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Contracts & Agreements_149-2022
PUBLIC WORK CONSTRUCTION CONTRACT This Public Work Construction contract ("Contract") is made and entered into this 19th day of July, 2022, by and between the City of Redlands, a municipal corporation, organized and existing under the laws of the State of California (hereinafter "City"), and Danny C. Hubbs Construction, 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 herein, 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: Garden St. Guardrail Installation Project, Project No. FCS04262022JN, complete all items as required by the Contract Documents (as herein defined) and Specifications for City's Garden St. Guardrail Installation Project, Project No. FCS04262022JN (the "Work"). 2. CONTRACT SUM: City shall pay Contractor the sum of Sixty five thousand six hundred twelve dollars ($65,612.00) 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 Fifty (50) calendar days from and after the date of City's issuance of a Notice to Proceed to Contractor. 4. LIQUIDATED DAMAGES: Contractor's failure to complete the Work within the time allowed will result in damages being sustained by City. Such damages are, and will continue to be, impracticable and extremely difficult to determine. Accordingly, Contractor shall pay to City, or have withheld from monies due to Contractor, the sum of Five hundred dollars/cents ($500.00) for each consecutive calendar day in excess of the specified time for completion of the Work. Execution of this Contract shall constitute agreement by City and. Contractor that Five hundred dollars ($500.00) per day is the estimated damage to City caused by the failure of 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 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 Bond, 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 action is commenced to enforce or interpret the terms or conditions of this Contract, or the Contract Documents, the prevailing 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. 7. RESOLUTION OF CONSTRUCTION CLAIMS: 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 1.5 of the Public Contract Code (commencing with Section 20104). All claims shall be in writing and include the documents necessary to substantiate the claim. Nothing in subdivision (a) of Public Contract Code K:\Capital Projects\250400 PARK_ OPEN_SPACE_PROJECTS\Garden St Guardrail\7 BID AND AWARDS_PRECONSTRUCTION\7-6 CONTRACT AWARD_NTP\Danny C. [Iubbs Construction, Inc. Public Work Contract.doc Section 20104.2 shall extend the time limit or supersede the notice requirements provided in this case from filing claims by Contractor. 8. ELIGIBILITY OF CONTRACTOR/SUBCONTRACTOR: Contractor and all of its subcontractors shall abide by California Public Contract Code, Section 6109, and California Labor Code Sections 1777.1 and/or 1777.7, and certify that they are not debarred and are eligible to work on this project. 9. ASSIGNMENT OF AGREEMENT: No assignment by a Party of any rights or interests under this Contract shall be binding on another Party without the written consent of the Party sought to be bound. 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. K:\Capital Projects\250400 PARK_ OPEN_SPACE_PROJECTS\Garden St Guardrail\7 BID AND AWARDS_PRECONSTRUCTION\7-6 CONTRACT AWARD_NTP\Danny C. Llubbs Construction, Inc. Public Work Contract.doc IN WITNESS WHEREOF, the Parties hereto have executed this Contract the day and year first written above. (SEAL) ATTEST: Donaldson, City Clerk CITY-O REDL NDS i By. Paul T. Barich, Mayor (SEAL) Name of Contractor By: Signature of Authorized Agent Title Signature of Authorized Agent (if necessary) Title Contractor's License No. K:\Capital Projects\250400 PARK_ OPEN_SPACE_PROJECTS\Garden St Guardrail\7 BID AND AWARDS_PRECONSTRUCTION\7-6 CONTRACT AWARD_NTP\Danny C. I-lubbs Construction, Inc. Public Work Contract.doc EXECUTED IN 1 ORIGINAL COUNTERPARTS BOND NUMBER: GM214657 FAITHFUL PERFORMANCE BOND Whereas, the City of Redlands ("City"), State of California, and Danny C. ilubbs Construction, Inc. (hereinafter designated as "Principal") have entered into an agreement dated July 19'I', 2022 ("Agreement") whereby Principal agrees to install and complete certain public improvements (the "Work"), which said Agreement is identified as Carden St. Guardrail Installation Project, Project No. FCS04262022JN 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 Work, now, therefore, we, the Principal and, GREAT MIDWEST INSURANCE COMPANY , as Surety, are held and firmly bound unto the City in the penal sum_ of Sixty five thousand six hundred twelve dollars ($65,612.00) 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 it' 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, indemnity 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 he and remain in full lbrce 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 