Latin Asian Fusion Bid Packet — Emeryville City Council, July 15, 2025

LATIN ASIAN fusion
Prepared by:

Chief Executive Officer - Roddy Diaz
Latin Asian Fusion - Samuel and Lucas Food Trucks Co
Phone: (415) 583-3130
Address: 1402 Camden Avenue, Campbell, CA 95008
Date: June 05, 2025

PROPOSAL FOR VENDED MEAL

PROGRAM FOR EMERYVILLE CHILD
PRotein
Phone: (415) 583-3130

LATIN ASIAN
Address: 1402 Camden Avenue, Campbell, CA 95008

CONTENTS

1. COVER LETTER 3

2. EXECUTIVE SUMMARY 5

3. COMPANY OVERVIEW: 6
SCOPE OF WORK 7
REFERENCES: 11

6. METHODOLOGY APPROACH.. 13

7. STRATEGIC WORK PLAN... 16

8. MANAGEMENT APPROACH & STAFFING PLAN: 19

9. RESUMES OF KEY PERSONNELS: .. 23

10. COMPANY LICENSE AND INSURANCE CERTIFICATES: 25

11. ATTACHMENT B:.. 38

12. ATTACHMENT C: 39

13. W-9 FORM: ... 40

14. ATTACHMENT F:.. .. 46
Page | 2
Phone: (415) 583-3130

LATIN ASIAN
Address: 1402 Camden Avenue, Campbell, CA 95008

1. COVER LETTER
Latin Asian Fusion
1402 Camden Avenue
Campbell, CA 95008
Phone: (415) 583-3130
Email: [email protected]
Date: 05 June, 2025
To:

City of Emeryville
Attn: City Clerk
1333 Park Avenue Emeryville, CA 94608
Re: Proposal For Vended Meal Program For Emeryville Child Development Center Dear City Clerk and Evaluation Committee,
We are pleased to submit our proposal in response to the City of Emeryville's Request for Proposals for the Vended Meal Program at the Emeryville Child Development Center (ECDC).

Latin Asian Fusion - Samuel and Lucas Food Trucks Company is an experienced, community- focused catering company specializing in a unique blend of Latin and Asian cuisines, enhanced by Mediterranean, French, and Italian influences. Since 2018, we have proudly served the Bay Area with healthy, diverse, and culturally inspired meals made from fresh, responsibly sourced ingredients.

Our proposal outlines our full compliance with the Child and Adult Care Food Program (CACFP) standards and our ability to meet the City's specific expectations for quality, safety, and customization. We offer:
• Nutritionally balanced, CACFP-compliant menus tailored for children ages 1-5 • Allergy-conscious and culturally inclusive meal planning • Daily delivery using temperature-controlled equipment • Educational engagement through food and nutrition themes • Transparent pricing with no hidden costs
Page | 3
Phone: (415) 583-3130

LATIN ASIAN
Address: 1402 Camden Avenue, Campbell, CA 95008
We are committed to delivering meals that nourish not only the bodies of young learners but also reflect the values of diversity, sustainability, and partnership that define the Emeryville community.

Thank you for the opportunity to participate in this important initiative. We look forward to the possibility of working with the Emeryville Child Development Center to support the well-being and growth of its students. Please do not hesitate to contact us with any questions or requests for clarification.

Sincerely,
Roddy Diaz and Liz Diaz
Manager / CEO
Latin Asian Fusion Kitchen - Samuel and Lucas Food Trucks Company 1402 Camden Avenue, Campbell, CA 95008
Phone: (415) 583-3130 - 888-885-1556
Email: [email protected]
Page | 4
Phone: (415) 583-3130

LATIN ASIAN
Address: 1402 Camden Avenue, Campbell, CA 95008

2. EXECUTIVE SUMMARY
Latin Asian Fusion - Samuel and Lucas Food Trucks Company is pleased to submit this proposal to provide high-quality, nutritious, and culturally diverse meals for the Emeryville Child Development Center (ECDC). Established in 2018, our company brings over six years of experience in delivering fusion cuisine that blends Latin American and Asian flavors, with additional Mediterranean, French, and Italian influences. We are a community-focused, independently owned business with a strong commitment to sustainability, food safety, and child- centered service.

Our proposal fully aligns with the City of Emeryville's goals for the Vended Meal Program and complies with the Child and Adult Care Food Program (CACFP) guidelines. We will provide lunch and milk services—with optional snack and breakfast services-that are nutritionally balanced, visually appealing, and tailored to meet the dietary, cultural, and allergy-related needs of children aged 1 to 5.

Key highlights of our proposal include:
• Customized 21-day CACFP-compliant menu cycles, featuring fresh fruits, vegetables, whole grains, and organic ingredients where possible.
• Dedicated food safety protocols, including proper temperature control, compliant packaging, and licensed food preparation facilities inspected by Alameda County. • Daily delivery service using insulated containers to maintain optimal food temperatures. • Bilingual nutrition education materials and cultural enrichment through themed meal offerings.
• Flexible service options, including vegetarian meals and field trip bag lunches, all aligned with CACFP reimbursement eligibility.

We propose competitive, all-inclusive pricing for three meal plan options, and our services will be fully operational by the contract start date of September 2, 2025. We welcome the opportunity to partner with ECDC to support the health, growth, and development of its students through high- quality, inclusive meals that families can trust.

Page | 5
Phone: (415) 583-3130

LATIN ASIAN
Address: 1402 Camden Avenue, Campbell, CA 95008
We are confident that our culinary approach, operational reliability, and focus on compliance and collaboration will make us a strong partner for the City of Emeryville's Vended Meal Program.

3. COMPANY OVERVIEW:

Latin Asian Fusion - Samuel and Lucas Food Trucks Company was founded in 2018 with a passion for bringing people together through bold, multicultural cuisine. Our innovative food service blends the rich culinary traditions of Latin America and Asia, incorporating additional global influences such as Mediterranean, French, and Italian flavors. From food truck events to institutional catering, we have earned a reputation for delicious, wholesome meals that celebrate diversity, quality, and community.

We operate with a strong emphasis on sustainability, food integrity, and local sourcing. Our meals are made from scratch using fresh, responsibly sourced ingredients, with a commitment to avoiding artificial additives, trans fats, high-fructose corn syrup, and other harmful components.

We are a nut-free operation and fully compliant with all local and state food safety standards.

As a community-rooted business, we prioritize partnerships with educational institutions and organizations that share our commitment to nurturing the next generation with nutritious and culturally inclusive food.

Company Profile
Company Name: Latin Asian Fusion
Contact Person: Roddy and Liz Diaz
Title: Owner/Chief Executive Officer
Email: [email protected]

LATIN ASIAN
Years in Business 10 years in business
Phone: (415) 583-3130
Address: 1402 Camden Avenue, Campbell, CA 95008
Page | 6
Phone: (415) 583-3130

LATIN ASIAN
Address: 1402 Camden Avenue, Campbell, CA 95008
Vision Statement
To be a leading provider of culturally inspired, health-forward meals that nourish communities and empower children to thrive through food that reflects the richness of our shared world.

Mission Statement
Our mission is to deliver high-quality, diverse meals that meet the highest standards of nutrition, safety, and taste. We strive to serve every child with food that is fresh, inclusive, and aligned with family and community values—while fostering sustainability, collaboration, and educational engagement through food.

4. SCOPE OF WORK
Latin Asian Fusion - Samuel and Lucas Food Trucks Company will deliver comprehensive, CACFP-compliant vended meal services to the Emeryville Child Development Center (ECDC) with a focus on food quality, safety, cultural inclusivity, operational efficiency, and customer responsiveness. Our approach is rooted in best practices for early childhood nutrition programs, customized meal planning, and collaborative service delivery.

Meal Planning and Menu Design
Our menus are designed in full compliance with Child and Adult Care Food Program (CACFP) requirements and reviewed by a certified nutritionist. Each 21-day cycle menu is:
• Developed with the nutritional needs of children aged 1-5 in mind • Includes daily servings of fresh fruits and/or vegetables, whole grains, and lean proteins • Features meals free of artificial trans fats, high-fructose corn syrup, nitrates/nitrites, and artificial additives
• Incorporates diverse flavors inspired by Latin, Asian, Mediterranean, and American cuisine • Customizable to accommodate food allergies, dietary restrictions, and cultural preferences (e.g., vegetarian, dairy-free, gluten-free, halal-friendly) We provide ECDC with a printed and digital version of the monthly menu at least one week prior to the end of each month, allowing time for review and coordination.

Page | 7
Phone: (415) 583-3130

LATIN ASIAN
Address: 1402 Camden Avenue, Campbell, CA 95008
Meal Preparation and Packaging
Meals are prepared daily in our licensed commercial kitchen, which complies with all Alameda County Environmental Health regulations. Preparation procedures follow HACCP (Hazard Analysis and Critical Control Point) protocols to ensure food safety and temperature control. • Meals are portioned and packaged in sealed, compostable containers • Each meal includes clearly labeled components and allergen information • Milk (whole, low-fat, lactose-free, or soy) is refrigerated and delivered in compliance with CACFP milk service standards
• Field trip meals are packed as grab-and-go "bag lunches" that meet CACFP requirements Delivery and Logistics
We operate a reliable daily delivery system to ECDC using insulated vehicles, electric boxes and food-safe containers to ensure meals are delivered:
• On time daily between 9:30 AM and 10:00 AM
• At safe serving temperatures (hot ≥141°F, cold ≤40°F) • With a signed delivery log for recordkeeping
We maintain a backup vehicle and alternate delivery staff in case of emergencies or vehicle failure, ensuring service continuity.

Temperature Control and Food Safety
We strictly follow California Department of Public Health guidelines and the Alameda County Environmental Health Division's requirements for food safety:
• Food temperatures are recorded prior to transport and upon arrival • All staff are ServSafe certified
• Our kitchen undergoes monthly internal inspections and regular county inspections • We maintain daily logs for cooking, holding, and cooling Recordkeeping and Compliance
To ensure ECDC's compliance with CACFP and reimbursement guidelines, we provide:

Page | 8
Phone: (415) 583-3130

LATIN ASIAN
Address: 1402 Camden Avenue, Campbell, CA 95008
• Daily delivery records and meal counts
• Nutrient breakdowns and menu production records
• Supporting documentation for ingredient sourcing and substitutions • Access to menus and nutritional data in editable formats (Excel or PDF) We assist in preparing documentation for audits and maintain records for a minimum of 3 years, as required.

Responsiveness and Collaboration
We assign a dedicated account manager who will:
• Conduct monthly check-ins with ECDC staff
• Coordinate on any menu changes, allergy updates, or cultural food requests • Respond to inquiries or service issues within 1 business day • Provide alternate meal options on short notice when needed We are committed to building a collaborative relationship with ECDC and maintaining open, ongoing communication throughout the contract term.

Nutrition Education and Parent Engagement
To enrich the educational experience, we will provide:
• Monthly bilingual nutrition flyers (English/Spanish)
• "Eat the Rainbow" and "Global Tastes" classroom activities • Access to a seasonal produce calendar for teachers and families • Themed meals and cultural food celebrations (e.g., Lunar New Year, Hispanic Heritage Month
Continuous Quality Improvement
We implement a feedback and quality assurance process that includes:
• Quarterly satisfaction surveys for staff and parents
• Optional tasting sessions with educators and administrators Page | 9
Phone: (415) 583-3130

LATIN ASIAN
Address: 1402 Camden Avenue, Campbell, CA 95008
• Ongoing evaluation of ingredient sourcing, menu diversity, and delivery punctuality • Immediate action plans for any reported service issues Our technical approach prioritizes compliance, nutrition, reliability, and community impact, making us a trusted partner for ECDC's vended meal program.

