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All American Asphalt, A2009-40CITY OF CHINO HILLS AGREEMENT For Paving and Striping of Crossroads Park North Parking Lot This Agreement is made and entered into on the 20th day of April, 2009 by and between the City of Chino Hills, a California General Law Municipal Corporation ("City") and All American Asphalt ("Contractor"). City and Contractor do hereby agree as follows: The complete contract includes all of the Contract Documents, to wit: A. Notice Inviting Bids, Dated March 30, 2009 B. Labor and Material Bond C. Contract Performance Bond D. Certificates of Insurance and Endorsements E. Agreement F. Notice of Award G. Notice to Proceed H. The Plans (Contract Plan) I. Standard Specifications for Public Works Construction. J. Standard Plans K. Reference documents L. Change Orders or Work Change Directives M. Public Improvement Warranty Each of such documents in their entirety are incorporated herein by this reference as if set forth in full. The Contractor agrees to perform certain work set forth and particularly described in the aforementioned documents, incorporated herein by reference in consideration of: TOTAL BASE BID: $37,942.70 Contractor shall furnish a labor and material bond in an amount equal to one hundred percent (100%) of the contract price, and a faithful performance bond in an amount equal to one hundred percent (100%) of the contract price, said bonds to be secured from a surety company admitted and authorized to do business in California as such and satisfactory to the City Council. 1 kyj The Contractor agrees to indemnify, protect, defend and hold harmless the City, and their authorized agents, officers, volunteers, the engineer and employees against any and all claims arising from Contractor's acts or omissions and for any costs or expenses incurred by the City, or their authorized agents, officers, volunteers and employees, on account of any claim therefore. In order to accomplish the indemnification herein provided for, but without limiting the indemnification, the Contractor shall secure and maintain throughout the term of the contract the following types of insurance with limits as shown: Workers' Compensation - A program of Workers' Compensation Insurance or a State -approved Self Insurance Program in an amount and form to meet all applicable requirements of the Labor Code of the State of California, including Employer's Liability with One Million Dollars ($1,000,000.00) limits, covering all persons providing services on behalf of the Contractor and all risks to such persons under this Agreement. General Liability - Such general liability insurance shall be'written with a limit of liability of not less than One Million Dollars ($1,000,000.00) combined single limits for damages arising out of bodily injury, including sickness and death, injury to or destruction of property of others, arising directly or indirectly out of or in connection with the performance of the Work under the Contract Documents including explosion, collapse and underground exposure. Vehicle Liability - Such vehicle liability insurance shall be written with a limit of liability of not less than One Million Dollars ($1,000,000.00) combined single limits for all bodily injury, including sickness and death or injury to or destruction of property of others, arising directly or indirectly out of or in connection with the performance of the Work under the Contract Documents including explosion, collapse and underground exposure. If the City determines to require the Contractor to procure such insurance, such insurance shall cover as insureds under all policies excepting workers compensation the City, its officers, employees, and agents, City's Representative, the Engineer and his/her consultants, and each of their officers, employees, and agents. The policy or policies for such insurance may provide for a deductible amount not to exceed five percent (5%) of the Contract Price. As provided in Section 7105 of the California Public Contract Code, the Contractor is responsible for the cost of repairing or restoring work up to five (5%) percent of the contract amount. All insurance required herein shall be placed with insurers with a current A.M. Best's rating of no less than A:VII, and which insurers are admitted and authorized to do business in California as insurance carriers. Contractor shall, within ten (10) calendar days after receipt of the notice of award from the City, furnish certificates of insurance and endorsements to the City evidencing the 2 insurance coverage above required prior to the commencement of performance of services hereunder, which certificates shall provide that such insurance shall not be terminated or expire without thirty (30) days written notice to the City, and shall maintain such insurance from the time Contractor commences performances of services hereunder until the completion of such services All policies, with respect to the insurance coverage above required, except for the Workers' Compensation Insurance coverage and professional liability coverage, if applicable, shall obtain additional endorsements covering the City and its employees, agents, volunteers and officers as insureds with respect to liabilities arising out of the performance of services hereunder. The Contractor shall require the carriers of the above required coverages to waive all rights of subrogation against the City, its officers, volunteers, employees, contractors, agents and subcontractors. All policies required above are to be primary and non-contributing with any insurance or self-insurance programs carried or administered by the City. V. The City agrees to pay, and the Contractor agrees to accept in full payment for the work outlined in the Contract Documents, the total sum of Thirty -Seven Thousand Ninie- Hundred Forty-two Dollars and Seventy Cents ($37,942.70) subject to additions and deductions, if any, in accordance with said documents. Payment shall not be made more often than once each thirty (30) days, nor shall amount paid be in excess of ninety percent (90%) of the contract at time of completion. Final payment to be made thirty- five (35) days subsequent to filing of Notice of Completion. Contractor may, upon Contractor's written request, and approved by the City Council, at Contractor's expense, deposit substitute securities, as stated in Government Code Section 16430, and as authorized by Public Contract Code, Section 22300, in lieu of retention monies withheld to insure performance. M The Contractor shall commence the work required by this Contract within ten (10) days of the date specified in the Notice to Proceed from the City to proceed with the work and shall complete base bid items within thirty-five (35) working days. City and Contractor have discussed the provisions of Government Code, Section 53069.85 and the damages that may be incurred by City if the Work is not completed within the time specified in this Agreement. The City and Contractor hereby represent that at the time of signing this Agreement, it is impracticable and extremely difficult to fix the actual damage which will be incurred by City if the Work is not completed within the number of working days allowed. Accordingly, City and Contractor agree that the sum of five hundred dollars ($ 500.00) per calendar day is a reasonable sum to assess as damages to City by reason of the failure of Contractor to complete the Work within the time specified. 