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HomeMy WebLinkAboutContracts & Agreements_95B-2019MIR( 1 SII NI 1.0 PI RI 0811 NON-PR()1 I SSIt)\AI. SI RVIC I S FOR 1MPRO\ 1 MINI TO P1 IU I( Bt 11 DIN(JS AND (,RC)VISDS this agreement for the prm ision of excavation ot one soil boring advanced to groundwater and construction ot one well at 12115 Redlands Blvd Redlands. ( A 92373 (' Agrc:ett cnt ) is made <inki entered an this 22nd day. of May 2019 ; 1 fleettsi Date) by and between the City of Redlands_ a municipal corporation ( ( ity ') and H('2 1 ns ironmental ('C ontraetor) City and Contractor are sometimes individually referred to herein as a Parts and together as Parties' In consideration ol the mutual promises contained herein ( and Contractor agree as follows AR1It11- 1 I.NC,A(1I "c'lIN ()I - (ON IRA( FOR 11 (it} herd)). engages ( ontractot to perform excavation oI one soil boring advanced to !groundwater and construction of one well at 1205 Redlands Blvd , Redlands C A 92373 sers ices Ibr C ity (the' Services 12 The Sere ices shall be performed by Contractor in a professional manner and Contractor represents that it has the skill and the professional expertise necessary to provide the Services to City at a level of competency presently maintained by other practicing professional Contractors in the industry providing like and similar types ofServtcz:s AR FIC'1. 12 - RLSPONS113ILI TILS C)I' CONTRAC 1•OR. 21 The Services that Contractor shall perform are more particularly described in Fxhibit entitled 'Scope of Services which is attached hereto and incorporated herein by reference Contractor shall comply with all applicable federal state and local laws and regulations in the performance oI the Services including but not limited, to all applicable Labor Code and prevailing wage Lives and non-discrimination lairs, including the Americans with Disabilities Act Pursuant to I abor C ode section 1773 2 copies of the prevailing rates of per diein wages as determined by the Director of the California Department or Industrial Relations for each craft, classification or type of worker needed to undertake the Services are on tilt at City's Municipal Utilities and Ungineering Department located at the Civic Center, 35 C ajon Street. Suite 15A (Mailing P () Box 005), Redlands (alilbrnia 9237; Contra tor acknossledges that if it v relates the 1 abor Code provisions relating to prevailing wage, that City may enforce such provisions by withholding payments to Contractor or its subeontrae.tors pursuant to I abur Code section 1771,6 25 24 If Contractor executes an agreement with a subcontractor to perform any portion of the Services C ontiactor shall comply with Labor Code sections 1775 and 1777 7, and shall provide the subcontractor with copies of the; provisions of Labor C ode sections 1771. 1775 1776, 1777 5, 1813 and 1815 Contractor acknowledges that the statutory provisions establishing penalties for failure to comply with state wage and hour laws and to pay prevailing wages may be enforced by City pursuant to 1 abur Code sections 1775 and 1813 _' 5 Contractor and its subcontractors shall comply with the provisions of 1. abor C ode section 1 i.tvilur -' 1-nvrrornnent:r1 Agin] NIPS ' dna' Iu 1776 re�2 trdin�_ payroll records maintenance certifications retention and inspection 2.6 ('. ntractor acknowledges that eight (8) hours constitutes a legal day s ork pursuant to Labor ( ode section 1810 17 Contractor shall comply with the previsions of 1 ahor Code section 1777 5 as to apprenticeships and 1 abor C'c3dc sections 1771 1775 1776. 1777 ; 1813 and 1815 2.8 Pursuant to Public (E}ntract ( ode section 710; 5(h) (oniractor offers and agrees to ass!{gn to ( it‘ all frights.. title and interest in and to all causes of action rl may. have under section 4 of the C Latton Act ( 15 V S C section I S) or under the Cartwright Act 1Chapter 2 (t.eimincncin�v. with section 16700) of Part 2 of 1)it iston 7 of the 13usrness and Professions Cock.) arising from purchases of goods Work or materials pursuant to this Agreement AR 11C 1.1 3 -- RUSP[)N511311 1111 S Of (11 ¥ 1 ( shall make available: to Contractor information in its possession that may assist ( ontractor in performing the Services 12 C. aty designates Chris Boatman, Quality of 1 ire Director as City's representative with respect to perli rrance of the Sery ices. and such person shall have the authority m transmit instructions, receive information interpret and define City's policies and decisions with respect to pertbrmanee of the Services ART IC LE 4 — PERF ORMANCI O1 SE RVIC'LS 4 1 Contractor shall perforin and complete the Ser%ices in a prompt and diligent manner in accordance with the schedule set forth in Exhibit A entitled Scope of Services " The Services shall commence as of- the 1.flective Date of this Agreement 4 2 1 he 1't ork shall he initiated immediately upon notice to proceed Permitting is expected to he completed within fourteen 114 days) and well drilling.. well installation, and well development will he completed within thrct. (3)days AR f1( Ll 5 - PAYMI,N IS TO CON FRAC FOR I total compensation for Contractor's performance of the Services shall not exceed the amount of thirteen thousand six hundred forty five dollars t$13 6451 City shall pay Contractor on a time and materials basis up to the not to exceed amount in accordance with 1'xhabrt 13 'entitled "1 ee Schedule, ' attached hereto and incorporated herein h) reference. 