he taxed as costs and included in the judgment rendered. As a condition precedent to the satisfactory completion or the Work, the above obligation shall hold good for a period of one (I) 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 Toss 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 he, 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 Work in accordance with its terms and conditions; or 2. Obtain a bid or bids for completing the Work in accordance with its terms and conditions, and upon determination by Surety of the lowest responsive and responsible kidder, 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, K:\Capital Projects \_50400 PAItk O1'l N_SI'AC'I:_PI (.)J C'TS\Garden St Gunrdr.iP7 BID AND AWARDS_PREC'0NS'I'RUC'FION'•.7.6 CONTRACT A W.4RD_N'rI'\Danny C. Iiubbs Construction. Inc. Public Work C'onn;tet.doc 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. Surety expressly agrees that the City may reject 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 Work 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 A�ttrecment 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 he unsatisfied. The Principal and Surety agree that if the City is required to engage the services of any attorney in connection with the en -fin -cement of this hond, 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 JULY 20TH , 2022. (SEAL) DANNY C. BS CONSTRUCTION, INC. (Conyactor) GREAT MIDWEST f3Y: (Signature) , (Signature Address: 534 E. BADILLO ST. (SEAL) ANY KEVIN VEGA, ATTORNEY -in -FACT COVINA, CA 91723 (Seal and Notarial Acknowledgment or Telephone Surety) ) 626-859-1000 K:\Capital ProjeetsV250400 PARK OPI.NSPAC E I'ROJ1.CrS\t'.iarden St ($oardiail\7 HII) AND AWARDS PRECONSfRUCrION.7-h CONTRACT AWARI)_N'fl'\Dannv C. I lubbs Construction, Inc. Public work Conhnct.doc ACKNOWLEDGMENT 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 SIj lllpc(&r"t0 On �u�� aD_, pQca� before me, 1A Sor'€s4 V bA 4r R(Oli6 (insert name and title of the officer) ,...1 personally appeared , Y�� who proved to me on the basis actory evidence to be e person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature (Seal) 1 HEATHERJONES F Commission No. 2400713 I. NOTARY PUBLIC - CALIFORNIA v SAN BERNARDINO COUNTY Commission Expires April 14, 2026 POWER OF ATTORNEY Great Midwest Insurance Company KNOW ALL MEN BY THESE PRESENTS, that GREAT MIDWEST INSURANCE COMPANY, a Texas Corporation, with its principal office in Houston, TX, does hereby constitute and appoint: Philip E. Vega, Kevin Vega, Britton Christiansen its true and lawful Attorneys) -In -Fact to make, execute, seal and deliver for, and on its behalf as surety, any and all bonds, undertakings or other writings obligatory in nature of a bond, This authority is made under and by the authority of a resolution which was passed by the Board of Directors of GREAT MIDWEST INSURANCE COMPANY, on the 1st day of October, 2018 as follows: Resolved, that the President, or any officer, be and hereby is, authorized to appoint and empower any representative of the Company or other person or persons as Attorney -In -Fact to execute on behalf of the Company any bonds, undertakings, policies, contracts of indemnity or other writings obligatory in nature of a bond not to exceed Ten Million dollars ($10,000,000.00), which the Company might execute through its duly elected officers, and affix the seal of the Company thereto. Any said execution of such documents by an Attorney -In -Fact shall be as binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company. Any Attorney -In -Fact, so appointed, may be removed in the Company's sole discretion and the authority so granted may be revoked as specified in the Power of Attorney, Resolved, that the signature of the President and the seal of the Company may be affixed by facsimile on any power of attorney granted, and the signature of the Secretary, and the seal of the Company may be affixed by facsimile to any certificate of any such power and any such power or certificate bearing such facsimile signature and seal shall be valid and binding on the Company. Any such power so executed and sealed and certificate so executed and sealed shall, with respect to any bond of undertaking to which it is attached, continue to be valid and binding on the Company. IN WITNESS THEREOF, GREAT MIDWEST INSURANCE COMPANY, has caused this instrument to be signed by its President, and its Corporate Seal to be affixed this 11th day of February, 2021. GREAT MIDWEST INSURANCE COMPANY BY Mark W. Haushill President ACKNOWLEDGEMENT On this 11th day of February, 2021, before me, personally came Mark W. Haushill to me known, who being duly sworn, did depose and say that he is the President of GREAT MIDWEST INSURANCE COMPANY, the corporation described in and which executed the above instrument; that he executed said instrument on behalf of the