Sample Meals
(Individual Containers)
Option 1 Chicken Tenders + Tots/Homefries
(Meat)
Monday
option: Grilled Cheese Sandwich + Tots/Homefries
Vegetarian
Option 1
(Meat) Cheeseburger + Side of Fruit
Tuesday
Option! Veggie Burger w/ Cheese + Side of Fruit
Vegetariar
Option 1 Spaghetti/Pasta Marinara + Meatballs
(Meat)
Week A Wednesday
Option Spaghetti/Pasta Marinara + Parmesan Broccoli
Vegetarial
Option 1
Pancakes, Sausage + Syrup Dipper
(Meat)
Thurdsay
Option: Pancakes, Scrambled Eggs + Syrup Dipper
Vegetarian
Option 1
Chicken Quesadilla w/ Rice + Beans
(Meat)
Friday
Option 2 Cheese Quesadilla w/ Rice + Beans
(Vegetarian)
Option 1 Bacon Scramble Breakfast Bowl + Muffin
(Meat)
Monday
Option 2 Veggie Scramble Breakfast Bowl + Muffin
(Vegetarian,
Option 1 Turkey Cheddar Sub + Potato Chips
(Meat)
Tuesday
Option 2 Two-Cheese Sub + Potato Chips
(Vegetarian)
Option 1 Chicken Alfredo Pasta + Steamed Broccoli
(Meat)
Week B Wednesday
Option 2 Tomato Alfredo Pasta + Steamed Broccoli
Vegetarian
Option 1 Chicken Noodle Soup + Dinner Roll
(Meat)
Thurdsay
Option 2 Tomato Soup + Dinner Roll
(Vegetarian)
Option 1
(Meat) Slice of Pepperoni Pizza + Fruit Cup
Friday
Option 2 Slice of Cheese Pizza + Fruit Cup
(Vegetarian
Page | 10
Phone: (415) 583-3130

LATIN ASIAN
Address: 1402 Camden Avenue, Campbell, CA 95008

SAMPLE SIDE ITEMS
(Offered every day; School to dictate "must-haves")
Side of Seasonal Fresh Fruit Cup
Side Garden Salad w/ Ranch
Side Soup Cup
Side Cookie or Brownie
Kids Meal Structure
Price: $6.50-$7.50 (depending on protein choice)
Includes:

Main Entrée (6 oz - 9 oz)
Add-On Options
Extra/Side (+$2.99-$3.99)
Kids Milk and Apple Juice $2.75

5. REFERENCES:

Client Reference#01:

Name Title Contact Information
Lynn C. Yang Asset Manager Phone: 831-430-5150
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Phone: (415) 583-3130

LATIN ASIAN
fusion Address: 1402 Camden Avenue, Campbell, CA 95008
Address of Organization Scotts Valley, CA 95066
Client Reference#02:

Name Title Contact Information
Conor McCarthy Director of Lending Phone: (914) 629-0685 Address of Organization Grow America Fund, Inc.

Client Reference#03
Name Title Contact Information
Susan Krueger Executive Assistant Phone: 650-245-0384
Page | 12
Phone: (415) 583-3130

LATIN ASIAN
Address: 1402 Camden Avenue, Campbell, CA 95008
Address of organization 777 Mariners Island Blvd., Suite 250

6. METHODOLOGY APPROACH
Latin Asian Fusion - Samuel and Lucas Food Trucks Company applies a systematic, results-driven methodology to the planning, production, delivery, and management of meals for early childhood programs. Our methodology ensures compliance with all applicable local, state, and federal regulations (including CACFP), while delivering high-quality, nutritious, and child-friendly meals in a reliable and collaborative manner.

Step 1: Needs Assessment & Initial Planning
Upon contract award, we will meet with the Emeryville Child Development Center (ECDC) leadership to:
• Review meal service expectations, cultural considerations, and dietary needs • Conduct a site assessment (delivery logistics, food drop-off location, storage capacity) • Identify allergy restrictions and create a centralized allergy profile • Establish communication protocols and points of contact This foundational step ensures services are customized to ECD's operational realities and nutritional goals.

Step 2: Menu Development and CACFP Compliance
Our culinary and nutrition teams co-develop 21-day cycle menus that:
• Adhere strictly to CACP meal pattern requirements
• Provide appropriate portions for each age group
• Avoid restricted items such as nuts, high-fructose corn syrup, artificial colors/flavors, and processed meats with nitrates
• Feature a balance of familiar and global flavors to support cultural inclusion Page | 13
Phone: (415) 583-3130

LATIN ASIAN
Address: 1402 Camden Avenue, Campbell, CA 95008
• Are reviewed and adjusted monthly based on child participation, feedback, and seasonality Menus are submitted to ECDC in advance and can be modified collaboratively to reflect community input.

Step 3: Procurement and Ingredient Sourcing
We maintain relationships with trusted local and regional suppliers to ensure consistent access to:
• Fresh, seasonal produce (organic when available)
• Antibiotic-free proteins
• Whole grains and minimally processed ingredients
• Milk that is BST-free, with lactose-free and soy alternatives Our sourcing decisions are guided by principles of food safety, sustainability, and equity.

Step 4: Meal Preparation and Quality Control
Meals are prepared in our licensed commercial kitchen by trained foodservice staff under the supervision of a certified kitchen manager. We implement:
• Standard Operating Procedures (SOPs) for food safety, hygiene, and allergen separation • HACCP-based food handling and temperature monitoring
• Routine pre-service quality assurance checks for appearance, texture, and taste • A daily checklist to ensure proper packaging, labeling, and portioning Our kitchen is inspected regularly by Alameda County Environmental Health and operates well above minimum compliance levels.

Step 5: Packaging and Delivery
Meals are:
• Packed in eco-friendly, single-use compostable containers • Clearly labeled with meal type, date, allergens, and reheating/storage instructions if needed • Transported using insulated containers in temperature-controlled vehicles Page | 14
Phone: (415) 583-3130

LATIN ASIAN
Address: 1402 Camden Avenue, Campbell, CA 95008
We deliver to ECDC daily, between 9:30 AM and 10:00 AM, and confirm receipt via a signed delivery log.

Step 6: On-Site Support and Responsiveness
We remain engaged with ECDC throughout the contract period by:
• Assigning a dedicated account manager as the primary liaison • Conducting monthly check-ins to review service satisfaction and upcoming needs • Providing alternate meals within 24 hours if dietary requirements change • Offering on-call support for last-minute enrollment or field trip changes Our customer service model is rooted in accessibility, accountability, and partnership.

Step 7: Recordkeeping and Reporting
To support ECDC's participation in CACFP and ensure full audit-readiness, we maintain and provide:
• Daily meal count logs and delivery receipts
• Nutrient breakdowns and production records
• Documentation of ingredient sourcing and substitution justifications • Allergy management logs and incident tracking (if applicable) All records are stored securely and shared electronically in formats compatible with ECDC systems.

Step 8: Evaluation and Continuous Improvement
We apply a structured improvement process:
• Quarterly review meetings with ECDC administrators
• Staff and family satisfaction surveys
• Monitoring KPIs such as delivery timeliness, menu appeal, and issue resolution time • Adjusting menus, logistics, or protocols based on feedback and performance metrics We welcome constructive feedback and treat it as a core element of our service philosophy.

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Phone: (415) 583-3130

LATIN ASIAN
Address: 1402 Camden Avenue, Campbell, CA 95008
Our methodology ensures that every meal we provide is safe, nutritious, and tailored to the unique needs of the ECDC community. By following a clear, collaborative, and compliance-focused approach, Latin Asian Fusion - Samuel and Lucas Food Trucks Company delivers not just food- but a dependable, responsive, and enriching meal experience for children, families, and staff.

7. STRATEGIC WORK PLAN
Objective:

To provide high-quality, CACFP-compliant meals to children ages 1-5 at ECDC while ensuring food safety, cultural inclusivity, delivery reliability, and compliance with City, State, and Federal guidelines.

Phase 1: Pre-Implementation (June - August 2025)
Milestone Description Responsible Deadline
Contract Finalization Execute contract, confirm start date and Latin Asian Fusion June 30, deliverables / City 2025
Site Visit & Needs Meet with ECDC staff, review kitchen, Operations July 5, 2025 Assessment delivery logistics, and dietary needs Manager Staffing & Role Assign dedicated account manager and Director of July 10, Assignment backup delivery team Operations 2025
Menu Development & Submit 21-day CACFP-compliant menu for Nutritionist + July 15, Approval review and feedback Culinary Lead 2025
Permits & Compliance Submit health permit, insurance Compliance Officer July 20, Documentation certificates, food safety records 2025
Communication Protocol Define primary contacts, issue resolution Account Manager July 25, Setup chain, feedback loop 2025
Mock Delivery & Testing Conduct test delivery run to ensure timing, Logistics Team August 10, temperature, and documentation 2025
Staff Training & Allergen Train all staff on food safety, CACFP rules, Training August 15, Procedures ECDC-specific protocols Coordinator 2025
Phase 2: Program Launch (September 2025)
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Phone: (415) 583-3130

LATIN ASIAN
Leston Address: 1402 Camden Avenue, Campbell, CA 95008
Milestone Description Responsible Deadline
First Official Begin service with Meal Plan A, B, or C (as Logistics + Culinary September 2, Delivery Day selected) Teams 2025
Daily Delivery and Provide meals, collect signed logs, verify Delivery Driver Daily Logging temperature compliance
Weekly Menu Submit ingredient and allergen Account Manager Weekly Reports documentation to ECDC (Fridays)
Feedback Collect informal feedback from ECDC staff Account Manager Weekly Monitoring
Emergency Protocol Confirm procedures for menu substitutions Account Manager September 15, Review or service interruptions 2025
Phase 3: Routine Operations (October 2025 - August 2026) Milestone Description Responsible Frequency
Monthly Menu Cycle Submit new 21-day menu for Nutritionist Monthly (by Updates upcoming month 25th)
Allergy & Enrollment Confirm changes to dietary needs ECDC + Account Monthly Updates and headcounts Manager
Field Trip Bag Lunch Accept and prepare CACFP- Culinary + Logistics As requested Coordination compliant to-go meals Teams
Food Safety Inspections Conduct internal kitchen audit and Compliance Officer Monthly sanitation review
Temperature Logs and Submit delivery logs, meal counts, Account Manager Monthly CACFP Compliance and backup documentation
Communication with ECDC Check-in meeting or call to review Account Manager Monthly Leadership performance and resolve issues
Feedback Loop with Parents Provide flyers, nutrition info, or brief Community Quarterly (Optional) surveys Engagement Lead
Phase 4: Quality Assurance and Continuous Improvement
Page | 17
Phone: (415) 583-3130
LATIN ASIAN Address: 1402 Camden Avenue, Campbell, CA 95008 fusion
Milestone Description Responsible Timeline
Quarterly Service Assess delivery, satisfaction, menu quality, Director of Dec 2025 / Mar Evaluation and compliance Operations / Jun
Staff Refresher Provide updated training on safety and Training Coordinator January & June Training CACFP changes 2026
Mid-Year Review Joint planning session for the next cycle Account Manager March 2026 with ECDC
End-of-Year Compile full compliance documentation and Compliance Officer August 2026 Reporting service performance summary
Renewal Planning Discuss renewal options, improvements, and Owner + ECDC July-August contract transition Leadership 2026
KPIs and Success Metrics
Key Performance Indicator (KPI) Target
On-time Delivery Rate 98% or higher
Meal Compliance Rate (CACFP) 100%
Temperature Compliance 100% (with log documentation)
Allergy Accommodation Accuracy 100%
Staff Satisfaction Rating 90% or higher in quarterly survey Family Feedback Engagement Minimum 2 engagement activities/year Complaint Response Time Within 1 business day
Page | 18
Phone: (415) 583-3130

LATIN ASIAN
Address: 1402 Camden Avenue, Campbell, CA 95008
This strategic work plan ensures that Latin Asian Fusion - Samuel and Lucas Food Trucks Company delivers a high-quality, fully compliant, and responsive meal service to ECDC. Through structured planning, active communication, and a commitment to continuous improvement, we are prepared to meet and exceed the expectations of the City of Emeryville throughout the contract term.

8. MANAGEMENT APPROACH & STAFFING PLAN:

Our management model is built on clear lines of responsibility, cross-functional collaboration, and accountability at every level. While we prefer not to include individual names in this section, our roles and responsibilities are defined as follows:

Key Roles and Responsibilities:

Role Responsibilities
Program Director Oversees full contract performance, budget, compliance, and client relationship
Operations Manager Manages kitchen operations, staffing, scheduling, and service delivery logistics
Account Manager Primary point of contact for ECDC; handles day-to-day (ECDC) communication and adjustments
Executive Chef 1 Designs menus and ensures meals meet CACFP and cultural Nutritionist standards
Compliance Officer Maintains documentation, inspections, and food safety standards Delivery Coordinator Oversees transportation routes, drivers, and daily delivery timeliness
Backup Coordinator Ensures continuity of service in case of staff illness, emergencies, or absences
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Phone: (415) 583-3130

LATIN ASIAN
Address: 1402 Camden Avenue, Campbell, CA 95008
This team ensures each operational area (planning, preparation, delivery, compliance, and communication) is actively monitored and continuously improved.

Staffing Plan and Workforce Management
We employ a dedicated team of culinary professionals, delivery drivers, and support staff who are:
• Trained in CACFP compliance, allergen protocols, and child nutrition best practices • ServSafe certified and trained in food handling, cross-contamination prevention, and kitchen hygiene
• Cross-trained to provide coverage during absences, ensuring uninterrupted service We schedule staff based on service volume and site needs. Staff performance is monitored through regular evaluations, kitchen audits, and delivery checklists.

Communication and Coordination with ECDC
A central part of our management approach is maintaining strong, responsive communication with ECDC leadership and staff. We will:
• Assign a dedicated Account Manager to be your main point of contact • Schedule monthly check-ins to review feedback, updates, and upcoming needs • Maintain a real-time communication channel (phone/email/text) for urgent issues or changes • Document all requests, concerns, and actions through a shared service log We proactively notify ECDC of any menu changes, substitutions, or delivery issues, and we respond to all inquiries within one business day.

Quality Assurance and Compliance Monitoring
We implement a comprehensive Quality Assurance Program that includes:
• Daily temperature logs and delivery verification
• Internal audits of kitchen processes and sanitation
• Menu documentation and CACFP production records
• Ongoing training updates and compliance tracking reports Page | 20
Phone: (415) 583-3130

LATIN ASIAN
Address: 1402 Camden Avenue, Campbell, CA 95008
The Compliance Officer is responsible for monitoring and maintaining all regulatory documentation and will assist ECDC with audits or site inspections as needed.

