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HomeMy WebLinkAboutA5916 - SHASTA FIRE PROTECTION INC - DESIGN & INSTALL FIRE SPRINKLER SYSTEM IN PALM CANYON THEATRE~ ACORD8 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/ODIYYYY) 06/27/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS 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 pol icy(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 Quetha Rodnguez Garcia Insurance Inc RECEIVED JUL O 1 ~~2262 (760) 320-1111 A/C No : (760) 320-1115 2099 E Tahqu,tz Canyon Way INSURER(SI AFFORDING COVERAGE NAIC I Palm Springs MT HAWLEY INSURANCE INSURED 38342 Orr B uilders Inc California Auto Insurance Company ')FFI C E OF THE CITY CLERUl---'----Na-vi-ga-to-rs-ln-s-ur-an-ce_C_o ________ --+------1 39301 Badger Street Ste 300 INSURER O: Insurance Company of the West INSURER E : Ohio Security Insurance Co 24082 Palm Desert BC 92211 INSURER F : COVERAGES CERTIFICATE NUMBER: CL2562608835 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 NOTV'v'ITHSTANDING ANY REQUIREMENT, T ERM 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 ANO CONDITIONS OF SUCH POLICIES LIMITS SH0\/1/N MAY HAVE BEEN REDUCED BY PAID CLAIMS 1'rtR TYPE Of' INSURANCE IN~n wvo POLICY NUMBER ,:~'ooivWv1 <M,z-JiTmYl LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE s 1 000,000 I CLAIMS-MADE [81 OCCUR PREM~e~<tE~~1 s 100,000 -MED EXP (NW one person) s 5,000 A MGL0201213 04/15/2025 04/15/2026 PERSONAL & ADV INJURY s 1,000,000 - GEN"I.AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE s 2 ,000,000 ~ POLICY [81 1& □ LOC PRODUCTS -COMP/OP AGG s 2,000,000 OTHER EBL S 1,000,000 AUTOMOBILE LIABILITY -~~~~~1f1NGLE LIMIT s 1,000,000 ~ ANYAUTO BOOIL Y INJURY (Pw person) s B O'M,IED -SCHEDULED BA040000093413 04/15/2025 04/15/2026 BODILY INJURY (Par .,;c,denl) s -AUTOS ONLY -AUTOS HIRED NON-OWNED PROPERTY DAMAGE s AUTOS ONLY AUTOS ONLY /Per accldenn ._ ._ Hired/borrowed s 1 ,000 000 ~ UMBRELLA LIAB HOCCUR EACH OCCURRENCE s 5 .000 000 C EXCESS LIAB CLAIM S-MADE AZ25EXCZOK\/VOCIC 04/15/2025 04115/2026 AGGREGATE s OED I I RETENTION s s WORKERS COMPENSATION XI ~tUTE I I OTH- ANO EMPLOYERS' LIABILITY ER Y I N 1,000.000 ANY PROPRIETOR/PARTNER/EXECUTIVE 12] WSD 5084 996 00 07/01/2025 07/01/2026 E L EACH ACCIDENT s D OFFICERMEMBER EXCl.UDEO? N /A I Mandatory In NHI El DISEASE· EA EMPLOYEE s 1 ,000,000 If yes <lesalbe under DESCRIPTION OF OPERATIONS below E L DISEASE • POLICY LIMIT s 1 ,000,000 E Inland Manne BKS56332586 0112712025 0112712026 M ax limit $25,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101 , Addltlonal Remarks Schedule, may be attached II more space Is required! Re: Lrcense #-00012620 Issued as evidence of rnsurance. •Except 1 O days for non-payment of premium CERTIFICATE HOLDER C ity of Palm Springs 3200 E . Tahqu,tz Canyon Way Palm Springs ACORD 25 (2016/03) CA 92262 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED I N ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2015 A CO RD CORPORATION. All rights reserved, The ACORD name and logo are registered marks of ACORD I CERTIFICATE OF LIABILITY INSURANCE DATE (MM/00/YYYY) 04115/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY A N D CONFERS NO RIGHTS UPON THE CERTI FICAT E HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THI S CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE I SSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate hol der 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 statem ent on this certificate does n ot confer rights to the certificate holder in lieu of s u ch endorsement(s). PRODUCER Quetha Rodnguez Garcia Insurance Inc (760) 320-1111 A/C No : (760) 320-1115 2099 E Tahqu1tz Canyon Way RECEIVED INSURER(SI AFFORDtNG COVERAGE NAIC# Palm Springs CA 92262 INSURER A : MT HAWLEY IN SURAN CE INSURED A INSURER B : Cahfom1a Auto Insurance Company 38342 Orr Builders Inc INSURER c: Navigators Insurance Co i---------:--------------------+--------f 39301 Badger Street Ste atFICE OF THE CITY CLE ,..,._s;;;..;u;;..;R;;;;.ER:...:oc...;.:_s.,...ta_rN_e,....t_1n_su_ra_nce_c_o_--,----------+-------1 INSURER E: Ohio Security Insurance Co. 24082 Palm Desert BC 9 22 l l INSURER F : COVERAGES CERTIFICATE NUMBER: CL2541508672 REVI SION NUMBER· THIS \S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHS TANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VVITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAJN 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 CLAJMS '~lil' TYPE OF INSURANCE INC:n wvn POLICY NUMBER (MMTDO/YYYYI IM~~oorM-v, LIMITS ~ COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE s 1,000,000 n CLAIMS-MADE [81 OCCUR ..,n,.,_r,.u~I Vf'l~n1~~ s 100,000 PREMISES I Ea occurrencel -MEO EXP 1/vr>/ one ()er$00I s 5,000 A MGL0201213 04115/2025 -04/1512026 PERSONAL & ADV INJURY s 1,000,000 GEN·L AGGREGATE LIMIT APPLI ES PER GENERAL AGGREGATE s 2,000,000 ~ [81 PRO-OLoc s 2,000,000 POLICY JECT PROOUCTS -COMPIOPAGG OTHER EBL s 1,000,000 AUTOMOBILE LIABILITY )i;~MBINEO SINGLE LIMIT $ 1,000,000 Ea accidentl X ANYAUTO BODILY INJURY (Per person\ s B -O',',A,JED -SCHEDULED BA040000093413 04/1512025 04/1512026 BODILY INJURY (Pe, ac:adent) s -AUTOS ONLY -AUTOS HIRED NON-0',',A,JEO i~..=.F"GE s -AUTOS ONLY -AUTOS ONLY Hired/borrowed s 1 000,000 ~ UMBRELLA LIAB HOCCUR EACH OCCURRENCE s 5,000,000 C EXCESSLIAB CLAIMS-MADE AZ25EXCZOKWOCIC 04/15/2025 04/15/2026 AGGREGATE $ OED I I RETENTION s s WORKERS COMPENSATION XI ~fTUTE I I OTH- AND EMPLOYERS' LIABILITY ER Y /N s 1 000,000 D AIM PROPRIETOR/PARTNER/EXECUTIVE 0 N /A BNUWC0163128 07/01/2024 07/01/2025 E L EACH ACODENT OFFICER/MEMBER EXCLUDED? (M1nd1tory In NH) E L DISEASE • EA EMPLOYEE s 1,000000 ltvesdHa>lleundlt DESCR IPTION OF OPERATIONS belOW E L DISEASE • POllCY L1M!T s 1 000,000 E Inland Marine BKS56332586 01/27/2025 01/27/2026 Max Limit $25,000 DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (ACORD 101, Addltlonal Remarks Schedule, may be attached Ir more space Is required) Re. License #00012620 Issued as evidence of insurance ·except 10 days for non-payment of premium C ERTIFI CATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Coty of Palm Spnngs ACCORDANCE WITH THE POLICY PROVISIONS. 3200 E. Tahquitz Canyon Way AUTHORIZED REPRESENTATIVE Palm Springs CA 92262 &-fbG-.- I © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (201 6103) The ACORD name and l ogo are registered marks of ACORD DATE (MM/DD/YYYY) ,AC" CERTIFICATE OF LIABILITY INSURANCE 1 03/10/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS ND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTE 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). CONTACT Quetha Rodriguez PRODUCER NAME: PHONE (760) 320-1111 FAX No): (760) 320-1115 Garcia Insurance Inc A/C No Ex[)* RECEIVE® E-MAIL 2099 E Tahquitz Canyon Way ADDRESS: INSURER(S) RER(S) AFFORDING COVERAGE NAIC q Palm Springs M 92262 INSURER Hudson Excess Insurance Cc INSURED INSURER B California Auto Insurance Company 38342 Shasta Fire ProtectioOFFICE OF THE CITY CLERK INSURER C : Insurance Company of the West 72120 Northshore Street #C INSURER D : Peleus Insurance Company INSURER E: Thousand Palms CA 92276 INSURER F CERTIFICATE NUMBER: CL2531008634 REVISION NUMBER: COVERAGES ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS TN -SR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS 1,000,000 LTR X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S A 100,000 PREMISES Ea occurrence) S CLAIMS -MADE � OCCUR 5,000 MED EXP (Any one person) S Y Y FSL000092-06 10/16I2024 10/16/2025 PERSONAL&ADVINJURY S 1,000,000 A 2.000,000 GENERAL AGGREGATE S GEN'LAGGREGATE LIMIT APPLIES PER PRo ❑ LOC PRODUCTS - COMP/OP AGG S 2.000,000 POLICY Pollution Liability S INCLUDED OTHER COMBINED SINGLE LIMIT g 1,000,000 AUTOMOBILE LIABILITY Ea accident BODILY INJURY (Per person) S X ANY AUTO OWNED SCHEDULED Y BA040000093001 03/15/2025 03/15/2026 BODILY INJURY (Per accident) S B AUTOS ONLY AUTOS PROPERTY DAMAGE S HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Per accident Uninsured Mortorist S 1,000,000 S 5.000,000 X UMBRELLA LAB X OCCUR EACH OCCURRENCE 5,000,000 FSL0000045-06 10/16/2024 10/16/2025 AGGREGATE S A EXCESS LIAB CLAIMS -MADE DED X RETENTIONS 10,000 S PER H _ ER WORKERS COMPENSATION /� STATUTE 1 ,000,000 AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE a NIA Y WSD500556214 01/01/2025 01/01/2026 E L. EACH ACCIDENT S S 1,000.000 C OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE (Mandatory in NH) If yes, describe under E L DISEASE - POLICY LIMIT S 1,000.000 DESCRIPTION OF OPERATIONS below Each Occurrence $2,000,000 Liability 121 CTR 0214904-01 10/16/2024 10/16/2025 Professional Pollution Liab $2,000,000 D kProfessional IPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional RemarksSchedule, may be attached if more space is required) agents are named as an additional insured This insurance is primary and non-contributory Waiver of ity of Palm Springs, its officials. employees and subrogation applies `10 day notice of cancellation applies for non-payment of premium. *30 day written notice needed for cancellation of policy n nu/"CI I ATII-)M CERTIFICATE HOLDER City of Palm Springs 3200 E. Tahquitz Canyon Way Palm Springs SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. I AUTHORIZED REPRESENTATIVE CA 92262 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACCWH CERTIFICATE OF LIABILITY INSURANCE 111 OATE(MMIDD/YYYYI 10/16/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER Garcia Insurance Inc RECEIVED 2099 E. Tahquitz Canyon Way OCT 2 1 2024 Palm Springs CA 92262 CONTACT NAME: quetha Rodriguez PHONE (760)320-1111 FAX (760)320-1115 AlG No EN : No: E- IL ADDRESS: INSURER(S) AFFORDING COVERAGE MAID III INSURER A : Hudson Excess Insurance Cc INSURED OFFICE OF THE CITY CLERK INSURER 8: Nationwide General Insurance Company 23760 Shasta Fire Protection Inc INSURER C: Insurance Company of the West 72120 Nonhshore Street, #C INSURER D : Peleus Insurance Company INSURER E : Thousand Palms CA 92276 1 INSURER F : COVERAGES CERTIFICATE NUMBER: CL24101608419 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES- LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE AUM I ZKOIN POLICY NUMBER POLICYEFFPOLICY MM/DDrIYYY E% MMIDD LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ® OCCUR EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED PREMISES Ea orturrenc® $ 100,000 MEDEXP(AW.pii $ 5.000 PERSONAL&ADVINJURY $ 1.000,000 A Y Y FSLOOD092-06 10/16/2024 10/162025 GEN'L AGGREGATE LIMIT APPLIES PER POLICY ® PRO JECT LOG GENERALAGGREGATE S 2,000,000 PRODUCTS - COMPIOPAGG $ 2,000,000 OTHER: Pollution Liability $ INCLUDED AUTOMOBILE LIABILITY COMBINED INGLEUMIT Ea III S 1,000000 BODILY INJURY( Per Person) 5 ANYAUTO B OWNED SCHEDULED AUTOS ONLY AUTOS Y ACPBA013130062383 03/15/2024 03/15/2025 BODILY INJURY(Peraweenu s HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per scadent $ Uninsured Motorist $ 1,000.000 iq UMBRELLA UAB 11 OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 A EXCESS LIAR CUMMSMADE FSL0000045-06 10/16/2024 10/162025 DEC, I N RETENTION S 10,000 8 C VIOAND KERS EMPLOYERCOMPENSATIONLIALIT AND EMPLOYERS'UABIDTY YIN ANY PROPRIETORIPARTNEP/EXECUTIVE Q OFFICER/MEMBER EXCLUDED? (Mmtlatary In MR) If yes, tl Ix, untler DESCRIPTION OF OPERATIONS DOIox NIA Y WSD 500556213 01/01/2024 01/01/2025 PER OTH` STATUTE ER El EACH ACCIDENT $ 1,000.000 EL. DISEASE - EA EMPLOYEE If 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 D Professional Liability 121 CTR 0214904-01 10/16/2024 10/16/2025 Each Occurrence Professional Pollution Liab $2,000,000 $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schetlule, may be atMehM if none space is required) The City of Palm Springs. its officials. employees and agents are named as an additional insured This insurance is primary and non-contributory. Waiver of subrogation applies. *10 day notice of cancellation applies for non-payment of premium. *30 day written notice needed for cancellation of policy. City of Palm Springs 3200 E. Tahquifz Canyon Way SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. wu nunlLeu nernt5try Iw Irvt Palm Springs CA 92262 Jt�LT. © 1988-2015 ACORD CORPORATION. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD reserve( POLICY NUMBER: FSL000092-06 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization s : Location And Description Of Completed Operations Blanket where required by written contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section Il — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property dam- age" caused, in whole or in part, by "your work' at the location designated and described _in the sched- ule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 O POLICY NUMBER: FSL000092-06 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location(s) Of Covered Operations Blanket where required by written contract I Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) desig- nated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equip- ment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at.the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 ❑ POLICY NUMBER: FSL000092-06 COMMERCIAL GENERAL LIABILITY CG 20 01 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that (1) The additional insured is a Named Insured under such other insurance; and J (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. I CG 20 01 0413 © Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: FSL000092-06 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Blanket where required by written contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Other To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 0 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 34 (Ed. &.00) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - BLANKET We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us). The additional premium for this endorsement shall be otherwise due. Person or Organization ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED IS REQUIRED UNDER WRITTEN CONTRACT TO FURNISH THIS WAIVER, CALIFORNIA OPERATIONS ONLY. 2 % of the total California Workers' Compensation premium Schedule Job Description ALL CALIFORNIA OPERATIONS , This endorsement changes the policy to which it is aftached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective O1/01/2024 Policy No. WSD 5005562 13 Insured SHASTA FIRE PROTECTION INC Insurance Company INSURANCE COMPANY OF THE WEST Countersigned By Endorsement No. Premium $ INCL. WC 99 06 34 (Ed. 6.00) INSURED COMMERCIAL AUTO AC 70 05 0316 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO PROTECTION - GOLD This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM SUMMARY OF COVERAGES , A. Effect of This Endorsement B. Newly Acquired or Formed Entities C. Employees as Insureds —NonownedAutos D. Additional Insured by Contract, Permit or Agreement E. Supplementary Payments — Bail Bonds F. Supplementary Payments — Loss of Earnings G. Personal Effects and Property of Others Extension H. Prejudgment Interest Coverage I. Fellow Employee— Officer, Managers and Supervisors J. Hired Auto Physical Damage K. Temporary Substitute Autos— Physical Damage Coverage L. Expanded Towing Coverage M. Auto Loan or Lease Coverage N. Original Equipment Manufacturer Parts — Leased Private Passenger Types O. Deductible Amendments P. Rental Reimbursement Coverage Q. Expanded Transportation Expense R. Extra Expense— Stolen Autos S. Physical Damage Limit of Insurance T. New Vehicle Replacement Cost U. Physical Damage Coverage Extension V. Transfer of Rights of Recovery Against Others To Us W. Section IV — Business Auto Conditions— Notice of and Knowledge of Occurrence X. Hired Car Coverage Territory Y. Emergency Lock Out Z. Cancellation Condition AC 70 05 0316 Includes copyrighted material of Insurance Services Office, Inc. Page 1 of 7 with its permission ACP SA 31.1.0062383 L62Y 22014 INSURED COPY AC7005031600 0001 47 0017001 COMMERCIAL AUTO AC 70 05 0316 A. EFFECT OF THIS ENDORSEMENT Coverage provided under this policy is modified by the provisions of this endorsement. If there is any conflict between the provisions of this endorsement and the provision(s) of any state - specific endorsement also attached to this poli- cy, then the provision(s) of the state -specific endorsement shall apply instead of the provi- sions of this endorsement that are in conflict, but only to the extent of the conflict, and only to the extent necessary to bring such provisions into conformance with the state requirement(s) contained in the provision(s) of the state -specific endorsement. B. NEWLY ACQUIRED OR FORMED ENTITIES The Named Insured shown in the Declarations is amended to include any organization you newly acquire or form, other than a partnership, joint venture, or limited liability company, and over which you maintain ownership or majority (more than 50%) interest; if there is no other similar in- surance available to that organization. Coverage under this provision is afforded until the 18& day after you acquire or form the organization or the end of the policy period, whichever is later. C. EMPLOYEES AS INSUREDS — NONOWNED AUTOS The following is added to paragraph A.I. Who Is An Insured of SECTION II — COVERED AUTOS LIABILITY COVERAGE: d. Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow in your business or your per- sonal affairs. D. ADDITIONAL INSURED BY CONTRACT, PERMIT OR AGREEMENT The following is added to A.I. Who Is An In- sured of SECTION II — COVERED AUTOS LIABILITY COVERAGE: Any person or organization that you are re- quired to name as an additional insured in a written contract or agreement that is executed or signed by you prior to a "bodily injury" or "property damage" occurrence is an "insured" for Covered Auto Liability coverage. How- ever, with respect to covered "autos", such person or organization is an insured only to the extent that person or organization qualifies as an "insured" under A. I. Who is an Insured of SECTION 11 — COVERED AUTOS LIABILITY COVERAGE: If specifically required by the written contract or agreement referenced in the paragraph above, any coverage provided by this endorsement to an additional insured shall be primary and any other valid and collectible insurance avail- able to the additional insured shall be non- contributory with this insurance. If the written contract does not require this coverage to be primary and the additional insured's coverage to be non-contributory, then this insurance will be excess over any other valid and collectible insur- ance available to the additional insured. E. SUPPLEMENTARY PAYMENTS — BAIL BONDS Supplementary Payments of SECTION II — COVERED AUTOS LIABILITY COVERAGE is revised as follows: (2) Up to $2,500 for cost of bail bonds (including bonds for related traffic law violations) required because of an "accident' we cover. We do not have to furnish these bonds. F. SUPPLEMENTARY PAYMENTS — LOSS OF EARNINGS Supplementary Payments of the SECTION II — COVERED AUTOS LIABILITY COVERAGE is revised as follows: (4) All reasonable expenses incurred by the "in- sured" at our request, including actual loss of earnings up to $500 a day because of time off from work. G. PERSONAL, EFFECTS AND PROPERTY OF OTHERS EXTENSION 1. The. Care, Custody or Control Exclusion of SECTION II — COVERED AUTOS LIABILITY COVERAGE, does not apply to "property damage" to property, other than your property, up to an amount not exceed- ing $250 in any one "accident". Coverage is excess over any other valid and collectible insurance. 2. The following paragraph is added to A.4. Coverage Extensions of SECTION III — PHYSICAL DAMAGE COVERAGE: c. We will pay up to $500 for your property that is lost or damaged as a result of a covered "loss", without applying a de- ductible. Coverage is excess over any other valid and collectible insurance. Page 2 of 7 Includes copyrighted material of Insurance Services Office, Inc. with its permission ACP BA 31.1.0062383 L62Y 22014 INSURED COPY AC7005031600 0001 AC 70 05 03 16 47 0017002 COMMERCIAL AUTO AC 70 05 03 16 H. PREJUDGMENT INTEREST COVERAGE substitute for a covered "auto" you own that The following paragraph is added to SECTION II is out of service because of its: — COVERED AUTOS LIABILITY COVERAGE, a. Breakdown; 2. Coverage Extensions, a. Supplementary b. Repair; Payments: (7) Prejudgment interest awarded against the c. Servicing; "insured" on that part of the judgment we d. "Loss"; or pay. If we make an offer to pay the appli- e. Destruction cable limit of insurance, we will not pay The coverage that applies is the same as any prejudgment interest based on that the coverage provided for the vehicle being period of time after. the offer. replaced. I. FELLOW EMPLOYEE — OFFICERS, MANAGERS, AND SUPERVISORS L. EXPANDED TOWING COVERAGE The Fellow Employee Exclusion in SECTION II 1. We will pay up to: — COVERED AUTOS LIABILITY COVERAGE is replaced as follows; 0 for"auto" a. $100 for a covered "auto" you own of A. "Bodily injury" to any fellow "employee" of pcovered the or the "insured" arising out of and in the course b. $500 for a covered "auto" you own that of the fellow "employee's" employment or is not of the private passengertype, , while performing duties related to the con- for towing and labor costs incurred each duct of your business. This exclusion does time the covered "auto" is disabled. Howev- not apply to an "insured" who occupies a er, the labor must be performed at the place position as an officer, manager, or supervi- of disablement. sor. 2. This coverage applies only for an "auto" J. HIRED AUTO PHYSICAL DAMAGE covered on this policy for Comprehensive or If covered "auto" designation symbols 1 or 8 ap- Specified Causes of Loss Coverage and ply to Liability Coverage and if at least one "au- Collision Coverages. to" you own is covered by this policy for Com- 3. Payment applies in addition to the otherwise prehensive, Specified Causes of Loss, or Colli- applicable amount of each coverage you sion coverages, then the Physical Damage have on a covered "auto". coverages provided are extended to "autos" you M. AUTO LOAN OR LEASE COVERAGE lease, hire, rent or borrow Without a driver; and 1. In the event of a total "loss" to a covered provisions in the Business Auto Coverage Form "auto", we will pay any unpaid amount due applicable to Hired Auto Physical Damage apply on the loan or lease, including up to a max - up to a limit of $100,000. The deductible will be imum of $500 for early termination fees or equal to the largest deductible applicable to any owned "auto" for that coverage. Any Compre- penalties, for your covered "auto" less: hensive deductible does not apply to fire or a. The amount paid under SECTION III — lightning. PHYSICAL DAMAGE COVERAGE of K. TEMPORARY SUBSTITUTE AUTOS — this policy; and PHYSICAL DAMAGE COVERAGE b. Any: The following is added to paragraph C. Certain 1) Overdue lease/loan payments at the Trailers, Mobile Equipment And Temporary time of the "loss"; Substitute Autos of SECTION I - COVERED 2) Financial penalties imposed under a AUTOS: lease for excessive use, abnormal If Physical Damage Coverage is provided by wear and tear or high mileage; this Coverage Form, the following types of 3) Security deposits not refunded by a vehicles are also covered "autos" for Physi- lessor; cal Damage Coverage: 4) Costs of extended warranties, Credit Any "auto" you do not own while used with Life insurance, Health, Accident, or the permission of its owner as a temporary Disability insurance purchased with the lease; and AC 70 05 0316 Includes copyrighted material of Insurance Services Office, Inc., Page 3 of 7 with its permission ACP BA 31-1.0062383 L62Y 22014 INSURED COPY AC7005031600 0001 47 0017003 COMMERCIAL AUTO AC 70 05 0316 5) Carry-over balances from previous No deductible applies to glass if the glass is re- leases. paired, in a manner acceptable to us, rather than 2. This coverage only applies to a "loss" which replaced. is also covered under this policy for Com- P. RENTAL REIMBURSEMENT COVERAGE prehensive, Specified Causes of Loss, or Collision coverage. 1. This coverage applies only to a covered "au - to" for which Physical Damage Coverage is 3. Coverage does not apply to any unpaid provided on this policy. amount due on a loan for which the covered 2. We will pay for rental reimbursement ex- N.' ORIGINAL EQUIPMENT MANUFACTURER penses incurred by you for the rental of an "auto" because of "loss" to a covered "auto". PARTS — LEASED PRIVATE PASSENGER Payment applies in addition to the otherwise TYPES applicable amount of each coverage you Under Paragraph C. Limit of Insurance of have on a covered "auto." No deductibles SECTION III — PHYSICAL DAMAGE apply to this coverage. COVERAGE, Section 4 is added as follows: 3. We will pay only for those expenses incurred 4. We will use new original equipment vehicle during the policy period beginning 24 hours manufacturer parts for any private passeh_ after the "loss" and ending, regardless of the ger type covered "auto" where required by policy's expiration, with the lesser of the the lease agreement which has a term of at following number of days: least six months. If a new original equip- a. The number of days reasonably ment vehicle manufacturer part is not in pro- required to repair or replace the covered duction or distribution we may use a like, "auto". If "loss" is caused by theft, this kind and quality replacement part. number of days is added to the number O. DEDUCTIBLE AMENDMENTS of days it takes to locate the covered The following are added to the Deductible provi- "auto" and return it to you. sion of SECTION III — PHYSICAL DAMAGE b. The number of days shown in the COVERAGE: Schedule. If another policy or coverage form that is not an 4. Our payment is limited to the lesser of the automobile policy or coverage form issued by following amounts: this company applies to the same "accident", the a. Necessary and actual expenses following applies: incurred. 1. If the deductible under this coverage is the b. $75 for any one day or for a maximum smaller (or smallest) deductible, it will be of 30 days. waived: 5. This coverage does not apply while there 2. If the deductible under this coverage is not are spare or reserve "autos" available to you the smaller (or smallest) deductible, it will be for your operations. reduced by the amount of the smaller (or S. If "loss" results from the total theft of a cov- smallest) deductible. ered "auto" of the private passenger type, If a Comprehensive or Specified Causes of Loss "loss" "accidenC we will pay under this coverage only that Coverage from one involves amount of your rental reimbursement ex - two or more covered "autos", only the highest penses which is not already provided for un- deductible applicable to those coverages will be der SECTION III — PHYSICAL DAMAGE applied to the "accident," if the cause of the loss COVERAGE Coverage Extension. is covered for those vehicles. This provision only Q. EXPANDED TRANSPORTATION EXPENSE applies if you carry Comprehensive or Specified Causes of Loss Coverage for those vehicles, Paragraph A.4.a. of SECTION III — PHYSICAL and does not extend coverage to any covered DAMAGE COVERAGE is replaced by the follow - "autos" for which you do not carry such Ing: coverage. We will pay up to $50 per day to a maximum of $1500 for temporary transportation expense in- curred by you because of the total theft of a Page 4 of 7 Includes copyrighted material of Insurance Services Office, Inc AC 70 05 0316 with its permission. ACP BA 31.1-0062383 L62Y 22014 INSURED COPY AC7005031600 0001 47 0017004 COMMERCIAL AUTO covered "auto" of the private passenger type. We will only pay for those covered "autos" for AC 70 05 0316 merit manufacturer or other sources in - which you`carry Comprehensive or Specified fluting non -original equipment manu- and Causes of Loss,Coverage. We will pay for tem- porary transportation expenses incurred during If a repaersir b• If a repair or replacement results it bet - the period beginning 24 hours after the theft and ter than like kind quality, we will not ending, regardless of the policy's expiration, t pay for the amount of the net improve - when the covered "auto" is returned to use or we merit. pay for its "loss". 5. If we offer to pay the actual cash value of R. EXTRA EXPENSE — STOLEN AUTOS the damaged or stolen property, we will The following paragraph is added to Coverage value auto advertising wraps, paint customi- zation, and similar business related advertis- Extensions of SECTION III — PHYSICAL DAMAGE COVERAGE: ing modifications, in addition to the actual cash value of the property. Auto advertising c. We will pay for,up to $5,000 for the expense 'wraps, paint customization, and similar of returning a stolen covered "auto" to you. business related advertising modifications We will pay only for those covered "autos" will be valued at the cost to replace them for which you carry Comprehensive or Spec- with an adjustment made for depreciation ified Causes of Loss Coverage and physical condition. S. PHYSICAL DAMAGE LIMIT OF INSURANCE T. NEW VEHICLE REPLACEMENT COST Under SECTION III — PHYSICAL DAMAGE The following is added to the Limit of Insurance COVERAGE, Paragraph C., Limit of Insurance provision of SECTION III — PHYSICAL is replaced by the following: DAMAGE COVERAGE: C. Limit Of Insurance 5. The provisions of paragraphs 1. and 3. do I. The most we will pay for "loss" in any one not apply to a covered "auto" of the private accident" is the lesser of: passenger type or a vehicle with a gross a. The actual cash value of the damaged vehicle weight rating of 20,000 pounds or or stolen property as of the time of the less which is a "new vehicle." "loss", or In the event of a total "loss" to your new ve- b. The cost of repairing or replacing the hicle to which this coverage applies, we will damaged or stolen property, pay at your option: 2. $1500 is the most we will pay for "loss" in a. The verifiable `new vehicle" purchase any one "accident" to all electronic equip- price you paid for your damaged vehi- ment that reproduces, receives or transmits cle, not including any insurance or war - audio, visual or data signals which, at the rarities purchased; time of "loss", is: b. If it is available, the purchase price, as a. Permanently installed in or upon the negotiated by us, of a "new vehicle" of covered "auto" in a housing, opening or the same make, model, and equipment other location that is not normally used the most similar model available, not by the "auto" manufacturer for the in- in including any furnishings, parts, or stallation of such equipment. equipment not installed the manufac- b. Removable from a permanently installed a housing unit as described in Paragraph herormanufacturers'dalership; d c T . The market value of your damaged 2.a. above or is an integral part of, that hicle, nott including any furnishings,. furnishings, equipment; or _ parts, or equipment not installed by the - C. An integral part of such equipment. manufacturer or manufacturer's dealer- ship. 3. An adjustment for depreciation and physical We will not pay for initiation or set up costs condition will be made in determining actual associated with loans or leases cash value in the event of a total "loss". 4. The cost of repairing or replacing may: As used in this endorsement, a "new vehicle" means an "auto" of which you are a. Be based on an estimate which includes the original owner that has not been previ- parts furnished by the original equip - AC 70 05 0316 Includes copyrighted material of Insurance Services Office, Inc., with its permission Page 5 of 7 ACP BA 31.1-0062383 L62Y 22014 INSURED COPY AC7005031600 0001 47 0017005 COMMERCIAL AUTO AC 70 05 0316 ously titled and which you purchased less than 365 days before the date of the 'loss". U. PHYSICAL DAMAGE COVERAGE EXTENSIONS Under SECTION III — PHYSICAL DAMAGE COVERAGE, A. Coverage, Coverage Exten- sions, b. Loss of Use Expenses is replaced by the following: b. Loss of Use Expenses For Hired Auto Physical Damage, we will pay expenses for which an "insured" be- comes legally responsible to pay for loss of use of a vehicle rented or hired without a driver, under a written rental contract or agreement. We will pay for loss of use ex- penses if caused by: (1) Other than collision if the Declarations indicate that Comprehensive Coverage is provided for any covered "auto"; (2) Specified Causes of Loss only if the Declarations indicate that Specified Causes of Loss Coverage is provided for any covered "auto"; or (3) Collision only if the Declarations indicate that Collision Coverage is provided for any covered "auto." However, the most we will pay for any expenses for loss of use is $50 per day, to a maximum of $1,500. The insurance provided by this provision is excess over any other collectible insurance. V. TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US The following is added to the Transfer Of Rights Of RecoveryAgainst Others To Us Condition_: We waive any right of recovery we may have against any person or organization to the extent required of you by a written con- tract executed prior to any "accident" be- cause of payments we make for damages under this coverage form. W. NOTICE OF AND KNOWLEDGE OF OCCURRENCE a. Your obligation in the Duties in the Event of Accident, Claim, Suit or Loss Condi- tion relative to notification requirements applies only when the "accident" or "loss" is known to: (1) You, if you are an individual; (2) A partner, if you are a partnership; (3) A member, if you are a limited liability company; or (4) An executive officer or insurance manager, if you are a corporation. b. Your obligation in the. Duties in the Event of Accident, Claim, Suit or Loss Condition relative to providing us with documents concerning a claim or "suit" will not be considered breached unless the breach occurs after such claim or "suit" is known to: (1) You, if you are an individual; (2) A partner, if you are a partnership; (3) A member, if you are a limited liability company; or (4) An executive officer or insurance manager, if you are a corporation. X. HIRED CAR— COVERAGE TERRITORY Item (5) of the Policy Period, Coverage Territory GeneralConditionss replaced by the following: (6) Anywheren theworldif a covered "auto" is leased, hired, rented or borrowed without a driverfor a period of 30 days or less; and Y. EMERGENCY LOCKOUT We will reimburse you up to $100 for reasonable expense incurred for the services of a locksmith to gain entry into your covered "auto" subject to these provisions: 1. Your door key, electronic key or key entry pad has been lost, stolen or locked in your covered "auto" and you are unable to enter such "auto" , or 2. Your keyless entry device battery dies and you are unable to enter such "auto' as a re- sult, SECTION IV —BUSINESS AUTO 3. Your key, electronic key or key entry pad CONDITIONS, Paragraph A is amended as has been lost or stolen and you have follows: changedthe lock to preventan unauthorized 6. NOTICE OF AND KNOWLEDGE OF entry; and OCCURRENCE Page 6 of 7 Includes copyrighted material of Insurance Services Office, Inc AC 70 05 03 16 with its permission. ACP BA 31.1-0062383 L62Y 22014 INSURED COPY AC7005031600 0001 47 0017006 4. Original copies of receipts for services of a locksmith must be provided before reim- bursement is payable. Z. CANCELLATION CONDITION ' Paragraph A.2. of the COMMON POLICY CONDITION — CANCELLATION applies except as follows: AC 70 05 0316 ACP SA 31-1-0062383 COMMERCIAL AUTO AC 70 05 0316 If we cancel for any reason other than non- payment of premium, we will mail or deliver to the First Named Insured written notice of cancellation at least 60 days before the ef- fective date of cancellation. This provision does not apply in those states that require more than 60 days prior notice of cancella- tion. Includes copyrighted material of Insurance Services Office, Inc., with its permission L62Y 22014 INSURED COPY AC7005031600 0001 Page 7 of 7 47 0017007 DOC # 2010-0213645 05110/2010 08:00H Fee;NC Retarded in official Records County of Riverside Larry W. Ward Assessor, County Clerk & Recorder ,�� �, I IIIIII IIIIIII III IIIIIII IIII IIIII IIIIII III Ilill IIII lilt S R U PAGE SIZE OA MISC LONG RFD COPY M A L 465 42F, PCOR NCOR SMF CHC (txnM Recording Requested By And L� T: CTY When Recorded Return To: City of Palm Springs Attn: City Clerk P.O.Box 2743 Palm Springs,CA 92263-2743 (til'nC'P:.AnOVP:'I'I IIF LING:It7R IiliC01<nlNli I1F1?) (EXEMPT FROM RECORDING PEE PER GOV.CODE§6103) NOTICE OF COMPLETION NOTICE IS HEREBY given that: 1. The City of Palm Springs,California,is a municipal corporation,organized and incorporated pursuant to the laws of the State of California. 2. The City Clerk of the City of Palm Springs—is aullaorizcd and directed to execute,on behalf of said City,any and all Notices of Completion. 3. The address of the City of Palm Springs is C.ity Hall,3200 E_Taliquitz Canyon Way,Palm Springs,California(P.O.Box 2743,Palm Springs, CA 92263-2743). 4. 'lhe public work of improvement on the hereinafter referred to real property within the,city was COMPLETED on the 31st day of December,2009. 