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HomeMy WebLinkAbout23B374 - Mamco Inc. DBA AlabbasiACORD• CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDOIYYYY) ~ 8/1/2025 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 CERTI FICATE 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 ADDmONAL INSURED, the pollcy (les) must have ADDITIONAL INSURED provisions o r be endorsed. If SUBROGATION IS WAIVED, s ubject to the terms and c onditions of t he po lic y, certain policies may require an e ndorsement. A st atem ent o n this certificate does not confer r ights to the certificate holde r in lieu of such endorsement(s). PROOUCER ~~f~CT Philio Arzu Irvine-Alliant Insurance Services, Inc. PHONI!--. 949-756-0271 ,r~ Nol : - 18100 Von Karman, 10th Floor (A&.11~). ____ --- Irvine CA 92612 ~o~iss: parzu@alliant.com --INSURER(~ AFFORDING COVERAGE NAICI _ INSURER A : Berldev Assurance Comoan_y__ __ -.... ~__g_ INSURED MAM CINC-01 ~RB : __ Mamco, Inc. - dba: A la b basi INSURERC : 764 West Ramona Expressway, Suite C INSURERD : Perris CA 92571 INSURERE : --------- INSURERF : COVERAGES CERTIFICATE NUMBER : 1054803614 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 --"°OLSUBR ___ ----------..0UCY EFF-POUCY ~ ------------- LTR TYPE OF INSURANCE I 111•n wvn POLICY NUMBER IM IMM/00/YYYYI LIMITS COM MERCIAL GENERAL UABILJTY EACH OCCURRENCE $ >-D CLAIMS-MADE □ OCCUR DAMAGEoO RENTED - -PREMISES (l;e occvrren<:e) I S MED EXP I Anv one .,..,...,,,1 $ ------------- -------------PERSONAL & ADV INJURY I s GEN'L AGGREGATE LIM IT APPLIES PER: GENERAL AGGREGATE i s Fl POLICY □ 18-r [l Loc PRODUCTS · COMP/OP AG~ ____ ---= OTHER: 1' AUTOIIOBIL.E LIABILITY COMBINED SINGLE LIMIT 1 $ >-~accident) - ANY AUTO BODILY INJURY (Per person) I $ >---OWNED -SCHEDULED ------- AUTOS ONLY AUTOS BODILY INJURY (Per acx:ident) S >---~--HIRED NON-OWNED PROPERTY DAMAGE $ -AUTOS ONLY -AUTOS ONLY ~~ --- $ UMBRELLA LIAS HOCCUR EACH OCCURRENCE S ------------ EXCESSUAB CLAIMS-MADE AGGREGATE $ OED I I RETENTION s $ WORKERS COMPENSATION ~!ER . <l_J_OTH• ANO EMP\.OYERS' LIABILITY Y/N TATIJTE ER_ - ANYPROPRIETOR/PARTNERIEXECUTIVE □ N I A E.L EACH ACCIDENT _µ OFFICER/MEMBER EXCLUOED7 ----- (Mandlto,y In NH) E.L DISEASE • EA EMPLOYEE $ II yes, descnbe under E.L DISEASE. POLICY LIMITis - -- DESCRIPTION OF OPERATIONS below A Prolusional Liabillly PCAB-5028793-0825 8/17/2025 8/17/2026 Each Claim / A,gg. S2MM /$2MM Connclor'• Pclubon Liabillly Eech Ooc. / Agg ) $2MM/$2MM Deducttblo $25.000 DESC RIPTION OF OPERATIONS/ LOCATIONS/ Vl:HICLES (ACORD 101, Additional Remar1<s Schedule, may be attached If more space II ,equln<f) Re: 2173 • Storm Drain Line 20, Stage 3 CITY PROJECT NO. 19-15 The City of Palm Springs, Its officials , employees, and agents are named as an additional insured on a ~rimary and noncontributory basis per the policy fonn. Waiver of subrogation applies in favor of additional insured per the attached policy form. Professional/ ollution CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABO VE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE TH ER EOF, NOTICE WILL BE DELIVERED IN ACCORDANCE W ITH THE POLICY P ROVISIONS. City of Palm Springs 3200 East Tahquitz Canyon Way AUTHORIZED REPRESE NTATIVE Palm Springs CA 92.262 -p4,,•1,;> A_~ I © 1988-2015 ACORD CORPORATION. All rights reserved . ACORD 25 (2016/03) The A CORD name and logo a re re giste red marks of ACORD r ~CD_RD 9 CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/00/YYYY) 4/2/2025 THIS CERTIACATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the pollcy, certain polJcles may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lleu of such endorsement(s). PRODUCER ~A~t"' ESPI Service Team Edgewood Partners Ins. Center PHONE I FAX 10877 \Nhite Rock Rd. Suite 300 ,,.,,-, .,,.. 0:vtl• {AIC Nol: Lic#OB29370 RECEIVED ~thA~~~ .. , ESPIServlceTeam@epicbrokers.com Rancho Cordova CA 95670 INSURER{$) AFFORDING COVERAGE NAICII APR 11.t 2025 INSURER A : Arch Insurance Company 11150 INSURED TRINEQUI INSURERB: Technology Insurance Company Inc. 42376 Trinity Equipment, Inc OFFICE OF THE CITY CLER! INSURERC : 2650 S La Cadena Dr -- Colton CA 92324 J_NSURERD: INSURER E: ·- INSURERF : COVERAGES CERTIFICATE NUMBER: 414578549 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. NOTWITHSTAND ING ANY REQUIREMENT, TERM OR COND ITION 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 ANO CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ------IAUDL ,:;uBR P0LI%_¼EFf-POLl~Y EXP ---- LTR TYPE OF INSURANCE ,,..,.,n , .. ,un POLICY NUMBER IMMID /VY) I {MM/0 /YYYY) UM'TS A X COM MERCIAL GENERAL LIABILITY y y PRPKG0117302 2/5/2025 2/5/2026 EACH OCCURRENCE $1,000,000 -0 CLAJMS-MADE 0 OCCUR -~ !¥."''"'"u $300 ,000 I-ES (Ea oocurren•-"1 I-MEO EXP (Any one poison) S 10 000 I-PERSONAL & ADV INJURY $1 ,000 000 - GEN'L AGGREGATE LIMIT APPLIES PER . GE NERAL AGGREGATE $2,000,000 ~ POLICY □ m?r □ LOC PRODUCTS • COMP/OP AGG $2,000.000 OTHER s A AUTOMOBILE LIABILITY y y PRPKG01 17302 215/2025 2/5/2026 COMBINED SINGLE LIMIT $1 ,000,000 ,__ I tEa oodd'!.Jlll_ X ANY AUTO BODILY INJURY (Per person) $ ,__ OWNED -SCHEDULED BODILY INJURY (Per ac:,;,dent) $ ,-AUTOS ONLY ,__ AUTOS -X HIRED X NON -OWNED PROPERTY DAMAGE $ -AUTOS ONLY ,___ AUTOS ONLY Wf>er acclde_ntl -X Comp $1 000 X Col $1 ,000 HAPO $Unlimited A UMBRELLA LIAB M OCCUR y y PRFXS0072502 2/5/2025 2/5/2026 EACH OCCURRENCE $1,000,000 ,- X EXCESS UAB CLAIMS-MADE AGGREGATE $1,000,000 OED I I RETENTION$ - r--- s B WORKERS COMPENSATION y TWP4 599058 4/1/2025 4/1/2026 x I s¥~TUTE 1 I ~F\H-AND EMPLOYERS' LIABILITY Y I N ANYPROPRIETORIPARTNER/EXECUTl\fE 12] N /A E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Manda1ory In NH) EL. DISEASE · EA EMPLOYEE $1 ,000,000 g~:c~:>tfi~ ~ERATIONS below E.L. DISEASE· POLICY LIM IT $1 000 000 A Equipment Floa!llr PRPKG0117302 2/5/2025 2/5/2026 Umlt/RC Deductible 24 ,000,000 10,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additlon1I Remarks Schadule, m1y be atl achad II more apact la required) Additional Insured applies where required as per written contract with respect to General and Auto Liabili%; Coverage is primary and non-contributory ; Waiver of Subrogation for General & Auto Liability end Workers Compensation applies to any person or organiza Ion when such waiver is required by a written contract that you have agreed to prior to loss; Excess follows form. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Palm Springs 3200 E . Tahquitz Can~on Way AUTHORIZED REPRESENTATIVE Palm Springs CA 922 2 ~~ I © 1988-2015 ACORD CORPORATION. All rights reserved . ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 3837: 2 • of 13 Recording Requested By: 23 $ 379 City of Palm Springs When Recorded Mall To: Name Brenda Pree, City Clerk Street Address 3200 E. Tahquitz Canyon Way City & Springs, Pam State CA 92262 NOTICE IS HEREBY GIVEN THAT: 2025-0102345 04/07/2025 11 04 AM Fee: $ 0.00 Page 1 of 2 Recorded In Official Records County of Riverside Peter Aldana Assessor -County Clerk -Recorder SPACE ABOVE THIS LINE FOR RECORDERS USE NOTICE OF COMPLETION (CA Civil Code §§ 8180-8190, 8100-8118, 9200-9208) 1. The undersigned is an owner of an interest of estate in the hereinafter described real property, the nature of which interest or estate is: Fee yu2 (e.g. fee, leasehold, joint tenancy, etc.) 2. The full name and address of the undersigned owner or reputed owner and of all co -owners or reputed co -owners are: Name Street and No. City State City of Palm Springs 3200 E. Tahquitz Canyon Way Palm Springs CA 92262 3. The name and address of the direct contractor for the work of improvement as a whole is: Mamoo, Inc. DBA Alabbasi Construction, 764 Ramona Expressway Ste. C, Perris, CA 92571 4. This notice is given for (check one): 0 Completion of the work of improvement as a whole. ❑ Completion of a contract for a particular portion of the work of improvement (per CA Civ. Code § 8186). 5. If this notice is given only of completion of a contract for a particular portion of the work of improvement (as provided in CA Civ. Code § 8186). the name and address of the direct contractor under that contract is: Not Applicable 6. The name and address of the construction lender, if any, is: Not Applicable 7. On the 7th day of February , 20 25 there was completed upon the herein described property a work of improvement as a whole (or a particular portion of the work of improvement as provided in CA Civ. Code § 8186) a general description of the work provided: CP 19-15, Storm Drain Line 20 8. The real property herein referred to is situated in the City of Palm Springs County of Riverside State of California, and is described as follows: 9. The street address of said property, is: Located along Farrell Or between Tahquitz Canyon Way & Ramon Rd & along Ramon Rd between Farrell Dr & El Cielo R. 10. If this Notice of Completion is signed by the owners successor in interest, the name and address of the successor's transferor is: Not applicable I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoin is true and correct. Date: t--A A (ko By: Sigrilature of Owner or Owner's Authorized Agent Joel Montalvo/City Engineer City of Palm Springs Page I of 2 VERIFICATION I, Joel Montalvo , state: I am the City Engineer _ ("Owner", "President", "Authorized Agent", "Partner", etc.) of the Owner identified in the foregoing Notice of Completion. I have read said Notice of Completion and know the contents thereof; the same is true of my own knowledge. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on 1?s 'aO`)s (date), at Palm Springs (City), CA (state). Signature of Owner or Owner's Authorized Agent Joel Montalvo/City Engineer City of Palm Springs A Notary Public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. 0,,,; q ANRA L. FIELDS Notary Public - CatNorMa Rivtrsidt County t{ Commission a 2354350 Aty Comm. Expires Apr 13, 2025 STATE OF CALIFORNIA COUNTY OF SI 1,NZ On, I` �-ri21l C fit- (date), before me, A-ty it L o S Notary Public (name and title of officer) personally appeared r—t� f' ( Lu✓ a l l ir T who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that helshe/they executed the same in his/her/their authorized capacity(ies), and that by his/herltheir signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PURJURY under the laws of the State of California that the foregoing paragraph is true and correct. Witness my hand and official seal. Page 2 of 2 Signature CONTRACT ABSTRACT 1 Original: Agreement (Construction Contract), Performance & Payment Bonds, and Insurance Contract Company Name: Company Contact: Summary of Services: Contract Price: Funding Source: Contract Term: Mamco, Inc. dba Alabbasi Rumzi Alabbasi, Vice President CP 19-15, Storm Drain Line 20, Stage 3 $11,555,555.00 Riverside County Flood Control and Water Conservation District funds To be determined by the Notice to Proceed Contract Administration Lead Department: Contract Administrator: Engineering Services Joel Montalvo/Andrew Crider Contract Approvals City Council Approval: Agreement Number: November 8, 2023, Item 1.U. 23B374 Contract Compliance Exhibits: Signatures: Insurance: Bonds: Attached Attached Attached Attached Contract Prepared By: Engineering Services Submitted on: 12/04/2023 By: Vonda Teed DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 AGREEMENT 23B374 (CONSTRUCTION CONTRACT) THIS AGREEMENT made this __ day of _____ , 2023, by and between the City of Palm Springs, a charter city, organized and existing in the County of Riverside, under and by virtue of the laws of the State of California, hereinafter designated as the City, and Mamco, Inc. dba Alabbasi, a California corporation, hereinafter designated as the Contractor. The City and the Contractor, in consideration of the mutual covenants hereinafter set forth, agree as follows: ARTICLE 1 -- THE WORK For and in consideration of the payments and agreements to be made and performed by City, Contractor agrees to furnish all materials and perform all work required to complete the Work as specified in the Contract Documents, and as generally indicated under the Bid Schedule(s) for the Project entitled: STORM DRAIN LINE 20, STAGE 3 CITY PROJECT NO. 19-15 The Work comprises of the construction of major storm drain and flood control improvements, consisting of various size reinforced concrete structures ranging in size from 24" to 96" reinforced concrete pipe (RCP), 10'Wx7'H, 10'Wx5'H, and 8'Wx6"H precast reinforced concrete boxes, manhole structures, junction structures, transition structures and catch basins; removal and replacement of exiting asphalt concrete pavement, crushed miscellaneous base, traffic striping and markings; and all appurtenant work. The work is identified as Palm Springs Storm Drain Line 20, Stage 3, located in Farrell Road, Baristo Road, Ramon Road and Compadre Road.as detailed within the contract documents. ARTICLE 2 -- COMMENCEMENT AND COMPLETION The Work to be performed under this Contract shall commence on the date specified in the Notice to Proceed by the City, and the Work shall be fully completed within the time specified in the Notice to Proceed. The City and the Contractor recognize that time is of the essence of this Agreement, and that the City will suffer financial loss if the Work is not completed within the time specified in Article 2, herein, plus any extensions thereof allowed in accordance with applicable provisions of the Standard Specifications, as modified herein. The parties also recognize the delays, expense, and difficulties involved in proving in a legal proceeding the actual loss suffered by the City if the Work is not completed on time. Accordingly, instead of requiring any such proof, the City and the Contractor agree that as liquidated damages or delay (but not as a penalty), the Contractor shall pay the City the sum specified in Section 6-9 of the Special Provisions for each calendar day that expires after the time specified in Article 2, herein. In executing the Agreement, the Contractor acknowledges it has reviewed the provisions of the Standard Specifications, as modified herein, related to liquidated damages, and has made itself aware of the actual loss incurred by the City due to the inability to complete the Work within the time specified in the Notice Revised 4.13.23 Page 1 of 8 DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 12/4/2023 DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 11/14/2023 Alliant Insurance Services,Inc. 18100 Von Karman,10th Floor Irvine CA 92612 Philip Arzu 949-756-0271 parzu@alliant.com Zurich American Insurance Comp 16535 MAMCINC-01 Amer Guarantee &Liab Ins Co 26247Mamco,Inc. dba Alabbasi 764 West Ramona Expressway,Suite C Perris CA 92571 Continental Insurance Company 35289 418868739 A X 2,000,000 X 100,000 5,000 2,000,000 4,000,000 X Y Y GLO 7047729-00 6/18/2023 6/18/2024 4,000,000 Deductible:5,000 A 2,000,000 X X X X Y Y BAP 7047728-00 6/18/2023 6/18/2024 B C X 10,000,000 X Y SXS 6672958-00 7039576712 6/18/2023 6/18/2023 Y 6/18/2024 6/18/2024 10,000,000 X $0 A X N Y WC 7047732-00 6/18/2023 6/18/2024 1,000,000 1,000,000 1,000,000 Re:2173 -Storm Drain Line 20,Stage 3 CITY PROJECT NO.19-15 The City of Palm Springs,its officials,employees,and agents are named as an additional insured on a primary and noncontributory basis per the attached endorsements.Waiver of subrogation applies in favor of additional insured per the attached endorsements. 30 days City of Palm Springs 3200 East Tahquitz Canyon Way Palm Springs CA 92262 DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 U-GL-2162-A CW (02/19) Page 1 of 4 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Additional Insured – Automatic – Owners, Lessees Or Contractors THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. Section II – Who Is An Insured is amended to include as an additional insured any person or organization whom you are required to add as an additional insured under a written contract or written agreement executed by you, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" and subject to the following: 1. If such written contract or written agreement specifically requires that you provide that the person or organization be named as an additional insured under one or both of the following endorsements: a. The Insurance Services Office (ISO) ISO CG 20 10 (10/01 edition); or b. The ISO CG 20 37 (10/01 edition), such person or organization is then an additional insured with respect to such endorsement(s), but only to the extent that "bodily injury", "property damage" or "personal and advertising injury" arises out of: (1) Your ongoing operations, with respect to Paragraph 1.a. above; or (2) "Your work", with respect to Paragraph 1.b. above, which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 1., insurance afforded to such additional insured: (a) Only applies if the "bodily injury", "property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (b) Does not apply to "bodily injury" or "property damage" caused by "your work" and included within the "products-completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. 2. If such written contract or written agreement specifically requires that you provide that the person or organization be named as an additional insured under one or both of the following endorsements: a. The Insurance Services Office (ISO) ISO CG 20 10 (07/04 edition); or b. The ISO CG 20 37 (07/04 edition), such person or organization is then an additional insured with respect to such endorsement(s), but only to the extent that "bodily injury", "property damage" or "personal and advertising injury" is caused, in whole or in part, by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf, Policy No. GLO 7047729-00 Effective Date: 6/18/23 DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 U-GL-2162-A CW (02/19) Page 2 of 4 Includes copyrighted material of Insurance Services Office, Inc., with its permission. in the performance of: (a) Your ongoing operations, with respect to Paragraph 2.a. above; or (b) "Your work" and included in the "products-completed operations hazard", with respect to Paragraph 2.b. above, which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 2., insurance afforded to such additional insured: (i) Only applies if the "bodily injury", "property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (ii) Does not apply to "bodily injury" or "property damage" caused by "your work" and included within the "products-completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. 3. If neither Paragraph 1. nor Paragraph 2. above apply and such written contract or written agreement requires that you provide that the person or organization be named as an additional insured: a. Under the ISO CG 20 10 (04/13 edition, any subsequent edition or if no edition date is specified); or b. With respect to ongoing operations (if no form is specified), such person or organization is then an additional insured only to the extent that "bodily injury", "property damage" or "personal and advertising injury" is caused, in whole or in part by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf, in the performance of your ongoing operations, which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 3., insurance afforded to such additional insured: (a) Only applies to the extent permitted by law; (b) Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured; and (c) Only applies if the "bodily injury", "property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement. 4. If neither Paragraph 1. nor Paragraph 2. above apply and such written contract or written agreement requires that you provide that the person or organization be named as an additional insured: a. Under the ISO CG 20 37 (04/13 edition, any subsequent edition or if no edition date is specified); or b. With respect to the "products-completed operations hazard" (if no form is specified), such person or organization is then an additional insured only to the extent that "bodily injury" or "property damage" is caused, in whole or in part by "your work" and included in the "products-completed operations hazard", which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 4., insurance afforded to such additional insured: (1) Only applies to the extent permitted by law; (2) Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured; (3) Only applies if the "bodily injury" or "property damage" occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (4) Does not apply to "bodily injury" or "property damage" caused by "your work" and included within the "products-completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 U-GL-2162-A CW (02/19) Page 3 of 4 Includes copyrighted material of Insurance Services Office, Inc., with its permission. B. Solely with respect to the insurance afforded to any additional insured referenced in Section A. of this endorsement, the following additional exclusion applies: This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or surveying services including: 1. The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or 2. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. C. Solely with respect to the coverage provided by this endorsement, the following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit of Section IV – Commercial General Liability Conditions: The additional insured must see to it that: (1) We are notified as soon as practicable of an "occurrence" or offense that may result in a claim; (2) We receive written notice of a claim or "suit" as soon as practicable; and (3) A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non-contributory. D. Solely with respect to the coverage provided by this endorsement: 1. The following is added to the Other Insurance Condition of Section IV – Commercial General Liability Conditions: Primary and Noncontributory insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that: a. The additional insured is a Named Insured under such other insurance; and b. You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition under Section IV – Commercial General Liability Conditions: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense, claim or "suit". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by a written contract or written agreement to provide coverage to the additional insured on a primary and non- contributory basis. E. This endorsement does not apply to an additional insured which has been added to this Coverage Part by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured. F. Solely with respect to the insurance afforded to an additional insured under Paragraph A.3. or Paragraph A.4. of this endorsement, the following is added to Section III – Limits Of Insurance: Additional Insured – Automatic – Owners, Lessees Or Contractors Limit The most we will pay on behalf of the additional insured is the amount of insurance: DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 U-GL-2162-A CW (02/19) Page 4 of 4 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 1. Required by the written contract or written agreement referenced in Section A. of this endorsement; or 2. Available under the applicable Limits of Insurance shown in the Declarations, whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All other terms, conditions, provisions and exclusions of this policy remain the same. DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 U-GL-1060-F CW (05/22) Page 1 of 2 Includes copyrighted material of Insurance Services Office, Inc. with its permission. Contractors Liability Supplemental Coverages and Conditions THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Commercial General Liability Coverage Part 5. Paragraph (ii) under Paragraph 4.b.(1) of the Other Insurance Condition under Section IV – Commercial General Liability Conditions is replaced by the following: (ii) That is property insurance providing coverage for "specific perils" for premises rented to you or temporarily occupied by you with permission of the owner; 6. The following definitions are added to the Definitions Section: "Specific perils" means fire, lightning, explosion, windstorm or hail, smoke, aircraft or vehicles, riot or civil commotion, vandalism, leakage from fire extinguishing equipment, weight of snow, ice or sleet or "water damage". "Water damage" means accidental discharge or leakage of water or steam as the direct result of the breaking or cracking of any part of a system or appliance containing water or steam. C. Additional Insured – Lessor Of Leased Equipment – Automatic Status When Required In Lease Agreement With You 1. Section II – Who Is An Insured is amended to include as an additional insured any person(s) or organization(s) from whom you lease equipment when you and such person(s) or organization(s) have agreed in a written contract or written agreement that such person(s) or organization(s) be added as an additional insured on your policy. Such person(s) or organization(s) is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your maintenance, operation or use of equipment leased to you by such person(s) or organization(s). However, the insurance afforded to such additional insured: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person’s or organization’s status as an additional insured under this endorsement ends when their contract or agreement with you for such leased equipment ends. 2. With respect to the insurance afforded to these additional insureds, this insurance does not apply to any "occurrence" which takes place after the equipment lease expires. 3. With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: a. Required by the written contract or written agreement you have entered into with the additional insured; or b. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. The insurance provided by this Paragraph C. shall not increase the applicable Limits of Insurance shown in the Declarations. Policy No. GLO 7047729-00 Effective Date: 6/18/23 This endorsement modifies insurance provided under the: DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 U-GL-1060-F CW (05/22) Page 2 of 2 Includes copyrighted material of Insurance Services Office, Inc. with its permission. D. Additional Insured – Managers Or Lessors Of Premises 1. Section II – Who Is An Insured is amended to include as an additional insured any person(s) or organization(s) that you have agreed in a written contract or written agreement to name as an additional insured, but only with respect to liability arising out of the ownership, maintenance or use of that part of premises leased to you and subject to the following additional exclusions: This insurance does not apply to: a. Any "occurrence" which takes place after you cease to be a tenant in that premises. b. Structural alterations, new construction or demolition operations performed by or on behalf of the additional insured manager or lessor of the premises leased to you. However, the insurance afforded to such additional insured: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. 2. With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: a. Required by the written contract or written agreement you have entered into with the additional insured; or b. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. The insurance provided by this Paragraph D. shall not increase the applicable Limits of Insurance shown in the Declarations. E. Additional Insured – State Or Governmental Agency Or Subdivision Or Political Subdivision – Permits Or Authorizations 1. Section II – Who Is An Insured is amended to include as an additional insured any state or governmental agency or subdivision or political subdivision that you have agreed in a written contract or written agreement or that you are required by statute, ordinance or regulation to name as an additional insured, subject to the following provisions: a. This insurance applies only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization. b. This insurance does not apply to: (1) "Bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed for the federal government, state or municipality; or (2) "Bodily injury" or "property damage included within the "products-completed operations hazard". However, the insurance afforded to such additional insured: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. 2. With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: a. Required by the written contract or written agreement you have entered into with the additional insured; or b. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. The insurance provided by this Paragraph E. shall not increase the applicable Limits of Insurance shown in the Declarations. DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 25 03 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 2 Wolters Kluwer Financial Services | Uniform FormsTM DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Project(s): Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. For all sums which the insured becomes legally obligated to pay as damages caused by "occur- rences" under Section I – Coverage A, and for all medical expenses caused by accidents under Section I – Coverage C, which can be attributed only to ongoing operations at a single designated construction project shown in the Schedule above: 1. A separate Designated Construction Project General Aggregate Limit applies to each des- ignated construction project, and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations. 2. The Designated Construction Project General Aggregate Limit is the most we will pay for the sum of all damages under Coverage A, ex- cept damages because of "bodily injury" or "property damage" included in the "products- completed operations hazard", and for medi- cal expenses under Coverage C regardless of the number of: a. Insureds; b. Claims made or "suits" brought; or c. Persons or organizations making claims or bringing "suits". 3. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the Designated Con- struction Project General Aggregate Limit for that designated construction project. Such payments shall not reduce the General Ag- gregate Limit shown in the Declarations nor shall they reduce any other Designated Con- struction Project General Aggregate Limit for any other designated construction project shown in the Schedule above. 4. The limits shown in the Declarations for Each Occurrence, Damage To Premises Rented To You and Medical Expense continue to apply. However, instead of being subject to the General Aggregate Limit shown in the Decla- rations, such limits will be subject to the appli- cable Designated Construction Project Gen- eral Aggregate Limit. POLICY NUMBER: GLO 7047729-00 COMMERCIAL GENERAL LIABILITY CG 25 03 05 09 ALL OF YOUR DESIGNATED CONSTRUCTION PROJECTS WHERE REQUIRED BY CONTRACT DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 Page 2 of 2 © Insurance Services Office, Inc., 2008 CG 25 03 05 09 B. For all sums which the insured becomes legally obligated to pay as damages caused by "occur- rences" under Section I – Coverage A, and for all medical expenses caused by accidents under Section I – Coverage C, which cannot be at- tributed only to ongoing operations at a single designated construction project shown in the Schedule above: 1. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the amount available under the General Aggregate Limit or the Products-completed Operations Aggregate Limit, whichever is applicable; and 2. Such payments shall not reduce any Desig- nated Construction Project General Aggre- gate Limit. C. When coverage for liability arising out of the "products-completed operations hazard" is pro- vided, any payments for damages because of "bodily injury" or "property damage" included in the "products-completed operations hazard" will reduce the Products-completed Operations Ag- gregate Limit, and not reduce the General Ag- gregate Limit nor the Designated Construction Project General Aggregate Limit. D. If the applicable designated construction project has been abandoned, delayed, or abandoned and then restarted, or if the authorized contract- ing parties deviate from plans, blueprints, de- signs, specifications or timetables, the project will still be deemed to be the same construction pro- ject. E. The provisions of Section III – Limits Of Insur- ance not otherwise modified by this endorsement shall continue to apply as stipulated. DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 Waiver Of Subrogation (Blanket) Endorsement U-GL-925-B CW (12/01) Page 1 of 1 Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer Add’l. Prem Return Prem. $ $ THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition: If you are required by a written contract or agreement, which is executed before a loss, to waive your rights of recovery from oth- ers, we agree to waive our rights of recovery. This waiver of rights shall not be construed to be a waiver with respect to any other operations in which the insured has no contractual interest. GLO 7047729-00 6/18/2023 6/18/2024 6/18/2023 DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 Notification to Others of Cancellation or Nonrenewal U-GL-1387-A CW (05/09) Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Add’l. Prem Return Prem. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. If we cancel or non-renew this Coverage Part by notice to the first Named insured, for any reason other than nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation or non-renewal to the person(s) or organization(s) shown in the Schedule below. B. Any copy of notice per paragraph A. above will be sent or delivered: 1. To the address corresponding to each person or organization indicated in the Schedule below; and 2. At least 10 days prior to the cancellation or non-renewal date applicable to the policy, as advised in our notice to the first Named insured, or the longer number of days notice prior to the applicable cancellation or non-renewal date, if indicated in the Schedule below. C. This is intended only to be an advance notification to the person(s) or organization(s) named in the Schedule of this endorsement in the event of a pending cancellation or non-renewal of coverage. Our failure to provide such advance notification to the person(s) or organization(s) shown in the Schedule of this endorsement will not extend any policy cancellation or non-renewal date nor negate any cancellation or non-renewal of the policy. SCHEDULE Name and Address of Other Person(s) / Organization(s): Number of Days Notice: All other terms and conditions of this policy remain unchanged. GLO 7047729-00 6/18/2023 6/18/2024 6/18/2023 30Per schedule on file with Company DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 Wolters Kluwer Financial Services | Uniform FormsTM DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. SCHEDULE Name Of Person(s) Or Organization(s): Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II – Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I – Covered Autos Coverages of the Auto Dealers Coverage Form. Named Insured: Mamco, Inc. dba Alabbasi Endorsement Effective Date: 6/18/2023 POLICY NUMBER: BAP 7047728-00 COMMERCIAL AUTO CA 20 48 10 13 WHERE REQUIRED BY WRITTEN CONTRACT. DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 Coverage Extension Endorsement U-CA-424-F CW (04/14) Page 1 of 6 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Add’l. Prem Return Prem. