The URL can be used to link to this page

Home My WebLink About9/20/2018 - AGREEMENTS i AGREEMENT (CONSTRUCTION CONTRACT) THIS AGREEMENT made this � day of MOW 2018, 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 Elecnor Belco Electric, Inc., a California corporation, hereinafter designated as the Contractor. The City and the Contractor, in consideration of the mutual covenants hereinafter set forth, agree as follows: ARTICLE 1 --THE WORK For and in consideration of the payments and agreements to be made and performed by City, Contractor agrees to furnish all materials and perform all work required to complete the Work as specified in the Contract Documents, and as generally indicated under the Bid Schedule(s)for the Project entitled: VISTA CHINO (STATE ROUTE 111) AT VIA MIRALESTE TRAFFIC SIGNAL INSTALLATION, CITY PROJECT NO. 17-03, AND NORTH PALM CANYON DRIVE (STATE ROUTE 111) AT VIA ESCUELA TRAFFIC SIGNAL INSTALLATION, CITY PROJECT NO. 17-05 The Work comprises the installation of a new traffic signal and electrical system complete, with associated street improvements at the intersection of Vista Chino at Via Miraleste; the installation of a new traffic signal and electrical system complete, with associated street improvements at the intersection of N. Palm Canyon Dr. at Via Escuela; traffic striping, signage, and markings; removal, replacement, and construction of various improvements; and all appurtenant work. All of this work is located within State Highway 111 and subject to inspection, review and approval by the California Department of Transportation ("Caltrans"), pursuant to Encroachment Permits issued to the City. ARTICLE 2 --COMMENCEMENT AND COMPLETION The Work to be performed under this Contract shall commence on the date specified in the Notice to Proceed by the City, and the Work shall be fully completed within the time specified in the Notice to Proceed. The City and the Contractor recognize that time is of the essence of this Agreement, and that the City will suffer financial loss if the Work is not completed within the time specified in Article 2, herein, plus any extensions thereof allowed in accordance with applicable provisions of the Standard Specifications, as modified herein. They also recognize the delays, expense, and difficulties involved in proving in a legal proceeding the actual loss suffered by the City if the Work is not completed on time. Accordingly, instead of requiring any such proof, the City and the Contractor agree that as liquidated damages or delay (but not as a penalty), the Contractor shall pay the City the sum specified in Section 6-9 of the Special Provisions for each calendar day that expires after the time specified in Article 2, herein. In executing the Agreement, the VIA MIRALESTE AND VIA ESCUAL TRAFFIC SIGNAL IMPROVEMENTS CITY PROJECT NO.17-03 AND NO. 17-05 A A AGREEMENT FORM ORIGINAL ��(LEA SEPTEMBER 20,2018 /` (/ ,�'� EMENT AND BONDS-PAGE 1 AND 0R A0- 3 Contractor acknowledges it has reviewed the provisions of the Standard Specifications, as modified herein, related to liquidated damages, and has made itself aware of the actual loss incurred by the City due to the inability to complete the Work within the time specified in the Notice to Proceed. Termination Prior to Expiration of Term. City may terminate this Agreement for its convenience at any time, without cause, in whole or in part, upon giving Contractor forty- five (45) days written notice. Where termination is due to the fault of Contractor and constitutes an immediate danger to health, safety, and general welfare, the period of notice shall be such shorter time as may be reasonably determined by the City given the facts and circumstances. Upon such notice, City shall pay Contractor for Services (inclusive of profit, overhead and general conditions for the work completed) performed through the date of termination in accordance with the Contract Documents; and shall reimburse Contractor for its actual costs incurred in terminating any subcontracts, purchase orders, and any other contracts entered into on behalf of City, together with Contractor's demobilization costs. Upon receipt of such notice, Contractor shall promptly cease all work under this Agreement, unless stated otherwise in the notice or by written authorization of the Contract Officer. After such notice, Contractor shall have no further claims against the City under this Agreement, (except costs incurred due to delays caused by City or anyone controlled by City). Upon termination of the Agreement under this section, Contractor shall submit to the City an invoice for work and services performed prior to the date of termination. ARTICLE 3 --CONTRACT PRICE The City shall pay the Contractor for the completion of the Work, in accordance with the Contract Documents, in current funds the Contract Price(s) named in the Contractor's Bid Proposal and Bid Schedule(s), and any duly authorized Construction Contract Change Orders approved by the City. The amount of the initial contract award in accordance with the Contractor's Bid Proposal is One Million One Hundred Seventy Four Thousand Two Hundred Sixty One Dollars and Eighteen Cents ($1,174,261.18). Contractor agrees to receive and accept the prices set forth herein, as full compensation for furnishing all materials, performing all work, and fulfilling all obligations hereunder. Said compensation shall cover all expenses, losses, damages, and consequences arising out of the nature of the Work during its progress or prior to its acceptance including those for well and faithfully completing the Work and the whole thereof in the manner and time specified in the Contract Documents; and, also including those arising from actions of the elements, unforeseen difficulties or obstructions encountered in the prosecution of the Work, suspension of discontinuance of the Work, and all other unknowns or risks of any description connected with the Work. ARTICLE 4,--THE CONTRACT DOCUMENTS The Contract Documents consist of the Notice Inviting Bids, Instructions to Bidders, the prevailing rate of per diem wages as determined by the Director of the California Department of Industrial Relations, the accepted Bid and Bid Schedule(s), List of Subcontractors, Local Business Preference Program — Good Faith Efforts, Non- Discrimination Certification, Non-Collusion Declaration, Bidder's General Information, Bid VIA MIRALESTE AND VIA ESCUAL TRAFFIC SIGNAL IMPROVEMENTS CITY PROJECT NO.17-03 AND NO. 17-05 AGREEMENT FORM SEPTEMBER 20,2018 AGREEMENT AND BONDS-PAGE 2 Security or Bid Bond, this Agreement, Worker's Compensation Certificate, Performance Bond, Payment Bond, Standard Specifications, Special Provisions, the Drawings, Addendum Number 1, and all Construction Contract Change Orders and Work Change Directives which may be delivered or issued after the Effective Date of the Agreement and are not attached hereto. ARTICLE 5 -- MUTUAL OBLIGATIONS For and in consideration of the payments and agreements to be made and performed by the City, the Contractor agrees to furnish all materials and perform all work required for the above stated project, and to fulfill all other obligations as set forth in the aforesaid Contract Documents. City hereby agrees to employ, and does hereby employ, Contractor to provide the materials, complete the Work, and fulfill the obligations according to the terms and conditions herein contained and referred to, for the Contract Price herein identified, and hereby contracts to pay the same at the time, in the manner, and upon the conditions set forth in the Contract Documents. Contractor specifically acknowledges and agrees to be bound by the Wage Rates and Labor Code requirements specified in the Contract Documents, including the requirement to furnish electronic certified payroll records directly to the Labor Commissioner (via the Division of Labor Standards Enforcement), and shall pay the general prevailing rate of per diem wages as determined by the Director of the Department of Industrial Relations of the State of California. ARTICLE 6 -- PAYMENT PROCEDURES The Contractor shall submit Applications for Payment in accordance with the Standard Specifications as amended by the Special Provisions. Applications for Payment will be processed by the City Engineer as provided in the Contract Documents. ARTICLE 7 -- NOTICES Whenever any provision of the Contract Documents requires the giving of a written Notice between the parties, it shall be deemed to have been validly given if delivered in person to the individual or to a member of the firm or to an officer of the corporation for whom it is intended, or if delivered at or sent by registered or certified mail, postage prepaid, to the last business address known to the giver of the Notice. ARTICLE 8 -- INDEMNIFICATION The Contractor agrees to indemnify and hold harmless the City, and all of its officers and agents from any claims, demands, or causes of action, including related expenses, attorney's fees, and costs, based on, arising out of, or in any way related to the Work undertaken by the Contractor hereunder. This Article 8 incorporates the provisions of Section 7-15 "Indemnification," of the Special Provisions, which are hereby referenced and made a part hereof. VIA MIRALESTE AND VIA ESCUAL TRAFFIC SIGNAL IMPROVEMENTS CITY PROJECT NO.17-03 AND NO. 17-05 AGREEMENT FORM SEPTEMBER 20,2018 AGREEMENT AND BONDS-PAGE 3 Prevailing Wages. Contractor agrees to fully comply with all applicable federal and state labor laws including, without limitation California Labor Code Section 1720, et seq., and 1770, et seq., as well as California Code of Regulations, Title 8, Section 16000, et seq. ("Prevailing Wage Laws"). Contractor shall bear all risks of payment or non-payment of prevailing wages under California law, and Contractor hereby agrees to defend, indemnify, and hold the City, its officials, officers, employees, agents and volunteers, free and harmless from any claim or liability arising out of any failure or alleged failure to comply with the Prevailing Wage Laws. ARTICLE 9 -- CONFLICT OF INTEREST Conflict of Interest. Contractor acknowledges that no officer or employee of the City has or shall have any direct or indirect financial interest in this Agreement nor shall Contractor enter into any agreement of any kind with any such officer or employee during the term of this Agreement and for one year thereafter. Contractor warrants that Contractor has not paid or given, and will not pay or give, any third party any money or other consideration in exchange for obtaining this Agreement. ARTICLE 10 -- NON-DISCRIMINATION Covenant Against Discrimination. In connection with its performance under this Agreement, Contractor shall not discriminate against any employee or applicant for employment because of actual or perceived race, religion, color, sex, age, marital status, ancestry, national origin (i.e., place of origin, immigration status, cultural or linguistic characteristics, or ethnicity), sexual orientation, gender identity, gender expression, physical or mental disability, or medical condition (each a "prohibited basis"). Contractor shall ensure that applicants are employed, and that employees are treated during their employment, without regard to any prohibited basis. As a condition precedent to City's lawful capacity to enter this Agreement, and in executing this Agreement, Contractor certifies that its actions and omissions hereunder shall not incorporate any discrimination arising from or related to any prohibited basis in any Contractor activity, including but not limited to the following: employment, upgrading, demotion or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship; and further, that Contractor is in full compliance with the provisions of Palm Springs Municipal Code Section 7.09.040, including without limitation the provision of benefits, relating to non-discrimination in city contracting. ARTICLE 11 -- MISCELLANEOUS Terms used in this Agreement which are defined in the Standard Specifications and the Special Provisions will have the meanings indicated in said Standard Specifications and the Special Provisions. No assignment by a party hereto of any rights under or interests in the Contract Documents will be binding on another party hereto without the written consent of the party sought to be bound; and specifically, but without limitation, monies that may become due and monies that are due may not be assigned without such consent (except to the extent that the effect of this restriction may be limited by law), and unless specifically stated to the contrary in any written consent to an assignment, no VIA MIRALESTE AND VIA ESCUAL TRAFFIC SIGNAL IMPROVEMENTS CITY PROJECT NO.17-03 AND NO.17-05 AGREEMENT FORM SEPTEMBER 20,2018 AGREEMENT AND BONDS-PAGE 4 assignment will release or discharge the assignor from any duty or responsibility under the Contract Documents. The City and the Contractor each binds itself, its partners, successors, assigns, and legal representatives, to the other party hereto, its partners, successors, assigns, and legal representatives, in respect of all covenants, agreements, and obligations contained in the Contract Documents. SIGNATURES ON NEXT PAGE VIA MIRALESTE AND VIA ESCUAL TRAFFIC SIGNAL IMPROVEMENTS CITY PROJECT NO.17-03 AND NO.17-05 AGREEMENT FORM SEPTEMBER 20,2018 AGREEMENT AND BONDS-PAGE 5 IN WITNESS WHEREOF, the City and the Contractor have caused this Agreement to be executed the day and year first above written. CITY OF PALM SPRINGS, APPROVED BY THE CITY COUNCIL: CALIFORNIA Date , 5► By C David H. Rea City Manager Agreement No. ATTES : By Antho J. M , C IyCI rk APPROVED AS TO FORM: By Edward Z. Kot in City Attorney REC MENDED: Y Marcus L. Fuller, PA, P.E., P.L.S. Assistant City Manager VIA MIRALESTE AND VIA ESCUAL TRAFFIC SIGNAL IMPROVEMENTS CITY PROJECT NO.17-03 AND NO.17-05 AGREEMENT FORM SEPTEMBER 20,2018 AGREEMENT AND BONDS-PAGE 6 CONTRACTOR By: Elecnor Belco Electric, Inc., a California Corporation Firm/Company Name By: By: Signature(notarized) (notarized) Name: Alberto Garcia Name: Jeronre ervilla Title: Exec. Vice President Title: CFO A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy or validity of that document. (This Agreement must be signed in the above (This Agreement must be signed in the above space by one having authority to bind the space by one having authority to bind the Contractor to the terms of the Agreement.) Contractor to the terms of the Agreement.) State of � 1, \ State of 60" - County of ^n i3 ss County of s On �l W � 2 )0(.1, On N, before me, r before me, OVA personally appeared personally appeared who proved to me on the basis of satisfactory who proved to me on the basis of satisfactory evidence to be the person whose nam a evidence to be the person whose nameoll (OVare subscribed to the within instrument and are subscribed to the within instrument and acknowledged to me that the/they executed acknowledged to me thathe/they executed the same in Wher/their authorized capacityoesj, the same in(&;NRer/their authorized capacity4es , and that by ( her/their signatures,(Won the and that by IOer/their signatures�n the instrument the persot),K,, or the entity upon behalf instrument the persoriK, or the entity upon behalf of which the persoryK acted, executed the of which the perso5a'f' acted, executed the instrument. instrument. I certify under PENALTY OF PERJURY under the I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing laws of the State of California that the foregoing paragraph is true and correct. paragraph is true and correct. WITNESS my hand ff ial s 1. WITNESS my hand ffi I s I Notary Signature: Notary Sign -_. Nita IA CHEA Nota Seale"' OLIVIA CHEA Commission No.2107474 Notary Commission No.2107474 U NOTARY PUBLIC CALIFORNIA z` �, air` NOTARY PUBLIC-CALIFORNIA > AN BERNARDI O COUNTY a SAN BERNARDINO COUNTY � `,r,;,�',;-.,- 1 »._ My Comm.Expires APRIL 18,2019 My Comm.Expires APRIL 18,2019 VIA MIRALESTE AND VIA ESCUAL TRAFFIC SIGNAL IMPROVEMENTS CITY PROJECT NO.17-03 AND NO. 17-05 AGREEMENT FORM SEPTEMBER 20,2018 AGREEMENT AND BONDS-PAGE 7 BID DOCUMENTS Only the following listed documents, identified in the lower right corner as "Bid Forms" shall be fully executed and submitted with the Bid at the time of opening of Bids. Bid (Proposal) Bid Schedules List