Loading...
HomeMy WebLinkAbout23I326 - MEDIWASTE DISPOSAL LLC - SHARPS COLLECTION SERVICECERTIFICATE OF LIABILITY INSURANCE DATE 4MMVDDf/YYY1 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 riahts to the certificate holder in lieu of such endorsement(s)- PRODUCER Solid Waste Insurance Marketing 115 North El Molino Ave Pasadena CA91101 RECEIVED INSURED SEP--Q-9 -2024 -OGAN MediWaste Disposal LLC 235 Deininger Circle OFFICE OF THE CITY CLERK Corona, CA 92880 D: Texas Insurance Compaq E : Upland SpecialtyInsurance F: Homesite Insurance COmDa COVERAGES CFRTIFICATF NIIMRFR•A991577OA oCVBLIflA 1,111uwco• THIS IS 70 CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTW17HSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED_ BY PAID CLAIMS. INSR,A6Lj- ppppULUCY EFF" P01.1CCY— LTR TYPE OF INSURANCE POLICY NUMBER IIIAIIDN'/ MMTJD/Y1' 1J1RTS AL GENERAL LIABIIdY Y P0000001B93 9/1/2024 9l112025 EACH OCCURfNCE E1,000,000 Sr.1noE Y` OCCURa100.000 MED E%P (Myone argon s5,000 PERSONAL a ADV INJURY S1,000.000 VOTOHMER DENE�REGATE $2,000,000 TE LIMIT APPLI L FEH JECOT It%P PRODUCTS CONP/OP AGG$2,000,000 $ D AUTOMOBILE LIABILITY N 13RPCBLTCA01140008991601 9112024 11/112/121 COMBINED SINGLE LIMIT tL 1BODILY $1.000.000 X ANY AUTO INJURY (Per parton) s OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (PM amdH4) E AUTOS HIRED ANON-OWNEDE AUTOS ONLY AUTOS ONLY '� PROPERTYDAMAGE gPer aTgidentj f p UMBRELLA UAB X EXCESS LIAR OCCUR CLAIMS -MADE USXTL0728224 CX$03836700 91112024 9/1/2025 9112024 9/1/2025 EACHOCCURRENCE AGGREGATE $2,000,000 X f2,000,000 I DED 77RETEMION 1 $2,000.000 Each Oxmeace A WORKER8COMPENSAT10N AND EMPLOYERS' LIABILITY YIN ANYPROPRIETORPARTNERIEXECUTIVE OFFICERMEMSEREXCLUDEO? ❑ IM/A' i Y WVE507233801 7120/2024 712OY2025 X STATUTE ER _—_S E.LEACH ACCIDENT - $1,000,000 i 1,000,000 (Mandatory InM1 II Yes, dOW11W Yrger E. L. DISEASE EA EMPLOYEE a 1 000 000 DESCRIPTION OF OPERATIONS W w : EL. DISEASE - POLICY LIMIT 9 Poauaon OaMMy PECD04589DO9 5/14/2024 5/14/2025 Each Loss $1,000,000 AN.9ate $2, 000,000 DESCRIPTION OPOPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may W Ntached if more space is requVed) COMMON POLICY CONDITIONS - IL00171198 Additional Insured- Designated Person or Organization - CG 20 260413 Primary Wording- CG20010413 Waiver of Subrogation Blanket Bases-WC990634 The City of Palm Srpings 3200 Tahquitz Canyon Way (City Hall) 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) Rd 1988-2015 The ACORD name and logo are registered marks of ACORD TION. All riahts reserved. 3837 2 ' c POLICY NUMBER: P0000001993 COMMERCIAL GENERAL LIABILITY CG 20 26 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This. endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Where required by written contract or written agreement in effect during this"policy period" and executed prior to the -"occurrence-of any "bodily -injury" or "property damage". - - - - A. Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule; but only with respect to.liability for"bodily injury"property damage" or "personal and advertising injury" caused, in whole or in, part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or - 2. In. connection with your premises owned by or rented to you. However: 1. The ;insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not +be broader than that which you are required by the :contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on ,behalf of the additional insured is the amount of insurance: 1. Required by the contractor agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; _ whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown- in the Declarations. CG 20 26 0413 © Insurance Services Office, Inc., 2012 Page 1 of 1 3837: 3 COMMERCIAL GENERAL.LIABILITY CG 20 01 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the _contrary:_. Primary And Noncontributory Insurance This insurance.is primary to and will not seek contribution from any other insurance, available to an additional insured under your policy provided that: (1) The additional Insured is a'Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary. and would not_seek_contribution _ from any other insurance ,available to the additional insured: CG 2001 0413 © Insurance Services Office, Inc., 2012 Page 1 of 1 3837: 4 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY _ WC 99.06 34 (Ed. 8-00) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT- BLANKET We have the right to recover our payments from anyone liable for an injury covered,by.this policy. We will not enforce our right against the person or organization -named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to. obtain this agreement from us). The additional premium for this endorsement shall be otherwise due. Person or Organization ANY ----- —PERSON/ORGANIZATION FOR WHOM THE NAMED INSURED IS REQUIRED UNDER WRITTEN CONTRACT TO FURNISH THIS WAIVER. 2 % of the total California Workers' Compensation premium Schedule Job Description ALL CALIFORNIA OPERATIONST— This endorsement changesthe policy to which it is attached and is effective on the date Issued unless, otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 07/26/24 Policy No. WVE 507233801 Endorsement No. Insured OGANESIAN ENTERPRISES, INC. Premium $ INCL. Insurance Company INSURANCE COMPANY OF THE WEST Countersigned By WC 99 06 34 (Ed. 8-00) 3837: 5 ' o', DATE (MMIODYYYY) ACORO� CERTIFICATE OF LIABILITY INSURANCE 9120/2024 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 INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: It the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCERCONTACT NAME: Solid Waste Insurance Marketing -PHONE - - - 115 North El Molino Ave RECEIVED 626 7954000 Pasadena CA 91101 ADDRESS: SEPA3 2024 _. INSURED oc,A D aste Disposal LLC 235 eininger Circle OFFICE OF THE CITY CLERK 235 D Corona, CA 92880 Insurance iNsultEn D: Greenwich Insurance Company COVERAGES CERTIFICATE NUMBER: 187n73199S RFVISION NIIAeRFR. 37885 36940 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NoANY 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� TYPEOFINSURANCE -ADbLI POLICYNUMBER MlWDDWYYVY M WYYY LIMITS D X ' COMMERCIAL GENERAL LIABILITY GEC3011069008 7/202023 811f2024 EACHOCCURRENCE $1.000.000 CLAIMS -MADE X 'OCCUR DAMAGERENTED . PREMISES lEa WPbrenr0 $100,000 $5,000 MEDEXP(An oneperson) _ $1,000,000 PERSONAL S ACV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: $2,000,000 I GENERAL AGGREGATE X POLICY` jE0 LOC ,i PRODUCTS • COMP/OP AGG $2,000000 S OTHER A AUTOMOBILE LIABILITY AECDO4794807 720/2023 9/1/2024 COMBINED SINGLE LIMIT �ljX 51,000.000 $ ---- ANY AUTO BODILY INJURY (Per pNson) OWNED SCHEDULED AUTOS ONLY AUTO$ BODILY INJURY (Par aodtlen1) S HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY AMAGE . Per arsp0em S B I A UMBRELLA LIAB X OCCUR UC-CO04794707 7/20/2023 9/1/2024 EACHOCCURRENCE s4.000,000 X 'EXCESS LIAB CLANS -MADE AGGREGATE s4,000,000 B QED RETENTIONS a WORKERSCOMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETORPARTNENEXECUTIVE ❑ OFFICERMEM5EREXCLUDED4 NIA Y WVES07233801 7rMO24 7T1012025 X I RARTUTE E.L. EACH ACCIDENT si.000,000 S 1,000, 000 (Mandatory In NH) Il yee.desc116II& r DESCRIPTION OF OPERATIONS t eaw E L. DISEASE � EA EMPLOY - - - E.L. DISEASE- POLICY LIMIT S 1 0 )0 coo C Pdlu4oc _a -Iiry PECO04589009 5/14122024 5/142025 Each Loss $1,000ODO . Aparepate S2,000.000 DESCRIPTION OF OPERATIONS 1 LOCATIONSVEHICLES (ACORD 101, Additional Rsrnerq Schedule, maybe alteched II more space Is required) COMMON POLICY CONDITIONS - IL00171198 Additional Insured- Designated Person or Organization - CG 20 26 12 19 Automatic Additional Insured (Auto)- XIC4111013 Primary Wording- Endorsement 2572 Waiver of Subrogation Blanket Basis XIL4240605 The City of Palm Srpings 3200 Tahquitz Canyon Way (City Hall) 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 REPRES E NTATIVE ACORD 25 (2016/03) CCi 19RR.9n15 Ar:nRD cnRPORATInN All rin6rc -.—A The ACORD name and logo are registered marks of ACORD 211n 2 o COMMON POLICY CONDITIONS All Coverage Parts Included In this policy are subject to the following conditions: A. Cancellation 1. The first Named Insured shown In the Declarations may cancel this policy by mailing or delivering to us advance written notice of cancellation. 2. We may cancel this policy by mailing or delivering to the first Named 'Insured written. notice of cancellation at least: — a: 10 days before the .effective date of cancellation if we cancel for nonpayment of premium; or b. 30 days before the effective date of cancellation if we cancel for any other reason. 3. We will mail or deliver our notice to the first Named Insured's last mailing address known to us. 4. Notice of cancellation will state the effective date of cancellation. The policy period will end on that date. 6. If this policy is cancelled, we will send the first Named Insured any premium refund due.,If we cancel, the refund will be pro rate. If the first Named Insured cancels, the refund may be less than pro rala. The cancellation will be effective even if we have not made or offered a refund. 6. If notice Is mailed, proof of mailing will be sufficient proof of notice. B. Changes This policy contains all the agreements between you and us concerning the insurance afforded. The. first Named. Insured shown in the Declarations Is authorized to make changes in the terms of this policy with our consent. This policy's. terms can be amended or waived only by endorsement Issued by us and made a part of this policy. C. Examination Of Your Books And Records We may examine and audit your books and records as they relate to this policy at any time during the policy period and up to threeyears afterward. D. Inspections And Surveys 1. We have the right to: a. Make Inspections and surveys at any time; IL 00 17 1198 b. Give you reports on the conditions we find; and. C. Recommend changes. 2. We are not obligated to make any Inspections, surveys, reports or recommendations and any such actions we do undertake relate only to Insurability and the premiums to be charged. We do not make safety inspections. We do not undertake to -perform The duly of any -person or organization to provide for the health or safety of workers or the public; And we do not warrant that conditions: a. Are safe or healthful; or b. Comply with laws, .regulations, codes or standards, 3. Paragraphs 1. and 2. of this condition apply not only to us. but also to any rating, advisory, rate service or similar organization which makes Insurance inspections, surveys, reports or recommendations. 4. Paragraph 2. of this condition does not apply to any inspections, surveys, reports or recommendations we may make relative to certification, under state or municipal statutes, ordinances or regulations, of boilers, pressure vessels or elevators. E. Premiums The first Named Insured shown In the Declaration& 1. Is responsible for the payment of all premiums; and 2. Will be the payee for any return premiums we pay. F. Transfer Of Your Rights And Duties Under This Policy Your rights and duties under this policy may not be transferred without our written consent except In the case of death of an individual named insured. If you die, your rights and duties will be transferred to your legal representative but only while acting within the scope of duties as your legal representative. Until your legal representative is appointed, anyone. having proper temporary custody of your property will have your rights and duties but only with respect to that property. IL 00 17 11 98 Copyright, Insurance Services Office, Inc., 1098 Page 1 of i 2170: 3 ' POLICY NUMBER; AECO04629108 XI 411 1013 THIS. ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AUTOMATIC ADDITIONAL INSURED This endorsement modifies insurance provided, under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM AUTO DEALERS COVERAGE FORM A. COVERED AUTOS LIABILITY COVERAGE, Who Is,An Insured, is amended to include as an,"insured" any person or organization you are required in a written contract to name as an additional insured, but only for "bodily injury" or "property damage" otherwise covered under this policy caused, in whole or in part, by the_negligent acts_or_omissions of'. _ You, while using a covered "auto"; or 2. Any other person, except the additional insured or any employee or agent of the additional insured, operating a covered "auto" with your permission;. Provided that: a. The written contract is in effect during the policy period of this policy; b. The written contract was signed by you and executed prior to the "accident" causing "bodily injury" or "property damage" for which liability coverage is sought; and C. Such person or organization is an "insured" solely to the extent required by the contract, but in no event if such person or organization is solely negligent. B. The Limits of Insurance provided for the Additional Insured shall not be greater than those required by contract and, in no. event shall the Limits.of Insurance set forth in this policy be increased by the contract:. C. General Conditions, Other Insurance is amendedas follows: Any coverage provided hereunder shall .be excess over any other valid and collectible insurance available to the additional insured whether such insurance is primary, excess, contingent or on any other basis unless the contract specifically requires that this policy be primary. - All terms, conditions, exclusions and limitations of this policy shall apply to the liability coverage provided to any additional insured, and in no event shall such coverage be enlarged or expanded by reason of the contract. All other terms and conditions of this policy remain unchanged. XIC 411 1013 © 2013 X.L. America, Inc. All Rights Reserved. Page 1 of 1 May not be copied without permission. Includes copyrighted material of Insurance Services Office, Inc., with its permission. 2170; 4 ' of WORKERS COMPENSATION AND' EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 34 (Ed. 8-00) 'WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT'- BLANKET We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us). The additional premium for this endorsement shall be otherwise due. Person or Organization ANY ____ -._____.PERSON/.ORGANIZATION— FOR WHOM THE NAMED INSURED IS"REQUIRED UNDER WRITTEN CONTRACT TO FURNISH THIS WAIVER. 2 % of the total California Workers' Compensation premium Schedule Job Description ALL CALIFORNIA OPERATIONS— -- This endorsement changes.the policy to which it is attached and is effective on the date issued unless otherwise stated. (The.inforination below is required only when this endorsement is issued subsequent to preparation of the poriicy.) Endorsement Effective 07120124 Policy No. WVE. 507233801 Endorsement No. ,InsuredOGANESIAN ENTERPRISES, INC. Premium$ INCL. Insurance Company INSURANCE COMPANY OF THE WEST WC 99 06'34 .(Ed. 8.00) Countersigned By INSURED 2170: 5 ' POLICY NUMBER:.GEC300089008 COMMERCIAL GENERAL LIABILITY CG 20 26 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE A. Section 11 — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown. In the Schedule, but only with respect to liability,for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts, or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However. 1. The Insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional, insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III— Limits Of Insurance: If coverage provided to the additional insured'' is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of ',insurance. CG 20 26 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 2170: 6 • of ACCO & CERTIFICATE OF LIABILITY INSURANCE DATE(MMiDanrrr) 711812024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION, ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND. THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In Ileu of such endorsements . PRODUCER Solid Waste Insurance Marketing 115 North El MGlino Ave Pasadena CA 91101 CONTACT NA PHONE F 626 795-9000 ac Nn: ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC O INSURER A: XL Specialty Insurance Company 37885 INSURED OGANENT INSURER B: Insurance Company Of the West 27847 MediWaste Disposal LLC 235 Deininger Circle INSURERC: Greenwich Insurance Company 22322 Corona, CA 92880 INSURERD: INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER:1332037775 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH'THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTRURANCE TYPE OFINS D NSO D8 WVD POLICYNUMBER POLICY EV MMLDOIYY POLICYEXP MMVOD/YYY LIMITS C X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR GEC300089008 7202023 81202024 EACHOCCURRENCE $1.000.000 DAMAGE TO RENTED PREMISES Ea ocwueoa $IDo.= 70 MED EXP.(Any one eercon) $ 5 000 PERSONAL B ADV INJURY $1,000.000 GEN'L AGGREGATELIMIT APPLIES PER: X NPOLICYJE❑ PRG7O- ❑ LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - CCMP/OP AGO $200D,000 $ A AUTOMOSILELIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON�OWNED AUTOS ONLY AUTOS ONLY AECO04794807 71202023 8/202024 E«a`uao SINGLE LIMIT $1,000.000 BODILY INJURY(Per person) $ BODILY INJURY(Peraodden0 $ PROPERdY DAMAGE Par eaa ant $ $ A UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS•MAOE UECO04794707 72012023 8202024 EACH OCCURRENCE $4,000,000 X AGGREGATE $4,000,000 DED I I RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERW LIABILITY YIN ANYPROPRIETOWPARTNER/EXECUTIVE ❑ OFRCER/MEMBEREXCLUDED7 (MandatoryIn NH) If Yes, describe under DESCRIPTION OF OPERATIONS below NIA Y WVE507233801 71202024 W202025 X I PER OT • T TE ER E.L. EACH ACCIDENT $1,000,000 EC. DISEASE • EA EMPLOYEE $1 000 000 EL. DISEASE - POLICY LIMIT $1o000D0- DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (ACORD 101. AddlUonal Remarks Schedule, may be attached If more apace Is required) COMMON POLICY CONDITIONS- IL00171198 Additional Insured- Designated Person Or Organization - CG 20 26 12 19 Automatic Additional Insured (Auto)- XIC4111013 Primary Warding- XIL4240605 Endorsement2572 Waiver of Subrogation Blanket Basis SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED' BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. The City of Palm Srpings 3200 Tahquitz Canyon Way (City Hall) AUTHORIZED REPRESENTATIVE Palm Springs CA 92262 ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 380; 7 ' of COMMON POLICY CONDITIONS All Coverage Parts Included In this policy are subject to the following conditions. A. Cancallation 1. The first Named Insured shown In the Declarations may cancel this policy by malling or defivering to us advance written notice of cancellation. 2. We may cancel this policy by malling, or delivering to the first Named Insured written notice of cancellation at, least: a. 10 days before the effective date of cancellation if we cancel for nonpayment of premium; or b. 30 days before, the effective date of cancellation if we cancel for any other reason. 3. We will mail or deliver our notice to the first Named Insured's last mailing address known toms. 4. Notice of cancellation will state the effective date of cancellation. The policy period will end on that date. 6. If this policy 1s cancelled, we will send the first Named Insured any premium refund due. If we cancel, the refund will be pro rate. If the first Named Insured cancels, the refund may be less than pro rate. The cancellation will be effective even if we have not made or offered a refund.. 8, If notice Is mailed, proof of malling will be sufflclent proof of notice, B. Changes This policy contains all the agreements between you and us concerning the Insurance afforded. The first Named 'Insured shown in the Declarations Is authorized to make changes in the terms of this policy with our consent. This.polloy's. terms can be amended or waived only by endorsement Issued by 'us and made a part of this policy. C. Examination Of Your Books And Records We may examine and audit your books and records as they relate to this policy at any time during the policy period and up to three years afterward. D. Inspectlons And Surveys 1. We have the right to: a. Make inspections and surveys at any time; IL 00 17 1198 b, Give you reports on the conditions we find; and c. Recommend changes. 2. We are not obligated to make any Inspections, surveys, reports or recommendations and any such actions we do undertake relate only to insurability and the premiums to be charged. We do not make safety Inspections. We do not undertake to perform the duly of any person or organization to provide rot the health or safety of workers or the public. And we do not warrant that conditions: a. Are safe or healthful; or b. Comply with laws, regulations, codes or standards, 3. Paragraphs 1, and 2. of this condition apply not only to us, but also to any rating, advisory, rate service or similar organization which makes insurance Inspections; surveys, reports or recommendations. 4. Paragraph 2, of this condition does not apply to any inspections, surveys, reports or recommendations we may make relative to certification, under elate or municipal statutes, ordinences or regulations, of boilers, pressure vessels or elevators. E. Premiums The first Named Insured shown in the Declarations: 1. Is responsible for the payment of all premiums; and, 2. Will be the payee for any return premiums we pay. F. Transfer Of Your Rights And Duties Under This Policy Your rights and duties under this policy may not be transferred without our written ,consent except In the case of death of an individual named insured. If 'you dle, your rights and duties will be transferred to your legal representative but only while acting within the scope of duties as your legal representative. Until your legal representative is appointed, anyone having proper temporary custody of your property will have your rights and duties but only with respect to that property. IL 00 17 11 98 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 380: 8 ' of 1 POLICY NUMBER: AECO04629108 XIC 4111013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AUTOMATIC ADDITIONAL INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGEFORM AUTO DEALERS COVERAGE FORM A. COVERED AUTOS LIABILITY COVERAGE, Who Is An Insured, is amended to include as an 'Insured any person or organization you are required in a written contract to name as an additional insured, but only for "bodily Injury" or "property damage" otherwise covered under this policy caused;, in whole or In part, by the negligent acts or omissions of: You, while using a covered "auto"; or 2. Any other person, except the additional insured or any employee or agent of the additional insured, operating a covered "auto" with your permission; Provided that: a. The written contract is in effect during the policy period:of this policy; b. The written contract was signed by you and executed prior to the "accident" causing "bodily injury" or "property damage" for which liability coverage is sought; and C. Such person or organization is an 'Insured" solely to the extent required by the contract, but in no event if such person or organization is solely negligent. B. The Limits of Insurance provided for the Additional Insured shall not be greater than those required by contract and, in no event shall the Limits of Insurance set forth in this policy be increased by the contract. C. General Conditions; Other Insurance is amended as follows: Any coverage provided hereunder shall be excess over any other valid and collectible insurance available to the additional insured whether such insurance is primary, excess, contingent or on any other basis unless the contract specifically her that.this policy be primary. All terms, conditions, exclusions and limitations of this policy shall apply to the liability coverage provided to any additional insured, and in no event shall such coverage be enlarged or expanded by reason of the contract. All other terms and conditions of this policy remain unchanged. XIC 411' 1013 © 2013 X.L. America, Inc. All Rights Reserved. Page 1 of 1 May not be copied without permission. Includes copyrighted material of insurance Services Office, Inc., with its permission. 