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Business Auto Coverage Form Motor Carrier Coverage Form A. Amended Who Is An Insured 1. The following is added to the Who Is An Insured Provision in Section II – Covered Autos Liability Coverage: The following are also "insureds": a. Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow for acts performed within the scope of employment by you. Any “employee” of yours is also an “insured” while operating an “auto” hired or rented under a contract or agreement in an “employee’s” name, with your permission, while performing duties related to the conduct of your business. b. Anyone volunteering services to you is an "insured" while using a covered "auto" you don’t own, hire or borrow to transport your clients or other persons in activities necessary to your business. c. Anyone else who furnishes an "auto" referenced in Paragraphs A.1.a. and A.1.b. in this endorsement. d. Where and to the extent permitted by law, any person(s) or organization(s) where required by written contract or written agreement with you executed prior to any "accident", including those person(s) or organization(s) directing your work pursuant to such written contract or written agreement with you, provided the "accident" arises out of operations governed by such contract or agreement and only up to the limits required in the written contract or written agreement, or the Limits of Insurance shown in the Declarations, whichever is less. 2. The following is added to the Other Insurance Condition in the Business Auto Coverage Form and the Other Insurance – Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form: Coverage for any person(s) or organization(s), where required by written contract or written agreement with you executed prior to any "accident", will apply on a primary and non-contributory basis and any insurance maintained by the additional "insured" will apply on an excess basis. However, in no event will this coverage extend beyond the terms and conditions of the Coverage Form. B. Amendment – Supplementary Payments Paragraphs a.(2) and a.(4) of the Coverage Extensions Provision in Section II – Covered Autos Liability Coverage are replaced by the following: (2) Up to $5,000 for the cost of bail bonds (including bonds for related traffic law violations) required because of an "accident" we cover. We do not have to furnish these bonds. BAP 7047728-00 6/18/2023 6/18/2024 6/18/2023 DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 COMMERCIAL AUTO CA 99 44 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CA 99 44 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 Wolters Kluwer Financial Services | Uniform Forms™ LOSS PAYABLE CLAUSE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. A. We will pay, as interest may appear, you and the loss payee named in the policy for "loss" to a covered "auto". B. The insurance covers the interest of the loss payee unless the "loss" results from conversion, secretion or embezzlement on your part. C. We may cancel the policy as allowed by the Cancellation Common Policy Condition. Cancellation ends this agreement as to the loss payee's interest. If we cancel the policy, we will mail you and the loss payee the same advance notice. D. If we make any payments to the loss payee, we will obtain his or her rights against any other party. POLICY NUMBER: BAP 7047728-00 DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CA 04 44 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 Wolters Kluwer Financial Services | Uniform FormsTM WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. SCHEDULE Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. POLICY NUMBER: BAP 7047728-00 COMMERCIAL AUTO CA 04 44 10 13 Named Insured: Mamco, Inc. dba Alabbasi Endorsement Effective Date: 6/18/23 Name(s) Of Person(s) Or Organization(s): Where required by a written contract or agreement DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 Notification to Others of Cancellation U-CA-812-A CW (05/10) Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Add’l. Prem Return Prem. BAP 7047728-00 6/18/2023 6/18/2024 6/18/2023 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial Automobile Coverage Part A. If we cancel this Coverage Part by written notice to the first Named Insured for any reason other than nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation: 1. To the name and address corresponding to each person or organization shown in the Schedule below; and 2. At least 10 days prior to the effective date of the cancellation, as advised in our notice to the first Named Insured, or the longer number of days notice if indicated in the Schedule below. B. If we cancel this Coverage Part by written notice to the first Named Insured for nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation to the name and address corresponding to each person or organization shown in the Schedule below at least 10 days prior to the effective date of such cancellation. C. If notice as described in Paragraphs A. or B. of this endorsement is mailed, proof of mailing will be sufficient proof of such notice. SCHEDULE Name and Address of Other Person(s) / Organization(s): Number of Days Notice: Per Schedule on file with Company 30 All other terms and conditions of this policy remain unchanged. DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 WC 252 (4-84) WC 04 03 06 (Ed. 4-84) Page 1 of 1 WORKERS’ COMPENSATION AND EMPLOYERS’ LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT— CALIFORNIA This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following “attaching clause” need be completed only when this endorsement is issued subsequent to preparation of the policy.) This endorsement, effective on at 12:01 A.M. standard time, forms a part of (DATE) (NAME OF INSURANCE COMPANY) issued to Premium (if any) $ Authorized Representative We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be % of the California workers’ compensation pre- mium otherwise due on such remuneration. Schedule Person or Organization Job Description Policy No. WC 7047732-00 Endorsement No. of the 6/18/2023 Mamco, Inc. dba Alabbasi Zurich American Insurance Company Where required by Written Contract Where required by Written Contract DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 WC 99 06 43 Page 1 of 1 (Ed. 01-13) Includes copyright material of the National Council on Compensation Insurance, Inc. used with its permission. © 2012 Copyright National Council on Compensation Insurance, Inc. All Rights Reserved. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 43 BLANKET NOTIFICATION TO OTHERS OF CANCELLATION OR NONRENEWAL ENDORSEMENT This endorsement adds the following to Part Six of the policy. PART SIX CONDITIONS Blanket Notification to Others of Cancellation or Nonrenewal 1. If we cancel or non-renew this policy by written notice to you, we will mail or deliver notification that such policy has been cancelled or non-renewed to each person or organization shown in a list provided to us by you if you are required by written contract or written agreement to provide such notification. However, such notification will not be mailed or delivered if a conditional notice of renewal has been sent to you. Such list: a. Must be provided to us prior to cancellation or non-renewal; b. Must contain the names and addresses of only the persons or organizations requiring notification that such policy has been cancelled or non-renewed; and c. Must be in an electronic format that is acceptable to us. 2. Our notification as described in Paragraph 1. above will be based on the most recent list in our records as of the date the notice of cancellation or non-renewal is mailed or delivered to you. We will mail or deliver such notification to each person or organization shown in the list: a. Within seven days of the effective date of the notice of cancellation, if we cancel for non-payment of premium; or b. At least 30 days prior to the effective date of: (1) Cancellation, if cancelled for any reason other than nonpayment of premium; or (2) Non-renewal, but not including conditional notice of renewal. 3. Our mailing or delivery of notification described in Paragraphs 1. and 2. above is intended as a courtesy only. Our failure to provide such mailing or delivery will not: a. Extend the policy cancellation or non-renewal date; b. Negate the cancellation or non-renewal; or c. Provide any additional insurance that would not have been provided in the absence of this endorsement. 4. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the list provided to us as described in Paragraphs 1. and 2. above. All other terms and conditions of this policy remain unchanged. 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 Policy No. Endorsement No. Insured Premium $ Insurance Company 6/18/2023 WC 7047732-00 Zurich American Insurance Company DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 Straight Excess Liability Policy There are provisions in this policy that restrict coverage. Read the entire policy carefully to determine rights, duties and what is and is not covered. Throughout this policy, the words “you” and “your” refer to the Named Insured shown in the Declarations, and any other person or organization qualifying as such in underlying insurance. The words “we”, “us” and “our” refer to the company providing this insurance. The word "insured(s)" means any person or organization qualifying as such in underlying insurance but only to the extent and within the scope for which such "insured(s)" qualify for coverage in underlying insurance. Words and phrases that are printed in bold-face type are defined in this policy. These definitions are found in SECTION VI. DEFINITIONS of this policy or in the specific policy provision where they appear. In consideration of the payment of the premium and in reliance upon the statements in the Declarations and in accordance with the provisions of this policy, we agree with you to provide coverage as follows: Insuring Agreements SECTION I. COVERAGE A.We will pay on behalf of the insured those damages covered by this insurance in excess of the total Applicable Limits of underlying insurance. This policy includes: 1.The terms and conditions of underlying insurance to the extent such terms and conditions are not inconsistent or do not conflict with the terms and conditions referred to in Paragraph 2. below; and 2.The terms and conditions that apply to this policy. B.Notwithstanding anything to the contrary contained in Paragraph A. above, if underlying insurance does not apply to damages for reasons other than exhaustion of total applicable limits of insurance by payment of loss, then this policy does not apply to such damages. C.The amount we will pay under this policy is limited as described in SECTION II. LIMITS OF INSURANCE. D.We have no obligation under this policy with respect to any settlement made without our consent. E.The insurance afforded under this policy applies to bodily injury or property damage only if prior to the Policy Period, neither you nor any authorized person knew that the bodily injury or property damage had occurred, in whole or in part. If you or any authorized person knew, prior to the Policy Period, that the bodily injury or property damage occurred, then any continuation, change or resumption of such bodily injury or property damage during or after the Policy Period will be deemed to have been known prior to the Policy Period. Bodily injury or property damage which occurs during the Policy Period and was not, prior to the Policy Period, known to have occurred by you or any authorized person includes any continuation, change or resumption of that bodily injury or property damage after the Policy Period; and Bodily injury or property damage will be deemed to have been known to have occurred at the earliest time when you or any authorized person: 1.Reports all or any part of, the bodily injury or property damage to us or any other insurer; 2.Receives a written or verbal demand or claim for damages because of the bodily injury or property damage; or 3.Becomes aware by any other means that bodily injury or property damage has occurred or has begun to occur. Page of U-SXS-100-A CW (09/11) 1 10 POLICY NUMBER: SXS 6672958-00 EXCESS LIABILITY DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 11/14/2023 Irvine-Alliant Insurance Services,Inc. 18100 Von Karman,10th Floor Irvine CA 92612 Philip Arzu 949-756-0271 parzu@alliant.com Berkley Assurance Company 39462 MAMCINC-01 Mamco,Inc. dba:Alabbasi 764 West Ramona Expressway,Suite C Perris CA 92571 1275916525 A Professional Liability Contractor's Pollution Liability PCAB-5022854-0823 8/17/2023 8/17/2024 Each Claim /Agg. Each Occ./Agg. Deductible $2MM /$2MM $2MM /$2MM $25,000 Re:2173 -Storm Drain Line 20,Stage 3 CITY PROJECT NO.19-15 The City of Palm Springs,its officials,employees,and agents are named as an additional insured on a primary and noncontributory basis per the policy form. Waiver of subrogation applies in favor of additional insured per the attached policy form. Professional/Pollution City of Palm Springs 3200 East Tahquitz Canyon Way Palm Springs CA 92262 DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 Page 8 of 20 Policy Form: PERFORM-10002 (11-20) L. First Party Claim means a Protective Claim and any other request of us by you for Mitigation Cost or for sums arising out of any of the insuring agreements described in the Supplemental Coverage Section of this Policy. M. Information Technology Products means a computer or telecommunication hardware or software product or other electronic product that is used, created, developed or manufactured by or for you, including software updates, service packs and other maintenance releases for such products. N. Information Technology Services means: 1. Consulting on, design of, development of, analysis of, integration of, interface of, modification of and programming of software, hardware, networks, telecommunication systems and electronic or digital devices performed by you or on your behalf for your clients; 2. installation of, training in the use of, support of, servicing of, maintenance of, repair of your Information Technology Products; 3. marketing of, selling of, licensing of and distribution of Information Technology Products; 4. storage of, warehousing of, mining of and processing of data by you; 5. managing, operating, administering and hosting Information Technology Products for your clients; or 6. activities performed on your website(s); but shall not mean Information Technology Products. O. Insured means: 1. the Named Insured; or 2. any fully owned subsidiary corporations or subsidiary limited liability companies of the Named Insured, of any tier, in the past, as now constituted or hereafter constituted, subject to the limitations in Paragraph 9. of this Definition for the newly acquired or formed entities described therein; or 3. any present or former partner, director, officer, manager, member, shareholder, principal, trustee, or employee of the Named Insured solely while acting on behalf of the Named Insured, but this Paragraph 3. shall not make any entity an Insured solely because of its participation with the Named Insured in a legal entity such as a joint venture or limited liability company; or 4. any Insured with regard to its participation in a legal entity, including a joint venture or limited liability company, but solely for the Named Insured’s legal liability arising out of the performance of Professional Services, Contractor Activities, Media Activities or Information Technology Services under the respective legal entity, and such legal entity itself, or any other entity other than an Insured that is part of the legal entity, are not Insureds; or 5. with regard to Coverage C only, any client of the Named Insured, or other entity or person, that the Named Insured is obligated to name as an additional insured on this Policy pursuant to a written contract, agreement, or permit, executed prior to when the Pollution Claim was first made, and solely as respects Pollution Conditions resulting from the Named Insured’s performance of Contractor Activities; or 6. any entity which is specifically identified as an Insured in the Declarations or by endorsement to this Policy; or 7. the estate, heirs, executors, shareholders, administrators or legal representatives of an Insured in the event of such Insured’s death, incapacity, or bankruptcy, or the spouse or legal domestic partner of any Insured, but only to the extent such Insured would otherwise be provided coverage under this Policy while acting solely on behalf of the Named Insured; or 8. any prior entity that has been reported to us prior to when the First Party Claim or Claim was first made and whose assets, partners, principals, or shareholders were acquired by the Named Insured, and for which the Named Insured is required to provide liability insurance under a written contract or POLICY NUMBER: PCAB-5022854-0823 DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 Page 9 of 20 Policy Form: PERFORM-10002 (11-20) agreement executed before the First Party Claim or Claim was first made; or 9. any entity newly formed or acquired by the Named Insured during the Policy Period in which the Named Insured has more than 50% legal or beneficial interest and over which the Named Insured exercises management or financial control and has agreed in writing to provide insurance for such entity prior to the First Party Claim or Claim being made. However: a. coverage will only be provided for First Party Claims or Claims arising out of Professional Services, Contractor Activities, Media Activities or Information Technology Services performed on or after the date of formation, acquisition, or exercised financial or management control; and b. this coverage will expire within 90 days for such entity, or the end of the Policy Period, whichever is earlier, unless the Named Insured provides written details of such newly acquired entity to us and pays the additional premium requested by us, if any. P. Insured Contract means: 1. a contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire to premises while rented to you, or temporarily occupied by you, with permission of the owner is not an Insured Contract; or 2. a sidetrack agreement; or 3. any easement or license agreement; or 4. an obligation, as required by ordinance, to indemnify a municipality, except in connection with work for a municipality; or 5. an elevator maintenance agreement; or 6. that part of any other contract or agreement pertaining to your business (including an indemnification of a municipality in connection with work performed for a municipality) under which you assume the tort liability of another party to pay for Bodily Injury, Property Damage, or Pollution Loss to a third party or organization. This section does not include that part of any contract or agreement that indemnifies an architect, engineer, or surveyor for injury or damage arising out of: a. Preparing, approving, or failing to prepare or approve maps, drawings, opinions, reports, surveys, change orders, designs or specifications; or b. Giving directions or instructions, or failing to give them, if that is the primary cause of the injury or damage. For the purpose of this section, tort liability means only that liability that would be imposed by law in the absence of any contract or agreement. Any assumption of liability beyond that of tort liability specified in this Paragraph 6. shall not be considered to be part of the Insured Contract. Q. Loss means Protective Loss, Third Party Loss, Mitigation Cost and any other amount to which you are entitled under any of the insuring agreements described in the Supplemental Coverages Section of this Policy. R. Media Activities means Media Communications or the gathering, collection, or recording of Media Material for inclusion in any Media Communications in the ordinary course of your business. S. Media and Personal Injury Claim means a written demand, demand for arbitration or mediation, or suit, made against you seeking money or services due to a Media and Personal Injury Offense. T. Media and Personal Injury Offense means: 1. Infringement of copyright, piracy, plagiarism or misappropriation or unauthorized use of ideas shared with you in the course of services for your client; 2. Infringement of trade secrets, domain name, title or slogan, or the dilution or infringement of tr ademark POLICY NUMBER: PCAB-5022854-0823 DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 Page 17 of 20 Policy Form: PERFORM-10002 (11-20) As a condition precedent to coverage under this Policy, in the event of a Claim or First Party Claim, you must do the following: 1. Report the Claim or First Party Claim to us in writing as soon as reasonably possible, which (except for a Pollution Claim) must be during the Policy Period, the Automatic Extended Reporting Period, or during any applicable Optional Extended Reporting Period. Reporting should be sent to us at the address stated in the Claims Notice attached to this Policy; and 2. Promptly provide a copy of the Claim or First Party Claim, if in writing, and specify in the report: the names and addresses of the Insured reporting the Claim or First Party Claim, the persons or entities making the Claim or First Party Claim, and the persons or entities against whom the Claim or First Party Claim is made; when the Claim or First Party Claim was made; the subject of the Claim or First Party Claim; and any other relevant facts or allegations known to you. B. Reporting a Circumstance If during the Policy Period, you become aware of a circumstance that may reasonably be expected to give rise to a Claim or First Party Claim which may be covered under the Policy, and if you, during the Policy Period, provide a written report to us at the address stated in the Claim Notice attached to this Policy of the circumstance as soon as practicable containing particulars sufficient to identify you and all reasonably obtainable information with respect to: 1. when and how you first became aware of such circumstance; 2. any act, error, omission asserted or believed to be at issue; 3. the services or activities involved in the circumstance; 4. what happened and the dates and entities involved; and 5. the nature of any alleged or potential Loss; then any Claim (except for a Pollution Claim) or First Party Claim arising out of such circumstance shall be deemed to have been made on the date we received the written report of the circumstance. At our sole discretion and cost, we may elect to investigate any circumstance which is reported; any such costs associated with the investigation of a circumstance prior to a Claim being made against you will not be considered Claim Expense, will not reduce the applicable Self-Insured Retention and shall be paid by us in addition to the Limit of Liability. XI. CONDITIONS A. Territory The coverage afforded by this Policy applies worldwide. B. Audit and Inspection Upon reasonable prior notice, we shall be permitted to audit your final books and records at any time during the Policy Period, the Automatic Extended Reporting Period, the Optional Extended Reporting Period, if applicable, and within three years after the final termination of this Policy, as far as they relate to the subject matter of this Policy. We shall also be permitted to inspect, sample, and/or monitor your operations on a continuing basis. Neither our right to make inspections, sample, and/or monitor, nor the actual undertaking thereof, nor any report thereon shall constitute an undertaking, on behalf of us or others, to determine or warrant that your operations are safe, healthful, conform to acceptable practice, or are in compliance with any law, rule, or regulation. C. Subrogation In the event of any payment under this Policy, we shall be subrogated to all of your rights of recovery thereof. You shall execute and deliver all requested instruments and papers in furtherance of such rights to us and do whatever else is reasonably necessary to secure such rights. You shall do nothing to waive or prejudice such rights. We shall have priority in any recovery, and any amounts recovered in excess of our total payment and the cost to us of recovery shall be paid to you. However, we waive our rights of subrogation under this Policy, to the extent such a waiver is required by a written contract with you executed prior to the Claim, against any of the following that is not a Responsible Entity: your clients, their parents or other affiliates, and your client’s designees; and your co-participants in an entity for which your POLICY NUMBER: PCAB-5022854-0823 DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 Page 19 of 20 Policy Form: PERFORM-10002 (11-20) months of the Policy Period, the earned premium shall be computed pro-rata of the twelve-month earned policy term premium. Payment of any return premium shall not be a condition of cancellation. 3. This Policy may be cancelled by the first Named Insured for any reason. In the event that the first Named Insured cancels the Policy, the earned premium shall be computed under the customary short rate table and procedure as a percentage of the total Policy premium stated in the Declarations, and we will return the corresponding unearned premium to the first Named Insured. Cancellation by the first Named Insured shall also cancel the Automatic Extended Reporting Period and any Optional Extended Reporting Period on the date of cancellation. 4. Notwithstanding the foregoing, if you report a Claim or First Party Claim to us prior to the date of cancellation, the Policy premium shall be considered 100% earned, and no premium shall be returned upon cancellation. H. No Limitation of Liability You shall not limit the liability of any Responsible Entity, except to collectible insurance, without our prior written approval. If you limit the liability of a Responsible Entity in a manner that fails to comply with the foregoing, our obligation to pay Loss arising out of any Claim or First Party Claim involving such Responsible Entity shall apply solely in excess of the collectible insurance that would have been available in the absence of the limitation of liability to such Responsible Entity or any person or entity for which the Responsible Entity is responsible. I. Your Bankruptcy Your bankruptcy or insolvency shall not relieve us of our obligations under this Policy. J. Authorization Clause By acceptance of this Policy, the first Named Insured shall be the sole agent of and shall act on behalf of the Insureds for all purposes as to the Policy, including but not limited to the payment or return of premium, receipt and acceptance of any endorsement issued to form a part of this Policy, providing a nd receiving notice of cancellation, termination, or nonrenewal, the giving of notices and reporting of First Party Claims, Claims and circumstances, for completing applications and the making of any statements or representations, for making any change to the Policy, and for the exercising or declining to exercise any right under this Policy, including the purchase of an Optional Extended Reporting Period. K. Severability of Policy Provisions If any material provision or clause of this Policy is declared illegal or unenforceable by any court of competent jurisdiction and cannot be modified to be enforceable, that provision will immediately become null and void, leaving the remainder of this Policy in full force and effect. L. Severability of Insureds (Coverages B, C, D and E) Except with respect to the Limits of Liability and Self-Insured Retentions, the Authorization Clause of this Conditions Section and as otherwise provided in this Policy, this insurance applies as if each Insured were the only Insured and separately to each Insured against whom a Claim is made. M. Other Insurance This Policy is excess over the Self-Insured Retention and any other valid and collectible liability insurance available to you, whether such other insurance is stated to be primary, pro -rata, contributory, excess, contingent, self-insured or otherwise, unless such other insurance is written specifically excess of this Policy by reference in such other policy to the Policy number in this Policy’s Declarations. When any other insurance has a duty to defend a Claim, we will have no duty to defend the Claim; if no such other insurance defends the Claim, we will have the right but not the duty to defend the Claim. Under Coverage C only, when you are required by written contract, written agreement, or permit, executed prior to when the Pollution Claim was first made, to include any person or entity as an additional Insured, such coverage will be provided on a primary and non-contributory basis to the extent so required. N. Choice of Law POLICY NUMBER: PCAB-5022854-0823 DocuSign Envelope ID: BD4FE555-6845-4A5B-A581-BED84CD71FA9 k?B 37y CALIFORNIA PRELIMINARY NOTICE In accordance with section 8102, 8202 & 9303, California Civil Code. THIS IS NOT A LIEN. TO: CONST. LENDER (Or Reputed Construction Lender) / SURETY (If Any) NOTICE TO PROPERTY Name FIDELITY & DEPOSIT CO. OF MARYLAND OWNER Street 1299 ZURICH WAY City, State, Zip SCHAUMBURG, IL 60196 BOND #9441025 EVEN THOUGH YOU HAVE PAID YOUR CONTRACTOR IN FULL, if the person or firm that has TO: OWNER (Or Reputed Owner) Name CITY OF PALM SPRINGS given you this notice has not been Street 3200 E TAHQUITZ CANYON WAY paid in full for labor, services, City, State, Zip PALM SPRINGS, CA 92262 equipment, or material provided or to be provided to your construction project, a lien may be placed on your TO: DIRECT CONTRACTOR (Or Reputed Direct Contractor) Name ALABBASI CONSTRUCTION & ENGINEERING property. Foreclosure of the lien Street 764 W RAMONA EXPY, STE C may lead to loss of all or part of your City, State, Zip PERRIS, CA 92571 property. You may wish to protect yourself against this by (1) requiring your contractor to provide a signed General description of the labor, service, equipment, or materials furnished, or to be furnished and an estimate of the total price thereof: release by the person or firth that has Reinforcing Steel given you this notice before making payment to your contractor, or (2) 60 000 any other method that is appropriate under the circumstances. NAME AND ADDRESS OF CLAIMANT GIVING THIS NOTICE: Name AMBER STEEL COMPANY This notice is required by law to be Street PO BOX 900 served by the undersigned as a City, State, Zip RIALTO. CA 92377 statement of your legal rights. This notice is not intended to reflect upon NAME OF PERSON OR FIRM THAT CONTRACTED TO PURCHASE THE LABOR, SERVICE, EQUIPMENT, OR MATERIALS: the financial condition of the Name SAME AS DIRECT CONTRACTOR contractor or the person employed by Street you on the construction project. City, State, Zip If you record a Notice of Cessation DESCRIPTION OF JOBSITE SUFFICIENT FOR IDENTIFICATION or Completion of your construction PALM SPRINGS STORM DRAIN LINE 20, STAGE 3, PROJ #19-15, project, you must within 10 days EL CIELO RD & RAMON RD UP TO FARRELL RD, TURNS NORTH ON FARRELL UP TO TAHQUITZ CANYON WAY, PALM SPRINGS, CA. after recording, send a copy of the ACE JOB #2173. ASC JOB #5925. Notice of Completion to your contractor and the person or firm that has given you this notice. The notice must be sent by registered or Proof of Service Affidavit: The undersigned served copies of this Preliminary Notice certified mail. Failure to send the by first class registered or certified mail, postage prepaid, on the persons and at the notice will extend the deadline to addresses shown above on: record a claim of lien. You are not u Date: 14 - —1-,:)-L( required to send the notice if you are I declare under penalty of perjury under the laws of the State of California that the a residential homeowner of a forgoing is true and correct. dwelling containing four or fewer Executedoo, aL. Rialto California units. RECEIVED Signature: Phone: (909) 874-2213 Shannon L. Gonzalez, Ac le APR 15 2024 OFFICE OF TMF CITV r•I rotr f RECEIVED Customer: Alabbasi Construction Engineering File No: 6475 1 CA I PUBLICS Owner Project: Storm Drain Line 20 Stage 3 Notice Requested by and Return To: APR O B 20211 Rec. ID: 676463 TRINITY EQUIPMENT, INC. 2650 South La Cadena OFFICE OF THE CITY CLERK Cotton, CA 92324 1 Job No: 2173 CALIFORNIA PRELIMINARY NOTICE • PUBLIC WORKS (THIS NOTICE IS GIVEN PURSUANT TO CALIFORNIA CIVIL CODE §§ 8034(b), 8102, 9300 el seq.) TO: DIRECT CONTRACTOR (see California Civil Code § 8018) Mamco Inc. dba Alabbasi Construction ATT: Prelim Notice 764 W. Ramona Expwy. Suite C. Perris, CA 92571 TO: CONSTRUCTION SURETY 1 LENDER (see California Civil Code § 8006, 8506, 85304538) Fidelity and deposit Company of Maryland ATT: Prelim Notice 1400 American Lane Schaumburg, IL 60196-1056 Bond Number9441025 EQUEST FOR COPY OF PAYMENT BOND ND NAME OF SURETY COMPANY TO: PUBLIC ENTITY (see California Civil Code §§ 8036, 9302) City of Palm Springs ATT: Prelim Notice 3200 E. Tahquitz Canyon Way Palm Springs, CA 92262 Contract #Project No. 19-15 TO:CUSTOMER Alabbasi Construction Engineering 764 W. Ramona Expwy Ste C. Perris, CA 92571 JOINT CHECK REQUESTED Please take notice that TRINITY EQUIPMENT, INC., 2650 South La Cadena, Colton, CA 92324, Phone: (951) 790.1652, Fax: (909) 463.4985 has fumished or has agreed to furnish the following kind of equipment, labor, materials or services: sales and rental of heavy equipment. Relationship to the parties of the one giving this notice (subcontractor, supplier, describe if otherwise): Subcontractor The person to or for whom the same was done or fumished is: Alabbasi Construction Engineering, 764 W. Ramona Expwy Ste C., Perris, CA 92571, Phone: (951) 776-9300, Fax: (951) 776-0404, which was performed in connection with the Storm Drain Line 20 Stage 3, El Cielo & Ramon Road, Palm Springs, CA 92264 in the County of