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HomeMy Public PortalAboutC-20-119 - Elecnor Belco Electric, Inc. Agreement, Project No. 1422CONTRACT DOCUMENTS PROJECT NO. 1422 I C} BROADWAY IMPROVEMENTS TRAFFIC SIGNAL MODIFICATIONS FROM VICTORIA STREET TO ALONDRA BOULEVARD To be Submitted AFTER Award of Contract Chi CONTRACT PROJECT NO. 1422 AGREEMENT THIS AGREEMENT is made and entered into by and between Owner, consisting of one or both of the following described public entities: IX ] ■ The City of Carson, California [ ] ■ Successor Agency and Elecnor Belco Electric, Inc. hereinafter called Contractor. The Owner and the Contractor mutually agree as follows: ARTICLE 1. THE PROJECT For and in consideration of the mutual promises set forth herein, Contractor agrees with Owner to perform and complete in good and workmanlike manner all work required by the Contract Documents for Owner's Project No, 1422 , which is described as follows: Title: BROADWAY IMPROVEMENTS TRAFFIC SIGNAL MODIFICATIONS FROM VICTORIA STREET TO ALONDRA BOULEVARD Said work shall be performed in accordance with the Plans, Specifications and other Contract Documents, all of which are referenced in Article III hereof and incorporated herein as though fully set forth. Contractor shall furnish at its own expense all labor, materials, equipment and services necessary therefore, except such labor, materials, equipment and services as are provided in the Contract Documents to be furnished by Owner. ARTICLE ll. CONTRACT SUM AND PAYMENT For performing and completing the work in accordance with the Contract Documents, Owner shall pay Contractor, in full compensation therefore, the contract sum set forth in the Bidding Schedule. Said sum shall constitute payment in full for all work performed hereunder, including, without limitation, all labor, materials, equipment, tools and services used or incorporated in the work, supervision, administration, overhead, expenses and any and all other things required, furnished or incurred for completion of the work as specified in the Contract Documents. Owner shall make payments to Contractor on account of the contract sum at the time, in the manner, and upon the conditions specified in the Contract Documents. 48 ARTICLE III. CONTRACT DOCUMENTS The Contract Documents, which constitute the entire agreement between the Owner and the Contractor, are enumerated as follows: Bid Documents, including the Invitation for Bids, Instructions to Bidders, Bidding Schedule, Bidder's Declaration, Designation of Subcontractors, Bidder's Assurance and Fair Employment Practices documents; this Agreement; Standard Specifications; Special Provisions; Technical Provisions; Drawings; Plans; and all addenda issued prior to and all modifications issued after the execution of this Agreement. A modification is (1) a written amendment to the Contract signed by both parties, (2) a Change Order, (3) a written interpretation issued by the Architect/Engineer or (4) a written order for a minor change in the Work issued by the Architect/Engineer. These form the Contract, and all are as fully a part of the Contract as if attached to this Agreement or repeated herein. The above documents, including the General Conditions, are an integral part of the Contract Documents. In addition to signing this Contract, Contractor shall initial this paragraph immediately below acknowledging that he or she has read, understood and agrees with all of the terms of the Contract Documents, including, but not limited to, provisions of the General Conditions relating to indemnification, insurance, standards of performance, termination, compensation and time of the essence performance. Contractor shall not disclaim knowledge of the meaning and effect of any term or provision of the Contract Documents, and agrees to strictly abide by their meaning and intent. In the event that Contractor fails to initial below, the Owner shall have the right to declare the Contract unexecuted and to award the Contract to another contractor in accordance with state law. Conth ctor's Initial ARTICLE 1V. CONTRACTOR'S BASIC OBLIGATION Project No. 1422 Contractor promises and agrees, at its own cost and expense, to furnish to the Owner all labor, materials, tools, equipment, services, and incidental and customary work necessary to fully and adequately complete construction of Project No. 1422 — BROADWAY IMPROVEMENTS TRAFFIC SIGNAL MODIFICATIONS FROM VICTORIA STREET TO ALONDRA BOULEVARD, including Alternate Bid item No(s). NIA selected by the Owner (if any), and all structures and facilities described in the One Contract (hereinafter the "Work"), for a total of iwHowkWKdd P"� DOLLARS AND NO CENTS ($ 1,188,835.00 ), as specified in the Contract Bid Forms submitted by the Contractor in response to the above referenced Invitation for Bids. Such amount shall be subject to adjustment in accordance with the applicable terms of this Contract. All Work shall be subject to, and performed in accordance with the above referenced documents. 