3110: 9 ' of WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 34 (Ed. 8-00) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - BLANKET We have the right to recover our payments from.anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us). The additional.premium for this endorsement shall be 2 % of the total California Workers' Compensation premium otherwise due. Schedule Person or Organization ANY PERSON/ORGANIZATION FOR WHOM THE NAMED INSURED IS REQUIRED UNDER WRITTEN CONTRACT TO FURNISH THIS WAIVER. Job Description. ALL CALIFORNIA OPERATIONS This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. .(The information below is required' only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 07/20/24 Policy No. WVE 507233801 Endorsement No. Insured OGANESIAN ENTERPRISES, INC. Premium $ INCL. Insurance Company INSURANCE COMPANY OF THE WEST WC 99 06 34 (Ed. 8.00) Countersigned By WSURe7 380: 10 ' or POLICY NUMBER: GEC300089008 COMMERCIAL GENERAL LIABILITY CG 20 26 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured'Person(s) Or Organization(s): Any person or organization where required by written contract providedthat such contract was executed prior to the date of loss. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: 9. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for -such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided ito the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. CG 20 26 1219 © Insurance Services Office, Inc., 2018 Page 1 of 1 380; 11 AC RO CERTIFICATE OF LIABILITY INSURANCE DATE (M8M(2024YYY 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 riatus to the certificate holder in lieu of such endorsement(s). PRODUCER Solid Waste Insurance Marketing 115 North El Molino Ave Pasadena CA 91101 MECEIVED [MUMMA: XL Specialty Insurance Company 37885 wsuRERB: Insurance Company of the West 2322 INSURED MediWaste Disposal LLC 235 Deininger Circle _ OGANENT JUL 2 9 2024 MSURERC: urance C Greenwich Ina ompany_ _ _ __ _ 22322 Corona, CA 92880 INSURER D: OFFICE OF THE CITY CLERK INSURER E: INSURER F COVERAGES CERTIFICATE NLIMRFR: 15n913n1a RFVISION NIIMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _. INSR LTA TYPE OF INSURANCE POIICCV EFF POLICY EXP- -- POLICY NUMBER NMD0.'YYY dYVY - �S C X COMMERCIAL GENERAL LIABILITY GFC300089008 7202023 WO2024 EACH OCCURRENCE $1,000,000 CLAIMS MADE F X CY'CUR PR M E R a�artren $100,000 MED EXP (My one Pawn) $5,000 %t 0 PERSONAL& ADV INJURY $1,000,000 GENERAL AGGREGATE 112,000,000 GII AGGREGATE LIMIT APPLIES PER: X POLICY,, PRO ..BLOC _ J JECT I.—J PRODUCTS - COMP/OP AGG $2,000,000 It OTHER: A AUTOMOBILE LIABILITY AE0004794807 7202023 8202024 COMBINED SINGLE LIMIT l_acgQ_nt i1,000,000 BODILY INJURY (Par pawn) t X ANY AUTO OWNED SCHEDULED AUTOS ONLY AVTOS BODILY INJURY (Per accident) t OPER YD AGE E HIRED NON -OWNED AUTOS ONLY AUTOS ONLY t A uMBRELLALIAB OCCUR UECO04794707 7202023 8202024 EACHOCCURRENCE $4.000,000 AGGREGATE $4,000,000 X EXCESS DAB CLAIMS -MADE DEC RETENTION E B WORKERSCOMPENSATION AND EMPLOYERS' LIABILITY Y� MYPROPRIETOb PARTNER/EXECLITIVE Y WVE507233801 7202024 7202025 X I AT TE R E.L. EACH ACCIDENT $1,000,000 44E OFFICERMBEREXCLUDED? (Mandatory In NH) N/A - t 1.000,000 E.L. DISEASE EA EMPLOYErd It pes. describe ender DESCRIPTION OF OPERATIONS below t 1 000,000 EL. DISEASE- POLICY LIMIT I I I DESCRIPTION OF OPERATIONS I LOCATIONS, VEHICLES (ACORD 101, Addfflo w Ilam S SCNdUW, maybe atlxbad Nmoreapedlaraprad) COMMON POLICY CONDITIONS - IL00171198 Additional Insured- Designated Person or Organization - CG 20 26 12 19 Automatic Additional Insured (Auto)- XIC4111013 Primary Wording. XIL4240805 Endorsement 2572 Waiver of Subrogation Blanket Basis Y.CH I In R.N I ❑ r1 V LUCM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. The City of Palm Srpings 3200 Tahquitz Canyon Way (City Hall) Palm Springs CA 92262 AUTHORIZED REPRESENTATIVE Cc) 1988-2015 ACORD CORPORATION. All rights ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 380: 2 - of 11 COMMON POLICY CONDITIONS All Coverage Paris Included In this policy are subject to the following conditions. A. Cancellation 1, The first Named Insured shown In the Declarations may cancel this policy by mailing or delivering to us advance written notice of cancellation. 2. We may cancel this policy by mailing or delivering to the first Named Insured written notice of cancellation a_t,least: a. 10 days before the effective date of cancellation if we cancel for nonpayment of premium; or b. 30 days before the effective date of cancellation if we cancelfor any other reason. 3. We will mail or deliver our notice to the first Named Insured's last mailing address known to us. 4. Notice of cancellation will state the effective date of cancellation. The policy period will end on that date. 0. If this policy is cancelled, we will send the first Named Insured any premium refund due.. If.we cancel, the refund will be pro rate. if the first Named Insured cancels, the refund may be lase than pro rala. The cancellation will be effective even If we have not made or offered a refund. S. If notice Is mailed, proof of mailing will be suffiefent proof of notice, B4 Changes This policy contains all the agreements between you and us concerning the insurance afforded. The first Named Insured shown in the Declarations Is authorized to make changes in the terms of this policy with our consent. This polley's terms can be amended or waived only by endorsement Issued by us and made a part of this policy. C. Examination Of Your Books And Records We may examine and audit your books and records as they relate to this policy at any time during the policy period and up to three years afterward. D. Inspections And Surveys 1. We have the tight to: a. Make inspections and surveys at any time; IL 0017 111199 b, Give you reports on the conditions we find; and c. Recommend changes. 2. We are not obligated to make any inspections, surveys, reports or recommendations and any such actions we do undertake relate only to insurability and the !premiums to be charged. We do not make safety Inspections. We do not undertake to perform the duly of any person or organization to provide for the health or safety of workers or the public, And we do not warrant that conditions: a. Are safe or healthful; or b. Comply with laws, regulations, codes or standards. 3. Paragraphs 1. and '2. of this condiilon .apply not only to us, but also to any rating, advisory, rate service or similar organization which makes Insurance Inspections, surveys, reports or recommendations. 4. Paragraph 2, of this condition does not apply to any inspectlons, surveys, reportsor recommendations we may make relative to certification, under state or municipal statutes, ordinances or regulations, of boilers, pressure. vessels or elevators. E. Premiums The first Named Insured shown In the Declarations: 1. Is responsible for the payment of all premiums; and 2. Will be the payee for any return premiums we. pay. F. Transfer Of Your Rights And Duties Under This Policy Your righla and duties under this policy may not be transferred without our written consent except In the case of death of an individual named Insured. If you die, your rights and duties will be transferred to your legal representative but only while acting within the scope of dulles as your legal representative. Until your legal representative is appointed, anyone having proper temporary custody of your property will have your rights and duties but only with respect to that Property. IL 00 17 11 98 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 380; 3 ' of POLICY NUMBER: AECO04629108 XIC 411 1013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AUTOMATIC ADDITIONAL INSURED This endorsement modifies insurance providedi under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM AUTO DEALERS COVERAGE FORM A. COVERED AUTOS LIABILITY COVERAGE, Who Is An Insured, is amended to,include as an "insured" any person or organization you are required in a written contract to name as an additional insured, but only for "bodily injury" or "property damage" otherwise covered under this policy caused, in whole or in part, by the negligent acts or omissions of. 1. You, while using a covered "auto"; or 2. Any other person, except the additional insured or any employee or agent of the additional insured, operating a covered "auto" with your permission; Provided that: a. The written contract is in effect during the policy period of this policy; b. The written contract was signed by you and executed prior to the "accident" causing "bodily injury or "property damage" for which liability coverage is sought; and C. Such person or organization is an "insured" solely to the extent required by the contract, but in no event if such person or organization is solely negligent. B. The Limits of Insurance provided for the Additional Insured shall not be greater than those required by contract and, in no event shall the Limits of Insurance set forth in this,policy be increased by the contract. C. General Conditions, Other Insurance is amendedas follows: Any coverage provided hereunder shall be excess over any other valid and collectible insurance available to the additional insured whether such insurance is primary, excess, contingent or on .any .other basis unless the contract specifically requires that this policy be primary. All terms, conditions, exclusions and limitations of this policy shall apply to. the liability coverage provided to any additional insured, and in no event shall such coverage be enlarged or expanded by reason of the contract. All other terms and conditions of this policy remain unchanged. XIC 411: 1013 © 2013 X:L. America, Inc. All Rights Reserved: Page 1 of 1 May not be copied without permission. Includes copyrighted material of Insurance Services Office, Inc., with its permission. 380; 4 ' of 11 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 34 (Ed. 8-00) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - BLANKET We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you. to obtain this agreement from us). The additional premium for this endorsement shall be otherwise due.. Person or Organization ANY PERSON/ORGANIZATION FOR WHOM THE NAMED INSURED IS REQUIRED UNDER WRITTEN CONTRACT TO FURNISH THIS WAIVER. 