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HomeMy WebLinkAboutA5002 - D&D PAINTING DOWNTOWN DECORATIVE LIGHTING POLE REPAINTING CP#04-04 • DOC 63/21/2008 0A 02Fee;N 9024 I page 1 of 1 Recorded in Official Records County of Riverside Larry U. Ward Assessor, County Clerk 3 Recorder I IIIII IIII II III IIII IIIII I IIII IIIII III IIIII IIII III M $ ❑- FCAL ELSE OA P YGLOR NOCOR 9MF MI$L ^ 4 Recording Requested By And 11 When Recorded Return To: City of Palm Springs Attu: City Clerk a 441 .. ioHc RRFUNo r+cn� exnM P.O.Box 2743,Palm Springs, CA 92263-2743 (SPACE ABOVE THIS UNE FOR RCCORDING USE) i (EXEMPT FROM RECORDING In PER GOV.CODE$6103) NOTICE OF COMPLETION 1u NOTICE IS HERE13Y given that: 1. The City of Palm Springs, California, is a municipal corporation, organized and Itcorporawd pursuant to the laws of the State of California. 2. The City Clerk of the City of Palm Springs is authorized 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 City Hall,3200 E.Tahquitz Canyon Way,Palm Springs,California(P.O.Box 2743, Palm Springs, CA 92263-2743). 4. The public work of improvement on the hereinafter referred to real property within the city was COMPLETED on the 20"day of January,2005. 5. The name of the contractor (if named) for such work of improvement was: D&D Painting,41910 Boardwalk, Suite A-10, Palm Desert, CA 92211. 6. The public work of improvement, which was completed in the City of Palm Springs, County of Riverside, State of California, is described as follows: Downtown Decorative Lighting Pole Repainting 7. Nature of Interest: Fee Owner 8. The property address or location of said property is:North Palm Canyon Drive from Amado Road to South of Baristo Road and Tahquitz Canyon'Way from Belardo Road to Indian Canyon Drive, Pahn Springs, CA. 9. City Project No. 04-04, Agreement Number: 5002 CITY OF PALM SP GS: /�\✓ i REVIEWED BY: , 'C - DATED: --v ,y0V O ar � r. BY: DATED: /O D Director of Public Works/City Engineer David J. Barakian JAMES THOMPSON, Says: That he is the City Clerk of the aforesaid City of Palm Springs,California,the corporation that executed the foregoing notice; that he makes this verification on behalf of stud corporation; that 1w 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. Under penalty of perjury. City Clerk -James Thompson Index Na. 0105 _ File Edit- GerrerateLetters Transactions *Reports- Maintenance Quit a Aw�� i ou, io �i, >'W �" eWs Mankettatltce �_: HAY Exa Pr�lram rot-M R �� 1:f GeaLetters 7rts t xk llocuptent f: A3f12 Grab: ENrytJgRPdG F Active Document �� { ! ,.,�_._... _ t.OfKV Pole R!•pa ing(�.?G" 323,400 _ 1- - Financials �, �: De3crlptime [kiwntavNn➢ccor ` Appra.el Uata. t i Expire.We: 1 i Closed©fie; 1 1 Domed Ho � k Mi ia y, Cwttpin!/ C#&UPaitAel+d _ xkef. Ei�7GINEERp P � '� ' � � �� � Selutatiac insura #roant Atkkess g _� citydSr L_ Zpr. Ptt t J �� 1 M_; floc O -- ..._. E Ma . ._.. . Senaco_ n He u N f et-- f e-oe,M - lnsrace Status. Til - } 1 � � s Qocutnent Ttaekinq.flatus {o61-click heading to Sn i} i :Nts Cod" nern' Due By ComRleted TtkgxlDte" . AmtAdded: AiritFaidSA " NCCtorecorder if1 if ;/! i7_(1- 0j 0,60i toProeuremartiertheirstamp 11 �;lJ ltlt9lQd 0.©Q �flDl _.� —. to CM for ! ! ! ! 1t/19N4 — ,- distrtoProcurement- if._! If it 3/fl4 I A�i1 Udj - 11eM [fitd A Ddat Irk,Motes. Add flew,Docu _Delete Doctt ScanAlyoit TM- . . .. �y Insurance : ancef Entry Add Hew Trk, Del Trking_tern_ � 3 IT r D&D Painting Downtown Decorative Lighting Pole Repainting CP#04-04 AGREEMENT#5002 CITY OF PALM SPRINGS CM signed 11-22-04 CONTRACT SERVICES AGREEMENT FOR Downtown Decorative Lighting Pole Repainting, City Project No. 04-04 THIS CONTRACT SERVICES AGREEMENT (herein "Agreement") is made and entered into this J day of NNaVgOQ-✓ , 2004, by and between the CITY OF PALM SPRINGS, a municipal corporation (herein "City") and D&D Painting (herein "Contractor"). NOW, THEREFORE, the parties hereto agree as follows: 1.0 SERVICES OF CONTRACTOR 1.1 Scope of Services. In compliance with all of the terms and conditions of this Agreement, the Contractor shall perform the work or services set forth in the "Scope of Services" attached hereto as Exhibit "A" and incorporated herein by reference. Contractor warrants that all work and services set forth in the Scope of Services will be performed in a competent, professional and satisfactory manner. 1.2 Compliance With Law. All work and services rendered hereunder shall be provided in accordance with all ordinances, resolutions, statutes, rules, and regulations of the City and any Federal, State or local governmental agency of competent jurisdiction. 1.3 Licenses, Permits, Fees and Assessments. 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. 2.0 COMPENSATION 2.1 Contract Sum. For the services rendered pursuant to this Agreement, Contractor shall be compensated in accordance with the "Schedule of Compensation" attached hereto as Exhibit "B" and incorporated herein by this reference, but not exceeding the maximum contract amount of Twenty Three Thousand Four Hundred Dollars ($23,400) ("Contract Sum"). 2.2 Method of Payment. Provided that Contractor is not in default under the terms of this Agreement, Contractor shall be paid as outlined Exhibit "B" Schedule of Compensation. 3.0 COORDINATION OF WORK 3.1 Representative of Contractor. Doug DeOliveira is hereby designated as being the principal and representative of Contractor authorized to act in its behalf with respect to the work and services specified herein and make all decisions in connection therewith. 3.2 Contract Officer, Jan Anderson, is hereby designated as being the representative the City authorized to act in its behalf with respect to the work and services specified herein and make all decisions in connection therewith ("Contract Officer"). The City H:\USERS\ENG\Contr.Agreements\D&D Painting-Decorative Light Pole Repainting, CP#04-04.wpd -1- Manager of City shall have the right to designate another Contract Officer by providing written notice to Contractor. 3.3 Prohibition Against Subcontracting or Assignment. Contractor shall not contract with any entity to perform in whole or in part the work or services required hereunder without the express written approval of the City. 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. Any such prohibited assignment or transfer shall be void. 3.4 Independent Contractor. Neither the 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. Contractor shall perform all services required herein as an independent contractor of City and shall remain under only such obligations as are consistent with that role. 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. 