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2100 - F.M. Thomas Air Conditioning, Inc. - Garvey Park Gym Cooling Addition Project (C20502) This page is part of your document- DO NOT DISCARD OFIOSq 20210153620 RECEIVED -_f. � , II 111111011 01111111 lllllIIHI lull II 0504 { ,•-14 �l�� 'R' f Recorded/Filed in Official Records CyTY OF OSE 2�D •r '.( r/�I Recorder's Office, Los Angeles County, REMx California FEB 0 1. -lerFOANo• 01/27/21 AT 01:22PM CITY CLERK'S OFFICE FEES: 0.00 TAXES: 0.00 OTHER: 0.00 PAID: 0.00 LEADSHEET 202101272820079 00019785136 SII 1111 01III IIII I II II II II III�Il� 1735770 SEQ: 01 DAR - Mail (Intake) eft I II 0110 I I 1111111 II I SII �0111111 I 11111111 II0 1110I III011 I I IIM 111 II I II I I ID THIS FORM IS NOT TO BE DUPLICATED - E069071 RECORDING RE('UESTED BY CITY OF ROSEMEAD 19785136 AND WHEN RECORDED MAIL TO: 11111111111111111 Batch Number:11735770 Name. City of Rosemead USWStreet Address 8838 E.Valley Blvd. City&State Rosemead, CA 91770 ATTN: CITY CLERK Free recording requested per Gov't Code 27383 SPACE ABOVE THIS LINE FOR RECORDER'S USE NOTICE OF COMPLETION Notice is hereby given that: 1. The undersigned is owner and the interest or estate stated below in the property hereinafter described. 2. The full name of the undersigned is: City of Rosemead 3. The full address of the undersigned is: 8838 E.Valley Blvd., Rosemead, CA 91770 4. The nature of title of the undersigned is: In fee (If other than fee,strike"In fee"and insert,for example,"purchaser under contract of purchase",or"lessee") 5. The full names and full addresses of all persons, if any,who hold title with the undersigned are: Names Addresses N/A N/A 6. The names of predecessors in interest of the undersigned, if the property was transferred subsequent to the commencement of the work of improvement herein referred to: Names Addresses N/A N/A 7. A work of improvement on the property hereinafter described was completed on: November 18, 2020 8. The name of the contractor, if any for such work of improvement was: F.M.Thomas Air Conditioning, Inc. 231 Gemini Ave., Brea, CA 92821 9. The property on which said work of improvement was completed is in the City of Rosemead County of Los Angeles ,State of California,and is described as follows: Garvey Park Gym Cooling Addition 10. The street address of said property is: 7933 Emerson PI., Rosemead, CA 91770 (If no street address has been officially assigned,insert"none") Dated: 1,/ 1/7 ( L ` Signature of owner Named in paragraph 2: Ben j! '•ssistant City Manager By: City of Rosemead I certify(or declare) under penalty of perjury that the foregoing is true and correct. VZVZ Date Ben Kim Assistant ity Manager City of Rosemead, California Rosemead, CA Place of Execution .,l , i4, CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 • A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California Q(� 1 1 County of 14p& jn9tw On 14:40t1LA (22O before me, WU I \kA / tAcM A,I1e , ate Here Insert Name and Title of the fficer personally appeared been Worn Namefof Signer" who proved to me on the basis of satisfactory evidence to be the person whose name'ise•subscribed to the within instrument and acknowledged to me that he',execu ed the same in hisflte tl. authorized capacity i , and that by his - ,U iielt signature on the instrument the person', or the entity upon behalf of whichthe personas acted, executed the instrument. I certify under PENALTY OF PERJURY under the NATALIE HAWORTH laws of the State of California that the foregoing Notary Public-California paragraph is true and correct. i 1,0„-c--",-it: �_:- - Os Angeles County T. • Commission#2272060 My Comm.Expires Dec 20,2022 WITNESS my hand and official seal. Signature p 19 ( 1 Place Notary Seal and/or Stamp Above Signature of •tory Public OPTIONAL Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Do ument t� • i Title or Type of Document: ® a OT it_ oon Gia QLMK im bui ��-'Ai* Document Date: t Z. 2. Number of Pages 3 I1� Signer(s) Other Than Named Above: NA Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: O Corporate Officer—Title(s): 0 Corporate Officer—Title(s): O Partner— 0 Limited 0 General 0 Partner— 0 Limited 0 General O Individual 0 Attorney in Fact 0 Individual 0 Attorney in Fact O Trustee 0 Guardian of Conservator 0 Trustee 0 Guardian of Conservator O Other: 0 Other: Signer is Representing: Signer is Representing: ©2017 National Notary Association MAYOR: s s M e Ci of m seead SANDRA ARMENTA o s MAYOR PRO TEM: rc PoLLY Low CIVIC PRIDE 8838 E.VALLEY BOULEVARD P.O BOX 399 COUNCIL MEMBERS: ♦fit ROSEMEAD,CALIFORNIA 91770 MARGARET � •'"' I TELEPHONE(626)569-2100 ARK ' S DANGCL "0RPDH",E0 FAX(626)307-9218 STEVEN LY January 21, 2021 Los Angeles County Registrar Recorder/County Clerk 12400 Imperial Highway Norwalk, CA 90661 Attention: Recording Division Subject: No Charge Recording of Notice of Completion Dear Recording Division, Enclosed is an original Notice of Completion for a no charge recording for the Garvey Park Gym Cooling Addition Project. If you have any question, please do not hesitate to call me at(626) 569-2169. Sincerely, Ben As Stant City Manager CITY OF ROSEMEAD ATTN: CITY CLERK 8838 E. VALLEY BLVD. ROSEMEAD, CA 91770 Batch Number: 11735770 Document Count: 1 451 qOE MC •. ®. O2 CIVIC PRIDE 'NOORPORATED ACA4 CONSTRUCTION CONTRACT GARVEY PARK GYM COOLING ADDITION PROJECT (F.M. THOMAS AIR CONDITIONING, INC.) 1. PARTIES AND DATE This Contract is made and entered into this 2 3 day of ,20 7� (Effective Date) by and between the City of Rosemead, a municip.i orporation of the State of California, located at 8838 E. Valley Blvd., Rosemead, Cali'T is 91770, ("City") and F.M. Thomas Air Conditioning, Inc. with its principal place of business at 231 Gemini Avenue, Brea, CA 92821 (hereinafter referred to as "Contractor"). City and Contractor are sometimes individually referred to as "Party" and collectively as "Parties" in this Contract. 2. RECITALS 2.1 Contractor Contractor desires to perform and assume responsibility for the Garvey Park Gym Cooling Addition Project by the City on the terms and conditions set forth in this Contract. Contractor represents that it is experienced in providing such work services to public clients, that it and its employees or subcontractors have all necessary licenses and permits to perform the Services in the State of California, and that is familiar with the plans of City. 2.2 Project City desires to engage Contractor to render such services described herein as Project ("Project") as set forth in this Contract. 3. TERMS 3.1 Scope of Services and Term 3.1.1 General Scope of Services. Contractor promises and agrees to furnish to the City all labor, materials, tools, equipment, services, and incidental and customary work necessary to fully and adequately supply the professional construction services necessary for the Project("Services"). The Services are more particularly described in Exhibit "A" attached hereto and incorporated herein by reference. All Services shall be subject to,and performed in accordance with,this Contract,the exhibits attached hereto and F.M. Thomas Air Conditioning, Inc. Page 2 of 11 incorporated herein by reference, and all applicable local, state and federal laws, rules and regulations. 3.1.2 Term. The term of this Contract shall be from Effective Date shown above to December 31, 2020 unless earlier terminated as provided herein. Contractor shall complete the Services within the term of this Contract, and shall meet any other established schedules and deadlines. The Parties may, by mutual, written consent, extend the term of this Contract if necessary to complete the Services. 3.2 Responsibilities of Contractor. 3.2.1 Control and Payment of Subordinates; Independent Contractor. The Services shall be performed by Contractor or under its supervision. Contractor will determine the means, methods and details of performing the Services subject to the requirements of this Contract. City retains Contractor on an independent contractor basis and not as an employee. Contractor retains the right to perform similar or different services for others during the term of this Contract. Any additional personnel performing the Services under this Contract on behalf of Contractor shall also not be employees of City and shall at all times be under Contractor's exclusive direction and control. Contractor shall pay all wages,salaries, and other amounts due such personnel in connection with their performance of Services under this Contract and as required by law. Contractor shall be responsible for all reports and obligations respecting such additional personnel, including, but not limited to: social security taxes, income tax withholding, unemployment insurance,disability insurance, and workers' compensation insurance. 3.2.2 Schedule of Services: Contractor shall perform the Services expeditiously,within the term of this Contract, and within the schedules timeline. Contractor represents that it has the professional and technical personnel required to perform the Services in conformance with such conditions. In order to facilitate Contractor's conformance with the Schedule, City shall respond to Contractor's submittals in a timely manner. Upon request of City, Contractor shall provide a more detailed schedule of anticipated performance to meet the Schedule of Services. 3.2.3 Conformance to Applicable Requirements. All work prepared by Contractor shall be subject to the approval of City. 3.2.4 City's Representative. The City hereby designates the Community Development Management Anaylst, Lucia Medina-Whittaker,or his designee,to act as its representative for the performance of this Contract("City's Representative"). City's Representative shall have the power to act on behalf of the City for all purposes under this Contract. Contractor shall not accept direction or orders from any person other than the City's Representative or his or her designee. 3.2.5 Contractor's Representative. Contractor hereby designates Thomas Feyka, or his designee, to act as its representative for the performance of this Contract ("Contractor's Representative"). Contractor's Representative shall have full authority to represent and act on behalf of the Contractor for all purposes under this Contract. The Contractor's Representative shall supervise and direct the Services, using F.M.Thomas Air Conditioning, Inc. Page 3 of 11 his/her best skill and attention, and shall be responsible for all means, methods,techniques, sequences and procedures and for the satisfactory coordination of all portions of the Services under this Contract. 3.2.6 Coordination of Services. Contractor agrees to work closely with City staff in the performance of Services and shall be available to City's staff, consultants and other staff at all reasonable times. 3.2.7 Standard of Care; Performance of Employees. Contractor shall perform all Services under this Contract in a skillful and competent manner, 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 Services. Contractor warrants that all , employees and subcontractors shall have sufficient skill and experience to perform the Services assigned to them. Finally, Contractor represents that it, its employees and subcontractors have all licenses, permits, qualifications and approvals of whatever nature that are legally required to perform the Services, including a City Business License if applicable, and that such licenses and approvals shall be maintained throughout the term of this Contract. As provided for in the indemnification provisions of this Contract, Contractor shall perform, at its own cost and expense and without reimbursement from the City, any services necessary to correct errors or omissions which are caused by the Contractor's failure to comply with the standard of care provided for herein. Any employee of the Contractor or its sub-contractors who is determined by the City to be uncooperative, incompetent, a threat to the adequate or timely completion of the Project, a threat to the safety of persons or property, or any employee who fails or refuses to perform the Services in a manner acceptable to the City, shall be promptly removed from the Project by the Contractor and shall not be re-employed to perform any of the Services or to work on the Project. 3.2.8 Laws and Regulations. Contractor shall keep itself fully informed of and in compliance with all local, state aind federal laws, rules and regulations in any manner affecting the performance of the Project or the Services, including all Cal/OSHA, AQMD requirements, and shall give all notices required by law. Contractor shall be liable for all violations of such laws and regulations in connection with Services. If the Contractor performs any work knowing it to be contrary to such laws, rules and regulations and without giving written notice to the City, Contractor shall be solely responsible for all costs arising therefrom. Contractor shall defend, indemnify and hold City, its officials, directors, officers, employees and agents free and harmless, pursuant to the indemnification provisions of this Contract,from any claim or liability arising out of any failure or alleged failure to comply with such laws, rules or regulations. 3.2.9 Insurance: Contractor shall maintain, prior to the beginning of and for the duration of this Contract, insurance coverage as specified in Exhibit B attached to and part of this Contract. 3.2.10 Safety. Contractor shall execute and maintain its work so as to avoid injury or damage to any person or property. In carrying out its Services,the Contractor shall at all times be in compliance with all applicable local, state and federal laws, rules and F.M. Thomas Air Conditioning, Inc. Page 4 of 11 regulations, and shall exercise all necessary precautions for the safety of employees appropriate to the nature of the work and the conditions under which the work is to be performed. Safety precautions as applicable shall include, but shall not be limited to: (A) adequate life protection and life saving equipment and procedures; (B) instructions in accident prevention for all employees and subcontractors,such as safe walkways, scaffolds, fall protection ladders, bridges, gang planks, confined space procedures, trenching and shoring, equipment and other safety devices, equipment and wearing apparel as are necessary or lawfully required to prevent accidents or injuries; and (C)adequate facilities for the proper inspection and maintenance of all safety measures. 3.2.11 Prevailing Wages. Contractor is aware of the requirements of California Labor Code Section 1720, et seq., and 1770, et seq., as well as California Code of Regulations, Title 8, Section 1600, et seq., ("Prevailing Wage Laws"), which require the payment of prevailing wage rates and the performance of other requirements on "public works" and "maintenance" projects. If the Services are being performed as part of an applicable"public works"or"maintenance" project, as defined by the Prevailing Wage Laws, and if the total compensation is$1,000 or more, Contractor agrees to fully comply with such Prevailing Wage Laws. City shall provide Contractor with a copy of the prevailing rates of per diem wages in effect at the commencement of this Contract. Contractor shall make copies of the prevailing rates of per diem wages for each craft, classification or type of worker needed to execute the Services available to interested parties upon request, and shall post copies at the Contractor's principal place of business and at the project site. Contractor shall defend, indemnify and hold the City, its elected officials, officers,employees and agents free and harmless from any claim or liability arising out of any failure or alleged failure to comply with the Prevailing Wage Laws. 3.2.12 Bonds. 3.2.12.1 Performance Bond: If specifically requested by City, Contractor shall execute and provide to City concurrently with this Contract a Performance Bond in the amount of the total, not-to-exceed compensation indicated in this Contract, and in a form provided or approved by the City. If such bond is required, no payment will be made to Contractor until it has been received and approved by the City. 3.2.12.2 Payment Bond. If required by law or otherwise specifically requested by City, Contractor shall execute and provide to City concurrently with this Contract a Payment Bond in the amount of the total, not-to-exceed compensation indicated in this Contract, and in a form provided or approved by the City. If such bond is required, no payment will be made to Contractor until it has been received and approved by the City. 3.2.12.3 Bond Provisions. Should, in City's sole opinion, any bond become insufficient or any surety be found to be unsatisfactory, Contractor shall renew or replace the affected bond within 10 days of receiving notice from City. In the event the surety or Contractor intends to reduce or cancel any required bond, at least thirty(30) days prior written notice shall be given to the City, and Contractor shall post acceptable replacement bonds at least ten (10)days prior to expiration of the original bonds. No further payments shall be deemed due or will be made under this Contract until any replacement bonds required by this Section are accepted by the City. To the extent, if any, that the total F.M. Thomas Air Conditioning, Inc. Page 5 of 11 compensation is increased in accordance with the Contract, the Contractor shall, upon request of the City, cause the amount of the bonds to be increased accordingly and shall promptly deliver satisfactory evidence of such increase to the City. To the extent available, the bonds shall further provide that no change or alteration of the Contract(including,without limitation, an increase in the total compensation, as referred to above), extensions of time, or modifications of the time, terms, or conditions of payment to the Contractor, will release the surety. If the Contractor fails to furnish any required bond, the City may terminate this Contract for cause. 3.2.12.4 Surety Qualifications. Only bonds executed by an admitted surety insurer, as defined in Code of Civil Procedure Section 995.120, shall be accepted. The surety must be a California-admitted surety with a current A.M. Best's rating no less than A:VIII and satisfactory to the City. If a California-admitted surety insurer issuing bonds does not meet these requirements, the insurer will be considered qualified if it is in conformance with Section 995.660 of the California Code of Civil Procedure, and proof of such is provided to the City. 3.3 Fees and Payments. 3.3.1 Compensation. The total compensation shall not exceed Three Hundred Thirty-Two Thousand Seven Hundred Twenty-Five Dollars ($332,725.00)without advance written approval of City's project manager. Extra Work may be authorized, as described below,and if authorized, will be compensated at the rates and manner set forth in this Contract. 3.3.2 Payment of Compensation. Contractor shall submit to City a monthly itemized statement that indicates work completed and hours of Services rendered by Contractor. The statement shall describe the amount of Services and supplies provided since the initial commencement date, or since the start of the subsequent billing periods, as appropriate, through the date of the statement. City shall, within 45 days after receiving such statement, review the statement and pay all approved charges. The payments will be subject to a 5% retention amount,which would be released and paid after all work under the Contract has been satisfactorily completed, and 35 days after a Notice of Completion is filed with the County of Los Angeles. 3.3.3 Reimbursement for Expenses. Contractor shall not be reimbursed for any expenses unless authorized in writing by City. 3.3.4 Extra Work. At any time during the term of this Contract, City may request that Contractor perform Extra Work. As used herein, "Extra Work" means any work that is determined by City to be necessary for the proper completion of the Project, but which the parties did not reasonably anticipate would be necessary at the execution of this Contract. Contractor shall not perform, nor be compensated for, Extra Work without written authorization from City's Representative. 3.4 Accounting Records. 3.4.1 Maintenance and Inspection. Contractor shall maintain complete F.M. Thomas Air Conditioning, Inc. Page 6 of 11 and accurate records with respect to all costs and expenses incurred under this Contract. All such records shall be clearly identifiable. Contractor shall allow a representative of City during normal business hours to examine, audit, and make transcripts or copies of such records and any other documents created pursuant to this Contract. Contractor shall allow inspection of all work, data, documents, proceedings, and activities related to the Contract for a period of three (3) years from the date of final payment under this Contract. 3.5 General Provisions. 3.5.1 Termination of Contract. 3.5.1.1 Grounds for Termination. City may, by written notice to Contractor,terminate the whole or any part of this Contract at any time and without cause by giving written notice to Contractor of such termination, and specifying the effective date thereof, at least seven (7) days before the effective date of such termination. Upon termination, Contractor shall be compensated only for those services that have been adequately rendered to City, and Contractor shall be entitled to no further compensation. Contractor may not terminate this Contract except for cause. 3.5.1.2 Effect of Termination. If this Contract is terminated as provided herein, City may require Contractor to provide all finished or unfinished Documents and Data and other information of any kind prepared by Contractor in connection with the performance of Services under this Contract. Contractor shall be required to provide such document and other information within fifteen (15) days of the request. 3.5.1.3 Additional Services. In the event this Contract is terminated in whole or in part as provided herein, City may procure, upon such terms and in such manner as it may determine appropriate, services similar to those terminated. 3.5.2 Delivery of Notices. All notices permitted or required under this Contract shall be given to the respective parties at the following address, or at such other address as the respective parties may provide in writing for this purpose: CONTRACTOR: F.M. Thomas Air Conditioning, Inc. 231 Gemini Avenue Brea, CA, 92821 Attn: Thomas Feyka Tel: (714) 738-1062 CITY: City of Rosemead 8838 E. Valley Boulevard Rosemead, CA 91770 Attn:Lucia Medina-Whittaker, Community Development Management Analyst Tel: (626) 569-2153 F.M. Thomas Air Conditioning, Inc. Page 7 of 11 Such notice shall be deemed made when personally delivered or when mailed, forty-eight (48) hours after deposit in the U.S. Mail, first class postage prepaid and addressed to the party at its applicable address. Actual notice shall be deemed adequate notice on the date actual notice occurred, regardless of the method of service. 3.5.3 Cooperation; Further Acts. The Parties shall fully cooperate with one another, and shall take any additional acts or sign any additional documents as may be necessary, appropriate or convenient to attain the purposes of this Contract. 3.5.4 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 litigation shall be entitled to have and recover from the losing party reasonable attorney's fees and all other costs of such action. 3.5.5 Indemnification. Contractor shall defend, indemnify and hold the City, its officials, officers,employees,volunteers and agents free and harmless from any and all claims, demands, causes of action, costs, expenses, liability, loss, damage or injury, in law or equity, to property or persons, including wrongful death, in any manner arising out of or incident to any alleged acts, omissions or willful misconduct of Contractor, its officials, officers, employees, agents, consultants and contractors arising out of or in connection with the performance of the Services, the Project or this Contract, including without limitation the payment of all consequential damages and attorneys fees and other related costs and expenses. Contractor shall defend, at Contractor's own cost, expense and risk, any and all such aforesaid suits, actions or other legal proceedings of every kind that may be brought or instituted against City, its directors, officials, officers, employees, agents or volunteers. Contractor shall pay and satisfy any judgment, award or decree that may be rendered against City or its directors, officials, officers, employees, agents or volunteers, in any such suit, action or other legal proceeding. Contractor shall reimburse City and its directors, officials, officers, employees, agents and/or volunteers, for any and all legal expenses and costs incurred by each of them in connection therewith or in enforcing the indemnity herein provided. Contractor's obligation to indemnify shall not be restricted to insurance proceeds, if any, received by the City, its directors, officials, officers, employees, agents or volunteers. 