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A8676 - SUPERIOR PAVEMENT MARKINGS, INC
C� pl►L!N sp9 CITY OF PALM SPRINGS V � CONTRACT CHANGE ORDER C4411Frost City Project No. 20-24 Traffic Calming FY20-21 Contract Change Order Number: 1 Date: June 24, 2021 Contractor: Superior Pavement Markings, Inc. CONTRACT CHANGE ORDER SUMMARY This Contract Change Order No. 1 provides for contract quantity adjustments for bid schedules as indicated below. No. Via of PTION UNI LS AMOUNT 114EASON FOR CHANGES: This change order, in the amount of $4,491 represents a final balancing of construction quantities and costs. CHANGES TO CONTRACT TIME: Add 32 days to contract time. Additional time due to project delays from residential concerns and putting project on hold, and ordering of additional material for this change order. Source of Funds: Sufficient funds budgeted and available in the Special Gas Tax, Account No, 133-4298-50190. Summary of Costs: Original Contract Amount: $208,804 Original Contract Time: 35 Previous Chan a Order Amount: $0 Previous Days Added: 0 This Change Order Amount: $4,491 Days Added: 32 Revised Contract Amount: $213,295 Revised Contract Time: 67 I have received a copy of this Change thealp,'U'pLAGREED PRICES are acceptable Superior Pavement Markings, CI1Y of Palm SRrincis Recommended By: Recommended By: Attest By: Distribution: Original Conformed Copy: Contractor (1) City Clerk (1) Signature — Darren Veltz, Owner Joel Montalvo, City Engineer Conformed - File CQZ: Engineering Pay File (1) City Project File (1) Purchasing {1) Finance (1) Page i of 1 -a2.I Date Date V 41 to Date Cn zo _ Date N"WwwommuX ow CONTRACT ABSTRACT 2 Originals: Agreement; 1 Original: Performance & Payment Bond and Insurance Contract Company Name: Superior Pavement Markings, Inc. Company Contact: Robert Garcia, Vice President Summary of Services: CP 20-24, Traffic Calming FY20-21 Contract Price: $208,804.00 Funding Source: 133-4298-50190 Contract Term: To be determined by the Notice to Proceed Contract Administration Lead Department: Development Services — Engineering Division Contract Administrator: Joel Montalvo/Francisco Jaime Contract Approvals Council Approval: January 28, 2021, Item I.F. Resolution Number: N/A Agreement Number: A8676 Contract Compliance Exhibits: Attached Signatures: Attached Insurance: Attached Bonds: Attached Contract Prepared By: Engineering Division Submitted on: 02/22/2021 By: Vonda Teed AGREEMENT (CONSTRUCTION CONTRACT) THIS AGREEMENT made this day of , 20_, 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 Superior Pavement Markings, Inc., a California Corporation, 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: TRAFFIC CALMING FY20-21 CITY PROJECT NO.20-24 The Work comprises the installation of traffic calming devices such as solar powered LED stop signs, rubberized speed cushions with associated striping and signage, removal of existing legends and striping, removal of glued down delineators, applying new striping, and adding new delineators. All traffic control devices, striping, and signage shall be per the latest edition of the Manual on Uniform Traffic Control Devices (MUTCD), Caltrans, and City project Specifications. The installation of these traffic control devices will be at various locations throughout the City. 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. They 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. AGREEMENTFORM PAGE 1 Termination Prior to Expiration of Term. City may terminate this Agreement for its convenience at any time, without cause, in whole or in part, upon giving Contractor written notice, pursuant to Section 6-8 of the Special Provisions. Where termination is due to the fault of Contractor and constitutes an immediate danger to health, safety, and general welfare, the period of notice shall be such shorter time as may be determined by the City. Upon such notice, City shall pay Contractor for Services performed through the date of termination in accordance with the Contract Documents. Upon receipt of such notice, Contractor shall immediately cease all work under this Agreement, unless stated otherwise in the notice or by written authorization of the Contract Officer. After such notice, Contractor shall have no further claims against the City under this Agreement. Upon termination of the Agreement under this section, Contractor shall submit to the City an invoice for work and services performed prior to the date of termination. 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 $208,804.00. 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. AGREEMENT FORM PAGE 2 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 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 Whenever any provision of the Contract Documents requires the giving of a written Notice between the parties, it shall be deemed to have been validly given if delivered in person to the individual or to a member of the firm or to an officer of the corporation for whom it is intended, or if delivered at or sent by registered or certified mail, postage prepaid, to the last business address known to the giver of the Notice. 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. 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 AGREEMENTFORM PAGE 3 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. ARTICLE 9 -- 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 10 -- 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. SIGNATURES ON NEXT PAGE AGREEMENTFORM PAGE 4 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 y� -77 By �;E David H. Rea City Manag ag iy J. Mejia, City Clerk APPROVED AS TO FORM: By ff ey eBallinger, City Attorney RECOMMENDE By Marcus L. Fuller, P.E., P.L.S. Assistant City Manager APPROVED BY THE CITY COUNCIL: Date '2-�` 2 Agreement No. � -7 AGREEMENTFORM PAGE 5 CONTRACTOR By: Superior Pavement Markings, Inc. Firm/Company Name Corporations require two notarized signatures. One signature must be from Chairman of Board, President or any Vice President. The second signature must be from the Secretary, Assistant Secretary, Treasurer, or Chief Financial Officer. By: Signature (notarized) Name: Darren Veltz Title: CFO Si at a (notarized) Name: Robert Garcia Title: VP 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 space by one having authority to bind the Contractor to the terms of the Agreement.) State of ,&' 0A AYY!- } County of ss (This Agreement must be signed in the above space by one having authority to bind the Contractor to the terms of the Agreement.) State of e u �i�' wr• t County of ss AGREEMENT FORM PAGE 6 On 4-e ku., 1-7, 204 / before me, &f t- '— personally appeared / G/' who proved to me on the basis of satisfactory evidence to be the person(4) whose name(si is/ar4 subscribed to the within instrument and acknowledged to me that he/sheAlvey executed the same in his/he,fflheir authorized capacity(A), and that by hid/her/their signatures on the instrument the person(, or the entity upon behalf of which the person(o 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. On Te-Xatoni / 7 V2 % before me, u, - i✓�14P personally appeared 7a"tip s �" who proved to me on the basis of satisfactory evidence to be the person) whose name is/ subscribed to the within instrument and acknowledged to me that he/sheMisy executed the same in his/heOWr authorized capacity), and that by his/hekheir signatures( on the instrument the persons), 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. WITNESS my hand official seal. WITNESS my hand and official seal. Notary Signature:�y�p� Notary Signature: ,f-3 oArhj-� Notary Seal: Notary Seal: LORENAB.BERUMEN NotaryPublic— California 5 Orange County g ` Commission # 2196341 My Comm. Expires Jun 6, 2021 LORENA B. BERUMEN �r Notary Public — California z Orange County n Commission # 2196341 My Comm. Expires Jun 6, 2021 AGREEMENTFORM PAGE 7 Bond No. 5933541 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: TRAFFIC CALMING FY20-21 CITY PROJECT NO.20-24 (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: Old Republic Surety Company a corporation organized and existing under the laws of the State of Wisconsin , 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 two hundred eight thousand eight hundred four and 00/00 Dollars ($ 208,804.00 ), 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. 