4.0 INSURANCE AND INDEMNIFICATION 4.1 Insurance, The Contractor shall procure and maintain, at its sole cost and expense, in a form and content satisfactory to City, during the entire term of this Agreement including any extension thereof, the following policies of insurance: (a) Commercial General Liability Insurance. A policy of commercial general liability insurance written on a per occurrence basis with a combined single limit of a least $1,000,000 bodily injury and property damage including coverages for contractual liability, personal injury, independent contractors, broadform property damage, products and completed operations. The General Liability Policy shall name the City of Palm Springs, its officers, employees, and agents, as additional insured in accordance with standard ISO additional insured endorsement form CG2010(1185) or equivalent language, (b) Worker's Compensation Insurance. A policy of worker's compensation insurance in such amount as will fully comply with the laws of the State of California and which will include $1,000,000 employer's liability. (c) Business Automobile Insurance. A policy of business automobile liability insurance written on a per occurrence basis with a single limit liability in the amount of $500,000 bodily injury and property damage, Said policy shall include coverage for owned, non-owned, leased and hired cars. (d) Additional Insurance. Policies of such other insurance, including professional liability insurance in a minimal amount of $1,000,000 if contract has professional liability exposure, as may be required in Exhibit "A". All of the above policies of insurance shall be primary insurance. The insurer shall waive all rights of subrogation and contribution it may have against the City, its officers, employees and agents, and their respective insurers. In the event any of said policies of insurance are canceled, the Contractor shall, prior to the cancellation date, submit new evidence of insurance in conformance with this Section 4.1 to the Contract Officer, No work or services under this Agreement shall commence until the Contractor has provided the City with H:\USERS\ENG\Contr.Agreements\D&D Painting-Decorative Light Pole Repainting, CP#04-04.wpd -2- Certificates of Insurance or appropriate insurance binders evidencing the above insurance coverages and said Certificates of Insurance or binders are approved by the City. The contractor agrees that the provisions of this Section 4.1 shall not be construed as limiting in any way the extent to which the Contractor may be held responsible for the payment of damages to any persons or property resulting from the Contractor's activities or the activities of any person or person for which the Contractor is otherwise responsible. In the event the Contractor subcontracts any portion of the work in compliance with Section 3.3 of this Agreement the contract between the Contractor and such subcontractor shall require the subcontractor to maintain the same polices of insurance that the Contractor is required to maintain pursuant to this Section. 4.2 Indemnification. Contractor agrees to indemnify the City, its officers, agents and employees against, and will hold and save them and each of them harmless from, any and all actions, suits, claims, damages to persons or property, losses, costs, penalties, obligations, errors, omissions or liabilities, (herein "claims or liabilities") that may be asserted or claimed by any person, firm or entity arising out of or in connection with the negligent performance of the work, operations or activities of Contractor, its agents, employees, subcontractors, or invitees, provided for herein, or arising from the negligent acts or omissions of Contractor hereunder, or arising from Contractor's negligent performance of or failure to perform any term, provision, covenant or condition of this Agreement, whether or not there is concurrent passive or active negligence on the part of the City, its officers, agents or employees but excluding such claims or liabilities arising from the sole negligence or willful misconduct of the City, its officers, agents or employees, who are directly responsible to the City, and in connection therewith: (a) Contractor will defend any action or actions filed in connection with any of said claims or liabilities and will pay all costs and expenses, including legal costs and attorneys' fees incurred in connection therewith; (b) Contractor will promptly pay any judgment rendered against the City, its officers, agents or employees for any such claims or liabilities arising out of or in connection with the negligent performance of or failure to perform such work, operations or activities of Contractor hereunder; and Contractor agrees to save and hold the City, its officers, agents, and employees harmless therefrom; (c) In the event the City, its officers, agents or employees is made a party to any action or proceeding filed or prosecuted against Contractor for such damages or other claims arising out of or in connection with the negligent performance of or failure to perform the work, operation or activities of Contractor hereunder, Contractor agrees to pay to the City, its officers, agents or employees, any and all costs and expenses incurred by the City, its officers, agents or employees in such action or proceeding, including but not limited to, legal costs and attorneys' fees. 5.0 TERM 5.1 Term. Unless earlier terminated in accordance with Section 5.2 below, this Agreement shall continue in full force until June 30, 2005. 5.2 Termination Prior to Expiration of Term. Either party may terminate H:\USERS\ENG\Contr.Agreements\D&D Painting-Decorative Light Pale Repainting, CP#04-04.wpd -3- this Agreement at any time, with or without cause, upon thirty (30) days' written notice to the other party. Upon receipt of the notice of termination, the Contractor shall immediately cease all work or services hereunder except as may be specifically approved by the Contract Officer. In the event of termination by the City, Contractor shall be entitled to compensation for all services rendered prior to the effectiveness of the notice of termination and for such additional services specifically authorized by the Contract Officer and City shall be entitled to reimbursement for any compensation paid in excess of the services rendered. 6.0 MISCELLANEOUS 6.1 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 against or segregation of, any person or group of persons on account of race, color, creed, religion, sex, marital status, national origin, or ancestry in the performance of this Agreement. Contractor shall take affirmative action to ensure that applicants are employed and that employees are treated during employment without regard to their race, color, creed, religion, sex, marital status, national origin or ancestry. 6.2 Non-liability of City Officers and Employees. No officer or employee of the City shall be personally liable to the Contractor, or any successor in interest, in the event of any default or breach by the City or for any amount which may become due to the Contractor or to its successor, or for breach of any obligation of the terms of this Agreement. 6.3 Conflict of Interest. No officer or employee of the City shall have any financial interest, direct or indirect, in this Agreement nor shall any such officer or employee participate in any decision relating to the Agreement which effects his financial interest or the financial interest of any corporation, partnership or association in which he is, directly or indirectly, interested, in violation of any State statute or regulation. The Contractor warrants that it has not paid or given and will not pay or give any third party any money or other consideration for obtaining this Agreement. 