2 % of the total California Workers' Compensation premium Schedule Job Description ALL CALIFORNIA OPERATIONS This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 07/20/24 Policy No. WVE 507233801 Endorsement No. Insured OGANESIAN ENTERPRISES, INC. Premium $ INCL. Insurance Company INSURANCE COMPANY OF THE WEST WC 99 06 34 (Ed. 8-06), Countersigned By INSURED 380: 5 ' of POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG 20 26 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured'Person(s) Or Organization(s): Any person or organization where required by written contract providedthat such contract was executed prior to the date of loss. Information required to complete this Schedule, If not shown above will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include, as an additional Insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for 'bodily injury", 'property damage" or 'personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf., 1. In the. performance of your ongoing operations; or 2. in connection with your premises owned by or rented to you. However: 1. The Insurance afforded to such additional' insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract . or agreement to provide for such additional insured. B. With respect to the insurance afforded to 'these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Requiredby the contractor agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. CG 2016 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 380: 6 ' of 1 A`C� lY CERTIFICATE�OF LIABILITY INSURANCE OATE(MMlODYVYY) 7/1812024 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 policypes) 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 Ileu of such endorsement(s). .PRODUCER Solid Waste Insurance Marketing 115 North El Molino Ave Pasadena CA 91101 CONTACT NAME: PHONE 626 795-9000 PA No: E-MAIL ADDRESS: INSURERS) AFFORDING COVERAGE NAICN INSURERA: XLSpecialty Insurance Company 37885 INSURED OGANENT. INSURERS: Insurance Company ofthe West 27847 MediWaste Disposal LLC 235 Deininger Circle INSURERC: Greenwich Insurance Company 22322 Carona, CA 92880 INSURERD: INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER:978525592 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. I�TR TYPEOFINSURANCE AUDLSUBR INSD WVD PODCY NUMBER POUCVEFF MLLDOM'. PNXP MMID�O /1'VY LIMIT C X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE M OCCUR GEC300089008 72OJ2023 8202024 EACHOCCURRENCE $1,000,000 PREMISES Ea ccourrencell $100,000 To MED EXP (Anyone arson 55,000 PERSONAL B ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: %t POLICY „PpCi 71LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS-COMP/OP AGO $2,0DQ0OD $ A AUTOMOe1LELU191LITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY(Par AEC004794807 7202023 8202024 `aBIc.NdEeD161NGLE LIMIT $1,000,000 BODILY INJURY(Perperson) $ BODILY IWURY(Per accident) S PROPERRYDAMAGE accident) $ S A UMBRELLALIAB EXCESSU OCCUR CLAIMS -MADE UECO04794707 7202023 W202024 EACH OCCURRENCE $4,000,OOD X AGGREGATE $4,000,000 0E0 RETENTION$ $ B WORKERSCOMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNERIEXECUTIVE Y1ON OFFICERBMEMBEREXCLUDED7 (Mandatory In NM It yes, describe under DESCRIPTION OF OPERATIONS below NIA r vWE507233801 7202024 71202025 X SEaT TE EqH EL.EACHACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYE $1000000 EL. DISEASE -POLICY LIMIT $1000000 DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached llmore apace is required) COMMON POLICY CONDITIONS - ILD0171198 Additional Insured- Designated Person or Organization - CIS 20 26 12 19 Automatic Additional Insured (Auto)- XIC4111013 Primary Wording-XIL4240805 Endorsement 2572 Waiver of Subrogation Blanket Basis CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. The City of Palm Srpings 3200 Tahqultz Canyon Way'(C)ty Hall Palm Springs CA 92262 AUTHORIZED REPRESENTATIVE ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 380: 12 - of COMMON POLICY CONDITIONS All Coverage Parts Included In, this policy are subject to the following conditions. A. Cancellation 1. The first Named Insured shown in the Declarations may cancel this policy by mailing or delivering, to us advance written notice of cancellation. 2. We may cancel this policy by mailing or delivering to the first Named Insured written notice of cancellation at least: a. 10 days before the effective date, of cancellation if we cancel for nonpayment of premium; or b, 30 days before the effective date of cancellation if we cancel for any other reason. 3. We will mail or deliver our notice to the first Named Insured's last mailing address known to us. 4. Notice of cancellation will state the effective date of cancellation. The policy period will end on that date, 6. If this policy is cancelled, we will send the first Named Insured any premium refund due. If we cancel, the refund will be pro rate. If the first Named Insured cancels, the refund may be lase than pro rate. The cancellation will be effective even If we ,have not made or offered a refund. G. If notice Is mailed, proof of mailing will be sufficient proof of notice, B. Changes This policy contains all the agreements between you and us concerning the insurance afforded. The first Named Insured shown in the Declarations Is authorized tomakechanges In the terms of this policy with our consent. This policy's terms can be amended or waived only by endorsement Issued by us and made a part of this policy. C. Examination Of Your Books And Records We may examine and audit your books and records as they relate to this policy at any time during the policy period and up to three years afterward. D. Inspections And Surveys 1. We have the right to; a. Make Inspections and surveys at any time; IL 00,17 11 9B b, Give you reports on the conditions we find; and c. Recommend changes. 2. Weare not obligated to make any inspections, surveys, reports or recommendations and any such actions we do undertake relate only to insurability and the !premiums to be charged. We do not make safety Inspections, We do not undertake to perform the duly of any person or organization to provide for the health or safety of workers or the public, And we do not warrant that conditions: .a. Are said or healthful; or b. Comply with laws, regulations, codes or standards, 3. Paragraphs 1. and 2. of this condition apply not only to us, but also to any rating, advisory, rate service or similar organization which makes insurance Inspections, surveys, reports or recommendations. 4. Paragraph 2, of this condition does not apply to any inspections, surveys, reports or recommendations we may make relative to certification, under state or ,municipal statutes, ordinances or regulations, of boilers, pressure vessels or elevators. E. Premiums The first Named Insured shown In the Declarations: 1. Is responsible for the payment of all premiums; and 2. Will be the payee for any return premiums we pay, F. Transfer Of Your Rights And Duties Under This Policy Your rights and duties under this policy may not be transferred without our written consent except In the case of death of an individual named Insured. If youdie, your rights and duties will be transferred to your legal representative but only while acting within the scope of duties as your legal representative. Until your legal representative is appointed, anyone having proper temporary custody of your property will have your rights and duties but only with respect to that property. IL 00 1111 98 Copyright, Insurance Services Office, Inc., 1998 Page 9 of 1 380: 13 ' POLICY NUMBER: AEC004629108 XIC 411 1013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AUTOMATICADDITIONAL INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM AUTO DEALERS COVERAGE FORM A. COVERED AUTOS LIABILITY COVERAGE,, Who Is An Insured, is amended to -include as an "insured" any person or organization you are required, in a written contract to name as an additional insured, but only for "bodily injury" or "property damage" otherwise covered under this policy caused, In whole or in part, by the negligent acts or omissions of: You, while using a covered "auto"; or 2. Any other person, except the additional insured or any employee or agent of the additional insured, operating a covered "auto" with your permission; Provided that: a. The written contract is in effect during the policy period of this policy; b. The written contract was signed by you and executed prior to the "accident" causing "bodily injury" or "property damage"for which liability coverage is sought; and C. Such person or organization is an. "insured" solely to the extent required by the contract, but in, no event if such person or organization is solely negligent. B. The Limits of Insurance provided for the Additional Insured shall not be greater than those required by contract and, in no eventshallthe Limits of Insurance set forth in this policy be increased by the contract. C. General Conditions, Other Insurance is amended as follows: Any coverage provided hereunder shall be excess over any other valid and collectible insurance:avallable to the additional insured whether such insurance is primary, excess, contingent or on any other basis unless the contract specifically requires that this policy be primary. All terms, conditions, exclusions and limitations of this policy shall apply to the liability coverage :provided to any additional insured, and in no event shall such coverage be enlarged or expanded by reason of the contract. All other terms and conditionsof this policy remain unchanged. XIC 411' 1013 © 2013 X.L. America, Inc. All Rights Reserved. Page 1 of 1 May not be copied without permission. Includes copyrighted material of Insurance Services Office, Inc., with its permission. 380; 14 ' of WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99'06 34 (Ed. 8-00) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - BLANKET We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us). The additional premium for this endorsement shall be 2 % of the total California Workers' Compensation premium otherwise due. Schedule Person or Organization ANY PERSON/ORGANIZATION FOR WHOM THE NAMED INSURED IS REQUIRED UNDER WRITTEN CONTRACT TO FURNISH THIS WAIVER. Job Description ALL CALIFORNIA OPERATIONS This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement Is issued subsequent to preparation of the policy.) Endorsement Effective 07/20/24 Policy No. WVE 507233801 Endorsement No. Insured OGANESIAN ENTERPRISES, INC. Premium $ INCL. insurance Company INSURANCE COMPANY OF THE WEST Countersigned By WC 99 06 34 (Ed. 8.00) INSURED 380: 15 ' POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG 20 26 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Any person, or organization where required by written: contract provided.that such contract was executed prior to the date of loss. A. Section II — Who Is An Insured is amended to include as an additional Insured" the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insure& is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contractor agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. CG 20 26.1219 ©Insurance Services Office, Inc., 2018 Page 1 of 1 380: 16 ' of CONTRACT ABSTRACT Contract/Amendment Name of Contract: Company Name: Company Contact: Email: Summary of Services: Contract Price: Contract Term: Public Integrity/ Business Disclosure Forms: Contract Administration Lead Department: Contract Administrator/ Ext: Contract Approvals Council/City Manager Approval Date: Agreement Number: Amendment Number: Contract Compliance Exhibits: Insurance: Routed By: Bonds: Business License: Sole Source Co-Op CoOp Agmt #: Sole Source Documents: CoOp Name: CoOp Pricing: By: Submitted on: Contract Abstract Form Rev 8.16.23 Authorized Signers: Name, Email (Corporations require 2 signatures) Sharps Collection Services Mediwaste Disposal, LLC Jarrod Zamora jarrod@medi-waste.com Safe Sharps Collection & Disposal $11,492 October 23, 2023 through October 22, 2026 N/A Jarrod Zamora, Jarrod@medi-waste.com Human Resources Laura Michaels N/A 23I326 N/A Yes Yes Yes Procurement N/A No 3 quotes received N/A N/A N/A 10/23/2023 Brian Sotak-Rossman DocuSign Envelope ID: 67D242DB-5566-4E11-9A1F-72CF1AAAA71E ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH- STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 7/20/2023 License # 0B29370 (626) 795-9000 (626) 577-8940 22322 MediWaste Disposal, LLC P.O. Box 6579 Corona, CA 92878 37885 27847 A 1,000,000 GEC300089008 7/20/2023 7/20/2024 100,000 5,000 1,000,000 2,000,000 2,000,000 1,000,000B AEC004629108 7/20/2023 7/20/2024 4,000,000B UEC004794707 7/20/2023 7/20/2024 4,000,000 C WVE507233800 7/20/2023 7/20/2024 1,000,000 1,000,000 1,000,000 COMMON POLICY CONDITIONS - IL00171198 Proof Of Insurance OGANENT-01 SO912533 Solid Waste Insurance Marketing P.O. Box 7072 Pasadena, CA 91109 Greenwich Insurance Company XL Specialty Insurance Company Insurance Company of the West (ICW) X X X X X X X DocuSign Envelope ID: 67D242DB-5566-4E11-9A1F-72CF1AAAA71E IL00171198 COMMON POLICY CONDITIONS All Coverage Paris included in this policy are subject to the following conditions. A. Cancellation 1. The first Named Insured shown in the Declarations may cancel this policy by mailing or delivering to us advance written notice of cancellation. 