5. The name of the contractor(if named)for such work of improvement was:Shasta Fire Protection,Inc.,3584 La Campana Way,Palm Springs,CA 92262 6. The public work of improvement,which was completed in the City of Palm Springs,County of Riverside,Stale of California,is described as follows:Palm Canyon Theatre Fire Sprinkler System 7. Nature of Interest: Fee Owner 8. The property address or location of said property is: 538 N.Pahu Canyon Drive,Palm Springs,CA 92262 9. City Project No.09-09,Agreement Number:5916, CITY OF PALM SPRINGS: REVILWEDBY: L DATED: °'S 2-S^ t0 Senior Public Works Inspector Michael K. I star BY i Director of Public urks/City Engineer David J.Barakian .IAMI•:S lIIOMPSON, being duly swum,says: That he is the City Clerk of the aforesaid City of Palm Springs,California,the corporation that executed the foregoing notice; that lie makes this verification on behalf of said corporation; that he has read the foregoing Notice of Completion,and knows the contents thereof,and that the facts stated therein are true; that as said City Clerk,he makes this verification on behalf of said municipal corporation. City Clerk-James I hompsun Index No. 0310 CONTRACTING SERVICES AGREEMENT Design & Install Fire Sprinkler System for the Palm Canyon Theatre THIS AGREEMENT FOR CONTRACTING SERVICES (the "Agreement") is made and entered into this g day of �.-�nnF3 �2009, by and between the Community Redevelopment Agency of the City of Palm Springs, a municipal corporation ("City"), and Shasta Fire Protection, Inc., ("Contractor"). RECITALS A. City requires the services of a licensed C-16 contractor for the design and installation of an NFPA 13 fire sprinkler system, for the Palm Canyon Theater located at 538 N. Palm Canyon Drive, ("Project"). 13. Contractor has submitted to City a proposal to design and install fire sprinkler system for the Palm Canyon Theatre for City pursuant to the terms of this Agreement- C. Based on its experience, education, training, and reputation, Contractor is qualified to provide the necessary services to City for the Project and desires to provide such services- D. City desires to retain the services of Contractor for the Project. NOW, THEREFORE, in consideration of the promises and mutual agreements contained herein, City agrees to retain and does hereby retain Contractor and Contractor agrees to provide services to the City as follows: AGREEMENT 1. CONTRACTOR SERVICES 1.1 Scope of Services. In compliance with all terms and conditions of this Agreement, Contractor shall provide design and construction services to City as described in the Scope of Services/Work attached to this Agreement as Exhibit "A" and incorporated herein by reference (the "services" or "work"), which includes the agreed upon schedule of performance and the schedule of fees. Contractor warrants that all services and work shall be performed in a competent, professional, and satisfactory manner in accordance with all standards prevalent in the industry. In the event of any inconsistency between the terns contained in the Scope of Services/Work and the terms set forth in the main body of this Agreement, the terms set forth in the main body of this Agreement shall govern. 1.2 Compliance with Law. All services rendered under this Agreement shall be provided by Contractor in accordance with all applicable federal, state, and local laws, statutes and ordinances and all lawful orders, rules, and regulations promulgated thereunder. 1.3 Licenses and Permits. Contractor shall obtain at its sole cost and expense such licenses, permits, and approvals as may be required by law for the performance of the services required by this Agreement- ;-C^o" 1.4 Familiarity with Work. By executing this Agreement, Contractor warrants that it has carefully considered how the work should be performed and fully understands the facilities, difficulties, and restrictions attending performance of the work under this Agreement. 2. TIME FOR COMPLETION. The time for completion of the services to be performed by Contractor is an essential condition of this Agreement. Contractor shall prosecute regularly and diligently the work of this Agreement according to the agreed upon schedule of performance set forth in Exhibit "A", Item "L". Contractor shall not be accountable for delays in the progress of its work caused by any condition beyond its control and without the fault or negligence of Contractor. Delays shall not entitle Contractor to any additional compensation regardless of the party responsible for the delay. 3. COMPENSATION OF CONTRACTOR 3.1 Compensation of Contractor. For the services rendered pursuant to this Agreement, Contractor shall be compensated and reimbursed, in accordance with the schedule of fees set forth in Exhibit "A", Item "N" which total amount shall not exceed $44,000. (Forty Four Thousand Dollars). 3.2 Method of Payment. In any month in which Contractor wishes to receive payment, Contractor shall no later than the first working day of such month, submit to City in the form approved by City's finance director, an invoice for services rendered prior to the date of the invoice. Payments shall be based on a percentage of project completion as set forth in Exhibit "A", item "L" and "N" for authorized services performed. City shall pay Contractor for all expenses stated thereon, which are approved by City consistent with this Agreement, within thirty (30) days of receipt of Contractor's invoice 3.3 Changes. In the event any change or changes in the Scope of Services/Work is requested by City, the parties hereto shall execute a written amendment to this Agreement, setting forth with particularity all terms of such amendment, including, but not limited to, any additional fees. An amendment may be entered into: A. To provide for revisions or modifications to documents or other work product or work when documents or other work product or work is required by the enactment or revision of law subsequent to the preparation of any documents, other work product, or work; B. To provide for additional services not included in this Agreement or not customarily famished in accordance with generally accepted practice in Contractor's profession. 3.4 Appropriations. This Agreement is subject to and contingent upon funds being appropriated therefore by the City Council of City for each fiscal year covered by the Agreement. If such appropriations are not made, this Agreement shall automatically terminate without penalty to City. 4. PERFORMANCE SCHEDULE 4.1 Time of Essence. Time is of the essence in the performance of this Agreement. 2 4.2 Schedule of Performance. All services rendered pursuant to this Agreement shall be performed pursuant to the agreed upon schedule of performance set forth in Exhibit "A", Item "L". The extension of any time period must be approved in writing by the Contract Officer. 4.3 Force Ma_jeure. The time for performance of services to be rendered pursuant to this Agreement may be extended because of any delays due to unforeseeable causes beyond the control and without the fault or negligence of Contractor, including, but not limited to, acts of God or of a public enemy, acts of the govermnent, fires, earthquakes, floods, epidemic, quarantine restrictions, riots, strikes, freight embargoes, and unusually severe weather if Contractor shall within ten (10) days of the commencement of such condition notify the Contract Officer who shall thereupon ascertain the facts and the extent of any necessary delay, and extend the time for performing the services for the period of the enforced delay when and if in the Contract Officer's judgment such delay is justified, and the Contract Officer's determination shall be final and conclusive upon the parties to this Agreement. 4.4 Term. Unless earlier terminated in accordance with Section 9.5 of this Agreement, this Agreement shall continue in full force and effect for a period of five and a half (5 % ) weeks, commencing on November 24, 2009, and ending on December 31, 2009, unless extended by mutual written agreement of the parties- S. COORDINATION OF WORK 5.1 Representative of Contractor. The following principal of Contractor is hereby designated as being the principal and representative of Contractor authorized to act in its behalf with respect to the services and work specified herein and make all decisions in connection therewith: Rene Stahl, President. It is expressly understood that the experience, knowledge, education, capability, and reputation of the foregoing principal is a substantial inducement for City to enter into this Agreement. Therefore, the foregoing principal shall be responsible during the tern of this Agreement for directing all activities of Contractor and devoting sufficient time to personally supervise the services hereunder. The foregoing principal may not be changed by Contractor without prior written approval of the Contract Officer. 5.2 Contract Officer. The Contract Officer shall be the City Manager, or his designee. It shall be the Contractor's responsibility to keep the Contract Officer, or his designee, fully informed of the progress of the performance of the services and Contractor shall refer any decisions that must be made by City to the Contract Officer. Unless otherwise specified herein, any approval of City required hereunder shall mean the approval of the Contract Officer. 5.3 Prohibition A ainst Subcontracting or Assignment. The experience, knowledge, education, capability, and reputation of Contractor, its principals and employees, were a substantial inducement for City to enter into this Agreement. Therefore, Contractor shall not contract with any other individual or entity to perform in whole or in part the services required hereunder without the express written approval of City. In addition, neither this Agreement nor any interest herein may be assigned or transferred, voluntarily or by operation of law, without the prior written approval of City. 5.4 Independent Contractor_ Neither City nor any of its employees shall have any control over the manner, mode, or means by which Contractor, its agents or employees, perform 3 the services required herein, except as otherwise set forth herein. Contractor shall perform all services required herein as an independent contractor of City and shall not be an employee of City and shall remain at all times as to City a wholly independent contractor with only such obligations as are consistent with that role; however, City shall have the right to review Contractor's work product, result, and advice. Contractor shall not at any time or in any manner represent that it or any of its agents or employees are agents or employees of City. 5.5 Personnel. Contractor agrees to assign the following individuals to perform the services set forth herein. Contractor shall not alter the assigmnent of the following personnel without the prior written approval of the Contract Officer. Acting through the City Manager, the City shall have the unrestricted right to order the removal of any personnel assigned by Contractor by providing written notice to Contractor. Name: Title: Rene Stahl Project Manager Linda Winesburg Project Administrator Mike Hilburn General Field Superintendent John Paulus Design Manager Brandon Stillwell Project Engineer Matthew Virden Foreman Jerry Jordan Installer Robert Brown Installer 6. INSURANCE Contractor shall procure and maintain, at its sole cost and expense, policies of insurance as set forth in Exhibit "B," which is attached hereto and is incorporated herein by reference. 7. INDEMNIFICATION. To the fullest extent permitted by law, Contractor shall defend (at Contractor's sole cost. and expense), indemnify, protect, and hold harmless City, its elected officials, officers, employees, agents, and volunteers (collectively the "Indemnified Parties"), from and against any and all liabilities, actions, suits, claims, demands, losses, costs, judgments, arbitration awards, settlements, damages, demands, orders, penalties, and expenses including legal costs and attorney fees (collectively "Claims"). including but not limited to Claims arising from injuries to or death of persons (Contractor's employees included), for damage to property, including property owned by City, from any violation of any federal, state, or local law or ordinance, and from errors and omissions committed by Contractor, its officers, employees, representatives, and agents, which Claims arise out of or are related to Contractor's performance under this Agreement, but excluding such Claims arising from the negligence or willful misconduct of the 4 City, its elected officials, officers, employees, agents, and volunteers. Under no circumstances shall the insurance requirements and limits set forth in this Agreement be construed to limit Contractor's indemnification obligation or other liability hereunder. 8. RECORDS AND REPORTS 8.1 Reports. Contractor shall periodically prepare and submit to the Contract Officer such reports concerning the performance of the services required by this Agreement as the Contract Officer shall require. 8.2 Records. Contractor shall keep such books and records as shall be necessary to properly perform the services required by this Agreement and enable the Contract Officer to evaluate the performance of such services. The Contract Officer shall have full and free access to such books and records at all reasonable times, including the right to inspect, copy, audit, and make records and transcripts from such records. 8.3 Ownership of Documents. All drawings, specifications, reports, records, documents, and other materials prepared by Contractor in the performance of this Agreement shall be the property of City and shall be delivered to City upon request of the Contract Officer or upon the termination of this Agreement, and Contractor shall have no claim for further employment or additional compensation as a result of the exercise by City of its full rights or ownership of the documents and materials hereunder. Contractor may retain copies of such documents for its own use. Contractor shall have an unrestricted right to use the concepts embodied therein. 8.4 Release of Documents. All drawings, specifications, reports, records, documents, and other materials prepared by Contractor in the peforivance of services under this Agreement shall not be released publicly without the prior written approval of the Contract Officer. 8.5 Cost Records. Contractor shall maintain all books, documents, papers, employee time sheets, accounting records, and other evidence pertaining to costs incurred while performing under this Agreement and shall make such materials available at its offices at all reasonable times during the tern of this Agreement and for three (3) years from the date of final payment for inspection by City and copies thereof shall be promptly furnished to City upon request. 9. ENFORCEMENT OF.AGREEMENT 9.1 California Taw. This Agreement shall be construed and interpreted both as to validity and to performance of the parties in accordance with the laws of the State of California. Legal actions concerning any dispute, claim, or matter arising out of or in relation to this Agreement shall be instituted in the Superior Court Of the County of Riverside, State of California, or any other appropriate court in such county, and Contractor covenants and agrees to submit to the personal jurisdiction of such court in the event of such action. 9.2 Waiver. No delay or Omission in the exercise of any right or remedy of a non- defaulting party on any default shall impair such right or remedy or be construed as a waiver. No consent or approval of City shall be deemed to waive or render unnecessary City's consent to or approval of any subsequent act of Contractor. Any waiver by either party of any default must 5 be in writing and shall not be a waiver of any other default concerning the same or any other provision of this Agreement. 9.3 Ri hts and Remedies are Cumulative. Except with respect to rights and remedies expressly declared to be exclusive in this Agreement, the rights and remedies of the parties arc cumulative and the exercise by either party of one or more of such rights or remedies shall not preclude the exercise by it, at the same or different times, of any other rights or remedies for the same default or any other default by the other party_ 9.4 Legal Action. In addition to any other rights or remedies, either party may take legal action, in law or in equity, to cure, correct, or remedy any default, to recover damages for any default, to compel specific performance of this Agreement, to obtain injunctive relief, a declaratory judgement, or any other remedy consistent with the purposes of this Agreement. 9.5 Termination Prior to Expiration of Term. City reserves the right to terminate this Agreement at any time, with or without cause, upon thirty (30) days written notice to Contractor, except that where termination is due to the fault of Contractor and constitutes an immediate danger to health, safety, and general welfare, the period of notice shall be such shorter time as may be determined by the City. Upon receipt of the notice of termination, Contractor shall immediately cease all services hereunder except such as may be specifically approved by the Contract Officer. Contractor shall be entitled to compensation £or all services rendered prior to receipt of the notice of termination and for any services authorized by the Contract Officer thereafter. Contractor may terminate this Agreement, with or without cause, upon thirty (30) days written notice to City. 10. CITY OFFICERS AND EMPLOYEES; NON-DISCRIMINATION 10.1 Nan-Liability of City Officers and Employees- No officer or employee of City shall be personally liable to the Contractor, or any successor-in-interest, in the event of any default or breach by City or for any amount which may become due to the Contractor or its successor, or for breach of any obligation of the terms of this Agreement. 10.2 Covenant Against Discrimination. Contractor covenants that, by and for itself, its heirs, executors, assigns, and all persons claiming under or through them, that there shall be no discrimination or segregation in the performance of or in connection with this Agreement regarding any person or group of persons on account of race, color, creed, religion, sex, marital status, disability, sexual orientation, national origin, or ancestry. 11. MISCELLANEOUS PRO'ViSiONS 11.1 Notice. Any notice, demand, request, consent, approval, or communication either party desires or is required to give to the other party or any other person shall be in writing and either served personally or sent by pre-paid, first-class trail to the address set forth below. Either party may change its address by notifying the other party of the change of address in writing. Notice shall be deemed communicated seventy-two (72) hours from the time of mailing if mailed as provided in this Section. 6 To City- City of Palm Springs Community Redevelopment Agency Attention: Executive Director/ City Clerk 3200 E. '1'ahquitz Canyon Way Palm Springs, California 92262 To Contractor: Shasta Fire Protection, Inc. 3584 La Campana Way Palm Springs, California 92262 11.2 Integrated Agreement. This Agreement contains all of the agreements of the parties and cannot be amended or modified except by written agreement. 11.3 Amendment. This Agreement may be amended at any time by the mutual consent of the parties by an instrument in writing. 11.4 Severahility_ In the event that any one or more of the phrases, sentences, clauses, paragraphs, or sections contained in this Agreement shall be declared invalid or unenforceable by valid judgment or decree of a court of competent jurisdiction, such invalidity or unenforceability shall not affect any of the retraining phrases, sentences, clauses, paragraphs, or sections of this Agreement, which shall be interpreted to carry out the intent of the parties hereunder_ 11.5 Authority. The persons executing this Agreement on behalf of the parties hereto warrant that they are duly authorized to execute this Agreement on behalf of said parties and that by so executing this Agreement the parties hereto are formally bound to the provisions of this Agreement_ [SIGNATURE PAGE SEPARATELY ATTACHED] 7 IN WITNESS WHEREOF, the parties have executed this Agreement as of the dates stated bclow. "CITY" City of Palm Springs Date: By. !� David H. Ready City Manager APPROVED AS TO FORM: ATTEST B By: Dou las C. d, ames Thompson, �`r' q y Attorney City Clerk ,2 fo Y 00 APPROVED BY CITY COUNCIL d e 1 g j2C70 R 2 "CONTRACTOR" AS9 If(0 Shasta Fire Protection Inc. Date: S ( ' � q � By: '1i (Rene-Stahl) (president) Date: /(name C (secretary) 8 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT •rw�r-�^.> �•M.�e�.^-.�.ec:-r..e=�e.`.rrr�•r� �.crc:air•..crcr>cZ-.'.txrcr.�orrr•.�-r.��r�w=s'�.ef- .acc�. -x State of California r I County of On �Wo-! before me, lilt��(� �� IIVIyIt?�V1Ll� 7�G�ti �L{ �IC ❑Jen^ t — -IPro Ins r e t Namrl itli or me 01Gor personally appeared Name(sf or 5i9m q:) who proved to me on the basis of satisfactory evidence to be the persons) whose name(s)-is/are subscribed to the within Instrument and acknowledged to me that kte,s /they executed the same in Y 8A:er/their authorized capaclty(les), and that by his;47er/their signatures) on the LINDA J.WINESBURG instrument the person(s), or the entity upon behalf of Commission 8 1852419 L which the person(s) acted, executed the instrument. =r Notary Public -California z Riverside County M Comm.Ex iresJun 13,2013 I certify under PENALTY OF PERJURY under the laws of the Slate of California that the foregoing paragraph is true and correct. WITNESS my han and off! al eal. Signat e Place Notary Seal A9ove Si n nu r off ary Pub Ile OPTIONA Though the information below is not required by law, it may prove valuable to person r lying on the document and could prevent fraudulent removal and reattachment of this form to anot ter document Description of Attached Document Title or Type of Document: (yiV-,A 1K S Vt ces A�reccf me tL lyI- Document Date: YJ� LIC.� •Number of Pages: Signers) Other Than Named Above: Capacity(ies) Claimed by Signer(s) a I Signer's Name: R le �_ T/�J��-� - Signer's Name,_t� yl {Cl za--a�'- ❑ Individual ,,r� ❑ Individual Corporate Off icer—Title(s): Tr,!25k6e/ J- , LorporateOfficer—Title(s): * Partner—LJ Limited ❑ General _ _ /LI Partner—❑ Limited LJ General * Attorney in Fact - ❑Attorney in Fact - LJ Trustee Top of thumla I'Ir rc ❑Trustee Tap of thumb hero LJ Guardian or Conservator ❑Guardian or Conservator ❑ Other: 7 Other: Signer Is Representing:_ Signer Is Representing: 1 0&L, 02007 N,00nal Notary Assoclalion•9250❑c Solo Ave. PO Box 2402•chltaworth CA 91313-2402•ww Nnlnnaullarymp Item 115907 Prorder Call loll-Free 1-800-00--082.7 l�l EXHIBIT "A" CONTRACTOR'S SCOPE OF SERVICES/WORK Including, Schedule of Fees And Schedule of Pe:rfonnance 10 Exhibit "A" Scope of Services SCOPE OF SERVICES: Contractor to completely design and install an automatic sprinkler system in accordance with NFPA 13 and NFPA 24, 2007 Edition, for the Palm Canyon Theater complex. The approved design and installation shall include automatic fire sprinkler designs for the building and underground piping designs from the Double Detector Check Assembly to the fire sprinkler riser located inside the building- This shall include the installation of a NFPA 13 automatic fire sprinkler system as per the approved design plans. Completion of the sprinkler design and installation of the automatic fire sprinkler system shall be completed and certified no later than THURSDAY,DECEMBER 31, 2009. A. Automatic Fire sprinkler designs shall adhere to the following Codes and Standards: • The California Fire Code (CFC) 2007 Edition with additions, deletions and amendments per City of Palm Springs Ordinance 1736. • NFPA Standards: i. NFPA 13 - Standard for the Installation of Sprinkler Systems, 2007 Edition ii- NFPA 24 - Standard for the Installation of Private Fire Service Mains and Their Appurtenances, 2007 Edition B. Water Plan: • Water plan for on-site is required and shall include undergi-ound private fire main(s) from the Double Check Detector Assembly (provided and installed by Desert Water Agency prior to contractor's completion of Work) to the fire sprinkler riser(s), including the Fire Department Connection(s) and associated valves. C. Fire Protection Water System • Private Fire Service Water Systems (CFC 508.1, 508.2, 508.4, 901.5 & 1412.1): Underground private lire service mains shall be installed, tested, and inspected in compliance with the requirements of NFPA 24, 2007 Edition. Prior to final approval of the installation, contractor shall submit a completed Contractors Material & Test Certificate for Underground Piping to the Fire Department. (10.10 NFPA 24, 2007 Edition)- 11 D. Fire Department Connections: • Fire Department connections shall be visible and accessible, have two 2.5 inch NST female inlets, and have an approved check valve located as close to the FDC as possible. All FDC's shall have KNOX locking protective caps. E. Fire Sprinklers • Contractor shall perform system design and installation. System to be designed and installed in accordance with NFPA 13, 2007 Edition using Cp of 0.74 and l/r Ratio of 200. No portion of the fire sprinkler system shall be installed prior to plan approval by the Fire Department. Prior to final approval of the installation, contractor shall submit a completed Conti-actors Material and Test Certificate for Aboveground Piping to the Fire Department. (24.1 NFPA 13, 2007 Edition) • Areas of fire sprinkler protection o Stage area o Space u rider the stage o Basement and storage o West and East Dressing rooms next to stage o Theater area o Storage areas under theater seating o Lobby area including a bathroom o Exit Stairways from top of theater that lead to the corridors o Stairway up to projection booth o Projection booth and storage area • Maintain and include in the system design, the sprinkler supply to the existing fire sprinkler areas that include: o Passage way located between the kitchen and the girls bathroom o Girls bathroom o Classroom next to the girls bathroom o NO MODIFICATION TO EXISTING INSTALLED SPRINKLER SYSTEM IN THESE AREAS 12 F. Audible Water Flow Alarms: • An approved audible sprinkler flow alarm (Wheelock horn/strobe with WBB back box or equal) shall be mounted on the fire department connection. Electrical wiring to be performed by City's Facility Maintenance Division. G. Control Valves • All valves controlling the fire sprinkler system water supply, and all water-flow switches, shall be electrically monitored. All control valves shall be locked in the open position. Contractor shall install a PVC conduit in trench fiom double check detector assembly to inside building. Alarm wiring to be perfonmed by City's Facility Maintenance Division. H. listed Equipment Installation • All listed equipment shall be installed in accordance with the terms of their listings and the manufacturer's instructions. 1. Identification • fire protection equipment shall be identified in a manner approved by the Fire Deparhrrent. Rooms containing controls for air-conditioning systems, sprinkler risers and valves, or other fire detection, suppression or control elements shall be identified for the use of the fire department- Approved signs required to identify fire protection equipment and equipment location, shall be constructed of durable materials, pennanently installed and readily visible. J. Fire Safety During Construction and Demolition • Construction and Demolition: Structures in the course of construction, alteration or demolition shall comply with Chapter 14 of the 2007 California Fire Code and NFPA 241, K. Plans submission • Four complete sets of plans for private fire service mains and fire sprinkler systems must be submitted on 24"X36" size drawings. L. Calendar • Calendar for approved dates and times that work will be permitted are to be adhered to at all times. Any changes in approved work schedule must be approved by the City of Palm Springs. See attached Calendar (Exhibit "C"). All work shall be completed and certified no later than December 31, 2009. 13 M. Miscellaneous • The City of Palm Spines and the Contractor will adhere to Addendum Number 1 of RFP (06-10). (attached Exhibit"D"). N. Schedule of Fees • Design of Fire Sprinkler System —Lump Sum S5,000.00 • Construction: System Materials, Labor& Installation— Lump Sum S09,000.00 Total: $44,000.00 14 EXHIBIT "E" INSURANCE PROVISIONS Including Verification of Coverage, Sufficiency of Insurers, Errors and Omissions Coverage, Minimum Scope of Insurance, Deductibles and Self-Insured Retentions, and Severability of Interests (Separation of Insureds) 15 Insurance Contractor shall procure and maintain, at its sole cost and expense, and submit concur- ently with its execution of this Agreement, in a form and content satisfactory to the City, public liability and property damage insurance against all claims for injuries against persons or damages to property resulting from Contractor's performance under this Agreement. Contractor shall also cant' workers' compensation insurance in accordance with California workers' compensation laws. Such insurance shall be kept in full force and effect during the term of this Agreement, including any extension thereof, and shall not be cancelable without thirty (30) days advance written notice to City of any proposed cancellation. Certificates of insurance evidencing the foregoing and designating the City, its elected officials, officers, employees, agents, and volunteers as additional named insureds by original endorsement shall be delivered to and approved by City prior to commencement of services. The procuring of such insurance and the delivery of policies, certificates, and endorsements evidencing the same shall not be construed as a limitation of Contractor's obligation to indemnify City, its elected officials, officers, agents, employees, and volunteers. A. Minimum Scope of Insurance. The minimum amount of insurance required hereunder shall be as follows: l- Comprehensive general liability and personal injury with limits of at least one million dollars ($1,000,000.00) combined single limit coverage per occurrence and two million dollars ($2,000,000) general aggregate-, 2. Automobile liability insurance with limits of at least one million dollars ($1,000,000.00) per occurrence; J. Professional liability (errors and omissions) insurance with limits of at least one million dollars ($1,000,000.00) per occurrence and two million dollars (52,000,000) annual aggregate for the Design only. 4. Workers' Compensation insurance in the statutory amount as required by the State of California and Employer's Liability Insurance with limits of at least one million dollars $1 million per occurrence. If Contractor has no employees, Contractor shall complete the City's Request for Waiver of Workers' Compensation Insurance Requirement form. For any claims related to this Agreement, Contractor's insurance coverage shall be primary insurance as respects City and its respective elected officials, officers, employees, agents, and volunteers. Any insurance or self-insurance maintained by City and its respective elected officials, officers, employees, agents, and volunteers shall be in excess of Contractor's insurance and shall not contribute with it. For Workers' Compensation and Employer's Liability Insurance only, the insurer shall waive all rights of subrogation and contribution it may have against City, its elected officials, officers, employees, agents, and volunteers- B. Errors and Omissions Coverage. If Contractor provides claims made professional liability insurance, Contractor shall also agree in writing either (1) to purchase tail insurance in the amount required by this Agreement to cover claims made within three years of the completion of Contractor's services under this Agreement, or (2) to maintain professional 16 liability insurance coverage with the same carrier, or equivalent coverage with another company, in the amount required by this Agreement for at least three years after completion of Contractor's services under this Agreement. Contractor shall also be required to provide evidence to City of the purchase of the required tail insurance or continuation of the professional liability policy. [THIS SF,CTION TO BE INCTUDFD OrVI.F IF ERRORS & ®MISSIONS LkSURANCE IS REOURIED1 C. Sufficiency of Insurers_ Insurance required herein shall be provided by authorized insurers in good standing with the State of California. Coverage shall be provided by insurers admitted in the State of California with an A.M. Best's Key Rating of 13++, Class V1I, or better,unless otherwise acceptable to the City. D. Verification of Coverage. Contractor shall furnish City with both certificates of insurance and endorsements, including additional insured endorsements, effecting all of the coverages required by this Agreement. The certificates and endorsements are to be signed by a person authorized by that insurer to bind coverage on its behalf. All proof of insurance is to be received and approved by the City before work commences. City reserves the right to require Contractor's insurers to provide complete, certified topics of all required insurance policies at any time. Additional insured endorsements are not required for Errors and Omissions and Workers' Compensation policies_ Verification of Insurance coverage may be provided by: (1) an approved General and/or Auto Liability Endorsement Form for the City of Palm Springs or (2) an acceptable Certificate of Liability Insurance Coverage with an approved Additional Insured Endorsement with the following endorsements stated on the certificate: I. "The City of Palm Springs, its gfficials, employees, and agents are named as an additional insured— " ("as respects City of Palm ,Springs Contract No. " or 'for any and all work performed with the City"may be included in this statement). 2. "This instmarzce is primary and 77077-0017tributo7y over any insurance or self- insurance the City 777uy have..." ("as respects City of Palm Springs Contract No. " or "fnr any and all work per formed with the City" may be included in this statement). 3. "Should any of the above described policies be canceled before the expiration date thereof, the issuing company will mail 30 days written notice to the Certificate Holder named." Language such as, "endeavor to" mail and "but failure to mail such notice shall impose no obligation or liability of any kind upon the company, its agents or representative" is not acceptable and must be crossed out. 4. Both the Workers' Compensation and Employers' Liability policies shall contain the insurer's waiver of subrogation in favor of City, its elected officials, officers, employees, agents, and volunteers. In addition to the endorsements listed above, the City of Palm Springs shall be named the certificate holder on the policies. 17 All certificates of insurance and endorsements are to be received and approved by the City before work commences. All certificates of insurance must be authorized by a person with authority to bind coverage, whether that is the authorized agent broker or insurance underwriter. Failure to obtain the required documents prior to the commencement of work shall not waive the Contractor's obligation to provide them. E. Deductibles and Self-Insured Retentions. Any deductibles or self-insured retentions must be declared to and approved by the City prior to commencing any work or services under this Agreement. At the option of the City, either the insurer shall reduce or eliminate such deductibles or self-insured retentions as respects the City, its elected officials, officers, employees, agents, and volunteers; or, Contractor shall procure a bond guaranteeing payment of losses and related investigations, claim administration, and defense expenses. Certificates of Tnsurance must include evidence of the amount of any deductible or self-insured retention under the policy. Contractor guarantees payment of all deductibles and self-insured retentions. F. Severabillty of Interests (Separation of Insureds). This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the limits of the insurer's liability. 