of Subcontractors Local Business Preference Program Good Faith Efforts Non-Collusion Declaration Non-Discrimination Certification Bid Bond (Bid Security Form) Bidder's General Information Failure of a Bidder to fully execute and submit all of the listed documents with the Bid will render a Bid as non-responsive and subject to rejection. VISTA CHINO AT VIA MIRALESTE TRAFFIC SIGNAL CITY PROJECT NO. 17-03 N.PALM CANYON DR.AT VIA ESCUELA TRAFFIC SIGNAL COVER SHEET CITY PROJECT NO. 17-05 BID FORMS-PAGE 1 AUGUST 2018 BID PROPOSAL BID TO: CITY OF PALM SPRINGS, CALIFORNIA The undersigned Bidder proposes and agrees, if this Bid is accepted, to enter into an Agreement with the City in the form included in the Contract Documents (as defined in Article 4 of the Agreement) to perform the Work as specified or indicated in said Contract Documents entitled: VISTA CHINO AT VIA MIRALESTE TRAFFIC SIGNAL INSTALLATION CITY PROJECT NO. 17-03 N. PALM CANYON DR. AT VIA ESCUELA TRAFFIC SIGNAL INSTALLATION CITY PROJECT NO. 17-05 Bidder accepts all of the terms and conditions of the Contract Documents, including without limitation those in the Notice Inviting Bids and the Instructions to Bidders dealing with the disposition of the Bid Security. This Bid will remain open for the period stated in the Notice Inviting Bids, unless otherwise required by law. Bidder will enter into an Agreement within the time and in the manner required in the Instructions to Bidders, and will furnish the insurance certificates, Payment Bond, Performance Bond, and all Permits required by the Contract Documents. Bidder has examined copies of all the Contract Documents, including the following Addenda (receipt of which is hereby acknowledged): j Number Date Number Date Number Date Number Date Number Date Number Date Number Date Bidder has familiarized itself with the nature and extent of the Contract Documents, the Work, the site, the locality where the Work is to be performed, the legal requirements (federal, state, and local laws, ordinances, rules, and regulations), and the conditions affecting cost, progress, or performance of the Work, and has made such independent investigations as Bidder deems necessary. VISTA CHINO AT VIA MIRALESTE TRAFFIC SIGNAL CITY PROJECT NO. 17-03 N. PALM CANYON DR.AT VIA ESCUELA TRAFFIC SIGNAL BID PROPOSAL CITY PROJECT NO. 17-05 BID FORMS-PAGE 2 AUGUST 2018 LM City of Palm Springs Engineering Services Department 3200 East Tahquitz Canyon Way• Palm Springs,California 92262 �4/FORN� Tel:(760)323-8253•Fax:(760)322-8360•Web:www.paimspringsca.gov Addendum Number 1 Vista Chino at Via Miraleste Traffic Signal Installation City Project No. 17-03 and N. Palm Canyon Dr. at Via Escuela Traffic Signal Installation City Project No. 17-05 To all prospective bidders under Specifications for Vista Chino at Via Miraleste Traffic Signal Installation City Project No. 17-03 and N. Palm Canyon Dr. at Via Escuela Traffic Signal Installation City Project No. 17-05, which are to be received by the City of Palm Springs at the Office of the Procurement and Contracting Manager at 3200 E. Tahquitz Canyon Way, Palm Springs, CA 92262, until 3:00 P.M. on September 6, 2018. The intent of this Addendum No. 1 is to provide a detail for the project identification sign to be incorporated into the Appendix. I. The following changes shall be acknowledged in the Specifications. Section 7-10.7.1 Project Identification Sign, MATERIALS, remove section B in its entirety and replace it with the following: B. Colors, dimensions, lettering, content, and layout of sign shall be as indicated in the Appendix to these specifications. A digital copy will be provided to the contractor. The Special Provisions as originally issued shall be used in submitting bid, and an acknowledgement of receipt of this Addendum No. 1 shall be entered on Page 2 of the Bid Forms. Failure to provide such acknowledgment may render the bid as non-responsive and subject to rejection. Date: August 29, 2018 BY ORDER OF THE CITY OF PALM SPRINGS 8/30/18 By J h wo g, ice President Marcus L. Fuller, M.P.A, P.E., P.L.S Assistant City Manager/City Engineer RCE 57271 Vista Chino at Via Miraleste Traffic Signal Installation City Project No. 17-03 and N. Palm Canyon Dr. at Via Escuela Traffic Signal Installation City Project No. 17-05 Addendum No. 1 August 27, 2018 Page 2 8,_O„ -- ► XpALsp Vista Chino at Via Miraleste 0 P, Traffic Signal Installation _ City Project No. 17 O3 Expected Completion Date: Summer 2019 Project Funded by: RIVERSiOE COUNTY TRANSRORTATION * 2017 CVAG Bicycle & Pedestrian COMMISSION Safety Program > + /•► • RCTC Measure "A"/TUMF Funds • Caltrans SHOPP Funds CVAG 110.WK SAFE. BIKE SAFE . DRIVE SA FPA�MSA . Palm Canyon Dr. at Via 0 Y F A Traffic Signal Installation fi4<;FG p City Pro*ect No. 17-05 Expected Completion Date: Summer 201 •Project Funded by: ..„:. COUNTY O TRANSPORTATION o RIVERSIDE 2017 CVAG Bicycle & Pedestrian COMMISSION Safety Program RCTC Measure "A"/TUMF Funds • Caltrans SHOPP Funds CVAG WALK SAFE. BIKE SAFE. In conformance with the current statutory requirements of California Labor Code Section 1860, et seq., the undersigned confirms the following as its certification: I am aware of the provisions of Section 3700 of the Labor Code, which require every employer to be insured against liability for worker's compensation, or to undertake self- insurance in accordance with the provisions, before commencing the performance of the Work of this Contract. To all the foregoing, and including all Bid Schedule(s), List of Subcontractors, Non-Collusion Declaration, Bidder's General Information, and Bid Bond contained in these Bid Forms, said Bidder further agrees to complete the Work required under the Contract Documents within the Contract Time stipulated in said Contract Documents, and to accept in full payment therefor the Contract Price based on the Lump Sum or Unit Bid Price(s) named in the aforementioned Bidding Schedule(s). Dated: 9/5/18 Bidder: Elecnor Belco Electric, Inc. By: ignature) Title: Vice Presiden VISTA CHINO AT VIA MIRALESTE TRAFFIC SIGNAL CITY PROJECT NO. 17-03 N.PALM CANYON DR.AT VIA ESCUELA TRAFFIC SIGNAL BID PROPOSAL CITY PROJECT NO. 17-05 BID FORMS-PAGE 3 AUGUST 2018 BID SCHEDULE A Schedule of Prices for Construction of the: VISTA CHINO AT VIA MIRALESTE TRAFFIC SIGNAL INSTALLATION CITY PROJECT NO. 17-03 Item Description Estimated Unit Unit Amount No. Quantity Price 1. Mobilization --- LS $ 15 , Am 08 2. Temporary Traffic Control --- LS $ 0 ob 160 3. Water Pollution Control --- LS $ 24M ,00 Construct Hot Mix Asphalt 4. Concrete 55 TON $ 2�U pp $ ZSb.o� Construct 4" Crushed 5. Miscellaneous Base on Minimum 20 CY 24" 95% Compacted Subgrade $ 761.00 $ 5,00 . dD 6 Construct 6" Curb & Gutter Per 100 LF Caltrans Std. Plan A87A, B2-6 $ $ Q DQ DD Construct Curb Ramp Per Plan 7. Details 3 EA $��au ,0(� $ 70,� ,�c0 Construct 4" Thick PCC Sidewalk 8. Per City of Palm Springs Std. Dwg. 600 SF 210 $ 17.11® $ la 260.00 Construct Curb Transition Per City 9. of 2)Palm Springs Std. Dwg. 200 6 LF $ !L I 00 Grind Existing Asphalt Pavement 1 U.oc� 72ro.t?o � 10. 1.5" Minimum Depth ,200 SF $ :21 $ 11. Remove and Dispose Existing 180 LF 0 Curb & Gutter Remove and Dispose Existing 12. Curb Ramp 300 SF $ c $ q,70,00 13. Remove and Dispose of Existing 600 SF Concrete $ ��(.0 $ Remove and Dispose Existing i 14. Asphalt and Base 1,180 SF $ I) � $ Elenc'nor Belco Electric, Inc. VISTA CHINO AT VIA MIRALESTE TRAFFIC SIGNALame of Bidder or Firm CITY PROJECT NO. 17-03 N.PALM CANYON DR.AT VIA ESCUELA TRAFFIC SIGNAL BID SCHEDULE A CITY PROJECT NO. 17-05 BID FORMS-PAGE 4 AUGUST 2018 BID SCHEDULE A (Continued) Schedule of Prices for Construction of the: VISTA CHINO AT VIA MIRALESTE TRAFFIC SIGNAL INSTALLATION CITY PROJECT NO. 17-03 Item Description Estimated Unit Unit Amount No. Quantity Price 15. Remove and Dispose Existing Cross 850 SF Gutter and Spandrel $ iq-DO $ 0.00 16. Remove and Replace Existing 1 LS Landscape and Irrigation $ 17 Install Detectable Warning Surface 7 EA per Caltrans Std. Plan A88A — $ �j �(y .t6 18. Adjust Electric Pullbox to Grade 1 EA $ 2 3.�p $ 2g 3 .10 19 Remove and Dispose Existing Block 1 LS Retaining Wall $ 30 ,U6 20 Remove and Replace Concrete 125 SF Splash Pad $_ d $ 7� 00 Construct Curb Ramp per Caltrans 21. Std. Plan A88A, Case C 1 EA $ f��S28.Db 22 Construct 6" PCC Curb per Curb 110 LF c Detail $ �.GU $ 1 5q 23 Construct Curb Ramp per Caltrans 1 EA Std. Plan A88A, Case C $ I $ Construct 6" PCC Curb per Curb 24. Detail 110 LF $ $ 25. Construct Retaining Curb per Detail 120 LF $ 2I.06 $ Construct 8' Wide Cross Gutter Per 26. City Std. 200 (D2) 850 SF $ 7 ID $ 27 Construct Cobblestone Surface Per 130 SF h Detail $ g�)�� , Od 28. Traffic Striping, Signage & Markings 1 LS $ ` (� $`2� _ On Elecnor Belco Electric, Inc. Name of Bidder or Firm VISTA CHINO AT VIA MIRALESTE TRAFFIC SIGNAL CITY PROJECT NO. 17-03 N.PALM CANYON DR.AT VIA ESCUELA TRAFFIC SIGNAL BID SCHEDULE A CITY PROJECT NO. 17-05 BID FORMS-PAGE 5 AUGUST 2018 BID SCHEDULE A (Continued) Schedule of Prices for Construction of the: VISTA CHINO AT VIA MIRALESTE TRAFFIC SIGNAL INSTALLATION CITY PROJECT NO. 17-03 Item Description Estimated Unit Unit Amount No. Quantity Price Vista Chino at Via Miraleste Traffic 29. Signal, Lighting & Electrical System, 1 LS Complete $ 212�� Doc•D-0 30. Caltrans Encroachment Permit 1 AL $ 15,844.46 31. Field Orders --- AL $ 25,000.00 TOTAL OF ALL ITEMS OF BID SCHEDULE A: $ 59� 15cpI . ql� (Price in figures) CE rvE jjyr:,i)RED Tbvr i+� - Four o4vu5A,,0D FIVE ylyn�r�PC� SWry - o�% C' �►�t �o��ry sr sr (Price in words) QUANTITIES OF WORK: The quantities of work or material stated in the unit price items of the Bid Schedule are supplied only to give an indication of the general scope of the Work. The City does not expressly nor by implication agree that the actual amounts of work or material will correspond therewith, and reserves the right after award to increase or decrease the quantity of any unit price bid item, by an amount up to 25 percent of increase or decrease, without a change in the unit prices, and shall have the right to delete any bid item in its entirety, and receive full credit in the amount shown in the Bid Schedule for the deleted item of Work. SPECIAL NOTE: In the event of any "missing" bid items or scope of work not otherwise included or identified in the Bid Schedule, but indicated or required by the Plans and Specifications, the Contractor shall prosecute the work as required by the Plans and Specifications, and payment for any"missing" bid items or scope of work shall be included in the various bid items of work, and no additional payment will be allowed therefore. Elecnor Belco Electric, Inc. Name of Bidder or Firm VISTA CHINO AT VIA MIRALESTE TRAFFIC SIGNAL CITY PROJECT NO. 17-03 N.PALM CANYON DR.AT VIA ESCUELA TRAFFIC SIGNAL BID SCHEDULE A CITY PROJECT NO. 17-05 BID FORMS-PAGE 6 AUGUST 2018 BID SCHEDULE B Schedule of Prices for Construction of the: N. PALM CANYON DR. AT VIA ESCUELA TRAFFIC SIGNAL INSTALLATION CITY PROJECT NO. 17-05 Item Description Estimated Unit Unit Amount No. Quantity Price 1. Mobilization --- LS $ pob DU 2. Temporary Traffic Control --- LS $ ID I p00 V) 3. Water Pollution Control --- LS $ 4 Construct Hot Mix Asphalt 200 TON Concrete $ 1 •0by $ ?6,1400.bo Construct 4" Crushed 5. Miscellaneous Base on Minimum 70 CY 24" 95% Compacted Subgrade $ 6 Construct 6" Curb & Gutter Per 215 LF Caltrans Std. Plan A87A, B2-6 $ $ 7 Construct Curb Ramp Per Plan 4 EA Details $ Construct 4" Thick PCC Sidewalk 8. Per Cityof Palm Springs Std. Dw . 1,200 SF 9 210 1 s ID.L.S 12,3oo,oD 9 Construct 6' Wide Cross-Gutter 2,275 SF Per City of Palm Springs Std. 210 2D $ '�`� i �•Gh Grind Existing Asphalt Pavement 10. 1.5" Minimum Depth 12,050 SF $ I D $ 13 ,256 C6 11. Remove and Dispose Existing 185 LF p Curb & Gutter $ 2I •VC) $ 3, s 12 Remove and Dispose Existing 400 SF Curb Ramp $ f� $ 0Q 13. Remove and Dispose of Existing 2,600 SF Concrete $ .(�J $ Remove and Dispose Existing 14. Asphalt and Base 2675 SF, $ 5 � $ Elecnor Belco Electric, Inc. Name of Bidder or Firm VISTA CHINO AT VIA MIRALESTE TRAFFIC SIGNAL CITY PROJECT NO. 17-03 N.PALM CANYON DR.AT VIA ESCUELA TRAFFIC SIGNAL BID SCHEDULE B CITY PROJECT NO. 17-05 AUGUST 2018 BID FORMS-PAGE 7 BID SCHEDULE B Schedule of Prices for Construction of the: N. PALM CANYON DR. AT VIA ESCUELA TRAFFIC SIGNAL INSTALLATION CITY PROJECT NO. 17-05 Item Description Estimated Unit Unit Amount No. Quantity Price 15. Remove and Dispose Existing Cross 2,725 SF -, Gutter and Spandrel $ 5 $ 05.E Adjust Water Valve to Grade per 16. DWA Std. W111 6 EA $ $ Construct Cross-Gutter (2' Wide) 17. per City of Palm Springs Std. 200 75 SF (D2) $ `29.00 $ 21 )75 -OD 18 Construct Driveway Approach Per 150 SF County of Riverside Std. 207 $ )7.ID $ 2 15( 5 .Db 19 Construct 6" Curb & Gutter Per City 6 LF of Palm Springs Std. 200 (A3) $ $ � � �� Remove and Replace in Kind 20 Existing Curb, Pavers, Concrete, 1 LS Landscape, Irrigation, and Sidewalk As Needed for Conduit Installation $ 21 Construct End of Curb Per City of 3 LF Palm Springs Std. 200 (C1) $ $ q27 .6D Construct Rolled Curb Per City of tn, 000 .0v cJ 22. Palm Springs Std. 202 75 LF $ S D $ 23 Construct Rolled Curb Transition 15 LF Per City of Palm Springs Std. 209 $ 9•00 $ 20 . 00 Construct Trench and Pavement 24. Replacement Per City of Palm 91 LF Springs Std. 115 $ J.100 $ 25. Construct 6" PCC Curb Per Detail 185 LF $ 9 ,pp $ 26. Construct Retaining Curb Per Detail 130 LF $ $ 2a 730.00 Elecnor Belco Electric, Inc. Name of Bidder or Firm VISTA CHINO AT VIA MIRALESTE TRAFFIC SIGNAL CITY PROJECT NO. 17-03 N.PALM CANYON DR,AT VIA ESCUELA TRAFFIC SIGNAL BID SCHEDULE B CITY PROJECT NO. 17-05 BID FORMS-PAGE 8 AUGUST 2018 BID SCHEDULE B Schedule of Prices for Construction of the: N. PALM CANYON DR. AT VIA ESCUELA TRAFFIC SIGNAL INSTALLATION CITY PROJECT NO. 17-05 Item Description Estimated Unit Unit Amount No. Quantity Price Install Detectable Warning Surface 26. Per Caltrans Std. A88A 8 EA $ .3�Q� $ Adjust Sewer Manhole to Grade of 27. City of Palm Springs Std. 402 1 EA $ �� 5,06 $ 2,8it5 D© 28 Construct Cobblestone Surface Per 290 SF Detail $ $ 13�3yb.f 29. Traffic Striping, Signage & Markings 1 LS $ 29 . goo .06 N. Palm Canyon Dr. at Via Escuela 30. Traffic Signal, Lighting & Electrical 1 LS Z $ ' �� ©U System, Complete $ 31. Caltrans Encroachment Permit 1 AL $ 15,939.72 32. Field Orders --- AL $ 25,000.00 TOTAL OF ALL ITEMS OF BID SCHEDULE B: $ ( Iz. ) 6Iq ._7 (Price in figures) 61X PotNi�q-fj) Ttdf-C-Fy,N1AiE 71- 0054/UD Six A)IAC-,7y-1Ji10E Aijb C rS' (Price in words) QUANTITIES OF WORK: The quantities of work or material stated in the unit price items of the Bid Schedule are supplied only to give an indication of the general scope of the Work. The City does not expressly nor by implication agree that the actual amounts of work or material will correspond therewith, and reserves the right after award to increase or decrease the quantity of any unit price bid item, by an amount up to 25 percent of increase or decrease, without a change in the unit prices, and shall have the right to delete any bid item in its entirety, and receive full credit in the amount shown in the Bid Schedule for the deleted item of Work. SPECIAL NOTE: In the event of any "missing" bid items or scope of work not otherwise included or identified in the Bid Schedule, but indicated or required by the Plans and Specifications, the Contractor shall prosecute the work as required by the Plans and Specifications, and payment for any"missing" bid items or scope of work shall be included in the various bid items of work, and no additional payment will be allowed therefore. Elecnor Belco Electric, Inc. Name of Bidder or Firm VISTA CHINO AT VIA MIRALESTE TRAFFIC SIGNAL CITY PROJECT NO. 17-03 N.PALM CANYON DR.AT VIA ESCUELA TRAFFIC SIGNAL BID SCHEDULE B CITY PROJECT NO. 17-05 BID FORMS-PAGE 9 AUGUST 2018 BID SCHEDULE SUMMARY BASIS OF AWARD VISTA CHINO AT VIA MIRALESTE TRAFFIC SIGNAL INSTALLATION CITY PROJECT NO. 17-03 N. PALM CANYON DR. AT VIA ESCUELA TRAFFIC SIGNAL INSTALLATION CITY PROJECT NO. 17-05 TOTAL OF ALL ITEMS OF BID SCHEDULES A+B: $ , 19 , 2-� 1 = �$ (Price in figures) ONk 01,01Pt') ea%E Au DAgD SfvEw7y- Fzt'-'Z -TNOCMPN) -TOO hViorpCO SIX7y-0Nt (Price in words) C[-ti` Elecnor Belco Electric, Inc. Name of Bidder or Firm VISTA CHINO AT VIA MIRALESTE TRAFFIC SIGNAL CITY PROJECT NO. 17-03 N.PALM CANYON DR.AT VIA ESCUELA TRAFFIC SIGNAL BID SCHEDULE SUMMARY CITY PROJECT NO. 17-05 BASIS OF AWARD AUGUST 2018 BID FORMS-PAGE 10 BIDDER'S LIST OF SUBCONTRACTORS As required under Section 4104 of the Public Contract Code, the Bidder shall list below the name and the location of the place of business of each subcontractor who will perform work or labor or render service to the prime contractor in or about the construction of the work or improvement, or a subcontractor licensed by the State of California who, under subcontract to the prime contractor, specially fabricates and installs a portion of the work or improvement, in an amount in excess of one-half of 1 percent of the prime contractor's total bid or, in the case of bids for the construction of streets or highways, including bridges, in excess of one-half of 1 percent of the prime contractor's total bid or ten thousand dollars ($10,000), whichever is greater. After the opening of Bids, no changes or substitutions will be allowed except as otherwise provided by law. The listing of more than one subcontractor for each item of Work to be performed with the words "and/or" will not be permitted. Failure to comply with this requirement will render the Bid as non-responsive and may cause its rejection. Special Note: The Prime Contractor shall perform not less than 50% of the Work identified in this Bid. In the event a Bidder lists subcontractors who will perform Work under this Bid in excess of 50% of the Work identified in this Bid, the Bid shall be considered non-responsive. A. BIDDER'S PORTION OF WORK Page 1 of 1. Name of Prime Contractor: Elecnor Belco Electric, Inc. 2. Bid Items/Portion of Work to be Self-Performed (if less than 100%of the contract): _30 r j- C W;Opm�o 3. Dollar Amount of Work Self- 4. Percentage of Work Self- 5. Date: Performed: Performed: -7 1 Nq By signing ihe Bid Form,Contractor hereby certifies that it will perform not less than 50%of the Contract Work with its own forces. B. LIST OF SUBCONTRACTORS 1. Type of Subcontractor(Check One) VIfirst Tier; ❑ Second Tier; ❑ Supplier; ❑ Service Contractor(e.g. Trucking) 2. Subcontractor Name: SM ITj�s&4 'ilk.