3.5.6 Entire Contract. This Contract contains the entire Contract of the parties with respect to the subject matter hereof, and supersedes all prior negotiations and understandings. This Contract may only be modified by a writing signed by both parties. 3.5.7 Governing Law. This Contract shall be governed by the laws of the State of California. Venue shall be in Los Angeles County. 3.5.8 Time of Essence. Time is of the essence for each and every provision of this Contract. 3.5.9 City's Right to Employ Other Contractors. City reserves right to employ other contractors in connection with this Project. F.M. Thomas Air Conditioning, Inc. Page 8 of 11 3.5.10 Successors and Assigns. This Contract shall be binding on the successors and assigns of the parties. 3.5.11 Assignment or Transfer. Contractor shall not assign, hypothecate, or transfer, either directly or by operation of law, this Contract or any interest herein without the prior written consent of the City. Any attempt to do so shall be null and void, and any assignees, hypothecates or transferees shall acquire no right or interest by reason of such attempted assignment, hypothecation or transfer. 3.5.12 Construction; References; Captions. Since the Parties or their agents have participated fully in the preparation of this Contract, the language of this Contract shall be construed simply, according to its fair meaning, and not strictly for or against any Party. Any term referencing time, days or period for performance shall be deemed calendar days and not workdays. All references to Contractor include all personnel, employees, agents, and subcontractors of Contractor, except as otherwise specified in this Contract. All references to City include its elected officials, officers, employees,agents, and volunteers except as otherwise specified in this Contract. The captions of the various articles and paragraphs are for convenience and ease of reference only, and do not define, limit, augment, or describe the scope, content, or intent of this Contract. 3.5.13 Amendment; Modification. No supplement, modification, or amendment of this Contract shall be binding unless executed in writing and signed by both Parties. 3.5.14 Waiver. No waiver of any default shall constitute a waiver of any other default or breach, whether of the same or other covenant or condition. No waiver, benefit, privilege, or service voluntarily given or performed by a Party shall give the other Party any contractual rights by custom, estoppels, or otherwise. 3.5.15 No Third Party Beneficiaries. There are no intended third party beneficiaries of any right or obligation assumed by the Parties. 3.5.16 Invalidity; Severability. If any portion of this Contract is declared invalid, illegal, or otherwise unenforceable by a court of competent jurisdiction,the remaining provisions shall continue in full force and effect. 3.5.17 Prohibited Interests. Contractor maintains and warrants that it has not employed nor retained any company or person, other than a bona fide employee working solely for Contractor,to solicit or secure this Contract. Further, Contractor warrants that it has not paid nor has it agreed to pay any company or person, other than a bona fide employee working solely for Contractor,any fee, commission,percentage, brokerage fee,gift or other consideration contingent upon or resulting from the award or making of this Contract. For breach or violation of this warranty, City shall have the right to rescind this Contract without liability. For the term of this Contract, no member, officer or employee of City, during the term of his or her service with City, shall have any direct interest in this Contract, or obtain any present or anticipated material benefit arising therefrom. F.M. Thomas Air Conditioning, Inc. Page 9 of 11 3.5.18 Equal Opportunity Employment. Contractor represents that it is an equal opportunity employer and it shall not discriminate against any subcontractor, employee or applicant for employment because of race, religion, color, national origin, handicap, ancestry, sex or age. Such non-discrimination shall include, but not be limited to, all activities related to initial employment, upgrading, demotion, transfer, recruitment or recruitment advertising, layoff or termination. Contractor shall also comply with all relevant provisions of City's Minority Business Enterprise program, Affirmative Action Plan or other related programs or guidelines currently in effect or hereinafter enacted. 3.5.19 Labor Certification. By its signature hereunder, Contractor certifies that it is aware of the provisions of Section 3700 of the California Labor Code that 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 before commencing the performance of the Services. 3.5.20 Authority to Enter Contract. Contractor has all requisite power and authority to conduct its business and to execute, deliver, and perform the Contract. Each Party warrants that the individuals who have signed this Contract have the legal power, right, and authority to make this Contract and bind each respective Party. 3.5.21 Counterparts. This Contract may be signed in counterparts,each of which shall constitute an original. 3.6 Subcontracting. 3.6.1 Prior Approval Required. Contractor shall not subcontract any portion of the work required by this Contract, except as expressly stated herein,without prior written approval of City. Subcontracts, if any, shall contain a provision making them subject to all provisions stipulated in this Contract. [SIGNATURES ON NEXT PAGE] F.M. Thomas Air Conditioning, Inc. Page 10 of 11 CITY OF ROSEMEAD F.M. THOS AS AIR COND TIONING, INC. 1 , ►�. • , �� S12rAD By:• IW oria Molleda,'City Manager ate 'Signat 'e Date Name_ 6\o0\a,L3. Print`) Attest: Title: 0(16400t _4242-,E)Ericka Hernandez, City Clerk ate [If Corporation,TWO SIGNATURES, President OR Vice President AND Secretary,AND CORPORATE SEAL OF CONTRACTOR REQUIRED] Approved as to Form: • By: _ _ Rachel Richman, City Clerk Date Name: (,Lu,,m) ;` • Titled�x:el, F.M. Thomas Air Conditioning, Inc. Page 10 of 11 CITY OF ROSEMEAD F.M. THOS AS AIR COND TIONING, INC. By: 1 (l13(30 Gloria Molleda, City Manager Date 'Signatia Date Name: "—I-60\a/3- ' 't' Print Attest: Title: OaLatik(Pk* Ericka Hernandez, City Clerk Date [If Corporation,TWO SIGNATURES, President OR Vice President AND Secretary,AND CORPORATE SEAL OF CONTRACTOR REQUIRED] Approved as to Form: By: -1 _ Rachel Richman, City Clerk Date Name: l " Title: &C)-u' I'. F.M. THOMAS AIR CONDITIONING, INC. EXHIBIT A SCOPE OF CONTRACT SERVICES SEE ATTACHED BID SCHEDULE/PROPOSAL Clty of Rosemead,Colltornfe Bid Package,Oervey Pads Gym CaoMg Md1 on,Protect No:31019 Ooarmer 1 ConUol Pe a 16 at 631 BIDDER: F.M.Thomas Air Conditioning, Inc. CITY OF ROSEMEAD GARVEY PARK GYM COOLING ADDITION PROJECT No. 31019 - I SECTION 1-BID SCHEDULE CONTRACT BID FORMS CBF-1 Oki of Rosemead,Celifamfa Bid Package,Garvey Park Gym Cooing Addition,Project Na 31019 Document Control Page 18 of 631 • BIDDER:F.M.Thomas Air Conditioning, Inc. BASE BID SCHEDULE SCHEDULE OF PRICES FOR GARVEY PARK GYM COOLING ADDITION PROJECT No.31017 NO. ITEM DESCRIPTION UNIT EST. UNIT ITEM QTY. PRICE COST Install a Packaged DX Rooftop Unit to Serve the Gymnasium, and the LS 1 $ 33 ,,1./.1 $ .331 •7,)i Installation of a 480 Panel to Facilitate the Newly Added Equipment TOTAL BASE BID AMOUNT IN NUMBERS $ 33Q '7,1.J TOTAL BASE BID AMOUNT IN WORDS: ' t u..1..6wein tA'U c wa `I4L1 i(,J•at.5, 'I ' ' c 1(, 1 .�.t)C+ni\.�ul+►lt�AL41'L.��11 rti� • � /a+akkAA., Note:The City of Rosemead reserves the right to reduce or increase the quantities of any Items in the schedule of bid items above, within the limits define in Section 3-2.2.1 of the Standard Specifications,to stay within the budgeted amount of this project. If the Bid Documents specify alternate bid items,the following Alternate Bid amounts shall be added to or deducted from the Total Bid Price entered above.The owner can choose to include one or more of the alternates in the Total Bid Price of the Project.If any of the Alternate Bids are utilized by the Owner,the resulting amount shall be considered the Total Bid Price for the Project. ALTERNATE 1 BID SCHEDULE SCHEDULE OF PRICES FOR GARVEY PARK GYM COOLING ADDITION PROJECT No.31017 NO. ITEM DESCRIPTION 'UNITEST. UNIT ITEM QTY. PRICE COST Install a Split System to Serve the LS 1 $ $ Z1.- b Private Office TOTAL ALTERNATE 1 BID AMOUNT IN NUMBERS $ fl,•1 1 a CBF-2 City of Rosemead,California Bid Package,Garvey Parc Gym Cooling Addition,Prolog Nm 31019 Document Control Page 20 01031 BIDDER: F.M.Thomas Air Conditioning, Inc. TOTAL ALTERNATE I BID AMOUNT IN��WORDS: .4�(,tkalt NA 'l/V\. 1 Qn�`�,t4'Y\ AV�,L�lrtc.� �,rJti r:KiitX t�i.L J. ALTERNATE 2 BID SCHEDULE SCHEDULE OF PRICES FOR GARVEY PARK GYM COOLING ADDITION PROJECT No.31017 NO. ITEM DESCRIPTION UNIT EST. UNIT ITEM QTY. PRICE COST 1 Install Exhaust Fan to Serve Both the LS 1 $ lq 'f�a $ le1� Men's and Women's Restrooms ( '?'] TOTAL ALTERNATE 2 BID AMOUNT IN NUMBERS $ TOTAL ALTERNATE 2 BID AMOUNT IN WORDS: h.lAi 4'ktlu,lai4 NOPNI (bay l� The undersigned agrees that these Contract Bid Forms constitute a firm offer to the Owner which cannot be withdrawn for the number of Working Days indicated in the Notice Inviting Bids from and after the bid opening date,or until a Contract for the Work is fully executed by the Owner and a third party,whichever is earlier. The undersigned also agrees that if there is a discrepancy between the written amount of the Bid Price and the numerical amount of the Bid Price,the written amount shall govern. Attached hereto is a certified check, a cashier's check or a bid bond in the amount of Dollars($ )said amount being not less than ten percent (10%)of the Total Bid Price. The undersigned agrees that said amount shall be retained by the Owner if,upon award,we fail or refuse to execute the Contract and furnish the required bonds, certificates and endorsements of insurance and other certifications within the time provided. If awarded a Contract,the undersigned agrees to execute the formal Contract,which will be prepared by the Owner for execution,within five(5)Calendar Days following the Letter of Award for the Contract,and will deliver to the Owner within that same period the necessary original Certificates of Insurance, Endorsements of Insurance, Performance Bond, Payment Bond and all other documentation and certification required by the Contract. The undersigned offers and agrees that if this bid is accepted,it will assign to the purchasing body all rights,title,and interest in and to all causes of action it may have under Section 4 ofthe Clayton Act (15 U,S.C. Section 15) or under the Cartwright Act (Chapter 2 of Part 2 of Division 7 of the Business and Professional Code),arising from purchases of goods, materials or services by the CBF-3 • City al Rosemead,CM*mie Bld Package,Gamey Perk Gym CocUng AddlUan,Rept:1Na:31011 DacumenlCantrol Page 2101531 BIDDER:F.M. Thomas Air Conditioning, inc. Bidder for sale to the purchasing body pursuant to the bid. Such assignment shall be made and become effective at the time the purchasing body tenders final payment to the Contractor. Bidder understands and agrees that, when requested by Owner,he shall provide: (1) evidence satisfactory to the Owner of Bidder's California contractor's license(s) in good standing; (2) evidence that the person signing this Bid is authorized to bind Bidder to this Bid and to a contract resulting therefrom;and(3)any other information and documentation,financial or otherwise,needed by Owner to award a Contract to the lowest responsible and responsive bidder. Bidder understands and agrees that liquidated damages shall apply to this Contract in the amounts of five hundred dollars($500.00)If proiect is not completed in SIXTY(60)working days.The Contract Time will begin to run ten(10)Working Days from the date of the Notice to Proceed and subject to the terms and conditions described in the Contract Form and the Contract Documents. Bidder acknowledges that data submitted with its Contract Bid Forms which it requires to be incorporated into a Contract arising out of this Submittal has been so identified by Bidder. BIdder further acknowledges that the Owner may,at its discretion,incorporate any of the remaining data submitted herewith into a contract arising out of this Bid. The undersigned acknowledges receipt, understanding and full consideration of the following addenda to the Contract Documents.1 Addenda Nos. M !14 The Bidder understands and agrees that the Total Bid Price is inclusive of all labor,materials,and equipment or supplies necessary to complete the Work as described in the Bid Documents. If this bid is accepted, the undersigned Bidder agrees to enter into and execute the Contract with the necessary bonds and accept the Total Bid Price as compensation in full for all Work under the • contract. CBF-4 City or Rosemead,Cdromla Bid P age,GerveyPerk Gym Cooling Addllon,Project No:31019 Document Control Page 22 of 631 BIDDER: F.M.Thomas Air Conditioning, Inc. By: /Ll ,.�, 231 Gemini Ave, Brea Ca 92821 Signature ' / Business Street Address Thom- • Feyka Type or Print Name City,State and Zip Code President 714-738-1062 Title Telephone Number Bidder's/Contractor's State of Incorporation: California Partners or Joint Venturers: Bidder's License Number(s): license#313574 Department Industrial Relations Registered No. 1000003383 NOTES: 1) By its signature on this Bid,the Bidder certifies under penalty of perjury the accuracy of the representations made on the Contract Bid Forms. 2.) If Bidder is a corporation,enter State of Incorporation in addition to Business Address 3) If Bidder is a partnership or joint venture, give full names of all partners or joint venturers. • As further discussed In the Instructions to Bidders,Bidder will be required to provide evidence that the person signing on behalf of the corporation,partnership or joint venture has the authority to do so. CBF-5 City of Rosemead,California Bid Package,Gamy Parc Gym Coaling Addition,Proleal Na 31019 Document Control Pege 23 o183t BIDDER:F.M.Thomas Air Conditioning, Inc. SECTION 2 BID DATA FORIIfS CBF-6 City of Rosemead,California Bid Package,Garvey Park Gym Cooling Addition,Protect No:31010 Document Control Page 24 of 631 BIDDER: CSBA-13748 Bidder shall submit its Bid data in accordance with the format shown on each of the following Bid Data Forms. Bidders shall prepare and use as many sheets as are necessary to adequately provide the information required. Bidder shall ensure that every page of its Bid Data Forms are properly • identified with the Bidder's name and page number. 2.A BID BOND • KNOW ALL MEN BY THESE PRESENTS; THAT F.M.Thomas Air Conditioning,Inc. ,as Principal, and Merchants Bonding Company(Mutual) , as Surety, are held firmly bound unto the CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of Ten Percent of the Amount Bid • DOLLARS ($10% ),being not less than ten percent(10%)of the Total Bid Price;for the payment of which sum will and truly to be made,we bind ourselves, our heirs, executors,administrators,successors,and assigns,jointly and severally, firmly by these presents. WHEREAS,said Principal has submitted a bid to the OWNER to perform all Work required for the GARVEY PARK GYM COLLING ADDITION PROJECT—as set forth in the Notice Inviting Bids and accompanying Bid Documents, dated May 14th,2020 NOW,THEREFORE,if said Principal is awarded a Contract for the Work by the OWNER and,within the time and in the manner required by the above-referenced Bid Documents, enters into the written form of Contract bound with said Bid Documents,furnishes the required bonds(one to guarantee faithful performance and the other to guarantee payment for labor and materials)• furnishes the required insurance certificates and endorsements, and furnishes any other certifications as • may be required by the Contract, then this obligation shall be null and void; • otherwise it shall remain in full force and effect. In the event suit is brought upon this bond by the OWNER and judgment is recovered,said Surety shall pay ail costs incurred by the OWNER in such suit,including reasonable attorneys'fees to be fixed by the court. SIGNED AND SEALED,this 6th day of May , 2020 • F.M.Thomas Co Itloine Inc. (SEAL), Merchants Bonding Continent/(Mutun l(SEAL) Principal Surety mo By: J By: • Signa - � Signature Dwight Reilly,Attorney-In-Fact • • CBF-7 • • 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 Orange On 5/6/2020 before me, Melissa Ann Vaccaro,Notary Public • (insert name and title of the officer) personally appeared Dwight Reilly • 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 signatures)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. • FLISSAANNCOMM.#2241394VACCAR O b WITNESS my hand and official seal. Notary Public-California z • k `/ ORANGE COUNTY IL �( � an MyComm.Folios May 12,2022 y Signature 1, 1 Y ,\(�.Jcb„c2 (Seal) Melissa Ann Vaccaro .t E CTIA 'i . Bond No.CSBA-13748 BONDING COMPANY POWER OF ATTORNEY • Know All Persona By These Presents,that MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC., both being corporations of the State of Iowa(herein collectively called the"Companies"do hereby make,constitute and appoint,individually, Arturo Ayala;Ben Siong;Daniel Huckabay;Dwight Reilly;Frank Marones;Michael 0 Stang;R Nappl;Shaunna Rozelle Ostrom • their true and iswtul Attomey(s)•In-Fact,to sign its name as surety(lea)and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written Instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of parsons,guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted In any • actions or proceedings allowed by law. . This Power-of-Attorney la granted end le signed and sealed by facsimile under end by authority of the following By-Laws adopted by the Board of Directors of Merchants Bonding Company(Mutual)on April 23,2011 end amended August 14,2018 and adopted by the Board of Directors of MerchantaNatlonal Bonding,Inc.,on October 18,2018, "The President,Secretary,Treasurer,or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys-in-Fact,and to authorize Them to execute on behalf of the Company,and attach the seal of the Company thereto,bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory In the nature thereof." °The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certlfioation thereof authorizing the execution end delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company,end such signature and seal when so used shall have the came force end effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only,It Is agreed that the power and aut hority hereby given to the Attorney-In-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering end construction contracts required by the State of Florida Department of Transportation.it la fuily understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shaft not relieve this surety company of any of its obligations under its bond. In connection with obligations In favor of the Kentucky Department of Highways only,it Is agreed that the power end authority hereby given to the Attorney-In-Fact cannot be modified or revoked unless prior written personal notice of such Intent has been given to the Commissioner- Department of Highways of the Commonwealth of Kentucky at feast thirty(30)days prior to the modification or revocation. In IMtneas Whereof,the Companies have caused this Instrument to be•signed and treaded this 11th day of February ,2020 . • o•o..u....... .••-•. ••... •itpOk.i...o% .•s�•4P0 *-.1. MERCHANTS BONDING COMPANY(MUTUAL) A./0� 4J"}'�; • .•Gill �'4,�,;rsi,, MERCHANT NATIONAL BONDING,INC. : 1S' -o- :OS ~IZ -a.. "I' '• 7,4 •'O's 2003 . : 1039 �'�: By S ..............' %4. • wig,. ,iy• 4- t 'Et. President lr . STATE OF IOWA t••',IonW"•••• •-•011.04.- COUNTY '•••••• COUNTY OF DALLAS as. On thio 11th day of February 2020 ,before me appeared Larry Taylor,to me personally known,who being by me duly swam did say that he Is President of MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING, INC.; end that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies;and that the said instrument was signed end sealed In behalf of the Companies by authority of their respective Boards of Directors. A oy:,� tr POLLY MASON G L Commission Number 750576 Peitia.r 2. • . My Commission Expires '.,'•. January07,2023 Notary Public (Expiration of notary's rommiasion does not invalidate this Instrument) I,William Warner,Jr.,Secretary of MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC.,do hereby certify that the above and foregoing la a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies,which is still In full force and effect and has not been amended or revoked. In Witness Whereof,I have hereunto set my hand and affixed the seal of the Companies on this 6th day of May ,2020 . ..,.o a tONg4..,,. ;.OR.gild ,.�y D�PO#.1%.70•••14 _ m4•o�f�°'9•.,•vy. . ,y, A:Ail IX "O' SIO• ' vc-•• g.' ' 2003 .r�®; ...��. 1933 1; '' Secretary �ti' •. POA 0018(1120) •••••• ��*��' .. , ••,'�••'....64..••` CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§1189 A notary public or other officer completing this certificate verifies only the identity of the Individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County of O/ •11111 ) O /^ /0 On 4 L("2 before me, (.vEt t 2, :c l,(�c.{j /u(LY-[tr'tt, f G( (�. , Date Here Insert Name and Title of th officer personally appeared `l- 01144j A ,fLr7L' Name(s)of Sign (s) who proved to me on the basis of satisfactory evidence to be the person/A) whose name(s)-Is/.:11v subscribed to the within Instrument and acknowledged to me that he/shg/they executed the same in his/hef/their authorized capacityQles),and that by his/.hen' weir signatures)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/fJseal. 04"). - , RENEERITCHIE Signaturer itJ l 6,4,e • Notary y OrangeCounty Signature of Notary Public commisslon A 2I01353 My Cam.Expires Jun 16,2021 Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signers) Other Than Named Above: Capacity(iea)Claimed by Signers) Signer's Name: Signer's Name: ❑Corporate Officer—Title(s): ❑Corporate Officer—Title(s): ❑Partner— ❑Limited ❑General 0 Partner— 0 Limited 0 General O Individual 0 Attorney In Fact 0 Individual ❑Attorney In Fact O Trustee 0 Guardian or Conservator 0 Trustee O Guardian or Conservator Cl Other. 0 Other: Signer Is Representing: Signer is Representing: my,e>,:r :'•:c.. •w:�'�. ... . ns:�.. <+. -.c. c ,yc•;._<.n(crc•:vp.., ... c ...mai 02016 National Notary Association'www.NationaiNotary.org'1-800-US NOTARY(1-800-B76-6827} Item#5907 CIty of Roomed,California aid Package,Garvey Park Gym Cooling AddJton,Project No:31019 Document Control Piga 2601031 BIDDER:F.M.Thomas Air Conditioning, Inc. 2.B LIST OF PROPOSED SUBCONTRACTORS In compliance with the"Subletting and Subcontracting Fair Practices Act,"Sections 4100 through 4114 of the California Public Contract Code,and any amendments thereto,each Bidder shall provide the information requested below for each subcontractor who will perform work,labor or render service to Bidder in or about the construction of the Work in an amount in excess of one-half of one percent(greater than 0.5%)of the Bidder's Total Bid Price,or,in the case of bids or offers for the construction of streets or highways,including • bridges,in excess of one-half of 1 percent of the Contractor's total bid or ten thousand dollars ($10,000),whichever is greater,and shall further set forth the portion of the Work which will be done by each subcontractor. Bidder shall list only one subcontractor for any one portion of the Work. Pursuant to Public Contract Code Section 4104,the Owner has determined that it will allow Bidders twenty-four(24)additional hours after the deadline for submission of bids to submit the information requested by the Owner about each subcontractor,other than the name and location of each subcontractor. If the Bidder fails to specify a subcontractor for any portion of the Work to be performed under the Contract,It shall be deemed to have agreed to perform such portion itself,mita not be permitted to subcontract that portion of the Work except under the conditions hereinafter set forth below. Subletting or subcontracting of any portion of the Work in excess of one half of one percent (greater than 0.5%)of the Total Bid Price or,in the case of bids or offers for the construction of streets or highways, including bridges, in excess of one-half of 1 percent of the Contractor's total bid or ten thousand dollars($10,000),whichever is greater,for which no subcontractor was designated in the original bid shall only be permitted in cases of public emergency or necessity,and then only after Owner approval. • CBF-8 Clfy of Rosemead,California BM Peciege,Garvey Perk Gym Cooling Addition,Project Ha 31019 Document Central Page 28 01 631 BIDDER:F.M.Thomas Air Conditioning, Inc. 2.B LIST OF PROPOSED SUBCONTRACTORS(continued) [**Duplicate Next 2 Pages if needed for listing additional subcontractors.