3 VII. The Contractor hereby agrees to comply with the State Labor Code and acknowledges that, in accordance with Section 3700 of the State Labor Code, he/she will be required to secure the payment of compensation to his/her employees. VIII. The Contractor acknowledges that, in accordance with Section 1777.5 of the State Labor Code, he/she will be held responsible for compliance with the provisions of this Section for all apprenticeable occupations. IX. The Contractor hereby agrees to reimburse the City for costs incurred by the awarding authority in the substitution of subcontractors. Where a hearing held pursuant to the provisions of Chapter 2, Division 5, Title 1, of the Government Code (commencing with Section 4100) by the awarding authority or a duly appointed hearing officer, the Clerk of the City of Chino Hills shall prepare and certify a statement of all costs incurred by the City for investigation and conduct of the hearing, including the costs of any hearing officer and shorthand reporter appointed. The statement shall then be sent to the general contractor, who shall reimburse the City for such costs. If not paid separately, such reimbursement may be deducted from any money due and owning to the general contractor prior to acceptance of the project. X. Contractor acknowledges and agrees that Contractor must have all appropriate contractor's licenses. Contractor further warrants and represents that he/she/they has/have the appropriate contractor's license to pursue the work hereunder. Contractor's failure to have or maintain all appropriate licenses during the entire term of this contract, or any period thereof, shall be cause for the immediate and summary termination of this contract by City. Contractor shall be liable for all City's costs to complete the work and this contract. XI. The person or persons executing this Agreement on behalf of contractor warrants and represents he/she/they has/have the authority to execute this Agreement on behalf of his/her/their corporation, partnership, or business entity and warrant and represents that he/she/they has/have the authority to bind contractor to the performance of its obligations hereunder. 4 NOTICES. Notices shall be given pursuant to this Agreement by personal services on the party to be notified, or by written notice upon such party deposited in the custody of the United States Postal Services addressed as Follows: City. Attention: City Clerk City of Chino Hills 14000 City Center Drive Chino Hills, California 91709 Consultant. Attention: David W. Carter All American Asphalt P.O. Box 2229 Corona, CA 92878-2229 The notices shall be deemed to have been given as of the date of personal service, or three (3) days after the date of deposit of the same in the custody of the United States Postal Service. RIM This Agreement contains the completely final, entire, and exclusive agreement between the parties with respect to the subject matter hereof, and no waiver, alteration, or modification of any of the provisions hereof or rights to act hereunder shall be binding unless in writing. Any attempted modification, amendment, or alteration in violation hereof shall be void. IN WITNESS WHEREOF, each of the parties hereto has caused the Agreement to be executed in its name on its behalf by a duly authorized officer as of this day and year first above written. CITY OF CHINO HILLS By• Mic aeI S. Flea g r, City Manager 5 ALL AMERICAN ASPHALT lienature o Chairman o�oard, President, or Vice President (Typed/Printed Name) Hobert Bradley, V.P. 0 S1 1` z cw G O U a31JIN3A O (� wnON3aab' LU2 NO3HO &831HSVO F" ONOe O18 0 m L O z O a N oo 1 {� rq'• 0 z z \ QQ � V, W o o o o r N m z Recording Requested by And When Recorded, Mail To: CITY CLERK CITY OF CHINO HILLS 14000 City Center Drive Chino Hills, CA 91709 Exempt Recording Per Government Code Section 6103 NOTICE IS HEREBY GIVEN THAT: Recorded in Official r rds, County of San Bernardino LARRY WALKER Auditor/Controller - Recorder R Regular Mail Doc#: 2009— 0286034 Titles: 1 NOTICE OF COMPLETION 6/30/2009 10:19 AM FU Pages: 1 Fees 0.00 Taxes 0.00 Other 0.00 PAID Qp �ffi0.00 "0 � sK The undersigned is a Project Manager for the City of Chino Hills, 14000 City Center Drive, Chino Hills, Californi1-13-07 - t3"o 5 91709, which is the owner of the interest or estate stated below in the property hereinafter described. The nature and interest or estate of the City is: In C-- (11 other than flee, strike "In Fee" and inset, for example, "easement" or "lessee"') A work of improvement on the property hereinafter described was completed on. May 22 2009 The work of improvement is described as follows: repair, repave and stripe Crossroads Park North 25,591 sq ft Date of Contract: April 20 2009 Contract/Agreement No. A09-40 The property on which said work of improvement was completed is in the City of Chino Hills, County of San Bernardino, State of California, and is described as follows: Crossroads Park North (Legal description) The street address of said property is: 2765 Chino Hills Parkway Chino Hills CA 91709 (if no street address hpqeen officially assigned, insert "none") ClM", HINO HILLS APN: 1032-151-05 41 7� r Martin, Project Manager STATE OF CALIFORNIA ) COUNTY OF SAN BERNARDINO )ss CITY OF CHINO HILLS ) I HEREBY CERTIFY THAT I am the Public Facilities and Operations Director for the City of Chino Hills. I have read the foregoing Notice of Completion and know the contents thereof; and I certify that the same is true of my own knowledge. I declare under penalty of perjury, that the foregoing is true and correct. Executed ons/2Z//7Z at City of Chino Hills, California. -AL'AAAA John Mura, Public Facilities and Operations Director CERTIFICATE OF LIABILITY INSURAI °0A7/12/2017 UE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, 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 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 CA LIC OB29370 1-925-244-7700 Edgewood Partners Insurance Centers (EPIC) [Inland Empire - Branch ID 145421 P.O. Box 5003 NAME CT Certificates Department PHONE (g25) 244-7700 FAX No: (925) 901-0671 A DDDRREESS: EPICcerts0epicbrokers.com INSURERS AFFORDING COVERAGE NAIC INSURERA:ARCH SPECIALTY INS CO 21199 San Ramon, CA 94583 INSURED All American Asphalt INSURER B: ZURICH AMER INS CO 16535 INSURER C:AHHRICAH GUAR 6 LIAB INS 26247 INSURER D: P.O. Box 2229 INSURER E: INSURER F: Corona, CA 92878-2229 COVERAGES CERTIFICATE NUMHFR! 