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 3rd day of February , 2021. CONTRACTOR: Superior Pavement Markings, 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: Superior Pavement Markings, Inc. By: signature (NOTARIZED) Print Name and Title: By: signature (NOTARIZED) Print Name and Title: ft e&o& cawzLt I Q-P SURETY: Old Republic Surety Company By ature (NOTARIZED) Print Name and Title: Scott Salandi, Attomey-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. PERFORMANCE BOND — PUBLIC WORKS (CONTINUED) The rate of premium on this bond is $ N/A per thousand. The total amount of premium charged: $ N/A (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 ;he C Vornia insurance Code, and if the work or project is financed, in whole or fends, it must also appear on the Treasury Department's most current list (Circular 570 as amended). THIS IS A REQUIRED FORM. Any rh;me ionrior thio hnnrl mw hA 7ririraccnri tn- (Name and Address of Surety) (Name and Address of Agent or Representative for service of process in California if different from above) (Telephone Number of Surety and Agent or Representative for service of process in California) Old Republic Surety Company 14728 Pipeline Avenue, Suite E Chino Hills, CA 91709 Patriot Risk & Insurance Services LLC 2415 Campus Drive, Suite 200 Irvine, CA 92612 Surety: 909-367-2015 Agent: 949-486-7917 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. State of County of On before me, Date Name, Title of Officer personally appeared 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 DESCRIBED AT RIGHT: Signer(s) Other Than Named Above DATE of DOCUMENT 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 Orange On FEB 0 3 2021 personally appeared Scott Salandi before me, Annette Lisa Romero, A Notary Public (insert name and title of the officer) who proved to me on the basis of satisfactory evidence to be the person(s) whose name($) islam subscribed to the within instrument and acknowledged to me that he/srl>%Mwy executed the same in his/kaxttbuOr authorized capacity(i*, and that by histhwOwk signature(t) 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 (Seal) ANNETTE LISA ROMERO ` COMM. # 2244076 :E NOTARY PUBLIC CALIF NIA ORANGE COUNTY N My camm. ewpaes May. 26, 2022 It ALL-PURPOSECALIFORNIA •. 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 Cypress ) On February 16, 2021 before me, Lorena B. Berumen-Notary Public , Date Here Insert Name and Title of the Officer personally appeared Darren Veltz Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the personx whose name(< is/arx subscribed to the within instrument and acknowledged to me that he/sX/thK executed the same in his/W/that authorized capacity(iK, and that by his/tXr/their signature(kon the instrument the person( or the entity upon behalf of which the personX 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 official seal. LORENAB. BERUMEN Notary Public - California z Orange County ' Commiss!on # 2196341 Signature My Comm. Expires Jun 6, 2021 Signature of Notary Public Lorena B. Berumen-Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Performance Bond- cay of Palm springs Document Date: February 3rd, 2021 Number of Pages: 1 Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Darer, venz Signer's Name: Corporate Officer — Title(s): CFO ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Trustee ❑ Guardian or Conservator ❑ Other: ❑ Other: Signer Is Representing: Signer Is Representing: Superior Pavement Markings Inc. 02015 National Notary Association - www.NationaiNotary.org-1-800-US NOTARY (1-800-876-6827) Item #5907 •RNIA ALL-PURPOSE ACKNOWLEDGMENT• • .aCa<.a<.aCa<.a<.a<.a<,a<.a<,a<..�<.aCa<.:�<. a<.a<,aCa<.a<s�< .�t.a<.• <.a<.c�C .�ts�L .�Cr�CaCa<.al tv Vol,—..1CaCa<s — 11 .WLs1CaC.1<1_RC1 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 Cypress ) On February 16, 2021 before me, Lorena B. Berumen-Notary Public , Date Here Insert Name and Title of the Officer personally appeared Roberto Garcia Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the personX whose name(( is/arX subscribed to the within instrument and acknowledged to me that he/spo/thx executed the same in his/h)t/thX authorized capacity(iX, and that by his/Ur/their signature(kon the instrument the person( or the entity upon behalf of which the personX acted, executed the instrument. LORENA B. BERUMEN NotaryPublic- California z Orange County Commission # 2196341 My Comm. Expires Jun 6, 2D21 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 dt official seal. Signature ���� Signature of Notary Public Lorena B. Berumen-Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Performance Bond- city of Palm springs Document Date: February 3rd, 2021 Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Roberto Garde Signer's Name: Corporate Officer — Title(s): wce President ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Trustee ❑ Guardian or Conservator ❑ Other: ❑ Other: Signer Is Representing: Signer Is Representing: Superior Pavement Markinas Inc. 02015 National Notary Association - www.NationaiNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 Bond No. 5933541 PAYMENT 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: TRAFFIC CALMING FY20-21 CITY PROJECT NO.20-24 (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: Old Republic Surety Company , a corporation organized and existing under the laws of the State of Wisconsin , 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 two hundred eight thousand eight hundred four and 00/00------------------- Dollars ($ 208,804.00 ) 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 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. 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 attorneys fees incurred, with or without suit, in addition to the above sum. SIGNED AND SEALED, this 3rd day of February , 2021 CONTRACTOR: Superior Pavement Markings, 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: Superior Pavement Markin s, Inc. signature (NOTARIZED) Print Name and Title: By: signature (NOTARIZED) Pri Name and Title: �O EXECUTED FOR THE SURETY: By Old Repub ' rety Company signature (NOTARIZED) Print Name and Title: Scott Salandi, Attomey-in-fact PAYMENT BOND — PUBLIC WORKS (CONTINUED) The rate of premium on this bond is $ N/A per thousand. The total amount of premium charged: $ N/A (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) Old Republic Surety Company 14728 Pipeline Avenue, Suite E Chino Hills, CA 91709 (Name and Address of Agent or Representative for service of process in California if different from above) (Telephone Number of Surety and Agent or Representative for service of process in California) Patriot Risk & Insurance Services LLC 2415 Campus Drive, Suite 200 Irvine, CA 92612 Surety: 909-367-2015 Agent: 949-486-7917 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 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 Orange On FEB 0 3 2021 personally