49 ARTICLE V. STANDARD OF PERFORMANCE Contractor shall perform all Work under this Contract in a skillful and workmanlike manner, and consistent with the standards generally recognized as being employed by professionals in the same discipline in the State of California. Contractor represents and maintains that it is skilled in the professional calling necessary to perform the Work. Contractor warrants that all employees and subcontractors shall have sufficient skill and experience to perform the Work assigned to them. Finally, Contractor further represents that it, its employees and subcontractors have all licenses, permits, qualifications and approvals of whatever nature that are legally required to perform the Work, and that such licenses and approvals shall be maintained throughout the term of this Contract. ARTICLE VI. PERIOD OF PERFORMANCE Contractor shall perform and complete all Work under this Contract within 100 working days, beginning ten (10) Calendar Days after the date on which the Letter of Award is sent by the Owner to the Contractor. Moreover, Contractor shall perform its Work in strict accordance with any completion schedule, construction schedule or project milestones developed pursuant to provisions of the Contract, including but not limited to the Project Schedule located in the Specifications. Contractor agrees that if such Work is not completed within the aforementioned period and/or pursuant to any such completion schedule, construction schedule or project milestones developed pursuant to provisions of the Contract, including but not limited to the Project Schedule located in the Specifications, it is understood, acknowledged and agreed that the Owner will suffer damage. Pursuant to Government Code Section 53069.85, Contractor shall pay to the Owner as fixed and liquidated damages the sum of Seven Hundred Fifty dollars ($750.00) PER DAY as provided by the applicable provisions of the General Conditions of this Contract. ARTICLE VII. OWNER'S BASIC OBLIGATION Owner agrees to engage and does hereby engage Contractor as an independent contractor to furnish all materials and to perform all Work according to the terms and conditions herein contained for the sum set forth above. Except as otherwise provided in the Contract, the Owner shall pay to Contractor, as full consideration for the satisfactory performance by the Contractor of the services and obligations required by this Contract, the above referenced compensation in accordance with compensation provisions set forth in the Contract. ARTICLE VIII. CONTRACTOR'S LABOR CERTIFICATION Contractor maintains that he is aware of the provisions of Section 3700 of the California Labor Code which require every employer to be insured against liability for Worker's Compensation or to undertake self-insurance in accordance with the provisions of that Code, and agrees to comply with such provisions 50 before commencing the performance of the Work. A certification form for this purpose is attached hereto as Exhibit "A-1" and incorporated herein by reference, and shall be executed simultaneously with this Contract. ARTICLE IX. ATTORNEY'S FEES If either party commences an action against the other party, either legal, administrative or otherwise, arising out of or in connection with this Contract, the prevailing party in such action shall be entitled to have and recover from the losing party reasonable attorney's fees and all other costs of such action. ARTICLE X. SUCCESSORS The parties do for themselves, their heirs, executors, administrators, successors, and assigns agree to the full performance of all of the provisions contained in this Contract. Contractor may not either voluntarily or by action of law assign any obligation assumed by Contractor hereunder without the prior written consent of the Owner. ARTICLE X1. NOTICES All notices hereunder and communications regarding interpretation of the terms of the Agreement or changes thereto shall be provided by the mailing thereof by registered or certified mail, return receipt requested, postage prepaid and addressed as follows: Contractor Surety Elecnor Belco Electric, Inc. 14320 Albers Way China CA 91710 Attn: Attn: Owner 316th Collies To: City of Carson 701 E. Carson Street Carson, CA 90745 City Manager Any notices so given shall be considered received by the other party three (3) days after deposit in the U.S. Mail, first class postage prepaid, addressed to the party at the above address. Actual notice shall be deemed adequate notice on the date actual notice occurred, regardless of the method of service. 