corporation by authority of his office under the By-laws of said corporation. gip, CHRISTINA BISHOP }° 4h,,Notary Public, State of Texas ho��' n�+` 4 Comm. Expires 04•t4-2026 1/�h;Notary ID 131090488 CERTIFICATE BY Christina Bishop Notary Public I, the undersigned, Secretary of GREAT MIDWEST INSURANCE COMPANY, A Texas Insurance Company, DO HEREBY CERTIFY that the original Power of Attorney of which the foregoing is a true and correct copy, is in full force and effect and has not been revoked and the resolutions as set forth are now in force. Signed and Sealed at Houston, TX this 20th Day of July , 20 22 BY Leslie K. Shaunty Secretary "WARNING: Any person who knowingly and with Intent to defraud any insurance company or other person, files and application for Insurance of claim containing any materially false Information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime and subjects such person to criminal and civil penalties. 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 07/20/2022 before me PHILIP VEGA, NOTARY PUBLIC Date Here Insert Name and Title of the Officer personally appeared KEVIN VEGA, ATTORNEY -in -FACT Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the persons whose namejs) is/ary subscribed to the within instrument and acknowledged to me that he/e /fhey executed the same in his/I'ter,/th®ir authorized capacity(tes) and that by his/hew/ eisignature(s). on the instrument the person(s)l, or the entity upon behalf of which the persons acted, executed the instrument. PHILIP VEGA Notary Public • California Los Angeles County "° Commission # 2327592 'gLIFooM'. My Comm. Expires May 31, 2024 Place Notary Seal Above I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature OPTIONAL Sign of Notary Public 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: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — 0 Limited 0 General ❑ Individual 0 Attorney in Fact 0 Trustee ❑ Guardian or Conservator 0 Other: Signer Is Representing: Signer's Name: 0 Corporate Officer — Title(s): ❑ Partner — 0 Limited ❑ General O Individual 0 Attorney in Fact 0 Trustee 0 Guardian or Conservator O Other: Signer Is Representing: ©2014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 EXECUTED IN 1 ORIGINAL COUNTERPARTS BOND NUMBER: GM214657 LABOR AND MATERIAL BOND Whereas, the City Council of the City of Redlands, State of California, and Danny C. Hubbs Construction, 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 July I911), 2022, and identified as Garden St. Guardrail Installation Project, Project No. FCS04262022JN is 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 Tile a good and sufficient Labor and Material bond with die City of Redlands to secure the claims to which reference is made in Title 3 (commencing 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 tinnly hound 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 Sixty five thousand six hundred twelve dollars (S65,612.00) for materials furnished or labor thereon of any kind, or for amounts due under the Unemployment Insurance Act with respect to such work or Tabor, that said surety will pay the same in an amount not exceeding the amount hercinabove 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 he 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 dots 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 JULY 20TH , 2022. (SEAL) (SEAL) DANNY C. UBBS CONSTRUCTION, INC. GREAT MIDWEST INSURANCE COMPANY "jy: (Signature) (Signature) Address: 534 E. BADILLO ST. COVINA, CA 91723 (Seal and Notarial Acknowledgement of Surety) BY: tt 1� KEVIN VEGA, ATTORNEY -in -FACT Telephone: ( 626-859-1000 K:‘:Capital Prujeas`250-1011 PARK OPI..N_SPAC'li_PROJ1:C"rS`.Gardcn St Guardiail17 13II) ANI) AWARDS_PRFC'ONSTRUCrION 7-h CONTRACT AWARD_\'rt'\Danny C. Ilubbs Construction. Inc. Public Work Contrtet.doc ACKNOWLEDGMENT 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 A N8,`00 ) On , o•Obefore me, personally appeared b\, insert name and title of the offic who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature (Seal) HEATHERJONES Commission No. 2400713 NOTARY PUBLIC - CALIFORNIA SAN BERNARDINO COUNTY �' yf Commission Expires April 14, 2026 k{ POWER OF ATTORNEY Great Midwest Insurance Company KNOW ALL MEN BY THESE PRESENTS, that GREAT MIDWEST INSURANCE COMPANY, a Texas Corporation, with its principal office in Houston, TX, does hereby constitute and appoint: Philip E. Vega, Kevin Vega, Britton Christiansen its true and lawful Attorney(s)-In-Fact to make, execute, seal and deliver for, and on its behalf as surety, any and all bonds, undertakings or other writings obligatory in nature of a bond, This authority is made under and by the authority of a resolution which was passed by the Board of Directors of GREAT MIDWEST INSURANCE COMPANY, on the 15t day of October, 2018 as follows: Resolved, that the President, or any officer, be and hereby is, authorized