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Home My WebLink About2023 CON HSCC Inc. - Kimbal Park Dog Park and Las Palmas Park Dog ParkOWNER - CONTRACTOR AGREEMENT KIMBALL PARK DOG PARK AND TOT LOT. LAS PALMAS PARK DOG PARK CIP NO. 23-06 This Owner -Contractor Agreement ("Agreement") is made by and between the City of National City, 1243 National City Boulevard National City, California 91950 and I -MCC, Inc. ("Contractor"), 12101 Lakeside Avenue, Lakeside, California 92040, on the 2nd day of Mpy, 2023 for the construction ofth above referenced Project. In consideration of the mutual covenants and agreements set forth herein, the Owner and Contractor have mutually agreed as follows: 1. CONSTRUCTION The Contractor agrees to do all the work and furnish all the labor, services, materials and equipment necessary to construct and complete the Project in a turn -key manner in accordance with this Agreement and all documents and plans referenced in Exhibit "A", (hereinafter "Contract Documents"), in compliance with all relevant Federal, State of California, County of San Diego and City of National nal City codes and regulations, and to the satisfaction of the Owner. 2. CONTRACT PRICE Owner hereby agrees to pay and the Contractor agrees to accept as full compensation for constructing the project in accordance with these Contract Documents in an amount not to exceed the contract price as set forth in Exhibit "13" attached hereto and incorporated herein by reference. Payments to the Contractor shall be made in the manner described in the Special Provisions. 3. TIME FOR PERFORMANCE Time is of the essence for this Agreement and the Contractor shall construct the project in every detail to a complete and turn -ley fashion to the satisfaction of the Owner within the specified duration set forth in the Special Provisions. 4. NON-DISCRIMINATION In the performance of this Agreement, the Contractor shall not refuse or fail to hire or employ any qualified person, or bar or discharge from employment yment any person, or discriminate against any person, with, respect to such person's compensation, terms, conditions or privileges of employment because of such persons race, religious status, sex or age. . AUTHORIZED OWNER REPRESENTATIVES On behalf of the Owner, the Project Manager designated at the pre -construction meeting shall be the Owner's authorized representative in the interpretation and enforcement of all Work performed in connection with this Agreement. . WORKERS' t M P E ATI O ld INSURANCE a) By my signature hereunder, as Contractor, I certify that 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 f the Work f this Agreement. b) The Contractor shall require each subcontractor to comply with the requirements of Section 3700 of the Labor Code. Before commencing any Work, the Contractor shall cause each subcontractor to execute the following certification: "I am aware of the provisions of Section .3700 of the Labor Code, which requires every employer to be insured against liability for worker's ' compensation r to undertake self-insurance in accordance with the provisions of that Code, and I will comply with such provisions before commencing the performance ofth Work of this Agreement." 7. ENTIRE AGREEMENT; CONFLICT The Contract Documents comprise the entire agreement between the Owner and the Contractor with respect to the Work. In the event of conflict between the terms of this Agreement and the bid of the Contractor, then this Agreement shall control and nothing herein shall be considered as an acceptance of thterms of thbid conflicting herewith. 8. MAINTENANCE F AGREEMENT DOCUMENTATION Contractor shall maintain all books, documents, papers, employee time sheets, accounting records and other evidence pertaining to costs incurred and shall make such materials available at its office at all reasonable times during the term of this Agreement and for three (3) years from the date of final payment under this Agreement, for inspection by Owner and copies thereof shall be furnished to Owner if requested. . INDEPENDENT CONTRACTOR At all times during the term of this Agreement, Contractor shall be an independent contractor and shall not be an employee, agent, partner or joint venturer of the Owner. Owner shall have the right to control Contractor insofar as the results of Contractor's services rendered pursuant to this Agreement; however, Owner shall not have the right to control the means by which Contractor accomplishes such services. 10. LICENSES AND PERMITS Contractor represents and declares to Owner that it has all licenses, permits, qualifications and approvals of whatever nature which are legally required to practice its profession. Contractor represents and warrants to Owner that Contractor shall, at its sole cost and expense, keep in effect at all times during the term of this Agreement, any licenses, permits, qualifications or approvals which are legally required for Contractor to practice its profession. 11. GOVERNING LAW, VENUE This Agreement and the Contract Documents shall be construed under and in accordance with the laws of the State of California, and the appropriate venue for any action or proceeding arising from this Agreement and/or the Contract Documents shall be had in the Superior Court of San Diego, Central Branch. 12. COUNTERPARTS This Agreement may be executed in any number of counterparts, each of which shall for all purposes be deemed to be an original. 13. FALSE CLAIMS Contractor acknowledges that if a false claim is submitted to the Owner, it may be considered fraud and Contractor may be subject to criminal prosecution. Contractor acknowledges that the False Claims Act, California Government Code sections 12650, et seq., provides for civil penalties where a person knowingly submits a false claim to a public entity. These provisions include within their scope false claims made with deliberate ignorance of the false information or in reckless disregard of the truth or falsity of the information. In the event the Owner seeks to recover penalties pursuant to the False Claims Act, it is entitled to recover its litigation costs, including attorneys' fees. Contractor hereby acknowledges that the filing of a false claim may the Contractor to an administrative debarment proceeding wherein Contractor may be prevented from further bidding on public contracts for a period of up to five (5) years. I have read and understood all of the provisions of this Section 15, above: (Initial) 14. AGREEMENT MODIFICATION This Agreement and the Contract Documents may not be modified orally or in any manner other than by an amendment in writing and signed by the Owner and the Contractor. IN WITNESS WHEREOF this Agreement is executed as of the date first written above. Owner: Ron Morrison Mayor, City of National City APPROVED AS TO FORM: By: Barry Schultz City Attorney Contractor: HACC, Inc. (Owner/ er signature) Print nam d title (Second officer signature if a corporation) 1,7/04' Print name and title Ocle)24L-ii„Oci Contractor's City Business License No. 0191--\52.<6. C--sk State Contractor's License No. and Class \42-,\C)\ LOS l r\2, Business street address )82. C-)% 97QL4Q City, State and Zip Code EXHIBIT CONTRACT DOCUMENTS Owner/Contractor Agreement Bid Schedule Addenda Plans Special Provisions (Specifications) San Diego County Regional Standard Drawings City of National City Standard Drawings Standard Specifications for Public Works Construction and Regional Supplements (Greenb.00l State Standard Specifications State Standard Plans California Building, Mechanical, Plumbing and Electrical Codes Permits issued by jurisdictional regulatory agencies Electric, gas, and communications companies' specifications and standards Sweetwater Authority specifications and standards Specifications, standards and requirements of I MT , BNSF, SAN A , Port of San Diego and all other agencies that may be adjacent and/or affected by the project. EXHIBIT B CONTRACT PRICE No. Item Description init Qty Unit Price I Line otal Bid : Kira balll-Park- Tot Lot 1 Mobilization/Demobilization LS 1 8, 0 .00 $8,500.00 2 Traffic and Pedestrian Control LS $3,000.00 $3,000,00 3 Surveying and Construction Staking 1 $9,573.00 $9,573.000 4 Water Pollution Control LS i 1 2,500.00 2,500.00 5 5 Clearing and Grubbing LS 1 $8,500.00 $8,500.00 6 Unclassified Excavation LS 1 $2,000.00 $2,000.00 7 Mow Existing Sod to 1" Height SF Z1r311 $0.3r $6, }3.30 8 12" W x 2 J" 0 Gravel Trench Drain LF 9 _ Construct 4" Concrete Paving, Uncolored, Salt Finish - Sr 10 DO Paving, 4" Deep Stabilized 5i= 11 DG Turf Topping, 1" Deep ikon -Stabilized, Drag Screen 5F Ir 53a a .47 , A .57 1 - Concrete 'Wedge' Transition from E riisti ng Concrete to DG Paving I..F 3 25.01 0 13 ,12" 4' W x 6` I -I Chain Link Gate EA 1; J35.t 0 $9,315r00 14 6' H ChChainLinkLinkFeFence and Post - LE IF EA 36:2'S $5,25.000 $1,5000.00 � 1 fi5,744.0+0 1 $3,00 .O 15 Movii Curb as per Detail G, H and I 16 Trash-, Rece•tacles 17 Pet Waste Station EA $45I .r00 $900 .00 18 1 20 New Play Equipment and Installation for Ti;,- I.4 t _ LS 21 New 12" O'Fibar' Engineered Wood Tot L�-;t.:w;iiir a{ ing SF 6100 1 $5.09 $25,000.00 $25,000.00 22 Public Art Design and Construction ALLOWANCE 23 Coordination and Administering for Publi+- iv r LS 1 $500.00 S500.00 7 �---- - l_JB-IOTA L I $428,541.07 '4 r4irr - I is Parmas' lc log Pa r 24 a +1obil iza Lion/ Dem obi I i E Li Ijoh [. `. 1 ,500.000 8,500.00 25 l raffic and Pedestrian Control t', 1 $3,000,00 $3,000.00 26 Surveying and Construction Staking LS $9,573.00 $9,573.00 27 Water Pollution Control LS 1 $2,500.00 $2,500.00 28 Clearing and Grubbing, LS 1 $8,500.00 $8,500.00 29 30 Mow Existing Soy to 1" Height SI 36958 $0,30 $11,087.40 12" W x 24" 0 Gravel Trench Drain _ LF SF 102 644 $60.00 $6,120.00 $6.50 $4,186.a0 31 _ 0G Paving, 4" Deep Stabilized 32 _ DG Turf Topping, 1" Deep Non -Stabilized, Drag Screen - SF 35350 $0.45 $26.00 2� .50 $1_5,907.50 $780.00 $2,889.00 33 12" " Concrete 'Wedge' TransitionfromExiling Concrete to D� Paving LF - 30 - [ 642, 34 Excavate 4" Soil and Construct 12" Soil Transition between DO Turf Topping sand :3ranitecret Paving SF 35 - - - Solar Lighting LA 52CI0.00 $600.00_ 36 4' W x 6' H Chain Link Gate EA EA 6 2 $ i,r035.0) $6,210.00 7 4' W x 4' H High Chain Link Gate $920.00 $1,840.00 38 E' H Chain Link Fence and Posts @ 101 o.c. Li- 708 $83.95 $59,436,60 39 4' H Chain Link Fence and Posts @ lO o.c. h_I- 154 $80.50 $12,397.00 40110' W x 6' Fi Chain Link Maintenance Gate EA 1 $2,875.00 $2,875,00 41LMow Curb as per Detail G, H and I I..F 726 $20-00 $14,520.00 42'Dog Agility Equipment LS 1 $10,160_00 $10,160.00 43 Trash Receptacles EA 3 $1,500,00 $4,500.00 44 Remove and Re-install/Re-orient Position of Existing Bench EA 3 $750.000 $2,2.50.00 45 Pet Waste Station EA 31 $450.00 $1,350.00 46,irrigation Adjustments L _ 1' $3,720.00 $3,720.00 SUBTOTAL $192,901.50 I innl ll P�ar'l Doi Park and Tot Lot 47 .12' W x 70' L x 12' H Batting Cage LS 1 $54,625.00 $540625.00 48 Remove and Replace 6' H Chain Link Fence with 20' H Chain Link Fence for the Baseball Field LE 131 $771.00 $101,001.0 0 Remove Turf and Install 3""Padre Red" Baseball Field Infield Mix SF 5230 $5.68 1 $29,706.40 50j Dog a gility Equipment L5 1 $100,160.CO $100,`160.00 51 Field Li: kiting Repair EA 24 $1,851.00 $44,424.00 52 *rotective Mesh at Existing Bat;eball Held Score Board L5 ]. 1 $3,500,00 $5,355.00 $44,290.00 $3,500.00 $5,355.000 $44,290.00 ' LS EA 53 54 Baseball Field Storage Container (8'x20') Lilah's Lookout Play Structure 1 _ 1 176-5/8'" x 176-5/8" Full Square Metal Bench (in -ground mount) EA 1 $12,424,00 $12,424 00 _ SUBTOTAL 5305,485,40 l ernate Bid.. Las Palmas Park Dog Park re 81-4/2" Diameter Full Circle Metal Bench (in -ground mount) 57 17 -5/8'r Full Square Metal Bench (In -ground mount) EA EA BASE BID TOTAL ALTERNATE BID TOTAL GRAND TOTAL $6, 523.000 .$12, 400.00 c,UBTOTAL $19,569.00 $ 37, 200.00 $56,769,00 ' $ 621,442.57 5362, 254.40 $983,16 96.97 Co rporat VIMO4it Contracto was then CORPORATE CERTIFICATE certify that I am the Secretary of the named as Contractor in the foregoing Contract; that , who signed said contract on behalf of the of said Corporation; that said contract was duly signed for and in behalf of said Corporation by authority of its governing body and is within the scope of its corporate powers. I, 1\r\s\L - ' 1R.