Riverside. The public entity for the above described work of improvement is City of Palm Springs, ATT: Prelim Notice, 3200 E. Tahquitz Canyon Way, Palm Springs, CA 92262, Phone: (760) 322-8336. The estimated value of all labor, services, equipment and materials to be fumished by Claimant is $0.00. The equipment, labor, materials or services was provided or will be provided beginning on March 25, 2024. PROOF OF SERVICE DECLARATION (CALFORNIA CIVIL CODE § § 8100-8118) I, Irene Cuevas, declare that I served copies of the above CALIFORNIA PRELIMINARY NOTICE - PUBLIC WORKS, (check appropriate box): ❑By personally delivering copies to Irene Cuevas (names(s) and titie(s) of person served) at 2650 S. La Cadena Drive. Suite A (address), on (date), at (time). ❑By Registered or Certified Mail, Express Mail or Overnight Delivery by an express service carrier, addressed to each of the parties at the address shown above on April 2, 2024. ❑By leaving the notice and mailing a copy in the manner provided in § 415.20 of the California Code of Civil Procedure for service of Summons and Complaint in a Civil Action. I certify under penalty of perjury that the foregoing is true and correct. Signed at Colton, CA on April 2, 2024. By: du1 lc Irene Cuevas, ACCOUNTING DEPARTMENT Prepared by TRINITY EQUIPMENT, INC., 2650 South La Cadena, Colton, CA 92324, Phone: (951) 790-1652, Fax: (909) 463A985 N Trinity Equipment Inc $5.04 CLASS US POSTAGEFIRST-�y 2650 S LA CADENA DR Apr 03 2024 7 COLTON CA 923243708 Mailed from ZIP 92324 1 OZRa T-=l M LLETfER n USPS CERTIFIED MAIL anre 01 11923275 111111111111111111111 062S0011465638 94071118 9876 5406 0194 60 PRELIM NOTICE CITY OF PALM SPRINGS 3200 E. TAHQUIZ CANYON WAY PALM SPRINGS CA92262 1111JIlu�l�l11'III1�7111111�II'I"I"��I'���III'I�III"1'I"III FOLD ALONG THIS LINE d 39 37 Tonip'f a a Tom Malloy Corporation dba Trench Shoring is proud IY y to be providing services on your job. We are using Corporation dba Levelset to set this job up for payment success. We would like to share with you the information we have Trench Shoring is on about your project. your job! (2173/PALM SPRINGS) 2173/PALM SPRINGS Our Project Contribution E Ramon Rd & Farrel Dr PALM SPRINGS, California 92264 Trench safety and shoring equipment and materials. Bond Number (if known): Work Starts /Material First Furnished 20-DAY PRFL,=' iNAR`d NOTiCf 3/13/2024 CA Work Finishes / Material Last Furnished �•t Tom Malloy Corporation dba Trench Shoring 206 North Central Avenue Compton, California 90220 levelset.com/talk Reference 9X3LTK4B9TVdH Contact Info There you will be able to: Leslie Turpin , T,om Malloy Corporation dba Trench • Send and receive messages about this document Fix or provide additional details Shoring Agent V Phone: Email: lesliet@trenchshoring.com RECEIVED IF APR 0 8 2024 w,... _EVELSET OFFICE OF THE CITY CLERK 9307110011701163346367 i We were hired by General Contractor MAMCO DBA ALABASSI INC 764 WEST RAMONA EXPRESSWAY SUITE C PERRIS, California 92571 Property Owner/Public Entity .Surety/Bonding Co., _ City of Palm Springs _ J Fidelity and Deposit Project 3200 E.Tahquitz Canyon Company of Maryland Stakeholders Way Bonding No.9441025, Palm Springs, California 1400 American Lane 92262 Schaumburg, Illinois 60196 Our Vendors (If applicable) &�--- J 1-1 : • -' , ) - . - Want more information on this project? Visit levelset.com/talk and enter L E V E L S 'E T 9X3LTK4B9TWH Additional Info Property Description About the Job Estimate of the total price of the labor, services, equipment or material furnished or to be furnished $75,000.00 NOTICE TO PROPERTY OWNER / PUBLIC ENTITY _ EVEN THOUGH YOU HAVE PAID YOUR CONTRACTOR IN FULL, if the person or firm that has given you this notice is not paid in full for labor, service, equipment, or material provided or to be provided to your construction project, alien may lead to loss of all or'part of your property. You may wish to protect yourself against this by (1) requiring your contractor to provide a signed release by the person or firm that has given you this notice before making payment to your contractor, or (2) any other method that is appropriate under the circumstances. This notice is required bylaw to be served by the undersigned as a statement of your legal rights. This notice is not intended to reflect upon the financial condition of the contractor or the person employed by you on the construction project. If you record a notice of cessation or completion of your construction project, you must within 30 days after recording, send a copy of the notice of completion to your contractor and the person or firm that has given you this notice. The notice must be sent by registered or certified. mail. Failure to send the notice Will extend the deadline to record a claim of lien. You are not required to send the notice if you area residential homeowner of a dwelling containing four or fewer units. IMPORTANT. INFORMATION REQUEST PURSUANT TO §9550 etseq. If the public entity commissioning work and/or the surety are not identified in this notice, or if either are incorrectly identified, please accept this notice as a formal request to the direct contractor pursuant to §9550 et seq to deliver (1) The name and address of the public entity commissioning the work; and /or (!I) The name and address of the surety, if any; as the case may be; Further, if the direct contractor is not identified or is misidentified, please consider this a formal request to provide that information to Tom Malloy Corporation dba Trench Shoring. Any information provided to Tom Malloy Corporation dba Trench Shoring may be provided by visiting levelset.com/talk and entering 9X3LTK4B97W Hor by sending to the following address: _ T�mMalloy-Corporation-dbaTrenchShoring- 206 North Central Avenue Compton, California 90220 L.CSfGC '1' t�Lt1 Tom Malloy Corporation dba Trench Shoring Signed by Leslie Turpin Its duly authorized and disclosed agent Signed on March 29, 2024 Employee Trust Funds (and Laborers) _ ..- 11 �- � _ If applicable, and pursuant to §8208 (b) of the California Civil Code, the following is a list of the Employee Trust Funds (described in subdivision (b) of Section 8024) and/or laborers to which payments are due. , Want more information on this project? Visit levelset.com/talk and enter _ E V E L S E T 9X3LTK4B9TWH I3f�3Ty File No: 3213 1 PRIVATE I CA I Owner Notice Requested by and Return To: GROVE LUMBER 8 BUILDING SUPPLIES, INC. 27126 Watson Road Menifee, CA 925851 Job No: 57252 Customer: Mamco Inc. dba, Alabbasi Construction Project: 2173/Storm Drain Line 20, Stage 3 Rec. ID: 3213 CALIFORNIA PRELIMINARY NOTICE - PRIVATE WORKS THIS IS NOT A LIEN. THIS NOTICE IS GIVEN PURSUANT TO CALIFORNIA CIVIL CODE §§ 8034(a), 8102, 8200 ET SEQ TO: OWNER OR REPUTED OWNER 1. The name of the personlentity fumishin the labor, service, equi ment or (see California Civil Code §§ 8506, 8520.8522) materials is: JOINT CHECK REQUESTED City of Palm Sprngs GROVE LUMBER 8 BUILDING SUPPLIES, INU. City Project No.19-15 27126 Watson Road 3200 E. Tahquitz Canyon Way Menifee, CA 92585 Palm Springs, CA 92262 2. Relationship to the parties of the one giving this notice (subcontractor, TO: DIRECT CONTRACTOR supplier, describe if otherwise): Supplier (see California Civil Code § 8018) 3. The general description of the labor, service, equipment or materials Mamco Inc. dba furnished or to be furnished by the undersigned: Alabbasi Construction Lumber 6 Building Supplies 764 W. Ramona Expressway Ste. C 4. Date Claimant first provided said labor, services, equipment or materials: Penis, CA 92571 March 21, 2024 5. Estimated Price: $10,000.00 6. The name of the person who contracted for purchase of that labor, service, equipment or material is: Mamco Inc. dba Alabbasi Construction 764 W. Ramona Expressway Ste. C Pems, CA 92571 7.The description of the jobsite is: 21731Storm Drain Line 20, Stage 3 Farrell Drive 8 Baristo Road Palm Springs, CA 92262 County of Riverside NOTICE TO PROPERTY OWNER EVEN THOUGH YOU HAVE PAID YOUR CONTRACTOR IN FULL, if the person or firm that has given you this notice is not paid in full for labor, service, equipment, or material provided or to be provided to your construction project, a lien may be placed on your property. Foreclosure of the lien may lead to loss of all or part of your property. You may wish to protect yourself against this by (1) requiring your contractor to provide a signed release by the person or firm that has given you this notice before making payment to your contractor, or (2) any other method that is appropriate under the circumstances. This notice is required by law to be served by the undersigned as a statement of your legal rights. This notice is not intended to reflect upon the financial condition of the contractor or the person employed by you on the construction project. If you record a notice of cessation or completion of your construction project, you must within 10 days after recording, send a copy of the notice of completion to your contractor and the person or firm that has given you this notice. The notice must be sent by registered or certified mail. Failure to send the notice will extend the deadline to record a claim of lien. You are not required to send the notice if you are a residential homeowner of a dwelling containing four or fewer units. PROOF OF SERVICE DECLARATION (CALIFORNIA CIVIL CODE § § 8100-8118) I, Alicia Dominguez, declare that I served copies of the above PRELIMINARY NOTICE - PRIVATE WORKS, (check appropriate box)'. ❑ By personally delivering copies to (names(s) and trials) of person served) at (address), on (date), at (time) ❑By Registered or Certified Mail, Express Mail or Overnight Delivery by an express service tamer, addressed to each of the parties at the address shown X above on March 29, 2024. By leaving the notice and mailing a copy in the manner provided in § 415.20 of the California Code of Civil Procedure for service of Summons and El Complaint in a Civil Action. I certify under penalty oo}ff perjury that the foregoing is true and correct. Signed at Menifee, CA on March 29, 2024. RECEIVED By: e� v`^6R0'i Alicia Dominguez, A/R APR 01 2024 OF THE CITY CLERK I Prepared by: GROVE LUMBER 8 BUILDING SUPPLIES, INC., 27126 Watson Road. MwKee. CA 92585, Phone: (909) 458-0" 7 1 '. ,', , + . i .xt• v411 � �c ` File: 13996760 (CA PV) Customer: ALABBASI CONST & ENG 2173 Notice Requested. by: Customer #: / 2173 Penhall Company - (206) San Bernardino Job Name: 2173- STORM DRAIN LINE 20 STAGE 3 738 S. Waterman Ave, Uinit B34/B35 Job# / PO#: 109820 / 2173 San Bernardino, CA 92408 909453-4009 Cert #: 9314 8898 8030 0073 3636 23 APN #: PRELIMINARY NOTICE This is not a lien. This is not a reflection on the integrity of any contractor or subcontractor, but the notice prescribed in California Civil Code Sections 8102, 8200, et seq., 9300, et seq. TO OWNER OR REPUTED OWNER(S)/PUBLIC ENTITY The following is a general description of the labor, service, CITY OF PALM SPRINGS equipment or materials furnished or to be furnished: 3200 E TAHQUITZ CANYON WAY PALM SPRINGS, CA 92262 TO DIRECT CONTRACTOR MAMCO INC DBA ALABBASI CONSTRUCTION 764 W RAMONA EXPWY STE C PERRIS, CA 92571 TO LENDER/SURETY FIDELITY AND DEPOSIT CO OF MARYLAND 1400 AMERICAN LN SCHAUMBURG, IL 60196 Bond/Loan # 9441025 Core Drilling, Concrete Sawing, Concrete Demolition / Removal, Highway Grinding Estimated Price: $7,000.00 The name of the person who famished that labor, service, equipment or materials is: Penhall Company - (206) San Bernardino 738 S. Waterman Ave, Uinit B34/B35 San Bernardino, CA 92408 909453-4009 Date labor. service, equipment or materials first famished: 2/28/2024 The name of the person who contracted for purchase of that labor, service. equipment or material is: ALABBASI CONST & ENG 764 W RAMONA EXPRESSWAY, SUITE C PERRIS, CA 92571 The description of the jobsite is: 2173-STORM DRAIN LINE 20 STAGE 3 #109820 RAMON & EL CIELO, CITY PROJECT NO 1-15 PALM SPRINGS, CA 92264 NOTICE TO PROPERTY OWNER EVEN THOUGH YOU HAVE PAID YOUR CONTRACTOR IN FULL, if the person or firm that has given you this notice is not paid in full for labor, service, equipment, or material provided or to be provided to your construction project, a lien may be placed on your property. Foreclosure of the lien may lead to loss of all or part of your property. You may wish to protect yourself against this by (1) requiring your contractor to provide a signed release by the person or firm that has given you this notice before making payment to your contractor, or (2) any other method that is appropriate under the circumstances. This notice is required by law to be served by the undersigned as a statement of your legal rights. This notice is not intended to reflect upon the financial condition of the contractor or the person employed by you on the construction project. If you record a notice of cessation or completion of your construction project, you must within 10 days after recording, send a copy of the notice of completion to your contractor and the person or firm that has given you this notice. The notice must be sent by registered or certified mail. Failure to send the notice will extend the deadline to record a claim of lien. You are not required to send the notice if you are a residential homeowner of a dwelling containing four or fewer units. Dated: 3/22/2024 By: ) v Laura Pavey / CRF Solutions Authorized Agent For: Penhall Company - (206) San Bernardino PROOF OF NOTICE DECLARATION I declare that 1 served a copy of the above Preliminary Notice, and any related documents, by (as required by law) first-class, certified or registered mail, postage prepaid. addressed to the above named parties, at the addresses listed above, on 3/22/2024. 1 declare under penalty of perjury that the foregoing is true and correct. Executed at Simi Valley, CA on 3/22/2024. RECEIV." Laura Pavey / Lien Administrator MAR 2 8 2024 OFFICE OF THE CITY CLERK 9 Construction Notice Department P.O. Box 1389 Simi Valley, CA 93062 Address Service Requested 3/22/2024 IIIINIIIIIIIINIIIIIIIIIINII PEN909 13996760 CITY OF PALM SPRINGS 3200 E TAHQUITZ CANYON WAY PALM SPRINGS, CA 92262 IMPORTANT NOTICE PLEASE READ CAREFULLY -- Enclosed you will find a notice"that is being sent to you on behalf of PenhallZ'ompany -- (206) San Bernardino in regards to the construction project known as 2173- STORM DRAIN LINE 20 STAGE 3 109820 and located at RAMON & EL CIELO CITY PROJECT NO.1-15, PALM SPRINGS, CA 92264. PO#2173. It is important to note that this notice is not a lien.nor a claim, -on. a.bond. This is a routine procedure to comply with certain state requirements that may exist and should not reflect in any way on the integrity or credit standing of any of the known interested parties associated with this job. Our records indicate the following parties are associated with this job OWNER: CITY OF PALM SPRINGS PALM SPRINGS, CA GENERAL/DIRECT/ORIGINAL CONTRACTOR: MAMCO INC DBA ALABBASI'CONSTRUCTION PERRIS, CA LENDER/SURETY: FIDELITY AND DEPOSIT CO OF MARYLAND SCHAUMBURG, IL If any of this information is incorrect, or you are not associated with this job, please contact us immediately at myjobinfo@crfsolutions.com Please use'this number, 13996760 in your email subject line. Thank you, CRE Solutions 9 PRELIMINARY NOTICE CALIFORNIA USE PROOF OF SERVICE AFFIDAVIT OF CALIFORNIA 20-DAY PRELIMINARY NOTICE (PRIVATE AND PUBLIC WORK) IN ACCORDANCE WITH SECTIONS 8102, 8200-8202 and 9300-9303, CALIFORNIA CIVIL CODE 1; 07,331! CONSTRUCTION LENDER (Or Reputed Construction Lender, If Any) OWNER FINANCED Construction loan no. (if known) OWNER or PUBLIC AGENCY (Or Reputed Owner) AND DISBURSING OFFICER (On Private Work) (On Public Work) CITY OF PALM SPRINGS 3200 E TAHOUITZ CANYON WAY PALM SPRINGS, CA 92262 DIRECT CONTRACTOR (Or Reputed Direct Contractor) MAMCO INC DBA ALABBASI CONSTRUCTION 764 W RAMONA EXPWY SUITE C PERRIS, CA 92571 SUBCONTRACTOR (Or Reputed Subcontractor) MAMCO INC 764 W RAMONA EXPWY SUITE C PERRIS, CA 92571 SUB -SUBCONTRACTOR (Or Reputed Sub -Subcontractor) BOND COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND 1400 AMERICAN LANE SCHAUMBURG, IL 60196 An estimate of the total price of the labor, services, equipment or materials furnished or to be furnished is: $32,000.00 Statement or estimate of the Claimant's demand for sums currently due after deducting all just credits and offsets: $6,895.04 RECEIVED MAY 2 0 2024 OFFICE OF THE CITY CLERK YOU ARE HEREBY NOTIFIED THAT... WHITE CAP, L.P. 297 SOUTH VASCO ROAD LIVERMORE, CA 94551 (MS. CYNTHIA ROHDE at CINDY.ROHDE@WHITECAP.COM) (name and address of person or firm — sender) has furnished or will furnish MATERIALS of the following general description: BUILDING AND CONSTRUCTION MATERIALS for the building, structure or other work of improvement located at: 2173 STORM DRAIN LINE 20 STAGE 3 #19-15 VARIOUS LOCATIONS IN THE CITY OF PALM SPRINGS PALM SPRINGS, CA 92262 The name of the person or firm who contracted for the purchase of such labor, services, equipment or materials: MAMCOINC NOTICE TO PROPERTY OWNER EVEN THOUGH YOU HAVE PAID YOUR CONTRACTOR IN FULL, if the person or firm that has given you this notice is not paid in full for labor, service, equipment, or material provided or to be provided to your construction project, a lien may be placed on your property. Foreclosure of the lien may lead to loss of all or part of your property. You may wish to protect yourself against this by (1) requiring your contractor to provide a signed release by the person or firm that has given you this notice before making payment to your contractor, or (2) any other method that is appropriate under the circumstances. This notice is required by law to be served by the undersigned as a statement of your legal rights. This notice is not intended to reflect upon the financial condition of the contractor or the person employed by you on the construction project. If you record a notice of cessation or completion of your construction project, you must within 10 days after recording, send a copy of the notice of completion to your contractor and the person or firm that has given you this notice. The notice must be sent by registered or certified mail. Failure to send the notice will extend the deadline to record a claim of lien. You are not required to send the notice if you are a residential homeowner of a dwelling containing four or fewer units. Claimant's Notice of unpaid compensation & employer payments owing to laborers & entities (described in Civil Code §8202(b)): The names and addresses of the laborer(s) and the Trust Fund to whom compensation and employer payments is/are due and payable are: (Names) (Addresses) Mailed this date: MAY 9, 2022024 / 1°" Agent (Signature) Our Reference: (N810817) 152886000 10004907849 MISSING v 0% REQUEST FOR INFORMATION Pursuant to California Civil Code §8208 and §8210 CITY OF PALM SPRINGS 3200 E TAHQUITZ CANYON WAY PALM SPRINGS, CA 92262 MAMCO INC DBA ALABBASI CONSTRUCTION 764 W RAMONA EXPWY SUITE C PERRIS, CA 92571 Re: 2173 STORM DRAIN LINE 20 STAGE 3 #19-15 VARIOUS LOCATIONS IN THE CITY OF PALM SPRINGS PALM SPRINGS. CA 2 WHITE CAP, L.P., 297 SOUTH VASCO ROAD , LIVERMORE, CA 94551 is furnishing materials and/or labor in connection with the above project. It is our understanding that you are the owner, part owner, or lessee and/or the direct contractor on that project. In accordance with §8208 and §8210 of the California Civil Code, please provide the following information if not already correctly identified within the attached notice: Owner Name: _ Owner Address: Owner City For privately owned projects: Lender Name: Lender Address: Lender City Direct Contractor Name: _ Direct Contractor Address: Direct Contractor City: State State State Zip Zip Zip If a Construction Loan has not been obtained for this project at the time of the receipt of this request, please consider this an ongoing request and provide the name and address of the construction lender once the loan has been obtained. Please return this information to the undersigned, including a copy of this Request for Information to permit us to reference the proper file. Please also provide a copy of any payment bonds, not already provided to WHITE CAP, L.P., for this project. Dated: MAY 912024 Agent for WHITE CAP, L.P. c/o NCS P. O. Box 24101 Cleveland, OH 44124 Fax: 440-461-6202 Email: noticeexp(o)ncscredit.com Our Ref# N810817 152886000 10004907849 MISSING v White Cap[CA(N810817OW]BO USPS CERTIFIED MAIL TM 297 S Vasco Rd Account Services Livermore. CA 94551 9414 8091 0971 2007 4139 50 CITY OF PALM SPRINGS 3200 E TAHQUITZ CANYON WAY PALM SPRINGS, CA 92262 ATTENTION Why are you receiving this notice? Please visit http://www.ncscredit.com/notice for more information. If you have any additional questions, please email NCS noticeexp@ncscredit.com Distribution List Track Number: 9414809109712007413950 CITY OF PALM SPRINGS 3200 E TAHQUITZ CANYON WAY PALM SPRINGS, CA 92262 Track Number: 9414809109712007416180 MAMCO INC dba ALABBASI CONSTRUCTION 764 W RAMONA EXPWY SUITE C PERRIS, CA 92571 v -� i 0 WHITE CAP. To Our Valued Business Partners: The sending of the following Preliminary Notice is prescribed by the construction lien laws of CALIFORNIA state. This is NOT a Lien but a statutory requirement. • The sending of this notice does not reflect the creditworthiness of our customer, you, or any other party to the project, nor does it indicate any expected problems in payment. Please review the notice and provide any corrections of our information. If you are in need of a lien waiver, please send to CreditNoCALRelandNotices0whitecap.com. Sincerely, Western Region Prelim Team White Cap LP 888-888-9580 CreditNoCALRelandNotices@whitecap.com 0 CALIFORNIA PRELIMINARY NOTICE In accordance with sections 8102, 8202, and 9303, California Civil Code. THIS IS NOT A LIEN. This is NOT a reflection on the integrity of any contractor or subcontractor. OWNER or PUBLIC ENTITY or Reputed Owner (on public work) (on private work) CITY PROJECT NO. 19-15 CITY OF PALM SPRINGS 3200 E. TAHQUITZ CANYON WAY Palm Springs, CA 92262 DIRECT CONTRACTOR or Reputed Direct Contractor, if any. (on private or public work) MAMCO IND DBA ALABBASI CONSTRUCTION 764 W RAMONA EXPWY. SUITE C Perris, CA 92571 CONSTRUCTION LENDER or Reputed Construction Lender, if any. (on private work) NOTICE TO PROPERTY OWNER EVEN THOUGH YOU HAVE PAID YOUR CONTRACTOR IN FULL, if the person or firm that has given you this notice is not paid in full for labor, service, equipment, or material provided or to be provided to your construction project, a lien may be placed on your property. Foreclosure of the lien may lead to loss of all or part of your property. You may wish to protect yourself against this by (1) requiring your contractor to provide a signed release by the person or firm that has given you this notice before making payment to your contractor, or (2) any other method that is appropriate under the circumstances. This notice is required by law to be served by the undersigned as a statement of your legal rights. This notice is not intended to reflect upon the financial condition of the contractor or the person employed by you on the construction project. If you record a notice of cessation or completion of your construction project, you must within 10 days after recording, send a copy of the notice of completion to your contractor and the person or firm that has given you this notice. The notice must be sent by registered or certified mail. Failure to send the notice will extend the deadline to record a claim of lien. You are not required to send the notice if you are a residential homeowner of a dwelling containing four or fewer units. RECEIVED YOU ARE HEREBY NOTIFIED THAT... WEST COAST SAND & GRAVEL, INC. MAR 0 4 2024 PO BOX 5067 BUENA PARK, CA 90621 City Hall (714) 522-4403 Reception Desk (714)735-7025 relationship of claimant to the parties MATERIALS SUPPLIER has furnished or will furnish labor, services, equipment or materials of the following general description: CONSTRUCTION MATERIALS, LANDSCAPING MATERIALS, AND/OR FREIGHT for the building, structure or other work of improvement located at: 2173-STORM DRAIN LINE 20, STAGE 3 RAMON ROAD & EL CIELO ROAD Palm Springs, CA 92264 Contract #: Job #: The name of the person or firm who contracted for the purchase of such labor, services, equipment or material is: Mamco Inc DBAAlabbasi 764 W. Ramona Expressway Ste C Perris, CA 92571 (951)776-9300 (951)776-0404 An estimate of the total price of the labor, services, equipment or materials furnished or to be furnished is: $10,000.00 D;vcd 2/29/2024 S1 P4 P_�A tant Office Manager 9 ACORO® CERTIFICATE OF LIABILITY INSURANCE Dare lmmlomrvrrl 6/13/2024 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 INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Insurance Services, Inc. RECEIVED 18100 Von Kerman, 10th Floor Irvine CA 92612 SEP 0 3 2024 CONTACT NAME: Philip Arzu "ONEAlliant FAX 94&756-0271 ac No): AVD E rzu alliant.com INSURERS) AFFORDING COVERAGE NAICM INSURER A: Zurich American Insurance Comp 165M INSURED OFFICE OF THE CIT'MMI IKURIER B: Amer Guarantee B LJab Iris Co 26247 Mc' dbaAlabblabbasi INSURER C: Continental Insurance Company 35289 INSURER D: 764 West Ramona Expressway, Suite C INSURER E: Perris CA 92571 INSURER F : COVERAGES CERTIFICATE NUMBER: 380077156 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 LTR TYPE OF INSURANCE POUCYNUMBER MWDDYIYYYY IEFF MMIDD EXP LMTS A X COMMERCIAL GENERALLMBIIAY Y Y GL0704772MI 6/18/2024 6/182025 EACH OCCURRENCE E2,000,000 _ CLAIMS -MADE lxl OCCUR DAMAGE TO RENTED PREMISES Eao=mnm E100,000 MED EXP (Any one person) E 5,000 PERSONAL S ADV INJURY E2,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE E4,000,000 POLICY JE; LOC PRODUCTS - COMP/OP AGO $4,000,000 Dadlcl & S5,D00 OTHER I A AUTOMOSILELUUMUTY Y Y BAP 70477n601 6/18/2024 GMSW25 Ea COMBINED SI LE LIMIT It 52,000,000 X BODILY INJURY(Pw pw ) E ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X BODILY INJURY (PK=iftd) E X PROPERTY DAMAGE Pw aad e t E HIRED X NO N-0NNED AUTOS ONLY AUTOS ONLY f B C UMBRELLA LIAR EXCESS LMB X OCCUR CLAIMS -MADE Y Y SXS 6672958-01 7039576712 6/18/2024 6/18/2024 6/182025 611M025 EACH OCCURRENCE E10.000.000 X AGGREGATE S10,000,000 DED I X I RETENTIONS M IE I I A WORKERS COMPENSATION ANDEMPLOYERS'LIABLRY YIN ANYPROPRTTORIPARTNER/EXECUTIVE [—N] OFFICER/MEMBEREXCLUDEO4 NIA Y WC 7047732-01 8/18/2024 61IM025 X STATUTE ER"' E.L. EACH ACCIDENT E 1,000,000 E.L. DISEASE - EA EMPLOYEE E 1,000,000 (M"r ry in NH) If yes aesrnde untl DESCRIPTION OF OPERATIONS M. E.L. DISEASE -POLICY LIMIT $1000,000 DESCRIPTIONOFOPERATIONSILOCATIONSIVEHICLES (ACORD101,AdMdonal Remarks Sche ub,mayWaMacheddmorespaceism uimal Re: 2173 - Storm Drain Line 20, Stage 3 CITY PROJECT NO. 19-15 The City of Palm Springs, its officials, employees, and agents are named as an additional insured on a primary and noncontributory basis per the attached endorsements. Waiver of subrogation applies in favor of additional insured per the attached endorsements. City of Palm Springs 3200 East Tahquitz Canyon Way Palm Springs CA 92262 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD a Additional Insured — Automatic — Owners, Lessees Or ZURICH Contractors THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy No. GLO 7047729-01 Effective Date: 6/18/2024 This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. Section 11— Who Is An Insured is amended to include as an additional insured any person or organization whom you are required to add as an additional insured under a written contract or written agreement executed by you, but only with respect to liability for "bodily injury', "property damage" or "personal and advertising injury" and subject to the following: 1. If such written contract or written agreement specifically requires that you provide that the person or organization be named as an additional insured under one or both of the following endorsements: a. The Insurance Services Office (ISO) ISO CG 20 10 (10/01 edition); or b. The ISO CG 20 37 (10/01 edition), such person or organization is then an additional insured with respect to such endorsement(s), but only to the extent that "bodily injury", "property damage" or "personal and advertising injury" arises out of: (1) Your ongoing operations, with respect to Paragraph 1.a. above, or (2) "Your work", with respect to Paragraph 1.b. above, which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 1., insurance afforded to such additional insured: (a) Only applies if the "bodily injury", "property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (b) Does not apply to "bodily injury" or "property damage" caused by "your work" and included within the "products -completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. 2. If such written contract or written agreement specifically requires that you provide that the person or organization be named as an additional insured under one or both of the following endorsements: a. The Insurance Services Office (ISO) ISO CG 20 10 (07104 edition); or b. The ISO CG 20 37 (07/04 edition), such person or organization is then an additional insured with respect to such endorsement(s), but only to the extent that "bodily injury", "property damage" or "personal and advertising injury" is caused, in whole or in part, by: (1) Your acts or omissions, or (2) The acts or omissions of those acting on your behalf, U-GL-2162-A CW (02/19) Page 1 of 4 Includes copyrighted material of Insurance Services Office, Inc., with its permission. in the performance of: (a) Your ongoing operations, with respect to Paragraph 2.a. above; or (b) "Your work" and included in the "products -completed operations hazard", with respect to Paragraph 2.b. above, which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 2., insurance afforded to such additional insured: (i) Only applies if the "bodily injury", "property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (ii) Does not apply to "bodily injury" or "property damage" caused by "your work" and included within the "products -completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. 3. If neither Paragraph 1. nor Paragraph 2. above apply and such written contract or written agreement requires that you provide that the person or organization be named as an additional insured: a. Under the ISO CG 20 10 (04/13 edition, any subsequent edition or if no edition date is specified); or b. With respect to ongoing operations (if no form is specified), such person or organization is then an additional insured only to the extent that "bodily injury', "property damage" or "personal and advertising injury' is caused, in whole or in part by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf, in the performance of your ongoing operations, which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 3., insurance afforded to such additional insured: (a) Only applies to the extent permitted by law; (b) Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured; and (c) Only applies if the "bodily injury", "property damage" or "personal and advertising injury' offense occurs during the policy period and subsequent to your execution of the written contract or written agreement. 4. If neither Paragraph 1. nor Paragraph 2. above apply and such written contract or written agreement requires that you provide that the person or organization be named as an additional insured: a. Under the ISO CG 20 37 (04/13 edition, any subsequent edition or if no edition date is specified); or b. With respect to the "products -completed operations hazard" (if no form is specified), such person or organization is then an additional insured only to the extent that "bodily injury' or "property damage" is caused, in whole or in part by "your work" and included in the "products -completed operations hazard", which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 4., insurance afforded to such additional insured: (1) Only applies to the extent permitted by law; (2) Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured; (3) Only applies if the "bodily injury' or "property damage" occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (4) Does not apply to "bodily injury" or "property damage" caused by "your work" and included within the "products -completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. U-GL-2162-A CW (02I19) Page 2 of 4 Includes copyrighted material of Insurance Services Office, Inc., with its permission. B. Solely with respect to the insurance afforded to any additional insured referenced in Section A. of this endorsement, the following additional exclusion applies: This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or surveying services including: 1. The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications, or 2. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. C. Solely with respect to the coverage provided by this endorsement, the following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit of Section IV — Commercial General Liability Conditions: The additional insured must see to it that: (1) We are notified as soon as practicable of an "occurrence' or offense that may result in a claim; (2) We receive written notice of a claim or "suit" as soon as practicable; and (3) A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non-contributory. D. Solely with respect to the coverage provided by this endorsement: 1. The following is added to the Other Insurance Condition of Section IV — Commercial General Liability Conditions: Primary and Noncontributory insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that: a. The additional insured is a Named Insured under such other insurance; and b. You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition under Section IV — Commercial General Liability Conditions: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense, claim or "suit". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by a written contract or written agreement to provide coverage to the additional insured on a primary and non- contributory basis. E. This endorsement does not apply to an additional insured which has been added to this Coverage Part by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured. F. Solely with respect to the insurance afforded to an additional insured under Paragraph A.3. or Paragraph A.4. of this endorsement, the following is added to Section III — Limits Of Insurance: Additional Insured — Automatic — Owners, Lessees Or Contractors Limit The most we will pay on behalf of the additional insured is the amount of insurance: U-GL-2162-A CW (02/19) Page 3 of 4 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 1. Required by the written contract or written agreement referenced in Section A. of this endorsement; or 2. Available under the applicable Limits of Insurance shown in the Declarations, whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All other terms, conditions, provisions and exclusions of this policy remain the same. U-GL-2162-A CW (02119) Page 4 of 4 Includes copyrighted material of Insurance services Office, Inc., with its permission. Contractors Liability Supplemental Coverages 0 and Conditions ZURICH THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy No. GLO 7047729-01 Effective Date: 6118/24 This endorsement modes insurance provided under the: Commercial General Liability Coverage Part S. Paragraph (it) under Paragraph 4.b.(1) of the Other Insurance Condition under Section IV — Commercial General Liability Conditions is replaced by the following: (ii) That is property insurance providing coverage for "specific perils" for premises rented to you or temporarily occupied by you with permission of the owner; 6. The following definitions are added to the Definitions Section: "Specific perils" means fire, lightning, explosion, windstorm or hail, smoke, aircraft or vehicles, riot or civil commotion, vandalism, leakage from fire extinguishing equipment, weight of snow, ice or sleet or "water damage". "Water damage" means accidental discharge or leakage of water or steam as the direct result of the breaking or cracking of any part of a system or appliance containing water or steam. C. Additional Insured —Lessor Of Leased Equipment— Automatic Status When Required In Lease Agreement With You 1. Section 11 — Who Is An Insured is amended to include as an additional insured any person(s) or organization(s) from whom you lease equipment when you and such person(s) or organization(s) have agreed in a written contract or written agreement that such person(s) or organization(s) be added as an additional insured on your policy. Such person(s) or organization(s) is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your maintenance, operation or use of equipment leased to you by such person(s) or organization(s). However, the insurance afforded to such additional insured: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the contractor agreement to provide for such additional insured. A person's or organization's status as an additional insured under this endorsement ends when their contract or agreement with you for such leased equipment ends. 2. With respect to the insurance afforded to these additional insureds, this insurance does not apply to any "occurrence" which takes place after the equipment lease expires. 3. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: a. Required by the written contract or written agreement you have entered into with the additional insured; or b. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. The insurance provided by this Paragraph C. shall not increase the applicable Limits of Insurance shown in the Declarations. U-GL-1060-F cW (05122) Page 1 of 2 Includes copyrighted material of Insurance Services Office, Inc. with its permission. D. Additional Insured — Managers Or Lessors Of Premises 1. Section 11 — Who Is An Insured is amended to include as an additional insured any person(s) or organization(s) that you have agreed in a written contract or written agreement to name as an additional insured, but only with respect to liability arising out of the ownership, maintenance or use of that part of premises leased to you and subject to the following additional exclusions: This insurance does not apply to: a. Any "occurrence" which takes place after you cease to be a tenant in that premises. b. Structural alterations, new construction or demolition operations performed by or on behalf of the additional insured manager or lessor of the premises leased to you. However, the insurance afforded to such additional insured: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. 2. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: a. Required by the written contract or written agreement you have entered into with the additional insured; or b. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. The insurance provided by this Paragraph D. shall not increase the applicable Limits of Insurance shown in the Declarations. E. Additional Insured —State Or Governmental Agency Or Subdivision Or Political Subdivision —Permits Or Authorizations 1. Section 11—Who Is An Insured is amended to include as an additional insured any state or governmental agency or subdivision or political subdivision that you have agreed in a written contract orwritten agreement or that you are required by statute, ordinance or regulation to name as an additional insured, subject to the following provisions: a. This insurance applies only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization. b. This insurance does not apply to: (1) "Bodily injury", "property damage" or "personal and advertising injury' arising out of operations performed for the federal government, state or municipality; or (2) "Bodily injury" or "property damage included within the "products -completed operations hazard". However, the insurance afforded to such additional insured: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. 2. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: a. Required by the written contract or written agreement you have entered into with the additional insured; or b. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. The insurance provided by this Paragraph E. shall not increase the applicable Limits of Insurance shown in the Declarations. U-GL-1060-F CW (05122) Page 2 of 2 Includes copydghted material of Insurance Services Office, Inc. with its permission. POLICY NUMBER: GLO 7047729-01 COMMERCIAL GENERAL LIABILITY CG 25 03 05 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Project(s): ALL OF YOUR DESIGNATED CONSTRUCTION PROJECTS WHERE REQUIRED BY CONTRACT Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. For all sums which the insured becomes legally 3. Any payments made under Coverage A for obligated to pay as damages caused by 'occur- damages or under Coverage C for medical rences" under Section I — Coverage A, and for all expenses shall reduce the Designated Con - medical expenses caused by accidents under struction Project General Aggregate Limit for Section I — Coverage C, which can be attributed that designated construction project. Such only to ongoing operations at a single designated payments shall not reduce the General Ag- construction project shown in the Schedule gregate Limit shown in the Declarations nor above: shall they reduce any other Designated Con- 1. A separate Designated Construction Project struction Project General Aggregate Limit for General Aggregate Limit applies to each des- any other designated construction project ignated construction project, and that limit is shown in the Schedule above. equal to the amount of the General Aggregate 4. The limits shown in the Declarations for Each Limit shown in the Declarations. Occurrence, Damage To Premises Rented To 2. The Designated Construction Project General You and Medical Expense continue to apply. Aggregate Limit is the most we will pay for the However, instead of being subject to the sum of all damages under Coverage A, ex- General Aggregate Limit shown in the Decla- cept damages because of 'bodily injury" or rations, such limits will be subject to the appli- "property damage" included in the "products- cable Designated Construction Project Gen - completed operations hazard", and for medi- eral Aggregate Limit. cal expenses under Coverage C regardless of the number of: a. Insureds; b. Claims made or "suits" brought; or c. Persons or organizations making claims or bringing "suits". CG 25 03 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 2 Wolters Kluwer Financial Services I Uniform Forms^" B. For all sums which the insured becomes legally C. When coverage for liability arising out of the obligated to pay as damages caused by "occur- "products -completed operations hazard" is pro- rences" under Section I — Coverage A, and for all vided, any payments for damages because of medical expenses caused by accidents under "bodily injury' or "property damage" included in Section I — Coverage C, which cannot be at- the "products -completed operations hazard" will tributed only to ongoing operations at a single reduce the Products -completed Operations Ag- designated construction project shown in the gregate Limit, and not reduce the General Ag- Schedule above: gregate Limit nor the Designated Construction 1. Any payments made under Coverage A for Project General Aggregate Limit. damages or under Coverage C for medical D. If the applicable designated construction project expenses shall reduce the amount available has been abandoned, delayed, or abandoned under the General Aggregate Limit or the and then restarted, or if the authorized contract - Products -completed Operations Aggregate ing parties deviate from plans, blueprints, de - Limit, whichever is applicable; and signs, specifications or timetables, the project will 2. Such payments shall not reduce any Desig- still be deemed to be the same construction pro- nated Construction Project General Aggre- ject. gate Limit. E. The provisions of Section III — Limits Of Insur- ance not otherwise modified by this endorsement shall continue to apply as stipulated. Page 2 of 2 © Insurance Services Office, Inc., 2008 CG 25 03 05 09 Waiver Of Subrogation (Blanket) Endorsement ZURICH Policy No. Eff. Date of P.I. Exp. Date of P.I. I Eff. Date of End. I Producer I AddT Prem Rerum Prem. GL07047729-01 6/1812024 611812026 1 611812024 1 $ $ THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition: If you are required by a written contract or agreement, which is executed before a loss, to waive your rights of recovery from oth- ers, we agree to waive our rights of recovery. This waiver of rights shall not be construed to be a waiver with respect to any other operations in which the insured has no contractual interest. U-GL-925-B CW (12/01) Page 1 of 1 9 Notification to Others of Cancellation ZURICH or Nonrenewal Policy No. I Eff. Date of Pol. I Exp. Date of Pol. I Eff. Date of End. I Producer No. AWL Prem Return Prem. GLO 7047729-01 6/18/2024 1 6/18/2025 1 6/18/2024 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. If we cancel or non -renew this Coverage Part by notice to the first Named insured, for any reason other than nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation or non -renewal to the person(s) or organization(s) shown in the Schedule below. B. Any copy of notice per paragraph A. above will be sent or delivered: 1. To the address corresponding to each person or organization indicated in the Schedule below; and 2. At least 10 days prior to the cancellation or non -renewal date applicable to the policy, as advised in our notice to the first Named insured, or the longer number of days notice prior to the applicable cancellation or non -renewal date, if indicated in the Schedule below. C. This is intended only to be an advance notification to the person(s) or organization(s) named in the Schedule of this endorsement in the event of a pending cancellation or non -renewal of coverage. Our failure to provide such advance notification to the person(s) or organization(s) shown in the Schedule of this endorsement will not extend any policy cancellation or non -renewal date nor negate any cancellation or non -renewal of the policy. SCHEDULE Name and Address of Other Person(s) / Or anizations: Number of Days Notice: Per schedule on rile with Company 30 All other terms and conditions of this policy remain unchanged. U-GL-1387-A CW (05/09) Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., vrith its permission. POLICY NUMBER: BAP 7047728-00 COMMERCIAL AUTO CA 20 48 1013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Mamco, Inc. dba Alabbasi Endorsement Effective Date: 6/18/2024 &N:l*111Il1= Name Of Person(s) Or Organization(s): WHERE REQUIRED BY WRITTEN CONTRACT. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.I. of Section II — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 Wolters Mover Financial services I Uniform Forrns' Coverage Extension Endorsement 0 ZURICH Policy No. I Eff. Date of Pol. I Exp. Date of Pol. I Eff. Date of End. I Producer No. AddT Prem Return Prem. BAP 7047728-01 6/18/2024 1 6/19/2025 6/18/2024 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the Business Auto Coverage Form Motor Carrier Coverage Form A. Amended Who Is An Insured 1. The following is added to the Who Is An Insured Provision in Section II — Covered Autos Liability Coverage: The following are also "insureds": a. Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow for acts performed within the scope of employment by you. Any "employee" of yours is also an "insured" while operating an "auto" hired or rented under a contract or agreement in an "employee's" name, with your permission, while performing duties related to the conduct of your business. b. Anyone volunteering services to you is an "insured" while using a covered "auto" you don't own, hire or borrow to transport your clients or other persons in activities necessary to your business. c. Anyone else who furnishes an "auto" referenced in Paragraphs A.1.a. and A.1.b. in this endorsement. d. Where and to the extent permitted by law, any person(s) or organization(s) where required by written contract or written agreement with you executed prior to any "accident", including those person(s) or organization(s) directing your work pursuant to such written contract or written agreement with you, provided the "accident" arises out of operations governed by such contract or agreement and only up to the limits required in the written contract or written agreement, or the Limits of Insurance shown in the Declarations, whichever is less. 2. The following is added to the Other Insurance Condition in the Business Auto Coverage Form and the Other Insurance — Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form: Coverage for any person(s) or organization(s), where required by written contract or written agreement with you executed prior to any "accident", will apply on a primary and non-contributory basis and any insurance maintained by the additional "insured" will apply on an excess basis. However, in no event will this coverage extend beyond the terms and conditions of the Coverage Form. B. Amendment —Supplementary Payments Paragraphs a.(2) and a.(4) of the Coverage Extensions Provision in Section II —Covered Autos Liability Coverage are replaced by the following: (2) Up to $5,000 for the cost of bail bonds (including bonds for related traffic law violations) required because of an "accident" we cover. We do not have to furnish these bonds. U-CA424-F CW (04/14) Page 1 of 6 Includes copyrighted material of Insurance Services Office, Inc., Wth its perrnission. POLICY NUMBER: BAP 704772E-01 COMMERCIAL AUTO CA 99"10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LOSS PAYABLE CLAUSE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. A. We will pay, as interest may appear, you and the Cancellation ends this agreement as to the loss loss payee named in the policy for "loss" to a payee's interest. If we cancel the policy, we will covered "auto". mail you and the loss payee the same advance B. The insurance covers the interest of the loss notice. payee unless the "loss" results from conversion, D. If we make any payments to the loss payee, we secretion or embezzlement on your part. will obtain his or her rights against any other party. C. We may cancel the policy as allowed by the Cancellation Common Policy Condition. CA 99"10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 Walters Kluwer Financial Services I Uniform Fonnsw POLICY NUMBER: BAP 7047728-0❑ COMMERCIAL AUTO CA 04 44 1013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Mamco, Inc. dba Alabbasi Endorsement Effective Date: 6/18/24 SCHEDULE Name(s) Of Person(s) Or Organization(s): Where required by a written contract or agreement Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. CA 04 4410 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 Wolters Kluwer Financial Services I Uniform Forrnsm 0 Notification to Others of Cancellation ZURICH Policy No. I Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. MO. Prem Return Prem. AP 7047728-0 1 82024 LB 202 1:8 2024 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial Automobile Coverage Part A. If we cancel this Coverage Part by written notice to the first Named Insured for any reason other than nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation: 1. To the name and address corresponding to each person or organization shown in the Schedule below; and 2. At least 10 days prior to the effective date of the cancellation, as advised in our notice to the first Named Insured, or the longer number of days notice if indicated in the Schedule below. B. If we cancel this Coverage Part by written notice to the first Named Insured for nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation to the name and address corresponding to each person or organization shown in the Schedule below at least 10 days prior to the effective date of such cancellation. C. If notice as described in Paragraphs A. or B. of this endorsement is mailed, proof of mailing will be sufficient proof of such notice. SCHEDULE Number of Days Notice: Per Schedule on file with Company 1 30 1 All other terms and conditions of this policy remain unchanged. U-CA-812-A CW (05/10) Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT- CALIFORNIA This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clause" need be completed only when this endorsement Is issued subsequent to preparation of the policy.) This endorsement, effective on 6/1812024 at 12:01 A.M. standard time, forms a part of (DATE) Policy No. WC 7047732-01 of the issued to Mamco, Inc. don Alabbasi Premium (if any) $ Endorsement No. Zurich American Insurance Company (NAME OF INSURANCE COMPANY) Authorized Representative We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be mium otherwise due on such remuneration. Schedule Person or Organization Where required by Written Contract WC 252 (4-84) WC 04 03 06 (Ed. 4-84) % of the California workers' compensation pre - Job Description Where required by Written Contract Page 1 of 1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 43 BLANKET NOTIFICATION TO OTHERS OF CANCELLATION OR NONRENEWAL ENDORSEMENT This endorsement adds the following to Part Six of the policy. PART SIX CONDITIONS Blanket Notification to Others of Cancellation or Nonrenewal 1. If we cancel or non -renew this policy by written notice to you, we will mail or deliver notification that such policy has been cancelled or non -renewed to each person or organization shown in a list provided to us by you if you are required by written contract or written agreement to provide such notification. However, such notification will not be mailed or delivered if a conditional notice of renewal has been sent to you. Such list: a. Must be provided to us prior to cancellation or non -renewal; b. Must contain the names and addresses of only the persons or organizations requiring notification that such policy has been cancelled or non -renewed; and c. Must be in an electronic format that is acceptable to us. 2. Our notification as described in Paragraph 1. above will be based on the most recent list in our records as of the date the notice of cancellation or non -renewal is mailed or delivered to you. We will mail or deliver such notification to each person or organization shown in the list: a. Within seven days of the effective date of the notice of cancellation, if we cancel for non-payment of premium; or b. At least 30 days prior to the effective date of: (1) Cancellation, if cancelled for any reason other than nonpayment of premium; or (2) Non -renewal, but not including conditional notice of renewal. 3. Our mailing or delivery of notification described in Paragraphs 1. and 2. above is intended as a courtesy only. Our failure to provide such mailing or delivery will not: a. Extend the policy cancellation or non -renewal date; b. Negate the cancellation or non -renewal; or c. Provide any additional insurance that would not have been provided in the absence of this endorsement. 4. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the list provided to us as described in Paragraphs 1. and 2. above. All other terms and conditions of this policy remain unchanged. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 6/18/2024 Policy No. WC 7047732-01 Endorsement No. Insured Premium $ Insurance Company Zurich American Insurance Company WC 99 06 43 Page 1 of 1 (Ed. 01-13) Includes copyright matedal of the National Council on Compensation Insurance, Inc, used with its permission. O 2012 Copyright National Council on Compensation Insurance, Inc. All Rights Reserved. POLICY NUMBER: SXS 667295E-01 EXCESS LIABILITY Straight Excess Liability Policy Z U R I C H There are provisions in this policy that restrict coverage. Read the entire policy carefully to determine rights, duties and what is and is not covered. Throughout this policy, the words "you" and "your" refer to the Named Insured shown in the Declarations, and any other person or organization qualifying as such in underlying insurance. The words "we", "us" and 'bur" refer to the company providing this insurance. The word "insured(s)" means any person or organization qualifying as such in underlying insurance but only to the extent and within the scope for which such "insured(s)" quality for coverage in underlying insurance. Words and phrases that are printed in bold -face type are defined in this policy. These definitions are found in SECTION VI. DEFINITIONS of this policy or in the specific policy provision where they appear. In consideration of the payment of the premium and in reliance upon the statements in the Declarations and in accordance with the provisions of this policy, we agree with you to provide coverage as follows: Insuring Agreements SECTION I. COVERAGE A. We will pay on behalf of the insured those damages covered by this insurance in excess of the total Applicable Limits of underlying insurance. This policy includes: 1. The terms and conditions of underlying insurance to the extent such terms and conditions are not inconsistent or do not conflict with the terms and conditions referred to in Paragraph 2. below; and 2. The terms and conditions that apply to this policy. B. Notwithstanding anything to the contrary contained in Paragraph A. above, if underlying insurance does not apply to damages for reasons other than exhaustion of total applicable limits of insurance by payment of loss, then this policy does not apply to such damages. C. The amount we will pay under this policy is limited as described in SECTION II. LIMITS OF INSURANCE. D. We have no obligation under this policy with respect to any settlement made without our consent. E. The insurance afforded under this policy applies to bodily injury or property damage only if prior to the Policy Period, neither you nor any authorized person knew that the bodily injury or property damage had occurred, in whole or in part. If you or any authorized person knew, prior to the Policy Period, that the bodily injury or property damage occurred, then any continuation, change or resumption of such bodily injury or property damage during or after the Policy Period will be deemed to have been known prior to the Policy Period. Bodily injury or property damage which occurs during the Policy Period and was not, prior to the Policy Period, known to have occurred by you or any authorized person includes any continuation, change or resumption of that bodily injury or property damage after the Policy Period; and Bodily injury or property damage will be deemed to have been known to have occurred at the earliest time when you or any authorized person: 1. Reports all or any part of, the bodily injury or property damage to us or any other insurer; 2. Receives a written or verbal demand or claim for damages because of the bodily injury or property damage, or 3. Becomes aware by any other means that bodily injury or property damage has occurred or has begun to occur. U-SXS-100-A CW (09111) Pagel of 10 A� o® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIODYYYY) 7/29/2024 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 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 endomement(s). PRODUCER Irvine-Alliant Insurance Services, Inc. 18100 Von Karmen, 10th Floor Irvine CA 92612 NAMEAcT Philip ARU PHONE FAx - 949-756-0271 A/c Nn: ADDRESS: parzuAalliant.com INSURERS AFFORDING COVERAGE NAICN INSURER A: Berkley Assurance Company 39462 INSURED MAMCINC-01 INSURER B : Mamco, Inc. dba: Alabbasi INSURER C: INSURER D: 764 West Ramona Expressway, Suite C INSURER E: Perris CA 92571 INSURER F: COVERAGES CERTIFICATE NUMBER: 1735026392 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 LTR TYPE OF INSURANCE ADOL BURR POUCYNUMBER POLICY MMID EFF MMIDD CY EXP LIMITS COMMERCIAL GENERAL EACH OCCURRENCEDAMAGE S CLAIMS -MADE OCCUR TO, RENTED PREMISES Eaacwnence 5 MED EXP (Any one person) 5 PERSONAL B ADV INJURY S GENL AGGREGATE LI Mr APPLI ES PER: GENERALAGGREGATE $ PRO- POLICY 0 JECTPRO- ❑ LOC PRODUCTS - COMP/OP AGG 5 S AUTOMOBILELIABILITY COMBINED SINGLE LIMIT Ea..derrt S BODILY INJURY (Per person) S ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILV INJURY(Per accident) S Psr RTYDAMAGE Per acctdenl g HIRED NON -OWNED AUTOS ONLY AUTOS ONLY 5 UMSRELLAUAB OCCUR EACH OCCURRENCE S AGGREGATE S EXCESS LWB CLAIMS -MADE DED I I RETENTIONS S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN STATUTE I I 'ET'_ ANYPROPRIETORIPARTNER/EXECUTIVE E.L EACH ACCIDENT $ OFFICERIMEM BEREXCLUDED7 ❑ NIA (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE S E.L. DISEASE -POLICY LIMIT S Ues, describe under SCRIPTIONOFOPERATIONSbelm A Professional Liability PCAB-5025601-0824 8/17/2024 B/1712025 Each Claim/Agg. $2MM/$2MM Contractor's Pollution Liability Each Occ. I Agg. Deductible $2MM/$2MM $25,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached It more space is required) Re: 2173 - Storm Drain Line 20, Stage 3 CITY PROJECT NO. 19-15 The City of Palm Springs, Its officials, employees, and agents are named as an additional Insured on a primary and noncontributory basis per the policy farm. Waiver of subrogation applies in favor of additional insured per the attached policy form. Professional/Pollution CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Palm Springs 3200 East Tahquitz Canyon Way Palm Springs CA 92262 AUTHORIZED REPR�jESENTATIVE 11988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Page 8 of 20 POLICY NUMBER: PCAB-5025681-0824 L. First Party Claim means a Protective Claim and any other request of us by you for Mitigation Cost or for sums arising out of any of the insuring agreements described in the Supplemental Coverage Section of this Policy. M. Information Technology Products means a computer or telecommunication hardware or software product or other electronic product that is used, created, developed or manufactured by or for you, including software updates, service packs and other maintenance releases for such products. N. Information Technology Services means 1. Consulting on, design of, development of, analysis of, integration of, interface of, modification of and programming of software, hardware, networks, telecommunication systems and electronic or digital devices performed by you or on your behalf for your clients; 2. installation of, training in the use of, support of, servicing of, maintenance of, repair of your Information Technology Products; 3. marketing of, selling of, licensing of and distribution of Information Technology Products; 4. storage of, warehousing of, mining of and processing of data by you. 5. managing, operating, administering and hosting Information Technology Products for your clients; or 6. activities performed on your website(s); but shall not mean Information Technology Products. O. Insured means: 1. the Named Insured; or 2. any fully owned subsidiary corporations or subsidiary limited liability companies of the Named Insured, of any tier, in the past, as now constituted or hereafter constituted, subject to the limitations in Paragraph 9. of this Definition for the newly acquired or formed entities described therein; or 3. any present or former partner, director, officer, manager, member, shareholder, principal, trustee, or employee of the Named Insured solely while acting on behalf of the Named Insured, but this Paragraph 3. shall not make any entity an Insured solely because of its participation with the Named Insured in a legal entity such as a joint venture or limited liability company; or 4. any Insured with regard to its participation in a legal entity, including a joint venture or limited liability company, but solely for the Named Insured's legal liability arising out of the performance of Professional Services, Contractor Activities, Media Activities or Information Technology Services under the respective legal entity, and such legal entity itself, or any other entity other than an Insured that is part of the legal entity, are not Insureds; or 5. with regard to Coverage C only, any client of the Named Insured, or other entity or person, that the Named Insured is obligated to name as an additional insured on this Policy pursuant to a written contract, agreement, or permit, executed prior to when the Pollution Claim was first made, and solely as respects Pollution Conditions resulting from the Named Insured's performance of Contractor Activities; or 6. any entity which is specifically identified as an Insured in the Declarations or by endorsement to this Policy; or 7. the estate, heirs, executors, shareholders, administrators or legal representatives of an Insured in the event of such Insured's death, incapacity, or bankruptcy, or the spouse or legal domestic partner of any Insured, but only to the extent such Insured would otherwise be provided coverage under this Policy while acting solely on behalf of the Named Insured; or 8. any prior entity that has been reported to us prior to when the First Party Claim or Claim was first made and whose assets, partners, principals, or shareholders were acquired by the Named Insured, and for which the Named Insured is required to provide liability insurance under a written contract or Policy Form: PERFORM-10002 (11-20) POLICY NUMBER: PCAB-5025691-0824 Page 9 of 20 agreement executed before the First Party Claim or Claim was first made; or 9. any entity newly formed or acquired by the Named Insured during the Policy Period in which the Named Insured has more than 50% legal or beneficial interest and over which the Named Insured exercises management or financial control and has agreed in writing to provide insurance for such entity prior to the First Party Claim or Claim being made. However: a. coverage will only be provided for First Party Claims or Claims arising out of Professional Services, Contractor Activities, Media Activities or Information Technology Services performed on or after the date of formation, acquisition, or exercised financial or management control; and b. this coverage will expire within 90 days for such entity, or the end of the Policy Period, whichever is earlier, unless the Named Insured provides written details of such newly acquired entity to us and pays the additional premium requested by us, if any. P. Insured Contract means: 1. a contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire to premises while rented to you, or temporarily occupied by you, with permission of the owner is not an Insured Contract; or 2. a sidetrack agreement; or 3. any easement or license agreement; or 4. an obligation, as required by ordinance, to indemnify a municipality, except in connection with work for a municipality; or 5. an elevator maintenance agreement; or 6. that part of any other contract or agreement pertaining to your business (including an indemnification of a municipality in connection with work performed for a municipality) under which you assume the tort liability of another party to pay for Bodily Injury, Property Damage, or Pollution Loss to a third party or organization. This section does not include that part of any contract or agreement that indemnifies an architect, engineer, or surveyor for injury or damage arising out of: a. Preparing, approving, or failing to prepare or approve maps, drawings, opinions, reports, surveys, change orders, designs or specifications; or b. Giving directions or instructions, or failing to give them, if that is the primary cause of the injury or damage. For the purpose of this section, tort liability means only that liability that would be imposed by law in the absence of any contract or agreement. Any assumption of liability beyond that of tort liability specified in this Paragraph 6. shall not be considered to be part of the Insured Contract. Q. Loss means Protective Loss, Third Party Loss, Mitigation Cost and any other amount to which you are entitled under any of the insuring agreements described in the Supplemental Coverages Section of this Policy. R. Media Activities means Media Communications or the gathering, collection, or recording of Media Material for inclusion in any Media Communications in the ordinary course of your business. S. Media and Personal Injury Claim means a written demand, demand for arbitration or mediation, or suit, made against you seeking money or services due to a Media and Personal Injury Offense. T. Media and Personal Injury Offense means: 1. Infringement of copyright, piracy, plagiarism or misappropriation or unauthorized use of ideas shared with you in the course of services for your client; 2. Infringement of trade secrets, domain name, title or slogan, or the dilution or infringement of trademark Policy Form: PERFORM-10002 (11-20) POLICY NUMBER: PCAB-5025681-0824 Page 17 of 20 As a condition precedent to coverage under this Policy, in the event of a Claim or First Party Claim, you must do the following: 1. Report the Claim or First Party Claim to us in writing as soon as reasonably possible, which (except for a Pollution Claim) must be during the Policy Period, the Automatic Extended Reporting Period, or during any applicable Optional Extended Reporting Period. Reporting should be sent to us at the address stated in the Claims Notice attached to this Policy; and 2. Promptly provide a copy of the Claim or First Party Claim, if in writing, and specify in the report: the names and addresses of the Insured reporting the Claim or First Party Claim, the persons or entities making the Claim or First Parry Claim, and the persons or entities against whom the Claim or First Party Claim is made; when the Claim or First Party Claim was made; the subject of the Claim or First Party Claim; and any other relevant facts or allegations known to you. B. Reporting a Circumstance If during the Policy Period, you become aware of a circumstance that may reasonably be expected to give rise to a Claim or First Party Claim which may be covered under the Policy, and if you, during the Policy Period, provide a written report to us at the address stated in the Claim Notice attached to this Policy of the circumstance as soon as practicable containing particulars sufficient to identify you and all reasonably obtainable information with respect to: 1. when and how you first became aware of such circumstance; 2. any act, error, omission asserted or believed to be at issue; 3. the services or activities involved in the circumstance; 4. what happened and the dates and entities involved; and 5. the nature of any alleged or potential Loss; then any Claim (except for a Pollution Claim) or First Parry Claim arising out of such circumstance shall be deemed to have been made on the date we received the written report of the circumstance. At our sole discretion and cost, we may elect to investigate any circumstance which is reported; any such costs associated with the investigation of a circumstance prior to a Claim being made against you will not be considered Claim Expense, will not reduce the applicable Self -Insured Retention and shall be paid by us in addition to the Limit of Liability. XI. CONDITIONS A. Territory The coverage afforded by this Policy applies worldwide. B. Audit and Inspection Upon reasonable prior notice, we shall be permitted to audit your final books and records at any time during the Policy Period, the Automatic Extended Reporting Period, the Optional Extended Reporting Period, if applicable, and within three years after the final termination of this Policy, as far as they relate to the subject matter of this Policy. We shall also be permitted to inspect, sample, and/or monitor your operations on a continuing basis. Neither our right to make inspections, sample, and/or monitor, nor the actual undertaking thereof, nor any report thereon shall constitute an undertaking, on behalf of us or others, to determine or warrant that your operations are safe, healthful, conform to acceptable practice, or are in compliance with any law, rule, or regulation. C. Subrogation In the event of any payment under this Policy, we shall be subrogated to all of your rights of recovery thereof. You shall execute and deliver all requested instruments and papers in furtherance of such rights to us and do whatever else is reasonably necessary to secure such rights. You shall do nothing to waive or prejudice such rights. We shall have priority in any recovery, and any amounts recovered in excess of our total payment and the cost to us of recovery shall be paid to you. However, we waive our rights of subrogation under this Policy, to the extent such a waiver is required by a written contract with you executed prior to the Claim, against any of the following that is not a Responsible Entity your clients, their parents or other affiliates, and your client's designees; and your co -participants in an entity for which your Policy Form: PERFORM-10002 (11-20) POLICY NUMBER: PCAB-5025681-0824 Page 19 of 20 months of the Policy Period, the earned premium shall be computed pro-rata of the twelve-month earned policy term premium. Payment of any return premium shall not be a condition of cancellation. 