**] Name and Location Description of Work of SuI contractor to be Subcontracted Name: Scott Manfredi Construction ceiling, roofing,footings,drywall Address: 8941 Atlantic Ave#131 Huntington Bch, Ca 92646 License No.: 444234 Department of Industrial Relation Registration No. 1000028706 Mame and Location Description of Work of Subcontractor to be Subcontracted Name: Michael Lawrence Electrical Electrical Address: 3409 Sandoval Ave. Pico Rivera, Ca 90660 License No.: 803239 Department of Industrial Relation Registration No. 1000046014 Name and Location Description of Work of Subcontractor to be Subcontracted Name: Precision Iron Works Structural steel Address: 14342 Cerecita dr whittler.Ca 90604 License No.: 1000647 Department of Industrial Relation Registration No.1000039907 Name and Location Description of Work of Subcontractor to be Subcontracted Name: The Crane Guys Crane Address:14480 Alonda Blvd.La Mirada. Ca 90638 License No.: 967520 Department of Industrial Relation Registration No. 1000008224 Name and Location Description of Work of Subcontractor to be Subcontracted Name: inland air balance Air Balance Address: 482 W.Arrow Hwy#C, San Dimas, Ca 90638 License No.: 837772 Department of Industrial Relation Registration No.1000013848 CBF-9 City of Rosemead,California Old Paokege,Belvey Pack Gym Cooling Addition,Project Na 91019 Document Control Page 27 of 631 BIDDER: F.M.Thomas Air Conditioning, Inc. 2.0 REFERENCES The following are the names,addresses and telephone numbers for three public agencies for which BIDDER has performed similar work within the past two(2)years: 1. City of Los Angeles Cesar Lopez Salazar 14832 Raymer St Van Nuys, Ca 91405 Name and Address of Owner City of Los Angeles Cesar Lopez Salazar, HVAC Supervisor 213-978-7606 Name and telephone number of person familiar with project NTE$13M/year Task order contract to Include HVAC retrofit,design,replacement 6/2005-Present Contract amount Type of Work Date Completed 2, 550 N. Flower St. Orange Country Sheriffs Dept. Santa Ana,Ca 92703 HVAC 12/2017 Name and Address of Owner Remon Tadrous 714-935-7472 HVAC Orange County Men's Jall phase 1 Name and telephone number of person familiar with project $1.7M HVAC Retrofit air handlers 12/2017 Contract amount Type of Work Date Completed 3* 550 N. Flower St. Orange Country Sheriffs Dept. Santa Ana, Ca 92703 HVAC 12/2018 = Name and Address of Owner Remon Tadrous 714-935-7472 Orange County Men's Jail phase 2 Name and telephone number of person familiar with project $1.01 Orange County Men's Jail phase 2 Contract amount Type of Work Date Completed CBF-10 City of Rosemead.California 6Id Package,Garvey Park Gym Cooling Addition,Project Na 91019 Document Control Pege 28 of 831 BIDDER:F.M.Thomas Air Conditioning, Inc. 4. Glendale UHSD 1440 E. Broadway, Glendale, Ca 91205 Name and Address of Owner Raymond Mikaily 818-507-0201 Name and telephone number of person familiar with project $791,000 Replace 60 Ductless Split systems 8/2018 Contract amount Type of Work Date Completed CBF-11 City of Roaemead,Cantona Bid Package,Garvey Park Gym Caollag Addlgon,Pitied No:31019 Document Control Page 29 of 031 BIDDER:F.M,Thomas Air Conditioning, Inc. • SECTION 3 NON-COLLUSION AFFIDAVIT CBF-12 • City of Rosemead,Cdlfamle Bld Package,Garvey ParkGym Cooing Addllon,ProjectNo:31019 Document Control Pepe 30 of 631 BIDDER:F.M.Thomas Air Conditioning, Inc. NON-COLLUSION AFFIDAVIT In accordance with Public Contract Code Section 7106,the undersigned,being first duly sworn,deposes and says that he or she holds the position listed below with the bidder,the party making the foregoing bid,that the bid is not made in the interest of,or on behalf of, any undisclosed person,partnership,company,association,organization,or corporation;that the bid is genuine and not collusive or sham;that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid,and has not directly or indirectly colluded,conspired,connived,or agreed with any bidder or anyone else to put in a sham bid,or that anyone shall refrain from bidding;that the bidder has not in any manner, directly or indirectly,sought by agreement,communication,or conference with anyone to fix the bid price of the bidder or any other bidder,or to fix any overhead,profit,or cost element of the bid price,or of that of any other bidder,or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract;that all statements contained In the bid are true; and, further,that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof,or the con is thereof,or divulged information or data relative thereto,or paid,and will not ay,a /fee to any corporation, partnership,company association,organization,b'd dep.• cry, to any member or agent thereof to effectuate a collusive or sham bid. 4 LAI Signature ,' / Thorns° Feyka Typed or Printed Name President Title F.M. Thomas Air Conditioning, Inc. Bidder Subscribed and sworn before me This 12 day of May ,20 20 ( (Seal) 17-/k-41:: ( C(ti 12 y` RENEE RITCHIE ; ,•, NotaryPuhlic—Califotnla Notary Public in and for " "14 Notary CtangeCounty the State of California \,,.;: J Commlssfon fl 2201353 / My Comm,WWI 16,2021 �'! � My Commission Expires: fl CBF-13 City of Rosemead,California BldPackage,Garvey Park Gym Cooling Addition,Project No;31019 Dormant Control Pee31ot631 BIDDER: F.M.Thomas Air Conditioning, Inc. • SECTION 4 REQUIRED FEDERAL FORMS • • • • • • • CBF-14 C1ry o(Rosemead,California Bid Package,Garvey Park Gym Cooling Addition,PmJectNo:31019 Document Control Page 32 of 831 CONTRACTOR INFORMATION Company Name F.M.Thomas Air Conditioning, Inc. Address 231 Gemini Ave, Brea Ca 92821 Telephone 714-738-1062 Fax 714-738-0886 E-mail tfeylca@fmthomas.com Type of Firm: Individual® Partnership® Corporation rig Corporation organized under the laws of the State of California B, C-4,C-20, C-38 Contractor's License Number 313574 StateCA Classification Expiration Date 2/28/21 DIR Registration Number /000003383 Expiration Date 6/30/2020 Names and titles of all officers of the firm Thomas Feyka, President Carolyn Feyka, Secretary/Treasurer • CBE-15 • City of Rosemead.Catania: Bid Padg9e.GSM'Pack Gym Cors0Addrice.ilojeaNac 31019 DoannedCatel Page33 01 631 CONTRACTOR'S NOTIFICATION OF SUBCONTRACTS AWARDED COVERED AREA: MONTH OF: June 2020 Subcontractor's Contract Project Completion Date Name/Address Number Contract Amount Start Date(Estimate) (Estimate) Crafts to be Covered _ asa,�v `tiara bid no 31019 Matta=Bch�, $19,00.00 June 2020 August 2020 roofing,drywall concrete !Schad Lamm Sectrical 3409 Salami Ava-QCs EMS bid no 31019 $73,000.00 June 2020 August 2020- Electrical Precision iron Works bid no 39 019 14542OasciladartilGa,aeo $20,000.00 June 2020 August 2020 Structural steel The 0Alonda9lyd.nMk Ca Crane Guys ,4450Alordbid no 31019 $1,200.00 June 2020 August 2020 Crane Nand air balance bid no 31019 48 hand irbalaC.susE na%CaSOWa $1,100.00 June 2020 August 2020 air balance The uncle '• ed h= =• certifies that (a) The Equal Opportunity Clauses are incficated in each of the Listed Subcontracts; (b) Each subcontractor or tower tier subcontra • has en n ed in writing prior to their beginning construction,of his respective obligations under the Affirmative Action Requirements,if . applicab By f _ -� Thomas Feyka, President Signs%, - Printed Name and Title F.M. Thomas Air Conditioning, Inc. 231 Gemini Ave, Brea Ca 92821 Contractor Name Contractor Address CBF-16 Eq npliement aid Package,L8 to }rur i f a ive p iglil No;31019 Depart �attMit iia med Opportunity Certification Office of Housing OMB Control No.2502-0029 Excerpt From 41 CFR§60-1.4(b) Federal Housing Commissioner (exp.7/31/2009) The applicant hereby agrees that it will Incorporate or cause to be (6) In the event of the contractor's noncompliance with the incorporated Into any contract for construction work,or modifi- nondiscrimination clauses of this contract or with any of the cation thereof,as defined in the regulations of the Secretary of said rules,regulations,or orders,this contract may be can- Labor at41 CFR Chapter 60,which is paid for in whole or In part celed,terminated,or suspended In whole or In part and the with funds obtained from the Federal Government or borrowed contractor may be declared ineligible for further Govern- on the credit of the Federal Government pursuant to a grant, ment contracts or federally assisted construction contracts in contract,loan Insurance,or guarantee,or undertaken pursuant to accordance with procedures authorized in Executive Order any Federal program involving such grant,contract,loan,Incur- 11246 of September 24,1965,and such other sanctions may ance,or guarantee,the following equal opportunity clause: be imposed and remedies invoked as provided in Executive • During the performance of this contract,the contractor agrees as Order 11246 ofSeptember24,1965,or by rule,regulation,or follows: order ofthe Secretary of Labor,oras otherwise provided by law. (7) The contractor will include the portion ofthesentence imme- (I) The contractor will not discriminate against any employee or diately preceding paragraph(1)and the provisions of para- applicant for employment because of race,color,religion, graphs(1)through(7)In every subcontractor purchase order sex,or national origin.The contractor will take affirmative unless exempted by rules,regulations,or orders of the Sec- action to ensure that applicants are employed,and that em- retary of Labor issued pursuant to section 204 of Executive ployees are treated during employment without regard to Order 11246 of September 24,1965,so that such provisions their race,color,religion,sex,or national origin,such action will be binding upon each subcontractor or vendor. The shall include, but not be limited to the following:Employ- contractor will take such action with respect to any subcon- ment,upgrading, demotion,or transfer, recruitment or re- treat or purchase order as the administering agency may cruitment advertising;layoff or termination;rates of pay or direct as a means of enforcing such provisions, including other forms of compensation; and selection for training, sanctions for noncompliance: Provided,however,That in including apprenticeship.The contractor agrees to post in the event a contractor becomes involved In,or is threatened conspicuous places,available to employees and applicants with,litigation with a subcontractor or vendor as a result of for employment, notices to be provided setting forth the such direction by the administering agency the contractor provisions of this nondiscrimination clause. may request the United States to enter into such litigation to (2) The contractor will,In all solicitations or advertisements for protect the interests of the United States. employees placed by or on behalf of the contractor,state that The applicant further agrees that it will be bound by the above equal all qualified applicants will receive considerations for em- opportunity clause with respect to its own employment practices ployment without regard to race, color, religion, sex, or when it participates in federally assisted construction work: national origin. (3) The contractorwll I send to each labor union or representative Provided,That if the applicant so participating is a State or local of workers with which it has a collective bargaining agree- to government,agc ,,tinstrumentality net above ntaequit subdivisionoory n ofse such not governmentapplicable ment or other contract or understanding, a notice to be which any doesenot parumpatelIor work on under ot. provided advising the said labor union or workers'represen- not participate In work on or the contract. tatives of the contractor's commitments under this section, Theapplicantagrees that itwill assist and cooperate actively with and shall post copies of the notice in conspicuous places the administering agency and the Secretary of Labor in obtaining available to employees and applicants for employment. the compliance of contractors and subcontractors with the equal opportunity clause and the rules,regulations,and relevant orders (4) The contractor will comply with all provisions of Executive of the Secretary of Labor,that It will furnish the administering Order 11246 of September 24, 1965,and of the rules,regu- agency and the Secretary of Labor such information as they may tatlons and relevant orders of the Secretary of Labor. require for the supervision of such compliance,and that it will (5) The contractor will furnish all information and reports re- otherwise assist the administering agency in the discharge of the p agency's primary responsibility for securing compliance. quired by Executive Order 11246 ofSeptember 24,1965,and The a licantfbrthera roes that it will refrain fromenterin into by rules,regulations,and orders of the Secretary of Labor,or pp gg pursuant thereto,and will permit access to its books,records, any contract or contract modification subject to Executive Order and accounts by the administering agency and the Secretary 11246 of September 24,1965,with a contractor debarred from,or of Labor for purposes of investigation to and the compli- who has not demonstrated eligibility for,Government contracts ance with such rules,regulations,and orders. and Federally-assisted construction contracts p rsuant to the • Executive order and will carry out such sa ti and penalties for violation of the equal opportunity el ay be imposed Firm Nem sad Address By F.M.Thomas Air Conditioning, Inc. Thomas Feyka 231 Gemini Ave, Brea Ca 92821 nu. President CBF-17 form HUD-92010(9n008) VA form 28-421 Gly of Rosemead,California RI Pothage,away Pork Gyro Coollm Addl9on,Pict No;31019 . Document Confral Page 35 of Q31 upon contractors and subcontractors by the administering agency (5) The contractor will furnish all information and reports or the Secretary of Labor pursuant to Part II,Subpart D of the required by Executive Order 10925 of March 6, 1961,as Executive order.In addition,the applicant agrees that if it fails or amended, and by the regulations, and orders of the said refuses to comply with these undertakings, the administering Committee,or pursuant thereto,and will permit access to his agency may take any or all of the following actions: Cancel, books,records,end accounts by HUD and the Committee for terminate,or suspend in whole or in part this grant(contract,loan, purposes of investigation to ascertain compliance with such insurance,guarantee);refrain from extending any further ass's- regulations,and orders. tance to the applicant under the program with respect to which the (6) In the event of the contractor's non-compliance with failure or refund occurred until satisfactory assurance of future the nondiscrimination clause of this contract or with any of compliance has been received from such applicant;and refer the case the said regulations, or orders, this contract may be can- to the Department of Justice fur appropriate legal proceedings. celled,terminated or suspended in whole or in part and the Excerpt from HUD Regulations contractor may be declared ineligible for further Govern- ment200.410Definition of term"applicant". contracts or Federally-assisted construction contracts In accordance with procedures authorized in Executive Order (a) In multifamily housing transactions where controls over the 10925 of March 6,1961,as amends,and such other sanctions mortgagor are exercised by the Commissioner either through may be imposed and remedies invoke s provided in the said the ownership of corporate stock or under the provisions of Executive Order or by regulations,or order of the President's a regulatory agreement,the term"applicant"as used in this Committee on Equal Employment Opportunity,or as other- subpart shall mean the mortgagor. wise provided by law. (b) in transactions other than those specified in paragraph(a)of (7) The contractor will Include the provisions of Para- graphs(1)through(7)in every subcontractor purchase order this section,the term"applicant"as used in this subpart shall unless exempted by regulations,or orders of the President's mean the builder,dealer or contractor performing the con- Committee on Equal Employment Opportunity issued pursu- struction,repair or rehabilitation work for the mortgagor or an(to Section 303 of Executive Order 10925 of March 6, other borrower. 1961,as amended,so that such provisions will be binding 200.420Equal Opportunity Clause to be included in contracts and upon each subcontractor or vender, The contractor will take subcontracts. such action with respect to any subcontract or purchase orders as HUD may direct as a means of enforcing such (a) The following equal opportunity clause shall be included in provisions,ino[ud[ngsanctions for noncompliance:Provided, each contract and subcontract which is not exempt: however,that in the event the contractor becomes involved During the performance ofthis contract,the contractor agrees In,or is threatened with, litigation with a subcontractor or as follows: vender as a result of such direction by HUD,the contractor (l) The contractor will not discriminate against any em- may request the United States to enter into such Litigation to ployee or applicant for employment because of race,creed, protect the interests of the United States, color,or national origin.The contractor will take affirmative (b) Except in subcontracts for the performance of construction action to ensured that applicants are employed, and that work at the site of construction,the clause is not required to • employees are treated during employment without regard to be inserted in subcontracts below the second tier. Subcontracts their race,creed,color,or national origin.Such action shall may incorporate by referenced to the equal opportunity clause. include,but not be limited to the following: employment, upgrading,demotion or transfer;recruitment or recruitment 200.425Modification In and exemptions from the regulations in advertising;layoffor termination;rates of pay or other forms this subpart of compensation; and selection for training, including ap- (a) The following transactions and contracts are exempt from the prenticeship.The contractor agrees to post In oonspiouous regulations In this subpart: places,available to employees and applicants for employ- ment,notices to be provided setting forth the provisions of (1) Loans,mortgages,contracts and subcontracts not ex- the nondiscrimination clause. aeeding$10,000. (2)The contractor will in all solicitations or advertisements for (2) Contract and subcontracts not exceeding$100,000 for employees placed by oron behalfofthe contractor,state that all standard commercial supplies or raw material; qualified applicants will receive consideration for employment (3)Contracts and subcontracts under which work is to be or has without regard race,creed,color,or national origin, been performed outside the United States and where no recruit- (3) The contractor will send to each labor union or repre- ment of workers within the United States In involved.To the sentative of workers with which he has a collective bargain- extent that work pursuant to such contracts is done within the ing agreement or other contract or understanding,a notice,to Untied States,the equal opportunity clause shall be applicable; be provided,advising the said labor union or workers'repre- (4) Contracts for the sale of Government property where sentative ofthe contractor's commitments under this section, no appreciable amount of work is involved;and and shall post copies of the notices in conspicuous places (5) Contracts and subcontracts for an indefinite quantity available to employees and applicants for employment. which are not to extend for ore than one year if the purchaser (4) The contractor will comply with all provisions of Ex- determines that the amounts to be ordered under any such eoutive Order 10925 ofMarch 61961,as amended,and ofthe contract or subcontract are not reasonably expected to exceed regulations,and relevant orders of the President's Comm it- $100,000 in the case of contracts or subcontracts for standard tee on Equal Employment Opportunity created thereby. commercial supplies and raw materials,or$10,000 in the case of all other contracts and subcontracts. CBF-18 form HUD-92010(3108) VA form 26.421 • City of Rosemead,California Bld Package,Garvey Park Gym Cooling Addition,Prolog No:31010 Document Control Page 30 of 631 CERTIFICATION WITH REGARD TO THE PERFORMANCE OF PREVIOUS CONTRACTS OR SUBCONTRACTS SUBJECT TO THE EQUAL OPPORTUNITY CLAUSE AND THE FILING OF REQUIRED REPORTS The( ilrjder,Oproposed sub-contractor,hereby certifies that he/she Ohas,aifias not,participated In a previous contract or subcontract subject to the Equal Opportunity Clause, as required by Executive Orders 10925, 11114, or 11246, and that he/she Ohas, has not, filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filing requirements. Date; fiat r i3.‘a.() Ci Project Number: 3(0 L l ContractAward:$ 301, coo,QO Awarding Agency: Contractor Name: Total Number of Employees • Affiliate Company: • By: Title: NOTE:The above certification Is required bythe Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 60-1.7(b)(1),and must be submitted by bidders and proposed subcontractors only In connection with contracts end subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth In 41 CFR 60-1.5(Generally orgy contracts orsubcontragfs ot'410,OU0,or under are exempt). Proposed prime contractors and subcontractors who have particlpated.in a previous contract or subcontract subject to the Executive Orders and hrVe not filed the required reports should note that 41 CFR'60-1.7(b)(1)prevents the award of contracts and subcontracts unlesssuch contractor submits a report covering the delinquent period orsuch other period specified by the U.S. Department of the Interior or by the Director, Office of Federal Contract Compliance, U.S. peparfinent of Labor. .