6.4 Notice. Any notice, demand, request, document, 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 prepaid, first-class mail, in the case of the City, to the City Manager and to the attention of the Contract Officer, CITY OF PALM SPRINGS, P.O. Box 2743, Palm Springs, California 92263, and in the case of the Contractor, to the person at the address designated on the execution page of this Agreement. 6.5 Interpretation. The terms of this Agreement shall be construed in accordance with the meaning of the language used and shall not be construed for or against either party by reason of the authorship of this Agreement or any other rule of construction which might otherwise apply. 6.6 Integration; Amendment. It is understood that there are no oral agreements between the parties hereto affecting this Agreement and this Agreement supersedes and cancels any and all previous negotiations, arrangements, agreements and understandings, if any, between the parties, and none shall be used to interpret this Agreement. This Agreement may be amended at any time by the mutual consent of the parties by an instrument in writing. H:\USERS\ENG\Contr.Agreements\D&D Painting-Decorative Light Pole Repainting, CP#04-04.wpd -4- 6.7 Severability. In the event that part of this Agreement shall be declared invalid or unenforceable by a valid judgment or decree of a court of competent jurisdiction, such invalidity or unenforceability shall not affect any of the remaining portions of this Agreement which are hereby declared as severable and shall be interpreted to carry out the intent of the parties hereunder unless the invalid provision is so material that its invalidity deprives either party of the basic benefit of their bargain or renders this Agreement meaningless. 6.8 Waiver. No delay or omission in the exercise of any right or remedy by a nondefaulting party on any default shall impair such right or remedy or be construed as a waiver. A party's consent to or approval of any act by the other party requiring the party's consent or approval shall not be deemed to waive or render unnecessary the other party's consent to or approval of any subsequent act. Any waiver by either party of any default must be in writing and shall not be a waiver of any other default concerning the same or any other provision of this Agreement. 6.9 Attorneys' Fees. If either party to this Agreement is required to initiate or defend or made a party to any action or proceeding in any way connected with this Agreement, the prevailing party in such action or proceeding, in addition to any other relief which may be granted, whether legal or equitable, shall be entitled to reasonable attorney's fees, whether or not the matter proceeds to judgment. 6.10 Corporate Authority. The persons executing this Agreement on behalf of the parties hereto warrant that (1) such party is duly organized and existing, (ii) they are duly authorized to execute and deliver this Agreement on behalf of said party, (iii) by so executing this Agreement, such party is formally bound to the provisions of this Agreement, and (iv) the entering into this Agreement does not violate any provision of any other Agreement to which said party is bound. SIGNATURES ON NEXT PAGE H:\USERS\ENG\Contr.Agreements\D&D Painting-Decorative Light Pole Repainting, CP#04-04.wpd -5- IN WITNESS WHEREOF, the parties have executed and entered into this Agreement as of the date first written above. CITY OF PALM SPRINGS ATTEST: �J (I aammunici�pal corporation ��Lj By: 4 V '� 1�' \By.,.s`���-'c0" � yncity Clerk City Manager CONTRAC OR: D& Painting Check one —Individual_Partnership_Corporation 41- 10 Boardwa k, Sui e A-10 Pal Desert,CA 9221 Corporatio s require two notarize i natur s One from each of the following. A Chairman of Board, President, or any Vice President: D B.Secret ry,A (an cr ary,Treasurer,Assistant Treasurer,or Chief Financial Officer) By: By Signature(notariz d) Signature(notarized) Name �g �e-Olwek rci— Name_ Title: ,f, _ Title _ Address: Sep— GA&ve.S-a 0-�3aJe. Address: State of CUlI-Fo rn\�} State of i County of County of fss On t5 , [3.o0u{ before me, On before me, 0,o,rrr;e Az�o\mej, Noisy P,44io personally appeared Door UU\V_%Vc. personally appeared nown o (or proved to me on the basis of personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s� whose name(c) satisfactory evidence) to be the person(s) whose name(s) is/ere subscribed to the within instrument and acknowledged Ware subscribed to the within instrument and acknowledged to me that he/sWthey executed the same in his/heMheir to me that he/she/they executed the same in his/her/their authorized capactty(ies), and that by his/#ierf6he+r signatures) authorized capacity(ies), and that by his/her/their signature(s) on the Instrument the person(# or the entity upon behalf of on the instrument the person(s), or the entity upon behalf of which the person(s}acted, executed the instrument. which the person(s)acted,executed the instrument WITNESS my hand and official seal "" / WITNESS my hand and official seal. Notary Signature: G1.11.�.e--� \`—CAlvwwl Notary Signature Notary Seal: �--� Notary Seal Agreement over/under $25,000 CABBIE ROVNEY Reviewed and approved by Commission#1348457 Z : ,mt Notary Public-California f Procurement & Contracting ~ e Riverside County — Mycomm_E,�re_Marzs�soob1 £xaEtialsDate H:\USERS\ENG\Contr.Agreements\D&D Painting-Decorative Light Pole Repainting, CP#04-04.wpd -6- �. .� .� -� .�J�. �.. ._ _ �, � � - .�,... �. ,�� .- ,I . . . EXHIBIT "A" SCOPE OF SERVICES Repaint in place all decorative light poles on North Palm Canyon Drive from Amado Road to South of Baristo Road and on Tahquitz Canyon Way from Belardo Road to Indian Canyon Drive. Work to include cleaning pole surfaces, sanding, removing stickers, tape, etc., removing and replacing light hardware, applying one coat of exterior acrylic matte finish, color to match sample. Color to be Sherwin Williams #SW2810 "Rockwood Sash Green". Contractor to furnish all labor and materials. All work and cleanup shall be completed according to standard practices and in accordance with all Municipal, State and Federal laws. H:\USERS\ENG\Contr.Agreements\D&D Painting-Decorative Light Pole Repainting, CP#04-04.wpd -7- SCHEDULE B SCHEDULE OF COMPENSATION Compensation shall be on a unit price basis as follows: Estimated Quantity Unit Unit Price Total 78 each $300 $23,400 Payments shall be made on a unit price basis, no more often than once per month, based on a city approved invoice from Contractor. Time of completion is 45 working days from first day of work. Final payment to be approved by City within 30 days of completion of all work. H:\USERS\ENG\Contr.Agreements\D&D Painting-Decorative Light Pole Repainting, CP#04-04.wpd -8- Client#:23812 2DDPAINT ACORDT. CERTIFICATE OF LIABILITY INSURANCE I 1DATE(MMID 1/10104DNYYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HRH Insurance Services of ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Southern Calif LIC#0684503 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 77-564 Country Club Dr.,#401 Palm Desert,CA 92211 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Progressive Casualty Ins.Co. 24260 D D Painting INSURER B: 41-910 Boardwalk#A-10 INSURERC' Palm Desert,CA 92211 INSURER D: INSURER E 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,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSRADO'L I TYPE OF POLICY NUMBER POLICYEFFECTIVE POLICYEXPIRATION