appeared Scott Salandi before me, Annette Lisa Romero, A Notary Public (insert name and title of the officer) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/am subscribed to the within instrument and acknowledged to me that he/s;;h&" executed the same in his/kox4hok authorized capacity(ieeo, and that by his/hex0 sk signature(t) 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 (Seal) ANNETTE LISA ROMERO ` o COMM. # 2244076 ::5 NOTARY PUBLIC CALIFORNIA e ORANGE COUNTY 2 J My comm. expires May. 26, 2022 t OLD REPUBLIC SURETY COMPANY POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That OLD REPUBLIC SURETY COMPANY, a Wisconsin stock insurance corporation, does make, constitute and appoint: SCOTT SALANDI, DAVID JACOBSON, OF IRVINE, CA its true and lawful Attorneys) -in -Fact, with full power and authority, for and on behalf of the company as surety, to execute and deliverand affix the seal of the company thereto (if a seal is required), bonds, undertakings, recognizances or other written obligations in the nature thereof, (other than bail bonds, bank depository bonds, mortgage deficiency bonds, mortgage guaranty bonds, guarantees of installment paper and note guaranty bonds, self-insurance workers compensation bonds guaranteeing payment ofbenefits or black lung bonds), as follows: ALL WRr7TEN INSTRUMENTS and to bind OLD REPUBLIC SURETY COMPANY thereby, and all of the acts of said Attorneys -in -Fact, pursuant to these presents, are ratified and confirmed. This appointment is made under and by authority of the board of directors at a special meeting held on February 18, 1982. This Power of Attorney is signed and sealed by facsimile under and by the authority of the following resolutions adopted by the board of directors of the OLD REPUBLIC SURETY COMPANY on February 18, 1982. RESOLVED that, the president, any vice-president, or assistant vice president, in conjunction with the secretary or any assistant secretary, may appoint attorneys -in -fact or agents with authority as defined or limited in the instrument evidencing the appointment in each case, for and on behalf of the company to execute and deliver and affix the seal of the company to bonds, undertakings, recognizances, and suretyship obligations of all kinds; and said officers may remove any such attomey-in-fact or agent and revoke any Power of Attorney previously granted to such person. RESOLVED FURTHER, that any bond, undertaking, recognizance, or suretyship obligation shall be valid and binding upon the Company (i) when signed by the president, any vice president or assistant vice president, and attested and sealed (if a seal be required) by any secretary or assistant secretary; or (ii) when signed by the president, any vice president or assistant vice president, secretary or assistant secretary, and countersigned andsealed (if a seal be required) by a duly authorized attomey-in-fact or agent; or (iii) when duly executed and sealed (if a seal be required) by one or more attomeys-in-fact or agents pursuant to and within the limits ofthe authority evidenced by the Power of Attorney issued by the company to such person or persons. RESOLVED FURTHER, that the signature of any authorized officer and the seal of the company may be affixed by facsimile to any Power of Attorney or certification there of authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the company; and such signature and seal when so used shall have the same force and effect as though manually affixed. IN WITNESS WHEREOF, OLD REPUBLIC SURETY COMPANY has caused these presents to be signed by its proper officer, and its corporate seal to be affixed this 30TH day of DECEMBER, 2020. Assistant Secretary STATE OF WISCONSIN, COUNTY OF WAUKESHA-SS On this 30TH OLD REPUBLIC SURETY COMPANY �� nasrt} .9MIMyf SEAL r + President , personally came before me, Alan Pavlic and Karen J Haffner , to me known to be the individuals and officers of the OLD REPUBLIC SURETY COMPANY who executed the above instrument, and they each acknowledged the execution of the same, and being by me duly swom, did severally depose and say; that they are the said officers of the corporation aforesaid, and that the seal affixed to the above instrument is the seal of the corporation, and that said corporate seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority of the board of directors of said corporation. bgy M1 yt Notary PUbk My cormission expires: 9i28i2022 CERTIFICATE day of _DECEMBER, 2020 (Expiration of notary commission does not invalidate this instrument) 1, the undersigned, assistant secretary of the OLD REPUBLIC SURETY COMPANY, a Wisconsin corporation, CERTIFY that the foregoing and attached Power of Attorney remains in ,u force and has not been revoked; and furthermore, that the Resolutions of the board of directors set forth in the Power of Attorney, are now in force. 74-0043 c sua'8r Signed and sealed at the City of Brookfield, WI this 5 SEAS o uav s day of _ FE-8 10 1021 Assistant Secretary PATRIOT RISK & INSUR SERVICES 22851-W POAORS 102020 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 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 Cypress ) On February 16, 2021 Date before me, Lorena B. Berumen-Notary Public Here Insert Name and Title of the Officer personally appeared Darren Veltz Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person; whose name(;( is/arx subscribed to the within instrument and acknowledged to me that he/st/thg executed the same in his/her/that authorized capacity(iX, and that by his/IXr/their signature(gon the instrument the person(K or the entity upon behalf of which the personX acted, executed the instrument. LORENA B. BERUMEN Notary Public - California ' Orange County D Commission # 2196341 My Comm. Expires Jun 6, 2021 I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my han nd official seal. r Signature ignat re of Notary Public Lorena B. Berumen-Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Payment Bond- City of Palm Springs Document Date: February 3rd, 2021 Number of Pages: 1 Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Darrenyeltz Signer's Name: NT Corporate Officer — Title(s): CFO ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Trustee ❑ Guardian or Conservator ❑ Other: ❑ Other: Signer Is Representing: Signer Is Representing: Superior Pavement Markings Inc. ©2015 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 CALIFORNIA•. %s��.s�..�C.c�C..�C..�C..�C.:�C..�C..�C�C.c�C.�C.s��..�C.�C.�C.:�C..�C.:�C.�t.:�C.'1C..�C.:�C.:�C..�C.aC.aC.:�C.�C.. C.at.:�C.�C.�C.'�C.:�C.aC.:�C.^.�C.G�C.:�C.:�C.c�C..