52 ( ontractctr shall submit monthly, invoices to City describing the Services performed during the preceding month C ontractor's invoices shall include a brief description of the Services [ ca coni tgrgtAtreni, lit 2 i.ii i iinirmal Agin YP5 2 Juts in 2 performed the dates the Seri• Cres mere re performed the number of hours spent and by Klton3 C sty shall pay (ontractoi no later than thirty '30 days atter receipt and approval by { rt) of C oritractor s inytttee Any nonce or other communication reyuirz.d or which inay be given. pursuant to this Agreement. shall be m writing Any such notice shall ht. deemed delivered (t) on the date of&livers in perssm (ir) live: (5)days after deposit in first class registered mail with rLturn receipt requested (Hi) on the actual delivery date if dlep[+sited With an overnight courier or (rt) on the date sent by. facsimile ifcontirmed with a ecopy sent contemporaneously by first class. certified rettistrred or e\prLss mad to each case properly pasted and fully prepaid to the appropriate address set forth bcloLt or such other address as a Part) may providc notice} in at.c;irdan .e with this section C'rty C ttL t 'lett C. its of Redlands ;5 [ ajun Street P.() 13o:\ 3005 (mailing) Redlands CA 92373 i[)unaltison a cth uIh'diands.ori; 1909) 798-7531 C..ontraetor Kurt Samuelson. President IAC 2 Env momenta! 1 150 Vi 1 renton As e ()raruze CA 92867 ksamuelson a he2env.conn 7141_7=14-2990 . R1 ICL1.._ 6 - INSURANCE. AND 1\DEMNIFICA.I IC)N 6.1 Ube following insurance coverage required by this Agreement shall be maintained by Contractor for the duration orits perk r nance of the Services Contractor shall not perform any Services unless and until the required insurance listed below is obtained by Contractor Contractor shall provide City With certificates of insurance and endorsements evidencing such insurance prior to commencement of the Services Insurance policies shall include a provision prohibiting caneellatron or modification of the policy except upon thirty (30) day 5 prior written notice to City A Workers C ontpensation and f rnployer's 1 mobility insurance in the amount that meets statutory requirements with an insurance carrier acceptable to C its. or certification to f it> that C ontractot rs self -tonsured or exempt from the workers' compensation Taws of the State tot Calttornia Contractor shall execute and provide C ity with 1.xhihtt ' C" entitled Workers Compensation Insurance C ertification " wy hick is attached hereto and incorporated herein by this reference, prior to pertorinance of the Services 1i Ce►rnprehensivc. Cie;neral Liability insurance vsith carriers acceptable to City in the minimum amount of One Million Dollars ($ I 000,000) per occurrence and two Million Dollars ($2 000,000) aggregate for public liability property damage and personal injury is required City shall he named as an additional insured and such insurance shall he primary and non-contributing; to any insurance or Selo -insurance maintained by C sty C Business Auto 1 lability coverage with minimum limits of One Million Dollars 1 .Cot L1#rn lL.rerrnLnEN 131 ` F nrrmmimenerr Lgml tii'5 ' cioo. In 3 - .t iS 1 000 000) per occurrence tiOrnbincd single limit bodaiy injury liability and proptrti danaae,t lhis coverage ',hail include all (tantractor owned %ehitles used in eonnec tion vlrth (ontraetc►r' pro titan of the Sere iter hired and i n-oAfed vehicles and employee nun-oa%nership tic hid s C. ny shall be named as an additional insured and such insurance shall be primary ind non-contributing to any Insurance or self- insurance maintained by (tiv b2 (+infractor shall defend, indemnity and hold harnile s (ny and its elected officials employees and agtnts Irum and against any and all claims losses or liability including attorneys fees. arising from injury or death to persons or damage to property occasioned by any negligent dtt or omission by Or the A anal misconduct ot. Contractor or its officers employees and agents in ptrtorming tht Services AR 11(. U. 7 ( °Nil 1( US ()t 1'.1 t..R[..S 1 71 (ontraLtur covenants and represents that it does not have any investment or 1nteri,st In any real property that may be the subject of this Agreement or any other source of income, interest in real property or invcstinent that ►could be affected in any- manner or degree by - the periorrnante of ( ontractor s Services_ Contractor further covenants and represents that in the pertiarmanee of its duties hereunder, no person having; any such interest shall pertorn-i any Services under this Agreement 7_' Contractor agrees it is not a designated employee within the meaning ot the Political Reform Act because ( ontractor A Does nut make a governmental decision whether to (i) approve a rate rule or regulation or adopt or enlorce a City. law' (u) issue, dein suspend or revoke any (its perinit license, application Lerti[kation approval order or similar authorization or entitlement, (in) authorize City to enter into modify or renctF ac.ontract, (iv) grant City approval to a contract that requires City approval and tovchich ( ity is a party, or to the speLifkatians for such a contract, R) grant City approval to a plan design report, study or similar item (v i) adopt or grant C ity approval of, policies, standards or guidelines for ( ity or for any subditision thLreol' 1:3 Doe,. not serve in a staff capacity N ith City- and in that capacity, participatL 111 making a �itoverninental decision or otheriv isc perform the same or substantially the same duties for City that would otherwIse he performed by an individual holding position specified in ( ity s Conflict of Interest (.ode under (;ovcrninent ( ode Section 87302 73 In the event ( ity determines that ( ontractor must disclose its financial interests ( ontractor shall complete and file a Fair Political Practices (. ommission 1 orm 700. Statement of F ct rioinic interests, with the ( ity ( lerk s office pursuant to the writtLn InstrULtions provided by the City ( lerk [ xcs dim k;,t.unCnts 11( 2 1 inttonoiLnrai \cnt 5P5 2 dt:c\ in 4 AR 1 I( 1.1' 8 (if \f_R:A1. C UNSIDLRA 1 IONS 8 I In the. event any action is commenced to