50342817 RPVICInkl ktt IURCo• 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, 1LTR TYPE OF INSURANCE I= SUER POLICY NUMBER MMIDDY EFF M�D� LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR DPC100585601 08/01/17 08/01/18 EACH OCCURRENCE $ 1,000,000 DAMAGERENTED PREMISESS(Ea occurrence) $ 100,000 MED EXP (Any one person) $ PERSONAL $ ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: POLICY JECT F—] LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2.000,000 $ OTHER: B AUTOMOBILE LIABILITY BAP557108805 08/01/17 08/01/18 COMBINED SINGLE LIMIT Ea accident $ 2,000,000 BODILY INJURY (Per person) $ X ANY AUTO ALL AUTOS OWNED SCHEDULED BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ Per accl(at C UMBRELLA LIAB X OCCUR SXS019797001 08/01/17 08/01/18 EACH OCCURRENCE $ 10, 000, 000 X EXCESS LIABCLAIMS-MADE AGGREGATE $ 10, 000, 000 DED I X I RETENTION$ 10,000 Following -Form $ B WORKERSCORS'LIATIONILIT Y/N AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N❑ N / A NC593205704 08/01/17 08/01/18 X PER ERS E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1, 000, 000 (Mandatory In NH) K es, describe under DESCRIPTION OF OPERATIONS below 1 E.L. DISEASE - POLICY LIMIT I $ 1. 000, 000 7 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached H more space is required) RE: Crossroads Park, North Parking Lot (2] /0Xd Certificate Holder is Additional Insured if Required by Written Contract Excluding Workers Compensation [2] CERTIFICATE HOLDER CANCPI I ATInN City of Chino Hills SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 14000 City Center Drive AUTHORIZED REPRESENTATIVE Chino hills, CA 91709 CA- ACORD ACORD 25 (2014/01) DCannon-ie 50342817 ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following - COMMERCIAL GENERAL LIABILITY COVERAGE. FORM COMMERCIAL GENERAL LIABILITY SELF-INSURED RETENTION COVERAGE FORM SECTION u — W"O 18 AN INSURED is amended to include as an additional inUMW those persons or orgsnU b ris who are required under a written mrMract wwkh you to be narned as an addlthxiel ktsatred, but orgy with respect to liability for "bodily Injurf, 'property darnager, or "personal and adverlislrg I* y' caused, in whale or In part, by your ads or omissions or the ads or omissions of your subconuedors: A. In the penforrnance of your ongoing operations or "your worts", inoWing "your work' that has been cornpleied; or B. In connection with your promises owned by or rented to you, As used in this endorsement, the words and `your"' refer to the Named Irmured. AN other terms and conditlons of this Policy remain unchanged Schedule Endorsement Number: Project This endorsement Is e0ecfive on the Inception dabs of this policy unless o#wwlse slated herein, (The inforrnotlon below Is required only when this endorsement Is Issued subsequent to preperetlon of the policy.) Pollcy Number' DPCIOOSS5601 Narrred Insured: AN American Asphalt at al Endorsement EifBdIVB Dele; August 1, 2017 4772 00 CGLODOS 00 05 07 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF SUSROGATION ENDORSEMENT This endorsement modifies insurance proviled under the fallowing. COMMERCIAL GENERAL LIABILITY COVERAGE FORM COMMERCIAL GENERAL, LIABILITY SELF-NSLIRED RETENTION COVERAGE FORM. SCHEDULE Nana of Pwmm Or OtDanitatlon: Where r"*ed by written tmr hvd. Under SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS. Condition & TrarmW of Ripbla Of Recovery A9~ t M*m To Us B amended by the addition d the tollowirg provision: We wow any right of recovery we may have sow the person Or nCgsnizatton slwwrt In the SCHEDULE above because of payments vw matte for iryury or damage arising oul of your operations or 'your work' done under a Wftn contract with that person or ordanizetiom AN other terms and omditlons of this policy remain unchanged. Schedule Endorsement Number: Project This erxlorsement is elhOive on the inception date d this policy unless otherwise staled herein, (The information below Is required orgy when this endorsement Is Issued subsequent to preperation of the policy.) Pdicy Number: DPC100585601 Named Insured: AN American Asphalt et al Endorsement Efk dive Dale: August 1, 2017 00 CGLO121 00 09 00 Includes copyrighted material d Insurance Services office, Inc., Pape 1 of 1 with its permisMon, 4772 POLICY NL*JIM BAP5 5 710 8 8 - 0 5 COMY61 UL AUTO CA U44 0310 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This oulm ernerd modifies insu ww Provided under the Mbwinp: BUSMSS AUTO 001IERAGE FORM BUSfi!ESS AUTO PHYSICAL DAMAGE COVERAGE FORM GARAGE CO%ERAM FORM Mt1DTOR CARR ERCO4tOVM FORM TRUCKERS COVERAGE FO *A Vft respect to oovwWe provided by this endorsement, the provisions of the Coversoe Form apply unless mo& tied by the endorsement. This endorsemerd charges the policy effedWe on the fteption date of the policy unless anolher date Is Indicated below. Miredlroursd: All American Asphalt Erdoraaner4EffdheDab: August 1, 2017 SCH04JLE 1111011(6) Or PerWKS) (Dr Orow1*11"It. ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY 'fie Traraler Of P40 Ms of Rwwmy Ag*w Otti m To Us Condttbn does not apply to the person(s) or orgwdzaporqs) stem In the Schedule, but only to the antent that subrogatbn is waived prior tot n %D- Project oiderr or the Ions" under a c wkh th person of or+oa *meson. Sohedule 4772 CA 04 44 6310 0 Insurwo Services Office, Inc., 2008 Pape 1 d 1 L3 �``� " CERTIFICATE OF LIABILITY INSURANCE D07/25 IDD/ 1 07/25/2011 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 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 LIC #OB29370 1-925-244-7700 Edgewood Partners Insurance Centers (EPIC) [Orange Branch] P.O. Box 5003 CONTACT P NAME: Certificate Department PHONE FAX IC No E. (925) 244-7700 AIC No: (925) 901-0671 AIC, AIL ADDRESS: EPICcerts@EdgewoodIns.com INSURER(S) AFFORDING COVERAGE NAIC# San Ramon, CA 94583 INSURER A: ARCH SPECIALTY INS CO 21199 GPP002265803 INSURED INSURER B : HARTFORD FIRE IN CO 19682 All American Asphalt INSURER C: NATIONAL UNION FIRE INS CO OF PITTS 19445 INSURER D: SEABRIGHT INS CO 15563 P.O. Box 2229 INSURER E: Corona, CA 92878-2229 INSURER F : COVERAGES CERTIFICATE NUMBER: 22419198 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. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER EFF MMIDDPOLICY/YYYY EXP MMLDDY/YYYY LIMITS A GENERAL LIABILITY GPP002265803 08/01/1 08/01/13 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 100,000 PREMISES Ea occurrence $ CLAIMS -MADE IT] OCCUR MED EXP (Any one person) $ PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENI AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OPAGG $ 2,000,000 $ POLICY X PRO- LOC B AUTOMOBILE LIABILITY 72UENGK5491 08/01/13 08/01/12 EOMaBcNdeDtSINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE ccident $ Per accident) NON -OWNED X HIRED AUTOS X AUTOS $ C UMBRELLA LIAB X OCCUR BE21422933 08/01/1 08/01/12 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 X EXCESS LIAB CLAIMS -MADE DED I X I RETENTION$ 10, 000 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN BB1110243 08/01/1 08/01/12 X WCSTATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ 1,000,000 ANY PROP RIETOR/PARTN ER/EXECUTIVE❑ OFFICER/MEMBER EXCLUDED? N NIA E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: Crossroads Park, North Parking Lot [2] Certificate Holder is Additional Insured if Required by Written Contract Excluding Workers Compensation CERTIFICATE HOLDER CANCELLATION ACORD 25 (2010/05) ztalebzadeh-org 22419198 © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Chino Hills THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 14000 City Center Drive AUTHORIZED REPRESENTATIVE Chino hills, CA 91709 �,�/�/ q }P