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HomeMy WebLinkAboutContracts & Agreements_33-2017 PUBLIC WORK CONSTRUCTION CONTRACT This Public Work Construction contract ("Contract") is made and entered into this 21st day of February, 2017, by and between the City of Redlands, a municipal corporation, organized and existing under the laws of the State of California (hereinafter "City"), and Best Contractor's Inc hereinafter ("Contractor") City and Contractor are sometimes individually referred to herein as a "Party"and, together, as the"Parties" In consideration of the mutual promises contained herem, City and Contractor agree as follows 1 SCOPE OF WORK Contractor shall furnish all materials and will perform all of the work for the following Roofing replacement at Fire Stations 262 and 263,Roofing repairs at Fire Station 261 as required by the Contract Documents (as herem defined) and Specifications for the Fire Station.261,262, 263 Roofing Project(the"Work") 2 CONTRACT SUM: City shall pay Contractor the sum of One Hundred Seventy Seven Thousand, Five Hundred Fifty One Dollars and Twenty Cents ($177,55120) as consideration for its performance of the Work in accordance with the terms and conditions set forth in the Contract Documents Pursuant to Public Contract Code Section 22300,Contractor has the option to deposit securities with an escrow agent as a substitute for retention of earnings required to be withheld by City pursuant to an escrow agreement as set forth in Public Contract Code section 22300 3 TIME FOR COMPLETION:The Work shall be completed within One Hundred Twenty(120) calendar days from and after the date of the delivery to Contractor of the Notice to Proceed by City 4 LIQUIDATED DAMAGES•Contractor's failure to complete the Work withinthe time allowed will result in damages being sustained by City Such damages are, and will continue to be, impracticable and extremely difficult to determme Accordingly, Contractor shall pay to City, or have withheld from momes due to Contractor, the sum of Five Hundred Dollars ($500) for each consecutive calendar day in excess of the specified tune for completion of the work. Execution of this Contract shall constitute agreement by City and Contractor that Five Hundred Dollars($500)per day is the estimated damage to City caused by the failure of the Contractor to complete the work within the allowed time Such sum is liquidated damages and shall not be construed as a penalty, and may be deducted from payments due the Contractor if such delay occurs 5 CONTRACT DOCUMENTS This Contract incorporates by reference the following Notice Inviting Bids, Instructions to Bidders, Contractor's Proposal, Bid Bond, Agreement Performance, Labor and Material Bond, Plans, General Conditions, Special Provisions and Specifications, and any addenda thereto (collectively the"Contract Documents") 6 ATTORNEYS' FEES: In the event any legal action is commenced to enforce or interpret the terms or conditions of the Contract Documents, the prevailuig Party in such action, in addition to any costs and other relief, shall be entitled to recover its reasonable attorneys' fees, including fees for use of in-house counsel by a Party I 1ca1djmlAgreementslContract Best Contracting Services.docxl ORIGINAL 7 RESOLUTION OF CONSTRUCTION CLAIMS Any claims by Contractor in the amount of Three Hundred Seventy Five Thousand Dollars($375,000)or less shall be made by Contractor and processed by the City pursuant to the provisions of Part 3,Chapter 1,Article 15 of the Public Contracts Code (commencing with Section 20104) All claims shall be in writing and include the documents necessary to substantiate the claim Nothing in Public Contracts Code Section 20104 2 shall extend the time limit or supersede the notice requirements provided for the filing of claims by Contractor 8 ELIGIBILITY OF CONTRACTOR/SUBCONTRACTOR Contractor and all of its subcontractors shall abide by Public Contract Code Section 6109 and Labor Code sections 1777 1 and/or 1777 7,and certify that they are not debarred and are eligible to perform the Work 9 ASSIGNMENT OF AGREEMENT- No assignment by Contractor of any rights or interests under this Contract shall be binding on the City without the prior written consent of the City 10 SUCCESSORS AND ASSIGNS City and Contractor each binds itself and their respective successors and assigns in respect to all covenants, agreements, and obligations contained in the Contract Documents 11 SEVERABILITY- Any provision or part of the Contract Documents held to be void or unenforceable under any law or regulation shall be deemed stricken,and all remaining provisions shall continue to be valid and binding upon City and Contractor I IcaldjmlAgreementslContract_Best Contracting Services docx2 ORIGINAL IN WITNESS WHEREOF, the Parties hereto have executed tlus Contract the day and year first written above City of Redlands (SEAL) By aul W Foster,Mayor ATTEST Je Donaldson,City Clerk (SEAL) Best Contracting services, Inc Best Contractor Se es �I BySigna ire•of Aut zedjA ent j y � I kAYHAN FATEMI Title 1 EXEC. V.P. Signature of Authorized Agent(if necessary) Title 4�%eLo Contractor's License No I 1ca\djmlAgreements\Contract Best Contracting Services docx3 WORKER'S COMPENSATION INSURANCE CERTIFICATION Description of Contract Every employer, except the State, shall secure the payment of compensation in one or more of the following ways a By being insured against liability to pay compensation by one or more insurers duly authorized to write compensation insurance in this State b By securing from the Director of Industrial Relations, a certificate of consent to self-insure, either as an individual employer, or as one employer in a group of employers, which may be given upon furnishing proof satisfactory to the Director of Industrial Relations of ability to self-insure and to pay any compensation that may become due to his or her employees CHECK ONE I am aware of the provisions of Section 3700 of the Labor Code which requires every employer to be insured against liability for Workers' Compensation or to undertake self-insurance in accordance with the provisions of that Code, and I will comply with such provisions before commencing the performance of the work and activities required or permitted under this Agreement (Labor Code §1$61) I affirm that at all times, in performing the work and activities required or permitted under this Agreement, I shall not employ any person in any manner such that I become subject to the workers' compensation laws of California However, at any time, if I employ any person such that I become subject to the workers' compensation laws of California, immediately I shall provide the City with a certificate of consent to self-insure, or a certification of workers' compensation insurance I certify under penalty of perjury under the laws of the State of California that