�•.s 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 Cypress On February 16, 2021 before me, Lorena B. Berumen-Notary Public Date Here Insert Name and Title of the Officer personally appeared Roberto Garcia Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the personX whose name(( is/arX subscribed to the within instrument and acknowledged to me that he/s>O/th)4 executed the same in his/her/that authorized capacity(iX, and that by his/IXr/their signature(kon the instrument the person( or the entity upon behalf of which the personX acted, executed the instrument. LORENAB.BERUMEN Notary Public - California Orange County n Commission # 2196341 My Comm. Expires Jun 6, 2021 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 Signature of Notary Public Lorena B. Berumen-Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Payment Bond- City of Palm springs Document Date: February 3rd, 2021 Number of Pages: 1 Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Si ner's Name: Roberto Garcia Signer's Name: Pf Corporate Officer — Title(s):yice President ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Trustee ❑ Guardian or Conservator ❑ Other: ❑ Other: Signer Is Representing: Signer Is Representing: Superior Pavement Markinos Inc. 02015 National Notary Association • www.NationaiNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 o 19LA9P Pavement Markings License# 776306 Union Local 1184 Proposal & Contract 35029 DIR# 1000001476 p Submit To: CITY OF PALM SPRINGS Procurement and Contracting Division 3200 E. Tahquitz Canyon Way PALM SPRINGS, CA 92262 Date: Estimator 1/14/21 . Dale Shults Superior Pavement Markings, Inc. PO Box 278 Beaumont, CA 92223 Phone 951.845.2799 Fax 951.845.6399 Office 760-323 Traffic Calming . Contact: Project Francisco Jaime • g FY20-21 -8253•Extension 8750•francisco. City Project No. 20-24 jaime@palmspringsca.gov Palm Springs # Description BASE LUMP SUM SCHEDULE OF VALUES 1 Mobilization 2 Traffic Control 3 Dust Control Qty um Price Ext Price I 1 LS 11,128.00 1 LS 2,000.00 1 LS 750.00 A Little Tuscany - Racquet Club Dr 1 LS 7,401.00 1A Location 1: Removal of large diameter bollards 1 LS 160.00 1b Location 1: Installation of Delineators 1 LS 560.00 2A Location 2: Removal of all bollards 1 LS 160.00 2b Location 2: Removal of white striping 370 LF 3.00 2c Location 2: Removal of yellow striping 552 LF 3.00 2d Location 2: Install raised pavement markers 82 EA 5.00 2e Location 2: Install Double yellow thermoplastic lines, 6-inch wide 510 LF 3.50 2f Location 2: Install Single white thermoplastic line, 6-inch wide 560 LF 1.50 3A Location 3: Removal of large diameter bollards 1 LS 160.00 3b Location 3: Installation of Delineators 1 LS 560.00 B Melody Ranch - Seven Lakes Dr 1 LS 9,506.00 1 Install Parking Lines: 6-inch wide, white thermoplastic 3,120 LF 1.25 2 Install Parking spots (T's & L's), 4-inch wide, white thermoplastic 130 EA 35.00 3 Install Red Curb 352 EA 3.00 C Demuth Park - Mesquite Avenue 1 LS 31,850.00 1 Installation of "Speed Hump" W8-1 sign and post 4 EA 285.00 2 Installation of "Traffic Calming" W84 sign and post 2 EA 285.00 3 Installation of Location A Speed Cushions and striping 1 LS 9,182.00 4 Installation of Location B Speed Cushions and striping 1 LS 4,730.00 5 Installation of solar powered LED stop signs 4 EA 4,057.00 11,128.00 2,000.00 750.00 7,401.00 9,506.00 31,850.00 Continued... # Description Qty um Price Ext Price D Desert Highland/Gateway - Rosa Parks Rd & Tramview Rd (Was 1 LS 111,093.00 111,093.00 $118, 663) 1 Installation of "Speed Hump" W8-1 sign and post 12 EA 285.00 2 Installation of "Traffic Calming" W84 sign and post 4 EA 285.00 3 Installation of Speed Cushions and striping (per location) 6 EA 6,121.00 4 Demo and Installation of Type A Ramp (Was $9,455) 0 EA 9,455.00 5 Demo and Installation of Type B Ramp (Was $8,911) 7 EA 8,353.00 6 Update existing Type A/B Ramp to current ADA standard (WAUSAU 1 EA 4,361.00 12"x12") (Was $4, 761) 7 Install Stop Signs (R1-1 @ 30x30) with stop bar, stop legend, and 6 EA 600.00 All Way plaque (R1-3P @ 18x6) 8 Remove existing stop signs and replace with new Stop Signs 5 EA 675.00 (R1-1 @ 30x30) and All Way plaque (R1-3P @ 18x6) on existing posts. Refresh existing stop bar and stop legend. E Tahquitz River Estates - South Riverside Dr 1 LS 23,982.00 23,982.00 1 Installation of "Speed Hump" W8-1 sign and post 6 EA 285.00 2 Installation of "Traffic Calming" W84 sign and post 2 EA 285.00 3 Installation of Speed Cushions and striping 3 EA 7,234.00 Alt Gene Autry Neighborhood -Via Escuela (Additive Bid Schedule F, 1 LS 11,094.00 11,094.00 if Awarded) 1 Remove and re -use existing speed cushion modules per new layout in 4 EA 2,442.00 Detail 6 (Per Location). 2 Purchase additional tapered left hand side speed cushion end pieces 1 EA 663.00 (top and bottom set). Install with new layout. 3 Purchase additional tapered right hand side speed cushion end pieces 1 EA 663.00 (top and bottom set). Install with new layout. Addenda Considered = 1 Up to 20 week day mobilizations are included. Additional mobilizations at $2,750.00 ea. Traffic control for Superior work areas during Superior work hours only. A Minimum Of 15 Working Days Is Required Prior To Each Move In. Quote Includes: Traffic Control Plans [NO] - Traffic Paint [NO] - Thermoplastic [YES] - Rpm's [YES] - Bollard Removal [YES] - Striping/Marking Removals [YES] - Sealing [NO] - Slurry Sealing [NO -Unspecified on Plans] - Signing [YES] - Fumish Mast Arm Signs [NO] - Furnish/Install Delineators [YES] - Furnish/Install Soloar Powered LED Stop Signs [YES] - Furnish/Install Speed Cushions [YES] - Temp Striping [NO] - Berm/Curb Painting [NO] - Electrical/Utility Adjustment/Movement [NO] - Utility Pole Movement [NO] - Paving [NO, With Exception to Areas Adjacent to Ramps] - Bonding [YES, Bond to Follow if Proposal is Accepted] Continued... # Description Oty um Price Ext Price Superior Pavement Markings, Inc. Total $208,804.00 by. I Estimator - Superior Pavement Markings, Inc. (Subject to office approval) Proposal valid for 30 days from 1/14/2021. All areas to be free and clear off AU debris prior to Superior Pavement Markings' crews arriving on -site. All moves and job requirement are mentioned in notes- nothing is implied unless specifically noted. Not responsible for scheduling other sub's work or scheduling conflicts with other subs. We DOT NOT provide shop drawings of any type unless prior arrangements are made. Not responsible for removing temporary striping or temporary "tabs", tape or chip seal markers unless specifically noted. Signs on signal poles, overhead or truss structures not included unless specifically mentioned in proposal. Superior Pavement Markings is a union company and all jobs are bid using current union or prevailing wage rates. Acceptance of Proposal and Contract: I/we accept the within proposal. You are authorized to perform the work comprehended here under and I/we agree to pay the said amount in accordance with the terms set forth. By signing this Proposal/Contract below I/we agree to the attached Terms and Conditions. Date: Owner/Customer: Print: PLEASE SIGN AND REMIT THIS 3 PAGE DOCUMENT TO ABOVE ADDRESS. page 3 of 3 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 Superior Pavement Markings c. By Darren Veltz z— Title CFO A� " CERTIFICATE OF LIABILITY INSURANCE DATE 2/22o21m� THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER patriot Risk & Insurance Services 2415 Campus Drive, Suite #200 Irvine, CA 92612 CNAMECT PHONE 949 486 7900 PAX A/C No _MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC A INSURER A: Zurich American Insurance Company 16535 www.patrisk.com OK07568 INSURED Superior Pavement Markings, Inc. 5312 Cypress St. INSURERB: Great American Insurance Company 16691 INSURER c : Cypress Insurance Company 10855 INSURER D Cypress CA 90630 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 59977293 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IL R TYPE OF INSURANCE J LSUHR POLICY NUMBER POLICY EFF POLICY XP Oil LIMITS A �/ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7 OCCUR �/ �/ GLO1374338-01 9/18/2020 9/18/2021 EACH OCCURRENCE $1 000 000 DAMAGE RENTED PREMISES Ea occurrence $ 300 000 MED EXP Any one person) $ 5 000 PERSONAL & ADV INJURY $1 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ✓❑ JE O- LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2 00O 000 $ A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY BAP1374339-01 9/18/2020 9/18/2021 MSINGLE LI IT Ea COMBINED $1 000 000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ B �/ UMBRELLA LIAB EXCESS LIAS �/ OCCUR CLAIMS -MADE TUE 2191315 03 9/18/2020 9/18/2021 EACH OCCURRENCE $ 5,.000 000 AGGREGATE $ 5 000 000 DED I I RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? a (Mandatory in NH) Ii yes, describe under DESCRIPTION OF OPERATIONS below NIA SUWC140655 6/1/2020 6/1/2021 �/ STATUTE ER - E.L. EACH ACCIDENT $1 000 000 E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT 1 $1 000 000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) RE: Traffic Calming FY20-21-palm Springs / SPM Job # 7651 THE CITY OF PALM SPRINGS, its officials, employees and agents are named as additional insured with respect to liability as required by written contract. Coverage is primary and noncontributory. Waiver of Subrogation applies. See attached endorsements. '30-Day notice of cancellation / 10-days for non-payment of premium. CERTIFICATE HOLDER CANCELLATION CITY OF PALM SPRINGS 425 H. Civic Dr. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P.O. BOX 2743 PALM SPRINGS CA 92263 AUTHORIZED REPRESENTATIVE Dave Jacobson ACORD 25 (2016103) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 59977293 1 20/21 - GL/AU/UMB/WC I Amanda Pyle 1 2/2/2021 11:46:53 AM (PST) I Page 1 of 11 Additional Insured — Owners, Lessees Or Contractors — Scheduled Person Or Organization 0 ZURICH Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Add'I. Prem Return Prem. GLO1374338-01 09/18/2020 09/18/2021 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured: Superior Pavement Markings, Inc. 5312 Cypress St. Address (including ZIP Code): Cypress CA 90630 This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part Name Of Additional Insured Person(s) Or Organization(s) THE CITY OF PALM SPRINGS, its officials, employees and agents SCHEDULE Location And Description Of Covered Operations A. Section II — Who Is An Insured is amended to include as an additional insured the person or organization shown in the Schedule above, whom you are required to add as an additional insured on this policy under a written contract or written agreement. Such person or organization is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury' caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf, in the performance of your ongoing operations or "your work" as included in the "products -completed operations hazard", which is the subject of the written contract or written agreement at the Location designated and described in the Schedule above. However, the insurance afforded to such additional insured: 1. Only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusion applies: This insurance does not apply to: U-GL-1177-F CW (04/13) Page 1 of 2 59977293 1 20/21 - GL/AU/UMB/WC I AmanJpYeeT ggpy glit(N: i oQ)Au5aqp9 SM�� Office, Inc., with Its permission. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering or failure to render any professional architectural, engineering or surveying services including: a. The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved, the rendering of or the failure to render any professional architectural, engineering or surveying services. C. The following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit of Section IV — Commercial General Liability Conditions: The additional insured must see to it that: 1. We are notified as soon as practicable of an 'occurrence" or offense that may result in a claim; 2. We receive written notice of a claim or "suit" as soon as practicable; and 3. A request for defense and indemnity of the claim or "suit' will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured, if the written contract or written agreement requires that this coverage be primary and non-contributory. D. For the purpose of the coverage provided by this endorsement: 1. The following is added to the Other Insurance Condition of Section IV — Commercial General Liability Conditions: Primary and Noncontributory insurance This Insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that: a. The additional insured is a Named Insured under such other insurance; and b. You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.1b. of the Other Insurance Condition of Section IV — Commercial General Liability Conditions: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same 'occurrence", offense, claim or "suit'. This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and non- contributory basis. E. With respect to the insurance afforded to the additional insureds under this endorsement, the following is added to Section III — Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement referenced in Paragraph A. of this endorsement; or 2. Available under the applicable Limits of Insurance shown in the Declarations, whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All other terms and conditions of this policy remain unchanged. U-GL-1177-F CW (04/13) Page 2 of 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 599.77293 1 20/21 - GL/AU/UMB/WC I Amanda Pyle 1 2/2/2021 11:46:53 AM (PST) I Page 3 of 11 POLICY NUMBER:GLO1374338-01 Superior Pavement Markings, Inc. COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Blanket as required by written contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 59977293 1 20/21 - GL/AU/UMB/WC I Amanda Pyle 1 2/2/2021 11:46:53 AM (PST) I.Page 4 of 11 Page 1 of 1 ❑ Superior Pavement Markings, Inc. Coverage Extension Endorsement 9 ZURICH Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. AWL Prem Return Prem. BAP1374339-01 1 09/18/2020 09/18/2021 02/02/2021 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Business Auto Coverage Form Motor Carrier Coverage Form A. Amended Who Is An Insured 1. The following is added to the Who Is An Insured Provision in Section II — Covered Autos Liability Coverage: The following are also "insureds": a. Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow for acts performed within the scope of employment by you. Any "employee" of yours is also an "insured" while operating an "auto" hired or rented under a contract or agreement in an "employee's" name, with your permission, while performing duties related to the conduct of your business. b. Anyone volunteering services to you is an "insured" while using a covered "auto" you don't own, hire or borrow to transport your clients or other persons in activities necessary to your business. c. Anyone else who furnishes an "auto" referenced in Paragraphs A.1.a. and A.1.b. in this endorsement. d. Where and to the extent permitted by law, any person(s) or organization(s) where required by written contract or written agreement with you executed prior to any "accident", including those person(s) or organization(s) directing your work pursuant to such written contract or written agreement with you, provided the "accident" arises out of operations governed by such contract or agreement and only up to the limits required in the written contract or written agreement, or the Limits of Insurance shown in the Declarations, whichever is less. 2. The following is added to the Other Insurance Condition in the Business Auto Coverage Form and the Other Insurance — Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form: Coverage for any person(s) or organization(s), where required by written contract or written agreement with you executed prior to any "accident", will apply on a primary and non-contributory basis and any insurance maintained by the additional "insured" will apply on an excess basis. However, in no event will this coverage extend beyond the terms and conditions of the Coverage Form. B. Amendment — Supplementary Payments Paragraphs a.(2) and a.