-r certify that I am the Secretary of the n Corporation e• as Contractor in the foregoing Contract; that P � g Gruce_-\-4- : --��--\\--U-C ,who signed said contract on behalf of the VI CQ !�C'esi 62A-.\--V. of said Contractor, was then Corporation; that said contract was duly signed for and in behalf of said Corporation by authority of its governing body and is within the scope of its corporate powers. Corporate Seal STATE OF PARTNERSHIP CERTIFICATE ss COUNTY of ) On this day of - , 20 , before me, the unrsigned, a Notary Public in and for sai . County and State, personallyappeared: (Notary S=al known to me to be of the partners of the partnership that executed the wit n instrument and acknowledged to me that such partnership executed the same. Signature: Name (Type or Print): (Notary Public in and for said CQrty and State) My Commission expire ISSUED IN DUPLICATE PERFORMANCE BOND Bond No. 54 245807 ONE OFTW l I II ALS Premium: $11,408.00 WHEREAS, the City Council of the City of National City, by Resolution No. �_.,., passed the day of , 20 23 has awarded to H CC, Inc. --.-., hereinafter designated as the "Principal", the KIMBALL ALL PARK DOG PARK AND TOT LOT + LAS PALMAS PARK DOG PARK, CIP No. 23-06. WHEREAS, said Principal is required under the terms of said contract to furnish a bond for thefaithful performance of said contract. NOW, THEREFORE, we, the Principal and United Fire & Casualty Company as surety, are held and firmly bound unto the City Council of the City of National City hereinafter called the "Council'!, in the penal sum of Nine Hundred Eighty-three Thousand Six Hundred Ninety-six & 97/100ths ($_98396.97 lawful money y f the United States, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators and successors, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT if the above bounden Principal, his/her 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 agreements in the said contract any alteration thereof made as therein provides, on his or their part, to be kept and performed at the time and in the amount therein specified, and in all respects according to their true intent and meaning, and shall indemnify and save harmless the City of National City, the City Council, their officers, agents, and employees, as therein stipulated, then this obligation shall become null and void; otherwise it shall be and remain in full force and virtue. And the said Surety, for value received, hereby stipulates ane agrees that no change, extension of time, alteration or addition to the terms of the contract or to the work to be performed herein or the specifications accompanying the same shall in any wise affect its obligations on this bond, and it does hereby waive notice of any such change, extension of time, alteration or additions to the terms of the contract or to the work or to the specifications. In the event suit is brought upon this bond by the City of National City and judgment is recovered, the surety shall pay all costs incurred by the Council in such suit, including a reasonable attorney's fee to be fixed by the Court. IN WITNESS WHEREOF EOF three identical counterparts of this instrument, each of which shall for all purposes be deemed an original thereof, have been duly executed by the Principal and Surety above named, on the 25 h day of May 2023 United ire & Casualty Company Jocelyn Y. Quid, Attorney -In -Fact (SEAL) Surety (SEAL) °t:7thz(---) _(SEAL) {SEAL} Principal PERFORMANCE BOND ATTORNEY -IN -FACT ACKNOWLEDGEMENT OF SURETY STATE OF ***SEE ATTACHED*** COUNTY OF On this _ day of --- 1 )ss _�...., before me, the undersigned, a Notary Public in and for said County and State, personally appeared - — - --- known to me to be the person whose name is subscribed to the within instrument as the attorney -in -fact of the the corporation named as Surety in said instrument, and acknowledged to me that he subscribed the name of said corporation thereto as surety, and his own name as attorney -in -fact. NOTE: Signature of those executing for Surety must be properly acknowledged. NOTE: The Attorney -in -fact must attach certified copy of the Power of Attorney. Signature: Name (Type or Print): Notary Public in and for said County and State My Commission expires: - ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certifir,ate attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Calaveras May 25, 2023 before tee, Sarah Pflug{ Notary Public (insert name and title of the officer) personally appeared Jocelyn Y. Quirt who proved to me on the basis of satisfactory evidence to be the person(ss'j`whose name4). is/are subscribed to the within instrument and acknowledged to me that.�-elsheltJaey executed the same in 4*s/her/tlir authorized capacity(ies), and that by Ws/her/their signature(e)•on the instrument the person or the entity upon behalf of which the person(1) 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) SARAN PFLUG Notary Public - California Calaver s County Commission # 2314083 My Comm, Expires Dec 24, 2023 F 1 Oteby grant6it:shatEexpifeAhe 1 6t 6! i d &?i::,:6L'... Jul y , 2623 :.. tin 1 ett'':toondii. i'Vbked .::..,. :..iby, tiiid ,., 'Fire & Indemnity Company, and Financial Pacific Insurance Company. 1:: ..: Power. of Attorney is made and executed pursuant to and by authority of the following bylaw duly adopted on May 15, 2015'..by Directors of United Fire & Casualty Company, UnitefiFire,,& Indemnity Company, and Financial Pacifi01.1*-6140,Company. ; , : , i. .:< :::. •,• % :'‘' .. r A { . ..% V UNITE• D FIRE & CASUALTt.COMMNY, CEDAR:TurPS UNITED FIRE & INDEMNITY COMPANY, WEBS1 FINANCIAL INSURANCECOMPANY, OPY:OF WER OF ATTORNE (original on file at Home Office of Company — See Certification) SONS BY::THES of the State of Iowa,.- -United' enam. matioial Insurance Company, . . a corporation the Companies),. JOCL:LYNY. QUIRT., INDIV.p ALLY •!: 1 1 . in .::... -_ T.hat- mtecl-Fire & Casualty m. -at7•;.:.4 cocorporauQui:' t:Tly oiganized and existing imdei the::laws,:: .....r..: ay, a .,corporation ..duly oigan17dnd odsti .' under the laws of e State o d1.-„._ ''organized and existing undet'.the..lawS.:- 1Stateof Californiadierein t -0 ....._.-!ively[..011 and having their corporate headquarters in Cedar Rapids, State of Iowa, does make, constitute and appoint ....• ••• • I • • 0 • _ • • :;;;". ; ; • ... • .•.•- . - . ,• :::•::•7; • • 1 1 . 1 • • • • , . • .• - • .• •-• • • • • • • -• • • •••••• • • ••• :•. .."•;'•:;2• . • • • • • •_ • • - - - • • • . •-•.%.•••.• ; •- . • • . Le.• • - 1.. :;;.• ; eir true and lawful Attorney(s)-iu-Fact 7 ;i4 with power and autliot ihereby- coiuferred to sign, eal and execut in it behalf all lawfi.tl bonds, undertakingsand other obligatory instruments of siOlOnatutg-piovided that no single:,;obligation'$Y01$25,000,000.00 and to bind the Compames thereby a fully and to the same extent as if such instruments were signed by the duly au ot ized offictrs of the Coniparnes and all of the acts of said Attorney, pursuant to the authority hereby given and hereby ratified and confirmed. • • • • • O... VI — •Surety Bonds and,11:lidertaki#0''!!: • -._ CaiaF • -•-• • ::Boards.:01 revio-u§..y grypn to ;:gny Ito mey4il-?fact. 4 '•-• 4• •••:: . •••• •.>.? '•{5. A1 ••••••• Section 2, oir*-ent of Attorney -in -Fact! 'The PrOid'enf,or any Vice ,President, or anr,other officer. 0.:::Lhb:;CoiritianieS •:•ria4x, from time to time, appoint byrWritteryy: - ••:: certific4kOomeA4n.fact to ct in behalf of the Q!OrtipartieSIti the execution : of policies Of:inSurigice,;:bpridS; undertakings and otherobligatory in*tninients of like natur The Sign*re of ar&Ocffier a#4#4444herettk, :fMir.t. the :Ociiicii*:Se41V, may be affixed by iggilfii0 to :driy:.i)6i•Vrerof a-Orneror..,special power of attorney 0 I certification of eitherauthorized hereby ; such.:sigifat4te and ea1, hen so used, being a4ppted 12y)4.10 Companies as the original slgnatuie of such office and the original seal of the CoMpanies, to be valid and binding 46n the Companie with the same fpr:cp and effect :as though manually affiNed!. atfo#ieys41WacCsubject to the limitations set of V • • fortht then *Owe certifitates-,of-authoilty,shallhaVe,11111.power bind the:,Cotripanies,:by their signatpre anfle-eXecutiW.dfany g-tr4.iMtrurripra':4#4; to 40. • •.;,. '*' th ?? '? • • • :‘, - .• .•" ..• • : • • :: e Companies thereto, The President 1,or any Yice-•:Presidelit Board of or any other officer of the Companies may any tune tevoke all power-0:: au bri - f:: :::;• s 0‘4.4. '00'kums..„ '..:.--::L-• te-..6,tIo ':::- • ''::'-:::: • -2.:•:::::=-• :,:.::.1:9:. . L.. . ' 1 , : . . • .' • 0: ••::'.' • • • •• • • n 16t day of July,-Io21,boroPe me personally cam4:,Dennis: RiMmaffri%xY'''' ,..,_. .... ... to me known, who being by me duly sworn, did depose and say; that he resides in Cedar Rapids, State of Iowa; that he is a Vice President of United Fire Casualty company,, a Vice Presicl.ent of Unitecl Fir. e & IndemnityCompany,, and a Vice President of...y.inancial„..paegic Insurance Company. the ---...=,-.•-- corpo'm $01 •. w]iich•:::Ot_ecuted th4'::.aboNt:e itistranitA. .._ e -4. 0.:,knows the seal of said corpor4t1ons, that the -'seal affixed to th Sai . mstrumnt is sua corpotate seal, at it was so affi6d'Iii—ursiikat to authority.wen by oarq... . rectOs of saideq pt4tionS':!and that he .s ..„ : ..._ BoardhiS::. . name thereto puiagt: 1. 0..4ii -.1.'''and acknowlectges o same to -& e i0. an 00: ' of said corporations .., . .:::,...,....f::.-..: ." _ . ,,„:- 7-- :, -!'• ...• , • - "-- • -: :I' • 7 • ''" • 'IN WI ESS .WHE OF, the COMPA ., IES.,:haVe eadh aaiiSe ' ' '‘‘ 'seiwesentS. to be signed by itS .0.00":"#friti:::, ::,..• ,,, .::::':.401ii it.il'o,„ ..,.:" ..,:: ,:,. - .:% ‘,,0"1?"04,410.-:,,.:. :, :, 0:<6cAr9.s.uviv . -.1!vwe presWent 'and. its 'corporate ..seal '66: belereid) 4ffix ,,...,.. .,...0......›, <::. :',...4 • C.9 ...-Igptio:•10,4164..,." ' '... '', : . % • ig,' I till.' '''. .''ci' 0.'y Y' of Ju 1 y ) 292 1 _ .._:-.;:!..,..e., 'r, P ... ' "t• 0 S '1 " . .r:/.......' "' ..". ' 0% 'A • .6'44 .-g. = — •,,, : s'ISLY q e... -,,Eza ; m 7. , ,:,:. ,• :. WM.!!! 111P !M. P. = Er LI SEAL .e .., ..... A.-: 1986 j_111,§t $• 1; e %Ck 94.%\411%.. '. '''`''' :.•'''. '::: 'Z'A :•••::. ' #•°''A .• . IFIDiel / .!1-..,.:-7. et,, /1$1111" • . ........ (id& • fPiiiiI' • • • . . ... • • ; . : . • • .1 UNITED: FIRE & CASUALTY COMPANY UNITED FIRE &•‘• : : .„ . [NDEMMTY COMPANY ANCIAL PACIFIC INSURANCE COMPANY By: .a Cnty of Linn, ss: Vice President Patti Waddell 19#.0 Not,,51/7.i1:.apai ,;.:,..,.•-:;:, .„ • • :,r:;::. .;;, .:i 7- ...! .. ... . ... ... ;, .. •:•• r•::'• `•;::•.!;'.. :•.7:•:'1 ' •;•:,::: ...7. 7_ 7.. Q0pimj$0forli:rj(iiiiIiik13P7:4 ,_.•,,,;•:-!..., .-.:::i::.;: :::::•?... .::::,::...;. -..• .•... •...-.. ••2:? •,.: .,. ...•.• Notary -Public. . ., 2 •rj.j.1.. .•! •:;!0. ' :'.!•!...:, CPROOsiof4pireCI /20/..P0 .. ....: :.-_-.-.-_.-.-:.•:.;•.••.•;., • • • • • • • : .......•.,. ..%•.-• .... .. :-:;n:,...:;;;:;: ....-. -• .,.;'.:c. - . .•. : .•.._-.: .• . My ce1i.4- 1#1 ssioli•::0( .0$: l V6q0.... • ....171 • .9' I.. . :I.;: '1...11. ' ' ' ' ' ...CI. : . r;:l.::: 1•1 '.;•;• ".... . . .. . L'. '2. I • .2.1:. :, . I) Mary .A. Bertsch, Assistant Secretary of United Fire & Casualty Company and Assistant Secretary of United Fire & Indemnity Company, and Assistant Secretary .of Financial.:PacjficInsurancecompany, 4p hereby certify._ that I have compared the foregoing copy 011ie Power of...:Morney and affidavit, and e•OolV._cfT,N:' Se0iiiii..4 .:bylaws'-:'iii: ::x:esolution4V•:0 said Coworavns w-set: or in said Power Attorney,. ._ ._ORIGINALS ON FIL] • ... . .;.. _.. e .. - i 1.9 i - • ..!.1....:. HOME OFFICE OF SAID CORPORATiONS, and that the sittl.ie ar0--.:! '00:ttranscripts thereof, and 0 0-:* olipf tlie said originals. and th4 .., ::-...:r ...:::...._.........' ' • ' .1 ."-' '•'• '11.1'...• Power ofAittoniey.404::.pot beiievoked and is now m full force an' -•.• .•.•- • :• • • • • - -•. .'•••:•:::::::•!•:•: . • • • • • • • . • • ••••• . • • • - ....• • ..