the information and representations made in this certificate are true and correct Dated this day of CI" ,2017 .Bost Contr ctin g Services, Inc cnn ctor 1 C i (Sigdature)� r KAYHAN FATEMI (Offs ial T tie) EXEC. VP. (SEAL) (Labor Code Section 1861 provides that the above certificate must be signed and filed by the Contractor with the Owner prior to performing the work of the contract) I 1ca1djmlAgreementslContract_Best Contracting Services.docx4 ORIGINAL BOND NUMBER- 1058678 FAITHFUL PERFORMANCE BOND Whereas, the City of Redlands ("City"), State of California, and Best Contracting Services, Inc (hereinafter designated as "Principal") have entered into an agreement dated February 21, 2017, ("Agreement")whereby Principal agrees to install and complete certain public improvements(the"Work'), which said Agreement is identified as Fire Station 261,262,263 Roofing Project and is hereby referred to and made a part hereof; and Whereas, said Principal is required under the terms of the Agreement to furnish a bond for the faithful performance of the Agreement,now,therefore,we,the Principal and The Hanover Insurance Company Best Contracting Services, Inc, as Surety, are held and firmly bound unto the City in the penal sum of One Hundred Seventy Seven Thousand, Five Hundred Fifty One Dollars and Twenty Cents ($177,55120) lawful money of the United States, for the payment of which sum we bind ourselves, and our heirs, successors,executors and administrators,jointly and severally,firmly by these presents The condition of this obligation is such that if the above bounded Principal, his or its heirs, executors,administrators,successors or assigns,shall in all things stand to and abide by,and well and truly keep and perform the covenants, conditions and provisions in the Agreement and any alteration thereof made as therein provided,on his or its part,to be kept and performed at the time and in the manner therein specified,and in all respects according to their true intent and meaning, and shall faithfully fulfill the one- year guarantee of all materials and workmanship,and shall defend, indemnify and save harmless the City and its elected officials, officers, agents and employees, as therein stipulated, then this obligation shall become null and void,otherwise it shall be and remain in full force and effect As a part of the obligation secured hereby and in addition to the face amount specified therefor, there shall be included costs and reasonable expenses and fees, including reasonable attorneys' fees, incurred by the City in successfully enforcing such obligations,all to be taxed as costs and included in the judgment rendered As a condition precedent to the satisfactory completion of the Agreement, the above obligation shall hold good for a period of one(l)year or longer if required by the Agreement after the acceptance of the work by the City,during which time if the Principal shall fail to make full,complete, and satisfactory repair and replacements and totally protect the City from loss or damage made evident during this period from the date of completion of the Work, and resulting from or caused by defective materials or faulty workmanship, the above obligation in penal sum thereof shall remain in full force and effect The obligations of Surety hereunder shall continue so long as any obligation of the Principal remains. Whenever the Principal shall be,and is declared by the City to be,in default under the Agreement, the City having performed the City obligations thereunder, the Surety shall promptly remedy the default, or shall promptly,at the City's option 1. Complete the Agreement in accordance with its terms and conditions, or 2 Obtain a bid or bids for completing the Agreement in accordance with its terms and conditions, and upon determination by Surety of the lowest responsive and responsible bidder, arrange for a contract between such bidder and the City, and make available as work progresses sufficient funds to pay the cost of completion of the Work less the balance of the Agreement price, but not exceeding, including other costs and damages for which Surety may be liable hereunder, the amount set forth above. The term "balance of the Agreement price," as used in this paragraph, shall mean the total amount payable to the Principal by the City under the Agreement and any modifications thereto,less the amount previously properly paid by the City to the Principal. I:1ca1djmlAgreementslContract_Best Contracting Services.docx5 ORIGINAL Surety expressly agrees that the City may refect any contractor or subcontractor which may be proposed by Surety in fulfillment of its obligations in the event of default by the Principal. Surety shall not utilize the Principal in completing the Agreement nor shall Surety accept a bid from the Principal for completion of the Work if the City,when declaring the Principal in default, notifies Surety of the City's objection to the Principal's further participation in the completion of the Work. No right of action shall accrue on the bond to or for the use of any person or corporation other than the City named herein or the successors or assigns of the City Any suit under this bond must be instituted within the applicable statute of limitations period The said Surety,for value received,hereby stipulates and agrees that no change,extension of time, alteration or addition to the terms of the Agreement or to the work to be performed thereunder or the Specifications accompanying the same shall in any way affect its obligations on this bond, and it does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the Agreement or to the work or to the specifications. No final settlement between the City and the Principal shall abridge the right of any beneficiary hereunder whose claim may be unsatisfied. The Principal and Surety agree that if the City is required to engage the services of any attorney in connection with the enforcement of this bond,each shall pay the City's reasonable attorneys' fees incurred, with or without suit,in addition to the above sum. In witness whereof, this instrument has been duly executed by the Principal and Surety above named,on January 31-------- 2017 st Contracting Services, IMEAL) (SEAL) The Hanover Insurance Company--------------- 0 ctor (Surety) - � BY (Signature) - (Signature) Address 500 N Brand Blvd, Suite 1280------- --------- Gb-nda.JC, CA 91203------------------- (Seal and Notarial Acknowledgment of Telephone(818 ) 863-1781---------------------- Surety) I.1ca1djmlAgreementslContract_13est Contracting Services.docx6 ORIGINAL CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document State of California ) County of Los Angeles On 212117 before me, R.Robles,Notary Public Date Here Insert Name and Title of the Officer personally appeared Mojitaba Tabazadeh Name sNof SignerN, who proved to me on the basis of satisfactory evidence to be the personNwhose namex is/av, subscribed to the within instrument and acknowledged to me that he/sNvARN executed the same in his/Asc/th'e-kauthonzed capacity(I ,and that by his/h�ftw_signatureNpn the instrument the person or the entity upon behalf of which the person cted, executed the instrument I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct R R06LES Notary Public California z WITNESS my d d officaj seal a -r' Los Angeles County z z Commission# 2174230 Mr Comm Expires Dec 21,2020 Signature ln tore of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document Description of Attached Document Title or Type of Document Faithful Performance Bond No 1058678 Document Date- 01/31/17 Number of Pages Two(2) Signe?