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HomeMy WebLinkAbout00028C - MASSEY SAND & ROCK VILLAGE GREEN PKG LOT " pRIGINAL BID AND+(": r G EUAENT AGR 28 - Massey Sand & Rock awarded for construction of Village Green parking lot CITY OF PALM SPRINGS, CALIFORNIR Res 94, 6-20-79 DEPARTMENT OF COMMUNITY DEVELOPME_.----- -------_- SPECIAL PROVISIONS AND PROPOSAL FOR VILLAGE GREEN PARKING LOT 236 S, BELARDO ROAD PALM SPRINGS, CALIFORNIA CITY PROJECT NO, 78-37 FOR USE IN CONJUNCTION WITH REGULATIONS MENTIONED UNDER "CODES AND REGULATIONS" HEREIN KENNETH E. FEENSTRA REDEVELOPMENT DIRECTOR BID OPENING MAY 3, 1979 3 : 00 P .M. BIDDER S NAME Massey Sand and Rock Co. ADDRESS P. 0. Box 1767 , Indio, Ca. 92201 TELEPHONE NO, 714/347-8535 O PALM Al N City of Palm Springs - q��FORN�P PO BOX 1786, PALM SPRINGS, CALIFORNIA 92263 April 30, 1979 ADDENDUM NO. 1 Please attach this addendum to the Proposal, Section l: FOR VILLAGE GREEN PARKING LOT 236 South Belardo Road Palm Springs, California City Project No. 78-37 This addendum is being issued for the following changes: 1) The bid opening will change to May 10, 1979, at 3:00 p.m. The City will not consider any proposal that does not include a signed copy of this addendum. KENNETH FEENSTRA / Contractor's Acknowledgement Redevelopment Director !SON C. BRISCOE, EXECUTIVE VICE-Pi ESIDENT Date Ma3z _71 1979 SECTION 1 CITY OF PALM SPRINGS STATE OF CALIFORNIA NOTICE TO CONTRACTORS CITY PROJECT NO. 78-37 SEALED PROPOSALS for the construction of a' parking lot, City Project No. 78-37, will be received at the office of the Purchasing Agent, 425 North Civic Drive, City of Palm Springs, California, until 3:00 P.M. on May 3, 1979, at which time they will be publicly opened and read in the Purchasing Agent' s Office, for performing work as follows : Construction of a 12,357 square foot parking lot and land- scaping located at 236 South Belardo Road, Palm Springs, Ca. No bid will be considered unless it is made on a proposal form furnished by the City. Each bid must be accompanied' by cash, a certified or cashier' s check, or bidder' s bond of the prescribed form and made pay- able to the City of Palm Springs for an amount equal to at least ten (10) percent of the amount bid, such guaranty to be forfeited should the bidder to whom the contract is awarded fail to furnish the required bonds and to enter into a contract with the City within the period of time provided by the Proposal Requirements. In accordance with the provisions of Section 1773.2 of the Labor Code of the State of California, the Director of Industrial Relations has determined the general prevailing rates of wages and employer payments for health and welfare, vacation, pensions and similar purposes appli- cable to the locality In which the work is to be done. A copy of this determination is on file in the Department of Community Development of the City of Palm Springs. The Contractor shall post a copy of these prevailing wage rates at the site of this project. It shall be mandatory upon the Contractor to whom the contract is awarded to pay not less than the said specified prevailing rates of wages to all workmen employed by him in the execution of the contract. All bids are to be compared on the basis of the City Engineer' s esti- mates of the quantities of work to be done. No bid will be accepted from a Contractor who has not been licensed in accordance with the provisions of Chapter 9 of Division 3 of the Business and Professions Code. Plans, specifications, and proposals may be obtained from the Infor- mation Permit Center, located at the Building Division, City Hall , Palm Springs, California. A charge of $2.00 will be made on plans mailed out. Such requests and fees for plans and specifications to be mailed out must be addressed to the Building and Safety Director' s office. 0 SECTION 1 , NOTICE TO CONTRACTORS, PAGE 2 CITY PROJECT NO. 78-37 The special attention of prospective bidders is called to Section 2 and 3 of the General Provisions of the Standard Specifications for Public Works Construction for full details as to proposal requirements and conditions and award of contract. The City of Palm Springs reserves the right to reject any or all bids and the right to waive minor irregularities or informalities in any bonds or in the contract proposal . The successful bidder shall meet all insurance requirements of the City including but not limited to, the provisions of personal and property liability including automobile coverage and Workman' s Compensation and C.O.C. Policies, in limits acceptable to the City. All required insur- ance shall name the City of Palm Springs as' an additional insured. Dated: April 16, 1979 Publication Dates: April 19, 1979 & April 26, 1979 SECTION 2 SPECIAL PROVISIONS DESCRIPTION OF WORK The work to be done generally consists of furnishing all materials, labor, machinery, supervision, and services necessary to complete the project. The work involves: Construction' of a 12,357 sq. ft. parking lot, curb realignment, curbs, paving, lighting, (irrigation, by others) ( landscaping, by others walls, and striping. PLANS The location and limits of work to be done' are shown on drawing entitled, "City of Palm Springs, California, Village, Green Parking, consisting of three (3) sheets 24" X 36", City Project No. 78-37, which said drawings are hereby made a part of these specifications and include a grading, electrical plan and a street modification plan. (Drawing No. 2471 , Grading Plan & Lighting Plan. ) STANDARD SPECIFICATIONS a. General : The Contractor shall comply with all laws, ordinances, regulations and building code requirements governing the particular work, including but not limited to, those of: (1 ) The Building Ordinances of the City of Palm Springs, including the 1976 Edition of the Uniform Building Code as adopted by the City Council of the City of Palm Springs. (2) The Construction Safety Rules of the Division of Industrial Safety of the State of California. (3) Federal Standards of the Department of Labor, Occupational Safety and Health Administration, and all applicable State, County and City codes, ordi- nances, and regulation's having jurisdiction thereof. (4) Title 19, Public Safety, California Administrative Code, Chapter 1 State Fire Marshal . (5) The rules and regulations of the Board of Under- writers of the Pacific. (6) All work shall be done� in accordance with the plans and the "Standard Specifications for Public Works Construction," which comprises all the directions, provisions and requirements contained in the 1976 edition of the "Standard Specifications for Public Works Construction, " written and promulgated by the Southern California District Associated General Con- tractors of California Joint Cooperative Committee, as amended to date at the first publication of the invitation to bid. 0 SECTION 2, SPECIAL PROVISIONS, PAGE 2 CITY PROJECT NO. 78-37 b. Amendments: The above documents, latest editions as amended to date, are hereby made an integral part of these specifications insofar as they apply to this work. TRAFFIC CONTROL AND ACCESS A schedule of work shall be submitted to the City Engineer prior to start of work. The Contractor shall provide and maintain all necessary traffic control to protect and guide traffic for all work in the con- struction area. All traffic controls shall be clearly posted with signs prior to the beginning of any work. All traffic restrictions listed herein are to supplement other traffic regulations of the City of Palm Springs and are not intended to delete any part of these regulations. Local access shall be maintained to all properties on the project at all possible times. When local access cannot be maintained, the Contractor must notify the affected property owner at; least 24 hours in advance and restore access as soon as possible. PORTLAND CEMENT CONCRETE All Portland cement concrete shall be 560-A-3250, natural color. A.C. PAVING AR-4000 oil , 2 lifts, °3/8" Mix. IRRIGATION: 1 . Intent: The intent of the specifications is to provide a complete and efficient sprinkler irrigation system ready for use. 2. Verification of Dimensions: All plot dimensions are approximate. Before proceeding with any work, carefully check and verify all dimensions and report any variations ;to the Architect. 3. Apply and pay for all necessary permits, fees and licenses required in the pursuit of this work as required by the governing codes. 4. Source of Water Supply: Verify and be familiar with the location, size and detail of stubouts, provided as the source of water supply to the sprinkler system, as shown on plans. 5. Existing Utilities and Conditions: Prior to cutting into the soil , locate all cables, conduits, sewers, septic tanks, and other such utilities as are commonly encountered' underground and take proper precautions not to damage or disturb such improvements. If a con- flict exists between such obstacles and the proposed work, promptly notify the Architect. Proceed in the same manner if rock layer or any other condition encountered underground makes changes advisable. • i SECTION 2, SPECIAL PROVISIONS, PAGE 3 CITY PROJECT NO. 78-37 IRRIGATION: (Cont'd) 6. Standard of Installation: Material and workmanship shall be in accordance with local codes and ordinances of legally constituted authorities, except where provisions of these specifications exceed such requirements. Irrigation Contractor shall coordinate all laying of pipe and installation of sleeves with Paving Contractor. 7. Excavation shall be open vertical construction sufficiently wide to provide free working space around the work installed and to provide ample space for backfilling and tamping. 8. When two pipes are to be placed in the same trench, it is required to maintai.n a 6 inch space between pipes as a minimum. 9. Depth of trenches shall be sufficient to provide a minimum cover above the top of the pipe from subgrade as follows : 18 inch over main line, under pressure. 12 inch over non-pressure lateral lines. 10. Backfill material shall be approved soil . Unsuitable material , in- cluding clods and rocks over 2 1/4 inches in size, shall be removed from the premises and disposed of legally at no cost to the Owner. 11 . Where excavating or "jacking" is required under asphalt pavement, sidewalks, roads, etc. , care shall be taken in backfilling with sand, tamping and inundating with water. 12. Temporary Repairs: the Owner reserves the right to make temporary repairs as necessary to keep the sprinkler system equipment in operating condition. 13. Pressure Test: a. All pressure lines shall be tested under hydrostatic pressure of 100 pounds per square inch, and all non-pressure lines shall be tested under the existing static pressure and both be proven watertight. Contractor shall provide all equipment for hydrostatic tests. b. Pressure shall be sustained in the lines for not less than four (4 ) hours. If leaks develop, the joints shall be replaced and the test repeated until the entire system is proved water- tight. C. Upon completion of each phase of the work, the Contractor shall check and adjust each sprinkler head to meet the site requirements and plan. SECTION 2, SPECIAL PROVISIONS, PAGE 4 CITY PROJECT NO. 78--37 IRRIGATION: (Cont'd) 14. Coverage Test: When the sprinkler system is completed, the Con- tractor, in the presence of the Owner' s authorized representative shall perform a test coverage of water afforded the planting areas, complete and adequate. The Contractor shall furnish all materials and perform all work required to connect any inadequacies of coverage disclosed at no cost to the Owner. 15. Materials: a. Plastic Pipe: 1 . Plastic fittings shall be manufactured by pipe manu- facturer, or by Sloane Manufacturing Company. Fittings shall be Type II, Schedule 40, N.S.F. approved. 2. Lateral non-pressure lines, shall be P.V.C. Type 1 , Grade II, 1220, Class 200 pressure rated pipe as manufactured by Lasco Industries, or approved equal . 3. Pressure lines shall be P.V.C. Type 1 , Grade II, 1220, Class 315 for 1/2 inch to 1 1/4 inch Johns-Manville Blue Bell Ring Tite, 1 1/2 inch and larger. 4. Steel Pipe: American Standard Association, Schedule 40, galvanized mild steel . 5. Steel Pipe Fittings: Beaded, galvanized, threaded, malleable steel . 6. Backflow Devices: Shall be as indicated on the plans. 7. Automatic Controller: Shall be as indicated on the plan. 8. Automatic Valves: Shall be as indicated on the plans. 