USA Ili ACORD 25 (2010/05) ztalebzadeh-org 22419198 © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM COMMERCIAL GENERAL LIABILITY SELF-INSURED RETENTION COVERAGE FORM SECTION 11 — WHO IS INSURED is amended to include as an additional insured those persons or organizations who are required under a written contract with you to be named as an additional insured, but only with respect to liability for "bodily injury', "property damage", or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of your subcontractors: A. In the performance of your ongoing operations or "your work", including "your work" that has been completed; or B. In connection with premises owned by or rented to you. As used in this endorsement, the words "you" and "your" refer to the Named Insured. All other terms and conditions of this Policy remain unchanged. Schedule Endorsement Number: This endorsement Is effective on the Inception date of this policy unless otherwise stated herein (The information below Is required only when this endorsement is Issued subsequent to the preparation of the policy,) Policy Number: OPPO022658-03 Named Insured: All American Asphat Endorsement Effective Date:8/1111 00 CGL0006 00 05 07 Project Page 1 of 1 2419 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF SUBROGATION ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM COMMERCIAL GENERAL LIABILITY SELF-INSURED RETENTION COVERAGE FORM Schedule Project Under SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, Condition 8. Transfer Of Rights of Recovery Against Others to Us is amended by the addition of the following provision: We waive any right of recovery we may have against the person or organization shown in the SCHEDULE above because of payments we make for injury or damage arising out of your operations or'your work" done under a written contract with that person or organization. All other terms and conditions of this Policy remain unchanged. Endorsement Number: This endorsement is effective on the inception date of this policy unless otherwise stated herein. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Policy Number: GPP0022658-03 Named Insured: All American Asphalt Endorsement Effective Date: 08/01/11 00 CGLO121 00 09 06 Includes Copyright Material from Insurance Services Office, Inc., with its permission. Page 1 of 1 2427 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 4-84 WAIVER OF OUR RICHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from US.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be . *. % of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description EVIDENCE OF COVERAGE WHERE YOU ARE REQUIRED BY WRITTEN CONTRACT TO OBTAIN THIS AGREEMENT FROM US, PROVIDED THE CONTRACT IS SIGNED AND DATED PRIOR TO THE DATE OF LOSS TO WHICH THIS WAIVER APPLIES. IN NO INSTANCE SHALL THE PROVISIONS AFFORDED BY THIS ENDORSEMENT . BENEFIT ANY COMPANY OPERATING AIRCRAFT FOR HIRE. * The premium charge for this endorsement shall be 2% of the premium developed in the State of California, but not less than $500 policy minimum premium. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 8/1/11 Policy No. 13131110243 Endorsement No. Insured All American Asphalt Policy Effective Date 8/1111 Insurance Company Seabright Insurance Company Countersigned By WC 04 03 06 (Ed. 4-84) ®1998 by the Workers' Compensation Insurance Rating Bureau of California. Ali rights reserved. 2206 I A�C�RO� CERTIFICATE OF LIABILITY INSURANCE D07/25ATE /2011/DDn 1 07/25 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 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 LIC #OB29370 1-925-244-7700 Edgewood Partners Insurance Centers (EPIC) [Orange Branch] P.O. Box 5003 CONTACT Certificate Department PHONE FAX C No : (925) 244-7700 AIC No: (925) 901-0671 ADDRESS: EPICcertoONdgewoodIns.com INSURERS AFFORDING COVERAGE NAIC• San Ramon, CA 94583 INSURER A: ARCH SPECIALTY INS CO 21199 EACH OCCURRENCE $ 1,000,000 INSURED INSURER B: HARTFORD FIRE IN CO 19682 All American Asphalt INSURER C: NATIONAL UNION FIRE INS CO OF PITTS 19445 INSURER D: SEABRIGHT INS CO 15563 P.O. Box 2229 INSURER E: Corona, CA 92878-2229 B AUTOMOBILE X X INSURER F: CAVFRAr.FS CERTIFICATE NIIMRER- 22418722 REVISION NUMRFR- 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. INSR LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICYEFF POLIO EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1:�] OCCUR GPP002265803 08/01/1 08/01/13 EACH OCCURRENCE $ 1,000,000 DAMAGE TO PREMISES EaENTED occurrence $ 100,000 MED EXP (Any one person) $ PERSONAL $ ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO - ]LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS 72UENGK5491 08 01 1 08/01/12 COMBINED SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE er accident P $ C X UMBRELLA LIAB EXCESSLIAB X OCCUR CLAIMS -MADE BE21422933 08/01/1 08/01/12 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 DED I X I RETENTION$ 10, 000 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNEWEXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? N❑ (Mandatory In NH) if yes, describe under DESCRIPTION OF OPERATIONS below N / A BB1110243 - 08/01/1 08/01/12 X WCSTATU- ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) RE: FY 09-10 Street Improvement Project, Project No. 510003 GEKTIFIGA It: MULL)LK GANGtLLA I IUN rcri oject,Project No. $10003 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ty of Chino Hills THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 14000 City Center Drive AUTHORIZED REPRESENTATIVE Chino hills, CA 91709 CA- IISA , ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD ztalebzadeh-org 22418722 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM COMMERCIAL GENERAL LIABILITY SELF-INSURED RETENTION COVERAGE FORM SECTION II — WHO IS INSURED is amended to include as an additional insured those persons or organizations who are required under a written contract with you to be named as an additional insured, but only with respect to liability for "bodily injury", "property damage", or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of your subcontractors: A. In the performance of your ongoing operations or "your work", including "your work" that has been completed; or B. In connection with premises owned by or rented to you. As used in this endorsement, the words "you" and "your" refer to the Named Insured. All other terms and conditions of this Policy remain unchanged. Schedule Project City of Chino Hills, the City's Representative, the Engineer and RE: FY 09-10 Street Improvement Project, Project his/her consultants, and each of their officers, agents, and No. S10003 employees Endorsement Number: This endorsement is effective on the inception date of this policy unless otherwise stated herein (The information below is required only when this endorsement Is Issued subsequent to the preparation of the policy.) Policy Number: GPP0022668-03 Named Insured: All American Asphalt Endorsement Effective Date: 8/1/11 00 CGL0006 00 05 07 Page 1 of 1 2184 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. OTHER INSURANCE — BROAD FORM, CGL POLICY ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM COMMERCIAL GENERAL LIABILITY