• . , • 0.22. ISSUED IN DUPLICATE ONE OF TWO ORIGINALS PAYMENT BOND Bond No. 54 245807 Premium Included in premium Noted on Attached Performance Bond WHEREAS, the City Council of the City of National City, by Resolution N. passed the day of , 2023 has awarded ESCC, Inc. hereinafter designated as the "Principal", the KIMBALL PARK DOG PARK AND TOT LOT + LAS PALMAS PARK DOG PARK, CIP NO. 23-06. WHEREAS, said Principal is required by Chapter 5 (commencing at Section3225) and Chapter 7 (commencing at Section 3247), Title 15, Part 4, Division 3 of the California Civil Code to furnish a bond in connection with said contract; NOW, , THEREFORE, we, the Principal and United Fire & Casualty Company as surety, are held and firmly bound unto the City Council of the City of National City, hereinafter called the "Council", in the penal sum of Nine Hundred Eighty-three Thousand Six Hundred Ninety -sic 711Oths awful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators and successors, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH that if said Principal, his/her or its subcontractors, heirs, executors, administrators, successors, or assigns, shall fail to pay any of the persons named in Section 3181 of the California Civil Code, or amounts due under the Unemployment Insurance Code with respect to work or labor performed by any such claimant, or for any amounts required to be deducted, withheld, and paid over to the Franchise Tax Board from the wages of employees of the Contractor and his subcontractors pursuant to Section 18806 of the Revenue and Taxation Code, with respect to such work and labor the Surety will pay for the same in an amount not exceeding the sum hereinafter specified, and also, in case suit is brought upon this bond, a reasonable attorney's fee, to be fixed by the Court. This Bond shall inure to the benefit of any of the persons named in Section 3181 of the California Civil Code, so as to give a right of action to such persons or their assigns in any suit brought upon this bond. It is further stipulated and agreed that the Surety on this bond shall not be exonerated or released from the obligation of this bond by any change, extension of time for performance, addition, alteration or modification in, to, or of any contract, plans, specifications, or agreement pertaining or relating to any scheme or work of improvement hereinabove described or pertaining or relating to the furnishing of labor, materials, or equipment therefore, not by any change or modification of any terms of payment or extension of the time for any payment pertaining or relating to any scheme or work of improvement hereinabove described, nor by any rescission or attempted rescission of the contract, agreement or bond, nor by any conditions precedent or subsequent in the bond attempting to limit the right of recovery of claimants otherwise entitled to recover under any such contract or agreement or under the bond, nor by any fraud practiced by any person other than the claimant seeking to recover on the bond and that this bond be construed most strongly against the Surety and in favor of all persons for whose benefit such bond is given, and under no circumstances shall Surety be released from liability to those for whose benefit such bond has been given, by reason of any breach of contract between the owner of Public Entity and original contractor or on the part of any obliges named in such bond, but the sole conditions of recovery shall be that claimant is a person described in Section 3110 or 3112 of the California Civil Code, and has not been paid the full amount of his claim and that Surety does hereby waive notice of any such change, extension of time, addition, alteration or modification herein mentioned. IN WITNESS WHEREOF three identical counterparts of this instrument, each of which shall for all purposes be deemed an original thereof, have been duly executed by the Principal and Surety above named, on the 25th day of _ May IJ ;.ted Fire & Casualty Company (SEAL) By: Jocelyn Y. Quirt, Attorney -In -Fact (SEAL) Surety HSCC, Inc. Principal 2023 (SEAL) (SEAL) (SEAL) ATTORNEY -IN -FACT ACKNOWLEDGEMENT OF SURETY STATE OF ***SEE TThCHED*.' ) COUNTY OF )ss On this day . of , 20--�.. , before me, the undersigned, Notary Public in and for said County and State, personally appeared known to to be the person whose name is subscribed to the within instrument as the attorney -in -fact of the -- - ---- , the corporation named as Surety in said instrument, and acknowledged to me that he subscribed the name of said corporation thereto as Surety, and his own name as attorney -in -fact. NOTE: Signature of those executing for Surety must be properly acknowledged. NOTE: The Attorney -in -fact must attach a certified copy of the Power of Attorney. Signature: Name (Type or Print): (Notary Public in and for said County and State) My Commission expires: ATTACH ALL BONDS 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 Calaveras May 251 2023 before me, Sarah Pflug, Natant Public (insert name and title of the officer) personally appeared Jocelyn Y. Quirt who proved to me on the basis of satisfactory evidence to be the person whose name 'jr is/afe subscribed to the within instrument and acknowledged to me thatuilieisheiti4ey executed the same in /her/ter authorized capacity(i ), and that by Otisiherithteir signature( °on the instrument the person°: 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. (Seal) z z SARAN PFLUG Notary Public - California Calaveras County Commission # 2314083 My Comm. Expires Dec 240 2023 JOCELYN Y. •••••:•;,::••••••,,::7.••••••••:?•;•:;;?..... ••••-••;;,:. ..; • : " :• ::••••••••• - • '. ;7;1.. 7.1 ...:!.... ..:;.::::::.--• 7.... •••.- -.:;::::.;;- •......... _. :--:•:-.:::; :;,-:;:..-..... . - ..7-_ _ .• .. - .• •.. ci eby conferred to sign, seal and execute :in such iti4iiiiiients were signed by ef. and all of the acts of said Attorney, pursuant to the authority hereby given and hereby ratified and confirmed. that n6:--,sinfiel:obligation-:§Vall exceed ' • -• • OP. 0 :•:••• ;;.--•;;-;;• - • • :-.•:•:-••• hOeby grantashall'expirdllie 1 et 1 " • deii/;'''of-- July, 2023 Lin 1 essrevtiked nita:fire & Indemnity Company, and Financial Pacific Insurance Company. .authorize awful boi • o ers of the Companies - - - . • :!••:••.• - • - ; ; • • • • by:::: er of Attorney is made and executed pursuant to and by authority of the following bylaw duly ,adopted on May 15, 2643,•• Directors of United Fire & Casualty Company, United. Fire ,& Indemnity Company, and Financial Pacific Insurance „company. ;!-_:., .;;';-;',';;; „.;:;.;:•:;• .....:,:-:;' ! :;'.- .. ▪ A 6 'l' .4 tticle VI - Surety Bonds and Undertakings .: . , ‘'' •* 7. .f Y: .7.: : ': ::' ... ..--,...Yi '!'' -;.;:-:- ::;: i: ;3:: • I r;;;-..-..7'!; '!''' . : S eeti 04::.... .. - oilltit el-dbf Attomey7in-Fact. "The Pretidenti:Or any Vice President, or any: Other officei:or4.11,&omilanies.,%..ipor, s„f0:i.t. time to time appoint:1)y:*ti- tte4.!.:: :15 eertificoo4 rridAzin-fact to:7. ',J.:ptiA*9halfLpii7.#4.,otpaitioithd execution of 1)9400 0f.inii,iance„boilia::midparpjori-gs,40 other obligatory ilikrunients of like • .,:-:,. ,-- The §ignd4*e Gf ani.f.-:000er 4140-,44:04!herel*,:',:alid theCcii.ficfrilfe:'sen1;,!.9a4y..:1:74p affixed by fEtailuile to, 1:13./-1).0„-ver of at-,tp.:,rtioy,''0-$peciatijoirer of attorney or eertiiiation of':::',.. either authorizedhereby ; such Viii4tilte ariif:S4iil;iVhen :so, used, being adopted by the Companies 'a; the: orig'in4: igrfa:11:1i. Of sich!offier and the original seal of the • ...:. , '4' . ‘," • , Companies to be valid and binding upon the ;COffipanies,-with the same: force and '.Offet, as th6ti manually affixed Stich., attorii6s4n:,-fact subject to the limitations set of .-.. ..... .••.4. .4 •.% , • • y_. forth i#,Oie0;:t,0 6.0ive certificates of ,shall have, full pow eftWbind the Companies to! -their signature 4Ce'kethltioni of isix.ch.jr4trunloo. !god to attach e':weit'.:,, . r I I ••••••• %.•,, , i r :4 ..f . ' • Y : . r • .. :' r •' r• - . - .. . .. i i i i - • • eil:PailiO: t r-0-10. e Nest ent or any:: dee;.:President,qhe BOard.‘Of Diredti3is 6i-any , other° fficeit o'f 0 ‘Conalanies may.:,14 glfincl.c!revoRO. all titOer gio aut: 'On ''' • ' ..„., .....: ...„...„ La Si 1 1 9 °°011-1)*IlApt-0%%,...§‘ • • •••• .... • .. '• IoVVa ... - ,, - ••••• -;•!_::•:::?.. ....• , , ... , f-'•;!.....•••• ...... - . • - • ::: •''... . ' :!' •!•:- -!-- ......•.; ; • ••• -•.• !I'fr (s)p*er nd authori :othei obligatory:Ins Irents of sirnilat natur provide attics thereby 11 and to the'.'same exterit:-a • : • 1- !. !. :''.2'.•::::. ••••: • : ;,.z.• .5 ..., %.4: {•}): -...:. • • • •KevioAsiy. gryp to attorney4n4act. : :... ::.:.: :., ., •:,. , :... , ..%. ,f'. '.'.3 ••:: . . . • ••• •:# .' Z' U ' f' ,- ., •••:i .' -.- •' ::.7.7..::. •... . .. _ ..„. -- . • - - ir K ,.• : • .•... i. ,: e ::. !? .:.:' . : r. , ': :.: • :.::' '. -- :: _ ..; • . .4 ...b. ''‘ ....:: : - : • '. . ! • .' ':.. ,: • . ' : "' :.:-:.`-'!.; • . ... . :: ' ,• ,:4 ., .--..".".::. ::.:.1 -, .::; ..-,.! •:,..!;.!..... . . . . . • , • •.-:::5:', ....:1:;:g.;.......... a, ;,... :f:.,':'...: ,:'.1: ';.:. , a.' :..! • .....f ; .? :... . : -::: -•-•• :., ::- 4" -.! 7 :;''.1!:;- ''.. 1 .• ...,: ,i• IN,WITNE$5..WHEREOF, the COMPANIES have 061i4irii.ed>,.:ihese•presents to be signed by its ,,• ., •tij• .';..; ....• •:•': i i• - • i • • .• .1 i .. • . igal tl / Hilt. . kkOltiPtOiii) :•.'; ..'. • •'• • • iWilliltlif. .:: : ...• : . , •• ., .. . .. .. .. N 91%. ": s 1 . CA S 4.4t. ifid , . , s Nkt 1011941,0"i'. '',:. •::•'. :. ::.:;' l'!:' ''+";C‘ifiliS 4"14::: .: .%1%. v.46.c..presiclent,andits'::66ipotat's%01 {.6-.1;laoretid.!aifited thiS., i .....•.. , .?4-• ..:,„ • • • ,... ...: -A- :- , . :• ••.:' ' .':''' • • •• et .ri •,' da./ of J u .1 y , 2.02 1 . • . _.•..:-.; .. ..:.:-- ::...-iiii:;:::. 0 • _-..:•.:f:.:wk-v- :•:,. „•,. .;k:..--,.....- i5d..,-0,o Y,.4.c.f...:... .. ••• ., : .. ... .0 .:...,::.E.E.:.;,..st-;.,,..... • ,,,.: r.X... •:'04-r.--:,.- .-. A'..P• :::..:... t:,-...o. 71.i.. ,::. • - • •••:,.:,;-.::,,;`-- ..- . - ..•. li:i:.7-ifl•!..: 01:4104M. k"' CORPORATE. -".."...• ......: ,-..i..z.••• -.,•• -v,...,0.1::. ......... - ._ ...-. 1- i''...i];i• = . l.”- 1,!?: r- := ''' ; soy .ag ''''. . .1 ..' .: .:.:...... ' UNITED FIRE •&:(ASOALT:( COMPANY .-::•.:_:..:.':',... '.:.5:'.:•.-: .:.._.,..::, : ,....„,-.- T.: P •I'il.P.•'.4 .% z • 0.-- 7. ...= 6 : M r, ....... •. •:•: ...' •••• '. ::::. , '• • ': • • . ..,••• .; -• r;i. • • !'4.' V 4.4%l •-• ;r.2.1*'!.• % SEAL 4.. .... ... ‘ / n e .. ire .-; :," .: '•',. '.: ':%•:.....Q.N. ITVP: FIRF...*INDEIVINITY - • " - , ▪ • '• C1.4' ctlisi$4 NY '.: /F0?k 4;FINANCIAL PACIFIC INSURANCE COMPANY 4.) .! ...... , . xs.‘‘ • :: - • • - • riiltiOti %VIP , • : : - . . . . . . . '." .... . • n 16th day of July, :;!202 before me ri:&:tai;1 a I y came Dennis J Rfthmann Vice President ...;••••.7-1; • to me known, who being by me duly sworn, did depose and say; that he resides in Cedar Rapids, State of Iowa; that he is a Vice President of United Fire & Cagial Company, a Vie Prgsi corpoiattons s.:01 instrunig4ti corpcnt name tlft6to pursuant 1. .ent of United & Inclemni • .kecuted the above mstrumei t it was so. aff44:pursuatt to 04 • • .• L..: .• y1. and acknowledges same to be - Patti Waddell •. _.::f,i..:... 19voa NotariW:Seal 1::_:1.:. •.:„. ;-.. -I-Pr,4.1. . 9-•::.: :..:.... ..- :1'3 ....., .::• -;':.i. ! i].-'!'!'• •,!.., r_r4... Commission;:r)iriffibOt,:713274 ,_-•::._'•.:.:::..:-. ... --_ _, .. _. • ,., __, ....-.a_ ........,..;.• ,:.,:••• • _-••• .-::•••i.,_ -.-;:.,::•••• _•••••,... .:::...,.: ....,. , Commission :::Ex Expires /26720 2:::':-.. ..:.:_;:. ....-__:.:, ..<........... . ...-.--::.:-:. ..L.... - ...: :-.:...:.. -......-,..; -....:.•-_::. . ....IN. .t-4...._ .-:-.....-:.-. ...--.:,, ......:::,.:.-/-. • . . -- -:,..:,:... 2' ' •!•,':!•! `-: • • -•••-7-71-2• -!• •.: 0..-. • .. .• . '• •!..7.5 . , , .. _ . ,..9.... - .-. ';'•!•'•! '_•I'-' - - . • cppapany,, and a Vice president ofF:inancial„Pacific Insurance Company, the .., tit h knows the seat: I:of said corporations,:: e:'s01 affixed ...t4, tii::-saici.::'.-.' 0 . e act an 1 . 