51 AFaXIL XUL SFE DATE Ths Agnmmma skall bwmw effixam and oam== 2osof&r diftset finth 6 P46 anwhmffm dX Daft Of do PUMiCT, weer ORMIr V' Com. CmwoIcS said ApRgabeM IN WYFNIESS WIUMWF, ibe pamm ono hzwc ems duLs Agmemon to be cKmLmW 2md by tEric- pmpcff ours lba=do dWy mdwfi2%3L DONESIA L- GAUS'E- CITY CLERK U! chke!'f., 5� 5 3, .fir A APpt?nV F7n AC Tn M City Aitarey ATTEST: By: ]ecnni CFO Title ��nattue 10119/20 Date 5 ;BLERTT I ROBL S MAYOR CONMRACTOR: BmiN r Bcico Flocs , Inc. Bar. Alberto Gamia Print Mame i PresidentlCEO Ill A`s. a�. 10119/20 CALIFORNIA ALL- PURPOSE CERTIFICATE OF 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 San Bernardino } On 10/22/20 before me, Rebecca Wilks, Notary Public , I er insert name andie of t}r�ieer! personally appeared Alberto Garcia and Jeroni Gervilla I who proved to me on the basis of satisfactory evidence to be the person(E)whose name se isti rasubscribed to the within instrument and acknowledged to me that he/she4flD executed the same in his/he et uthorized capacityKED and that by his/her el signature(@ on the instrument the persons , or the entity upon behalf of which the person Bacted, 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.RfBltcAwrlrcS Notary public •California San Bernardino County If Commission o 2300424 r Notary Public Signature (Notary Public e My Camm. Eicpires A_g 5.2023 ADDITIONAL OPTIONAL INFORMATIO DESCRIPTION OF THE ATTACHED DOCUMENT City of Carson (Tills or descriplion of attached document) (Title or description of attached dommenl continued) Number of Pages Document Date CAPACITY CLAIMED BY THE SIGNER 0 Individual (s) I] Corporate Officer (Title) ❑ Partner(s) ❑ Attorney -in -Fact p Trustee(s) © Other vAvw,Nota ryClasses.corn 800-873-9865 N INSTRUCTIONS FOR COMPLETING THiS FORM This from cornplies with entreat C alilirrnia statures mgartling notary imitling and, if ncriW, should be completed and attached to the doctrnteut. Arbiairledgnrents from other stales mar be completed, for elacnrmenrs being sent to that stare so lung as the tivrdiiig docs not i equiry the Calif ria natao, to i iolate Califomia notate law. • State and County information must be the Slate and Counly where the document signer(s) personally appeared before the notary public for acknowledgment. • Date of notarisation must be the date flint the signer(s) personally appcared which must also be the same date the acknowledgment is completed. • Tlie notary public must print his or her name as it appears within his or her commission followed by a conimn and then your title (notary public). • Print [lie nanic(s) of document signr.•r(s) Avhn personally appear at the unrc of n0tUn4atlnn. • Indicate the correct singular or plural forms by crossing oil' incorrect terms (i.e. is /*m ) or circling the correct forms. Failure to correctly indicate this infannation may lead to rejection of document recording. • The notary seal impression must be clear and photographically reproducible. Impression mast not cover text or lines. If seal impression smudges, re -seal Wit sufficient ami permits, othe:ntise complete n diflrrent acknowledgment form. • Signature of the notary public must match the signature on file with the office of the county clerk. Additional information is not required btu could help to ensure this acknowledgment is not misused or attached to different document. Indicate title or type of altuched document, number of pages and date. Indicate the capacity claimed by the signer. if the claimed capacity t, 3 coilioraie officer, indicate the title (i.e. CEO. CFO, Secretary). • Securely allach this docinnent to the signed docurnent with a staple. CONTRACT Bond No_ 9360699 PROJECT NO. 1422 Premium: $3,959.00 FAITHFUL PERFORMANCE BOND WHEREAS, the Owner, consisting of one or both of the following described public entities: [X ] ■ The City of Carson, California I ] ■ Successor Agency has awarded to Elecnor Belco Electric, Inc. hereinafter designated as the "Principal", a Contract for: PROJECT NO.: 1422 TITLE: BROADWAY IMPROVEMENTS TRAFFIC SIGNAL MODIFICATIONS FROM VICTORIA STREET TO ALONDRA BOULEVARD WHEREAS, said Principal is required under the terms of said Contract to furnish a bond for the faithful performance of said Contract; NOW, THEREFORE, we, Elecnor Belco Electric, Inc. as Principal, and as Surety, are held and firmly bound unto the Owner in the sum of one Minion one Hundred Eighty Eight Thousand Eight Hundred Thirty Five and 001100 Dollars ($_ 1.188.835.00 ), this amount being not less than one hundred percent (1000/*) of the total Contract price, lawful money of the United States of America, for 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. In case suit is brought upon this bond, the Surety will pay a reasonable attorney's fee to the "Owner" in an amount to be fixed by the court. THE CONDITION OF THIS OBLIGATION IS SUCH THAT, if the hereby bounded Principal, his or its heirs, executors, administrators, successors, or assigns, shall in all things stand to and abide by, well and truly keep and perform all the undertakings, terms, covenants, conditions and agreements in the said Contract and any alteration thereof made as therein provided, all within the time and in the manner therein designated and in all respects according to their true intent and meaning, then this obligation shall become null and void; otherwise, it shall be and remain in full force and effect. 