(4) of the Coverage Extensions Provision in Section II — Covered Autos Liability Coverage are replaced by the following: (2) Up to $5,000 for the cost of bail bonds (including bonds for related traffic law violations) required because of an "accident" we cover. We do not have to furnish these bonds. (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day because of time off from work. U-CA-424-F CW (04/14) Page 1 of 6 59977293 1 20/21 - GL/AUlUMB/WC I Amanda-y}geT cZ9pYj4hi1j41: Woof ura9%e,1�erov¢'cpjs Office, Inc., with its permission. C. Fellow Employee Coverage The Fellow Employee Exclusion contained in Section II — Covered Autos Liability Coverage does not apply. D. Driver Safety Program Liability and Physical Damage Coverage 1. The following is added to the Racing Exclusion in Section II — Covered Autos Liability Coverage: This exclusion does not apply to covered "autos" participating in a driver safety program event, such as, but not limited to, auto or truck rodeos and other auto or truck agility demonstrations. 2. The following is added to Paragraph 2. in the Exclusions of Section III — Physical Damage Coverage of the Business Auto Coverage Form and Paragraph 2.b. in the Exclusions of Section IV — Physical Damage Coverage of the Motor Carrier Coverage Form: This exclusion does not apply to covered "autos" participating in a driver safety program event, such as, but not limited to, auto or truck rodeos and other auto or truck agility demonstrations. E. Lease or Loan Gap Coverage The following is added to the Coverage Provision of the Physical Damage Coverage Section: Lease Or Loan Gap Coverage In the event of a total 'loss" to a covered "auto", we will pay any unpaid amount due on the lease or loan for a covered "auto", less: a. Any amount paid under the Physical Damage Coverage Section of the Coverage Form; and b. Any: (1) Overdue lease or loan payments at the time of the "loss"; (2) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; (3) Security deposits not returned by the lessor; (4) Costs for extended warranties, credit life insurance, health, accident or disability insurance purchased with the loan or lease; and (5) Carry-over balances from previous leases or loans. F. Towing and Labor Paragraph A.2. of the Physical Damage Coverage Section is replaced by the following: We will pay up to $75 for towing and labor costs incurred each time a covered "auto" of the private passenger type is disabled. However, the labor must be performed at the place of disablement. G. Extended Glass Coverage The following is added to Paragraph A.3.a. of the Physical Damage Coverage Section: If glass must be replaced, the deductible shown in the Declarations will apply. However, if glass can be repaired and is actually repaired rather than replaced, the deductible will be waived. You have the option of having the glass repaired rather than replaced. H. Hired Auto Physical Damage — Increased Loss of Use Expenses The Coverage Extension for Loss Of Use Expenses in the Physical Damage Coverage Section is replaced by the following: Loss Of Use Expenses For Hired Auto Physical Damage, we will pay expenses for which an "insured" becomes legally responsible to pay for loss of use of a vehicle rented or hired without a driver under a written rental contract or written rental agreement. We will pay for loss of use expenses if caused by: U-CA-424-F CW (04/14) Page 2 of 6 59977293 1 20/21 - GL/AU/UMB/WC 1 Amand'pg1ge� gpyl4�lgl,qlaWAot uragRe o Office, Inc., with its permission. (1) Other than collision only if the Declarations indicate that Comprehensive Coverage is provided for any covered "auto"; (2) Specified Causes Of Loss only if the Declarations indicate that Specified Causes Of Loss Coverage is provided for any covered "auto"; or (3) Collision only if the Declarations indicate that Collision Coverage is provided for any covered "auto". However, the most we will pay for any expenses for loss of use is $100 per day, to a maximum of $3000. 1. Personal Effects Coverage The following is added to the Coverage Provision of the Physical Damage Coverage Section: Personal Effects Coverage a. We will pay up to $750 for "loss" to personal effects which are: (1) Personal property owned by an "insured"; and (2) In or on a covered "auto". b. Subject to Paragraph a. above, the amount to be paid for "loss" to personal effects will be based on the lesser of: (1) The reasonable cost to replace; or (2) The actual cash value. c. The coverage provided in Paragraphs a. and b. above, only applies in the event of a total theft of a covered "auto". No deductible applies to this coverage. However, we will not pay for "loss" to personal effects of any of the following: (1) Accounts, bills, currency, deeds, evidence of debt, money, notes, securities, or commercial paper or other documents of value. (2) Bullion, gold, silver, platinum, or other precious alloys or metals; furs or fur garments; jewelry, watches, precious or semi-precious stones. (3) Paintings, statuary and other works of art. (4) Contraband or property in the course of illegal transportation or trade. (5) Tapes, records, discs or other similar devices used with audio, visual or data electronic equipment. Any coverage provided by this Provision is excess over any other insurance coverage available for the same "loss". J. Tapes, Records and Discs Coverage 1. The Exclusion in Paragraph 8.4.a. of Section III — Physical Damage Coverage in the Business Auto Coverage Form and the Exclusion in Paragraph B.2.c. of Section IV — Physical Damage Coverage in the Motor Carrier Coverage Form does not apply. 2. The following is added to Paragraph 1.a. Comprehensive Coverage under the Coverage Provision of the Physical Damage Coverage Section: We will pay for 'loss" to tapes, records, discs or other similar devices used with audio, visual or data electronic equipment. We will pay only if the tapes, records, discs or other similar audio, visual or data electronic devices: (a) Are the property of an "insured'; and (b) Are in a covered "auto" at the time of "loss". The most we will pay for such "loss" to tapes, records, discs or other similar devices is $500. The Physical Damage Coverage Deductible Provision does not apply to such 'loss". U-CA-424-F CW (04/14) Page 3 of 6 599.77293 1 20/21 - GL/AU/UMB/WC i ...dpYKe� cJgpyl4tgl:%4WAorMurapEpeSpo,)cRs Office, Inc., with its permission. K. Airbag Coverage The Exclusion in Paragraph B.3.a. of Section III — Physical Damage Coverage in the Business Auto Coverage Form and the Exclusion in Paragraph BA.a. of Section IV — Physical Damage Coverage in the Motor Carrier Coverage Form does not apply to the accidental discharge of an airbag. L. Two or More Deductibles The following is added to the Deductible Provision of the Physical Damage Coverage Section: If an accident is covered both by this policy or Coverage Form and by another policy or Coverage Form issued to you by us, the following applies for each covered "auto" on a per vehicle basis: 1. If the deductible on this policy or Coverage Form is the smaller (or smallest) deductible, it will be waived; or 2. If the deductible on this policy or Coverage Form is not the smaller (or smallest) deductible, it will be reduced by the amount of the smaller (or smallest) deductible. M. Physical Damage — Comprehensive Coverage — Deductible The following is added to the Deductible Provision of the Physical Damage Coverage Section: Regardless of the number of covered "autos" damaged or stolen, the maximum deductible that will be applied to Comprehensive Coverage for all "loss" from any one cause is $5,000 or the deductible shown in the Declarations, whichever is greater. N. Temporary Substitute Autos — Physical Damage 1. The following is added to Section I — Covered Autos: Temporary Substitute Autos — Physical Damage If Physical Damage Coverage is provided by this Coverage Form on your owned covered "autos", the following types of vehicles are also covered "autos" for Physical Damage Coverage: Any "auto" you do not own when used with the permission of its owner as a temporary substitute for a covered "auto" you do own but is out of service because of its: 1. Breakdown; 2. Repair; 3. Servicing; 4. "Loss"; or 5. Destruction. 