LIMITS LTR INSR[ DATE(MMIDDIYY) DATE(MMIDONYI GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMIISESOeoocinrDencel S CLAIMS WOE ❑OCCUR MED EXP(Any one p.rscn) $ PERSONAL&ADV INJURY $ GENERALAGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP ASS $ 7 POLICY n PRO- JECT I LOG A AUTOMOBILE LIABILITY 024528410 01/16/04 01/16/05 COMBINED SINGLE LIMIT ANYAUTO (Enacddem) $500,000 _ ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS - (Per accldenl) $ PROPERTY DAMAGE $ (Peraccident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANYAUTO OTHER THAN EA ACC S AUTO ONLY AGO $ EXCESSIUMBRELLA LIABILITY _EACH OCCURRENCE 5 OCCUR CLAIMS MADE AGGREGATE $ a DEDUCTIBLE $ RETENTION $ WC STATT- $ WORKERS COMPENSATION AND I TORY LIMITS I 10ER EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED] E.L.DISEASE-EA EMPLOYEE S If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT S OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Palm Springs DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL ,-30— DAYS WRITTEN Attn:Jan Anderson NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 3200 Tahquitz IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Palm Springs,CA 92262 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08) 1 of 1 #S154009/M129285 L✓✓ffJJ(��(/( +"�,UB_'-�"`r'`2GGRE © ACORD CORPORATION 1988 LICENSE #0684503 r 6 2004 12: 39PM No. 212L P. 2/2 DATE IMMIDDfvy) U41 =M ilt ` A tIN:I 3:�Q'RIIjo . , I, L '3 -R00A Bnrknar THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION T-Ins &. Fin Srvcs, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 371 Ta,'211am Street Suite 101 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, P11 Box. $343 COMPANIES AFFORDING COVERAGERiverside, CA 92501 COMPANY Redland Insurance Company95,7788-8500 . . . fax951-788-2994 A c/o ARM, of CaliforrLja COMPANY B Ste. A-:LQ COMPANY C Palm Desert CA 92211 COMPANY 1� 1) ­4 k ­11 W."I" " q w 1�p ro ,Z��"1:1...�?'�.�;.,.g:I-� ,een is N I'Y'N' MR -i TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED 13PI-OW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Co OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION LLTR E POLICY NUMBER DATE(MMIDD/VY) DATE IMMADVINY; LIMMO 3l;W7ALUAVILITY GENERAL AGGREGATE 0 IVAI,GENERAL LIABILITY PRODUCTS-COMPIOP AGG S ,CAMS MADE 11 OCCUR -PERSONAL 4 ADV I IJURY UWNEF-5&CONTRACTOR'S PROT EACH OCCURRENCE FIRE DAMAGE.(Any on6 fin,) 0 MIED EXP(Any one verson) $ LIABILITY COMBINED SINGLE JMIT 1 $ Vil AU-0 A_L OWNED AUTOS111 BODILY INJURY 4 SCHEDULED AUTOS IF., Iply HIRED AUTOS BODILY INJURY I NON-OWNED AUTO$ IPA,"oldequ PROPERTY DAMAGE' 6 1,14 1',IAs?LITY AUTO ONLY-EA AC CIDQNT ANY AUTO OTHER THAN AUTO ONLYt EACH ACCIDENT AGGR EGATE EACH OCCURRENCE_ -"Rq�-ILA'QTM AGGREGATE THAN UMBRELLA FORM WORKERS COMPENSATION AND O1/01/2004 C)J/O:L/2005 X I Ty w.PsTATU OTN- lf[ EMPLOYIERS'LIAMILITY LIMITS R INCL EL EACH ACCIDENT 41,000,000 THE PROPRIETOR/ EL 0185ASE-FOLIC) LIMIT 41,000,000 EXCL EL DISEASE.GA EMPLOYEE 41,000,000 lr"O�"on of In8tirance, OMK�295*'0 IAN 1 ,City of Palm springs; SHOULD ANY Or THE ABOVE DESCRIBED POLICIES 09 CANCELLED SUGAR THE 7­ 7,,e3erS= EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL _ Palm Canyon 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, notice for non- CA P:�26;2 LIKBRE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE R qg'.' TIRE 8Gg'o:igp "%"g. 910 DDP12.910 ,04 12:38p� I l Kleine Development f Yy -yu-uH Iur u .3u V 76D 776 4842 p. 1 MIK NO. 760 321 1287 P. 01 _ RTIFICATE 4F LIABILITY INSURANCE °"Y`IM"'"°Y ' `I= iD/s/zoD4 i;M!S_N'SURANCE SERVICES 1 I THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION (L.I C'i' 0739706 l ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE i f J 1 ?O BOX 2300 I HOLDER THIS CERTIFICATE DOES NOT ANEW, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLIOIES 9ELOW. GTSEAL CITY CA 92234 --1 (760) 321-1746 INSURERS AFFORDING COVERAGE `iNSURERT$�TTSU.A✓T$ INSURNCG COMPANY Y�i { I I II3gA-M.yA$K SOT_^_a A-1C L '-IIPATM EyERIP CA 92260 'INBURERs. fCIE$WP INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING "( WrPN'-+I i'•,11':`� ICATE MAY SE ISSUrO 00 T`7:^l"RANCE" FORDED BY THE POUC1E5 DESCRIBEDERM OR CONDITION OF ANY OONTRAC`r OR EHE:REINC IS SUBJECT TONT WITH SALL THE TOTMSPECT TO HE%CLUSfONS THIS FAND CONON'IONS OF SUCH 11.C;C-04CA7�LLIlTF SNCWN KRYNAVE SEEN REDUOED BY PAID CLAUNS. 4- 1 T,'c OF INSVMNCE PIXJGY NUMBER .POl1CY EFFCCiIY�jPOLU'�Y l�l IW'�i ."_ ..�"-- r _ DAM(MMNUM'1 DATE(MWDWM IRVTS ,) 1;t^ i;_GENgTIy.LlA80.8y :EACH OCCURRENCE .$ 11 000r 00U I _X-tOwAEacuL GENERAL_uABIu1' ! .FIRE°IAy1GEIMY �5C1_•• S 5'c O�GI CUiM9 MADE =X OCCUa .0U0 __ _ CT-.$097r78i 2/13/2009 2/13/2005 NF .pEggOw.LyapV iNJUR`� '6EsiA1,AGGREGATES 2r Uv L'r OvJ __L AGGRcGA�L�NF A=PLI@$P[R•[ pRODUCY5_COMPIOP AGG .3 I r 0 0 C.O0G-{III POLICY :PJEGY x :LOC AOTOMOSILE LWBILIT' .CON IED SINGLE UM17 11 ANYAUTO A'_.6WNE,QAVIOS JTCI 'GOULLYIIU 3 URY G-=D6L`.J AJTC$ :fPU7p,p�) •1•�9A1fT�5 -- BpDIU'INJURY S { Co AL!YOS IPel saldwl PROPERTY Q, GE l 5 "GARAGE uABiuTY j AUTO ONLY.Eq pCCI01eNT ANYAmTO EA AGC_s. -_ OTHI TH AUTOAN ... _. --.� :AVTO ONLY; AGG,S Z:;Cz6.3 LLA;nury EACH OCCURRENCE 5 ! =OCCUR - ^CLA'MS MADE %nGGREGATe - ---3 DEDUCTIBLE WG S1AfV��-'OYI4. E.L.EACH ACCIDENT r s_ 'E.L OSEASS fA EMPAYF.E S 1 �_ - •EL MEASE-POLICY LIMIT:S G N£R cFutn6:Yyi/,.C.RS'.ON^NE]Rc��.:EKCWSIONS ACOEO RY ENWRSEMENTFPFiTAL PRW161tlNS - -. r0_..DER L'_STS] AS -'QDITIONAL !NSURSD AS PCsd POLYCY LIMITS AND/OR EXCIOSIONS i 1 i DErR ADDmON&INSUREOp IN59RER LETTER CANCELLATION SNOULDANYOFTNEABOVE DESCRIOEO POUGES BECANCIILED BEFORE THE EXPIRATION `•T :Y OF PATw SPRI�G5 GATE TNENGOF,THEl55UING INSVRE0.VALE ENDEAVOR T:MAIL 3C OAYGWRITTEN NOTICEYO THE CBRTFICATE NOLDERNAMW TOTIE LEPI.BUTFMWRETO OO SD SMALL v IMPOSE NO DIICICAYION OR LLHBILITY OF ANY%IND LiPOe-THE IH3YRER.IYG AGENTS OR I3200 TAHQUITZ E. 2fi�u CANYON REPRtsNooffuCA ( ;� ,// c771-,XGS CA 92213 IAIm10NG:ED REP TA l 1 ;;l:�5•F{?J97) �— O ACIDRO CORPORATION 19W ','L:F",V v1.9.E M 1015*4-S-0ECY USNV LR:LPW V+9AW IWS •9:06 by U&Trf" e ,,. CONTRACT ABSTRACT Contract .�'�r v• '��� � * �\ Company Name: D&D Painting Company Contact: Doug DeOliveira Summary of Services: CP#04-04, Downtown Decorative Lighting Pole Repainting y Contract Price: $23,400 16 Funding Source: 811-8191-65163 Contract Term: Until June 30, 2005 Contract Administration Lead Department: Public Works & Engineering r Contract Administrator: David Barakian /Jan Anders6m� r Contract Approvals \ f �Y Council/Community Redevelopment \ Agency Approval Date: City Manager Approval Minute Order/Resolution Number: N/A Agreement Number: TBA Contract Compliance Exhibits: Signatures: -kkAn-NA Bonds: �31K Contract prepared by: � Submitted on: 11�l?'