Risk Management and Continuity Planning
We mitigate risks and ensure service continuity through:
• Redundant staffing and on-call personnel for key positions • A backup delivery vehicle and alternate routes in case of traffic or vehicle issues • Established emergency meal protocols for field trip changes, unplanned absences, or kitchen disruptions
• A clear incident reporting system to document and resolve service issues quickly All incidents are reviewed in monthly operations meetings and used to inform corrective action and prevention strategies.

Continuous Improvement
Our management team uses data, feedback, and collaboration to improve services over time. Key strategies include:
• Quarterly performance reviews with ECDC
• Family and staff satisfaction surveys
• Review of delivery accuracy, meal satisfaction, and responsiveness metrics • Menu adaptation based on child preference trends, seasonality, and cultural events We actively incorporate community feedback and changing needs into our operations and planning process.

Commitment to Equity, Inclusion, and Respect
Our leadership fosters a workplace and client service culture rooted in:
• Cultural awareness and inclusion
• Respect for family dietary practices and religious food restrictions • Language access (bilingual communication materials where appropriate) Page | 21
Phone: (415) 583-3130

LATIN ASIAN
Address: 1402 Camden Avenue, Campbell, CA 95008
Dignity in service, especially when addressing special dietary needs or limited-resource households
We believe every child deserves safe, delicious, and inclusive meals prepared and delivered with care.

Our management approach emphasizes structure, communication, flexibility, and accountability.

Through experienced leadership, dedicated staff, and a proactive service philosophy, Latin Asian Fusion - Samuel and Lucas Food Trucks Company is fully prepared to deliver excellent meal services to the Emeryville Child Development Center-on time, every day, and with integrity.

Page 22 ends

Phone: (415) 583-3130

LATIN ASIAN
fusions Address: 1402 Camden Avenue, Campbell, CA 95008

9. RESUMES OF KEY PERSONNELS:

ZHIJIAN LI
SCOTTS VALLEY. CA

PROFILE
Highly accomplished, detal-oriented, and proactive property management professional with the leadership experiences necessary to guide and support efficient and cost-effective property operations, positive tenant relations, high-quality facilities maintenance, vendor relationship management, and financid and reporting oversight. Recognized for delivering excellent operations CONTACT support in fast-paced environments, with the skiliset to evaluate and synthesize complex information, manage key projects, maintain security, liaise with internal and external stakeholders, and lead diverse individuals.
626 675 8913

WORK EXPERIENCE
[email protected]
- Commercial Property Manager, SV Enterprise MARCH 2018 - PRESENT linkedin.com/in/zhijian-liz- Management Inc,
li-3b279b155
Scotts Valley, CA
EDUCATION • Chart a successful course for the daily operations of a 30-acte commercial property valued at $200 million with a full-service gym, full production kitchen, and featuring HP and UC Santa Cruz as anchor tenants.
oxford Brookes University. • Manage the international main office in China's local operations, including maintenance. 2008
tenant relations, and vendor management.

Hospitality & Tourism • Oversee cill financial aspects of the property, such as lease negotiation and management.

Management Degree terms and conditions compliance, and tacking and reporting $10 million in annual revenue •Build and nurture productive relationships with landlords, tenants, and vendors, including Hasting College, 2003 navigating vendor contract negotiations.

Business Foundation • Safeguard the propetty, tenants, and customers by planning and implementing a security AWARDS AND HONORS strategy.
• Coordinate multi-million-dollar IT and tenant improvement projects and banking, accounting. and automated systems
• Real Estate Management • Align report preparation, CAM calculation, and other owner documentation with the management ag eement.

PROFESSIONAL • Conduct property inspections to ensure buildings are in excellent condition and to identify any AFFILIATIONS potential risks
• Facilitate continuous property compliance with City of Scotts Valley and Santa Cruz • Chamber of Commerce Scotts regulations by managing building planning, health department, and water permits.

Property Manager Assistant, SV Enterprise SEPTEMBER 2016 TO FEBRUARY 2018 Valley Management inc,
TECHNICAL PROFICIENCIES: Scotts Valley, CA
• Windows, Linux (Red Hat, •Negotated and enforced leases using an eye for detail and strong customer relations abilities
Ubuntu) • Investigated and resolved tenant complaints, ehforced rules of occupancy, Inspected vacant • MacOS, Microsoft Exchange, units, completed repairs, planned renovations, and contracted with landscaping services • Played a key role in delivering company financial objectives by collecting rents, paying bills, Active Directory forecasting requirements, assisting in the preparation of monthly and annual budget. • Microsoft Office Suite, Microsoft scheduling expenditures, and initiating corrective action •Maintained curt ent information related to all applicable laws and regulations Project, Visio, Access, servers, •Applied strong knowledge of current company processes and procedures to operational routers activibes and oversight.
• Yardi Property Management, • Fleet Management, Kingstone Transportation inc, MARCH 2015 TO SEPTEMBER 2016 wireless LAN, SAP Ontario, CA
EDMS/Documentum Visual • Orchestrated all aspects of dispatching and management for a fleet of 13 trucks and drivers • Cultivated positive relationships with brokers and vendors through excellent communication Basic •Fucied an 18% revenue increase in two quarters through adept cost monitoring and control LANGUAGES: during the light season
• Consistently attained revenue targets with strong P&L statements • Liaised between team members and externd parties and coordinated meetings • English, Mandarin • Contributed to the development of cost estimates and management of the budget INTERESTS: • Drove adherence of operations and outcomes to quality standards by implementing quality assurance and quality control measures.
• Sailing (competitive), tennis Previous Experience
(recreational), skling, golfing, Gu Yue Xuan Restaurant 2009 to 2015 | RESTAURANT OWNER Intercontinental Hotel Qingdao, 2008 to 2012 | INTERCONTINENTAL MANAGEMENT TRAINEE/SALES fly-fishing, collecting EXECUTIVE
antiquities, photography.

Ilterature
Page | 23
Phone: (415) 583-3130

LATIN ASIAN
fusion Address: 1402 Camden Avenue, Campbell, CA 95008

EXPERIENCE
GENERAL MANAGER | 2017 - 2019
Enterprise Technology Center Corporate Campus
Responsible for food and beverage daily operations,
including Culinary, Restaurant, and Banquets/Catering.

RODDY DIAZ • Responsible to oversees the development and implementation of departmental strategies and ensures
121 Woodhill Drive implementation of the brand service strategy and Scotts Valley, CA 95066 brand initiatives.
415.583.3130 • The position ensures the food and beverage/culinary foodtrucks@latin-asian-fusion operation meets the brand's target customer needs, ensures employee satisfaction, and focuses on growing
My mission in life is to make the world revenues and maximizing the financial performance of more convenient! the operations.

GENERAL MANAGER | 2017 - 2017
ABOUT
Zona Rosa Restaurants-Los Gatos and San Jose
Ambitious, innovative and
customer service oriented CATERING & EVENT MANAGER | 2016-2017 professional with more than 10 Bon Appetit Management Company-Oakland Raiders, HP. Microsoft and years of experience in the event and
food industry. Expert in generating Mills College.
and booking high volume business
event orders while demonstrating CATERING & EVENT MANAGER | 2016 - 2016 exemplary client satisfaction Curry Up Now-San Francisco, San Mateo, San Jose, protocols. Exceptional convincing
kills, proven ability to solicit sale:
hrough assigned account. OWNER/DIRECTOR OF OPERATIONS | 2012 - 2015 otential clients and prospectiv
parties Blue Fire Events & Xpress Waiters Inc.

GENERAL MANAGER | 2011 - 2012
SKILLS & COMPETENCIES Restaurants on the Run Catering and Events. • Food and Beverage budgeting
Team development OPERATIONS MANAGER | 2002 - 2009
• Scheduling Securitas Security Services USA. Ine.

Event planning
Decorating LANGUAGES STRENGTHS
• Sales maximization
Customer service Spanish - English ard-worker Motivator Vendor relations ader Persuasi
Leadership
• Future focused EDUCATION
University of Phoenix Evergreen Valley College
Business 1-20agement Administ 2-20/ustice
Page | 24
Phone: (415) 583-3130

LATIN ASIAN
Address: 1402 Camden Avenue, Campbell, CA 95008

10. COMPANY LICENSE AND INSURANCE CERTIFICATES:

CITY OF CAMPBELL 2024 - 2025

BUSINESS LICENSE TO BE POSTED IN A CONSPICUOUS PLACE
AND
*For Services Provided in the City of Campbell, Calforld Only™ NOT TRANSFERABLE OR ASSIGNABLE.

Business Name SAMUEL & LUCAS FOOD TRUCKS COMPANY
Business Location 402 CAMDEN AVE Ci RETAIL: EATING PLACES AMPBELL, CA 95008-6704 Busines's Type
Business Owners) ZHIJIAN LI License Number 034339
Established Date Seplember 28, 2022
Expiration Date August 31, 2025
•

ORCHARD
THIS BUSINESS LICENSE DOES NOT PERMIT A For all inquiries regarding this license, contact the BUSINESS THAT IS OTHERWISE PROHIBITED Finanace Department al (408) 866-2174 SAMUEL & LUCAS FOOD TRUCKS COMPANY: License Number: 034339 09/01/2024 Date of Issue:

Thank you for your payment on your City of Campbell Business License. ALL LICENSES MUST BE AVAILABLE FOR INSPECTION UPON REQUEST If you have questions concerning your business license, contact the Business Support Center via email at: or by telephone at (408) 866-2174 Keep this portion for your license separate in case you need a replacement for any lost, stolen, or destroyed license. A fee may be charged for a replacement or duplicate license.

This certificate does not entitle the holder to conduct business before complying with all requirements of the City of Campbell's Municipal code and other applicable laws, nor to conduct business in a zone where conducting such business violates law.

If you have a fixed place of business within the City of Campbeli please display the Business License above in a conspicuous place at the premises. Otherwise, every Business License holder not having a fixed place of business in the City shall keep the Business License upon his or her person, or affixed in plain view any cart, vehicle, van or ather movable structure or device at all times if required by the Collector.

Starting January 1, 2021, Assombly Bill 1607 requires the prevention of gender-based discrimination of business establishments. A fuli notice is available in English or other languages by going to: https://www.dca.ca.gov/publications/ The person, firm, or corporation named above is granted this business license pursuant to the provisions of the City Business License Ordinances to engage in, carry on, or conduct the business, trade, calling, profession, exhibition, or occupation described above Issuance of the license is not an endorsement, nor Issued without venfication that the licensee is subject to or exempt from the licensing by the State of California. Valid only within the City of Campbeli city limits CITY certification of compliance with other ordinances or laws, nor an assurance that the proposed useis in conformance with the city zoning regufations. This license is MUST BE NOTIFIED ON ANY CHANGE IN OWNERSHIP, LOCATION. OR CLOSURE ANNUAL TAX PAYMENT DUE ON OR BEFORE THE EXPIRATION

BUSINESS TAX CERTIFICATE
The business named below has registered with the City of Fremont for Business CITY OF FREMONT Tax The acceptance of the tax and the issuance of this Business Tax Certificate Revenue Division entitles the holder to operate a business in the City of Fremont. Acceptance of the 39550 Liberty Street tax and issuance of this Business Tax Certificate does not constitute evidence that such business is in compliance with zoning or other applicable regulatons or laws. remont, California 945:

Business Name: 510) 494-47
Business Location: 1402 CAMDEN AVE CAMPBELL, CA 95008-6704 BUSINESS TAX ACCOUNT # 099914 Taxpayer I.D. #: 84-2738183
Business Owners): SAMUEL AND LUCAS FOOD TRUCKS COMPANY
Expiration Date: March 31, 2026
LATIN ASIAN FUSION Description: CATERING SERVICES IN
1402 CAMDEN AVE FREMONT
CAMPBELL, CA 95008-6704

TO BE POSTED IN A CONSPICUOUS PLACE- NON TRANSFERABLE
Page | 25
Phone: (415) 583-3130

LATIN ASIAN
Address: 1402 Camden Avenue, Campbell, CA 95008

DISPLAY CONSPICUOUSLY AT PLACE OF BUSINESS FOR WHICH ISSUED

CALIFORNIA DEPARTMENT OF TAX AND FEE ADMINISTRATION

SELLER'S PERMIT
September 30, 2019

ACCOUNT NUMBER
/ 225248384 - 00001
Office of Control:

LATIN ASIAN FUSION Salinas Branch Office
SAMUEL & LUCAS FOOD TRUCKS COMPANY NOTICE TO PERMITTEE:
121 WOODHILL DR # UNITEDSTATES You are required to obey all Federal and State laws that
SCOTTS VALLEY CA 95066-4190 regulate or control your
business. This permit does
not allow you to do
otherwise.