2. We may cancel this policy by mailing or delivering to the first Named Insured written notice of cancellation al least: a. 10 days before the effective date of cancellation if we cancel for nonpayment of premium; or b. 30 days before the effective date of cancellation if we cancel for any olher reason. 3. We will mail or deliver our notice to the first Named Insured's last mailing address known to us. 4. Notice of cancellation will state the effective date of cancellation. The policy period will end on that date. 5. If this policy is cancelled. we will send the first Named Insured any premium refund due. If we cancel, the refund will be pro rata. If the first Named Insured cancels, the refund may be less than pro rata. The cancellation will be effective even if we have not made or offered a refund. 6. If notice is mailed, proof of mailing will be sufficient proof of notice. B. Changes This policy contains all the agreements between you and us concerning the insurance afforded. The first Named Insured shown in the Declarations is authorized to make changes in the terms of this policy with our consent. This policy's terms can be amended or waived only by endorsement issued by us and made a part of this policy. C. Examination Of Your Books And Records We may examine and audit your books and records as they relate to this policy at any time during the policy period and up to three years afterward. D. Inspections And Surveys 1. We have the right to: a. Make inspections and surveys at any time; b. Give you reports on the conditions we find; and c. Recommend changes. 2. We are not obligated to make any inspections, surveys, reports or recommendations and any such actions we do undertake relate only to insurability and the premiums to be charged. We do not make safety inspections. We do not undertake to perform the duty of any person or organization to provide for the health or safety of workers or the public. And we do not warrant that conditions: a. Are safe or healthful; or b. Comply with laws, regulations, codes or standards. 3. Paragraphs 1. and 2, of this condition apply not only to us, but also to any rating, advisory, rate service or similar organization which makes insurance inspections, surveys, reports or recommendations. 4. Paragraph 2. of this condition does not apply to any inspections, surveys, reports or recommendations we may make relative to certification, under state or municipal statutes, ordinances or regulations, of bOilers, pressure vessels or elevators. E. Premiums The first Named Insured shown in the Declarations: 1. Is responsible for the payment of all premiums; and 2. Will be the payee for any return premiums we pay. F. Transfer Of Your Rights And Duties Under This Policy Your rights and duties under this policy may not be transferred without our written consent except in the case of death of an individual named insured. If you die, your rights and duties will be transferred to your legal representative but only while acting within the scope of duties as your legal representative. Until your legal representative is appointed, anyone having proper temporary custody of your property will have your rights and duties but only with respect to that property. IL00171198 Copyright. Insurance Services Office, Inc., 1998 Page 1 of 1 DocuSign Envelope ID: 67D242DB-5566-4E11-9A1F-72CF1AAAA71E Revised 4.13.23 Page 1 of 18 CONTRACT SERVICES AGREEMENT 23I326 SHARPS COLLECTION SERVICES THIS AGREEMENT FOR CONTRACT SERVICES (“Agreement”) is made and entered into on October 23, 2023, by and between the City of Palm Springs, a California charter city and municipal corporation (“City”), and MEDIWASTE DISPOSAL, LLC, a California limited liability company, (“Contractor”). City and Contractor are individually referred to as “Party” and are collectively referred to as the “Parties”. RECITALS A.City requires the services of a licensed and qualified firm to provide scheduled safe sharps collection and disposal, (“Project”). B.Contractor has submitted to City a proposal to provide bi-annual and quarterly sharps pickup services , to City under the terms of this Agreement. C.Based on its experience, education, training, and reputation, Contractor is qualified and desires to provide the necessary services to City for the Project. D.City desires to retain the services of Contractor for the Project. NOW, THEREFORE, in consideration of the promises and mutual obligations, covenants, and conditions contained herein, and other valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the Parties agree as follows: AGREEMENT 1.CONTRACTOR SERVICES 1.1 Scope of Services. In compliance with all terms and conditions of this Agreement, Contractor shall provide services to City as described in the Scope of Services/Work attached to this Agreement as Exhibit “A” and incorporated herein by reference (the “Services” or “Work”). Exhibit "A" includes the agreed upon schedule of performance and the schedule of fees. Contractor warrants that the Services shall be performed in a competent, professional, and satisfactory manner consistent with the level of care and skill ordinarily exercised by high quality, experienced, and well qualified members of the profession currently practicing under similar conditions. In the event of any inconsistency between the terms contained in the Scope of Services/Work and the terms set forth in this Agreement, the terms set forth in this Agreement shall govern. 1.2 Compliance with Law. Contractor shall comply with all applicable federal, state, and local laws, statutes and ordinances and all lawful orders, rules, and regulations when performing the Services. Contractor shall be liable for all violations of such laws and regulations in connection with the Services and this Agreement. DocuSign Envelope ID: 67D242DB-5566-4E11-9A1F-72CF1AAAA71E Revised 4.13.23 Page 2 of 18 1.3 Licenses and Permits. Contractor shall obtain at its sole cost and expense such licenses, permits, and approvals as may be required by law for the performance of the Services required by this Agreement. 1.4 Familiarity with Work. By executing this Agreement, Contractor warrants that it has carefully considered how the Work should be performed and fully understands the facilities, difficulties, and restrictions attending performance of the Work under this Agreement. 2.TIME FOR COMPLETION The time for completion of the Services to be performed by Contractor is an essential condition of this Agreement. Contractor shall prosecute regularly and diligently the work of this Agreement according to the agreed upon schedule of performance set forth in Exhibit “A.” Neither Party shall be accountable for delays in performance caused by any condition beyond the reasonable control and without the fault or negligence of the non-performing Party. Delays shall not entitle Contractor to any additional compensation regardless of the Party responsible for the delay. 3.COMPENSATION OF CONTRACTOR 3.1 Compensation of Contractor. Contractor shall be compensated and reimbursed for the services rendered under this Agreement in accordance with the schedule of fees set forth in Exhibit “A”. The total amount of Compensation shall not exceed $11,492. 3.2 Method of Payment. In any month in which Contractor wishes to receive payment, Contractor shall submit to City an invoice for Services rendered prior to the date of the invoice, no later than the first working day of such month, in the form approved by City’s finance director. Payments shall be based on the hourly rates set forth in Exhibit “A” for authorized services performed. City shall pay Contractor for all expenses stated in the invoice that are approved by City and consistent with this Agreement, within thirty (30) days of receipt of Contractor’s invoice. 3.3 Changes. In the event any change or changes in the Services is requested by City, Parties shall execute a written amendment to this Agreement, specifying all proposed amendments, including, but not limited to, any additional fees. An amendment may be entered into: A.To provide for revisions or modifications to documents, work product, or Work, when required by the enactment or revision of any subsequent law; or B.To provide for additional services not included in this Agreement or not customarily furnished in accordance with generally accepted practice in Contractor’s profession. 3.4 Appropriations. This Agreement is subject to, and contingent upon, funds being appropriated by the City Council of City for each fiscal year. If such appropriations are not made, this Agreement shall automatically terminate without penalty to City. DocuSign Envelope ID: 67D242DB-5566-4E11-9A1F-72CF1AAAA71E Revised 4.13.23 Page 3 of 18 4.PERFORMANCE SCHEDULE 4.1 Time of Essence. Time is of the essence in the performance of this Agreement. 4.2 Schedule of Performance. All Services rendered under this Agreement shall be performed under the agreed upon schedule of performance set forth in Exhibit “A.” Any time period extension must be approved in writing by the Contract Officer. 4.3 Force Majeure. The time for performance of Services to be rendered under this Agreement may be extended because of any delays due to a Force Majeure Event, if Contractor notifies the Contract Officer within ten (10) days of the commencement of the Force Majeure Event. A Force Majeure Event shall mean an event that materially affects the Contractor’s performance and is one or more of the following: (1) Acts of God or other natural disasters occurring at the project site; (2) terrorism or other acts of a public enemy; (3) orders of governmental authorities (including, without limitation, unreasonable and unforeseeable delay in the issuance of permits or approvals by governmental authorities that are required for the Work); and (4) pandemics, epidemics or quarantine restrictions. For purposes of this section, “orders of governmental authorities,” includes ordinances, emergency proclamations and orders, rules to protect the public health, welfare and safety, and other actions of the City in its capacity as a municipal authority. After Contractor notification, the Contract Officer shall investigate the facts and the extent of any necessary delay and extend the time for performing the Services for the period of the enforced delay when and if, in the Contract Officer’s judgment, such delay is justified. The Contract Officer’s determination shall be final and conclusive upon the Parties to this Agreement. The Contractor will not receive an adjustment to the contract price or any other compensation. Notwithstanding the foregoing, the City may still terminate this Agreement in accordance with the termination provisions of this Agreement. 4.4 Term. Unless earlier terminated in accordance with Section 4.5 of this Agreement, this Agreement shall continue in full force and effect for a period of three years, commencing on October 23, 2023, and ending on October 22, 2026, unless extended by mutual written agreement of the Parties. 