53 FURTHER, the said Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration or modification of the Contract Documents, or of the work to be performed thereunder, shall in any way affect the obligations of this bond, and it does hereby FAITHFUL PERFORMANCE BOND CONTINUED waive notice of any such change, extension of time, alteration or modification of the Contract Documents or of the work to be performed thereunder. IN WITNESS WHEREOF, three (3) 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 named herein, on the 96th day of October , 2020 , the name and corporate seal of each corporate party being hereto affixed and these presents duly signed by its undersigned representative pursuant to authority of its governing body. Elecnor Selco Electric, Inc. Principal By Akwl klbtr-1W CSD Fidelity and Deposit Company of Maryland Surety BQ Donna M. Planeta, Attorney -in -Fact _ e IlSO i r r 54 CALIFORNIA ALL- PURPOSE CERTIFICATE OF 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 San Bernardino On 10/22/20 before me, Rebecca Wilks, Notary Public Mere insert nzune any Ile at Me ottlrerJ personally appeared Alberto Garcia who proved to me on the basis of satisfactory evidence to be the person(Er) whose name(.•) is re subscribed to the within instrument and acknowledged to me that (e helthey executed the same in Is er/their authorized capacity(ies), and that by Is erltheir signature(&) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. REBECCA WICKS Notary P-.blic • California r 3 _ 5an Bernardino County z C0rrrni$5ion - I300424 f� MY COMM. E:;yires au8 5. 2023 N Notary Public Signature (Notary Public Seal) ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORTH Kris Jirrw, cornphes rridr ern•r'ent [ irlilnrvria Statutes regarzhng untury %Wnhrrq turd, DESCRIPTION OFTHE ATTACHED DOCUMENT rfrrccdrl shunldGec�rrtpletcdandartuchcdfatlredrxmrrcnt..lcdoratrlcd�ruerrrs from uthcr crates mrrt• be completed for dornment5 being scud to that slate so long City of Carson Performance Bond the +rordrug does ool vcquwe the (:alif» „tri nutan, to violate Calrfomia rmtcrrr lint.. (Title or description of attached docutnenl) • State and County information must be the State and Cottnty :There the document signer(s) personally appeared before the notary public for acknouledgrnent. • Date of notarization mast be the date that the iigncr(s) personally appeared which(Title or desorption of attached document continued) must also be the same date the acknowledgmcnt is completed. • The notary public mutt print his or her name as it appears within his or her Number of Pages Document Date contmission fullotverf by a comma and then your title (notary public). + Print Elie natue(s) of tlacutncnt signets} yvho pczsnnulty appear at the titnc of notarimlion. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singudsr or plural Binns by crossing oir incorrect tomts (i.e. W- shc.'t�- is lata ) or circling the co=t fornu. Feiluiv to correctly indi+:atc this ❑ Individual (s) infimnutiori may lead to rcjcctitm ofdocumcnt recording. p Corporate Officer • The notary st-tl impression must be clear and photol-aphically reprcxlucible. President/CEO Impression ntttst not cover text or Eines. If seal impression smudges, re -sial if a (Title) suflicieni acini permits, othensisc complete n ditlerent acknou%iedgtnent form. CI Partner(s)• Signature of the notary public must match Elie signature an file with the office of the cotnny clerk. ❑ Attorney -in -Fact fWditiortal Intonnation is not required but could help to cniurc chi,) ❑ Trustee(s) ackhumledgmrnt is not nususetl or aitaclhed io a diffiaenl docunhent. ❑ Other Indicate title or lylse ol'attached document, number ol'pages and date. Indicate the capacity claimed by tfte signer If the claimed capacity is a corporate r(ficc-r, indicate the title (t.e• Cho. CFE). Secretary). • securely attach this document to the siened docunhent with a staple. 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 OeiiionniaK County of Hartford On October 16, 2020 before me, Brendan Fletcher, Notary Public (insert name and title of the officer) personally appeared Donna M. Planets who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) islare subscribed to the within instrument and acknowledged to me that he/she/they executed the same in histher/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. BRENDAN FLETCHER NO T.4 R F PUBLIC - CT 180835 sslor, Expiree FEE. 23, 2025 Signature_zr� (Seal) Notary Public ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by Robert D. Murray, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which arc set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint, Donna M. PLANETA, Joshua