18 ACORD CERTIFICATE OF LIABILITY INSURANCE 1%19/2 09' PRODUCER (760)320-1111 FAX: (760)320-1115 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Garcia Insurance Inc- ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2099 E. Tahquitz Canyon Way ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Palm Springs CA 922G2 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA Everest Indemnity 10851 Shasta Fire Protection, Inc. INSURER EMC 21415 3584 La Campana Way I INSURERCC INSURER D Palm Springs CA 92262 INSURER COVERAGES 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. IXCLUSIONS AND CONDITIONS OF SUCH POLICIES. INSR O TYPE OF INSURANCE POLICY NUMBER OAT MpI pm P-AEy EWMX)PM)N LIMITS GENERALLIABILITY EA NOCCUR =NC S 1,D00,.DOD X COMMERCIAL GENBRALLIABILIT' DAMAGE TO RENTED S 50,00❑ PREMISE. -. em,rcenre A G 161S MADE FXI OCCUR -7lGLQD3409091 10/16/2009 10/16/2020 MEDFXP n anc even S 5,000 X Errprs & OmiSz1OnS P RG a V IIRV 5 1,000,000 Liability Mad GENERA, AGGREGATE S 2,000,000 SEH4AGGREGATE LIMIT APPLIES PER. PRO U 5•C MPIOP AG C S 2,000,000 X POLICY PR T LOC AUTONOaILE LIABILITY COMBINED SINGLE LIMIT X ANYAUTO (Bn Acmdent) s 1,000,000 B ALLOWNED AUTOS 2XG5295-10 3/15/2009 3/1.5/2010 BOD14Y JNJURY SCHEDULED AUTOS (Per Persod) S X HMO AUTOS BODILY INJURY X NON-0WNEDAUTOS (Per acodcm) S PROPERTY DAMAGE S (Pa aodoent) GARAGE LIARILfT1' AUTO ONLY•EAACCIDENT S ANYAIITO OTHER THAN AUTO ONLY. ACG S E1(CESMMBRE1JLA LIAB14TY EACH MCM'RR-Nnp a 1,000,000 �L OCCUR �cAIMS MADE AGGREGATE S 1,000,000 S A DEDUCTIBLE 51CCOU1049091 10/16/2009 10/16/2010 S RETENTION 5 WORKERS COMPENSATION AND WCS ATD- OTH. ENPLOYERFLIABILTTY ANY PROP-1:TOP/PARTNEPJE%ECUTIVE EL EACH ACCIDENT 5 OFFICER/MEMBER EXCLUDED? EL DISEASE-F�EMPLOYEE S Ryes,dome unda� SPECIAL PROVISIONS hnI E.L DISEASE•POLICY LIMB 5 OTHER DESCRIPTION OF OPBRATTONSILOCATIONWEHICLIS! C4USIONS ADDED RY ENOORSEMENTrPECIAL PROVISIONS The City of Palm Springs, its Officials, OapleyaoC and agents are Rame additX� yxi vrods for any and all Nark performed with the city per aYCaehed. Thls irisllrariOG is primary andfon cortibutozy over any >nstzaaeo Or �p1f-insurance the city rIay have for any and all work per£ormed„wik"e city- Zxrevs & Onissio= Aia"lity endorsement applies per attached ECG0456II1166=" *10 day notiOC Of Cancellation may he issued for von paymen£"Of—pre = CERTIFICATE HOLDER CANCELLATION (760)316-3815 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEL= BEFORE THE City of Palm SPM-Ings EXPIRATION DATE THOtEOF, THE ISSUING INSURER WILL �TAS�MAIL Office of the City clerk DANS'a W WTTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TIC THE LEFT,KXX Patricia A. Sanders P.O. Box 2743 Palm Springs, CA 92263 � AUTHORIZED REPRESENTATIVE — Toseph Garcia/AS ACORD 25(2001103) mm O ACORD CORPORATION 1988 INS025(oiaapm Pax I e2 PAGE 19 COMMERCIAL GENERAL LIABILITY EGG 04 566 11 06 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, ERRORS AND OMISSIONS LIABILITY ENDORSEMENT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Covered Operation s : [� Alarm Contractor © Fire Suppression &Extinguishing Contractor ❑ Government Service Contractor ❑ Janitorial Contractor ❑ Private Invesugatoi ❑ Security Guard (A, least one of the boxes in this Schedule must be checked for this endorsement to apply) Except as modified by this endorsement,all provisions under the Commercial General Liability Coverage part apply A. The following is added to SECTION I — b. Results in a "loss" which occurs during COVERAGES: the policy period; and ERRORS AND OMISSIONS LIABILITY c. Takes place in the"coverage territory", COVERAGE: No other obligation or liability to pay sums or 1. Insuring Agreement perform acts or services is covered unless explicitly provided for under an applicable We will pay those sums that the insured Supplementary Payments provision of this becomes legally obligated to pay as com- coverage part, pensatory damages because of a negligent act, error of omission. 2. Exclusions This insurance applies only if the negligent I. For the purposes of insurance provided act, error or omission: by this endorsement, the exclusions in the Commercial General Liability Cover- a. Is committed during the policy period in age Form, and in all the endorsements, the course of your Covered Operation(s) that apply to "bodily Injury", "property designated in the Schedule above, damage' or"personal and advertising in- whether eommited by you or by any jury'also apply to"loss". person for whom you are legally respon- sible; ECG 04 566 11 05 Copyright, Everest Reinsurance Company, 2006 Page 1 of 4 E Includes copyrighted material of Insurance Services Office, Inc., with its permission PAGE 20 In addition, paragraphs b. Contractual tl. For the purposes of insurance provided by this Liability and e. Employer's Liability are endorsement, the followng additional exclusions deleted and replaced by the following. apply: This insurance does not apply to. This insurance does not apply to: b. Contractual Liability a. Theft Damages which the Insured is obli- Any claim arising out of actual or alleged theft gated to pay by reason of the as- including any actual or alleged inventory sumption of liability in a contract or shortage or inventory shrinkage. agreement. b. Claims between Insureds This exclusion does not apply to li-ability for damages that the insured Any claim made against an insured by an en- would have in the absence of the tity contract or agreement. Solely for the (1) Which is operated, managed or controlled purposes of liability assumed in an by any insured; "insured contract", reasonable actor- nay fees and necessary litigation ex- (2) In which the insured has a collective parses incurred by or for a party ownership interest in excess of 50%; other than an insured are deemed to be damages. (3) In which any insured is an officer or direc- e. Employer's Liability tor, or Any claim or"suit arising out of injury (`f) Which wholly or partly owns, operates or manages any insured. or damage for"loss"to: (1) An "employee", "executive offs- c. Warranty or Guaranty cer", parrner, director or officer of (1) Any expressed or implied warranties or the insured arising out of and in guarantees; or the course of. (a) Employment by the Insured; (2) Any cost or other estimates for construc- tion, renovation, removal or demolition or being exceeded or inaccurate. (b) Performing duties related to d. ERISA the conduce of the insured's business; or Any violation of (2) The spouse, child, parent, brother (1) The Employee Retirement Income Secu- or sister of that "employee", "ex- rity Act of 1974, or any amendments or ecutive officer", partner, director successors thereof, or or officer as a consequence of Paragraph (1)above. (2) Federal, state or local statutory or com� Mon law similar to the Employee RaUre- This exclusion applies: ment Seourlty Act of 1974; (1) Whether the insured may be li- Including any rules, regulations or orders able as an employer or in any promulgated there under, other capacity; and e, Statutory or Regulatory Liability (2) To any obligation to share dama- ges with or repay someone else Any actual or alleged liability imposed by any who must pay damages because federal, state, local or other governmental of the injury, statute of rule, regulation or order. I ECG 04 566 1106 Copyright, Everest Reinsurance Company, 2006 Page 2 of 4 Includes copyrighted material of Insurance Services office, Inc.,with its permission. PAGE 21 f Securities Violation (1) There is a'continuation" of such act, er- ror or Omission during the policy period; Any claim based upon, as a consequence of or or arising cut of a violation of the Securities _ Act o1 1933 as amended by the Securities (2) 1 he act, error or omission causes new or Excnange Act of 1934 as amended by any additional damages during the policy pe- state glue Sky or securities law or similar nod state or federal statute and any rule, regula- lion or older issued pursuant to any of the n. Prior or Pending Claims foregoing statutes Any claim [hat results from any act, error or g. Antitrust Laws omission. Any,actual or alleged violation of federal or (1) That any insured, prior to the beginning of state anti-trust or similar laws or any rules, the policy period for this insurance, regulations or orders promulgated there- should have reasonably foreseen may under, give rise to a claim;Or h. Other Enterprises (2) For which notice of a claim or Incident has been provided to any Insurer prior to Any act, error or omission by any business the effective date for this coverage. enterprise or organlzation including Its officer, director, partner, manager, trustee, employee, o. Other Insurance or temporary or leased workers of such or- ganization that is not named in the Declare- Any claim based upon, as a consequence of tions for this coverage. or arising out of an act, error o.omission for which any insured is afforded other valid in- 1. Injunctive Relief surance. Any demand or order for injunctive relief. p- Failure To Complete Specifications j. Punitive Damages, Fines or Penalties Any claim based upon, as a consequence of or arising out Of any failure to complete any PUnrhve damages, exemplary damages, mul- drawings, specifications or schedules of tiplied damages,fines or penalties specifications in a timely manger or within a prescribed period of time or the failure to act k. Medical or Health Care Service upon shop drawings on time, but this exclu- sion does not apply if such failure is the result Any claim arising out of your providing or Pail- of a negligent act, error or omission in the Lire to provide any medical, health care, or drawings, specifications, schedules or shop emergency medical service drawings which are not required to be;awfully performed by,licensed, registered or certified 1. Other Service$ professionals, Any claim that resulls from any act, error or q. Licensed, Registered or Certified Profes- omission in rendering or failing to render any sionals services other than those related to your Covered Operation(s) designated in the Any claim arising out of or resulting from ser- Schedule above. vices which can only be law ully performed by a licensed, registered or certified Architect or m. Continuation of Previously "Manifested" Engineer, Public Accountant, Actuary, Attor- Acts,Errors or Omissions ney, Healthcare Practitioner, Insurance Agent, Insurance Broker, Financial Consult- Any act, error or omission which"manifested' ani, Investment Advisor, Securities Broker or prior to the beginning of the policy period re- Securities Dealer. gardless of whether. r. Bodily Injury, Property Damage or Per- sonal and Advertising Injury ECG 04 566 1106 Copyright, Everest Reinsurance Company, 2006 .Page 3 of 4 El Includes copyrighted material of Insurance Services Office, Inc., with its permission PAGE 22 "Bodily injury", "property damage" or 'per- sonal and advertising injury". B. For the purposes of insurance provided by this endorsement, the following is added to SECTION I - SUPPLEMENTARY PAYMENTS — COVERAGES A AND B. , This section will apply to claims arising out of ,your ERRORS AND OMISSIONS LIABILITY COVERAGE, however the provisions regard- trig indemnities of the insured and defense of any such indemnllee shall not aeply to your ERRORS AND OMISSIONS LIABILITY COVERAGE C. For the purposes of insurance provided by this endorsement, the following is added to paragraph 4 of SECTION 11—WHO IS AN INSURED: d. ERRORS AND OMISSIONS LIABILITY COVERAGE does not apply to any act, er- ror or omission that occurred before you acquired or formed the organization. D. For the purposes of insurance provided by this endorsement, the following Is added to SECTION III—LIMITS OF INSURANCE: For the purposes of your General Aggregate Limit of Insurance and your Each Occurrence Limit of Insurance, Damages under your Errors and Omissions Liability Coverage will be considered Damages under Coverage A, however, the Prod- ucts-Completed Operations Aggregate Limit does not apply to'damages covered under your Errors and Omissions Liability Coverage granted under this endorsement. E_ For the purposes of Insurance provided by this endorsement, paragraph 4. Other Insurance un- der SECTION IV — CDMMERCIAL GENERAL LIABILITY CONDITIONS is deleted. F. The following definitions are added to Section V - Definitions: "Continuation" includes any progression, change or resumption. "Loss" means Injury or damage other than 'bodily injury", "property damage" or"personal and adver- tising injury'. "Manifested" means the earlier of when damage is known to any insured or is first discovered by any person or organization who suffered such damage L-CG 04 566 11 06 Copyright, Everest Reinsurance Company, 2006 "age 4 of 4 ❑ Includes copyrighted material of Insurance Services Off e, Ing witq Its permission PAGE 23 1 POLICYHOLDER COPY SK STATE P.O- BOX 420807, SAN FRANCISCO.CA 94142-0807 COMPENSATION IN 5 LiRANCE FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 01-29-2009 GROUP: 000238 POLICY NUMBER: 0005228-200E CERTIFICATE 10: 550 CERTIFICATE EXPIRES:01-01-2010 01-01-2009/01-01-2010 CITY OF PALM SPRINGS SK DEPT OF BUILDING & SAFETY PO BOX 2743 PALM SPRINGS CA 92263-2743 This is to certify that we have issued a valid Workers' Compensation Insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms. exclusions, and conditions, of such policy. tH/013�(ZED REPRESENTATI • [ PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT H1600 - RENE STAHL PRES - EXCLUDED. ENDORSEMENT N1500 - LINDA STAHL SEC,TREAS - EXCLUDED. ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 01-01-2009 IS ATTACHED TO AND FORMS A PART OF THIS POLICY, ENDORSEMENT M2570 ENTITLED WAIVER OF SUBROGATION EFFECTIVE 2009-01-28 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. THIRD PARTY NAME: CITY OF PALM SPRINGS V EMPLOYER SHASTA FIRE PROTECTION, INC. SK 3584 E LA CAMPANA NAY - PALM SPRINGS CA 92262 [81 P,SK] IREv.2-eel PRINTED 01-29-2009 PAGC 23-1 EXHIBIT "C" Palin Canyon Theater RFP Work Schedule November 2009 December 2009 24 November 2009 - Palm Canyon Theater RFP Work Schedule Sunday Monday Tuesday Wednesday - Thursday Friday Saturday N Daylight Saving 1 *o khk 4 2 Election Day 3 4 5 6 7 Time Ends MMDATORY WAL 11 THALi.C-!6_ COHII(ACi{#RS AT THN PALM CAWVOf THEATER I 1[ 8 9 albs o q 10 Veterans Dap 11 12 13 14 r :0De.n i 7 5 16 17 CITY COUNCIL�0. 18 " MFY sELECTEd 19 20 21 FAKE ACT ON RFP -16 CONTR PO—q ! NO WDRK 01111111110 22 23 24 25 Thanksgiving 26 27 28 CITY HOLIDAY CITY HOLIDAY NO WORK NO WORK NO WORK NFL 29 30, I ' NO WORK f f December 2000 - Palm Canyon Theater RFP Work Schedule Sunday Monday Tuesday Wednesday Thursday Friday Saturday N 1 2 3 4 5 NO WORK Oft WL 1 6 7 8 9s 10 11 12 NO WORK r NO WORK WL WL 13. w 14 15 161 17 181 19 NO WORK NO WORK 20 21 22 23 24 Christmas 25 26 NO WORK CITY HOLIDAY CITY HOLIDAY NO WORK NO WORK NO WORK 27 28 29 30J New Year's Eve 31 NO WORK CITY HOLIDAY NO WORK OF PALM S A �<rr oRN` REQUEST FOR PROPOSAL (RFP 06-10) FOR Fire Protection Sprinkler System for Palm Canyon Theatre ADDENDUM NO. 1 This Addendum is being issued for the following changes and informational items: THIS ADDENDUM SHALL TAKE PRECEDENCE OVER ANYTHING CONTRARY ON THE PREVIOUSLY ISSUED SPECIFICATIONS AND INSTRUCTIONS AND SHALL BE REFERRED TO HEREINAFTER AS PART OF THE CONTRACT DOCUMENTS. CLARIFICATION OF INSTRUCTIONS TO PROPOSERS: MODIFICATION TO DOCUMENT: Page 12 - CONTRACT BONDS: b REMOVE: b. The Contractor shall provide two good and sufficient surety bonds. The Performance Bond shall be for 100 percent of the Contract Price to guarantee faithful performance of all work, within the time prescribed, in a manner satisfactory to the City, and that all materials and workmanship will be free from original or developed defects. The bond must remain in effect until the end of all warranty periods set forth in the Contract. The Payment Bond (Material and Labor Bond) shall be for not less than 100 percent of the Contract Price, to satisfy claims of material suppliers and mechanics and laborers employed by it on the Work. The bond shall be maintained by the Contractor in full force and effect until the Work is accepted by the City and until all claims for materials and labor are paid, and shall otherwise comply with the Civil Code. REPLACE: b. The Contractor shall provide two good and sufficient surety bonds. The Performance Bond shall be for 100 percent of Schedule B Contract Price to guarantee faithful performance of all work, within the time prescribed, in a manner satisfactory to the City, and that all materials and workmanship will be free from original or developed defects. The bond must remain in effect until the end of all warranty periods set forth in the Contract. The Payment Bond (Material and Labor Bond) shall be for not less than 100 percent of Schedule B Contract Price, to satisfy claims of material suppliers and mechanics and laborers employed by it on the Work. The bond shall be maintained by the Contractor in full force and effect until the Work is accepted by the City and until all claims for materials and labor are paid, and shall otherwise comply with the Civil Code. The City has received the following questions and is hereby providing answers thereto: 28 RESPONSES TO QUESTIONS RECEIVED TO DATE: Q 1: Will the theater personnel prior to fire protection contractor start date clear all storage areas? A 1: Yes Q 2: Who will be responsible for sheetrock patching? A2: City of Palm Springs Q 3: Will the raised temporary stage require fire sprinklers under it? A3: No IQ 4: Will the permanent stage require fire sprinklers under it? A 4: No. The City of Palm Springs will fill the under stage area with non-combustible insulation in compliance with NFPA 13, 2007 Edition, Section 8.15.1.2.7. Q 5: Can the private fire service main penetrate the wall to the basement above ground? A 5: Yes. The pipe centerline may penetrate the wall 9 - 12 inches above grade. Q 6: Will the concealed combustible area under the control booth floor require fire sprinklers? A 6: No. The City of Palm Springs will All the under floor area with non-combustible insulation in compliance with NFPA 13, 2007 Edition, Section 8.15.1.2.7 Q 7: Will the storage area under the theater seating with access from the West storage room requires fire sprinklers? A 7- Yes. It has access and some storage. Q 8: What is the orientation of the Double Check Detector Assembly? , A 8: Parallel to the street in the grass area. Q 9: What will be the minimum Mactor of the fire sprinkler heads? A 9: K-factor shall be a minimum of 8.0. Q 10: What will be the hazard classification of the various areas? A 10: Ordinary Hazard Group 2 for all areas. 29 Q 11: Can the Bond requirement be waived for this project? A 11: No- Q 12: Will the contractor tie-in the new fire sprinkler water supply to the fire sprinklers in the corridor, Women's Bathroom and classrooms in the Southeast part of the building? A 12: Yes, Q 13: Will the contractor be responsible for verifying the design of the fire sprinklers in the corridor, Women's Bathroom and classrooms in the Southeast part of the building? A 13: No. Q 14: What will be the minimum schedule requirements for the above ground fire sprinkler piping? A 14: Welded and grooved pipe shall be a minimum Schedule 10. Threaded pipe shall be a minimum Schedule 30. Q 15: Will this project require an Architect's review and approval? A 15: No. Q 16: Will a Post Indicating Valve (PIV) be required downstream of the Double Check Detector Assembly? A 16: No. Q 17. Where will the Fire Department Connection be located? A 17: A few feet downstream of the Double Check DetectorAssembly and not on the building. Q 18: Will the fire sprinkler riser(s) require a control valve with tamper switch and riser check valve with two pressure gauges? A 18: Yes. Q 19: Will a water curtain be required for the stage area? A 19: No. Per 2007 California Building Code, Sections 410.3.4 and 5, a stage height less than 50 feet will not require it. Q 20: Will the contractor be responsible for maintaining the domestic water supply? 30 A 20: Yes. The contractor shall separate the domestic water supply from the existing fire sprinkler systems. Q 21: Are all the plants going to be removed for underground piping before work in that area starts? A 21: Yes. The City will be responsible for removing plants before that area of work begins and replacing once the work is complete. Q 22: What is the engineer estimate cost for this project? A 22. There is no current engineers estimate for this project. Q 23: We understand that the awarded contractor will have to provide performance and payment bonds_ Our question is; do we have to submit a BID BOND at bid time? A 23: There is no Bid Bond requirement, Q 24; What is the water supply capability? A 24: 75 PSI static pressure, 74 PSI residual pressure at a flow rate of 1,310 GPM. The readings were taken at the Southeast comer of Palm Canyon Dr. and Alejo Rd. This location is a half of a block south of this building. Q 25: What is the size and model of the Double Check Detector Assembly? A 25• 4 inch Febco 876V, Standard Orientation_ 3BY RDE OF ME CITY OF PALM SPRINGS, CALIFORNIA g Ann Gileno Procurement Specialist II DATE: November 05, 2009 ADDENDUM ACKNOWLEDGMENT: Proposer Firm Name: Authorized Signature.- Date: Acknowledgment of Receipt of Addendum 1 is required by signing and including the acknowledgment with your proposal. Failure to acknowledge this Addendum may result in your proposal being deemed non-responsive. 31 CITY OF PALM SPRINGS, CA REQUEST FOR PROPOSALS FOR FIRE SPRINKLER SYSTEM FOR PALM CANYON THEATER (RFP 06-10) NOTICE IS HEREBY GIVEN that Request for Proposals (RFP) 06-10, for designing and installing a new automatic fire sprinkler system at the Palm Canyon Theater which has been designated as a class 1 historic building will be received in the office of Procurement & Contracting, 3200 East Tahquitz Canyon Way, Palm Springs, California, until 2:00 P.M. Local Time, TUESDAY, NOVEMBER 10, 2009. DESCRIPTION OF WORK: The purpose of this correspondence and enclosed materials is to invite you to submit a proposal to the City of Palm Springs to design and install an automatic fire sprinkler system at the Palm Canyon Theater complex located at 538 N. Palm Canyon Drive, Palm Springs, CA in accordance with the terms, conditions, and scope of work as defined in the Request for Proposal documents. OBTAINING RFP DOCUMENTS AND REGISTRATION AS A PROPOSER: The RFP documents may be downloaded via the internet at www.palmsprings-ca-gov (go to Government, Departments, Procurement, Open Bids & Proposals). If you are interested in submitting a proposal, it is IMPERATIVE that you contact Cheryl Martin, Procurement Administrative Coordinator, via email at Cheryl.Martin(@palmsprings-ca.gov or by phone at (760) 322-8373 to officially register as a Proposer for this specific protect with your company name, address, phone, fax, contact person and email address. Failure to officially register may result in not receiving addenda to the RFP. Failure to acknowledge addenda to the RFP may render your proposal non-responsive. EVALUATION OF PROPOSALS AND AWARD OF CONTRACT: This solicitation has been developed in the Request for Proposal (RFP) format. Accordingly, Proposers should take note that multiple factors will be considered by the City in selecting the most qualified firm and awarding of the Contract. PROPOSALS TO REMAIN OPEN: The Proposer shall guarantee that all contents of their proposal shall be valid for a period of 90 calendar days from the due date of proposals. The receiving time in the Procurement Office will be the governing Lime for acceptability of Proposals. Telegraphic and telephonic proposals will not be accepted. Late proposals will be returned unopened. Craig L. Gladders, C.P.M. Procurement and Contracting Manager October 27, 2009 1 CITY OF PALM SPRINGS, CA REQUEST FOR PROPOSALS, RFP 06-10 FOR FIRE SPRINKLER SYSTEM FOR PALM CANYON THEATER 1. t3ACKGROUND: The Palm Canyon Theater which has been designated as a class 1 historical building, located at 538 N. Palm Canyon Drive in Palm Springs, CA has a non-conforming fire sprinkler system that currently covers the stage area and the storage area under the theater seating of the building that is supplied by a domestic water supply. The City of Palm Springs is soliciting proposals from licensed C-16 contractors to design and install a new automatic sprinkler system in accordance with NFPA 13 and NFPA 24, 2007 Edition, for the theater complex. 2. SCOPE OF SERVICES: Proposals are being solicited from contractors that currently hold a valid C-16 contractors license to completely design and install an automatic sprinkler system in accordance with NFPA 13 and NFPA 24, 2007 Edition, for the Palm Canyon Theater complex. All proposals shall include automatic fire sprinkler designs for the building and underground piping designs from the Double Detector Check Assembly to the fire sprinkler riser located inside the building. Proposals will also include the installation of a NFPA 13 automatic fire sprinkler system as per the approved design plans. Completion of the sprinkler design and installation of the automatic fire sprinkler system shall be completed and certified no later than THURSDAY, DECEMBER 31, 2009, A. Automatic Fire sprinkler designs shall adhere to the following Codes and Standards: • The California Fire Code (CFC) 2007 Edition with additions, deletions and amendments per City of Palm Springs Ordinance 1736. • NFPA Standards: i. NFPA 13 - Standard for the Installation of Sprinkler Systems, 2007 Edition ii. NFPA 24 - Standard for the Installation of Private Fire Service Mains and Their Appurtenances, 2007 Edition B. Water Plan- • Water plan for on-site is required and shall include underground private fire main(s) from the Double Check Detector Assembly (provided and installed by Desert Water Agency prior to contractor's completion of work) to the fire sprinkler riser(s), including the Fire Department Connection(s) and associated valves. 2 C. Fire Protection Water System • Private Fire Service Water Systems (CFC 508.1, 508.2, 508.4, 901.5 & 1412.1): Underground private fire service mains shall be installed, tested, and inspected in compliance with the requirements of NFPA 24, 2007 Edition. Prior to final approval of the installation, contractor shall submit a completed Contractors Material & Test Certificate for Underground Piping to the Fire Department. (10.10 NFPA 24, 2007 Edition). D. Fire Department Connections: • Fire Department connections shall be visible and accessible, have two 2.5 inch NST female inlets, and have an approved check valve located as close to the FDC as possible. All FDC's shall have KNOX locking protective caps. E. Fire Sprinklers • Only a C-16 licensed fire sprinkler contractor shall perform system design and installation. System to be designed and installed in accordance with NFPA 13, 2007 Edition using Cp of 0.74 and I/r Ratio of 200. No portion of the fire sprinkler system shall be installed prior to plan approval by the Fire Department. Prior to final approval of the installation, contractor shall submit a completed Contractors Material and Test Certificate for Aboveground Piping to the Fire Department. (24.1 NFPA 13, 2007 Edition) • Areas of fire sprinkler protection o Stage area o Space under the stage o Basement and storage o West and East Dressing rooms next to stage o Theater area o Storage areas under theater seating o Lobby o Exit Stairways from top of theater that lead to the corridors o Stairway up to projection booth o Projection booth and storage area • Maintain and include in the system design, the sprinkler supply to the existing fire sprinkler areas that include: a Passage way located between the kitchen and the girls bathroom o Girls bathroom 3 o Classroom next to the girls bathroom o NO MODIFICATION TO EXISTING INSTALLED SPRINKLER SYSTEM IN THESE AREAS F. Audible Water Flow Alarms. • An approved audible sprinkler flow alarm (Wheelock horn/strobe with WBB back box or equal) shall be mounted on the fire department connection. Electrical wiring to be performed by City's Facility Maintenance Division. G. Control Valves • All valves controlling the fire sprinkler system water supply, and all water-flow switches, shall be electrically monitored. All control valves shall be locked in the open position. Contractor shall install a PVC conduit in trench from double check detector assembly to inside building. Alarm wiring to be performed by City's Facility Maintenance Division. H. Listed Equipment Installation • All listed equipment shall be installed in accordance with the terms of their listings and the manufacturer's instructions. L Identification • Fire protection equipment shall be identified in a manner approved by the Fire Department. Rooms containing controls for air-conditioning systems, sprinkler risers and valves, or other fire detection, suppression or control elements shall be identified for the use of the fire department. Approved signs required to identify fire protection equipment and equipment location, shall be constructed of durable materials, permanently installed and readily visible. J. Fire Safety During Construction and Demolition • Construction and Demolition: Structures in the course of construction, alteration or demolition shall comply with Chapter 14 of the 2007 California Fire Code and NFPA 241. K. Plans submission • Four complete sets of 24"X36" sets of plans for private fire service mains and fire sprinkler systems must be submitted at time of the building plan submittal. L. Calendar Calendar for approved dates and times that work will be permitted will be provided on November 2, 2009 during mandatory Pre-Proposal Conference. 4 MANDATORY PRE-PROPOSAL CONFERENCE, ATTENDANCE REQUIRED: Prospective Offerors are required to attend a mandatory pre-proposal conference and walk-through of the project site to acquaint potential respondents with the project and existing site conditions that may affect the work. The meeting will be held on MONDAY, NOVEMBER 2, 2009 at 10:00 AM local time at the front entry lobby of the Palm Canyon Theater complex, 538 N. Palm Canyon Drive, Palm Springs, CA, 92262. In addition to the small copy of the floor plan provided herein as Attachment "D", large copies shall be provided of the facility at the pre-proposal conference that you will use for development of your proposal. 3. FORM OF AGREEMENT: A sample of the agreement to be used for this project is attached hereto as Attachment °C. The successful contractor shall be required to execute a completed contract, inclusive of any bonding and insurance requirements, for this project. Any exceptions to the language contained in the RFP document, sample agreement, including the Insurance Requirements, MUST be included in the Proposal submitted and clearly defined. Exceptions may be considered in the evaluation process. Failure or refusal to enter into an Agreement as herein provided or to conform to any of the stipulated requirements in connection therewith shall be just cause for an annulment of the award. If the highest ranked Proposer refuses or fails to execute the Agreement, or negotiations are not successful, or the agreement is terminated, the City may, at its sole discretion, enter negotiations with and award the Contract to the second highest ranked Proposer, and so on. 4. TIME IS OF THE ESSENCE: The City desires to have this new fire sprinkler system designed, installed, certified, and fully operational by Thursday, December 31, 2009. Please provide your time line as requested on the Cost Proposal for full implementation. 5, BUSINESS LICENSE AND RESPONSIBILITY: The successful Proposer (unless exempt by Ordinance) will be required to possess a valid and current C-16 contractors license, as well as to be licensed in accordance with the City of Palm Springs Business License Ordinance, Municipal Code Chapter 3.40 through 3.96 entitled "Business Tax". All Proposers shall be responsible. If it is found that a Proposer is irresponsible (e.g. has not paid taxes, is not a legal entity, submitted a proposal without an authorized signature, falsified any information in the proposal package, etc.) the proposal shall be rejected. 6. LOCAL PREFERENCE: Pursuant to the City of Palm Springs Local Preference Ordinance 1756, in awarding contracts for services, including contractor services, preference to a Local Business shall be given whenever practicable and to the extent consistent with the law and interests of the public. The term "Local Business" is defined as a vendor, contractor, or contractor who has a valid physical business address located within the Coachella Valley, at least six months prior to bid or proposal opening date, from which the vendor, contractor, or contractor operates or performs business on a day-to-day basis, and holds a valid business license by a jurisdiction located in 5 the Coachella Valley. "Coachella Valley" is defined as the area between the Salton Sea on the south, the San Jacinto and Santa Rosa Mountains on the west, and the Little San Bernardino Mountains on the east and north. For the purposes of this definition, "Coachella Valley" includes the cities of Beaumont and Banning and the unincorporated areas between Banning and the City of Palm Springs. Post office boxes are not verifiable and shall not be used for the purpose of establishing such physical address. The contractor or contractor will also, to the extent legally possible, solicit applications for employment and proposals for subcontractors and sub-contractors for work associated with the proposed contract from local residents and firms as opportunities occur and hire qualified local residents and firms whenever feasible. The full local preference (5 points) will be awarded to a Local Business. Up to 2 points may be awarded to a non-local business that employs or retains local residents and firms for this project. In order for a business to be eligible to claim the preference, the business MUST request the preference in the Solicitation response and provide a copy of its current business license for of those it employs for this project) from a jurisdiction in the Coachella Valley. 7. INSURANCE, INDEMNIFICATION AND BONDS: The City's insurance, indemnification and bonding requirements are included in the sample agreement attached,. In the event that you are a successful Proposer, you will be required to provide a certificate of insurance meeting all the limits / requirements listed in the Insurance Section, as well as a Performance and Payment bond as contained herein, before the agreement can be executed. These guidelines may be revised at the City's option, and any exceptions to the insurance guidelines require approval of the Risk Manager for the City of Palm Springs. 8. RFP SCHEDULE AND DEADLINES FOR SUBMISSION OF PROPOSALS: SCHEDULE: RFP posted and Notice issued ..............................................................October 27, 2009 Mandatory Pre-Proposal Conference.............................. .......10am, November 2, 2009 Deadline for receipt of Questions............................................ 2pm, November 4, 2009 Deadline for receipt of Proposals...........................................2pm, November 10, 2009 Interviews/Presentations (at City's option)....... ...... ...................... ............... date TBD Contract awarded by City Council .................................tentatively November 18, 2009 Work to be completed and system operational................ ................December 31, 2009 *Dates subject to change. 9. PROPOSAL EVALUATION CRITERIA; This solicitation has been developed in the Request for Proposal (RFP) format. Accordingly, Proposers should take note that multiple factors will be utilized by the City in awarding the Fire Sprinkler System for the Palm Canyon Theater complex. The following factors will be considered in making the selection: All responsive proposals will be evaluated by a Proposal Evaluation Committee using the Evaluation Criteria defined below- 6 A. Quality and Responsiveness of Proposal (25 points) B. Qualifications, experience, and references (25 points) C. Cost (20 points) D. Implementation Work Plan and Time-Line. (25 points) E. Local Preference (5 points) 10. PROPOSAL DUE DATE AND CONTENTS: All proposals must be received in the City of Palm Springs, Division of Procurement and Contracting by 2:00 P.M., LOCAL TIME, TUESDAY, NOVEMBER 10, 2009. Proof of receipt before the deadline is a City of Palm Springs, Division of Procurement and Contracting date stamp. It is the responsibility of the Proposer to see that any proposal sent through the mail, or via any other delivery method, shall have sufficient time to be received by the Procurement Office prior to the proposal due date and time. Late proposals will be returned to the Proposer unopened. Facsimile (fax), email or other electronically transmitted proposals will not be accepted. The Proposer shall guarantee that all contents of their proposal shall be valid for a period of 90 calendar days from the due date of proposals. Proposals shall be clearly marked and identified and must be submitted to: City of Palm Springs Division of Procurement and Contracting 3200 E. Tahquitz Canyon Way Palm Springs, CA 92262 Attn: Leigh Ann Gileno, Procurement Specialist II PLEASE NOTE THAT PALM SPRINGS CITY HALL IS OPEN MONDAY THRU THURSDAY 8AM TO 6PM AND IS CLOSED EVERY FRIDAY AND THEREFORE IS NOT ABLE TO ACCEPT TIME OR DATE STAMP ANY SUBMITTALS/BIDS ON FRIDAYS OR WEEKENDS). PLEASE TAKE THIS INTO CONSIDERATION WHEN DELIVERING A SUBMITTAL/BID BY THE DUE DATE AND TIME AS DEFINED IN THIS DOCUMENT An original plus five (5) copies (six total) of the complete proposal shall be submitted in a SEALED envelope. The submittal shall not exceed 25 pages (sheets of paper), double sided (81/2" by 11"). Dividers, Attachment "A", and Addenda acknowledgments, provided does NOT count toward the 25 page (sheets of paper) limit. In order to assure the uniformity of submissions, each response to this RFP must, at a minimum, provide the following information that follows in the same order as the Criteria above,- A. Quality and Responsiveness of Proposal: (25 points) i) Describe your firms understanding of the scope of work and familiarity of the project requested. ii) Provide your proposed design and all materials/equipment to be utilized, and fully describe all tasks to be implemented for the installation of the fire sprinkler system. Include your system warranty information with your proposal. (1) Provide a detailed scope of work for the Palm Canyon Theater sprinkler system project, including necessary documentation to verify that your proposed system 7 meets the California Fire Code (CFC) 2007 Edition with additions, deletions and amendments per City of Palm Springs Ordinance 1736, as well as NFPA 13 and 24 Standards. B. Qualifications, experience, and references (25 points) i) Please identify the Project Manager your firm will assign to this project and the qualifications of your firm, including a copy of your current C-16 contractors license, as well as the qualifications of the Project Manager to perform this scope of work. Please describe the experience of the firm, Project Manager, and the specific team that will be assigned to this project. ii) Submit no less than 3 (three) client references from projects the Proposer or Team has completed or has in progress that involve services that are the same as, or are similar to, the services described in this RFP. For each reference, the Proposer is to include the following information, (1) Name, title, address, and current telephone number of a point of contact (2) Date the project was started (3) Brief description of the project (4) Duration and cost of project, and was it completed on time and within budget? iii) Provide evidence that demonstrates the Proposer or its Team's ability to perform the work described in this RFP. Include if Proposer presently has the necessary facilities, materials, equipment, staff, and financial capabilities, etc. to fulfill a contract resulting from this RFP. C. Cost Proposal ( 20 points) 1. Complete the Cost Proposal pages included herein. In the event of a mathematical error in adding Schedule A plus Schedule B the individual pricing shall govern. D. Implementation Work Plan and Time-line (25 points) i) The fire sprinkler system must be completely installed, certified and fully operational by Thursday, December 31, 2009. ii) Submit Proposer's proposed plan and complete timeline that includes a strategy for implementation of the sprinkler system to meet the above deadline. Allow one (1) day within your proposed timeline for initial City review of the proposed plan. For the purposes of planning, it is estimated that the contract shall be agendized for award at the November 18, 2009 City Council meeting. E. Local Preference (up to 5 points) See Section 6, titled "Local Preference" for further details. 