4.5 Termination Prior to Expiration of Term. City may terminate this Agreement at any time, with or without cause, upon thirty (30) days written notice to Contractor. 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 receipt of the notice of termination, Contractor shall immediately cease all Services except such as may be specifically approved by the Contract Officer. Contractor shall be entitled to compensation for all Services rendered prior to receipt of the notice of termination and for any Services authorized by the Contract Officer after such notice. City shall not be liable for any costs other than the charges or portions thereof which are specified herein. Contractor shall not be entitled to payment for unperformed Services and shall not be entitled to damages or compensation for termination of Work. If the termination is for cause, the City shall have the right to take whatever steps it deems necessary to correct Contractor's deficiencies and charge the cost thereof to Contractor, who shall be liable for the full cost of the City's corrective action. Contractor may not terminate this Agreement except for cause, upon thirty (30) days written notice to City. DocuSign Envelope ID: 67D242DB-5566-4E11-9A1F-72CF1AAAA71E Revised 4.13.23 Page 4 of 18 5.COORDINATION OF WORK 5.1 Representative of Contractor. The following principal of Contractor is designated as being the principal and representative of Contractor authorized to act and make all decisions in its behalf with respect to the specified Services: Jarrod Zamora, Account Executive. It is expressly understood that the experience, knowledge, education, capability, and reputation of the foregoing principal is a substantial inducement for City to enter into this Agreement. Therefore, the foregoing principal shall be responsible during the term of this Agreement for directing all activities of Contractor and devoting sufficient time to personally supervise the Services under this Agreement. The foregoing principal may not be changed by Contractor without prior written approval of the Contract Officer. 5.2 Contract Officer. The Contract Officer shall be the City Manager or his/her designee ("Contract Officer"). Contractor shall be responsible for keeping the Contract Officer fully informed of the progress of the performance of the Services. Contractor shall refer any decisions that must be made by City to the Contract Officer. Unless otherwise specified, any approval of City shall mean the approval of the Contract Officer. 5.3 Prohibition Against Subcontracting or Assignment. The experience, knowledge, education, capability, and reputation of Contractor, its principals and employees, were a substantial inducement for City to enter into this Agreement. Contractor shall not contract with any other individual or entity to perform any Services required under this Agreement without the City's express written approval. In addition, neither this Agreement nor any interest may be assigned or transferred, voluntarily or by operation of law, without the prior written approval of City. Subcontracts, if any, shall contain a provision making them subject to all provisions stipulated in this Agreement including without limitation the insurance and indemnification requirements. If Contractor is permitted to subcontract any part of this Agreement by City, Contractor shall be responsible to City for the acts and omissions of its subcontractor(s) in the same manner as it is for persons directly employed. Nothing contained in this Agreement shall create any contractual relationships between any subcontractor and City. 5.4 Independent Contractor. Neither City nor any of its employees shall have any control over the manner, mode, or means by which Contractor, its agents or employees, perform the Services required, except as otherwise specified. Contractor shall perform all required Services as an independent contractor of City and shall not be an employee of City and shall remain at all times as to City a wholly independent contractor with only such obligations as are consistent with that role; however, City shall have the right to review Contractor’s work product, result, and advice. Contractor shall not at any time or in any manner represent that it or any of its agents or employees are agents or employees of City. Contractor shall pay all wages, salaries, and other amounts due personnel in connection with their performance under this Agreement and as required by law. Contractor shall be responsible for all reports and obligations respecting such personnel, including, but not limited to: social security taxes, income tax withholding, unemployment insurance, and workers’ compensation insurance. Contractor shall not have any authority to bind City in any manner. 5.5 Personnel. Contractor agrees to assign the following individuals to perform the services in this Agreement. Contractor shall not alter the assignment of the following personnel DocuSign Envelope ID: 67D242DB-5566-4E11-9A1F-72CF1AAAA71E Revised 4.13.23 Page 5 of 18 without the prior written approval of the Contract Officer. Acting through the City Manager, the City shall have the unrestricted right to order the removal of any personnel assigned by Contractor by providing written notice to Contractor. Name: Title: Jarrod Zamora Account Executive 5.6 California Labor Code Requirements. A.Contractor is aware of the requirements of California Labor Code Sections 1720 et seq. and 1770 et seq., which require the payment of prevailing wage rates and the performance of other requirements on certain “public works” and “maintenance” projects (“Prevailing Wage Laws”). If the Services are being performed as part of an applicable “public works” or “maintenance” project, as defined by the Prevailing Wage Laws, and if the total compensation is $15,000 or more for maintenance or $25,000 or more for construction, alteration, demolition, installation, or repair, Contractor agrees to fully comply with such Prevailing Wage Laws. Contractor shall defend, indemnify and hold the City, its officials, officers, employees and agents free and harmless from any claims, liabilities, costs, penalties or interest arising out of any failure or alleged failure to comply with the Prevailing Wage Laws. It shall be mandatory upon the Contractor and all subcontractors to comply with all California Labor Code provisions, which include but are not limited to prevailing wages (Labor Code Sections 1771, 1774 and 1775), employment of apprentices (Labor Code Section 1777.5), certified payroll records (Labor Code Sections 1771.4 and 1776), hours of labor (Labor Code Sections 1813 and 1815) and debarment of contractors and subcontractors (Labor Code Section 1777.1). B.If the Services are being performed as part of an applicable “public works” or “maintenance” project and if the total compensation is $15,000 or more for maintenance or $25,000 or more for construction, alteration, demolition, installation, or repair, then pursuant to Labor Code Sections 1725.5 and 1771.1, the Contractor and all subcontractors performing such Services must be registered with the Department of Industrial Relations. Contractor shall maintain registration for the duration of the Project and require the same of any subcontractors, as applicable. This Agreement may also be subject to compliance monitoring and enforcement by the Department of Industrial Relations. It shall be Contractor’s sole responsibility to comply with all applicable registration and labor compliance requirements. 6.INSURANCE Contractor shall procure and maintain, at its sole cost and expense, policies of insurance as set forth in the attached Exhibit "B", incorporated herein by reference. 7.INDEMNIFICATION. 7.1 Indemnification. To the fullest extent permitted by law, Contractor shall defend (at Contractor’s sole cost and expense), indemnify, protect, and hold harmless City, its elected officials, officers, employees, agents, and volunteers (collectively the “Indemnified Parties”), from and against any and all liabilities, actions, suits, claims, demands, losses, costs, judgments, arbitration awards, settlements, damages, demands, orders, penalties, and expenses DocuSign Envelope ID: 67D242DB-5566-4E11-9A1F-72CF1AAAA71E Revised 4.13.23 Page 6 of 18 including legal costs and attorney fees (collectively “Claims”), including but not limited to Claims arising from injuries to or death of persons (Contractor’s employees included), for damage to property, including property owned by City, for any violation of any federal, state, or local law or ordinance or in any manner arising out of, pertaining to, or incident to any acts, errors or omissions, or willful misconduct committed by Contractor, its officers, employees, representatives, and agents, that arise out of or relate to Contractor’s performance of Services or this Agreement. This indemnification clause excludes Claims arising from the sole negligence or willful misconduct of the Indemnified Parties. Under no circumstances shall the insurance requirements and limits set forth in this Agreement be construed to limit Contractor’s indemnification obligation or other liability under this Agreement. Contractor’s indemnification obligation shall survive the expiration or earlier termination of this Agreement until all actions against the Indemnified Parties for such matters indemnified are fully and finally barred by the applicable statute of limitations or, if an action is timely filed, until such action is final. 7.2 Design Professional Services Indemnification and Reimbursement. If Contractor’s obligation to defend, indemnify, and/or hold harmless arises out of Contractor’s performance as a “design professional” (as that term is defined under Civil Code section 2782.8), then, and only to the extent required by Civil Code section 2782.8, which is fully incorporated herein, Contractor’s indemnification obligation shall be limited to the extent which the Claims arise out of, pertain to, or relate to the negligence, recklessness, or willful misconduct of the Contractor in the performance of the Services or this Agreement, and, upon Contractor obtaining a final adjudication by a court of competent jurisdiction, Contractor’s liability for such claim, including the cost to defend, shall not exceed the Contractor’s proportionate percentage of fault. 8.RECORDS AND REPORTS 8.1 Reports. Contractor shall periodically prepare and submit to the Contract Officer reports concerning the performance of the Services required by this Agreement, or as the Contract Officer shall require. 8.2 Records. Contractor shall keep complete, accurate, and detailed accounts of all time, costs, expenses, and expenditures pertaining in any way to this Agreement. Contractor shall keep such books and records as shall be necessary to properly perform the Services required by this Agreement and enable the Contract Officer to evaluate the performance of such Services. The Contract Officer shall have full and free access to such books and records at all reasonable times, including the right to inspect, copy, audit, and make records and transcripts from such records. 