SANFORD, Aimee R. PERONDINE, Danielle D. JOHNSON, Michelle Anne MCMAHON, Bethany STEVENSON, Bryan M. CANESCHT, Kristopher PISANO, Rebecca M. STEVENSON, Nicholas TURECAMO and Tanya NGUYEN, all of Hartford, Connecticut, EACH, its true and lawful agent and Attorney -in -Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers orthe COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its other in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its ofliic in Owings Mills, Maryland., in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of the By -Laws of said Companies, and is now in force. IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed hislhcr names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY A.ND DEPOSIT COMPANY OF MARYLANDr this 4th day of October, A.D. 2019. tea. �•° u.t � ONO �� ATTEST: 7LRICII ANIE:RICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDEi,1TY AND DEPOSIT COMPANY OF MARYLAND By Robert A Murray Vire President B}•• Down E. Broin SecretarJ, State or Maryland Countv of Baltimore On this 4th day of October, A.D 2019, before the subscriber, a Notary Public of the State of Maryland. duly commiss;oned and qualified, Robert D. Murray, Vice President and Dawn E. Brown, Secretary of the Companies, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly swam. deposcih and saith, that he/she is the said officer of the Company aforesaid, and that the seals affixed to the preceding instrument are die Corporate Scats of satd Companies, and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations N TESTWONY WHEREOF. I have hereunto sct my hand and affixed my Official Scal the day and year first abo%c written. j., aus r Constance A. Dunn, Notary Public �., My Commission Expires: July 9, 2023 EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V, Section 8, Attome s -in -Fact. The Chief Executive Officer, the President, or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attomeys-in-fact with authority to execute bonds, policies, recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attorney-in-fact to affix the corporate seal thereto, and may with or without cause modify of revoke any such appointment or authority at any time." CERTIFICATE 1, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that Article V, Section 8, of the By -Laws of the Companies is still in force. This Pnwer of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998, RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney... Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 10th day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect as though manually affixed. INv' TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seals of the said Companies, this 16th day of October . 2020. i,. AL Brian M. Hodges, Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT A COMPLETE DESCRIPTION OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND, THE BOND NUMBER, AND YOUR CONTACT INFORMATION TO: Zurich Surety Claims 1299 Zurich Way Schaumburg, IL 60196-1056 wwtiv rcp2nsfclaimsra:zurichna.com 800-b264577 Bond No. 9360699 CONTRACT PROJECT NO. 1422 PAYMENT BOND WHEREAS, the Owner, consisting of one or both of the following described public entities: [X ] ■ The City of Carson, California [ ] ■ Successor Agency has awarded to Elecnor Belco Electric, Inc. , as Contractor, a contract for the work described as follows: PROJECT NO.: 1422 TITLE: BROADWAY IMPROVEMENTS TRAFFIC SIGNAL MODIFICATIONS FROM VICTORIA STREET TO ALONDRA BOULEVARD AND WHEREAS, said Contractor is required to furnish a bond in connection with said contract, to secure the payment of claims of laborers, mechanics, materialmen and other persons, as provided by law; NOW, THEREFORE, we the undersigned Contractor and Surety, are held firmly bound unto the One 411ion One HundreirEighty Eight Thousand Eight Hundred Thirty Five and 001100 Ddlars Owner in the sum of is1,188,e35_oo) for which payment well and truly to be made we bind ourselves, our heirs, executors and administrators, successors and assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT, if said Contractor, its heirs, executors, administrators, successors, assigns, or subcontractors shall fail to pay any of the persons named in Civil Code Section 3181, or amounts due under the Unemployment Insurance Code with respect to work or labor performed under the contract, or any amounts required to be deducted, withheld, and paid over to the Employment Development Department from the wages of employees of the Contractor and its subcontractors pursuant to Section 13020 of the Unemployment Insurance Code, with respect to such work and labor, then the Surety or Sureties herein will pay for the same in an amount not exceeding the sum specified in this bond, otherwise the above obligation shall be void. In case suit is brought upon this bond, the said Surety will pay a reasonable attorney's fee to the plaintiff(s) and Owner in an amount to