*QI,Other Than Named Above Julie Brennan Capacitytrec4 Claimed by Siggner Signer's Name Mojitaba Tat= Signer's Name Corporate Officer — Title'(*,_ President I-�Corporate Officer — Title(s) FPartner — I�=1 Limited General C Partner — Limited i]General t_=. Individual C Attorney in Fact I I Individual 0.Attorney in Fact _-Trustee Guardian or Conservator C Trustee (-Guardian or Conservator E Other C Other Signer Is Representing Best Contracting Services,Inc Signer Is Representing 02016 National Notary Association www NationalNotary org 1-800-US NOTARY (1-800-876-6827) Item#5907 BOND NUMBER 1058678 LABOR AND MATERIAL BOND Whereas, the City Council of the City of Redlands, State of California, and Best Contracting Services, Inc (hereinafter designated as "Principal") have entered into an agreement (the "Agreement") whereby Principal agrees to install and complete certain designated public improvements (the "Work"), which said agreement, dated February 21, 2017, and identified as Fire Station 261, 262, 263 Roofing Project hereby referred to and made a part hereof, and Whereas, under the terms of the Agreement, Principal is required before commending the performance of the Work,to file a good and sufficient Labor and Material bond with the City of Redlands to secure the claims to which reference is made in Title 3 (cominencing with Section 9550) of Part 6 of Division 4 of the Civil Code of the State of California Now,therefore,said Principal and the undersigned as corporate surety,are held firmly bound unto the City and all contractors, subcontractors, laborers, material men and other persons employed in the performance of the Agreement and referred to in the aforesaid Code of Civil Procedure in the sum of One Hundred Seventy Seven Thousand Five Hundred Fifty One Dollars and Twenty Cents ($177,55120) for materials furnished or labor thereon of any kind,or for amounts due under the Unemployment Insurance Act with respect to such work or labor,that said surety will pay the same in an amount not exceeding the amount hereinabove set forth, and also in case suit is brought upon this bond, will pay,in addition to the face amount thereof,costs and reasonable expenses and fees,including reasonable attorneys'fees,incurred by the City in successfully enforcing such obligation,to be awarded and fixed by the court,and to be taxed as costs and to be included in the judgment therein rendered. It is hereby expressly stipulated and agreed that this bond shall insure to the benefit of any and all persons, companies and corporations entitled to file claims under Title 3 (commencing with Section 9550) of Part 6 of Division 4 of the Civil Code,so as to give a right of action to them or their assigns in any suit brought upon this bond. Should the condition of this bond be fully performed, then this obligation shall become null and void,otherwise it shall be and remain in full force and effect The surety hereby stipulates and agrees that no change, extension of time,alteration or addition to the terms of the Agreement or the specifications accompanying the same shall in any manner affect its obligations on this bond, and it does hereby waive notice of any such change,extension of time,alteration or addition In witness whereof, this instrument has been duly executed by the Principal and surety above named,on January 31---------------,2017 . (SEAL) (SEAL) Pest Contract' ervices, nc The Hanover Insurance Company--------------- ( ontract (Surety) i BY (Signature) / (Signature) Address. 500 N Brand Blvd , Suite 1280, Glendale, CA 91203 (Seal and Notarial Acknowledgment of Telephone(818) 863-1781----------------------- Surety) I lcaldj mlAgrcementslContract Best Contracting Services.docx7 ORIGINAL CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document State of California ) County of Los Angeles ) On 2/2117 before me, R Robles,Notary Public Date Here Insert Name and Title of the Officer personally appeared Mojitaba Tabazadeh Name(,of SignerN who proved to me on the basis of satisfactory evidence to be the person whose name, is/dm subscribed to the within instrument and acknowledged to me that he/51 /they executed the same in his/fler/thINL authorized capacity(ibw� and that by his/her/thetr signaturekon the instrument the personN, or the entity upon behalf of which the personN acted executed the instrument I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph R ROBLES is true and correct Notary Public California Z WITNESS my hand a d official seal Z Los Angeles County z Z Commission#2174230 a My Comm Expires Dec 21 2020 Signature nature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document Labor and Material Bond No 1058678 Document Date 01/31/17 Number of Pages One(1) SignefK Other Than Named Above Julie Brennan Capacityti� Claimed by Signe`rN Signer's Name Mo)itaba Tabzadeh Signer's Name ix.Corporate Officer — Title(s) President ❑ Corporate Officer — Title(s) ❑ Partner — I Limited F General -1 Partner — Limited ❑General Individual -i Attorney in Fact ❑ Individual F.Attorney in Fact Ci Trustee ❑Guardian or Conservator ❑Trustee ❑ Guardian or Conservator ❑Other ❑ Other Signer Is Representing Best Contracting Services,Inc Signer Is Representing 02016 National Notary Association •www NationalNotary org - 1-800-US NOTARY(1-800-876-6827) Item#5907 THE HANOVER INSURANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY CITIZENS INSURANCE COMPANY OF AMERICA POWER OF ATTORNEY THiS Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated KNOW ALL PERSONS BY THESE PRESENTS That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY, both being corporations organized and existing under the laws of the State of New Hampshire, and CITIZENS INSURANCE COMPANY OF AMERICA, a corporation organized and existing under the laws of the State of Michigan,(hereinafter individually and collectively the"Company")does hereby constitute and appoint, Patrick T Moughan, Trisha Engelhart, Linda Hetherington, Cynthia Sorrell, Kimberly Ann and/or Julie Brennan Of Orion Risk Management Insurance Services, Inc , Newport Beach, CA, each individually, if there be more than one named as its true and lawful attorney(s) in