subparagraph (2) of the exclusion entitled Aircraft, Auto or Watercraft, and replace it with the following. This exclusion does not apply to: (2) a watercraft that is not owned by any Named Insured, provided the watercraft is (a) less than 75 feet tong; and (b) not being used to carry persons or property for a charge. 20. PERSONAL AND ADVERTISING INJURY —DISCRIMINATION OR HUMILIATION A. Under DEFINITIONS, the definition of personal and advertising injury is amended to add the following tort Discrimination or humiliation that results in injury to the feelings or reputation of a natural person. B. Under COVERAGES, Coverage 6 — Personal and Advertising Injury Liability; the paragraph entitled Exclusions is amended to; 1. delete the Exclusion entitled Knowing Violation Of Rights Of Another and replace it with the following CNA74705XX (1-15) Page 14 of 18 Copyright CNA Ail Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. INSURED: Cora Constructors, Inc. POLICY #: 6072729289 POLICY PERIOD: 10/01/2020 TO 10/01/2021 Contractors' General Liability Extension Endorsement This insurance does not apply to: Knowing Violation of Rights of Another Personal and advertising injury caused by or at the direction of the Insured with the knowledge that the act would violate the rights of another and would inflict personal and advertising injury. This exclusion shall not apply to discrimination or humiliation that results in injury to the feelings or reputation of a natural person, but only if such discrimination or humiliation is not done intentionally by or at the direction of: (a) the Named Insured; or (b) any executive officer, director, stockholder, partner, member or manager (if the Named Insured is a limited liability company) of the Named Insured 2. add the following exclusions: This insurance does not apply to: Employment Related Discrimination Discrimination or humiliation directly or indirectly related to the employment, prospective employment, past employment or termination of employment of any person by any Insured. Premises Related Discrimination discrimination or humiliation arising out of the sale, rental, lease or sub -lease or prospective sale, rental, lease or sub -lease of any room, dwelling or premises by or at the direction of any Insured. Notwithstanding the above, there is no coverage for fines or penalties levied or imposed by a governmental entity because of discrimination. The coverage provided by this PERSONAL AND ADVERTISING INJURY —DISCRIMINATION OR HUMILIATION Provision does not apply to any person or organization whose status as an Insured derives solely from • Provision 1. ADDITIONAL INSURED of this endorsement, or • attachment of an additional insured endorsement to this Coverage Part This PERSONAL AND ADVERTISING INJURY —DISCRIMINATION OR HUMILIATION Provision does not apply to any person or organization who otherwise qualifies as an additional insured on this Coverage Part. 21. PERSONAL AND ADVERTISING INJURY - CONTRACTUAL LIABILITY A. Under COVERAGES, Coverage B —Personal and Advertising Injury Liability, the paragraph entitled Exclusions is amended to delete the exclusion entitled Contractual Liability. B. Solely for the purpose of the coverage provided by this PERSONAL AND ADVERTISING INJURY - CONTRACTUAL LIABILITY provision, the following changes are made to the section entitled SUPPLEMENTARY PAYMENTS — COVERAGES A AND B: 1. Paragraph 2.d, is replaced by the following:. d. The allegations in the suit and the information the Insurer knows about the offense alleged in such suit are such that no conflict appears to exist between the interests of the Insured and the interests of the indemnitee; 2. The first unnumbered paragraph beneath Paragraph 2.f.(2)(b) is deleted and replaced by the following: So long as the above conditions are met, attorneys fees incurred by the Insurer in the defense of that indemnitee, necessary litigation expenses incurred by the Insurer, and necessary litigation expenses CNA74705XX (1-15) Page 15 of 18 CopyrightCNA All Rights Reserved Includes copyrighted material of Insurance Services Office, Inc., with its permission. INSURED: Cora Constructors, Inc. POLICY #: 6072729289 POLICY PERIOD: 1010112020 TO 10/01/2021 CNA Contractors' General Liability Extension Endorsement incurred by the indemnitee at the Insurer's request will be paid as defense costs. Such payments will not be deemed to be damages for personal and advertising injury and will not reduce the limits of insurance. C. This PERSONAL AND ADVERTISING INJURY - CONTRACTUAL LIABILITY Provision does not apply if Coverage B —Personal and Advertising Injury Liability is excluded by another endorsement attached to this Coverage Part This PERSONAL AND ADVERTISING INJURY - CONTRACTUAL LIABILITY Provision does not apply to any person or organization who otherwise qualifies as an additional insured on this Coverage Part, 22. PROPERTY DAMAGE -- ELEVATORS A. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended such that the Damage to Your Product Exclusion and subparagraphs (3), (4) and (6) of the Damage to Property Exclusion do not apply to property damage that results from the use of elevators B. Solely for the purpose of the coverage provided by this PROPERTY DAMAGE — ELEVATORS Provision, the Other Insurance conditions is amended to add the following paragraph: This insurance is excess over any of the other insurance, whether primary, excess, contingent or on any other basis that is Property insurance covering property of others damaged from the use of elevators. 2$. SUPPLEMENTARY PAYMENTS The section entitled SUPPLEMENTARY PAYMENTS — COVERAGES A AND S is amended as follows. A. Paragraph 1.b. is amended to delete the $250 limit shown for the cost of bail bonds and replace it with a $5,000. limit, and B. Paragraph 1.d. is amended to delete the limit of $250 shown for daily loss of earnings and replace it with a $1,000, limit, 24. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS If the Named Insured unintentionally fails to disclose all existing hazards at the inception date of the Named Insured's Coverage Part, the Insurer will not deny coverage under this Coverage Part because of such failure. 26. WAIVER OF SUBROGATION - BLANKET Under CONDITIONS, the condition entitled Transfer Of Rights Of Recovery Against Others To Us is amended to add the following: The Insurer waives any right of recovery the Insurer may have against any person or organization because of payments the Insurer makes for injury or damage arising out of: 1. the Named Insured's ongoing operations, or 2. your work Included in the products -completed operations hazard However, this waiver applies only when the Named Insured has agreed in writing to waive such rights of recovery in a written contract or written agreement, and only if such contract or agreement 1. is in effect or becomes effective during the term of this Coverage Part; and 2. was executed prior to the bodily injury, property damage or personal and advertising injury giving rise to the claim. 26. WRAP-UP EXTENSION: OCIP, CCIP, OR CONSOLIDATED (WRAP-UP) INSURANCE PROGRAMS CNA74705XX (1-15) Page 16 of 18 copyright CNA All Rights Reserved. Includes copyrighted material or Insurance Services Office, Inc., w th its permission INSURED: Cora Constructors, Inc. POLICY #: 6072729289 POLICY PERIOD: 10/01/2020 TO 10/01/2021 ........................... . CAN Contractors' General Liability Extension Endorsement Note: The following provision does not apply to any public construction project in the state of Oklahoma, nor to any construction project in the state of Alaska, that is not permitted to be insured under a consolidated (wrap- up) insurance program by applicable state statute or regulation. If the endorsement EXCLUSION — CONSTRUCTION WRAP-UP is attached to this policy, or another exclusionary endorsement pertaining to Owner Controlled Insurance Programs (O.C.I.P.) or Contractor Controlled Insurance Programs (C.C.1. P.) is attached, then the following changes apply A. The following wording is added to the above -referenced endorsement: With respect to a consolidated (wrap-up) insurance program project in which the Named Insured is or was involved, this exclusion does not apply to those sums the Named Insured become legally obligated to pay as damages because of: 1. Bodily injury, property damage, or personal or advertising injury that occurs during the Named Insured's ongoing operations at the project, or during such operations of anyone acting on the Named Insured's behalf; nor 2. Bodily injury or property damage included within the products -completed operations hazard that arises out of those portions of the project that are not residential structures. B. Condition 4.Other Insurance is amend to add the following subparagraph 4.b.(1)(c): This insurance is excess over: (c) Any of the other insurance whether primary, excess, contingent or any other basis that is insurance available to the Named Insured as a result of the Named Insured being a participant in a consolidated (wrap-up) insurance program, but only as respects the Named Insured's involvement in that consolidated (wrap-up) insurance program. C. DEFINITIONS is amended to add the following definitions: Consolidated (wrap-up) insurance program means a construction, erection or demolition project for which the prime contractor/project manager or owner of the construction project has secured general liability insurance covering some or all of the contractors or subcontractors involved in the project, such as an Owner Controlled Insurance Program (O.C.I.P.) or Contractor Controlled Insurance Program (C.C.I.P.). Residential structure means any structure where 30% or more of the square foot area is used or is intended to be used for human