HEREBY AUTHORIZED PURSUANT TO SALES AND USE TAX LAW TO ENGAGE IN THE BUSINESS OF SELLING TANGIBL

ERSONAL PROPERTY AT THE ABOVE LOCATION, THIS PERMIT IS VALID ONLY AT THE ABOVE ADDRES HIS PERMIT IS VALID UNTIL REVOKED OR CANCELED AND IS NOT TRANSFERABLE. IF YOU SELL YOUR BUSINESS OR DROP OU IF A PARTNERSHIP. NOTIFY US OR YOU COULD BE RESPONSIBLE FOR SALES AND USE TAXES OWED BY THE NEW OPERATO! OF THE BUSINESS.

Not vaild al any olher address
or general tax questions, please call our Customor Service Center at 1-800-400-7115 (TTY:711 or Information on your rights, contact the Taxpayers' Rights Advocate Office at 1-888-324-2798 or 1-916-324-2791 COTFA-442-RREV. REV. 16(5-16)

A MESSAGE TO OUR NEW PERMIT HOLDER
As a seller, you have rights and responsibilities under the Sales and Use Tax Law. In order to assist you in your endeavor and to better understand the law, we offer the following sources of help:

Visiting our website al www.cdtfa.ca.gov
Visiting an office
Attending a Basic Sales and Use Tax Law class offered at one of our offices Sending your questions in writing to any one of our offices Calling our toll-free Customer Service Center al 1-800-400-7115 (TTY:711) As a seller, you have the right to issue resale certificates for merchandise that you Intend to resell. You also have the responsibility of not misusing resale certificates. While the sales tax is Imposed upon the retailer, You have the right to seek reimbursement of the tax from your customer : You are responsible for filing and paying your sales and use tax returns timely You have the right to be treated in a fair and equitable manner by the employees of the California Department of Tax and Fee Administration (CDTFA)
You are responsible for following the regulations set forth by the CDTFA As a seller, you are expected to maintain the normal books and records of a prudent businessperson. You are required to maintain these books and records for no less than four years, and make them avallable for inspection by a CDTFA representative when requested. You are also required to know and charge the correct sales or use tax rate, including any local and district taxes. The tax rate applicable to your sales or use may not necessarily correspond to the tax rate of your business address displayed on this permit. You are also expected to notify us if you are buying selling, adding a location, or discontinuing your business, adding or dropping a partner, officer, or member, or when you are moving any or all of COTA represenialive: i becomes necessary to surender this permi, you should only do so by maling it to a COTA office, or giving l to a you Advocate once more to ca you three 1 8-3479 8 0 1-91832-191. Thei tax number le C-15. 23-se contact the Taxpayer ghis Advocate Office for help b
Please post this permit at the address for which it was issued and at a location visible to your customers.

California Department of Tax and Foe Administration
Business Tax and Fee Division
Page | 26
Phone: (415) 583-3130

LATIN ASIAN
Address: 1402 Camden Avenue, Campbell, CA 95008

ENVIRONMENTAL HEALTH PERMIT
PERMIT HOLDER IS RESPONSIBLE FOR THIS PERMIT:

Renew on or before expiration date. If Permit Holder does not 1850

PERMIT IS NOT TRANSFERABLE &

MAY BE REVOKED FOR CAUSE

LATIN ASIAN FUSION
1402 N CAMDEN AVE
CAMPBELL, CA 95008 assessed.

SANTA CLARA COUNTY-DEPARTMENT-OF ENVIRONMENTAL HEALTH
1555 BERGER DR, SUITE 300, SAN JOSE, CA 951122716
408-918-3400

ENVIRONMENTAL HEALTH PERMIT
REGULATED FACILITY: LATIN ASIAN FUSION Facility ID: FA0262541 1402 N CAMDEN AV ccount ID: AR135119
CAMPBELL, CA 95008 sued: 11/01/202
OWNER NAME: SAMUEL & LUCAS FOOD TRUCKS COMPANY
Pomit# PT0466877 FP11 - FOOD PREP / FOOD SVC OP 0-5 EMPLOYEES RC 3 Program # PR0385534 LATIN ASIAN FUSION
Valid From 11-01-2024 to 10-31-2025
Program = PR0448457 FP54 - IN COUNTY CATERING OP @ HOST FACILITY

LATIN ASIAN FUSION

THE PERMANENT FOOD FACILITY PERMIT MUST BE ACTIVE AND IN GOOD

STANDING IN ORDER TO OPERATE A CATERING OPERATION WHICH CAN SERVE

FOOD ONLY IN CONJUCTION WATH AN ARPROVED HOST FACILITY, ANY CHANGES

TO THE STANDARD OPERATING PROCEDURES REQUIRES PRE-APPROVAL FROM THIS OFFICE. THE CATERING OPERATION IS SUBJECT TO AN ANNUAL EVALUATIO Marilyn C. Underwood, Ph.D., Director, Department of Environmental Health

DISPLAY IN PUBLIC VIEW
6001 pl 1.2.0.0.00
Page | 27
Phone: (415) 583-3130

LATIN ASIAN
Address: 1402 Camden Avenue, Campbell, CA 95008
Notify Environmental Health of any change of ownership, type of business activity, business name, or billing address by calling(831) 454-2022. Failure to notify Environmental Health may result in late penalties, Permit denial or revocation, and business closure PERMITS TO OPERATE AND ANNUAL FEE PAYMENTS ARE NOT TRANSFERABLE Permits become void on change of ownership. New owners must apply and pay for a new Permit(s) prior to beginning operation.

ZHUJIAN LI

LATIN ASIAN FUSION
121 WOODHILL DR
SCOTTS VALLEY, CA 95066

DETACH FORM HERE AND DISPLAY CONSPICUOUSLY ON THE PREMISES County of Santa Cruz
Health Services Agency - Environmental Health
701 Occan Street, Room 312, Santa Cruz, CA 95060
CY (831) 451-2022 TDD/TTY - Call www.scech.com
[email protected]

REGULATED FACILITY LATIN ASIAN FUSION
SANTA CRUZ COUNTY Owner ID: OW0010176
SANTA CRUZ, CA 95060 Facility ID: FA0009033
Account ID: AR0011254
OWNER NAME: ZHIJIAN LI Issued: 12/19/2024
PR0018106 1633 MFF - FOOD PREPARATION
Valid From 12/1/2024 to 12/1/2025
LICENSE # 2015952/ DECAL #7092
Ashe Stal
Andrew Strader
Environmental Health Director
rmits to operate and Annual Fee Payments are NOT TRANSFERABLE. Those referenced above are valid ONLY for this owner: ZHUAN LI. Permits become VOID on change nership. New owners must apply and pay for a new Permit(s) PRIOR to beginning operation or penalties will be assess

THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES HM17 V2023_07
Page | 28
Phone: (415) 583-3130
LATIN ASIAN Address: 1402 Camden Avenue, Campbell, CA 95008 fusion

STATE OF CALIFORNIA

DEPARTMENT OF ALCOHOLIC BEVERAGE CONTROL

ALCOHOLIC BEVERAGE LICENSE

CATERER PERMIT

VALID FROM EXPIRES

SAMUEL & LUCAS FOOD TRUCKS COMPANY
Feb 01, 2025 1402 CAMDEN AVE Jan 31, 2026
CAMPBELL, CA 95008

IYPE NUMBER DUP
58 650385 1

AREA CODE RENEWAL
4302 25
BUSINESS ADDRESS DBA: LATIN ASIAN FUSION
(IF DIFFERENT)

CONDITION

OWNERS SAMUEL & LUCAS FOOD TRUCKS COMPANY

IMPORTANT INFORMATION
EFFECTIVE PERIOD: This license is effective only for the operating period shown above. A new license will be sent 4 to 6 weeks expiration date on your license if payment is timely. Your license status will remain in good standing for 60 days after the expiration date if the renewal payment was received timely. To check the status of your license, visit http://www.abc.ca.gov/datpor/LQSMenu.html.

RENEWAL NOTICES: Renewal notices are sent to premises address unless a specific mailing address is requested. If a notice is not received 30 days before expiration date shown above, contact the nearest ABC office. To assure receipt of notices, advise your local ABC office of any change in address.

RENEWAL DATE is the licensee's responsibility to pay the required renewal fee by the expiration date shown above.

A Penally is charged for late renewal and the license can be automatically revoked for failure to pay.

RENEWAL PAYMENTS: Renewal payments can be made in person by visiting your local office or sent by mail to ABC Headquarters, 3927 Lennane Drive. Suite 100, Sacramento, CA 95834. If you do not have your renewal notice, your license number and the reason for payment (ex. Trengwal) must be clearly indicated on the check. You can contact your local ABC office for your renewal fee amount.

SEASONAL LICENSE It is the licensee's responsibility to pay the required renewal fee prior to the next operating period.

POSTING: Cover this license with glass or other transparent material and post it on premises in a conspicuous place.

CONDITIONS: A copy of all applicable conditions must be kept on premises.

LICENSEE NAME: Only 10 names will be printed on each license. If there are more names associated with the license, they will be indicated by -"AND XX OTHERS-* All names are on file and available upon request from your local ABC office.

DBA: If you change your business name please notify your local ABC office.

If you have any questions regarding this license, contact your local ABC office. You can find the contact information for each district office at http://www.abc.ca.gov/distmap.html.

NOTE: CONTACT YOUR LOCAL ABC OFFICE IF YOUR LICENSED PREMISES WILL BE TEMPORARILY CLOSED FOR MORE THAN 15 DAYS OR WILL BE PERMANENTLY CLOSED.
http://www.abc.ca.gov
@ca_abo ( CaliforniaABC

Page 2 ends

Page | 29
Phone: (415) 583-3130
LATIN ASIAN RustoN Address: 1402 Camden Avenue, Campbell, CA 95008

STATE OF CALIFORNIA

DEPARTMENT OF ALCOHOLIC BEVERAGE CONTROL

ALCOHOLIC BEVERAGE LICENSE
ON-SALE BEER AND WINE • EATING PLACE

VALID FROM EXPIRES

SAMUEL & LUCAS FOOD TRUCKS COMPANY
Feb 01, 2025 1402 CAMDEN AVE Jan 31, 2026
CAMPBELL. CA 95008

TYPE NUMBER DUP
41 650385

AREA CODE

RENEWAL
4302 25
BUSINESS ADDRESS DBA: LATIN ASIAN FUSION
(IF DIFFERENT)

CONDITION

OWNERS SAMUEL & LUCAS FOOD TRUCKS COMPANY

IMPORTANT INFORMATION
EFFECTIVE PERIOD: This license is effective only for the operating period shown above. A new license will be sent 4 to 6 weeks after the expiration date on your license if payment is timely. Your license status will remain in good standing for 60 days after the expiration date if the renewal payment was received timely. To check the status of your license, visit http://www.abc.ca.gov/datpor/LQSMenu.html.

RENEWAL DATE It is the licensee's responsibility to pay the required renewal fee by the expiration date shown above.

A Penalty is charged for late renewal and the license can be automatically revoked for failure to pay.

RENEWAL PAYMENTS: Renewal payments can be made in person by visiling your local office or sent by mail to ABC Headquarters, 3927 Lonnane Drive, Suite 100, Sacramento. CA 95834. If you do not have your renewal notice, your license number and the reason for payment (ex. rendwal.) must be clearly indicated on the check. You can contact your local ABC office for your renewal fee amount.

SEASONAL LICENSE ILis the licensee's responsibility to pay the required renewal fee prior to the next operating period.

POSTING: Cover this license with glass or other transparent material and post it on premises in a conspicuous place.

CONDITIONS: A copy of all applicable conditions must be kept on premises.

ICENSEE NAME: Only 10 names will be printed on each license. If there are more names associated with the license, they will be indicated b "AND XX OTHERS-". All names are on file and available upon request from your local ABC office DBA: If you change your business name please notify your local ABC office.

If you have any questions regarding this license, contact your local ABC office. You can find the contact information for each district office at http://www.abc.ca.gov/distmap.html
NOTE: CONTACT YOUR LOCAL ABC OFFICE IF YOUR LICENSED PREMISES WILL BE TEMPORARILY CLOSED FOR MORE THAN 15 DAYS OR WILL BE PERMANENTLY CLOSED.
http://www.abc.ca.gov
( California ABC

Page 1 ends

Page | 30
Phone: (415) 583-3130
LATIN ASIAN Address: 1402 Camden Avenue, Campbell, CA 95008 fusion

STATE OF CALIFORNIA

DEPARTMENT OF ALCOHOLIC BEVERAGE CONTROL

ALCOHOLIC BEVERAGE LICENSE

CATERER PERMIT

VALID FROM EXPIRES

SAMUEL & LUCAS FOOD TRUCKS COMPANY
Feb 01, 2025 Jan 31, 2026
1402 CAMDEN AVE
CAMPBELL, CA 95008

IYPE NUMBER DUP
58 650385 1

AREA CODE RENEWAL
4302 25
BUSINESS ADDRESS DBA: LATIN ASIAN FUSION
(IF DIFFERENT)

CONDITION

OWNERS SAMUEL & LUCAS FOOD TRUCKS COMPANY

IMPORTANT INFORMATION
EFFECTIVE PERIOD: This license is effective only for the operating period shown above. A new license will be sent 4 to 6 weeks expiration after the
date on your license if payment is timely. Your license status will remain in good standing for 60 days after the expiration date if the renewal payment was received timely. To check the status of your license, visit http://www.abc.ca.gov/datpor//LQSMenu.html.