enforce or tnlerprct any cot the terms or conditions of this Agreement the prevailing Party shall in addition to any e•tosts and other relief, he entitled to the recover% of its re.asi nable attorneys tees rneludtng fees tier the use of in- housc counsel by a Party 8' Contract+or shall not assign an% of tin. Services, except with the prior written approval of C ity and in strict compliance with the fermis and conditions of this Agreement Anv assrgnrncnt or attempted assignment %%ithc,ut Such prior ritten consent may in the sok discretion off ity„ results in C it s immediate termination of this Agreement 8.3 Contractor is for all purposes under this Atireement an independent contractor and shall perform the. Scry ices as an independent contractor Neither C ity nor of its agents Shall have control over the conduct of Contractor or Contractors employees except as herein set forth (ontractnr shall supply all necessan tools and instrumentalities required to perforin the Ser ices Assigned personnel employed by C contractor are for its account only, and in nu event shill Contractor or personnel retained by it he deemed to have been employed by C ity or engaged by City for the account of or on behalf of (. ity Contractor shall have no authority. express or implied, to act on behalf of C ity in any capacity whatsoever as an agent. nor shall Contractor have any authority, express or implied, to bind City to any obligation 8 4 This Agreement may be terminated by City, in its sok, discretion by providing not less than five. (5) days prior written notice to Contractor of City s intent to terminate If this Agreement is terminated by City, an adjustment to Contractor .s compensation shall be made but (1) no amount shall be allowed for anticipated profit or unperformed Services, and i? 1 any pay ment due Contractor at the time of termination may. be adjusted to the extent of any additional costs to City occasioned by any default by C ontractor. I.ipon receipt of a termination notice ( ontractoi shall immediately discontinue its provision of the Services and. within five (5) days of the date; °t the termination notice, deliver or otherwise make available to City copies On both hard copy and electronic form where applicable) of project related data, design calculations, drawing,, specifications. reports, esturiates, summaries and such other information and materials as may have been accumulated by C ontractoi in performing the Services Contractor shall be compensated on a pro -rata basis for Sen ices completed up to the date of termination 8 S C Contractor shall maintain hooks ledgers, invoices, accounts and other records and documents evidencing costs and expenses related to the Service% for a period of three (3) y ears, or foi any longer period required by law, from the date of final payment to Contractor pursuant to this Agreement Such hooks shall b. available at reasonable times tor examination by City at the office of C contractor 8 6 I his Agreement including the I.xhibits incorporated herein by reference represents the entire agreement and understanding between the Parties as to the matters contained heroin, Ld dim Agw 123e'fJtS r:11 n1troi nioitAl •\gnn SIPS 2 dotA ifl and any. prior iiei~'►3tiations vv riven proposals or c erbal agreements relatingto such matters are superseded �h . this :agreement 1 tcept as otlti:rtivise provide=d Isar herein any amendment fulfils Agreement shall he in vv tiring approved h) (it4 and signed by City and C mut-actor 8? this A±•~irrement shall be governed by and construed in acc.ordanec with the laws cot the Shite of Cali Ibrnia 88 II one or more of the sentences clauses. paragraphs or sections contained in this Agreement is declared invalid said tor unenlorixahle by a court cit competent jurisdictic3n the same Shall he deemed severable from the remainder of this Agreement and shall not affect impair or invalidate the remaining sentences. clauses. paragraphs or secticans contained herein unless to do so uc'iiild deprive a Party ofa material benefit of its bargain underthis Agreement IN WI I NI.SS Vt l-II.RFOI-, dint authoriie:d representatives ul City and C ontraetcxr have Signed in confirmation of this Agreement CITY O I 1)I.ANDS &@1h44LJL 8C 2 I• NVIRONMI::N TAI 13v ici_ALA/VV1/411144ineN- MeC Cannell, Kurt Samuelson, President Assistant ( . ity Manager A1." I SI c f) na1d ion. C ir\ ( Icrk 1 dint Agit..l]ic111s11(2 1 ti, If11111iit; it:i1 1g';t11 'i11S ' duck �n 6 t ♦ • t EXHIBIT "A" SCOPE OF SERI ICES ( ono -actor shall furnish all materials and will ptr1iirr all of the stork for the following 1 xLatanon 01 um. soil boring, advanced to groundwater and construction of one sten at 120 Redlands BItd Redlands (.,t 92373 lappruxiratt location shown on Scope of Sell kc. 1 Tort 1). complett all items as required by the C ontraLt Documents (as herein defined) and Specifications for (. its y Qualm~ of 1 rte Iihpartincnt (the Mork ) ht selected location tier the soil boring gencrallt coincides with the southwest corner of Redlands Boulevard and 1enncssce Street ( 120i Redlands 131tcf.). The sod boring proposed at that location tall be aclyanced to approm mately 120 tcet below around surface Ihgs) to intellect groundwater Contractor anticipates that drilling will he performed using a tentralMine 1.s uipnicnt (ornpan, ( MU -8i ear equivalent holkwv stem auger drill nti I'vlonitoring t1 ell Installation One monitoring well 13-4, will be installed to an estimated total depth of approximately 120 feet bgs The well will he constructed with 15 feet of 2 -inch -diameter, 0.020 -inch -slot, Schedule 40 (S( 1140) poly -vinyl chloride (PVC), machine -cut, flush -threaded well screen with blank 2 -tech -diameter S(11 40 PVC casing to the surface The screen will be placed tsith approximately. fire feet above