11. EXCEPTIONS: Proposer shall clearly identify any proposed deviations from the language in the Request for Proposals (including its Form of Agreement). Each exception must be clearly defined and 8 referenced to the proper paragraph in this RFP or its Form of Agreement. The exception shall include, at a minimum, the Proposer's proposed substitute language and opinion as to why the suggested substitution will provide equivalent or better service and performance. If no exceptions are noted in the Proposer's proposal, the City will assume complete conformance with this specification and the successful Proposer will be required to perform accordingly. Proposals not meeting all requirements may be rejected. Proposals taking exception to material terms/conditions in the Form of Agreement (i.e., indemnification, subrogation, insurance, bonds, governmental requirements) will not be considered. The City reserves the right to accept or to allow the Proposer to withdraw any or all exceptions. 12. SHORTLISTING: The City may shortlist the Proposers based upon responses to the above items. If necessary, the City reserves the right to conduct interviews. The City will notify each Proposer on the shortlist, if such presentation is required. These presentations will provide an opportunity for the Proposers to respond to questions posed by the evaluation committee and to clarify their proposals through exhibition and discussion. 13. QUESTIONS: Proposers, their representatives, agents or anyone else acting on their behalf, are specifically directed NOT to contact any City employee, Palm Canyon Theater employee, Commission member, Committee member, Council member, or any other agency employee or associate for any purpose related to this entire RFP process other than as directed below. Contact with anyone other than as directed below will be cause for rejection of a proposal. ANY questions, technical or otherwise, pertaining to this Request for Proposal must be submitted IN WRITING and directed ONLY to: Leigh Ann Gileno Procurement Specialist II 3200 East Tahquitz Canyon Way Palm Springs, CA 92262 Via FAX (760) 323-8238 Or via EMAIL: LeighAnn.Gileno@palmsprings-ca.gov Interpretations or clarifications considered necessary in response to such questions will be resolved by the issuance of formal Addenda to the RFP. The deadline for all questions is 2:00 P.M., Local Time, NOVEMBER 4, 2009. Questions received after this date and time may not be answered. Only questions that have been resolved by formal written Addenda via the Division of Procurement and Contracting will be binding. Oral and other interpretations or clarifications will be without legal or contractual effect. 14, RIGHT TO ACCEPT OR REJECT PROPOSALS: The City of Palm Springs reserves the right to reject the Proposal of any Proposer who previously failed to properly provide a system of a similar nature, or to reject the Proposal of a Proposer who is not in a position to provide such a system satisfactorily. 9 Furthermore, the City of Palm Springs reserves the right to waive any informality or technical defect in a Proposal and to accept or reject, in whole or in part, any or all Proposals and to advertise for new Proposals, as best serves the interest of the City. 15. AWARD OF CONTRACT: It is the City's intent to award a single contract to the firm that can best meet the requirements of the Request for Proposal document. The City reserves the right to award a contract to multiple firms or a single firm or to make no award, whichever is in the best interest of the City. It is anticipated that award of the contract will occur at the next regularly scheduled City Council meeting after the Evaluation Committee has made its final selection of the vendor to be recommended for award and a contract has been satisfactorily negotiated for consideration. The decision of the City Council will be final. 16. PUBLIC RECORD: Proposer's attention is drawn to the fact that all proposal documents submitted are subject to the California Code Section 6250 et seq., commonly known as the Public Records Act. Information contained in the proposals may be made public after the review process has been completed and a recommendation for award has been agendized for consideration by the Palm Springs City Council, and/or following award of contract, if any, by the City Council. 17. PRESENTATIONS: The City reserves the right to require an oral interview with, and or a presentation by, any proposer(s) participating in this process. Attendance at any such interview or presentation will be at the Proposer's expense. 18. COST RELATED TO PROPOSAL PREPARATION: The City will NOT be responsible for any costs incurred by any Proposer in the preparation or submittal of their respective proposal. 19. INVESTIGATIONS: The City reserves the right to make such investigations as it deems necessary to determine the ability of the Proposer to perform and the Proposer shall furnish to the City all such information and data for this purpose as the City may request. The City reserves the right to reject any Proposal if the evidence submitted by or investigation of such Proposer fails to satisfy the City that such Proposer is properly qualified to perform the obligations of the Contract. 20. SIGNED PROPOSAL AND EXCEPTIONS: Submission of a signed Proposal will be interpreted to mean that Proposer has hereby agreed to all the terms and conditions set forth in all of the sheets which make up this Request for Proposals, and any attached sample agreement. Exceptions to any of the language in either the RFP documents or attached sample agreement must be submitted with the proposal and clearly defined. Exceptions to the City's RFP document or standard boilerplate language, terms or conditions may be considered in the evaluation process. 21. OBLIGATION: 10 The undersigned, by submission of this Offer, hereby agrees to be obligated, if selected as the Contractor, to provide the stated goods and/or services to the City, for the term as stated herein, and to enter into an Agreement with the City, in accordance with the Conditions, Scope and Terms, as well as the Form of Agreement, together with any written addendum as specified above. 22. NONCOLLUSION: The undersigned, by submission of this Proposal Form, hereby declares that this Proposal is made without collusion with any other business making any other Proposal, or which otherwise would make a Proposal. Proposer must execute an Affidavit of Non-Collusion attached as Attachment"B". 23. CONCERNING SUBCONTRACTORS, SUPPLIERS, AND OTHERS: a. The CONTRACTOR shall be fully responsible to the CITY and the ENGINEER for the acts and omissions of its subcontractors and their employees to the same extent as the CONTRACTOR is responsible for the acts and omissions of its own employees. Nothing contained in this Article shall create any contractual relationship between the CITY or the ENGINEER and any sub-contractor, nor shall it relieve the CONTRACTOR of any liability or obligation under the prime Contract- b. The CONTRACTOR shall be fully responsible to the CITY and the ENGINEER for all acts and omissions of the Subcontractors, Suppliers, and other persons and organizations performing or furnishing any of the Work under a direct or indirect contract with the CONTRACTOR just as the CONTRACTOR is responsible for the CONTRACTOR's own acts and omissions. C. The CONTRACTOR shall be solely responsible for scheduling and coordinating the Work of Subcontractors, Suppliers, and other persons and organizations performing or furnishing any of the Work under a direct or indirect contract with the CONTRACTOR. d. All Work performed for the CONTRACTOR by a Subcontractor or Supplier will be pursuant to an appropriate agreement between the CONTRACTOR and the Subcontractor or Supplier which specifically binds the Subcontractor or Supplier to the applicable terms and conditions of the Contract Documents for the benefit of the CITY and the ENGINEER. e. In addition to the provisions above, the Contractor shall perform not less than 50 percent of the Work included in the original Contract Price with its own forces (i.e., without subcontracting)_ Where an entire item is subcontracted, the value of the work subcontracted will be based upon the contract item bid price. When a portion of an item is subcontracted, the value of the work subcontracted will be the estimated percentage of the contract item bid price, determined from the information submitted by the Contractor, subject to approval of the Engineer. The 50 percent requirement shall be understood to refer to the Work, the value of which totals not less than the full Contract Price contract price. 24. PREVAILING WAGE RATES NOT APPLICABLE: Funding for the Work is with all local funds and, as provided under City Charter, will NOT require compliance with the prevailing wage requirements of the State of California 11 25. CONTRACT BONDS: a. Before execution of the Contract, the Contractor shall file surety bonds with the City to be approved by the City Council in the amounts and for the purposes noted below. Bonds issued by a surety who is listed in the latest version of U.S. Department of Treasury Circular 570, who is authorized to issue bonds in California, and whose bonding limitation shown in the said circular is sufficient to provide bonds in the amount required by the Contract shall be deemed to be approved unless specifically rejected by the City. Bonds from all other sureties shall be accompanied by all of the documents enumerated in Code of Civil Procedure 995.660(a). The Contractor shall pay all bond premiums, costs, and incidentals. Each bond shall incorporate, by reference, the Contract and be signed by both the Contractor and Surety and the signature of the authorized agent of the Surety shall be notarized. b. The Contractor shall provide two good and sufficient surety bonds. The Performance Bond shall be for 100 percent of the Contract Price to guarantee faithful performance of all work, within the time prescribed, in a manner satisfactory to the City, and that all materials and workmanship will be free from original or developed defects. The bond must remain in effect until the end of all warranty periods set forth in the Contract. The Payment Bond (Material and Labor Bond) shall be for not less than 100 percent of the Contract Price, to satisfy claims of material suppliers and mechanics and laborers employed by it on the Work. The bond shall be maintained by the Contractor in full force and effect until the Work is accepted by the City and until all claims for materials and labor are paid, and shall otherwise comply with the Civil Code. c. The Contractor shall provide for a one-year extension of the Performance Bond to cover the one-year correction and repair period for correction or removal and replacement of defective work. Said Performance Bond shall be maintained at not less than 15 percent of the Contract Price during said one-year extension. d. Bonds shall be executed by either: (a) two (2) or more sufficient personal sureties; (b) one sufficient admitted surety insurer; or (c) a combination of sufficient personal sureties and admitted surety insurers. If a corporate surety insurer is used, a County Clerk's certificate evidencing that it is an admitted surety insurer shall be submitted with the bonds. If a personal surety is used, all requirements set out in Code of Civil Procedure Section 995.510 shall be met to the satisfaction of the City Engineer. Execution of Contract. - The contract shall be signed by the successful bidder and returned, together with the contract bonds, within the number of days specified in the letter notifying the contractor of award. 12 COST PROPOSAL SHEET Failure to complete this form and submit it with your Proposal shall result in your Proposal being deemed nonresponsive and rejected without any further evaluation. SCHEDULE A: DESIGN Provide in the space provided below a maximum not-to-exceed LUMP SUM total cost for the DESIGN of the Fire Sprinkler System you propose in response to this RFP: Schedule A Cost written in words SCHEDULE B: CONSTRUCTION: SYSTEM MATERIALS, LABOR, AND INSTALLATION: Provide in the space provided below a maximum not-to-exceed LUMP SUM total cost for all of the system materials, tools, equipment, supplies, labor, installation, testing, certification, inclusive of ALL applicable taxes (including 8.75% Riverside County sales tax where applicable), and any other associated system costs not already defined above, for the Fire Sprinkler system you propose in response to this RFP: Schedule B Cost written in words TOTAL COST PROPOSAL (Schedule A* Schedule B) = $ TOTAL COST WRITTEN IN WORDS 1� INFORMATION REQUIRED OF BIDDER LIST OF SUBCONTRACTORS As required under Section 4100, et seq., of the Public Contract Code, the Bidder shall list below the name and business address of each subcontractor who will perform Work under this Bid in excess of one-half of one percent of the Contractor's Total Bid Price, or $10,000.00, whichever is greater, and shall also list the portion of the Work which will be done by such subcontractor. 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. Contractor's Percent License of Total Subcontractor's Name & Work to be Performed Number Contract Address 1 . 2. 3. 4. 5. 6. 14 ATTACHMENT "A" RFP 06.10 FIRE SPRINKLER SYSTEM FOR PALM CANYON THEATER *NOTE: THIS FORM MUST BE COMPLETED AND INCLUDED WITH YOUR PROPOSAL.* SIGNATURE AUTHORIZATION NAME OF PROPOSERIFIRM: A. I hereby certify that I have the authority to offer this proposal to the City of Palm Springs for the above listed individual or company. I certify that I have the authority to bind myself/this company in a contract should I be successful in my proposal. SIGNATURE PRINT NAME B. The following information relates to the legal contractor listed above, whether an individual or a company. Place check marks as appropriate: 1. If successful, the contract language should refer to me/my company as: _An individual; A partnership, Partners' names: A company; A corporation A Local Business (Licensed within the jurisdiction of the Coachella Valley). Copy of current business license is required to be attached to this document. 2. My tax identification number is. ADDENDA ACKNOWLEDGMENT: Acknowledgment of Receipt of any Addenda issued by the City for this RFP is required by including the acknowledgment with your proposal. Failure to acknowledge the Addenda issued may result in your proposal being deemed non-responsive. 15 In the space provided below, please acknowledge receipt of each Addenda: Addendum(s) # is/are hereby acknowledged. Company Name: Street Address: City/State: Mailing Address if different: Email: Phone: Fax: 16 ATTACHMENT B NON-COLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID STATE OF CALIFORNIA) ss COUNTY OF RIVERSIDE) The undersigned, being first duly sworn, deposes and says that he or she is of the party making the foregoing bid. That the bid is not made in the interests of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that 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, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that 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 thereof, or paid, and will not pay, any fee to any corporation, partnership, company, association, organization, bid depository, or any other member or agent thereof to effectuate a collusive or sham bid. B : Title: Subscribed and sworn to before me this day of 12009 17 ATTACHMENT "C" CONTRACTING SERVICES AGREEMENT (name of services and firm for agreement), THIS AGREEMENT FOR CONTRACTING SERVICES (the "Agreement") is made and entered into this _ day of 200, by and between the City of Palm Springs, a California charter city and municipal corporation ("City"), and a ("Contractor"). RECITALS A. City requires the services of a for B. Contractor has submitted to City a proposal to provide to City pursuant to the terms of this Agreement. C. Based on its experience, education, training, and reputation, Contractor is qualified to provide the necessary services to City for the Project and desires to provide such services. D. City desires to retain the services of Contractor for the Project. NOW, THEREFORE, in consideration of the promises and mutual agreements contained herein, City agrees to retain and does hereby retain Contractor and Contractor agrees to provide services to the City as follows: AGREEMENT 1. CONTRACTOR SERVICES 1.1 Scone of Services. In compliance with all tenns and conditions of this Agreement, Contractor shall provide , services to City as described in the Scope of Services/Work attached to this Agreement as Exhibit '`A" and incorporated herein by reference (the "services" or "work"), which includes the agreed upon schedule of performance and the schedule of fees. Contractor warrants that all services and work shall be performed in a competent, professional, and satisfactory manner in accordance with all standards prevalent in the industry. In the event of any inconsistency between the terns contained in the Scope of Services/Work and the teens set forth in the main body of this Agreement, the terms set forth in the main body of this Agreement shall govern. 1.2 Compliance with Law. All services rendered under this Agreement shall be provided by Contractor in accordance with all applicable federal, state, and local laws, statutes and ordinances and all lawful orders, rules, and regulations promulgated thereunder. 1.3 Licenses and Permits. Contractor shall obtain at its sole cost and expense such licenses, permits, and approvals as may be required by law for the performance of the services required by this Agreement. IS 1.4 Familiarity with Work. By executing this Agreement, Contractor warrants that it has carefully considered how the work should be performed and fully understands the facilities, difficulties, and restrictions attending performance of the work under this Agreement. 2. TIME FOR COMPLETION. The time for completion of the services to be performed by Contractor is an essential condition of this Agreement. Contractor shall prosecute regularly and diligently the work of this Agreement according to the agreed upon schedule of performance set forth in Exhibit "A." Contractor shall not be accountable for delays in the progress of its work caused by any condition beyond its control and without the fault or negligence of Contractor. Delays shall not entitle Contractor to any additional compensation regardless of the party responsible for the delay. 3. COMPENSATION OF CONTRACTOR 3.1 Compensation of Contractor_ For the services rendered pursuant to this Agreement, Contractor shall be compensated and reimbursed, in accordance with the schedule of fees set forth in Exhibit"A," which total amount shall not exceed S 3.2 Method of Payment. In any month in which Contractor wishes to receive payment, Contractor shall no later than the first working day of such month, submit to City in the form approved by City's finance director, an invoice for services rendered prior to the date of the invoice. Payments shall be based on the hourly rates as set forth in Exhibit "A" for authorized services performed. City shall pay Contractor for all expenses stated thereon, which are approved by City consistent with this Agreement, within thirty (30) days of receipt of Contractor's invoice. 3.3 Changes. In the event any change or changes in the Scope of Services/Work is requested by City, the parties hereto shall execute a written amendment to this Agreement, setting forth with particularity all terms of such amendment, including, but not limited to, any additional fees. An amendment may be entered into: A_ To provide for revisions or modifications to documents or other work product or work when documents or other work product or work is required by the enactment or revision of law subsequent to the preparation of any documents, other work product, or work; B. To provide for additional services not included in this Agreement or not customarily furnished in accordance with generally accepted practice in Contractor's profession. 3.4 Appropriations. This Agreement is subject to and contingent upon funds being appropriated therefore by the City Council of City for each fiscal year covered by the Agreement. If such appropriations are not made, this Agreement shall automatically terminate without penalty to City. 4. PERFORMANCE SCHEDULE 4.1 Time of Essence. Time is of the essence in the performance of this Agreement. 19 4.2 Schedule of Performance. All services rendered pursuant to this Agreement shall be perfonned pursuant to the agreed upon schedule of performance set forth in Exhibit'A." The extension of any time period must be approved in waiting by the Contract Officer. 4.3 Force Maieure. The time £or performance of services to be rendered pursuant to this Agreement may be extended because of any delays due to unforeseeable causes beyond the control and without the fault or negligence of Contractor, including, but not limited to, acts of God or of a public enemy, acts of the government, fires, earthquakes, floods, epidemic, quarantine restrictions, riots, strikes, freight embargoes, and unusually severe weather if Contractor shall within ten (10) days of the commencement of such condition notify the Contract Officer who shall thereupon ascertain the facts and the extent of any necessary delay, and extend the time for performing the services for the period of the enforced delay when and if in the Contract Officer's judgment sucl-r delay is justified, and the Contract Officer's determination shall be final and conclusive upon the parties to this Agreement. 4.4 Term. Unless earlier terminated in accordance with Section 9.5 of this Agreement, this Agreement shall continue in full force and effect for a period of (weeks/months), commencing on 200_, and ending on 200, unless extended by mutual written agreement of the parties. 5. COORDINATION OF WORK 5.1 Representative of Contractor. The following principal of Contractor is hereby designated as being the principal and representative of Contractor authorized to act in its behalf with respect to the services and work specified herein and make all decisions in connection therewith: (name), (title) It is expressly understood that the experience, knowledge, education, capability, and reputation of the foregoing principal is a substantial inducement for City to enter into this Agreement. Therefore, the foregoing principal shall be responsible during the term of this Agreement for directing all activities of Contractor and devoting sufficient time to personally supervise the services hereunder. The foregoing principal may not be changed by Contractor without prior written approval of the Contract Officer, 5.2 Contract Officer. The Contract Officer shall be the City Manager, or his/her designee. It shall be the Contractor's responsibility to keep the Contract Officer, or his/her designee, fully informed of the progress of the performance of the services and Contractor shall refer any decisions that must be made by City to the Contract Officer. Unless otherwise specified herein, any approval of City required hereunder shall mean the approval of the Contract Officer. 5.3 Prohibition Against Subcontracting or Assienment. The experience, knowledge, education, capability, and reputation of Contractor, its principals and employees, were a substantial inducement for City to enter into this Agreement. Therefore, Contractor shall not contract with any other individual or entity to perform in whole or in part the services required hereunder without the express written approval of City. In addition, neither this Agreement nor any interest herein may be assigned or transferred, voluntarily or by operation of law, without the prior written approval of City. 20 5.4 Independent Contractor. Neither City nor any of its employees shall have any control over the manner, mode, or means by which Contractor, its agents or employees, perform the services required herein, except as otherwise set forth herein. Contractor shall perform all services required herein as an independent contractor of City and shall not be an employee of City and shall remain at all titres as to City a wholly independent contractor with only such obligations as are consistent with that role; however, City shall have the right to review Contractor's work product, result, and advice. Contractor shall not at any time or in any manner represent that it or any obits agents or employees are agents or employees of City_ 5.5 Personnel. Contractor agrees to assign the following individuals to perform the services set forth herein. Contractor shall not alter the assignment of the following personnel without the prior written approval of the Contract Officer. Acting through the City Manager, the City shall have the unrestricted right to order the removal of any personnel assigned by Contractor by providing written notice to Contractor_ Name: Title: (to be inserted) (to be inserted) 6. INSURANCE Contractor shall procure and maintain, at its sole cost and expense, policies of insurance as set forth in Exhibit "B," which is attached hereto and is incorporated herein by reference. 7. INDEMNIFICATION. To the fullest extent permitted by law, Contractor shall defend (at Contractor's sole cost and expense), indemnify, protect, and hold harmless City, its elected officials, officers, employees, agents, and volunteers (collectively the "Indemnified Parties"), from and against any and all liabilities, actions, suits, claims, demands, losses, costs, judgments, arbitration awards, settlements, damages, dernands, orders, penalties, and expenses including legal costs and attorney fees (collectively "Claims"), including but not limited to Claims arising from injuries to or death of persons (Contractor's employees included), for damage to property, including property owned by City, from any violation of any federal, state, or local law or Ordinance, and from errors and omissions committed by Contractor, its officers, employees, representatives, and agents, which Claims arise out of or are related to Contractor's performance under this Agreement, but excluding such Claims arising from the negligence or willful misconduct of the City, its elected officials, officers, employees, agents, and volunteers. Under no circumstances shall the insurance requirements and limits set forth in this Agreement be construed to limit Contractor's indemnification obligation or other liability hereunder. 21 S. RECORDS AND REPORTS 8.1 Reports- Contractor shall periodically prepare and submit to the Contract Officer such reports concerning the performance of the services required by this Agreement as the Contract Officer shall require. 8.2 Records. Contractor shall keep such books and records as shall be necessary to properly perform the services required by this Agreement and enable the Contract Officer to evaluate the performance of such services. The Contract Officer shall have full and fi-ee access to such books and records at all reasonable times, including the right to inspect, copy, audit, and make records and transcripts from such records. 8.3 Ownership of Documents. All drawings, specifications, reports, records, documents, and other materials prepared by Contractor in the performance of this Agreement shall be the property of City and shall be delivered to City upon request of the Contract Officer or upon the termination of this Agreement, and Contractor shall have no claim for further employment or additional compensation as a result of the exercise by City of its full rights or ownership of the documents and materials hereunder. Contractor may retain copies of such documents for its own use. Contractor shall have an unrestricted right to use the concepts embodied therein. 8.4 Release of Documents. All drawings, specifications, reports, records, documents, and other materials prepared by Contractor in the performance of services under this Agreement shall not be released publicly without the prior written approval of the Contract Officer. 8.5 Cost Records. Contractor shall maintain all books, documents, papers, employee time sheets, accounting records, and other evidence pertaining to costs incurred while performing under this Agreement and shall make such materials available at its offices at all reasonable times during the term of this Agreement and for three (3) years from the date of final payment for inspection by City and copies thereof shall be promptly furnished to City upon request_ 9. ENFORCEMENT OF AGREEMENT 9.1 California Law. This Agreement shall be construed and interpreted both as to validity and to performance of the parties in accordance with the laws of the State of California. Legal actions concerning any dispute, claim, or matter arising out of or in relation to this Agreement shall be instituted in the Superior Court of the County of Riverside, State of California, or any other appropriate court in such county, and Contractor covenants and agrees to submit to the personal jurisdiction of such court in the event of such action. 9.2 Waiver. No delay or omission in the exercise of any right or remedy of a non- defaulting party on any default shall impair such right or remedy or be construed as a waiver. No consent or approval of City shall be deemed to waive or render unnecessary City's consent to or approval of any subsequent act of Contractor. Any waiver by either party of any default must 22 be in writing and shall not be a waiver of any other default concerning the same or any other provision of this Agreement. 9.3 Rights and Remedies are Cumulative. Except with respect to rights and remedies expressly declared to be exclusive in this Agreement, the rights and remedies of the parties are cumulative and the exercise by either party of one or more of such rights or remedies shall not preclude the exercise by it, at the same or different times, of any other rights or remedies for the same default or any other default by the other party. 9.4 Legal Action. In addition to any other tights or remedies, either party may take legal action, in law or in equity, to cure, correct, or remedy any default, to recover damages for any default, to compel specific performance of this Agreement, to obtain injunctive relief, a declaratory judgment, or any other remedy consistent with the purposes of this Agreement. 9.5 Termination Prior to Expiration of Term_ City reserves the right to terminate this Agreement at any time, with or without cause, upon thirty (30) days written notice to Contractor, except that 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 detennined by the City_ Upon receipt of the notice of termination, Contractor shall immediately cease all services hereunder except such as may be specifically approved by the Contract Officer. Contractor shall be entitled to compensation for all services rendered prior to receipt of the notice of termination and for any services authorized by the Contract Officer thereafter. Contractor may terminate this Agreement, with or without cause, upon thirty (30) days written notice to City. 10. CITY OFFICERS AND EMPLOYEES; NON-DISCRIMINATION 10.1 Non-Liability of City Officers and Employees. No officer or employee of City shall be personally liable to the Contractor, or any successor-in-interest, in the event of any default or breach by City or for any amount which may become due to the Contractor or its successor, or for breach of any obligation of the terms of this Agreement. 10.2 Covenant Against Discrimination. Contractor- covenants that, by and for itself, its heirs, executors, assigns, and all persons claiming under or through there, that there shall be no discrimination or segregation in the performance of or in connection with this Agreement regarding any person or group of persons on account of race, color, creed, religion, sex, marital status, disability, sexual orientation, national origin, or ancestry. 11. MISCELLANEOUS PROVISIONS 11.1 Notice. Any notice, demand, request, consent, approval, or communication either party desires or is required to give to the other party or any other person shall be in writing and either served personally or sent by pre-paid, first-class mail to the address set forth below. Either party may change its address by notifying the other party of the change of address in writing. Notice shall be deemed communicated seventy-two (72) hours from the time of mailing if mailed as provided in this Section. 23 To City: City of Palm Springs Attention: City Manager/ City Clerk 3200 E. Tahquitz Canyon Way Palm Springs, California 92262 To Contractor: (to be inserred) 11.2 Integrated Agreement. This Agreement contains all of the agreements of the parties and cannot be amended or modified except by written agreement. 11.3 Amendment. This Agreement may be amended at any time by the mutual consent of the parties by an instrument in writing. 11.4 Severability. In the event that any one or more of the pleases, sentences, clauses, paragraphs, or sections contained in this Agreement shall be declared invalid or unenforceable by valid judgment or decree of a court of competent jurisdiction, such invalidity or unenforceability shall not affect any of the remaining phrases, sentences, clauses, paragraphs, or sections of this Agreement, which shall be interpreted to carry out the intent of the parties hereunder. 11.5 Authority. The persons executing this Agreement on behalf of the parties hereto warrant that they are duly authorized to execute this Agreement on behalf of said parties and that by so executing this Agreement the parties hereto are fomtially bound to the provisions of this Agreement. [SIGNATURE PAGE SEPARATELY ATTACHED] 24 IN WITNESS WHEREOF, the parties have executed this Agreement as of the dates stated below. "CITY" City of Palm Springs Date: By: David H- Ready City Manager APPROVED AS TO FORM: ATTEST By: By: Douglas C. Holland, James Thompson, City Attorney City Clerk "CONTRACTOR" (insert name) Date: By (name) (president) Date: (name) (secretory) 25 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT 'M,cy"n'�.`?N.^.LiRS::C�.;fP.v�,""�;,.^,vemev:a•n.�.:xu vrrwsr��,f:5;'�'err�crd5' `ec�^,catr..�^�vzc.:c..,a.r.�;re+..��:3��.:✓ ...�� Slate of California County of On before me, W.v Mere N3e L Nomc aM I inn G1 t q'.]'I,Wf personally appeared _,_...... NarwlCI ol5lanxlty who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) Ware subscribed to the within Instrument and acknowledged to me that helshe/they executed the same in his/nor/their authorized capacity(ies), and that by histher/fheir signatufe(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is ,rue and correct" WITNESS my hand and official seal. Signature ;'Inca Nonry Sal rbow S;f�+xtuic U Nq:nry I+Gb'— OPT70NAL Though the in;ormstion 4eiow is not revuhed by lane,11 ma),prow Ualuabi9 m parsons retyrng on the document and could pret enl 1rauCi remoi l and re dtrachmen!of Irus iorm to anolher docrArluN. Description of Attached Document Title or Type of Document. Document Data: , Number of Pages: Signer(s)Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's ❑ Individual rl Individual ❑ Corporate Officer—Titfe(s): 17 Corporate Officer—Title(s): Par'ner—D Limited LJ General _ ❑Par'mer—Li Limited L7 General " ,"i Attorney in Fact J Attorney in Fact ❑ Tnastee lop or thumb nerr ❑Trustee top of iriu'4 nom � Guardian or Conservator ❑Guardian or Canseryalcr ❑ Other L!Other: 1 Signor Is Representing: Signer Is Representing' Ll ro_ CC�'CY.'