&TVIA /14 C . 3. Address: 1 C1916 k-AT19 Lt�A A4C . OIArN ra fv CA 9 2$67 4. Bid Items/Portion of Work: 'Cit 1p,L_ r 16Nfti, L40 K 5. Phone No.: 6. Contractor's License No.: 7. Annual Gross Receipts 01 g0i-7"OI (01L+51% El <$1M ❑ <$5M C>Id<$10M 8. Amount of Contracted Work: 9. DIR Public Works Contractor ❑ <$15M ❑ >$15M Co 20 0. 0 o Registration No: [a 0000 1 b I a 10. Percentage of Contracted Work: 11. DBE Firm? ❑ Yes Po12. DBE Certification No.: VISTA CHINO AT VIA MIRALESTE TRAFFIC SIGNAL CITY PROJECT NO. 17-03 N.PALM CANYON DR.AT VIA ESCUELA TRAFFIC SIGNAL LIST OF SUBCONRACTORS CITY PROJECT NO. 17-05 BID FORMS-PAGE 11 AUGUST 2018 BIDDER'S LIST OF SUBCONTRACTORS - (Continued) Copy this page as needed to provide a complete listing. Page of 1. Type of Subcontractor(Check One) li irst Tier; ❑ Second Tier; ❑ Supplier; ❑ Service Contractor(e.g. Trucking) 2. Subcontractor Name: svff, a 0womwoT MMLA1qVj&S 3. Address: P. a . 130 21 t (�rf�ruMo�T GA °122 4. Bid Items/Portion of Work: ri 5. Phone No.: ^^,,,�,, 6. Contractor's License No.: 7. Annual Gross Receipts: (�51 �Z 1 771 1010 ❑ <,$1M ❑ <$5M ❑ <$10M 8. Amount of Contracted Work: 9. DIR Public Works Contractor Cam/ 4-191O4•dn Registration No: 'J6 <$1DOd00 I� 15M ❑ >$15M e 10. Percentage of Contracted Work: 11. DBE Firm? ❑Yes Y No 12. DBE Certification No.: 5 c 1. Type of Subcontractor(Check One) ❑ First Tier; ❑ Second Tier; ❑ Supplier; ❑ Service Contractor(e.g. Trucking) 2. Subcontractor Name: t - tc icou) A6wAt-T 3 Address: .D, cox 22q 4. Bid Items/Portion of Work: 5. Phone No.: 6. Contractor's License No.: 7. Annual Gross Receipts: 5)J 73� - 7600 2(0 -1073 ❑ <$1M ❑ <$5M ❑ <$10M 8. mount of Contracted Work: 9. DIR Public Works Contractor ❑ <$15M >$15M 4Dq 1VO 2d Registration No: IOOOCO 107 k 14 P-0 Percentage of Contracted Work: 11. DBE Firm. ❑Yes '�No12. DBE Certification No.: 4 1 1. Type of Subcontractor(Check One) ❑ First Tier; ❑ Second Tier; ❑ Supplier; ❑ Service Contractor(e.g. Trucking) 2. Subcontractor Name: 3. Address: 4. Bid Items/Portion of Work: 5. Phone No.: 6. Contractor's License No.: 7. Annual Gross Receipts: ❑ <$1 M ❑ <$5M ❑ <$10M 8. Amount of Contracted Work: 9. DIR Public Works Contractor ❑ <$15M ❑ >$15M Registration No: 10. Percentage of Contracted Work: 11. DBE Firm? ❑Yes ❑ No 12. DBE Certification No.: VISTA CHINO AT VIA MIRALESTE TRAFFIC SIGNAL CITY PROJECT NO. 17-03 N.PALM CANYON DR.AT VIA ESCUELA TRAFFIC SIGNAL LIST OF SUBCONRACTORS CITY PROJECT NO. 17-05 BID FORMS-PAGE 12 AUGUST 2018 LOCAL BUSINESS PREFERENCE PROGRAM - GOOD FAITH EFFORTS City Project No. 17-03 & 17-05 Bid Opening Date September 6, 2018 The contract for this project is subject to the provisions of Palm Springs Ordinance No. 1756, and Section 7.09.030 of the Palm Springs Municipal Code, "Local Business Preference Program", subsection (5) "Local Preference in Public Works Contracts (Sub-Contracting)", which states: The prime contractor shall use good faith efforts to sub-contract the supply of materials and equipment to local business enterprises and to sub-contract services to businesses whose work force resides within the Coachella Valley. The prime contractor shall submit evidence of such good faith efforts at the time of submission of bids. Good faith efforts may be evaluated by placing advertisements inviting proposals in local newspapers, sending request for proposals to local sub-contractors, or by demonstrating that no local sub-contracts are qualified to perform the work or supply the materials or equipment. Any notice inviting bids which may require the use of sub-contractors shall include notification of this subsection. The City Council or Director may reject as non-responsive the bid of any contractor proposing to use sub-contractors that fail to comply with the requirements of this subsection. FAILURE TO IDENTIFY GOOD FAITH EFFORTS ON THESE FORMS MAY BE SUFFICIENT CAUSE TO FIND THE BID NON-RESPONSIVE. BIDDERS SHALL ENSURE ALL APPROPRIATE GOOD FAITH EFFORTS ARE IDENTIFIED. Bidders shall provide sufficient information to demonstrate that they have made good faith efforts to comply with Palm Springs Ordinance No. 1756. In the event no local firm (as defined in Ordinance No. 1756) is Fisted as a subcontractor on the "List of Subcontractors" submitted with its Bid, Bidders shall identify local subcontractors not required to be identified on the List of Subcontractors, and/or shall identify local firms with whom the Bidder has solicited to furnish materials and supplies for incorporation into the work of this project. Local Subcontractors not listed on the List of Subcontractors: Local firms that will furnish materials or supplies to the Bidder for this project: Is M 1 X 3A W VAtr4KV _0 . V4 uW04"51 CA c122.71v VgAK6 4 0gdA6&L 9 42.1L S I MAQ1 o a , 1 nldl ct. f/� 22.01 VISTA CHINO AT VIA MIRALESTE TRAFFIC SIGNAL CITY PROJECT NO. 17-03 LOCAL BUSINESS PREFERENCE PROGRAM N.PALM CANYON DR.AT VIA ESCUELA TRAFFIC SIGNAL GOOD FAITH EFFORTS CITY PROJECT NO. 17-05 BID FORMS-PAGE 13 AUGUST 2018 LOCAL BUSINESS PREFERENCE PROGRAM -GOOD FAITH EFFORTS (CONTINUED) In the event no local firms (as defined in Ordinance No. 1756) will provide services, or furnish materials and supplies to the Bidder for this project, the Bidder shall provide information sufficient to demonstrate good faith efforts to do so. Examples of information accepted by the City to demonstrate good faith efforts shall be included below: A. The names and dates of each publication in which a request for participation by local firms for this project was placed by the bidder (please attach copies of advertisements or proofs of publication): Publications Dates of Advertisement L A,-, Q/QrJes Ptotw-4x Mr B. The names and dates of written notices sent to local firms soliciting bids for this project and the dates and methods used for following up initial solicitations to determine with certainty whether the local firms were interested (please attach copies of solicitations, telephone records, fax confirmations, etc.): Names of Date of Follow Up Methods firms Initial and Dates Solicited Solicitation VQrWVrs to VISTA CHINO AT VIA MIRALESTE TRAFFIC SIGNAL CITY PROJECT NO. 17-03 LOCAL BUSINESS PREFERENCE PROGRAM N.PALM CANYON DR.AT VIA ESCUELA TRAFFIC SIGNAL GOOD FAITH EFFORTS CITY PROJECT NO. 17-05 BID FORMS-PAGE 14 AUGUST 2018 C. The items of work which the bidder made available to local firms, including, where appropriate, any breaking down of the contract work items (including those items normally performed by the bidder with its own forces) into economically feasible units to facilitate participation by local firms. Items of Work Bidder Breakdown of Items Amount Percentage Normally ($) Of Performs Item Contract Y/N �Pla 1 ily Nw 41 0,004. w D. The names, addresses and phone numbers of rejected local firms, the reasons for the bidder's rejection of the local firms, the firms selected for that work (please attach copies of quotes from the firms involved), and the price difference for each firm if the selected firm is not a local firm: Names, addresses and phone numbers of rejected local firms and the reasons for the bidder's rejection of the local firms: bra,�,� Names, addresses and one numbers of firms selected for the work above: N2-114 M kp11% 5T $ V-4010 GA 1220 1 C7 W)345-41 L4 1&S6s x&' MIN II AO nt-" mitmop i?^cA nm b SI S7v NOTE: USE ADDITIONAL SHEETS OF PAPER IF NECESSARY. VISTA CHINO AT VIA MIRALESTE TRAFFIC SIGNAL CITY PROJECT NO. 17-03 LOCAL BUSINESS PREFERENCE PROGRAM N.PALM CANYON DR.AT VIA ESCUELA TRAFFIC SIGNAL GOOD FAITH EFFORTS CITY PROJECT NO. 17-05 BID FORMS-PAGE 15 AUGUST 2018 NON-COLLUSION DECLARATION The undersigned declares: I am the Vice President of Elecnor Belco Electric, Inc. the (Title of Officer) (Firm/Company) party making the foregoing bid. The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation. The bid is genuine and not collusive or sham. The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid. The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, or to refrain from bidding. The bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder. All statements contained in the bid are true. The bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, to any corporation, partnership, company, association, organization, bid depository, or to any member or agent thereof, to effectuate a collusive or sham bid, and has not paid, and will not pay, any person or entity for such purpose. Any person executing this declaration on behalf of a bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, Y hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of the bidder. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on September 5, 2018 at Chino CA (Date) (City) (State) John Wong ig ture VISTA CHINO AT VIA MIRALESTE TRAFFIC SIGNAL CITY PROJECT NO. 17-03 N.PALM CANYON DR.AT VIA ESCUELA TRAFFIC SIGNAL CITY PROJECT NO. 17-05 NON-COLLUSION DECLARATION AUGUST 2018 BID FORMS-PAGE 16 CERTIFICATION OF NON-DISCRIMINATION BY CONTRACTORS As suppliers of goods In connection with its performance under this Agreement, Contractor shall not discriminate against any employee or applicant for employment because of race, religion, color, sex, age, marital status, ancestry, national origin, sexual orientation, gender identity, gender expression, physical or mental disability, or medical condition. Contractor shall ensure that applicants are employed, and that employees are treated during their employment, without regard to their race, religion, color, sex, age, marital status, ancestry, national origin, sexual orientation, gender identity, gender expression, physical or mental disability, or medical condition. Such actions shall include, but not be limited to, the following: employment, upgrading, demotion or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. We agree specifically: 1. To establish or observe employment policies, which affirmatively promote opportunities for minority persons at all job levels. 2. To communicate this policy to all persons concerned, including all company employees, outside recruiting services, especially those serving minority communities, and to the minority communities at large. 3. To take affirmative steps to hire minority employees within the company. FIRM Elecnor Belco Electric, Inc. NAME OF PERSON SIGNING John Wong TITLE OF PERSON SIGNING ViM V yam} DATE 9/5/18 Please include any additional information available regarding equal opportunity employment programs now in effect within your company. VISTA CHINO AT VIA MIRALESTE TRAFFIC SIGNAL CITY PROJECT NO. 17-03 N.PALM CANYON DR.AT VIA ESCUELA TRAFFIC SIGNAL CITY PROJECT NO. 17-05 NON-DISCRIMINATION CERTIFICATION AUGUST 2018 BID FORMS-PAGE 17 BIDDER'S GENERAL INFORMATION The Bidder shall furnish the following information. Failure to complete all Items will cause the Bid to be non-responsive and may cause its rejection. 1. BIDDER/CONTRACTOR'S Name and Street Address: Elecnor Belco Electric, Inc. 14320 Albers Way Chino, CA 91710 Telephone Number: ( 90g ) 993-5470 Facsimile Number: ( 909 ) 993-5476 E-Mail: iwong(cD-elecnor.com Tax Identification Number: 33-0768970 2. TYPE OF FIRM Individual Partnership X Corporation (State CA ) Minority Business Enterprise (MBE) Women Business Enterprise (WBE) Small Disadvantaged Business (SDB) Veteran Owned Business Disabled Veteran Owned Business 3. CONTRACTOR'S LICENSE: Primary Classification A, B, C-10 State License Number(s) 738518 Supplemental License Classifications A, B, C-10 4. BUSINESS LICENSE: Yes X No License No.: 5. Surety Company and Agent who will provide the required Bonds: Name of Surety Zurich American Insurance Company Address 777 S. Figueroa St., Suite 3900, Los Angeles, CA 90017 Surety Company Zurich American Insurance Company Telephone Numbers: Agent (800) 843-5404 Surety ( 213 ) 270-0757 VISTA CHINO AT VIA MIRALESTE TRAFFIC SIGNAL CITY PROJECT NO. 17-03 N.PALM CANYON DR.AT VIA ESCUELA TRAFFIC SIGNAL BIDDER'S GENERAL INFORMATION CITY PROJECT NO. 17-05 AUGUST 2018 BID FORMS PAGE 19 v BIDDER'S GENERAL INFORMATION (Continued) 6. List the names and addresses of the principal members of the firm or names and titles of the principal officers of the corporation or firm; also include those who has greater than $2,000 interest in the corporation or firm. Juan Bravo - President John Wong/Alberto Garcia de los Angeles - Vice President Pedro Enrile - Secretary 14320 Albers Way Jeroni Gervilla - Treasurer Chino, CA 91710 7. Number of years experience as a contractor in this specific type of construction work: 20+ 8. List at least three related projects completed to date: a. Owner City of Victorville Address 14343 Civic Drive, Victorville, CA 92392 Contact Greg Heldreth Class of Work Traffic Signal and Fiber Optics Phone 760-243-6360 Contract Amount $445,220 Project Traffic signal on Motave Dr. Date Completed January 2018 Contact Person Greg Heldreth Telephone number 760-243-6360 b. Owner County of Los AngelesAddress 900 S. Fremont Ave, Alhambra, CA 91803 Contact Omid Emam Class of Work Traffic Signal Modification Phone 626-607-7444 Contract Amount $1,268,430 Traffic Signal Infrastructure Upgrade Project Date Completed December 2017 Contact Person Omid Emam Telephone number 626-607-7444 C. Owner City of Glendale Address 633 E. Broadway, Glendale, CA 91206 Contact Sarkis Oganesyan Class of Work Traffic Signal, Fiber Optics, Interconnect Phone 818-548-3945 Contract Amount $600,000 Ocean View Blvd Project Rehabilitation Project Date Completed March 2018 Contact Person Sarkis Oganesyan Telephone number 818-548-3945 9. Name of Project Manager/Superintendent: T.B.D./Ralph Antuna 10. Name(s) of person(s) who inspected job site: Ralph Antuna VISTA CHINO AT VIA MIRALESTE TRAFFIC SIGNAL CITY PROJECT NO. 17-03 N.PALM CANYON DR.AT VIA ESCUELA TRAFFIC SIGNAL CITY PROJECT NO. 17-05 BIDDER'S GENERAL INFORMATION AUGUST 2018 BID FORMS PAGE 20 Crty of Palmftrl�gs,CA L31D ABSTRACT eldadt -�.