and ten feet below the static water surface as determined during drilling A filter (rick, consisting of silica sand that IN he appropriatkly sized based on aquifer materials. will be instilled in the well annulus from the bottom of the soil poring to about 2 feet above the top of the screen A minimum 3 -foot - thick activated bentonite chip seal will then be installed on top of the filter pack and hydrated for at least one horn Fhe remaining annulus will be filled with a neat cement grout 1 he well will be completed with a locking cap within an 8 -inch -diameter, flush -mounted traffic -grade well vault A minimum 6 -inch -thick high early strength concrete pad (rtnlmutn three-day strength of 4,000 psi) yyili bL poured around the well vault to mitigate vehicular traffic and pedestrian disturbance t pcm completion of the borehole Contractor yyill decontaminate the augers using a power washing steam cleaner or othersuitable device. All dtcontaminati.on v atei will hL contained and transferred to drums for disposalkHAotherS , Contractor IA ill eittiurc that locations ANI -...re drilling act it flies occurred are restored as close as possible to their original condition 1V ell Development Aller installation thc be developed by surging, bailing and pumping until temperature p11, and conductivity have stabilized and turbidity has been reduced to 10 Nephelometric 1 urhidity units (N F1 ) or less ut until 10 well casing volumes have been reimovcd Water purged during development 1s expected to contain regulated quantities or pctruleum based product (based on previous groundw iter sampling) and will thus he collected and commented in an appropriately labelled 55 - gallon drums to disposalibto1-yeerS 1 l'a• lgrrrmoit-. J (-` i f%trw:rtscrteai l utt 51'4. 2 dock ip 7 Figure 1 Tentatnre wring Location Map 8 .ca.dirn 1grc‘nienta Elf. ' hr. it II Th n1 c1 leant hPh Jocin 0 c 49 r tr; T.."1" 44. E :(I \glut VPS•, Itoc t �n ciits,I3( '_ tIlseIlut11(1L'I EXHIBIT r,( rr WORKERS' COMPENSATION I A RAN( C FRTIFICATION # yery einployer except the State shall secure the paytnent of compensation in one or more of the fol lock rng vvitvs la) By being insured against liability to pay compensation by one or more insurers duly authorised to write compensation insurance in this State (b) securinq?. Irom the Director of 1ndustnal Resattoris a certtlicate of consent to sclt-insure either as an indt%tdual emplc3yer or as one employer m a group of employers, which may be given upon furntshtne proof satisfactory to the Director of Industrial Relations (II ability to self -insure and to pay any compensation that may become dui. to his or her employees ( 1 ICK If 1 am aware of the prim. isions ot Section 3700 of the 1 alar Code whiLli requires eery employer to he insured against 1tabtltt) for Workers' Compensation or to undertake self-insurance in accordance with the provisions of that C ode, and 1 yr III comply with such provisions before ccinrtinencing the performance of the work and activities required or permitted under this Agreement (Labor Code *1861) 1 affirm that at all tones, in perlorrrrini: the work and aLtis Ities required or permitted under this Agreement I shall not employ any person in any manner such that 1 become subject to the workers' compensation laws of ( ahfornia Ilowycyer at any time if! Linploy any person will that 1 beLomi., subject to the iAtirkers compensation laws of( alitornia immediately I shall provide the ( icy with a certificate of consent to self -insure, or a ccrtifiLatton of workers compensation insurance [certify under penalty ot perjury mulct they laws of the State of C alifurnia that the information and representations made in this certificate are true and cornet BC 2 11\IVIRC N\'I} N l A By. Kurt Satnuc.lyon President 10 s dint 1gteernetits'tit hr. i itt.d Pti 2 dth. pt Date 5 — cf '4 i ci Requesting Prepared Authorized Person Delivery W9 Dept QUALITY OF LIFE Purchase Requisition # 78167 by Tricia Swope Date 5/23/2019 Suggested Address Phone # Email Vendor 1150 W Trenton Ave BC2 Environmental by Date 00. orange, CA 92867 to contact if qu ns arise Tricia Swope Ext 4701 714 744-2990 Fax # address Dept ksamuelson@bc2env corn X On file Attached For use by Purchasing Department only Purchasing Agent/ City Manager Approval Insurance X On file Attached NA Business License On file Attached X NA Annual Account PO Term X NA P0# Date Number. 406130 725 ITEM DESCRIPTION QTY UNIT PRICE TOTAL 1 Construction Quality Assurance Services 1 $ 13,645 00 $13 645 00 2 and groundwater testing related to a monitoring well at 1205 W Redlands Blvd 3 4 5 6 7 8 Additional Instructions/Com Estimated Estimated Shipping Estimated in Book Tax Total $ 13,645 00 NOTE PLEASE PROVIDE ALL QUOTES YOU MAY HAVE White Copy -Purchasing Yellow Copy -Remains i EgD NDi "ACnrTruTWoRics" Sole Source/ Single Source/ Standardization Form For procurement of supplies, equipment and services valued at $5,000 and over NOTE. Every question must be answered with appropriate documentation attached; incomplete forms will be immediately rejected by Purchasing. Date. 5123/19 TO• Purchasing Division FROM. Quality of Life Department Purchase Requisition # 78167 Estimated Total Cost• $ 13,645 00 Proposed Vendor• BC2 Environmental Request Term. nla This form must accompany the purchase document whenever an exception to the competitive process is requested Requests for goods and/or services from a specific vendor or limited to a specific brand, where substitutes to the recommended vendor or brand are unacceptable, must be accompanied by a written justification explaining the circumstances that make alternatives unacceptab le The City Manager will determine whether the justification is appropriate Requests for exception must be supported by factual statements that will pass