be fixed by the court. This bond shall inure to the benefit of any of the persons named in Civil Code Section 3181 as to give a right of action to such persons or their assigns in any suit brought upon this bond. 55 Said Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration or modification of the Contract Documents or of the work to be performed thereunder shall in any way affect its obligations on this bond, and it does hereby waive notice of such change, extension of time, alteration or modification of the Contract Documents or of work to be performed thereunder. IN WITNESS WHEREOF, we have hereunto set our hands and seals on this 16th day of October 20 20 Elecnor Belco EI ctric, Inc. CONTRACTOR '1Q i 0.Tt'Qg 1 d e r"/ CE% 56 Fidelity and Deposit Company of Maryland RETY Donna M. Laneta, CALIFORNIA ALL- PURPOSE CERTIFICATE OF 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 San Bernardino On 10/22/20 before me, Rebecca Wilks, Notary Public , [Here fnsegt name and nue of ane cniceri personally appeared Alberto Garcia , who proved to me on the basis of satisfactory evidence to be the person(S-) whose name() Is re subscribed to the within instrument and acknowledged to me that CEe shelthey executed the same in Is er/their authorized capacity(ies), and that by Is erltheir signature() on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. aa.+s R.ESECCAwtt.x5 Notarf Piblic • calrfcrnia f �� •' San Bernardino County t W Cammissran : 2300424 Notary Public Signature (Notary Public Seal) My Comm. Erapi: e5 Aug 5.2023 ADDITIONAL OPTIONAL INFORMATION n . INSTRUCTIONS FOR COMPLETING THIS FORM DESCRIPTION OF THE ATTACHED DOCUMENT City of Carson Payment Bond (Title or description of attached document) (Title at- description of attached document conitnued) Number of Pages Document Date CAPACITY CLAIMED BY THE SIGNER ❑ Individual (s) U Corporate Officer President/CEO (Title) ❑ Partner(s) ❑ Attorney -in -Fact ❑ Trustee(s) ❑ Other IS NMI c ornplres tart, [unreal C alrlorrrro starrrres rrrgarxlrlrq norar t. urrtlnrg crud if neeciczl, should be completed and attacher! ro the doeument..lc krrouded�nrents f -oin other states mart- be campletc.rllirr doc imenrs being sero to rhos sale so long as the u�rding drm.c tror require the C'ali(ontla noturt• ro violate f aliforntu nolan, Isar. • State and Cottnty infortnatinn must be tate Stale and County %,.here the document siLztcr(s) personally appeared before the nritary public fix acknowicdemern. • Date of nolariiation must he the date that the signa(;h peru)nalty appearw which must also be tits same date the acknoulecigntent is coinpletcd. • Tete notary public mast print his or her name as it appears %%irhin his or her con►mi,sion followed by a comma and then your title (ntAary public). • Prim the narne(s) of document sigil s) witty personally appear at Elie tinter rt' notarization. • Indicate the correct singular or plot►l litems by crorsina u1T incorrect l'urnti (i.e is rtw ) or circling the correct [amts. Failure Lo correctly indiczitc this intionnadon inaY lead to rejection ofdocu merit recording, • The notary cell impre»ion must br cle r and phmtogiaphically mproducibie. Impression must not cotcr text or lines. 11 -seal imprr,sion smuds�e;, reseal il'n sttliicic'nt area permitti, oihertiuise complete a different ackno%iedguent furor. • sig nature of [lie notary Public must match the signature can lilt with the otTice of the county clerk. 0. Additional information is nex tequired but crttrld help to emsurc this acknouledsmtertl is not inisu5W ar attached io a dilTerent document. Indicate title or type of attacltexl documcni, number ofpages and datc. Indicate the capacity clainied by Elm sipicr If the claimed capacity is a cotpon rc officer, indicate the title (i.e. CFU. CFE]. Secretary). • 5eclrrely attach this do+cmtneni to the signed ducuntent with a staple. 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 Gaidooninc County of Hartford On October 16, 2020 before me, Brendan Fletcher, Notary Public (insert name and title of the officer) personally appeared Donna M. Planeta who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. BRENDAN FLETCHER O TA R F PURL lC - CT 180835 My C.mnl.s.cr. Ex;i'E5 r_:. 28, 2025 Signature (Seal) Noiary Public ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the Stale of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by Robert D. Murray, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint, Donna M. PLANETA, Joshua SANFORD, Aimee R. PERONDINE, Danielle D. JOHNSON, Michelle Anne MCMAHON, Bethany STEVENSON, Bryan M. CANESCHI, Kristopher PISANO, Rebecca M. STEVENSON, Nicholas TURECAMO and Tanya NGUYEN, all of Hartford, Connecticut, EACH, its true and lawful agent and Attorney -in -Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed. any and all bonds and ondertaldogs, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their ower proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of the By -Laws of said Companies, and is now in force. IN WITNESS WHEREOF, the said Vicc-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 4th day of October, A.D. 2019. ATTEST: ZURICH AMERICAN INSURANCE CO'MPAN'Y COLONIAL AMERICAN CASUALTY AND SURETY CONtPAiNY FIDELITY AND DEPOSIT COMPANY OF MARYL tNn By. Robert D, Afurray Fice President By.