�-�' Vendors&Bid Amounts P 7 -ate . RPJECT _ NIIE: Cf / 1 7c- DM DATE: DMCRIPTI4N: L • 3/ 33,. . To#al of all.Bid ghedule•Items witness: date ' CONTRACTORS STATE UCENSE BOARD Contractor's License Detail for License # 738518 DISCLAIMER:A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations. CSLB complaint disclosure is restricted by law(B&P 7124.6)9 this entity is subject to public complaint disclosure,a link for complaint disclosure will appear below.Click on the link or button to obtain complaint and/or legal action information. Per B&P 7071.17,only construction related civil judgments reported to the CSLB are disclosed. Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. Due to workload,there may be relevant information that has not yet been entered onto the Board's license database. Data current as of 9/11/2018 9:40:13 AM Business Information ELECNOR BELCO ELECTRIC INC 14320 ALBERS WAY CHINO, CA 91710 Business Phone Number:(909)993-5470 Entity Corporation Issue Date 07/28/1997 Expire Date 07/31/2019 License Status .... _ ............. ........ ........ This license is current and active. All information below should be reviewed. Classifications C10-ELECTRICAL B-GENERAL BUILDING CONTRACTOR A-GENERAL ENGINEERING CONTRACTOR Bonding Information Contractor's Bond .......... _ .... ........ W.._................. _ _._ _, . __. ._._.._._.. _ ___._ . .....c This license filed a Contractor's Bond with FIDELITY AND DEPOSIT COMPANY OF MARYLAND. ,Bond Number: LPM9197211 Bond Amount: $15,000 Effective Date: 01/01/2016 Contractor's Bond History Bond of Qualifying Individual .... �W.. This license filed Bond of Qualifying Individual number LPM9172203 for JOHN LOON-HAE WONG in the amount of$12,500 with FIDELITY AND DEPOSIT COMPANY OF MARYLAND. Effective Date: 10/28/2014 ......... ........................................................... Workers'Compensation This license has workers compensation insurance with the HARTFORD FIRE INSURANCE COMPANY Policy Number:10WEAAA6VQ6 Effective Date: 11/01/2017 Expire Date: 11/01/2018 Workers'Compensation History UR-m CONTRACTORS STATE UCENSE BOARD Contractor's License Li n Detail for License # 738518 DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this information,you should be aware of the following limitations. CSLB complaint disclosure is restricted bylaw(B&P 7124.6)If this entity is subject to public complaint disclosure,a link for complaint disclosure will appear below.Click on the link or button to obtain complaint and/or legal action information. Per B&P 7071.17,only construction related civil judgments reported to the CSLB are disclosed. Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. Due to workload,there may be relevant information that has not yet been entered onto the Board's license database. Data current as of 9/11/2018 9:40:13 AM Business Information ELECNOR BELCO ELECTRIC INC 14320 ALBERS WAY CHINO,CA 91710 Business Phone Number:(909)993-5470 Entity Corporation Issue Date 07/28/1997 Expire Date 07/31/2019 License Status ........ .. ........................................... ......... .............. .................................... ... :This license is current and active. All information below should be reviewed. Classifications C10-ELECTRICAL B-GENERAL BUILDING CONTRACTOR A-GENERAL ENGINEERING CONTRACTOR Bonding Information Contractor's Bond ----- _ _...... .__. ._ This license filed a Contractor's Bond with FIDELITY AND DEPOSIT COMPANY OF MARYLAND. :Bond Number: LPM9197211 :Bond Amount: $15,000 .Effective Date: 01/01/2016 Contractor's Bond History Bond of Qualifying Individual This license filed Bond of Qualifying Individual number LPM9172203 for JOHN LOON-HAE WONG in the amount of$12,500 with FIDELITY AND DEPOSIT COMPANY OF MARYLAND. :Effective Date: 10/28/2014 ......... ......... ......... ......... ..... Workers'Compensation This license has workers compensation insurance with the HARTFORD FIRE INSURANCE COMPANY Policy Number:10WEAAA6VQ6 Effective Date: 11/01/2017 ;Expire Date: 11/01/2018 Workers'Compensation History .... ........ ............__-----_ .. ...._.................. ........_... ................... .. .. ......._ . ..................... ' Page 1 of 2 DATE(MM/DD/YYYY) ACCO V CERTIFICATE OF LIABILITY INSURANCE 10/04/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Willis of New York, Inc. PHONE 1-877-945-7378 FAX 1-888-467-2378 c/o 26 Century Blvd A/C No Ext: A/C No: E-MAIL P.O. Box 305191 ADDRESS: certificates@will is.com Nashville, TN 372305191 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Hartford Underwriters Insurance Company 30104 INSURED INSURERB: Hartford Casualty Insurance Company 29424 Elecnor Belco Electric, Inc. 14320 Albers Way INSURERC: Navigators Insurance Company 42307 Chino, CA 91710 INSURERD: Hartford Fire Insurance Company 19682 INSURERE: Markel Insurance Company 38970 INSURERF: Indian Harbor Insurance Company 36940 COVERAGES CERTIFICATE NUMBER:W7770602 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO_7CLAIMS-MADE OCCUR PREMSES Ea.r RENTEante $ 100,000 A MED EXP(Any one person) $ 5,000 Y 10 UEA HF1471 11/01/2017 11/01/2018, PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: / GENERAL AGGREGATE $ 2,000,000 POLICY PECOT- LOC �/ PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ B X OWNED SCHEDULED Y 10 UEA H71837 11/01/2017 11/01/2018 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Pare. r accident UMBRELLA LIAB X 5,000,000 C OCCUR EACH OCCURRENCE $ X EXCESS LIAB CLAIMS-MADE Y NY17EXC918906IV 11/01/2017 11/01/2018',, AGGREGATE $ 5,000,000 DED RETENTION$ $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N D ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUDED? N/A Y 10 WEA AA6VQ6 11/01/2017 11/01/2018 1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ E Excess Liability Y MKIMlEUE100156 11/01/2017 11/01/2018 $5,000,000 part of $10,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) SEE ATTACHED CERTIFICATE HOLDER CANCELLATION City of Palm Springs SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3200 East Tahgvitz Canyon Way THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Palm Springs, CA 92262 AUTHORIZED REPRESENTATIVE ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD SR ID: 16774618 BATCH: 878265 AGENCY CUSTOMER ID: LOC#: AIR'© ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Willis of New York, Inc. Elecnor Belco Electric, Inc. 14320 Albers Way POLICYNUMBER Chino, CA 91710 See Page 1 CARRIER NAIC CODE See Page 1 See Page 1 EFFECTIVE DATE: See Page 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Project: Vista Chino (State Route 111) at Via Miraleste Traffic Signal Installation, City Project No. 17-03, and North Palm Canyon Drive (State Route 111) at Via Escuela Traffic Signal Installation, City Project No. 17-05 The City of Palm Springs, its officials, employees, agents, Coachella Valley Association of Governments ("CVAG"), and its member agencies, and their respective elected officials, officers, employees, agents, and representatives are included as Additional Insureds as respects to General Liability, Auto Liability and Umbrella/Excess Liability. General Liability policy shall be Primary and Non-contributory with any other insurance in force for or which may be purchased by Additional Insureds. Waiver of Subrogation applies in favor of City, its elected officials, officers, employees, agents, and volunteers with respects to Workers Compensation as permitted by law. Umbrella/Excess Follows Form. A thirty (30) Day Notice of Cancellation applies to holder and additional insured(s) on all policies referenced herein with the exception of Non-Payment which provides a ten (10) Day Notice of Cancellation. POLICY NUMBER: CE07446355 EFF DATE: 11/01/2017 EXP DATE: 11/01/2018 INSURER AFFORDING COVERAGE: Indian Harbor Insurance Company NAIC#: 36940 LIMIT DESCRIPTION: LIMIT AMOUNT: Per Claim $5,000,000 TYPE OF INSURANCE: Aggregate $5,000,000 Professional Liability Deductible $100,000 ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SR ID: 16774618 BATCH: 878265 CERT: W7770602 Page 1 of 2 DATE(MM/DD/YYYY) AC40RV CERTIFICATE OF LIABILITY INSURANCE 10/04/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Willis of New York, Inc. c/o 26 Century Blvd PHONE 1-877-945-7378 FAX 1-888-467-2376 A/C No Ext: A/C No E-MAIL certificates@will is.com P.O. Box 305191 ADDRESS: Nashville, TN 372305191 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Hartford Underwriters Insurance Company 30104 INSURED INSURERB: Hartford Casualty Insurance Company 29424 Elecnor Belco Electric, Inc. 14320 Albers way INSURERC: Navigators Insurance Company 42307 Chino, CA 91710 INSURERD: Hartford Fire Insurance Company 19682 INSURERE: Markel Insurance Company 38970 INSURERF: Indian Harbor Insurance Company 36940 COVERAGES CERTIFICATE NUMBER:W7770602 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DDIYYYY MM/DD/YYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED 100,000 PREMISES Ea occurrence $ A MED EXP(Any one person) $ 5,000 Y 10 UEA HF1471 11/01/2017 11/01/2018 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: / GENERAL AGGREGATE $ 2,000,000 POLICY[X]JEF O LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ B X OWNED SCHEDULED Y 10 UEA HF1837 11/01/2017 11/01/2018 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED / PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY _V/ Per accident $ C UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 51000,000 X EXCESS LIAB CLAIMS-MADE Y NY17EXC918906IV 11/01/2017 11/01/2018 AGGREGATE $ 5,000,000 DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N X STATUTE ER D ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUDED? N/A Y 10 WEA AA6VQ6 11/01/2017 11/01/2018 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ E Excess Liability Y NKLMlEUE100156 11/01/2017 11/01/2018 $5,000,000 part of $10,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) SEE ATTACHED CERTIFICATE HOLDER CANCELLATION City of Palm Springs SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3200 East Tahgvitz Canyon Way THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Palm Springs, CA 92262 AUTHORIZED REPRESENTATIVE ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD SR ID: 16774618 HATCH: 878265 AGENCY CUSTOMER ID: LOC#: A�RC7► ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Elecnor Belco Electric, Inc. Willis of New York, Inc. 14320 Albers way POLICY NUMBER Chino, CA 91710 See Page 1 CARRIER NAIC CODE See Page 1 See Page 1 EFFECTIVE DATE: See Page 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Project: Vista Chino (State Route 111) at Via Miraleste Traffic Signal Installation, City Project No. 17-03, and North Palm Canyon Drive (State Route 111) at Via Escuela Traffic Signal Installation, City Project No. 17-05 The City of Palm Springs, its officials, employees, agents, Coachella Valley Association of Governments ("CVAG") , and its member agencies, and their respective elected officials, officers, employees, agents, and representatives are included as Additional Insureds as respects to General Liability, Auto Liability and Umbrella/Excess Liability. General Liability policy shall be Primary and Non-contributory with any other insurance in force for or which may be purchased by Additional Insureds. Waiver of Subrogation applies in favor of City, its elected officials, officers, employees, agents, and volunteers with respects to Workers Compensation as permitted by law. Umbrella/Excess Follows Form. A thirty (30) Da Notice of Cancellation applies to holder and additional insured(s) on all policies referenced herein with the exception of Non-Payment which provides a ten (10) Day Notice of Cancellation. POLICY NUMBER: CE07446355 EFF DATE: 11/01/2017 EXP DATE: 11/01/2018 INSURER AFFORDING COVERAGE: Indian Harbor Insurance Company NAIC#: 36940 LIMIT DESCRIPTION: LIMIT AMOUNT: Per Claim $5,000,000 TYPE OF INSURANCE: Aggregate $5,000,000 Professional Liability Deductible $100,000 ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SR ID: 16774618 BATCH: 878265 CERT: W7770602 POLICY NUMBER: 10 UEA HF1471 tJl THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - OPTION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Designated Project(s) Or Location(s) Or Or anization s : Of Covered Operations: As required by written contract As specified in written contract Information required to complete this Schedule if not shown above will be shown in the Declarations. A. With respect to those person(s) or organization(s) (3) In connection with 'your work" for the shown in the Schedule above when you have additional insured at the project(s) or agreed in a written contract or written agreement location(s) designated in the Schedule to provide insurance such as is afforded under this and included within the "products- policy. to them, Subparagraph f., Any Other completed operations hazard", but only if: Party, under the Additional Insureds When (a) The written contract or written Required By Written Contract, Written agreement requires you to provide Agreement Or Permit Paragraph of Section II — such coverage to such additional Who Is An Insured is replaced with the following: insured at the project(s) or location(s) f. Any Other Party designated in the Schedule; and Any other person or organization who is not (b) This Coverage Part provides an insured under Paragraphs a. through e. coverage for "bodily injury" or above, but only with respect to liability for "property damage" included within the "bodily injury", "property damage"or"personal "products-completed operations and advertising injury" caused, in whole or in hazard". part, by your acts or omissions or the acts or The insurance afforded to the additional omissions of those acting on your behalf: insured shown in the Schedule applies: (1) In the performance of your ongoing (1) Only if the "bodily injury" or "property operations for such additional insured at damage" occurs, or the "personal and the project(s) or location(s) designated in advertising injury"offense is committed: the Schedule; (a) During the policy period; and (2) In connection with your premises owned by or rented to you and shown in the (b) Subsequent to the execution of such Schedule; or written contract or written agreement; and Form HS 24 80 07 13 Page 1 of 2 © 2013, The Hartford (Includes copyrighted material of Insurance Services Office, Inc., with its permission.) (c) Prior to the expiration of the period of When You Add Others As An Additional time that the written contract or written Insured To This Insurance agreement requires such insurance (a) Primary Insurance When Required By be provided to the additional insured. Contract (2) Only to the extent permitted by law; and This insurance is primary if you have agreed (3) Will not be broader than that which you in a written contract or written agreement that are required by the written contract or this insurance be primary. If other insurance written agreement to provide for such is also primary, we will share with all that additional insured. other insurance by the method described in With respect to the insurance afforded to the Paragraph (c) below. This insurance does not person(s)or organization(s)that are additional apply to other insurance to which the insureds under this endorsement, the additional insured in the Schedule has been following additional exclusion applies: added as an additional insured. This insurance does not apply to "bodily (b) Primary And Non-Contributory To Other injury", "property damage" or "personal and Insurance When Required By Contract advertising injury" arising out of the rendering This insurance is primary to and will not seek of, or the failure to render, any professional contribution from any other insurance architectural, engineering or surveying available to an additional insured under your services, including: policy provided that: (1) The preparing, approving, or failing to (i) The additional insured in the Schedule is prepare or approve maps, shop drawings, a Named Insured under such other opinions, reports, surveys, field orders, insurance; and change orders, designs or specifications; (ii) You have agreed in a written contract or or written agreement that this insurance (2) Supervisory, inspection, architectural or would be primary and would not seek engineering activities. contribution from any other insurance The limits of insurance that apply to the additional available to the additional insured in the insured shown in the Schedule are described in the Schedule. Limits Of Insurance