16. Installation: a. Install all components of the sprinkler system per details indicated and manufacturer' s recommendations. b. Reducer tees shall be used at all sprinkler risers where a pipe size changes. Bushings shall not be allowed where re- ducer tees may be used. P.V.C. saddles shall not be allowed. C. All threaded P.V.C. shall be Schedule 80. d. All changes in direction of pipe shall be made with fittings. e. Shrub and lawn heads shall be installed at their permanent elevations. f. Adjust arc's and radii of all sprinkler heads for coverage. SECTION 2, SPECIAL PROP SIONS, PAGE 5. CITY PROJECT NO. 78-37 IRRIGATION (Cont'd) 17. Guarantee: a. The entire sprinkler system work shall be guaranteed for a period of one (1 ) year from the, date of acceptance of the work. b. Should any trouble develop within the time specified due to inferior or faulty material or workmanship, the trouble shall be corrected by the Contractor without expense to the Owner. LANDSCAPING a. Warranty: Guarantee that plants for maximum of one (1 ) year, or for the duration of one full growing season, will be alive and in satisfactory growth. b. Replace dead or dying plants as soon as possible. C. Plants Used for Replacement: Same kind and size as specified in Plant List; plant, mulch, maintain and warrant as specified. d. Contractor shall properly maintain all planting and planting areas during the progress of the work and for a maintenance period of 30 days. 1 . Substitutions: Substitutions for the indicated plant materials will be per- mitted, provided the substitute materials are approved in advance by the Architect. 2. Materials: a. Organic Amendment: Fir shavings, 5% Nitrogen fortified. b. Iron Sulfate: Testing 20% iron, and 12% combined sulfur, plus or minus 1%. C. Nitrohumus: As blended by Kellogg Company. d. Gro Power as manufactured by Southern California Organic Fertilizer, c/o P.O. Box 769, Glendale, California 91209 Telephone: 213/245-6849. e. Ammonium Phosphate: Testing 16-20-0. f. Fill Soil shall not have a PH rating higher than 7.0 nor lower than 6.0; and it shall be sufficiently fertile to sustain normal , healthy plant growth. The Contractor shall take measures to assure that all top soil used in this contract is of the same composition and structure as the provided and approved sample. SECTION 2, SPECIAL PROMISIONS, PAGE 6, • CITY PROOECT NO, 78-37 LANDSCAPING (Cont'd) g. Groundcovers shall be as designated on plan and plant list. Rooted cuttings shall be grown in flats or two (2) inch pots, well rooted, sound, healthy, vigorous, free from plant disease and insects or their eggs. h. Shrubs and/or trees shall be of a variety, size and quantity as shown on the planting plan., The plants shall be delivered to the site in healthy condition and shall be properly stored and protected until planted. Plants shall be symetrical , typical for variety and species', sound vigorous , free from plant disease, insect pests or their eggs, and shall have healthy normal root systems, well filling their containers, but not to the point of being root bound. Plants not con- forming to these requirements shall be considered defective, and shall be removed from the site immediately, and replaced with approved stock at the Contractor' s expense. i . Sodded Lawn shall be Hybrid Bermuda as specified. Sod in rolls equal to that supplied by Nunes, Pacific Sod, or equal . j . Tree Stakes shall be 2" X 2" X 8' foundation grade redwood and pointed on one side. 3. Installation: a. Sod: Rototill entire area to a depth of 6 inches. Incorporate into top 4 inches of soil the soil conditioners specified in paragraph 2a, & e above. Be sure the soil is pre-irrigated to wet it to a depth of one (1 ) foot. It should be damp but not muddy. Sod should be laid in the same day it is delivered. Do not leave it in hot sun in rolls longer than necessary, and do not leave it in rolls overnight. Rool out sod carefully. Use a 2 X 4 laid on side to butt up against sod strips (which are approximately 1 ' X 5' in size) and force them into place. Stagger joints. Roll with lawn roller filled with water. It is quite important to get new sod into close contact with the soil by thorough rolling. After laying and rolling, water area thoroughly and deeply, keep sod well watered during the first two (2) weeks after installation to insure good rooting into base soil . If any lawn areas are planted prior to the planting of trees, shrubs, or other plants, the Contractor shall be responsible for any damage to the lawn caused by his operations in planting the trees, shrubs, or other plants and any damage from such cause shall be repaired by him at his expense. SECTION 2, SPECIAL PROVISIONS, PAGE 7 CITY PROJECT NO. 78-37 LANDSCAPING (Cont'd) b. No planting shall be done until operation in connection with sprinkler systems have been completed, finished grades estab- lished and planting areas properly prepared and graded. 4. Soil Preparation: a. All planted areas shall have the following material tilled into the top four (4) inches of, soil at a rate per 1000 sq. ft. : 20 lbs. Iron Sulfate 4 cu. yds. Fir Shavings 100 lbs. Gro Power 1-1/2 cu. yds. Nitrohumus 12-1/2 lbs. Ammonium Phosphate 5. Installation of Groundcover: a. Groundcover shall be planted so that after settling, the crown of the plant is even with finish grade. After planting, smooth the soil around the plants and water thoroughly with a light spray until soil is saturated and all air is excluded from it. b. All planting areas shall be mulched with 1/2 inch layer of organic amendment, hooked into the surface soil , and watered in. 6. Planting of Shrubs and/or Trees : a. Spacing: Where plant material is shown on the drawings in a "loose" pattern, the Contractor shall space the material as shown, at all times maintaining an unequal , random spacing. b. Pit Backfill : Each plant shall, be backfilled with the follow- ing prepared soil mix: 1 . 1/3 Fir Shavings: 2/3 Soil'. 2. Also add Gro Power according to manufacturer' s directions and as follows: a) 1 Gallon Plants: One (1 ) tablespoon of Gro Power in hole and two (2) tablespoons on backfill in one (1 ) foot circle. b,) 5 Gallon Plants: Two (2) tablespoons of Gro Power in hole and three (3) tablespoons on backfill in 1 1/2 foot circle. c) 15 Gallon Plants : Four (4) tablespoons of Gro Power in hole and five (5) tablespoons on backfill in 2 foot circle. SECTION 2, SPECIAL PROVISIONS, PAGE 8 CITY PROJECT NO. 78-37 LANDSCAPING (Cont' d) d) 24 inch to 30 inch Box: One and one-half (1 1/2) cups of Gro Power in hole and 1 1/2 cups on backfill in three (3) foot to four (4) foot circle. C. Basining : Each plant shall be basined with a berm four (4) inches in height above crown of root ball , immediately after planting and thoroughly watered to saturate the root ball and backfill . LIQUIDATED DAMAGES Liquidated damages in the amount of $100 per day shall be forfeited in the event of delay in the work caused by acts other than acts of God or labor strikes. SURVEY STAKING Survey staking done by City Crew. ADMINISTRATION After the contract is awarded, the entire project is to be administered by the Redevelopment Agency. REDEVELOPMENT DIRECTOR APPROVA APPROVE0;K�E—N—NI—H �. � DATE:T E, FEENSTRA edevelopment Director Licensed Architect C5818 SECTION 3 PROPOSAL FOR THE CONSTRUCTION OF A 12,357 SQUARE FOOT PARKING LOT AND LANDSCAPING CITY PROJECT NO. 78-37 236 S. BELARDO ROAD IN PALM SPRINGS, CALIFORNIA Responding to a Notice to Contractors in an authorized publication for the construction of parking lot, City Project No. 78-37. We/I propose and agree to furnish all material , labor, equipment, supervision, and all service necessary to do all the work required to complete said improvement, ready for use, all in accordance with Plans and Specifications, and also to the satisfaction of the Redevelopment Director. It is hereby understood and agreed that the City reserves the right to increase or decrease the amount of any class or portion of work, or to omit any item of the work as may be deemed necessary or expedient by the Redevelopment Director" Such increase or decrease will be negotiated with the Redevelopment Director. Payment for such increased or decreased amounts will be made in accor- dance with the unit price bid as shown on the schedule set Forth below. When discrepancies occur between words andlfigures, the words shall govern. BASE BID Construction of parking lot, 236 S. Belardo Road, $ lump sum. Total amount for bid is 7�„_r� dollars. Landscaping 'yo dollars ($ ) Irrigation dollars ($ ) The Contractor shall begin work within fifteen (15) calendar days after receiving notice that the contract has been executed and shall diligently prosecute the same to completion before the expiration of thirty (30) working days from the date of the City Engineer' s Notice to Proceed. • SECTION 3, PROPOSAL, PAGE 2 CITY PROJECT NO. 78-37 The undersigned is licensed in accordance with an act providing for the registration of contractors, License No. 271769 Enclosed find Bidders Bond in the amount of ten (10) percent of the amount bid, herein posted with the City as security that the undersigned will enter into a contract with the City and furnish the required bonds within eight (8) calendar days after the first publication of the Notice of Award, the proceeds of the check or bond accompanying his bid shall become the property of the City of Palm Springs. It is understood and agreed that this bid may not be withdrawn until after thirty (30) days from the opening thereof, and in no case if the bid is awarded to the undersigned bidder. Massey Sand and Rock Co. Name of Bidder (Person, Firm, Corporation) BY SignZj:222 ature of Person Authorized to ign This Proposal DON G. DRISCOE, E;CEOUTIVE VICE.PRESIDENT NOTE: DO NOT DETACH BID FORMS. FILL IN WITH INK AND SUBMIT WITH ATTACHED DOCUMENTS. I COLU H2 V_E�O ROAD ALE�O L� o 1 0 As a u a it • e a n o d �I nmeoc RonC AMADO ROe1D (P NOPOS EG IN SECT- 14) J o Gq O 71 � �\\ AXDREA$ 2 ANDREAS ROAD (PROPOSED IN SECT 14) �\ o Z ,Akswrrz - K.r'CAL-w".1 wRY .emIN s V�A`,A���•s ` o o p 2 a� ¢ 2w R A NA5 OAD — 1J vp�_ --. Q _ _ I o yd z - = J BARISTO C, 5ARISTO N J ROAD ROAD �\y' 65.�`-a°'S ry r.p�U-Lp,I,H B�? �y&H H H I I65 {: i i'r�'�Tow 99k n,�.,'�"1 !, k•-• s-v Ef S� E 49 WON!NOT g 9 �3a�LS"�A9 S� PP_sg�gi z p SMK !'$Eat w YNHA? ��ct.�a�E�-SHR14401 �9�€[lr'3€iti�s ie,�-G��7€ILMA. a w1uluillo . _ 9 SOU i'i(�l JNL. IAN !mooIJE S 3 - z — a III � I Iu 71 Ti j Ll =y FFFTHF1 M '+J+ O ^1I II � Y F f t •, ,+� e P a e III -SOUTH, FALL CANYON DRIVE 1/ —203 -Y E _ 1 q �J I ! -H. lE�Jr ydoog1nriv"I"�, a"a s'6Ir-am m too I"non In HITH"TaHIG a .3`sira M111iIHiIIII • AGREEMENT This Agreement, made and concluded this I/ ay of 1 4 7 9 between the City of Palm Springs, Party of the FirstJ_�,_an IASSEY SAND AND ROCKCO. Contractor, Party of the Second Part. WITNESSETH THAT: ARTICLE I - for and in consideration of the payments and agreements hereinafter mentioned, to be made and performed by the said Party of the First Part, and under the conditions expressed in the two bonds bearing even date to these presents and hereunto annexed, said Party of the Second Part agrees with said Party of the First Part, at his own proper cost and expense, to do all ' the work and furnish all materials, except such as are mentioned in, the specifications to be furnished by said Party of the First Part, , necessary to complete in good workmanlike and substantial manner all of the work for: Construction of a 12,357 sq. ft. parking lot, curb realignment, curbs, paving, lighting, walls and striping. In accordance with the drawing/s, proposal , description of work, and special provisions therefore, and also in accordance with the "Standard Specifications for Public Works Construction" (1976 Edition) , at the first publication of the invitation to bid, and all other Codes and r Ordinances referred to and thereby made a part hereof. The location and limits of work to be done are shown on drawing entitled "City of Palm Springs, California, Village Green Parking, consisting of three (3) sheets 24" X,.36", City Project No. 78-37, which said drawings are hereby made a part of these specifications and include a grading , electrical plan and a street modification plan. ARTICLE III - Said Party of the Second Part is responsible for furnishing all said materials and labor, furnishing and removing all plants, temp- orary work of structures , tools and equipment, and doing all the work contemplated and embraced in this Agreement; also for all loss and damage arising out of the nature of the work aforesaid, or from the action of the elements or from any unforeseen difficulties which may arise or be encountered in the prosecution'of the work until its accep- tance by the City, and for all risks of every description connected with the work; also for all expenses incurred by or in consequence of the suspension or discontinuance of work, except such as in the said specifi- cations, are expressly stipulated to be borne by the City, and for well and faithfully completing the work and whole thereof, in the manner shown and described in the said Drawing/s and Specifications and in accordance with the requirements of