3. This Policy may be cancelled by the first Named Insured for any reason. In the event that the first Named Insured cancels the Policy, the earned premium shall be computed under the customary short rate table and procedure as a percentage of the total Policy premium stated in the Declarations, and we will return the corresponding unearned premium to the first Named Insured. Cancellation by the first Named Insured shall also cancel the Automatic Extended Reporting Period and any Optional Extended Reporting Period on the date of cancellation. 4. Notwithstanding the foregoing, if you report a Claim or First Party Claim to us prior to the date of cancellation, the Policy premium shall be considered 100% earned, and no premium shall be returned upon cancellation. H. No Limitation of Liability You shall not limit the liability of any Responsible Entity, except to collectible insurance, without our prior written approval. If you limit the liability of a Responsible Entity in a manner that fails to comply with the foregoing, our obligation to pay Loss arising out of any Claim or First Party Claim involving such Responsible Entity shall apply solely in excess of the collectible insurance that would have been available in the absence of the limitation of liability to such Responsible Entity or any person or entity for which the Responsible Entity is responsible. I. Your Bankruptcy Your bankruptcy or insolvency shall not relieve us of our obligations under this Policy. J. Authorization Clause By acceptance of this Policy, the first Named Insured shall be the sole agent of and shall act on behalf of the Insureds for all purposes as to the Policy, including but not limited to the payment or return of premium, receipt and acceptance of any endorsement issued to form a part of this Policy, providing and receiving notice of cancellation, termination, or nonrenewal, the giving of notices and reporting of First Party Claims, Claims and circumstances, for completing applications and the making of any statements or representations, for making any change to the Policy, and for the exercising or declining to exercise any right under this Policy, including the purchase of an Optional Extended Reporting Period. K. Severability of Policy Provisions If any material provision or clause of this Policy is declared illegal or unenforceable by any court of competent jurisdiction and cannot be modified to be enforceable, that provision will immediately become null and void, leaving the remainder of this Policy in full force and effect. L. Severability of Insureds (Coverages B, C, D and E) Except with respect to the Limits of Liability and Self -Insured Retentions, the Authorization Clause of this Conditions Section and as otherwise provided in this Policy, this insurance applies as if each Insured were the only Insured and separately to each Insured against whom a Claim is made. M. Other Insurance This Policy is excess over the Self -Insured Retention and any other valid and collectible liability insurance available to you, whether such other insurance is stated to be primary, pro-rata, contributory, excess, contingent, self -insured or otherwise, unless such other insurance is written specifically excess of this Policy by reference in such other policy to the Policy number in this Policy's Declarations. When any other insurance has a duty to defend a Claim, we will have no duty to defend the Claim; if no such other insurance defends the Claim, we will have the right but not the duty to defend the Claim. Under Coverage C only, when you are required by written contract, written agreement, or permit, executed prior to when the Pollution Claim was first made, to include any person or entity as an additional Insured, such coverage will be provided on a primary and non-contributory basis to the extent so required. N. Choice of Law Policy Form: PERFORM-10002 (11-20) ACORa CERTIFICATE OF LIABILITY INSURANCE 1111 DATE(MM/DDNYYY) 7/29/2024 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 INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Irvine-Alliant Insurance Services, Inc. 18100 Von Karman,1Oth Floor RECEIVED Irvine CA 92612 CONTACT NAME: Philip Arzu PHONE N 949-766.0271 nnDRess: arzu alliant.com INSU 8 AFFORDING COVERAGE KAICO 05 2024 INSURER A: Berkley Assurance Company 39462 AUG INSURED MAM IN 1 Mamco, Inc. OF THE CIT R8: dba: Alabbasi OFFICE INSURERC: INSURER D: 764 West Ramona Expressway, Suite C Perris CA 92571 INSURER E: NSURER F: COVERAGES CERTIFICATE NUMBER:1735026392 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�TSRR TYPE OF INSURANCE M POLICY NUMBER POLICY EfF POM LICYEXP WRS COMMERCIAL GENERAL LIABRUITY EACH OCCURRENCE S CLAIMS -MADE OCCUR _i PREMISES Ee occeoerlce $ MED EXP (Any one person) S PERSONAL S ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S ❑ PRO C . POLICY ECT LOC PRODUCTS - COMP/OP AGG S OTHER:-- $ AUTOMOBILELIABILRY COMBINED SINGLE LIMIT $ (Ea accident ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY C AUTOS BODILY INJURY (Per S MIRED -OWNED PROPERTYOMIAGE $ AUTOS ONLY AUTOS ONLY N _Per accitlenl S UMBRELLAUAB OCCUR EACH OCCURRENCE S S EXCESS LIAR CLAIMS -MADE AGGREGATE S DED RETENTION WORKERS COMPENSATION R OTH- ANDEMPLOYERS'LMBILnY YIN STATUTE ER E.L. EACH ACCIDENT $ ANYPROPRIETOR/PARTNERIEXECURVE OFFICERIMEMBEREXCLUDED? ❑ NIA E.L. DISEASE - EA EMPLOYEE. S (Mandatory In NH) It descnee antler DESCRIPTION OF OPERATIONS Delow E.L. DISEASE- POLICY LIMIT $ A Proessional Lomifty PCAB-5025681-0824 8/17/2024 8/17/2025 Each Claim / AOg. $2MM I $2MM Conhactoes Pollution Liabilily Each 0., I Aw, $2MM / $2MM Dadudrble $25.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addibe nd Remx Schedule, may W aUuu, ad A more space is repuimdi Re: 2173 - Storm Drain Line 20, Stage 3 CITY PROJECT NO. 19-15 The City of Palm Springs, its officials, employees, and agents are named as an additional insured on a primary and noncontributory basis per the policy form. Waiver of subrogation applies in favor of additional insured per the attached policy form. Professionat Pollution City of Palm Springs 3200 East Tahquitz Canyon Way Palm Springs CA 92262 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORO Page 8 of 20 POLICY NUMBER: PCAB-5025681-0824 L. First Party Claim means a Protective Claim and any other request of us by you for Mitigation Cost or for sums arising out of any of the insuring agreements described in the Supplemental Coverage Section of this Policy. M. Information Technology Products means a computer or telecommunication hardware or software product or other electronic product that is used, created, developed or manufactured by or for you, including software updates, service packs and other maintenance releases for such products. N. Information Technology Services means 1. Consulting on, design of, development of, analysis of, integration of, interface of, modification of and programming of software, hardware, networks, telecommunication systems and electronic or digital devices performed by you or on your behalf for your clients; 2. installation of, training in the use of, support of, servicing of, maintenance of, repair of your Information Technology Products; 3. marketing of, selling of, licensing of and distribution of Information Technology Products; 4. storage of, warehousing of, mining of and processing of data by you; 5. managing, operating, administering and hosting Information Technology Products for your clients; or 6. activities performed on your website(s); but shall not mean Information Technology Products. O. Insured `means: 1. the Named Insured; or 2. any fully owned subsidiary corporations or subsidiary limited liability companies of the Named Insured, of any tier, in the past, as now constituted or hereafter constituted, subject to the limitations in Paragraph 9. of this Definition for the newly acquired or formed entities described therein; or 3. any present or former partner, director, officer, manager, member, shareholder, principal, trustee, or employee of the Named Insured solely while acting on behalf of the Named Insured, but this Paragraph 3. shall not make any entity an Insured solely because of its participation with the Named Insured in a legal entity such as a joint venture or limited liability company; or 4. any Insured with regard to its participation in a legal entity, including a joint venture or limited liability company, but solely for the Named Insured's legal liability arising out of the performance of Professional Services, Contractor Activities, Media Activities or Information Technology Services under the respective legal entity, and such legal entity itself, or any other entity other than an Insured that is part of the legal entity, are not Insureds; or _ 5. with regard to Coverage C only, any client of the Named Insured, or other entity or person, that the Named Insured is obligated to name as an additional insured on this Policy pursuant to a written contract, agreement, or permit, executed prior to when the Pollution Claim was first made, and solely as respects Pollution Conditions resulting from the Named Insured's performance of Contractor Activities; or 6. any entity which is specifically identified as an Insured in the Declarations or by endorsement to this Policy; or 7. the estate, heirs, executors, shareholders, administrators or legal representatives of an Insured in the event of such Insured's death, incapacity, or bankruptcy, or the spouse or legal domestic partner of any Insured, but only to the extent such Insured would otherwise be provided coverage under this Policy while acting solely on behalf of the Named Insured; or 8. any prior entity that has been reported to us prior to when the First Party Claim or Claim was first made and whose assets, partners, principals, or shareholders were acquired by the Named Insured, and for which the Named Insured is required to provide liability insurance under a written contract or Policy Form: PERFORM•10002 (11-20) POLICY NUMBER: PCAB-5025681-0824 Page 9 of 20 agreement executed before the First Party Claim or Claim was first made; or 9. any entity newly formed or acquired by the Named Insured during the Policy Period in which the Named Insured has more than 50% legal or beneficial interest and over which the Named Insured exercises management or financial control and has agreed in writing to provide insurance for such entity prior to the First Party Claim or Claim being made. However: a. coverage will only be provided for First Party Claims or Claims arising out of Professional Services, Contractor Activities, Media Activities or Information Technology Services performed on or after the date of formation, acquisition, or exercised financial or management control; and b. this coverage will expire within 90 days for such entity, or the end of the Policy Period, whichever is earlier, unless the Named Insured provides written details of such newly acquired entity to us and pays the additional premium requested by us, if any. P. Insured Contract means: 1. a contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire to premises while rented to you, or temporarily occupied by you, with permission of the owner is not an Insured Contract; or 2. a sidetrack agreement; or 3. any easement or license agreement; or 4. an obligation, as required by ordinance, to indemnity a municipality, except in connection with work for a municipality; or 5. an elevator maintenance agreement; or 6. that part of any other contract or agreement pertaining to your business (including an indemnification of a municipality in connection with work performed for a municipality) under which you assume the tort liability of another party to pay for Bodily Injury, Property Damage, or Pollution Loss to a third party or organization. This section does not include that part of any contract or agreement that indemnifies an architect, engineer, or surveyor for injury or damage arising out of: a. Preparing, approving, or failing to prepare or approve maps, drawings, opinions, reports, surveys, change orders, designs or specifications; or b. Giving directions or instructions, or failing to give them, if that is the primary cause of the injury or damage. For the purpose of this section, tort liability means only that liability that would be imposed by law in the absence of any contract or agreement. Any assumption of liability beyond that of tort liability specified in this Paragraph 6. shall not be considered to be part of the Insured Contract. Q. Loss means Protective Loss, Third Party Loss, Mitigation Cost and any other amount to which you are entitled under any of the insuring agreements described in the Supplemental Coverages Section of this Policy. R. Media Activities means Media Communications or the gathering, collection, or recording of Media Material for inclusion in any Media Communications in the ordinary course of your business. S. Media and Personal Injury Claim means a written demand, demand for arbitration or mediation, or suit, made against you seeking money or services due to a Media and Personal Injury Offense. T. Media and Personal Injury Offense means: 1. Infringement of copyright, piracy, plagiarism or misappropriation or unauthorized use of ideas shared with you in the course of services for your client; 2. Infringement of trade secrets, domain name, title or slogan, or the dilution or infringement of trademark Policy Form: PERFORM-10002 (11-20) POLICY NUMBER: PCAB-5025681-0824 Page 17 of 20 As a condition precedent to coverage under this Policy, in the event of a Claim or First Party Claim, you must do the following: 1. Report the Claim or First Party Claim to us in writing as soon as reasonably possible, which (except for a Pollution Claim) must be during the Policy Period, the Automatic Extended Reporting Period, or during any applicable Optional Extended Reporting Period. Reporting should be sent to us at the address stated in the Claims Notice attached to this Policy; and 2. Promptly provide a copy of the Claim or First Party Claim, if in writing, and specify in the report: the names and addresses of the Insured reporting the Claim or First Party Claim, the persons or entities making the Claim or First Party Claim, and the persons or entities against whom the Claim or First Party Claim is made; when the Claim or First Party Claim was made; the subject of the Claim or First Party Claim; and any other relevant facts or allegations known to you. B. Reporting a Circumstance If during the Policy Period, you become aware of a circumstance that may reasonably be expected to give rise to a Claim or First Party Claim which may be covered under the Policy, and if you, during the Policy Period, provide a written report to us at the address stated in the Claim Notice attached to this Policy of the circumstance as soon as practicable containing particulars sufficient to identify you and all reasonably obtainable information with respect to: 1. when and how you first became aware of such circumstance; 2. any act, error, omission asserted or believed to be at issue; 3. the services or activities involved in the circumstance; 4. what happened and the dates and entities involved; and 5. the nature of any alleged or potential Loss; then any Claim (except for a Pollution Claim) or First Party Claim arising out of such circumstance shall be deemed to have been made on the date we received the written report of the circumstance. At our sole discretion and cost, we may elect to investigate any circumstance which is reported; any such costs associated with the investigation of a circumstance prior to a Claim being made against you will not be considered Claim Expense, will not reduce the applicable Self -Insured Retention and shall be paid by us in addition to the Limit of Liability. XI. CONDITIONS A. Territory The coverage afforded by this Policy applies worldwide. B. Audit and Inspection Upon -reasonable -prior notice,- we -shall -be permitted_to-audit_yourr--final-books and -records -at anytime during the Policy Period, the Automatic Extended Reporting Period, the Optional Extended Reporting Period, if applicable, and within three years after the final termination of this Policy, as far as they relate to the subject matter of this Policy. We shall also be permitted to inspect, sample, and/or monitor your operations on a continuing basis. Neither our right to make inspections, sample, and/or monitor, nor the actual undertaking thereof, nor any report thereon shall constitute an undertaking, on behalf of us or others, to determine or warrant that your operations are safe, healthful, conform to acceptable practice, or are in compliance with any law, rule, or regulation. C. 'i ubrogatfi n In the event of any payment under this Policy, we shall be subrogated to all of your rights of recovery thereof. You shall execute and deliver all requested instruments and papers in furtherance of such rights to us and do whatever else is reasonably necessary to secure such rights. You shall do nothing to waive or prejudice such rights. We shall have priority in any recovery, and any amounts recovered in excess of our total payment and the cost to us of recovery shall be paid to you. However, we waive our rights of subrogation under this Policy, to the extent such a waiver is required by a written contract with you executed prior to the Claim, against any of the following that is not a Responsible Entity. your clients, their parents or other affiliates, and your client's designees; and your co -participants in an entity for which your Policy Form: PERFORM-10002 (11-20) POLICY NUMBER: PCAB-5025681-0824 Page 19 of 20 months of the Policy Period, the earned premium shall be computed pro-rata of the twelve-month earned policy term premium. Payment of any return premium shall not be a condition of cancellation. 3. This Policy may be cancelled by the first Named Insured for any reason. In the event that the first Named Insured cancels the Policy, the earned premium shall be computed under the customary short rate table and procedure as a percentage of the total Policy premium stated in the Declarations, and we will return the corresponding unearned premium to the first Named Insured. Cancellation by the first Named Insured shall also cancel the Automatic Extended Reporting Period and any Optional Extended Reporting Period on the date of cancellation. 4. Notwithstanding the foregoing, if you report a Claim or First Party Claim to us prior to the date of cancellation, the Policy premium shall be considered 100% earned, and no premium shall be returned upon cancellation. H. No Limitation of Liability You shall not limit the liability of any Responsible Entity, except to collectible insurance, without our prior written approval. If you limit the liability of a Responsible Entity in a manner that fails to comply with the foregoing, our obligation to pay Loss arising out of any Claim or First Party Claim involving such Responsible Entity shall apply solely in excess of the collectible insurance that would have been available in the absence of the limitation of liability to such Responsible Entity or any person or entity for which the Responsible Entity is responsible. I. Your Bankruptcy Your bankruptcy or insolvency shall not relieve us of our obligations under this Policy. J. Authorization Clause By acceptance of this Policy, the first Named Insured shall be the sole agent of and shall act on behalf of the Insureds for all purposes as to the Policy, including but not limited to the payment or return of premium, receipt and acceptance of any endorsement issued to form a part of this Policy, providing and receiving notice of cancellation, termination, or nonrenewal, the giving of notices and reporting of First Party Claims, Claims and circumstances, for completing applications and the making of any statements or representations, for making any change to the Policy, and for the exercising or declining to exercise any right under this Policy, including the purchase of an Optional Extended Reporting Period. K. Severability of Policy Provisions If any material provision or clause of this Policy is declared illegal or unenforceable by any court of competent jurisdiction and cannot be modified to be enforceable, that provision will immediately become null and void, leaving the remainder of this Policy in full force and effect. L. Severability of Insureds (Coverages B, C, D and E) Except with respect to the Limits of Liability and Self -Insured Retentions, the Authorization Clause of this Conditions Section and as otherwise provided in this Policy, this insurance applies as if each Insured were the only Insured and separately to each Insured against whom a Claim is made. M. 5,0they Insurance, This Policy is excess over the Self -Insured Retention and any other valid and collectible liability insurance available to you, whether such other insurance is stated to be primary, pro -rats, contributory, excess, contingent, self -insured or otherwise, unless such other insurance is written specifically excess of this Policy by reference in such other policy to the Policy number in this Policy's Declarations. When any other insurance has a duty to defend a Claim, we will have no duty to defend the Claim; if no such other insurance defends the Claim, we will have the right but not the duty to defend the Claim. Under Coverage C only, when you are required by written contract, written agreement, or permit, executed prior to when the Pollution Claim was first made, to include any person or entity as an additional Insured, such coverage will be provided on a primary and non-contributory basis to the extent so required. N. Choice of Law Policy Form: PERFORM-10002 (11-20) Aco CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 6/13/2024 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 INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: V 'hill Az Alllant Insurance Services, Inc. PHONE FAx 18100 Von Karman, 10th Floor IAIC Na Ea<c 949-756-0271 UUC No.: Irvine CA 92612 ADDRESS: parzu(Malliant.com INSURED MAMCINC-U1 Mamco, Inc. dba Alabbasi 764 West Ramona Expressway, Suite C Perris CA 92571 INSURER B: Amer Guarantee & Li, INSURERC: Continental Insurance INSURER D: INSURER E: COVERAGES CERTIFICATE NUMBER: 380077156 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. INSRI TYPE OF INSURANCE LTR POLICY NUMBER MMNDYEFF MMVDDYEXP LIMITS A X COMMErtCU1LGENERAL U AMUTY CWMS-MADE X OCCUR Y Y GILD 7047729-01 6I18/2024 6/18/2025 EACH OCCURRENCE DAMAGM RENTED PREMISES Ee oaurtence s 2,000,000 S100,000 $5,000 j MED EXP (Any one person) $2,000,000 PERSONAL& ADV INJURY GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER: s4,D00,000 H POLICY [�] JEIT F I LOC PRODUCTS-COMP/OP AGO 5000,000 S5,ODO OTHER: Deductible: A AUTOMOBILE LIABILITY Y Y BAP 7047728-01 6/18/2024 6/18/2025 COMBINED SINGLE LIMIT Ea aoddent S 2,D00,000 BODILY INJURY (Per person) $ X ANY AUTO X OWNED SCHEDULED AUTOSONLY AUTOSX (Per acTltlarR) S TY DAMAGE dentS S HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY e UMBRELLA LAB X OCCUR c X EXCESS LIAB CLAIMS-MAOE Y Y SXS 6672958-01 6/18/2024 7039576712 6/18/2024 6118I2025 6/18/2025 CURRENCE $10,000.000 AINJURYINJURY ATE 510,OD0,00o DED X RETENTIONS A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YINTUTE Y WC 7047732-01 6/18/2024 6/18/2025 R TH- ERANYPROPRIETORIPARTNERIEXECUTIVE H ACCIDENT $1.000,000 OFFICEWMEMBEREXCLUDED?(Mandatory In NH) N/A ASE-EAEMPLOYEE s1.000,000 EASE -POLICY LIMIT S1,DDO,000 Ir yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remark; Schedule, may W attached I more apace is Re: 2173 - Storm Drain Line 20, Stage 3 CITY PROJECT NO. 19-15 The City of Palm Springs, its officials, employees, and agents are named as an additional insured on a primary and noncontributory basis per the attached endorsements. Waiver of subrogation applig�lIn of fffiral insured per the attached endorsements. TOP 4 '71" CF Tip -'- ^I.ERK CERTIFICATE HOLDER CANCELLATION 30 days SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Cittyy of Palm Springs 3200 East Tahquitz Canyon Way Palm Springs CA 92262 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD m Additional Insured — Automatic — Owners, Lessees Or ZURICH Contractors THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy No. GLO 7047729-01 Effective Date: 6/18/2024 This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. Section II — Who Is An Insured is amended to include as an additional insured any person or organization whom you are required to add as an additional insured under a written contract or written agreement executed by you, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury' and subject to the following: 1. If such written contract or written agreement specifically requires that you provide that the person or organization be named as an additional insured under one or both of the following endorsements: a. The Insurance Services Office (ISO) ISO CG 20 10 (10/01 edition); or b. The ISO CG 20 37 (10101 edition), such person or organization is then an additional insured with respect to such endorsement(s), but only to the extent that "bodily injury", "property damage" or "personal and advertising injury" arises out of: (1) Your ongoing operations, with respect to Paragraph i.a. above; or (2) "Your work", with respect to Paragraph 1.b. above, which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 1., insurance afforded to such additional insured: (a) Only applies if the "bodily injury", "property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (b) Does not apply to "bodily injury" or "property damage" caused by "your work" and included within the "products -completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. 2. If such written contract or written agreement specifically requires that you provide that the person or organization be named as an additional insured under one or both of the following endorsements: a. The Insurance Services Office (ISO) ISO CG 20 10 (07/04 edition); or b. The ISO CG 20 37 (07/04 edition), such person or organization is then an additional insured with respect to such endorsement(s), but only to the extent that "bodily injury", "property damage" or "personal and advertising injury' is caused, in whole or in part, by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf, U-GL-2162-A CW (02119) Page 1 of 4 Includes copyrighted material of Insurance Services Office, Inc., with its permission. in the performance of: (a) Your ongoing operations, with respect to Paragraph 2.a. above; or (b) "Your work" and included in the "products -completed operations hazard", with respect to Paragraph 2.b. above, which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 2., insurance afforded to such additional insured: (i) Only applies if the "bodily injury', "property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (ii) Does not apply to "bodily injury" or "property damage" caused by "your work" and included within the "products -completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. 3. If neither Paragraph 1. nor Paragraph 2. above apply and such written contract or written agreement requires that you provide that the person or organization be named as an additional insured: a. Under the ISO CG 20 10 (04/13 edition, any subsequent edition or if no edition date is specified); or b. With respect to ongoing operations (if no form is specified), such person or organization is then an additional insured only to the extent that "bodily injury', "property damage" or "personal and advertising injury" is caused, in whole or in part by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf, in the performance of your ongoing operations, which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 3., insurance afforded to such additional insured: (a) Only applies to the extent permitted by law; (b) Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured; and (c) Only applies if the "bodily injury", "property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement. 4. If neither Paragraph 1. nor Paragraph 2. above apply and such written contract or written agreement requires that you provide that the person or organization be named as an additional insured: a. Under the ISO CIS 20 37 (04/13 edition, any subsequent edition or if no edition date is specified); or b. With respect to the "products -completed operations hazard" (if no form is specified), such person or organization is then an additional insured only to the extent that "bodily injury" or "property damage" is caused, in whole or in part by "your work" and included in the "products -completed operations hazard", which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 4., insurance afforded to such additional insured: (1) Only applies to the extent permitted by law; (2) Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured; (3) Only applies if the "bodily injury" or "property damage" occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (4) Does not apply to "bodily injury" or "property damage" caused by "your work" and included within the "products -completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. U-GL-2162-A CW (02119) Page 2 of 4 Includes copyrighted material of Insurance services Office, Inc., with its permission. B. Solely with respect to the insurance afforded to any additional insured referenced in Section A. of this endorsement, the following additional exclusion applies: This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or surveying services including: 1. The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or 2. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. C. Solely with respect to the coverage provided by this endorsement, the following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit of Section IV — Commercial General Liability Conditions: The additional insured must see to it that: (1) We are notified as soon as practicable of an "occurrence" or offense that may result in a claim; (2) We receive written notice of a claim or "suit' as soon as practicable; and (3) A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non-contributory. D. Solely with respect to the coverage provided by this endorsement: 1. The following is added to the Other Insurance Condition of Section IV — Commercial General Liability Conditions: Primary and Noncontributory insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that: a. The additional insured is a Named Insured under such other insurance; and b. You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition under Section IV — Commercial General Liability Conditions: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same 'occurrence", offense, claim or "suit". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by a written contract or written agreement to provide coverage to the additional insured on a primary and non- contributory basis. E. This endorsement does not apply to an additional insured which has been added to this Coverage Part by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured. F. Solely with respect to the insurance afforded to an additional insured under Paragraph A.3. or Paragraph A.4. of this endorsement, the following is added to Section III — Limits Of Insurance: Additional Insured — Automatic — Owners, Lessees Or Contractors Limit The most we will pay on behalf of the additional insured is the amount of insurance: U-GL-2162-A CW (02/19) Page 3 of 4 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 1. Required by the written contractor written agreement referenced in Section A. of this endorsement; or 2. Available under the applicable Limits of Insurance shown in the Declarations, whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All other terms, conditions, provisions and exclusions of this policy remain the same. U-GL-2162-A CW (02119) Page 4 of 4 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Contractors Liability Supplemental Coverages 0 and Conditions ZURICH THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy No. GLO 7047729-01 Effective Date: 6/18/24 This endorsement modifies insurance Drovided under the: Commercial General Liability Coverage Part 5. Paragraph (ii) under Paragraph 4.b.(1) of the Other Insurance Condition under Section IV — Commercial General Liability Conditions is replaced by the following: (it) That is property insurance providing coverage for "specific perils" for premises rented to you or temporarily occupied by you with permission of the owner; 6. The following definitions are added to the Definitions Section: "Specific perils" means fire, lightning, explosion, windstorm or hail, smoke, aircraft or vehicles, riot or civil commotion, vandalism, leakage from fire extinguishing equipment, weight of snow, ice or sleet or "water damage". "Water damage" means accidental discharge or leakage of water or steam as the direct result of the breaking or cracking of any part of a system or appliance containing water or steam. C. Additional Insured — Lessor Of Leased Equipment — Automatic Status When Required In Lease Agreement With You 1. Section II — Who Is An Insured is amended to include as an additional insured any person(s) or organization(s) from whom you lease equipment when you and such person(s) or organization(s) have agreed in a written contract or written agreement that such person(s) or organization(s) be added as an additional insured on your policy. Such person(s) or organization(s) is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your maintenance, operation or use of equipment leased to you by such person(s) or organization(s). However, the insurance afforded to such additional insured: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the contractor agreement to provide for such additional insured. A person's or organization's status as an additional insured under this endorsement ends when their contract or agreement with you for such leased equipment ends. 2. With respect to the insurance afforded to these additional insureds, this insurance does not apply to any "occurrence" which takes place after the equipment lease expires. 3. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: a. Required by the written contract or written agreement you have entered into with the additional insured; or b. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. The insurance provided by this Paragraph C. shall not increase the applicable Limits of Insurance shown in the Declarations. U-GL-1060-F GW (05/22) Page 1 of 2 Includes copyrighted material of Insurance Services Office, Inc. with its permission. D. Additional Insured — Managers Or Lessors Of Premises 1. Section II — Who Is An Insured is amended to include as an additional insured any person(s) or organization(s) that you have agreed in a written contract or written agreement to name as an additional insured, but only with respect to liability arising out of the ownership, maintenance or use of that part of premises leased to you and subject to the following additional exclusions: This insurance does not apply to: a. Any "occurrence" which takes place after you cease to be a tenant in that premises. b. Structural alterations, new construction or demolition operations performed by or on behalf of the additional insured manager or lessor of the premises leased to you. However, the insurance afforded to such additional insured: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. 2. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: a. Required by the written contract or written agreement you have entered into with the additional insured; or b. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. The insurance provided by this Paragraph D. shall not increase the applicable Limits of Insurance shown in the Declarations. E. Additional Insured — State Or Governmental Agency Or Subdivision Or Political Subdivision — Permits Or Authorizations 1. Section II —Who Is An Insured is amended to include as an additional insured any state or governmental agency or subdivision or political subdivision that you have agreed in a written contract or written agreement or that you are required by statute, ordinance or regulation to name as an additional insured, subject to the following provisions: a. This insurance applies only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization. b. This insurance does not apply to: (1) "Bodily injury", "property damage" or "personal and advertising injury' arising out of operations performed for the federal government, state or municipality; or (2) "Bodily injury" or "property damage included within the "products -completed operations hazard". However, the insurance afforded to such additional insured: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. 2. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: a. Required by the written contract or written agreement you have entered into with the additional insured; or b. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. The insurance provided by this Paragraph E. shall not increase the applicable Limits of Insurance shown in the Declarations. U-GL-1060-F CW (05122) Page 2 of 2 Includes copyrighted material of Insurance Services Office, Inc. with its permission. POLICY NUMBER: GL07047729-01 COMMERCIAL GENERAL LIABILITY CG 25 03 05 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Project(s): ALL OF YOUR DESIGNATED CONSTRUCTION PROJECTS WHERE REQUIRED BY CONTRACT Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. For all sums which the insured becomes legally 3. Any payments made under Coverage A for obligated to pay as damages caused by "occur- damages or under Coverage C for medical rences" under Section I — Coverage A, and for all expenses shall reduce the Designated Con - medical expenses caused by accidents under struction Project General Aggregate Limit for Section I — Coverage C, which can be attributed that designated construction project. Such only to ongoing operations at a single designated payments shall not reduce the General Ag- construction project shown in the Schedule gregate Limit shown in the Declarations nor above: shall they reduce any other Designated Con- 1. A separate Designated Construction Project struction Project General Aggregate Limit for General Aggregate Limit applies to each des- any other designated construction project ignated construction project, and that limit is shown in the Schedule above. equal to the amount of the General Aggregate 4. The limits shown in the Declarations for Each Limit shown in the Declarations. Occurrence, Damage To Premises Rented To 2. The Designated Construction Project General You and Medical Expense continue to apply. Aggregate Limit is the most we will pay for the However, instead of being subject to the sum of all damages under Coverage A, ex- General Aggregate Limit shown in the Decla- cept damages because of "bodily injury" or rations, such limits will be subject to the appli- "property damage" included in the "products- cable Designated Construction Project Gen - completed operations hazard", and for medi- eral Aggregate Limit. cal expenses under Coverage C regardless of the number of: a. Insureds; b. Claims made or "suits" brought; or c. Persons or organizations making claims or bringing "suits". CG 25 03 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 2 Wolters Kluwer Financial Services I Uniform FormsT B. For all sums which the insured becomes legally C. obligated to pay as damages caused by "occur- rences" under Section I — Coverage A, and for all medical expenses caused by accidents under Section I — Coverage C, which cannot be at- tributed only to ongoing operations at a single designated construction project shown in the Schedule above: 1. Any payments made under Coverage A for damages or under Coverage C for medical D. expenses shall reduce the amount available under the General Aggregate Limit or the Products -completed Operations Aggregate Limit, whichever is applicable; and 2. Such payments shall not reduce any Desig- nated Construction Project General Aggre- gate Limit. When coverage for liability arising out of the "products -completed operations hazard" is pro- vided, any payments for damages because of "bodily injury" or "property damage" included in the "products -completed operations hazard" will reduce the Products -completed Operations Ag- gregate Limit, and not reduce the General Ag- gregate Limit nor the Designated Construction Project General Aggregate Limit. If the applicable designated construction project has been abandoned, delayed, or abandoned and then restarted, or if the authorized contract- ing parties deviate from plans, blueprints, de- signs, specifications or timetables, the project will still be deemed to be the same construction pro- ject. E. The provisions of Section III — Limits Of Insur- ance not otherwise modified by this endorsement shall continue to apply as stipulated. Page 2 of 2 © Insurance Services Office, Inc., 2008 CG 25 03 05 09 0 Waiver Of Subrogation (Blanket) Endorsement ZURICH Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer AWL Prem Retum Prem. GLO 7047729-01 6/1612024 611612026 611612024 $ $ THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition: If you are required by a written contract or agreement, which is executed before a loss, to waive your rights of recovery from oth- ers, we agree to waive our rights of recovery. This waiver of rights shall not be construed to be a waiver with respect to any other operations in which the insured has no contractual interest. U-G1,925-E CW(12/01) Page I of 1 Notification to Others of Cancellation or Nonrenewal ZURICH Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. AWL Prem Return Prem. GLO 7047729-01 6/18/2024 1 6/18/2025 6/18/2024 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. If we cancel or non -renew this Coverage Part by notice to the first Named insured, for any reason other than nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation or non -renewal to the person(s) or organization(s) shown in the Schedule below. B. Any copy of notice per paragraph A. above will be sent or delivered: 1. To the address corresponding to each person or organization indicated in the Schedule below; and 2. At least 10 days prior to the cancellation or non -renewal date applicable to the policy, as advised in our notice to the first Named insured, or the longer number of days notice prior to the applicable cancellation or non -renewal date, if indicated in the Schedule below. C. This is intended only to be an advance notification to the person(s) or organization(s) named in the Schedule of this endorsement in the event of a pending cancellation or non -renewal of coverage. Our failure to provide such advance notification to the person(s) or,organization(s) shown in the Schedule of this endorsement will not extend any policy cancellation or non -renewal date nor negate any cancellation or non -renewal of the policy. SCHEDULE Name and Address of Other Person(s) / Or anization s Number of Days Notice: Per schedule on file with Company 30 All other terms and conditions of this policy remain unchanged. U-GL-1387-A CW (05/09) Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. POLICY NUMBER: BAP 7047728-01 COMMERCIAL AUTO CA 20 48 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Mamca, Inc. dba Alabbasi Endorsement Effective Date: 6/18/2024 SCHEDULE Name Of Person(s) Or Organization(s): WHERE REQUIRED BY WRITTEN CONTRACT. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 Wolters Kluwer Financial services I Uniform FcrmsTM Coverage Extension Endorsement ZURICH Policy No. I Eff. Date of Pol. I Exp. Date of Pol. Eff. Date of End. Producer No. Add'I. Prem Return Prem. BAP 7047728-01 6/18/2024 1 6/18/2025 6/18/2024 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Business Auto Coverage Form Motor Carrier Coverage Form A. Amended Who Is An Insured 1. The following is added to the Who Is An Insured Provision in Section 11— Covered Autos Liability Coverage: The following are also "insureds": a. Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow for acts performed within the scope of employment by you. Any "employee" of yours is also an "insured" while operating, an "auto" hired or rented under a contract or agreement in an "employee's" name, with your permission, while performing duties related to the conduct of your business. b. Anyone volunteering services to you is an "insured" while using a covered "auto" you don't own, hire or borrow to transport your clients or other persons in activities necessary to your business. c. Anyone else who furnishes an "auto" referenced in Paragraphs A.1.a. and A.1.16. in this endorsement. d. Where and to the extent permitted by law, any person(s) or organization(s) where required by written contract or written agreement with you executed prior to any "accident", including those person(s) or organization(s) directing your work pursuant to such written contract or written agreement with you, provided the "accident" arises out of operations governed by such contract or agreement and only up to the limits required in the written contract or written agreement, or the Limits of Insurance shown in the Declarations, whichever is less. 2. The following is added to the Other Insurance Condition in the Business Auto Coverage Form and the Other, JnE urance — Prima_ry and Excess Insurance Provisions Conditio__n_, in the Motor Carrier Coverage Form: Coverage for any person(s) or organization(s), where required by written contract or written agreement with you executed prior to any "accident", will apply on a primary and non-contributory basis and any insurance maintained by the additional "insured" will apply on an excess basis. However, in no event will this coverage extend beyond the terms and conditions of the Coverage Form. B. Amendment— Supplementary Payments Paragraphs a.(2) and a.(4) of the Coverage Extensions Provision in Section II — Covered Autos Liability Coverage are replaced by the following: (2) Up to $5,000 for the cost of bail bonds (including bonds for related traffic law violations) required because of an "accident" we cover. We do not have to furnish these bonds. U-CA424-F CW (04/14) Page 1 of 6 Includes copyrighted material of Insurance Services Office, Inc., with its permission. POLICY NUMBER: BAP 7047728-01 COMMERCIAL AUTO CA 99 4410 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LOSS PAYABLE CLAUSE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. A. We will pay, as interest may appear, you and the loss payee named in the policy for "loss" to a covered "auto". B. The insurance covers the interest of the loss payee unless the "loss" results from conversion, secretion or embezzlement on your part. C. We may cancel the policy as allowed by the Cancellation Common Policy Condition. Cancellation ends this agreement as to the loss payee's interest. If we cancel the policy, we will mail you and the loss payee the same advance notice. D. If we make any payments to the loss payee, we will obtain his or her rights against any other party. CA 99 44 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 Wolters Kluwer Financial Services I Uniform FormsTM POLICY NUMBER: BAP 7047728-01 COMMERCIAL AUTO CA 04 4410 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Mamco, Inc. dba Alabbasi Endorsement Effective Date: 6/18/24 7 SCHEDULE Name(s) Of Person(s) Or Organization(s): Where required by a written contract or agreement Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident' or the 'loss" under a contract with that person or organization. CA 04 4410 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 Wolters Kluwer Financial services I Uniform FornsTM 0 Notification to Others of Cancellation ZURICH® Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. AddT Prem Return Prem, AP 7047728-01 1 6/18/2024 6/18/2025 6/18/2024 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial Automobile Coverage Part A. If we cancel this Coverage Part by written notice to the first Named Insured for any reason other than nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation: 1. To the name and address corresponding to each person or organization shown in the Schedule below; and 2. At least 10 days prior to the effective date of the cancellation, as advised in our notice to the first Named Insured, or the longer number of days notice if indicated in the Schedule below. B. If we cancel this Coverage Part by written notice to the first Named Insured for nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation to the name and address corresponding to each person or organization shown in the Schedule below at least 10 days prior to the effective date of such cancellation. C. If notice as described in Paragraphs A. or B. of this endorsement is mailed, proof of mailing will be sufficient proof of such notice. SCHEDULE Name and Address of Other Person(s) / I Number of Days Notice: Per Schedule on file with Company 1 30 1 All other terms and conditions of this policy remain unchanged. U-CA-812-A CW (05/10) Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT- CALIFORNIA This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy.) This endorsement, effective on 6/18/2024 at 12:01 A.M. standard time, forms apart of (DATE) Policy No. WC 7047732-01 of the issued to Maraca, Inc. dba Alabbasi Premium (if any) $ Endorsement No. Zurich American Insurance Company (NAME OF INSURANCE COMPANY) Authorized Representative We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be mium otherwise due on such remuneration. Schedule Person or Organization Where required by Written Contract % of the California workers' compensation pre - Job Description Where required by Written Contract WC 252 (4-84) WC 04 03 06 (Ed. 4-84) Page 1 of 1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 43 BLANKET NOTIFICATION TO OTHERS OF CANCELLATION OR NONRENEWAL ENDORSEMENT This endorsement adds the following to Part Six of the policy. PART SIX CONDITIONS Blanket Notification to Others of Cancellation or Nonrenewal 1. If we cancel or non -renew this policy by written notice to you, we will mail or deliver notification that such policy has been cancelled or non -renewed to each person or organization shown in a list provided to us by you if you are required by written contract or written agreement to provide such notification. However, such notification will not be mailed or delivered if a conditional notice of renewal has been sent to you. Such list: a. Must be provided to us prior to cancellation or non -renewal; b. Must contain the names and addresses of only the persons or organizations requiring notification that such policy has been cancelled or non -renewed; and c. Must be in an electronic format that is acceptable to us. 2. Our notification as described in Paragraph 1. above will be based on the most recentlist in our records as of the date the notice of cancellation or non -renewal is mailed or delivered to you. We will mail or deliver such notification to each person or organization shown in the list: a. Within seven days of the effective date of the notice of cancellation, if we cancel for non-payment of premium; or b. At least 30 days prior to the effective date of: (1) Cancellation, if cancelled for any reason other than nonpayment of premium; or (2) Non -renewal, but not including conditional notice of renewal. 3. Our mailing or delivery of notification described in Paragraphs 1. and 2. above is intended as a courtesy only. Our failure to provide such mailing or delivery will not: a. Extend the policy cancellation or non -renewal date; b. Negate the cancellation or non -renewal; or c. Provide any additional, insurance that would not have been provided in the absence of this endorsement. 4. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the list provided to us as described in Paragraphs 1. and 2. above. All other terms and conditions of this policy remain unchanged. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 6/18/2024 Insured Policy No. WC 7047732-01 Endorsement No. Premium $ Insurance' Company Zurich American Insurance Company WC 99 06 43 Page 1 of 1 (Ed. 01-13) Includes copyright material of the National Council on Compensation Insurance, Inc. used with its permission. © 2012 Copyright National Council on Compensation Insurance, Inc. All Rights Reserved. POLICY NUMBER: SXS 6672958-01 EXCESS LIIABILITY Straight Excess Liability Policy ZURICH There are provisions in this policy that restrict coverage. Read the entire policy carefully to determine rights, duties and what is and is not covered. Throughout this policy, the words "you" and "your" refer to the Named Insured shown in the Declarations, and any other person or organization qualifying as such in underlying insurance. The words "we", "us" and "our" refer to the company providing this insurance. The word "insured(s)" means any person or organization qualifying as such in underlying insurance but only to the extent and within the scope for which such "insured(s)" qualify for coverage in underlying insurance. Words and phrases that are printed in bold -face type are defined in this policy. These definitions are found in SECTION VI. DEFINITIONS of this policy or in the specific policy provision where they appear. In consideration of the payment of the premium and in reliance upon the statements in the Declarations and in accordance with the provisions of this policy, we agree with you to provide coverage as follows: Insuring Agreements SECTION I. COVERAGE A. We will pay on behalf of the insured those damages covered by this insurance in excess of the total Applicable Limits of underlying insurance. This policy includes: 1. The terms and conditions of underlying insurance to the extent such terms and conditions are not inconsistent or do not conflict with the terms and conditions referred to in Paragraph 2. below; and 2. The terms and conditions that apply to this policy. B. Notwithstanding anything to the contrary contained in Paragraph A. above, if underlying insurance does not apply to damages for reasons other than exhaustion of total applicable limits of insurance by payment of loss, then this policy does not apply to such damages. C. The amount we will pay under this policy is limited as described in SECTION II. LIMITS OF INSURANCE. D. We have no obligation under this policy with respect to any settlement made without our consent. E. The insurance afforded under this policy applies to bodily injury or property damage only if prior to the Policy Period, neither you nor any authorized person knew that the bodily injury or property damage had occurred, in whole or in part. If you or any authorized person knew, prior to the Policy Period, that the bodily injury or property damage occurred, then any continuation, change or resumption of such bodily injury or property damage during or after the Policy Period will be deemed to have been known prior to the Policy Period. Bodily injury or property damage which occurs during the Policy Period and was not, prior to the Policy Period, known to have occurred by you or any authorized person includes any continuation, change or resumption of that bodily injury or property damage after the Policy Period; and Bodily injury or property damage will be deemed to have been known to have occurred at the earliest time when you or any authorized person: 1. Reports all or any part of, the bodily injury or property damage to us or any other insurer; 2. Receives a written or verbal demand or claim for damages because of the bodily injury or property damage; or 3. Becomes aware by any other means that bodily injury or property damage has occurred or has begun to occur U-SXS-100-A CW (09111) Pagel of 10 CONTRACT ABSTRACT 1 Original: Contract Change Order No. 1 Contract Company Name: Company Contact: Summary of Services: Contract Price: Funding Source: Contract Term: Mamco, Inc. dba Alabbasi Rumzi Alabbasi, Vice President CP 19-15, Storm Drain Line 20, Stage 3 $11,567,654.46 (includes this CCO#1 for $12,099.46) Riverside County Flood Control and Water Conservation District funds To be determined by the Notice to Proceed Contract Administration Lead Department: Contract Administrator: Engineering Services Joel Montalvo/Allen Janish Contract Approvals City Council Approval: Contract Change Order #1: Agreement Number: November 8, 2023, Item 1.U. TBD 23B374 Contract Compliance Exhibits: Signatures: Insurance: Bonds: Attached Attached On file On file Contract Prepared By: Engineering Services Submitted on: 05/09/2024 By: Vonda Teed DocuSign Envelope ID: 9A241708-930E-407C-B240-AD035EB94265 Page 1 of 1 CITY OF PALM SPRINGS CONTRACT CHANGE ORDER No. 01 CP 19-15 Storm Drain Line 20 Contractor: Mamco, Inc. dba Alabbasi Date: May 9, 2024 CONTRACT CHANGE ORDER SUMMARY: Contract Change Order No. 01 provides for standby time for the contractor’s idle equipment during a three-day (3 day) period. At the time of the initial excavation of the storm drain work, the Contractor, as required, verified the existing conditions and the invert elevation of the proposed connection point. This verification found there was an elevation discrepancy of approximately seven inches (7”) between the proposed and actual verified elevation. The verified information was immediately provided to the design engineer, who in turn, returned revised plans to the Contractor. The Contractor’s equipment was idle for a three-day (3 day) period pending the revised plans. During this period, the Contractor provided daily reports listing each piece of idle equipment. There are no labor costs. The Contractor provided a revised request for change on 4/30/2024 with detailed pricing which was analyzed, adjusted, and finally accepted by the City and the City’s Construction Manager. CHANGES TO CONTRACT TIME: The Contractor is requesting three (3) working days. Source of Funds: Sufficient funds are available in contingency. Summary of Costs: Original Contract Amount: $11,555,555.00 Construction Start Date: 02/26/2024 Previous Change Orders: $0.00 Previous Agreed Completion Date: 11/06/2024 This Change Order Amount: $12,099.46 Working Days Added: 3 Revised Contract Amount: $11,567,654.46 Revised Completion: 11/12/2024 I have received a copy of this Change Order, and the above AGREED PRICES are acceptable to the Contractor. Mamco, Inc. dba Alabassi Rami Alabbasi, Project Manager Date City of Palm Springs Recommended By: Joel Montalvo, City Engineer Date Approved By: Scott Stiles, City Manager Date Attest By: Brenda Pree, City Clerk Date DocuSign Envelope ID: 9A241708-930E-407C-B240-AD035EB94265 5/9/2024 5/9/2024 5/9/2024 5/9/2024 1R1 Project: To: City of Palm Springs 3200 E. Tahquitz Canyon Way Palm Springs CA 92262 3 Storm Drain Line 20, Stage 3 E Ramon Road S Farrell Dr Palm Springs CA 92262 11,555,555.00 Requested Amount of Change 0.00 The original Contract Sum was Plans Attached 11,555,555.00 Contractor: Owner: Date: Date: Negative changes will lower the overall contract price requiring no additional payment by owner. 03/15/2024 646 Martin Gomez Ochoa Net change by previous Change Orders The Contract Sum prior to this Change Order The Contract Sum will be changed by this Change Order The new Contract Sum including this Change Order will be The Contract Time will be changed by 11,567,654.46 2173 12,099.46 12,099.46 Days Specifications Attached Description of Work Amount Standby due to RFI#5 12,099.46 Alabbasi was on standby for three working days since the existing 108" RCP was higher than the elevation stated on the plans (RFI#5). Notes Change Order Request Number: Date: Submitted By: Submitted to: Bruce Pretty Mamco, Inc. dba Change Order Request This is hereby submitted for your review, consideration, and approval. 764 W. Ramona Expy., Suite C Perris, CA 92571 Phone: (951) 776-9300 Fax: (951) 776-0404 01 DocuSign Envelope ID: 9A241708-930E-407C-B240-AD035EB94265 Palm Springs Storm Drain Line 20 Cost Breakdown DATE OF WORK: ___ CHANGE ORDER NO: ___ EQUIPMENT CLASSIFCATION ST RATE DLY FCT OT FCT ST HRS DLY HRS OT HRS MARKUP TOTAL Forklift (8 ton)96.39$ 22%79%0 24 0 15%585.28$ Excavator- Linkbelt 490 X4 251.00$ 16%84%0 24 0 15%1,108.42$ Loader- JD 644 K 159.71$ 11%89%0 24 0 15%484.88$ Backhoe-CAT 420 4WD 63.25$ 11%90%0 24 0 15%192.03$ Water Truck (20,480 LBS) (2000 GL)57.71$ 11%88%0 24 0 15%175.21$ 5 axles On-Highway Dump Truck 117.60$ 16%83%0 72 0 15%1,557.96$ Crash Cushion- DAILY each 1.29$ 57%100%0 6 0 15%5.07$ K-Rail- DAILY PER LF 0.56$ 57%100%0 3480 0 15%1,277.44$ Changeable Message Sign 13.54$ 36%70%0 288 0 15%1,614.40$ Arrow Board 4.46$ 36%70%0 144 0 15%265.89$ Type II Barricade w/ flasher 0.53$ 73%100%0 102 0 15%45.38$ Traffic Cones (per 100)26.16$ 73%100%0 3 0 15%65.88$ Signs 3.13$ 73%100%0 78 0 15%204.96$ -$ DESCRIPTION UNITS PRICE QTY TOTAL TAX MARKUP Trench Shoring (shoring material)LS 3,540.15$ 1.00 3,540.15$ 8.00%15% TOTAL MATERIAL COSTS:4,396.87$ TOTAL 4,396.87$ Grand Total:12,099.46$ Bonding Compensation (1%):119.80$ Mobilize/Demobilize: 7,582.80$ MATERIAL COSTS TOTAL EQUIPMENT COSTS: EQUIPMENT COSTS 764 W. Ramona Expressway Suite C Perris, CA 92571 | Phone (951) 776-9300 | Fax (951) 776-0404 | www.alabbasi.biz DocuSign Envelope ID: 9A241708-930E-407C-B240-AD035EB94265 Extra Work Report # 2173-01 Page 1 of 1 Regular Overtime ID No.Run Stand-by Quantity 91-2059 8.0 1 LS 83-1990 8.0 1 LS 81-2086 8.0 71-2160 8.0 51-2115 8.0 54-2061 8.0 54-2107 8.0 54-2108 8.0 Date Traffic Control Inter. Super 10 Dump Truck Inter. Super 10 Dump Truck Cat 420 Backhoe Cat 12K Forklift Intern. 2,000 Gal Water Truck Inter. Super 10 Dump Truck Alabbasi Construction Representative Date City Agency / Owner Representative Alabbasi Construction Notes and Nature of Work Alabbasi is on standby, pending the out come of RFI #5. City Agency / Owner Representative Notes 3/15/24 Signature acknowledges time & material, does not guarantee payment Palm Springs Storm Drain Project Name and Ref. No. Rami Alabbasi Superintendent's Name 3/15/2024 Date 2173-01 Report Number Extra Work Report Labor Used Name Classification Equipment Used Material Used MaterialMachine Linkbelt 490 Excavator Shoring (Renatal) John Deer 644K Wheel Loader Bruce Pretty CM/Insp. Berg & Associates The CM's Signature is not authorization for payment. Verifications of time only. DocuSign Envelope ID: 9A241708-930E-407C-B240-AD035EB94265 Extra Work Report # 2173-01 Page 1 of 1 Regular Overtime ID No.Run Stand-by Quantity 91-2059 8.0 1 LS 83-1990 8.0 1 LS 81-2086 8.0 71-2160 8.0 51-2115 8.0 54-2061 8.0 54-2107 8.0 54-2108 8.0 Date Traffic Control Inter. Super 10 Dump Truck Inter. Super 10 Dump Truck Cat 420 Backhoe Cat 12K Forklift Intern. 2,000 Gal Water Truck Inter. Super 10 Dump Truck Alabbasi Construction Representative Date City Agency / Owner Representative Alabbasi Construction Notes and Nature of Work Alabbasi is on standby, pending the out come of RFI #5. City Agency / Owner Representative Notes 3/15/24 Signature acknowledges time & material, does not guarantee payment Palm Springs Storm Drain Project Name and Ref. No. Rami Alabbasi Superintendent's Name 3/15/2024 Date 2173-01 Report Number Extra Work Report Labor Used Name Classification Equipment Used Material Used MaterialMachine Linkbelt 490 Excavator Shoring (Renatal) John Deer 644K Wheel Loader DocuSign Envelope ID: 9A241708-930E-407C-B240-AD035EB94265 Extra Work Report # 2173-01 Page 1 of 1 Regular Overtime ID No.Run Stand-by Quantity 91-2059 8.0 1 LS 83-1990 8.0 1 LS 81-2086 8.0 71-2160 8.0 51-2115 8.0 54-2061 8.0 54-2107 8.0 54-2108 8.0 Date Traffic Control Inter. Super 10 Dump Truck Inter. Super 10 Dump Truck Cat 420 Backhoe Cat 12K Forklift Intern. 2,000 Gal Water Truck Inter. Super 10 Dump Truck Alabbasi Construction Representative Date City Agency / Owner Representative Alabbasi Construction Notes and Nature of Work Alabbasi is on standby, pending the out come of RFI #5. City Agency / Owner Representative Notes 3/18/24 Signature acknowledges time & material, does not guarantee payment Palm Springs Storm Drain Project Name and Ref. No. Rami Alabbasi Superintendent's Name 3/18/2024 Date 2173-02 Report Number Extra Work Report Labor Used Name Classification Equipment Used Material Used MaterialMachine Linkbelt 490 Excavator Shoring (Renatal) John Deer 644K Wheel Loader Bruce Pretty, CM/Insp. Berg & Associates 3/19/23 City signature is for verification of hours only, it does not guarantee payment. DocuSign Envelope ID: 9A241708-930E-407C-B240-AD035EB94265 Extra Work Report # 2173-01 Page 1 of 1 Regular Overtime ID No.Run Stand-by Quantity 91-2059 8.0 1 LS 83-1990 8.0 1 LS 81-2086 8.0 71-2160 8.0 51-2115 8.0 54-2061 8.0 54-2107 8.0 54-2108 8.0 Date Traffic Control Inter. Super 10 Dump Truck Inter. Super 10 Dump Truck Cat 420 Backhoe Cat 12K Forklift Intern. 2,000 Gal Water Truck Inter. Super 10 Dump Truck Alabbasi Construction Representative Date City Agency / Owner Representative Alabbasi Construction Notes and Nature of Work Alabbasi is on standby, pending the out come of RFI #5. City Agency / Owner Representative Notes 3/18/24 Signature acknowledges time & material, does not guarantee payment Palm Springs Storm Drain Project Name and Ref. No. Rami Alabbasi Superintendent's Name 3/18/2024 Date 2173-02 Report Number Extra Work Report Labor Used Name Classification Equipment Used Material Used MaterialMachine Linkbelt 490 Excavator Shoring (Renatal) John Deer 644K Wheel Loader DocuSign Envelope ID: 9A241708-930E-407C-B240-AD035EB94265 Extra Work Report # 2173-01 Page 1 of 1 Regular Overtime ID No.Run Stand-by Quantity 91-2059 8.0 1 LS 83-1990 8.0 1 LS 81-2086 8.0 71-2160 8.0 51-2115 8.0 54-2061 8.0 54-2107 8.0 54-2108 8.0 Date Traffic Control Inter. Super 10 Dump Truck Inter. Super 10 Dump Truck Cat 420 Backhoe Cat 12K Forklift Intern. 