section. (c) Method Of Sharing How this insurance applies when other insurance is If all of the other insurance permits available to the additional insured is described in the contribution by equal shares, we will follow Other Insurance Condition in Section IV — this method also. Under this approach, each Commercial General Liability Conditions, except as insurer contributes equal amounts until it has otherwise amended below. paid its applicable limit of insurance or none of B. With respect to insurance provided to the the loss remains,whichever comes first. person(s) or organization(s) that are additional If any of the other insurance does not permit insureds under this endorsement, the When You contribution by equal shares, we will Add Others As An Additional Insured To This contribute by limits. Under this method, each Insurance subparagraph, under the Other insurer's share is based on the ratio of its Insurance Condition of Section IV—Commercial applicable limit of insurance to the total General Liability Conditions is replaced with the applicable limits of insurance of all insurers. following: All other terms and conditions in the policy remain unchanged. Page 2 of 2 Form HS 24 80 07 13 POLICY NUMBER: 10 UEA HF1471 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - OPTION I This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Designated Project(s) Or Location(s) Or Organ izatio n s : Of Covered Operations: As required by written contract As specified in written contract Information required to complete this Schedule if not shown above will be shown in the Declarations. A. With respect to those person(s) or organization(s) (3) In connection with "your work" for the shown in the Schedule above when you have additional insured at the project(s) or agreed in a written contract or written agreement location(s) designated in the Schedule to provide insurance such as is afforded under this and included within the "products- policy. to them, Subparagraph f., Any Other completed operations hazard", but only if: Party, under the Additional Insureds When (a) The written contract or written Required By Written Contract, Written agreement requires you to provide Agreement Or Permit Paragraph of Section II — such coverage to such additional Who Is An Insured is replaced with the following: insured at the project(s) or location(s) f. Any Other Party designated in the Schedule; and Any other person or organization who is not (b) This Coverage Part provides an insured under Paragraphs a. through e. coverage for "bodily injury" or above, but only with respect to liability for "property damage" included within the "bodily injury", "property damage" or"personal "products-completed operations and advertising injury" caused, in whole or in hazard". part, by your acts or omissions or the acts or The insurance afforded to the additional omissions of those acting on your behalf: insured shown in the Schedule applies: (1) In the performance of your ongoing (1) Only if the "bodily injury" or "property operations for such additional insured at damage" occurs, or the "personal and the project(s) or location(s) designated in advertising injury"offense is committed: the Schedule; (a) During the policy period; and (2) In connection with your premises owned (b) Subsequent to the execution of such by or rented to you and shown in the Schedule; or written contractor written agreement; and Form HS 24 80 07 13 Page 1 of 2 © 2013, The Hartford (Includes copyrighted material of Insurance Services Office, Inc.,with its permission.) (c) Prior to the expiration of the period of When You Add Others As An Additional time that the written contract or written Insured To This Insurance agreement requires such insurance (a) Primary Insurance When Required By be provided to the additional insured. Contract (2) Only to the extent permitted by law; and This insurance is primary if you have agreed (3) Will not be broader than that which you in a written contract or written agreement that are required by the written contract or this insurance be primary. If other insurance written agreement to provide for such is also primary, we will share with all that additional insured. other insurance by the method described in With respect to the insurance afforded to the Paragraph (c) below. This insurance does not person(s)or organization(s)that are additional apply to other insurance to which the insureds under this endorsement, the additional insured in the Schedule has been following additional exclusion applies: added as an additional insured. This insurance does not apply to "bodily (b) Primary And Non-Contributory To Other injury", "property damage" or "personal and Insurance When Required By Contract advertising injury" arising out of the rendering This insurance is primary to and will not seek of, or the failure to render, any professional contribution from any other insurance architectural, engineering or surveying available to an additional insured under your services, including: policy provided that: (1) The preparing, approving, or failing to (i) The additional insured in the Schedule is prepare or approve maps, shop drawings, a Named Insured under such other opinions, reports, surveys, field orders, insurance; and change orders, designs or specifications; (ii) You have agreed in a written contract or or written agreement that this insurance (2) Supervisory, inspection, architectural or would be primary and would not seek engineering activities. contribution from any other insurance The limits of insurance that apply to the additional available to the additional insured in the insured shown in the Schedule are described in the Schedule. Limits Of Insurance section. (c) Method Of Sharing How this insurance applies when other insurance is If all of the other insurance permits available to the additional insured is described in the contribution by equal shares, we will follow Other Insurance Condition in Section IV — this method also. Under this approach, each Commercial General Liability Conditions, except as insurer contributes equal amounts until it has otherwise amended below. paid its applicable limit of insurance or none of B. With respect to insurance provided to the the loss remains,whichever comes first. person(s) or organization(s) that are additional If any of the other insurance does not permit insureds under this endorsement, the When You contribution by equal shares, we will Add Others As An Additional Insured To This contribute by limits. Under this method, each Insurance subparagraph, under the Other insurer's share is based on the ratio of its Insurance Condition of Section IV—Commercial applicable limit of insurance to the total General Liability Conditions is replaced with the applicable limits of insurance of all insurers. following: All other terms and conditions in the policy remain unchanged. Page 2 of 2 Form HS 24 80 07 13 COMMERCIAL AUTOMOBILE HA99160312 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM To the extent that the provisions of this endorsement provide broader benefits to the "insured" than other provisions of the Coverage Form, the provisions of this endorsement apply. 1. BROAD FORM INSURED d. Any "employee" of yours while using a A. Subsidiaries and Newly Acquired or covered "auto" you don't own, hire or Formed Organizations borrow in your business or your The Named Insured shown in the personal affairs. Declarations is amended to include: C. Lessors as Insureds (1) Any legal business entity other than a Paragraph A.1. - WHO IS AN INSURED - of partnership or joint venture, formed as a Section II - Liability Coverage is amended to subsidiary in which you have an add: ownership interest of more than 50% on e. The lessor of a covered "auto" while the the effective date of the Coverage Form. "auto" is leased to you under a written However, the Named Insured does not agreement if: include any subsidiary that is an "insured" under any other automobile (1) The agreement requires you to policy or would be an "insured" under provide direct primary insurance for the lessor and such a policy but for its termination or the exhaustion of its Limit of Insurance. (2) The "auto" is leased without a driver. (2) Any organization that is acquired or Such a leased "auto" will be considered a formed by you and over which you covered "auto" you own and not a covered maintain majority ownership. However, "auto"you hire. the Named Insured does not include any D. Additional Insured if Required by Contract newly formed or acquired organization: (1) Paragraph A.1. -WHO IS AN INSURED (a) That is a partnership or joint - of Section II - Liability Coverage is venture, amended to add: (b) That is an "insured" under any other f. When you have agreed, in a written policy, contract or written agreement, that a (c) That has exhausted its Limit of person or organization be added as Insurance under any other policy, or an additional insured on your (d) 180 days or more after its business auto policy, such person or acquisition or formation by you, organization is an "insured", but only unless you have given us notice of to the extent such person or the acquisition or formation. organization is liable for "bodily Coverage does not apply to "bodily injury" or "property damage" caused injury" or "property damage" that results by the conduct of an "insured" under from an "accident" that occurred before paragraphs a. or b. of Who Is An you formed or acquired the organization. Insured with regard to the B. Employees as Insureds ownership, maintenance or use of a covered "auto." Paragraph A.1. -WHO IS AN INSURED - of SECTION II - LIABILITY COVERAGE is amended to add: Policy No. 10 UEA HF1837 ©2011,The Hartford (Includes copyrighted material Form HA 99 16 03 12 of ISO Properties, Inc.,with its permission.) Page 1 of 5 The insurance afforded to any such E. Primary and Non-Contributory if additional insured applies only if the Required by Contract "bodily injury" or "property damage" Only with respect to insurance provided to occurs: an additional insured in 1.D. - Additional (1) During the policy period, and Insured If Required by Contract, the (2) Subsequent to the execution of such following provisions apply: written contract, and (3) Primary Insurance When Required By (3) Prior to the expiration of the period Contract of time that the written contract This insurance is primary if you have requires such insurance be provided agreed in a written contract or written to the additional insured. agreement that this insurance be (2) How Limits Apply primary. If other insurance is also primary, we will share with all that other If you have agreed in a written contract insurance by the method described in or written agreement that another Other Insurance 5.d. person or organization be added as an additional insured on your policy, the (4) Primary And Non-Contributory To Other most we will pay on behalf of such Insurance When Required By Contract additional insured is the lesser of: If you have agreed in a written contract (a) The limits of insurance specified in or written agreement that this insurance the written contract or written is primary and non-contributory with the VZ agreement; or additional insured's own insurance, this insurance is primary and we will not (b) The Limits of Insurance shown in seek contribution from that other the Declarations. insurance. Such amount shall be a part of and not Paragraphs (3) and (4) do not apply to other in addition to Limits of Insurance shown insurance to which the additional insured in the Declarations and described in this has been added as an additional insured. Section. When this insurance is excess, we will have no (3) Additional Insureds Other Insurance duty to defend the insured against any "suit" if If we cover a claim or "suit" under this any other insurer has a duty to defend the Coverage Part that may also be covered insured against that "suit". If no other insurer by other insurance available to an defends, we will undertake to do so, but we will additional insured, such additional be entitled to the insured's rights against all insured must submit such claim or "suit" those other insurers. to the other insurer for defense and When this insurance is excess over other indemnity. insurance, we will pay only our share of the However, this provision does not apply amount of the loss, if any, that exceeds the sum to the extent that you have agreed in a of: written contract or written agreement (1) The total amount that all such other that this insurance is primary and non- insurance would pay for the loss in the contributory with the additional insured's absence of this insurance; and own insurance. (2) The total of all deductible and self-insured (4) Duties in The Event Of Accident, Claim, amounts under all that other insurance. Suit or Loss If you have agreed in a written contract We will share the remaining loss, if any, by the method described in Other Insurance 5.d. or written agreement that another person or organization be added as an 2. AUTOS RENTED BY EMPLOYEES additional insured on your policy, the Any "auto" hired or rented by your "employee" additional insured shall be required to on your behalf and at your direction will be comply with the provisions in LOSS considered an"auto"you hire. CONDITIONS 2. - DUTIES IN THE The OTHER INSURANCE Condition is amended EVENT OF ACCIDENT, CLAIM , SUIT by adding the following: OR LOSS — OF SECTION IV — BUSINESS AUTO CONDITIONS, in the same manner as the Named Insured. ©2011, The Hartford (Includes copyrighted material Form HA 99 16 03 12 of ISO Properties, Inc., with its permission.) Page 2 of 5 COMMERCIAL AUTOMOBILE HA99160312 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM To the extent that the provisions of this endorsement provide broader benefits to the "insured" than other provisions of the Coverage Form, the provisions of this endorsement apply. 