to appoint and empower any representative of the Company or ether person or persons as Attorney -In -Fact to execute on behalf of the Company any bonds, undertakings, policies, contracts of indemnity or other writings obligatory in nature of a bond not to exceed Ten Million dollars ($10,000,000.00), which the Company might execute through its duly elected officers, and affix the seal of the Company thereto. Any said execution of such documents by an Attorney -In -Fact shall be as binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company. Any Attorney -In -Fact, so appointed, may be removed in the Company's sole discretion and the authority so granted may be revoked as specified in the Power of Attorney, Resolved, that the signature of the President and the seal of the Company may be affixed by facsimile on any power of attorney granted, and the signature of the Secretary, and the seal of the Company may be affixed by facsimile to any certificate of any such power and any such power or certificate bearing such facsimile signature and seal shall be valid and binding on the Company. Any such power so executed and sealed and certificate so executed and sealed shall, with respect to any bond of undertaking to which it is attached, continue to be valid and binding on the Company. IN WITNESS THEREOF, GREAT MIDWEST INSURANCE COMPANY, has caused this instrument to be signed by its President, and its Corporate Seal to be affixed this 11th day of February, 2021, BY GREAT MIDWEST INSURANCE COMPANY p,-Q. 1cu�._,) Mark W. Haushill President ACKNOWLEDGEMENT On this 11th day of February, 2021, before me, personally came Mark W. Haushill to me known, who being duly sworn, did depose and say that he is the President of GREAT MIDWEST INSURANCE COMPANY, the corporation described in and which executed the above instrument; that he executed said instrument on behalf of the corporation by authority of his office under the By-laws of sald corporation. ,n urr, �Vp2?:17,.. CHRISTINA BISHOP fa° Vallotary Public, State of Texas IV ` Comm. Expires 04-14-2026 m00 Notary ID 131090488 1 .w CERTIFICATE BY Christina Bishop Notary Public I, the undersigned, Secretary of GREAT MIDWEST INSURANCE COMPANY, A Texas Insurance Company, DO HEREBY CERTIFY that the original Power of Attorney of which the foregoing is a true and correct copy, is in full force and effect and has not been revoked and the resolutions as set forth are now in force. Signed and Sealed at Houston, TX this loth Day of July , 20 22 BY Leslie K. Shaunty Secretary "WARNING: Any person who knowingly and with Intent to defraud any insurance company or other person, files and application for Insurance of claim containing any materially false Information, or conceals for the purpose of misleading, Information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime and subjects such person to criminal and civil penalties, CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 1 '> 1 .7. 1 [I 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 07/20/2022 before me, PHILIP VEGA, NOTARY PUBLIC Date Here Insert Name and Title of the Officer personally appeared KEVIN VEGA, ATTORNEY -in -FACT Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person' whose names) is/arm subscribed to the within instrument and acknowledged to me that he/Biqa/they executed the same in his/her,/thtair authorized capacity(tes) and that by his/heriTheix signature(e). on the instrument the person(e), or the entity upon behalf of which the personpersonN 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. PHILIP VEGA Notary Public - California Los Angeles County Commission # 2327592 My Comm, Expires May 31, 2024 Place Notaty Seal Above WITNESS my hand and oic' seal. i Signature \\ Sign-%) f Notary Public 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: Document Date: Number of Pages: Signer(s) Other Than Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee 0 Guardian or Conservator 0 Other: Signer Is Representing: Named Above: Signer's Name: 0 Corporate Officer — Title(s): ❑ Partner — ❑ Limited 0 General 0 Individual ❑ Attorney in Fact 0 Trustee 0 Guardian or Conservator ❑ Other: Signer Is Representing: ©2014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 CITY OF REDLANDS BUSINESS TAX CERTIFICATE "For Services Provided in the City of Redlands, California Only" Business Name Business Location Business Owner(s) DANNY C. HUBBS CONSTRUCTION, INC. 37306 Vista View Dr Yucaipa, Ca 92399-9788 DANNY C. HUBBS CONSTRUCTION, INC. DANNY C. HUBBS CONSTRUCTION, INC. 37306 VISTA VIEW DR YUCAIPA, CA 92399-9788 2023 TO BE POSTED IN ACONSPICUOUS PLACE AND NOT TRANSFERABLE OR ASSIGNABLE Business Type Contractor- General Description GENERAL CONTRACTOR Certificate Number: 08132463 Effective Date September 26, 2022 Expiration Date June 30, 2023 THIS BUSINESS TAX CERTIFICATE DOES NOT PERMIT A For all inquiries regarding this