��r� By -��h 'I DDPAINT-01 MFELIX M(MWDDNY DAM 12/29/2022 CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsemen s . PRODUCER License 1110757776 C CT Marlbel Felix HUB International Insurance Services Inc. 75030 Gerald Ford Drive Suite 201 PHONE FAX fAIC. No, Ert: JAIC, N0: Wp .maribei.feiix hubintemational.com Palm Desert, CA 92211 INSURERS) AFFORDING COVERAGE NAICR INSURERA:GuideOne Mutual Insurance Company 15032 INSURED INSURER a: Everest Premier Insurance Company 16045 INSURER C: D D Painting, Inc. INSURER O: 68380 Kleley Road Cathedral City, CA 92234 INSURER E: INSURER F: CnV PAGES CERTIFICATE NUMRFR REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADD SUB POLICY NUMBE0. POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE E 1,000,000 CLAIMS -MADE OCCUR X X 70K100761-01 10/15/2022 1Oil 5/2023 DAMAGE TO RENTED 100,000 MED EXP (Any one mp 5,000 PERSONAL& AOV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑X 70cof ElLOC GENERAL AGGREGATE E 2,000,000 PRODUCTS -COMPIOP AGO $ 2,000.000 S OTHER: A AUTOMOBILE LIABILITY COMBINEDEalexxt. SINGLE UNIT E 1,000,000 BODILY INJURY Per Person) $ X ANY AUTO X X OK100761-01 10/15/2022 10/16/2023 BODILY INJURY Per aNden E OWNED SCHEDULED AU�RRTEEO��S ONLY AUTOS SSWNEp d2eOP m AMAGE E X 08 ONLY X AUTOSONLY UMBRELLA W1B OCCUR EACH OCCURRENCE E AGGREGATE EXCESS LIAR CLAIMS41ADE DED RETENTIONS B WORKERS COMPENSATION AND EMPLOYERS' UABIUTY ANY PROPREIETgOERpMARTNEIVEXECUTNE YIN (M iMaWrYJ NHI EXCLUDED? �Y IrA NH) NIA 7600022087231 1l1/2023 111/2024 X I PER _ OTIL AT E.L. EACH ACCIDENT 11000,000 E.L. DISEASE -EA EMPLOY 1,000,000 E E.L. DISEASE-POUCY UNIT 1,000,000 IT yes, describe under DESCRIPTION OF OPERATIONS below A Equipment Floater 70KI00761-01 1011512022 10/15/2023 Rental Equipment 5,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule may be assured If more space is required) The City of Palm Springs, its officials, employees and agents are included as Additional Insureds per the attached endorsement. This insurance is primary and non-contributory over any insurance. Waiver of Subrogation applies to all policy per attached endorsement. 30 Days writtenagr� �K Iygn [o the Named Insured should any of the above policies be cancelled before the expiration date. t11i _t L JAN 0 4 2023 ORy Hall CERTIFICATE HOLDER CANCELLATION neCUPPOn vesK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Palm Springs THE EXPIRATION DATE ACCORDANCE WITH THE OL THEREOF,ICE WILL BE DELIVERED IN PROVISIONS. 3200 E. Tahquitz Canyon Way Palm Springs, CA 92263-2743 �REPRESENTATIVE AUTHORIZED ACORD 25 (2016/03) m 1988.2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 70K100761 01 00 CA COMMERCIAL AUTO CA 04 44 10 13 (AutoBlktWaiver) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: D D Painting, Inc. Endorsement Effective Date: SCHEDULE Name(s) Of Person(s) Or Organization(s): Blanket where required by written contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident' or the "loss" under a contract with that person or organization. CA 04 44 10 13 (AutoBlktWaiver) © Insurance Services Office, Inc., 2011 Page 1 of 1 POLICY NUMBER: 70K100761 01 00 CA COMMERCIAL AUTO GO CA Al 2003 (07 20) (Blkt) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM This endorsement chances the oolicv effective on the inception date of the oolicv unless another date is indicated below. Endorsement effective GuideCine Mutual Insurance Company Named Insured Countersigned by D D Painting, Inc. (Authorized Representative) WHO IS AN INSURED (under Section II — Liability Coverage, A.1) is amended to include as an "insured" the person or organization shown in the Schedule with respect to the operation, maintenance, or use of a covered "auto" you own if: 1) You are obligated to add that person or organization, as an additional insured to this policy by: a. an expressed provision of an' insured contract", or written agreement, or b. an expressed condition of a written permit issued to you by a governmental or public authority, and 2) The "bodily injury' or "property damage' is caused by an "accident" which takes place after. a. You executed the "insured contract" or written agreement; or b. The permit has been issued to you. SCHEDULE Blanket as required by an expressed provision of an "insured contract', or written agreement; or an expressed condition of a written permit issued to you by a governmental or public authority and effective during the policy period as stated on the policy declarations. GO CA Al 2003 (07 20) (Blkt) Page 1 of 1 POLICY NUMBER: 70K100761 01 00 CA COMMERCIAL GENERAL LIABILITY CG 20 10 12 19 (Blkt) 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) Locations Of Covered Operations Blanket as required by written contract and effective Primary Insurance applies: it is agreed that such during the policy period as stated on the policy insurance as is afforded by this policy for the declarations. benefit of the additional insured shown shall be primary insurance, and any other insurance maintained by the additional insured(s) shall be excess and noncontributory as respects any claim, loss or liability allegedly arising out of the operations of the named insured or its subcontractors, provided however that this insurance will not apply to any claim loss or liability which is determined to be solely the result of the additional insured's negligence or solely the additional insured's responsibility. 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 ads or omissions; or 2. The ads or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law: and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment 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 CG 20 10 12 19 (Blkt) 0 Insurance Services Office, Inc., 2018 Page 1 of 2 2. That portion of "your work' out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. Page 2 of 2 © Insurance Services Office, Inc., 2018 CG 20 10 12 19 (Blkt) POLICY NUMBER: 70K100761 01 00 CA COMMERCIAL GENERAL LIABILITY CG 24 04 12 19 (Blkt) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS SCHEDULE Name Of Person(s) Or Organization(s): Blanket as required by written contract and effective during the policy period as stated on the policy declarations. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. I 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 against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. CG 24 04 12 19 (Blkt) © Insurance Services Office, Inc., 2018 Page 1 of 1 DDPAINT-01 ACORD' CERTIFICATE OF LIABILITY INSURANCE DATE IMMMDNYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer riahts to the certificate holder In lieu of such endorsement(s). PRODUCER HUB International Insurance Services Inc. 75030 Gerald Ford Drive Suite 201 Palm Desert, CA 92211 INSURED D D Painting, Inc. 68380 Kieley Road Cathedral City, CA 92234 COVERAGES CFRTIFICATF NUMRFR- 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 MATH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP UMn3 -LMA X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE �X OCCUR 7OK100761-01 1011512022 10/1512023 EACH f 1,000,000 DAMAs 100,000 MED E t&ADVINJURY 5,000 PERSOY 1,000,000 GENL AGGREGATELIMITAPPUES PER: POLICY r7 JECT LOG OTHER. GENE 2,000.000 PRODACaO 2,000,000 A pVTOMOBILE LMBIUTY X ANY AUTO OWNED SCHEDULED AUTOS ONLYNX ANNNUp�TNO��SWysNr.NEEop X AUTOS ONLY AU70.50NLY 70KI00761-01 1011512022 1011512023 COMBINED SINGLE LIMIT f 1,000,000 BODILY INJURY Per Medn BOOpDILY INJURY Par PM Ec Z IMAGE f UMBRELLA LVIB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE DED I I RETENTIONS B WORKERS COMPENSATION ANY EMPLOYERS' LIABIUTV ANY PROPREIETOftIPARTNER/E%ECUTIVE YIN (MFiICCat in BER EXCLUDED? � (M NHI If m des& under DESCRIPTION OF OPERATIONS EeIaw NIA 6OW22087231 1/1/2023 1MI2025 X PER OTH- EL EACH ACCIDENT 1,000,000 EL. DISEASE EA EMPLOYEE S 1,000.000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 