9:9 the Board bf-Pirecti*s of $a).d corpoitiolls,::Oild that he :signed' - of said corPeitirtions. • : • ; • • • • :•••• !•'_••••!f.'; " . • - . -•.• 1 M. ubhc My co*Iissioil.:Oc *eS: ".. I, Mary A. Bertsch, Assistant Secretary of United Fire & Casualty Company and Assistant Secretary of United Fire & Indemnity Company, and Assistant Secre of _Oriancial Jiisurgice,..company, do. heretfy I.,bave.,compared the fm.„going ,cop ofthe Pow,er ofMomey and affidav#, e copy of the Sectioii _the r„by1aw and resolutions of sid Corporations a set forth in said Power of oro. s ON FILE HOME --007:CE OF SAID CORPORATIONS, and that the same are 6on0 tra4scri - thereof, and of the whole of ........ the said Ina's, and that the said Power of Attorney earelid is n.ow NI forc'e* In testimon _ this 25t ..... -•:;; •;•:;' .; • 1.4 eoi, •.:0•Adsjp ' • :!.';!:.1- • • • :::•;; • ; ; ; • •...• :-; • whereof I have hereunto subscribed my name and affixed the coiporate seal of the said Corporations of - - 20 23. MittioPATE SEAL • 11411 • • Cal;ORATE 011.4 SEAL .....!;!•,E.:1;;0011311%..111114-g, 1,,C 1 •-•; z-z1 01617' 114 0 .zt it.' s 188e K.= 4.41.$ %°I 1'7:r 101?A." ..1.-7N4F • -:•'!!!:1.: 1.909,01M111.114.1111'.; By: • „.... -.•• . • • •••••.-•• : . 1 . ecretary, & : :•;•• • BP0A0045 122017 This paper has a colored background and void pantograph. ISSUED IN DUPLICATE PERFORMANCE BOND Bond No. 54 245807 TWO OF TWO I I INALS Premium: $11,408.00 WHEREAS, the City Council of the City of National nal City, by Resolution No. ---, passed the day of 20 23 has awarded to HSCC, Inc. hereinafter designated as the "Principal", the ICI M BALL PARK DOG PARK AND TOT LOT + LAS PALMAS PARK DOG PARK, CIP No. 23-06. WHEREAS, said Principal is required under the terms of said contract to furnish a bond for the faithful performance of said contract. NOW, THEREFORE, we, the Principal and United Fire & Casualty Company as surety, are held and firmly bound unto the City Council of the City of National City hereinafter called the "Council", in the penal sum of Nine Hundred _Eighty-three ty-three Thousand Six Hundred Ninety-six & 97/100ths($ lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators and successors, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT if the above bounden Principal, his/her 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 agreements in the said contract any alteration thereof made as therein provides, on his or their part, to e kept and performed at the time and in the amount therein specified, and in all respects according to their true intent and meaning, and shall indemnify and save harmless the City of National City, the City Council, their officers, agents, and employees, as therein stipulated, then this obligation shall become null and void; otherwise it shall be and remain in full force and virtue. And the said Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the contract or to the work to be performed herein or the specifications accompanying the same shall in any wise affect its obligations on this bond, and it does hereby waive notice of any such change, extension of time, alteration or additions to the terms of the contract or to the work or to the specifications. In the event suit is brought upon this bond by the City of National City and judgment is recovered, the surety shall pay all costs incurred by the Council in such suit, including a reasonable attorney's fee to be fixed by the Court. N WITNESS WHEREOF three identical counterparts of this instrument, each of which shall for all purposes be deemed an original thereof, have been duly executed by the Principal and Surety above named, on the 25th day of May , 2023 United Fire & Casualty Company (SEAL) HSCC, Inc. (SEAL) (SEA12) (SEA Jocelyn uirt Q Y. , , _.�.. _Attorney-ln-Fact (SEAL) Surety ‘16,-ti„Jt Principal (SEAL) PERFORMANCE BOND ATTORNEY -IN -FACT ACKNOWLEDGEMENT OF SURETY STATE OF ***SEE ATTACHED***_ CHED*** COUNTY OF � ss On this day of _ , 2 , before me, the undersigned, a Notary Public in and for said County and State, personally appeared known n to me to be the person whose name is subscribed to the within instrument as the attorney -in -fact of the - - -- --- , the corporation named as Surety in said instrument, and acknowledged to me that he subscribed the name of said corporation thereto as Surety, and his own name as attorney -in -fact. NOTE: Signature of those executing for Surety must be properly acknowledged. NOTE: The Attorney -in -fact must attach a certified copy of the Power of Attorney. Signature: Name (Type or Print): Notary Public in and for said County and State My Commission expires: _— 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 Caiaveras May 25, 2023 before me, Sarah Pfiug, Notary Public (insert name and title of the officer) personally appeared Jocelyn Y. Quirt who proved to me on the basis of satisfactory evidence to be the person(sj'whose named is/we subscribed to the within instrument and acknowledged to me that./she/tJaey executed the same in kmislherltfaeir authorized capacity(ies), and that by his/her/their signature(e)Pon the instrument the person(., or the entity upon behalf of which the person(1) 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 VC\ "„, L(� (Seal) z 2 SARAH PFLUG Notary Public - California Calavieras County Commission # 2314083 My Comm. Expires Dec 24, 202 & M.,VALT, COMPANY, CEDAR. MNITY COMPANY, WEB _ S OMPANY, 1..t Tntlic.COP ER OF ATT016;E (original on file at Home Office of Company — See Certification) 50NS BY. THESETire & C4ualCompany, a co orattiff duly organize' existingunder - .•• of Iowa, United. -041ppq, orgapi7 - existing under the laws of e State ot.,.TTex4Si. and Financial Pacthc Insurance C6:iii.ti any, a coipolation.I.durl'...dtcganized and existing under.the laws of the State of California (herern collectively called the. Companies), and having their corporate headquarters in Cedar Rapids, State of Iowa, does make, constitute and appoint '),;:;•;;; . 1 . .•-• 0:.1.-AT I.( IND I V:IT)VAI • •-•: , ; !!;• • •;:• 1 1 . .• • . •. '• •• . , . ....„ !7:7 ; : ' ---- ' .•.-.. .. .•-. .:.•2 ..- . 2!::: ....• . , . .:••••• _ , . . ._ ., . ,:,,, - ,r-..:„. their 1ne .:..:44 lawful orii 41n: with power and authority _., • •,.. • 40t ,:.. ., ...• r._ ...,;cp efrOd to sign,'--]kali---Aii eiOcute itC: e ..:;.:. .„-- _... undeitakmgs an4j01-4::::obligatory.,,instruments of sititiOi'r natuteprovided ...,..41-100likobligation7ha11 exd00... ,.. Oecl, 0: and to bind the diiiriOilies thereb..dg Ailly and to thCsame.et: .-a§ if sli6h inkfiinients were sigii&I by &-- ti y au -rize :o and all.Of the acts of said Attorney, pursuant to the authority hereby given and hereby ratified and confirmed. • . ' • ....-••0••L •-• :•. . ••• ... • ....- ; ••••;. Luthority _Oreby granted shall expire 1 6t Ii day of July, 2023 Un 1 ess 0 o n6 ti011 is Power of Attorney is made and executed pursuant to and by authority of the following bylaw duly adopted on May 15, 201: Directors of United Fire & Casualty Company, United Fire& Indemnity Company, and. Financial Pacific Insurance Company. A 4' • b nited Fire & Indemnity Company, and Financial Pacific Insurance Company. s AL -ri. E-: -:. .: , -: FINANCIAL :PACIFIC INSURANCE COMPANY ftintio‘ pfgiiiij,1$vs. ,. 1' is:/ki;: IP '1 1.:1:11+,10' ., •, • , ,, ,...;-,,: ..; _ ... .. APF J2......,..-,...z...... . :;ii;,-.-. • , .:?...-;: tIo.i,94,. Wity of Linn, ss: ......,_ . .•:.., . Vice President H.: ::,1 :5'1'.'.:• .•,-,,. :•!i::.: .:i,......• :•.::•••:•:, ..-..:•.•_:, ....... • .:,...• 16t1-::: Of . July. .:E2021 p before me personally Qam6::::1Derints:.,;.;,i1:.. R i 61).114.66;f.i.:'-•--• •-•,•:,---..:. .;;;:„:•:. ; ; ..... -•:;;;:„. ;.:,:.;.;.. .. :,:„..: :;._•.•:,::::,,,,, ..... .. , „, .. to me known, who being by me duly sworn, did depose and say; that he resides in Cedar.Rapids, State of Iowa; that he is a Vice President of United Fire & CaSljalty._compny.,_ a Vice Pi:psi ent of UnitedFire. .& Inclemni coi-p60-tionVdes.cti: whichexecuted ti*.•006 irAiiiiii*, .,,,--• instruMitCis sUM.corporate:*a at j.V;vas so. affixed pursuant to '0..1 o • .••.......• ..,....,..• name thOtOto -pursuflil like.':' . ' ! 11 ; ..;' i and acknowle.iges sari to be e-•ac • . .. . . ... r_flis •1 6tIT da • • , . • . • . 1 1 1 2021 , - ; r - • L.-, r ,; ::•'..:' .f C..,.ti ‘Aii•iele VI Surety Bondk 404 pndertaliiiie:::-- •:,;:. .,-.. ... .:-::;- .. • .- - . • Sectioii.' —pointinenfribf Attorney -in -Fact. "The Praideilt,:or any Vice President, or a0y. other officer,' of the Companies may, from time to time, appoi4f:j3y!*itterl.:.:- ,...,, ‘: „ certifickg4ttom4-*in-fact tO.'yo.,4303:.0halfatiiV;C64-ilatiiaL.:16;th0 execution of policies Ofiris'.u.rance,.:,b6rid undertakings and other obligatory instruments ofjlic:(4:!naturi. The gign4f-Uie of aii:(:-.atjer authorized hereW,:rid;i4'6 Iteiiiriittese.a:11.•nar 1)0T:Offi*edb& facsimile to. iiiiS7 pi7qtrer-,..4.%:tolor.Ot special of attorney or certification of7:::'..j::' either authorized hereby; sucli,:iiiiizirktie mid. seal when '-'so, used, being.:'kli5pted',1* tli. Companies :ai.:tiii,rigii).:01! signature of such eiffrcer and the original seal of the : Companies, to be valid and binding upon the . ritanielry#1.1!!he same force and effect as ti-kiiih'.inaniia!ly:•pf4ted:.‘'Sich: OtoiribSts;iii4acti subject C:? the limitations set of -.... ,..., l'a's 'E.. . ' ' • ' • e 6jiipanieg thereto. The P,itsident::'or any yipepresidty:th0 Board of niredfors (51...anr other office -:of the Coiiipkiies,riiity at any time revola all pOver Ad authority ev-1 ----- -1 gimon_ ::any attorney,ill:$7;fa,c„t., i#...hei•i:TO.:11.tiye: certifiatol.,Iiu authority shall fihi'ivi,:mer. to bind the' Companies by then signature and execution a any such iil:strun4,64i:ni to attach the seal oui I. li 1 Mint Thy..., • . . -.....-, .-. it .:%:,g .1.1r :thy 1' : :. :: •'. .:Z"." • ;.e V :&" -:,' :,•i.: >:1;: .., :j .:..;'' ::t] 3: .,,', :';, .. :: ::'.•:- INWITNES-5::WHEIgc1F;.they:cOMPANIES:,h0e each ..,c14,u$: ese.7.presenfi to be sigiied by its ' .'i 'ti' •':. .* k “ ;". •.: , :5 K .,'' ,ti 1. " V: ' ' : } {.e ti, ...... h • : , e$ . , ' '' ... . .. V :, : :•• • ti % •' : : , . - ; ; • - - ; ; ; ; :,.:1.1:1:. ! :-:-- :-.- - .: -;•:;:;:: .::- ; • CA F alit 111° %‘‘ IP "k.:!:1.6 41:169‘ '>.. N%C :IgigU,91' ' ' • "- "ince president: and Is', corporate seal to be hereto :. „'• ,' ::,: ,'.i: ! !, •Li,:;: :r ,:,: , ,. 0 -.... r- ; •-:.;:„4, a .......,:::•....,.; ,„ ,•:, Is, ,:., ...4 !..t • ,: .r: :,: ., {,,,,,cit., n ,_: :, 41C.T,fi 1::-•••:.! • IN 4." —..— CORPORATE .0 = i. mr. .75 : .ii. L y .e. ,., 0 ..i, tiNtrEb FIRE &CASILI.11Y COMPANY .i.rm • ...1 = F.• ° I 4 K r. . , S: ▪ •P :g!:. 5.4 ..; 0 • .:!1:!L. ,, ... ,..:,i.--% *47 .:.:: --.;:'SL;.. .,:ve -v..-.14.0,0i:ice-ery , : : f :::- : :::; ';- UNITED FiRp l& INDEMNITY COMPANY • ..;_.. , .; ;•„. • • .;•;•:::';.:D. - - • •;•;:. •••••••••••• .;;:;•4•• •-• • -f;::•;-:•••.••7 • • .• .!• • . • ; : • •;-;•:• •:.• • :••• company,, and a Vice,yresj49nt of Fjpa_ncial „Pacific•.Insurance Company: the. iat he knows the seal of at''' affixed --• - .,.; L..,, the Board.-.0f Directors of said co or*iong and that he .0 • ••••••-- of said corNiations. . „ • •;•;.... • • ,-• • • . , Y commission expires 10426/20; I, Mary A. Bertsch., Assistant Secretary of United Fire & Casualty Company and Assistant Secretary of United Fire & Indemnity Company, and Assistant Secietaiy of Financial Ppcific„Insurpcpcompany, do hereby certify that Ihave. compared the foregoing copy of the Power of A e copy of the SectioniAtb_p:Arloit§;''aiiictTesolutionk.0 oia Co).potafiOns '.0:set:fi?iih'ip said Poi;:OtoAttorney,' with the' HOME OFFICE 0P SAID CORPORATIONS, and that the same are correct *saes thereof, and 0 the:SV .._ . .._, _,.. ..,..._...,..._... orney'Uro:!ii.ot beenreV610a;iind is now in•1.6.11 force:*-1..effect..:.1;!;. • , - • 0: sal .• In testimony whereof I have hereunto subscribed my name and affixed thq corporate seal of the said Corporations this 25th day:_of Mgy ••:!: i!.1.\i4 I II / Pi, 0,44, . . . Po/ v." .• - • -- s E. 7 .• 761 71rP PAPO!' • -,..• • . BP0A6645 122017 . •••‘‘. INPEAJ. . •0.• • • . ov• -;- • ---• CI.V. : • 5 a - "Pt ..,:c•• 706 z/6„, :-;•; • — • — fie,Ifl - .