1. BROAD FORM INSURED d. Any "employee" of yours while using a A. Subsidiaries and Newly Acquired or covered "auto" you don't own, hire or Formed Organizations borrow in your business or your The Named Insured shown in the personal affairs. Declarations is amended to include: C. Lessors as Insureds (1) Any legal business entity other than a Paragraph A.1. -WHO IS AN INSURED - of partnership or joint venture, formed as a Section II - Liability Coverage is amended to subsidiary in which you have an add: ownership interest of more than 50% on e. The lessor of a covered "auto" while the the effective date of the Coverage Form. "auto" is leased to you under a written However, the Named Insured does not agreement if: include any subsidiary that is an "insured" under any other automobile (1) The agreement requires you to policy or would be an "insured" under provide direct primary insurance for the lessor and such a policy but for its termination or the exhaustion of its Limit of Insurance. (2) The "auto" is leased without a driver. (2) Any organization that is acquired or Such a leased "auto" will be considered a formed by you and over which you covered "auto" you own and not a covered maintain majority ownership. However, "auto"you hire. the Named Insured does not include any D. Additional Insured if Required by Contract newly formed or acquired organization: (1) Paragraph A.1. -WHO IS AN INSURED (a) That is a partnership or joint - of Section II - Liability Coverage is venture, amended to add: (b) That is an "insured" under any other f. When you have agreed, in a written policy, contract or written agreement, that a (c) That has exhausted its Limit of person or organization be added as Insurance under any other policy, or an additional insured on your (d) 180 days or more after its business auto policy, such person or acquisition or formation by you, organization is an "insured", but only unless you have given us notice of to the extent such person or the acquisition or formation. organization is liable for "bodily Coverage does not apply to "bodily injury" or "property damage" caused injury" or "property damage" that results by the conduct of an "insured" under from an "accident" that occurred before paragraphs a. or b. of Who Is An you formed or acquired the organization. Insured with regard to the B. Employees as Insureds ownership, maintenance or use of a covered auto." Paragraph A.1. -WHO IS AN INSURED - of SECTION II - LIABILITY COVERAGE is amended to add: Policy No. 10 UEA HF1837 ©2011,The Hartford (Includes copyrighted material Form HA 99 16 03 12 of ISO Properties, Inc., with its permission.) Page 1 of 5 The insurance afforded to any such E. Primary and Non-Contributory if additional insured applies only if the Required by Contract "bodily injury" or "property damage" Only with respect to insurance provided to occurs: an additional insured in I.D. - Additional (1) During the policy period, and Insured If Required by Contract, the (2) Subsequent to the execution of such following provisions apply: written contract, and (3) Primary Insurance When Required By (3) Prior to the expiration of the period Contract of time that the written contract This insurance is primary if you have requires such insurance be provided agreed in a written contract or written to the additional insured. agreement that this insurance be (2) How Limits Apply primary. If other insurance is also primary, we will share with all that other If you have agreed in a written contract insurance by the method described in or written agreement that another Other Insurance 5.d. person or organization be added as an additional insured on your policy, the (4) Primary And Non-Contributory To Other most we will pay on behalf of such Insurance When Required By Contract additional insured is the lesser of: If you have agreed in a written contract (a) The limits of insurance specified in or written agreement that this insurance the written contract or written is primary and non-contributory with the VZ agreement; or additional insured's own insurance, this insurance is primary and we will not (b) The Limits of Insurance shown in seek contribution from that other the Declarations. insurance. Such amount shall be a part of and not Paragraphs (3) and (4) do not apply to other in addition to Limits of Insurance shown insurance to which the additional insured in the Declarations and described in this has been added as an additional insured. Section. When this insurance is excess, we will have no (3) Additional Insureds Other Insurance duty to defend the insured against any "suit" if If we cover a claim or "suit" under this any other insurer has a duty to defend the Coverage Part that may also be covered insured against that "suit". If no other insurer by other insurance available to an defends, we will undertake to do so, but we will additional insured, such additional be entitled to the insured's rights against all insured must submit such claim or "suit" those other insurers. to the other insurer for defense and When this insurance is excess over other indemnity. insurance, we will pay only our share of the However, this provision does not apply amount of the loss, if any, that exceeds the sum to the extent that you have agreed in a of: written contract or written agreement (1) The total amount that all such other that this insurance is primary and non- insurance would pay for the loss in the contributory with the additional insured's absence of this insurance; and own insurance. (2) The total of all deductible and self-insured (4) Duties in The Event Of Accident, Claim, amounts under all that other insurance. Suit or Loss If you have agreed in a written contract We will share the remaining loss, if any, by the method described in Other Insurance 5.d. or written agreement that another person or organization be added as an 2. AUTOS RENTED BY EMPLOYEES additional insured on your policy, the Any "auto" hired or rented by your "employee" additional insured shall be required to on your behalf and at your direction will be comply with the provisions in LOSS considered an "auto"you hire. CONDITIONS 2. - DUTIES IN THE The OTHER INSURANCE Condition is amended EVENT OF ACCIDENT, CLAIM , SUIT by adding the following: OR LOSS — OF SECTION IV — BUSINESS AUTO CONDITIONS, in the same manner as the Named Insured. ©2011,The Hartford (Includes copyrighted material Form HA 99 16 03 12 of ISO Properties, Inc., with its permission.) Page 2 of 5 If an "employee's" personal insurance also 5. PHYSICAL DAMAGE - ADDITIONAL applies on an excess basis to a covered "auto" TEMPORARY TRANSPORTATION EXPENSE hired or rented by your "employee" on your COVERAGE behalf and at your direction, this insurance will Paragraph A.4.a. of SECTION III - PHYSICAL be primary to the "employee's" personal DAMAGE COVERAGE is amended to provide a insurance. limit of $50 per day and a maximum limit of 3. AMENDED FELLOW EMPLOYEE EXCLUSION $1,000. EXCLUSION 5. - FELLOW EMPLOYEE - of 6. LOAN/LEASE GAP COVERAGE SECTION II - LIABILITY COVERAGE does not Under SECTION III - PHYSICAL DAMAGE apply if you have workers' compensation COVERAGE, in the event of a total "loss" to a insurance in-force covering all of your covered "auto", we will pay your additional legal "employees". obligation for any difference between the actual Coverage is excess over any other collectible cash value of the "auto" at the time of the "loss" insurance. and the"outstanding balance"of the loan/lease. 4. HIRED AUTO PHYSICAL DAMAGE COVERAGE "Outstanding balance" means the amount you If hired "autos" are covered "autos" for Liability owe on the loan/lease at the time of "loss" less Coverage and if Comprehensive, Specified any amounts representing taxes; overdue Causes of Loss, or Collision coverages are payments; penalties, interest or charges provided under this Coverage Form for any resulting from overdue payments; additional "auto" you own, then the Physical Damage mileage charges; excess wear and tear charges; Coverages provided are extended to "autos"you lease termination fees; security deposits not hire or borrow, subject to the following limit. returned by the lessor; costs for extended warranties, credit life Insurance, health, accident The most we will pay for "loss" to any hired or disability insurance purchased with the loan or "auto"is: lease; and carry-over balances from previous (1) $100,000; loans or leases. (2) The actual cash value of the damaged or 7. AIRBAG COVERAGE stolen property at the time of the"loss"; or Under Paragraph B. EXCLUSIONS - of (3) The cost of repairing or replacing the SECTION III - PHYSICAL DAMAGE damaged or stolen property, COVERAGE, the following is added: whichever is smallest, minus a deductible. The The exclusion relating to mechanical breakdown deductible will be equal to the largest deductible does not apply to the accidental discharge of an applicable to any owned "auto" for that airbag. coverage. No deductible applies to"loss"caused g, ELECTRONIC EQUIPMENT - BROADENED by fire or lightning. Hired Auto Physical Damage COVERAGE coverage is excess over any other collectible insurance. Subject to the above limit, deductible a. The exceptions to Paragraphs BA - and excess provisions, we will provide coverage EXCLUSIONS - of SECTION III - PHYSICAL equal to the broadest coverage applicable to any DAMAGE COVERAGE are replaced by the covered"auto"you own. following: We will also cover loss of use of the hired "auto" Exclusions 4.c. and 4.d. do not apply to if it results from an "accident", you are legally equipment designed to be operated solely liable and the lessor incurs an actual financial by use of the power from the "auto's" loss, subject to a maximum of $1000 per electrical system that, at the time of"loss", "accident". is: This extension of coverage does not apply to (1) Permanently installed in or upon any "auto" you hire or borrow from any of your the covered "auto"; "employees", partners (if you are a partnership), (2) Removable from a housing unit members (if you are a limited liability company), which is permanently installed in or members of their households. or upon the covered "auto"; (3) An integral part of the same unit housing any electronic equipment described in Paragraphs (1)and (2)above; or ©2011,The Hartford (Includes copyrighted material Form HA 99 16 03 12 of ISO Properties, Inc.,with its permission.) Page 3 of 5 (4) Necessary for the normal If another Hartford Financial Services Group, operation of the covered "auto"or Inc. company policy or coverage form that is not the monitoring of the covered an automobile policy or coverage form applies to "auto's"operating system. the same "accident",the following applies: b.Section III — Version CA 00 01 03 10 of the (1) If the deductible under this Business Auto Business Auto Coverage Form, Physical Coverage Form is the smaller (or smallest) Damage Coverage, Limit of Insurance, deductible, it will be waived; Paragraph C.2 and Version CA 00 01 10 01 of (2) If the deductible under this Business Auto the Business Auto Coverage Form, Physical Coverage Form is not the smaller (or Damage Coverage, Limit of Insurance, smallest) deductible, it will be reduced by Paragraph C are each amended to add the the amount of the smaller (or smallest) following: deductible. $1,500 is the most we will pay for "loss" in 12. AMENDED DUTIES IN THE EVENT OF any one "accident" to all electronic ACCIDENT, CLAIM, SUIT OR LOSS equipment(other than equipment designed The requirement in LOSS CONDITIONS 2.a. - solely for the reproduction of sound, and a DUTIES IN THE EVENT OF ACCIDENT,CLAIM, accessories used with such equipment) SUIT OR LOSS - of SECTION IV - BUSINESS that reproduces, receives or transmits AUTO CONDITIONS that you must notify us of audio, visual or data signals which, at the time of"loss", is: an "accident" applies only when the "accident" is known to: (1) Permanently installed in or upon the covered "auto" in a housing, (1) You, if you are an individual; opening or other location that is not (2) A partner, if you are a partnership; normally used by the "auto" (3) A member, if you are a limited liability manufacturer for the installation of company; or such equipment; (4) An executive officer or insurance manager, if (2) Removable from a permanently you are a corporation. installed housing unit as described 13. UNINTENTIONAL FAILURE TO DISCLOSE in Paragraph 2.a. above or is an HAZARDS integral part of that equipment; or (3)An integral part of such equipment. If you unintentionally fail to disclose any hazards existing at the inception date of your policy, we c.For each covered "auto", should loss be limited will not deny coverage under this Coverage to electronic equipment only, our obligation to Form because of such failure. pay for, repair, return or replace damaged or 14. HIRED AUTO -COVERAGE TERRITORY stolen electronic equipment will be reduced by the applicable deductible shown in the Paragraph e. of GENERAL CONDITIONS 7. - Declarations, or $250, whichever deductible is POLICY PERIOD, COVERAGE TERRITORY - less. of SECTION IV - BUSINESS AUTO 9. EXTRA EXPENSE - BROADENED CONDITIONS is replaced by the following: COVERAGE e. For short-term hired "autos", the coverage Under Paragraph A. -COVERAGE -of SECTION territory with respect to Liability Coverage is anywhere in the world provided that if the III - PHYSICAL DAMAGE COVERAGE, we will "insured's" responsibility to pay damages for pay for the expense of returning a stolen covered "bodily injury" or "property damage" is "auto"to you. determined in a "suit,"the "suit" is brought in 10. GLASS REPAIR-WAIVER OF DEDUCTIBLE the United States of America, the territories Under Paragraph D.-DEDUCTIBLE-of SECTION and possessions of the United States of III - PHYSICAL DAMAGE COVERAGE, the America, Puerto Rico or Canada or in a following is added: settlement we agree to. No deductible applies to glass damage if the 15. WAIVER OF SUBROGATION glass is repaired rather than replaced. TRANSFER OF RIGHTS OF RECOVERY 11. TWO OR MORE DEDUCTIBLES AGAINST OTHERS TO US - of SECTION IV - Under Paragraph D.-DEDUCTIBLE-of SECTION BUSINESS AUTO CONDITIONS is amended by III - PHYSICAL DAMAGE COVERAGE, the adding the following: following is added: ©2011,The Hartford (Includes copyrighted material Form HA 99 16 03 12 of ISO Properties, Inc.,with its permission.) Page 4 of 5 If an "employee's" personal insurance also 5. PHYSICAL DAMAGE - ADDITIONAL applies on an excess basis to a covered "auto" TEMPORARY TRANSPORTATION EXPENSE hired .or rented by your "employee" on your COVERAGE behalf and at your direction, this insurance will Paragraph A.4.a. of SECTION III - PHYSICAL be primary to the "employee's" personal DAMAGE COVERAGE is amended to provide a insurance. limit of $50 per day and a maximum limit of 3. AMENDED FELLOW EMPLOYEE EXCLUSION $1,000. EXCLUSION 5. - FELLOW EMPLOYEE - of 6. LOAN/LEASE GAP COVERAGE SECTION II - LIABILITY COVERAGE does not Under SECTION III - PHYSICAL DAMAGE apply if you have workers' compensation COVERAGE, in the event of a total "loss" to a insurance in-force covering all of your covered "auto", we will pay your additional legal "employees". obligation for any difference between the actual Coverage is excess over any other collectible cash value of the "auto" at the time of the "loss" insurance. and the"outstanding balance"of the loan/lease. 4. HIRED AUTO PHYSICAL DAMAGE COVERAGE "Outstanding balance" means the amount you If hired "autos" are covered "autos" for Liability owe on the loan/lease at the time of "loss" less Coverage and if Comprehensive, Specified any amounts representing taxes; overdue Causes of Loss, or Collision coverages are payments; penalties, interest or charges provided under this Coverage Form for any resulting from overdue payments; additional "auto" you own, then the Physical Damage mileage charges; excess wear and tear charges; Coverages provided are extended to "autos"you lease termination fees; security deposits not hire or borrow, subject to the following limit. returned by the lessor; costs for extended warranties, credit life Insurance, health, accident The most we will pay for "loss" to any hired or disability insurance purchased with the loan or "auto" is: lease; and carry-over balances from previous (1) $100,000; loans or leases. (2) The actual cash value of the damaged or 7. AIRBAG COVERAGE stolen property at the time of the"loss"; or Under Paragraph B. EXCLUSIONS - of (3) The cost of repairing or replacing the SECTION III - PHYSICAL DAMAGE damaged or stolen property, COVERAGE, the following is added: whichever is smallest, minus a deductible. The The exclusion relating to mechanical breakdown deductible will be equal to the largest deductible does not apply to the accidental discharge of an applicable to any owned "auto" for that airbag. coverage. No deductible applies to"loss"caused g, ELECTRONIC EQUIPMENT - BROADENED by fire or lightning. Hired Auto Physical Damage COVERAGE coverage is excess over any other collectible insurance. Subject to the above limit, deductible a. The exceptions to Paragraphs BA - and excess provisions, we will provide coverage EXCLUSIONS - of SECTION III - PHYSICAL equal to the broadest coverage applicable to any DAMAGE COVERAGE are replaced by the covered "auto"you own. following: We will also cover loss of use of the hired "auto" Exclusions 4.c. and 4.d. do not apply to if it results from an accident", you are legally equipment designed to be operated solely liable and the lessor incurs an actual financial by use of the power from the "auto's" loss, subject to a maximum of $1000 per electrical system that, at the time of"loss", "accident". is: This extension of coverage does not apply to (1) Permanently installed in or upon any "auto" you hire or borrow from any of your the covered "auto"; "employees", partners (if you are a partnership), (2) Removable from a housing unit members (if you are a limited liability company), which is permanently installed in or members of their households. or upon the covered "auto"; (3) An integral part of the same unit housing any electronic equipment described in Paragraphs (1)and (2)above; or ©2011,The Hartford (Includes copyrighted material Form HA 99 16 03 12 of ISO Properties, Inc., with its permission.) Page 3 of 5 (4) Necessary for the normal If another Hartford Financial Services Group, "auto" r Inc. company policy or coverage form that is not operation of the covered 'au o o p y p y g the monitoring of the covered an automobile policy or coverage form applies to "auto's"operating system. the same "accident",the following applies: b.Section III — Version CA 00 01 03 10 of the (1) If the deductible under this Business Auto Business Auto Coverage Form, Physical Coverage