A Equipment Floater 0KI00761-01 10115(2022 1011512023 Rental Equipment 5,000 DESCRIPTION OF OPERATIONS I LOCATONS I VEHICLES (ACORD 101, Addelorul Remarks Schedule, may Im aeached U mm space Is maulmd) RECEIVED Evidence of Insurance Only. ,MN 042023 ReaepHall tlOn Desk City of Palm Springs Attn: City Clerk 3200 E. Tahquitz Canyon Way Palm Springs, CA 92263-2743 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. A_U'rHHORIIZEDD REPRESENTATIVE "F4' "X ACORD 25 (2016103) 91988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD A 000-L /`a"N DDPAINT-01 MFELIX DAT121/2O/YYYYI 921/2022 ACORO' CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the caftolaMn lieu of such endorsements . PRODUCER License # 0757776 aRarCT Maribel Felix HUB International Insurance Services Inc. 75030 Gerald Ford Drive SEP '2 7 ZO Suite201 ZZ PHONE FAX (AIC, No, Ext): No: E .maribel.felix hubinternatlonal.com Palm Desert, CA 92211 Office of the Cit Y Clerk INSURERIS) AFFORDING COVERAGE N Cp INSURERA:GuideOne Mutual Insurance Company 15032 INSURED INSURER B : INSURERC: D D Painting, Inc. INSURER D: 68380 Kieley Road Cathedral City, CA 92234 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 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 MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADO SUBft POLICY NUMBER POLICY EFF 10/15/2021 POLICY UP 10/15/2022 UNITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR X X 70K100761-00 EACH OCCURRENCE f 1,000,000 DAMAGETORENTED PREMISES IF occumarmal 100�000 $MED EXP (Any one S 5,000 PERSONAL aADV INJURY 3 1,000,000 ENL AGGREGATE LgIMpIT. APPLES PER: POLICY ❑X yECT LOC GENERAL AGGREGATE 2,000,000 PRODUCTS - COMPIOP AGE $ 2,000,000 A AUTOMOBILELUIBIIUTY ANY AUTO OWNEDSCAAUTHSSWUN�EDp AUr05 ONLY X AUT0.50NLY X X 70K100761-00 10/15/2021 10M5/2022 COMBINED SINGLE UNIT f 1,000,000 X BODILY INJURY Per E BODILY INJURY Per S X OPERTY AMAGE e acdEent UMBRELLA UAB EXCESS UAB OCCUR CLAIMSMADE EACH OCCURRENCE AGGREGATE DEO I I RETENTIONf WORKERS COMPENSATION AND EMPLOYERS' UABILnY YIN AQ..FFICEOW}P�REIM6OERwEXCLUDEDi ECUTNE ""alMatory In NHI M yea, d scribe under DESCRIPTION OF OPERATIONS below NIA PER OTH. E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE S E.L DISEASE - POLICY UNIT A Equipment Floater 70K700761-00 10/15/2021 10/15/2022 Rental Equipment 5,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 1e1, Addi tonal Remarks Schedule, may be attached It mom space Is required) This certificate supercedes previous certificate The City of Palm Springs, its officials, employees and agents are included as Additional Insureds per the attached endorsement. This Insurance is primary and non-contributory over any insurance. Waiver of Subrogation applies to all policy per attached endorsement. 30 Days written notice will be given to the Named Insured should any of the above policies be cancelled before the expiration date. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Palm Springs s 9 Cityof S THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 3200 E. Tahquitz Canyon Way Palm Springs, CA 92263.2743 AjUUTT Hate-O-RGUED^REPRESENTATIVE V ACORD 25 (2016103) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 70K100761 00 00 CA COMMERCIAL GENERAL LIABILITY CG 20 10 12 19 (Blkt) 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 anlzatlon s Locations Of Covered Operations Blanket as required by written contract and effective Primary Insurance applies: It is agreed that such during the policy period as stated on the policy insurance as is afforded by this policy for the declarations. benefit of the additional Insured shown shall be primary insurance, and any other insurance maintained by the additional insured(s) shall be excess and noncontrlbutory as respects any claim, loss or liability allegedly arising out of the operations of the named insured or its subcontractors, provided however that this insurance will not apply to any claim loss or liability which is determined to be solely the result of the additional insured's negligence or solely the additional Insured's responsibility. 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) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law, and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after. 1. All work, including materials, parts or equipment 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 CG 20 10 12 19 (Bikt) © Insurance Services Office, Inc., 2018 Page 1 of 2 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured Is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of Insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. Page 2 of 2 © Insurance Services Office, Inc„ 2018 CG 20 10 1219 (Blkt) POLICY NUMBER: 70K100761 00 00 CA COMMERCIAL GENERAL LIABILITY CG 24 0412 19 (Blkt) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS SCHEDULE Name Of Person(s) Or Organizatlon(s): Blanket as required by written contract and effective during the policy period as stated on the policy declarations. 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 against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. CG 24 04 12 19 (Blkt) © Insurance Services Office, Inc., 2018 Page 1 of 1 POLICY NUMBER: 70K100761 00 00 CA COMMERCIAL AUTO CA 04 44 10 13 (AutoBlktWalver) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception dale of the policy unless another date is indicated below. Named Insured: D D Painting, Inc. Endorsement Effective Date: SCHEDULE Blanket where required by written contract. I Information required to complete this Schedule, if not shown above, will be shown in the Declarations. I The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident' or the 'loss" under a contract with that person or organization. CA 04 44 10 13 (AutoBlktWaiver) © Insurance Services Office, Inc., 2011 Page 1 of 1 POLICY NUMBER. 70KI00761 00 00 CA COMMERCIAL AUTO GO CA At 2003 (07 20) (Blkt) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED This endorsement modlfies insurance provided under the following: I_i�bylr•C�3.�19ZiIKe]�:Z[eI�Yi77rr This endorsement chances the policv effective on the Inception date of the Dolicv unless another date is indicated below Endorsement effective GuideOne Mutual Insurance Company Named Insured Countersigned by D D Painting, Inc. (Authorized Representative) WHO IS AN INSURED (under Section II — Liability Coverage, AA) is amended to include as an "insured" the person or organization shown in the Schedule with respect to the operation, maintenance, or use of a covered "auto" you own if: 1) You are obligated to add that person or organization, as an additional insured to this policy by: a, an expressed provision of an "insured contract", or written agreement; or b. an expressed condition of a written permit issued to you by a governmental or public authority, and 2) The "bodily Injury" or "property damage" is caused by an "accident" which takes place after: a. You executed the "insured contract' or written agreement; or b. The permit has been issued to you. Blanket as required by an expressed provision of an "insured contract", or written agreement; or an expressed condition of a written permit Issued to you by a governmental or public authority and effective during the policy period as stated on the policy declarations. GO