RENEWAL DATE Itis the licensee's responsibility te pay the required renewal fee by the expiration date shown above.

A Penalty is charged for late renewal and the license can be automatically revoked for failure to pay.

RENEWAL PAYMENTS:

Renewal payments can be made in person by visiting your local office or sent by mail to ABC Headquarters, 3927 Lennane must be clearly indicated on the check. You can contact your local ABC office for your renewal fee amount. Drive. Suite 100, Sacramento, CA 95834. If you do not have your renewal notice, your license number and the reason for payment (ex. Trendwal) SEASONAL LICENSE It is the licensee's responsibility to pay the required renewa fee prior to the next operating period.

POSTING: Cover this license with glass or other transparent material and post it on premises in a conspicuous place.

CONDITIONS: A copy of all applicable conditions must be kept on premises.

LE red unre rare scated with the license, they will be indicated by -"AND XX OTHERS-- DBA: If you change your business name please notify your local ABC office.

If you have any questions regarding this license, contact your local ABC office. You can find the contact information for each district office at http://www.abc.ca.gov/distmap.html.

NOTE: CONTACT YOUR LOCAL ABC OFFICE IF YOUR LICENSED PREMISES WILL BE TEMPORARILY CLOSED FOR MORE THAN 15 DAYS OR WILL BE PERMANENTLY CLOSED.
http://www.abc.ca.qov
• @ca_abc ( CaliforniaABC

Page 2 ends

License Serial# 3114653
Page | 31
Phone: (415) 583-3130
LATIN ASIAN Address: 1402 Camden Avenue, Campbell, CA 95008 fusion

STATE OF CALIFORNIA

DEPARTMENT OF ALCOHOLIC BEVERAGE CONTROL

ALCOHOLIC BEVERAGE LICENSE

ON-SALE BEER AND WINE - EATING PLACE

VALID FROM EXPIRES

SAMUEL & LUCAS FOOD TRUCKS COMPANY
Feb 01, 2025 Jan 31, 2026
1402 CAMDEN AVE
CAMPBELL, CA 95008

TYPE NUMBER DUP
41 650385

AREA CODE RENEWAL
4302 25
BUSINESS ADDRESS DBA: LATIN ASIAN FUSION
(IF DIFFERENT)

CONDITION

OWNERS SAMUEL & LUCAS FOOD TRUCKS COMPANY

IMPORTANT INFORMATION
EFFECTIVE PERIOD: This license is effective only for the operating period shown above. A new license will be sent 4 to 6 weeks after the expiration date on your license if payment is timely. Your license status will remain i good standing for 60 days after the expiration date if the renewal payment was received timely. To check the status of your license, visit http://www.abc.ca.gov/datpor/LQSMenu.html.

RENEWAL DATE It is the licensee's rosponsibility to pay the required renewal fee by the oxpiration date shown aboye.

A Penalty is charged for late renewal and the license can be automatically revoked for failure to pay.

RENEWAL PAYMENTS: Renewal payments can be made in person by visiting your local office or sent by mail to ABC Headquarters, 3927 Lonnane Drive. Suite 100, Sacramento. CA 95834. If you do not have your renewal notice, your license number and the reason for payment (ex. "renewal.) must be clearly indicated on the check. You can contact your local ABC office for your renewal fee amount.

SEASONAL LICENSE It is the licensee's responsibility to pay the required renewal fee prior to the next operating period, POSTING: Cover this license with glass or other transparent material and post it on premises in a conspicuous place.

CONDITIONS: A copy of all applicable conditions must be kept on premises.

LICENSEE NAME: Only 10 names will be printed on each license. If there are more names associated with the license. they will be indicated by -"AND XX OTHERS-*. All names are on file and available upon request from your local ABC office.

DBA: If you change your business name please notify your local ABC office.

If you have any questions regarding this license, contact your local ABC office. You can find the contact information for each district office at http://www.abc.ca.gov/distmap.html.

NOTE: CONTACT YOUR LOCAL ABC OFFICE IF YOUR LICENSED PREMISES WILL BE TEMPORARILY CLOSED FOR MORE THAN 15 DAYS OR WILL BE PERMANENTLY CLOSED.
http://www.abc.ca.gov
@ca_abe ( CaliforniaABC

Page 1 ends

Page | 32
Phone: (415) 583-3130
LATIN ASIAN Address: 1402 Camden Avenue, Campbell, CA 95008

CERTIFICATE OF LIABILITY INSURANCE
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(les) must be endorsed. If SUBROGATIONIS 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 endorsements).

The Hartford Business Service Center

INSURERS) AFFORDING COVERAGE NAICH
INSURER A: Hartford Underwriters Insurance Company 30104 SAMUEL & LUCAS FOOD TRUCKS COMPANY DBA LATIN ASIAN INSURER B:

FUSION
INSURER C:
121 WOODHILL DR
SCOTTS VALLEY CA 95066-4190 INSURER D:

INSURER E
INSURER F:

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

CERTIFICATE MAY BE ISSUED OR MAY PERTAN, 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS

TYPE OF INSURANCE POLICY NUMBER

LIR NSR (WVD (MDDYYYY) (MADDY YYY)
COMMERCIAI GENERAL LIABILITY EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED $1,000,000
CLAIMS MADE X OCCUR PREMISES (Ea occurrence)
x General Liablity MED EXP (Any one person) $5,000
72 SBA BE1FT4 09/15/2024 09/15/2025 PERSONAL & ADV INJURY $1,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 x POLICY PRO. I LOC PRODUCTS - COMP/OP AGG $2,000,000
JECT
OTHER

COMBINED SINGLE LIMIT
AUTOMOBILE LIABILITY (Ea accilent)
ANY AUTO BODILY INJURY (Per person)
ALL OWNED T SCHEDULED BODILY INJURY (Per accident)

AUTOS AUTOS PROPERTY DAMAGE

NON-OWNED
AUTOS AUTOS (Per accident)
UMBRELLA LIAB x OCCUR EACH OCCURRENCE $1,000,000
EXCESS LIAB CLAIMS. AGGREGATE $1,000,000
A MADE 72 SBA BE1FT4 09/15/2024 09/15/2025
DED RETENTION $ 10,000

WORKERS COMPENSATION ISTATUTE I
AND EMPLOYERS" LIABILITY JER

NAY VIN EL EACH ACCIDENT

PROPRIETOR/PARTNER/EXECUTIVE NA
OFFICER/MEMBER EXCLUDED? EL DISEASE •EA EMPLOYEE
(Mandatory in NH)
if yes. describe under EL DISEASE - POLICY LIMIT
DESCRIPTION OF OPERATIONS blow
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101. Ackional Romarks Schedule, may be attoched if more space is required) Those usuat to the Insured's Operations.

ERTIFICATE HOLDE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED or Informational Purpos
21 WOODHILL D EFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERI COTTS VALLEY CA 95066-415 MARIO REFPRESETATNE ONCE PROSTO Suran d. Castaneda
@ 1988-2015 ACORD CORPORATION. All rights reserved.

ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Page | 33
Phone: (415) 583-3130

LATIN ASIAN
Address: 1402 Camden Avenue, Campbell, CA 95008
ACORD® DATE (MM/DD/YYYY)

CERTIFICATE OF LIABILITY INSURANCE
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 INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed.

If SUBROGATION 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 endorsements).

PRODUCER CopperPoint Insurance Companies
602.631.2300 or 866.284.2694
Phoenix INSURER A: Pacific Compensation Insurance Company INSURED INSURER B:

Samuel & Lucas Food Trucks Company INSURER C:
1402 Camden Ave INSURER D:

INSURER E:

Campbell CA 95008 INSURER E :

COVERAGES CERTIFICATE NUMBER: 1

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 [ADDLISUBR

TYPE OF INSURANCE INSD WVD

COMMERCIAL GENERAL LIABILITY

DAMAGE TO RENTED
CLAIMS-MADE OCCUR PREMISES (Ea occurence)
MED EXP (Any one person)

PERSONAL & ADV INJURY
GENL AGGREGATE LIMIT APPLES PER: GENERA. AGGREGATE

POLICY LOC PRODUCTS - COMPIOP AGG
OTHER:

COMBINED SINGLE LIST

AUTOMOBILE LABILITY
ANY AUTO BODILY INJURY (Per person)
ONED SCHEDULED BODILY INJURY (Per accident)

AUTOS ONLY
HIRED LOWNED "PROPERTY DAMAGE
AUTOS ONLY (Per accident)

UMBRELLA LIAB OCCUR EACH OCCURRENCE

EXCESS LIAB CLAIMS-MADE AGGREGATE

DED RETENTIONS

XI SAUTE

AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR PARTNER/EXECUTIVE EL EACH ACCIDENT $ 1,000,000 A N/A WC1030358 04/07/2025 04/07/2026
EL DISEASE - EA EMPLOYEES 1,000,000
SO OPERATIONS betow EL DISEASE • POLICY LIMITS 1,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be atlached if more space is requied) 9083 - CA - Restaurants-fast food or fast casual

CERTIFICATE HOLDER CANCELLATION
Samuel & Lucas Food Trucks Company EXPIRATION DATE THEREOF NOTICE WILL ACCORDANCE WITH THE POLICY PROVISIONS.
121 WOODHILL DRIVE AUTORZED REPRESENTATIVE
CA 95060 Kily
Scolts Valley
© 1988-2015 ACORD CORPORATION. All rights reserved.

ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Page | 34
Phone: (415) 583-3130
LATIN ASIAN Address: 1402 Camden Avenue, Campbell, CA 95008

ACORD DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE 04/16/2025
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS

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 endorsoment. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements).

PRODUCER COME Progressive Commercial Lines Customer and Agent Serving

KCAL INSURANCE AGCY PHONE FAX
2048 S. HACIENDA BLVD, HACIENDA HEIGHTS, CA 91745 (NIC. Not (NC, No, Ext): 1-800-144-44B7
ADDREsS: [email protected]

INSURERS) AFFORDING COVERAGE NAIC E
INSURER A: United Financial Casualty Company 11770
INSURED INSURER B:

LEI WANG DBA: LATIN ASIAN FUSION INSURER C:
1402 CAMDEN AVE
CAMPBELL, CA 95008 INSURER D:

INSURER E:

INSURER F1
COVERAGES CERTIFICATE NUMBER: 853058949711187443D041625T175704 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 ADDL SUBR POLICY EXP

TYPE OF INSURANCE INSD WVD POLICY NUMBER LIMITS

LTR (MM/DD/YYYY) (MM/DD/YYYY)

COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE
CLAIMS-MADEOCCUR RAMSE 39 REGEnCe
MED EXP (Any one person)

PERSONAL & ADV INJURY

GENERAL AGGREGATE

ORAL MORE CATEGOT ARRESTER PRODUCTS - COMP/OP AGG S
POLICY
OTHER

COMBINED SINGLE LIMIT
AUTOMOBILE LIABILITY Ea acadent) $ 1,000,000
ANY AUTO BODILY INJURY (Per person) IS.

A N 985680570 02/21/2025 BODILY INJURY (Per accident)S.

ASES ONLY

UMBRELLA LIAB OCCUR EACH OCCURRENCE

AGGREGATE

EXCESS LIAB CLAIMS-MADE

DED RETENTIONS

WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY E.L. EACH ACCIDENT

ANYPROPRIETOR/PARTNER/EXECUTIVE NIA

EL DISEASE - EA EMPLOYEES
res. describe unc E.L. DISEASE -POLICY LIMIT S
SCRIPTION OF OPERATIONS bel
See ACORD 101 for additonal coverage detalls.

A 985680570 02/21/2025 08/21/2025
DESCRIPTION OF OPERATIONS/LOCATIONS/ VEHICLES (ACORD 101, Addlonni Remarks Schedule, may be atlached it more space is required)

CERTIFICATE HOLDER CANCELLATION

THE EARN ON DATE THERED NOTE SEE ORDERED RES NOTICE WILL BE DELIVERED IN LEI WANG DBA: LATIN ASIAN FUSION
Latin Asian Fusior ACCORDANCE WITH THE POLICY PROVISIONS. 1402 CAMDEN AVE
CAMPBELL. CA 9500€

ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Page | 35
Phone: (415) 583-3130

LATIN ASIAN
Address: 1402 Camden Avenue, Campbell, CA 95008
AGENCY CUSTOMER ID:

LOC#:

ACORD® ADDITIONAL REMARKS SCHEDULE Page 1 of 1

AGENCY NAMED INSURED
Samuel & Lucas Food Trucks Compar
POLICY NUMBER 102 Camden Av
WC1030358
CARRIER MAC COD Campbell, CA 95008
Pacific Compensation Insurance Company 1155. EFFECTIVE DATE: 04/07/2025-04/07/2026

ADDITIONAL REMARKS

The ACORD name and logo are registered marks of ACORD
Page | 36
Phone: (415) 583-3130

LATIN ASIAN
Address: 1402 Camden Avenue, Campbell, CA 95008
AGENCY CUSTOMER ID:

LOC #:

ACORD®
ADDITIONAL REMARKS SCHEDULE Page 1 of 1

AGENCY NAMED INSURED
KCAL INSURANCE AGCY LEI WANG DBA: LATIN ASIAN FUSION
1402 CAMDEN AVE
POLICY NUMBER CAMPBELL, CA 95008
985680570

CARRIER NAIC CODE
United Financial Casualty Company 11770 EFFECTIVE DATE: 02/21/2025

ADDITIONAL REMARKS

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Additional Coverages
Insurance coverage(s)
Uninsured/Underinsured Motorist So Combined Singie Limit Description of Location/Vehicles/Special Items
Scheduled autos only
2023 FORD TRANSIT 1FTBF4XG8PKA91034
Comprehensive $1,000 Ded
Collision $1,000 w/Waiver Ded
Rental Reimbursement $30 Per Day ($900 Max)
Roadside Assistance Selected w/So Ded
Medical Payments $5,000 each person
ACORD 101(2008/01) The ACORD namo and logo are registered marks of AGOR ORD CORPORATION. Alrights rosarved.