• ••• — ;- . . :•:-:•'• . . ... .. . ., . _ ::::•.7::::•• " - - - - • ••••• ... _. .."::::-... • This paper has a colored ba6kround arid void pantograph. • • ••••• . .• .. .... . • - - • - • • • • - • - . :..7:-...-;•• ..;;; "-;;;; .• ••••.... ••••••••7:-:•;• :::•:::.•••• .. -...- ::' '-:::•:: .. . ••• :::::::'. . ..::...::-.-..i, . .....;::::..::•:-:--_ `..:;:;.:- ..:71.-.:.;.:- '• •.:::;'••-••• ' ' ISSUED IN DUPLICATE TWO F TWO F IGINALS PAYMENT BOND Bond No. 54 245807 Premium Included in premium Noted on Attached Performance Bond WHEREAS, the City Council of the City of National City, by Resolution No. passed the day of , 2023 has awarded HSCC, Inc. hereinafter designated as the "Principal", the KIMBALL BALL PARK DOG PARK ND TOT LOT + LAS PALMAS PARK DOG PARK, ClP NO. 23-06. WHEREAS, , said Principal is required by Chapter 5 (commencing at Section 3225) and Chapter 7 (commencing at Section 3247), Title 15, Part 4, Division 3 of the California Civil Code to furnish a bond in connection with said contract; NOW, THEREFORE, we, the Principal and United Fire & Casualty Company as surety, are held and firmly bound unto the City Council of the City of National City, hereinafter called the "Council", in the penal sum of Nine Hundred Eighty-three Thousand Six Hundred Ninety-six & 97/100ths awful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators and successors, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH that if said Principal, his/her or its subcontractors, heirs, executors, administrators, successors, or assigns, shall fail to pay any of the persons named in Section 3181 of the California Civil Code, or amounts due under the Unemployment Insurance Code with respect to work or labor performed by any such claimant, or for any amounts required to be deducted, withheld, and paid over to the Franchise Tax Board from the wages of employees of the Contractor and his subcontractors pursuant to Section 18806 f the Revenue and Taxation Code, with respect to such work and labor the Surety will pay for the same in an amount not exceeding the sum hereinafter specified, and also, in case suit is brought upon this bond, a reasonable attorney's fee, to be fixed by the Court. This Bond shall inure to the benefit of any of the persons named in Section 3181 of the California Civil Code, so as to give a right of action to such persons or their assigns in any suit brought upon this bond. It is further stipulated and agreed that the Surety on this bond shall not be exonerated or released from the obligation of this bond by any change, extension of time for performance, addition, alteration or modification in, to, or of any contract, plans, specifications, or agreement pertaining or relating to any scheme or work of improvement hereinabove described or pertaining or relating to the furnishing of labor, materials, or equipment therefore, not by any change or modification of any terms of payment or extension of the time for any payment pertaining or relating to any scheme or work of improvement hereinabove described, nor by any rescission or attempted rescission of the contract, agreement or bond, nor by any conditions precedent or subsequent in the bond attempting to limit the right of recovery of claimants otherwise entitled to recover under any such contract or agreement or under the bond, nor by any fraud practiced by any person other than the claimant seeking to recover on the bond and that this bond be construed most strongly against the Surety and in favor of all persons for whose benefit such bond is given, and under no circumstances shall Surety be released from liability to those for whose benefit such bond has been given, by reason of any breach of contract between the owner of Public Entity and original contractor or on the part of any obliges named in such bond, but the sole conditions of recovery shall be that claimant is a person described in Section 3110 or 3112 of the California Civil Code, and has not been paid the full amount of his claim and that Surety does hereby waive notice of any such change, extension of time, addition, alteration or modification herein mentioned. IN WITNESS WHEREOF three identical counterparts of this instrument, each of which shall for all purposes be deemed an original thereof, have been duly executed by the Principal and Surety above named, on the 25th day of May , 2023 United Fire & Casualty Company (SEAL) AL) Jocelyn Y. Quirt, Attorney -in -Fact E ►L { } Surety HSCC, Inc. B (SEAL) i SEALS (SEAL) Principal ATTORNEY -IN -FACT ACKNOWLEDGEMENT OF SURETY STATE OF ***SEE ATTACHED*** COUNTY OF ) SS On this day of , 20 , before me, the undersigned, a Notary Public in and for said County and State, personally appeared known to me to be the person whose name is subscribed to the within instrument as the attorney -in -fact of the the corporation named as Surety in said instrument, and acknowledged to me that he subscribed the name of said corporation thereto as Surety, and his own name as attorney -in -fact. NOTE: Signature of those executing for Surety must be properly acknowledged. NOTE: The Attorney -in -fact must attach certified copy of the Power of Attorney. Signature: _ Name (Type or Print): (Notary Public in and for said County and State) My Commission expires: ATTACH ALL BONDS 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 Calaveras O n May , 02 before me, Notary Pflug, Public (insert name and title of the officer) personally appeared Jocelyn Y. Quirt who proved to me on the basis of satisfactory evidence to be the persnnW whose name(eY is/are subscribed to the within instrument and acknowledged to me that./she/they executed the same in 44sJherltfaerr authorized capacity(ies), and that by 'lets/her/their signature(.e)ron the instrument the person{, or the entity upon behalf of which the person( 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 (Seat) SARAH PFLUG Notary Public - California Calaveras County Commission # 314083 ExpiresDec 4 2023 M Comm.Co m. E �e De Vice President -:; • ' : :: . 1... . ' , . ".. ' " •• .' .' - • ' ' to me known, who being by me duly sworn, did depose and say;. that lie resides. in Cedar Rapids, State of Iowa; that lie is a Vice President of United Fire . & Casualty, company, a Vice President of United,. Fire & Indemnity Company„ and a Vice „President of Financial Pacific Insurance Company the .., _. :... .,... ..,..„.,,,_ corporatiolig-: escrri: • .6 --In a,ri..::.. w executed thel'_-labove instilitnefit. ::)016y4 the seal of said coiii6ral-wns;.;. t . e seal affixed :00:!::sai. ... ..... ..r. _ ._ ..' .. .... . • ..... __•._;_. ..:...... ....2, . ..... instnun: 1 such corporate:k at it so affixed pursuant to authority-. seal, thatgiven the Boardof Directors of said corporations.'aii.' d at he ::sIgg. i ,--- .--- ... .... .., -. ,, .. .:. name tli4Oto puikianttel 0::aii cF Ind acknowleOgZs sari* .e e a§t an ..e_ of said copbbtions. -.:;...,-,.:. -•-•':' - .._ __.. ,...,. . .. .. .:._.,._,. • . . _ .....,...,-- Patti Waddell Iowa crpnr*Oion•riOtelbet 713274 My coriptilisio r(Ey.p i 0/204202 ....„.. • •:••••••.• ••••;:;••••:,-.!•.:-;;;. I, Mary A. Bertsch, Assistant Secretary of United Fire & Casualty Company and Assistant Secretary of United Fire & Indemnity Company, and Assistant Secretary of Fina_ncial Pacific Insurance Company, do hereby certify ,that I have compared the foregoing _copy orf.the Power of Attorney and affidavit, and e copy of ed_.4610:f-,thel)*la*s,:and.3.,esolutionkof said Corporations as forth in said Power of The signiNit of anY;:afker a uthorized;herety,eaid the-Corporate'sea4 may be affixed by facsimile to.an:poWer, of attorneyor special power of attorney or certification of either authorized hereby; such inatui e and s'ealp when 30 usttl. beingadopted by ,the Companies as. the Original' Signature ,of such officer and the original seal of the Companies, to be valid and binding upon the Companies the same force and effect as theqgh'inanuallYaffikid.,Such attorneys -in -fact, subject to the limitations set of • . . • forth in elf respective .eertificat?! 9 f...!:uthol:iM 0-011 Ila*et; full Power to bind the Companies bytheir signatieze and-exeputIon of any sUcli.itistrumpii.;aiid: to a#4: iie Qm t efOto. The President- any Vice vresident; the.Board or or any''%other,officer,of. e Companies:'i44r at any time revokeall pO.V. er .411. • ' . :;:: ' • 00.01111, cut 2 .eor ,. - .... te " __....... . . ..." ._. . ,-.. ... p,b, •-x..:.... ....._ . 4i4 ._::,..,. • ..11 Z6.. 4 • Surety Department .18 Second Ave:SE Tar Rapids, IA 52401 ,:_.• ..-....,?,, . .-., Aly organizedAn. Oiistip iin .__...._,.f the .. ...o Iowa; United- .e• 0 emni Company, a..:0aporation--- orgii-piz :,a4 gistill- - undOr the laws ::'.'0 e We .,_ __..- •_ . e:.. r• . . .1... .- . . Financial PaafjInsurance Company, a 6prpOratiO.n ...duly..o.. rganzed and existing unde.i.thelaws of State of California (herein Co the Companies), and having their corporate headquarters in Cedar Rapids, Stite' of Iowa, does make, constitute and appoint UNITED I TY-:-.0 MPANY, CEDAR, RA:P UNITED MN B FINANCIALPACIFICINSURANE COMPANY, ROC. TIFff:,J) COPY OF PWFR OF ATTORN (original on file at Home Office of Company — See Certification) SONS BY THESE PRESENTS, That United fire 84 Caualty Company, a co Ora •.• , 0, • •.• • •.• • • • • • - • ' . .•-- . , . •--- -•.•. -.'•• • -.•:•; :•. then true and lawful Attotif-ST(s)-4:6- 40t with power and authority:her0::: c006fit0,..... to sign, eal and excute rn its behif all lawful bori undertkthg s an1 othei obligtory nstruments of srniilar natwe p1ovi-4ed that nOjji-IgWobligation'O*11 exda.: and to :bind the C npariies therehfuh1y and to thanie exteiiita-S if sti& itinients were sign.d by ththIy auth6ilze and.all of the acts of said Attorney, pursuant to the authority hereby given and hereby ratified and confirmed. -Oreby granta.shaltexpift-41 ie-.1 6 t 6.'E! day of July, 2023 unles sooner revoked nite413ire & Indemnity Company, and Financial Pacific Insurance Company. s Pwer:_br Attorney is made and executed pursuant to and by authority of the following bylaw duly, adopted on May 15, Directors of United Fire & Casualty Company, United yirs.:‘,L Indemnity Company, and Financial Pacific' Insurance , Company. . r••• • .d• • - • - • . . • .• • •-•,• • e• • ••• .§• ••• :.:• ...• • ...‘• • • ‘• • : •dd e • , •• ' • ••••••• •••:. •#. .. • : • .. • .•;'• • '•4 • •••:: •••• ••••••••• .1' • : " :‘• " • authori • . . ••.- . ese presents to be signed by its paused NriTED.FIRV8.4:1NDOOITY COMPANY FINANCIAL PACIFICTINiSURANCE COMPANY :•• •...,• ,•, :•:• :•• •.• ;•••• •:‘", By: ........ n 16t f July, HE202.1 before y Rlchmann . • • . • • • . • .1.1 .1 • • • Sec°Went 'Of Attorney -in -Fact The Pre's ident or any Vice President, or an'y-o‘ther officer pf;t11:07, Companies:.:rriayi from time tdlime appoin'ty ritteit certificE4e?:-a zneyArkifact to act in be Article VI — Surety Bonds:and'Underta kings" a • • -. " • '2 • - half of the Comparnes in the e?‘cecution,of:PoliCies of in_Ura: nee, bonds, undertakings and other obliatory instruments of like iiatuie. •..e• ••• • • • • " • • ' • • ; ;• " • -; •••• ;•;I; • ers of the Conlijanies . S ON Fl HOME !CE SM5 dgR..P013..AritoNS, and fiikihe sit)* transcripts thereof, mi. .0 the whole .pri and tlf ...". Power 0 ornerhas,4ibt be*rev00.and is now infuji In. testimony whereof I have hereunto subscribed, my name and .affixed the corporate seal of the said Corporations Jilis 25th daypf . • ....• • May . • .'••••• • :'-- .•;•!:; 11,1111101, • ' /Ow •-:.:•• • .1 1111 ri •;-- ;SA NC IV tiAti. _-:.• -.;-, _ 117k • 4.0. • •Af • '• •••• II • '• •••• BP0A6645 12.2.617 • • ••• By: ;-:;• ACGRI DATE ( /DIF Y) 04/05/2023 THIS CERTIFICATE IS ISSUED AS A MATTER INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE AFFIRMATIVELY EXTEND OR ALTER THE COVERAGe AFFORDED BY .THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S)1 AUTHORIZED REPRESENTATIVE OR PRODUCER) AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the li (e ) must have ADDITIONAL INSURED ro isIo or If he SUBROGATION IS WAIVED, subject €e terms and condition of thepolicy, certain policies may require endorsement.statement1 on this certificate does not confer riihts to h�'.F certificate holder In lieu of suchendorsement �S PRODUCER Briokaon Insurance Agency, Inc. 560 University Ave., Elba. La Mesa CA 91942 INSURED C Z P.. Sex 118 Lakeside CA 9 040 COVERAGES rrrrr NAIC4��. 