an audit t pui /prbv c.1i2//q EXCEPTION TO BIDDING AND DISCLOSURE STATEMENT 2 Page INSTRUCTIONS 1 Please check all applicable categories (a through i) below and provide additional information where indicated a The requested product is an integral repau part or accessory compatible with existing equipment • • Existing Equipment Manufacturer/Model Numbei Age Current Estimated Value b The requested product has unique design/performance specifications or quahty requirements that are not available in comparable products c I have standardized the requested product and the use of another brand/model would require considerable time and funding to evaluate d The requested product is one m which I (and/or my staff) have specialized traming and/or extensive expertise Retraming would incur substantial cost in time and/or fundmg e The requested product is used or demonstration equipment available at a lower -than - new cost f Repair/Maintenance service is available only from manufacturer or designated service representative g Upgrade to or enhancement of existing software is available only from manufacturer h Service proposed by vendor is unique, therefore, competitive bids are not available or applicable Other factors (provide detailed explanation m #2 below) 2. Provide a detailed explanation and pertinent documentation fol each category checked in item 1 above Attach additional sheets of necessary Geologic performed a RFB for the well installation work and found BC2 to be the lowest bidder r Cit Attorney the work had to be assigned to BC2 directly and not as a subcontractor for Geologic This project is time sensitive due to closing of escrow Rev 1 31 19 EXCEPTION TO BIDDING AND DISCLOSURE STATEMENT 3 Page 3 Was an evaluation of other equipment, products, or services performed? Yes U No If yes, please explain the type of evaluation performed and provide all supporting documentation: 4 List below the name of each individual who was involved m the evaluation, if conducted, and in making the recommendation to procure this product or service Attach additional mformation, if necessary 5. Explain what action(s) the department would take if the sole/single source services were no longer available We would have to find another qualified company to conduct the well installation 6 I certify that the above information is accurate to the best of my knowledge, and a signed copy of this document will be kept on file and available for audit in my department Tricia Swop G Qgea2019.05.2309:21a 3-0700' 5/23/19 Prepared by Date partment Director ate Purchasing Approvals if //37(q Purchasing Agit Approval Date jiALk (i&tiL. City Approval Date Rev 1 31 19 Form VW -9 (Rev October2018) Department of the Treasury Interna Revenue Service Request for Taxpayer Identification Number and Certification I. Go to www.irs.gov/FormW9 for instructions and the latest information. Give Form to the requester Do not send to the IRS LPrint or type. See Specific Instructions on page 3 1 Name (as shown on your income tax return) Name is required on this lino, do not leave this line blank. BC2 Environmental, LLC 2 Business name/disregarded entity name if different from above 3 Check appropriate following seven boxes ❑ Indivsduallsole single member El Limited liability Note Check the LLC if the LLC another LLC that is disregarded box for federal tax classification of the person whose name is entered on line 1 Check only one of the ❑ Trust/estate ► P 4 Exemptions certain entities instructions Exempt payee Exemption code (if any) Alprer to ecxou'is (codes apply only to not individuals' see on page 3)• code (if any) proprietor or • C Corporation U S Corporation • Partnership LLC company Enter the tax classification (C=C corporation S=S corporation P=Partnership) appropriate box in the line above for the tax classlfeation of the single -member owner is classified as a single -member LLC that is disregarded from the owner unless the owner is not disregarded from the owner for U.S federal tax purposes Otherwise a single from the owner should check the appropriate box for the tax classification of its owner ► from FATCA reporting Do not check of the LLC is member LLC that maintained o tside ire U.S I • Other (see instructions) 5 Address (number street and apt or suite no.) See instructions 1150 W Trenton Ave Requester's name and address (optional) 6 City state, and ZIP code Orange, CA 92867 7 List account number(s) here (optional) axpayer Identification Number (TIN) Enter your TIN in the appropriate box The TIN provided must match the name given on line 1 to avoid backup withholding For Individuals this is generally your social security number (SSN) However for a resident alien, sole proprietor, or disregarded entity see the instructions for Part I, later For other entities it is your employer identification number (EIN) tf you do not have a number, see Now to get a 77N later Note• If the account is in more than one name see the instructions for line 1 Also see What Name and Number To Give the Requester for guidelines on whose number to enter Social security number or Employer identification number 8 3 2 5 8 5 8 5 3 MD Certification Under penalties of perjury, I certify that - 1 The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me) and 2 I am not subject to backup withholding because (a) I am exempt from backup withholding or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends or (c) the IRS has notified me that I am no longer subject to backup withholding and 3 I am a U.S citizen or other U.S person (defined below) and 4 The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct Certification instructions You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have fated to report all interest and dividends on your tax return For real estate transactions item 2 