$F 100 FEED-11 must_be filed by; (A)All private employers who are: (1) Subject to Title VII of the CMI Rights Act of 1964(as amended)with 100 or more employees. (2) Subject to Title ViI who has fewer than 100•employees, if the company Is owned or affiliated with another company,or there Is centralized ownership,control or management so that the group legally constitutes a single enterprise,and the entire enterprise employs a total of 1017 or more employees. (3)All federal contractors(private employers),who: (1) Are not exempt as provided for by 41 CFR 60-1.5 (2) Have 50 or more employees,and a. Are prime contractors or first-tier subcontractors,and have a contract,Subcontract,or purchase ,order amounting to$50,000 or more;or b. Serve as a depository of Government funds In any amount,or c. Is a financial Institution,which Is an Issuing,and paying agent for U,S.Savings Bonds end Notes. CBF-I9 City of Rosemead,California Bid Package,Garrey Pork Gym Coding Addition,Project Pim 31019 Noumea!Control Page 57 of 831 DxhibLt: 13 county Lobb let Certification • Los Aagelea county Compliance Form—To be submR ed with B d COUNTY LOPBYIST CODE CHAPTER 2.160 COUNTY ORDINANCE NO.00.0031 Warns ofFinn; F.M. Thomas Air Conditioning, Inc. Address: 231 Gemini AveLBrea Ca 92021 State: zip Cade; Telephone Number: ( ) 714-738-1062 Acting on behalf of the above named firm, as Its Authorized Ottiolal, I make the following Certification to the County of Los Angeles and the Community Development Commission, County of Los Angeles: 1) It is understood that each person/entlty/firm who applies for a Community Development Commission contract, and as part of that process,shall certify that they are familiar with the requirements of the Los Angeles County Code,Chapter 2.160(Los Angeles County Ordinance 93.0031)and; 2)That all persona/entitles/firms soling on behalf of the above named firm have and will comply with the County Code,end; 3) That any person/entity/firm who seeks a contract with the Community Development Commission shall he disqualified therefrom and denied the contract and, shell be liable In civil oilcan,if any lobbyist,lobbying firm, lobbyist employer or any other person or entity acting an . behalf of the named firm falls to comply with the provisions of the County Coda. • This certification Is a materiel representation of fact upon which reliance was planed when this transaction was made or entered Into, Submission of this certification le a prerequisite for making or entering Into contract with the Los Angeles County and the Corn , ni, Development . Commission,County of Loa Angetea, Authorized Officiate F.M.Thomas Air Conditioning, Inc. By: 014 (ckeVootorinoboonimorod (- nlr0 May 12th,2020 President Lode) (nasi CBF-20 City of Rosemead,California Bid Package,Garvey Pak Gym CoolingAddition,ProtectNs:31019 DoeumentControl Page 3801831 NON-SEGREGATED FACILITES CERTIFICATION Federally-Assisted Construction Projects The federally-assisted construction contractor certifies that he/she DOES NOT and WILL NOT: 1. Maintain or provide, for his/her employees, any segregated facilities at any of his/her establishments. 2. Permit his/her employees to perform their services at any location,under his/her control,where segregated facilities are maintained. The federally-assisted contractor agrees that a breach of this certification is a violation of the Equal Opportunity Clause in this contract.As used in this certification,the term segregated facilities means any waiting room, work areas, restrooms and washrooms, restaurants and other eating areas, time clocks, locker rooms and other storage or dressing areas,parking lots,drinking fountains,recreation or entertainment areas, transportation, and housing facilities provided for employees which are segregated by explicit directive or are In fact segregated on the basis of race,creed,color or national origin,because of habit,local custom,or otherwise. The federally-assisted contractor agrees that(except where he/she has obtained identical certifications from proposed subcontractors for specific time periods) he/she will obtain Identical certifications from proposed subcontractors prior to the award of subcontractors exceeding$10,000 which are not exempt from the provisions of the Equal Opportunity Clause, and that he/she will retain such certifications in his/her flies. NOTE:The penalty for mak g false statements In offers is prescribed in 18 U.S.C.1001 Date: May 12th, 2020 Project Number; bid no 31019 Company: .M. o a it Conditioning, Inc. By: Title: Presid=•`t • CBF-21 City of Rosemead,Cellforn% Bid Foliage,Garvey Park Gym Cooling Addllon,Protect Na 31019 ,lraament Control Page 39 of 931 NONCOLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) To the CITY/COUNTY of Rosemead DEPARTMENT OF PUBLIC WORKS. In accordance with Title 23 United States Code Section 112 and Public Contract Code 7106 the bidder declares that the bid is not made in the interest of,or on behalf of,any undisclosed person,partnership,company, association,organization,or corporation;that the bid is genuine and not collusive or sham;that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid,and has not directly or indirectly colluded,conspired,connived,or agreed with any bidder or anyone else to put in a sham bid,or that anyone shall refrain from bidding;that the bidder has not in any manner,directly or indirectly,sought by agreement,communication,or conference with anyone to fix the bid price of the bidder or any other bidder,or to fix any overhead,profit,or cost element of the bid price,or of that of any other bidder,or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract;that all statements contained in the bid are true;and,further,that the bidder has not,directly or indirectly,submitted his or her bid price or any breakdown thereof,or the contents thereof,or divulged information or data relative thereto,or paid, and will not pay,any fee to any corporation,partnership,company association,organization,bid depository,or to any member or agent thereof to effectuate a collusive or sham bid. Note: The above Noncollusion Affidavit is part of the Proposal, Signing this Proposal on the signature portion thereof shall also constitute signature of this Noncollusion Affidavit. Bidders are cautioned that making a false certification may subject the certifier to criminal prosecution. • • • CBF-22 Cllyof Rosemead,California Old Package,Garrey Perk Gym Cooling Addition,Project No:31019 Oocument Control Page 40 of 031 • • COMPLIANCE WITH CLEAN AIR AND WATER ACTS (Applicable to federally assisted construction contracts and related subcontracts exceeding 3100,000) During the performance of this contract, the contractor and ell subcontractors shell comply with the requirements of the Clean Air Act,as amended,42 USC 1057,etseq,the Federal Water Pollution Control Act,as amended,33 USC 1251,e1 seq.,and the regutations of the Environmental Protection Agency with respect thereto,at 40 CFR Part 16,as amended. in addition to the foregoing requirements,all nonexempt contractors and subcontractors shall furnish to the owner the following: 1. A stipulation by the contractor or subcontractors that any facility to be utilized In the performance of any nonexempt contract or subcontract la not fisted on the Lfet of Violating Facilities Issued by the • Environmental Protection Agency(EPA)pursuant to 40 CFR 15.20, 2. Agreement by the contractor to comply with ell the requirements of Section 114 of the Clean Air Act,as amended(42 UGC 1867c-8)and Section 308 of the Federal Water Pollution Control Act, as amended(33 USC 1318)relating to Inspection,monitoring,entry,reports,and Information,as well as all • other requirements specified In said Section 114 and Section 308,end all regulations and guidelines issued thereunder. 3. A stipulation that as a condition for the award of the contract,prompt notice will be given of any notification received from the Director,Office of Federal Activities,EPA,Indicating that a facility utilized or to be utilized for the contract is under consideration to be listed on the EPA List of Violating Facilities. 4. Agreement by the contractor that he will include, or cause to be Included, the criteria and requlrerdente in paragraph(1)through(4)of this section In every nonexempt subcontract and requiring that the contractor will take such action as the Government may direct as means of enforcing Kroh provisions. F.M. Thomas Air onditioning, Inc. Name of contractor 231 G-mi ' V. Brea Ca 92821 Addresk/ Thomas Feyka, President Signatu-an.Title May 1 , /020 Date CBF-23 • City of Rcaemead,California Bid Package,Garvey Peds Gym Cooling Addition,Project Na 31019 CocumentCantroi Page 41 of 931 • • WORKER'S COMPENSATION CERTIFICATION • I certify,by signature below,that I em aware of the provisions of Section 3700 of the California Labor Code which require every employer to be insured against Ilabnity for worker's compensation or to undertake self-Insurenoe in accordance with the provisions of that coda,and I will comply with such provisions before commencing the performance of the work of this contract, Date: May 12th, 2020 Project Number. 31019 Project Name: Garvey Park HVAC Replacement CompanyName: F.M. Thomas Air Conditioning, Inc. Address: 231 GemID kVe ,:rea Ca 92821 • Print Name: Thomas F k j -Wile: Presi. - Wifi Signature: i/ W// • • • CBF-24 City of Rosemead,Celifamle Bid Package,Garvey Perk Gym Cooling Widen,Prajeot No:31019 Document Control Page 42 of 631 NOTICE OF SECTION 3 COMMITMENT To: UA Local 250 Mama of Lobo(union orwartnm Ropmaenlolrv.J 8355 S. Figueroa, Gardena, Ca 310-660-0035 faddmol Awarding Authodty: City of Rosemead Project Nemo end Number: Garvey Park Gym Cooling Addition 31019 The undo Igned currently hold; a contract with City of Rosemead Involving Community Development Block Grant(COBO)funds horn the U.S.Department of Houetng end Urban Development(HUD)ore eubcontracl with a prima contractor holding such contract You are advised that under the provisions of the above contract or subcontract and In eccordence with Section 3 of the Housing and Urban Developm;ntAct of 1988,the undersigned Is obligated,Witte greatest extent feasible,to give opportunities for training and employment to lower-Income residents of the project area and to award contracts for work on the project to buatnees concerns that are located In or are owned In substantial part by project-area residents, Regarding employment opportunities for this project the minimum number and job titles are: Minimum Number Job Titles 1 HVAC Sheetmetel Regarding job referrals,request that consideralton be given,to the greatest extent feasible,to assignment of persons residing in the service area or neighborhood in which the project Is located. The anticipated date the work will begin re June 2020 For additional information,contact Ron Outhler 714-738-1062 This notice is furnished to you pursuant to the provisions of the above contract or sub- trac ectron 3 of the Housing and Urban Development Act of 1988. Copies of this toe be •.CCddd by the undersigned in conspicuous places available to employees or appltoen r a• p• en F.M.Thomas Air Conditioning, Inc. toontmdwreubamtnctoq / tsramarei May 12th,2020 Pr ident hotel lTluq • CBF-25 • Gly of Rosemead,California Bid Package,Gamey Palk Own Cooling Addigdn,Project No:31019 Dacdmend Control Page 43 of 631 • Section 3 Economic opportunity Plan I Noma and AddraaofRepmtIngEnlhy 2 Wand ldanahcaUon(CanhwVAwerINo.) 3 Odic Amount 31Axs,d; (ReaptonI.8ubis Iplant Ce tiacior.Subcanuactor); N/A N/A F.M.Thomas Air Conditioning,Inc, 4. Conlsd(Pernm B. Mona(Include AraiOodi): Ron Outhier 714-738-1082 e. Reporting Pedad: 7. Osla Ripon Submlead: .lune 2020 N/A e. Program Code: (Ulm umute deal Fro each Fromm Cade) Program Coder 1.Planta Me:WO 3.Gado 702/011 3.Pubar/tndlan HoeiNg DordopmanI.Opinion,and Mademlmton 4.Hemele•$Anllhnre t2/HOME I.HOME-Mete Adminhtand 7.CMG—EnNeament S.COBS—Cali Adminl and a,OlharCDPngtatna 10,OlharHouehraPrognme Part It employment and Training Commitment TOTAL SECTION %OFAGGREGATE CODE(8) NEW 3 NEW HIRES WHOARE JOSCLASSIPICATION HIRES HIRES SECTIONS HIRES RACIAL ETHNIC • Ptofeaelanale Technician OMa/Cfadcal 'rr Trade: .'�`b1‘t,1.�YLt,�t.t I o Tiede: TOTAL Part II; Contract Award Commitment to Section 3 Businesses(Bubeanbaarere,auppMm,Vanaaa,oreoMce Pravldara) SPECIFY CONSTRUCTION OR CODE(8) NONCONBTRUOTION CONTRACT NAME OR SECTION 3 BUSINESS CONCERN CONTRACT AMOUNT RACIAL ETHNIC RACIAL BACKGROUND: • 1:INDLE CATEGORIEES DOUBLE CATENORIES I. Annrluan Indian/Alaska Native 8, American Indian or Alaska Native AND While 1 Man 7, Aslan AND While 3. BladrlAMuanAmerican B, Black crAMarnAmerican AND While 1. Native Hrwagen/Olher Peclaa Wender S. American Indian or Andra Nativa AND Bleak erAMcan American e, WhIta 10. Other—Tor indlvlduuMno!Identified above. ETHNIC BACKGROUND: A. HlepenfuR.alino S, NotHfapanfo!LuUno • CBF-26 • City of Rosemead,California Bid Package,Garvey Pak Gym Cooling Addition,Project No:31019 Document Control Page 44 of 531 Section 3 Business Certification Form Business Name: F.M.Thomas Alr Conditioning,Inc. Business Address: 231 Gemini Ave,Brea Ca 92821 Telephone Number: 714.738-1062 Contrast Amount:$307.000.00 The above-mentioned business film Is a Section 3 business concern based an the following qualification: 1. 0 51 percent owned by Section 3 residents(ettech Section 3 Resident Certification OR forms) 2. ® Permanent,full-time employee;Include at least 30 percent Section 3 resldenle (attach Section 3 Resident Certification forms) OR 3. ❑ Written commitment to subcontract at least 25 percent of contract amount to business concerns that meet Section 3 qualification stated In paragraph 1 or 2 above(attach Section 3 Economic Opportunity Plan,Seaton 3 Business Certification form for subcontractor,and Section 3 Resident Certification forms) OR 4. ® Written commitment that Section 3 qualified new hires will comprise at least 30 percent of total new hires(attach Section 3 Economia Opportunity Plan) Specify ethnicity of business,ownership: IKI White American ❑ Black American ❑ Native American El Hispanlo American Et Asian Pacific ❑ Hasidic Jewish The undersigned by hlslher signature affixed hereto declares uncle •=nal p jury that the above Information Is complete and correct May 12th,2020 Data Signa • - Thome- e a Print Na President The • CBF-27 • City of Rosemead,California 91d Package,Gamy Perk Gym Cooling Addition,Protect Na 31019 Document Control Page 46c4 031 CERTIFICATION OF UNDERSTANDING AND AUTHORIZATION Project Name Garvey Park Gym Cooling Addition 31019 Project Number 31019 This is to certify that the principles and the authorized payroll officer have reed and understand the Minutes of the Preconstruction Conference and the labor standards clauses pertaining to the subject project. The following person(s)is designated as the payroll officer for the undersigned and is authorized to sign the Statement of Compliance,which will accompany our weekly certified payroll reports for this project. Designated Payroll Officer(Name) Carolyn Feyka Designated Payroll Officer(Signature) • Authorized by ►antra • /Su/contractor) Thomas Feyka •APAr, President Signature , Title / : , 95-2972859' May 12th, 2020 (IRS) Employer Identification Number Date • CBF-28 5M12020 httpx//cadirseauelome.can/ContractorSearch/PrmtRegDetals • Contractor Information Registration History Legal Entity Name Effective Date Expiration Date INLAND AIR BALANCE,INC Legal Entity Type 5/9/2018 6/30/2019 Corporation Status 5/8/2017 6/30/2018 Expired Registration Number 6/7/2016 6/30/2017 1000013848 Registration effective date 6/4/2015 6/30/2016 5/9/2018 Registration expiration date 3/4/2015 6/30/2015 6/30/2019 Mailing Address 8/21/2019 6/30/2021 482 W ARROW HWY STE C SAN DIMAS 91773 CA United States of... 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Physical Address 482 W.ARROW HWYSfE C SAN DIMAS 91773 CA United States of... Email Address Trade Name/DBA License Number(s) CSLB:837T72 • • httpsII adir se We force com/ContractoPSearch/PrintRegDetails 5f 511212020 haps//cadvsecureSaroecaNContractorSearch/PimfRegDetans Legal Entity Information Corporation Number: 2665344 Federal Employment Identification Number:. President Name: DAVID JONES • Vice President Name: Treasurer Name: Secretary Name: CEO Name: Agent of Service Name: DAVID JONES Agent of Service Mailing Address: 143 BEN AVON COURT SAN DIMAS 91773 CA United States of America Workers Compensation Do you lease employees through Professional Employer Organization(PEO)?: Please provide your current workers compensation insurance information below: PEO PEO PEO PEO InformationName Phone Email Insured by Carrier Policy Holder Name:INLAND AIR BALANCE,INClnsurance CarrierSTATE COMPENSATION INSURANCE FUND Policy Number.1977105-14lnception date:8/31/2016Expiration Date:8/31/2018 https://cadltsecureiorce.com/ContractorSearch/PrintRegDetails 6/12 5112/2020 Mtps://cadirseatreforce.cowlContractorSearchiPdrditegrietaits Contractor Information Registration History. 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License Numbers) CSL8:803239 C-10 httpmficadrcsecure.force.com/ContractorSeatdVPrintRegDe s ars 5/122020 htlpsJ/cadlr secureforce.comlContractorsearch/PrintRegDetalls Legal Entity Information Corporation Number: 2414798 Federal Employment Identification Number: • President Name: MICHAEL WNA Vice President Name: Treasurer Name: MICHAEL WNA Secretary Name: MICHAEL WNA CEO Name: MICHAEL WNA Agent of Service Name: CORPORATION SERVICE COMPANY Agent of Service Mailing Address: 2710 GATEWAY OAKS DR STE 150N SACRAMENTO 95833 CA United States of America Workers Compensation Do you lease employees through Professional Employer Organization(PEO)?: Please provide your current workers compensation insurance information below: PEO PEO PEO PEO InformationName Phone Email Insured by Carrier Policy Holder Name:MICHAEL LAWRENCE ELECTRIC,INCInsurance Carrier:WESCO INSURANCE COMPANYPoIicy Number: WWC3359870Inception date:7/13/2018Expiration Date:7/13/2019 haps//cadirsecure.farce.com/ContradorSeardUPrintRegDefails 419 5/12/2020 httpsY/cadirsecu e.force.Com/Cont adorSearrh/PrinfRegnelas • Contractor Information Registration History Legal Entity Name Effective Date Expiration Date MICHAEL LAWRENCE ELECTRIC,INC. 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President Name: MICHAEL LUNA Vice President Name: Treasurer Name: MICHAEL LONA Secretary Name: MICHAEL LONA CEO Name: MICHAEL LUNA Agent of Service Name: CORPORATION SERVICE COMPANY Agent of Service Mailing Address: 2710 GATEWAY OAKS DR STE 150N SACRAMENTO 95833 CA United States of America Workers Compensation • Do you lease employees through No Professional Employer Organization(PEO)?: Please provide your current workers compensation insurance information below: PEO PEO PEO PEO InformationName Phone Email Insured by Carrier Policy Holder Name:MICHAEL LAWRENCE ELECTRIC,INCInsurance Carrier.WESCO INSURANCE COMPANYPolicy Number: WWC3359870Inception date:7/14/2019Expiration Date:7/14/2020 httpr.//cacrinsecure.force.com/ContractorSearch/PrintRegDatails secure_fon:e.corn/ConlractorSearch1PrintRegDetails 8/y 6/12/2020 httpe://cadlr aeoure.force,com/Contrectorsearoh!PrintRegDetalls Contractor Information Registration History Legal Entity Name Effective Date Expiration Date SCOTT MANFREDI CONSTRUCTION,INC • Legal Entity Type 1/20/2017 6/30/2017 Corporation Status 8/28/2015 6/30/2016 Expired . Registration Number 4/23/2020 6/30/2021 1000028706 Registration effective date 1/20/2017 Registration expiration date 6/30/2017 Mailing Address 8941 ATLANTA AVE#131 HUNTINGTON BEACH 92646,.. Physical Address 8941 ATLANTA AVE#131 HUNTINGTON BEACH 92646... Email Address Trade Name/DBA SMC,INC License Number(s) CSLB:444234 CSLB:444234 Legal Entity Information Corporation Number: SCOTT MANFREDI C Federal Employment Identification Number: President Name: SCOTT MANFREDI • Vice President Name: Treasurer Name: Secretary Name: CEO Name: Agent of Service Name: SCOTT MANFREDI Agent of Service Mailing Address: 8941 ATLANTA AVE#131 HUNTINGTON BEACH 92646 CA United States of America Workers Compensation Do you lease employees No through Professional htipe://cadInsecure.torce.com/ContractorSearch/PrintRegDatalle secure.force.com/ContractarSearch/PrtntRegDetalis 1/6 $/92/2020 httpa:icadlr.aecure.force.corn/CcnlreotorSearch/PrintReaDetelle Employer Organization (PEO)?: Please provide your current workers compensation insurance Information below: PEO PEO , PEO PEO InformationName Phone Email Insured by Carrier Policy Holder Name:SCOTT MANFREDI CONSTRUCTION,INClnsurance Carrier: STATE COMPENSATION INSURANCE FUNDPoIicy Number:9052332Inception date: 9/30/2013Expiration Date:9/30/2020 Contractor Information Registration History Legal Entity Name Effective Date Expiration Date SCOTT MANFREDI CONSTRUCTION,INC Legal Entity Type 1/20/2017 6/30/2017 Corporation Status 8/28/2015 6/30/2016 Expired Registration Number 4/23/2020 6/30/2021 1000028706 Registration effective date 8/28/2015 Registration expiration date 6/30/2016 Mailing Address 8941 ATLANTA AVE#131 HUNTINGTON BEACH 92646... Physical Address 8941 ATLANTA AVE#131 HUNTINGTON BEACH 92646... Email Address Trade Name/DBA SMC,INC • t License Number(s) CSLB:444234 httpalicadInseoure.force.com/ContractorSearch/Prin1ReADetalls 215 5/12/2020 httpa,l/cadir.secure.farce.com/ConfractorSearohlPrintRegDetaila Legal Entity Information Corporation Number: SCOTT MANFREDI C Federal Employment Identification Number: President Name: SCOTT MANFREDI Vice President Name: Treasurer Name: Secretary Name: CEO Name: Agent of Service Name: SCOTT MANFREDI Agent of Service Mailing Address: 8941 ATLANTA AVE#131 HUNTINGTON BEACH 92646 CA United States of America Workers Compensation Do you lease employees through Professional Employer Organization (PEO)7: Please provide your current workers compensation insurance information below: PEO PEO PEO PEO InformationName Phone Email Insured by Carrier • Policy Holder Name:SCOTT MANFREDI CONSTRUCTION,INClnsurance Carrier: STATE COMPENSATION INSURANCE FUNDPolicy Number:9052332InceptIon date: 9/30/2013Expiration Date:9/30/2017 • https;//cadlr aecure.force.comlContractar8eeroh/PrinfRegDetalla 3/6 5/1212020 https://cadlteacure,force.com/ContractorSearch/PrintRegDelalle Contractor Information Registration History Legal Entity Name Effective Date Expiration Date SCOTT MANFREDI CONSTRUCTION,INC Legal Entity Noe 1/20/2017 6/30/2017 Corporation Status 8/28/2015 6/30/2016 Active Registration Number 4/23/2020 6/30/2021 1000028706 Registration effective date 4/23/2020 Registration expiration date 6/30/2021 Mailing Address 8941 ATLANTA AVE#131 HUNTINGTON BEACH 92646... Physical Address 8941 ATLANTA AVE#131 HUNTINGTON BEACH 92646... Email Address ?Rade Name/DBA SMC,INC • License Number(s) CSLB:444234 CSLB:444234 Legal Entity Information Corporation Number: SCOTT MANFREDI C Federal Employment Identification Number: President Name: SCOTT MANFREDI Vice President Name: Treasurer Name: Secretary Name: CEO Name: Agent of Service Name: SCOTT MANFREDI Agent of Service Mailing Address: 8941 ATLANTA AVE#131 HUNTINGTON BEACH 92646 CA United States of America Workers Compensation Do you lease employees •No through Professional Employer Organization (PEO)?: https//cadlreecure.force.com/ContractarSearch/PrintRegDetalls 4/5 6/12/2020 htlps://cadlneecure.force.com/ContractorSearch/PrIntRegDetalla Please provide your current workers compensation insurance information below: PEO PEO PEO PEO InformationName •Phone Email • Insured by Carrier Policy Holder Name:SCOTT MANFREDI CONSTRUCTION,INClnsurance Carrier: STATE COMPENSATION INSURANCE FUNDPoIIcy Number:9052332Inception date: 9/30/2013Explration Date:9/30/2020 • • • • httpeJ/cadIr secure.force.com/Contractor8earch/PrtntRegDotalle 5/5 4 fR ® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIscrey") _ 9/31!2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the polioy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER C••Ir,CT Melissa AltarMott Bowermaeter&Associates P.O.Box 6028 *4•No.EMU 714.733.6200 I ,H,I: 10805 Holder St Suite 350 ADDRESS: malteMotl®bowermastar cOM Cypress CA 80830 INSURER(8)AFFORDINGCOVERAGE NAICN INSURERA I Valley Forge Insurance Company 20608 INSUReD FMTHOMA0I INSURERS:Continental Casuofty CO. 20443 FM Thomas Air Conditioning,Inc. 231 Gemini Ave, INSUREROI Continental Insurance Company 95289 Brea CA 82821 INeuRER D,Insurance Company of the West 27847 INSURER E t • INSURER!: COVERAGES CERTIFICATE NUMBER:1817359263 RVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREDNAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTIMTHSTANDIN(a ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUE°OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, ( EXCLUSIONS CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BYPAID CLAIMS. Witt TYPEOPINBURANOE !NM aMO POLICYNUM0ER IPOLICMp !CLOY • A X COMMEROIALGENERALLUIDILITY m /D 1 IMMIpp LOInB 8057226216 41112020 4/112021 EAOHOCCURRENCE 91,000,000 ICUUM8MAGE OCCUR PREVBEB(EiaNTa�e'rmo* 6100,000 MED EXP(Any ons pnrsca) 116.000 PERSONAL&ADV INJURY 11,000,000 OENLAGGREGATE LIMIT APPLIESPER: GENERAL ABNEGATE 12.000,000 1 POLICY❑SNITCT, 0 LOC PRODUCTS-COMPIOPA00 12,000,000 • OTHER 1 B AUTOMOBILELIABnJTY 5057250003 4/1/2020 411/2021 IgrgeD$INGLE UNIT 11,000,000 X ANYIUITo ' BODILY INJURY(Pit pma:) I OVDIED —"RDULEO • �( AUTOS ONLY X g8 ° ° BODILY INJURY(Pars dqE) 5 AUTOS ONLY _ AAUTOSS ONLY VENED �R�Opl fi r AMAGE 1 �X $ 0 X UMBRELLA LIAO 1 OCCUR 8057250077 4/1/2020 41112021 EACH OCCURRENCE 54,000,000 EXCESS LAB CLAIMS-MADE Ao0REDATE 14,000,000 OED I X I RETENTIONI iry,nn 0 WORKER000NPBN1ATION W50005260800 1/1/2020 11112021 X I BTATUTe I IISI. 1 AND EMPLOYERS'LIABILITY rR ANVPAOPRIRTORIPAR��I�IIERIEXECUrIVE Y. OFFICERINEMBERBXCU/DE01 NIA ELEACH ACCIDENT 21,000,000 _o(MffnnoduoryrnNH) ELOISEASE•EAEMPLOYEE 11,000,000 BSuR r ION of OOPERAT IoNe below EL,DISEASE-POLIOYUMR 11,000,000 DESCRIpTIONOPOPERATIONS ILOCATrofsIVE19CLGS(ACORD11I,Additions/RonwrkiSohidu(o,ally bsMonad rrwoo spin hngvnd) Evidence of Coverage CERTIFICATE HOLDER CANCELLATION • SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WV. BE DELIVERED IN •FM Thomas Air Conditioning,Inc. ACCORDANCEWITHTHE POLICY PROVISIONS. 