`r"cc^C4''CGticC —ten GlAor fh:9onlNtt3ry�0.5exiahn-aS;,o�Saa ha ev ea:l�•txuyv;enli C,1&1SISSfA2•wxi:.:�LmuC4xarywg Ilan a_iPr pc>ypr,CoAToltr[ect EnnHt!{0&:'l 26 EXHIBIT "A" CONTRACTOR'S SCOPE OF SERVICES/WORK Including, Schedule of Fees And Schedule of Performance 27 EXHIBIT "B" INSURANCE PROVISIONS Including Verification of Coverage, Sufficiency of Insurers, Errors and Omissions Coverage, Minimum Scope of Insurance, Deductibles and Self-Insured Retentions, and Severability of Interests (Separation of Insureds) 28 Insurance Contractor shall procure and maintain, at its sole cost and expense, and submit concurrently with its execution of this Agreement, in a form and content satisfactory to the City, public liability and property damage insurance against all claims for injuries against persons or damages to property resulting from Contractor's perFonnance under this Agreement. Contractor shall also carry workers' compensation insurance in accordance with California workers' compensation laws. Such insurance shall be kept in full force and effect during the term of this Agreement, including any extension thereof, and shall not be cancelable without thirty (30) days advance written notice to City of any proposed cancellation. Certificates of insurance evidencing the foregoing and designating the City, its elected officials, officers, employees, agents, and volunteers as additional named insureds by original endorsement shall be delivered to and approved by City prior to commencement of services. The procuring of such insurance and the delivery of policies, certificates, and endorsements evidencing the sarne shall not be construed as a limitation of Contractor's obligation to indemnify City, its elected officials, officers, agents, employees, and volunteers. A. Minimum Scope of Insurance. The minimum amount of insurance required hereunder shall be as follows: 1. Comprehensive general liability and personal injury with limits of at least one million dollars ($1,000,000.00) combined single limit coverage per occurrence and two million dollars ($2,000,000) general aggregate; 2. Automobile liability insurance with limits of at least one million dollars ($1,000,000.00) per occurrence; 3. Professional liability (errors and omissions) insurance with limits of at least one million dollars ($1,000,000.00) per occurrence and two million dollars ($2,000,000) annual aggregate for the Design only. 4. Workers' Compensation insurance in the statutory amount as required by the State of California and Employer's Liability Insurance with limits of at least one million dollars $1 million per occurrence. If Contractor has no employees, Contractor shall complete the City's Request for Waiver of Workers' Compensation Insurance Requirement form. For any claims related to this Agreement, Contractor's insurance coverage shall be primary insurance as respects City and its respective elected officials, officers, employees, agents, and volunteers. Any insurance or self-insurance maintained by City and its respective elected officials, officers, employees, agents, and volunteers shall be in excess of Contractor's insurance and shall not contribute with it. For Workers' Compensation and Employer's Liability Insurance only, the insurer shall waive all rights of subrogation and contribution it may have against City, its elected officials, officers, employees, agents, and volunteers. E. Errors and Omissions Coverage. If Contractor provides claims made professional liability insurance, Contractor shall also agree in writing either (1) to purchase tail insurance in the amount required by this Agreement to cover claims made within three years of 29 the completion of Contractor's services under this Agreement, or (2) to maintain professional liability insurance coverage with the same carrier, or equivalent coverage with another company, in the amount required by this Agreement for at least three years after completion of Contractor's services under this Agreement. Contractor shall also be required to provide evidence to City of the purchase of the required tail insurance or continuation of the professional liability policy. [THIS SECTION TO BE INCLb—Dhi) ONI,Y IF ERRORS & O,bfCSS7ONS lNSUR.4NC7i IS RIiC1 UC�CED] C. Sufficiency of Insurers. Insurance required herein shall be provided by authorized insurers in good standing with the State of California. Coverage shall be provided by insurers admitted in the State of California with an A.M_ Best's Ivey Rating of B++, Class VII, or better, unless otherwise acceptable to the City- D. Verification of Coverage. Contractor shall furnish City with both certificates of insurance and endorsements, including additional insured endorsements, effecting all of the coverages required by this Agreement. The certificates and endorsements are to be signed by a person authorized by that insurer to bind coverage on its behalf All proof of insurance is to be received and approved by the City before work commences. City reserves the right to require Contractor's insurers to provide complete, certified copies of all required insurance policies at any time. Additional insured endorsements are not required for Errors and Omissions and Workers' Compensation policies. Verification of Insurance coverage may be provided by: (1) an approved General and/or Auto Liability Endorsement Form for the City of Palm Springs or (2) an acceptable Certificate of Liability Insurance Coverage with an approved Additional Insured Endorsement with the following endorsements stated on the certificate: I. "Tile City of Palm Springs, its officials, employees, and agents are named as an additional insured... " ("as respects City of Palm Springs Contract No. " or "for any and all work-performed with the City"may be included in this statement). 2. "This insurance is primary and non-contributory over any insurance or self insurance the City may have_.." ("as respects City of Palm Springs C'ontractNo. " or '!for any and all work performed with the City" may be included in this statement). �. "Should any of the above described policies be canceled before the expiration date thereof, the issuing company will mail 30 days written notice to the Certificate Holder named." Language such as, "endeavor to" mail and "but failure to mail such notice shall impose no obligation or liability of any kind upon the company, its agents or representative" is not acceptable and must be crossed out. 4. Both the Workers' Compensation and Employers' Liability policies shall contain the insurer's waiver of subrogation in favor of City, its elected officials, officers, employees, agents, and volunteers. In addition to the endorsements listed above, the City of Palm Springs shall be named the certificate holder on the policies. 30 All certificates of insurance and endorsements are to be received and approved by the City before work commences. All certificates of insurance must be authorized by a person with authority to bind coverage, whether that is the authorized agent/broker or insurance underwriter. Failure to obtain the required documents prior to the commencement of work shall not waive the Contractor's obligation to provide them. E. Deductibles and Self-Insured Retentions. Any deductibles or self-insured retentions must be declared to and approved by the City prior to commencing any work or services under this Agreement. At the option of the City, either the insurer shall reduce or eliminate such deductibles or selfinsured retentions as respects the City, its elected officials, officers, employees, agents, and volunteers; or, Contractor shall procure a bond guaranteeing payment of losses and related investigations, claim administration, and defense expenses. Certificates of Insurance must include evidence of the amount of any deductible or self-insured retention under the policy. Contractor guarantees payment of all deductibles and self-insured retentions. F. Severability of Interests (Separation of Insureds). This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the limits of the insurer's liability. 31 PERFORMANCE BOND KNOW ALL MEN BY THESE PRESENTS, That as Contractor, and as Surety, are held firmly bound unto the City of Palm Springs, a charter city, organized and existing in the County of Riverside, California, hereinafter called the "City," in the sum of: dollars, For the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors, and assigns,jointly and severally, firmly by these presents. WHEREAS said Contractor has been awarded and is about to enter into the annexed Agreement with said City to perform the Work as specified or indicated in the Contract Documents entitled: FIRE SPRINKLER SYSTEM FOR PALM CANYON THEATER RFP 06-10 NOW THEREFORE, if said Contractor shall perform all the requirements of said Contract Documents required to be performed on its part, at the times and in the manner specified herein, then this obligation shall be null and void, otherwise it shall remain in full force and effect. PROVIDED, that any alterations in the Work to be done or the materials to be furnished, or changes in the time of completion, which may be made pursuant to the terms of said Contract Documents, shall not in any way release said Contractor or said Surety thereunder, nor shall any extensions of time granted under the provisions of said Contract Documents, release either said Contractor or said Surety, and notice of such alterations or extensions of the Agreement is hereby waived by said Surety. SIGNED AND SEALED, this day of 2009. 32 CONTRACTOR: Check one:—individual,_partnership, _corporation (Corporations require two signatures; one from each of the following groups: A. Chairman of Board, President, or any Vice President, AND B. Secretary, Assistant Secretary, Treasurer, Assistant Treasurer, or Chief Financial Officer). By: SURETY: Signature (NOTARIZED) Print Name and Title: By: By Print Name and Title: Signature (NOTARIZED) Print Name and Title: 33 PAYMENT BOND KNOW ALL MEN BY THESE PRESENTS, That as Contractor, and as Surety, are held firmly bound unto the City of Palm Springs, a charter city, organized and existing in the County of Riverside, State of California, hereinafter called the "City," in the sum of: dollars, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors, and assigns,jointly and severally, firmly by these presents. WHEREAS, said Contractor has been awarded and is about to enter into the annexed agreement with said City to perform the Work as specified or indicated in the Contract Documents entitled: FIRE SPRINKLER SYSTEM AT PALM CANYON THEATER RFP 06-10 NOW THEREFORE, if said Contractor, its subcontractors, its heirs, executors, administrators, successors, or assigns shall fail to pay for any materials, provisions, provender, equipment, or other supplies used in, upon, for, or about the performance of the Work contracted to be done, or for any work or labor thereon of any kind, or for amounts due under the Unemployment Insurance Code, or for any amounts required to be deducted, withheld, and paid over to the Employment Development Department from the wages of employees of the Contractor and its subcontractors pursuant to Section 13020 of the Unemployment Insurance Code with respect to such labor, all as required by the provisions of Title XV, Chapter 7, Sections 3247-3252, inclusive, of the Civil Code of the State of California and acts amendatory thereof, and Sections of other Codes of the State of California referred to therein and acts amendatory thereof, and provided that the persons, companies, or corporations so furnishing said materials, provisions, equipment, or other supplies, appliances, or power used in, upon, for, or about performance of the Work contracted to be executed or performed, or any person, company, or corporation renting or hiring implements or machinery or power for, or contributing to, said work to be done, or any person who performs work or labor upon the same, or any person who supplies both work and materials therefor, shall have complied with the provisions of said laws, then said surety will pay the same in an amount not exceeding the sum hereinbefore set forth, and also will pay, in case suit is brought upon this bond, a reasonable attorney's fee as shall be fixed by the Court. This Bond shall inure to the benefit of any and all persons named in Section 3181 of the Civil Code of the State of California so as to give a right of action to them or their assigns in any suit brought upon this bond. PROVIDED, that any alterations in the Work to be done or the materials to be furnished, or changes in the time of completion, which may be made pursuant to the terms of said Contract Documents, shall not in any way release said Contractor or said Surety thereunder, nor shall any extensions of time granted under the provisions of said Contract Documents release either said Contractor or said Surety, and notice of said alterations or extensions of the Agreement is hereby waived by said Surety. SIGNED AND SEALED, this day of , 2009. 34 CONTRACTOR: Check one: individual,_partnership, _corporation (Corporations require two signatures; one from each of the following groups: A. Chairman of Board, President, or any Vice President; AND B. Secretary, Assistant Secretary, Treasurer, Assistant Treasurer, or Chief Financial Officer). By: SURETY: signature (NOTARIZED) Print Name and Title: By: By: Print Name and Title: signature (NOTARIZED) Print Name and Title: 35 4. IJEI- '0 :V 3 c ROD" C L!. P,O.!. RLMIAG J i A G L IJ 0 LA- 2' IFF —q IORIL' IDF LLIV5„011 ZIC,, Id DITAI L OF CAR Fae 5D',) III "ID... ....... j TNO it LqQ lVi.D UHDL� 53%GE �L, .,.I LD T I U Q A C L w L R tL rr CL453 ZOOA t 110. ui u 4ITL d _13 &I&&&&& rLOOP FLI MI InTA P Y :iCF-.nOL_�4 4�3-Y C�O_ii PAi �111 PI npmr�3 CALIFOWi]A,�, T C e%5T" T C ell YNEP--COtM%Ny'APKEfiff tc�r S 1',1 AS T � � FAX 760/323-8895 FME P POTCC" iON, MC. i� fNP ° �"' CPS UC. NO. 478533 w W.SIMSt2Fire.corm a • AZ LIC. NO. 101519 3584 La Campaana Way, Palma Springs, CA 92282 TO: PROCUREMENT & CONTRACTING CITY of PALM SPRINGS 3200 EAST TAHQUITZ CANYON WAY PALM SPRINGS, CA 92262 BID FOR: PALM CANYON THEATRE FIRE SPRINKLER SYSTEM BID DATE: TUESDAY NOVEMBER 10, 2009 2:00 P.M. 0 INFORMATION REQUIRED OF BIDDER LIST OF SUBCONTRACTORS As required under Section 4100, et seq., of the Public Contract Code, the Bidder shall list below the name and business address of each subcontractor who will perform Work under this Bid in excess of one-half of one percent of the Contractor's Total Bid Price, or $10,000.00, whichever is greater, and shall also list the portion of the Work which will be done by such subcontractor. 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. Contractor's Percent License of Total Subcontractors Name & Work to be Performed Number Contract Address I . N/A --NONE 3. 5. 6. 14 ATTACHMENT "A„ RFP ®6-10 FIRE SPRINKLER SYSTEM FOR PALM CANYON THEATER *NOTE: THIS FORM MUST BE COMPLETED AND ONCLUUE® WITX YOUR PROPOSAL' SIGNATURE AUTHORIZATVON NAME OF PROPOSER/FIRM: Shasta Pire Protection, Tnc. A. I hereby certify that I have the authority to offer this proposal to the City of Palm Springs for the above listed individual or company. I certify that I have the authority to bind myself/this company i o ract should I e successful in my proposal �� SIGNATUR Rene Stahl, President PRINT NAME B. The following information relates to the legal contractor listed above, whether an individual or a company. Place check marks as appropriate: 1. if successful, the contract language should refer to me/my company as: An individual, A partnership, Partners' names: A company; X A corporation A Local Business (Licensed within the jurisdiction of the Coachella Valley). Copy of current business license is required to be attached to this document. 2. My tax identification number is. 9 5--37671 5 5 ADDENDA ACKNOWLEDGMENT: Acknowledgment of Receipt of any Addenda issued by the City for this RFP is required by including the acknowledgment with your proposal. Failure to acknowledge the Addenda issued may result in your proposal being deemed non-responsive. 15 0 PALM CANYON THEATRE CLARIFICATIONS/DESCRIPTION OF WORK 1. INSTALLATION OF A COMPLETE WET FIRE SPRINKLER SYSTEM AS DETAILED IN THE SCOPE OF WORK IN THE BID DOCUMENTS. 2. UNDERGROUND FIRE LINE STARTING ATTHE DETECTOR CHECK VALVE(INSTALLED BY DESERT WATER AGENCY)ALLTRENCHING TO BE DONE BY HAND TO AVOID ANY DAMAGE TO EXISTING UTILITIES.The 4" C-900 PVC PIPE WILL BE INSTALLED AND THE FEED POINT RISER WILL BE AT THE NORTH WEST CORNER OF THE BUILDING.THE WALL WILL BE CORED ROUGHLY ONE FOOTABOVE FINISH GRADE AND A LINK SEAL WILL BE INSTALLED.THE UNDERGROUND LINE IS TO BE HYDRO TESTED AND INSPECTED. SHASTA FIRE PROTECTION, INC. WILL ALSO PROVIDE%" CONDUIT(NO WIRES) ALONG SIDE OF THE 4" LINE.TWO (2)TAMPER SWITCHES WILL BE MOUNTED ON THE OS&Y VALVES. THE TRENCH WILL BE BACKFILLED AND THE SOIL COMPACTED TO 90%. 3. NEW PIPING MAIN IS TO BE INSTALLED TO THE MINI SYSTEM LOCATED ATTHE LOBBY AREA AND THE MINI SYSTEM ATTHE CLASSROOM AREA.THE DOMESTIC WATER LINE(S) WILLTHEN BE CAPPED IN-PLACE AT BOTH LOCATIONS. 4. A TREE SYSTEM WILL BE INSTALLED PROVIDING COVERAGE TO: A. THEAUDITORIUM B. FOYER/LOBBY/ ENTRY TO THEATER C. STAIRS D. THESTAGE E. DRESSING ROOM &TOILETS F. BASEMENT, 5. WE INTEND TO LEAVE PLUGGED OUTLETS ON PIPE MAINS FOR FUTURE USE AT OVERHANGES AND ANY AREAS NOW AVOIDED. 6. ONCE INSTALLATION OF THE OVERHEAD SYSTEM 15 COMPLETE (WITH BRACING)THE LOCAL(AHJ) WILL BE CALLED TO HYDRO TEST, INSPECT AND APPROVE. 7. ANY EXPOSED PIPING IS TO BE PAINTED BROWN TO MATCH STRUCTURAL MEMBERS. THERE MAY BE SOME AREAS THAT NEED PART OF THE CEILING REMOVED AND REPLACED. PER SPECIFICATIONS THE CITY IS RESPONSIBLE FOR REMOVAL AND REPLACEMENT OF DRYWALL-SHASTA FIRE PROTECTION, INC. EXCLUDES THIS IN OUR PRICE QUOTE. S. SHASTA FIRE PROTECTION, INC.WILL INSTALL THE SYSTEM WHILE MONITORING THE DAILY CALENDER AND A TARGET COMPLETION DATE NO LATER THAN 12/30/2009. IF NECESSARY, WE INTEND TO MAN THE JOB WITH A DAY AND NIGHT CREW. COST PROP®SAL SHEET Failure to complete this frorM and submit of with your Proposap shall result in your Proposal being deemed nonrespom3lve and rejected without any fuulher evaivaUon. SCHEDULE A: DESIGN Provide in the space provided below a maximum not-to-exceed LUMP SUbUIi total cost for the DESIGN of the Fire Sprinkler System you propose in response to this RFP. $5,000 **Five Thousand Dollars** Schedule A Cost written in words SCHEDULE B: CONSTRUCTlON9 SYSTEM MATERIALS, LABOR, AND INSTALLATION: Provide in the space provided below a maximum not-to-exceed LUMP SCUM total cost for all of the system materials, tools, equipment, supplies, labor, installation, testing, certification, inclusive of ALL applicable taxes (including 8,75% Riverside County sales tax where applicable), and any other associated system costs not already defined above, for the Fire Sprinkler system you propose in response to this REP $39,000 **Thirt:y—Nine Thousand Dollars** Schedule B Cast written in words TOTAL COST PROPOSAL (Schedule A-a Schedule B) _ $ 44,000 **Fort —Four Thousand Dollars** TOTAL COSH' WRITTEN 61N WORDS 13 PALM CANYON THEATRE PROPOSED TIME-LINE 11/20/09 ORDER TO PROCEED CALL CITY JOB CONTACT AND REQUEST FIRE FLOW INFORMATION. REMIND THEM TO ORDER WATER METER. 11/23/09 DESIGN PLOT HEADS AND SURVEY (30%COMPLETION) 11/24/09 - LAYOUT PIPING PLAN (30%COMPLETION) 11/25/09 - FINISH PIPING PLAN&SURVEY (30%COMPLETION) 11/30/09 - FINISH ALL SUBMITTALS INCLUDING UNDERGROUND SYSTEM. MAKE AN APPPOINTMENT WITH BOB ROSE FOR TUEDAY 12/1/09 EARLY AM. 12/O1/09 - SUBMIT PLANS TO BOB ROSE FOR APPROVALS. MEET WITH HIM AND GET OVER THE COUNTER REVIEW. ALSO,SHOP TO START FABRICATION AND PICK ITEMS_ 12/02/09 - SHOP MUST FINISH FABRICATION WORK TO 75%minimum. 12/03/09 - DELIVER PIPING AND START INSTALLATION IN THEATRE, ORDER LIFT, MIKE TO ORDER CONCRETE CORING, DON'T FORGET LINK SEAL 12/04/09 - CONTINUE INSTALLATION,GET TO KNOW THE BUILDING AND LOOK FORWARD AS TO HOW TO TACKLE VARIOUS PARTS OF THE JOB. 12/07/09 - CONTINUE INSTALLATION, MIKE START LABORERS TRENCHING FOR UNDERGROUND. OVERHEAD NEEDS TO BE 25%INSTALLED_ 12/08/09 - CONTINUE INSTALLATION, CHECK WITH MIKE ON STATUS OF UNDERGROUND. 12/09/09 - CONTINUE INSTALLATION, PAINT ANY EXPOSED PIPING. 12/10/09 - CONTINUE INSTALLATION, PAINT ANY EXPOSED PIPING. 12/11/09 - CONTINUE INSTALLATION, UNDERGROUND SHOULD BE 100%COMPLETE, DON'T FORGET CONDUIT PIPING AND TAMPER SWITCH_ COORDINATE FOR WIRING_WE NEED TO BE 50%COMPLETE. 12/14/09 - CONSIDER DAYAND NIGHTSHIFT.WE NEED TO BE 100%COMPLETE BY 12/18/09 12/18/09. 12/21/09 - MUST BE INSPECTED,CLEANED UP. COMPLETE. NO EXCUSES!! 0 On the space provided below, please acknowledge receipt of each Addenda: Addendurn(s) ft 0 ) islare (hereby acknowledged. Company Name: Shasta Pire Protection, Inc. Street Address: 3584 Le Campana way City / state: Palm Springs, CA 92262 Mailing Address if different: Same Email: Rstahl@shastafire_com Phone: 760) 323-5993 Fax: 760) 323-8895 16 ATTACHMENT B MON-COLLUSION AFRDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH B0 STATE OF CALIFORNIA) ss COUNTY OF RIVERSIDE) The undersigned, being first duly sworn, deposes and says that he or she is President of Shasta Fire Protection, Inc. the party making the foregoing bid. That the bid is not made in the interests of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that 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, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that 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 thereof, or paid, and will not pay, any fee to any corporation, partnership, company, association, organization, bid depository, or any other member or agent thereof to effectuate a collusive or sham bid. BY. Title: Rene Stahl, President Subscribed and sworn to before me this 09 daV of November 2009. LINpA J.WINE99URG Commission At 1852A19 Notary Public-California i Riverside County Comm.Expires Jun 13,2013 17 i • PALM CANYON THEATRE BID DATE: 11/10/2009 QUALIFICATION OF SHASTA FIRE PROTECTION, INC. A) COPY OF CURRENT LICENSE(S) i) CA C-16 476633 EXP 07/31/2011 ii) CA DGS—SMALL BUSINESS CERTIFICATION iii) PALM SPRINGS BUSINESS LICENSE B) TEAM FOR PROJECT C) SEVERAL ONGOING PROJECTS— INCUDING REFERENCES D) SEVERAL RECENTLY COMPLETED PROJECTS— INCLUDING REFERENCES E) OUR COMPANY HISTORY— INCLUDING REFERENCES F) PROOF OF INSURANCE (CURRENT CITY of PALM SPRINGS VENDOR) G) PROOF OF BONDING CAPABILITY H) REQUEST FOR LOCAL PREFERENCE Mate UT Uat}torn}a CONTRACTORS STATE LICENSE BOARD License Mltuber 476633 Emily CORP Busines� Mame SHASTA FIRE PROTECTION INC C16 V rp1 Loni Coal, V f 1 I'_q 1 /2V 11! Y BidSync: The State of Caka: SHASTA FIRE PROTECTION, IS pabe 1 of I SHASTA FIRE PROTECTIONr INC. - #23674 S:7FPL1HR PROC_LE Legal Business Name SHASTA FIRE PROTECTION, INC. Doing Business As SHASTA FIRE PROTECTION, INC. Address 3584 LA CAMPANA WAY Phone (760) 323-5993 PALM SPRINGS, CA 92262 FAX (760) 323-8859 Emall IWIne51]ur a5haska Frg.com Web Page hnpjjwww fire_com Business Types Conslruction Service Service Areas Inyo County, Los Angeles County, Mono County, Orange County, Riverside County, San Bernardino County, Santa Barbara County, Ventura County, Keywords FIRE PROTECTION - ENGINEERING, INSTALLATION, INSPECTION, SERVICE AND REPAIR Construction License Types C-16 - Fire Protection Engineering Classlfications 461915- Fire prevention Active Certifications rypr STATUS FROM TO SB Approved Jul 7, 2009 Jul 31, 2010 Certification History TYPE STATUS FROM TO SB Expired Apr 8, 2008 Apr 30, 2009 SB Expired May 14, 2007 May 31, 2008 SB Expired Jun 18, 2004 May 31, 2007 SB Expired Jul 10, 2001 Jun 30, 2004 http://Www.bidsync.cons/DPXBisCASB?ac=supplierprofile&suppliLroid=588934 08-28-2009 CITY OF PALM SPRINGS BUSINESS LICENSE 3200 E TAHQUITZ CANYON WAY, PALM SPRINGS, CA 92262 (760) 323-8289 PLEASE NOTE THAT IT IS YOUR RESPONSIBILITY TO RENEW AND UPDATE THIS LICENSE.ANNUALLY. IUSINESS NUMBER: 00004248 EXPIRATION TAX/AIIMIN. FEE CERT NO IUSINESS TYPE: INSTALL FIRE SPRINKLERS 07/31/2010 18.00 2748 )WNER NAME: STAHL(PRESIDENT), RENE 07/31/2010 333.00 2749 BUSINESS NAME. SHASTA FIRE PROTIECTION INC BUSINESS ADDRESS: 3584 E LA CAMPANA WAY PALM SPRINGS,CA 92262 SHASTA FIRE PROTECTION INC ISSUANCE OF THIS LICENSE DOES NOT ENTITLE 3584 E LA CAMPANA WAY THE LICENSEE TO OPERATE OR MAINTAIN A BUSINESS IN VIOLATION OF ANY OTHER LAW PALM SPRINGS CA 92262 OR ORDINANCE. THIS IS NOT AN ENDORSEMENT OF THE ACTIVITY NOR OF THE APPLICANT'S QUALIFICATIONS. MUST BE POSTED IN A CONSPICUOUS PLACE PALM CANYON THEATRE TEAM FOR PROJECT PROJECT MANAGER- RENE STAHL 15 YEARS - FOREMAN/SUPERINTENDENT 28 YEARS-OWNER SHASTA FIRE PROTECTION, INC. PROJECT ADMINISTRATOR- LINDA WINESBURG ISYEARS--ADMINISTRATION MANAGER (SHASTA) 10 YEARS-CONTROLLER FOR INTERNATIONAL G.C. GENERAL FIELD SUPERINTENDENT-- MIKE HILBURN 21 YEARS-SHASTA FIRE PROTECTION, INC. DESIGN MANAGER -JOHN PAULUS 20+ YEARS FIRE PROTECTION ENGINEERING PROJECT ENGINEER - BRANDON STILLWELL 5 YEARS FIRE PROTECTION ENGINEERING 10 YEARS - FIRE SPRINKLER FOREMAN FOREMEN - MATTHEW VIRDEN - 20 YEARS EXPERIENCE JERRY JORDAN -30 YEARS EXPERIENCE ROBERT BROWN -20 YEARS EXPERIENCE SHASTA FIRE PROTECTION, INC, CURRENT MAJOR PROJECTS CONTRACT ESTIMATED PROJECT CITY AMOUNT SCOPE COMPLETION EMC-ANNENBERG.PAVILLION Rancho Mirage 1,800,OW 00 Design/Build Automatic Fire February-10 Owner: EISENHOWER MEDICAL CENTER Sprinkler System-Complete General Contractor. Turner Construction Company Inc]Fire Pump Contact: Steve Yots Incl Standpipe System Phone: 760/834-SWO SAN REMO APARTMENTS Hesperia 247,0W.00 Design/Build Automatic Fin: October-10 Owner: PALM DESERT DEVELOPMENT Sprinkler System-Complete &U.S.DEPT of HEALTH&HUMAN SERVICES General Contractor: Mum-Family Builders,Inc. Contact: Julee McDermid Phone: 760/W8-104S DESERT HOSPITAL CLINICAL LAB Palm Springs 88,000.00 Design/Build Automatic Fire April-10 Owner DESERT HOSPITAL CORPORATION Sprinkler System-Complete General Contractor. Tenet Healthcare Systems RetraFit Contact: Dale Barnhart Incl Standpipe System Phone: 7601323-6302 DESERT HOSPITAL EAST TOWER II Palm Springs 207,3W.G0 Design/Build Automatic Fire July-10 Owner: DESERT HOSPITAL CORPORATION Sprinkler System-Complete General Contractor: Tenet Healthcare Systems Retro-Fit Contact: Dale Barnhart Incl Standpipe System Phone: 7601323-6W2 DESERT WILLOWS CLUBHOUSE Palm Desert 307.903.09 Design/Build Automatic Fire JanuaryA0 Owner. STARWOOD VACATION RESORTS,INC. Sprinkler System-Complete General Contractor DavlsReed Construction,Inc. Contact: Jemd Walker Phone: 76017T7-1440 DOGWOOD ELEMENTARY SCHOOL Heber 152,500.W DesignBuild Automatic Fire M2y-1I Omer. HEBER SCHOOL DISTRICT Sprinkler System-Complete General Contractor: Erickson-Hall Construction Cc Contact: Mike Riley Phone: 75DR96-7700 DESERT WILLOW VILLAS-PH 1A Palm Desert 349,MD.00 DesigrdBuild Automatic Fire March-10 Owner: STARWOOD VACATION RESORTS,INC. Sprinkler System-Complete General Contractor. DavisReed Construction,Inc. Contact: Jemd Walker Phone: 760/777-1440 SP'ANISH INN REMODEL 6 EXPANSION Palm Springs 105,000,00 Design/Build Automatic Fin: July-10 Owner. SPANISH INN,INC. Sprinkler System-Complete General Contractor. Spanish Inn,Inc. Contact: Nejat Kahan Phone: 7601325-3700 • i SHASTA FIRE PROTECTION, INC. RECENTLY COMPLETED PROJECTS CONTRACT PROJECT CITY AMOUNT SCOPE INDIAN WELLS GOLF CLUBHOUSE Indian Wells 185.000.00 Design/Build Automatic Fin: Owner: CITY OF INDIAN WELLS REDEVELOPMENT AGENCY Sprinkler System-Complete General Contractor. Douglas E-Barnhart,Inc. Contact: Mark Chappell PREVAILINGWAGE Phone: 8581553-2518 HILTON HOMEWOOD SUITES Palm Desert 240,000.00 DesignBuild Automatic Fire Owner. PALM DESERT HOSPITALITY,LLC Sprinkler System-Complete General Contractor. GBE,Inc. Contact: David Swain Phone: 4791435-0486 VISTA DUNES APARTMENT HOMES La Quinta 267,500.00 Design/Build Automatic Fire Owner CITY OF LA QUINTA REDEVLOPMENT AGENCY Sprinkler System-Complete General Contractor. DavisReed Construction,Inc. Contact: Jerod Walker PREVAILINGWAGE Phone. 760=-1440 LA QUINTA LIBRARY La Qunrta 123,000.00 Design/Build Automatic Fire Owner: CITY OF LA QUINTA REDEVELOPMENT AGENCY Sprinkler System-Complete General Contractor. DavisReed Construction,Inc. Contact: Jerod Walker PREVAILINGWAGE Phone: 760?/7-1440 EMC-EDIRENKER PAVILION Rancho Mirage 991,763.00 Oesign/Build Automatic Fire Owner. EISENHOWER MEDICAL CENTER SprinklerSystem-Complete General Contractor. Turner Construction Company Contact Brent Nikolin Phone: 760/834-3550 COD-NURSING&HEALTH Palm Desert 66.000.00 Design/Build Automatic Fire Owner. DESERT COMMUNITY COLLEGE DISTRICT Sprinkler System-Complete General Contractor: Bernard's/COD Contact Ernest Dominguez PREVAILINGWAGE Phone: 760/340-3078 INDIO TEEN CENTER-BOYS&GIRLS CLUB Indio 111.700,00 Design/Build Automatic Fire Owner. BOYS&GIRLS CLUB Sprinkler System-Complete General Contractor: Orr Builders Contact Brian Orr PREVAILINGWAGE Phone: 760/36'0-6632 PALM SPRINGS FAMILY CARE CLINIC Palm Spring$ 88,495.00 Design/Build Automatic Fire Owner. RIVERSIDE COUNTY DEPT of HEALTH Sprinkler System-Complete General Contractor: Jaynes Corporation Contact Project Manager PREVAILINGWAGE Phone: 619/234-4090 S1 IN I AS T A,t • � FAX 750/323-8895 FIRE PROTECTION, INC. CA SIC. NO. 476533 www.sh=27ire-00m AZ iLIC. NO. 101519 CA, DGS 923674 3584 La Campana Way, Palm Sp rr ngs, CA 92262 We would like to take this opportunity to introduce you to our firm and provide you with a partial list of the works and projects we are proud to have been associated with. We are a family owned, CRRTIFI(D CALIFORNIA SMALL BUSINESS with headquarters in the Ctty of Palm Springs since 1980. Our reputation for quality is weil"lcnown throughout Southern California. We can provide you with a complete Design/Build Fire Protection System, a simple Inspection, Tenant Improvements large and small, Repair, Routine Maintenance, or-any other fire protection needs. Remember to include our important lire-safety services when planning your next building endeavor. Rene Stahl, President • i PRINCIPALS Rene Stahl,President Linda Stahl, Secretary/Treasurcr Jonathan Stahl Vice President ADMINISTRATION Linda Winesburg DESIGN&ENGINEERING John Paulus FIELD OPERATIONS Mike Hilburn—Gen Field Supt Tint Van Hooser-Supt FOREMEN David Brinker Howard Jordan Daniel Brinker Richard b�nauf Robert Brown Alan=o Lopez Javier Cordova Martin Lopez Mnchacl Cordova Antonio Marron Oscar Corral Matthew Virden Jerry Jordan Rafael Zuno BANK Union 1Btudc of California Mr, TraNas Moe 300 S. Indian Canyon Palm Springs,CA 92262 ACCOUNTANTS Brabo, Carlsen&O'Brien.. CPA's Mr. Michael Hrabo 111 E.Tahquitz Canyon i 20_ Palm Springs, CA 92262 BONDING AGENT Rohm Insurance Agency Mr. Dan Picard 26 Plaza Square 0200 Orange-CA 92866 INSURANCE AGENT Garcia Insurance Agency Joseph A Garcia Jr. 2099 E.Tahquitz Canyon Way Palm Springs, CA 92262 SCHOOLS,CHURCHES.CrVIC BUILDINGS La Quinta Senior Center_La Quinta Palm Valley School,Rancho Mirage Desert Highland Unity Center, Palm Springs Cathedral City Senior Center La Quinta Boys&Girls Club, La Quina Riverside Courtly Administration Ccnlcr,Blythe Children's Museum of the Desert.Rancho Mirage Cathedral City Civic Center&Police Station Highland Fire Station 446,Highland Twin Pcaks Fire Station,Twin Peaks Palm Springs Follies Remodel,Palm Springs Sacred Heart School, Patin Desert La Contenta Jr. High,Yucca Valley Della Lindley Elementary School,Thousand Palms Palm Desert Recreation Center,Palm Desert Palm Desert City Hall Expansion,Palm Desert Indian Wells City Maintenance Facility. Indian Wells Employment Development Dept., Indio Southwest Community Church.Patin Desert Assembly of God Church,Beaumont Apostolic Church,Cathedral City LDS Church, Desert Hot Springs&Yucca Valley Palm Desert Civic Center Pin ri.Patin Desert litstorical Avila Adobe Rebuild, San Juan Capistrano Cathedral City High School PH II, Cathedral City Cahuilla Academy Jr.High School, Coachella Raymond Cree Middle School Gymnasium,Palm Springs Cathedral City Library, Cathedral City Rancho Mirage Library,Rancho Mirage Palm Springs I•ligh Phys Ed.Palm Springs Nellie Coffman Middle School, Cathedral City City Corporate Yard,Palm Desert St. Margaret's School,Palm Desert Cielo Vista School, Palm Springs Indian Wells City Hall Renovation,Indian Wells Detention Cells, 29 Palms Marine Base C&E Warehouse, 29 Palms Marine Base Alert Complex-ANG,March Air Force Base Seventh Day Adventist.Palm Desert Palm Springs Unificd-Food Svc,Palm Springs UCLA-Slichter Hall Renovation.Los Angeles Living Desert African Village,Palm Desert Living Desert Animal Hospital,Palm Desert Palm Springs Airport Ticket Expansion,Palm Springs Riverside County Sheriff-Coroner's Facility,Penis Indio Juvenile Hall Expansion,Indio Martha's Kitchen&Village,Indio Desert Animal Hospital,Palm Springs Garden or Champions Tennis Stadium,Indian Wells Mosquito&Vector District,Indio Riverside County Coroner-Forensic Center EasL Indio Adult Education Center,Palm Springs Cahuilla Elementary School,Palm Springs St. Andrews Presbyterian ChurclL Indio La Quinta Library,La Quints La Quinta Museum,La Quinta Banning High School, Banning Dogwood Elementary School,Heber HOTELS&RESORTS Classic Club.Palm Desert Madison Club. La Quinta La Quinta Country Club Re-Build,La Quiirta Indian Wells Golf Clubhouse, Indian Wells The Vintage Club, Indian Wells Westin Mission Hills Resort,Rancho Mirage Westin Mission Hills Conference Center,Rancho Mirage Westin Mission Hills Resort Villas—Ph I&IL Rancho Mirage Marriotts Desert Springs Villas I&IL Palm Desert Marriott°s Shadow Ridge Villas I& IL Palm Desert Marriott Courtyard,Palm Springs,Palm Desert Del Mar Hilton,Del Mar La Jolla Intl Gardens, Sam Diego Bighorn Galf Club, Palm Desert The Quany Clubhouse,La Quinta Indian Ridge Golf Club,Palm Desert Westlake Inn Etpansios5 Westlake Village Mirage Springs Hotel,Desert Hot Springs Spa Hotel-Casino,Palm Springs Outdoor Resorts Clubhouse,Indio Outdoor Resorts Clubhouse, Rancho California Plantation Golf Clubhouse,Indio Lakes Country Club Community Center,Palm Descrt Desert Shadow Resort Condominiums Ph 1&11,Palm Springs Givcnchy Spa&Resort,Palm Springs Indian Ridge Country Club,Palm Desert Miramonte Resort.Indian Wells Ambiance Resort,Cathedral City Super 8 Motel,Palm Springs&Indio Beverly Hills Hotel,Beverly Hills La Quinta Resort Spa La Quinta Desert Willow Haciendas I&11,Palm Desert Desert Willow Civic Clubhouse,Palm Desert Mountain Falls Golf Resort,Palm Springs El Dorado Country Club Fitness Center,Indian Wells Thunderbird Country Club Renovation,Rancho Mirage Avondale Country Club Renovation,Palm Desert Fantasy Springs Casino Bowling Center, Indio Rancho La Quinta Clubhouse, La Quinta Marquis Villas Renovation,Palm Springs Cimarron Golf Resort—Villas&Turf Care,Cathedral City Landmark Golf Clubhouse,Indio Country inn Suites,Rancho Mirage The Palms Golf Clubhouse,La Quinta Morningside Country Club Remodel I, If, III,Rancho Mirage The Reserve,Indian Wells Fantasy Springs Casino Expansion.Indio Alhatti Resort Expansion, ldyllwild Rancho La Quinta Golf Maintenance,La Quinta Sunlakes Golf Clubhouse,Banning Fantasy Springs Enlcrtainment Center,Indio Hyatt Grand Champions Rebuild,Indian Wells Hyatt Grand Champions Villas,Indian Wells Shadow Hills Golf-Club, Indio Worldmark by Trendwest,Indio Legacy Destination Resort Villas,La Quinta Holiday Inn/Ramada Remodel,Palm Springs Coral Mountain at Andalusia,La Quinta HEALTH CARE FACILITIES Desert Hospital Expansion Ph 1, Palm Springs Desert Hospital Expansion Ph 11,Palm Springs El Mimdor Medical Plaza, Palm Springs El Mirador Tower Historic Restoration, Palm Springs Desert Hospital Comprehensive Cancer Center, Patin Springs Desert Hospital Medical Records Facility, Palm Springs Desert Hospital Sinatra Tower Renovations Eisenhower Medical Center Surgery Pavilion, Rancho Mirage Eisenhower Medical Center— ED/Renker Pavilion, Rancho Mirage Eisenhower Medical Center—Annenberg Pavilion, Rancho Mirage Betty Ford Center-Recovery Homes, Rancho Mirage Betty Ford Center-James West Bldg, Rancho Mirage Betty Ford Center- Special Use Bldg, Rancho Mirage Betty Ford Center-Children's Pavilion,Rancho Mirage Palm Springs Family Care Clinic, Palm Springs Cedar Sinai Surgery Center, Los Angeles 2121 Wilshire Medical, Santa Monica Good Samaritan Village(Fountains/Carlotta.) Palm Desert Ronald McDonald House, Loma Linda Camp Ronald McDonald, Mountain Center Manor Care, Palm Desert Fontana Hospital, Fontana Hacienda De Monterey, Palm Desert JFK Medical Building, Bermuda Dunes Mirage Medical Center, Rancho Mirage Desert CT/MRI,Pahn Springs & Rancho Mirage Eisenhower Urgent Care, La Quinta Eisenhower Urgent Care, Anza Eisenhower Urgent Care/Del Webb, Palm Desert Kerrigan Family Medical, Palm Desert Mayron Dental, Desert Hot Springs Heart Institute Ph II, Rancho Mirage Sunlife Medical Building, Palm Desert Aaronson Surgery Center, Palm Springs Wellington Place