fact to sign, execute, seal, acknowledge and deliver for, and on its behalf, and as its act and deed any place within the United States, any and all surety bonds, recognizances, undertakings or other surety obligations The execution of such surety bonds, recognizances, undertakings or surety obligations, in pursuance of these presents, shall be as binding upon the Company as if they had been duly signed by the president and attested by the secretary of the Company, in their own proper persons Provided however, that this power of attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner stated and to the extent of any limitation stated below Any surety bond, recognizance or obligation in the United States, not to exceed Fifty Million Dollars ($50,000,000 00) in any single instance That this power is made and executed pursuant to the authority of the following Resolutions passed by the Board of Directors of said Company, and said Resolutions remain in full force and effect RESOLVED That the President or any Vice President, in conjunction with any Vice President, be and they hereby are authorized and empowered to appoint Attorneys-in-fact of the Company in its name and as it acts,to execute and acknowledge for and on its behalf as surety, any and all bonds,recognizances,contracts of indemnity,waivers of citation and all other writings obligatory in the nature thereof,with powerto attach thereto the seal of the Company Any such writings so executed by such Attorneys-in-fact shall be binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company in their own proper persons RESOLVED That any and all Powers of Attorney and Certified Copies of such Powers of Attorney and certification in respect thereto,granted and executed by the President or Vice President in conjunction with any Vice President of the Company,shall be binding on the Company to the same extent as if all signatures therein were manually affixed,even though one or more of any such signatures thereon may be facsimile (Adopted October 7 1981 —The Hanover Insurance Company,Adopted April 14 1982—Massachusetts Bay insurance Company,Adopted September 7 2001—Citizens Insurance Company of America) IN WITNESS WHEREOF,THE HANOVER INSURANCE COMPANY,MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE COMPANY OF AMERICA have caused these presents to be sealed with their respective corporate seals,duly attested by two Vice Presidents,this 4th day of October, 2016 THE HANOVER#NSURANCE COMPIANY MASSACHU$ETT5 BAY INSURANCE COMPANY C11T1ZEN5 SURANCE OMPANY OF AMERICA R:ab+:rx T�1dITLS{3,ViCc E�rc;ide�C THe HANOVER IN8u RANcE COMPANY MA 5A HUSETT 9AYA�CE NY CIT3(� CECA THE COMMONWEALTH OF MASSACHUSETTS COUNTY OF WORCESTER ) ss "! Hanover ��a� On this 4th day of October, 2016 before me carne the above named Vice Presidents o The Hanover Insurance Company Massachusetts Bay Insurance Company and Citizens Insurance Company of America,to me personally known to be the individuals and officers described herein,and acknowledged that the seals affixed to the preceding instrument are the corporate seals of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America,respectively and that the said corporate seals and their signatures as officers were duly affixed and subscribed to said instrument by the authority and direction of said Corporations 9, QIANE J YA11gld NorM Pu6Me Rim rW� � � by��+Faspk�s Man.J � a n.NNrrl:v»'F'ut,3i:- 4 My Cnn.-,: ion 4.2M2 I,the undersigned Vice President of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America,hereby certifythat the above and foregoing is a full,true and correct copy of the Original Power of Attorney issued by said Companies, and do hereby further certify that the said Powers of Attorney are still in force and effect. GIVEN under my hand and the seals of said Companies, at Worcester, Massachusetts,thiis day CERTIFIED COPY i ✓ �" ` 't lcmorc G Kutinri.Vicc Prw dent CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document State of California ) County of C1t'C�nC� L_ l ) On v �l�fl V f,l J� (�I� before me, 1 ���"� C A i t v 0, nOfiG�-"/Y PO Date Here Insert Name and Title of the Officer personally appeared v"1 Irl C,, Name(s) of Srgner(s) who proved to me on the basis of satisfactory evidence to be the person>(sf whose nameKis subscribed to the within instrument and acknowledged to me that 46/she/jbey executed the same in It /her/ter authorized capacity( and that by /her/fir signature on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct DEBORAH C AITRO WITNESS my hand and official seal Commission#2102883 Notary Public California z ` Orange County Si nature_ C+1c—I- C /1,�vt,j my comm Expires Apr 9 2010 g y „ „ , Signature of NotaryPublic Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document Description of Attached Document � " Title or Type of Document ��� yp �ilalt�.. Ltior� .�C'S� Document Date Number of Pages Signer(s) Other Than Named Above Capacity(ies) Claimed by Signer(s) Signer's Name Signer's Name ❑ Corporate Officer — Title(s) ❑ Corporate Officer — Title(s) El Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact 1-1 Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator ❑ Other ❑ Other Signer Is Representing Signer Is Representing 02014 National Notary Association www National Notary org 1-800-US NOTARY(1-800-876-6827) Item #5907 BESTCON 01 JWAITE ACORO' CERTIFICATE OF LIABILITY INSURANCE DATEIMMIDDIYYYY) kw � 01139!2017 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 License#OD28764 CONTACT NAME Orion Risk Management Insurance Services,Inc PHONE FAX 1800 Quail Street,Suite 110 ((AIC No Ext) (949)263 8850 11(Arc No)(949)263 8860 Newport Beach,CA 92660 r.-MAIL INSURER(SIAFFORDING COVERAGE I NAIL# INSURERA Zurich American Insurance COmpanv 116535 INSURED INSURER American Zurich Insurance Companv 140142 Best Contracting Services,Inc INSURER C. 19027 S Hamilton Avenue INSURER o Gardena,CA 90248 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER REVISION NUMBER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY 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 IN5R 1 TYPE OF INSURANCE fNSD�SINVBD[ POLICY NUMNER POLICY EFF POLICY EXP 1 IMOLICY EFF ��f POLIO YYYYI LIMITS X COMMERCIAL GENERAL LIABILITYEACH OCCURRENCE g 1,000,000 CLAIMS-MADE X OCCUR GL0980519705 12!01!2016 i 1 2101 72 01 7 DAMAGE TO RENTED 1,000,000 3 X , PREI�LI$E$(E.a gccur�encRl S MED EXP(Any one oerson) S 10,000 PERSONAL&ADV INJURY S 110001000 .GE JT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 € I POLICY I'PE& F LOG PRODUCTS COMPIOPAGG S 2'000'000 ' ^3 excluding WRAPIOCIP Projects I OTHER $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 1,000,000 i 3 lEa acct ANY AUTO X BAP980519605 1210112016112101/210117 BODILY INJURY(Percerson) S OWNED F�,SCHEDULED AUTOS ONLY AUTOS y�N p € li BODILY INJURY(PeraccidenO $ �!4 AURTOS ONLY AU OO ONLY 'PPe�acEc3denI�AMAGE 5 IS E