231 Gambit Ave • A RIZEDR!PRNSENTATIV0 Brea CA 82821 ®1988.2015 ACORD CORPORATION.All rights reserved. ACORD 26(2018103) The ACORD name and logo ars registered mortis of ACORD • STATE LICENSE 9oAft® rT. • ACTIVC:UcENsE ; • 313574 «Illww F M THOMAS AIR CONDiTION(NGp INC • "°"a-111 C-4 C20 C38 8 • •:.L11. _ WW.csfb,ca.gov '=• • 1/31/2020 Supplier PmAie Printed on:1/31/2020 7:32:41 AM To verft most current certification status go to:https://Ww,cafsprocure.ce.gov •sn+aar9 fin;;n rJJ,v o. . eAuvoQ$,A aarentn1aer O GENERAL SERVICES Office of Small Business & DVBE Services Certification ID:29235 Email Address: Legal Business Name; mfeyka@fmthomas.corn F M THOMAS AIR CONDrONiNG INC Business W®b Page: Doing Business As(DBA)Name 1: http://wwyvfmthomas.corn F M THOMAS AIR CONDITIONING INC Business Phone Number: Doing Business As(DBA)Name 2: 8001660.0891 • Business Fax Number: Address: 714/735.0886 231 GEMINI AVE BREA Business Types: CA 92821 Construction,Service Certification'type Status From To SB • Approved 10/04/2018 1W31/2020 Stay inrowned'KEEP YOUR CERTIFICATION PROFILE UPDATED! -LOG IN at eProcure.CA.rnv Questions? Email;O�DSNl LBsaGs r.,e r0`r • Call OSDS Main Number:916-375-4940 707 3rd Street,1-400,West Sacramento,CA 95605 • htrpa!/oatewoeure.oeuovl6nm,wu��u.hn..o,..� e -_,..». .... r Business Sea Business Eines-Business Promos Pagel of X $usyness lnt .t r Detail ,Osta inorninssupdated to the CaliforniaMornings- Results Business refer to ProcossihreE2ect'work processed Search on Wednesda . processed. data Times for d throtes Aida g Y reit and g The provided the received dates of filings ust AEU. �'�easa Entity Hams: is not complete or certified ctttrent�6aing F. recordotan entity. N►zutber: N. THOMAS AIR CONOITroNING, INC. Entity k'ixed; C0755790 aha Status: 09/30/1975 �11trisd%ota,ort: AC1 zVG Rpt:[ ,. mess; CALIFORNIA 231 G6MrNr AVE Entity city. state, Sip! A9ertt for S®rvico of BRED CA 92821 pfiooese c TRomAs EgY[CA Fent Address: Agent ci , sty , yip j 231 GEMINI AVE BRLA CA 92e21 states database.cates fnformation is not contained i rf the status n the California Seore(:�oC etas of the process is us of ticaZorpoation is "Surrender," Code section tom fory revoked. Please the agent for s have surrendered, inP°rmation relating caliPor ads or • Ear Information ating to seraice �$ CO s t ntation on Check upon corporals • Ebr information ono checking or res p e that reports or ordering certificates,a pante, refer to to reNawe gvt fittest a more extensive search copies of lrrt ue For help'With searching documents and • r descriptions g an entity lam Se a„_ pescri °f the various ' e to 3e - 'Ifa ®sts, tions and status fields and statue arch Ti s. Definitions. etas tys®8, refer tod • • Davao stator rent ea ooaument P.ead.rs +yttett P Me c;Cleo inti soaxeta'k•of State • Registrations Ptxga 10£2 State of Catitwnia tl �^ k Department of Industrial Relations $"tttoD1R�spgjtMwwdb;os•covq ih p ,Irca. ov RENEE RITCHIE DeparMentorinduatdelRelDQCna of hit t;/ invdcanthomaeaom t R)( p At wWdfrca•gov/dlae/dissid it I My Registration& My Dashboard Sakti One. No Now instructions: link EuWmRtphMnon •To Irensthr an active mglstreion Brom the ofd system,click Link Existing Registration. • •To alert a neweppticetion,select from the dropdown menu shove and disk New. •To revise the existing imbibition,click Update. •To edit a saved application,dick on the reglatraQon number.You cannot edit once the application status is "eubmItled;'payment Pending","In Revlee,•Expired"or"Renewed': •To renew an application,click Renew(link will be available gO,days berme the license expiration date,until the ezphmte). •To pay rcgtairatfon foes,dick the Pay Now link in the Registration#column. •osrWash:To complete the registration process,you mustpdnt the submitted s ft with the PPticatiQn or a copy INycar emeltdasgtrour application has been submitted and send receipt cribs IRS response, D021 fhlt •rilewwdir Dovldie anRooe" P ,please return to attach the IRS Clearance letter to your appiloalion.18 rbrm ami►mean ' Ltiefdhee tfoWd►86"RS899r•R"rnhy OWN= busk= • Moms WPC vllea/ a.trS6alron iu6mleed WPC Date Statue Unita CaPhaUon DPW Dai. Mi FAT HOMAe I0e0aoreas 111 Aia �Pdato coNOlnot5Na iouittmemo F VIPJarmlNraddt Pu6iaVfa4e arrolneIII Skil" rHo It4lRteeseoe k NATHWAS WHOM • IN Update rorlomoxiHe p+ephlmltortuVR`aVoLNP.JormWhandP PubriWpge INo is•elnBaeaeaolR7preApla awe amine C ) About Dtfi Who we ani(httpr,/Awnv.dlrea.gov/aboutdirhhnQ DIR D vIsione,Boards 8,sonmitstons lhips;/ANww.dire:Dov/dtvisiont,en(programsidnil) Contact DER Chlige/Avww,dir se,govfacnholosAio i Work with Us Jabs atDtR(hQpriAvwwdirce•govfdtrtobe/didobs.htm) 'leaning,reglabatisea.eedifiaations$Farads ihUpsaloWww•dues•gevlpemllla,UceneeacertifictUone.himl) Required NoUrtwtone(htips•JltvwWding,lieu/doeh►Regldred•NoUficraanehtmU Pubtlo Records Requests(hapeth ww.dfrtra.govtprsunquesthbnq Leen More Accassst idfoma pltilawwtydirca,govt/BQinguel•Bervloes,AcWefaulthfmq Pr'gt+enUYArkad Quest/one p tkuciilnwvdfe.eagoWitreal ethheQ Mel/dap(Mips;Maww.diroe,govhltemaphttemvpfitmQ Back to7bp • o�aCo�tions of Use(hhipidiWW�rdtr ovfottpubl:ondGtona hbnq GIQPe waerte,yovlbat,pu6 tccfahtlerhbnl) • Registrations Page 1 olf2 • States of ealtfomra ,,tk Department of Industrial Relations Sank taC,R»QIBprPalvwdtrce,gav/i thtlpJ .�'i; lnca.govq II �1wf. Public Works Contractor Registration Search Enter at feast one criteria to displaylegistered public;works conlrector(s)matching Note:Search/nulls will display all Mho publtoworks contractor registrations,baht current end expired.Make cure a ptcper registration liscat year is selected when performing a search. trim Labal ameaatreondlUan' .- f..FromDatefmm/rid/yyyy) Coungt —� -- ----�_�—�,_ ToData�mm/dd/yyyyl _ Cy ®Q Crags(Select all Registrations that apply) scums RO UISISfound CI Asbestos Sundng Pap 2 all p®= 0 Bollemukap PdntPOFa 1: • INecturnflh D BddmlaYarledck �"'p. -•------�� ►1lr Tender in Carpenter Qgmllt aisarautarrotemaxgc vtswDetaka to RamavahomtglGl� C]Cupak Linoleum, Ragishadon Numheme 1170001t33a3 4t _ RcWent7llalayar Strauss Aettw FOeeSsoDsta Cold Numban 313574 aI3c1 ad:* G Cement Meson LegitEhtltrypa TliM2ala 9/so/10n Coiporatbn D eansureant MabingAddranr 231GEMINMAVE alasl2au ehsl2ort a Ddvartbn/OR B%2 6l27/202T s Hausa) �Un CAa1o71 Mono O Drywall �� Orange 6/24/3018 monis kntaltarJlaypr/Flnhha Emath wumby57veatMotatwmakar a/slla1S 6pp/2st1 hwatpr®rmenomrmftd m ❑Electrical amity 17/286010 eno/mtr . t]Etiacbterur DBA C7 Elevator Name -. Constructor ...��....._.....,..+--.�. RAmoAU gricONorn rON mINC 1r~� -- -�_�� CI Fietd5L�vgror --- —•-• ^_^�—,.. El General auUdkG a General —'— angrneartng 0 Ginter 0 impactor/Hate! Saks,Maeda Taster CI!ton Worker D Laborer el Landaape • 0 Maids Meaonlfnfsher D Operating Engler a Painter D Parldnelitahway/Gnprovernent o Phaterer/Tander Q Plumber D Roofing a SheetMatat D StatorRavlfnder aTumiter a tun= Wodter/Finieher • CSBA col Q4n1Cc_rAL.SUREI`Y'BOND AGENCY • BID RESULTS-REQUEST PLEASE FAX YOUR RESPONSE TO(71.4) 516-9563 • Contractor: F:M.Thomas Air Conditioning, Inc. . Bid Bond ;CSBA 13748 Bid Date: 05/14/2020 Contract Amount: 8375.000.00 Obligee: City of Rosemead Job Name: Garvey Parking Gym Cooling Addition, Project No. 31019, FY 2019-2020 Bond Company: Merchants Bonding Company(Mutual) Please advise of the bid results by noting the Information In the area below and faxing them back to us within 48 hours of the bid, as your bonding capacity will be better maximized. • Thank You, COMMERCIAL SURETY BOND AGENCY 1st Bidder: Bid Amount $ 2nd Bidder: Bid Amount $ 3rd Bidder: Bid Amount $ 4th Bidder: Bid Amount $ Total Number of Bidders: If your bid was not in the top 4,please indicate your bid amount $ Comments: • 1411 N.Batavia St.,Suite 201-Orange,CA 92867-(714)616-1232 -FAX(714)616-9563 License#0680930 F.M. THOMAS AIR CONDITIONING, INC. EXHIBIT B INSURANCE REQUIREMENTS Prior to the beginning of and throughout the duration of the Work, Contractor will maintain insurance in conformance with the requirements set forth below. Contractor will use existing coverage to comply with these requirements. If that existing coverage does not meet the requirements set forth here, Contractor agrees to amend, supplement or endorse the existing coverage to do so. Contractor acknowledges that the insurance coverage and policy limits set forth in this section constitute the minimum amount of coverage required. Any insurance proceeds available to City in excess of the limits and coverage required in this Contract and which is applicable to a given loss, will be available to City. Contractor shall provide the following types and amounts of insurance: Commercial General Liability Insurance. Contractor shall maintain commercial general liability insurance with coverage at least as broad as Insurance Services Office form CG 00 01, in an amount not less than$1,000,000 per occurrence, $2,000,000 general aggregate, for bodily injury, personal injury, and property damage, and a $2,000,000 completed operations aggregate. The policy must include contractual liability that has not been amended. Any endorsement restricting standard ISO "insured contract" language will not be accepted. Automobile liability insurance. Contractor shall maintain automobile insurance at least as broad as Insurance Services Office form CA 00 01 covering bodily injury and property damage for all activities of the Contractor arising out of or in connection with Work to be performed under this Agreement, including coverage for any owned, hired, non-owned or rented vehicles, in an amount not less than $1,000,000 combined single limit for each accident. Workers' compensation insurance. Contractor shall maintain Workers' Compensation Insurance (Statutory Limits) and Employer's Liability Insurance (with limits of at least $1,000,000) for Contractor 's employees in accordance with the laws of the State of California, Section 3700 of the Labor Code In addition, Contractor shall require each subcontractor to similarly maintain Workers' Compensation Insurance and Employer's Liability Insurance in accordance with the laws of the State of California, Section 3700 for all of the subcontractor's employees. Excess or Umbrella Liability Insurance. (Over Primary)Contractor shall obtain and maintain an umbrella or excess liability insurance policy that will provide bodily injury, personal injury and property damage liability coverage at least as broad as the primary coverages set forth above, including commercial general liability, automobile liability, and employer's liability. Such policy or policies shall include the following terms and conditions: Contractor shall obtain and maintain an umbrella or excess liability insurance policy that will provide bodily injury, personal injury and property damage liability coverage at least as broad as the primary coverages set forth above, including commercial general liability, automobile liability, and employer's liability. Such policy or policies shall include the following terms and conditions: F.M. THOMAS AIR CONDITIONING, INC. • A drop down feature requiring the policy to respond in the event that any primary insurance that would otherwise have applied proves to be uncollectable in whole or in part for any reason; • Pay on behalf of wording as opposed to reimbursement; • Concurrency of effective dates with primary policies; and • Policies shall "follow form"to the underlying primary policies. • Insureds under primary policies shall also be insureds under the umbrella or excess policies. Builder's risk insurance. Upon commencement of construction and with approval of Agency, Contractor shall obtain and maintain builder's risk insurance for the entire duration of the Project until only the Agency has an insurable interest. The Builder's Risk coverage shall include the coverages as specified below. The named insureds shall be Contractor and Agency, including its officers, officials, employees, and agents.All Subcontractors(excluding those solely responsible for design Work) of any tier and suppliers shall be included as additional insureds as their interests may appear. Contractor shall not be required to maintain property insurance for any portion of the Project following transfer of control thereof to Agency. The policy shall contain a provision that all proceeds from the builder's risk policy shall be made payable to the Agency. The Agency will act as a fiduciary for all other interests in the Project. Policy shall be provided for replacement value on an"all risk"basis for the completed value of the project. There shall be no coinsurance penalty or provisional limit provision in any such policy. Policy must include: (1) coverage for any ensuing loss from faulty workmanship, Nonconforming Work, omission or deficiency in design or specifications; (2) coverage against machinery accidents and operational testing; (3)coverage for removal of debris, and insuring the buildings, structures, machinery, equipment, materials, facilities, fixtures and all other properties constituting a part of the Project; (4) Ordinance or law coverage for contingent rebuilding, demolition, and increased costs of construction; (5) transit coverage (unless insured by the supplier or receiving contractor), with sub-limits sufficient to insure the full replacement value of any key equipment item; (6)Ocean marine cargo coverage insuring any Project materials or supplies, if applicable; (7) coverage with sub-limits sufficient to insure the full replacement value of any property or equipment stored either on or off the Site or any staging area. Such insurance shall be on a form acceptable to Agency to ensure adequacy of terms and sublimits and shall be submitted to the Agency prior to commencement of construction. Insurance procured pursuant to these requirements shall be written by insurers that are admitted carriers in the state of California and with an A.M. Bests rating of A-or better and a minimum financial size VII. General conditions pertaining to provision of insurance coverage by Contractor. Contractor and City agree to the following with respect to insurance provided by Contractor: 1. Contractor agrees to have its insurer endorse the third party General liability policies shall provide or be-endorsed to provide that Agency and its officers, officials, employees, agents, and volunteers shall be additional insurer under such policies F.M. THOMAS AIR CONDITIONING, INC. using standard ISO endorsement No. CG 2010. . Contractor also agrees to require all contractors, and subcontractors to do likewise. 2. No liability insurance coverage provided to comply with this Contract shall prohibit Contractor, or Contractor's employees, or agents, from waiving the right of subrogation prior to a loss. Contractor agrees to waive subrogation rights against City regardless of the applicability of any insurance proceeds, and to require all contractors and subcontractors to do likewise. 3. All insurance coverage and limits provided by Contractor and available or applicable to this Contract are intended to apply to the full extent of the policies. Nothing contained in this Contract or any other Contract relating to the City or its operations limits the application of such insurance coverage. 4. None of the coverage required herein will be in compliance with these requirements if they include any limiting endorsement of any kind that has not been first submitted to City and approved of in writing. 5. No liability policy shall contain any provision or definition that would serve to eliminate so-called "third party action over"claims, including any exclusion for bodily injury to an employee of the insured or of any contractor or subcontractor. 6. All coverage types and limits required are subject to approval, modification and additional requirements by the City, as the need arises. Contractor shall not make any reductions in scope of coverage (e.g. elimination of contractual liability or reduction of discovery period) that may affect City's protection without City's prior written consent. 7. Proof of compliance with these insurance requirements, consisting of certificates of insurance evidencing all of the coverage required and an additional insured endorsement to Contractor's general liability policy, shall be delivered to City at or prior to the execution of this Contract. In the event such proof of any insurance is not delivered as required, or in the event such insurance is canceled at any time and no replacement coverage is provided, City has the right, but not the duty, to obtain any insurance it deems necessary to protect its interests under this or any other Contract and to pay the premium. Any premium so paid by City shall be charged to and promptly paid by Contractor or deducted from sums due Contractor, at City option. 8. Certificate(s) are to reflect that the insurer will provide 30 days notice to City of any cancellation of coverage. Contractor agrees to require its insurer to modify such certificates to delete any exculpatory wording stating that failure of the insurer to mail written notice of cancellation imposes no obligation, or that any party will "endeavor" (as opposed to being required) to comply with the requirements of the certificate. F.M.THOMAS AIR CONDITIONING, INC. 9. It is acknowledged by the parties of this Contract that all insurance coverage required to be provided by Contractor or any subcontractor, is intended to apply first and on a primary, noncontributing basis in relation to any other insurance or self insurance available to City. 10.Contractor agrees to ensure that subcontractors, and any other party involved with the project who is brought onto or involved in the project by Contractor, provide the same minimum insurance coverage required of Contractor. Contractor agrees to monitor and review all such coverage and assumes all responsibility for ensuring that such coverage is provided in conformity with the requirements of this section. Contractor agrees that upon request, all Contracts with subcontractors and others engaged in the project will be submitted to City for review. 11.Contractor agrees not to self-insure or to use any self-insured retentions or deductibles on any portion of the insurance required herein and further agrees that it will not allow any contractor, subcontractor, Architect, Engineer or other entity or person in any way involved in the performance of work on the project contemplated by this Contract to self-insure its obligations to City. If Contractor's existing coverage includes a deductible or self-insured retention, the deductible or self- insured retention must be declared to the City. At that time the City shall review options with the Contractor, which may include reduction or elimination of the deductible or self-insured retention, substitution of other coverage, or other solutions. 12.The City reserves the right at any time during the term of the contract to change the amounts and types of insurance required by giving the Contractor ninety(90) days advance written notice of such change. If such change results in substantial additional cost to the Contractor, the City will negotiate additional compensation proportional to the increased benefit to City. 13.For purposes of applying insurance coverage only, this Contract will be deemed to have been executed immediately upon any party hereto taking any steps that can be deemed to be in furtherance of or towards performance of this Contract. 14.Contractor acknowledges and agrees that any actual or alleged failure on the part of City to inform Contractor of non-compliance with any insurance requirement in no way imposes any additional obligations on City nor does it waive any rights hereunder in this or any other regard. 15.Contractor will renew the required coverage annually as long as City, or its employees or agents face an exposure from operations of any type pursuant to this Contract. This obligation applies whether or not the Contract is canceled or terminated for any reason. Termination of this obligation is not effective until City executes a written statement to that effect. 16.Contractor shall provide proof that policies of insurance required herein expiring during the term of this Contract have been renewed or replaced with other policies F.M.THOMAS AIR CONDITIONING, INC. providing at least the same coverage. Proof that such coverage has been ordered shall be submitted prior to expiration. A coverage binder or letter from Contractor's insurance agent to this effect is acceptable. A certificate of insurance and/or additional insured endorsement as required in these specifications applicable to the renewing or new coverage must be provided to City within five days of the expiration of the coverage. 17.The provisions of any workers' compensation or similar act will not limit the obligations of Contractor under this Contract. Contractor expressly agrees not to use any statutory immunity defenses under such laws with respect to City, its employees, officials and agents. 18.Requirements of specific coverage features or limits contained in this section are not intended as limitations on coverage, limits or other requirements nor as a waiver of any coverage normally provided by any given policy. Specific reference to a given coverage feature is for purposes of clarification only as it pertains to a given issue, and is not intended by any party or insured to be limiting or all-inclusive. 19.These insurance requirements are intended to be separate and distinct from any other provision in this Contract and are intended by the parties here to be interpreted as such. 20.The requirements in this Section supersede all other sections and provisions of this Contract to the extent that any other section or provision conflicts with or impairs the provisions of this Section. 21.Contractor agrees to be responsible for ensuring that no contract used by any party involved in any way with the project reserves the right to charge City or Contractor for the cost of additional insurance coverage required by this Contract. Any such provisions are to be deleted with reference to City. It is not the intent of City to reimburse any third party for the cost of complying with these requirements. There shall be no recourse against City for payment of premiums or other amounts with respect thereto. Contractor agrees to provide immediate notice to City of any claim or loss against Contractor arising out of the work performed under this Contract. City assumes no obligation or liability by such notice, but has the right (but not the duty) to monitor the handling of any such claim or claims if they are likely to involve City. I ® DATE(MM/DD/YYYY) A�o CERTIFICATE OF LIABILITY INSURANCE 6/25/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Melissa Altergott Bowermaster&Associates PHONE FAX P.O. Box 6026 (AIC.No.Ext):714-733-6200 (A/C,No): 10805 Holder St Suite 350 ADDRESS: maltergott@bowermaster.com Cypress CA 90630 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Valley Forge Insurance Company 20508 INSURED FMTHOMA-01 INSURER B:Continental Casualty Co. 20443 FM Thomas Air Conditioning, Inc. 231 Gemini Ave. INSURER c:Continental Insurance Company 35289 Brea CA 92821 INSURER D:Insurance Company of the West 27847 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:1687638881 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IPOLICY EFF POLICY EXP NSR ADDTYPE OF INSURANCE IHSD SUER POLICY NUMBER MMIDDIYYYY) (MM/DD/YYYY) LIMITS LTR INSD WVD ( A X COMMERCIAL GENERAL LIABILITY Y Y 6057223216 4/1/2020 4/1/2021 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $100,000 MED EXP(Any one person) $15,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 __ X POLICY PRO- JECT LOC PRODUCTS-COMP/OPAGG $2,000,000 - OTHER: $ B AUTOMOBILE LIABILITY 6057258063 4/1/2020 4/1/2021 COMBINED SINGLE LIMIT $1,000,000 (Ea accident) _ X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) _- C X UMBRELLALIAB X OCCUR 6057258077 4/1/2020 4/1/2021 EACH OCCURRENCE $4,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $4,000,000 DED X RETENTIONS to nn0 $ D WORKERS COMPENSATION WSD505258300 1/1/2020 1/1/2021 X AND EMPLOYERS'LIABILITY STATUTE ER YIN ANYPROPRIETOR/PARTNER/EXECUTIVE N!A E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:Garvey Park Gym Cooling Addition Project Number#31019 Project Address:7933 Emerson Place,Rosemead,CA 91770 City of Rosemead,its officers,officials,employees,agents and volunteers are named Additional Insured with respects to General Liability per attached form. Waiver of Subrogation applies per attached form. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Rosemead 8838 E Valley Blvd. AUTH RIZED REPRESENTATIVE Rosemead CA 91770 , ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD CNA CNA PARAMOUNT Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s)Or Organization(s) City of Rosemead O Location(s) Of Covered Operations Information required to complete this Schedule, if not shown above,will be shown in the Declarations. It is understood and agreed as follows: CG 20 10(04-13) Policy No: 6057223216 Page 1 of 2 Endorsement No: VALLEY FORGE INSURANCE COMPANY Effective Date: 04/01/2020 Insured Name: F M THOMAS AIR CONDITIONING INC Copyright Insurance Services Office, Inc., 2012 CNA CNA PARAMOUNT Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization Endorsement A. Section II _Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for bodily injury, property damage or personal and advertising injury caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s)at the location(s)designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law;and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to bodily injury or property damage occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project(other than service, maintenance or repairs)to be performed by or on behalf of the additional insured(s)at the location of the covered operations has been completed; or 2. That portion of your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III— Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement,the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 2010 (04-13) Policy No: 6057223216 Page 2 of 2 Endorsement.No: VALLEY FORGE INSURANCE COMPANY Effective Date: 04/01/2020 Insured Name: F M THOMAS AIR CONDITIONING INC Copyright Insurance Services Office, Inc.,2012 CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement It is understood and agreed that this endorsement amends the COMMERCIAL GENERAL LIABILITY COVERAGE PART as follows. If any other endorsement attached to this policy amends any provision also amended by this endorsement, then that other endorsement controls with respect to such provision, and the changes made by this endorsement with respect to such provision do not apply. TABLE OF CONTENTS 1. Additional Insureds 2. Additional Insured -Primary And Non-Contributory To Additional Insured's Insurance 3. Bodily Injury—Expanded Definition 4. Broad Knowledge of Occurrence/Notice of Occurrence 5. Broad Named Insured 6. Broadened Liability Coverage For Damage To Your Product And Your Work 7. Contractual Liability-Railroads 8. Electronic Data Liability 9. Estates, Legal Representatives and Spouses 10. Expected Or Intended Injury—Exception for Reasonable Force 11. General Aggregate Limits of Insurance—Per Project 12. In Rem Actions 13. Incidental Health Care Malpractice Coverage 14. Joint Ventures/Partnership/Limited Liability Companies 15. Legal Liability — Damage To Premises / Alienated Premises / Property In The Named Insured's Care, Custody or Control 16. Liquor Liability 17. Medical Payments 18. Non-owned Aircraft Coverage 19. Non-owned Watercraft •0 20. Personal And Advertising Injury—Discrimination or Humiliation 21. Personal And Advertising Injury-Contractual Liability 22. Property Damage-Elevators 23. Supplementary Payments 24. Unintentional Failure To Disclose Hazards 25. Waiver of Subrogation—Blanket 26. Wrap-Up Extension: OCIP CCIP,or Consolidated(Wrap-Up) Insurance Programs CNA74705XX(1-15) Policy No: 6057223216 Page 1 of 17 Endorsement No: 2 VALLEY FORGE INSURANCE COMPANY Effective Date: 04/01/2020 Insured Name: F M THOMAS AIR CONDITIONING INC Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement 1. ADDITIONAL INSUREDS a. WHO IS AN INSURED is amended to include as an Insured any person or organization described in paragraphs A. through H. below whom a Named Insured is required to add as an additional insured on this Coverage Part under a written contract or written agreement, provided such contract or agreement: (1) is currently in effect or becomes effective during the term of this Coverage Part; and (2) was executed prior to: (a) the bodily injury or property damage; or (b) the offense that caused the personal and advertising injury, for which such additional insured seeks coverage. b. However, subject always to the terms and conditions of this policy, including the limits of insurance, the Insurer will not provide such additional insured with: (1) a higher limit of insurance than required by such contract or agreement; or (2) coverage broader than required by such contract or agreement, and in no event broader than that described by the applicable paragraph A.through H. below. Any coverage granted by this endorsement shall apply only to the extent permissible by law. A. Controlling Interest Any person or organization with a controlling interest in a Named Insured, but only with respect to such person or organization's liability for bodily injury, property damage or personal and advertising injury arising out of: 1. such person or organization's financial control of a Named Insured; or 2. premises such person or organization owns, maintains or controls while a Named Insured leases or occupies such premises; - provided that the coverage granted by this paragraph does not apply to structural alterations, new construction or demolition operations performed by, on behalf of, or for such additional insured. B. Co-owner of Insured Premises A co-owner of a premises co-owned by a Named Insured and covered under this insurance but only with respect to such co-owner's liability for bodily injury, property damage or personal and advertising injury as co-owner of such premises. C. Lessor of Equipment Any person or organization from whom a Named Insured leases equipment, but only with respect to liability for bodily injury, property damage or personal and advertising injury caused, in whole or in part, by the Named Insured's maintenance,operation or use of such equipment, provided that the occurrence giving rise to such bodily injury, property damage or the offense giving rise to such personal and advertising injury takes place prior to the termination of such lease. D. Lessor of Land Any person or organization from whom a Named Insured leases land but only with respect to liability for bodily injury, property damage or personal and advertising injury arising out of the ownership, maintenance or use of such land, provided that the occurrence giving rise to such bodily injury, property.damage or the offense giving rise to such personal and advertising injury takes place prior to the termination of such lease. The CNA74705XX(1-15) Policy No: '6057223216 Page 2 of 17 Endorsement No: 2 VALLEY FORGE INSURANCE COMPANY Effective Date: 04/01/2020 Insured Name: F M THOMAS AIR CONDITIONING INC Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement coverage granted by this paragraph does not apply to structural alterations, new construction or demolition operations performed by, on behalf of, or for such additional insured. E. Lessor of Premises An owner or lessor of premises leased to the Named Insured, or such owner or lessor's real estate manager, but only with respect to liability for bodily injury, property damage or personal and advertising injury arising out of the ownership, maintenance or use of such part of the premises leased to the Named Insured, and provided that the occurrence giving rise to such bodily injury or property damage, or the offense giving rise to such personal and advertising injury, takes place prior to the termination of such lease. The coverage granted by this paragraph does not apply to structural alterations, new construction or demolition operations performed by, on behalf of, or for such additional insured. F. Mortgagee,Assignee or Receiver A mortgagee, assignee or receiver of premises but only with respect to such mortgagee, assignee or receiver's liability for bodily injury, property damage or personal and advertising injury arising out of the'Named Insured's ownership, maintenance, or use of a premises by a Named Insured. The coverage granted by this paragraph does not apply to structural alterations, new construction or demolition operations performed by, on behalf of, or for such additional insured. G. State or Governmental Agency or Subdivision or Political Subdivisions—Permits A state or governmental agency or subdivision or political subdivision that has issued a permit or authorization but only with respect to such state or governmental agency or subdivision or political subdivision's liability for bodily injury, property damage or personal and advertising injury arising out of: 1. the following hazards in connection with premises a Named Insured owns, rents, or controls and to which this insurance applies: a. the existence, maintenance, repair, construction, erection, or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoistaway openings, sidewalk vaults, street banners, or decorations and similar exposures; or b. the construction, erection, or removal of elevators; or c. the ownership, maintenance or use of any elevators covered by this insurance; or 2. the permitted or authorized operations performed by a Named Insured or on a Named Insured's behalf. The coverage granted by this paragraph does not apply to: a. Bodily injury, property damage or personal and advertising injury arising out of operations performed for the state or governmental agency or subdivision or political subdivision; or b. Bodily injury or property damage included within the products-completed operations hazard. With respect to this provision's requirement that additional insured status must be requested under a written contract or agreement, the Insurer will treat as a written contract any governmental permit that requires the Named Insured to add the governmental entity as an additional insured. mmm mmm H. Trade Show Event Lessor 1. With respect to a Named Insured's participation in a trade show event as an exhibitor, presenter or displayer, any person or organization whom the Named Insured is required to include as an additional insured, but only with respect to such person or organization's liability for bodily injury, property damage or personal and advertising injury caused by: EEE CNA74705XX(1-15) Policy No: 6057223216 Page 3 of 17 Endorsement No: 2 VALLEY FORGE INSURANCE COMPANY Effective Date: 04/01/2020 Insured Name: F M THOMAS AIR CONDITIONING INC Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement a. the Named Insured's acts or omissions; or b. the acts or omissions of those acting on the Named Insured's behalf, in the performance of the Named Insured's ongoing operations at the trade show event premises during the trade show event. 2. The coverage granted by this paragraph does not apply to bodily injury or property damage included within the products-completed operations hazard. 2. ADDITIONAL INSURED-PRIMARY AND NON-CONTRIBUTORY TO ADDITIONAL INSURED'S INSURANCE The Other Insurance Condition in the COMMERCIAL GENERAL LIABILITY CONDITIONS Section is amended to add the following paragraph: If the Named Insured has agreed in writing in a contract or agreement that this insurance is primary and non- contributory relative to an additional insured's own insurance, then this insurance is primary, and the Insurer will not seek contribution from that other insurance. For the purpose of this Provision 2., the additional insured's own insurance means insurance on which the additional insured is a named insured. Otherwise, and notwithstanding anything to the contrary elsewhere in this Condition, the insurance provided to such person or organization is excess of any other insurance available to such person or organization. 3. BODILY INJURY—EXPANDED DEFINITION Under DEFINITIONS,the definition of bodily injury is deleted and replaced by the following: Bodily injury means physical injury, sickness or disease sustained by a person, including death, humiliation, shock, mental anguish or mental injury sustained by that person at any time which results as a consequence of the physical injury,sickness or disease. 4. BROAD KNOWLEDGE OF OCCURRENCE/NOTICE OF OCCURRENCE Under CONDITIONS,the condition entitled Duties in The Event of Occurrence, Offense, Claim or Suit is amended to add the following provisions: A. BROAD KNOWLEDGE OF OCCURRENCE The Named Insured must give the Insurer or the Insurer's authorized representative notice of an occurrence, offense or claim only when the occurrence, offense or claim is known to a natural person Named Insured, to a partner, executive officer, manager or member of a Named Insured, or an employee designated by any of the above to give such notice. B. NOTICE OF OCCURRENCE V The Named Insured's rights under this Coverage Part will not be prejudiced if the Named Insured fails to give the Insurer notice of an occurrence, offense or claim and that failure issolely due to the Named Insured's reasonable belief that the bodily injury or property damage is not covered under this Coverage Part. However, the Named Insured shall give written notice of such occurrence, offense or claim to the Insurer as soon as the Named Insured is aware that this insurance may apply to such occurrence, offense or claim. 5. BROAD NAMED INSURED WHO IS AN INSURED is amended to delete its Paragraph 3. in its entirety and replace it with the following: 3. Pursuant to the limitations described in Paragraph 4. below, any organization in which a Named Insured has management control: a. on the effective date of this Coverage Part; or CNA74705XX(1-15) Policy No: 6057223216 Page 4 of 17 Endorsement No: 2 VALLEY FORGE INSURANCE COMPANY Effective Date: 04/01/2020 Insured Name: F M THOMAS AIR CONDITIONING INC Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement b. by reason of a Named Insured creating or acquiring the organization during the policy period, qualifies as a Named Insured, provided that there is no other similar liability insurance, whether primary, contributory, excess, contingent or otherwise,which provides coverage to such organization, or which would have provided coverage but for the exhaustion of its limit, and without regard to whether its coverage is broader or narrower than that provided by this insurance. But this BROAD NAMED INSURED provision does not apply to: (a) any partnership, limited liability company or joint venture; or (b) any organization for which coverage is excluded by another endorsement attached to this Coverage Part. For the purpose of this provision, management control means: A. owning interests representing more than 50% of the voting, appointment or designation power for the selection of a majority of the Board of Directors of a corporation; or B. having the right, pursuant to a written trust agreement, to protect, control the use of, encumber or transfer or sell property held by a trust. 4. With respect to organizations which qualify as Named Insureds by virtue of Paragraph 3. above, this insurance does not apply to: a. bodily injury or property damage that first occurred prior to the date of management control, or that first occurs after management control ceases; nor b. personal or advertising injury caused by an offense that first occurred prior to the date of management control or that first occurs after management control ceases. 5. The insurance provided by this Coverage Part applies to Named Insureds when trading under their own names or under such other trading names or doing-business-as names (dba) as any Named Insured should choose to employ. 6. BROADENED LIABILITY COVERAGE FOR DAMAGE TO YOUR PRODUCT AND YOUR WORK A. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete exclusions k.and I.and replace them with the following: This insurance does not apply to: k. Damage to Your Product Property damage to your product arising out of it, or any part of it except when caused by or resulting from: (1) fire; (2) smoke; (3) collapse; or (4) explosion. I. Damage to Your Work Property damage to your work arising out of it, or any part of it and included in the products-completed operations hazard. This exclusion does not apply: (1) If the damaged work, or the work out of which the damage arises, was performed on the Named Insureds behalf by a subcontractor; or CNA74705XX (1-15) Policy No: 6057223216 Page 5 of 17 Endorsement No: 2 VALLEY FORGE INSURANCE COMPANY Effective Date: 04/01/2020 Insured Name: F M THOMAS AIR CONDITIONING INC Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement (2) If the cause of loss to the damaged work arises as a result of: (a) fire; (b) smoke; (c) collapse; or (d) explosion. B. The following paragraph is added to LIMITS OF INSURANCE: Subject to 5. above, $100,000 is the most the Insurer will pay under Coverage A for the sum of damages arising out of any one occurrence because of property damage to your product and your work that is caused by fire, smoke, collapse or explosion and is included within the product-completed operations hazard. This sublimit does not apply to property damage to your work if the damaged work, or the work out of which the damage arises,was performed on the Named Insured's behalf by a subcontractor. C. This Broadened Liability Coverage For Damage To Your Product And Your Work Provision does not apply if an endorsement of the same name is attached to this policy. 7. CONTRACTUAL LIABILITY—RAILROADS With respect to operations performed within 50 feet of railroad property, the definition of insured contract is replaced by the following: Insured Contract means: a. A contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire to premises while rented to a Named Insured or temporarily occupied by a Named Insured with permission of the owner is not an insured contract; b. A sidetrack agreement; c. Any easement or license agreement; d. An obligation, as required by ordinance, to indemnify a municipality, except in connection with work for a municipality; e. An elevator maintenance agreement; f. That part of any other contract or agreement pertaining to the Named Insured's business (including an indemnification of a municipality in connection with work performed for a municipality) under which the Named Insured assumes the tort liability of another party to pay for bodily injury or property damage to a third person or organization. Tort liability means a liability that would be imposed by law in the absence of any contract or agreement. Paragraph f.does not include that part of any contract or agreement: (1) That indemnifies an architect, engineer or surveyor for injury or damage arising out of: (a) Preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (b) Giving directions or instructions, or failing to give them, if that is the primary cause of the injury or damage; (2) Under which the Insured, if an architect, engineer or surveyor, assumes liability for an injury or damage arising out of the insured's rendering or failure to render professional services, including those listed in (1) above and supervisory, inspection, architectural or engineering activities. 8. ELECTRONIC DATA LIABILITY CNA74705XX(1-15) Policy No: 6057223216 Page 6 of 17 Endorsement No: 2 VALLEY FORGE INSURANCE COMPANY Effective Date: 04/01/2020 Insured Name: F M THOMAS AIR CONDITIONING INC Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement A. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete exclusion p. Electronic Data and replace it with the following: This insurance does not apply to: p. Access Or Disclosure Of Confidential Or Personal Information And Data-related Liability Damages arising out of: (1) any access to or disclosure of any person's or organization's confidential or personal information, including patents, trade secrets, processing methods, customer lists, financial information, credit card information, health information or any other type of nonpublic information; or (2) the loss of, loss of use of, damage to, corruption of, inability to access, or inability to manipulate electronic data that does not result from physical injury to tangible property. However, unless Paragraph (1) above applies, this exclusion does not apply to damages because of bodily injury. This exclusion applies even if damages are claimed for notification costs, credit monitoring expenses, forensic expenses, public relation expenses or any other loss, cost or expense incurred by the Named Insured or others arising out of that which is described in Paragraph (1)or(2) above. B. The following paragraph is added to LIMITS OF INSURANCE: Subject to 5. above, $100,000 is the most the Insurer will pay under Coverage A for all damages arising out of any one occurrence because of property damage that results from physical injury to tangible property and arises out of electronic data. C. The following definition is added to DEFINITIONS: Electronic data means information, facts or programs stored as or on, created or used on, or transmitted to or from computer software (including systems and applications software), hard or floppy disks, CD-ROMS, tapes, drives, cells, data processing devices or any other media which are used with electronically controlled equipment. D. For the purpose of the coverage provided by this ELECTRONIC DATA LIABILITY Provision, the definition of property damage in DEFINITIONS is replaced by the following: Property damage means: a. Physical injury to tangible property, including all resulting loss of use of that property. All such loss of use shall be deemed to occur at the time of the physical injury that caused it; b. Loss of use of tangible property that is not physically injured.All such loss of use shall be deemed to occur at the time of the occurrence that caused it; or c. Loss of, loss of use of, damage to, corruption of, inability to access, or inability to properly manipulate electronic data, resulting from physical injury to tangible property. All such loss of electronic data shall be deemed to occur at the time of the occurrence that caused it. For the purposes of this insurance, electronic data is not tangible property. E. If Electronic Data Liability is provided at a higher limit by another endorsement attached to this policy, then the $100,000 limit provided by this ELECTRONIC DATA LIABILITY Provision is part of, and not in addition to, that higher limit. 9. ESTATES, LEGAL REPRESENTATIVES,AND SPOUSES The estates, heirs, legal representatives and spouses of any natural person Insured shall also be insured under this policy; provided, however, coverage is afforded to such estates, heirs, legal representatives, and spouses only for CNA74705XX (1-15) Policy No: 6057223216 Page 7 of 17 Endorsement No: 2 VALLEY FORGE INSURANCE COMPANY Effective Date: 04/01/2020 Insured Name: F M THOMAS AIR CONDITIONING INC Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement claims arising solely out of their capacity or status as such and, in the case of a spouse; where such claim seeks damages from marital community property, jointly held property or property transferred from such natural person Insured to such spouse. No coverage is provided for any act, error or omission of an estate, heir, legal representative, or spouse outside the scope of such person's capacity or status as such, provided however that the spouse of a natural person Named Insured and the spouses of members or partners of joint venture or partnership Named Insureds are Insureds with respect to such spouses' acts, errors or omissions in the conduct of the Named Insured's business. 