Form is the smaller (or smallest) Damage Coverage, Limit of Insurance, deductible, it will be waived; Paragraph C.2 and Version CA 00 01 10 01 of (2) If the deductible under this Business Auto the Business Auto Coverage Form, Physical Coverage Form is not the smaller (or Damage Coverage, Limit of Insurance, smallest) deductible, it will be reduced by Paragraph C are each amended to add the the amount of the smaller (or smallest) following: deductible. $1,500 is the most we will pay for "loss" in 12. AMENDED DUTIES IN THE EVENT OF any one "accident" to all electronic ACCIDENT, CLAIM, SUIT OR LOSS equipment(other than equipment designed solely for the reproduction of sound, and The requirement in LOSS CONDITIONS 2.a. - accessories used with such equipment) DUTIES IN THE EVENT OF ACCIDENT,CLAIM, that reproduces, receives or transmits SUIT OR LOSS - of SECTION IV - BUSINESS AUTO CONDITIONS that you must notify us of audio, visual or data signals which, at the time of"loss", is: an "accident" applies only when the "accident" is known to: (1) Permanently installed in or upon the covered "auto" in a housing, (1) You, if you are an individual; opening or other location that is not (2) A partner, if you are a partnership; normally used by the "auto" (3) A member, if you are a limited liability manufacturer for the installation of company; or such equipment; (4) An executive officer or insurance manager, if (2) Removable from a permanently you are a corporation. installed housing unit as described 13. UNINTENTIONAL FAILURE TO DISCLOSE in Paragraph 2.a. above or is an HAZARDS integral part of that equipment; or (3)An integral part of such equipment. If you unintentionally fail to disclose any hazards existing at the inception date of your policy, we c.For each covered "auto", should loss be limited will not deny coverage under this Coverage to electronic equipment only, our obligation to Form because of such failure. pay for, repair, return or replace damaged or 14. HIRED AUTO -COVERAGE TERRITORY stolen electronic equipment will be reduced by the applicable deductible shown in the Paragraph e. of GENERAL CONDITIONS 7. - Declarations, or $250, whichever deductible is POLICY PERIOD, COVERAGE TERRITORY - less. of SECTION IV - BUSINESS AUTO 9. EXTRA EXPENSE - BROADENED CONDITIONS is replaced by the following: COVERAGE e. For short-term hired "autos", the coverage Under Paragraph A. -COVERAGE -of SECTION territory with respect to Liability Coverage is III - PHYSICAL DAMAGE COVERAGE, we will anywhere in the world provided that if the pay for the expense of returning a stolen covered "insured's" responsibility to pay damages for "auto"to you. bodily injury' or "property damage" is determined in a "suit,"the "suit" is brought in 10. GLASS REPAIR-WAIVER OF DEDUCTIBLE the United States of America, the territories Under Paragraph D.-DEDUCTIBLE-of SECTION and possessions of the United States of III - PHYSICAL DAMAGE COVERAGE, the America, Puerto Rico or Canada or in a following is added: settlement we agree to. No deductible applies to glass damage if the 15. WAIVER OF SUBROGATION glass is repaired rather than replaced. TRANSFER OF RIGHTS OF RECOVERY 11. TWO OR MORE DEDUCTIBLES AGAINST OTHERS TO US - of SECTION IV - Under Paragraph D.-DEDUCTIBLE-of SECTION BUSINESS AUTO CONDITIONS is amended by III - PHYSICAL DAMAGE COVERAGE, the adding the following: following is added: ©2011,The Hartford (Includes copyrighted material Form HA 99 16 03 12 of ISO Properties, Inc., with its permission.) Page 4 of 5 We waive any right of recovery we may have c.Regardless of the number of autos deemed a against any person or organization with whom total loss, the most we will pay under this you have a written contract that requires such Hybrid, Electric, or Natural Gas Vehicle waiver because of payments we make for Payment Coverage provision for any one damages under this Coverage Form. "loss" is$10,000. 16. RESULTANT MENTAL ANGUISH COVERAGE For the purposes of the coverage provision, The definition of "bodily injury" in SECTION V- a.A "non-hybrid" auto is defined as an auto that DEFINITIONS is replaced by the following: uses only an internal combustion engine to "Bodily injury" means bodily injury, sickness or move the auto but does not include autos disease sustained by any person, including powered solely by electricity or natural gas. mental anguish or death resulting from any of b.A "hybrid" auto is defined as an auto with an these. internal combustion engine and one or more 17. EXTENDED CANCELLATION CONDITION electric motors; and that uses the internal Paragraph 2. of the COMMON POLICY combustion engine and one or more electric ONS - CANCELLATION - applies motors to move the auto, or the internal CONDITIONS i except TI follows: combustion engine to charge one or more electric motors,which move the auto. If we cancel for any reason other than 19. VEHICLE WRAP COVERAGE nonpayment of premium, we will mail or deliver to the first Named Insured written notice of In the event of a total loss to an "auto" for which cancellation at least 60 days before the effective Comprehensive, Specified Causes of Loss, or date of cancellation. Collision coverages are provided under this 18. HYBRID, ELECTRIC, OR NATURAL GAS Coverage Form, then such Physical Damage VEHICLE PAYMENT COVERAGE Coverages are amended to add the following: In addition to the actual cash value of the "auto", In the event of a total loss to a "non-hybrid" auto we will pay up to $1,000 for vinyl vehicle wraps for which Comprehensive, Specified Causes of which are displayed on the covered "auto" at the Loss, or Collision coverages are provided under time of total loss. Regardless of the number of this Coverage Form, then such Physical autos deemed a total loss, the most we will pay Damage Coverages are amended as follows: under this Vehicle Wrap Coverage provision for a.lf the auto is replaced with a "hybrid" auto or any one "loss" is $5,000. For purposes of this an auto powered solely by electricity or natural coverage provision, signs or other graphics gas, we will pay an additional 10%, to a painted or magnetically affixed to the vehicle are maximum of$2,500, of the "non-hybrid" auto's not considered vehicle wraps. actual cash value or replacement cost, whichever is less, b.The auto must be replaced and a copy of a bill of sale or new lease agreement received by us within 60 calendar days of the date of"loss," ©2011,The Hartford (Includes copyrighted material Form HA 99 16 03 12 of ISO Properties, Inc.,with its permission.) Page 5 of 5 Bond No.9299756 PAYMENT BOND—PUBLIC WORKS KNOW ALL MEN BY THESE PRESENTS, WHEREAS, the City of Palm Springs, a charter city, organized and existing in the County of Riverside, California, as Obligee, (hereinafter referred to as the "City"), has awarded to the undersigned Contractor, (hereinafter referred to as the"Contractor"), an agreement for the work described as follows: VISTA CHINO AT VIA MIRALESTE TRAFFIC SIGNAL INSTALLATION CITY PROJECT NO. 17-03 N. PALM CANYON DR. AT VIA ESCUELA TRAFFIC SIGNAL INSTALLATION CITY PROJECT NO. 17-05 (hereinafter referred to as the"Public Work"); and WHEREAS, the work to be performed by the Contractor is more particularly set forth in that certain Agreement(Construction Contract)for the said Public Work awarded to the Contractor and approved by the City for the Project hereinabove named, (hereinafter referred to as the "Contract"), which Contract is incorporated herein by this reference; and WHEREAS, said Contractor is required to furnish a bond in connection with said Contract and pursuant to Section 9550 of the California Civil Code. NOW, THEREFORE, we, the undersigned Contractor, as Principal, and: Fidelity and Deposit Company of Maryland a corporation organized and existing under the laws of the State of Maryland and duly authorized to transact business under the laws of the State of California, as Surety, are held and firmly bound unto the City, and to any and all persons, companies, or corporations entitled to file stop payment notices under Section 9100 of the California Civil Code, in the sum of One Million One Hundred Seventy Four Thousand Two Hundred Sixty one and 18/100 Dollars ($ 1,174,261.18 )1 said sum being not less than 100 percent of the total amount payable by the City under the terms to the said Contract, for which amount well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors, and assigns,jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH, that, if said Contractor, his or its heirs, executors, administrators, successors, or assigns, or Subcontractors, shall fail to pay for any materials, provisions or other supplies, implements, machinery, or power used in, upon, for, or about the performance of the Public Work contracted to be done, or to pay any person for any work or labor of any kind, or for bestowing skills or other necessary services thereon, or for amounts due under the Unemployment Insurance Code with respect to such work or labor, or for any amounts required to be deducted, withheld, and paid over to the Employment Development Department from the wages of employees of paid Contractor and his Subcontractors pursuant to Section 13020 of the Unemployment Insurance Code with respect to such work and labor as required by the provisions of Sections 9550 through 9560 of the Civil Code, the Surety or Sureties hereon will pay for the same in an amount not exceeding the sum specified in this bond, otherwise the above obligation shall be void. In addition to the provisions herein above, it is agreed that this bond will inure to the benefit of any and all persons, companies, and corporations entitled to serve stop payment notices under Section 9100 of the Civil Code, so as to give a right of action to them or their assigns in any suit brought upon this bond. VISTA CHINO AT VIA MIRALESTE TRAFFIC SIGNAL CITY PROJECT NO. 17-03 PAYMENT BOND N.PALM CANYON DR.AT VIA ESCUELA TRAFFIC SIGNAL AGREEMENT AND BONDS-PAGE 12 CITY PROJECT NO.17-05 AUGUST 2018 We waive any right of recovery we may have c.Regardless of the number of autos deemed a against any person or organization with whom total loss, the most we will pay under this you have a written contract that requires such Hybrid, Electric, or Natural Gas Vehicle waiver because of payments we make for Payment Coverage provision for any one damages under this Coverage Form. "loss" is $10,000. 16. RESULTANT MENTAL ANGUISH COVERAGE For the purposes of the coverage provision, The definition of "bodily injury" in SECTION V- a.A "non-hybrid" auto is defined as an auto that DEFINITIONS is replaced by the following: uses only an internal combustion engine to "Bodily injury" means bodily injury, sickness or move the auto but does not include autos disease sustained by any person, including powered solely by electricity or natural gas. mental anguish or death resulting from any of b.A "hybrid" auto is defined as an auto with an these. internal combustion engine and one or more 17. EXTENDED CANCELLATION CONDITION electric motors; and that uses the internal Paragraph 2. of the COMMON POLICY combustion engine and one or more electric CONDITIONS - CANCELLATION - applies motors to move the auto, or the internal except as follows: combustion engine to charge one or more electric motors,which move the auto. If we cancel for any reason other than 19. VEHICLE WRAP COVERAGE nonpayment of premium, we will mail or deliver to the first Named Insured written notice of In the event of a total loss to an "auto" for which cancellation at least 60 days before the effective Comprehensive, Specified Causes of Loss, or date of cancellation. Collision coverages are provided under this 18. HYBRID, ELECTRIC, OR NATURAL GAS Coverage Form, then such Physical Damage : Coverages are amended to add the following: VEHICLE PAYMENT COVERAGE g g In the event of a total loss to a "non-hybrid" auto In addition to the actual cash value of the "auto", we will pay up to $1,000 for vinyl vehicle wraps for which Comprehensive, Specified Causes of which are displayed on the covered "auto" at the Loss, or Collision coverages are provided under time of total loss. Regardless of the number of this Coverage Form, then such Physical autos deemed a total loss, the most we will pay Damage Coverages are amended as follows: under this Vehicle Wrap Coverage provision for a.lf the auto is replaced with a "hybrid" auto or any one "loss" is $5,000. For purposes of this an auto powered solely by electricity or natural coverage provision, signs or other graphics gas, we will pay an additional 10%, to a painted or magnetically affixed to the vehicle are maximum of$2,500, of the "non-hybrid" auto's not considered vehicle wraps. actual cash value or replacement cost, whichever is less, b.The auto must be replaced and a copy of a bill of sale or new lease agreement received by us within 60 calendar days of the date of"loss," ©2011,The Hartford (Includes copyrighted material Form HA 99 16 03 12 of ISO Properties, Inc., with its permission.) Page 5 of 5 PAYMENT BOND—PUBLIC WORKS (CONTINUED) The Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration, or additions to the terms of the said Contract or to the work to be performed thereunder or the Specifications accompanying the same shall in any way affect its obligations on this bond, and it does hereby waive notice of any such change, extension of time, alteration, or addition to the terms of the Contract or to the work or to the Specifications. No final settlement between the City and the Contractor hereunder shall abridge the right of any beneficiary hereunder, whose claim may be unsatisfied. Contractor and Surety, an admitted surety insurer, further agree that if the City or any entity or person entitled to file stop payment notices is required to engage the services of an attorney in connection with the enforcement of this bond, each shall be liable for the reasonable attorney's fees incurred, with or without suit, in addition to the above sum. SIGNED AND SEALED, this 27th day of September 20 18. CONTRACTOR: Elecnor Belco Electric,Inc. Check one: individual, _partnership, X corporation (This Payment Bond must be signed by representatives and/or officers having appropriate authority to bind the Contractor and Surety to the terms of the Payment Bond.) EXECUTED FOR THE CONTRACTOR:Elecno,BelcoElectnc.Inc.EXECUTED FOR THE SURETY:Udaeyl`tI,yd Deposit Company of By: By r signature nature (NOTARIZED) OTARIZED) Print Name and Title Print Name and Title: I b t^ Ar' j5UC• VIOL 7, Joshua Sanford,Attorney-In-Fact By: signature OTARIZED) Print Name and Title. 'i-trm; &P 10,, Cry VISTA CHINO AT VIA MIRALESTE TRAFFIC SIGNAL CITY PROJECT NO. 17-03 PAYMENT BOND N.PALM CANYON DR.AT VIA ESCUELA TRAFFIC SIGNAL AGREEMENT AND BONDS-PAGE 13 CITY PROJECT NO. 17-05 AUGUST 2018 PAYMENT BOND—PUBLIC WORKS (CONTINUED) $3.87 per$1,000 first$100,000/$3.42 per$1,000 next$400,000/$3.20 per$1,000 remaining$674,261.18 The rate of premium on this bond is $ per thousand. The total amount of premium charged: $ 3,913.00 (The above must be filled in by corporate surety). IMPORTANT: Surety companies executing bonds must possess a certificate of authority from the California Insurance Commissioner authorizing them to write surety insurance defined in Section 105 of the California Insurance Code, and if the work or project is financed, in whole or in part, with Federal, grant, or loan funds, it must also appear on the Treasury Department's most current list(Circular 570 as amended). THIS IS A REQUIRED FORM. Any claims under this bond may be addressed to: (Name and Address of Surety) Fidelity and Deposit Company of Maryland 1299 Zurich Way, 5th Floor Schaumburg, IL 60196-1056 (Name and Address of Agent or Margaret Hentz Representative for service of process in California if 777 South Figueroa St.,Ste 3900 different from above) Los Angeles, CA 90017 (Telephone Number of Surety and Fidelity and Deposit Company of Maryland (847)605-6000 Agent or Representative for service of process in California) Margaret Hentz(213)270-0757 VISTA CHINO AT VIA MIRALESTE TRAFFIC SIGNAL CITY PROJECT NO. 17-03 N.PALM CANYON DR.AT VIA ESCUELA TRAFFIC SIGNAL PAYMENT BOND CITY PROJECT NO.17-05 AGREEMENT AND BONDS-PAGE 14 AUGUST 2018 PAYMENT BOND—PUBLIC WORKS (CONTINUED) ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy or validity of that document. State of l aml�\n 1 County of , [ICJ► 11W1{r V Ok��U �2 )_"\� before me, t/1\ A �I lean, ��YV 1�C Date �� of Ice personally appeared�` � b yt �� NAME(S)OFF S GNER(S) who proved to me on the basis of satisfactory evidence to be the persor s whose nam�is/&subscribed to the within instrument and acknowledged to me that he/she% xec ted the same In his/her/authorized capacit le and that by his/her/� signatures on the instrument the p rso s or the entity upon beha of which the persor�s acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State identified herein,that the foregoing paragraph is true and correct. Witness my h an icial seal. OLIVIA CHEA ture of ota >.