UMBRELLA LIAR OCCUR ( EACH OCCURRENCE 5 EXCESS LIABCLAIMS MADE! E 3 I AGGREGATE €15 DED RETENTION$ 5 B WORKERS COMPENSATION i X STATUTE LOTF H AND EMPLOYERS'LIABILITY YIN lWC980519805 12/01/2016 12101!2017 E 1,000,000 ANY PROPRIETORIPARTNER/EXECUTIVE X E.L EACH ACCIDENT 5 FICERIME MgER EXCLUDED? Y NIA Wandatary In NH) 1,000,000 E.L DISEASE EA EMPLOYEE 5 Il9yes describe under i 1,000,000 -BESCRIPTION OF OPERATIONS below E.L DISEASE POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 401,Additional Remarks Schedule,may be attached if more space Is required) Fire Station 261,262&263 Roofing Repair Project City of Redlands included as additional insured when required by written contract per the attached General Liability and.Auto endorsements Primary and non contributory coverage applies when requird by written contract per the attached General Liability endorsement Waiver of subrogation applies when required by written contract per the attached Workers Compensation endorsement 30 day notice of cancellation 10 day notice of non payment per standard policy provisions CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Ci of Redlands THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City ACCORDANCE WITH THE POLICY PROVISIONS 35 Cajon St.Suite 4 Redlands,CA 92373 AUTHORIZED REPRESENTATIVE ACORD 25(2016103) ©1988-2015 ACORD CORPORATION All rights reserved The ACORD name and logo are registered marks of ACORD Best Contracting Services,Inc Coverage Extension Endorsement ZURICH IPolicy No Eff pate of Pol I Exp Date of Pol Eff Date of End Producer No Add'I Prem I Return Prem BAP980519605 12 01-2016 12-01-2017 12-01-16 THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the Business Auto Coverage Form Motor Carrier Coverage Form A Amended Who is An Insured 1 The following is added to the Who is An Insured Provision in Section If—Covered Autos Liability Coverage The following are also"insureds" a Any "employee" of yours is an "insured"while using a covered "auto" you don't own, hire or borrow for acts performed within the scope of employment by you Any "employee" of yours is also an `insured" while operating an 'auto hired or rented under a contract or agreement in an employee's" name, with your permission,while performing duties related to the conduct of your business b Anyone volunteering services to you is an 'insured while using a covered auto you don t own, hire or borrow to transport your clients or other persons in activities necessary to your business c Anyone else who furnishes an"auto" referenced in Paragraphs A 1 a and A 1 b in this endorsement d. Where and to the extent permitted by law, any person(s)or organization(s)where required by written contract or written agreement with you executed prior to any "accident", including those person(s) or organization(s) directing your work pursuant to such written contract or written agreement with you, provided the "accident" anses out of operations governed by such contract or agreement and only up to the limits required in the written contract or written agreement,or the Limits of Insurance shown in the Declarations,whichever is less 2 The following is added to the Other Insurance Condition in the Business Auto Coverage Form and the Other Insurance--Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form Coverage for any person(s) or organization(s), where required by written contract or written agreement with you executed prior to any"accident" will apply on a primary and non contributory basis and any insurance maintained by the additional "insured"will apply on an excess basis However in no event will this coverage extend beyond the terms and conditions of the Coverage Form B Amendment—Supplementary Payments Paragraphs a(2) and a(4) of the Coverage Extensions Provision in Section Il — Covered Autos Liability Coverage are replaced by the following (2) Up to 55,000 for the cost of bail bonds (including bonds for related traffic law violations) required because of an "accident"we cover We do not have to furnish these bonds (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day because of time off from work U CA-424 F CW(04-14) Page 1 of 6 Includes copyrighted material of Insurance Services office Inc. with its permission C Fellow Employee Coverage The Fellow Employee Exclusion contained in Section Il—Covered Autos Liability Coverage does not apply D. Driver Safety Program Liability and Physical Damage Coverage 1. The following is added to the Racing Exclusion in Section 11—Covered Autos Liability Coverage This exclusion does not apply to covered "autos" participating in a driver safety program event, such as, but not limited to,auto or truck rodeos and other auto or truck agility demonstrations 2 The following is added to Paragraph 2. in the Exclusions of Section 111— Physical Damage Coverage of the Business Auto Coverage Form and Paragraph 2.b, in the Exclusions of Section IV — Physical Damage Coverage of the Motor Carrier Coverage Form This exclusion does not apply to covered "autos" participating in a driver safety program event, such as, but not limited to, auto or truck rodeos and other auto or truck agility demonstrations. E. Lease or Loan Gap Coverage The following is added to the Coverage Provision of the Physical Damage Coverage Section Lease Or Loan Gap Coverage In the event of a total"loss"to a covered"auto" we will pay any unpaid amount due an the lease or loan for a covered "auto", less a. Any amount paid under the Physical Damage Coverage Section of the Coverage Form, and b Any (1) Overdue lease or loan payments at the time of the"loss", (2) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage, (3) Security deposits not returned by the lessor, (4) Costs for extended warranties, credit life insurance, health, accident or disability insurance purchased with the loan or lease, and (5) Carry-over balances from previous leases or loans F. Towing and Labor Paragraph A 2 of the Physical Damage Coverage Section is replaced by the following We will pay up to$75 for towing and labor costs incurred each time a covered"auto"of the private passenger type is disabled However,the labor must be performed at the place of disablement G. Extended Glass Coverage The following is added to Paragraph A 3 a of the Physical Damage Coverage Section If glass must be replaced, the deductible shown in the Declarations will apply. However, if glass can be repaired and is actually repaired rather than replaced, the deductible will be waived. You have the option of having the glass repaired rather than replaced H. Hired Auto Physical Damage—Increased Loss of Use Expenses The Coverage Extension for Loss Of Use Expenses in the Physical Damage Coverage Section is replaced by the following Loss Of Use Expenses For Hired Auto Physical Damage,we will pay expenses for which an"insured" becomes legally responsible to pay for loss of use of a