SELF-INSURED RETENTION COVERAGE FORM Under SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, the following paragraph is added to Condition 4. Other Insurance: Where the Named Insured is required by a written contract to provide insurance that is primary and non-contributory, and the written contract so requiring is executed by the Named Insured before any "occurrence" or offense, this insurance will be primary, but only if and to the extent required by that written contract. All other terms and conditions of this Policy remain unchanged. Schedule Project City of Chino Hills, the City's Representative, the Engineer and RE: FY 09-10 Street Improvement Project, Project his/her consultants, and each of their officers, agents; and No. S10003 employees Endorsement Number: This endorsement is effective on the inception date of this policy unless otherwise stated herein (The information below is required only when this endorsement is issued subsequent to the preparation of the policy.) Policy Number: GPP0022658-03 Named Insured: All American Asphalt Endorsement Effective Date: 8/1/11 00 CGL0130 00 09 06 Page 1 of 1 2184 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.' WAIVER OF SUBROGATION ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM COMMERCIAL GENERAL LIABILITY SELF-INSURED RETENTION COVERAGE FORM Schedule Project City of Chino Hills, the City's Representative, the Engineer and RE: FY 09-10 Street Improvement Project, Project his/her consultants, and each of their officers, agents, and No. S10003 employees Under SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, Condition 8. Transfer Of Rights of Recovery Against Others to Us is amended by the addition of the following provision: We waive any right of recovery we may have against the person or organization shown in the SCHEDULE above because of payments we make for injury or damage arising out of your operations or "your work" done under a written contract with that person or organization. All other terms and conditions of this Policy remain unchanged. Endorsement Number: This endorsement is effective on the inception date of this policy unless otherwise stated herein. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Policy Number: GPP0022658-03 Named Insured: All American Asphalt Endorsement Effective Date: 08/01/11 00 CGLO121 00 09 06 Includes Copyright Material from Insurance Services Office, Inc., with its permission. Page 1 of 1 2184 All American Asphalt Policy #72UENGK5491 8/1/11 to 8/1/12 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED AND RIGHTS OF RECOVERY AGAINST OTHERS This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM A. Any person or organization whom you are required by contract to name as additional insured is an "insured" for LIABILITY COVERAGE but only to the extent that person or organization qualifies as an "insured" under the WHO IS AN INSURED provision of Section II — LIABILITY COVERAGE. B. For any person or organization for whom you are required by contract to provide a waiver of subrogation, the Loss Condition —TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US is applicable. Schedule Project City of Chino Hills, the City's Representative, the Engineer and RE: FY 09-10 Street Improvement Project, Project his/her consultants, and each of their officers, agents, and No. S10003 employees Form HA 99 13 01 87 Printed in U.S.A. Page 1 of 1 2184 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 4-84 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from US.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be % of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description City of Chino Hills, the City's Representative, the Engineer and RE: FY 09-10 Street Improvement Project, Project his/her consultants, and each of their officers, agents, and No. S10003 employees WHERE YOU ARE REQUIRED BY WRITTEN CONTRACT TO OBTAIN THIS AGREEMENT FROM US, PROVIDED THE CONTRACT IS SIGNED AND DATED PRIOR TO THE DATE OF LOSS TO WHICH THIS WAIVER APPLIES. IN NO INSTANCE SHALL THE PROVISIONS AFFORDED BY THIS ENDORSEMENT BENEFIT ANY COMPANY OPERATING AIRCRAFT FOR HIRE. * The premium charge for this endorsement shall be 2% of the premium developed in the State of California, but not less than $500 policy minimum premium. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 8/1/11 Policy No. BB1110243 Endorsement No. Insured All American Asphalt Policy Effective Date 8/1/11 Insurance Company Seabright Insurance Company Countersigned By WC 04 03 06 / (Ed. 4-84) 01998 by the Workers' Compensation Insurance Rating Bureau of California. All rights reserved. 2184 ACORDrM CERTIFICATE OF LIABILITY INSURANL;E DATE 8/20/Y0 07/28/2010 PRODUCER LIC #OB29370 1-925-244-7700 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Edgewood Partners Insurance Centers (EPIC) [orange Branch] P.O. Box 5003 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # San Ramon, CA 94583 EPICcerts@edgewoodins.com INSURED All American Asphalt INSURERA:ARCH SPECIALTY INS CO 21199 INSURERB:HARTFORD FIRE IN CO 19682 INSURER C: INSURANCE CO OF THE STATE OF PA 19429 ilii P.O. Box 2229 INSURER D:SEABRIGHT INS CO 15563 1JrJ Corona, CA 92878-2229 INSURER E: DAMAGE TO RENTED PREMISES Ea occurence $ 100,000 r��i�on'r_vc 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR INSRD DD' TY OF INSURANCEDATE POLICY NUMBER POLICY EFFECTIVE MM/DD/YY POLICY EXPIRATION DATE MMIDD/YY LIMITS A GENERAL LIABILITY GPP002265802 08/01/10 08/01/12 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurence $ 100,000 MED EXP (Any one person) $ CLAIMS MADE I OCCUR PERSONAL &ADV INJURY $1,000,000 GENERALAGGREGATE $2,000,000 GENI AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $2,000,000 POLICY rX PRO- LOC B AUTOMOBILE X LIABILITY ANYAUTO 72UENGK5491 08/01/10 08/01/11 COMBINED SINGLE LIMIT $1,000,000 (Ea accident) BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULEDAUTOS BODILY INJURY $ (Per accident) X HIREDAUTOS NON-OWNEDAUTOS PROPERTY DAMAGE $ (Per accident) HX GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHERTHAN EAACC $ ANY AUTO AUTO ONLY: AGG $ C EXCESS/UMBRELLA LIABILITY 7521507 08/01/10 08/01/11 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 X OCCUR CLAIMSMADE $ DEDUCTIBLE $ X RETENTION $ 10,000 D WORKERS COMPENSATION AND BB1100243 08/01/10 08/01/11 X TORYLATU- OER E.L. EACH ACCIDENT $1,000,000 EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYEE $1,000,000 OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS bolow E.L. DISEASE -POLICY LIMIT I $1,000,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS RE: Crossroads Park, North Parking Lot [2] Certificate Holder is Additional Insured if Required by Written Contract Excluding Workers Compensation GER] IFIUA I t- HULUhK \,1Arv\,CLL1A I IU14 len uay tvo�iue iui avuu-rayu caic ui rreuii uut SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City Of Chino Hills DATE THEREOF, THE ISSUING INSURER WILL 9M?WV4 MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, �_lYiES1tX 14000 City Center Drive Xli(ai�b5>sl6]41§7L16I14t¢iC1��kxd�XASr[IKiffi7LDPffiIGX�[gkiiiCI§itX XKNMMKgvarAqmXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX Chino hills, CA 