10. EXPECTED OR INTENDED INJURY—EXCEPTION FOR REASONABLE FORCE Under COVERAGES; Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete the exclusion entitled Expected or Intended Injury and replace it with the following: This insurance does not apply to: Expected or Intended Injury Bodily injury or property damage expected or intended from the standpoint of the Insured. This exclusion does not apply to bodily injury or property damage resulting from the use of reasonable force to protect persons or property. • 11. GENERAL AGGREGATE LIMITS OF INSURANCE-PER PROJECT A. For each construction project away from premises the Named Insured owns or rents, a separate Construction Project General Aggregate Limit, equal to the amount of the General Aggregate Limit shown in the Declarations, is the most the Insurer will pay for the sum of: 1. All damages under Coverage A, except damages because of bodily injury or property damage included in the products-completed operations hazard; and. 2. All medical expenses under Coverage C, that arise from occurrences or accidents which can be attributed solely to ongoing operations at that construction project. Such payments shall not reduce the General Aggregate Limit shown in the Declarations, nor the Construction Project General Aggregate Limit of any other construction project. • B. All: 1. Damages under Coverage B, regardless of the number of locations or construction projects involved; 2. Damages under Coverage A, caused by occurrences which 'cannot be attributed solely to ongoing operations at a single construction project, except damages because of bodily injury or property damage included in the products-completed operations hazard;and 3. Medical expenses under Coverage C caused by accidents which cannot be attributed solely to ongoing operations at a single construction project, will reduce the General Aggregate Limit shown in the Declarations. C. The limits shown in the Declarations for Each Occurrence, for Damage To Premises Rented To You and for Medical Expense continue to apply, but will be subject to either the Construction Project General Aggregate Limit or the General Aggregate Limit shown in the Declarations, depending on whether the occurrence can be attributed solely to ongoing operations at a particular construction project. D. When coverage for liability arising out of the products-completed operations hazard is provided, any payments for damages because of bodily injury or property damage included in the products-completed operations hazard will reduce the Products-Completed Operations Aggregate Limit shown in the Declarations, regardless of the number of projects involved. CNA74705XX (1-15) Policy No: 6057223216 Page 8 of 17 Endorsement No: 2 VALLEY FORGE INSURANCE COMPANY Effective Date: 04/01/2020 Insured Name: F M THOMAS AIR CONDITIONING INC Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement E. If a single construction project away from premises owned by or rented to the Insured has been abandoned and then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications or timetables,the project will still be deemed to be the same construction project. F. The provisions of LIMITS OF INSURANCE not otherwise modified by this endorsement shall continue to apply as stipulated. 12. IN REM ACTIONS A quasi in rem action against any vessel owned or operated by or for the Named Insured, or chartered by or for the Named Insured, will be treated in the same manner as though the action were in personam against the Named Insured. 13. INCIDENTAL HEALTH CARE MALPRACTICE COVERAGE Solely with respect to bodily injury that arises out of a health care incident: A. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Insuring Agreement is amended to replace Paragraphs 1.b.(1)and 1.b.(2)with the following: b. This insurance applies to bodily injury provided that the professional health care services are incidental to the Named Insured's primary business purpose, and only if: (1) such bodily injury is caused by an occurrence that takes place in the coverage territory. (2) the bodily injury first occurs during the policy period.All bodily injury arising from an occurrence will be deemed to have occurred at the time of the first act, error, or omission that is part of the occurrence; and B. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to: i. add the following to the Employers Liability exclusion: This exclusion applies only if the bodily injury arising from a health care incident is covered by other liability insurance available to the Insured (or which would have been available but for exhaustion of its limits). ii. delete the exclusion entitled Contractual Liability and replace it with the following: This insurance does not apply to: Contractual Liability the Insured's actual or alleged liability under any oral or written contract or agreement, including but not limited to express warranties or guarantees. iii. add the following additional exclusions: This insurance does not apply to: Discrimination any actual or alleged discrimination, humiliation or harassment, including but not limited to claims based on an individual's race, creed, color, age, gender, national origin, religion, disability, marital status or sexual orientation. Dishonesty or Crime Any actual or alleged dishonest, criminal or malicious act, error or omission. Medicare/Medicaid Fraud CNA74705XX(1-15) Policy No: 6057223216 Page 9 of 17 Endorsement No: 2 VALLEY FORGE INSURANCE COMPANY Effective Date: 04/01/2020 Insured Name: F M THOMAS AIR CONDITIONING INC Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CNA - CNA PARAMOUNT Contractors' General Liability Extension Endorsement any actual or alleged violation of law with respect to Medicare, Medicaid,Tricare or any similar federal, state or local governmental program. Services Excluded by Endorsement Any health care incident for which coverage is excluded by endorsement. C. DEFINITIONS is amended to: i. add the following definitions: Health care incident means an act, error or omission by the Named Insured's employees or volunteer workers in the rendering of: a. professional health care services on behalf of the Named Insured or b. Good Samaritan services rendered in an emergency and for which no payment is demanded or received. Professional health care services means any health care services or the related furnishing of food, beverages, medical supplies or appliances by the following providers in their capacity as such but solely to the extent they are duly licensed as required: a. Physician; b. Nurse; c. Nurse practitioner; d. Emergency medical technician; e. Paramedic; f. Dentist; g. Physical therapist; h. Psychologist; i. Speech therapist; j. Other allied health professional; or Professional health care services does not include any services rendered in connection with human clinical trials or product testing. • ii. delete the definition of occurrence and replace it with the following: Occurrence means a health care incident. All acts, errors or omissions that are logically connected by any common fact, circumstance,situation,transaction, event, advice or decision will be considered to constitute a single occurrence; iii. amend the definition of Insured to: ' a. add the following: the Named Insured's employees are Insureds with respect to: (1) bodily injury to a co-employee while in the course of the co-employee's employment by the Named Insured or while performing duties related to the conduct of the Named Insured's business; and CNA74705XX(1-15) Policy No: 6057223216 Page 10 of 17 Endorsement No: 2 VALLEY FORGE INSURANCE COMPANY Effective Date: 04/01/2020 Insured Name: F M THOMAS AIR CONDITIONING INC CopyrightCNAAll Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement (2) bodily injury to a volunteer worker while performing duties related to the conduct of the Named Insured's business; when such bodily injury arises out of a health care incident. the Named Insured's volunteer workers are Insureds with respect to: (1) bodily injury to a co-volunteer worker while performing duties related to the conduct of the Named Insured's business; and (2) bodily injury to an employee while in the course of the employee's employment by the Named Insured or while performing duties related to the conduct of the Named Insured's business; when such bodily injury arises out of a health care incident. b. delete Subparagraphs (a), (b), (c)and (d) of Paragraph 2.a.(1) of WHO IS AN INSURED. D. The Other Insurance condition is amended to delete Paragraph b.(1) in its entirety and replace it with the following: Other Insurance b. Excess Insurance (1) To the extent this insurance applies, it is excess over any other insurance, self insurance or risk transfer instrument, whether primary, excess, contingent or on any other basis, except for insurance purchased specifically by the Named Insured to be excess of this coverage. 14. JOINT VENTURES/PARTNERSHIP/LIMITED LIABILITY COMPANIES WHO IS AN INSURED is amended to delete its last paragraph and replace it with the following: No person or organization is an Insured with respect to the conduct of any current or past partnership,joint venture or limited liability company that is not shown as a Named Insured in the Declarations, except that if the Named Insured was a joint venturer, partner, or member of a limited liability company and such joint venture, partnership or limited liability company terminated prior to or during the policy period, such Named Insured is an Insured with respect to its interest in such joint venture, partnership or limited liability company but only to the extent that: a. any offense giving rise to personal and advertising injury occurred prior to such termination date, and the 27, personal and advertising injury arising out of such offense first occurred after such termination date; b. the bodily injury or property damage first occurred after such termination date; and c. there is no other valid and collectible insurance purchased specifically to insure the partnership, joint venture or M limited liability company; and If the joint venture, partnership or limited liability company is or was insured under a consolidated (wrap-up) insurance program,then such insurance will always be considered valid and collectible for the purpose of paragraph c. above. But this provision will not serve to exclude bodily injury, property damage or personal and advertising injury that would otherwise be covered under the Contractors General Liability Extension Endorsement provision entitled WRAP-UP EXTENSION: OCIP, CCIP, OR CONSOLIDATED (WRAP-UP) INSURANCE PROGRAMS. Please see that provision for the definition of consolidated (wrap-up) insurance program. 15. LEGAL LIABILITY — DAMAGE TO PREMISES I ALIENATED PREMISES / PROPERTY IN THE NAMED INSURED'S CARE, CUSTODY OR CONTROL A. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete exclusion j. Damage to Property in its entirety and replace it with the following: This insurance does not apply to: CNA74705XX(1-15) Policy No: 6057223216 Page 11 of 17 Endorsement No: 2 VALLEY FORGE INSURANCE COMPANY Effective Date: 04/01/2020 Insured Name: F M THOMAS AIR CONDITIONING INC Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement j. Damage to Property Property damage to: (1) Property the Named Insured owns, rents, or occupies, including any costs or expenses incurred by you, or anyother person, organization or entity, for repair, replacement, enhancement, restoration or maintenance of such property for any reason, including prevention of injury to a person or damage to another's property; (2) Premises the Named Insured sells, gives away or abandons, if the property damage arises out of any part of those premises; (3) Property loaned to the Named Insured; (4) Personal property in the care, custody or control of the Insured; (5) That particular part of real property on which the Named Insured or any contractors or subcontractors working directly or indirectly on the Named Insured's behalf are performing operations, if the property damage arises out of those operations; or (6) That particular part of any property that must be restored, repaired or replaced because your work was incorrectly performed on it. Paragraphs (1), (3) and (4) of this exclusion do not apply to property damage (other than damage by fire)to premises rented to the Named Insured or temporarily occupied by the Named.Insured with the permission of the owner, nor to the contents of premises rented to the Named Insured for a period of 7 or fewer consecutive days.A separate limit of insurance applies to Damage To Premises Rented To You as described in LIMITS OF INSURANCE. Paragraph (2)of this exclusion does not apply if the premises are your work. Paragraphs (3), (4), (5) and (6) of this exclusion do not apply to liability assumed under a sidetrack agreement. Paragraph (6) of this exclusion does not apply to property damage included in the products-completed operations hazard.. Paragraphs(3)and (4)of this exclusion do not apply to property damage to: i. tools, or equipment the Named Insured borrows from others, nor ii. other personal property of others in the Named Insured's care, custody or control while being used in the Named Insured's operations away from any Named Insured's premises. However,the coverage granted by this exception to Paragraphs(3)and(4)does not apply to: a. property at a job site awaiting or during such property's installation,fabrication, or erection; b. .property that is mobile equipment leased by an Insured; c. property that is an auto, aircraft or watercraft; d. property in transit; or e. any portion of property damage for which the Insured has available other valid and collectible insurance, or would have such insurance but for exhaustion of its limits, or but for application of one of its exclusions. A separate limit of insurance and deductible apply to such property of others. See LIMITS OF INSURANCE as amended below. CNA74705XX(1-15) Policy No: 6057223216 Page 12 of 17 Endorsement No: 2 VALLEY FORGE INSURANCE COMPANY Effective Date: 04/01/2020 Insured Name: F M THOMAS AIR CONDITIONING INC Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement B. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete its last paragraph and replace it with the following: Exclusions c. through n. do not apply to damage by fire to premises while rented to a Named Insured or temporarily occupied by a Named Insured with permission of the owner, nor to damage to the contents of premises rented to a Named Insured for a period of 7 or fewer consecutive days. A separate limit of insurance applies to this coverage as described in LIMITS OF INSURANCE. C. The following paragraph is added to LIMITS OF INSURANCE: Subject to 5. above, $25,000 is the most the Insurer will pay under Coverage A for damages arising out of any one occurrence because of the sum of all property damage to borrowed tools or equipment, and to other personal property of others in the Named Insured's care, custody or control, while being used in the Named Insured's operations away from any Named Insured's premises. The Insurer's obligation to pay such property damage does not apply until the amount of such property damage exceeds $1,000. The Insurer has the right but not the duty to pay any portion of this $1,000 in order to effect settlement. If the Insurer exercises that right, the Named Insured will promptly reimburse the Insurer for any such amount. D. Paragraph 6., Damage To Premises Rented To You Limit, of LIMITS OF INSURANCE is deleted and replaced by the following: 6. Subject to Paragraph 5. above, (the Each Occurrence Limit), the Damage To Premises Rented To You Limit is the most the Insurer will pay under Coverage A for damages because of property damage to any one premises while rented to the Named Insured or temporarily occupied by the Named Insured with the permission of the owner, including contents of such premises rented to the Named Insured for a period of 7 or fewer consecutive days.The Damage To Premises Rented To You Limit is the greater of: a. $500,000; or b. The Damage To Premises Rented To You Limit shown in the Declarations. E. Paragraph 4.b.(1)(a)(ii)of the Other Insurance Condition is deleted and replaced by the following: (ii) That is property insurance for premises rented to the Named Insured, for premises temporarily occupied by the Named Insured with the permission of the owner; or for personal property of others in the Named Insured's care, custody or control; 16. LIQUOR LIABILITY Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete the exclusion entitled Liquor Liability. This LIQUOR LIABILITY provision does not apply to any person or organization who otherwise qualifies as an additional insured on this Coverage Part. 17. MEDICAL PAYMENTS A. LIMITS OF INSURANCE is amended to delete Paragraph 7. (the Medical Expense Limit) and replace it with the following: 7. Subject to Paragraph 5. above (the Each Occurrence Limit), the Medical Expense Limit is the most the Insurer will pay under Coverage C— Medical Payments for all medical expenses because of bodily injury sustained by any one person.The Medical Expense Limit is the greater of: (1) $15,000 unless a different amount is shown here: $N,NNN,NNN,NNN; or (2) the amount shown in the Declarations for Medical Expense Limit. EZE EEE CNA74705XX(1-15) Policy No: 6057223216 Page 13 of 17 Endorsement No: 2 VALLEY FORGE INSURANCE COMPANY Effective Date: 04/01/2020 Insured Name: F M THOMAS AIR CONDITIONING INC Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement B. Under COVERAGES, the Insuring Agreement of Coverage C — Medical Payments is amended to replace Paragraph 1.a.(3)(b)with the following: (b) The expenses are incurred and reported to the Insurer within three years of the date of the accident; and 18. NON-OWNED AIRCRAFT Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended as follows: The exclusion entitled Aircraft,Auto or Watercraft is amended to add the following: This exclusion does not apply to an aircraft not owned by any Named Insured, provided that: 1. the pilot in command holds a currently effective certificate issued by the duly constituted authority of the United States of America or Canada, designating that person as a commercial or airline transport pilot; 2. the aircraft is rented with a trained, paid crew to the Named Insured; and 3. the aircraft is not being used to carry persons or property for a charge. 19. NON-OWNED WATERCRAFT Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete subparagraph (2) of the exclusion entitled Aircraft, Auto or Watercraft, and replace it with the following. This exclusion does not apply to: (2) a watercraft that isnot owned by any Named Insured, provided the watercraft is: (a) less than 75 feet long; and (b) not being used to carry persons or property for a charge. 20. PERSONAL AND ADVERTISING INJURY—DISCRIMINATION OR HUMILIATION A. Under DEFINITIONS,the definition of personal and advertising injury is amended to add the'following tort: Discrimination or humiliation that results in injury to the feelings or reputation of a natural person. B. Under COVERAGES, Coverage B — Personal and Advertising Injury Liability, the paragraph entitled Exclusions is amended to: 1. delete the Exclusion entitled Knowing Violation Of Rights Of Another and replace it with the following: This insurance does not apply to: Knowing Violation of Rights of Another Personal and advertising injury caused by or at the direction of the Insured with the knowledge that the act would violate the rights of another and would inflict personal and advertising injury. This exclusion shall not apply to discrimination or humiliation that results in injury to the feelings or reputation of a natural person, but only if such discrimination or humiliation is not done intentionally by or at the direction of: (a) the Named Insured; or (b) any executive officer, director, stockholder, partner, member or manager (if the Named Insured is a limited liability company) of the Named Insured. 2. add the following exclusions: CNA74705XX(1-15) Policy No: 6057223216 Page 14 of 17 Endorsement No: 2 VALLEY FORGE INSURANCE COMPANY Effective Date: 04/01/2020 Insured Name: F M THOMAS AIR CONDITIONING INC Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with itspermission. CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement This insurance does not apply to: Employment Related Discrimination Discrimination or humiliation directly or indirectly related to the employment, prospective employment, past employment or termination of employment of any person by any Insured. Premises Related Discrimination discrimination or humiliation arising out of the sale, rental, lease or sub-lease or prospective sale, rental, lease or sub-lease of any room, dwelling or premises by or at the direction of any Insured. Notwithstarkding the above, there is no coverage for fines or penalties levied or imposed by a governmental entity because of discrimination. The coverage provided by this PERSONAL AND ADVERTISING INJURY —DISCRIMINATION OR HUMILIATION Provision does not apply to any person or organization whose status as an Insured derives solely from Provision 1.ADDITIONAL INSURED of this endorsement; or attachment of an additional insured endorsement to this Coverage Part. This PERSONAL AND ADVERTISING INJURY—DISCRIMINATION OR HUMILIATION Provision does not apply to any person or organization who otherwise qualifies as an additional insured on this Coverage Part. 21. PERSONAL AND ADVERTISING INJURY-CONTRACTUAL LIABILITY A. Under COVERAGES, Coverage B —Personal and Advertising Injury Liability, the paragraph entitled Exclusions is amended to delete the exclusion entitled Contractual Liability. B. Solely for the purpose of the coverage provided by this PERSONAL AND ADVERTISING INJURY - CONTRACTUAL LIABILITY provision, the following changes are made to the section entitled SUPPLEMENTARY PAYMENTS—COVERAGES A AND B: 1. Paragraph 2.d. is replaced by the following: d. The allegations in the suit and the information the Insurer knows about the offense alleged in such suit are such that no conflict appears to exist between the interests of the Insured and the interests of the indemnitee; 2. The first unnumbered paragraph beneath Paragraph 2.f.(2)(b) is deleted and replaced by the following: So long as the above conditions are met, attorneys fees incurred by the Insurer in the defense of that indemnitee, necessary litigation expenses incurred by the Insurer, and necessary litigation expenses incurred by the indemnitee at the Insurer's request will be paid as defense costs. Such payments will not be deemed to be damages for personal and advertising injury and will not reduce the limits of insurance. C. This PERSONAL AND ADVERTISING INJURY - CONTRACTUAL LIABILITY Provision does not apply if Coverage B—Personal and Advertising Injury Liability is excluded by another endorsement attached to this Coverage Part. This PERSONAL AND ADVERTISING INJURY - CONTRACTUAL LIABILITY Provision does not apply to any person or organization who otherwise qualifies as an additional insured on this Coverage Part. - 22. PROPERTY DAMAGE—ELEVATORS A. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended such that the Damage to Your Product Exclusion and subparagraphs (3), (4) and (6) of the Damage to Property Exclusion do not apply to property damage that results from the use of elevators. - CNA74705XX(1-15) Policy No:. 6057223216 Page 15 of 17 Endorsement No: 2 VALLEY FORGE INSURANCE COMPANY Effective Date: 04/01/2020 Insured Name: F M THOMAS AIR CONDITIONING INC Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement B. Solely for the purpose of the coverage provided by this PROPERTY DAMAGE — ELEVATORS Provision, the Other Insurance conditions is amended to add the following paragraph: This insurance is excess over any of the other insurance, whether primary, excess, contingent or on any other basis that is Property insurance covering property of others damaged from the use of elevators. 23. SUPPLEMENTARY PAYMENTS The section entitled SUPPLEMENTARY PAYMENTS—COVERAGES A AND B is amended as follows: A. Paragraph 1.b. is amended to delete the$250 limit shown for the cost of bail bonds and replace it with a $5,000. limit; and B. Paragraph 1.d. is amended to delete the limit of $250 shown for daily loss of earnings and replace it with a $1,000. limit. 24. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS If the Named Insured unintentionally fails to disclose all existing hazards at the inception date of the Named Insured's Coverage Part,the Insurer will not deny coverage under this Coverage Part because of such failure. 