12203 45.082 _INSURER CI q tz e c t i a t ..Tps Co_ � .- -_. yt L ,.,,.- JNSURER D: Insurance Company .,.4p f the yes .w.�_ ,._..�..�27847 _ INSURER RE . INSURER F CERTIFICATE OE LIABIL!TV INSURANCE Astig.4_. 'Maim PHONE TM��w1 %.10k. �. (6 a1 ) 3 7 w 9 S DDRE ; s xx e i kao -Inc * e - INSURE I F a1No E q .,_ INSURER A : as ive InsCO INSURER Ohio ri ty one Co REVISIONNUMBER: 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 REQU(REftENT, 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 U JE T TO LL. THE ` M . EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED B RAID CLAIMS, 1# `Art - - _..._........ - -- - �- �_�.... _....-� ..�. ��,,.. _._..... PCTL N INSURANCE ,_. .. POLICY Y NUMBER - ID/Yr y1 i D(Y _ -- ti iT _,..___�..��.. _. COMMERCIAL GENERAL ABI1I -- _ r CLAINIS,MADE ril occuR 1 EN{% AGGREGATE LIMIT APPLIES PFII .....__I POLICY l,. T L C [ PRO- 1 . i f OTHER; AUTOMQWLE LIABILITY ANY AUTO OWNE0 ___F AUTOS ONLY f HIRED ll AUTOS ONLY Fa' CERTIFICATE NUMBER:Cart ID 22358 SCHEDULED. AUTOS F • NON --OWNED AUTOS ONLY 1BAS56235625 F UMBRELLA OCCUR J 0. ---1 4P70I 0014-Ii# 1 EXCESS AB w ,_.�.{CLAIMS-MADE F DEO RETENTION WORKERS COMPENSATION AND EMPLOYERS' LI'A 1LfTY AN?FROPRIETOR/PARTNER/EXECUTIVE OP 'I E II J BIrREXCLUDED'? (Mandatory in t4 iI+ esc he under DESCRIPTION TICN OF OPERATIONS telow I/A Y L O 4I o FAIED EXP oneke rSori p:),aqat PERSON.ALAApV INJURY, t 0001 900 GENERAL AGGREGATE- , 000, 000 TS - commal. Aq 2rr I of ,,.. °MI DIED S NGLE LIMIT BODILY ( fir ac d I~ LL PROPERTY u- 08 ; 0 108/1 0 3L , F I Cc I Iw • 3 5i 000r0Q0 _ ART UTE E.E.. EACH ACCIDENT .L DISEASE - EA .EMPLOYEE1 _ . _ ,0 0 0 O O L. DISEASE - P U Y LINT I 000,00G 01/15/2023 1,000, 000 DESCRIPTION OF OPERATIONS d LOCATIONS f VEHICLES (A OR '4ol, Additional Remarks Schedule, men he mulled If error# space Is required) Project: Kimball Park and Tot Lot + Las Palmas Park Dog Park, CIP No.23-06 s res ec is to General iabil. t and Auto Liability, The City of National City, its elected officials, Oft± eTs„ agents, employees and volunteers are additional insured when required by written contract par attached endorsements, subject to policy terms, conditions and exclusions, Insurance is primary and ton -contributory -over any existing insurance and limited to liability - arising out of the operations the named inaured subject to policy terms and conditions. Waive, of subrogation is applicable per endorsements where required by written contract, subject to policy terms and conditions. CERTIFICATE AT HOLDER City of National City c/o Risk Manager 1243 National City Blvd ACORD 25 (01 /0 ) CANCELLATION 3 5 i _K SHOULD ANY OF THE ABOVE DESCRIBED POL1CI CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL I3E DELIVERED IN ACCORDANCE I I THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE (E1988-2015 ACORD CORPORATION. All ri hts reserved. The ACORD name and logo are registered marks of ACORD . P .ze. 1 of 1 POLICY NUMBER: 0-7 COMMERCIAL GENERAL LIABILITY CG THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATiON This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) r Or anization•s Where required by written contract or written agreement nformation required to corn Location s Of Covered 0 orations All operations of the Named Insureds ete this Schedule if not shown above # will be shown in the Declarations. A. Section II — Who Is Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect toliability for "bodily injury", "property damage' r. "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or . The acts or omissions of those acting on your behalf; In the performance of your ongoing operations for the additional insured(s) at the location(s) desig- nated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including teri. ls, parts or equip- ment furnished in connection with such work, n the project (ether than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location f the covered operations has been completed; or . That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization oth- er than another contractor or subcontractor engaged in performing operations for a princi- pal as a part of the same project. CG 20 10 07 04 10 ISO Properties, Inc., 2004 Page 1 of POLICY NUMBER: 00068046-7 COMMERCIAL GENERAL L1ARtE_1TY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED Now OWNRS, LESSEES OR CONTR.ACTORS COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Name Of Additional insured Person(s) Or Or#anizatIon Where required by written contract or written agreement SCHEDULE Location And Description Of Completed Opera- tions All operations of the Named Insureds Information re aired to core tete this Schedule # if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to include n additional insured the person(s) or organization(s) shown In the Schedule, but only with respect toliability for "'boil injury" or "properly 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'. ISO r•n rti , Inc.* Page I POLICY NUMBER: 00068046-7 COMMERCIAL GENERAL LIABILITY CG WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Where required by written contract or written agreement Information re, aired to com • tete this Schedule if not shown above will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery 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 for work" done under a contract with that Aron or organization and included in the "products - completed operations hazards"* This waiver applies Daly to the person or organization shown in the Schedule above. CG Insurance Services Office, inc., 2008 Page I of 1 0 POLICY NUMBER:00068046-7 CGtMMERCtAG. GENERAL LIABILITY CG 20 01 04 13 THIS ENDORSEMENT CHANGES THE P4LlCY, PLEASE READ IT CAREFULLY, PRIMARY AND NONCONTRIBUTORY -mu OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following; COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following i . added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2.) You have agreed in writing in contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. CG 20 01 Insurance Services Office, Incc, 2012 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLIO`. PLEASE READ IT CAREFULLY, POLICY LIMITATION -AMENDED AGGREGATE LIMITS OF INSURANCE PER PROJECT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS S COMBINED LIABILITY POLICY SECTION Ili — LIMITS OF INSURANCE - The General Aggregate Limit applies separately to each "Project" of the Named Insured, Notwithstanding the application of the General Aggregate Limit each "Project" the Named Insured, under no circumstances will we pay more than $510001000 for ail claims under this policy that are subject to the General Aggregate limit. For the purpose of this endorsement, the following definition is added: "Projecrmeans all work done by you or on your behalf, away from premises owned or rented to.you, to complete an individual bid or negotiated contract to provide services for a specified period of time. Multiple jobs, work orders, purchase orders or work done at multiple "locations" under one contract are not separate "projects" within the meaning of this coverage. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED} AP5012 S 1 2-03 Page 1 of I POLICY NUMBER: ERAS (23) 56 23 56 25 COMMERCIAL AUTO AC 86 43 08 21 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CALIFORNIA BUSINESS AUTO COVERAGE ENHANCEMENT ENDORSEMENT This endorsement modifies insurance provided under the foilowing: BUSINESS AUTO COVERAGE FORM With respect to coverage afforded by this endorsement the provisions of the policy apply unless modified by the endorsement. If the policy to which this endorsement is attached also contains a Business Auto Coverage Enhancement Endorsement with a specific state named in the title, this endorsement does not apply to vehicles are d in that specified state. COVERAGE INDEX SUBJECT PROVISION NUMBER ACCIDENTAL AIRBAG DEPLOYMENT 12 ADDITIONAL INSURED BY CONTRACT, AGREEMENT OR PERMIT 3 AMENDED DUTIES IN ` EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS 20 AMENDED FELLOW EMPLOYEE EXCLUSION 4{ 5 AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE 1 4 BODILY INJURY REDEFINED EMPLOYEES AS INSUREDS (Including Employee Hired Auto) EXTRA EXPENSE - BROADENED COVERAGE 1 0 GLASS REPAIR TM WAIVER OF DEDUCTIBLE 1 6 HIRED AUTO COVERAGE TERRITORY 22 HIRED AUTO PHYSICAL DAMAGE (Including Employee Hired Auto) LOAN I LEASE GAP (Coverage Not Available In New York) . 1 5 NEWLY FORMED OR ACQUIRED SUBSIDIARIES PARKED AUTO COLLISION COVERAGE (WAIVER OF DEDUCTIBLE) 17 PERSONAL EFFECTS COVERAGE 1 PHYSICAL DAMAGE - ADDITIONAL TRANSPORTATION EXPENSE COVERAGE PHYSICAL. DAMAGE DEDUCTIBLE w VEHICLE TRACKING SYSTEM 1 3 PRIMARY NON-C N ` i TORY -.)AIRIITEN CONTRACT OR WRITTEN AGREEMENT 23 RENTAL REIMBURSEMENT SUPPLEMENTARY ► ► 'l El IT TOWING AND LABOR 7TWO OR MORE DEDUCTIBLES 18 UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS 19 WAIVER OF TRANSFpR OF RIGHTS OF RECOVERY G INST OTHERS' S 21 SECTION I - LIABILITY COVERAGE is amended as follows: 1 NEWLY FORMED OR ACQUIRED SUBSIDIARIES SECTION II - LIABILITY COVERAGE, Paragraph A.1. Who Is n Insured is amended to include the following an "insured": d. Any legally incorporated subsidiary of which you own more r than 50 percent interest during the policy period. Coverage is afforded only for 90 days from the date of acquisition or formation. However, "insured" does not Include any organization that: (1) Is a partnership or joint venture, or Is an "insured" under any other automobile policy except a policy written specitica11 y to apply in excess of this policy; r Has exhausted its Limit of Insurance or had its policy terminated under any other automobile policy. 08 21 /ram /y 2021 LibertyMut ! Insurance Includes copyrighted material I ran a Services Office, Inc. with its permission. Page 1 of I MMINFINION SONINISMOMI MFMNIMIOMOI .11.110101111011•011 wimpiesompai Coverage under this provision d. does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization. . EMPLOYEES AS INSUREDS SECTION II - LIABILITY COVERAGE, Paragraph Ail. Who Is An Insured is amended to include the following as an "insured": e4 Any "employee" of yours while using a covered "auto" you do not own, hire or borrow but only for acts within the scope of their employment by you. Insurance provided by this endorsement is excess over any other Insurance available to any "employee". f* Any "employee" of yours while operating an "auto" hired or borrowed under a written contract or agreement in that "employee's" name, with your permission, while performing duties related to the conduct of your business and within the scope of their employment. Insurance provided by this endorsement is excess over any other insurance available to the "employee". 3. ADDITIONAL INSURED CONTRACT, AGREEMENT OR PERMIT SECTION II - LIABILITY COVERAGE/ Paragraph A.1. Who Is An Insured is amended to include the following as an "insured": 9. Any person or organization with respect to the operation, -maintenance or use of a covered "auto", provided that you and such person or organization have agreed in a written contract, written agreement, or permit issued to you by governmental or public authority, to add such person, or organization, or governmental or public authority to this policy as an "insured". However, such person or organization is an "insured": (1) Only with respect to the operation, maintenance or use of a covered "auto"; (2) Only for "bodily injury" or "property damage" caused by an "accident" which takes place after you executed the written contract or written agreement, or the permit has been issued to you; and Only for the duration of that contract, agreement or permit. The "insured" is required to submit a claim to any other insurer to which coverage could apply for defense and indemnity. Unless the "insured" has agreed in writing to primary noncontributory wording per enhancement number 231. this policy is excess over any other collectible Insurance. 