does not apply For mortgage interest paid, acquisition or abandonment of secured property cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN See the instructions for Part It, later Sign Here Signature of U.S person ► General Instructions Section references are to the Internal Revenue Code unless otherwise noted Future developments For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www irs.gov/FormW9 Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN) or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return Examples of information retums include, but are not limited to, the following • Form 1099 -INT (interest earned or paid) ./l Date , - • Form 1099 DIV (dividends, including those from stocks or mutual funds) • Form 1099 MISC (various types of income prizes, awards, or gross proceeds) • Form 1099 B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1099 K (merchant card and third party network transactions) • Form 1098 (home mortgage Interest) 1098 E (student loan interest), 1098 T (tuition) • Form 1099 C (canceled debt) • Form 1099 A (acquisition or abandonment of secured property) Use Form W 9 only if you are a U.S person (including a resident alien), to provide your correct TIN if you do not return Form W-9 to the requester with a T!N you might be subject to backup withholding See What is backup withholding later Cat No 10231X Form W-9 (Rev 10-2018) ACOREf CERTIFICATE OF LIABILITY INSURANCE `------- 6/30/2019 DATE(MMIDDIYYYY) 5/29/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) PRODUCER Lockton Companies 8110 E Union Avenue Suite 700 Denver CO 80237 (303) 414 6000 CONT PHONE FAX (NC. No. Est). WC No): EMAIL ADDRESS INSURERlS) AFFORDING COVERAGE NAIC # INSURER A Homeland Insurance Company of New York 34452 INSURED BC2 Environmental, LLC 1307578 1 150 West Trenton Avenue Orange, CA 92867 INSURER B. Travelers Property Casualty Co of America 25674 INSURER C . 6/30/2019 INSURER D 6 1 ,000,000 $ 300,000 INSURER E INSURER F OCCUR 01 CERTIFICATE NUMBE 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 ILTR TYPE OF INSURANCE ADDL INSD SUBR WVO POLICY NUMBER POLICY EFF 4MM?DDIYYYY) POLICY EXP (MM/DDIYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY y N 7930014120005 6/30/2018 6/30/2019 EACH OCCURRENCE 6 1 ,000,000 $ 300,000 CLAIMS.MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) X Pollution Liability MED EXP (Any one person) 6 25,000 $ 1,000,000 $ 2,000,000 $ 2,000,000 $ X Professional PERSONAL BADV INJURY GEN'L AGGREGATE POLICY OTHER LIMIT APPLIES X JECT PER LOC GENERAL AGGREGATE PRODUCTS COMPIOPAGG 13 AUTOMOBILE X X X LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY Comp Ded $1 X AUTOS <X SCHEDULED AUTOS NON-OWNED ONLY Coll Ded $lk y N DT81071:805243TCL18 6/30/2018 6/30/2019 COMBINED SINGLE LIMIT (Ea accident) s 1,000,000 $ XXXXXXX BODILY INJURY (Per person) BODILY INJURY (Per ( 1 $ XXXXXXX PROPERTY DAMAGE (Per accident) s XXXXXXX $ XXXXXXX A UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS MADE N N 7930014130005 6/30/2018 6/30/2019 EACH OCCURRENCE $ 1,000,400 $ 1,000,000 $ XXXXXXX AGGREGATE DED X RETENTION $ 10,000 B WORKERS COMPENSATION� AND EMPLOYERS LIABILITY Y1 N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N (Mandatory In NH) If yes describe under DESCRIPTION OF OPERATIONS below N / A N DTJUB7E79315918 6/30/2018 6/30/2019 PER OTH X STATUTE , ER E.L EACH ACCIDENT $ 1,000,000 E.L DISEASE EA EMPLOYEE $ 1,000,000 E.L DISEASE POLICY LIMIT 6 1.000.000 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101 Additional Remarks Schedule may be attached if more space is required) RE Location 1205 Redlands Blvd., Redlands CA 92373 City of Redlands is included as an Additional Insured as respects General Liability and Auto Liability as required by written contract TE HOLDER CANCELLATION See Attachments 16112859 City of Redlands 35 Cajon Street P 0 Box 3005 Redlands, CA 92373 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS AUTHORIZED REPRESENTATIVE © 1988 20 ACORD CORPORATION Alt rights reserved ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Miscellaneous Attachment M512534 Master ID 1307578, Certificate ID 16112859 COMMERCIAL AUTO Policy Number DT8107E805243TIL18 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 coverage description only Limitations and exclusions may apply to these coverages Read all the provisions of this endorsement 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 COVERAGE - 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 - LIABILITY COVERAGE Any organization you newly acquire or form during 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 until the 980th day after you acquire or form the organization or the end of the policy period, whichever is earlier B BLANKET ADDITIONAL INSURED The following is added to Paragraph c in A 1 , Who Is An Insured, of Section II - 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 PAGE 1 OF 4 CA T3 53 02 15 H HIRED AUTO PHYSICAL DAMAGE - LOSS OF USE - INCREASED LIMIT I PHYSICAL DAMAGE - TRANSPORTATION EXPENSES - INCREASED LIMIT 3 PERSONAL EFFECTS K AIRBAGS L. NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS M BLANKET WAIVER OF SUBROGATION N. UNINTENTIONAL ERRORS OR OMISSIONS 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 additional insured is an insured" for Liability Coverage but only for damages to which 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 - LI- ABILITY COVERAGE. An "employee" of yours Is an insured while operating an auto' hired or rented under a contract or agreement in that "employee's name, with your permission, while performing duties related to the conduct of your business Miscellaneous Attachment M512534 Master ID 1307578, Certificate ID 16112859 2 The following replaces Paragraph b in B 5 , Other Insurance, of SECTION IV BUSINESS