25. WAIVER OF SUBROGATION -BLANKET Under CONDITIONS, the condition entitled Transfer Of Rights Of Recovery Against Others To Us is amended to add the following: The Insurer waives any right of recovery the Insurer may have against any person or organization because of payments the Insurer makes for injury or damage arising out of: 1. the Named Insured's ongoing operations; or 2. your work included in the products-completed operations hazard. However, this waiver applies only when the Named Insured has agreed in writing to waive such rights of recovery in a written contract or written agreement, and only if such contract or agreement: 1. is in effect or becomes effective during the term of this Coverage Part; and 2. was executed prior to the bodily injury, property damage or personal and advertising injury giving rise to the claim. 26. WRAP-UP EXTENSION: OCIP, CCIP,OR CONSOLIDATED(WRAP-UP) INSURANCE PROGRAMS Note: The following provision does not apply to any public construction project in the state of Oklahoma, nor to any construction project in the state of Alaska, that is not permitted to be insured under a consolidated (wrap-up) insurance program by applicable state statute or regulation. If the endorsement EXCLUSION — CONSTRUCTION WRAP-UP is attached to this policy, or another exclusionary endorsement pertaining to Owner Controlled Insurance Programs (O.C.I.P.) or Contractor Controlled Insurance Programs (C.C.I.P.) is attached,then the following changes apply: A. The following wording is added to the above-referenced endorsement: With respect to a consolidated (wrap-up) insurance program project in which the Named Insured is or was involved, this exclusion does not apply to those sums the Named Insured become legally obligated to pay as damages because of: 1. Bodily injury, property damage,or personal or advertising injury that occurs during the Named Insured's ongoing operations at the project, or during such operations of anyone acting on the Named Insured's behalf; nor CNA74705XX (1-15) Policy No: 6057223216 Page 16 of 17 Endorsement No: 2 VALLEY FORGE INSURANCE COMPANY Effective Date: 04/01/2020 Insured Name: F M THOMAS AIR CONDITIONING INC Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement 2. Bodily injury or property damage included within the products-completed operations hazard that arises out of those portions of the project that are not residential structures. B. Condition 4. Other Insurance is amended to add the following subparagraph 4.b.(1)(c): This insurance is excess over: (c) Any of the other insurance whether primary, excess, contingent or any other basis that is insurance available to the Named Insured as a result of the Named Insured being a participant in a consolidated (wrap-up) insurance program, but only as respects the Named Insured's involvement in that consolidated (wrap-up) insurance program. C. DEFINITIONS is amended to add the following definitions: Consolidated (wrap-up) insurance program means a construction, erection or demolition project for which the prime contractor/project manager or owner of the construction project has secured general liability insurance covering some or all of the contractors or subcontractors involved in the project, such as an Owner Controlled Insurance Program (O.C.I.P.) or Contractor Controlled Insurance Program (C.C.I.P.). Residential structure means any structure where 30% or more of the square foot area is used or is intended to be used for human residency, including but not limited to: 1. single or multifamily housing, apartments, condominiums, townhouses, co-operatives or planned unit developments; and 2. the common areas and structures appurtenant to the structures in paragraph 1. (including pools, hot tubs, detached garages, guest houses or any similar structures). However,when there is no individual ownership of units, residential structure does not include military housing, college/university housing or dormitories, long term care facilities, hotels or motels. Residential structure also does not include hospitals or prisons. This WRAP-UP EXTENSION: OCIP, CCIP, OR CONSOLIDATED (WRAP-UP) INSURANCE PROGRAMS Provision does not apply to any person or organization who otherwise qualifies as an additional insured on this Coverage Part. it All other terms and conditions of the Policy remain unchanged. P. This endorsement,which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. EGE EEE Lh CNA74705XX (1-15) Policy No: 6057223216 Page 17 of 17 Endorsement No: 2 VALLEY FORGE INSURANCE COMPANY Effective Date: 04/01/2020 Insured Name: F M THOMAS AIR CONDITIONING INC Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. THE FINAL PREMIUM IS Bond No.CAC718111 PREDICATED ON THE FINAL CONTRACT AMOUNT Premium:$4,791.00 City of Rosemead,California Bid Package,Garvey Park Gym Cooling Addition,Project No:31019 Document Control Page 63 of 631 PERFORMANCE BOND WHEREAS the CITY OF ROSEMEAD (also herein "Obligee") has awarded to F.M. Thomas Air Conditioning, Inc. (hereinafter"Contractor"), a contract for work consisting of but not limited to,furnishing all labor,materials,tools,equipment, services, and incidentals for the GARVEY PARK GYM COOLING ADDITION and all other required structures and facilities within the rights-of-way, easements and permits; WHEREAS, the Work to be performed by the Contractor is more particularly set forth in that certain contract for the said Public Work dated June 23rd, 2020 (hereinafter the "Public Work Contract"); and WHEREAS,the Contractor is required by said Public Work Contract to perform the terms thereof and to provide a bond both for the performance and guaranty thereof, NOW, THEREFORE, we F.M. Thomas Air Conditioning, Inc. , the undersigned Contractor, as Principal, and Merchants Bonding Company(Mutual) , a corporation organized and existing under the laws of the State of Iowa , and duly authorized to transact business under the laws of the State of California, as Surety, are held and firmly bound unto the CITY OF ROSEMEAD in the sum of Three Hundred Thirty-Two Thousand Seven Hundred Twenty-Five and 00/100 dollars, ($332,725.00 ), said sum being not less than 100% of the total amount payable by the said Obligee under the terms of the said Public Work Contract, 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 the Principal,his or its heirs,executors, administrators, successors or assigns, shall in all things stand to and abide by, and well and truly keep and perform the covenants, conditions and agreements in the said Public Work Contract and any alteration thereof made as therein provided, on his or their part, to be kept and performed at the time and in the manner therein specified,and in all respects according to their intent and meaning; and shall faithfully fulfill the one-year guarantee of all materials and workmanship; and indemnify and save harmless the Obligee,its officers and agents,as stipulated in the said Public Work Contract,then this obligation shall become null and void; otherwise it shall be and remain in full force and effect. In the event legal action is required to enforce the provisions of this agreement, the prevailing party shall be entitled to recover reasonable attorneys'fees in addition to court costs, necessary disbursements, and other damages. In case legal action is required to enforce the provisions of this bond,the prevailing party shall be entitled to recover reasonable attorneys' fees in addition to court costs, necessary disbursements and other consequential damages. The said Surety, for value received, hereby stipulates and agrees that no change, extensions of time,alteration or addition to the terms of the Public Work Contract or to the Work to be performed thereunder, or the specifications accompanying the same shall in any way affect its • PERFORMANCE BOND- 1 City of Rosemead,California Bid Package,Garvey Park Gym Cooling Addition,Project No:31019 Document Control Page 64 of 631 obligations on this.bond, and it does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the Contract, or to the Work or to Specifications. IN WITNESS WHEREOF,we have hereto set our hands and seals this 10th day on July , 2020 . F.M. Thom-. Co, .1'.ning, Inc. Principal/ on, ac.fir By: / d ,; , Preside f t Merchants B•-.'ding Compa y(Mutual) Surety • • By: Attorney-in-Fact D -lel Huckabay The rate of premium on this bond is $14.40 per thousand. 1:.. The total amount of premium charged, $4,791.00 (The above must be filled in by corporate surety.) PERFORMANCE BOND-2 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 Orange ) On 07/10/2020 before me, Melissa Ann Vaccaro, Notary Public (insert name and title of the officer) personally appeared Daniel Huckabay 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. 4 s"':"&,. MELISSA ANN VACCARO COMM.#f2241394 N = s o Notary Public-California `. 1 ORANGE COUNTY a „Fo„„ My Cornm.Expires May 12,2022 SignatureMQ�"K' U .O✓Np (Seal) Melissa Ann Vaccaro d 1' E C F 1 s r Bond No.CAC718111 BONDING COMPANY,, POWER OF ATTORNEY Know All Persons By These Presents,that MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING, INC., both being corporations of the State of Iowa(herein collectively called the"Companies")do hereby make,constitute and appoint,individually, Arturo Ayala;Ben Stong;Daniel Huckabay;Dwight Reilly;Frank Morones;Michael D Stong; R Nappi;Shaunna Rozelle Ostrom • their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performanca of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. This Power-of-Attorney is granted and is signed and sealed by facsimile under and by authority of the following By-Laws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding,Inc.,on October 16,2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys-in-Fact, and to authorize them to execute on behalf of the Company, and attach the seal of f the Company thereto, bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company,and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only,it is agreed that the power and aut hority hereby given to the Attorney-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only,it is agreed that the power and authority hereby given to the Attorney-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner- Department of Highways of the Commonwealth of Kentucky at least thirty(30)days prior to the modification or revocation. In Witness Whereof,the Companies have caused this instrument to be signed and sealed this 11th day of February , 2020 . •'t.Q 3P,<. o" .•o)'°��iPp f••.:9 MERCHANTS BONDING COMPANY(MUTUAL) ham,Cj 4l'.... • �•c, 9it,A,:.4; MERCHANTS NATIONAL BONDING, INC. • :%'... 2003 ;�s� *‘1'•• � 1933 .�c: By 7:7,‘„ • cid•. :mac • may ;�•o:• '•.,A,„ •• .••.,.3 .•, •,.•yY�•••••••L'\•� President STATE OF IOWA •�.'"'...... ......• COUNTY OF DALLAS ss. On this 11th day of February 2020 , before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. ,�P?JAC s POLLY MASON z �-s It‘q Commission Number 750576 Folita Y --o'- , t My Commisslon Expires ,owP. January 07, 2023 Notary Public (Expiration of notary's commission does not invalidate this instrument) I,William Warner,Jr.,Secretary of MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC.,do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies,which is still in full force and effect and has not been amended or revoked. In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 10th day of July ,2020 . • �Q OR '°0** iQD O.‘‘P cyO .� �� G � � • dd,�"I - , v. 2003 •y 1933 y s Secretary ` ' ,, •....�..••0"+ ••,4, ••l•\,i POA 001'8 (1.120) CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 C: .:�..�< .:�C�-..'..,��._%�C,.�,.s�C.�C.�i,.�...�.:c�•:�.-�.;�C,.�C� saC.:�,.%�C..�C.%"..�...�N�iC.�..�,.�..�.:�,,-:�•_s�.,�C,:�.�.�.�.•_�C.:i �i .�C�C_ 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 ) On '1/10 (-2,0 before me, Otkt.t / Date Here Insert Nam- and Title of the fficer personally appeared / '0 ', Name(s) of Si' er(s) 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/.s-re/they executed the same in his/leer/their authorized capacity(iee),and that by his/her/lbeir 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. RENEE RITCHIE �- a, Notary Public Signature ` c-California ft. County D Signature of Notary Public Co Commission#2201353 '"1"1' My Comm.Expires Jun 16,2021 Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑Corporate Officer — Title(s): ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑General ❑ Partner — ❑ Limited ❑General ❑ Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Signer Is Representing: ©2016 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 THE FINAL PREMIUM IS PREDICATED ON THE Bond No. CAC718111 FINAL CONTRACT AMOUNT City of Rosemead,California Bid Package,Garvey Park Gym Cooling Addition,Project No:31019 Document Control Page 68 of 631 PAYMENT (MATERIAL & LABOR)BOND WHEREAS the CITY OF ROSEMEAD (hereinafter "Obligee") has awarded to F.M. Thomas Air Conditioning, Inc. (hereinafter "Contractor"), a contract for work consisting of but not limited to,furnishing all labor,materials,tools, equipment, services, and incidentals for the GARY.EY PARK GYM COOLING ADDITION and all other required structures and facilities within the rights-of-way, easements and permits; WHEREAS,.the Work to be performed by the Contractor is more particularly set forth in that certain contract for the said Public Work dated June 23rd, 2020 (hereinafter the "Public Work Contract"); and WHEREAS, said Contractor is required to furnish a bond in connection with said Public Work Contract providing that if said Contractor or any of his or its subcontractors shall fail to pay for any materials, provisions, or other supplies, or terms used in, upon, for or about the performance of the Work contracted to be done, or for any work or labor done thereon of any kind, or for amounts due under the provisions of 3248 of the California Civil Code,with respect to such work or labor,that the Surety on this bond will pay the same together with a reasonable attorney's fee in case suit is brought on the bond. NOW, THEREFORE, we F.M. Thomas Air Conditioning, Inc. , the undersigned Contractor, as Principal and Merchants Bonding Company (Mutual) ,a corporation organized and existing under the laws of the State of Iowa and duly authorized to transact business under the laws of the State of California, as Surety, are held and firmly bound unto the CITY OF ROSEMEAD and to any and all material men, persons, companies or corporations furnishing materials, provisions, and other supplies used in,upon, for or about the performance of the said Public Work, and all persons, companies or corporations renting or hiring teams, or implements or machinery, for or contributing to said Public Work to be done, and all persons performing work or labor upon the same and all persons supplying both work and materials as aforesaid excepting the said Contractor, the sum of Three Hundred Thirty-Two Thousand Seven Hundred Twenty-Five and 00/100 dollars, ($332,725.00 ), said sum being not less than 100% of the total amount payable by said Obligee under the terms of the said Public Work Contract,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 the Principal,his or its subcontractors, heirs, executors, administrators, successors, or assigns, shall fail to pay for any materials,provisions,or other supplies or machinery used in,upon,for or about the performance of the Work contracted to be done, or for work or labor thereon of any kind, or fail to pay any of the persons named in California Civil Code Section 3181, 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 Employment Development Department from the wages of employees of the contractor and his subcontractors pursuant to Section 13020 of the Unemployment Insurance Code with respect to such work and labor,and all other applicable laws of PAYMENT BOND- 1 • City of Rosemead,California Bid Package,Garvey Park Gym Cooling Addition,Project No:31019 Document Control Page 69 of 631 the State of California and rules and regulations of its agencies,then said Surety will pay the same in or to an amount not exceeding the sum specified herein. In case legal action is required to enforce the provisions of this bond,the prevailing party shall be entitled to recover reasonable attorneys' fees in addition to court costs, necessary disbursements and other consequential damages. In addition to the provisions hereinabove, it is agreed that this bond will inure to the benefit of any and all persons, companies and corporations entitled to make claims under Sections 3110; 3111, 3112 and 3181 of the California Civil Code, so as to give a right of action to them or their assigns in any suit brought upon this bond. The said Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration or additions to the terms of the said Public Work Contract or to the Work to be performed thereunder or the specification accompanying the same shall in any way affect its obligations on this bond, and it does hereby waive notice of any such change,extension of time, alteration or addition to the terms of the Contract or to the Work or to the Specifications. IN WITNESS WHEREOF,we have hereto set our hands and seals this 1 0th day on July , 2020 . F.M. Thomas ,.ir C. eltion j•, Inc. Principal/Co .•• •,` By: Preside Merchants Bo,/ding Company (Mutual) Surety 13y: Attorney-in-F Daniel Huckabay PAYMENT BOND-2 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 Orange ) On 07/10/2020 before me, Melissa Ann Vaccaro, Notary Public (insert name and title of the officer) personally appeared Daniel Huckabay 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. 4 F MEus��~sa Av AccARo COMM.#2241394 r) Notary Public-California ORANGE COUNTY LL �� " i My Comm.Expires May 12,2022 Signature\ (\ \ C4( -C,tD (Seal) Melissa Ann Vaccaro MERCHANTS�@} Bond No.CAC718111 BONDING COMPANY-. POWER OF ATTORNEY Know All Persons By These Presents,that MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING, INC., both being corporations of the State of Iowa(herein collectively called the"Companies")do hereby make,constitute and appoint,individually, Arturo Ayala;Ben Stong;Daniel Huckabay;Dwight Reilly;Frank.Morones;Michael D Stong;R Nappi;Shaunna Rozelle Ostrom their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. • This Power-of-Attorney is granted and is signed and sealed by facsimile under and by authority of the following By-Laws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors • of Merchants National Bonding, Inc.,on October 16,2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any.Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys-in-Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company,and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only,it is agreed that the power and aut hority hereby given to the Attorney-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only,it is agreed that the power and authority hereby given to the Attorney-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner- Department of Highways of the Commonwealth of Kentucky at least thirty(30)days prior to the modification or revocation. In Witness Whereof,the Companies have caused this instrument to be signed and sealed this 11th day of February , 2020 . • ° MERCHANTS BONDING COMPANY(MUTUAL) `1•/C.) Po�4 o •. :®�� Q�P�Ati' �2 • MERCHANTS NATIONAL BONDING, INC. 2003 •:��; :y 1933 c: By 774_, ��.�•. • .. ..•.�+`� ,�� •.. .••l'�®. President • STATE OF IOWA f a1yttn..003 ' ••,*•••• COUNTY OF DALLAS ss. On this 11th day of February 2020 , before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. �PRtA<s POLLY MASON o Commission Number 750576 yv - • . _ My Commission Expires /mt. January 07, 2023 Notary Public (Expiration of notary's commission does not invalidate this instrument)• I,William Warner,Jr.,Secretary of MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC.,do hereby certify that the above and foregoing is a true.and correct copy of the POWER-OF-ATTORNEY executed by said Companies,which is still in full force and effect and has not been amended or revoked. In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 10th day of July ,2020 ,.....t.., •••.'".e 09 C041 •.`N4r: i C,_ a4'-,: -a- 111 • • • .:%1* 2003 ,_ 1933 c° Secretary ' _ ;d• ate. •. , .t-.•• • POA 001,8 (1/20) .......a..... ... CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 S: C C��C�•��•�c �<��.•��a c�c��c��•��•��•��C�c��•��C�e�c�c�c�c^:�•�c. 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 0Agi, U ) On 21)0( -2-L)-2-L) before me, i(2M r? (l,(.�-C:�t c ( � � Date ( � Here lnse Name and Title of the/Officer personally appeared `N -Q/11,k_e.Q Name(s) of SOner(s) who proved to me on the basis of satisfactory evidence to be the person( -whose name(s) is/axe-- subscribed to the within instrument and acknowledged to me that he/she/ ey executed the same in hisiher/their authorized capacity(ies),and that by his/I:ter/fir 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. , •.,,, RENEE RITCHIEr 'I i Notary Public-California Signature OALLA. Orange County D Signature of Notary Public ' / Commission#2201353 ay Comm.Expires Jun 16,2021 Place Notaty Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑Corporate Officer — Title(s): ❑Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑ Guardian or Conservator ❑Trustee ❑Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Signer Is Representing: 644;1*A✓,t�tvtS✓.44�4� 4(✓,4�%44� 4�✓4��.4<✓4�4�4�4�✓.4 <�4�✓4�4�✓4'er4�t�t�t�t�t�i�4�4�4�✓4�44�✓.4� 4�✓4�`✓,4�4 ©2016 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 Page 1 of 1 CITY CONTRACT CHANGE ORDER AUTHORIZATION CITY PROJECT ID NO.: 31019 PROJECT: Garvey Park Gym Cooling Addition REF CCO REQUEST NO.: CITY REQUEST CONTRACTOR: F.M.Thomas Air Conditioning, Inc. APPROVED CCO NO.: 01 AUTHORIZATION TO PROCEED WITH THE FOLLOWING CHANGE ORDER: Description Quantity Unit Unit Price Total CCO 01- 1.Employ Ground Penetrating Radar(Sonar)to the east exterior wall of the Boys'Restroom 1.00 LS $965.00 $965.00 and the wall separating the Boys'restroom from the gymnasium area, 2.Provide written report for the City. Base Contract Amount $332,725.00 Previously Authorized Contract Change Orders: $0.00 Authorized Amount For This Contract Change Order $965.00 Total Authorized Contract Amount To Date(Sum of The Above): $333,690.00 Total Contract Days(Working)Per Contract: 60 Additional/Deductive Days(Working)Per Previously Authorized Contract Change Orders(NA): 0 Additional/Deductive Days(Working) For This Contract Change Order 0 Total Authorized Contract Days(Working)To Date(FOR CHANGE ORDERS): 0 Original Completion Date: Revised Completion Date Including This Contract Change Order APPROVAL BY CITY Recommendedp - ` by: Approved by: Name: 4.`IVA-ZYI/G1.—N,A- dName: iA2i 1 Signature: ! Signature: Age Title: /meAC,4tiAno_}Witt di n � Title: e". Date: 111)a f 9,Q p Date: 7/z ACCEPTANCE BY CONTRACTOR 11 I agree to perform the work described in this change order,and that the total Name: cost approved for the change order includes any and all costs associated with this change order, and that I shall not make any other claims(including Signature: but not limited to, additional change order costs, delay costs, loss of profit, Title: loss of productivity, overhead, insurance, bonding, administrative, etc.) against the City for this change order. Date: Flo ID:C.1UselsUvh7akenAopDnfallowM1MicromMINinddvsltNetCachelConfc,,LO tlook1WINBEPFI GawayPem Gym Coorm Addban_CCO Approval#1 F.M. THOMAS AIR CONDITIONING, INC. 231 Gemini Avenue Contractor's License#313574 Brea, CA 92821 (800) 660-0891 (714)738-1062 Fax (714)738-0886 www.fmthomas.com * * COMMERCIAL SERVICE SPECIALISTS * * MEMO QUOTE DATE: July 9,2020 TO: City of Rosemead 8838 Valley Blvd. Rosemead, CA 91770 ATTN: Lucia Medina-Whittaker Management Analyst FROM: Ron Outhier RE: Rebar Identification at Garvey Park Dear Ms. Medina-Whittaker, We are pleased to offer this proposal for the identification of the size and spacing of the rebar in the (2) Gym walls being considered for supporting the air conditioning unit. Scope of Work: 1. Employ Ground Penetrating Radar(Sonar)to the east exterior wall of the Boys' Restroom and the wall separating the Boys' restroom from the gymnasium area. 2. Provide written report for the City. Our price for the scope of work above is $ 965.00 Cost breakdown: Subcontract $640.00 Mark-up 10% $ 65.00 Labor 2 Hrs @$130 $260.00 Thank you for this opportunity to be of service. Respectfully submitted, FM Thomas Air Conditioning Ron Outhier ESTABLISHED 1974