vehicle rented or hired without a driver under a written rental contract or written rental agreement We will pay for toss of use expenses if caused by u-eA-424-F CW te4-141 Page 2 of 6 Includes copyrighted material of Insurance Services Office,Inc. with its permission (1) Other than collision only if the Declarations indicate that Comprehensive Coverage is provided for any covered "auto", (2) Specified Causes Of Loss only if the Declarations indicate that Specified Causes Of Loss Coverage is provided for any covered"auto",or (3) Collision only if the Declarations indicate that Collision Coverage is provided for any covered"autd' However, the most we will pay for any expenses for loss of use is$100 per day, to a maximum of$3000 1. Personal Effects Coverage The following is added to the Coverage Provision of the Physical Damage Coverage Section Personal Effects Coverage a We will pay up to$750 for"loss"to personal effects which are (1) Personal property owned by an"Insured", and (2) In or on a covered"auto" b Subject to Paragraph a above, the amount to be paid for"loss"to personal effects will be based on the lesser of (1) The reasonable cost to replace,or (2) The actual cash value. c The coverage provided in Paragraphs a and b above, only applies in the event of a total theft of a covered "auto" No deductible applies to this coverage However, we will not pay for"loss" to personal effects of any of the following (1) Accounts, bills, currency, deeds, evidence of debt, money, notes, securities, or commercial paper or other documents of value (2) Bullion, gold, silver, platinum, or other precious alloys or metals, furs or fur garments jewelry, watches, precious or semi-precious stones (3) Paintings, statuary and other works of art (4) Contraband or property In the course of illegal transportation or trade (5) Tapes, records,discs or other similar devices used with audio,visual or data electronic equipment Any coverage provided by this Provision is excess over any other insurance coverage available for the same"loss" J. Tapes,Records and Discs Coverage 1 The Exclusion in Paragraph BA.a. of Section Ill—Physical Damage Coverage in the Business Auto Coverage Form and the Exclusion in Paragraph 113.2.c, of Section IV— Physical Damage Coverage in the Motor Camer Coverage Form does not apply 2 The following is added to Paragraph 1.a. Comprehensive Coverage under the Coverage Provision of the Physical Damage Coverage Section We will pay for"loss" to tapes, records, discs or other similar devices used with audio, visual or data electronic equipment We will pay only if the tapes, records,discs or other similar audio,visual or data electronic devices (a) Are the property of an"insured",and (b) Are in a covered"auto"at the time of"loss" The most we will pay for such "loss" to tapes, records, discs or other similar devices is $500 The Physical Damage Coverage Deductible Provision does not apply to such"loss" U-CA-424-F CW(04-14) Page 3 of 6 In dudes copyrighted material of Insurance Services Office,Inc.,with its permission K Airbag Coverage The Exclusion in Paragraph B.3.a.of Section III—Physical Damage Coverage in the Business Auto Coverage Form and the Exclusion in Paragraph B 4 a of Section IV— Physical Damage Coverage in the Motor Carrier Coverage Form does not apply to the accidental discharge of an airbag L Two or More Deductibles The following is added to the Deductible Provision of the Physical Damage Coverage Section If an accident is covered both by this policy or Coverage Form and by another policy or Coverage Form issued to you by us, the following applies for each covered"auto"on a per vehicle basis 1 If the deductible on this policy or Coverage Form is the smaller(or smallest)deductible, it will be waived, or 2 If the deductible on this policy or Coverage Form is not the smaller(or smallest) deductible, it will be reduced by the amount of the smaller(or smallest)deductible M. Physical Damage—Comprehensive Coverage—Deductible The following is added to the Deductible Provision of the Physical Damage Coverage Section Regardless of the number of covered"autos"damaged or stolen,the maximum deductible that will be applied to Comprehensive Coverage for all 'foss"from any one cause is$5,000 or the deductible shown in the Declarations, whichever is greater. N Temporary Substitute Autos—Physical Damage 1 The following is added to Section I--Covered Autos Temporary Substitute Autos—Physical Damage If Physical Damage Coverage is provided by this Coverage Form on your owned covered "autos", the following types of vehicles are also covered"autos"for Physical Damage Coverage Any 'auto" you do not own when used with the permission of its owner as a temporary substitute for a covered "auto"you do own but is out of service because of its 1 Breakdown, 2. Repair, 3 Servicing, 4. "Loss",or 5 Destruction 2 The following is added to the Paragraph A.Coverage Provision of the Physical Damage Coverage Section Temporary Substitute Autos—Physical Damage We will pay the owner for"loss"to the temporary substitute "auto" unless the"loss"results from fraudulent acts or omissions on your part If we make any payment to the owner,we will obtain the owner's rights against any other party The deductible for the temporary substitute "auto" will be the same as the deductible for the covered "auto" it replaces O. Amended Duties In The Event Of Accident,Claim,Suit Or Loss Paragraph a of the Duties In The Event Of Accident,Claim,Suit Or Loss Condition is replaced by the following a. In the event of"accident", claim, "suit'or"loss", you must give us or our authorized representative prompt notice of the "accident", claim, "suit" or"loss" However, these duties only apply when the "accident", claim, "suit" or "loss"is known to you (if you are an individual),a partner(if you are a partnership), a member(if you are a limited liability company) or an executive officer or insurance manager (if you are a corporation) The failure of any U-CA-424-F CW(04-14) Page 4 of 6 Includes copyrighted material of Insurance Services Office,Inc. with Its permission agent, servant or employee of the"insured"to notify us of any"accident", claim, "suit"or"loss"shall not invalidate the insurance afforded by this policy Include,as soon as practicable (1) How, when and where the "accident" or "loss" occurred and if a claim is made or "suit" is brought, written notice of the claim or"suit"including, but not limited to,the date and details of such claim or"suit", (2) The"insured's"name and address, and (3) To the extent possible,the names and addresses of any injured persons and witnesses If you report an "accident", claim, "suit" or "loss" to another insurer when you should have reported to us, your failure to report to us will not be seen as a violation of these amended duties provided you give us notice as soon as practicable after the fact of the delay