license, contact HdL BUSINESS THAT IS OTHERWISE PROHIBITED. Business Tax Support Center at (909) 479-2111. DANNY C. HUBBS CONSTRUCTION, INC.: Thank you for your payment on your City of Redlands Business Tax Certificate. ALL CERTIFICATES MUST BE AVAILABLE FOR INSPECTION UPON REQUEST. If you have questions concerning your business tax certificate, contact the Business Tax Support Center via email at: Redlands@hdlgov.com or by telephone at: (909) 479-2111. Keep this portion for your tax certificate separate in case you need a replacement for any lost, stolen, or destroyed tax certificate. A fee may be charged for a replacement or duplicate tax certificate. This certificate does not entitle the holder to conduct business before complying with all requirements of Redlands Municipal code and other applicable laws, nor to conduct business in a zone where conducting such business violates law. If you have a fixed place of business within the city limits of City of Redlands, please display the Business Tax certificate above in a conspicuous place at the premises. Otherwise, every Business Tax Certificate holder not having a fixed place of business in the City shall keep the Business Tax Certificate upon his or her person, or affixed in plain view upon any cart, vehicle, van or other movable structure or device at all times if required by the Collector. Starting January 1, 2021, Assembly Bill 1607 requires the prevention of gender -based discrimination of business establishments. A full notice is available in English or other languages by going to: https://www.dca.ca.gov/publications/. BUSINESS SUPPORT CENTER 8839 N CEDAR AVE #212 M] FRESNO, CA 93720-1832 74471 DANNY C. HUBBS CONSTRUCTION, INC. 37306 VISTA VIEW DR YUCAIPA, CA 92399-9788 City of Redlands BUSINESS TAX CERTIFICATE Certificate Number: 08132463 Date of Issue: 09/26/2022 Form ■■ -9 (Rev. October 2018) Department of the Treasury Internet Revenue Service Request for Taxpayer Identification Number and Certification M Go to www.irs.gov/FormW9 for instructions and the latest information. 1 Name (as shown on your Income tax return). Name is r Danny C. Hubbs Construction, Inc. 2 Business name/dlaregarded entity name, if different from above P. C. Hubbs Construction Give Form to the requester. Do not send to the IRS. 3 Check appropriate box for federal tax classfcation of the person whose name is entered on 11 following seven boxes. © Individual/sole proprietor or Q 0 Corporation S Corporatin ❑ Partnership single -member LLC [� Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) Note: Check the appropriate box In the line above for the tax classification of the single -member owner. Do not check U.0 if the LLC Is classified as a single -member LLC that Is disregarded from the owner unless the owner of the LLC Is another LLO that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single -member LLO that Is disregarded from the owner should check the appropriate box for the tax classification of Its owner. Q Other (see instructions) Oi 6 Address (number, street, and apt. or su 37306 Vista View Dr. 6 City, state, and ZIP code Yucaipa, Ca 92399 Ust account number(s) here (optional) ulred on this line; do not leave this line blank. no.) See Instructions. U.$) ❑ Trust/estat e of the 4 Exemptions (codes apply only to certain entities, not individuals; see Instructions on page 3): Exempt payee code (if any) Exemption from FATCA reporting code Of any) (goon to accounts mrintatn•d se Requester's name and address (optional) Taxpayer 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, thls 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 entitles, It le your employer Identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the for guidelines on whose number to enterons for . 1. Also see What Name and NumberTo Give the Requester Part Scrotal security number 1 I or Employer ldemtdic tton number 2 0T 4 4 4 5 3 9 1 Part ii Certification Under penalties of perjury, I certify that: 1. The number shown on this forth Is my correct taxpayer Identification number (or I am waiting for a number to be Issued to methe ); and 2 not backup withholding because: I am backup tlldividends,an Internal i am enue Service(IRS) that I am suject to bacup withholding as a result of a failure to report all or eot or (o) to IRS has notified methat 1 am no longer subject to backup withholding; and 3.1 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. the IRS For subject to ba ceupwitholdie you hhavee (fail nto eport all Interest and diviout Item 2 above If dends on y ur tax return. Forou have r eal estn ate transactions tItem 2 does not apply. Fr m to gage Interest wpaid, because Y ments acquisition nt abandonmentd dividends, of secudare notrequiredto sign the certification,btyou musto an tpro provide your correividual retirement ct TIN. See theement Instructions ns forand lParrt II, later. other than Interest and dividends, youg General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future atdevelopments. developments red to ForW-9 and its instructions, such as legislation enacted after they were published, go to yw,vw,frs.