` 4\ Commission No.2107474 z -' Z `tF r I, NOTARY PUBLIC-CALIFORNIA ap 43 SAN BERNARDINO COUNTY My Comm.Expires APR IL 18,2019 ATTENTION NOTARY: Although the information requested below is OPTIONAL, it could prevent fraudulent attachment of this certificate to unauthorized document. THIS CERTIFICATE Title or Type of Document MUST BE ATTACHED TO THE DOCUMENT Number of Pages DATE of DOCUMENT DESCRIBED AT RIGHT: Signer(s) Other Than Named Above VISTA CHINO AT VIA MIRALESTE TRAFFIC SIGNAL CITY PROJECT NO.17-03 N.PALM CANYON DR.AT VIA ESCUELA TRAFFIC SIGNAL PAYMENT BOND CITY PROJECT NO. 17-05 AGREEMENT AND BONDS-PAGE 15 AUGUST 2018 NOTARY ACKNOWLEDGMENT OF SURETY: State of Connecticut County of Hartford ss. On this the 27th day of September , 20 18 , before me, Saykham Chanthasone, the undersigned officer, personally appeared Joshua Sanford , known to me(or satisfactorily proven)to be the person whose name is subscribed as Attorney-In- Fact for Fidelity and Deposit Company of Maryland , and acknowledged that s/he executed the same as the act of his/her principal for the purposes therein contained. In witness whereof I hereunto set my hand. i at -e of Notary ublic Date ommission Expires: October 31, 2018 Saykham Chanthasone Printed Name of Notary SAYKHAM CHANTHASONE NOTARY PUBLIC-CT I65366 MY COMMISSION EXPIRES OCT.31,2018 r, ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS:That the ZURICH AMERICAN INSURANCE COMPANY,a corporation of the State of New York,the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY,a corporation of the State of Maryland,and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies"), by MICHAEL BOND,Vice President, in pursuance of authority granted by Article V, Section 8, of the By-Laws of said Companies, which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint Donna M. PLANETA, Joshua SANFORD, Aimee R. PERONDINE, Aiza LOPEZ, Danielle D. JOHNSON, Michelle Anne McMAHON, Saykham CHANTHASONE and Noah William PIERCE,all of Hartford,Connecticut, EACH its true and lawful agent and Attorney-in-Fact,to make,execute,seal and deliver,for,and on its behalf as surety,and as its act and deed:any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York,New York.,the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8,of the By-Laws of said Companies,and is now in force. IN WITNESS WHEREOF, the said Vice-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND,this 9th day of July,A.D.2018. ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND BF.AL ill: +•�yhi�NN1.0 yl' Assistant Secretary Vice President Joshua Lecker Michael Bond State of Maryland County of Baltimore On this 9th day of July, A.D. 2018,before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, MICHAEL BOND, Vice President, and JOSHUA LECKER, Assistant Secretary, of the Companies, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly sworn, deposeth and saith,that he/she is the said officer of the Company aforesaid,and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies,and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my Official Seal the day and year first above written. `Constance A.Dunn,Notary Public My Commission Expires:July 9,2019 POA-F 063-9180A EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V, Section 8,Attorneys-in-Fact. The Chief Executive Officer,the President,or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attorneys-in-fact with authority to execute bonds, policies, recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attorney-in-fact to affix the corporate seal thereto;and may with or without cause modify of revoke any such appointment or authority at any time." CERTIFICATE I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate;and I do further certify that Article V, Section 8,of the By-Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney...Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 10th day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice-President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company,shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIMONY WHEREOF,I have h�e�nto subscribed my name and affixed the corporate seals of the said Companies, this,jgV"day of a�� 20'�' s g N ,f David McVicker,Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND,PLEASE SUBMIT ALL REQUIRED INFORMATION TO: Zurich American Insurance Co. Attn: Surety Claims 1299 Zurich Way Schaumburg,IL 60196-1056 Bond No.9299756 PERFORMANCE BOND—PUBLIC WORKS KNOW ALL MEN BY THESE PRESENTS, WHEREAS, the City of Palm Springs, a charter city, organized and existing in the County of Riverside, California, as Obligee, (hereinafter referred to as the "City"), has awarded to the undersigned Contractor, (hereinafter referred to as the "Contractor"), an agreement for the work described as follows: VISTA CHINO AT VIA MIRALESTE TRAFFIC SIGNAL INSTALLATION CITY PROJECT NO. 17-03 N. PALM CANYON DR. AT VIA ESCUELA TRAFFIC SIGNAL INSTALLATION CITY PROJECT NO. 17-05 (hereinafter referred to as the "Public Work"); and WHEREAS, the work to be performed by the Contractor is more particularly set forth in that certain Agreement (Construction Contract) for the said Public Work awarded to the Contractor and approved by the City for the Project hereinabove named, (hereinafter referred to as the "Contract"), which Contract is incorporated herein by this reference; and WHEREAS, the Contractor is required by said Contract to perform the terms thereof, and to provide a bond both for the performance and guaranty thereof. NOW, THEREFORE, we, the undersigned Contractor, as Principal, and: Fidelity and Deposit Company of Maryland a corporation organized and existing under the laws of the State of Maryland and duly authorized to transact business under the laws of the State of California, as Surety, are held and firmly bound unto the City in the sum of One Million One Hundred Seventy Four Thousand Two Hundred Sixty One and 181100 Dollars ($ 1,174,261.18 ), said sum being not less than 100 percent of the total amount payable by the City under the terms to the said Contract, for which amount well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH, that if the bounden Contractor, his or its heirs, executors, administrators, successors, or assigns, shall in all things stand to and abide by, and well and truly keep and perform the covenants, conditions and agreements in the said Contract and any alteration thereof made as therein provided, on his or its parts, to be kept and performed at the time and in the manner therein specified, and in all respects according to their intent and meaning; and shall faithfully fulfill the one year guarantee of all materials and workmanship; and indemnify and save harmless the City, its officers and agents, as stipulated in said Contract, then this obligation shall become null and void; otherwise it shall be and remain in full force and effect. The said Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration, or addition to the terms of the Contract or to the work to be performed thereunder or the Specifications accompanying the same shall in any way affect its obligations on this bond, and it does hereby waive notice of any such change, extension of time, alteration of addition to the terms of the Contract, or to the Public Work or to the Specifications. No final settlement between the City and the Contractor shall abridge the right of any beneficiary hereunder, whose claim may be unsatisfied. VISTA CHINO AT VIA MIRALESTE TRAFFIC SIGNAL CITY PROJECT NO. 17-03 N.PALM CANYON DR.AT VIA ESCUELA TRAFFIC SIGNAL CITY PROJECT NO. 17-05 PERFORMANCE BOND it AUGUST 2018 AGREEMENT AND BONDS-PAGE 8 PERFORMANCE BOND—PUBLIC WORKS (CONTINUED) Contractor and Surety agree that if the City is required to engage the services of an attorney in connection with enforcement of the bond, each shall pay City's reasonable attorney's fees incurred, with or without suit, in addition to the above sum. SIGNED AND SEALED, this 27th day of September 2018. CONTRACTOR: Elecnor Belco Electric, Inc. Check one: individual,_partnership, x corporation (This Performance Bond must be signed by representatives and/or officers having appropriate authority to bind the Contractor and Surety to the terms of the Performance Bond.) CONTRACTOR: Elecnor Belco Electric, Inc. SURETY: Fidelity and Deposit Company of Maryland By: By .A� signature signature (NOTARIZED) (NOTARIZED) Print Name and Ti le: Print Name and Title: Joshua Sanford,Attorney-In-Fact By: ture (NO RIZED) Print Name and Title: ,J'�ft6 ar Ji 4 I&� c-a By submitting this Performance Bond, the Contractor and Surety acknowledge the provisions of the Contract Documents with regard to Section 6-4 "Default by the Contractor", as further amended by the Special Provisions. VISTA CHINO AT VIA MIRALESTE TRAFFIC SIGNAL CITY PROJECT NO. 17-03 N.PALM CANYON DR.AT VIA ESCUELA TRAFFIC SIGNAL CITY PROJECT NO.17-05 PERFORMANCE BOND AUGUST 2018 AGREEMENT AND BONDS PAGE 9 PERFORMANCE BOND—PUBLIC WORKS (CONTINUED) $3.87 per$1,000 first$100,000/$3.42 per$1,000 next$400,000/$3.20 per$1,000 The rate of premium on this bond is $remaining1674,261�br thousand. The total amount of premium charged: $ 3,913.00 (The above must be filled in by corporate surety). IMPORTANT: Surety companies executing bonds must possess a certificate of authority from the California Insurance Commissioner authorizing them to write surety insurance defined in Section 105 of the California Insurance Code, and if the work or project is financed, in whole or in part, with Federal, grant, or loan funds, it must also appear on the Treasury Department's most current list (Circular 570 as amended). THIS IS A REQUIRED FORM. An clai ms under this bond may be addressed to: Y Y (Name and Address of Surety) Fidelity and Deposit Company of Maryland 1299 Zurich Way, 5th Floor Schaumburg. IL 60196-1056 (Name and Address of Agent or Margaret Hentz Representative for service of process in California if 777 South Figueroa St., Ste 3900 different from above) Los Angeles, CA 90017 (Telephone Number of Surety and Fidelity and Deposit Company of Maryland (847)605-6000 Agent or Representative for service of process in California) Margaret Hentz(213)270-0757 VISTA CHINO AT VIA MIRALESTE TRAFFIC SIGNAL CITY PROJECT NO.17-03 N.PALM CANYON DR.AT VIA ESCUELA TRAFFIC SIGNAL PERFORMANCE BOND CITY PROJECT NO. 17-05 AUGUST 2018 AGREEMENT AND BONDS PAGE 10 PERFORMANCE BOND—PUBLIC WORKS (CONTINUED) ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy or validity of that document. State of County of � tl b� On &1,UIpor 2 j2zjt) before me, 004 q lc m!� r `1 NO Date. /n�`` (� me Title off personally appeared Ak � 1s- am, I040 NAME(S)OF SIGNER(S) who proved to me on the basis of satisfactory evidence to be the persorg whose mil (s) is/&subscri to the within m in his/her/ eir utf"iorized ca aci i and that b h / he/ a xecuted the sa e Instrume and acknow ged to me that e s � � p Y his/her/ ei signature (s on the instrument the persoros , or the entity upon behalf of which the person s) cted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State identified herein,that the foregoing paragraph is true and correct. Witness d and o 'cial seal. OLIVIA CHEA na re of Notary ��`=Ar -" Commission No.2107474 Z NOTARY PUBLIC-CALIFORNIA SAN BERNARDINO COUNTY �^ My Comm.Expires APRIL 18,2019 ATTENTION NOTARY: Although the information requested below is OPTIONAL, it could prevent fraudulent attachment of this certificate to unauthorized document. THIS CERTIFICATE Title or Type of Document 1 MUST BE ATTACHED TO THE DOCUMENT Number of Pages DATE of DOCUMENT DESCRIBED AT RIGHT: Signer(s) Other Than Named Above VISTA CHINO AT VIA MIRALESTE TRAFFIC SIGNAL CITY PROJECT NO.17-03 N.PALM CANYON DR.AT VIA ESCUELA TRAFFIC SIGNAL CITY PROJECT NO. 17-05 PERFORMANCE BOND AUGUST 2018 AGREEMENT AND BONDS PAGE 11 NOTARY ACKNOWLEDGMENT OF SURETY: State of Connecticut County of Hartford ss. On this the 27th day of September , 20 18 , before me, Saykham Chanthasone, the undersigned officer,personally appeared Joshua Sanford , known to me(or satisfactorily proven)to be the person whose name is subscribed as Attorney-In- Fact for Fidelity and Deposit Company of Maryland , and acknowledged that s/he executed the same as the act of his/her principal for the purposes therein contained. In witness whereof I hereunto set my hand. Sigr t e of Notary tublic Date Commission Expires: October 31, 2018 Saykham Chanthasone Printed Name of Notary SAYKHAM CHANTHASONE 1VOTARYPUBLIC-CT 165366 MY COMMISSION EXPIRES OCT.31,2018 i ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS:That the ZURICH AMERICAN INSURANCE COMPANY,a corporation of the State of New York,the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY,a corporation of the State of Maryland, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies"), by MICHAEL BOND,Vice President, in pursuance of authority granted by Article V, Section 8, of the By-Laws of said Companies, which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint Donna M. PLANETA, Joshua SANFORD, Aimee R. PERONDINE, Aiza LOPEZ, Danielle D. JOHNSON, Michelle Anne McMAHON,Saykham CHANTHASONE and Noah William PIERCE,all of Hartford,Connecticut, EACH its true and lawful agent and Attorney-in-Fact,to make,execute,seal and deliver,for,and on its behalf as surety,and as its act and deed:any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York,New York.,the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8,of the By-Laws of said Companies,and is now in force. IN WITNESS WHEREOF, the said Vice-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND,this 9th day of July,A.D.2018. ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND wwa Assistant Secretary Vice President Joshua Lecker Michael Bond State of Maryland County of Baltimore On this 9th day of July, A.D. 2018,before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, MICHAEL BOND, Vice President, and JOSHUA LECKER, Assistant Secretary, of the Companies, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly sworn, deposeth and saith,that he/she is the said officer of the Company aforesaid,and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies,and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my Official Seal the day and year first above written. `ttt11111 j,1' Constance A.Dunn,Notary Public My Commission Expires:July 9,2019 POA-F 063-9180A EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V, Section 8,Attorneys-in-Fact. The Chief Executive Officer,the President,or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attorneys-in-fact with authority to execute bonds, policies, recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attorney-in-fact to affix the corporate seal thereto;and may with or without cause modify of revoke any such appointment or authority at any time." CERTIFICATE I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate;and I do further certify that Article V, Section 8,of the By-Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney...Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 10th day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice-President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company,shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN�T STIMONY W ERE F,I have he unto subscribed my name and affixed the corporate seals of the said Companies, this t�Z aay of 20 . wa nE/py. ,�rN� O.%, ��► } 5 oe ; SEAL SSN -u David McVicker,Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND,PLEASE SUBMIT ALL REQUIRED INFORMATION TO: Zurich American Insurance Co. Attn: Surety Claims 1299 Zurich Way Schaumburg,IL 60196-1056