8.3 Ownership of Documents. All drawings, specifications, reports, records, documents, and other materials prepared by Contractor in the performance of this Agreement shall be the property of City. Contractor shall deliver all above-referenced documents to City upon request of the Contract Officer or upon the termination of this Agreement. Contractor shall have no claim for further employment or additional compensation as a result of the exercise by City of its full rights or ownership of the documents and materials. Contractor may retain copies of such documents for Contractor's own use. Contractor shall have an unrestricted right to use the concepts embodied in such documents. DocuSign Envelope ID: 67D242DB-5566-4E11-9A1F-72CF1AAAA71E Revised 4.13.23 Page 7 of 18 8.4 Release of Documents. All drawings, specifications, reports, records, documents, and other materials prepared by Contractor in the performance of Services under this Agreement shall not be released publicly without the prior written approval of the Contract Officer. 8.5 Audit and Inspection of Records. After receipt of reasonable notice and during the regular business hours of City, Contractor shall provide City, or other agents of City, such access to Contractor’s books, records, payroll documents, and facilities as City deems necessary to examine, copy, audit, and inspect all accounting books, records, work data, documents, and activities directly related to Contractor’s performance under this Agreement. Contractor shall maintain such books, records, data, and documents in accordance with generally accepted accounting principles and shall clearly identify and make such items readily accessible to such parties during the term of this Agreement and for a period of three (3) years from the date of final payment by City hereunder. 9.ENFORCEMENT OF AGREEMENT 9.1 California Law. This Agreement shall be construed and interpreted both as to validity and to performance of the parties in accordance with the laws of the State of California. Legal actions concerning any dispute, claim, or matter arising out of or in relation to this Agreement shall be instituted in the Superior Court of the County of Riverside, State of California, or any other appropriate court in such county, and Contractor covenants and agrees to submit to the personal jurisdiction of such court in the event of such action. 9.2 Interpretation. This Agreement shall be construed as a whole according to its fair language and common meaning to achieve the objectives and purposes of the Parties. The terms of this Agreement are contractual and the result of negotiation between the Parties. Accordingly, any rule of construction of contracts (including, without limitation, California Civil Code Section 1654) that ambiguities are to be construed against the drafting party, shall not be employed in the interpretation of this Agreement. The caption headings of the various sections and paragraphs of this Agreement are for convenience and identification purposes only and shall not be deemed to limit, expand, or define the contents of the respective sections or paragraphs. 9.3 Waiver. No delay or omission in the exercise of any right or remedy of a non- defaulting Party on any default shall impair such right or remedy or be construed as a waiver. No consent or approval of City shall be deemed to waive or render unnecessary City’s consent to or approval of any subsequent act of Contractor. Any waiver by either Party of any default must be in writing. No such waiver shall be a waiver of any other default concerning the same or any other provision of this Agreement. 9.4 Rights and Remedies are Cumulative. Except with respect to rights and remedies expressly declared to be exclusive in this Agreement, the rights and remedies of the parties are cumulative. The exercise by either Party of one or more of such rights or remedies shall not preclude the exercise by it, at the same or different times, of any other rights or remedies for the same default or any other default by the other Party. DocuSign Envelope ID: 67D242DB-5566-4E11-9A1F-72CF1AAAA71E Revised 4.13.23 Page 8 of 18 9.5 Legal Action. In addition to any other rights or remedies, either Party may take legal action, in law or in equity, to cure, correct, or remedy any default, to recover damages for any default, to compel specific performance of this Agreement, to obtain injunctive relief, a declaratory judgment, or any other remedy consistent with the purposes of this Agreement. 9.6 Attorney Fees. In the event any dispute between the Parties with respect to this Agreement results in litigation or any non-judicial proceeding, the prevailing Party shall be entitled, in addition to such other relief as may be granted, to recover from the non-prevailing Party all reasonable costs and expenses. These include but are not limited to reasonable attorney fees, expert contractor fees, court costs and all fees, costs, and expenses incurred in any appeal or in collection of any judgment entered in such proceeding. 10.CITY OFFICERS AND EMPLOYEES: NON-DISCRIMINATION 10.1 Non-Liability of City Officers and Employees. No officer or employee of City shall be personally liable to the Contractor, or any successor-in-interest, in the event of any default or breach by City or for any amount which may become due to the Contractor or its successor, or for breach of any obligation of the terms of this Agreement. 10.2 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. 10.3 Covenant Against 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. 11.MISCELLANEOUS PROVISIONS 11.1 Notice. Any notice, demand, request, consent, approval, or communication that either Party desires, or is required to give to the other Party or any other person shall be in DocuSign Envelope ID: 67D242DB-5566-4E11-9A1F-72CF1AAAA71E Revised 4.13.23 Page 9 of 18 writing and either served personally or sent by pre-paid, first-class mail to the address set forth below. Notice shall be deemed communicated seventy-two (72) hours from the time of mailing if mailed as provided in this Section. Either Party may change its address by notifying the other Party of the change of address in writing. To City: City of Palm Springs Attention: City Manager/ City Clerk 3200 E. Tahquitz Canyon Way Palm Springs, California 92262 To Contractor: MediWaste Disposal, LLC Attention: Jarrod Zamora 235 Deininger Cir. Corona, CA 92880 11.2 Integrated Agreement. This Agreement constitutes the entire understanding between the Parties and supersedes and cancels all prior negotiations, arrangements, agreements, representations, and understandings, if any, made by or among the Parties with respect to the subject matter in this Agreement. 11.3 Amendment. No amendments or other modifications of this Agreement shall be binding unless through written agreement signed by all Parties. 11.4 Severability. Whenever possible, each provision of this Agreement shall be interpreted in such a manner as to be effective and valid under applicable law. In the event that any one or more of the phrases, sentences, clauses, paragraphs, or sections contained in this Agreement shall be declared invalid or unenforceable by valid judgment or decree of a court of competent jurisdiction, such invalidity or unenforceability shall not affect any of the remaining phrases, sentences, clauses, paragraphs, or sections of this Agreement, which shall be interpreted to carry out the intent of the Parties. 11.5 Successors in Interest. This Agreement shall be binding upon and inure to the benefit of the Parties’ successors and assignees. 11.6 Third Party Beneficiary. Except as may be expressly provided for in this Agreement, nothing contained in this Agreement is intended to confer, nor shall this Agreement be construed as conferring, any rights, including, without limitation, any rights as a third-party beneficiary or otherwise, upon any entity or person not a party to this Agreement. 11.7 Recitals. The above-referenced Recitals are hereby incorporated into the Agreement as though fully set forth in this Agreement and each Party acknowledges and agrees that such Party is bound, for purposes of this Agreement, by the same. 11.8 Authority. The persons executing this Agreement on behalf of the Parties warrant that they are duly authorized to execute this Agreement on behalf of Parties and that by so executing this Agreement the Parties are formally bound to the provisions of this Agreement. DocuSign Envelope ID: 67D242DB-5566-4E11-9A1F-72CF1AAAA71E Revised 4.13.23 Page 10 of 18 11.9 Counterparts. This Agreement may be signed in counterparts, each of which shall constitute an original. 11.10 Compliance with Economic Sanctions in Response to Russia's Actions in Ukraine. When funding for the services is provided, in whole or in part, by an agency controlled of the State of California, Consultant shall fully and adequately comply with California Executive Order N-6-22 (“Russian Sanctions Program”). As part of this compliance process, Consultant shall also certify compliance with the Russian Sanctions Program by completing the form located in Exhibit “C” (Russian Sanctions Certification), attached hereto and incorporated herein by reference. Consultant shall also require any subconsultants to comply with the Russian Sanctions Program and certify compliance pursuant to this Section. [SIGNATURES ON NEXT PAGE] DocuSign Envelope ID: 67D242DB-5566-4E11-9A1F-72CF1AAAA71E Revised 4.13.23 Page 11 of 18 SIGNATURE PAGE TO AGREEMENT BY AND BETWEEN THE CITY OF PALM SPRINGS AND MEDIWASTE DISPOSAL, LLC IN WITNESS WHEREOF, the Parties have executed this Agreement as of the dates stated below. CONTRACTOR: By: _______________________________________ By: _________________________________________ Signature Signature (2nd signature required for Corporations) Date:Date: CITY OF PALM SPRINGS: APPROVED BY CITY COUNCIL: Date: N/A Item No. N/A APPROVED AS TO FORM: ATTEST: By: ___________________________ By: _______________________________ City Attorney City Clerk APPROVED: By: _______________________________ Date: City Manager – over $50,000 Deputy/Assistant City Manager – up to $50,000 Director – up to $25,000 Manager – up to $5,000 DocuSign Envelope ID: 67D242DB-5566-4E11-9A1F-72CF1AAAA71E 10/23/2023 10/23/2023 Revised 4.13.23 Page 12 of 18 EXHIBIT “A” SCOPE OF SERVICES/WORK Including, Schedule of Fees And Schedule of Performance DocuSign Envelope ID: 67D242DB-5566-4E11-9A1F-72CF1AAAA71E Revised 4.13.23 Page 13 of 18 Scope of Services MediWaste Disposal, LLC will collect, transport, treat, and dispose of all regulated medical waste (except nonconforming waste, as identified in the attached Regulated Medical Waste Acceptance Policy (“WAP”) generated by City of Palm Springs during the terms of this arrangement. Pricing: The pricing included in this Contract shall be firm for the three-year term. The pricing will also include a one-time start up cost of $1,585.64 for the delivery of the sharps containers. Location Frequency Pricing 300 Sunrise Way, Palm Springs, Ca 92262 Every 26 weeks $25 per month 1901 Baristo Rd, Palm Springs, Ca 92262 Every 26 weeks $25 per month 480 Tramview Rd, Palm Springs, Ca 92262 Every 26 weeks $25 per month 3601 E. Mesquite Ave, Palm Springs, Ca 92264 Every 26 weeks $25 per month 401 S. Pavilion Way, Palm Springs, Ca 92262 Every 26 weeks $25 per month 405 S. Pavilion Way, Palm Springs, Ca 92262 Every 26 weeks $25 per month 403 S. Pavilion Way, Palm Springs, Ca 92262 Every 26 weeks $25 per month 3400 E. Tahquitz Canyon Way, Palm Springs, Ca 92262 Every 12 weeks $50 per month 425 N. Civic Dr, Palm Springs, Ca 92262 Every 26 weeks $25 per month 3200 E. Tahquitz Canyon Way, Palm Springs, Ca 92262 Every 26 weeks $25 per month Invoicing: Contractor will submit an itemized invoice monthly. Billings must reference a purchase order number and shall indicate the unit (contract) price. Contractor shall break out the line items on the invoice per location at the rates detailed above. Invoices that are submitted with incorrect prices may be returned for correction before any payments to the contractor are authorized. It shall be the contractor’s responsibility to