2,000 Gal Water Truck Inter. Super 10 Dump Truck Alabbasi Construction Representative Date City Agency / Owner Representative Alabbasi Construction Notes and Nature of Work Alabbasi is on standby, pending the out come of RFI #5. City Agency / Owner Representative Notes 3/19/24 Signature acknowledges time & material, does not guarantee payment Palm Springs Storm Drain Project Name and Ref. No. Rami Alabbasi Superintendent's Name 3/19/2024 Date 2173-03 Report Number Extra Work Report Labor Used Name Classification Equipment Used Material Used MaterialMachine Linkbelt 490 Excavator Shoring (Renatal) John Deer 644K Wheel Loader TKE 1 LS Bruce Pretty 3/20/24 CM/Insp, Berg & Associates DocuSign Envelope ID: 9A241708-930E-407C-B240-AD035EB94265 Extra Work Report # 2173-01 Page 1 of 1 Regular Overtime ID No.Run Stand-by Quantity 91-2059 8.0 1 LS 83-1990 8.0 1 LS 81-2086 8.0 71-2160 8.0 51-2115 8.0 54-2061 8.0 54-2107 8.0 54-2108 8.0 Date Traffic Control Inter. Super 10 Dump Truck Inter. Super 10 Dump Truck Cat 420 Backhoe Cat 12K Forklift Intern. 2,000 Gal Water Truck Inter. Super 10 Dump Truck Alabbasi Construction Representative Date City Agency / Owner Representative Alabbasi Construction Notes and Nature of Work Alabbasi is on standby, pending the out come of RFI #5. City Agency / Owner Representative Notes 3/19/24 Signature acknowledges time & material, does not guarantee payment Palm Springs Storm Drain Project Name and Ref. No. Rami Alabbasi Superintendent's Name 3/19/2024 Date 2173-03 Report Number Extra Work Report Labor Used Name Classification Equipment Used Material Used MaterialMachine Linkbelt 490 Excavator Shoring (Renatal) John Deer 644K Wheel Loader TKE 1 LS DocuSign Envelope ID: 9A241708-930E-407C-B240-AD035EB94265 DocuSign Envelope ID: 9A241708-930E-407C-B240-AD035EB94265 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) Agreement (Construction Contract) Mamco, Inc. dba Alabbasi Rami Alabbasi, Project Manager Rami@alabbasi.biz CP 19-15, Storm Drain Line 20, Stage 3 $11,633,748.76 (includes this CCO#2 & CCO#3 for $66,094.30) 11/15/2024 On file Rami Alabbasi, Rami@alabbasi.biz Engineering Services Joel Montalvo / Allen Janish X8734 November 8, 2023, Item 1.U. 23B374 CCO#1: 05/29/2024; CCO#2 & CCO#3: TBD Yes Yes Yes Department Yes - Contract Change Order No. 2, Contract Change Order No. 3, and insurance are attached. N/A 11/04/2024 Vonda Teed Docusign Envelope ID: D30C7776-313A-4E5B-911D-193048713A02 Page 1 of 1 CITY OF PALM SPRINGS CONTRACT CHANGE ORDER No. 02 CP 19-15 Storm Drain Line 20 Contractor: Mamco, Inc. dba Alabbasi Date: October 22, 2024 CONTRACT CHANGE ORDER SUMMARY Contract Change Order No. 02 provides compensation for the Contractor to replace two sections (eighteen feet each) of the existing active sewer drain. The drainpipe was found to be in poor condition and would not likely withstand the adjacent work of the Contractor. The Contractor discovered the poor condition of the subject drain while excavating for the contract work directly over and under the drain. The Contract Management inspector and Project Manager for the City confirmed the condition of the drain. The Contractor issued Request for Information (RFI) Number 011, which the City responded to with instructions for the Contractor to proceed on a ‘Time and Materials’ basis to replace in kind, the affected drain sections. CHANGES TO CONTRACT TIME: The Contractor is requesting one (1) additional working day. Source of Funds: Sufficient funds are available in contingency. Summary of Costs: Original Contract Amount: $11,555,555.00 Construction Start Date: 02/26/2024 Previous Change Orders: $12,099.46 Previous Agreed Completion: 11/12/2024 This Change Order Amount: $15,840.80 Working Days Added: 1 Revised Contract Amount: $11,583,495.26 Revised Completion: 11/13/2024 I have received a copy of this Change Order, and the above AGREED PRICES are acceptable. Mamco, Inc. dba Alabassi Rami Alabbasi, Project Manager Date City of Palm Springs Recommended By: Joel Montalvo, City Engineer Date Approved By: Scott Stiles, City Manager Date Attest By: Brenda Pree, City Clerk Date Docusign Envelope ID: D30C7776-313A-4E5B-911D-193048713A02 11/4/2024 11/5/2024 11/6/2024 11/6/2024 Request For Information 08/26/2024 Project: To: Attachments: Storm Drain Line 20, Stage 3 E Ramon Road S Farrell Dr Palm Springs CA 92262 City of Palm Springs Date of Request: RFI#: 11 (CCO#2) 09/02/2024 Han Sohn Potential Change in Project Schedule Information must be received prior to 2173 to be considered. May require a Change Order Requires a Change of Plans/Specifications Page 1 of 1 3200 E. Tahquitz Canyon Way Palm Springs CA 92262 Storm drain laterals CP-2 and CP-3B cross under an existing 12" clay sewer. The existing sewer has cracks and risks collapsing should we trench under it for the storm drain installation. We are proposing either Alabbasi or the City of Palm Springs to remove and replace in place a 20' section of the existing sewer with PVC pipe prior to the storm drain lateral work. Information Supplied: You are hereby invited to provide information on the following items. ATTN: Andrew Crider Email Requested By: Sent Via: Mamco, Inc. dba 764 W. Ramona Expy., Suite C, Perris, CA 92571 Phone (951)776-9300 Fax (951)776-0404 www.alabbasi.biz Photo of existing cracked sewer line. X X CM response. The contractor is requested to proceed with the work on a time & materials basis, with the following repairs to the subject drain 1. Replace in-kind the 12" sewer pipe at plan station 22+84.73. The length of pipe shall not exceed 18' (3-6' sections) Begining at 0700 hours when the flow is least. Backfill, compact and pave per specifications. 2. Excavate location No. 2 at 21+34 for inspection to examine the condition of the drain and to determine if replacement is necessary. If yes, proceed as above. Cost not to exceed $20,000. Notify the CM Inspector if overage is likely. 8/27/2024 Docusign Envelope ID: D30C7776-313A-4E5B-911D-193048713A02 Docusign Envelope ID: D30C7776-313A-4E5B-911D-193048713A02 Docusign Envelope ID: D30C7776-313A-4E5B-911D-193048713A02 Page 1 of 2 CITY OF PALM SPRINGS CONTRACT CHANGE ORDER No. 03 CP 19-15 Storm Drain Line 20 Contractor: Mamco, Inc. dba Alabbasi Date: October 23, 2024 CONTRACT CHANGE ORDER SUMMARY Contract Change Order No. 03 provides compensation for the Contractor to make the requested design changes to the existing street drainage which will provide a fully functional system as intended by the Project’s plans and specifications. Revised/modified plans were provided by the design team of Engineering Resources of Southern California. During construction it was noted that the existing flows of water runoff in certain areas of the Project streets could not complete a pathway to the newly constructed drainage system. This condition caused ‘ponding’ in the areas shown in the revised plans. The engineer made modifications to the plans which corrected these conditions. The revised plans were provided to the Contractor for pricing. At the City’s request, the Contractor provided a proposal based on the revised plans (COR No 05). The City’s Project Manager and Construction Manager reviewed the Contractor’s proposal, which was based mostly on the Project bid items, and after two pricing adjustments with the Contractor, the costs were mutually agreed to. CHANGES TO CONTRACT TIME: The Contractor is requesting two (2) additional working days. Source of Funds: Sufficient funds are available in contingency. Summary of Costs: Original Contract Amount: $11,555,555.00 Construction Start Date: 02/26/2024 Previous Change Orders: $27,940.26 Previous Agreed Completion: 11/13/2024 This Change Order Amount: $50,253.50 Working Days Added: 2 Revised Contract Amount: $11,633,748.76 Revised Completion: 11/15/2024 Docusign Envelope ID: D30C7776-313A-4E5B-911D-193048713A02 Page 2 of 2 I have received a copy of this Change Order, and the above AGREED PRICES are acceptable to Mamco, Inc. dba Alabassi Rami Alabbasi, Project Manager Date City of Palm Springs Recommended By: Joel Montalvo, City Engineer Date Approved By: Scott Stiles, City Manager Date Attest By: Brenda Pree, City Clerk Date Docusign Envelope ID: D30C7776-313A-4E5B-911D-193048713A02 11/4/2024 11/5/2024 11/6/2024 11/6/2024 5 Project: To: City of Palm Springs 3200 E. Tahquitz Canyon Way Palm Springs CA 92262 0 Storm Drain Line 20, Stage 3 E Ramon Road S Farrell Dr Palm Springs CA 92262 11,555,555.00 Requested Amount of Change 12,099.46 The original Contract Sum was Plans Attached 11,567,654.46 Contractor: Owner: Date: Date: Negative changes will lower the overall contract price requiring no additional payment by owner. 09/04/2024 666 Han Sohn Net change by previous Change Orders The Contract Sum prior to this Change Order The Contract Sum will be changed by this Change Order The new Contract Sum including this Change Order will be The Contract Time will be changed by 11,617,907.96 2173 50,253.50 50,253.50 Days Specifications Attached Description of Work Amount Drainage Changes 48,175.00 Per breakdown Additional Traffic Control 1,950.00 1% Bonding 128.50 Notes COP for drainage changes per attached revised drawings. Change Order Proposal Number: Date: Submitted By: Submitted to: Andrew Crider Mamco, Inc. dba Change Order Proposal This is hereby submitted for your review, consideration, and approval. 764 W. Ramona Expy., Suite C Perris, CA 92571 Phone: (951) 776-9300 Fax: (951) 776-0404 Rec'vd by email on 10/4/24 2 City CO No 03 Docusign Envelope ID: D30C7776-313A-4E5B-911D-193048713A02 Item Numer Changes to Sheet No.Plan Note No.Description Unit of Measure Quantity Unit Price Line Total Comments 1 Sheet 4 of 22 58 Construct junction Structure No.4 per JS229 LS 1 $5,000.00 $5,000.00 2 Sheet 4 of 22 59 #59 Connect to Exsit Bubbler Inlet LS 1 $5,000.00 $5,000.00 3 Sheet 4 of 22 60 Construct 35 Ft 12" RCP LF 35 $350.00 $12,250.00 4 Deleted 5 Sheet 5 of 22 60 Add 7.5' -30" RCP LF 7.5 $450.00 $3,375.00 6 Sheet 5 of 22 61 Construct 45' R Collar LS 1 $2,500.00 $2,500.00 Concrete collar 7 Sheet 5 of 22 59 Demo Old and Construct V Ditch to CB LS 1 $5,000.00 $5,000.00 8 Deleted 9 Sheet 10 of 22 53A Add 18' of 12" RCP LF 18 $350.00 $6,300.00 10 Sheet 10 of 22 54 Deleted Change of DI location not necessary 11 Deleted 12 Sheet 13 of 22 53B Remodel S side of drain box and install 25' 12" LF 25 $350.00 $8,750.00 TOTALS $48,175.00 Notes: City of Palm Springs Project Storm Drain Line 20, Stage 3 (19-15) CO No 05, (CM RFI no 01) Changes to Storm Drain Design Date: July 13, 2024- Revised 10/4/2024 Supercedes previous changes Sent to Contractor on : 10/4/24 Prepared By: BP, Berg CM Line 12 Changed to 25' due to obstructions Any credits for BI No. 70 will be taken in the closeout. No's 4, 8 & 11 above Line 5- changed to 7.5' (Actual) Line 9- changed to 18' Line 10- Cannot move due to obstructions Docusign Envelope ID: D30C7776-313A-4E5B-911D-193048713A02 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 6/13/2024 Alliant Insurance Services,Inc. 18100 Von Karman,10th Floor Irvine CA 92612 Philip Arzu 949-756-0271 parzu@alliant.com Zurich American Insurance Comp 16535 MAMCINC-01 Amer Guarantee &Liab Ins Co 26247Mamco,Inc. dba Alabbasi 764 West Ramona Expressway,Suite C Perris CA 92571 Continental Insurance Company 35289 380077156 A X 2,000,000 X 100,000 5,000 2,000,000 4,000,000 X Y Y GLO 7047729-01 6/18/2024 6/18/2025 4,000,000 Deductible:5,000 A 2,000,000 X X X X Y Y BAP 7047728-01 6/18/2024 6/18/2025 B C X 10,000,000 X Y SXS 6672958-01 7039576712 6/18/2024 6/18/2024 Y 6/18/2025 6/18/2025 10,000,000 X $0 A X N Y WC 7047732-01 6/18/2024 6/18/2025 1,000,000 1,000,000 1,000,000 Re:2173 -Storm Drain Line 20,Stage 3 CITY PROJECT NO.19-15 The City of Palm Springs,its officials,employees,and agents are named as an additional insured on a primary and noncontributory basis per the attached endorsements.Waiver of subrogation applies in favor of additional insured per the attached endorsements. 30 days City of Palm Springs 3200 East Tahquitz Canyon Way Palm Springs CA 92262 Docusign Envelope ID: D30C7776-313A-4E5B-911D-193048713A02 U-GL-2162-A CW (02/19) Page 1 of 4 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Additional Insured – Automatic – Owners, Lessees Or Contractors THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. Section II – Who Is An Insured is amended to include as an additional insured any person or organization whom you are required to add as an additional insured under a written contract or written agreement executed by you, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" and subject to the following: 1. If such written contract or written agreement specifically requires that you provide that the person or organization be named as an additional insured under one or both of the following endorsements: a. The Insurance Services Office (ISO) ISO CG 20 10 (10/01 edition); or b. The ISO CG 20 37 (10/01 edition), such person or organization is then an additional insured with respect to such endorsement(s), but only to the extent that "bodily injury", "property damage" or "personal and advertising injury" arises out of: (1) Your ongoing operations, with respect to Paragraph 1.a. above; or (2) "Your work", with respect to Paragraph 1.b. above, which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 1., insurance afforded to such additional insured: (a) Only applies if the "bodily injury", "property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (b) Does not apply to "bodily injury" or "property damage" caused by "your work" and included within the "products-completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. 2. If such written contract or written agreement specifically requires that you provide that the person or organization be named as an additional insured under one or both of the following endorsements: a. The Insurance Services Office (ISO) ISO CG 20 10 (07/04 edition); or b. The ISO CG 20 37 (07/04 edition), such person or organization is then an additional insured with respect to such endorsement(s), but only to the extent that "bodily injury", "property damage" or "personal and advertising injury" is caused, in whole or in part, by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf, Policy No. GLO 7047729-01 Effective Date: 6/18/2024 Docusign Envelope ID: D30C7776-313A-4E5B-911D-193048713A02 U-GL-2162-A CW (02/19) Page 2 of 4 Includes copyrighted material of Insurance Services Office, Inc., with its permission. in the performance of: (a) Your ongoing operations, with respect to Paragraph 2.a. above; or (b) "Your work" and included in the "products-completed operations hazard", with respect to Paragraph 2.b. above, which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 2., insurance afforded to such additional insured: (i) Only applies if the "bodily injury", "property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (ii) Does not apply to "bodily injury" or "property damage" caused by "your work" and included within the "products-completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. 3. If neither Paragraph 1. nor Paragraph 2. above apply and such written contract or written agreement requires that you provide that the person or organization be named as an additional insured: a. Under the ISO CG 20 10 (04/13 edition, any subsequent edition or if no edition date is specified); or b. With respect to ongoing operations (if no form is specified), such person or organization is then an additional insured only to the extent that "bodily injury", "property damage" or "personal and advertising injury" is caused, in whole or in part by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf, in the performance of your ongoing operations, which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 3., insurance afforded to such additional insured: (a) Only applies to the extent permitted by law; (b) Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured; and (c) Only applies if the "bodily injury", "property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement. 4. If neither Paragraph 1. nor Paragraph 2. above apply and such written contract or written agreement requires that you provide that the person or organization be named as an additional insured: a. Under the ISO CG 20 37 (04/13 edition, any subsequent edition or if no edition date is specified); or b. With respect to the "products-completed operations hazard" (if no form is specified), such person or organization is then an additional insured only to the extent that "bodily injury" or "property damage" is caused, in whole or in part by "your work" and included in the "products-completed operations hazard", which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 4., insurance afforded to such additional insured: (1) Only applies to the extent permitted by law; (2) Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured; (3) Only applies if the "bodily injury" or "property damage" occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (4) Does not apply to "bodily injury" or "property damage" caused by "your work" and included within the "products-completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. Docusign Envelope ID: D30C7776-313A-4E5B-911D-193048713A02 U-GL-2162-A CW (02/19) Page 3 of 4 Includes copyrighted material of Insurance Services Office, Inc., with its permission. B. Solely with respect to the insurance afforded to any additional insured referenced in Section A. of this endorsement, the following additional exclusion applies: This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or surveying services including: 1. The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or 2. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. C. Solely with respect to the coverage provided by this endorsement, the following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit of Section IV – Commercial General Liability Conditions: The additional insured must see to it that: (1) We are notified as soon as practicable of an "occurrence" or offense that may result in a claim; (2) We receive written notice of a claim or "suit" as soon as practicable; and (3) A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non-contributory. D. Solely with respect to the coverage provided by this endorsement: 1. The following is added to the Other Insurance Condition of Section IV – Commercial General Liability Conditions: Primary and Noncontributory insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that: a. The additional insured is a Named Insured under such other insurance; and b. You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition under Section IV – Commercial General Liability Conditions: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense, claim or "suit". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by a written contract or written agreement to provide coverage to the additional insured on a primary and non- contributory basis. E. This endorsement does not apply to an additional insured which has been added to this Coverage Part by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured. F. Solely with respect to the insurance afforded to an additional insured under Paragraph A.3. or Paragraph A.4. of this endorsement, the following is added to Section III – Limits Of Insurance: Additional Insured – Automatic – Owners, Lessees Or Contractors Limit The most we will pay on behalf of the additional insured is the amount of insurance: Docusign Envelope ID: D30C7776-313A-4E5B-911D-193048713A02 U-GL-2162-A CW (02/19) Page 4 of 4 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 1. Required by the written contract or written agreement referenced in Section A. of this endorsement; or 2. Available under the applicable Limits of Insurance shown in the Declarations, whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All other terms, conditions, provisions and exclusions of this policy remain the same. Docusign Envelope ID: D30C7776-313A-4E5B-911D-193048713A02 U-GL-1060-F CW (05/22) Page 1 of 2 Includes copyrighted material of Insurance Services Office, Inc. with its permission. Contractors Liability Supplemental Coverages and Conditions THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Commercial General Liability Coverage Part 5. Paragraph (ii) under Paragraph 4.b.(1) of the Other Insurance Condition under Section IV – Commercial General Liability Conditions is replaced by the following: (ii) That is property insurance providing coverage for "specific perils" for premises rented to you or temporarily occupied by you with permission of the owner; 6. The following definitions are added to the Definitions Section: "Specific perils" means fire, lightning, explosion, windstorm or hail, smoke, aircraft or vehicles, riot or civil commotion, vandalism, leakage from fire extinguishing equipment, weight of snow, ice or sleet or "water damage". "Water damage" means accidental discharge or leakage of water or steam as the direct result of the breaking or cracking of any part of a system or appliance containing water or steam. C. Additional Insured – Lessor Of Leased Equipment – Automatic Status When Required In Lease Agreement With You 1. Section II – Who Is An Insured is amended to include as an additional insured any person(s) or organization(s) from whom you lease equipment when you and such person(s) or organization(s) have agreed in a written contract or written agreement that such person(s) or organization(s) be added as an additional insured on your policy. Such person(s) or organization(s) is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your maintenance, operation or use of equipment leased to you by such person(s) or organization(s). However, the insurance afforded to such additional insured: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person’s or organization’s status as an additional insured under this endorsement ends when their contract or agreement with you for such leased equipment ends. 2. With respect to the insurance afforded to these additional insureds, this insurance does not apply to any "occurrence" which takes place after the equipment lease expires. 3. With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: a. Required by the written contract or written agreement you have entered into with the additional insured; or b. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. The insurance provided by this Paragraph C. shall not increase the applicable Limits of Insurance shown in the Declarations. Policy No. GLO 7047729-01 Effective Date: 6/18/24 This endorsement modifies insurance provided under the: Docusign Envelope ID: D30C7776-313A-4E5B-911D-193048713A02 U-GL-1060-F CW (05/22) Page 2 of 2 Includes copyrighted material of Insurance Services Office, Inc. with its permission. D. Additional Insured – Managers Or Lessors Of Premises 1. Section II – Who Is An Insured is amended to include as an additional insured any person(s) or organization(s) that you have agreed in a written contract or written agreement to name as an additional insured, but only with respect to liability arising out of the ownership, maintenance or use of that part of premises leased to you and subject to the following additional exclusions: This insurance does not apply to: a. Any "occurrence" which takes place after you cease to be a tenant in that premises. b. Structural alterations, new construction or demolition operations performed by or on behalf of the additional insured manager or lessor of the premises leased to you. However, the insurance afforded to such additional insured: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. 2. With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: a. Required by the written contract or written agreement you have entered into with the additional insured; or b. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. The insurance provided by this Paragraph D. shall not increase the applicable Limits of Insurance shown in the Declarations. E. Additional Insured – State Or Governmental Agency Or Subdivision Or Political Subdivision – Permits Or Authorizations 1. Section II – Who Is An Insured is amended to include as an additional insured any state or governmental agency or subdivision or political subdivision that you have agreed in a written contract or written agreement or that you are required by statute, ordinance or regulation to name as an additional insured, subject to the following provisions: a. This insurance applies only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization. b. This insurance does not apply to: (1) "Bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed for the federal government, state or municipality; or (2) "Bodily injury" or "property damage included within the "products-completed operations hazard". However, the insurance afforded to such additional insured: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. 2. With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: a. Required by the written contract or written agreement you have entered into with the additional insured; or b. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. The insurance provided by this Paragraph E. shall not increase the applicable Limits of Insurance shown in the Declarations. Docusign Envelope ID: D30C7776-313A-4E5B-911D-193048713A02 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 25 03 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 2 Wolters Kluwer Financial Services | Uniform FormsTM DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Project(s): Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. For all sums which the insured becomes legally obligated to pay as damages caused by "occur- rences" under Section I – Coverage A, and for all medical expenses caused by accidents under Section I – Coverage C, which can be attributed only to ongoing operations at a single designated construction project shown in the Schedule above: 1. A separate Designated Construction Project General Aggregate Limit applies to each des- ignated construction project, and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations. 2. The Designated Construction Project General Aggregate Limit is the most we will pay for the sum of all damages under Coverage A, ex- cept damages because of "bodily injury" or "property damage" included in the "products- completed operations hazard", and for medi- cal expenses under Coverage C regardless of the number of: a. Insureds; b. Claims made or "suits" brought; or c. Persons or organizations making claims or bringing "suits". 3. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the Designated Con- struction Project General Aggregate Limit for that designated construction project. Such payments shall not reduce the General Ag- gregate Limit shown in the Declarations nor shall they reduce any other Designated Con- struction Project General Aggregate Limit for any other designated construction project shown in the Schedule above. 4. The limits shown in the Declarations for Each Occurrence, Damage To Premises Rented To You and Medical Expense continue to apply. However, instead of being subject to the General Aggregate Limit shown in the Decla- rations, such limits will be subject to the appli- cable Designated Construction Project Gen- eral Aggregate Limit. POLICY NUMBER: GLO 7047729-01 COMMERCIAL GENERAL LIABILITY CG 25 03 05 09 Docusign Envelope ID: D30C7776-313A-4E5B-911D-193048713A02 Page 2 of 2 © Insurance Services Office, Inc., 2008 CG 25 03 05 09 B. For all sums which the insured becomes legally obligated to pay as damages caused by "occur- rences" under Section I – Coverage A, and for all medical expenses caused by accidents under Section I – Coverage C, which cannot be at- tributed only to ongoing operations at a single designated construction project shown in the Schedule above: 1. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the amount available under the General Aggregate Limit or the Products-completed Operations Aggregate Limit, whichever is applicable; and 2. Such payments shall not reduce any Desig- nated Construction Project General Aggre- gate Limit. C. When coverage for liability arising out of the "products-completed operations hazard" is pro- vided, any payments for damages because of "bodily injury" or "property damage" included in the "products-completed operations hazard" will reduce the Products-completed Operations Ag- gregate Limit, and not reduce the General Ag- gregate Limit nor the Designated Construction Project General Aggregate Limit. D. If the applicable designated construction project has been abandoned, delayed, or abandoned and then restarted, or if the authorized contract- ing parties deviate from plans, blueprints, de- signs, specifications or timetables, the project will still be deemed to be the same construction pro- ject. E. The provisions of Section III – Limits Of Insur- ance not otherwise modified by this endorsement shall continue to apply as stipulated. Docusign Envelope ID: D30C7776-313A-4E5B-911D-193048713A02 Waiver Of Subrogation (Blanket) Endorsement U-GL-925-B CW (12/01) Page 1 of 1 Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer Add’l. Prem Return Prem. $ $ THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition: If you are required by a written contract or agreement, which is executed before a loss, to waive your rights of recovery from oth- ers, we agree to waive our rights of recovery. This waiver of rights shall not be construed to be a waiver with respect to any other operations in which the insured has no contractual interest. Docusign Envelope ID: D30C7776-313A-4E5B-911D-193048713A02 Notification to Others of Cancellation or Nonrenewal U-GL-1387-A CW (05/09) Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Add’l. Prem Return Prem. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. If we cancel or non-renew this Coverage Part by notice to the first Named insured, for any reason other than nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation or non-renewal to the person(s) or organization(s) shown in the Schedule below. B. Any copy of notice per paragraph A. above will be sent or delivered: 1. To the address corresponding to each person or organization indicated in the Schedule below; and 2. At least 10 days prior to the cancellation or non-renewal date applicable to the policy, as advised in our notice to the first Named insured, or the longer number of days notice prior to the applicable cancellation or non-renewal date, if indicated in the Schedule below. C. This is intended only to be an advance notification to the person(s) or organization(s) named in the Schedule of this endorsement in the event of a pending cancellation or non-renewal of coverage. Our failure to provide such advance notification to the person(s) or organization(s) shown in the Schedule of this endorsement will not extend any policy cancellation or non-renewal date nor negate any cancellation or non-renewal of the policy. SCHEDULE Name and Address of Other Person(s) / Organization(s): Number of Days Notice: All other terms and conditions of this policy remain unchanged. GLO 7047729-0 30Per schedule on file with Company Docusign Envelope ID: D30C7776-313A-4E5B-911D-193048713A02 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 Wolters Kluwer Financial Services | Uniform FormsTM DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. SCHEDULE Name Of Person(s) Or Organization(s): Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II – Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I – Covered Autos Coverages of the Auto Dealers Coverage Form. Named Insured: Mamco, Inc. dba Alabbasi POLICY NUMBER: BAP 7047728-01 COMMERCIAL AUTO CA 20 48 10 13 Endorsement Effective Date: 6/18/2024 Docusign Envelope ID: D30C7776-313A-4E5B-911D-193048713A02 Coverage Extension Endorsement U-CA-424-F CW (04/14) Page 1 of 6 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Add’l. Prem Return Prem. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Business Auto Coverage Form Motor Carrier Coverage Form A. Amended Who Is An Insured 1. The following is added to the Who Is An Insured Provision in Section II – Covered Autos Liability Coverage: The following are also "insureds": a. Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow for acts performed within the scope of employment by you. Any “employee” of yours is also an “insured” while operating an “auto” hired or rented under a contract or agreement in an “employee’s” name, with your permission, while performing duties related to the conduct of your business. b. Anyone volunteering services to you is an "insured" while using a covered "auto" you don’t own, hire or borrow to transport your clients or other persons in activities necessary to your business. c. Anyone else who furnishes an "auto" referenced in Paragraphs A.1.a. and A.1.b. in this endorsement. d. Where and to the extent permitted by law, any person(s) or organization(s) where required by written contract or written agreement with you executed prior to any "accident", including those person(s) or organization(s) directing your work pursuant to such written contract or written agreement with you, provided the "accident" arises out of operations governed by such contract or agreement and only up to the limits required in the written contract or written agreement, or the Limits of Insurance shown in the Declarations, whichever is less. 2. The following is added to the Other Insurance Condition in the Business Auto Coverage Form and the Other Insurance – Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form: Coverage for any person(s) or organization(s), where required by written contract or written agreement with you executed prior to any "accident", will apply on a primary and non-contributory basis and any insurance maintained by the additional "insured" will apply on an excess basis. However, in no event will this coverage extend beyond the terms and conditions of the Coverage Form. B. Amendment – Supplementary Payments Paragraphs a.(2) and a.(4) of the Coverage Extensions Provision in Section II – Covered Autos Liability Coverage are replaced by the following: (2) Up to $5,000 for the cost of bail bonds (including bonds for related traffic law violations) required because of an "accident" we cover. We do not have to furnish these bonds. 