residency, including but not limited to: 1. single or multifamily housing, apartments, condominiums, townhouses, co-operatives or planned unit developments; and 2. the common areas and structures appurtenant to the structures in paragraph 1. (including pools, hot tubs, detached garages, guest houses or any similar structures). However, when there is no individual ownership of units, residential structure does not Include military housing, college/university housing or dormitories, tong term care facilities, hotels or motels. Residential structure also does not include hospitals or prisons. This WRAP-UP EXTENSION: OCIP, CLIP, OR CONSOLIDATED (WRAP-UP) INSURANCE PROGRAMS Provision does not apply to any person or organization who otherwise qualifies as an additional insured on this Coverage Part All other terms and conditions of the Policy remain unchanged. CNA74705XX (1-15) Page 17 of 18 Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc.. with its permission. INSURED: Cora Constructors, Inc. POLICY #: 6072729289 POLICY PERIOD: 10/01/2020 TO 10/01/2021 CNA Contractors' General Liability Extension Endorsement This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. CNAW65XX (1-15} Page 18 of 18 Copyright CNA All Rights Reserved Includes copyrighted material of Insurance Services office, Inc. with its permission. INSURED: Cora Constructors, Inc. POLICY #: WC551375805 POLICY PERIOD: 10/01/2020 TO: 10/01/2021 WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT- CALIFORNIA This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clause' need be completed only when this endorsement is issued subsequent to preparation of the policy) Premium (if any) $ Authorized Representative 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 % of the California workers` compensation pre- mium otherwise due on such remuneration. Schedule Person or Organization ALL PERSONS OR ORGANIZATIONS WHEN REQUIRED BY WRITTEN CONTRACT Job Description WC 252 (4-84) WC 04 03 06 (Ed. 4-84) Page 1 of 1 WORKER'S COMPENSATION CERTIFICATE (AS REQUIRED BY SECTION 1861 OF THE CALIFORNIA LABOR CODE) I am aware of the provisions of Section 3700 of the California Labor Code, which require every employer to be insured against liability for worker's compensation, or to undertake self-insurance in accordance with the provisions of said Code, and I will comply with such provisions before commencing the performance of the Work of this Contract. Contractor Cora Constructors Inc By Lynne Cazeauitv Title Secreta WWTP BIOSOLIDS HANDLING AREA WORKER'S COMPENSATION CERTIFICATE CITY PROJECT NO. 20-15 AGREEMENT AND BONDS - PAGE 1 FEBRUARY 2021 C � O ca O. Gl L l!1 3 N 0 � m O Q � C '7 f0 � N d G ° a ° 0 O c O cn o, u ?> O r d �+ N t7q 'Q NO N \ \ U O O ca p E v� O C c O _ (6 c O O L O or N p W E N Q r w Z 0 O 0 O to 0) 00 Lr e-I t4 O O 0 0) M 00 r- rn r-i r-i 0) O n tD M t? Ln J N u a` a m E (N Q E 7 f0 O H e-4 Home I A CONTRACTORS STATE LICENSE BOARD OContractor's License Detail for License # 766304 DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations. r CSLB complaint disclosure is restricted by low(B&P7124.6) If this entity is subject to public complaint disclosure click on link that will appear below for more information. Click here for a definition of disclosable actions. Only construction related civil judgments reported to CSLB amdixlosed (PAP 7071.17). s Arbitrauons are not listed unless the contractor fails to comply with the terms. r Due to workload, there may be relevant information that has not yet been entered into the board's license database. This license is current and active. All information below should be reviewed. a A -GENERAL ENGINEERING CONTRACTOR a B-GENERAL BUILDING CONTRACTOR Data current as of 4/21/20219:15:01 AM CORA CONSTRUCTORS INC 75140 STCHARLES PLACE STEA PALM DESERT, CA 92211-5183 Business Phone Number:(760) 674-3201 Entity Corporation Issue Date 07/26/1999 Reissue Date 03/16/2005 Expire Date 0313112023 License Status �Oi':lfitl,.n� R�6t?flBOft Contractor's Bond This license filed a Contractor's Bond with AMERICAN CONTRACTORS INDEMNITY COMPANY. Bond Number: 243554 Bond Amount: $15,000 Effective Date: 01/01/2016 Contractors Bond History Bond of Qualifying Individual The qualifying individual DENNIS EUGENE STOCKTON certified that he/she owns 10 percent or more of the voting stocklmembership interest of this company; therefore, the Bond of Qualifying individual is not required. Effective Date: 03/16/2005 This license has workers compensation insurance with the ZURICH AMERICAN INSURANCE COMPANY Policy Number:WC551375805 Effective Date: 10/01/2020 Expire Date: 10/01/2021 Workers' Compensation History 0 03/16/2005 -LICENSE REISSUED TO ANOTHER ENTITY 01 e. a Personnel listed on this license (current or disassociated) are listed on other licenses. Back to Top 1-or rd lions of rise Privacy Policy Accessibility Acce<sbjl€ty Certific a on