Page | 37
Phone: (415) 583-3130
LATIN ASIAN Address: 1402 Camden Avenue, Campbell, CA 95008

11. ATTACHMENT B:

J
City of Emeryville

CALIFORNIA

ATTACHMENT B
Bid Submittal Form
TO THE CITY OF EMERYVILLE: In compliance with the notice inviting bids, the undersigned hereby proposes to furnish all necessary tools and equipment, materials, labor, and supervision (including cost of Workers' Compensation Insurance and all payroll taxes on such labor) to provide the above, in accordance with the Special Provisions and Specifications and City of Emeryville General and Work Conditions therefore, and further agrees to enter into a Contract therefore, at the prices listed in the accompanying proposal. All costs, except sales tax, must be included in the submittal.

NOTE:

A. Submittal is to include the number of calendar days delivery will be made after receipt of a City of Emeryville purchase order; and
B. This purchase requires City Council award. As such, regarding vehicles that are currently in inventory, the City must depend that the vehicle offered is available upon award. The City will notify bidders as soon as possible of the intent to award to a specific bidder and the probable Council award date. If a bidder offers a vehicle as "immediately available" but "subject to prior sale" (or similar language), the bid will not be considered and will render the entire bid submittal unresponsive.

Please indicate the total cost here and attach all required documents to follow.

COST INFORMATION
Meal Plan A: Lunch And Milk Service
Meal Plan B: Lunch, Milk, And Snack Service
Meal Plan C: Lunch, Milk, Snack, And Breakfast Service

TOTAL COST
Total Cost (written amount):

This bid will be awarded based upon the total bid amount as written in words. Where there is a discrepancy between words and figures, words will govern.

SUBMITTED BY
Company Name: Latin Asian Fusion - Samuel and Lucas Food Trucks Mailing Address: 1402 Camden Avenue, Campbell, CA 95008 (No P.O. Boxes) Phone No.: (415) 583-3130 Email: [email protected] Your Name: Roddy Diaz Galarza Your Title:

Signature: Date:

Page |38
Phone: (415) 583-3130
LATIN ASIAN Address: 1402 Camden Avenue, Campbell, CA 95008

12. ATTACHMENT C:

City of Emeryville

CALIFORNIA

ATTACHMENT C
Exceptions to Specifications / Requirements
M Please check if you have NO EXCEPTIONS to our requirements.

List below requests for clarifications, exceptions, and amendments, if any, to the RFB and its exhibits, and submit with your Bid response.

The City is under no obligation to accept any exceptions and such exceptions may be a basis for Bid disqualification.

Reference To: Description
Item No. Page No.

Paragraph No.

Latin Asian Fusion - Samuel and Lucas Food Trucks
Bidder Name Signature Date
Page | 39
Phone: (415) 583-3130

LATIN ASIAN
Address: 1402 Camden Avenue, Campbell, CA 95008

13. W-9 FORM:

Click here for a fillable Form W-9 online.

W-9 Request for Taxpayer Give Form to the
Form
Identification Number and Certification requester. Do not (Rev. October 2018)
Department of the Treasury send to the IRS.

Internal Revenue Service • Go to www.irs.gov/FormW9 for instructions and the latest Information. 1 Name (as shown on your income tax return). Name is required on this line; do not leave this üne blank.

Latin Asian Fusion - Samuel and Lucas Food Trucks Company 2 Business name/disregarded entity name, if different from above Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the 4 Exemptions (codes apply only to following seen boxes. certain entities, not individuals; see Instructions on page 3):

C Corporation • s Corporation • Partnership • Trustestate Individual/sole proprietor or
single-member LLC Exempt payee code (if any)
Limited liability company. Enter the tax classification (C=C corporation. S=S corporation, P=Partnership) + Print or type. See Specific Instructions on page 3. Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check Exemption from FATCA reporting LLC if the LLC is classified as a single-member LL that is disregarded from the owner unless the owner of the LiC is another LLC that is not disregarded from the owner for U.S, federal tax purposes. Otherwise, a single-member LL that code (if any) Is disregarded from the owner should check the appropriate box for the tax cassification of its owner.

Other (see instructions) • (Apples to accoutes minned auste meS) 5 Address (number, street, and apt. or suite no.) See instructions. Requester's name and address (optional) 1402 Camden Avenue, Campbell, CA 95008
6 City, state, and ZIP code
Campbell, CA 95008
7 List account number(s) here (optional)
Part L Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid Social security number backup withholding. For Individuals, this is generally your social security number (SSN), However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part i, later, For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. or
Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Employer identification number Number To Give the Requester for guidelines on whose number to enter.

Part Il Certification
Under penalties of perjury, I certify that:

1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and

2. 1am not subject to backup withholding because: (a) 1 am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a fallure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and

3. I am a U.S. citizen or other U.S. person (defined below); and

4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATA reporting is correct.

Certification Instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part ii, later.

Sign Signature of
Here U.S. person • Date *
General Instructions • Form 1099-DIV (dividends, including those from stocks or mutual funds)
Section references are to the Interal Revenue Code unless otherwise • Form 1099-MISC (various types of income, prizes, awards, or gross noted. proceeds)
Future developments. For the latest information about developments • Form 1099-B (stock or mutual fund sales and certain other related to Form W-9 and its instructions, such as legislation enacted transactions by brokers) after they were published, go to www.irs.gov/FormW9.
• Form 1099-S (proceeds from real estate transactions)
Purpose of Form • Form 1099-K (merchant card and third party network transactions) An individual or entity (Form W-9 requester) who is required to file an • Form 1098 (home mortgage interest), 1098-E (student loan interest).

Information retum with the IRS must obtain your correct taxpayer 1098-T (tuition) identification number (TIN) which may be your social security number • Form 1099-C (canceled debt) (SSN). Individual taxpayer Identification number (ITIN), adoption • Form 1099-A (acquisition or abandonment of secured property) taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other Use For W-9 only if you are a U.S. person (including a resident amount reportable on an information return. Examples of information alien). to provide your correct TIN returns include, but are not limited to, the following. If you do not retum Form W-9 to the requester with a TIN, you might • Form 1099-INT (interest eamed or paid) be subject to backup withhokling. See What is backup withholding. later.

Cat. No. 10231X Form W-9 (Rev: 10-2018)
Page | 40
Phone: (415) 583-3130

LATIN ASIAN
Address: 1402 Camden Avenue, Campbell, CA 95008
Form W-9 (Rov. 10-2018) Page 2
By signing the filled-out form. you: Example. Article 20 of the U.S.-China income tax treaty allows an exemption from tax for scholarship income received by a Chinese

1. Certily that the TiN you are giving is correct (or you are waiting for a student temporarily present in the United States. Under U.S. law, this number to be issued). student will become a resident alien for tax purposes if his or her slay in

2. Certify that you are not subject to backup withholding, or the United States exceeds 5 calendar years. However, paragraph 2 of

3. Claim exemption from backup withholding if you are a U.S. ekempt the first Protocol to the U,S.-China treaty (dated April 30, 1984) allows payee. If applicable, you are also certifying that as a U.S. person, your the provisions of Article 20 to continue to apply even after the Chinese allocable share of any partnership income from a U.S. trade or business student becomes a resident alien of the United States. A Chinese is not subject to the withholding tax on foreign partners' share of student who qualities for this exception (under paragraph 2 of the first effectively connected income, and protocol) and is relying on this exception to claim an exemption from tax

4. Certify that FATCA codes) entered on this fon (if any) indicating on his or her scholarship or fellowship income would attach to Form that you are exempt from the FATA reporting, is correct. See What is W-9 a statement that includes the information described above to FATA reporting, later, for further information. support that exemption.

Note: If you are a U.S. person and a requester gives you a form other If you are a nonresident alien or a foreign entity, give the requester the than Form W-9 to request your TIN, you must use the requester's form if appropriate completed Form W-B or Form 8233. it is substantially similar to this Form W-9.

Backup Withholding
Definition of a U,S, person, For federal tax purposes, you are considered a U.S. person If you are: What is backup withholding? Persons making certain payments to you must under certain conditions withhold and pay to the IRS 24% of such • An individual who is a U.S. citizen or U,S. resident allen; payments. This is called "backup withholding. Payments that may be • A partnership, corporation, company, or association created or subject to backup withholding include Interest, tax-exempt interest, organized in the United States or under the laws of the United States; dividends, broker and barter exchange transactions, rents, royalties, • An estate (other than a foreign estate); or nonemployee pay, payments made in settlement of payment card and third party network transactions, and certain payments from fishing boat • A domestic trust (as defined in Regulations section 301.7701-7). operalors. Real estate transactions are not subject to backup Special rules for partnerships, Partnerships that conduct a trade or withholding. business in the United States are generally required to pay a withholding You will not be subject to backup withholding on payments you tax under section 1446 on any foreign partners' share of effectively receive if you give the requester your correct TIN, make the proper connected laxable income from such business. Further, in certain cases certifications, and report all your taxable interest and dividends on your where a Form W-9 has not been recelved, the rules under section 1446 require a partnership to presume that a partner is a foreign person, and pay the section 1446 withholding tax. Therefore, If you are a U.S. person Payments you receive will be subject to backup withholding if:
that is a partner in a partnership conducting a trade or business in the 1. You do not furnish your TIN to the requester.

United States, provide Form W-9 to the partnership to establish your 2. You do not certify your TIN when required (see the Instructions for U.S. status and avold section 1446 withholding on your share of partnership income.

3. The IRS tells the requester that you furnished an incorrect TIN, In the cases below, the following person must give Form W-9 to the partnership for purposes of establishing its U.S. status and avoiding 4. The IRS tells you that you are subject to backup withholding withhokling on its allocable share of net income from the partnership because you did not report all your interest and dividends on your tax conducting a trade or business in the United States. return (for reportable interest and dividends only). or • In the case of a disregarded entity with a U.S. owner, the U.S. ownel 5. You do not certify to the requester that you are not subject to of the disregarded entity and not the entity: backup withholding under 4 above (for reportable interest and dividend • In the case of a grantor trust with a U.S, grantor or other U.S. owner. generally, the U.S. grantor or other U.S. owner of the grantor trust and Certain payees and payments are exempt from backup withholding. not the trust, and See Exempt payee code, later, and the separate instructions for the Requester of Form W-9 for more information.
• In the case of a U.S. trust (other than a grantor trust), the U.S. trust (other than a grantor trust) and not the beneficiaries of the trist. Also see Special rules for partnerships, earlier.

Foreign person. If you are a foregn person or the U,S. branch of a What is FATCA Reporting? foreign bank that has elected to be treated as a U.S. person, do not use Form W-9. Instead, use the appropriate Form W-8 or Form 8233 (see The Foreign Account Tax Compliance Act (FATA) requires a Pub. 515, Withhokling of Tax on Nonresident Aliens and Foreign participating foreign financial institution to report all United States Entities). account holders that are specified United States persons. Certain payees are exempt from FATCA reporting. See Exemption from FATCA Nonresident alien who becomes a resident alien. Generally, only a reporting code, later, and the Instructions for the Requester of Form nonresident alien individual may use the terms of a tax treaty to reduce W-9 for more information.
or eliminate U.S. tax on certain types of income. However, most tax treaties contain a provision known as a "saving clause." Exceptions specified in the saving clause may permit an exemption from tax to Updating Your Information continue for certain types of income even after the payee has otherwise You must provide updated information to any person to whom you become a U.S. resident alien for tax purposes. claimed to be an exempt payee if you are no longer an exempt payee Il you are a U.S. resident alien who is relying on an exception and anticipate receiving reportable payments in the future from this contained in the saving clause of a tax treaty to claim an exemption person. For example, you may need to provide updated information if from U.S. tax on certain types of income, you must attach a statement vou are a G corporation that elects to be anS corporation, or if you no to Form W-9 that specifies the following five items. longer are tax exempt. In addition, you must furnish a new Form W-9 if

1. The treaty country. Generally, this must be the same treaty under the name or TIN changes for the account: for example, if the grantor of a which you claimed exemption from tax as a nonresident alien. grantor trust dies.