Assisted Living Facility,Rancho Mirage Marriott.Hearthside Assisted Living Facilities,Hemet&Palm Springs The Ranch-Desert Rehabilitation, Desert Hot Sprigs Milligan Medical Building,Rancho Mirage Kaplan Medical, Palm Desert Women's Health Center, Palm Desert ABC Recovery Center Ph H&III, Indio Lakes Imaging MRI, Palm Desert Mirage Professional Plaza, Rancho Mirage Oasis Family Health Center, Oasis Indic Medical Building, Indio Rancho Mirage Imaging Rancho Mirage Rancho Mirage Surgery Center, Rancho Mirage OFFICE BUILDINGS Bandai America Corporate Headquarters, Cypress Glen Towers,Beverly Hills Daley Center 11, San Diego McDonnell Douglas, Huntington Beach Westlake Office Building,Westlake Village Cultural Center Building,Palm Desert Deep Canyon Plea.Palm Desert Bird Medical Corporation Hdgtrs,Palm Springs Corporate Way III,Palm Desert Southern California Savings,Palm Desert Merrill Lynch,Indian Wells Wall Strcel West,Indian Wells Anthony Vineyards Corporate Office, Coachella Rivera Vineyards Corporate Office,Oasis Cold Call Cowboy I&11,Palm Desert Cam's Comer,Palm Desert Paine Webber,Palm Desert Milestone Buildings I&II,Palm Desert Sherman-Shmder Enterprises,Palm Desert Van Vliet Corporate Building,Palm Desert Sandrift Building,Palm Desert Electric Car Distributors,Rancho Mirage Cornerstone,Palm Springs One El Paseo Center 1& 11, Palm Desert Portola Plaza Palm Desert Peck El Pasco Building,Palm Desert One Eleven Plaza Rancho Mirage University Commerce Center, Palm Desert University Centre Plaza,Patin Desert Oracle Plaza,Palm Desert University Retail Pla 7�i A&B,Palm Desert APARTMENTS &CONDOMINIUMS Schulman Retirement Home, Tarzana Waldorf Manor Senior Housing,Desert Hot Springs Linda Vista Lodge Senior Apts.Desert I-lot Springs Cottonwood Apartments Phases I—Il—I i I-TV,Moreno Valley Hemet Vistas Apartments Phases I&11, Hemet The Hallmark Palm Springs Terracina Apts, San Jacinto,Cathedral City.Desert I•Iot Springs The Park Apartments,Palm Springs Sagewood Manor,29 Palms Palm Springs Senior housing PH I and PI•I H,Palm Springs Tndian Wells Senior Housing,Indian Wells Beaumont Senior Housing,Beaumont Lakeside at the Resort,Lake Arrowhead Elsinore FIills Apartments, Lake Elsinore Hovley Gardens Apartments,Palm Desert Las Flores Apartments, Coachella Mission Palms Apartments Phases I&H,Rubidoux Palm Village Apartments,Palm Desert Vista Dunes Apartment Homes,La Quinta San Jacinto Villas, San Jacinto San Remo Apartments Ph 1-11, Hesperia COMMERCIAL& INDUSTRIAL West held Shopping Town Expansion.Palm Desert Mervyn's,Palm Dcscrt Toyota/Honda/Acura of the Desert, Cathedral City Wal-Mart,La Quinta&Cathedral City Desert Hills Factory Stores, Cabazon Desert Auto Park,Cathedral City Plaza at Sunrise,Palm Springs Roberge Gallery&Augusta Restaurant,Palm Desert Landau Plant,Cathedral City Sam's Club Warehouse, Cathedral City Bird Medical Manufacturing Plant,Palm Springs Ruth's Chris Restaurant,Palm Desert The Cliff House,La Quinta Gold's Gym.,Palm Springs Allessandto Plaza,Morcno Valley Desert Memorial Mortuary, Cathedral City Red Robin Restaurant.La Quinla Morton's Steakhouse,Palm Desen Franciscan Plaza, San Juan Capistrano California Pizza Kitchen,Palm Springs J.C.Penney's Remodel.Palm Desert Levitz Furniture,Cathedral City Washington Business Park,Bermuda Dunes No.Palm Springs Business Park,Patna Springs Shangri-La Restaurant, La Qumta First Bank of Palm Desert Palm Desert Spreen Saturn,Cathedral City Chief Auto Parls/Radio Shack, La Quirts Million Air Hanger,Palm Springs Gwldcrafl,Rancho Dominguez Plote Warehouse Complex,Palm Desert MWB Inc.Warehouse&Shop, Palm Desert Ralph Lauren Outlet, Cabazon&Gilroy Indio Movie Tri-Plea,Indio Adventure on Wheels,Palm Desert Playa Agua Blanca I& 11, Rancho Mirage Mcuoplex I&R,Thousand Palms Village Plaza,Indian Wells Washington Business Park Palm Desert Date Palm Sclf Storage, Cathedral City Southwest Marble&Tile,Palm Desert Guy Evans, Inc.,Thousand Palms Americorp Building. Palm Desert Washington Plaza Bermuda Dunes Desert Country Plaza,Palm Desert Stein Marl,Palm Springs La Quinta Court La Quinta Portola Plaza,Palm Desert Desert Golf Business Park,Thousand Palms Thousand Palms Business Park,Thousand Palms Desert Business Park, Palm Desert Coachella Gateway, Coachella Golf Center Business Park,Indio Van Buren Business Park Indio Spectrum Shadow Hills Business Park,Indio University Commerce Ccntcr,Palm Desert University Centre Plaza Palm Desert Exclusively Use Our Services For Improvements&Repair. • MEDICAL FACILITIES Desert Regional Medical Ccnler Eisenhower Medical Center Betty Ford Center Angel View Crippled Children's Society MUNICIPAL BIfILDINGS City of Palm Springs City of Indian Wells City of Palm Desert City of Cathedral City Palm Springs Desert Museum Cltildren's Museum of the Desert PROPERTY MANAGEMENT Realty Trust Group(All Commercial Centers) Westfield Shopping Town(Palm Desert) Real Estate Marketing Mgmt (Several Shopping Centers) Equity Directions(Several Commercial Centers) Or Properties(All Commercial Properties) Lyle Commercial Real Estate(All Properties) Spinello Property Management(All Properties) Payless Shoe Source(Regional) Wessman Development(All properties) COUNTRY CLUBS The Reserve Bighorn Country Club Stone Eagle Golf Club Classic Club Tamarisk Country Club Desert Falls Country Club La Quirtta Country Club The Lakes Country Club The Springs Country Club Thunderbird Country Club Santa Rosa Country Club Plantation Golf Club Indian Wells Golf Club Shadow I•Iills Golf Club The Vintage Country Club El Dorado Country Club The Club at Morningside Plantation Golf Club The Quarry Golf Club HOTELS/RESORTS Hyatt Grand Champions Resort Westin Mission Hills Resort Marriott Desert Springs Resort&Villas Marriott Shadow Ridge Villas CHURCHES/SCHOOLS/ETC. St, Margaret's Episcopal Church&School St. Francis of Assisi Church Sacred Heart Church&School St.Teresa School,Palm Springs 0 0 REFERENCES- MAJOR GENERAL CONTRACTORS Turner Construction Co., Inc. Anaheim 714/940-9000 Orr Builders Palm Desert 760/360-6632 D W Johnston, Inc. Palm Springs 760/416-1144 Tlomme Construction Palm Desert 760/ 346-3647 DavisReed Construction, Inc. La Quinta 760/777-1440 Marvest Development Palm Desert 760/ 360-7061 Douglas E. Barnhart, Inc_ Palm Desert 760/553-2518 Marvin Investments La Quinta 760/ 771-2567 Roel Construction Co., Inc. San Diego 858/297-4156 Swinerton Builders Irvine 949/ 622-7000 Asaro Builders Palm Desert 760/776-0043 0 PALM CANYON THEATRE REQUEST FOR LOCAL PREFERENCE TO WHOM IT MAY CONCERN: PER the CITY of PALM SPRINGS ORDINANCE 1756, WE REQUEST THAT IT BE DULY NOTED IN OUR BID QUALIFICATIONS THAT: 1) OUR CORPORATE OFFICE IS AND HAS BEEN LOCATED WITHIN THE PALM SPRINGS CITY LIMITS FOR THE LAST 28 YEARS 2) WE EMPLOYEE 30-75 LOCAL WORKERS AT ANY GIVEN TIME DEPENDING ON THE NEEDS OF OUR CLIENTS ACOR,OV CERTIFICATE OF LIABILITY INSURANCE v °" 213012022 lvao/2o22 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER Garcia Insurance Inc 2099 E. Tahquitz Canyon Way Palm Springs CA 92262 CONTACT NAME: QUetha Rodriguez PHONE (760) 320-1111 (760) 320-1115 A/C No Eat : AIC No nooaEss: INSURER(S) AFFORDING COVERAGE NAIC0 INSURERA: Hudson Excess InsuranceCo INSURED Shasta Fire Protection, Inc 72120 Northshore Street, #C Thousand Palms CA 92276 INSURERS: NATIONWIDE 23787 INSURER C : Insurance Company of the West INSURER D NSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER: CL22123007630 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMEDABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 CLAIMSNOR LTR TYPE OF INSURANCE AUUL3UUK INSD WVD POLICY NUMBER POLICY M MM/LDO UMITS COMMERCIAL GENERALLABILRY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE ®OCCUR DAMAGti PREMISES Eaooanenre s 100,000 MED EXP (Any we penom $ 5,000 PERSONAL a ADV INJURY $ 1,000,000 A Y Y FSL000092-04 10/16/2022 10/16/2023 GENL AGGREGATE LIMIT APPLIES PER. GENERALAGGREGATE $ 2,000,000 PRODUCTS - COMPIOPAGG $ 2,000,000 POLICY ® PRO- LOC JECT Pollution Liability s INCLUDED OTHER. AUTOMOBILE LIABILITY BSINGLE LIMIT COMBINED COM Ea INEDl s 1,000,000 BODILY INJURY (Per person) $ ANVAUTO B OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUT0.S ONLY Y ACP3110062383 03/15/2022 03/15/2023 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per acGdent $ Uninsured motorist $ 1,000,000 UMBRELLA LIAR OCCUR - EACH OCCURRRENCE REN """ 8 5,000,000 AGGREGATE $ 5,000,000 A EXCESS LIAR CLAMS -MADE FSL0000045-04 10/16/2022 10/16/2023 DEC RETENTION $ 10"0 $ C WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? Ifl (Mandatory In NH) NIA Y WSD 500556212 01/01/2023 01/01/2024 STATUTE ER E.L EACH ACCIDENT $ 1,000,000 EL DISEASE - EA EMPLOYEE It 1,000,000 E.L DISEASE -POLICY LIMIT $ 1,000,000 It yes, deacntae under DESCRIPTION OF OPERATIONS below Aggregate $2,000,000 A Errors and Omissions FSL0000045-04 10116/2022 10/16/2023 Occurance $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Romania Schedule, may be attached If mom space Is required) The City of Palm Springs, its officials, employees and agents are named as an additional insured. This insurance is primary and non-contftMfflVBD subrogation applies. *10 day notice of Cancellation applies for non-payment of premium. A N 5 20 LJ *30 day written notice needed for Cancellation of policy City Hall Reception Desk rFRTIFIr'ATF Hni nFR CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Palm Springs ACCORDANCE WITH THE POLICY PROVISIONS. 3200 E. Tahquitz Canyon Way AUTHORIZED REPRESENTATIVE CA 92262wL Palm Springs ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD e'59YL ACORDas F CERTIFICATE OF LIABILITY INSURANCE r' Ill DATE(MWDONYYY) 1 01/30/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER T WED CONTACT NAME: Dlletha ROdfIgUe2 Garcia Insurance Inc 2099 E. Tahquitz Canyon Way FEB 0 2 2023 FAX A/CNNo Est: (760) 320-1111 AAC Nd: (760) 320-1115 ADDRESS: INSURERIS) AFFORDING COVERAGE NAIC# Palm Springs Office Ofthe CA 82262 INSURERA: Mt. Hawley INSURED INSURERS: NATIONWIDE 23787 Orr Builders Inc INSURERC: AmWms 39301 Badger Street, Ste 300 INSURER D: SUs at Insurance Cc INSURERS: OhlO SECUnty Insurance Co. 24082 Palm Desert BC 92211 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2313007660 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. IICY EXT LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MWDDIYYYY MMIDD UMITS COMMERCIAL GENERALWIBIUTY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE ® OCCUR PREMISES Ea occurraxro § 100,000 MED EXP (Any one Person) $ 5,000 PERSONAL S ADV INJURY $ 1,000,000 A Y MGLO195978 04/15/2022 04/15/2023 GENLAGGREGATE LIMITAPPUES PER: GENERALAGGREGATE S 2,000,000 ® 2,000,000 POLICY JPEC LOC PRODUCTS - COMPIOPAGG $ EBL $ 1,000,000 OTHER. AUTOMOBILE UABILITY COMBN,1DS1NGLE LIMIT Ea acaont $ 1,000,000 BODILY INJURY (Per Person) $ ANYAUI'0 g OWNED SCHEDULED ACP3029706712 04/1512022 04/15/2023 BODILY INJURY (Per actlaent) $ AUTOS ONLY AUTOS PROPERTY DAMAGE $ HIRED N0%WINED AUTOS ONLY AUTOS ONLY Peraccident Comm Auto Plus Cov $ UMBRELLA LIAR OCCUR EACH OCCURRENCE IS 10,000,000 AGGREGATE $ C !!CESSLMB CLAIMS -MADE 00101875-02 04/15/2022 04/15/2023 DEC RETENTION $ $ WORKERS COMPENSATION PER OTH- ANDEMPLOYEIUTLIABIUTY YIN STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 O ANY PROPRIETOR/PARTNER/EXECUTIVE NIA BNUWC0157314 07/Ot/2022 07101/2023 1,000,000 OFFICE"EMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE S If yes, desrnbe under 1,000,000 DESCRIPTION OF OPERATIONS baeo- EL.DISEASE -POLICY LIMIT $ Inland Manna E BKS56332586 01/27/2023 01/27/2024 Max Limit $25,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more apace Is mqulmd) Re: License #00012620 Issued as evidence of insurance. 'Except 10 days for non-payment of premium. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Palm Springs ACCORDANCE WITH THE POLICY PROVISIONS. 3200 E. Tahquitz Canyon Way A UTHORIZED REPRESENTATIVE Palm CA 92262 Springs ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD ACOCERTIFICATE OF LIABILITY INSURANCE DATEosrzoz3 oz/09/2023R" THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER CONTACT NAME: Quetha Rodriguez PHONE (760)320-1111 FAX (760)320-1115 AdC No Ert: No Garcia Insurance Inc 2099 E. Tahquitz Canyon Way ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC0 INSURER A: Hudson Excess Insurance Cc Palm Springs CA 92262 INSURED INSURER B: NATIONWIDE 23787 INSURER C : Insurance Company of the West Shasta Fire Protection, Inc. INSURER D: 72120 Northshore Street #C INSURER E INSURER F: Thousand Palms CA 92276 COVERAGES CERTIFICATE NUMBER: CL22123007630 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. LTR TYPE OF INSURANCE INSD WD POLICY NUMBER MWDDY EFF MWD Y P LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1.000,000 ClA1MS-MADE ® OCCUR PREMISES Ea aamence E 100.000 MED EXP Arty one pram) S 5.000 PERSONAL BACV INJURY E 1.000,000 A Y Y FSL000092-04 10/16/2022 10/16/2023 GEML AGGREGATE LIMIT APPLIES PER. GENERALAGGREGATE s 2,000,000 POLICY ® JECOT LOC PRODUCTS-COMPIOPAGG E 2,000,000 Pollution Liability E INCLUDED OTHER'. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea aoddml S 1,OOG000 BODILY I WURY Wer person) $ ANY AUTO B OWNED SCHEDULED AUTOSONLY AUTOS ACP31I D062383 03/15/2022 03/15/2023 BODILY INJURY(Per accideat) $ PROPERTY DAMAGE Per acodml S HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Uninsured motorist E 1,000,000 UMBRELLA UAB OCCUR """'"" `"'1"� """ EACH OCCURRENCE 5,000,000 $ AGGREGATE S 5,000.000 A ExcEss LIAB CLAIMS -MADE FSL0000045-04 10/16/2022 10/16/2023 DED RETENTION S 10,000 S C WORKERS COMPENSATION AND EMPLOYERTUABULITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE a OFFICER/MEMBER EXCLUDEDi IMandMory In NH) NIA V WBD 500556212 O1/O1/2023 01,01/2024 PER OTK STATUTE ER E.L. EACH ACCIDENT E 1,000,000 E.L. DISEASE - EA EMPLOYEE S 1,000.000 If yea. descnCe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT 1,000,000 E Aggregate $2.000.000 Errors and Omissions A FSLUD00045-04 10/16/2022 10/16/2023 Occurance $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES ACORD 101, Additional Remam Schedule, may be attached if more space Is required) City of Palm Springs, its officials, employees and agents are named as additional insureds. This insurance is primary and noncontributory. Waiver of subrogation applies. *10 day notice of cancellation may be issued for nonpaypent of premium. RECEIVED *30 day written notice of cancellation required FEB 2 12023 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Palm Springs -Alto. Vonda Teed, Engineering ACCORDANCE WITH THE POLICY PROVISIONS. Services Department AUTHORIZED REPRESENTATIVE 3200 E. Tahquitz Canyon Way Palm Springs CA 92262-- ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: FSL000092.04 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization s : Location And Description Of Completed Operations Blanket where required by written contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property dam- age" caused, in whole or in part, by "your work" at Me location designated and described in the sched- ule of this endorsement performed for that additional insured and Included in the "products -completed operations hazard". CG 20 37 07 04 �. ISO Properties, Inc., 2004 Page 1 of 1 0 POLICY NUMBER: FSL000092-04 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization s : Locations Of Covered Operations Blanket where required by written contract Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the locations) desig- nated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equip- ment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 O POLICY NUMBER: FSL000092-04 COMMERCIAL GENERAL LIABILITY CG 20 01 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. CG 20 0104 13 9 Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: FSL000092-04 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Blanket where required by written contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 13 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 34 (Ed. 8-00) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - BLANKET We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us). The additional premium for this endorsement shall be otherwise due. Person or Organization ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED IS REQUIRED UNDER WRITTEN CONTRACT TO FURNISH THIS WAIVER, CALIFORNIA OPERATIONS ONLY. 2 % of the total California Workers' Compensation premum Schedule Job Description ALL CALIFORNIA OPERATIONS This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 01/01/2023 Policy No. WSD 5005562 12 Endorsement No. Insured SHASTA FIRE PROTECTION INC Premium $ INCL. Insurance Company INSURANCE COMPANY OF THE WEST Countersigned By WC 99 06 34 (Ed. 8.00) INs R o ACOCERTIFICATE OF LIABILITY INSURANCE DATEosrzoz3 oz/09/2023R" THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER CONTACT NAME: Quetha Rodriguez PHONE (760)320-1111 FAX (760)320-1115 AdC No Ert: No Garcia Insurance Inc 2099 E. Tahquitz Canyon Way ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC0 INSURER A: Hudson Excess Insurance Cc Palm Springs CA 92262 INSURED INSURER B: NATIONWIDE 23787 INSURER C : Insurance Company of the West Shasta Fire Protection, Inc. INSURER D: 72120 Northshore Street #C INSURER E INSURER F: Thousand Palms CA 92276 COVERAGES CERTIFICATE NUMBER: CL22123007630 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. LTR TYPE OF INSURANCE INSD WD POLICY NUMBER MWDDY EFF MWD Y P LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1.000,000 ClA1MS-MADE ® OCCUR PREMISES Ea aamence E 100.000 MED EXP Arty one pram) S 5.000 PERSONAL BACV INJURY E 1.000,000 A Y Y FSL000092-04 10/16/2022 10/16/2023 GEML AGGREGATE LIMIT APPLIES PER. GENERALAGGREGATE s 2,000,000 POLICY ® JECOT LOC PRODUCTS-COMPIOPAGG E 2,000,000 Pollution Liability E INCLUDED OTHER'. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea aoddml S 1,OOG000 BODILY I WURY Wer person) $ ANY AUTO B OWNED SCHEDULED AUTOSONLY AUTOS ACP31I D062383 03/15/2022 03/15/2023 BODILY INJURY(Per accideat) $ PROPERTY DAMAGE Per acodml S HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Uninsured motorist E 1,000,000 UMBRELLA UAB OCCUR """'"" `"'1"� """ EACH OCCURRENCE 5,000,000 $ AGGREGATE S 5,000.000 A ExcEss LIAB CLAIMS -MADE FSL0000045-04 10/16/2022 10/16/2023 DED RETENTION S 10,000 S C WORKERS COMPENSATION AND EMPLOYERTUABULITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE a OFFICER/MEMBER EXCLUDEDi IMandMory In NH) NIA V WBD 500556212 O1/O1/2023 01,01/2024 PER OTK STATUTE ER E.L. EACH ACCIDENT E 1,000,000 E.L. DISEASE - EA EMPLOYEE S 1,000.000 If yea. descnCe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT 1,000,000 E Aggregate $2.000.000 Errors and Omissions A FSLUD00045-04 10/16/2022 10/16/2023 Occurance $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES ACORD 101, Additional Remam Schedule, may be attached if more space Is required) City of Palm Springs, its officials, employees and agents are named as additional insureds. This insurance is primary and noncontributory. Waiver of subrogation applies. *10 day notice of cancellation may be issued for nonpaypent of premium. RECEIVED *30 day written notice of cancellation required FEB 2 12023 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Palm Springs -Alto. Vonda Teed, Engineering ACCORDANCE WITH THE POLICY PROVISIONS. Services Department AUTHORIZED REPRESENTATIVE 3200 E. Tahquitz Canyon Way Palm Springs CA 92262-- ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: FSL000092.04 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization s : Location And Description Of Completed Operations Blanket where required by written contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property dam- age" caused, in whole or in part, by "your work" at Me location designated and described in the sched- ule of this endorsement performed for that additional insured and Included in the "products -completed operations hazard". CG 20 37 07 04 �. ISO Properties, Inc., 2004 Page 1 of 1 0 POLICY NUMBER: FSL000092-04 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization s : Locations Of Covered Operations Blanket where required by written contract Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the locations) desig- nated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equip- ment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 O POLICY NUMBER: FSL000092-04 COMMERCIAL GENERAL LIABILITY CG 20 01 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. CG 20 0104 13 9 Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: FSL000092-04 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Blanket where required by written contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 13 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 34 (Ed. 8-00) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - BLANKET We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us). The additional premium for this endorsement shall be otherwise due. Person or Organization ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED IS REQUIRED UNDER WRITTEN CONTRACT TO FURNISH THIS WAIVER, CALIFORNIA OPERATIONS ONLY. 2 % of the total California Workers' Compensation premum Schedule Job Description ALL CALIFORNIA OPERATIONS This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 01/01/2023 Policy No. WSD 5005562 12 Endorsement No. Insured SHASTA FIRE PROTECTION INC Premium $ INCL. Insurance Company INSURANCE COMPANY OF THE WEST Countersigned By WC 99 06 34 (Ed. 8.00) INs R o ACOCERTIFICATE OF LIABILITY INSURANCE DATEosrzoz3 oz/09/2023R" THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER CONTACT NAME: Quetha Rodriguez PHONE (760)320-1111 FAX (760)320-1115 AdC No Ert: No Garcia Insurance Inc 2099 E. Tahquitz Canyon Way ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC0 INSURER A: Hudson Excess Insurance Cc Palm Springs CA 92262 INSURED INSURER B: NATIONWIDE 23787 INSURER C : Insurance Company of the West Shasta Fire Protection, Inc. INSURER D: 72120 Northshore Street #C INSURER E INSURER F: Thousand Palms CA 92276 COVERAGES CERTIFICATE NUMBER: CL22123007630 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. LTR TYPE OF INSURANCE INSD WD POLICY NUMBER MWDDY EFF MWD Y P LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1.000,000 ClA1MS-MADE ® OCCUR PREMISES Ea aamence E 100.000 MED EXP Arty one pram) S 5.000 PERSONAL BACV INJURY E 1.000,000 A Y Y FSL000092-04 10/16/2022 10/16/2023 GEML AGGREGATE LIMIT APPLIES PER. GENERALAGGREGATE s 2,000,000 POLICY ® JECOT LOC PRODUCTS-COMPIOPAGG E 2,000,000 Pollution Liability E INCLUDED OTHER'. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea aoddml S 1,OOG000 BODILY I WURY Wer person) $ ANY AUTO B OWNED SCHEDULED AUTOSONLY AUTOS ACP31I D062383 03/15/2022 03/15/2023 BODILY INJURY(Per accideat) $ PROPERTY DAMAGE Per acodml S HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Uninsured motorist E 1,000,000 UMBRELLA UAB OCCUR """'"" `"'1"� """ EACH OCCURRENCE 5,000,000 $ AGGREGATE S 5,000.000 A ExcEss LIAB CLAIMS -MADE FSL0000045-04 10/16/2022 10/16/2023 DED RETENTION S 10,000 S C WORKERS COMPENSATION AND EMPLOYERTUABULITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE a OFFICER/MEMBER EXCLUDEDi IMandMory In NH) NIA V WBD 500556212 O1/O1/2023 01,01/2024 PER OTK STATUTE ER E.L. EACH ACCIDENT E 1,000,000 E.L. DISEASE - EA EMPLOYEE S 1,000.000 If yea. descnCe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT 1,000,000 E Aggregate $2.000.000 Errors and Omissions A FSLUD00045-04 10/16/2022 10/16/2023 Occurance $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES ACORD 101, Additional Remam Schedule, may be attached if more space Is required) City of Palm Springs, its officials, employees and agents are named as additional insureds. This insurance is primary and noncontributory. Waiver of subrogation applies. *10 day notice of cancellation may be issued for nonpaypent of premium. RECEIVED *30 day written notice of cancellation required FEB 2 12023 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Palm Springs -Alto. Vonda Teed, Engineering ACCORDANCE WITH THE POLICY PROVISIONS. Services Department AUTHORIZED REPRESENTATIVE 3200 E. Tahquitz Canyon Way Palm Springs CA 92262-- ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: FSL000092.04 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization s : Location And Description Of Completed Operations Blanket where required by written contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property dam- age" caused, in whole or in part, by "your work" at Me location designated and described in the sched- ule of this endorsement performed for that additional insured and Included in the "products -completed operations hazard". CG 20 37 07 04 �. ISO Properties, Inc., 2004 Page 1 of 1 0 POLICY NUMBER: FSL000092-04 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization s : Locations Of Covered Operations Blanket where required by written contract Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the locations) desig- nated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equip- ment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 O POLICY NUMBER: FSL000092-04 COMMERCIAL GENERAL LIABILITY CG 20 01 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. CG 20 0104 13 9 Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: FSL000092-04 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Blanket where required by written contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 13 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 34 (Ed. 8-00) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - BLANKET We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us). The additional premium for this endorsement shall be otherwise due. Person or Organization ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED IS REQUIRED UNDER WRITTEN CONTRACT TO FURNISH THIS WAIVER, CALIFORNIA OPERATIONS ONLY. 2 % of the total California Workers' Compensation premum Schedule Job Description ALL CALIFORNIA OPERATIONS This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 01/01/2023 Policy No. WSD 5005562 12 Endorsement No. Insured SHASTA FIRE PROTECTION INC Premium $ INCL. Insurance Company INSURANCE COMPANY OF THE WEST Countersigned By WC 99 06 34 (Ed. 8.00) INs R o ACOR" r , r T CERTIFICATE OF LIABILITY INSURANCE DATE 03/1012023 10/20 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 Garcia Insurance Inc RECEIVED CONTACT NAME: Quetha Rodriguez AIONNo Exf : (760) 320-1111 FAX. No): (760) 320-1115 2099 E Tahquitz Canyon Way E-MAIL ADDRESS: MAR 15 2023 INSURER(S) AFFORDING COVERAGE NAICO Palm Springs CA 92262 INSURER A: Hudson Excess Insurance Co INSURED Hell INSURER 6: NATIONWIDE 23787 �,,CIty Shasta Fire Protection, Inc. Reception Desk INSURER C : Insurance Company of the West 72120 Northshore Street, #C INSURER D: NSURER E Thousand Palms CA 92276 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2331007700 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICYNUMBER MMIDONYYY LIMITS COMMERCIAL GENERAL LIABILITY EACHOCCURRERCE $ 1,000,000 CLAIMS -MADE ® OCCUR PREMISES Ea pccunerlce $ 100,0()0 MED EXP (Any one person) $ 5,D00 7MWDDMYY PERSONAL B ADV INJURY $ 1,000,000 A Y Y FSL000092-04 10/16/2023 GEN'L AGGREGATE LIMIT APPLIES PER GENERALAGGREGATE $ 2•D00,000 POLICY ®PRO ❑ LOC ECT PRODUCTS-COMP/OPAGG $ 2,000,000 Pollution Liability $ INCLUDED OTHER.. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1.000.000 BODI LY INJURY (Per person) s ANY AUTO g OWNED SCHEDULED AUTOS ONLY AUTOS Y ACP3120062383 03/15/2023 03/15/2024 BODI LY INJURY(Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Uninsured motorist $ 1,000,000 UMBRELLA LIAB OCCUR `A"W6" ""'a'-- """' EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 A CLAIMS -MADE FSL0000045-04 10/16/2022 10/16/2023 IEXCESSLIAB DEC RETENTION E 10,000 $ C WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatoryin NB) NIA Y WSD 5D0556212 01/01/2023 01/01/2024 PER OTH- STATUTE ER EL HACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE E 1,000'000 U yes describe under DESCRIPTION OF OPERATIONS below EL. DISEASE - POLICY LIMIT 8 1,000,000 Enors & Omissions Aggregate $2,000,000 A FSL000092-04 10/16/2022 10/16/2023 Occurance $1.000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, ACdWonal Remarks Schedule, may be affached if more space Is required) The City of Palm Springs, its officials, employees and agents are named as an additional insured. This insurance is primary and non-contributory. Waiver of subrogation applies. *10 day notice of Cancellation applies for non-payment of premium. *30 day written notice needed for Cancellation of policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Palm Springs ACCORDANCE WITH THE POLICY PROVISIONS. 3200 E. Tahqultz Canyon Way AUTHORIZED REPRESENTATIVE Palm Springs CA 92262 $, © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: FSL000092-04 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization s : Location And Description Of Completed Operations Blanket where required by written contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organizations) shown in the Schedule, but only with respect to liability for "bodily injury" or "property dam- age" caused, in whole or in part, by "your work" at the location designated and described in the sched- ule of this endorsement performed for that additional insured and included in the 'products -completed operations hazard". CG 20 37 07 04 0 ISO Properties, Inc., 2004 Paga 1 of 1 13 POLICY NUMBER: FSL000092-04 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Blanket where required by written contract A. Section 11 — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) desig- nated above. Of Covered B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury' or "property damage" occurring after: 1. All work, including materials, parts or equip- ment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 ❑ POLICY NUMBER: FSL000092-04 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Blanket where required by written contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 ❑ WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 34 (Ed. 8-00) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - BLANKET We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us). The additional premium for this endorsement shall be otherwise due. Person or Organization ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED IS REQUIRED UNDER WRITTEN CONTRACT TO FURNISH THIS WAIVER, CALIFORNIA OPERATIONS ONLY. 2 % of the total California Workers' Compensation premium Schedule Job Description ALL CALIFORNIA OPERATIONS This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsemnt is issued subsequent to preparation of the policy.) Endorsement Effective 01/O1/2023 Policy No. WSD 5005562 12 Endorsement No. Insured SHASTA FIRE PROTECTION INC Premium $ INCL. Insurance Company INSURANCE COMPANY OF THE WEST Countersigned By WC 99 06 34 (Ed. 8-00) INSURED COMMERCIAL AUTO AC 70 04 0316 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: 17faFHnl�.`FY:IfiIC�IKi��l�:7_CK�3�li� SUMMARY OF COVERAGES A. Effect of This Endorsement B. Temporary Substitute Autos — Physical Damage Coverage C. Employees as Insureds— Nonowned Autos D. Additional Insured by Contract, Permit or Agreement E. Prejudgment Interest Coverage F. Personal Effects and Property of Others Extension G. Expanded Towing Coverage H. Expanded Transortation Expense I. Extra Expense— Stolen Autos J. Emergency Lockout K. Transfer Of Rights Of Recovery Against Others To Us L. Section IV — Business Auto Conditions - Notice of Knowledge of Occurrence AC 70 04 0316 Includes copyrighted material of Insurance Services Office, Inc. Page 1 of 3 with its permission ACP BA 31-0-0062383 LD4D 21091 INSURED COPY AC7004031600 0001 47 0012923 AC 70 04 0316 A. EFFECT OF THIS ENDORSEMENT Coverage provided under this policy Is modified by the provisions of this endorsement. If there is any conflict between the provisions of this endorsement and the provision(s) of any state - specific endorsement also attached to this poli- cy, then the provision(s) of the state -specific endorsement shall apply instead of the provi- sions of this endorsement that are in conflict, but only to the extent of the conflict, and only to the extent necessary to bring such provisions into conformance with the state requirement(s) contained in the provisions) of the state -specific endorsement. B. TEMPORARY SUBSTITUTE AUTOS — PHYSICAL DAMAGE COVERAGE The following is added to paragraph C. Certain Trailers, Mobile Equipment And Temporary Substitute Autos of the — COVERED AUTOS SECTION: If Physical Damage Coverage Is provided by this Coverage Form, the following types of vehicles are also covered "autos" for Physi- cal Damage Coverage: Any "auto" you do not own while used with the permission of its owner as a temporary substitute for a covered "auto" you own that is out of service because of its: a. Breakdown; b. Repair, c. Servicing; d."Loss";or e. Destruction The coverage that applies is the same as the coverage provided for the vehicle being replaced. C. EMPLOYEES AS INSUREDS — NONOWNED AUTOS - The following is added to paragraph A.I. Who Is An Insured of SECTION II — COVERED AUTOS LIABILITY COVERAGE: d. Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow in your business or your per- sonal affairs. D. ADDITIONAL INSURED BY CONTRACT, PERMIT OR AGREEMENT The following is added to A.I. Who Is An Insured of SECTION If — COVERED AUTOS LIABILITY COVERAGE: Any person or organization that you are required to name as an additional insured in a written contract or agreement that is executed Page 2 of 3 ACP BA 31.0.0062383 or signed by you prior to a "bodily injury" or "property damage" occurrence is an 'insured" for Covered Autos Liability Coverage. However, with respect to covered "autos", such person or organization is an insured only to the extent that person or organization qualifies as an "insured" under A.1. Who is an Insured of SECTION II — COVERED AUTOS LIABILITY COVERAGE. If specifically required by the written contract or agreement referenced in the paragraph above, any coverage provided by this en- dorsement to an additional insured shall be primary and any other valid and collectible insurance available to the additional insured shall be non-contributory with this insurance. If the written contract does not require this cov- erage to be primary and the additional in- sured's coverage to be non-contributory, then this insurance will be excess over any other val- id and collectible insurance available to the ad- ditional insured. E. PREJUDGMENT INTEREST COVERAGE The following paragraph Is added to SECTION II - COVERED AUTOS LIABILITY COVERAGE, Supplementary Payments under item: (7) Prejudgment interest awarded against the "Insured" on that part of the judgment we pay: If we make an offer to pay the appli- cable limit of insurance, we will not pay any prejudgment Interest based on that period of time after the offer. F. PERSONAL EFFECTS AND PROPERTY OF OTHERS EXTENSION 1. The. Care, Custody or Control Exclusion of the SECTION II — COVERED AUTOS LIABILITY COVERAGE, does not apply to "property damage" to property, other than your property, up to an amount not exceed- ing $250 in any one "accident". Coverage is excess over any other valid and collectible insurance. 2. The following paragraph is added to. Cover- age Extensions of SECTION III — PHYSICAL DAMAGE COVERAGE: c. We will pay up to $500 for your property that is lost or damaged as a result of a covered "loss", without applying a de- ductible. Coverage is excess over any other valid and collectible Insurance. G. EXPANDED TOWING COVERAGE 1. We will pay up to: a. $100 for a covered "auto" you own of the private passengertype, or Includes copyrighted material of Insurance Services Office, Inc. with its permission LD40 21091 INSURER COPY AC7004031600 0001 AC 70 04 0316 47 0012924 b. $250 for a covered "auto" you own that is not of the private passengertype, for towing and labor costs incurred each time the covered "auto" is disabled. However, the labor must be performed at the place of disablement. 2. This coverage applies only for an "auto' covered on this policy for Comprehensive or Specified Causes of Loss Coverage and Collision Coverages. 