AUTO CONDITIONS b 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 by your "employee" under a contract in an "employee's" name with your permission while performing duties related to the conduct of your business 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 using 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 LIABILITY 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 The following replaces Paragraph A.2 a (4), of SECTION II - COVERED AUTOS LIABILITY COVERAGE (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 F HIRED AUTO LIM1TED WORLDWIDE COVERAGE INDEMNITY BASIS The following replaces Subparagraph (5) in Para graph B 7 , Policy Period, Coverage Territory of SECTION IV BUSINESS AUTO CONDITIONS 5 Anywhere in the world except any country or jurisdiction while any trade sanction, embargo, or similar regulation imposed by the United States of America applies to and prohibits the transaction of business with or within such country or jurisdiction, for Covered 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 'insured' against, and investigate or settle any such claim or "suit" and keep us advised of all pro- ceedings and actions (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 "insured" pays with our consent, but only up to the limit described in Paragraph C , Limit 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 investigation of such claims and your defense of the insured" against any such "suit", but only up to and included within the limit described in Paragraph 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 Miscellaneous Attachment M512534 Master ID 1307578, Certificate ID 16112859 (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 ritones and possessions, Puerto Rico and Canada You agree to maintain all required or compulsory insurance in any such country up to the minimum limits required by local law Your failure to comply with compulsory insurance requirements will riot 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 insurance requirements (d) It is understood that we are not an admitted or authorized insurer outside the United States of America its territories and possessions, Puerto Rico and Canada 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 , Deductible 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 Paragraph A.4 b , Loss Of Use Expenses, of SECTION 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" PAGE 2 OF 4 1 PHYSICAL DAMAGE TRANSPORTATION EXPENSES - INCREASED LIMIT The following replaces the first sentence in Paragraph A 4 a , Transportation Expenses, of SECTION III PHYSICAL DAMAGE COVERAGE We will pay up to $50 per day to a maximum of $1 500 for temporary transportation expense incurred by you because of the total theft of a covered auto of the private passenger type J PERSONAL PROPERTY The following is added to Paragraph A.4 , Coverage Extensions, of SECTION III PHYSICAL DAMAGE COVERAGE Personal Property We will pay up to $400 for 'loss' to wearing apparel and other personal property which are (1) Owned by an "insured", and (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 , Exclusions 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 inflate 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 warranty 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 representative prompt notice of the "accident" or "loss" applies only when the "accident" or "loss is known to (a) You (if you are an individual) PAGE 3 OF 4 Miscellaneous Attachment M512534 Master ID 1307578, Certificate ID 16112859 (b) A partner (if you are a partnership) (c) (d) (e) A member (if you are a limited liability com pany) An executive officer, director or insurance manager (if you are a corporation or other or ganization) or 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 CONDITIONS 5 Transfer Of Rights Of Recovery Against Others To Us We waive any right of recovery we may have against any person or organization to the ex PAGE 4 OF 4 CA T3 53 02 15 tent required of you by a written contract signed and executed prior to any "accident" or "loss", provided that the "accident or loss' arises out of operations contemplated by such contract The waiver applies only to the person or organization designated in such contract N UNINTENTIONAL ERRORS OR OMISSIONS The following is added to Paragraph 8 2 , Con cealment, Misrepresentation, Or Fraud, of SECTION IV BUSINESS AUTO CONDITIONS The unintentional omission of, or unintentional error in, any information given by you shall not prejudice your rights under this insurance However this provision does not affect our right to collect additional premium or exercise our right of cancellation or non -renewal Miscellaneous Attachment M495015 Master ID 1307578, Certificate ID 16112859 Policy Number, 7930014120005 THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement only modifies coverage provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS ENVIRONMENTAL LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization Any person or organization for which the Named Insured has agreed to provide Insurance prior to loss as provided by this policy but only to the scope of insurance agreed to by the Named Insured SECTION IV CONDITIONS, 13 Transfer of Rights of Recovery Against Others To Us is deleted and replaced with the following. 