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 he your social security number (SSN), Individual taxpayer Identification number (ITIN), adoption pee, torrleporttflon Identification number orrInformation ( TIN), or return the employer paid to you, or oter her returns include, but are nottlliim information tno, the following. Examples of Information • Form 1099-INT (Interest earned or paid) Cat No. 10231X pate► id.: 009,..a • 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 ncop 9 o W-9 only If ou are a u.S. person (including a resident alien), ght be sIf ubject to backup withholding. See Wou do not retum Form W-9 to the hat Is backup w thholding, later. Form W-9 (Rev. 10-2018) WORKER'S COMPENSATION INSURANCE CERTIFICATION Description of Contract: City of Redlands Facilities and Community Services Department Garden St. Guardrail Installation Project Project No. FCS04262022JN 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 X 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 § 1861). 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 as day of fit} T , 2022. (SEAL) O a n, y C. // Z Ls C asi, plc. (Contractor) (Si natuurre) !eS ien 1 (Official Title) (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.) K:\Capital Projects\250400 PARK_ OPEN_SPACE_PROJECTS\Garden St Guardrail\7 BID AND AWARDS PRECONSTRUCTION\7-6 CONTRACT AWARD NTP\Danny C. Hubbs Construction, Inc. Public Worlc Contract.doc PFKa01,1ceR DATE (SiteeLV Y1c.► OF121/202• MIS CERTIFICATE IS ISSUED AS A:;MATTER :OF INFORMATION ONLY ANbCONFER$ NCB RtOHTS Up4N THIS CERTIFICATE ;HOLDER, THIS;: CERTIFICATE: DOwNOT AFF1RNMATIVELY OR NEG.ATtVELY: AMEhII), EXTEND OR ALTER TH$ COVERAC `A1=FORRDED BY: IIIf+ p`OLIC�E8 BELOW 'ti IS CRiiiil~1GATE f!F INSURANCE Dt S.NOT CONSTITUTE A GCSN7RAG1`RE WEEN tH ISSULNt3 INSU ER(s), AU`II♦ibRIXSD' REPOE,$ENTATIVE OR PRODUC:Ft, ANb 'THE'CERTIl=ICATE • HOLDER, CRTANT:: If tho;ced f1cat4 holder l i an ADDITIONAL IN9U tED, 0e' pQllcy(ieal must'have App.:pow INSIII[tED provfelortsr o bd otldctieed IIl SURROc3ATttN 15; V.AwwEb, subject; to the ierree dnd snndltIons of the policy, GertaICl pollctos may: require an endarsomnlit. ;:A Mtatei ient on Ehls;cartiffcate dose not cortior right9; to the cetklt`icate he der ►r+' Yell bf;stich On ortsemer t s �eddr EARRIE DECQUD .. teFart1'i ::; MN YP tWERS..AC3ETNT • N6E NUMBER 0B24153 81O:SIERRA: AVFNUE, Wilt A. PHONE 9tl9� NG Nt!:EatYL 3• 5Q $$9• 1AIL ' carrieda�oud: wl $tateferm,com 1N$URP ) AFVr R 4G GbVERAGE m t uRERA, State Feee M44411 AUtel:r4 ::,41. ute,SPO;CKIIPE. y. iySif�R 9 :. C NNY'C,H14,r3BS CNSURP,Ft0,':',. t1AF NY 0;WURBS CON$TRU0TIO1S( 1N�, 8708 VIA VIWDCEaa ha _ ,8E*UR: :,Y.UCAPA CA 9299 SNsurcP ;, VERAGES . • - RTIFICATE NUMBEi :. REVISION NUMBER THIS: I& TO C) RTIRy't'NAT ThE.S.0110 ES OF INSURANCE LISTED°BELOW HAVE BEENISSy- ED TQ 114E_:(N$UI? NAME[5!ABOVE Fuji 1'HIE POLJCY PORitib:; IDICATE() .; NOTVVI..ton ANRING ANY REQUIRI MENTT TE.IBM.OR't 0NDIT10Pl OF ANY L`0NTI2A(`T OR :QTNER bS CUMEN , . i Esf i,'I'. TO 1hMIt H THIS'. CERTIFICA1D MAY BE:ISSUC0: )I MAY:; PERTAIN, THE INSURANCE APFORDEd BY:Ti POLICIES PEEbRIBED HEREIN:is SUgate rc ALL 1* TE•RIui$,: + I(.. 1 SIdN$AtiD CUNBITIONS.:bF SUGHPOLI(;IEB LIM!TS dkOWN MAY HAyI, BEEN REDUCED: BY PAjb C(.AINMS- rN9R 1 sQ eja t'9UCYNUMBBit: : U < FP P ...... tYYyYI lglav L( PAX (All , fie) 8,09450 815 tYPE OF fNSURANCE :.: Gb"M40.40I L ¢, ENERAI:1JAgi4r.Y . •J ;.LAtMS.biAba 1a6e4 AGC7R*OA7 LIIM,ITAP[PLIES.PEA laY JEGOT VIVO1461Ls LIABILITY ANY Atf7b owN ALTOS ONLY. N##T8ROS b' AUNO riM sfiLLA Line W Ct11IMJ IUADE DE6s;;l . I RETE1 TjON $ ... _ 'rWQRtCERS,.CQmpuessTION ANO tMPI;OYERi LIABILITY : ANY,ppbPAlErgwa tNi hr BGurN> Yam: FFIGER/MEMBER.EntMeee? Nil, Ifidatdry ). NH) y�s da�crllse:upg8r E$�RIPT10 9F OPBRATIS}N$'ber w Y: 33 Ci! 12 ThM 1f12.75F 0g9C40110Pf F:OPBRATibN$tLOCATIONS/ilaFiIOLE$ IACORp2Q) MekteeeCRent4 to 06 P;0Rb F8 O FLTBDTRK VIN SFFtNF85E9&V288865 :: .RFR'#:FCSd4262022.[N:for:Garden $t C3i ardraII Installation Thic Iribpretlae arld N60Cprttrlbutory with Respects to Claims Artstng qut of ttita Oper{Itton 04.00itIsem 4T NO Q166AA « WA►VI R OF SUBROGATION » mo0.14SEMENT NQ 028 U At)t 1: 03/12 )8/ S/20'22 • ..ed•tom;{AIiX one pei n,) pEtt }tiNA4 AISV'it�i Ui v �SPNI RALAGGREGATE 3 . RtiaueTSHGOMP/OF?AS. is 'BObILY 1N3.i{RY {,get petsdn} :0 ILY INJURY {Per yoddorrtf S .,:#0, 0..4 P€recddeiit t "i �Gbo;tltio "� GH occueaENCE' .:. Ati eKi c 3 bENT a L : bit:Wt viAi60C6,EFy .L bie tis PoCicY.uMrr .'