3. Payment applies in addition to the otherwise applicable amount of each coverage you have on a covered "auto". H. EXPANDED TRANSPORTATION EXPENSE Paragraph A.4.a. of SECTION III - PHYSICAL DAMAGE COVERAGE SECTION Is replaced by the following: We will pay up to $50 per day to a maximum of $1000 for temporary transportation expense in- curred by you because of the total theft of a covered "auto" of the private passenger type. We will only pay for those covered "autos" for which you carry Comprehensive or Specified Causes of Loss Coverage. We will pay for tem- porary transportation expenses incurred during the period beginning 48 hours after the theft and ending, regardless of the policy's expiration, when the covered "auto" is returned to use or we pay for its "loss" I. EXTRA EXPENSE — STOLEN AUTOS The following paragraph is added to Coverage Extensions. of SECTION III — PHYSICAL DAMAGE COVERAGE: c. We will pay for up to $5,000 for the expense of returning a stolen covered "auto" to you. We will pay only for those covered "autos" for which you carry Comprehensive or Spec- ified Causes of Loss Coverage J. EMERGENCY LOCKOUT — PRIVATE PASSENGER VEHICLES We will reimburse you up to $75 for reasonable expense incurred for the services of a locksmith to gain entry into your covered "auto" of the pri- vate passenger type subject to these provisions: 1. Your door key or key entry pad has been lost, stolen or locked in your covered "auto" and you are unable to enter such "auto' , or 2. Your key or key entry pad has been lost AC 70 04 0316 ACP BA 31.04062383 AC 70 040316 or stolen and you have changed the lock to prevent an unauthorized entry; and 3. Original copies of receipts for services of a locksmith must be provided before reimbursement is payable. K. TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition: We waive any right of recovery we may have against any person or organization to the extent required of you by a written con- tract executed prior to any "accident" be- cause of payments we make for damages under this coverage form. L. NOTICE OF AND KNOWLEDGE OF OCCURRENCE SECTION IV — BUSINESS AUTO CONDITIONS, Paragraph A is amended as follows: 6. NOTICE OF AND KNOWLEDGE OF OCCURRENCE a. Your obligation In the Duties in the Event of Accident, Claim, Suit or Loss Condi- tion relative to notification require- ments applies only when the "accident" or "loss" is known to: (1) You, if you are an Individual; (2) A partner, if you are a partnership; (3) A member, if you are a limited liability company; or (4) An executive officer or insurance manager, if you are a corporation. b. Your obligation in the. Duties in the Event - of Accident, Claim; Suitor Loss Condition relative to providing us with documents concerning a claim or "suit' will not be considered breached unless the breach occurs after such claim or "suit" is known to: (1) You, If you are an individual; (2) A partner, if you are a partnership; (3) A member, if you are a limited liability company; or (4) An executive officer or insurance manager, If you are a corporation. Includes copyrighted material of Insurance Services Office, Inc., with its permission L04D 21091 INSURED COPY AC7004031600 0001 Page 3 of 3 47 0012925 THIS IS NOT A LIEN. THIS NOTICE IS GIVEN PURSUANT TO CALIFORNIA CIVIL CODE §8034(a), 8102, 8200 ET SEC. PRIVATE WORKS AND CALIFORNIA CIVIL CODE §8034(b), 8102, 9300 ET SEC. PUBLIC WORKS 394385 ADDITIONAL INFORMATION 04 CITY OF PALM SPRINGS - LENDER 3200 E TAHQUITZ CAYON WY PALM SPRINGS CA 92262-6959 OWNER or Reputed Owner (on private work) 02 or PUBLIC AGENCY (on public work) VISTA SUNRISE /I LP A CA LP 45701 MONROE ST #G INDIO CA 92201-3964 ORIGINAL CONTRACTOR or 03 Reputed Contractor, if any. 760-630-8042 SUN COUNTRY BUILDERS INC 3156 LIONSHEAD AVE CARLSBAD CA 920104703 SUB CONTRACTOR /person or firm who contracted for the purchase of such labor, services, equipment or... 760.630-8042 SUN COUNTRY BUILDERS INC 3156 LIONSHEAD AVE CARLSBAD CA 92010-4703 CALIFORNIA PRELIMINARY 1111111111 NOTICE 7196 9D04 5233 9438 504U C42642 YOU ARE HEREBY NOTIFIED THAT... CONSTRUCTION LENDER or 01 Reputed Construction Lender, if any. WELLS FARGO BANK NA - LENDER ATTN: PAUL SHIPSTEAD 401 B ST # 1100 SAN DIEGO CA 92101-4234 BY: I t 0 Agent Dated: 03/13/2023 ( nature) (Title) ALL WALL INC 29308 46150 COMMERCE ST # 102 INDIO CA 92201 has furnished or will furnish work, labor, services, equipment or material of the following general description: STOCK AND INSTALL DRYWALL for the building, structure or other work of improvement located et the following address or site: "VISTA SUNRISE 11 APARTMENTS" 1527 N SUNRISE WY PALM SPRINGS CA An estimate of the total price of labor, services, equipment and/or materials furnished or to be furnished is: S 703,125.00 S ADDITIONAL INFORMATION O6 WELLS FARGO BANK NA - CCILENDER ATTN: MANAGER DEAL MGMT 301 S COLLEGE ST MAC D1053-170 CHARLOTTE NC 28288 NOTICE TO PROPERTY OWNER RECEIVED MAR 15 2023 City Heil Reception Desk EVEN THOUGH YOU HAVE PAID YOUR CONTRACTOR IN FULL, if the person or firm that has given you this notice Is not paid in full for labor, service, equipment, or material provided or to be provided to your construction project, a lien may be placed on your property. Foreclosure of the lien may lead to loss of all or part of your property. You may wish to protect yourself against this by (1) requiring your contractor to provide a signed release by the person or firm that has given you this notice before making payment to your contractor, or (2) any other method that is appropriate under the circumstances. This notice is required by law to be served by the undersigned as a statement of your legal rights. This notice is not intended to reflect upon the financial condition of the contractor or the person employed by you on the construction project. a—....,,....w ....e.e ..f .....#in. nr rmm.t.tinn of vn,,r r.nstrurtinn nrniartvnu must within to lava akwr rernrelinn_ Band a rnnv AcoRO CERTIFICATE OF LIABILITY. INSURANCE DATE (MMIDDIYYYY) 10;13,2023 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 condition's 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, Garcia Insurance Inc • . :" . . . .... ...... ...,. .. - .... 2099 E..Tafigliitz Canyon Way Palm Springs CA 92262 CONTACT QUetha Rodriguez NAME: PHONE " (760) 320=1111 FAX No): -(760)-320-1115 E-MAIL ADDRESS: INSURER(S)AFFORDINGCOVERAGE NAIC# _- INSURERA: Hudson Excess Insurance Co INSURED Shasta Fire Protection, Inc. 72120 Northshore Street, #C Thousand Palms CA 92276 INSURERB: NATIONWIDE, 23787 INSURER C : Insurance Company of the West INSURER D : Peleus Insurance Company INSURER E : INSURER F : Cr1VFRAr:FS rr-PTIFICATF NIIMRFR- GL23101307937 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE -POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT -TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE -BEEN REDUCED.BY. PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSD WVD POLICYNUMBER POLICY EFF MMIDD POLICY EXP MMIDD LIMITS X COMMERCIAL GENERAL LIABILITY - EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE 1 OCCUR DAMAGE PREMISES Ea occurrence 100,000 $ MED EXP (Any'one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 A Y Y. FSL000092-05 10/16/2023 10/16/2024 GEN'LAGGREGATELIMIT APPLIES PER: ' "' ." GENERAL AGGREGATE $ 2,000,000 POLICY � JEC LOC PRODUCTS-COMP/OPAGG $ 2,000,000 Pollution Liability $; •INCLUDED • : AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT. t Ea accident $ 1,000,000 BODILY INJURY (Per person) $' ANYAUTO B OWNED X SCHEDULED . AUTOS ONLY AUTOS HIRED NON -OWNED X AUTOS ONLY !� AUTOS ONLY Y ACP3120062383 03/15/2023 03/15/2024 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident' $ .. Uninsured motorist $ 1,000,000 UMBRELLALIAB OCCUR , ...,� �. ....,.. , r„ N ..... , •EACH OCCURRENCE $ A EXCESS LIAR FSL000092-05 10/16/2023 10/16/2024 HCLAIMS-MADE AGGREGATE $ DED RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? (Mandatory in NH) N/A Y WSD5005562'12 01/01/2023 01/01/2024 X1 STERERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 __ ­ .. _ - E.L.DISEASE-POUCYLIMIT - — ___ $' I',000;000— If yes, describe under _ DESCRIPTION OFOPERATIONS"below — _ _ _ _ ___- _"_ .- _ _� ��.. =i _�..,� D Professional Liability 121 CTR 0214904-00 10/16/2023 10/16/2024 GeneralAggregate Professional Pollution Liab $1,000,000 $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) The City of Palm Springs, its officials,. employees and agents are named as an additional insured. This insurance is primary and non-contributory. Waiver of subrogation applies. *10 day notice of cancellation applies for non-payment of premium. `30 day written notice needed for cancellation of policy. GtKI IML;AI t HULUtK City of Palm Springs 3200 E. Tahquitz Canyon Way Palm Springs CA -92262 SHOULD ANY OF THE ABOVE.DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103)- The ACORD name and logo are registered marks of ACORD POLICY NUMBER: FSL000092-05 COMMERCIAL GENERAL LIABILITY -CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. "ADDITIONAL" INSURED -OWNERS, LESSEES OR - CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided. under the following: COMMERCIAL GENERAL LIABILITY. COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization s : Location And Description Of Completed Operations Blanket where required by written contract. information required, to complete this Schedule, if not shown above, will be shown- in the Declarations: Section II — Who Is An Insured is amended, to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property dam- age" caused, in whole or in part, by "your work" at the location designated and described in the sched- ule of this endorsement performed for that additional. insured and included in the "products -completed operations hazard". . CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 0 POLICY NUMBER: FSL000092-05 COMMERCIAL GENERAL LIABILITY CG 2010 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons) Or Organ izations : Locations Of Covered Operations Blanket where required by written contract Information required to complete this Schedule; if not shown above; will be shown -in the Declarations. A. Section II — Who Is An Insured • is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for"'bodily injury", "property, damage" or "personal and advertising injuy" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts & omissions of -those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) desig- nated above. B. With respect to; the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equip- ment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at .the location..of the covered operations has been completed; or 2. That portion of "your work" out of which the injury, or damage arises has been put to its in- tended use by -any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal 'as a part of the same project. CG 20 10 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 13 POLICY NUMBER: FSL000092-05 COMMERCIAL GENERAL LIABILITY CG 20 01 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from. any other insurance available to the additional insured. This insurance. is primary.to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and CG 20 01 0413 . 0 Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: FSL000092-05 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Blanket where required by written contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 13 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 34 (Ed. 8-00) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - BLANKET We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us). The additional premium for this endorsement shall be otherwise due. Person or Organization ANY PERSON OR ORGANIZATION'FOR WHOM THE NAMED INSURED IS REQUIRED UNDER WRITTEN CONTRACT TO FURNISH THIS WAIVER, CALIFORNIA OPERATIONS ONLY. 2 % of the total California Workers' Compensation premium Schedule Job Description ALL CALIFORNIA OPERATIONS This endorsement changesthe policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 01/01/2023 Policy No. WSD 5005562 12 Endorsement No. Insured SHASTA FIRE PROTECTION INC Premium $ INCL.. Insurance Company INSURANCE COMPANY OF THE WEST WC 99' 06 34 (Ed. 8.00) Countersigned By INSURED 0 COMMERCIAL AUTO AC 70 04 0316 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO PROTECTION - PLUS. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM SUMMARY OF COVERAGES A. Effect of This Endorsement B. Temporary Substitute Autos — Physical Damage Coverage C. Employees as Insureds — Nonowned Autos D. Additional Insured by Contract, Permit or Agreement E. Prejudgment Interest Coverage F. Personal Effects and Property of Others Extension G. Expanded Towing Coverage H. Expanded Trahsortation Expense I. Extra Expense -'Stolen Autos J. Emergency Lockout K. Transfer Of Rights Of Recovery Against Others To Us L. Section IV — Business Auto Conditions - Notice of Knowledge of Occurrence AC 70 04 03.16 ACP BA 31-0-0062383 Includes copyrighted material of Insurance Services Office, Inc. with its permission LD4D 21091 INSURED COPY AC7004031600 0001 Page 1 of 3 47 0012923 AC 70 04 0316 A. EFFECT OF THIS ENDORSEMENT Coverage provided under this policy is modified by the provisions of this endorsement. If there is any conflict between the. provisions of this endorsement and the provision(s) of any state - specific endorsement also attached to this poli- cy, then the provision(s)` of the state -specific endorsement shall apply instead of the provi- sions of this endorsement that are in conflict, but only to the extent of the conflict, and only to the extent necessary to bring such provisions into conformance with the state requirement(s) contained in the provision(s) of the state -specific endorsement. B. TEMPORARY SUBSTITUTE AUTOS — PHYSICAL DAMAGE COVERAGE The following is added to paragraph C. Certain Trailers, Mobile Equipment And Temporary... Substitute Autos of the — COVERED AUTOS;' SECTION: If Physical Damage Coverage is provided by this Coverage Form, the following types of vehicles are also covered "autos" for Physi- cal Damage Coverage: Any "auto" you do not,own while used with the permission of its owner as a temporary substitute for a covered "auto" you own that is'outrof service because of its: a. Breakdown; b. Repair; c. Servicing; d. ".Loss'; or e. Destruction The coverage that applies is the same as the coverage provided for the vehicle being replaced. C. EMPLOYEES AS INSUREDS — NONOWNED AUTOS _7 Tte"following"is-addetlto paragraph -AA —.Who Is An Insured of SECTION II - COVERED AUTOS LIABILITY COVERAGE: d. Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow in your business or your per- sonal affairs. D. ADDITIONAL INSURED BY CONTRACT, PERMIT OR AGREEMENT. The following is added to AA. Who Is An Insured of SECTION II _ COVERED' AUTOS LIABILITY COVERAGE: Any -person or organization .that you are required to name as an additional insured in a written contract or agreement that is executed Paget2 of 3 ACP BA 31.0-0062383 or signed by. you prior .to- a "bodily injury" or "property damage" occurrence is an "insured" for Covered Autos Liability -Coverage. However, with respect to covered "autos", such person or organization is an insured only to the extent that person or organization qualifies as an "insured" under A.I. Who is an Insured of SECTION II — COVERED AUTOS LIABILITY COVERAGE. If specifically required by the written contract or agreement referenced in the paragraph above, any coverage provided - by this en- dorsement to an additional insured shall be primary and any other`- valid -'and collectible insurance available to the additional insured shall be non-contributory with this insurance. If the written contract does not require this cov- erage to be primary and the additional in- sured's coverage to be non-contributory, then this insurance will be excess over any other val- id and collectible insurance available to the ad- ditional insured. E. PREJUDGMENT INTEREST COVERAGE The following paragraph is ,added to SECTION II - COVERED AUTOS LIABILITY COVERAGE, Supplementary Payments under item: (7) Prejudgment, interest awarded against the "insured" -on that part of the judgment -we pay. If we make an offer to pay the appli- cable limit of insurance, we will not pay any prejudgment interest based on that period of time after the offer. F. PERSONAL EFFECTS AND PROPERTY OF OTHERS'EXTENSION 1. The. Care, Custody or Control Exclusion of the SECTION II — COVERED AUTOS LIABILITY COVERAGE, does not apply to '"property damage" to property, other than your property, up to an amount not exceed- ing $250 in. any one "accident".. Coverage is excess over -any other valid and collectible insurance. 2. The following paragraph is added to. Cover- age Extensions of SECTION III — PHYSICAL DAMAGE COVERAGE: c. We will pay up to $500 for your property that is lost or damaged as a result of a covered "loss", without applying a de- ductible. Coverage is excess over any, other valid and collectible insurance.. G. EXPANDED TOWING COVERAGE 1. We. will, pay up to: a. $100 for a covered "auto" you own of the private passenger type, or Includes copyrighted material of Insurance Services Office, Inc. with its' permission LD4D 21091 IN uRED COPY AC7004031600 .0001 AC 70 04 0316 47 0012924 b. $250 for -a covered -auto".you own that is not of the private passengertype, for towing and labor - costs incurred each time the covered "auto" is disabled. However, the labor must be performed at the place of disablement. 2. This coverage applies only. for an "auto" covered on this policy for Comprehensive or Specified Causes of Loss Coverage and Collision Coverages. 3. Payment applies in addition to the otherwise applicable amount of each coverage you have on a covered "auto".. H. EXPANDED TRANSPORTATION EXPENSE Paragraph A.4.a. of SECTION III PHYSICAL DAMAGE COVERAGE SECTION is replaced by the following: We will pay up to $50 per day to a maximum of $1000 for temporary transportation expense.,in- curred by you because of the total theft of a covered "auto" of the private passenger type. We will only pay for those covered "autos" for which you carry Comprehensive or Specified Causes of Loss Coverage. We will pay for tem- porary transportation expenses incurred during the period beginning 48 hours after the theft and ending, regardless of the policy's expiration, when the covered "auto" is returned to use or we pay for its "loss" I. EXTRA EXPENSE STOLEN AUTOS The following paragraph is added to Coverage Extensions. of SECTION III — PHYSICAL DAMAGE COVERAGE: _ c. We will pay for up to` $5,000 for the expense of returning a stolen covered "auto" to you. We will pay only for those covered "autos" for which you carry Comprehensive or Spec-, ified Causes of Loss Coverage . J_. EMERGENCY_ -LOCKOUT -=-PRIVATE PASSENGER VEHICLES We will reimburse you up to $75 for reasonable', expense incurred for the services of a locksmith to gain entry into your covered "auto" of the pri- vate passenger type subject to these provisions:. 1. Your door key or key entry pad - has been lost, stolen or locked in your covered "auto" and you are unable to enter such "auto" , or 2. Your key or key entry pad has been lost AC 70 0.4 0316 or ,stolen and you have changed the lock to prevent an unauthorized entry; and 3. Original copies of receipts for services of a locksmith must be provided before reimbursement is payable. K. TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US - The following is added to the Transfer Of Rights Of Recovery Against Others Tc Us Condition: We waive- any right of recovery we may have against any person or organization to the extent required of you by a written con- tract executed prior to any "accident" be- cause of payments we make for damages under this coverage form. L. NOTICE OF AND KNOWLEDGE OF OCCURRENCE SECTION IV — BUSINESS AUTO CONDITIONS, Paragraph A is amended as follows: 6. NOTICE OF AND KNOWLEDGE OF OCCURRENCE a. Your obligation in the Duties in the Event of Accident, Claim, Suit or Loss Condi- tion relative to notification require- ments applies only when the "accident" or "loss" is known to: (1) You, if you are an individual; (2) A partner, if you are a partnership; (3) A member, if you are a limited liability company; or , (4)- An executive officer or insurance manager, if you are a corporation. b. Your obligation in the. Duties in the Event of Accident, Claim, Suit or Loss Condition - relative -to. —providing- us.. with documents _ concerning a claim or "suit" will not be considered breached -unless the breach occurs after such claim or "suit'_is known to: (1) You, if you are an individual; (2) A partner, if you are.a partnership; (3) A member, if you are a limited liability company; or (4) An executive officer or insurance manager, if you are a corporation. . AC 70 04 0316 Includes copyrighted material of Insurance Services Office, Inc., Page 3 of 3 with itsigermission ACP BA 31-0-0062383 LD4D 21091 1 1 suRED COPY AC7004031600 0001 47 0012925 ACOR" CERTIFICATE OF LIABILITY INSURANCE A59I�F7,E, MM/2023 Y) /13/2023 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 Quetha Rodriguez NAME: Garcia Insurance Inc Ext : (760) 320-1111 FAX A/CNNo, No): (760) 320-1115 E-MAIL ADDRESS: 2099 E. Tahquitz Canyon Way INSURER(S)AFFORDING COVERAGE NAIC # INSURER A: Hudson Excess Insurance Co Palm Springs CA 92262 INSURED INSURERB: NATIONWIDE 23787 INSURER C : Insurance Company of the West Shasta Fire Protection, Inc. INSURER D : Peleus Insurance Company 72120 Northshore Street, #C INSURER E: INSURER F : Thousand Palms CA 92276 COVERAGES CERTIFICATE NUMBER: CL23101307937 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MM/DDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE OCCUR PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 A Y Y FSL000092-05 10/16/2023 10/16/2024 GEN'LAGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 POLICY © JET LOC PRODUCTS - COMP/OP AGG $ 2,000,000 Pollution Liability $ INCLUDED OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO B OWNED SCHEDULED AUTOS ONLY AUTOS Y ACP3120062383 03/15/2023 03/15/2024 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY P Uninsured motorist $ 1,000,000 X UMBRELLA OCCUR EACH OCCURRENCE 5 $,000,000 AGGREGATE $ 5,000,000 A EXCESS LIAR I CLAIMS -MADE FSL0000045-05 10/16/2023 10/16/2024 DED I X RETENTION $ 10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA Y WSD500556212 01/01/2023 01/01/2024 PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000,000 $ General Aggregate $1,000,000 D Professional Liability 121 CTR 0214904-00 10/16/2023 10/16/2024 Professional Pollution Liab $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Palm Springs, its officials, employees and agents are named as an additional insured. This insurance is primary and non-contributory. Waiver of subrogation applies. `10 day notice of cancellation applies for non-payment of premium. *30 day written notice needed for cancellation of policy. lq:111111aLyG\17:Lei 491=IV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Palm Springs ACCORDANCE WITH THE POLICY PROVISIONS. 3200 E. Tahquitz Canyon Way AUTHORIZED REPRESENTATIVE Palm Springs CA 92262 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE (MM DD YYYY 12/28V2023 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 Garcia Insurance Inc 2099 E. Tahquitz Canyon Way RECEIVED Palm Springs IAN 0 3 2n74 CA 92262 CONTACT NAME: Quetha Rodriguez PHONE (760)320-1111 (760)320-1115 AIC No Eat: A/C No' ADDRESS: INSURERISI AFFORDING COVERAGE NAIC# INSURERA: Hudson Excess Insurance Co INSURED Shasta Fire Protectioq lOc of the City Clerk 72120 Northshore SVee Thousand Palms CA 92276 INSURER R: NATIONWIDE 23787 INSURER C : Insurance Company of the West INSURER D: Peaus Insurance Company INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: CL23122808008 REVISION NUMBER: THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE 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 CLAIMSINSR . LTR TYPE OF INSURANCE Auuf_ 1NM Win. WVD POLICY NUMBER POLICY EFF (MNI POLICY UP (M LIMITS COMMERCIALGENERALLIABIITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE ® OCCUR b'RE PREMISES Ea acarteze $ 100,000 MED EXP(Arry. person) $ 5,000 PERSONAL 3ADV INJURY $ 1.000.000 A Y Y FSLD00092-05 10/16/2023 10/16/2024 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2.000,000 POLICY ® PEtT El LOC PRODUCTS-COMP,OPAGG $ 2,000,000 Pollution Liability s INCLUDED OTHER.. AUrOMOWLE LIABILITY COMBINED SINGLE LIMIT Ea acddent $ 1,000,000 BODILY INJURY(Per pennon) s ANYAUTO B OWNED SCHEDULED AUTOS ONLY AUTOS Y ACP3120062383 03/15/2023 03/15/2024 BODILY INJURY (Per ecddent) s PROPERTY DAMAGE Peraccident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Uninsured motorist $ 1,000,000 UMBRELLA OAS OCCUR """"""`"W """"' EACH OCCURRENCE E 5,000,000, 11 AGGREGATE $ 5,000,000 A EXCEss LIAB CLAIMS4AADE FSLUD00045-05 10/1612023 10/16/2024 DEC RETENTION $ 10,000 $ C WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERMIEMBER EXCLUDED? IMarxiatory In NMI NIA Y WSD 500556213 01/01/2024 01/0112025 PER OT14 STATUTE ER E.L. EACH ACCIDENT $ i,000,000 E.L. DISEASE - EA EMPLOYEE $ 11000TOOO If yen den W under DESCRIPTION OF OPERATIONS talwr E.L. DISEASE -POLICY LIMIT $ 1,000,000 D Professional liability, 121 CTR 0214904-00 10A8/2023 10116/2024 General Aggregate Professional Pollution Liab $1.000,000 $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD1o1,AddMonal Remarks Schedule,maybeaU "dR=mspaceisr ulred) The City of Palm Springs, its officials, employees and agents are named as an additional insured. This insurance is primary and non-contributory. Waiver of subrogation applies. *10 day notice of Cancellation applies for non-payment of premium. *30 day written notice needed for cancellation of policy. WW1 U 3 2024 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Palm Springs CI� Hall ACCORDANCE WITH THE POLICY PROVISIONS. 3200 E.Tahquitz Canyon Way 1100601on Desk AUTHORIZED REPRESENTATIVE C. Palm Springs CA 92262 Uw`-- (J 1983-2015 ACOKU CUKPUKAI ION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: FSL000092-05 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS I This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization s : Location And Description Of Completed Operations Blanket where required by written contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property dam- age" caused, in whole or in part, by "your work" at the location designated and described in the sched- ule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 13 POLICY NUMBER: FSL000092-05 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization s : Locations Of Covered 0 erations Blanket where required by written contract Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section 11 — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury' caused, in whole or in part, by: 1.' Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the locations) desig- nated above. B. With respect to the insurance afforded to these additional Insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equip- ment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or.on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 ❑ POLICY NUMBER FSL000092-05 COMMERCIAL GENERAL LIABILITY CG 20 01 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. CG 20 01 0413 © Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: FSL000092-05 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Blanket where required by written contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard". This waiver applies only to, the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 0 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 34 (Ed. &-00) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - BLANKET We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us). The additional premium for this endorsement shall be otherwise due. Person or Organization ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED IS REQUIRED UNDER WRITTEN CONTRACT TO FURNISH THIS WAIVER, CALIFORNIA OPERATIONS ONLY. 2 % of the total California Workers' Compensation premium Schedule Job Description ALL CALIFORNIA This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 01/01/2024 Policy No. WSD 5005562 13 Endorsement No. Insured SHASTA FIRE PROTECTION INC Premium $ INCL. Insurance Company INSURANCE COMPANY OF THE WEST Countersigned By WC 99 06 34 (Ed. 8-00) INSURED COMMERCIAL AUTO AC 70 05 0316 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO PROTECTION - GOLD This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM SUMMARY OF COVERAGES A. Effect of This Endorsement B. Newly Acquired or Formed Entities C. Employees as Insureds— Nonowned Autos D. Additional Insured by Contract, Permit or Agreement E. Supplementary Payments — Bail Bonds F. Supplementary Payments— Loss of Earnings G. Personal Effects and Property of Others Extension H. Prejudgment Interest Coverage I. Fellow Employee — Officer, Managers and Supervisors J. Hired Auto Physical Damage K. Temporary Substitute Autos— Physical Damage Coverage L. Expanded Towing Coverage M. Auto Loan or Lease Coverage N. Original Equipment Manufacturer Parts — Leased Private Passenger Types 0. Deductible Amendments P. Rental Reimbursement Coverage Q. Expanded Transportation Expense R. Extra Expense— Stolen Autos S. Physical Damage Limit of Insurance T. New Vehicle Replacement Cost U. Physical Damage Coverage Extension V. Transfer of Rights of Recovery Against Others To Us W. Section IV — Business Auto Conditions— Notice of and Knowledge of Occurrence X. Hired Car Coverage Territory Y. Emergency Lock Out Z. Cancellation Condition AC 70 05 0316 Includes copyrighted material of Insurance Services Office, Inc. Page 1 of 7 with its permission ACP BA 31.1.0062383 L62Y 22014 INSURED COPY AC7005031600 0001 47 0017001 COMMERCIAL AUTO AC 70 05 0316 A. EFFECT OF THIS ENDORSEMENT Coverage provided under this policy is modified by the provisions of this endorsement. If there is any conflict between the provisions of this endorsement and the provision(s) of any state - specific endorsement also attached to this poli- cy, then the provision(s) of the state -specific endorsement shall apply instead of the provi- sions of this endorsement that are in conflict, but only to the extent of the conflict, and only to the extent necessary to bring such provisions into conformance with the state requirement(s) contained in the provision(s) of the state -specific endorsement. B. NEWLY ACQUIRED OR FORMED ENTITIES The Named Insured shown in the Declarations is amended to include any organization you newly acquire or form, other than a partnership, joint venture, or limited liability company, and over which you maintain ownership or majority (more than 50%) interest; if there is no other similar in- surance available to that organization. Coverage under this provision is afforded until the 180" day after you acquire or form the organization or the end of the policy period, whichever is later. C. EMPLOYEES AS INSUREDS — NONOWNED AUTOS The following is added to paragraph A.1. Who Is An Insured of SECTION II — COVERED AUTOS LIABILITY COVERAGE: d. Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow in your business or your per- sonal affairs. D. ADDITIONAL INSURED BY CONTRACT, PERMIT OR AGREEMENT The following is added to A.1. Who Is An In- sured of SECTION II — COVERED AUTOS LIABILITY COVERAGE: Any person or organization that you are re- quired to name as an additional insured in a written contract or agreement that is executed or signed by you prior to a "bodily injury" or "property damage" occurrence is an "insured" for Covered Auto Liability coverage. How- ever, with respect to covered "autos", such person or organization is an insured only to the extent that person or organization qualifies as an "insured" under A.I. Who is an Insured of SECTION II — COVERED AUTOS LIABILITY COVERAGE: If specifically required by the written contract or agreement referenced in the paragraph above, any coverage provided by this endorsement to an additional insured shall be primary and any other valid and collectible insurance avail- able to the additional insured shall be non- contributory with this insurance. If the written contract does not require this coverage to be primary and the additional insured's coverage to be non-contributory, then this insurance will be excess over any other valid and collectible insur- ance available to the additional insured. E. SUPPLEMENTARY PAYMENTS — BAIL BONDS Supplementary Payments of SECTION II — COVERED AUTOS LIABILITY COVERAGE is revised as follows: (2) Up to $2,500 for cost of bail bonds (including bonds for related traffic law violations) required because of an "accident" we cover. We do not have to furnish these bonds. F. SUPPLEMENTARY PAYMENTS — LOSS OF EARNINGS Supplementary Payments of the SECTION II — COVERED AUTOS LIABILITY COVERAGE is revised as follows: (4) All reasonable expenses incurred by the "in- sured" at our request, including actual loss of earnings up to $500 a day because of time off from work. G. PERSONAL EFFECTS AND PROPERTY OF OTHERS EXTENSION 1. The. Care, Custody or Control Exclusion of SECTION II — COVERED AUTOS LIABILITY COVERAGE, does not apply to "property damage" to property, other than your property, up to an amount not exceed- ing $250 in any one "accident". Coverage is excess over any other valid and collectible insurance. 2. The following paragraph is added to A.4. Coverage Extensions of SECTION III — PHYSICAL DAMAGE COVERAGE: c. We will pay up to $500 for your property that is lost or damaged as a result of a covered "loss", without applying a de- ductible. Coverage is excess over any other valid and collectible insurance. Page 2 of 7 Includes copyrighted material of Insurance Services Office,Inc. with its permission ACP BA 314-0062383 L62Y 22014 INSURED COPY AC7005031600 0001 AC 70 05 0316 47 0017002 H. PREJUDGMENT INTEREST COVERAGE The following paragraph is added to SECTION II — COVERED AUTOS LIABILITY COVERAGE, 2. Coverage Extensions, a. Supplementary Payments: (7) Prejudgment interest awarded against the "Insured" on that part of the judgment we pay. If we make an offer to pay the appli- cable limit of insurance, we will not pay any prejudgment interest based on that period of time afterthe offer. 1. FELLOW EMPLOYEE — OFFICERS, MANAGERS, AND SUPERVISORS The Fellow Employee Exclusion in SECTION II — COVERED AUTOS LIABILITY COVERAGE is replaced as follows; A. "Bodily injury" to any fellow "employee" of the "insured" arising out of and in the course of the fellow "employee's" employment or while performing duties related to the con- duct of your business. This exclusion does not apply to an "insured" who occupies a position as an officer, manager, or supervi- sor. J. HIRED AUTO PHYSICAL DAMAGE If covered "auto" designation symbols 1 or 8 ap- ply to Liability Coverage and if at least one "au- to" you own is covered by this policy for Com- prehensive, Specified Causes of Loss, or Colli- sion coverages, then the Physical Damage coverages provided are extended to "autos" you lease, hire, rent or borrow without a driver; and provisions in the Business Auto Coverage Form applicable to Hired Auto Physical Damage apply up to a limit of $100,000. The deductible will be equal to the largest deductible applicable to any owned "auto" for that coverage. Any Compre- hensive deductible does not apply to fire or lightning. K. TEMPORARY SUBSTITUTE AUTOS — PHYSICAL DAMAGE COVERAGE The following is added to paragraph C. Certain Trailers, Mobile Equipment And Temporary Substitute Autos of SECTION I - COVERED AUTOS: If Physical Damage Coverage is provided by this Coverage Form, the following types of vehicles are also covered "autos" for Physi- cal Damage Coverage: Any "auto" you do not own while used with the permission of its owner as a temporary AC 70 05 0316 ACP BA 31-1-0062383 COMMERCIAL AUTO AC 70 05 0316 substitute for a covered "auto" you own that is out of service because of its: a. Breakdown; b. Repair; c. Servicing; d. "Loss"; or e. Destruction The coverage that applies is the same as the coverage provided for the vehicle being replaced. L. EXPANDED TOWING COVERAGE 1. We will pay up to: a. $100 for a covered "auto" you own of the private passengertype, or b. $500 for a covered "auto" you own that is not of the private passenger type, for towing and labor costs incurred each time the covered "auto" is disabled. Howev- er, the labor must be performed at the place of disablement. 2. This coverage applies only for an "auto" covered on this policy for Comprehensive or Specified Causes of Loss Coverage and Collision Coverages. 3. Payment applies in addition to the otherwise applicable amount of each coverage you have on a covered "auto". M. AUTO LOAN OR LEASE COVERAGE 1. In the event of a total "loss" to a covered "auto", we will pay any unpaid amount due on the loan or lease, including up to a max- imum of $500 for early termination fees or penalties, for your covered "auto" less: a. The amount paid under SECTION III — PHYSICAL DAMAGE COVERAGE of this policy; and b. Any: 1) Overdue lease/loan payments at the time of the "loss"; 2) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; 3) Security deposits not refunded by a lessor; 4) Costs of extended warranties, Credit Life insurance, Health, Accident, or Disability insurance purchased with the lease; and Includes copyrighted material of Insurance Services Office, Inc., with its permission L62Y 22014 INSURED COPY AC700503160D 0001 Page 3 of 7 47 0017003 COMMERCIAL AUTO AC 70 05 0316 5) Carry-over balances from previous leases. 2. This coverage only applies to a "loss" which is also covered under this policy for Com- prehensive, Specified Causes of Loss, or Collision coverage. 