the City Engineer, the City shall pay and the Contractor shall receive in full compensation therefore, the prices for the several items named in the bidding Sheet of the Proposal . AGREEMENT, PAGE 2 CITY PROJECT NO. 78-37 ARTICLE III - The said Party of the First Part hereby promises and agrees with the said Contractor to employ and does hereby employ the said Contractor to provide the materials and do the work according to the terms and conditions herein contained and referred to for the unit prices bid, and hereby contracts to pay the same at the time, in the manner and upon the conditions above set forth; and the said Parties for themselves, their heirs, executors, administrators, successors and assigns, do hereby agree to the full performance of the covenants herein contained. ARTICLE IV - The "Standard Specifications for Public Works Construction" (1976 Edition) , at the first publication of the invitation to bid, the plans, the special provisions, and the proposal are hereby included and made a part of this agreement. These documents, together with this formal agreement and the bidder' s proposal ,, affidavit and bonds, con- stitute the contract documents and a requirement included in one is as binding as though included in all . It is further expressly agreed by and between the Parties hereto, that in the event of a conflict between one contract document and any of the other contract documents, the document highest in precedence shall control and supersede in that particular, the document which is contrary to it. The order of pre- cedence of the contract documents is as follows: First - This Formal Agreement Second - Codes Third - Special Provisions and Plans (Words shall take precedence over numbers) Fourth - "Standard Specifications for Public Works " Construction" (1976 Edition) Fifth - Bidder's Proposal Change Orders and supplemental agreements shall take precedence over the contract documents. IN WITNESS HEREOF, the Parties to these presents have hereunto set their hands the year and date first above written'. ATTEST: CITY OF PALM SPRINGS, CALIFORNIA D- A. Blubaugh ("DEVELOPMNT AGENCY) BY �/' _ // %AA By Secretary Chaizman _ _ — APPROVED AS TO FORD? Date BY u APPROVED BY THE REDEVELOPMENT AGENCY IN CitV Attorney, Date ,,r�/1 ��,� ;/2 ��i`7 -- BydRA RESOLUTION No. 94 6 20 79 J � f CONTEN\J AFC, OVEfI CONTRA OR ✓ SS"EY,•=S9ND/ ND ROCK COMPANY BY By Redevelopment Krector -, Date DON C. BRISCOE, EXECUTIVE VICE-PRESIDENT' —�� Title STATE OF CALIFORNIA, ss. COUNTY OF— California I ON July 2 19]2, before me, the u jdersigned, a Notary Public in and for the said State, personally appeared Don (,- R-H G(•o,- , known to me to be the Exec V4;�Presjdent, and ------------------------rknavnto-me #o-betht—------ -9eCf6tsry0 MAQCp)r Sanfi F. Pprk rn the Corporation that executed the within Instrument, known to me to be the persons who executed the within Instrument, on behalf of the Corporation herein named, and acknowledged - OFFICIAL SEAL to me that such Corporation executed the within Instrument pursuant to its by-laws or a COE EVELYN E. STEVENSONresolution of its board of directors. NOTARY PUBLIC IAL W UHNIn WITNESS my hand and official sal:? NOTARY 80NO ^LED IN RIVERSIDE COUNTY / My Commission Expires December 16, 1980 �I Notary Publi In and for said State. ACKNOWLEDGMENT—Carp.—Pres. A Sec.-Wolcotts Form 225—Rev.3-64 �l AFFIDAVIT W- NON-COLLUSION BY CONTRACTOR STATE OF CALIFORNIA) ) SS COUNTY OF RIVERSIDE) _DQn C�Briscoe____._-____ - being first duly sworn, deposes and says: That he is Executive Vice Pres. of Massey Sand and Rock Co. (insert "Sole Owner ' , Partner" , insert name of bidder or other proper title) who submits herewith to the City of Palm Springs, a proposal ; That all statements of fact in such proposal are true; That such proposal was not made in the interest of or on behalf of any undisclosed person, partnership, company, association or corporation; That such proposal is genuine and not collusive or sham; That such bidder has not, directly or indirectly, by agreement, communication or conference with anyone attempted to induce action prejudicial to the interest of the City of Palm Springs, or of any other bidder or anyone else interested in the proposed contract; and further, That prior to the public opening and reading of proposal , said bidder: (a) Did not, directly or indirectly, induce or solicit anyone else to submit a false or sham proposal . (b) Did not, directly or indirectly, collude, conspire, connive or agree with anyone else that said bidder or anyone else would submit a false or sham proposal , or that anyone should refrain from bidding or with- draw his proposal . (c) Did not, in any manner, directly or indirectly, seek by agreements, communications, or conference with anyone to raise or fix any over- head, profit, or cost element of this proposal price, or that of anyone else. (d) Did not, directly or indirectly, submit his proposal price or any breakdown thereof, or the contents thereof, or divulge information or data relative thereto, to any corporation, partnership, company, association, organization, bid depository, or to any member or agent thereof, or to any individual or group of individuals, except to the City of Palm Springs or to any person or persons who have a partner- ship or other financial interest with said bidder in his business. Subscribed and sworn to before me this day of May 1979 Ma ASV S d Ro c Co. . By Notary bl is i n an for_ aFMCIA rS , i— 00N C. BRISCOE, EXECUTIVE VICE-PRESIDENT _ $trite YNb 7C1AL SF,AL F,r; EVEi_YN E. STNENSOIV t—it l e NOTARY PUBLIC-1,.:u rU@NIA NOTAR, 601, -n-ED IN RIVERSIDE COUNTY My`Commission Expires December 16, 19IIQ iaNa.nrw+..s...oas.,..,..F...w....k✓,.+..rwsz✓.yRr.o�.rvr..,w,. (NO BID WILL BE CONSIDERED u ESS THIS DOCUMENT 1S C'OMPLETEA 1 FULLe ALL APPLICABLE ITEMS MUST BE FILLED OUT) INFORMATION REQUIRED OF BIDDER The bidder is required to supply the following information. Additional sheets may be attached if necessary. ' 714 (1 ) Address P 0 Box 1767, Indio, Ca. 92201 (2) Telephone No.347-8535 (3) Type of Firm (individuals partnership or corporation) Corporation (4) Corporation organized under the laws of the (5) Contractor's License No. State of California No. 271769 (6) List the names and addresses of all members of the firm or names and titles of all officers of the corporation: Wade G. Ellis President Don C. Briscoe Secretary Jim A. Venard Treasurer Don C. Briscoe Exec. Vice Pres. & General Manager (7) Number of years ' e;cperience as a contractor in construction work Approx. 25 years (8) List at least three projects completed as of recent date: Contract Amount Class of Work Date Com feted Name and Address of Owner Airport Ramp $62 , 600. 00 Expansion March 1979 Baldi Bros. Const. Beaumont, Ca. Street Johnny Ribierro Builders 84 , 000. 00 Improvements March 1979 68-703 Perez, Cathedral City, Ca. Street College Dev. Co. 180 , 000 . 00 Improvements March 1979 9171 Wilshire B1vd. ,Beverly Hills, Ca. (9) List .the name and addhehh ob each subcontAaeto& who w.iU peA�onm wo&k in o2 about .the work of %mpxavemen"t, and incllca:te what part o6 the wonh witt be done by each a ubconticao ton Contractor's Name Address License No. Work to be performed - "(10) List the name of the person who inspected the site of the proposed work for your firm John Conovaloff (11 ) A financial statement or other information and references sufficiently comprehensive to permit an appraisal of your current financial condition may be required by the Engineer. EXECUTED IN FOUR COUNTERPARTS BOND NO. 2871-566 PREMIUM: $267 . 00 PlilI ORNANCC BONO KNOW ALL MEN 13Y THESE PRESENTS : That whereas the City of Palm Springs, SLaLe of California, has awar led Lo—NASSEY SAND AND ROCK hereinafter d(2sigoaLed Lhe 'Principal", a contract for: Grading, Curbs, Paving & Ligliting for VILLAGE GREEN PARKING LOT, 236 S. Belardo Road (IuserL description of work Lo be performed and location) WHEREAS, said Principal is required under. Lhe terms of said contract Ln furnish a good and sufficient bond for :he performance of said contract : NOW TILEREFORE, WE, the Principal, nnd_SAFECO INSURANCE COMPANY 01?--AME12ICA as Surety, are held and firmly bound unto Lhe City of Palm Springs, C�iliiornia, hereinafter called Lhe City of Palm Springs, Calif_oraia, in Lhe penal sum of Thirty nine thousand three hllIl[lred and�.0.�L00 a. rii..-1f"Mars (} 39,300.00 ) , being 100% of the contract amount in 1awlul money of the United SLaCe_S of America for the payment of which sum We] L and truly Lo he mule, we hereby bind ourselves, our heirs, exucutors, idminisLraLors , and successors, jointly and severaLly, firmly by these presenLs. TILE CONDITION OF THIS OBLIGATION IS SIJCII Lh.ir if the agave boundun Principal , his executors, heirs, admini-straLors, and successors , er assigns, shall in all Lhings stand to and abide by, and well and truly keep and perform Lhc covenants and agreements ill Lhe said contract and any aLLeraLioas thereuf made as therein prnvided, on his or their part, to be kept and performed aL the Lime and in the manner therein specified , and in all respec Ls according Co their true intent and meaning, and shall indemnify and save harmless the City of Palm Springs, California, its officers and agents, as ther-eiu stipu- lated , then this obLigaLion shall become null and void ; oLhendi.se, iL Sha11 be and remain in full force and virtue. And the said Surety, for value received, hereby SIJPulates and ay;rccs LhnL no cluange, extension of time, all-e)uLiou or addition Lo the Loans of Lhr contract or to work to be performed Lhereunder or Lhe specific.Lti_uns accompanying the same shall ill anywise affect its obl.igaLi.ons on Lhi.s bond , and it does _ hereby waive notice of any such change, extension of Lime, alterations or additions Lo the Ler.ms of: the contract or to the work or Lhe specificaLions-. IN 1%11T'NhSS WHEREOF, Identical countorp,irLs of this i.uSlrumenL, each of Wbi-cli , shaLl for all purposes be deemed an original Lheroof, have been duly -rxc.cu Led` _ by the Principal and Surety above named, on this 20TH _clay of - - -- JUNE 197 9. _ SAFECO INSURANCE COMPANY OF AMERICA MASS_EY SAND AND ROCK C _ SURETY PRINCIPA)� f;7 /J �� J x # By: 4�(� l.i✓c+ _ By: !%: IL ^> J. W. MAR'HALLV ATTORNEY—IN—FACT 010M C. PRISCpp_„ E'er (q,t`Live VJCE.pRrgjnF[q' INSIJR) NCE COHIIANY and/or FRIIS & COMPANY, INC. AGE,N' ADD[.ESS : p, 0. BOX 20086 RIVERSIDE , CA 92516 y STATE OF CALIFORNIA, 1 COUNTY OF— California ON une 90 tg 79 before me, the undersigned, a Notary Public in and for the said State, personally appeared Don C Bri- oe , known to me to be the Exec. Vicepresident, an&-------------------.----- knfim{o-ft - to-befhe ----!-----_SGCRagof � o r S rid Racl�Co .. the Corporation that executed the within Instrument, known to me to be the persons who OFFICIAL SEAL executed the within Instrument, on behalf of the Corporation herein named, and acknowledged ,I E NoB-vlVl E. STEVENSON 4 to met ion that Ituch s board o diion executed the within Instrument pursuant to its by-laws or a ., s. NOTW',1 �01110 -a-o IN WITNESS my hand',and official seal. RIVERSIDE COUNTY Bey Commission Expires December 16, 1990 / Notary Public in and For said State ACKNOWLEDGMENT—Corp.—Pres. &Sec.—Wolcotts Farm 226—Rev.3 64 — ----;_- ACKNOWLEDGMENT BY SURETY STATF of CALIFORNIA County of ss RIVERSIDE or) this 20TH day of DUNE 1979 appeared J. W. IvIARSHALL before me personally known to me to be the Attorney-in-Fact of SAFECO INSURANCE COMPANY OF AMERICA, GENERAL INSURANCE COMPANY OF AMERICA or FIRST NATIONAL INSURANCE COMPANY OF AMERICA,the corporation that executed the within instrument,and acknowl- edged to Inc that such corporation executed the same. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal,at my office in the aforesaid County, the day and year.,i-n;f rr 1 7rst above written. C.;RCL E. MUNARETTO NOTARY PUBLIC �i✓.'!./J.(�� �- , RIVENotary Public in the State of ULIFORNIA County Ofj!