CA Al 2003 (07 20) (Blkt) Page 1 of 1 DDPAINT-01 CERTIFICATE OF LIABILITY INSURANCE I DgTE(MMI^^„Y) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer riahts to the certificate holder in lieu of such endomement(s). PRODUCER ---.......,..., -su lYCJJ HUB International Insurance Services Inc. 75030 Gerald Ford Drive SEP 2 7 Suite 201 2022 Palm Desert, CA 92211 D D Painting, Inc. 68380 Kieley Road Cathedral City, CA 92234 COVFRAr.FS CERTIFICATE NUMBER: 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 NMICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADOL SJBR POLICY NUMBER POLICY EFF POLICY UP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX1 OCCUR 70K100761-00 1011Sf2021 1011512022 EACH OCCURRENCE f 1,000,000 DAMAGETORENTED PREMISES (Ea occuremal $ 100.00 MED EXP (My one 5,000 PERSONAL f ADV INJURY 1,000,000 GEN'L AGGR G TE LIMIT APPLIES PER: POLICYLX JELVT LOC OTHER GENERAL AGGREGATE 2,000,000 PRODUCTS -COMPIOP AGG 2,000,000 A AUTOMOBILE LUIBILRY ANY AUTO OWNED SCHEDULED AUpTE0', ONLY AAUUTTOSSy�N�p Ix AUTOS ONLY X AUTOS ONLY 70K100761-00 10115/2021 1011512022 COMRI den SINGLE LIMIT $ 1,000,000 BODILY INJURY Per f BODILY INJURY PWOCCiderd f d2eOPE�R�1nt AMAGE UMBRELLA LIMB EXCESS LUIB OCCUR CVJMS�AADE EACH OCCURRENCE f AGGREGATE DED RETENTIONS WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN OFFICERNEMOPRIETgO�RqIPAREXCNEE � ECUT (Mandatory In NH) I S 011—T 1UF'WO OE CRIPTION OF OPERATIONS hebx NIA PER OTH. E.L. EACH ACCIDENT EL DISEASE - EA EMPLOYEE S EL. DISEASE POLICY LIMIT f A Equipment Floater OK100761-00 10H512021 10/1612022 Rental Equipment 5,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addldcml Remarks Schedule, may be attached if nwe pea Is ragebed) This certificate supercedes previous certificate Evidence of Insurance Only. City of Palm Springs Attn: City Clerk 3200 E. Tahqultz Canyon Way Palm Springs, CA 92263-2743 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 (2016103) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DDPAINT-01 ACORO° CERTIFICATE OF LIABILITY INSURANCE �/ DAT DIYYYY) � L 1113/2/3/2023 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 pollcy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer riahts to the certificate holder in lieu of such endorsementis). PRODUCER m m.,,,v HUB International Insurance Services Inc. 75030 Gerald Ford Drive Suite 201 Palm Desert, CA 92211 INSURED D D Painting, Inc. 68380 Kieley Road Cathedral City, CA 92234 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADOL INSQPOLICY SUB NUMBER POUCYEFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR 70KID0761-02 10/15/2023 10/16/2024 EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED 100,000 MED EXP (Any ore 5,000 PERSONAL S ADV INJURY S "'Xio'000 GENL AGGREGATE LIMIT APPLIES PER: POLICY 1XI jea LOC OTHER: GENERAL AGGREGATE $ 2i000,000 PRODUCTS -COMPIOPAGG S 2,000,000 B AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY X AUUTTOSSy�NEp X AUTOS ONLY X AUTOS ONIV 0KI00761-02 10/15/2023 10/15/2024 COMBINED (Ea amidan SINGLE LIMIT S 1,000,000 BODILY INJURY Per S BODILY INJURY Pereaidenl �L�PER.deM,) GE S UMBRELLA UAB EXCESS UAB CLAIMS -MADE EACH OCCURRENCE HOCCUR AGGREGATE S DELI I I RETENTIONS C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE V I N OFFI%FZ9MBER E%CLUDEOY � andelory n Nyes d.flos Mder DESCRIPTION OF OPERATIONS below NIA 7600022087231 1/1/2023 1/1/2024 X PEft OEV- E.L. EACH ACCIDENT 1,000,000 E.L. DISEASE - EA EMPLOYE 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 A Equipment Floater 7OK100761-02 10115/2023 10/15/2024 Rental Equipment 5,000 DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (ACORD 101, Addittonal Remarks Schedule, may be attached N more apace IS repuired) Evidence of Insurance Only. City of Palm Springs Attn: City Clerk 3200 E. Tahquitz Canyon Way Palm Springs, CA 92263-2743 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 RP.-- ACORD 25 (2016/03) (J 1933-2015 ACUKD CUKYUKA I IUN. All ngnts reservea. The ACORD name and logo are registered marks of ACORD ' POLICY NUMBER: 70K100761 02 00 CA COMMERCIAL AUTO CA 04 44 10 13 (AutoBlktWaiver) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: D D Painting, Inc. Endorsement Effective Date: Blanket where required by written contract. SCHEDULE shown The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident' or the 'loss" under a contract with that person or organization. CA 04 44 10 13 (AutoBlktWaiver) 0 Insurance Services Office, Inc., 2011 Page 1 of 1 POLICY NUMBER: 70K100761 02 00 CA COMMERCIAL AUTO GO CA At 2003 (07 20) (Blkt) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM This endorsement chanaes the Dolicv effective on the inception date of the Dolicv unless another date is indicated below. Endorsement effective GuideOne Insurance Company Named Insured Countersigned by D D Painting, Inc. (Authorized Representative) WHO IS AN INSURED (under Section II — Liability Coverage, A.7) is amended to include as an "insured" the person or organization shown in the Schedule with respect to the operation, maintenance, or use of a covered "auto" you own if: 1) You are obligated to add that person or organization, as an additional insured to this policy by: a. an expressed provision of an "insured contract', or written agreement, or b. an expressed condition of a written permit issued to you by a governmental or public authority; and 2) The "bodily injury" or "property damage' is caused by an "accident' which takes place after: a. You executed the "insured contract' or written agreement; or b. The permit has been issued to you. SCHEDULE Blanket as required by an expressed provision of an "insured contract', or written agreement; or an expressed condition of a written permit issued to you by a governmental or public authority and effective during the policy period as stated on the policy declarations. GO CA Al 2003 (07 20) (Blkt) Page 1 of 1 POLICY NUMBER: 70K100761 02 00 CA COMMERCIAL GENERAL LIABILITY CG 20 10 12 19 (Blkt) 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) Blanket as required by written contract and effective during the policy period as stated on the policy declarations. Primary Insurance applies: It is agreed that such insurance as is afforded by this policy for the benefit of the additional insured shown shall be primary insurance, and any other insurance maintained by the additional insured(s) shall be excess and noncontributory as respects any claim, loss or liability allegedly arising out of the operations of the named insured or its subcontractors, provided however that this insurance will not apply to any claim loss or liability which is determined to be solely the result of the additional insured's negligence or solely the additional insured's responsibility. 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) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment 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 CG 20 10 12 19 (Blkt) © Insurance Services Office, Inc., 2018 Page 1 of 2 2. That portion of 'your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. Page 2 of 2 ® Insurance Services Office, Inc., 2018 CG 20 10 12 19 (Blkt) POLICY NUMBER: 70K100761 02 00 CA COMMERCIAL GENERAL LIABILITY CG 24 04 12 19 (Blkt) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS SCHEDULE Name Of Person(s) Or Organization(s): Blanket as required by written contract and effective during the policy period as stated on the policy 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 against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. CG 24 04 12 19 (Blkt) 0 Insurance Services Office, Inc., 2018 Page 1 of 1 DDPAINT-01 MFELIX I . 