㘯ㄸ⼲〲㘯ㄸ⼲〲 Docusign Envelope ID: D30C7776-313A-4E5B-911D-193048713A02 COMMERCIAL AUTO CA 99 44 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CA 99 44 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 Wolters Kluwer Financial Services | Uniform Forms™ LOSS PAYABLE CLAUSE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. A. We will pay, as interest may appear, you and the loss payee named in the policy for "loss" to a covered "auto". B. The insurance covers the interest of the loss payee unless the "loss" results from conversion, secretion or embezzlement on your part. C. We may cancel the policy as allowed by the Cancellation Common Policy Condition. Cancellation ends this agreement as to the loss payee's interest. If we cancel the policy, we will mail you and the loss payee the same advance notice. D. If we make any payments to the loss payee, we will obtain his or her rights against any other party. POLICY NUMBER: BAP 7047728-0 Docusign Envelope ID: D30C7776-313A-4E5B-911D-193048713A02 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CA 04 44 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 Wolters Kluwer Financial Services | Uniform FormsTM WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. SCHEDULE Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. Named Insured: Mamco, Inc. dba Alabbasi Name(s) Of Person(s) Or Organization(s): Where required by a written contract or agreement POLICY NUMBER: BAP 7047728-01 COMMERCIAL AUTO CA 04 44 10 13 Endorsement Effective Date: 6/18/24 Docusign Envelope ID: D30C7776-313A-4E5B-911D-193048713A02 Notification to Others of Cancellation U-CA-812-A CW (05/10) Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Add’l. Prem Return Prem. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial Automobile Coverage Part A. If we cancel this Coverage Part by written notice to the first Named Insured for any reason other than nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation: 1. To the name and address corresponding to each person or organization shown in the Schedule below; and 2. At least 10 days prior to the effective date of the cancellation, as advised in our notice to the first Named Insured, or the longer number of days notice if indicated in the Schedule below. B. If we cancel this Coverage Part by written notice to the first Named Insured for nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation to the name and address corresponding to each person or organization shown in the Schedule below at least 10 days prior to the effective date of such cancellation. C. If notice as described in Paragraphs A. or B. of this endorsement is mailed, proof of mailing will be sufficient proof of such notice. SCHEDULE Name and Address of Other Person(s) / Organization(s): Number of Days Notice: Per Schedule on file with Company 30 All other terms and conditions of this policy remain unchanged. BAP 7047728-01 6/18/2024 6/18/2025 6/18/2024 Docusign Envelope ID: D30C7776-313A-4E5B-911D-193048713A02 WC 252 (4-84) WC 04 03 06 (Ed. 4-84) Page 1 of 1 WORKERS’ COMPENSATION AND EMPLOYERS’ LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT— CALIFORNIA This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following “attaching clause” need be completed only when this endorsement is issued subsequent to preparation of the policy.) This endorsement, effective on at 12:01 A.M. standard time, forms a part of (DATE) (NAME OF INSURANCE COMPANY) issued to Premium (if any) $ Authorized Representative We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be % of the California workers’ compensation pre- mium otherwise due on such remuneration. Schedule Person or Organization Job Description of the Policy No. WC 7047732-01 Endorsement No. 㘯ㄸ⼲〲 䵡浣漬⁉湣⸠摢愠䅬慢扡獩 ⁚畲楣栠䅭敲楣慮⁉湳畲慮捥⁃潭灡湹 Docusign Envelope ID: D30C7776-313A-4E5B-911D-193048713A02 WC 99 06 43 Page 1 of 1 (Ed. 01-13) Includes copyright material of the National Council on Compensation Insurance, Inc. used with its permission. © 2012 Copyright National Council on Compensation Insurance, Inc. All Rights Reserved. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 43 BLANKET NOTIFICATION TO OTHERS OF CANCELLATION OR NONRENEWAL ENDORSEMENT This endorsement adds the following to Part Six of the policy. PART SIX CONDITIONS Blanket Notification to Others of Cancellation or Nonrenewal 1. If we cancel or non-renew this policy by written notice to you, we will mail or deliver notification that such policy has been cancelled or non-renewed to each person or organization shown in a list provided to us by you if you are required by written contract or written agreement to provide such notification. However, such notification will not be mailed or delivered if a conditional notice of renewal has been sent to you. Such list: a. Must be provided to us prior to cancellation or non-renewal; b. Must contain the names and addresses of only the persons or organizations requiring notification that such policy has been cancelled or non-renewed; and c. Must be in an electronic format that is acceptable to us. 2. Our notification as described in Paragraph 1. above will be based on the most recent list in our records as of the date the notice of cancellation or non-renewal is mailed or delivered to you. We will mail or deliver such notification to each person or organization shown in the list: a. Within seven days of the effective date of the notice of cancellation, if we cancel for non-payment of premium; or b. At least 30 days prior to the effective date of: (1) Cancellation, if cancelled for any reason other than nonpayment of premium; or (2) Non-renewal, but not including conditional notice of renewal. 3. Our mailing or delivery of notification described in Paragraphs 1. and 2. above is intended as a courtesy only. Our failure to provide such mailing or delivery will not: a. Extend the policy cancellation or non-renewal date; b. Negate the cancellation or non-renewal; or c. Provide any additional insurance that would not have been provided in the absence of this endorsement. 4. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the list provided to us as described in Paragraphs 1. and 2. above. All other terms and conditions of this policy remain unchanged. 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 Policy No. Endorsement No. Insured Premium $ Insurance Company 6/18/202 WC 7047732-0 Docusign Envelope ID: D30C7776-313A-4E5B-911D-193048713A02 Straight Excess Liability Policy There are provisions in this policy that restrict coverage. Read the entire policy carefully to determine rights, duties and what is and is not covered. Throughout this policy, the words “you” and “your” refer to the Named Insured shown in the Declarations, and any other person or organization qualifying as such in underlying insurance. The words “we”, “us” and “our” refer to the company providing this insurance. The word "insured(s)" means any person or organization qualifying as such in underlying insurance but only to the extent and within the scope for which such "insured(s)" qualify for coverage in underlying insurance. Words and phrases that are printed in bold-face type are defined in this policy. These definitions are found in SECTION VI. DEFINITIONS of this policy or in the specific policy provision where they appear. In consideration of the payment of the premium and in reliance upon the statements in the Declarations and in accordance with the provisions of this policy, we agree with you to provide coverage as follows: Insuring Agreements SECTION I. COVERAGE A.We will pay on behalf of the insured those damages covered by this insurance in excess of the total Applicable Limits of underlying insurance. This policy includes: 1.The terms and conditions of underlying insurance to the extent such terms and conditions are not inconsistent or do not conflict with the terms and conditions referred to in Paragraph 2. below; and 2.The terms and conditions that apply to this policy. B.Notwithstanding anything to the contrary contained in Paragraph A. above, if underlying insurance does not apply to damages for reasons other than exhaustion of total applicable limits of insurance by payment of loss, then this policy does not apply to such damages. C.The amount we will pay under this policy is limited as described in SECTION II. LIMITS OF INSURANCE. D.We have no obligation under this policy with respect to any settlement made without our consent. E.The insurance afforded under this policy applies to bodily injury or property damage only if prior to the Policy Period, neither you nor any authorized person knew that the bodily injury or property damage had occurred, in whole or in part. If you or any authorized person knew, prior to the Policy Period, that the bodily injury or property damage occurred, then any continuation, change or resumption of such bodily injury or property damage during or after the Policy Period will be deemed to have been known prior to the Policy Period. Bodily injury or property damage which occurs during the Policy Period and was not, prior to the Policy Period, known to have occurred by you or any authorized person includes any continuation, change or resumption of that bodily injury or property damage after the Policy Period; and Bodily injury or property damage will be deemed to have been known to have occurred at the earliest time when you or any authorized person: 1.Reports all or any part of, the bodily injury or property damage to us or any other insurer; 2.Receives a written or verbal demand or claim for damages because of the bodily injury or property damage; or 3.Becomes aware by any other means that bodily injury or property damage has occurred or has begun to occur. Page of U-SXS-100-A CW (09/11) 1 10 POLICY NUMBER: SXS 6672958-01 EXCESS LIABILITY Docusign Envelope ID: D30C7776-313A-4E5B-911D-193048713A02 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 7/29/2024 Irvine-Alliant Insurance Services,Inc. 18100 Von Karman,10th Floor Irvine CA 92612 Philip Arzu 949-756-0271 parzu@alliant.com Berkley Assurance Company 39462 MAMCINC-01 Mamco,Inc. dba:Alabbasi 764 West Ramona Expressway,Suite C Perris CA 92571 1735026392 A Professional Liability Contractor's Pollution Liability PCAB-5025681-0824 8/17/2024 8/17/2025 Each Claim /Agg. Each Occ./Agg. Deductible $2MM /$2MM $2MM /$2MM $25,000 Re:2173 -Storm Drain Line 20,Stage 3 CITY PROJECT NO.19-15 The City of Palm Springs,its officials,employees,and agents are named as an additional insured on a primary and noncontributory basis per the policy form.Waiver of subrogation applies in favor of additional insured per the attached policy form. Professional/Pollution City of Palm Springs 3200 East Tahquitz Canyon Way Palm Springs CA 92262 Docusign Envelope ID: D30C7776-313A-4E5B-911D-193048713A02 Docusign Envelope ID: D30C7776-313A-4E5B-911D-193048713A02 Docusign Envelope ID: D30C7776-313A-4E5B-911D-193048713A02 Docusign Envelope ID: D30C7776-313A-4E5B-911D-193048713A02 Docusign Envelope ID: D30C7776-313A-4E5B-911D-193048713A02 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) Agreement (Construction Contract) Mamco, Inc. dba Alabbasi Rami Alabbasi, Project Manager Rami@alabbasi.biz Storm Drain Line 20, Stage 3, City Project 19-15 $11,667,207.82 (including CCO#4, #5, #6 totaling $33,459.06) 11/20/2024 On file Rami Alabbasi, Rami@alabbasi.biz Engineering Services Joel Montalvo / Allen Janisch X8734 November 9, 2023, Item 1U 23B374 CCO#4, CCO#5, CCO#6 - TBD No Yes Yes Department Yes No Contract Change Order No. 4, Contract Change Order No. 5, and Contract Change Order No. 6 are attached. N/A 01/08/2025 Vonda Teed Docusign Envelope ID: B6E71A96-FCA8-431D-B45F-E18E711446A5 Page 1 of 2 CITY OF PALM SPRINGS CONTRACT CHANGE ORDER No. 04 CP 19-15 Storm Drain Line 20 Contractor: Mamco, Inc. dba Alabbasi Date: December 23, 2024 CONTRACT CHANGE ORDER SUMMARY: Contract Change Order No. 04 provides compensation for the Contractor to make the requested design changes to construct an alternate design of drain inlet to avoid conflict with an active So Cal gas line (not as shown on plans). RIVCO design No. 01 is deleted and replaced with Caltrans “Go Inlet” design. During the construction layout the Contractor discovered a construction conflict with a four-inch (4”) gas line. The Gas Company verified the lines’ status as active. The Contractor submitted Request for Information (RFI) No. 12, which was in turn provided to the design engineers at ERSC. The engineer’s response was provided to the Contractor for review and pricing. At the City’s request the Contractor provided a cost proposal based on the revised plans in the form of COR No 11. The City’s Project Manager and Construction Manager reviewed the contractor’s proposal, which was based on the project bid items, and after two adjustments of pricing with the Contractor, costs were mutually agreed to. Note: With restocking of the original materials and added cost of the “Go Inlet”, there is a delta cost to the City. CHANGES TO CONTRACT TIME: The Contractor requested 5 additional working days, but 0 days are allowed because the work does not affect critical path. Source of Funds: Sufficient funds are available in contingency. Summary of Costs: Original Contract Amount: $11,555,555.00 Construction Start Date: 02/26/2024 Previous Change Orders: $78,193.76 Previous Agreed Completion Date: 11/15/2024 This Change Order Amount: $3,235.13 Working Days Added: 0 Revised Contract Amount: $11,636,983.89 Revised Completion: 11/15/2024 Docusign Envelope ID: B6E71A96-FCA8-431D-B45F-E18E711446A5 Page 2 of 2 I have received a copy of this Change Order, and the above AGREED PRICES are acceptable. Mamco, Inc. dba Alabassi Rami Alabbasi, Project Manager Date City of Palm Springs Recommended By: Joel Montalvo, City Engineer Date Approved By: Scott Stiles, City Manager Date Attest By: Brenda Pree, City Clerk Date Docusign Envelope ID: B6E71A96-FCA8-431D-B45F-E18E711446A5 1/13/2025 1/13/2025 1/13/2025 1/14/2025 Page 1 of 2 CITY OF PALM SPRINGS CONTRACT CHANGE ORDER No. 05 CP 19-15 Storm Drain Line 20 Contractor: Mamco, Inc. dba Alabbasi Date: December 23, 2024 CONTRACT CHANGE ORDER SUMMARY: Contract Change Order No. 05 provides compensation for the Contractor to replace eighteen feet of the existing twelve inch (12”) active sewer drain which is directly over the proposed storm drain location (Line 20D Station 11+20). When exposed by the Contractor, the sewer drain was found to be in poor condition and would not likely withstand the adjacent work of the Contractor. The Project Manager and Construction Management Inspector visually confirmed the poor condition of the drain. The Contractor was issued a request for quote by the City for the proposed work to replace the eighteen feet of sewer drain. The Contractor in turn provided Change Order Request No. 012 on November 6, 2024. The City’s Construction Manager compared his independent estimate with the Contractor’s, which was found to be comparable (within $340.00). The Contractor’s quote was deemed acceptable. The Contractor is requested to perform the work on a lump sum basis. CHANGES TO CONTRACT TIME: The Contractor is requesting one (1) additional working day. Source of Funds: Sufficient funds are available in contingency. Summary of Costs: Original Contract Amount: $11,555,555.00 Construction Start Date: 02/26/2024 Previous Change Orders: $81,428.89 Previous Agreed Completion Date: 11/15/2024 This Change Order Amount: $10,223.93 Working Days Added: 1 Revised Contract Amount: $11,647,207.82 Revised Completion: 11/18/2024 Docusign Envelope ID: B6E71A96-FCA8-431D-B45F-E18E711446A5 Page 2 of 2 I have received a copy of this Change Order, and the above AGREED PRICES are acceptable. Mamco, Inc. dba Alabassi Rami Alabbasi, Project Manager Date City of Palm Springs Recommended By: Joel Montalvo, City Engineer Date Approved By: Scott Stiles, City Manager Date Attest By: Brenda Pree, City Clerk Date Docusign Envelope ID: B6E71A96-FCA8-431D-B45F-E18E711446A5 1/13/2025 1/13/2025 1/13/2025 1/14/2025 Page 1 of 2 CITY OF PALM SPRINGS CONTRACT CHANGE ORDER No. 06 CP 19-15 Storm Drain Line 20 Contractor: Mamco, Inc. dba Alabbasi Date: December 23, 2024 CONTRACT CHANGE ORDER SUMMARY Change Order No. 06 provides compensation for the Contractor for payment of underestimated bid item quantities. The Contractor brought it to the attention of the City, via Change Order Request (COR) No. 14, identifying Bid Item No’s 35, 38, 39, and 42 which are shown as a single connection point (junction structures). There are in fact two (2) each at the locations identified. This is proven when compared to Bid Items 36, 37, 40, and 41, for the same work, where there is only one connection and at the same bid price of $5,000.00 each. The Contractor is requesting compensation in the amount of five thousand dollars for each of the four bid items, for a total of twenty thousand dollars ($20,000). Note that the Contractor is also requesting four (4) working days. The Construction Manager (CM) has found that two (2) of the of the locations are not on critical path, and 2 are on critical path. The City/CM feels that two (2) days would be equitable due to the Contractor’s scheduling. CHANGES TO CONTRACT TIME: The Contractor is requesting (4) working days. Two (2) days have been allowed because the Contractor has 2 days in their baseline schedule. Source of Funds: Sufficient funds are available in contingency. Summary of Costs: Original Contract Amount: $11,555,555.00 Construction Start Date: 02/26/2024 Previous Change Orders: $91,652.82 Previous Agreed Completion Date: 11/18/2024 This Change Order Amount: $20,000.00 Working Days Added: 2 Revised Contract Amount: $11,667,207.82 Revised Completion: 11/20/2024 Docusign Envelope ID: B6E71A96-FCA8-431D-B45F-E18E711446A5 Page 2 of 2 I have received a copy of this Change Order, and the above AGREED PRICES are acceptable. Mamco, Inc. dba Alabassi Rami Alabbasi, Project Manager Date City of Palm Springs Recommended By: Joel Montalvo, City Engineer Date Approved By: Scott Stiles, City Manager Date Attest By: Brenda Pree, City Clerk Date Docusign Envelope ID: B6E71A96-FCA8-431D-B45F-E18E711446A5 1/13/2025 1/13/2025 1/13/2025 1/14/2025 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) Agreement (Construction Contract) Mamco, Inc. dba Alabbasi Rami Alabbasi, Project Manager Rami@alabbasi.biz Storm Drain Line 20, Stage 3, City Project 19-15 $11,949,874.82 (including this CCO#7 for $282,667.00) 02/07/2025 On file Rami Alabbasi, Rami@alabbasi.biz Engineering Services Joel Montalvo / Allen Janisch X8734 November 9, 2023, Item 1U 23B374 CCO#7 - March 27, 2025, Item 1L No Yes Yes Department Yes No Contract Change Order No. 7 is attached. N/A 03/31/2025 Vonda Teed Docusign Envelope ID: 4F978025-2F68-449F-86F4-24E6D39E2B3D Page 1 of 2 CITY OF PALM SPRINGS FINAL BALANCING CHANGE ORDER No. 7 CP 19-15 Storm Drain Line 20 Contractor: Mamco, Inc. dba Alabbasi Date: March 27, 2025 CONTRACT CHANGE ORDER SUMMARY The City’s Project Manager has prepared an itemized accounting of the credits for contract work which the Contractor did not complete, additional work due to changes in scope, and work that was determined to be unnecessary to the Project. This accounting also includes additional costs from negotiated claim quantities and reimbursements from the Contractor, from the beginning of the contract work. The accounting in full was presented to the Contractor on March 7, 2025, for review and both the City and Contractor agreed to the credits and adjusted (claim) amounts as shown below. CONTRACT CHANGE ORDER COST ID Description Qty Unit Cost 61 Install Type E loop Detector - not installed 100 LS ($70,000) 70 Partial Credit – Abandonment Existing Bubbler Inlets (2 of 4) 2 EA ($18,000) 07 Construct 84” RCP (2000D) Storm Drain - reduced quantity 8’ LF ($10,400) Reimb Geocon Technician Overtime ($250.00 X 58 Hours) 58 HR ($14,500) Reimb Berg & Associates CM OT Rate $250 X 34.5 hr. 34.5 HR ($8,625) Claim 1 Additional paving due to caving 1 LS $412,404.43 Claim 1 Contractor’s percentage of liability for caving/restoration - 10% 10 % ($41,240) Claim 2 Included in Claim 3.2 $0.00 Claim 3 3.1, Claim No 03.1 Traffic Signal Remove/Reinstall - City to pay 25% 25 % $4,777.57 Claim 3 3.2, Claim No 03.2 Additional Mobilization of Paving - City to pay 50% of AA Asphalt proposed cost or $12,300 50 % $6,250 Claim 3 3.3, J&B Change of Boring Pits/Added Storm Drainpipe (BI 62) 8 LF $22,000 Total Lump Sum Change Order Amount $282,667.00 CHANGES TO CONTRACT TIME: The Contractor requested an additional 50 working days. SOURCE OF FUNDS: The Project funding source contains sufficient funds to cover this Final Balancing Change Order No. 7. SUMMARY OF COSTS: Original Contract Amount: $11,555,555.00 Construction Start Date: 02/26/2024 Previous Change Orders: $111,652.82 Previous Agreed Completion 11/20/2024 This Change Order Amount: $282,667.00 Working Days Added: 50 Revised Contract Amount: $11,949,874.82 Revised Completion 02/07/2025 Docusign Envelope ID: 4F978025-2F68-449F-86F4-24E6D39E2B3D Page 2 of 2 I have received a copy of this Change Order and the above AGREED PRICES are acceptable. Mamco, Inc. dba Alabbasi Rami Alabbasi, Project Manager Date City of Palm Springs Recommended By: Joel Montalvo, City Engineer Date Approved By: Scott Stiles, City Manager Date Attest By: Brenda Pree, City Clerk Date Docusign Envelope ID: 4F978025-2F68-449F-86F4-24E6D39E2B3D 4/1/2025 4/1/2025 4/1/2025 4/1/2025 CITY COUNCIL STAFF REPORT DATE: MARCH 27, 2025 CONSENT CALENDAR SUBJECT: ACCEPTANCE OF STORM DRAIN LINE 20, STAGE 3, CITY PROJECT 19-15 FROM: Scott C. Stiles, City Manager BY: Engineering Services Department SUMMARY: Formal City Council acceptance of the subject project is required to document the completion of public works improvements and to allow the City’s filing of a Notice of Completion with the Riverside County Recorder in accordance with Section 9200 of the California Civil Code. RECOMMENDATION: 1) Accept the public works improvement identified as Storm Drain Line 20, Stage 3, City Project 19-15 (“Project”), as completed in accordance with the plans and specifications; and 2) Authorize the City Engineer to execute and file for recordation with the Riverside County Recorder a Notice of Completion for Storm Drain Line 20, Stage 3, City Project No. 19-15. BUSINESS PRINCIPAL DISCLOSURE: Not Applicable. BACKGROUND: On November 9, 2023, the City Council awarded a construction contract in the amount of $11,555,555 to Mamco, Inc. dba Alabbasi to construct the installation of Storm Drain Line 20, Stage 3, City Project 19-15. After award of the contract, submittals were reviewed and approved, followed by ordering of long lead items. A notice to proceed (NTP) to start construction was given on February 26, 2024, with a project duration of 180 working days to complete construction. Item 1L - Page 1 Docusign Envelope ID: 4F978025-2F68-449F-86F4-24E6D39E2B3D City Council Staff Report March 27, 2025 -- Page 2 Acceptance of Storm Line Drain 20, Stage 3 – City Project 19-15 STAFF ANALYSIS: The Project was substantially completed as of December 12, 2024, pending final inspection by Riverside County Flood Control (RCFC). Figure 2 below shows progress pictures during construction and at substantial completion. On February 7, 2025, the Project was accepted as complete per RCFC standards. Staff recommends that City Council accept the Project as required by Section 9200 of the California Civil Code and authorize the City Engineer to file and record a Notice of Completion to be submitted to the County. A copy of the Notice of Completion is included as Attachment A. Figure 2 Item 1L - Page 2 Docusign Envelope ID: 4F978025-2F68-449F-86F4-24E6D39E2B3D City Council Staff Report March 27, 2025 -- Page 3 Acceptance of Storm Line Drain 20, Stage 3 – City Project 19-15 Since construction started, there have been six contract change orders approved for the following reasons: • Contract Change Order No.1 ($12,099.46) – Contractor’s idle equipment during a three-day (3 day) period. At the time of the initial excavation of the storm drain, the Contractor, as required, verified the existing conditions and the invert elevation of the proposed connection point required an elevation change. • Contract Change Order No. 2 ($15,840.80) – Contractor replaced 36 feet of existing active sewer drain that was discovered in poor condition and was not originally included in the scope of work. • Contract Change Order No. 3 ($50,253.50) – Design changes to select existing street drainage locations not originally included on the plans. This would eliminate ponding observed during construction in areas that would otherwise be an issue. • Contract Change Order No. 4 ($3,235.13) – Contractor requested design changes to construct an alternate design of drain inlet to avoid conflict with an active Southern California Gas line. • Contract Change Order No. 5 ($10,223.93) – Provided compensation for the Contractor to replace 18 feet of the existing active sewer drain which was discovered in poor condition and was not originally included in the scope of work. • Contract Change Order No. 6 ($20,000) – The Contractor identified additional junction structures that were needed to complete the project. There were bid items listed, but the scope quantity was insufficient. An additional four structures were required. ENVIRONMENTAL ASSESSMENT: Staff has prepared and filed a Notice of Determination with the State Clearing House for this Project. Staff has satisfied the CEQA requirements for this Project. ALIGNMENT WITH STRATEGIC PLANNING: This Project aligns with City Council Priority 2A – Improve City Facilities – and will assist in implementing the strategic planning task to Prioritize Deferred Maintenance. FISCAL IMPACT: The original contract amount was $11,555,555, with a 10% contingency of $1,155,555. Item 1L - Page 3 Docusign Envelope ID: 4F978025-2F68-449F-86F4-24E6D39E2B3D City Council Staff Report March 27, 2025 -- Page 4 Acceptance of Storm Line Drain 20, Stage 3 – City Project 19-15 Staff negotiated a final balancing change order in the amount of $282,667. The total amount of change orders was $394,319.82 or 3.4% contingency. The final balancing change order is included as Attachment B. The City is holding retention in the amount of $597,493.74 for Mamco, Inc., dba Alabbasi, pending the acceptance of improvements and filing the Notice of Completion with the County Recorder’s Office. The Project account will be closed out upon final payment to the Contractor. REVIEWED BY: City Engineer: Joel Montalvo Deputy City Manager: Flinn Fagg City Manager: Scott Stiles ATTACHMENTS: A. Notice of Completion B. Final Balancing Change Order Item 1L - Page 4 Docusign Envelope ID: 4F978025-2F68-449F-86F4-24E6D39E2B3D Attachment A Item 1L - Page 5 Docusign Envelope ID: 4F978025-2F68-449F-86F4-24E6D39E2B3D Name Street Address City & State SPACE ABOVE THIS LINE FOR RECORDERS USE NOTICE OF COMPLETION (CA Civil Code §§ 8180-8190, 8100-8118, 9200-9208) NOTICE IS HEREBY GIVEN THAT: 1.The undersigned is an owner of an interest of estate in the hereinafter described real property, the nature of which interest or estate is: _________________________________________________________________________________ (e.g. fee, leasehold, joint tenancy, etc.) 2.The full name and address of the undersigned owner or reputed owner and of all co-owners or reputed co-owners are: Name Street and No. City State __________________________________________________________________________________________________________ 3.The name and address of the direct contractor for the work of improvement as a whole is: __________________________________________________________________________________________________________ 4.This notice is given for (check one): Completion of the work of improvement as a whole.  Completion of a contract for a particular portion of the work of improvement (per CA Civ. Code § 8186). 5.If this notice is given only of completion of a contract for a particular portion of the work of improvement (as provided in CA Civ. Code §8186), the name and address of the direct contractor under that contract is: ___________________________________________________________________________________________________________ 6.The name and address of the construction lender, if any, is: ___________________________________________________________________________________________________________ 7.On the ____________ day of ___________, 20___, there was completed upon the herein described property a work of improvement as a whole (or a particular portion of the work of improvement as provided in CA Civ. Code § 8186) a general description of the work provided: ___________________________________________________________________________________________________________ 8.The real property herein referred to is situated in the City of __________________________, County of ________________________ State of California, and is described as follows: ___________________________________________________________________________________________________________ 9.The street address of said property is: ___________________________________________________________________________________________________________ 10.If this Notice of Completion is signed by the owner’s successor in interest, the name and address of the successor’s transferor is: ___________________________________________________________________________________________________________ I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: _______________________________________ By: ________________________________________________________ Signature of Owner or Owner’s Authorized Agent City of Palm Springs Page 1 of 2 Recording Requested By: When Recorded Mail To: Item 1L - Page 6 City of Palm Springs Brenda Pree, City Clerk 3200 E. Tahquitz Canyon Way Palm Springs, CA 92262 Fee City of Palm Springs 3200 E. Tahquitz Canyon Way Palm Springs CA 92262 Mamco Inc. DBA Alabbasi Construction 764 Ramona Expressway Ste. Perris, Ca 92571 4 Not Applicable Not Applicable 7 February 25 CP 19-15 Storm Drain Line 20 Palm Springs Riverside Located along Farrell Drive between Tahquitz Canyon way & Ramon Road, as well as along Ramon Road between Farrell Drive & El Cielo Road. Not applicable Joel Montalvo/City Engineer Docusign Envelope ID: 4F978025-2F68-449F-86F4-24E6D39E2B3D Page 2 of 2 VERIFICATION I, _______________________________________________, state: I am the ________________________________ __ (“Owner”, “President”, “Authorized Agent”, “Partner”, etc.) of the Owner identified in the foregoing Notice of Completion. I have read said Notice of Completion and know the contents thereof; the same is true of my own knowledge. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on _______________________, _______ (date), at _____________________________________________________ (City), ________ (State). ______________________________________________________ Signature of Owner or Owner’s Authorized Agent Joel Montalvo/City Engineer City of Palm Springs STATE OF CALIFORNIA COUNTY OF ______________________________________ On _________________________________________, ________ (date), before me, ____________________________________________, Notary Public (name and title of officer) personally appeared __________________________________________who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PURJURY under the laws of the State of California that the foregoing paragraph is true and correct. Witness my hand and official seal. _____________________________________________ Signature A Notary Public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. Item 1L - Page 7 Joel Montalvo City Engineer Palm Springs CA Docusign Envelope ID: 4F978025-2F68-449F-86F4-24E6D39E2B3D Attachment B Item 1L - Page 8 Docusign Envelope ID: 4F978025-2F68-449F-86F4-24E6D39E2B3D Revised 4.13.23 Page 1 of 2 CITY OF PALM SPRINGS FINAL BALANCING CHANGE ORDER No. 7 CIP 19-15 Storm Drain Line 20 Contractor: Date: March 12, 2025 CONTRACT CHANGE ORDER SUMMARY The City’s Project Manager has prepared an itemized accounting of the credits for contract work which the Contractor did not complete, additional work due to changes in scope, or was determined to be unnecessary to the Project. This accounting also includes additional costs from negotiated claim quantities and reimbursements from the contractor, from the beginning of the contract work. The accounting in full was presented to the Contractor on March 7, 2025, for review and both the City and Contractor agreed to the credits and adjusted (claim) amounts as shown below. CONTRACT CHANGE ORDER COST ID Description Qty Unit Cost 61 Install Type E loop Detector- Not Installed. 100 LS ($70,000) 70 Partial Credit – Abandonment Existing Bubbler Inlets (2 of 4). 2 EA. ($18,000) 07 Construct 84” RCP (2000D) Storm Drain- Reduced Quantity. 8’ LF. ($10,400) Reimb Geocon Technician Overtime ($250.00 X 58 Hours). 58 HR ($14,500) Reimb Berg & Associates CM OT Rate $250 X 34.5 Hr. 34.5 HR ($8,625) Claim 1 Additional Paving Due to Caving. 1 LS $412,404.43 Claim 1 Contractor’s percentage of liability for caving/restoration- 10%. 10 % ($41,240) Claim 2 Included in Claim 3.2 $0.00 Claim 3 3.1, Claim No 03.1 Traffic Signal Remove/Reinstall City to pay 25%. 25 % $4,777.57 Claim 3 3.2, Claim No 03.2 Additional Mobilization of Paving City to pay 50% of AA Asphalt proposed cost or $12,300. 50 % $6,250 Claim 3 03.3, J&B Change of Boring Pits/Added Storm Drainpipe (BI 62). 8 LF $22,000 Total Lump Sum Change Order Amount $282,667 CHANGES TO CONTRACT TIME: The Contractor requested an additional 50 working days. SOURCE OF FUNDS: The project funding source contains sufficient funds to cover this Final Balancing Change Order No.7 SUMMARY OF COSTS: Original Contract Amount: $11,555,555.00 Construction Start Date: 02/26/2024 Previous Change Orders: $111,652.82 Previous Agreed Completion Date: 11/20/2024 This Change Order Amount: $282,667.00 Working Days Added: 50 Revised Contract Amount: $11,949,874.82 Revised Completion 02/07/2025 SIGNATURES ON NEXT PAGE Item 1L - Page 9 Docusign Envelope ID: 4F978025-2F68-449F-86F4-24E6D39E2B3D Page 2 of 2 I have received a copy of this Change Order, and the above AGREED PRICES are acceptable. Mamco, Inc. DBA Alabbasi Rami Alabbasi, Project Manager Date City of Palm Springs Recommended By: Joel Montalvo, City Engineer Date Approved By: Scott Stiles, City Manager Date Attest By: Brenda Pree, City Clerk Date Item 1L - Page 10 Docusign Envelope ID: 4F978025-2F68-449F-86F4-24E6D39E2B3D