becomes known to you. P. Waiver of Transfer Of Rights Of Recovery Against Others To Us The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition This Condition does not apply to the extent required of you by a written contract, executed prior to any "accident' or "loss", provided that the"accident"or"loss"arises out of operations contemplated by such contract This waiver only applies to the person or organization designated in the contract Q Employee Hired Autos—Physical Damage Paragraph b of the Other Insurance Condition in the Business Auto Coverage Form and Paragraph f of the Other Insurance—Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form are replaced by the following For Hired Auto Physical Damage Coverage, the following are deemed to be covered"autos"you own (1) Any covered"auto"you lease, hire, rent or borrow, and (2) Any covered"auto"hired or rented under a written contract or written agreement entered into by an"employee"or elected or appointed official with your permission while being operated within the course and scope of that "employee's"employment by you or that elected or appointed official's duties as respect their obligations to you However, any"auto"that is leased, hired, rented or borrowed with a driver is not a covered"auto" R Unintentional Failure to Disclose Hazards The following is added to the Concealment,Misrepresentation Or Fraud Condition However,we will not deny coverage under this Coverage Form if you unintentionally (1) Fail to disclose any hazards existing at the inception date of this Coverage Form or (2) Make an error, omission, improper description of"autos" or other misstatement of information You must notify us as soon as possible after the discovery of any hazards or any other information that was not provided to us prior to the acceptance of this policy S Hired Auto—World Wide Coverage Paragraph 7a.(5)of the Policy Period,Coverage Territory Condition is replaced by the following (5) Anywhere in the world if a covered"auto"is leased, hired, rented or borrowed for a period of 60 days or less, T. Bodily Injury Redefined The definition of"bodily injury"in the Definitions Section is replaced by the following 'Bodily injury" means bodily injury, sickness or disease, sustained by a person including death or mental anguish, resulting from any of these at anytime Mental anguish means any type of mental or emotional illness or disease U-CA-424-F CW(04-14) Page 5 of 6 Includes copyrighted material of Insurance Services Office Inc. with its permission U Expected Or Intended Injury The Expected Or Intended Injury Exclusion in Paragraph B.Exclusions under Section 1111—Covered Auto Liability Coverage is replaced by the following Expected Or Intended Injury "Bodily injury" or"property damage" expected or intended from the standpoint of the "insured" This exclusion does not apply to "bodily injury" or"property damage" resulting from the use of reasonable force to protect persons or property V Physical Damage—Additional Temporary Transportation Expense Coverage Paragraph A.4.a.of Section III—Physical Damage Coverage is replaced by the following 4. Coverage Extensions a Transportation Expenses We will pay up to$50 per day to a maximum of$9,000 for temporary transportation expense incurred by you because of the total theft of a covered "auto" of the private passenger type We will pay only for those covered "autos" for which you carry either Comprehensive or Specified Causes of Loss Coverage We will pay for temporary transportation expenses incurred during the period beginning 48 hours after the theft and ending, regardless of the policy's expiration, when the covered "auto" is returned to use or we pay for its "loss" W. Replacement of a Private Passenger Auto with a Hybrid or Alternative f=uel Source Auto The following is added to Paragraph A Coverage of the Physical Damage Coverage Section' In the event of a total "loss"to a covered "auto" of the private passenger type that is replaced with a hybrid "auto" or "auto" powered by an alternative fuel source of the private passenger type,we will pay an additional 90% of the cost of the replacement "auto", excluding tax, title, license, other fees and any aftermarket vehicle upgrades, up to a maximum of$2500 The covered "auto" must be replaced by a hybrid "auto" or an "auto" powered by an alternative fuel source within 60 calendar days of the payment of the "loss" and evidenced by a bill of sale or new vehicle lease agreement To qualify as a hybrid "auto", the "auto" must be powered by a conventional gasoline engine and another source of propulsion power The other source of propulsion power must be electric, hydrogen, propane, solar or natural gas, either compressed or liquefied To qualify as an "auto" powered by an alternative fuel source, the "auto" must be powered by a source of propulsion power other than a conventional gasoline engine An "auto" solely propelled by biofuel,gasoline or diesel fuel or any blend thereof is not an"auto" powered by an alternative fuel source X. Return of Stolen Automobile The following is added to the Coverage Extension Provision of the Physical Damage Coverage Section If a covered 'auto" is stolen and recovered, we will pay the cost of transport to return the"auto"to you We will pay only for those covered"autos"for which you carry either Comprehensive or Specified Causes of toss Coverage. All other terms,conditions, provisions and exclusions of this policy remain the same U-CA-424 F CVV(04-14) Page 6 of 6 Includes copyrighted material of Insurance Ser ilces office,Inc.,with its permission Best Contracting Services,Inc Additional Insured - Automatic - Owners, Lessees Or ZURICH Contractors IPolicy No I Fiff Date of Poi Exp Date of Pd Elf Date of End I Producer No. Add'] Prem Return Prem GLO9805197051 12-01 16 12-01-17 1 12-01-16 THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY Named Insured BEST CONTRACTING SERVICES, INC Address(including ZIP Code) 19027 S HAMILTON AVE GARDENA, CA 90248 This endorsement modifies insurance provided under the Conumrcial General Liability Coverage Part A. Section II —Who Is An Insured is amended to include as an additional insured any person or organization whomyou are required to add as an additional Insured on this policy under a written contract or written agreement Such person or organization is an additional insured only with respect to liability for"bodily Injury", "property damage"or"personal and advertising injury"caused in whole or in part, by 1. Your acts or omissions,or 2 The acts or omissions of those acting on your behalf, in the performance of your ongoing operations or "your work" as included in the "products-completed operations hazard",which is the subject of the written contract or written agreement However,the insurance afforded to such additional insured 1. Only applies to the extent permitted by law,and 2. Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured B With respect to the insurance afforded to these additional insureds,the following additional exclusion applies This insurance does not apply to "Bodily Injury", "property damage" or"personal and advertising injury"arising out of the rendering of, or failure to render,any professional architectural,engineering or surveying services including a. The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surreys, field orders,change orders or drawings and specifications, or b Supervisory,inspection,architectural or engineering activities This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the 'personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services U�GL-1175-F CW(04!13) Page i of 2 Includes copyrighted material of Insurance Services Office,Inc.,with Its permission C The following is added to Paragraph 2 Duties In The Event Of Occurrence, Offense, Claim Or Suit of Section IV— Conuriercial General Liability Conditions. The additional insured must see to it that 1 We are notified as soon as practicable of an"occurrence" or offense that may result in a claim, 2 We receive written notice of a claim or"suit"as soon as practicable,and 3. A request for defense and indemnity of the claim or "suit"will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity, This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non-contributory D For the purposes of the coverage provided by this endorsement 1 The following is added to the Other Insurance Condition of Section IV—Commercial General Liability Conditions Primary and Noncontributory insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that a The additional Insured is a Named Insured under such other insurance,and b. You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured 2 The following paragraph is added to Paragraph 4.kx of the Other Insurance Condition of Section IV--Commercial General Liabllity Conditions: This insurance is excess over Any of the other insurance, whether primary,excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence', offense, claim or "suit" This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by a written contract or written agreement to provide coverage to the additional insured on a primary and non- contributory basis E. 'This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured F With respect to the insurance afforded to the additional insureds under this endorsement, the following is added to Section III—Limits Of Insurance The most we will pay on behalf of the additional insured is the amount of insurance 1 Required by the written contract or written agreement referenced in Paragraph A of this endorsement,or 2 Available under the applicable Limits of Insurance shown in the Declarations, whichever is less This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations All other terms and conditions of this policy remain unchanged U-GL•1175-F CW(04113) Page 2 of 2 Includes copyrighted material of Insurance Services(dice,Inc.,with ds permission WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 0313 (Ed 484) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy Wewill not enforce our right against the person or organization named in the Schedule (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us ) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule Schedule ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON AND/OR ORGANIZATION This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated (The information below is required only when this endorsement is issued subsequent to preparation of the policy j Endorsement Effective 12-1-16 Policy No WC980519805 Endorsement No Insured Best Contracting Services, Inc Premium$ Insurance Company Countersigned By WC 00 0313 (Ed 4-84) Copyright 1983 National Council on Compensation Insurance WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY WC 04 03 06 (Ed 484) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT- CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy We will not enforce our right against the person or organization named in the Schedule (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule The additional premium for this endorsement shall be 0 00 % of the California workers' compensation pre mium otherwise due on such remuneration Schedule Person or Organtzatcon Job Description ALL PERSONS AND/OR ALL CA OPERATIONS ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON AND/OR ORGANIZATION WC 252(4-84) WC 04 03 06(Ed 4-84) Page 1 of 1 Workers Compensation and 0 Employers Liability Insurance Policy ZURICH AMERICAN ZURICH INSURANCE COMPANY A stock insurance company A member company of Zurich North America Administrative office Zurich Towers 1299 Zurich Way Schaumburg,Illinois 60195-1056 Insured BEST CONTRACTING SERVICES, INC 19027 S HAMILTON AVE GARDENA CA 90248-4408 Producer ORION RISK MANAGEMENT INSURANCE SVC 1800 QUAIL ST STE 110 NEWPORT BEACH CA 92660-2340 In return for the payment of premium, and subject to the terms of this policy, coverage is provided as stated in this policy IN WITNESS WHEREOF, this Company has executed and attested these presents and, where required by law, has caused this policy to be countersigned by its duly Authorized Representative(s) oil A L r�•��•n/f,/nfI President Secretary W C 99 00 01 A (Ed 04110) WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 0313 (Ed 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy We will not enforce our right against the person or organization named in the Schedule (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us ) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule Schedule ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON AND/OR ORGANIZATION This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated (The information below is required only when this endorsement is issued subsequent to preparation of the policy) Endorsement Effective 12-1-16 Policy No WC980519805 Endorsement No Insured Best Contracting Services,Inc Premium$ Insurance Company Countersigned By WC 00 03 13 (Ed 4-84) Copyright 1983 National Council on Compensation Insurance WORKERS'COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY WC 04 03 06 (Ed 484) WAIVER OF OUR RIGHTTO RECOVER FROM OTHERS ENDORSEMENT- CALIFORNIA We have the right to recover our payments from anyone Fable for an injury covered by this policy We will not enforce our right against the person or organization named in the Schedule (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule The additional premium for this endorsement shall be 0 .00 % of the California workers' compensation pre- mium otherwise due on such remuneration Schedule Person or Organization Job Description ALL PERSONS AND/OR ALL CA OPERATIONS ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON AND/OR ORGANIZATION WC 252(4-84) WC 04 03 06(Ed 484) Page 1 of 1