�g �— i11717.JI 5-230 R3 30/72 - -__ _ PRINTED IN US.A. EXECUTED* LOUR COUNTERPARTS BOND NO. 2811566 LABOR AND MATERIAL BOND PREMIUM: NIL KNOW ALL MEN BY THESE PRESENTS That we rASSEY SAND AND ROCK CO._= AS PRINCIPAL, and SAFECO INSURANCE COMPANY OF+AMERICA —a corporation, organized and existing under the laws of the State of WASH INGTO_N , and authorized to transact business in the State of Cafiforria, U4C11—, W are held and firmly bound unto the Slate of California for the use and benefit of the State Treasurer as ex officio treasurer and custodian of the Unemployment Fund acid any and all persons entitled to file claim under Section 1184e of the Code of Civil Procedure, State of California, in the sure of Nineteen thousand six hundred fifty & 00/100. . . . Dollars ($ 19,650.00 J , being 50% of the contract amount in lawfuhinoney of the United States of America, for the payment whereof well and truly to be made, we herehy bind ourselves , our heirs , executors , administrators , successors and assigns , jointly and severally, firmly by these presents . SIGNED, SEALED with our seals and dated this 20TH day of JUNE 1975. The condition of the foregoing obligation is such that whereas the above bounden Principal has entered into a contract with the City of Palm Springs to do and perform the following work, to-wit: Gradiat L, Curbs, I'av-Enf, & Lit:hiyina for PTLfhI]1; CIZI�:ISN_ PARKING LOT 236 S. Belardo I'oad rlisert descr" ption of work to 6e performed rrne7 arid- cf�icationj�� NOW THEREFORE , if the above bounden Principal , or his sub-contractors , fail to pay for any materials , provisions , provender, or other sureties , or teams , 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 Act with respect to such work or labor, the Surety -; will pay the same, in which event his obligation shall be void; in case suit- _ is brought upon this bond, a reasonable attorney's fee to be fixed by the - - Court and to be taxed as costs shall be included in any judgment rendered therein. MASSEY SAND AND/ROC BY : EY IRI< CIPALFyog g; rp,3COE, =WTIVE VICE-r'riESJDENT Insurance Company and/or Agent Address : SAFECO INSURANCE COMPANY OF AMERICA FRIIS & COMPANY INC. BY: Pk. 0. BOX 20086 AITURNEY N- WI" J. W. MARSHLL A RIVERSIDE, CA 92516_ r STATE OF CALIFORNIA, ss. COUNTY OF C nI i fnrni a ON June 0 19 71) before me, the undersigned, a Notary Public in and for the said State, personally appeared T)nn f Rr s co , known to me to be the Exec V; op to be the resident, and_________________________rknowato-me Pres --- Secretary of-taq-s—e i d—&-d e ck G e � �� errtCnaL seAl the Corporation that executed the within Instrument, known to me to he the persons who STEVENSON executed the within Instrument, on behalf of the Corporation herein named, and acknowledged to me that such 'Corporation executed the within Instrument pursuant to its bylaws or a resolution of its board of directors, aivcasme counry 1980 WITNESS my hand and official seal. MY Commission Expires December 16, .v.�s.or.�,=.e�..,�r.e.r�.wr.✓.r�•,,.,.r..w.«:.�w.e.e ems' / Notary Public in and for said State. ACKNOWLEDGMENT—Corp.—Pres. &Sec.Walcotts Form 226—Rev.3-64 ACKNOWLEDGMENT BY SURETY STATE of CALIFORNIA } ss County of RIVERSIDE l On this 9 r1TH day of JUNE 197 9 ,before me personally appeared T W MAR¢HAT T ,known to me to be the Attorney-in-Fact of SAFECO INSURANCE COMPANY OF AMERICA, GENERAL INSURANCE COMPANY OF AMERICA or FIRST NATIONAL INSURANCE COMPANY OF AMERICA,the corporation that executed the within instrument,and acknowl- edged to me that such corporation executed the same. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal,at my office in the aforesaid County, ove written. .,� OFFICIAL SEAL _I TflrF.r<ol_ E. n>IUN.,f;� , NOTP,R'i PUBLIC I N Lary p =',c;.,w✓� a veasloe co., cAUF. Public in the State of CALIFORNIA l'9e My mmmission aKpves 6.7-g1 C[ my of dk�M7L�7� k. PRINTED IN U.S.A. `` RE� p�TuRN TO: CITY OF PALM SPRINGS NOTICE OF COMPLETION BOX 172013 PALM SPRINGS, 442263 ICE is hereby given that: 1, The City of Palm Springs, California, is a municipal corporation, organized Ia:; and incorporated pursuant to the laws of the State of California. vj ,-; 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 Tahquitz- McCallum Way, Palm Springs, California. 4. The public work of improvement on the hereinafter referred to real property within the City was COMPLETED on the 6th day of December , 1979. 5. The name of the contractor, (if named) , for such work of improvement was: Massey Sand & Rock Co. 6. The property on which said public work of improvement was completed is in the City of Palm Springs , County of Riverside, State of California, and is described as follows: CITY PROJECT NO. 78-37 Street improvements and parking lot improvements at the Village Green Parking Lot. 7. The Street Address of said property is: 236 So. Belardo Rd. DATED: January 9, 1980 CI 0 PKK SPRINGS, CALIFORNIA BY Ditor of Communit6l r c Development SUBSCRIBED AND SWORN TO efore me this s'-�Q I/V day of _- - � OFFICIAL SEAL Rotary Public in and for the County ' OLIVE S. MARSHALL NOTARY PUBLIC - CALIFORNIA of Riverside, State of California. � ,':,� RIVERSIDE COUNTY I))) My comm. expires JUN 10, 1982 VERIFICATION STATE OF CALIFORNIA) COUNTY OF RIVERSIDE)ss. JUDITH SUMICH, being duly sworn, says: That she is the Deputy City Clerk of the aforesaid City of Palm Springs , California, the corporation that executed the foregoing notice; that she makes this verification on behalf of said corporation; that she has read the foregoing notice of completion, and knows the contents thereof, and that the facts stated therein are true; that as said Deputy City Clerk, she makes this verification on behalf of said municipal corporation. Deputy City Clerk SUBSCRIBED AND SWORN TO before me this, day of 19d ,,.„, OFFICIAL SEAL OLIVE S. MARSHALL w n *_ Notary Public in and for the County of NOTARY PUBLIC -CALIFORNIA° Pi�;tar RIVERSIDE COUNTY Riverside, State of California. My comm. expires JUN 10. IBBzJ 21300 i p�.;.IVED FOR RECORD AT 11:00 O'c gr A.M. 'l 3- i, Beek mo, Page ' 300 JAN 311980 4 Recorded in Official Rccc dS. of Riverside County. FEES c� P., 1� EE TP VNI7, W'APITIT'I (WIf to ...... t, 1 14r1q WI 1' III 1"Irl Jrliml I tL�V k P'0�-- r FY]Wh HT 11 EE r'I7 I'E17 i,J 1 V�I 1 '171 I'I "Y1 NAME AND ADDRESS OE AGENCY Crd[Ot PSPM� AFF(PEITSUNC, 7-- COMPANY LETTER Irk COMPANY LETTER T') NAME AND ADDRESS OF INSURED C HY LETTER A, 01 7/"? COMPANY COMPANY LETTER U I.I LE Z E. This is to cci Lily thrnc policies of insurance listed below have been issued ho the Insured named above and are in force at this Time. KS 0"F '7II'P EURU�QRZ]C(ORIC Y POLICY EACH R TY RE OF I Al SO RAN(31 EXPIRATION PATE AGGREGATE I COMPAIN POLJCR'NUMBER I TTL OCCHRREFICE BODILY INJURY I:O—'.0E COMIPRLIJENSIVE FORM • _L 1�s C j 4 1 PRFIJIME9 OPERATIONS HS PROPERTY DAMAGE rFXN OSION AND COLLAPSE j HAZARD PC DErGROUND I IAZARD PRODUCTS/COMPLETED OPERATIONS BODILY LIJURY AND CJ CONTRACTUAL CTUAL INSURANCE PROPERTY DAMAGE BROAD FOR[v, PROPERTY COMBINED DAKIAGF Ell IINDFPFIVOFNT CONTRAC IONS PCRSOPIAL INJURY PERSONAL INJURY BODILY INJURY (EACH PERSON) Ll COIMPkEI CNSIVIE FORM BODILY INJURY 11 (EACH ACCIDENT) N OWNED PROPERTY DAMAGE IIRED BODILY INJURY AND N RON OWNED PROPERTY DAMAGE CnMBINID BODILY INJURY ARE UNDRELITA 17ORNI PROPERTY DAMAGE rA 01 HER ri IAIJ UMBRELLA COMBINED FORM AT, TUTORY 1.I.j 16.y Y F.11 h L I' V I $ (F�C I I ACCIFEN 1) DESCRIPTION OF OPERATIONS/LOCATIOI'ISNEIIICLES CIT., c' V!JiJI E"', G..rs..' T-""B9. C t 'T o-1',UEccEALELfon: Should any of the above described policies be caur elled before the expiration date thereof the issuing com- pan,, 1AIIII 00—c' mail -,�10— days wntten notice to The below named certificate holder,bL,t�earlux+r',in -"5Va Be' , 'v.- V 'I'�LL. • P! NAME AND ADDRESS OF CERTIFICATE HOLDER DATE ISSUED R zk 2, AUTHORIZED REPRESENTATIVE' ACCIED 25 (Ed 11 17) �'("A'•L G 116 This endorsement forms a part of the policy to which allached,efleclive on the mcephon dale of the policy unless otherwise staled herem (The following information is required only when this endorsement Is issued subsequent to preparation of policy.) Endorsement effective 6/20/79 Pi No 86AL204022CCA Endorsomenl No II Namedlnsurrd MASSEY SAND AND ROCK CO. FRIIS & COMPANY, Additional Proimunt 3 mBI Countersigned by (Aulhon.ed Representative) This endorsement modifies such insurance as is afforded by the provisions of the policy relating to the following COMPREHENSIVE GENERAL LIABILITY INSURANCE MANUFACTEl AND CONTRACTORS LIABILITY INSURANCE REDEVELOPMENT AGENCY OF THE CITY OF PALM SPRINGS ADDITIONAL INSUREDCONSTRUCTION OF GRADING , (Owners orCantraclors) P. 0. BOX 1786 CLIRBS l AVING AND LIGHTING F(Dii PALM SPRINGS, CA 92262 VILLAGE GREEN PARKCNG LOT, 236 S . BELARDO ROAD Schedule Name of Prison or Organisation (Additional Insured) Location of I;oorell Oprratious Prmnmm Bases Rates Advance Printout Bodily Injury Liability Cost s100 of cost S TBD Property Damage Liability Cost sloeofcost x TLID Total Advance Plelmum TBD It is agreed Thal. I The. "Poisons Insured" provision is informed to include as am insured the person or oigan¢ation mined above (hereinafter called "additional insured"), but only with eospecl to h duldy arising out of (1) opeworni pertanmuj for the adehtmml insured by the named insured if the location designated ahnvo or(2)acts on omissions of the additional insured In connection will]Ills gemudl supervumu of such opnldtions 2. Nona of the exclusions of the policy,except exclusions(a), ((:), (1),(g),(I),(I)and(il),apply to this insurance, 3. Additional Exclusions This insurance does not apply (a) to hodd,y injury or property damage occurring alter (1) all walk on the protect (other than service, utandenance or ropmrs)to To performed by or on behali of the additional insured al the sde of the covered operations has been completed or (2) that portion of the named insured's walk out of which the mlury or damage,apses has[]earl put to its intended use by any person or orgam¢almu other Ihan another contractor or subcontrectnr engaged in porlmmmg operations for a pnnupal as o part of the same Project, (b) to bodiiy injury or property darl arising out of any act or omission of the additional insured or any of his employees,other than general super- vision of work portcrmed for the additional insured by the named insured; (c) to property damage to (1) properly owned or occupied by or renled to the additional insured, (2) property used by the additional insured, (.II property in the care, custody or control of the additional Insured or as to which the additional insured is let any purpose exercising physical control,or (4) work performed for the additional insured by the named Insured 4. Additional Definition When used in reference to ties insurance,"work"includes materials, parts and equipment furnished In connection therewith. 121116 (Ed 1 73) p po'7-gc� BALDIBROSI AWIMPEE D1ti2zOzz 1 � R� 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($), 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 Ileu of such endorsements . PRODUCER C TACT Andrea Wimpee jac°Ntie, Eat: (951) 281-6332 Fuc, Nol:(951) 7375083 O1260 Corona Pointe Court, Suite 302 rion Business Insurance and Risk Management Services, Inc. Corona, CA 92879 EAIL.awimpee Orionine.Com INSURERS) AFFORDING COVERAGE NAIC0 INSURER A; Travelers Property Casualty Co of Amer 25674 INSURED INSURER B:The Travelers Indm Co of CT 25682 INsuRERc:Everest Premier Insurance Company 16046 Bald] Bros, Inc. INSURER D : PO BOX 500 Beaumont CA 92223 INSURER E INSURER F: rnVFRAGFS L`FRTIFICATF NIIMRFR- RFVISInN NLIMRER- 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 NUMBER POLICY EFF POLICY UP 11N1T3 A X COMMERCIAL GENERALUABILIT' CLAIMS -MADE OCCUR X DT22-CO-9K395154-TIL-22 6/1/2022 611/2023 EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED 3gp,gpg MEO EXP An one mon 5,000 PERSONAL S ADV INJURY S 1,000,000 GEN'L AGGREGATE LgCTIMpIT APPLIES PER: POLICY [XI JELOC OTHER: GENERAL AGGREGATE S 2,000,000 PRODUCTS-COMPIOPAGG 2,000,000 B AUTOMOBILELIABILITY X ANY AUTO ONMED SCHEDULED A�U�ppT��O��S ONLY AU�TNOSµN�p X AM ONLY X ALcmal LY X 810.41P619749-22-264 6/112022 6/112023 COMBINED SINGLE LIMIT 'Ea accidot) $ 1,000,000 BODILY INJURY Per s BODILY INJURY Peracc m $ Oaoddenl AMAGE S A X UMBRELLA LIAB EXCESS LIAB X OCCUR CIAIMS-MADE UP-9K56238A-22-26 6/112022 6/1/2023 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 6,000,000 DED I X I RETENTIONS 10,000 C INORXERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIIETOERRIPARTNERI ECUTIVE YIN WaFn'5E lA ilXj EXCLUDED9 It yes, tlms be under DESCRIPTION OF OPERATIONS beb NIA 600022916231 1/1/2023 1/1/2024 OTH- X PER ER STATUTE E.L. EACH ACCIDENT 1,000,000 E.L. GISEASE-EA EMPLOYE 1,000,000 $ E.LOISEASE-POLICY OMIT 1,000,000 $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AddkkmT Remarks Schedule, may In shack If mom spre ace Ie quired) Certificate holder is listed as additional insured as required by written contract per attached form. RE: OVERSIZE LOAD PERMIT CERTIFICATE HOLDER CANCELLATION TTMMVMV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Of Palm Springs CityACCORDANCE 3200 Tahquitz Canyon ,; ,Q N 4 2023 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN WITH THE POLICY PROVISIONS. Palm Springs, CA 92262 City Hall Reception Desk AUTHORQED REPRESENTATIVE Q.L. U. ACORD 25 (2016/03) ©1988.2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Policy Number: DT22-CO-9K395154-TIL-22 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (Includes Products -Completed Operations If Required By Contract) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS The following is added to SECTION II — WHO IS AN INSURED: Any person or organization that you agree in a written contract or agreement to include as an additional insured on this Coverage Part is an insured, but only: a. With respect to liability for "bodily injury" or "property damage" that occurs, or for "personal injury" caused by an offense that is committed, subsequent to the signing of that contract or agreement and while that part of the contract or agreement is in effect; and b. If, and only to the extent that, such injury or damage is caused by acts or omissions of you or your subcontractor in the performance of "your work" to which the written contract or agreement applies. Such person or organization does not qualify as an additional insured with respect to the independent acts or omissions of such person or organization. The insurance provided to such additional insured is subject to the following provisions: a. If the Limits of Insurance of this Coverage Part shown in the Declarations exceed the minimum limits required by the written contract or agreement, the insurance provided to the additional insured will be limited to such minimum required limits. For the purposes of determining whether this limitation applies, the minimum limits required by the written contract or agreement will be considered to include the minimum limits of any Umbrella or Excess liability coverage required for the additional insured by that written contract or agreement. This provision will not increase the limits of insurance described in Section III — Limits Of Insurance. (1) Any "bodily injury", "property damage" or "personal injury" arising out of the providing, or failure to provide, any professional architectural, engineering or surveying services, including: (a) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders or change orders, or the preparing, approving, or failing to prepare or approve, drawings and specifications; and (b) Supervisory, inspection, architectural or engineering activities. (2) Any "bodily injury" or "property damage" caused by "your work" and included in the "products -completed operations hazard" unless the written contract or agreement specifically requires you to provide such coverage for that additional insured during the policy period. c. The additional insured must comply with the following duties: (1) Give us written notice as soon as practicable of an "occurrence" or an offense which may result in a claim. To the extent possible, such notice should include: (a) How, when and where the "occurrence" or offense took place; (b) The names and addresses of any injured persons and witnesses; and (c) The nature and location of any injury or damage arising out of the "occurrence" or offense. b. The insurance provided to such additional (2) If a claim is made or "suit" is brought against insured does not apply to: the additional insured: CG D2 46 04 19 0 2018 The Travelers Indemnity Company. All rights reserved. Page 1 of 2 COMMERCIAL GENERAL LIABILITY (a) Immediately record the specifics of the claim or"suit' and the date received; and (b) Notify us as soon as practicable and see to it that we receive written notice of the claim or "suit' as soon as practicable. (3) Immediately send us copies of all legal papers received in connection with the claim or "suit", cooperate with us in the investigation or settlement of the claim or defense against the "suit", and otherwise comply with all policy conditions. (4) Tender the defense and indemnity of any claim or "suit" to any provider of other insurance which would cover such additional insured for a loss we cover. However, this condition does not affect whether the insurance provided to such additional insured is primary to other insurance available to such additional insured which covers that person or organization as a named insured as described in Paragraph 4., Other Insurance, of Section IV — Commercial General Liability Conditions. Page 2 of 2 0 2018 The Travelers Indemnity Company. All rights reserved. CG D2 46 04 19 Batdi Bros, Inc. Policy Number: 810-4P619749-22-26-G Effective 6/1/22 to 6/1/23 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO EXTENSION ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GENERAL DESCRIPTION OF COVERAGE — This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. BROAD FORM NAMED INSURED B. BLANKET ADDITIONAL INSURED C. EMPLOYEE HIRED AUTO D. EMPLOYEES AS INSURED E. SUPPLEMENTARY PAYMENTS —INCREASED LIMITS F. HIRED AUTO — LIMITED WORLDWIDE COV- ERAGE — INDEMNITY BASIS G. WAIVER OF DEDUCTIBLE — GLASS 7Z4P/6I[97LIK A. BROAD FORM NAMED INSURED The following is added to Paragraph A.1., Who Is An Insured, of SECTION II — COVERED AUTOS LIABILITY COVERAGE: Any organization you newly acquire or form dur- ing the policy period over which you maintain 50% or more ownership interest and that is not separately insured for Business Auto Coverage. Coverage under this provision is afforded only un- til the 180th day after you acquire or form the or- ganization or the end of the policy period, which- ever is earlier. B. BLANKET ADDITIONAL INSURED The following is added to Paragraph c. in A.1., Who Is An Insured, of SECTION II — COVERED AUTOS LIABILITY COVERAGE: Any person or organization who is required under a written contract or agreement between you and that person or organization, that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to be named as an addi- tional insured is an "insured" for Covered Autos Liability Coverage, but only for damages to which H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF USE — INCREASED LIMIT I. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES — INCREASED LIMIT J. PERSONAL PROPERTY K. AIRBAGS L. NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS M. BLANKET WAIVER OF SUBROGATION N. UNINTENTIONAL ERRORS OR OMISSIONS this insurance applies and only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Section If. C. EMPLOYEE HIRED AUTO 1. The following is added to Paragraph A.1., Who Is An Insured, of SECTION II — COV- ERED AUTOS LIABILITY COVERAGE: An "employee" of yours is an "insured" while operating an "auto" hired or rented under a contract or agreement in an "employee's" name, with your permission, while performing duties related to the conduct of your busi- ness. 2. The following replaces Paragraph b. in B.5., Other Insurance, of SECTION IV — BUSI- NESS AUTO CONDITIONS: b. For Hired Auto Physical Damage Cover- age, the following are deemed to be cov- ered "autos" you own: (1) Any covered "auto" you lease, hire, rent or borrow, and (2) Any covered "auto" hired or rented by your "employee" under a contract in an "employee's" name, with your CA T3 53 02 15 C 2015 The Travelers Indemnity Company. All rights reserved. Page 1 of 4 Includes copyrighted material of Insurance Services Office, Inc. with its permission. COMMERCIAL AUTO permission, while performing duties related to the conduct of your busi- ness. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". D. EMPLOYEES AS INSURED The following is added to Paragraph A.1.. Who Is An Insured, of SECTION 11 — COVERED AUTOS LIABILITY COVERAGE: Any "employee" of yours is an "insured" while us- ing a covered "auto" you don't own, hire or borrow in your business or your personal affairs. E. SUPPLEMENTARY PAYMENTS —INCREASED LIMITS 1. The following replaces Paragraph A.2.a.(2), of SECTION II — COVERED AUTOS LIABIL- ITY COVERAGE: (2) Up to $3,000 for cost of bail bonds (in- cluding bonds for related traffic law viola- tions) required because of an "accident" we cover. We do not have to furnish these bonds. 2. The following replaces Paragraph A.2.a.(4), of SECTION II — COVERED AUTOS LIABIL- ITY COVERAGE: (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day be- cause of time off from work. F. HIRED AUTO — LIMITED WORLDWIDE COV- ERAGE — INDEMNITY BASIS The following replaces Subparagraph (5) in Para- graph B.7., Policy Period, Coverage Territory, of SECTION IV — BUSINESS AUTO CONDI- TIONS: (5) Anywhere in the world, except any country or jurisdiction while any trade sanction, em- bargo, or similar regulation imposed by the United States of America applies to and pro- hibits the transaction of business with or within such country or jurisdiction, for Cov- ered Autos Liability Coverage for any covered "auto" that you lease, hire, rent or borrow without a driver for a period of 30 days or less and that is not an "auto" you lease, hire, rent or borrow from any of your "employees", partners (if you are a partnership), members (if you are a limited liability company) or members of their households. (a) With respect to any claim made or "suit" brought outside the United States of America, the territories and possessions of the United States of America, Puerto Rico and Canada: (i) You must arrange to defend the "in- sured" against, and investigate or set- tle any such claim or "suit" and keep us advised of all proceedings and ac- tions. III) Neither you nor any other involved "Insured" will make any settlement without our consent. (iii) We may, at our discretion, participate in defending the "insured" against, or in the settlement of, any claim or "suit". (iv) We will reimburse the "insured" for sums that the "insured" legally must pay as damages because of "bodily injury" or "property damage" to which this insurance applies, that the "in- sured" pays with our consent, but only up to the limit described in Para- graph C., Limits Of Insurance, of SECTION II — COVERED AUTOS LIABILITY COVERAGE. (v) We will reimburse the "insured" for the reasonable expenses incurred with our consent for your investiga- tion of such claims and your defense of the "insured" against any such "suit", but only up to and included within the limit described in Para- graph C., Limits Of Insurance, of SECTION 11 — COVERED AUTOS LIABILITY COVERAGE, and not in addition to such limit. Our duty to make such payments ends when we have used up the applicable limit of insurance in payments for damages, settlements or defense expenses. (b) This insurance is excess over any valid and collectible other insurance available to the "insured" whether primary, excess, contingent or on any other basis. (c) This insurance is not a substitute for re- quired or compulsory insurance in any country outside the United States, its ter- ritories and possessions, Puerto Rico and Canada. Page 2 of 4 ® 2015 The Travelers Indemnity Company. All rights reserved. CA T3 53 02 15 Includes copyrighted material of Insurance Services Office, Inc. with its permission. You agree to maintain all required or compulsory insurance in any such coun- try up to the minimum limits required by local law. Your failure to comply with compulsory insurance requirements will not invalidate the coverage afforded by this policy, but we will only be liable to the same extent we would have been liable had you complied with the compulsory in- surance requirements. (d) It is understood that we are not an admit- ted or authorized insurer outside the United States of America, its territories and possessions, Puerto Rico and Can- ada. We assume no responsibility for the furnishing of certificates of insurance, or for compliance in any way with the laws of other countries relating to insurance. G. WAIVER OF DEDUCTIBLE — GLASS The following is added to Paragraph D., Deducti- ble, of SECTION III — PHYSICAL DAMAGE COVERAGE: No deductible for a covered "auto" will apply to glass damage if the glass is repaired rather than replaced. H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF USE — INCREASED LIMIT The following replaces the last sentence of Para- graph A.4.b., Loss Of Use Expenses, of SEC- TION III — PHYSICAL DAMAGE COVERAGE: However, the most we will pay for any expenses for loss of use is $65 per day, to a maximum of $750 for any one "accident". I. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES — INCREASED LIMIT The following replaces the first sentence in Para- graph A.4.a., Transportation Expenses, of SECTION III — PHYSICAL DAMAGE COVER- AGE: We will pay up to $50 per day to a maximum of $1,500 for temporary transportation expense in- curred by you because of the total theft of a cov- ered "auto" of the private passenger type. 1=:j=1 *107Ll /_1R:I3t7».i II I COMMERCIAL AUTO (2) In or on your covered "auto". This coverage applies only in the event of a total theft of your covered "auto". No deductibles apply to this Personal Property coverage. K. AIRBAGS The following is added to Paragraph B.3., Exclu- sions, of SECTION III — PHYSICAL DAMAGE COVERAGE: Exclusion 3.a. does not apply to 'loss" to one or more airbags in a covered "auto" you own that in- flate due to a cause other than a cause of "loss" set forth in Paragraphs A.1.b. and A.1.c., but only: a. If that "auto" is a covered "auto" for Compre- hensive Coverage under this policy; b. The airbags are not covered under any war- ranty; and c. The airbags were not intentionally inflated. We will pay up to a maximum of $1,000 for any one "loss". L. NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS The following is added to Paragraph A.2.a., of SECTION IV — BUSINESS AUTO CONDITIONS: Your duty to give us or our authorized representa- tive prompt notice of the "accident' or "loss" ap- plies only when the "accident" or "loss" is known to: (a) You (if you are an individual); (b) A partner (if you are a partnership); (c) A member (if you are a limited liability com- pany); (d) An executive officer, director or insurance manager (if you are a corporation or other or- ganization); or (e) Any "employee" authorized by you to give no- tice of the "accident" or "loss". M. BLANKET WAIVER OF SUBROGATION The following replaces Paragraph A.5., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV — BUSINESS AUTO CONDI- TIONS. The following is added to Paragraph AA., Cover- 5. Transfer Of Rights Of Recovery Against age Extensions, of SECTION III — PHYSICAL Others To Us DAMAGE COVERAGE: We waive any right of recovery we may have Personal Property against any person or organization to the ex - We will a u to $400 for "loss" to wearing a tent required of you by a written contract pay P 9 p- signed and executed prior to any "accident' parel and other personal property which is: or "loss", provided that the "accident" or "loss" (1) Owned by an "insured"; and arises out of operations contemplated by CA T3 53 02 15 ® 2015 The Travelers Indemnify Company. All rights reserved. Page 3 of 4 Includes copyrighted material of Insurance Services Office, Inc. with its permission. COMMERCIAL AUTO such contract. The waiver applies only to the The unintentional omission of, or unintentional person or organization designated in such error in, any information given by you shall not contract. prejudice your rights under this insurance. How- N. UNINTENTIONAL ERRORS OR OMISSIONS ever this provision does not affect our right to col - The following is added to Paragraph B.2., Con- lect additional premium or exercise our right of cealment, Misrepresentation, Or Fraud, of cancellation or non -renewal. SECTION IV — BUSINESS AUTO CONDITIONS: Page 4 of 4 C2015 The Travelers Indemnity Company. All rights reserved. CA T3 53 02 15 Includes copyrighted material of Insurance Services Office, Inc. with Its permission. 5) ppr;�gv- 'r3ALDIBROSI AWIME ACORo' CERTIFICATE OF LIABILITY INSURANCE DATE (MMMOIYYYY) 112I2=022 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 Orion Business Insurance and Risk Management Services, Inc. No,(951) 2815332 1250 Corona Pointe Court, Suite 302 Corona, CA 92879 1 'M"' q. awimpee@Orioni INSURED Baldi Bros, Inc. PO BOX 500 Beaumont, CA 92223 o r,ncrnai unuovo. 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 CONTRACTOROTHER DOCUMENTWITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTOALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 'NSR TYPE OF INSURANCE ADDL SUBft POLICY NUMBER POLICY EFF POLICY E1LP LIMITS A X COMMERCIAL GENERAL LABJTY CLAIMS -MADE X OCCUR X DT22-00-9K395164-TIL-22 611I2022 611/2023 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED aouu 300,000 MED UP (Any one rson 5,000 PERSONAL B AOV INJURY $ 1,000,000 GEN'L AGGREGATE UNIT APPLIES PER: POLICY [7x] Ppa: LOC OTHER' GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGO 2,000,000 B AUTOMOBILELABILTY X ANY AUTO OVVTIED SCHEDULED AUpT�O�S ONLYNAUTOS X AUTOS ONLY AUTOS ONLY 1( 10.4P619749.22.26-G 6/1/2022 611/2023 COMBINED SINGLE LIMIT $ 1,000,000 BODILY INJURY Per n $ BODILY INJURY Peraccitlen BODILY S Pea cftiden DAMAGE S S A X UMBRELLA LIAR ExcEss LAB X OCCUR cLAIMSAIADE UP-9K56238A-22-26 6/112022 6/112023 EACH OCCURRENCE f 5,000,000 AGGREGATE 51000,000 DED I X I RETENTIONS 10,000 C INORNERS COMPENSATION AND EMPLOYERS' LIABILITYTNER ANY PROPRIETOR/PARTNERrFJ(ECUTNE YIN EXCLUDED? (Mantlarory In NH) rc yes, descrb uMer DESCRIPTION OF OPERATIONS 0 NIA 600022915231 1N/2023 1/1/2024 X PERTLL OTH- E.L. EACH ACCIDENTQQ��FICCEERft��MMEMgg��R 1,000,000 EL DISEASE - EA EMPLOYE 1,DOD ,000 E.L. DISEASE - POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES ACORD 101, AEaitional Remarks Schedule, may be aticche0 If more space is required) Certificate holder is listed as additional insured as required by written contract per attached form. RE: OVERSIZE LOAD PERMIT crIw = un, n=n rnurCl I ATIMM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Palm Springs JA N 04 2023 THE EXPATION DATE THEREOF, ACCORDANCE WITH THE POLICY PROVISIONSCE WILL BE DELIVERED IN 3200 Tahqultz Canyon Palm Springs, CA 92262 City Hall R on Desk A/UT�HORI�ZED REPRESENTATIVE I�LM�Lece. UJ.LfR�.c� ACORD 25 (2016/03) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Policy Number: DT22-CO-W395154-TIL-22 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (Includes Products -Completed Operations If Required By Contract) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS The following is added to SECTION 11— WHO IS AN INSURED: Any person or organization that you agree in a written contract or agreement to include as an additional insured on this Coverage Part is an insured, but only: a. With respect to liability for "bodily injury" or "property damage" that occurs, or for "personal injury" caused by an offense that is committed, subsequent to the signing of that contract or agreement and while that part of the contract or agreement is in effect; and b. If, and only to the extent that, such injury or damage is caused by acts or omissions of you or your subcontractor in the performance of "your work" to which the written contract or agreement applies. Such person or organization does not qualify as an additional insured with respect to the independent acts or omissions of such person or organization. The insurance provided to such additional insured is subject to the following provisions: a. If the Limits of Insurance of this Coverage Part shown in the Declarations exceed the minimum limits required by the written contract or agreement, the insurance provided to the additional insured will be limited to such minimum required limits. For the purposes of determining whether this limitation applies, the minimum limits required by the written contract or agreement will be considered to include the minimum limits of any Umbrella or Excess liability coverage required for the additional insured by that written contract or agreement. This provision will not increase the limits of insurance described in Section III — Limits Of Insurance. (1) Any "bodily injury", "property damage" or "personal injury" arising out of the providing, or failure to provide, any professional architectural, engineering or surveying services, including: (a) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders or change orders, or the preparing, approving, or failing to prepare or approve, drawings and specifications; and (b) Supervisory, inspection, architectural or engineering activities. (2) Any "bodily injury" or "property damage" caused by "your work" and included in the "products -completed operations hazard" unless the written contract or agreement specifically requires you to provide such coverage for that additional insured during the policy period. c. The additional insured must comply with the following duties: (1) Give us written notice as soon as practicable of an 'occurrence" or an offense which may result in a claim. To the extent possible, such notice should include: (a) How, when and where the 'occurrence" or offense took place; (b) The names and addresses of any injured persons and witnesses; and (c) The nature and location of any injury or damage arising out of the 'occurrence" or offense. b. The insurance provided to such additional (2) If a claim is made or "suit' is brought against insured does not apply to: the additional insured: CG D2 46 04 19 0 2018 The Travelers Indemnity Company. All rights reserved. Page 1 of 2 COMMERCIAL GENERAL LIABILITY (a) Immediately record the specifics of the claim or "suit" and the date received; and (b) Notify us as soon as practicable and see to it that we receive written notice of the claim or "suit' as soon as practicable. (3) Immediately send us copies of all legal papers received in connection with the claim or "suit", cooperate with us in the investigation or settlement of the claim or defense against the "suit", and otherwise comply with all policy conditions. (4) Tender the defense and indemnity of any claim or "suit" to any provider of other insurance which would cover such additional insured for a loss we cover. However, this condition does not affect whether the insurance provided to such additional insured is primary to other insurance available to such additional insured which covers that person or organization as a named insured as described in Paragraph 4., Other Insurance, of Section IV — Commercial General Liability Conditions. Page 2 of 2 ©2018 The Travelers Indemnity Company. All rights reserved. CG D2 46 04 19 Batdi Bros, Inc. \_ Policy Number: 810-4P619749-22-26-G COMMERCIAL AUTO Effective 6/1/22 to 6/1/23 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO EXTENSION ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GENERAL DESCRIPTION OF COVERAGE — This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. BROAD FORM NAMED INSURED B. BLANKET ADDITIONAL INSURED C. EMPLOYEE HIRED AUTO D. EMPLOYEES AS INSURED E. SUPPLEMENTARY PAYMENTS —INCREASED LIMITS F. HIRED AUTO — LIMITED WORLDWIDE COV- ERAGE — INDEMNITY BASIS G. WAIVER OF DEDUCTIBLE — GLASS PROVISIONS A. BROAD FORM NAMED INSURED The following is added to Paragraph A.1., Who Is An Insured, of SECTION 11 — COVERED AUTOS LIABILITY COVERAGE: Any organization you newly acquire or form dur- ing the policy period over which you maintain 50% or more ownership interest and that is not separately insured for Business Auto Coverage. Coverage under this provision is afforded only un- til the 180th day after you acquire or form the or- ganization or the end of the policy period, which- ever is earlier. B. BLANKET ADDITIONAL INSURED The following is added to Paragraph c. in A.1., Who Is An Insured, of SECTION 11 — COVERED AUTOS LIABILITY COVERAGE: Any person or organization who is required under a written contract or agreement between you and that person or organization, that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to be named as an addi- tional insured is an "insured" for Covered Autos Liability Coverage, but only for damages to which H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF USE — INCREASED LIMIT I. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES — INCREASED LIMIT J. PERSONAL PROPERTY K. AIRBAGS L. NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS M. BLANKET WAIVER OF SUBROGATION N. UNINTENTIONAL ERRORS OR OMISSIONS this insurance applies and only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Section II. C. EMPLOYEE HIRED AUTO 1. The following is added to Paragraph A.1., Who Is An Insured, of SECTION II — COV- ERED AUTOS LIABILITY COVERAGE: An "employee" of yours is an "insured" while operating an "auto" hired or rented under a contract or agreement in an "employee's" name, with your permission, while performing duties related to the conduct of your busi- ness. 2. The following replaces Paragraph b. in B.S., Other Insurance, of SECTION IV — BUSI- NESS AUTO CONDITIONS: b. For Hired Auto Physical Damage Cover- age, the following are deemed to be cov- ered "autos" you own: (1) Any covered "auto" you lease, hire, rent or borrow; and (2) Any covered "auto" hired or rented by your "employee" under a contract in an "employee's" name, with your CA T3 53 02 15 ©2015 The Travelers Indemnity Company. All rights reserved. Page 1 of 4 Includes copyrighted material of Insurance Services Office, Inc. with its permission. COMMERCIAL AUTO permission, while performing duties related to the conduct of your busi- ness. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". D. EMPLOYEES AS INSURED The following is added to Paragraph A.1., Who Is An Insured, of SECTION II — COVERED AUTOS LIABILITY COVERAGE: Any "employee" of yours is an "insured" while us- ing a covered "auto" you don't own, hire or borrow in your business or your personal affairs. E. SUPPLEMENTARY PAYMENTS —INCREASED LIMITS 1. The following replaces Paragraph A.2.a.(2), of SECTION If — COVERED AUTOS LIABIL- ITY COVERAGE: (2) Up to $3,000 for cost of bail bonds (in- cluding bonds for related traffic law viola- tions) required because of an "accident" we cover. We do not have to furnish these bonds. 2. The following replaces Paragraph A.2.a.