3. Coverage does not apply to any unpaid amount due on a loan for which the covered "auto" is not the sole collateral. N. ORIGINAL EQUIPMENT MANUFACTURER PARTS — LEASED PRIVATE PASSENGER TYPES Under Paragraph C. Limit of Insurance of SECTION III — PHYSICAL DAMAGE COVERAGE, Section 4 is added as follows: 4. We will use new original equipment vehicle manufacturer parts for any private passen- ger type covered "auto" where required by the lease agreement which has a term of at least six months. If a new original equip- ment vehicle manufacturer part is not in pro- duction or distribution we may use a like, kind and quality replacement part. O. DEDUCTIBLE AMENDMENTS The following are added to the Deductible provi- sion of SECTION III — PHYSICAL DAMAGE COVERAGE: If another policy or coverage form that is not an automobile policy or coverage form issued by this company applies to the same "accident", the following applies: 1. If the deductible under this coverage is the smaller (or smallest) deductible, it will be waived: 2. If the deductible under this coverage is not the smaller (or smallest) deductible, it will be reduced by the amount of the smaller (or smallest) deductible. If a Comprehensive or Specified Causes of Loss Coverage "loss" from one "accident" involves two or more covered "autos", only the highest deductible applicable to those coverages will be applied to the "accident," if the cause of the loss is covered for those vehicles. This provision only applies if you carry Comprehensive or Specified Causes of Loss Coverage for those vehicles, and does not extend coverage to any covered "autos" for which you do not carry such coverage. No deductible applies to glass if the glass is re- paired, in a manner acceptable to us, rather than replaced. P. RENTAL REIMBURSEMENT COVERAGE 1. This coverage applies only to a covered "au- to" for which Physical Damage Coverage is provided on this policy. 2. We will pay for rental reimbursement ex- penses incurred by you for the rental of an "auto" because of "loss" to a covered "auto". Payment applies in addition to the otherwise applicable amount of each coverage you have on a covered "auto." No deductibles apply to this coverage. 3. We will pay only for those expenses incurred during the policy period beginning 24 hours after the "loss" and ending, regardless of the policy's expiration, with the lesser of the following number of days: a. The number of days reasonably required to repair or replace the covered "auto". If "loss" is caused by theft, this number of days is added to the number of days it takes to locate the covered, "auto" and return it to you. b. The number of days shown in the Schedule. 4. Our payment is limited to the lesser of the following amounts: a. Necessary and actual expenses incurred. b. $75 for any one day or for a maximum of 30 days. 5. This coverage does not apply while there are spare or reserve "autos" available to you for your operations. 6. If "loss" results from the total theft of a cov- ered "auto" of the private passenger type, we will pay under this coverage only that amount of your rental reimbursement ex- penses which is not already provided for un- der SECTION III — PHYSICAL DAMAGE COVERAGE Coverage Extension. Q. EXPANDED TRANSPORTATION EXPENSE Paragraph AA.a. of SECTION III — PHYSICAL DAMAGE COVERAGE is replaced by the follow- ing: We will pay up to $50 per day to a maximum of $1500 for temporary transportation expense in- curred by you because of the total theft of a Page 4 of 7 Includes copyrighted material of Insurance Services Office, Inc AC 70 05 0316 with its permission. ACP BA 31-1.0062383 L62Y 22014 INSURED COPY AC7005031600 0001 47 0017004 COMMERCIAL AUTO AC 70 05 0316 covered "auto" of the private passenger type. ment manufacturer or other sources in - We will only pay for those covered "autos" for cluding non -original equipment manu- which you carry Comprehensive or Specified facturers and Causes of Loss Coverage. We will pay for tem- b. If a repair or replacement results in bet- porary transportation expenses incurred during ter than like kind or quality, we will not the period beginning 24 hours after the theft and pay for the amount of the net improve - ending, regardless of the policy's expiration, ment. when the covered "auto" is returned to use or we 5. If we offer to pay the actual cash value of pay for its "loss". the damaged stolen property, will R. EXTRA EXPENSE — STOLEN AUTOS rt value auto advertising wraps, paint cusustomi- The following paragraph is added to Coverage zation, and similar business related advertis- Extensions of SECTION III — PHYSICAL ing modifications, in addition to the actual DAMAGE COVERAGE: cash value of the property. Auto advertising c. We will pay for up to $5,000 for the expense wraps, paint customization, and similar of returning a stolen covered "auto" to you. business related advertising modifications We will pay only for those covered "autos" will be valued at the cost to replace them for which you carry Comprehensive or Spec- with an adjustment made for depreciation ified Causes of Loss Coverage and physical condition. S. PHYSICAL DAMAGE LIMIT OF INSURANCE T. NEW VEHICLE REPLACEMENT COST Under SECTION III — PHYSICAL DAMAGE The following is added to the Limit of Insurance COVERAGE, Paragraph C., Limit of Insurance provision of SECTION III — PHYSICAL is replaced by the following: DAMAGE COVERAGE: C. Limit Of Insurance 5. The provisions of paragraphs 1. and 3. do 1. The most we will pay for "loss" in any one not apply to a covered "auto" of the private "accident" is the lesser of: passenger type or a vehicle with a gross vehicle weight rating of 20,000 pounds or a. The actual cash value of the damaged less which is a "new vehicle." or stolen property as of the time of the "loss", In the event of a total "loss" to your new ve- or hicle to which this coverage applies, we will b. The cost of repairing or replacing the pay at your option: damaged or stolen property. a. The verifiable "new vehicle" purchase 2. $1500 is the most we will pay for "loss" in price you paid for your damaged vehi- any one "accident. to all electronic equip- cle, not including any insurance or war- ment that reproduces, receives or transmits ranties purchased; audio, visual or data signals which, at the "loss", b. If it is available, the purchase price, as time of is: negotiated by us, of'a "new vehicle" of a. Permanently installed in or upon the the same make, model, and equipment covered "auto" in a housing, opening or or the most similar model available, not other location that is not normally used including any furnishings, parts, or by the "auto" manufacturer for the in- equipment not installed by the manufac- stallation of such equipment. turer or manufacturers' dealership; or. b. Removable from a permanently installed c. The market value of your damaged ve- housing unit as described in Paragraph hicle, not including any furnishings, 2.a. above or is an integral part of that parts, or equipment not installed by the equipment; or manufacturer or manufacturers dealer- c. An integral part of such equipment. ship. 3. An adjustment for depreciation and physical We will not pay for initiation or set up costs condition will be made in determining actual associated with loans or leases cash value in the event of a total "loss". As used in this endorsement, a "new 4. The cost of repairing or replacing may: vehicle" means an "auto" of which you are a. Be based on an estimate which includes the original owner that has not been previ- parts furnished by the original equip - AC 70 05 0316 Includes copyrighted material of Insurance Services Office, Inc., - Page 5 of 7 with its permission ACP BA 31-1-0062383 L62Y 22014 INSURED COPY AC7005031600 0001 47 0017005 COMMERCIAL AUTO AC 70 05 0316 ously titled and which you purchased less than 365 days before the date of the "loss". U. PHYSICAL DAMAGE COVERAGE EXTENSIONS Under SECTION III — PHYSICAL DAMAGE COVERAGE, A. Coverage, Coverage Exten- sions, b. Loss of Use Expenses is replaced by the following: b. Loss of Use Expenses For Hired Auto Physical Damage, we will pay expenses for which an "insured" be- comes legally responsible to pay for loss of use of a vehicle rented or hired without a driver, under a written rental contract or agreement. We will pay for loss of use ex- penses if caused by: (1) Other than collision if the Declarations indicate that Comprehensive Coverage is provided for any covered "auto; (2) Specified Causes of Loss only if the Declarations indicate that Specified Causes of Loss Coverage is provided for any covered "auto; or (3) Collision only if the Declarations indicate that Collision Coverage is provided for any covered "auto." However, the most we will pay for any expenses for loss of use is $50 per day, to a maximum of $1,500. The insurance provided by this provision is excess over any other collectible insurance. V. TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US The following is added to the Transfer Of Rights Of RecoveryAgainst Others To Us Condition: We waive any right of recovery we may have against any person or organization to the extent required of you by a written con- tract executed prior to any "accident" be- cause of payments we make for damages under this coverage form. W. NOTICE OF AND KNOWLEDGE OF OCCURRENCE SECTION IV —BUSINESS AUTO CONDITIONS, Paragraph A is amended as follows: 6. NOTICE OF AND KNOWLEDGE OF OCCURRENCE Page 6 of 7 ACP BA 31.1.0062383 a. Your obligation in the Duties in the Event of Accident, Claim, Suit or Loss Condi- tion relative to notification requirements applies only when, the "accident' or "loss" is known to: (1) You, if you are an individual; (2) A partner, if you are a partnership; (3) A member, if you are a limited liability company; or (4) An executive officer or insurance manager, if you are a corporation. b. Your obligation in the. Duties in the Event of Accident, Claim, Suit or Loss Condition relative to providing us with documents concerning a claim or "suit" will not be considered breached unless the breach occurs after such claim or "suit" is known to: (1) You, if you are an individual; (2) A partner, if you are a partnership; (3) A member, if you are a limited liability"company; or (4) An executive officer or insurance manager, if you are a corporation. X. HIRED CAR — COVERAGE TERRITORY Item (5) of the Policy Period, Coverage Territory GeneralConditionss replaced by the following: (5) Anywheren theworldif a covered "auto" is leased, hired, rented or borrowed without a driverfor a period of 30 days or less; and Y. EMERGENCY LOCKOUT We will reimburse you up to $100 for reasonable expense incurred for the services of a locksmith to gain entry into your covered "auto' subject to these provisions: 1. Your door key, electronic key or key entry pad has been lost, stolen or locked in your covered "auto' and you are unable to enter such "auto" . or 2. Your keyless entry device battery dies and you are unable to enter such "auto' as a re- sult, 3. Your key, electronic key or key entry pad has been lost or stolen and you have changed the lock to prevent an unauthorized entry; and Includes copyrighted material of Insurance Services Office, Inc with its permission. L62Y 22014 INSURED COPY AC7005031600 0001 AC 70 05 0316 47 0017006 4. Original copies of receipts for services of a locksmith must be provided before reim- bursement is payable. Z. CANCELLATION CONDITION Paragraph A.2. of the COMMON POLICY CONDITION — CANCELLATION applies except as follows: AC 70 05 0316 ACP BA 31-1.0062383 COMMERCIAL AUTO AC 70 05 0316 If we cancel for any reason other than non- payment of premium, we will mail or deliver to the First Named Insured written notice of cancellation at least 60 days before the ef- fective date of cancellation. This provision does not apply in those states that require more than 60 days prior notice of cancella- tion. Includes copyrighted material of Insurance Services Office, Inc., with its permission L62Y 22014 INSURED COPY AC7005031600 0001 Page 7 of 7 47 0017007 A 5'-T6 A6OR CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) F03/06/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Garcia Insurance Inc CONTACT Ouetha Rodriguez NAME: PHONE (760) 320-1111 q/c, No : (760) 320-1115 AIC No Ex[ ADDARESS: 2099 E Tahquitz Canyon Way INSURER(S) AFFORDING COVERAGE NAIC p INSURERA: Hudson Excess Insurance Cc Palm Springs CA 92262 INSURED INSURERB: NATIONWIDE 23787 INSURER C : Insurance Company of the West Shasta Fire Protection, Inc. INSURER D : Peleus Insurance Company 72120 Northshore Street, #C INSURER E: INSURER F : Thousand Palms CA 92276 rn%r1=Dn1-_I=¢ ('FRTIFIr:ATF NI IMRl'i CL243608111 REVISION NUMBER: v THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 I LTR TYPE OF INSURANCE AIJULIbUtSK INSD WVD POLICY NUMBER POLICY EFF MMIDWYYYY POLICY EXP MMIDDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS -MADE FX1 OCCUR DAMAGE PREMISES Ea occurrence S 100,000 ME EXP (Any one person) S 5,000 A Y Y FSL000092-05 10/16/2023 10/16/2024 PERSONAL & ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 PRODUCTS 2,000,000 PRO POLICY JECT❑LOC OTHER Pollution Liability s INCLUDED AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident S 1,000,000 BODILY INJURY (Per person) S ANYAUTO BODILY INJURY (Per accident) S B OWNED M SCHEDULED AUTOS ONLY AUTOSHIRED NON -OWNED XAUTOS ONLY AUTOS ONLY Y ACP3120062383 03/15/2024 03/15/2025 PROPERTY DAMAGE Per accident $ Uninsured motorist S 1,000,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5, 000,000 A EXCESS LAB CLAIMS -MADE FSL0000045-05 10/16/2023 10/16/2024 AGGREGATE $ 5,000,000 DEC I X1 RETENTION S 10,000 S C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA Y WSD 5005562 13 01/01/2024 01/01/2025 X1 STATUTE EORH E L. EACH ACCIDENT S 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below General Aggregate $1,000.000 p Professional Liability 121 CTR 0214904-00 10/16I2023 10/16/2024 Professional Pollution Liab $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Palm Springs, its officials, employees and agents are named as an additional insured. This insurance is primary and non-cor !ni IEIM subrogation applies. 10 day notice of cancellation applies for non-payment of premium. MAR 12 2024 30 day written notice needed for cancellation of policy OFFICE OF THE CITY CLERK FICAI t HULUtK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Palm Springs ACCORDANCE WITH THE POLICY PROVISIONS. 3200 E. Tahquitz Canyon Way AUTHORIZED REPRESENTATIVE Palm Springs CA 92262 V lyStS-LUIS /i I.VKU I.VF(YV KHI IVIV. H11 rICJ I1W fSSCrvCu. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: FSL000092-05 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization s : Location And Description Of Com leted Operations Blanket where required by written contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section If — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property dam- age" caused, in whole or in part, by "your work" at the location designated and described in the sched- ule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 ❑ POLICY NUMBER: FSL000092-05 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization s : Locations Of Covered Operations Blanket where required by written contract Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) desig- nated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equip- ment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or.on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 11 POLICY NUMBER: FSL000092-05 COMMERCIAL GENERAL LIABILITY CG 20 0104 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. CG 20 0104 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: FSL000092-05 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Blanket where required by written contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 ❑ WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 34 (Ed. 8-00) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - BLANKET We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us). The additional premium for this endorsement shall be otherwise due. Person or Organization ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED IS REQUIRED UNDER WRITTEN CONTRACT TO FURNISH THIS WAIVER, CALIFORNIA OPERATIONS ONLY. 2 % of the total California Workers' Compensation premium Schedule Job Description ALL CALIFORNIA OPERATIONS This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 01/01/2024 Policy No. WSD 5005562 13 Endorsement No. Insured SHASTA FIRE PROTECTION INC Premium $ INCL . Insurance Company INSURANCE COMPANY OF THE WEST Countersigned By WC 99 06 34 (Ed. 8-00) INSURED COMMERCIAL AUTO AC 70 05 03 16 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO PROTECTION - GOLD This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM SUMMARY OF COVERAGES A. Effect of This Endorsement B. Newly Acquired or Formed Entities C. Employees as Insureds — Nonowned Autos D. Additional Insured by Contract, Permit or Agreement E. Supplementary Payments — Bail Bonds F. Supplementary Payments — Loss of Earnings G. Personal Effects and Property of Others Extension H. Prejudgment Interest Coverage I. Fellow Employee —Officer, Managers and Supervisors J. Hired Auto Physical Damage K. Temporary Substitute Autos — Physical Damage Coverage L. Expanded Towing Coverage M. Auto Loan or Lease Coverage N. Original Equipment Manufacturer Parts — Leased Private Passenger Types O. Deductible Amendments P. Rental Reimbursement Coverage Q. Expanded Transportation Expense R. Extra Expense — Stolen Autos S. Physical Damage Limit of Insurance T. New Vehicle Replacement Cost U. Physical Damage Coverage Extension V. Transfer of Rights of Recovery Against Others To Us W. Section IV — Business Auto Conditions — Notice of and Knowledge of Occurrence X. Hired Car Coverage Territory Y. Emergency Lock Out Z. Cancellation Condition AC 70 05 03 16 ACP BA 31-1-0062383 Includes copyrighted material of Insurance Services Office, Inc. with its permission L62Y 22014 INSURED COPY AC7005031600 0001 Page 1 of 7 47 0017001 COMMERCIAL AUTO AC 70 05 03 16 A. EFFECT OF THIS ENDORSEMENT Coverage provided under this policy is modified by the provisions of this endorsement. If there is any conflict between the provisions of this endorsement and the provision(s) of any state - specific endorsement also attached to this poli- cy, then the provision(s) of the state -specific endorsement shall apply instead of the provi- sions of this endorsement that are in conflict, but only to the extent of the conflict, and only to the extent necessary to bring such provisions into conformance with the state requirement(s) contained in the provision(s) of the state -specific endorsement. B. NEWLY ACQUIRED OR FORMED ENTITIES The Named Insured shown in the Declarations is amended to include any organization you newly acquire or form, other than a partnership, joint venture, or limited liability company, and over which you maintain ownership or majority (more than 50%) interest; if there is no other similar in- surance available to that organization. Coverage under this provision is afforded until the 180`h day after you acquire or form the organization or the end of the policy period, whichever is later. C. EMPLOYEES AS INSUREDS — NONOWNED AUTOS The following is added to paragraph A.I. Who Is An Insured of SECTION II — COVERED AUTOS LIABILITY COVERAGE: d. Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow in your business or your per- sonal affairs. D. ADDITIONAL INSURED BY CONTRACT, PERMIT OR AGREEMENT The following is added to A.1. Who Is An In- sured of SECTION II — COVERED AUTOS LIABILITY COVERAGE: Any person or organization that you are re- quired to name as an additional insured in a written contract or agreement that is executed or signed by you prior to a "bodily injury" or "property damage" occurrence is an "insured" for Covered Auto Liability coverage. How- ever, with respect to covered "autos", such person or organization is an insured only to the extent that person or organization qualifies as an "insured" under A.I. Who is an Insured of SECTION II — COVERED AUTOS LIABILITY COVERAGE: If specifically required by the written contract or agreement referenced in the paragraph above, any coverage provided by this endorsement to an additional insured shall be primary and any other valid and collectible insurance avail- able to the additional insured shall be non- contributory with this insurance. If the written contract does not require this coverage to be primary and the additional insured's coverage to be non-contributory, then this insurance will be excess over any other valid and collectible insur- ance available to the additional insured. E. SUPPLEMENTARY PAYMENTS — BAIL BONDS Supplementary Payments of SECTION II — COVERED AUTOS LIABILITY COVERAGE is revised as follows: (2) Up to $2,500 for cost of bail bonds (including bonds for related traffic law violations) required because of an "accident" we cover. We do not have to furnish these bonds. F. SUPPLEMENTARY PAYMENTS — LOSS OF EARNINGS Supplementary Payments of the SECTION II — COVERED AUTOS LIABILITY COVERAGE is revised as follows: (4) All reasonable expenses incurred by the "in- sured" at our request, including actual loss of earnings up to $500 a day because of time off from work. G. PERSONAL EFFECTS AND PROPERTY OF OTHERS EXTENSION 1. The. Care, Custody or Control Exclusion of SECTION II — COVERED AUTOS LIABILITY COVERAGE, does not apply to "property damage" to property, other than your property, up to an amount not exceed- ing $250 in any one "accident". Coverage is excess over any other valid and collectible insurance. 2. The following paragraph is added to A.4. Coverage Extensions of SECTION III — PHYSICAL DAMAGE COVERAGE: c. We will pay up to $500 for your property that is lost or damaged as a result of a covered "loss", without applying a de- ductible. Coverage is excess over any other valid and collectible insurance. Page 2 of 7 Includes copyrighted material of Insurance Services Office, Inc. with its permission ACP BA 31-1-0062383 L62Y 22014 INSURED COPY AC7005031600 0001 AC 70 05 03 16 47 0017002 J PREJUDGMENT INTEREST COVERAGE The following paragraph is added to SECTION II — COVERED AUTOS LIABILITY COVERAGE, 2. Coverage Extensions, a. Supplementary Payments: (7) Prejudgment interest awarded against the "insured" on that part of the judgment we pay. If we make an offer to pay the appli- cable limit of insurance, we will not pay any prejudgment interest based on that period of time after the offer. FELLOW EMPLOYEE — OFFICERS, MANAGERS, AND SUPERVISORS The Fellow Employee Exclusion in SECTION II — COVERED AUTOS LIABILITY COVERAGE is replaced as follows; A. "Bodily injury" to any fellow "employee" of the "insured" arising out of and in the course of the fellow "employee's" employment or while performing duties related to the con- duct of your business. This exclusion does not apply to an "insured" who occupies a position as an officer, manager, or supervi- sor. HIRED AUTO PHYSICAL DAMAGE If covered "auto" designation symbols 1 or 8 ap- ply to Liability Coverage and if at least one "au- to" you own is covered by this policy for Com- prehensive, Specified Causes of Loss, or Colli- sion coverages, then the Physical Damage coverages provided are extended to "autos" you lease, hire, rent or borrow without a driver; and provisions in the Business Auto Coverage Form applicable to Hired Auto Physical Damage apply up to a limit of $100,000. The deductible will be equal to the largest deductible applicable to any owned "auto" for that coverage. Any Compre- hensive deductible does not apply to fire or lightning. K. TEMPORARY SUBSTITUTE AUTOS — PHYSICAL DAMAGE COVERAGE The following is added to paragraph C. Certain Trailers, Mobile Equipment And Temporary Substitute Autos of SECTION I - COVERED AUTOS: If Physical Damage Coverage is provided by this Coverage Form, the following types of vehicles are also covered "autos" for Physi- cal Damage Coverage: Any "auto" you do not own while used with the permission of its owner as a temporary COMMERCIAL AUTO AC 70 05 03 16 substitute for a covered "auto" you own that is out of service because of its: a. Breakdown; b. Repair; c. Servicing; d. "Loss"; or e. Destruction The coverage that applies is the same as the coverage provided for the vehicle being replaced. L. EXPANDED TOWING COVERAGE 1. We will pay up to: a. $100 for a covered "auto" you own of the private passenger type, or b. $500 for a covered "auto" you own that is not of the private passengertype, for towing and labor costs incurred each time the covered "auto" is disabled. Howev- er, the labor must be performed at the place of disablement. 2. This coverage applies only for an "auto" covered on this policy for Comprehensive or Specified Causes of Loss Coverage and Collision Coverages. 3. Payment applies in addition to the otherwise applicable amount of each coverage you have on a covered "auto". M. AUTO LOAN OR LEASE COVERAGE 1. In the event of a total "loss" to a covered "auto", we will pay any unpaid amount due on the loan or lease, including up to a max- imum of $500 for early termination fees or penalties, for your covered "auto" less: a. The amount paid under SECTION III — PHYSICAL DAMAGE COVERAGE of this policy; and b. Any: 1) Overdue lease/loan payments at the time of the "loss"; 2) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; 3) Security deposits not refunded by a lessor; 4) Costs of extended warranties, Credit Life insurance, Health, Accident, or Disability insurance purchased with the lease; and AC 70 05 03 16 Includes copyrighted material of Insurance Services Office, Inc., with its permission ACP BA 31-1-0062383 L62Y 22014 INSURED COPY AC7005031600 0001 Page 3 of 7 47 0017003 COMMERCIAL AUTO AC 70 05 03 16 5) Carry-over balances from previous leases. 2. This coverage only applies to a "loss" which is also covered under this policy for Com- prehensive, Specified Causes of Loss, or Collision coverage. 3. Coverage does not apply to any unpaid amount due on a loan for which the covered "auto" is not the sole collateral. N. ORIGINAL EQUIPMENT MANUFACTURER PARTS — LEASED PRIVATE PASSENGER TYPES Under Paragraph C. Limit of Insurance of SECTION III — PHYSICAL DAMAGE COVERAGE, Section 4 is added as follows: 4. We will use new original equipment vehicle manufacturer parts for any private passen- ger type covered "auto" where required by the lease agreement which has a term of at least six months. If a new original equip- ment vehicle manufacturer part is not in pro- duction or distribution we may use a like, kind and quality replacement part. O. DEDUCTIBLE AMENDMENTS The following are added to the Deductible provi- sion of SECTION III — PHYSICAL DAMAGE COVERAGE: If another policy or coverage form that is not an automobile policy or coverage form issued by this company applies to the same "accident", the following applies: 1. If the deductible under this coverage is the smaller (or smallest) deductible, it will be waived: 2. If the deductible under this coverage is not the smaller (or smallest) deductible, it will be reduced by the amount of the smaller (or smallest) deductible. If a Comprehensive or Specified Causes of Loss Coverage "loss" from one "accident" involves two or more covered "autos", only the highest deductible applicable to those coverages will be applied to the "accident," if the cause of the loss is covered for those vehicles. This provision only applies if you carry Comprehensive or Specified Causes of Loss Coverage for those vehicles, and does not extend coverage to any covered "autos" for which you do not carry such coverage. No deductible applies to glass if the glass is re- paired, in a manner acceptable to us, rather than replaced. P. RENTAL REIMBURSEMENT COVERAGE 1. This coverage applies only to a covered "au- to" for which Physical Damage Coverage is provided on this policy. 2. We will pay for rental reimbursement ex- penses incurred by you for the rental of an "auto" because of "loss" to a covered "auto". Payment applies in addition to the otherwise applicable amount of each coverage you have on a covered "auto." No deductibles apply to this coverage. 3. We will pay only for those expenses incurred during the policy period beginning 24 hours after the "loss" and ending, regardless of the policy's expiration, with the lesser of the following number of days: a. The number of days reasonably required to repair or replace the covered "auto". If "loss" is caused by theft, this number of days is added to the number of days it takes to locate the covered "auto" and return it to you. b. The number of days shown in the Schedule. 4. Our payment is limited to the lesser of the following amounts: a. Necessary and actual expenses incurred. b. $75 for any one day or for a maximum of 30 days. 5. This coverage does not apply while there are spare or reserve "autos" available to you for your operations. 6. If "loss" results from the total theft of a cov- ered "auto" of the private passenger type, we will pay under this coverage only that amount of your rental reimbursement ex- penses which is not already provided for un- der SECTION III — PHYSICAL DAMAGE COVERAGE Coverage Extension. Q. EXPANDED TRANSPORTATION EXPENSE Paragraph AA.a. of SECTION III — PHYSICAL DAMAGE COVERAGE is replaced by the follow- ing: We will pay up to $50 per day to a maximum of $1500 for temporary transportation expense in- curred by you because of the total theft of a Page 4 of 7 Includes copyrighted material of Insurance Services Office, Inc AC 70 05 03 16 with its permission. ACP BA 31-1.0062383 L62Y 22014 INSURED COPY AC7005031600 0001 47 0017004 covered "auto" of the private passenger type. We will only pay for those covered "autos" for which you carry Comprehensive or Specified Causes of Loss Coverage. We will pay for tem- porary transportation expenses incurred during the period beginning 24 hours after the theft and ending, regardless of the policy's expiration, when the covered "auto" is returned to use or we pay for its "loss". R. EXTRA EXPENSE — STOLEN AUTOS The following paragraph is added to Coverage Extensions of SECTION III — PHYSICAL DAMAGE COVERAGE: c. We will pay for up to $5,000 for the expense of returning a stolen covered "auto" to you. We will pay only for those covered "autos" for which you carry Comprehensive or Spec- ified Causes of Loss Coverage S. PHYSICAL DAMAGE LIMIT OF INSURANCE T Under SECTION III — PHYSICAL DAMAGE COVERAGE, Paragraph C., Limit of Insurance is replaced by the following: C. Limit Of Insurance 1. The most we will pay for "loss" in any one "accident" is the lesser of: a. The actual cash value of the damaged or stolen property as of the time of the "loss", or b. The cost of repairing or replacing the damaged or stolen property. 2. $1500 is the most we will pay for "loss" in any one "accident" to all electronic equip- ment that reproduces, receives or transmits audio, visual or data signals which, at the time of "loss", is: a. Permanently installed in or upon the covered "auto" in a housing, opening or other location that is not normally used by the "auto" manufacturer for the in- stallation of such equipment. b. Removable from a permanently installed housing unit as described in Paragraph 2.a. above or is an integral part of that equipment; or c. An integral part of such equipment. COMMERCIAL AUTO AC 70 05 0316 ment manufacturer or other sources in- cluding non -original equipment manu- facturers and b. If a repair or replacement results in bet- ter than like kind or quality, we will not pay for the amount of the net improve- ment. 5. If we offer to pay the actual cash value of the damaged or stolen property, we will value auto advertising wraps, paint custom- zation, and similar business related advertis- ing modifications, in addition to the actual cash value of the property. Auto advertising wraps, paint customization, and similar business related advertising modifications will be valued at the cost to replace them with an adjustment made for depreciation and physical condition. NEW VEHICLE REPLACEMENT COST The following is added to the Limit of Insurance provision of SECTION III — PHYSICAL DAMAGE COVERAGE: 5. The provisions of paragraphs 1. and 3. do not apply to a covered "auto" of the private passenger type or a vehicle with a gross vehicle weight rating of 20,000 pounds or less which is a "new vehicle." In the event of a total "loss" to your new ve- hicle to which this coverage applies, we will pay at your option: a. The verifiable "new vehicle" purchase price you paid for your damaged vehi- cle, not including any insurance or war- ranties purchased; b. If it is available, the purchase price, as negotiated by us, of a "new vehicle" of the same make, model, and equipment or the most similar model available, not including any furnishings, parts, or equipment not installed by the manufac- turer or manufacturers' dealership; or . c. The market value of your damaged ve- hicle, not including any furnishings, parts, or equipment not installed by the manufacturer or manufacturer's dealer- ship. 3. An adjustment for depreciation and physical We will not pay for initiation or set up costs condition will be made in determining actual associated with loans or leases cash value in the event of a total "loss". As used in this endorsement, a "new 4. The cost of repairing or replacing may: vehicle" means an "auto" of which you are a. Be based on an estimate which includes the original owner that has not been previ- parts furnished by the original equip - AC 70 05 0316 Includes copyrighted material of Insurance Services Office, Inc., Page 5 of 7 with its permission ACP BA 31-1-0062383 L62Y 22014 INSURED COPY AC7005031600 0001 47 0017005 COMMERCIAL AUTO AC 70 05 03 16 ously titled and which you purchased less than 365 days before the date of the "loss". U. PHYSICAL DAMAGE COVERAGE EXTENSIONS Under SECTION III — PHYSICAL DAMAGE COVERAGE, A. Coverage, Coverage Exten- sions, b. Loss of Use Expenses is replaced by the following: b. Loss of Use Expenses For Hired Auto Physical Damage, we will pay expenses for which an "insured" be- comes legally responsible to pay for loss of use of a vehicle rented or hired without a driver, under a written rental contract or agreement. We will pay for loss of use ex- penses if caused by: (1) Other than collision if the Declarations indicate that Comprehensive Coverage is provided for any covered "auto'; (2) Specified Causes of Loss only if the Declarations indicate that Specified Causes of Loss Coverage is provided for any covered "auto'; or (3) Collision only if the Declarations indicate that Collision Coverage is provided for any covered "auto." However, the most we will pay for any expenses for loss of use is $50 per day, to a maximum of $1,500. The insurance provided by this provision is excess over any other collectible insurance. V. TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition: We waive any right of recovery we may have against any person or organization to the extent required of you by a written con- tract executed prior to any "accident' be- cause of payments we make for damages under this coverage form. W. NOTICE OF AND KNOWLEDGE OF OCCURRENCE SECTION IV — BUSINESS AUTO CONDITIONS, Paragraph A is amended as follows: 6. NOTICE OF AND KNOWLEDGE OF OCCURRENCE a. Your obligation in the Duties in the Event of Accident, Claim, Suit or Loss Condi- tion relative to notification requirements applies only when the "accident" or "loss" is known to: (1) You, if you are an individual; (2) A partner, if you are a partnership; (3) A member, if you are a limited liability company; or (4) An executive officer or insurance manager, if you are a corporation. Your obligation in the. Duties in the Event of Accident, Claim, Suit or Loss Condition relative to providing us with documents concerning a claim or "suit" will not be considered breached unless the breach occurs after such claim or "suit' is known to: (1) You, if you are an individual; (2) A partner, if you are a partnership; (3) A member, if you are a limited liability company; or (4) An executive officer or insurance manager, if you are a corporation. X. HIRED CAR — COVERAGE TERRITORY Item (5) of the Policy Period, Coverage Territory GeneralConditionss replaced by the following: (5) Anywheren theworldif a covered "auto' is leased, hired, rented or borrowed without a driverfor a period of 30 days or less; and Y. EMERGENCY LOCKOUT We will reimburse you up to $100 for reasonable expense incurred for the services of a locksmith to gain entry into your covered "auto' subject to these provisions: 1. Your door key, electronic key or key entry pad has been lost, stolen or locked in your covered "auto' and you are unable to enter such "auto' , or 2. Your keyless entry device battery dies and you are unable to enter such "auto' as a re- sult, 3. Your key, electronic key or key entry pad has been lost or stolen and you have changed the lock to prevent an unauthorized entry; and Page 6 of 7 Includes copyrighted material of Insurance Services Office, Inc with its permission. ACP BA 31.1-0062383 L62Y 22014 INSURED COPY AC7005031600 0001 AC 70 05 03 16 47 0017006 4. Z. Original copies of receipts for services of a locksmith must be provided before reim- bursement is payable. CANCELLATION CONDITION Paragraph A.2. of the COMMON POLICY CONDITION — CANCELLATION applies except as follows: AC 70 05 0316 ACP BA 31-1.0062383 W � COMMERCIAL AUTO AC 70 05 03 16 If we cancel for any reason other than non- payment of premium, we will mail or deliver to the First Named Insured written notice of cancellation at least 60 days before the ef- fective date of cancellation. This provision does not apply in those states that require more than 60 days prior notice of cancella- tion. Includes copyrighted material of Insurance Services Office, Inc., with its permission L62Y 22014 INSURED COPY AC7005031600 0001 Page 7 of 7 47 0017007