2. The treaty article addressing the income. Penalties

3. The article number (or location) in the tax treaty that contains the saving clause and its exceptions. Failure to fumish TIN. If you fall to fumish your correct TIN to a

4. The type and amount of income that qualifies for the exemption requester. vou are subject to a penalty of $50 for each such failure unless your failure is due to reasonable cause and not to wilful neglect.

5. Sufficient facts to justity the exemption from tax under the terms of Civil penalty for false information with respect to withholding. If you the treaty arlicle. make a false statement with no reasonable basis that results in no backup withholding, you are subject to a $500 ponalty.

Page | 41
Phone: (415) 583-3130
LATIN ASIAN Address: 1402 Camden Avenue, Campbell, CA 95008 1e1B9E
Farm W-9 (Rev. 10-2018) Page 3
Criminal penalty for falsifying information. Willfully falsifying IF the entity/person on line 1 is THEN check the box for... certifications or affirmations may subject you to criminal penalties a(n)... including fines and/or imprisonment.

Misuse of TINs. If the requester discloses or uses TINs in violation of • Corporation Corporation federal law. the requester may be subject to civil and criminal penalties. • Individual Individual/sole proprietor or single • Sole proprietorsnip, or member LLC
Specific Instructions • Single-member limited liability company (LLC) owned by an
Line 1 individual and disregarded for U.S.

You must enter one of the following on this line; do not leave this line federal tax purposes. blank. The name should match the name on your tax retum. • LLC treated as a partnership for Limited liability company and enter If this Form W-9 Is for a joint account (other than an account U.S. federal tax purposes. the appropriate tax classification. maintained by a foreign financial instilution (FFI)), lIst first, and then • LLC that has filed Form 8832 or (P= Partnership: C= C corporation; circle, the name of the person or entity whose number you entered in 2553 to be taxed as a corporation, or S= S corporation) Part I of Form W-9. If you are providing Form W-9 to an FFi to document a joint account, each holder of the account that is a U.S. person must • LLC that is disregarded as an provide a Form W-9. entity separate from its owner but
a. Individual. Generally, enter the name shown on your tax return. If the owner is another LLC that is you have changed your last name without informing the Social Security not disregarded for U.S. federal tax Administration (SSA) of the name change, enter your first name, the last purposes. name as shown on your social security card, and your new last name.

Note: ITIN applicant: Enter your individual name as it was entered on • Partnership Partnership • Trust/estate Trust/estate
your Form W-7 application, line 1a. This should also be the same as the name you entered on the Form 1040/1040A/1040EZ you filed with your Line 4, Exemptions application.

It you are exempt from backup withholding and/or FATA reporting. b. Sole proprietor or single-member LLC. Enter your individual enter in the appropriate space on line 4 any code(s) that may apply to name as shown on vour 1040/1040A/1040EZ on line 1. You may enter you.
your business, trade, or "doing business as" (DBA) name on line 2. c. Partnership, LLC that Is not a single-member LLC, C Exempt payee code. corporation, or S corporation. Enter the entity's name as shown on the • Generally, individuals (including sole proprietors) are not exempt from entity's tax retum on line 1 and any business. trade, or DBA name on backup withholding. line 2. • Except as provided below, corporations are exempt from backup d. Other entities. Enter your name as shown on required U.S. federal withhokling for certain payments, including interest and dividends. tax documents on line 1. This name should match the name shawn on the • Corporations are not exempt from backup withholding for payments charter or other legal document creating the entity. You may enter any made in settlement of payment card or third party network transactions. business, trade, or DBA name on line 2. • Corporations are not exempt from backup withholding with respect to e. Disregarded entity. For U.S. federal tax purposes, an entity that is attorneys' fees or gross proceeds paid to attomeys, and corporations disregarded as an entity separate from its owner is treated as a that provide medical or health care services are not exempt with respect "disregarded entity." See Regulations section 301.7701-2(c)(2)(ii). Enter to payments reportable on Form 1099-MISC. the owner's name on line 1. The name of the entity entered on line 1 should never be a disregarded entity. The name on line 1 should be the The following codes identity payees that are exempt from backup name shown on the income tax return on which the income should be withholding. Enter the appropriate code in the space in line 4. reported. For example. if a foreign LLC that is treated as a disregarded 1-An organization exempt from tax under section 501(a), any IRA, or entity for U.S. federal tax purposes has a single owner that is a U.S a custodial account under section 403(b)(7) if the account satisfies. the person, the U.S. owner's name is required to be provided on line 1. If requirements of section 401(f)(2) the direct owner of the entity is also a disregarded entity, enter the first 2-The United States or any of its agencies or instrumentalities owner that Is not disregarded for federal tax purposes. Enter the 3-A state, the District of Columbia, a U.S. commonwealth or disregarded entity's name on line 2, "Business name/disregarded entity name." If the owner of the disregarded entity is a foreign person. the possession, or any of their political subdivisions or instrumentalities owner must complete an appropriate Form W-8 Instead of a Form W-9. 4-A foreign government or any of its political subdivisions, agencies.

This is the case even if the foreign person has a U.S. TIN.

Line 2 5-A corporation
6-A dealer in securities or commodilies required to register in the If you have a business name, trade name, DBA name, or disregarded United States, the District of Columbia, or a U.S. commomyealth or entity name, you may enter it on ine 2. possession
Line 3 7-A futures commission merchant registered with the Commodity Check the appropriate box on line 3 for the U.S. federal tax Futures Trading Commission classification of the person whose name is entered on line 1. Check only 8 - A real estate investment trust one box on line 3. 9-An entity registered at all times during the tax year under the Investment Company Act of 1940
10-A common trust fund operated by a bank under section 584(a) 11 -A financial institution
12-A middieman known in the investment community as a nominee or custodian
13-A trust exempt from tax under section 664 or described in section 4947

Page 142 ends

Phone: (415) 583-3130

LATIN ASIAN
Address: 1402 Camden Avenue, Campbell, CA 95008
U910н
Form W-9 (Rev. 10-2018) Page 4
The following chart shows types of payments that may be exempl M-A tax exempt trust under a section 403(b) plan or section 457(g) from backup withholding. The chart applies to the exempt payees listed plan above. 1 through 13. Note: You may wish to consult with the financial institution requesting IF the payment is for... THEN the payment is exempt this form fo determine whether the FATA code and/or exempt payee for... code should be completed.

Interest and dividend payments All exempt payees except Line 5 for 7 Enter your address (number, street, and apartment or suite number) Broker transactions Exempt payees 1 through 4 and 6 This is where the requester of this For W-9 will mall your information through 11 and all C corporations retums, If this address differs from the one the requester already has on S corporations must not enter an file, write NEW at the top. If a new address is provided, there is still a exempt payee code because they chance the old address will be used until the payor changes your are exempt only for sales of address in their records.
noncovered securities acquired Line 6
prior to 2012.

Enter your city, state, and ZIP code.

Barter exchange transactions and Exempt payees 1 through 4 patronage dividends Part I. Taxpayer Identification Number (TIN) Payments over S600 required to be Generally, exempt payees Enter your TIN in the appropriate box. If you are a resident alien and reported and direct sales over 1 through 5% you do not have and are not eligible to get an SSN, your TIN is your IRS $5,000" individual taxpayer identification number (ITIN). Enter it in the social security number box. If you do not have an ITIN, see How to get a TIN Payments made in settlement of Exempt payees 1 through 4 below. payment card or third party network If you are a sole proprietor and you have an EIN, you may enter either transactions
your SSN or EIN.
1 See Form 1099-MISC, Miscellaneous Income, and its instructions. If you are a single-member LL that is disregarded as an entity separate from its owner, enter the owner's SSN (or EIN, if the owner has towever, the following payments made to a corporation an one). Do not enter the disregarded entity's EIN. If the LLC Is classified as portable on Form 1099-MISC are not exempt from backu à corporation or partnership, enter the entity's EIN. withholding: medical and health care payments, attorneys' fees, gross Note: See What Name and Number To Give the Requester, later, for proceeds paid to an attorney reportable under section 6045(f), and further clarification of name and TIN combinations. payments for services paid by a federal executive agency.

Exemption from FATA reporting code. The following codes Identify How to get a TIN. If you do not have a TIN, apply for one immediately. payees that are exempt from reporting under FATA, These codes To apply for an SSN, get Form SS-5, Application for a Social Security Card, from your local SSA office or get this form online at apply to persons submitting this form for accounts maintained outside of the United States by certain foreign financial institutions. Therefore, it www.SSA.gov. You may also get this form by calling 1-800-772-1213.

Use Form W-7. Application for IRS Individual Taxpayer Identification you are only submitting this form for an account you hold in the United Number, to apply for an ITIN, or Form SS-4, Application for Employer States, you may leave this field blank. Consult with the person Identification Number, to apply for an EIN. You can apply for an EIN requesting this form if you are uncertain if the financial institution is subject to these requirements. A requester may indicate that a code is online by accessing the IRS website at www.irs.gov/Businesses and clicking on Employer Identification Number (EIN) under Starting a not required by providing you with a Form W-9 with "Not Applicable" (or Business. Go to www.irs.gov/Forms to view, download, or print Form any similar indication) written or printed on the line for a FATCA W-7 and/or Form SS-4, Or, you can go to www.irs.gow/OrderForms to exemption code. place an order and have Form W-7 and/or SS-4 mailed to you within 10 A- An organization exempt from tax under section 501(a) or any business days.

Individual retirement plan as defined in section 7701(a)(37) If you are asked to complete Form W-9 but do not have a TIN, apply B-The United States or any of its agencies or instrumentalities for a TIN and write "Applied For" in the space for the TIN, sign and date C-A state, the District of Columbia, a U.S. commonwealth or the form, and give it to the requester. For interest and dividend possession, or any of their political subdivisions or instrumentalities payments, and certain payments made with respect to readily tradable D-A corporation the stock of which is regularly traded on one or instruments, generally you will have 60 days to get a TIN and give it to more established securties markets, as described in Regulations the requester before you are subject to backup withholding on payments. The 60-day rule does not apply to other types of payments. section 1.1472-1(c)(1X) |
You will be subject to backup withholding on all such payments until E-A corporation that is a member of the same expanded affiliated you provide your TIN to the requester. group as a corporation described in Regulations section 1.1472- 1(c)(1)) Note: Entering "Appled For" means that you have already applied for a F-A dealer in securities, commodities, or derivative financial TIN or that you Intend to apply for one soon. instruments (including notional principal contracts, futures, forwards. Caution: A disregarded U.S. entity that has a foreign owner must use and options) that is registered as such under the laws of the United the appropriate Form W-8 States or any state
G-A real estate investment trust Part II. Certification H-A regulated investment company as defined in section 851 or an To establish to the withholding agent that you are a U.S. person, or entity registered at all times during the tax year under the investment resident alien, sign Fonn W-9. You may be requested to sign by the Company Act of 1940 withholding agent even if item 1, 4, or 5 below indicates otherwise. 1-A common trust fund as defined in section 584(a) For a joint account, only the person whose TIN is shown in Part I J--A bank as defined in section 581 should sign (when required). In the case of a disregarded entity, the K-A broker person identified on line 1 must sign. Exempt payees, see Exempt payee code, earlier.

L-A trust exempt from tax under section 664 or described in section 4947(a)(1) Signature requirements. Complete the certification as indicated in items 1 through 5 below.

Puge | 43
Phone: (415) 583-3130

LATIN ASIAN
Address: 1402 Camden Avenue, Campbell, CA 95008
Form W-9 (Rev. 10-2018) Page 5

1. Interest, dividend, and barter exchange accounts opened For this type of account: Give name and EIN of:
before 1984 and broker accounts considered active during 1983. 14. Account with the Department of The public entity You must give your correct TIN. but you do not have to sign the Agriculture in the name of a public certification. entity (such as a state or local

2. Interest, dividend, broker, and barter exchange accounts government, school district, or opened after 1983 and broker accounts considered inactive during prison that receives agricultural 1983. You must sign the certification or backup withholding will apply. I! program payments you are subject lo backup withholding and you are merely providing your correct TIN to the requester, you must cross out item 2 in the 15. Grantor trust filing under the Form The trust certification before signing the form. 1041 Filing Method or the Optional

3. Real estate transactions. You must sign the certification. You may Form 1099 Filing Mathod 2 (sce Regulations section 1.671-4(bX2KD(E)|
cross out item 2 of the certification.
4, Other payments. You must give your correct TIN, but you do not "List first and circle the name of the person whose number you tumish have to sign the certification unless you have been notified that you If only one person on a joint account has an SSN, that person's number have previously given an incorrect TIN. "Other payments" Include must be furnished. payments made in the course of the requester's trade or business for Circle the minor's name and fumish the minor's SSN rents, royalties, goods (other than bills for merchandise), medical and health care services (including payments to corporations), payments to You must show your individual name and you may also enter your a nonemployee for services, payments made in settlement of payment business or DBA name on the Business name/disregarded entity" card and third party network transactions, payments to certain fishing name line. You may use either your SSN or EIN (if you have one), but the boat crew members and fishermen, and gross proceeds paid to IAS encourages you to use your SSN attorneys (including payments to corporations). * List first and circle the name of the trust, estate, or pension trust. (Do

5. Mortgage interest paid by you, acquisition or abandonment of not fumish the TIN of the personal representative or trustee unless the secured property, cancellation of debt, qualified tuition program legal entity itself is not designated in the account title.) Also see Special payments (under section 529), ABLE accounts (under section 529A), rules for partnerships, earlier.