13 Transfer of Rights of Recovery Against Others To Us If the insured has rights to recover all or part of any payment we have made under this policy, those rights are transferred to us The insured must do nothing to impair them At our request, the insured will bring suit or transfer those rights to us and help us enforce them Any recovery will be paid first to us until all amounts we have spent on a claim or suit have been reimbursed The insured expressly waives the right to be made whole by any such recovery We waive any right of recovery we may have against the person or organization shown in the SCHEDULE above because of payments we make for injury or damage arising out of your ongoing operations or your work done under a contract with that person or organization and included in the products -completed operations hazard This waiver applies only to the person or organization shown in the SCHEDULE above All other terms and conditions remain the same OBENV GE 320 (04 11) Includes copyrighted material of Insurance Services Office, Inc 1 of 1 Copyright 2011, OneBeacon Insurance Group LLC Miscellaneous Attachment M495012 Master ID 1307578, Certificate ID 16112859 Policy Number 7930014120005 THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY PRIMARY AND NON-CONTRIBUTORY ENDORSEMENT This endorsement modifies coverage provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS ENVIRONMENTAL LIABILITY COVERAGE PART SECTION IV - CONDITIONS, 8 Other Insurance is amended by adding the following paragraph This insurance will be considered primary to, and non-contributory with any other insurance issued directly to a person or organization added as an additional insured under this policy, only if you specifically agree in a written contract or agreement, that this insurance must be primary to, and non-contributory with, such other insurance All other terms and conditions remain the same OBENV GE 319 (02 11) Includes copyrighted material of Insurance Services Office Inc 1 of 1 Copyright 2011 OneBeacon Insurance Group LLC Miscellaneous Attachment M495010 Master ID 1307578, Certificate ID 16112859 Policy Number 7930014120005 THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Per schedule on file with company Location And Description Of Completed Operations Where required by writtencontract Information required to complete this Schedule, if not shown above, will be shown in the Declarations A Section 11 Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard" However 1 The insurance afforded to such additional insured only applies to the extent permitted by law, and 2 If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured CG 20 37 04 13 Page 1 of 1 B With respect to the insurance afforded to these additional insureds, the following is added to Section 111 - Limits Of Insurance If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured 15 the amount of insurance 1 Required by the contract or agreement, 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 ISO Properties, Inc , 2012 Miscellaneous Attachment M495010 Master ID 1307578, Certificate ID 16112859 Miscellaneous Attachment M495009 Master ID 1307578, Certificate ID 16112859 Policy Number 7930014120005 THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY ADDITIONAL INSURED OWNERS, LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION FORM I This endorsement only modifies coverage provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS ENVIRONMENTAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization. Any person or organization for which the Named Insured has agreed to provide insurance prior to loss as provided by this policy but only to the scope of insurance agreed to by the Named Insured (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement ) A SECTION II WHO IS AN INSURED is amended to include as an insured the person or organization shown in the SCHEDULE above, but only with respect to liability arising out of your ongoing operations performed for that insured B With respect to the insurance afforded to these additional insureds, the following exclusion is added 2 Exclusions This insurance does not apply to bodily injury, property damage or environmental damage occurring after (a) All work, including materials parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the site of the covered operations has been completed, or (b) That portion of your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project All other terms and conditions remain the same OBENV GE 301 (02 11) Includes copyrighted material of Insurance Services Office, Inc 1 of 1 Copyright 2011, OneBeacon Insurance Group LLC Miscellaneous Attachment M512542 Master ID 1307578, Certificate ID 16112859 TRAVELERS One Tower Square Hartford CT 06183 WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 00 03 13 (00) 01 POLICY NUMBER DTJUB7E79315918 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 agarnst 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 ) Thrs agreement shall not operate directly or Indirectly to benefit any one not named in the Schedule SCHEDULE DESIGNATED PERSON DESIGNATED ORGANIZATION ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER Insured BC2 Environmental Insurance Co TRAVELERS Policy No DTJUB7E79315918 Effective Dates 6130110 6/30119 Miscellaneous Attachment M512540 Master ID 1307578, Certificate ID 161 12859 COMMERCIAL AUTO Policy Number DT8107E80524318 THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY LOSS PAYABLE CLAUSE This endorsement modifies insurance provided under the following BUSINESS AUTO COVERAGE FORM The following replaces the LOSS PAYABLE CLAUSE in the BUSINESS AUTO COVERAGE PART DECLARATIONS LOSS PAYABLE CLAUSE A We will pay you and the loss payee on file with us for "loss" to a covered "auto", as interest may appear B The insurance covers the interest of the loss payee unless the "loss" results from conversion secretion or embezzlement on your part CAT4450409 C 0 We may cancel the policy as allowed by the CANCELLATION Common Policy Condition Cancellation ends this agreement as to the loss payee's interest If we cancel the policy we will mail you and the loss payee the same advance notice If we make any payment to the loss payee, we will obtain their rights against any other party