$ : hitched If mere: ..... CERTIFICATE HOtbER CITY O,Rt CLAM S 35 GAJON $T.r STE 1.. AOORD 2.6 (2618/0 1 Tl e AOORD name at'<d I rne4 be • h NCELLATION e Deaarlbed Vehlela. NAL, NSURa SHOULD ANY OF THE. ABOVE DESCRIBED POLICIES HE CANCELLE) BEFORE THE EXPIRATION DATE THt REOFb NOTICE WILL Imo' bEL.IVEREO ,IN ACCORUANGE WITH THE PO J ICY PROVISIONS. ' 11988.2O15 ACORD' CORPORATION AO: right;, reglstot i .marks of ACORb reserved. 101480 1 2 r¢,iq Q442,..b ze �0 A CC, . CERTIFICATE OF LIABILITY INSURANCE PATE (MMIDpIYYYY) 7/21/2022 HOLDER. THIS BY THE POLICIES AUTHORIZED THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION 18 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 Alera-Adamson McGoldrick Insurance Agency LLC Adamson & McGoldrick Insurance Solutions 1150 E. Orangethorpe Ave., Suite 100 Placentia, CA 92870 www,adamsonmcgoldrick,com CONTACT Account Managers K MEN tACNN 714-257-904 Ira No): 714257-9833 ,,E%t). EAI ADDRESS; certificates@adamsonmcgoldrick,com INSURERIS) AFFORDING COVERAGE NAIC# INSURER A: Navigators Specialty Insurance Company 36056 26674 INSURED Danny Vista View Drive yy C. Hubbs Construction, Inc, 37306 Yucaipa CA 92399 INSURER B Travelers Property Casualty Co of Amor INSURER G : Hartford Casualty Insurance Compa)y 29424 INSURER D: INSURER E i INSURER F RIR: ROAM .e 50 REVIS ION NUMBER; ,........ .,..,V.,.,.,... ' ......._..._ -, THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY 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, INSPt A /BEWBR POLICY PUFF POLICY EXP IJMITS LTR TYPE OP INSURANCE INSO _me POLICY NUMBER (MMIDDIY YY) (MMIDD/YYYY) A I/ COMMERCIAL GENERAL LIABILITY ✓ LA21CGL236079IC 11/1/2021 11/1/2022 EACHOGGURRENCE $1,000,900 CLAIMS -MADE ✓ EMI ' OCCUR aRE TO RENTED MISEs (Ea occurrence) $ 50,000 MED EXP (Any one person) $ Excluded PERSONAL ft, ADV INJURY $ 1,000,000 GE 'I. AGGREGATE LIMIT APPLIES PER; GENERAL AGGREGATE $ 2,000,000 POLICY I PRO. PRODUCTS - COMP/OP AGO $ 2,900,000 JECT i LOC OTHER; $ D AUTOMOBILE LIABILITY L a eaCOntenI) SINGLE LIMIT $ ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS PROPERTY DAMAGE HIRED _ NON -OWNED (PerPEEcidenI) $ AUTOS ONLY AUTOS ONLY $ B ✓ UMBRELLALIAB ✓ OCCUR CUP-6S356401-21-NF 11/1/2021 11/1/2022 EACHac.cuRRENCE $5,000,000 EXCESS LIAB CLAIMS•MADE AGGREGATE $ 5,000,000 DED 1 RETENTION $ $ WORKERS COMPENSATION ST PER IJTE ER AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER)EXECUTIVE E,L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N / A (Mandatory In NH) E.L. DISEASE. EA EMPLOYEE $ If yes, describe under E.L.DISEASE •POLICY LIMIT DESCRIPTION OF OPERATIONS below C Leased/Rented Equipment 51SBAAK6684 11/9/2021 11/9/2022 $50,000 Aggregate Special Form DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if mars space Is required) Garden St. Guardrail Installation #FCS04262022JN City of Redlands Is Included as additional insured per attached endorsement. CERTIFICATE HOLDER Garden St. Guardrail Installation #FCS04262022JN City of Redlands 35 Cajon St, Ste. 15A Redlands C4. ACORD 25 (2016/03) 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 Dick Wells 1) 1988.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 69401450 I OCHUII-1 121-22 GL,Ut9U I Evet.t Lam 17/21/2022 1:59:50 PIA (PDT) I Paae 1 of 4 Danny C. Hubbs Construction, Inc. POLICY NUMBER; I.A21C01.23607910 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 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 Organizatlon(s) Location And Description Of Completed Operations As per written Contract As per written Contract Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section 0 — 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. 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 is 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. CG 20 37 04 13 Insurance Services Office, Inc., 2012 69401450 1 OCHVB-1 1 21-22 GL,140 I Evett Lam I 7/21/2022 1:5950 014 IPDTI I Pale 2 of 4 Page 1 of 1 Danny C. Hubbs Construction, Inc. LA21 CGL2360791C COMMERCIAL GENERAL LIABILITY CG20380413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS FOR OTHER PARTIES WHEN REQUIRED IN WRITTEN CONSTRUCTION AGREEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II — Who Is An Insured is amended to include as an additional Insured: 1. Any person or organization for whom you are performing operations when you and such person or organization have agreed in writing In a contract or agreement that such person or organization be added as an additional insured on your policy; and 2. Any other person or organization you are required to add as an additional insured under the contract or agreement described in Paragraph 1. above. Such person(s) or organization(s) 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: a. Your acts or omissions; or b. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured. However, the insurance afforded to such additional insured described above: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person's or organization's status as an additional insured under this endorsement ends when your operations for the person or organization described In Paragraph 1. above are completed. CG20380413 B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: 1, "Bodily injury", "property damage" or "personal and advertising Injury" arising out of the rendering of, or the 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, surveys, 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. 2. "Bodily injury" or "property 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 location of the covered operations has been completed; or 4 Insurance Services Office, Inc., 2012 Page 1 of 2 69401450 I DCH0B-1 1 21-22 GL,u1dri I Evett Lam I 7/21/2022 1:59:50 P[4 (PDT) I 0a.Je 3.ot 4 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. C. With respect to the insurance afforded to these additional insureds, 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 contract or agreement described in Paragraph A.1.; 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. Page 2 of 2 © Insurance Services Office, Inc., 2012 CO 20 38 0413 69401450 I DCHUD-1 121-22 GL,OHD I Evett Lam 17/21/2022 1:59:50 P[4 (PDT7 I Page 4 <:1 4 '"--1 .t ACOR '' CERTIFICATE OF LIABILITY INSURANCE AccU): 2629703 DATE (MM UgIYYYY) 7/28/2022 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 poiicy(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 444 W 47th Street, Suite 900 Kansas City, MO 64112-1906 CONTACT NAME: PHONE 844.290.4908 FAX (A/C, No. Ext)I (A)c, Not: EMAIL BBSIceits locktcnalflnity,com ADDRESS: INSUNERSV AFFORDING COVERAGE NAIL N INSURER A a Ace Amorloan Insurance Co. 22667 INSURED Barrett Business Services, Inc. L/C/F DANNY C. HUBBS CONSTRUCTION, INC, 37306 VISTA VIEW YUCAIPA, CA 92399 INSURER B : INSURER 0 omenEFt D r INSURER E: INSURER F; R: REVISION NU R: 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. IN R. LTR TYPE OF INSURANCE '�' ,, ,r i' , . POLICY NUMBER PO CYEFF M iDD POLO M/DD: LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ iCLAIMS.MADE OCCUR P-EMISES (Ea occurrence) MED EXP (Any one person) $' PERSONAL $ ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE P JECT „-.,.,.. AUTOMOBILE OTHER: 'UABIUTY CLOM©INEDISINGLE I T $ ANY AUTO BODILY INJURY (Per person) '$ OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AIRED AUTOS PROPERTY AMAGE (Per accident. A AUTOS ONLY AUNTOS ONLYY UMBRELLA UAB OCCUR EACH OCCURRENCE EXCESS UAB CLAIMS -MADE I AGGREGATE 0EL RETENT ON WORKERS COMPENSATION X AND EMPLOYERS' UABIUTY Y/ N E.L. EACH ACCIDENT $ 2,000,000 ANY PROPRIEtORPARTNERIEXECUTIVE C699ii548A OFFICER/MEMBER EXCLUDED? 121112021 12(1(2022 E.L. DISEASE • EA EMPLOYE - $ 2,000,000 (Mandatory In NH) II yyeos, describe under DESCRIPTION OF OPERATIONS below II E.L. DISEASE •POLICY LIMIT - $ 2,000,000 - DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks 5ohedule, may be attached It more apace Is requl od) Polioy Stale . CA Waiver or Subrogation in favor of cortilicate holder when required by written contract 30-Day Notice of Cancellation RFS NFC304202022JN for Garden St. Guard Rall Installation ERTIFICATE HOLDER City Of Redland 35 Cajon Street suite 15A Redlands, OA 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. ACORD 25 (2016/03) UT O'fZEDR'PRESENTATIVE © 1988-2015 ACORD CORPORATION, All rights reserved. The ACORD name and logo are registered marks of ACORD WorkersCompensation and Employers' Liability Policy Named Insured Barrett Business Services, Inc. L/C/F DANNY C, HUBBS CONSTRUCTION, INC. 37306 VISTA VIEW YUCAIPA, CA 92399 Endorsement Number Policy Number Symbol: Number: C6998549A Policy Period 12/1/2021 TO 12/1/2022 Effective Dataof Endorsement 7/26/2022 Issued By (Name of the Insurance Company) Ace American Insurance Co. Insert the policy number. The remaindor of the Information Is to be completed only when thisondorsornont Ia Issued subequent to the prrparatIon of thepoll y. CALIFORNIA WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement applies only to the insurance provided by the policy because California is shown in Item 3.A. of the Information Page. We have the right to recover our payments from anyone liable for an injury covered by thls policy. We will not enforce our right against the person or organization named in the Schedule, but this waiver applies only with respect to bodily injury arising out of the operations described in the Schedule, where you are required by a written contract to obtain this waiver from us. You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. Schedule 1. ( ) Specific Waiver Name of person or organization: (x) Blanket Waiver Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. 2. Operations: 3. Premium: The premium charge for this endorsement shall be INCLUDED percent of the California premium developed on payroll in connection with work performed for the above person(s) or organization(s) arising out of the operations described. 4. Minimum Premium: INCLUDED Authorized Agent WC 99 03 22