91709 AUTHORIZED REPRESENTATIVE ;) USA ACORD 25 (2001/08) ztalebzadeh-org UAGUKU GUKFUKA I IUN 9966 16811781 "T+IlS:END:ORSEMENT-:CHANGES-THEPOLICY. =PLEASEREAD-1T'CAREFULLY. BLANKETADD1TIONAL INSUREDENDORSE"HENT 'This -endorsement modifies insurance _provided .underthe-following: COMMERCIAL GENERAL -LIABILITY _COV.ERAGEFORM COMMERCIAL GENERAL LIABILITY SELF -I NS.UREDRETENTION COVERAGE -"FORM :SECTION II — WHO I'S 'INSURED is :amended -to include as :an :additional insured those persons -or organizations who are required .under a written contract with you to :be -named as -an additional insured, :but only with respect to-liability,for "bodily injury", "property damage", or ".personal and =advertising injury" caused, in whole or impart, by your:acts or.omissions :or-the:acts or omissions -of yoursubcontractors: A.. In the:performance :of your ongoing operations or "your work", including "your work" that has -been completed; or B. In connection with premises owned by or rented to you. As used in -this _endorsement, the words "you" and "your" referto the Named Insured. All other terms and conditions of this Policy remain unchanged. .Schedule Endorsement Number: Project This endorsement is effective on'the inception date of this policy unless otherwise stated herein (The information below is required only when rthis endorsement is issued subsequent to the preparation of the policy.) Policy Number: GPP002265802 Named Insured: All American Asphalt Endorsement Effective Date: 8/1/10 00 CGL0006 00 05 07 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF SUBROGATION ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM COMMERCIAL GENERAL LIABILITY SELF-INSURED RETENTION COVERAGE FORM Schedule Project Under SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, Condition 8. Transfer Of Rights of Recovery Against Others to Us is amended by the addition of the following provision: We waive any right of recovery we may have against the person or organization shown in the SCHEDULE above because of payments we make for injury or damage arising out of your operations or "your work" done under a written contract with that person or organization. All other terms and conditions of this Policy remain unchanged. Endorsement Number: This endorsement is effective on the inception date of this policy unless otherwise stated herein. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Policy Number: GPP002266802 Named Insured: All American Asphalt Endorsement Effective Date: 08/01/10 00 CGLO121 00 09 06 includes Copyright Material from Insurance Services Office, Inc. Page 1 of 1 AN American Asphalt Policy #72UENGK5491 8/1 /10 to 811111 .1, THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED AND RIGHTS OF RECOVERY AGAINST OTHERS This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM A. Any person or organization whom you are required by contract to name as additional insured is an "insured" for LIABILITY COVERAGE but only to the extent that person or organization qualifies as an "insured" under the WHO IS AN INSURED provision of Section II LIABILITY COVERAGE, B. For any person or organization for whom you are required by contract to provide a waiver of subrogation, the Loss Condition — TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US is applicable. Schedule Project Form HA 99 13 01 87 Printed in U.S.A. Page 1 of 1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed, 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from US,) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be « % of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description WHERE YOU ARE REQUIRED BY WRITTEN CONTRACT TO OBTAIN THIS AGREEMENT FROM US, PROVIDED THE CONTRACT IS SIGNED AND DATED PRIOR TO THE DATE OF LOSS TO WHICH THIS WAIVER APPLIES. IN NO INSTANCE SHALL THE PROVISIONS AFFORDED BY THIS ENDORSEMENT BENEFIT ANY COMPANY OPERATING AIRCRAFT FOR HIRE. * The premium charge for this endorsement shall be 2% of the premium developed in the State of Cafifornia, but not less than $600 policy minimum premium. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 8/1/10 Policy No, 661100243 Endorsement No, 12 Insured All American Asphalt Policy Effective Date 8/1/10 Insurance Company Seabright Insurance Company Countersigned By WC 04 03 06 (Ed. 4-84) (MM by the workers' compensation Insurance Rating Bureau of California. All rights reserved. Client#: 4471 Ar AMERI2 ACORDT. CERTIFICA'i c OF LIABILITY INSURt.�VCE 07/24/2009 Y) PRODUCER Edgewood Partners Ins. Center LIC #0629370 714 937-1824 One City Blvd West #700 Orange, CA 92868-2947 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED All American Asphalt P.O. Box 01 — I q �y l/ Corona, CAA 9 92878-2229 INSURER A: Arch Specialty Insurance Co. INSURER e: Ins. Co. of the State of PA INSURER C: Seabright Insurance Co INSURER D: Hartford Fire Insurance Co. INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR DD' NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS A GENERAL LIABILITY GPP002265801 08/01/09 08/01/11 EACH OCCURRENCE $110001000 X COMMERCIAL GENERAL LIABILITY Gert Helder is DAMAGE TO RENTED $100 000 PREMISESEa occurrence CLAIMS MADE 51OCCUR named additional MED EXP (Any one person) $ PERSONAL & ADV INJURY $1,000,000 insured if GENERAL AGGREGATE s2,000,000 required by GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000 written contract POLICY 7X JjECOT LOC D AUTOMOBILE LIABILITY 72UENGK5491 08/01/09 08/01/10 COMBINED SINGLE LIMIT X ANY AUTO Cert Holder is (Ea accident) $1,000,000 BODILY INJURY ALL OWNED AUTOS named additional SCHEDULED AUTOS insured if (Per person) $ BODILY INJURY X HIRED AUTOS required by X NON -OWNED AUTOS written contract (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGG $ B EXCESS/UMBRELLA LIABILITY 7517073 08/01/09 08/01/10 EACH OCCURRENCE $10,000,000 X OCCUR ❑ CLAIMS MADE AGGREGATE $10,000,000 $ DEDUCTIBLE $ X RETENTION $ 10000 C WORKERS COMPENSATION AND BB1090243 08/01/09 08/01/10 X OR STATUS OTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYEE $1,000,000 OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT 1$1,000,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS RE: Crossroads Park, North Parking Lot *2axpw/7vpw/wcw* L:tK I 11 -ILA I t MULUtK I.ArvI,CLLA 1 IVry SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Chino Hills DATE THEREOF, THE ISSUING INSURER WILL 8000 U(JaRXgt MAIL _3 DAYS WRITTEN 14000 City Center Drive NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ft3tRPA x Chino hills, CAe�ossxzsaxma�xrexxxvaraux>xxvaxxxx�eraxxetartcn€>rtltxxxcr�oe>�cxx ED REPRESENTATIVE -<�;4 ACORD 25 (2001/08) 1 of 2 #M44253 ZORE1 © ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder. in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S (2001/08) 2 of 2 #M"253 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM COMMERCIAL GENERAL LIABILITY SELF-INSURED RETENTION COVERAGE FORM SECTION II — WHO IS INSURED is amended to include as an additional insured those persons or organizations who are required under a written contract with you to be named as an additional insured, but only with respect to liability for "bodily injury", "property damage", or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of