- Dawn E. Brown Secretary State of Maryland County of Baltimore On this Ah day of Octobcr, A.D. 2019, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, Robert D. Nfurrey, V;ce President end Dawn E. Brown, Secretary of the Companies, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly swom, deposcth and saith, that hdshe is the said officer of the Company aforesaid, and that the scats affixed to the precedirg instrument arc the Corporate Seals of said Companies, and that the said Corporate Seals and the signature as such officer were duly afiixcd and subscribed to the said instrument by the authority and direction of the said Corporations N TESTIMONY WHEREOF, 1 have bereumn set my hand and affixed m) Officiat Seal the day and year first above written. �p,i nrryr. Constance A. Dunn, Notary Public My Commission Expires July 9, 2023 EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V, Section 8, Anomeys-in-Fact. The Chief Executive Officer, the President, or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attorneys -in -fact with authority to execute bonds, policies, recognisances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attorney-in-fact to affix the corporate scal thereto, and may with or without cause modify of revoke any such appointment or authority at any time." CERTIFICATE 1, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate, and I do further certify that Article V, Section 8, of the By -Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Hoard of Directors of the 'ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney --- Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on die Company " This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the I Oth day of May. 1990, RESOLVED: "Thai the facsimile or mechanically reproduced seal of the company and facsi:rdle or mechanically reproduced signature of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seals of the said Companies, this 16th day of October 2020. - zl�-J 111-1t � Brian M_ Hodges, Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT A COMPLETE DESCRIPTION OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND, THE BOND NUMBER, AND YOUR CONTACT INFORMATION TO: Zurich Surety Claims 1299 Zurich Way Schaumburg, IL 60196-1056 wyh,W,repoFtsfc4aims!c_ 2urichna_cont 800-6264577 0 Disclosure Statement ZURICH NOTICE OF DISCLOSURE FOR AGENT & BROKER COMPENSATION If you want to learn more about the compensation Zurich pays agents and brokers visit. httpWwww zurichnaproducercompensation com or call the following toil -free number (866)903-1192 This Not:ce is provided on behalf of Zurich American insurance Company and its underwriting subsidiaries U -Gu -874-A CW (06/11) Page 1 of 1 CONTRACT PROJECT NO. 1422 EXHIBIT A-1 WORKER'S COMPENSATION INSURANCE CERTIFICATE The Contractor shall execute the follo«inu form as required by the California Labor Code. Sections 1860 and 186 1: I am wware of the provisions of Section 3700 of the Labor Code -which require even employer to be insured against liability Ior morkers' compensation or to undertake: sell -insurance in accordance with the provisions of' that Code, and I will comply Nvith such provisions belore commencing the performance of the work of the Contract. DATED: 10/19/20 ATTEST: 6 r �3y _ Signature 57 Elecnor Belco Electric, Inc. CONTRACTOR 13v Signature Alberto Garcia, President/CEG Title INDEMNIFICATION AND HOLD HARMLESS AGREEMENT AND WAIVER OF SUBROGATION AND CONTRIBUTION Contract/Agreement/License/Permit No. or description. Pro, 1422 - Broadway Improvement Traffic Signal Modifications from Victoria Street to Alondra Boulevard Elecnor Belco Electric, Inc. Indemnitor(s) (list all names): To the fullest extent permitted by law, Indemnitor hereby agrees, at its sole cost and expense, to defend, protect, indemnify, and hold harmless the City of Carson and Successor Agency and their respective elected officials, officers, attorneys, agents, employees, volunteers, successors, and assigns (collectively "Indemnitees") from and against any and all damages, costs, expenses, liabilities, claims, demands, causes of action, proceedings, expenses, judgments, penalties, liens, and losses of any nature whatsoever, including fees of accountants, attorneys. or other professionals and all costs associated therewith (collectively "Liabilities"), arising or claimed to arise, directly or indirectly, out of, in connection with, resulting from, or related to any act, failure to act, error, or omission of Indemnitor or anv of its