(4), of SECTION II — COVERED AUTOS LIABIL- ITY COVERAGE: (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day be- cause of time off from work. F. HIRED AUTO — LIMITED WORLDWIDE COV- ERAGE — INDEMNITY BASIS The following replaces Subparagraph (5) in Para- graph B.7., Policy Period, Coverage Territory, of SECTION IV — BUSINESS AUTO CONDI- TIONS: (5) Anywhere in the world, except any country or jurisdiction while any trade sanction, em- bargo, or similar regulation imposed by the United States of America applies to and pro- hibits the transaction of business with or within such country or jurisdiction, for Cov- ered Autos Liability Coverage for any covered "auto" that you lease, hire, rent or borrow without a driver for a period of 30 days or less and that is not an "auto" you lease, hire, rent or borrow from any of your "employees", partners (if you are a partnership), members (if you are a limited liability company) or members of their households. (a) With respect to any claim made or "suit" brought outside the United States of America, the territories and possessions of the United States of America, Puerto Rico and Canada: (1) You must arrange to defend the "in- sured" against, and investigate or set- tle any such claim or "suit" and keep us advised of all proceedings and ac- tions. (ii) Neither you nor any other involved "insured" will make any settlement without our consent. (iii) We may, at our discretion, participate in defending the "insured" against, or in the settlement of, any claim or "suit". (iv) We will reimburse the "insured" for sums that the "insured" legally must pay as damages because of "bodily injury" or "property damage" to which this insurance applies, that the "in- sured" pays with our consent, but only up to the limit described in Para- graph C., Limits Of Insurance, of SECTION II — COVERED AUTOS LIABILITY COVERAGE. (v) We will reimburse the "insured" for the reasonable expenses incurred with our consent for your investiga- tion of such claims and your defense of the "insured" against any such "suit", but only up to and included within the limit described in Para- graph C., Limits Of Insurance, of SECTION II — COVERED AUTOS LIABILITY COVERAGE, and not in addition to such limit. Our duty to make such payments ends when we have used up the applicable limit of insurance in payments for damages, settlements or defense expenses. (b) This insurance is excess over any valid and collectible other insurance available to the "insured" whether primary, excess, contingent or on any other basis. (c) This insurance is not a substitute for re- quired or compulsory insurance in any country outside the United States, its ter- ritories and possessions, Puerto Rico and Canada. Page 2 of 4 02015 The Travelers Indemnity Company. All rights reserved. CA T3 53 02 15 Includes copyrighted material of Insurance Services Office, Inc. with its permission. You agree to maintain all required or compulsory insurance in any such coun- try up to the minimum limits required by local law. Your failure to comply with compulsory insurance requirements will not invalidate the coverage afforded by this policy, but we will only be liable to the same extent we would have been liable had you complied with the compulsory in- surance requirements. (d) It is understood that we are not an admit- ted or authorized insurer outside the United States of America, its territories and possessions, Puerto Rico and Can- ada. We assume no responsibility for the furnishing of certificates of insurance, or for compliance in any way with the laws of other countries relating to insurance. G. WAIVER OF DEDUCTIBLE — GLASS The following is added to Paragraph D., Deducti- ble, of SECTION III — PHYSICAL DAMAGE COVERAGE: No deductible for a covered "auto" will apply to glass damage if the glass is repaired rather than replaced. H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF USE — INCREASED LIMIT The following replaces the last sentence of Para- graph A.4.b., Loss Of Use Expenses, of SEC- TION III — PHYSICAL DAMAGE COVERAGE: However, the most we will pay for any expenses for loss of use is $65 per day, to a maximum of $750 for any one "accident". 1. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES — INCREASED LIMIT The following replaces the first sentence in Para- graph A.4.a., Transportation Expenses, of SECTION III — PHYSICAL DAMAGE COVER- AGE: We will pay up to $50 per day to a maximum of $1,500 for temporary transportation expense in- curred by you because of the total theft of a cov- ered "auto" of the private passenger type. J. PERSONAL PROPERTY COMMERCIAL AUTO (2) In or on your covered "auto". This coverage applies only in the event of a total theft of your covered "auto". No deductibles apply to this Personal Property coverage. K. AIRBAGS The following is added to Paragraph B.3., Exclu- sions, of SECTION III — PHYSICAL DAMAGE COVERAGE: Exclusion 3.a. does not apply to "loss" to one or more airbags in a covered "auto" you own that in- flate due to a cause other than a cause of "loss" set forth in Paragraphs A.1.b. and A.1.c., but only: a. If that "auto" is a covered "auto" for Compre- hensive Coverage under this policy; b. The airbags are not covered under any war- ranty; and c. The airbags were not intentionally inflated. We will pay up to a maximum of $1,000 for any one "loss". L. NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS The following is added to Paragraph A.2.a., of SECTION IV — BUSINESS AUTO CONDITIONS: Your duty to give us or our authorized representa- tive prompt notice of the "accident" or "loss" ap- plies only when the "accident" or "loss" is known to: (a) You (if you are an individual); (b) A partner (if you are a partnership); (c) A member (if you are a limited liability com- pany); (d) An executive officer, director or insurance manager (if you are a corporation or other or- ganization); or (e) Any "employee" authorized by you to give no- tice of the "accident" or "loss". M. BLANKET WAIVER OF SUBROGATION The following replaces Paragraph A.5., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV — BUSINESS AUTO CONDI- TIONS: The following is added to Paragraph AA., Cover- 5. Transfer Of Rights Of Recovery Against age Extensions, of SECTION III — PHYSICAL Others To Us DAMAGE COVERAGE: We waive any right of recovery we may have Personal Property against any person or organization to the ex - We will a u to $400 for "loss" to wearing a - tent required of you by a written contract pay P 9 P signed and executed prior to any "accident" parel and other personal property which is: or "loss", provided that the "accident" or "loss" (1) Owned by an "insured"; and arises out of operations contemplated by CA T3 53 02 15 © 2015 The Travelers Indemnity Company. All rights reserved. Page 3 of 4 Includes copyrighted material of Insurance Services Office, Inc. with its permission. COMMERCIAL AUTO such contract. The waiver applies only to the The unintentional omission of, or unintentional person or organization designated in such error in, any information given by you shall not contract. prejudice your rights under this insurance. How- N. UNINTENTIONAL ERRORS OR OMISSIONS ever this provision does not affect our right to col - The following is added to Paragraph B.2., Con- lect additional premium or exercise our right of cealment, Misrepresentation, Or Fraud, of cancellation or non -renewal. SECTION IV — BUSINESS AUTO CONDITIONS: Page 4 of 4 02015 The Travelers Indemnity Company. All rights reserved. CA T3 53 02 15 Includes copyrighted material of Insurance Services Office, Inc. with its permission. 0007,0 � r .�I� t3ALDIBROSI '4ATE � CERTIFICATE OF LIABILITY INSURANCE AWIMPEE JMWOD"") D1212812o z 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 endorsements . PRODUCER Orion Business Insurance and Risk Management Services, Inc. 1250 Corona Pointe Court, Suite 302 Corona, CA 92879 Co NETACT Andrea Wimpes A ME: AIC, No, Exq: (951) 281r5332 j Nq:(951) 737�063 - - --- I SS. aw_ impe@ orionins.com INSURERS AFFORDING COVERAGE MAN: IF INSURER A: Travelers Property Casualty Co of Amer 25674 INSURED Baldi Bros, Inc. PO BOX 500 Beaumont, CA 92223 INsumat8:The Travelers Indm Co of CT 25682 INsuRERc:Everest Premier Insurance Company 16045 INSURER D: INSURER E RSURER F: COVERAGES CERTIFICATE NLIMBER- RFVISION NIIMRFR. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY 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. INSIR L13L TYPE OF INSURANCE A SI/B POLICY NUMBER POLICY EFF POLICY EXP LYRE A X COMMERCIAL GENERAL LIABILITY CWMsa-DEOCCUR X DT22.CO.9K395154-TIL-22 6/1/2022 611/2023 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 300,00g MED EXP (My one 5,000 " PERSONAL SADVINJURY 1,000,000 GENL AGGREGATELIMITAPPLIES PER: micY CT LOC � JE OTHER' GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMPIVPAGG li 2.000,000 B "LLAMUTY FXANYAUTO �� �S ONLY �SAC�HEDULEDBgOqppDILY S ONLY X AUTOS ONLY X 10-4P619749.22.26-G 6/1/2022 6/1/2023 COMBINED SINGLE LIMIT $ 1,000,000 BODILY INJURY Per $ INJURY Per S PPerFmRtleM AMAGE A X UMBRELLA LIAR EXCESS LAO X OCCUR CLAMS -MADE CUP-9K56238A-22-26 6/1/2022 6/1/2023 EACH OCCURRENCE 6,000,000 AGGREGATE 61000,000 DEO I X I RETENTIONS 10,000 C WORKERS COMPENSATION AND EMPLOYERS' LUIBIUTY YIN ANY PROPRIETOR~TNERIEXECUTIVE ooFFICERMIEMgg��qq EXCLUDED? (Mantlatory in NHI If yes, tlexr1te under DESCRIPTION OF OPERATIONS eelgv NIA 7600022915231 1/112023 1/1I2024 X I PER OTH- 11 E.L. EACH ACCIDENT 1,000,000 E.L. DISEASE - EA EMPLOYEE 1,000,000 E.L. DISEASE -POLICY LIMIT S 1,000.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACOItD 101, Atltl2onal Reeurka Scnetluk, may W atbcNM B mom space is required) Certificate holder is listed as additional insured as required by written contract per attached form, RE: OVERSIZE LOAD PERMIT y SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Palm Springs „Q rJ Q /� 023 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN tY2 ACCORDANCE WITH THE POLICY PROVISIONS. 3200 Tahquitz Canyon Palm Springs, CA 92262 Chy Hall AUTHORIZED REPRIES�ENTATNE Reception Desk ��t- W.I,rrtO-vR ACORD 25 (2016103) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1 PoficyNumber: DT22-CO-9K395154-TIL-22 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (Includes Products -Completed Operations If Required By Contract) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS The following is added to SECTION II — WHO IS AN INSURED: Any person or organization that you agree in a written contract or agreement to include as an additional insured on this Coverage Part is an insured, but only: a. With respect to liability for "bodily injury" or "property damage" that occurs, or for "personal injury" caused by an offense that is committed, subsequent to the signing of that contract or agreement and while that part of the contract or agreement is in effect; and b. If, and only to the extent that, such injury or damage is caused by acts or omissions of you or your subcontractor in the performance of "your work" to which the written contract or agreement applies. Such person or organization does not qualify as an additional insured with respect to the independent acts or omissions of such person or organization. The insurance provided to such additional insured is subject to the following provisions: a. If the Limits of Insurance of this Coverage Part shown in the Declarations exceed the minimum limits required by the written contract or agreement, the insurance provded to the additional insured will be limited to such minimum required limits. For the purposes of determining whether this limitation applies, the minimum limits required by the written contract or agreement will be considered to include the minimum limits of any Umbrella or Excess liability coverage required for the additional insured by that written contract or agreement. This provision will not increase the limits of insurance described in Section III — Limits Of Insurance. (1) Any "bodily injury", "property damage" or "personal injury" arising out of the providing, or failure to provide, any professional architectural, engineering or surveying services, including: (a) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders or change orders, or the preparing, approving, or failing to prepare or approve, drawings and specifications; and (b) Supervisory, inspection, architectural or engineering activities. (2) Any "bodily injury" or "property damage" caused by "your work" and included in the "products -completed operations hazard" unless the written contract or agreement specifically requires you to provide such coverage for that additional insured during the policy period. c. The additional insured must comply with the following duties: (1) Give us written notice as soon as practicable of an "occurrence" or an offense which may result in a claim. To the extent possible, such notice should include: (a) How, when and where the "occurrence" or