your subcontractors: A. In the performance of your ongoing operations or "your work", including "your work" that has been completed; or B. In connection with premises owned by or rented to you. As used in this endorsement, the words "you" and "your" refer to the Named Insured. All other terms and conditions of this Policy remain unchanged. Schedule The City of Chino Hills, its officers, employees, and agents, City's Representative, the Engineer and his/her consultants, and each of their officers, employees, and agents Endorsement Number: Project Crossroads Park, North Parking Lot This endorsement is effective on the inception date of this policy unless otherwise stated herein (The information below is required only when this endorsement is issued subsequent to the preparation of the policy.) Policy Number: GPP0022658-01 Named Insured: All American Asphalt Endorsement Effective Date: 8/1/09 00 CGL0006 00 05 07 Page 1 of 1 1350 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. OTHER INSURANCE — BROAD FORM, CGL POLICY ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM COMMERCIAL GENERAL LIABILITY SELF-INSURED RETENTION COVERAGE FORM Under SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, the following paragraph is added to Condition 4. Other Insurance: Where the Named Insured is required by a written contract to provide insurance that is primary and non-contributory, and the written contract so requiring is executed by the Named Insured before any "occurrence" or offense, this insurance will be primary, but only if and to the extent required by that written contract. All other terms and conditions of this Policy remain unchanged. Schedule The City of Chino Hills, its officers, employees, and agents, City's Representative, the Engineer and his/her consultants, and each of their officers, employees, and agents Endorsement Number: Project Crossroads Park, North Parking Lot This endorsement is effective on the inception date of this policy unless otherwise stated herein (The information below is required only when this endorsement is issued subsequent to the preparation of the policy.) Policy Number: GPP0022658-01 Named Insured: All American Asphalt Endorsement Effective Date: 8/1/09 00 CGL0130 00 09 06 pawl of 1 1350 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF SUBROGATION ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM COMMERCIAL GENERAL LIABILITY SELF-INSURED RETENTION COVERAGE FORM Schedule As required by written contract. Project Under SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, Condition 8. Transfer Of Rights of Recovery Against Others to Us is amended by the addition of the following provision: We waive any right of recovery we may have against the person or organization shown in the SCHEDULE above because of payments we make for injury or damage arising out of your operations or "your work" done under a written contract with that person or organization, All other terms and conditions of this Policy remain unchanged. Endorsement Number: This endorsement is effective on the inception date of this policy unless otherwise stated herein. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Policy Number: GPP0022658-01 Named Insured: All American Asphalt Endorsement Effective Date: 08/01/09 00 CGL0121 00 09 06 Includes Copyright Material from Insurance Services Office, Inc., with its permission, Page 1 of 1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 4-84 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from US.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be % of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description The City of Chino Hills, its officers, employees, and agents, Crossroads Park, North Parking Lot City's Representative, the Engineer and his/her consultants, and each of their officers, employees, and agents WHERE YOU ARE REQUIRED BY WRITTEN CONTRACT TO OBTAIN THIS AGREEMENT FROM US, PROVIDED THE CONTRACT IS SIGNED AND DATED PRIOR TO THE DATE OF LOSS TO WHICH THIS WAIVER APPLIES. IN NO INSTANCE SHALL THE PROVISIONS AFFORDED BY THIS ENDORSEMENT BENEFIT ANY COMPANY OPERATING AIRCRAFT FOR HIRE. * The premium charge for this endorsement shall be 2% of the premium developed in the State of California, but not less than $500 policy minimum premium. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 8/1/09 Policy No. 661090243 Endorsement No. insured All American Asphalt Policy Effective Date 8/1/09 Insurance Company Seabright Insurance Company Countersigned By WC 04 03 06 (Ed. 484) 1350 01998 by the Workers' Compensation Insurance Rating Bureau of California All rights reserved. ( a PIe City of CITY OF CHINO HILLS Chino Hills David W. Carter All-American Asphalt P.O. Box 2229 Corona, CA 92878-2229 NOTICE TO PROCEED Project Description: Chino Hills Agreement A09-40 Paving and Striping of Crossroads Park North Parking Lot You are hereby notified to commence work in accordance with the Agreement dated April 20, 2009, on or before May 20, 2009, and you are to complete the work on or before May 22, 2009. You are required to return an acknowledged copy of this Notice to Proceed to the City prior to commencement of work. Enclosed for your records is a copy of the fully executed contract. Dated this 5t" day of May 2009. CITY OF CHINO HILLS RAYMOND L: HANSEN, JR, Senior Administrative Assistant City Council: Art Bennett Ed M. Graham W.C. "Bill" Kruger Gwenn E. Norton -Perry Peter J. Rogers 14000 City Center Drive, Chino Hills, CA 91709 • (909) 364-2600 • FAX (909) 364-2695 • www.chinohills.org 11LCity of CITY OF CHINO HILLS Chinc CITY O CHINO i v ACCEPTANCE OF NOTICE PROJECT DESCRIPTION: Agreement No. A09-40, Paving and Striping of Crossroads Park North Parking Lot Receipt of the Notice to Proceed for the above -referenced project is hereby acknowledged by/ A 4 4- 14A eR,,0,-)N A_rP11A4 i-, this the // day of 2009. All-American Asphalt By: SAI V0.�7 Print Name Signature Title City Council: Art Bennett Ed M. Graham W.C. `Bill" Kruger Gwenn E. Norton -Perry Peter J. Rogers 14000 City Center Drive, Chino Hills, CA 91709 9 (909) 364-2600 • FAX (909) 364-2695 9 www.chinohills.org ACORDTM CERTIFICA" = OF LIABILITY INSUF' NiNCE (MM/D MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH 0DATE 4/23/ 4/23109 9D/YYYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Edgewood Partners Ins. Center LIC #OB29370 (714) 937-1824 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. One City Blvd West #700 POLICY EXPIRATION DATE MM/DD/YY Orange, CA 92868-2947 INSURERS AFFORDING COVERAGE NAIC # INSURED All American Asphalt P.O. Box 2229 Corona, CA 92878-2229 INSURER A: Arch Specialty Insurance Co. INSURER B: Ins. Co. of the State of PA INSURER C: Seabright Insurance Co INSURER D: Hartford Fire Insurance Co. INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR DD' INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS A GENERAL LIABILITY GPP002265800 08/01/07 08/01/09 EACH OCCURRENCE $1000000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE � OCCUR Cert Holder is named additional DAMAGE TO RENTED PREMI E Ea occu re ce $100 000 MED EXP (Any one person) $ PERSONAL & ADV INJURY $1,000,000 insured