officers, agents, servants. employees, subcontractors, matcrialmen, suppliers or their officers, agents, servants or employees, arising or claimed to arise, directly or indirectly, out of, in connection with, resulting from, or related to the above -referenced contract, agreement, license, or pennit (the "Agreement") or the performance or failure to perform any term, provision, covenant, or condition of the Agreement, including this indemnity provision. This indemnity provision is effective regardless of any prior, concurrent, or subsequent active or passive negligence by Indemnitees and shall operate to fully indemnify Indemnitees against any such negligence. "chis indemnity provision shall survive the termination of the Agreement and is in addition to any other rights or remedies which Indemnitees may have under the law. Payment is not required as a condition precedent to an Indemnitec's right to recover under this indemnity provision, and an entry of judgment against an Indemnitee shall be conclusive in favor of the indemnitee's right to recover under this indemnity provision. indemnitor shall pay Indemnitees for any attorneys' fees and costs incurred in enforcing this indemnification provision. Notwithstanding the foregoing, nothing in this instrument shall be construed to encompass (a) Indemnitees' sole negligence or willful misconduct to the limited extent that the underlying Agreement is subject to Civil Code 2782(a). or (b) the contracting public agency's active negligence to the limited extent that the underlying Agreement is subject to Civil Code 2782(b). This indemnity is effective wltholn reference to the existence or applicability of any insurance coverages which may have been required under the Agreement or any additional insured endorsements which may extend to Indemnitces. Indemnitor, on behalf of itself and all parties claiming under or through it, hereby waives all rights of subrogation and contribution against the Indemnitees, while acting within the scope of their duties, from all claims, losses and liabilities arising out of or incident to activities or operations performed by or on behalf of the Indemnitor regardless of any prior, concurrent, or subsequent active or passive negligence by the Indemnitees. Accountants, attorneys, or other professionals employed by Indemnitor to defend Indemnitees shall be selected by or subject to the approval of Indemnitees. In the event there is more than one person or entity named in the Agreement as an Indemnitor, then all obligations, liabilities, covenants and conditions under this instrument shall be joint and several. "Indemnitor" Name Elecnor Belco Electric, Inc. Name By'- Ey: - -- Alberto Garcia Its President/CEQ Its TO BE SiGNED BY Ti -IE CONTRACTOR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2016 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY Willis Towers Watson Northeast, Inc. c/o 26 Century Blvd P.O. Box 305191 Nashville, TN 372305191 USA Elecnor Belco Electric, Inc. 14320 Albers Way Chino, CA 91710 SEE ATTACHED City of Carson 701 East Carson Street Carson, CA 90745 10/22/2020 1-877-945-7378 1-888-467-2378 certificates@willis.com Hartford Underwriters Insurance Company 30104 Hartford Fire Insurance Company Navigators Insurance Company 19682 42307 Markel Insurance Company 38970 Indian Harbor Insurance Company 36940 W18310362 A 1,000,000 100,000 10,000PD Ded: $1,000 1,000,000 2,000,000 2,000,000 YY 10 UEA HF1471 11/01/2020 11/01/2021 B 1,000,000 11/01/202111/01/202010 UEA HF1837 C 5,000,000 None IS20EXC918906IV 11/01/2020 11/01/2021 5,000,000 10WEAAA6VQ6 Deductible: None B Y 1,000,000 11/01/2020 11/01/2021 1,000,000 1,000,000 D Excess Liability $5,000,000 part ofMKLM1EUE100437 11/01/2020 11/01/2021 $10,000,000 XS of 185929220234937SR ID:BATCH: $5,000,000 Willis Towers Watson Certificate Center Page 1 of 2 11/10/2020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2016 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY Willis Towers Watson Northeast, Inc. c/o 26 Century Blvd P.O. Box 305191 Nashville, TN 372305191 USA Elecnor Belco Electric, Inc. 14320 Albers Way Chino, CA 91710 SEE ATTACHED City of Carson 701 East Carson Street Carson, CA 90745 10/22/2020 1-877-945-7378 1-888-467-2378 certificates@willis.com Hartford Underwriters Insurance Company 30104 Hartford Fire Insurance Company Navigators Insurance Company 19682 42307 Markel Insurance Company 38970 Indian Harbor Insurance Company 36940 W18310362 A 1,000,000 100,000 10,000PD Ded: $1,000 1,000,000 2,000,000 2,000,000 YY 10 UEA HF1471 11/01/2020 11/01/2021 B 1,000,000 11/01/202111/01/202010 UEA HF1837 C 5,000,000 None IS20EXC918906IV 11/01/2020 11/01/2021 5,000,000 10WEAAA6VQ6 Deductible: None B Y 1,000,000 11/01/2020 11/01/2021 1,000,000 1,000,000 D Excess Liability $5,000,000 part ofMKLM1EUE100437 11/01/2020 11/01/2021 $10,000,000 XS of 185929220234937SR ID:BATCH: $5,000,000 Willis Towers Watson Certificate Center Page 1 of 2 11/10/2020