4. SUPPLEMENTARY PAYMENTS SECTION II LIABILITY COVERAGE, Coverage Extensions, 2.a. Supplementary Payments , Paragraphs (2) and ( are replaced by the following: (2) to $3,000 for cost of bail bonds (including bonds for related traffic violations required because of an "accident" we cover. We do not have to furnish these bonds. (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day because of time off from work. 5. AMENDED FELLOW EMPLOYEE EXCLUSION In those jurisdictions where, by law, faller "employees" are not entitled to the protection afforded to the employer by the workers compensation exclusivity rule, or similar protection, the following provi- sion is added: SECTION It - LIABILITY/ Exclusion B.54 Fellow Employee does not apply if the 'bodily injury" results from the use of a covered "auto" you own or hire if you have workers compensation insurance in force for all of your "employees" at the time of "loss". This coverage is excess .over any other collectible insurance. SECTION III - PHYSICAL DAMAGE COVERAGE is amended as follows: 6. HIRED AUTO PHYSICAL DAMAGE Paragraph A.4. Coverage Extensions of SECTION III PHYSICAL DAMAGE COVERAGE, is amended by adding the following: If hired "autos" are covered "autos" for Liability Coverage, and if Comprehensive, Specified Causes of Loss or Collision coverage are provided under the Business Auto Coverage Form for any "auto" you own, then the Physical Damage coverages provided are extended to "autos": AC 85 43 08 21 1 Liberty Mutual Insurance Includes copyrighted material of Insurance Services Once, Inc., with its permission, Page 2 of 7 Q a. You hire, rent or borrow; or . Your "employee" hires or rents under a written contract or agreement in that "ems lr.p QH name, but only if the damage occurs while the vehicle is i • subject to the following limit and deductible: a. The most we will pay for "loss" in any one "accident" or "loss" • is the smallest (1) • 100 ; or 2) The actual cash value of the damaged or stolen property as of the time of the "loss"; or The cost of repairing orrepiacing the damaged or stolen property with other property of like kind nd quality, minus a deductible. . The deductible will be equal to the largest deductible applicable to any owned "auto" coverage. c. Subject to the limit, deductible .and excess . provisions described in thisr i i. , we will provide id coverage equal to the broadest coverage lic l d. Subject to a maximum of $1,000 per "accident`#, we will atso cover the actual. toss of use of the hired "auto" if it results from an "accident'', you are legally liable and the lessor incurs an actual financial loss e. This coverage extension does not apply to: Any "auto" that is hired, rented or borrowed with a driver; or (2) Any "auto" that is hired, rented or borrowed from your "employee" r any member of your "employee's" . household, Coverage provided under this extension is excess over any other collectible insurance available at the time of "loss". 7. TOWING AND LABOR SECTION lit - PHYSICAL DAMAGE COVERAGE,. Paragraph A.2. Towing is amended by the addition of the following. We will pay towing and labor costs incurred, up to the limits shown below, each time a covered "auto" classified and rated as a private passenger type, "light truck" or "medium truck" is disabled: a. For private passenger type vehicles, we will pay up to $75 per disablement .b. For `light trucks", we will pay up to per disablement. "Light trucks' are trucks that have'gross vehicle weight (GVW) of 10=0 pounds or less. For "medium trucks". we will pay up to per disablement. "Medium trucks" are trucks that have a gross vehicle weight (GVW) of 103001. - 203000 pounds. However, the labor must be performed at the place of disablement. . PHYSICAL f G. DI J I L TRANSPORTATION EXPENSE COVERAGE Paragraph .. •, Coverage Extensions, Transportation Expenses of SECTION III - PHYSICAL DAMAGE COVERAGE, is m nd dto provide a limit of per day and a maximum limit of $1 ,500. E RENTAL REIMBURSEMENT SECTION III ,w PHYSICAL DAMAGE COVERAGE, A. Coverage , is amended by adding the following: We will pay up to 5 per day for rental reimbursement expenses incurred by you for the rental of an "auto" because of "accident" or "loss", to "auto" for which we also pay a "loss" under Comprehensive, Specified Causes of Loss or Collision Coverages. We will pay only for those ex- penses incurred after the first 24 hours following b1 Rental Reimbursement requires the rental of a comparable or lesser vehicle, which in many cases may be u t nti ll f ss than per day, and will only be allowed for the period of time It should take to repair or replace the vehicle with reasonable speed and similar quality, up to a maximum of 30 days. c. VVe will also pay up to for reasonable and necessary expenses incurred by. you to remove and replace your tools and equipment from the covered "auto{". This limit is excess over any other collectible insurance. 0 2021 Liberty Mutual Insurance AC 85 43 08 21 Includes copyrighted material of Insurance Services Office. Inc., with its permission. Page 3 of 7 AC 86 43 08 21 . This coverage does not apply unless you have a business necessity that other "autos" available for your use and operation cannot rill. e. If "loss" results frOm the total theft of a covered "auto" of the private passenger type, we will pay under this coverage only that amount of your rental reimburSement expenses which is not already provided under Paragraph 4. Coverage insi . f. No deductible applies to this coverage. g. The insurance provided under this. extension is excess over any other collectible Insurance. If this policy also provides Rental Reimbursement Coverage you purchasedv the coverage provided by this Enhancement Endorsement is in addition to the coverage you purchased. For the purposes of this endorsement provision, materials and equipment do not include "personal effects" as defined in provision 11.B. 10. EXTRA EXPENSE - BROADENED COVERAGE Under . SECTION III PHYSICAL DAMAGE COVERAGE, A. Coverage we will pay for the expense of returning a stolen covered "auto" to you. The maximum amount we will pay is $1,000. 11. PERSONAL EFFECTS COVERAGE A. SECTION III * PHYSICAL DAMAGE COVERAGE1 A. Coverage , is amended by adding the following: If you have purchased Comprehensive Coverage on this policy for an "auto" you own and that "auto" is stolen, we will pay, without application of a deductible, up to for "personal effects" " stolen with the "auto." The insurance provided under this provision is excess over any other coliedible. insurance. B. SECTION V DEFINITIONS is amended by adding the following: For the purposes of this provision, "personal effects" mean tangible property that is worn or carried by n "insured," "Personal effects` does not include tools, equipment, jewelry, money or securi- ties. ACCIDENTAL AIRBAG DEPLOYMENT SECTION ill M PHYSICAL DAMAGE COVERAGE, B. Exclusions is amended by adding the following: If you have purchased Comprehensive or Collision Coverage under this policy, the exclusion for "loss" relating to mechanical breakdown does not apply to the accidental discharge of an airbag. Any insurance we provide shall be excess over any other collectible insurance or reimbursement by manufacturer's warranty. However, we agree to pay any deductible applicable to the other coverage or warranty. 13. PHYSICAL DAMAGE DEDUCTIBLE - VEHICLE TRACKING SYSTEM SECTION III .: PHYSICAL DAMAGE COVERAGE, De Deductible , is amended by adding the following: Any rprensi re Deductible shown in the Declarations will b . reduced by 50% for any. "loss" caused by theft if the vehicle is equipped with a vehicle tracking device such as radio tracking device or a global position device and that device was the method of recovery of the vehicle. 14. AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE SECTION III . PHYSICAL DAMAGE COVERAGE, B., Exclusions , Paragraph a. of the exception to xcl - i ns 4.c. and 4.d. is deleted and replaced with the following: Exclusions .c. and 4.d. do not apply to: a. Electronic equipment that receives or transmits audio, visual or data signals, whether or not de- signed solely for the reproduction of sound; if the equipment is: (1) Permanently installed in the covered "auto" at the time of the "loss" or removable from a housing unit that is permanently installed in the covered "auto"; and Designed to be solely operated by use from the power from the "autos" electrical system; and Physical damage coverages are provided for the covered "auto". if the "loss" occurs solely to audio, , visual or data electronic equipment or accessories used with this equipment, then our obligation to pay for, repair, return or replace damaged ed r stolen property will be reduced by $100 deductible. 2021 Liberty Mutual l Insurance Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 4 of 1 . LOAN LEASE GAP COVERAGE (Not Applicable In New York) A. Paragraph C. Limit Of Insurance of SECTION III * PHYSICAL DAMAGE COVERAGE is amended by adding the following: The most we will pay for a "total loss' to a covered "auto" owned by or leased to you in any one *accident" is the greater of the: 1. Balance due under the terms of the loan or lease to which the damaged covered "auto" is subject at the time of the "loss" less the amount a. Overdue payments and financial penalties associated with those payments as of the date of the "loss"; b. Financial penalties imposed under a lease due to high mileage" excessive use or abnormal wear and tear; Costs for extended warranties, Credit Life insurance, Healthi Accident or Disability Insur- ance purchased with the loan. or lease; d. Transfer or rollover balances from previous loans or leases; e. Final. payment due under a `Ball Loan": f. The dollar amount of any unrepaired damage which occurred prior to the "total loss" of a covered „auto"; g. Security deposits not refunded by a lessor; h. All refunds payable or paid to you as a result of the early termination of a lease agreement or as a result of the early termination f any warranty or extended service agreement on covered "auto"; i. Any amount representing taxes; j. Loan or lease termination fees; or 2. The actual cash value of the damage or stolen property as of the time of the 'noes". An adjustment for depreciation 'and physical condition will be made in rminin the actual cash value at the time of the "loss". This adjustment is not applicable in Texas. B. Additional Conditions This coverage applies only to the original loan for which the. covered "auto" that incurred the gloss" serves as collateral, or lease written on the covered "auto` that incurrdd the 'moss" C. SECTION V. -• DEFINITIONS is changed by adding the following: As used in this endorsement provision, the following definitions apply: 'Total loss" means a "loss" in which the cost of repairs plus • the salvage value exceeds the actual cash value. A "balloon loan" is one with periodic payments that are insufficient to repay the balance over the term of the loan, thereby requiring a large final payment. 16 GLASS REPAIR - WAIVER OF DEDUCTIBLE Paragraph D. Deductible of SECTION 111 - PHYSICAL DAMAGE COVERAGE Is amended by the addition of thefollowing: No deductible applies to glass damage If the glass is repaired rather than replaced, 17. PARKED T COLLISION COVERAGE (WAIVER OF DEDUCTIBLE) Paragraph D0 Deductible of SECTION III - PHYSICAL DAMAGE COVERAGE is amended by the addition of the following: The deductible does not apply to "loss" caused by collisionto such covered "auto" of the private passenger type or light weight truck with a gross vehicle weight of 10,000 lbs. or less. defined by the manufacturer as maximum loaded weight the {1'r is designed to carry while it is: a. In the charge of an "insured"; b. Legally parked; and c. Unoccupied. AC 85 43 OB 21 1 Liberty Mutual lrisurance Includes copyrighted material of Insurance ervi Office, Inc„ with its permission. Page 5 of r ISONgint } ul 0 The Floss" must be reported to the police authorities within 24 hours of known damage. The total amount of the damage to the covered "auto"' must exceed the deductible shown in the Declarations. This provision does not apply to any }loss" if the covered "auto" is in the charge of any person or organization engaged in the automobile business. 