if GENERAL AGGREGATE s2,000,000 required by GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2000,000 written contract POLICY51 PRO LOC JECT D AUTOMOBILE X LIABILITY ANY AUTO 72UENGK5491 K2 Cert Holder is 08/01/08 08/01/09 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS named additional insured if BODILY INJURY (Per person) $ X X HIREDAUTOS NON -OWNED AUTOS required by written contract BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGG $ B EXCESS/UMBRELLA LIABILITY 5686440 08/01/07 08/01/09 EACH OCCURRENCE $10,000,000 X OCCUR FICLAIMS MADE AGGREGATE $10000,000 $ DEDUCTIBLE $ X RETENTION $ 10000 WORKERS COMPENSATION AND BB1080243 08/01/08 08/01/09 TATjC X WC SLIMIT DER EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE- POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS RE: Crossroads Park, North Parking Lot *2axpw/7vpw/wcw* City of Chino Hills 14000 City Center Drive Chino hills, CA Le1Gh I"a 4 A_\ I Lei ►1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL XW)MRR5(gt MAIL 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,jj(jtRW )( '.ED REPRESI ACORD 25 (2001/08) 1 of 2 #S41650/M32750 SC01 0 ACORD CORPORATION 1988 IMPORTANT If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. A%,U U Aa -a tAvv-11u0/ 2 oT 2 #541650/M32750 THIS ENDORSEMENT(''11ANGES THE POLICY. PLEASE RE( n IT CAREFULLY. BLANKET ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM COMMERCIAL GENERAL LIABILITY SELF-INSURED RETENTION COVERAGE FORM SECTION II — WHO IS INSURED is amended to include as an additional insured those persons or organizations who are required under a written contract with you to be named as an additional insured, but only with respect to liability for "bodily injury", "property damage", or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of your subcontractors: A. In the performance of your ongoing operations or "your work", including "your work" that has been completed; or B. In connection with premises owned by or rented to you. As used in this endorsement, the words "you" and "your" refer to the Named Insured. All other terms and conditions of this Policy remain unchanged. The City of Chino Hills, its officers, employees, and agents, City's Representative, the Engineer and his/her consultants, and each of their officers, employees, and agents Project: Crossroads Park, North Parking Lot Endorsement Number: This endorsement is effective on the inception date of this policy unless otherwise stated herein (The information below is required only when this endorsement is issued subsequent to the preparation of the policy.) Policy Number: GPP002265800 Named Insured: All American Asphalt Endorsement Effective Date: 8/1/07 00 CGL0006 00 05 07 Page 1 of 1 THIS ENDORSEME�` CHANGES THE POLICY. PLEASE rr-AD IT CAREFULLY. OTHER INSURANCE — BROAD FORM, CGL POLICY ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM COMMERCIAL GENERAL LIABILITY SELF-INSURED RETENTION COVERAGE FORM Under SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, the following paragraph is added to Condition 4. Other Insurance: Where the Named Insured is required by a written contract to provide insurance that is primary and non-contributory, and the written contract so requiring is executed by the Named Insured before any "occurrence" or offense, this insurance will be primary, but only if and to the extent required by that written contract. All other terms and conditions of this Policy remain unchanged. Endorsement Number: This endorsement is effective on the inception date of this policy unless otherwise stated herein (The information below is required only when this endorsement is issued subsequent to the preparation of the policy.) Policy Number: GPP002265800 Named Insured: All American Asphalt Endorsement Effective Date: 8/1/07 00 CGL0130 00 09 06 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY WAIVER OF SUBROGATION ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM COMMERCIAL GENERAL LIABILITY SELF-INSURED RETENTION COVERAGE FORM SCHEDULE Name of Person or Organization: The City of Chino Hills, its officers, employees, and agents, City's Representative, the Engineer and his/her consultants, and each of their officers, employees, and agents Project: Crossroads Park, North Parking Lot Under SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, Condition 8. Transfer Of Rights of Recovery Against Others to Us is amended by the addition of the following provision: We waive any right of recovery we may have against the person or organization shown in the SCHEDULE above because of payments we make for injury or damage arising out of your operations or "your work" done under a written contract with that person or organization. All other terms and conditions of this Policy remain unchanged. Endorsement Number: This endorsement is effective on the inception date of this policy unless otherwise stated herein. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Policy Number: GPP002265800 Named Insured: All American Asphalt Endorsement Effective Date: 08/01/07 00 CGLO121 00 09 06 Includes Copyright Material from Insurance Services Office, Inc. Page 1 of 1 All American Asphalt Pollicv #72UENGK5491 8/1/08 to 8/1/09 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. ADDITIONAL INSURED AND RIGHTS OF RECOVERY AGAINST OTHERS This endorsement modifies Insurance provided under the following; BUSINESS AUTO COVERAGE FORM A. Any person or organization whom you are required by contract to name as additional insured is an "Insured" for LIABILITY COVERAGE but only to the extent that person or organization qualifies as an "Insured" under the WHO IS AN INSURED provision of Section it - LIABILITY COVERAGE. B. For any person or organization for whom you are required by contract to provide a waiver of subrogation, the Loss Condition - TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US is applicable. Form HA 99 13 0187 Printed in U.S.A. 'WORKERS COMPENSATION AND PLOYERS LIABILITY INSURANCE P04,'^Y WC 04 03 06 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from US.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be * % of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description The City of Chino Hills, its officers, employees, and agents, City's Representative, the Engineer and his/her consultants, and each of their officers, employees, and agents Project: Crossroads Park, North Parking Lot WHERE YOU ARE REQUIRED BY WRITTEN CONTRACT TO OBTAIN THIS AGREEMENT FROM US, PROVIDED THE CONTRACT IS SIGNED AND DATED PRIOR TO THE DATE OF LOSS TO WHICH THIS WAIVER APPLIES. IN NO INSTANCE SHALL THE PROVISIONS AFFORDED BY THIS ENDORSEMENT BENEFIT ANY COMPANY OPERATING AIRCRAFT FOR HIRE. * The premium charge for this endorsement shall be 2% of the premium developed in the State of California, but not less than $500 policy minimum premium. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 8/1/08 Policy No. BB1080243 Endorsement No. 12 Insured All American Asphalt (A Corp) Policy Effective Date 8/1/08 Insurance Company Seabright Insurance Company Countersigned By WC 04 03 06 (Ed. 4-84) 01998 by the Workers' Compensation Insurance Rating Bureau of California. All rights reserved.