IRA, Coverdell ESA, Archer MSA or HSA contributions or *Note: The grantor also must provide a Form W-9 to trustee of trust. distributions, and pension distributions. You must give your correct Note: If no name is circled when more than one name is listed, the TIN, but you do not have to sign the certification. number will be considered to be that of the first name listed.

What Name and Number To Give the Requester Secure Your Tax Records From Identity Theft For this type of account: Give name and SSN of: Identity theft occurs when someone uses your personal information

1. Individual The individual such as your name, SSN. or other identifying information, without your

2. Two or more individuals (joint The actual owner of the account or. Il permission, to commit fraud or other crimes. An identity thief may use account) other than an account combined funds, the first individual on your SSN to get a job or may file a tax retum using your SSN to receive maintained by an FFI the account

3. Two or more U.S. persons Each holder of the account
Goint account maintained by an FF) • Protect your SSN

4. Custodial account of a minor The minor • Ensure your employer is protecting your SSN, and (Uniform Gift to Minors Act) • Be careful when choosing a tax preparer. 5, a The usual revocable savings trust The grantor-trusted' If your tax records are affected by identity theft and you receive a (grantor is also trustee) notice from the IRS, respond right away to the name and phone number b. So-called trust account that is not The actuat owner printed on the IRS notice or letter.
a legal or valid trust under state law
If your tax records are not currently affected by identity theft but you

6. Sole proprietorship or disregarded The owner think you are at risk due to a lost or stolen purse or wallet, questionable entity owned by an individual credit card activity or credit report, contact the IRS Identity Theft Hotline

7. Grantor trust filing under Optional The grantor* at 1-800-908-4490 or submit Form 14039.

Form 1099 Filing Method 1 (see For more information. see Pub. 5027, Identity Theft Information for Regulations section 1.671-4(b)(20) Taxpayers.
(A)) Victims of identity theft who are experlencing economic harm or a For this type of account: Give name and EIN of: systemic problem, or are seeking help in resolving tax problems that

8. Disregarded entity not owned by an The owner have not been resolved through normal channels, may be eligible for individual Taxpayer Advocate Service (TAS) assistance. You can reach TAS by calling the TAS toll-free case intake line at 1-877-777-4778 or TTY/TDD

9. A valid trust, estate, or pension frust Legal entity" 1-800-829-4059.

The corporation Protect yourself from suspicious emails or phishing schemes.

Phishing is the creation and use of email and websites designed to Form 2553 mimic legitimate business emalls and websites. The most common act Association, club, religio The organization Is sending an email to a user falsely claiming to be an established aritable, educational, or other legitimate enterprise in an attempt to scam the user into surrendering private information that will be used for identity theft. exempt organization

2. Partnership or muti-member LL The partnership

3. A broker or registered nomine The broker or nominee
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Phone: (415) 583-3130

LATIN ASIAN
Address: 1402 Camden Avenue, Campbell, CA 95008
Form W-9 (Rev, 10-2018) Page 6
The IRS does not initiate contacts with taxpayers via emails. Also, the Privacy Act Notice IRS does not request personal detailed information through email or ask taxpayers for the PIN numbers, passwords, or similar secret access Section 6109 of the Intemal Revenue Code requires you to provide your information for their credit card, bank, or other financial accounts. correct TIN to persons (including federal agencies) who are required to file information retums with the IRS to report interest, dividends, or If you receive an unsolicited email claiming to be from the IRS, certain other income paid to you; mortgage interest you paid; the forward this message to [email protected]. You may also report misuse acquisition or abandonment of secured property; the cancellation of of the IRS name, logo, or other IRS property to the Treasury Inspector debt: or contributions you made to an IRA, Archer MSA, or HSA. The General for Tax Administration (TIGTA) at 1-800-366-4484. You can person collecting this form uses the information on the form to file forward suspicious emails to the Federal Trade Commission at information retums with the IRS, reporting the above information. [email protected] or report them at www./tc.gov/complaint. You can Routine uses of this information include giving it to the Department of contact the FTC at www.ftc.govfidtheft or 877-IDTHEFT (877-438-4338). Justice for civil and criminal litigation and to cities, states, the District of If you have been the victim of identity theft, see www./dentity Theft.gov Columbia, and U.S. commonwealths and possessions for use in and Pub. 5027. administering their laws. The information also may be disclosed to other Visit www.irs.gow/ldentilyTheft to learn more about identity theft and countries under a treaty, to federal and state agencies to enforce civil how to reduce your risk. and criminal laws, or to federal law enforcement and intelligence agencies to combat terrorism. You must provide your TIN whether or not you are required to file a tax return. Under section 3406, payers must generally withhold a percentage of taxable interest, dividend, and certain other payments to a payee who does not give a TIN to the payer.

Certain penalties may also apply for providing false or fraudulent Information.

Phone: (415) 583-3130
LATIN ASIAN Address: 1402 Camden Avenue, Campbell, CA 95008

14. ATTACHMENT F:

City of Emeryville

CALIFORIFA

ATTACHMENT F
City General Requirements Appendix
Latin Asian Fusion - Samuel and Lucas Food Trucks ("Contractor") agrees to comply with the requirements set forth below.

1. GRANT REQUIREMENTS
Funds received pursuant to a grant from Alameda County Transportation Commission ("Grant") will be used to make payments required by the Agreement. By executing the Agreement, Contractor acknowledges that it has received a copy of the Grant, and will comply with its terms and conditions, as applicable.

2. INDEMNITY
To the fullest extent permitted by law, Contractor shall indemnify, defend, and hold harmless City and City's members, officers, agents, employees and volunteers, from and against any and all claims, losses, liabilities of every kind, nature and description, damages, injury (including without limitation injury to or death of an employee of Contractor or Contractor's subcontractors as well as any claim by any employee, agent, contractor or independent contractor hired or employed by Contractor that such persons or individuals are entitled to any benefit otherwise provided to employees of City, including coverage under the California Public Employee Retirement System), costs and expenses of any kind, whether actual, alleged or threatened, including, without limitation, incidental and consequential damages, court costs, reasonable attorneys' fees, litigation expenses, and fees of expert contractors or expert witnesses incurred in connection therewith and the costs of investigation, arising out of, pertaining to, or relating to, directly or indirectly, in whole or in part, the negligence, recklessness, or willful misconduct of Contractor, any subcontractor, anyone directly or indirectly employed by them or anyone that they control.

This indemnification obligation is not limited in any way by any limitation on the amount or type of damages or compensation payable to or for Contractor. This obligation to indemnify and defend City, its members, officers, agents, employees and volunteers shall survive termination of the Agreement.
series tand y contaden, open, tank ye the rouse and

3. BUSINESS LICENSE REQUIREMENTS
Contractor shall obtain a business license from the City of Emeryville.

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Phone: (415) 583-3130

LATIN ASIAN
Address: 1402 Camden Avenue, Campbell, CA 95008
City of Emeryville | Purchase Order Terms and Conditions REV05/2025

4. CITY LABOR STANDARDS
If the Agreement provides for compensation to Contractor of $25,000 or more within a single fiscal year, then Contractor shall comply with the requirements of the Living Wage Ordinance set forth in Chapter 31 of Title 5 of the Emeryville Municipal Code, unless (i) Contractor is a governmental entity, i) this Agreement is subject to a higher prevailing wage rate as defined in the California Labor Code, or (ili) this Agreement is subject to federal or state laws or regulations that would preclude the application of the City's laws.

Compliance with the Living Wage Ordinance, if applicable, shall be required during the term of the Agreement for all employees of Contractor who perform at least twenty-five percent (25%) of the work arising from this Agreement, unless said employees are otherwise exempt from the application of the Living Wage Ordinance pursuant to Section 5-31.08 of the Emeryville Municipal Code.

Contractor shall promptly provide to the City documents and information verifying compliance with the requirements of the Living Wage Ordinance within ten (10) working days following a written request for such documentation and information from the City.

Failure to comply with the Living Wage Ordinance provides that a person claiming a violation thereof may bring an action against Contractor for back pay, reinstatement and compensatory damages, as well as a penalty up to three times the amount of damages for a willful violation, plus reasonable attorney's fees and costs. In addition, City may terminate the Agreement and pursue any other remedies available to the City, including debarment, for violations of the Living Wage Ordinance. Contractor shall notify each of its affected employees with regards to wages that are required to be paid pursuant to this Agreement. "Living Wage" means no less than $16.97 per hour (which is subject to increase annually on July 1st to reflect the twelve-month average increase to the Consumer Price Index for all urban consumers in the San Francisco-Oakland-San Jose Metropolitan Statistical Area for the preceding year from May to April, not to exceed three percent (3%) in any one year) including wages and health benefits. If employer contributions for health benefits are not paid on an hourly basis, the employer must demonstrate to the City the hourly value of such benefits in order to receive credit for such payments to covered employees. In the event that compliance with the Living Wage Ordinance is not required, the Contractor may still be required to comply with the City's Minimum Wage, Paid Sick Leave, and Other Employment Standards Ordinance as set forth in Chapter 37 of Title 5 of the Emeryville Municipal Code, to the extent it is applicable.

5. CALIFORNIA LABOR REQUIREMENTS

5.1 Prevailing Wage Requirements
Contractor is aware of the requirements of California Labor Code Sections 1720 et seq. and 1770 et seg., which require the payment of prevailing wage rates and the prevailing of ge Laves, I the Services are bung performed as art of an applied, "public works" or "maintenance" project, as defined by the Prevailing Wage Laws, and if the total compensation is
Page | 47
Phone: (415) 583-3130

LATIN ASIAN
Address: 1402 Camden Avenue, Campbell, CA 95008
City of Emeryville | Purchase Order Terms and Conditions REV05/2025
$1,000 or more, Contractor agrees to fully comply with such Prevailing Wage Laws.

Contractor shall defend, indemnify and hold the City, its officials, officers, employees and agents free and harmless from any claims, liabilities, costs, penalties or interest arising out of any failure or alleged failure to comply with the Prevailing Wage Laws. It shall be mandatory upon the Contractor and all subcontractors to comply with all California Labor Code provisions, which include but are not limited to prevailing wages (Labor Code Sections 1771, 1774 and 1775), employment of apprentices (Labor Code Section 1777.5), certified payroll records (Labor Code Sections 1771.4 and 1776), hours of labor (Labor Code Sections 1813 and 1815) and debarment of contractors and subcontractors (Labor Code Section 1777.1). The requirement to submit certified payroll records directly to the Labor Commissioner under Labor Code section 1771.4 shall not apply to work performed on a public works project that is exempt pursuant to the small project exemption specified in Labor Code Section 1771.4.

5.2 Registration
If the Services are being performed as part of an applicable "public works" or "maintenance" project, then pursuant to Labor Code Sections 1725.5 and 1771.1, the Contractor and all subcontractors performing such Services must be registered with the Department of Industrial Relations. Contractor shall maintain registration for the duration Contract and require the same of any subcontractors, as applicable.

Notwithstanding the foregoing, the contractor registration requirements mandated by Labor Code Sections 1725.5 and 1771.1 shall not apply to work performed on a public works project that is exempt pursuant to the small project exemption specified in Labor Code Sections 1725.5 and 1771.1.

5.3 Labor Compliance Oversight
This Contract may also be subject to compliance monitoring and enforcement by the Department of Industrial Relations. It shall be Contractor's sole responsibility to comply with all applicable registration and labor compliance requirements. Any stop orders issued by the Department of Industrial Relations against Contractor or any subcontractor that affect Contractor's performance of Services, Including any delay, shall be Contractor's sole responsibility. Any delay arising out of or resulting from such stop orders shall be considered Contractor caused delay and shall not be compensable by the City. Contractor shall defend, indemnify and hold the City, its officials, officers, employees and agents free and harmless from any claim or liability arising out of stop orders issued by the Department of Industrial Relations against Contractor or any subcontractor.

5.4 Workers' Compensation
Pursuant to the requirements of section 1860 of the California Labor Code, Contractor will be required to secure the payment of workers' compensation to his employees in accordance with the provisions of section 3700 of the Labor Code. By signing this Contract, Contractor certifies the following:
"I am aware of the provisions of section 3700 of the California Labor Code which require every employer to be insured against liability for workers' compensation or to undertake Page | 48
Phone: (415) 583-3130
LATIN ASIAN Address: 1402 Camden Avenue, Campbell, CA 95008 fusion
vof Emeryville | Purchase Order Terms and Conditions
self-insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract."

6. INSURANCE REQUIREMENTS
Contractor agrees to comply with the insurance requirements as set forth in Exhibit B.

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Emeryville City CouncilJuly 15, 2025

Emeryville City Council
July 15, 2025