2. The following is added to the Paragraph A. Coverage Provision of the Physical Damage Coverage Section: Temporary Substitute Autos — Physical Damage We will pay the owner for "loss" to the temporary substitute "auto" unless the "loss" results from fraudulent acts or omissions on your part. If we make any payment to the owner, we will obtain the owner's rights against any other party. The deductible for the temporary substitute "auto" will be the same as the deductible for the covered "auto" it replaces. O. Amended Duties In The Event Of Accident, Claim, Suit Or Loss Paragraph a. of the Duties In The Event Of Accident, Claim, Suit Or Loss Condition is replaced by the following: a. In the event of "accident", claim, "suit" or "loss", you must give us or our authorized representative prompt notice of the "accident", claim, "suit" or "loss". However, these duties only apply when the "accident", claim, "suit" or "loss" is known to you (if you are an individual), a partner (if you are a partnership), a member (if you are a limited liability company) or an executive officer or insurance manager (if you are a corporation). The failure of any U-CA-424-F CW (04/14) Page 4 of 6 59977293 1 20/21 - GL/AU/UMB/WC I AmanjpgyAe� cgpyj4tgg:WWAofdMuraippy Office, Inc., with its permission. agent, servant or employee of the "insured" to notify us of any "accident", claim, "suit" or "loss" shall not invalidate the insurance afforded by this policy. Include, as soon as practicable: (1) How, when and where the "accident" or "loss" occurred and if a claim is made or "suit" is brought, written notice of the claim or "suit" including, but not limited to, the date and details of such claim or "suit'; (2) The "insured's" name and address; and (3) To the extent possible, the names and addresses of any injured persons and witnesses. If you report an "accident", claim, "suit" or "loss" to another insurer when you should have reported to us, your failure to report to us will not be seen as a violation of these amended duties provided you give us notice as soon as practicable after the fact of the delay becomes known to you. P. Waiver of Transfer Of Rights Of Recovery Against Others To Us The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition: This Condition does not apply to the extent required of you by a written contract, executed prior to any "accident" or "loss", provided that the "accident" or "loss" arises out of operations contemplated by such contract. This waiver only applies to the person or organization designated in the contract. Q. Employee Hired Autos — Physical Damage Paragraph b. of the Other Insurance Condition in the Business Auto Coverage Form and Paragraph f. of the Other Insurance — Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form are replaced by the following: For Hired Auto Physical Damage Coverage, the following are deemed to be covered "autos" you own: (1) Any covered "auto" you lease, hire, rent or borrow; and (2) Any covered "auto" hired or rented under a written contract or written agreement entered into by an "employee" or elected or appointed official with your permission while being operated within the course and scope of that "employee's" employment by you or that elected or appointed official's duties as respect their obligations to you. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". R. Unintentional Failure to Disclose Hazards The following is added to the Concealment, Misrepresentation Or Fraud Condition: However, we will not deny coverage under this Coverage Form if you unintentionally: (1) Fail to disclose any hazards existing at the inception date of this Coverage Form; or (2) Make an error, omission, improper description of "autos" or other misstatement of information. You must notify us as soon as possible after the discovery of any hazards or any other information that was not provided to us prior to the acceptance of this policy. S. Hired Auto — World Wide Coverage Paragraph 7a.(5) of the Policy Period, Coverage Territory Condition is replaced by the following: (5) Anywhere in the world if a covered "auto" is leased, hired, rented or borrowed for a period of 60 days or less, T. Bodily Injury Redefined The definition of "bodily injury" in the Definitions Section is replaced by the following: "Bodily injury" means bodily injury, sickness or disease, sustained by a person including death or mental anguish, resulting from any of these at any time. Mental anguish means any type of mental or emotional illness or disease. U-CA-424-F CW (04/14) Page 5 of 6 59977293 1 20/21 - GL/AU/UMB/WC I AmanJpyyAe7 TpyA�tgg,%afy go"urar9Efe rvtic s office, Inc., with its permission. U. Expected Or Intended Injury The Expected Or Intended Injury Exclusion in Paragraph B. Exclusions under Section II — Covered Auto Liability Coverage is replaced by the following: 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. V. Physical Damage — Additional Temporary Transportation Expense Coverage Paragraph A.4.a. of Section III — Physical Damage Coverage is replaced by the following: 4. Coverage Extensions a. Transportation Expenses We will pay up to $50 per day to a maximum of $1,000 for temporary transportation expense incurred by you because of the total theft of a covered "auto" of the private passenger type. We will pay only for those covered "autos" for which you carry either Comprehensive or Specified Causes of Loss Coverage. We will pay for temporary transportation expenses incurred during the period beginning 48 hours after the theft and ending, regardless of the policy's expiration, when the covered "auto" is returned to use or we pay for its "loss". W. Replacement of a Private Passenger Auto with a Hybrid or Alternative Fuel Source Auto The following is added to Paragraph A. Coverage of the Physical Damage Coverage Section: In the event of a total "loss" to a covered "auto" of the private passenger type that is replaced with a hybrid "auto" or "auto" powered by an alternative fuel source of the private passenger type, we will pay an additional 10% of the cost of the replacement "auto", excluding tax, title, license, other fees and any aftermarket vehicle upgrades, up to a maximum of $2500. The covered "auto" must be replaced by a hybrid "auto" or an "auto" powered by an alternative fuel source within 60 calendar days of the payment of the "loss" and evidenced by a bill of sale or new vehicle lease agreement. To qualify as a hybrid "auto", the "auto" must be powered by a conventional gasoline engine and another source of propulsion power. The other source of propulsion power must be electric, hydrogen, propane, solar or natural gas, either compressed or liquefied. To qualify as an "auto" powered by an alternative fuel source, the "auto" must be powered by a source of propulsion power other than a conventional gasoline engine. An "auto" solely propelled by biofuel, gasoline or diesel fuel or any blend thereof is not an "auto" powered by an alternative fuel source. X. Return of Stolen Automobile The following is added to the Coverage Extension Provision of the Physical Damage Coverage Section: If a covered "auto" is stolen and recovered, we will pay the cost of transport to return the "auto" to you. We will pay only for those covered "autos" for which you carry either Comprehensive or Specified Causes of Loss Coverage. All other terms, conditions, provisions and exclusions of this policy remain the same. U-CA-424-F CW (04/14) Page 6 of 6 59977293 1 20/21 - GL/AU/UMB/WC I Amand`A-e_%pYjil'tg�.ra�eiJofura�e�qroigels,Office, Inc., with its permission. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 04108 (Ed. 9-14) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA BLANKET BASIS We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) The additional premium for this endorsement shall be 2% of the total manual premium otherwise due on such remuneration. The minimum premium for this endorsement is This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. SCHEDULE BLANKET WAIVER Person/Organization Blanket Waiver — Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. THE CITY OF PALM SPRINGS, its officials, employees and agents Job Description Waiver Premium This endorsement changes the policy to which it Is attached and Is effective on the date Issued unless otherwise stated. (The information below is required only when this endorsement Is Issued subsequent to preparation of the policy.) Endorsement Effective6/1/2020 P01ICYN0• SUWC140655 Endorsement No. Insured Superior Pavement Markings, Inc. Insurance Company Cypress Insurance Company Countersigned by. WC 99 04108 (Ed. 9-14) Premium $ 59977293 1 20/21 - GL/AU/UMB/WC I Amanda Pyle 1 2/2/2021 11.46:53 AM (PST) I Page 11 of 11 Home A CONTRACTORS STATE LICENSE BOARD OContractorfs License Detail for License # 776306 DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware ofthe following limitations. a CSLe complaint disclosure is restricted by law (rs6P 7124.6)If this entity is subject to pub€i<romplaintdisclosure cl'rtk on link that will appear below for more Information. Click here for a definition of disciesable actions. r Only oanstrucdon related civil judgmentsreported to CStearedlsciosed(114"071.17). e Arbitrations are not listed unless the contractor fails to comply with the terms. I, Due to workload. there may be relevant information that has not yet been entered into the board's license database. Data current as of 2/18/20215:32:29 PM Gc.3 Mess riforma Dn SUPERIOR PAVEMENT MARKINGS INC 5312 CYPRESS ST CYPRESS,CA90630 Business Phone Number.(T14) 995-9100 Entity Corporation Issue Date 03117/2000 Reissue Date 0811312007 Expire Data 08/31/2021 UI Pnse Status This license Is current and active. All information below should be reviewed. a C32-PARKING AND HIGHWAY IMPROVEMENT a C31-CONSTRUCTION ZONE TRAFFIC CONTROL e C-61 / D38 -SAND AND WATER BLASTING Contractor's Bond This license filed a Contractor's Bond with AMERICAN CONTRACTORS INDEMNITY COMPANY. Bond Number. 100226797 Bond Amount: $15,000 Effective Date: 01/01/2016 Contractor's Bond History Bond of QuaBfying Individual The qualifying individual JOHN MATTHEW LUCAS certified that he/she owns 10 percent or more of the voting stock/membership interest of this company; therefore, the Bond of Qualifying Individual is not required. Effective Date: 07/11/2016 BQI's Bond History 5 G"',rr pe"I's This license has workers compensation insurance with the CYPRESS INSURANCE COMPANY Policy Number:SUWC140655 Effective Data: 06/01/2020 Expire Date: 06101/2021 Workers' Compensation History a 08/13/2007-LICENSE REISSUED TO ANOTHER ENTITY `D',c. a Personnel listed on this license (current or disassociated) are listed on other licenses. Back to Top Conditions Of Use Privacy Policy Access€h f'y ACCes.Sibilit'/ Certification Copyright© 2021 State of California � PALM SA City of Palm m Springs Y * Development Services Department Engineering Division C'g41FORN�P MEMORANDUM To: Office of the City Clerk From: Engineering Division Subject: CP 20-24 — TRAFFIC CALMING FY20-21 Date: February 22, 2021 Attached are the following documents: VIX Contract Abstract ✓ 2 sets of contract documents executed by Contractor and notarized ✓ Performance Bond Payment Bond ✓ Contractor Proposal Worker's Compensation Certificate ✓ Certificates of Insurance for the required policies ✓ Confirmation of status of contractor's license Recording Requested By: City of Palm Springs When Recorded Mail To: Name Anthony J. Mejia, City Clerk Street Address 3200 E. Tahquitz Canyon Way City & State Palm Springs, CA 92262 NOTICE IS HEREBY GIVEN THAT: 2021-0411903 07/08/2021 12:43 PM Fee: $ 0.00 Page 1 of 2 Recorded in Official Records County of Riverside Peter Aldana Assessor --County Clerk -Recorder 1111PPN�HMI.lg:P�11,1llq SPACE ABOVE THIS LINE FOR RECORDERS USE NOTICE OF COMPLETION (CA Civil Code §§ 8180-8190, 8100-8118, 9200-9208) The undersigned is an owner of an interest of estate in the hereinafter described real property, the nature of which interest or estate is: Fee (e.g. fee, leasehold, joint tenancy, etc.) 2. The full name and address of the undersigned owner or reputed owner and of all co -owners or reputed co -owners are: Name Street and No. City State City of Palm Springs 3200 E. Tahquitz Canyon Way Palm Springs CA 92262 3. The name and address of the direct contractor for the work of improvement as a whole is: Superior Pavement Markings, Inc., - 5312 Cypress Street, Cypress, CA 90630 4. This notice is given for (check one): 0 Completion of the work of improvement as a whole. 0 Completion of a contract for a particular portion of the work of improvement (per CA Civ. Code § 8186). 5. If this notice is given only of completion of a contract for a particular portion of the work of improvement (as provided in CA Civ. Code § 8186), the name and address of the direct contractor under that contract is: Not Applicable 6. The name and address of the construction lender, if any, is: Not Applicable 7. On the 18th day of June 20 21 , there was completed upon the herein described property a work of improvement as a whole (or a particular portion of the work of improvement as provided in CA Civ. Code § 8186) a general description of the work provided: City Project 20-24, Traffic Calming Project FY20-21 8. The real property herein referred to is situated in the City of Palm Springs County of Riverside State of California. and is described as follows: Traffic Calming Project FY20-21 9. The street address of said property is: Various locations throughout the City of Palm Springs 10. If this Notice of Completion is signed by the owner's successor in interest, the name and address of the successor's transferor is: Not applicable I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: �cme�4, �02a S�►� [ 2 y to L� BY: Signature of Owner or Owner's Authorized Agent Joel Montalvo/City Engineer City of Palm Springs Page 1 of 2 j� L02 \Y/ VERIFICATION I, Joel Montalvo , state: I am the City Engineer ^ ("Owner", "President", "Authorized Agent", "Partner", etc.) of the Owner identified in the foregoing Notice of Completion. I have read said Notice of Completion and know the contents thereof; the same is true of my own knowledge. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on e 7-9 o Z-f (date), at Palm Springs (City), CA (State). Signature of Owner or Owner's Authorized Agen Joel Montalvo/City Engineer City of Palm Springs 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. *my TERRI HINTZNotary Public - California Riverside County Commission # 2359a95 Comm. Expires Jun 26. 2025 STATE OF CALIF IA COUNTY OF (date), before me, // i N tary Public (name and title of officer) personally appeared 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 PURJURY under the laws of the State of California that the foregoing paragraph is true and correct. Witness my hand and officials I. Page 2 of 2 Signature