11i CERTIFICATE OF LIABILITY INSURANCE `� D1011 AM E1202 VY) lona/zozz 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 terns and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRooucER License # 0757776 c TACT Maribel Felix PHONE FAx INC, No, Exq: AN:, No HUB International Insurance Services Inc. 75030 Gerald Ford Drive Suite 201 JMSE.maribel.felix tubintemational.com INSUREINSI AFFORDING COVERAGE NMC• Palm Desert, CA 92211 INSURERA:GUideOne Mutual Insurance Company 15032 INSURED INSURER B : INSURER C: D D Painting, Inc. INSURER D: 68380 Kieley Road Cathedral City, CA 92234 INSURER E INSURER F: CAIMDAC-Ee r:ERTIE1r ATF MI IM RPP- REVISION NUMBER - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFF POLICY UP1119L LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000.00O CLAIMS -MADE OCCUR X X 7OK100761-01 10/15/2022 10/1512023 DAMAGES Ea oco ne 100,000 MED EXP lAny one 5,000 PERSONAL a ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PECT LOC GENERALAGGREGATE 2,000,000 PRODUCTS - COMP/OP AGO 2,000,000 OTHER: I A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,Og0,000 f BODILY INJURY JPerpemwl $ X ANY AUTO X X 70K100761-01 10/16/2022 10/15/2023 BODILY INJURY Per accident) $ AOSCHEDULED AUTOS AUTOS AONN�wOV AUOONLY nMAGEX OtA E UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE EXCESS LIAB CLAIMS -MADE DED RETENTIONS COMPENSATION YERS' LIABILITYEIIETggO��RRpIPARTNERIEXECUTME YIN NHI EXCWDE09 NIA PERST E.L. EACH ACCIDENTln E.L. DISEASE -EA EMPLOYE S EL.DISEASE-POLICY LIMIT E be antler ION OF OPERATIONS below L nt Floater 70K100761-01 10115/2022 1011512023 Rental Equipment 5,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD tel, Additional Remarks Schedule, may be attached N more space is re1whetl) The City of Palm Springs, its officials, employees and agents are included as Additional Insureds per the attached endorsement. This insurance is primary and non-contributory over any insurance. Waiver of Subrogation applies to all policy per attached endorsement. 30 Days written notice will be given to the Named Insured should any of the above policies be cancelled before the expiration date. RECEIVED OCT 2 4 2022 CERTIFICATE HOLDER CANCFI I ATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE of Palm Springs CityACCORDANCE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN WITH THE POLICY PROVISIONS. 3200 E. Tahquitz Canyon Way Palm Springs, CA 92263-2743 A/U�T/�/H1 Ou{R�I{ZfE/O��RE�/P/)R�E�SEN�TATME CJ ."" ACORD 25 (2016/03) ©1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 70K100761 0100 CA COMMERCIAL AUTO CA 04 44 10 13 (AutoBlktWaiver) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS.COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: D D Painting, Inc. Endorsement Effective Date: SCHEDULE Blanket where required by written contract. shown The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident' or the 'loss" under a contract with that person or organization. CA 04 44 10 13 (AutoBlktWaiver) © Insurance Services Office, Inc., 2011 Page 1 of 1 POLICY NUMBER: 70KI00761 01 00 CA COMMERCIAL AUTO GO CA At 2003 (07 20) (Blkt) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM This endorsement chanaes the oolicv effective on the inception date of the Dolicv unless another date is indicated below. Endorsement effective GuideOne Mutual Insurance Company Named Insured Countersigned by D D Painting, Inc. (Authorized Representative) WHO IS AN INSURED (under Section If — Liability Coverage, A.1) is amended to include as an "insured" the person or organization shown in the Schedule with respect to the operation, maintenance, or use of a covered "auto" you own if: 1) You are obligated to add that person or organization, as an additional insured to this policy by: a. an expressed provision of an "insured contract", orwritten agreement; or b. an expressed condition of a written permit issued to you by a governmental or public authority; and 2) The "bodily injury" or "property damage" is caused by an "accident" which takes place after: a. You executed the "insured contract" orwritten agreement; or b. The permit has been issued to you. SCHEDULE Blanket as required by an expressed provision of an "insured contract', or written agreement; or an expressed condition of a written permit issued to you by a governmental or public authority and effective during the policy period as stated on the policy declarations. GO CA Al 2003 (0720) (Blkt) Page 1 of 1 POLICY NUMBER: 70K100761 01 00 CA COMMERCIAL GENERAL LIABILITY CG 20 10 12 19 (Blkt) 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) Locations Of Covered Operations Blanket as required by written contract and effective Primary Insurance applies: It is agreed that such during the policy period as stated on the policy insurance as is afforded by this policy for the declarations. benefit of the additional insured shown shall be primary insurance, and any other insurance maintained by the additional insured(s) shall be excess and noncontributory as respects any claim, loss or liability allegedly arising out of the operations of the named insured or its subcontractors; provided however that this insurance will not apply to any claim loss or liability which is determined to be solely the result of the additional insured's negligence or solely the additional insured's responsibility. 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 2. If coverage provided to the additional insured is include as an additional insured the person(s) or required by a contract or agreement, the organization(s) shown in the Schedule, but only insurance afforded to such additional insured with respect to liability for "bodily injury", "property will not be broader than that which you are damage" or "personal and advertising injury" required by the contract or agreement to caused, in whole or in part, by: provide for such additional insured. 1. Your acts on 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) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and & With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment 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 CG 20 10 1219 (Blkt) 0 Insurance Services Office, Inc., 2018 Page 1 of 2 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other.than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, ,the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. Page 2 of 2 © Insurance Services Office, Inc., 2018 CG 20 10 12 19 (Blkt) POLICY NUMBER: 70K100761 01 00 CA COMMERCIAL GENERAL LIABILITY CG 24 04 12 19 (Blkt) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS SCHEDULE Name Of Person(s) Or Organization(s): Blanket as required by written contract and effective during the policy period as stated on the policy declarations. 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 against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. CG 24 04 12 19 (Blkt) ©Insurance Services Office, Inc., 2018 Page 1 of 1