offense took place; (b) The names and addresses of any injured persons and witnesses; and (c) The nature and location of any injury or damage arising out of the "occurrence" or offense. b. The insurance provided to such additional (2) If a claim is made or "suit" is brought against insured does not apply to: the additional insured: CG D2 46 04 19 ©2018 The Travelers Indemnity Company. All rights reserved. Page 1 of 2 r COMMERCIAL GENERAL LIABILITY (a) Immediately record the specifics of the claim or "suit" and the date received; and (b) Notify us as soon as practicable and see to it that we receive written notice of the claim or "suit" as soon as practicable. (3) Immediately send us copies of all legal papers received in connection with the claim or "suit", cooperate with us in the investigation or settlement of the claim or defense against the "suit", and otherwise comply with all policy conditions. (4) Tender the defense and indemnity of any claim or "suit" to any provider of other insurance which would cover such additional insured for a loss we cover. However, this condition does not affect whether the insurance provided to such additional insured is primary to other insurance available to such additional insured which covers that person or organization as a named insured as described in Paragraph 4., Other Insurance, of Section IV — Commercial General Liability Conditions. Page 2 of 2 © 2018 The Travelers Indemnity Company. All rights reserved. CG D2 46 04 19 Baidi Bros, Inc. Policy Number: 810-4P619749-22-26-G COMMERCIAL AUTO Effective 6/1/22 to 6/1/23 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO EXTENSION ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GENERAL DESCRIPTION OF COVERAGE — This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. BROAD FORM NAMED INSURED B. BLANKET ADDITIONAL INSURED C. EMPLOYEE HIRED AUTO D. EMPLOYEES AS INSURED E. SUPPLEMENTARY PAYMENTS —INCREASED LIMITS F. HIRED AUTO — LIMITED WORLDWIDE COV- ERAGE — INDEMNITY BASIS G. WAIVER OF DEDUCTIBLE — GLASS PROVISIONS A. BROAD FORM NAMED INSURED The following is added to Paragraph A.1., Who Is An Insured, of SECTION II — COVERED AUTOS LIABILITY COVERAGE: Any organization you newly acquire or form dur- ing the policy period over which you maintain 50% or more ownership interest and that is not separately insured for Business Auto Coverage. Coverage under this provision is afforded only un- til the 180th day after you acquire or form the or- ganization or the end of the policy period, which- ever is earlier. B. BLANKET ADDITIONAL INSURED The following is added to Paragraph c. in A.1., Who Is An Insured, of SECTION II — COVERED AUTOS LIABILITY COVERAGE: Any person or organization who is required under a written contract or agreement between you and that person or organization, that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to be named as an addi- tional insured is an "insured" for Covered Autos Liability Coverage, but only for damages to which H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF USE — INCREASED LIMIT I. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES — INCREASED LIMIT J. PERSONAL PROPERTY K. AIRBAGS L. NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS M. BLANKET WAIVER OF SUBROGATION N. UNINTENTIONAL ERRORS OR OMISSIONS this insurance applies and only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Section 11. C. EMPLOYEE HIRED AUTO 1. The following is added to Paragraph A.1., Who Is An Insured, of SECTION II — COV- ERED AUTOS LIABILITY COVERAGE: An "employee" of yours is an "insured" while operating an "auto" hired or rented under a contract or agreement in an "employee's" name, with your permission, while performing duties related to the conduct of your busi- ness. 2. The following replaces Paragraph b. in B.5., Other Insurance, of SECTION IV — BUSI- NESS AUTO CONDITIONS: b. For Hired Auto Physical Damage Cover- age, the following are deemed to be cov- ered "autos" you own: (1) Any covered "auto" you lease, hire, rent or borrow; and (2) Any covered "auto" hired or rented by your "employee" under a contract in an "employee's" name, with your CA T3 53 02 15 © 2015 The Travelers Indemnity Company. All rights reserved. Page 1 of 4 Includes copyrighted material of Insurance Services Office, Inc. with its permission. 1 COMMERCIAL AUTO permission, while performing duties (a) With respect to any claim made or "suit" related to the conduct of your busi- brought outside the United States of ness. America, the territories and possessions However, any "auto" that is leased, hired, of the United States of America, Puerto rented or borrowed with a driver is not a Rico and Canada: covered "auto". (i) You must arrange to defend the "in- D. EMPLOYEES AS INSURED sured" against, and investigate or set - tie any such claim or "suit" and keep The followingis added to Paragraph A.1., Who Is P us advised of all proceedings and ac- An Insured, of SECTION II — COVERED AUTOS tions. LIABILITY COVERAGE: (ii) Neither you nor any other involved of ours is an "insured" while us- Any "employee"Y "insured will make any settlement ing a covered "auto" you don't own, hire or borrow without our consent. in your business or your personal affairs. (iii) may, at our discretion, participate E. SUPPLEMENTARY PAYMENTS — INCREASED in defending the "insured" against, or in LIMITS in the settlement of, any claim or 1. The following replaces Paragraph A.2.a.(2), "suit". of SECTION II — COVERED AUTOS LIABIL- (iv) We will reimburse the "insured" for ITYCOVERAGE: sums that the "insured" legally must (2) Up to $3,000 for cost of bail bonds (in- pay as damages because of "bodily cluding bonds for related traffic law viola- injury" or "property damage" to which tions) required because of an "accident" this insurance applies, that the "in - we cover. We do not have to furnish sured" pays with our consent, but these bonds. only up to the limit described in Para- 2. The following replaces Paragraph A.2.a.(4), graph C., Limits Of Insurance, of of SECTION 11 — COVERED AUTOS LIABIL- SECTION- II — COVERED AUTOS ITY COVERAGE: LIABILITY COVERAGE. (4) All reasonable expenses incurred by the (v) We will reimburse the "insured" for "insured" at our request, including actual the reasonable expenses incurred loss of earnings up to $500 a day be- with our consent for your investiga- cause of time off from work. tion of such claims and your defense the "insured" against any such F. HIRED AUTO — LIMITED WORLDWIDE COV- ns uitn but only up tand included ERAGE — INDEMNITY BASIS within the limit described in Para - The following replaces Subparagraph (5) in Para- graph C., Limits Of Insurance, of graph B.7., Policy Period, Coverage Territory, SECTION II — COVERED AUTOS of SECTION IV — BUSINESS AUTO CONDI- LIABILITY COVERAGE, and not in TIONS: addition to such limit. Our duty to (5) Anywhere in the world, except any country or make such payments ends when we jurisdiction while any trade sanction, em- have used up the applicable limit of bargo, or similar regulation imposed by the insurance in payments for damages, United States of America applies to and pro- settlements or defense expenses. hibits the transaction of business with or (b) This insurance is excess over any valid within such country or jurisdiction, for Cov- and collectible other insurance available ered Autos Liability Coverage for any covered to the "insured" whether primary, excess, "auto" that you lease, hire, rent or borrow contingent or on any other basis. without a driver for a period of 30 days or less (c) This insurance is not a substitute for re - and that is not an 'auto" you lease, hire, rent quired or compulsory insurance in any or borrow from any of your "employees", country outside the United States, its ter - partners (if you are a partnership), members ritories and possessions, Puerto Rico and (if you are a limited liability company) or Canada. members of their households. Page 2 of 4 02015 The Travelers Indemnity Company. All rights reserved. CA T3 53 02 15 Includes copyrighted material of Insurance services Office, Inc. with Its permission. You agree to maintain all required or compulsory insurance in any such coun- try up to the minimum limits required by local law. Your failure to comply with compulsory insurance requirements will not invalidate the coverage afforded by this policy, but we will only be liable to the same extent we would have been liable had you complied with the compulsory in- surance requirements. (d) It is understood that we are not an admit- ted or authorized insurer outside the United States of America, its territories and possessions, Puerto Rico and Can- ada. We assume no responsibility for the furnishing of certificates of insurance, or for compliance in any way with the laws of other countries relating to insurance. G. WAIVER OF DEDUCTIBLE — GLASS The following is added to Paragraph D., Deducti- ble, of SECTION III — PHYSICAL DAMAGE COVERAGE: No deductible for a covered "auto" will apply to glass damage if the glass is repaired rather than replaced. H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF USE — INCREASED LIMIT The following replaces the last sentence of Para- graph AA.b., Loss Of Use Expenses, of SEC- TION III — PHYSICAL DAMAGE COVERAGE: However, the most we will pay for any expenses for loss of use is $65 per day, to a maximum of $750 for any one "accident". I. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES — INCREASED LIMIT The following replaces the first sentence in Para- graph A.4.a., Transportation Expenses, of SECTION III — PHYSICAL DAMAGE COVER- AGE: We will pay up to $50 per day to a maximum of $1,500 for temporary transportation expense in- curred by you because of the total theft of a cov- ered "auto" of the private passenger type. J. PERSONAL PROPERTY COMMERCIAL AUTO (2) In or on your covered "auto". This coverage applies only in the event of a total theft of your covered "auto". No deductibles apply to this Personal Property coverage. K. AIRBAGS The following is added to Paragraph B.3., Exclu- sions, of SECTION III — PHYSICAL DAMAGE COVERAGE: Exclusion 3.a. does not apply to "loss" to one or more airbags in a covered "auto" you own that in- flate due to a cause other than a cause of "loss" set forth in Paragraphs A.1.b. and A.1.c., but only: a. If that "auto" is a covered "auto" for Compre- hensive Coverage under this policy; b. The airbags are not covered under any war- ranty; and c. The airbags were not intentionally inflated. We will pay up to a maximum of $1,000 for any one "loss". L. NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS The following is added to Paragraph A.2.a., of SECTION IV — BUSINESS AUTO CONDITIONS: Your duty to give us or our authorized representa- tive prompt notice of the "accident" or "loss" ap- plies only when the "accident" or "loss" is known to: (a) You (if you are an individual); (b) A partner (if you are a partnership); (c) A member (if you are a limited liability com- pany); (d) An executive officer, director or insurance manager (if you are a corporation or other or- ganization); or (e) Any "employee" authorized by you to give no- tice of the "accident" or "loss". M. BLANKET WAIVER OF SUBROGATION The following replaces Paragraph A.S., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV — BUSINESS AUTO CONDI- TIONS: The following is added to Paragraph AA., Cover- 5. Transfer Of Rights Of Recovery Against age Extensions, of SECTION III — PHYSICAL Others To Us DAMAGE COVERAGE: We waive any right of recovery we may have Personal Property against any person or organization to the ex - We will a u to $400 for "loss" to wearing a - tent required of you by a written contract pay P 9 P signed and executed prior to any "accident" parel and other personal property which is: or "loss", provided that the "accident" or "loss" (1) Owned by an "insured"; and arises out of operations contemplated by CA T3 53 02 15 @ 2015 The Travelers Indemnity Company. All rights reserved. Page 3 of 4 Includes copyrighted material of Insurance Services Office, Inc. with its permission. COMMERCIAL AUTO such contract. The waiver applies only to the The unintentional omission of, or unintentional person or organization designated in such error in, any information given by you shall not contract. prejudice your rights under this insurance. How- N. UNINTENTIONAL ERRORS OR OMISSIONS ever this provision does not affect our right to col - The following is added to Paragraph B.2., Con- lect additional premium or exercise our right of cealment, Misrepresentation, Or Fraud, of cancellation or non -renewal. SECTION IV — BUSINESS AUTO CONDITIONS: Page 4 of 4 m 2015 The Travelers Indemnity Company. All rights reserved. CA T3 53 02 15 Includes copyrighted material of Insurance Services Office, Inc. with its permission.