submit a correct invoice. The City shall not be responsible for payment until a correct invoice is received. The invoice shall be accompanied by receipts, dated, and signed by a City Employee, verifying the work was done. Invoices and receipts will be submitted to the Contract Officer for approval. DocuSign Envelope ID: 67D242DB-5566-4E11-9A1F-72CF1AAAA71E DocuSign Envelope ID: 67D242DB-5566-4E11-9A1F-72CF1AAAA71E DocuSign Envelope ID: 67D242DB-5566-4E11-9A1F-72CF1AAAA71E DocuSign Envelope ID: 67D242DB-5566-4E11-9A1F-72CF1AAAA71E DocuSign Envelope ID: 67D242DB-5566-4E11-9A1F-72CF1AAAA71E DocuSign Envelope ID: 67D242DB-5566-4E11-9A1F-72CF1AAAA71E DocuSign Envelope ID: 67D242DB-5566-4E11-9A1F-72CF1AAAA71E DocuSign Envelope ID: 67D242DB-5566-4E11-9A1F-72CF1AAAA71E DocuSign Envelope ID: 67D242DB-5566-4E11-9A1F-72CF1AAAA71E DocuSign Envelope ID: 67D242DB-5566-4E11-9A1F-72CF1AAAA71E DocuSign Envelope ID: 67D242DB-5566-4E11-9A1F-72CF1AAAA71E DocuSign Envelope ID: 67D242DB-5566-4E11-9A1F-72CF1AAAA71E DocuSign Envelope ID: 67D242DB-5566-4E11-9A1F-72CF1AAAA71E DocuSign Envelope ID: 67D242DB-5566-4E11-9A1F-72CF1AAAA71E Revised 4.13.23 Page 14 of 18 EXHIBIT “B” INSURANCE PROVISIONS Including Verification of Coverage, Sufficiency of Insurers, Errors and Omissions Coverage, Minimum Scope of Insurance, Deductibles and Self-Insured Retentions, and Severability of Interests (Separation of Insureds) DocuSign Envelope ID: 67D242DB-5566-4E11-9A1F-72CF1AAAA71E Revised 4.13.23 Page 15 of 18 INSURANCE 1. Procurement and Maintenance of Insurance. Contractor shall procure and maintain public liability and property damage insurance against all claims for injuries against persons or damages to property resulting from Contractor’s performance under this Agreement. Contractor shall procure and maintain all insurance at its sole cost and expense, in a form and content satisfactory to the City, and submit concurrently with its execution of this Agreement. Contractor shall also carry workers’ compensation insurance in accordance with California workers’ compensation laws. Such insurance shall be kept in full force and effect during the term of this Agreement, including any extensions. Such insurance shall not be cancelable without thirty (30) days advance written notice to City of any proposed cancellation. Certificates of insurance evidencing the foregoing and designating the City, its elected officials, officers, employees, agents, and volunteers as additional named insureds by original endorsement shall be delivered to and approved by City prior to commencement of services. The procuring of such insurance and the delivery of policies, certificates, and endorsements evidencing the same shall not be construed as a limitation of Contractor’s obligation to indemnify City, its elected officials, officers, agents, employees, and volunteers. 2. Minimum Scope of Insurance. The minimum amount of insurance required under this Agreement shall be as follows: 1. Comprehensive general liability and personal injury with limits of at least one million dollars ($1,000,000.00) combined single limit coverage per occurrence and two million dollars ($2,000,000) general aggregate; 2. Automobile liability insurance with limits of at least one million dollars ($1,000,000.00) per occurrence; 3. Professional liability (errors and omissions) insurance with limits of at least one million dollars ($1,000,000.00) per occurrence and two million dollars ($2,000,000) annual aggregate is: _________ required ___X____ is not required; 4. Workers’ Compensation insurance in the statutory amount as required by the State of California and Employer’s Liability Insurance with limits of at least one million dollars $1 million per occurrence. If Contractor has no employees, Contractor shall complete the City’s Request for Waiver of Workers’ Compensation Insurance Requirement form. 3. Primary Insurance. For any claims related to this Agreement, Contractor’s insurance coverage shall be primary with respect to the City and its respective elected officials, officers, employees, agents, and volunteers. Any insurance or self-insurance maintained by City and its respective elected officials, officers, employees, agents, and volunteers shall be in excess of Contractor’s insurance and shall not contribute with it. For Workers’ Compensation and Employer’s Liability Insurance only, the insurer shall waive all rights of subrogation and DocuSign Envelope ID: 67D242DB-5566-4E11-9A1F-72CF1AAAA71E Revised 4.13.23 Page 16 of 18 contribution it may have against City, its elected officials, officers, employees, agents, and volunteers. 4. Errors and Omissions Coverage. If Errors & Omissions Insurance is required, and if Contractor provides claims made professional liability insurance, Contractor shall also agree in writing either (1) to purchase tail insurance in the amount required by this Agreement to cover claims made within three years of the completion of Contractor’s services under this Agreement, or (2) to maintain professional liability insurance coverage with the same carrier in the amount required by this Agreement for at least three years after completion of Contractor’s services under this Agreement. Contractor shall also be required to provide evidence to City of the purchase of the required tail insurance or continuation of the professional liability policy. 5. Sufficiency of Insurers. Insurance required in this Agreement shall be provided by authorized insurers in good standing with the State of California. Coverage shall be provided by insurers admitted in the State of California with an A.M. Best’s Key Rating of B++, Class VII, or better, unless otherwise acceptable to the City. 6. Verification of Coverage. Contractor shall furnish City with both certificates of insurance and endorsements, including additional insured endorsements, affecting all of the coverages required by this Agreement. The certificates and endorsements are to be signed by a person authorized by that insurer to bind coverage on its behalf. All proof of insurance is to be received and approved by the City before work commences. City reserves the right to require Contractor’s insurers to provide complete, certified copies of all required insurance policies at any time. Additional insured endorsements are not required for Errors and Omissions and Workers’ Compensation policies. Verification of Insurance coverage may be provided by: (1) an approved General and/or Auto Liability Endorsement Form for the City of Palm Springs or (2) an acceptable Certificate of Liability Insurance Coverage with an approved Additional Insured Endorsement with the following endorsements stated on the certificate: A. "The City of Palm Springs, its officials, employees, and agents are named as an additional insured…” ("as respects City of Palm Springs Contract No.___" or "for any and all work performed with the City" may be included in this statement). B. "This insurance is primary and non-contributory over any insurance or self- insurance the City may have..." ("as respects City of Palm Springs Contract No.___" or "for any and all work performed with the City" may be included in this statement). C. "Should any of the above-described policies be canceled before the expiration date thereof, the issuing company will mail 30 days written notice to the Certificate Holder named." Language such as, “endeavor to” mail and "but failure to mail such notice shall impose no obligation or liability of any kind upon the company, its agents or representative" is not acceptable and must be crossed out. DocuSign Envelope ID: 67D242DB-5566-4E11-9A1F-72CF1AAAA71E Revised 4.13.23 Page 17 of 18 D. Both the Workers’ Compensation and Employers' Liability policies shall contain the insurer's waiver of subrogation in favor of City, its elected officials, officers, employees, agents, and volunteers. In addition to the endorsements listed above, the City of Palm Springs shall be named the certificate holder on the policies. All certificates of insurance and endorsements are to be received and approved by the City before work commences. All certificates of insurance must be authorized by a person with authority to bind coverage, whether that is the authorized agent/broker or insurance underwriter. Failure to obtain the required documents prior to the commencement of work shall not waive the Contractor’s obligation to provide them. 7. Deductibles and Self-Insured Retentions. Any deductibles or self-insured retentions must be declared to and approved by the City prior to commencing any work or services under this Agreement. At the option of the City, either (1) the insurer shall reduce or eliminate such deductibles or self-insured retentions with respect to the City, its elected officials, officers, employees, agents, and volunteers; or (2) Contractor shall procure a bond guaranteeing payment of losses and related investigations, claim administration, and defense expenses. Certificates of Insurance must include evidence of the amount of any deductible or self-insured retention under the policy. Contractor guarantees payment of all deductibles and self-insured retentions. 8. Severability of Interests (Separation of Insureds). This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the limits of the insurer’s liability. DocuSign Envelope ID: 67D242DB-5566-4E11-9A1F-72CF1AAAA71E Revised 4.13.23 Page 18 of 18 EXHIBIT “C” EXECUTIVE ORDER N-6-22 CERTIFICATION Executive Order N-6-22 issued by Governor Gavin Newsom on March 4, 2022, directs all agencies and departments that are subject to the Governor’s authority to (a) terminate any contracts with any individuals or entities that are determined to be a target of economic sanctions against Russia and Russian entities and individuals; and (b) refrain from entering into any new contracts with such individuals or entities while the aforementioned sanctions are in effect. Executive Order N-6-22 also requires that any contractor that: (1) currently has a contract with the City of Palm Springs funded through grant funds provided by the State of California; and/or (2) submits a bid or proposal or otherwise proposes to or enter into or renew a contract with the City of Palm Springs with State of California grant funds, certify that the person is not the target of any economic sanctions against Russia and Russian entities and individuals. The contractor hereby certifies, SUBJECT TO PENALTY FOR PERJURY, that a) the contractor is not a target of any economic sanctions against Russian and Russian entities and individuals as discussed in Executive Order N-6-22 and b) the person signing below is duly authorized to legally bind the Contractor. This certification is made under the laws of the State of California. Signature: Printed Name: Title: Firm Name: Date: DocuSign Envelope ID: 67D242DB-5566-4E11-9A1F-72CF1AAAA71E 10/23/2023 MediWaste Disposal Accoutn Executive Jarrod Zamora CITY OF PALM SPRINGS 3200 E TAHQUITZ CANYON WAY, PALM SPRINGS, CA 92262 (760) 322-8328 BUSINESS LICENSE CERTIFICATE Fees Paid:$172.00 ISSUANCE OF THIS LICENSE DOES NOT ENTITLE THE LICENSEE TO OPERATE OR MAINTAIN A BUSINESS IN VIOLATION OF ANY OTHER LAW OR ORDINANCE. THIS IS NOT AN ENDORSEMENT OF THE ACTIVITY NOR OF THE APPLICANT'S QUALIFICATIONS. Business Name:MEDIWASTE DISPOSAL LLC DBA: Owner:MEDIWASTE DISPOSAL LLC Mailing Address:PO BOX 815 CORONA, CA 92878 License Number:OC-000856-2023 Expiration Date:06/30/2024 PLEASE NOTE THAT IT IS YOUR RESPONSIBILITY TO RENEW AND UPDATE THIS LICENSE ANNUALLY. Business Location:235 DEININGER CIR, CORONA, CA 92878 Business Description:MEDICAL WASTE MANAGEMENT SERVICES TO BE POSTED IN A CONSPICUOUS PLACE DocuSign Envelope ID: 67D242DB-5566-4E11-9A1F-72CF1AAAA71E