18 MO OR MORE DEDUCTIBLES Under SECTION III PHYSICAL DAMAGE COVERAGE, if two or more company policies or coverage forms apply to the same "accident", the following applies to Paragraph D. Deductible a. if the applicable Business Auto deductible is the smaller (or smallest) deductible, it will be waived; or b. if the applicable Business Auto deductible is not the smaller (or smallest) deductible , it will be reduced by the amount of the smaller (or smallest) t deductible; or c. if the "loss" involves two or more Business . Auto coverage forms or policies, the smaller (or smallest) deductible will be waived. For the purpose of this endorsement, company means any company that is part of the Liberty Mutual Group. SECTION IV i s AUTO CONDITIONS, is amended as follows: 19.. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS SECTION IV- BUSINESS AUTO CONDITIONS , Paragraph B.2, is amended by adding the following: If you unintentionally fall to disclose any hazards, exposures or material facts existing as of the incep- tion date or renewal date of the Business Auto Coverage Form, the coverage afforded by this policy will not be prejudiced. However, you must report the undisclosed hazard of exposure as soon as practicable after its discovery, and we have the right to collect additional bremium for any such hazard or exposure. 20, AMENDED DUTIES IN THE EVENT OF ACCIDENTt CLAIM0 SUIT OR LOSS SECTION lV 16 BUSINESS AUTO CONDITIONS , Paragraph A.2.ao is replaced in its entirety by the follow- ing: al In the event of "accident", claim, "suit" or "loss", you must promptly notify us when it is known to: 1 You, if you are an individual; (2) A partner, if you are a partnership; Member, if you are a limited liability company; (4) An executive officer or the "employee" designated ' by the Named insured to give such notice, if you are a corporation. To the extent possible, notice to us should include: (a) How, when and where the "accident" or Floss" took place; I The "in red''s" name and address; and (c) The names and addresses of any injured persons and witnesses. 21. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS HERS TO S SECTION IV BUSINESS AUTO CONDITIONS , Paragraph A.5. transfer Of Rights Of Recovery Against Others To Us, is amended by the addition of the following: If the person or organization has in a written agreement waived those rights before an "accident" or "lose", our rights are waived also, 22. HIRED AUTO COVERAGE TERRITORY SECTION BUSINESS AUTO CONDITIONS # Paragraph Bit Policy Period, Coverage Territory , is amended by the addition of the following: fw For 'autos" hired 30 days or less, the coverage territory is anywherein the world, provided that the "insureds" responsibility to pay for damages is determined in a "suit", on the merits, in the United States, the territories and possessions of the United States of America, Puerto Rico or Canada or in a settlement we agree to. AC 85 43 08 21 1 Liberty Mutual Insurance Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 6.of This extension of coverage does not apply to an "auto" hired, leased, setece 23. PRIMARY AND NON.CONTRIBUTING IF REQUIRED BY WRITTEN MEN T CONTRACT OR WRITTEN The following is added to SECTION IV BUSINESS AUTO CoNDITIONS, Insurance and supersedes any provision to the contrary: This CoverageFormsCovered Autos Liability Coverage 'is primaryt roter ��e ��ie #�� will seek�trIbutio Insured under your policy provided that: 1. Such "insured" is a Named Insured under such other insurance; and 2. You have agreed in a written contract or written agreement that t . and l�� ae�� this k�e wouldprimary from any other insurance available to such "insured". SECTION V - DEFINITIONS is amended as follows: 24. BODILY INJURY REDEFINED Under SECTION V - DEFINITIONS , Definition C. is replaced l owing: "Folly injury" means physical injury, sickness or disease sustained anguish,mental injury, fright hers includingmental or death resulting from any of these at any time. AC 2021 Liberty Mutual Insurance includes copyrighted material of Insurance Services Officer Inc., with its permission. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 34 (Ed. 8-00) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - BLANKET We have the right to recover our payments from anyone liable for an injury covered by this policy, We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work Linder a written on r + t that requires you to obtain this agreement from . The additional premium for this endorsement shall be 2 % of the total California Workers' Compensation premium otherwise due. Schedule Person or Organization Job Description ANY ALL CALIFORNIA PERSON1ORGANI ZATION OPERATIONS WHEN REQUIRED BY WRITTEN CONTRACT This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement Is Issued subsequent to preparation of the policy.) Endorsement Effective 2 3 Policy No. si) S 03941 6 0 5 Endorsement No. Insured C INC Insurance Company INSURANCE COMPANY OF THE WsT Countersigned By WC 99 06 34 8-00) Premium NCL INSURE) Form (Rev.October 01) Identification Number and Certification Department of the Trees Internal Revenue Service Go to vw. J /FEW for Instructions ond the Information. alT'e ( Shown on your income tax return). Name is required on this line; do not leave thisHSC C# Inca 2 Business nameldisregarded entity name, if different from above c. Li individual/sole proprietor or L 0 pt U a U, c,3 3 Check appropriate raje box for federal tax classification of the person whose name is entered on l_•_ 1 C.eck --only - of the 4 µ _ following seven boxes. Exemptions (codes apply only to certain entitles, not individuals; see instructions on page 3): single -member LL El Limited liability company. Enter the tax classification (CAC corporation, SI--S corporation, P ner hip) Note: Check the appropriate box in the lina above for the tax classification of the single -member owner. Do not check LLG if the LLC is Ta ff€ ;d as a single -member LLC that is disregarded from the ner unless the owner of the Lie is another LIG that is not disregarded from the owner for V.S. federal tax purposes. Otherwise, a single -member LLG that is disregarded from the owner should check the appropriate box for the tax classification of its owner. _ Other (see instructions) Ow Address (number, sireet, and apt. or suite no.) See instructions, PO Box 1168 Request for Taxpayer 6 City, state, and ZIP code Lakeside, CA. 92040 7 List account number(s) here (optional) Corporation S Corporation Partnership El Trust/estate 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, this is generally your social security number (SSN). However, for resident alien, sole proprietor, or disregarded entity, see the instructions for Part It later. For other entitles, it is your employer identification number (EIN). If you do not have a number, see How to get a f, later. Note: If the account IS in more than one name. see the Instructions for line 1. Also see What Name and Number lb Gfve the Requester for guidelines on whose number to enter. Certification Under p-enaities of penury, i rify that: Give Form to the requester. not send to the IRS. Exempt payee code (if any) Exemption from FTA reporting code (if any) ,0IPBS la 00070.0M fr110)1WPfid tliiiSida U.S.) uter'afe and ddresas (opironal Social security number or Employer iclenthication number 1 1. The number shown on this form is my correct taxpayer identification number (or I ar-n waiting for a number to be issued to e); and 2. I am not subfect to backup withholding because* (a) l ani exempt from backup withholding, or ) I have not been notified by the Internal Revenue Service (IRS) that t am subject to backup withholding as a 'exult of a failure to report all interest or di rldends, or (c the IRS hanotified me that no longer subject to backup withholding; and ..lam .1 am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this Ior?r f any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You rust cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed 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 )1 and generally,payments otherether than interest and dividends, you are not reqfired to sign the certification, but you roust provide your correct TIN. Sees the instructions for Part II, later. Sign signature of Here U.S. person r General Instructions Section references are to the Internal evenue 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 r .go /FonnW , Purpose of Form A 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 ° TIN), adoption • taxpayer identification number (A I ), or employer Identification number (EIS), to report on an infor-r- ation return the amount paid to you, or other amount reportable on an information return. Examples of information returns Include, but are not limited to, the following, • Form :I 09 -1 T (Interest earned or paid) Cat, No. 10231X Date. • Foy 1099- IV (dividends, including those from stocks or mutual funds) • Form I0 9- I (various types of income, prizes, awards, or gross proceeds) • Form 1099-3 (stock or mutual fund sales and certain other transactions by brokers) • Form 1 99- (proceeds from real estate transactions) • Form 1 9 - (merchant card and third party network transaction • Form 1098 (home mortgage interest), 109 - (student loan Interest), 1098-T (tuition) • Form 1 9- (canceled debt) • Form 10 .-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a LI,S. person (Including a resident alien), to provide your correct TIN. lt you do not return Form W-9 to the requester with a TIN, youmight be subject to backup withhotding. See What is backup withholding, later. Form w-(Rev, ! 0-201 sI "mot-:9=�GIc—w �5 �- J.cr T �•� Y �,t��.." { r"r" �-^ '+hs':_. �-_ - �"r��La:.:.+t-4��P;.t.:9r tali'.'y;.�.:7tz,e3'F ., ..,. .,�,�� r.. - .}:;�.� ��'�tdr'%,•�:,t'�::;'se;� � •"�%�� ,U'.'s-_-•,r. �i 3iti'„ -� .+... L �•..�� - t-sue r City of ational City BUSINESS TAX CERTIFICATE "For Services Provided in National City, California Only" Business Name Business Location Business Owner(s) I -I C , INC 1 1 1 LAKESIDE AVE LAKESIDE, IDE, CA 92040-1712 HISCC, INC FISCC, INC PO BOX 1168 LAKESIDE, CA 92040-0906 fry • Business Type Account Number Effective Date Expiration Date 2023 TO 3 POSTED I A CONSPICUOUS PLACE AND NOT TRANSFERABLE IGNABLE Contractor @ General (Based Out Of City) 09052409 May 15, 2023 December 31,2023 City Manager NOTE: IT IS YOUR OBLIGATION TO RENEW THIS CERTIFICATE WHETHER NOT YOU RECEIVE RENEWAL NOTICE THIS BUSINESS TAX ERTIFI ATE DOES NOT PERMIT A BUSINESS For all inquiries regarding this certificate, contact I-fdL THAT Is THE WI PROHIBITED. Business Tax Support Center at (619) 382-2596. I i,g1--,sir-` -_.�s•.Ly'�.'r f s—'aF"''T. ` •iiti�c �y; F.•.�s C' `��:�."" t�"i:. �:'..�: sue.-�,�.r"�:^=+�- �*��.�'.,:��"�•�a4,x�•s- ri='o-''�tz,-m4F.rymmallit�,fitra��'�� RSCC, INC , Thank you for your payment on your National City Business Tax Certificate. ALL CERTIFICATES MUST BE. AVAILABLE FOR INSPECTION UPON REQUEST. If you have questions concerning your business license, contact the Business Support Center via email at: NationalCity@HdLgov.com or by telephone at: 1 382-2596 Keep this portion for your license separate in case you need a replacement for any lost, stolen, or destroyed license. A fee may be charged for a replacement or duplicate certificate. This certificate does not entitle the holder to conduct business before complying with all requirements of the National City 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 National City, please display the Business Tax Certificate below in a conspicuous place at he 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 any cart, vehicle, van or other movable structure or device at all times if required by the Collector. Starting January 1, 2021p Assembly Bill 1607 requires the prevention of gender -based discrimination of business establishments. A full notice isavailable in English or other languages by going to: https://www.dca.ca.govipublicationsi TAX Er CENTER BUSINESS ) 8839 N CEDAR AVE #212 H CC, INC PC BOX 11 LAKESIDE, IDE, CA 40-O 0C SUPPO 0 Cleo City of National City BUSINESS TAX CERTIFICATE Account Number: 09052409 Date of issue: 06/15/2023