Cities Index.
Att #2 Agreement and Amendment No. 1

City Council/Public Financing Authority
January 21, 2025

Document
Att #2 Agreement and Amendment No. 1
Meeting
January 21, 2025
Body
City Council/Public Financing Authority
Pages
2
Original file
13.8 MB
Text extracted from the city's file for reading and search. Open the original on huntingtonbeach.legistar1.com. That file is the official record.

SERVICE AGREEMENT BETWEEN

THE CITY OF HUNTINGTON BEACH AND
EXCALIBUR WELL SERVICES, CORP.

FOR

CIVIC CENTER WELL ABANDONMENT
THIS AGREEMENT ("Agreement") is made and entered into by and between the City of Huntington Beach, a municipal corporation of the State of California, hereinafter called "City," and Excalibur Well Services, Corporation, hereinafter referred to as "Contractor."
Recitals
A. The City desires to retain a Contractor having special skill and knowledge in the field of Well Abandonment.

B. Contractor represents that Contractor is able and willing to provide such services to the City.

C. In undertaking the performance of this Agreement, Contractor represents that it is knowledgeable in its field and that any services performed by Contractor under this Agreement will be performed in compliance with such standards as may reasonably be expected from a comparable company or firm in the field.

Contractor has been selected to perform these services pursuant to Huntington Beach Municipal Code Chapter 3.02.

NOW, THEREFORE, it is agreed by City and Contractor as follows:

Scope of Services
Contractor shall provide all services as described in Exhibit "A," which is attached hereto and incorporated into this Agreement by this reference. These services shall sometimes hereinafter be referred to as the "Project." Contractor hereby designates Steve Martinez who shall represent it and be its sole contact and agent in all consultations with City during the performance of this Agreement.

City Staff Assistance
City shall assign a staff coordinator to work directly with Contractor in the performance of this Agreement.
23-13803/324318 1

3. Compensation
City agrees to pay, and Contractor agrees to accept as total payment for its services, the rates and charges identified in Exhibit "B." The total sum to be expended under this Agreement, shall not exceed One Million Ninety-Nine Thousand Seven Hundred Seventy Dollars ($1,099, 770.00) during the term of this Agreement.

Payment by City shall be made within thirty (30) days following receipt of proper invoice evidencing work performed, subject to City accounting procedures.

Payment need not be made for work which fails to meet the standards of performance set forth in the Recitals which may reasonably be expected by City.

C. Contractor shall be paid pursuant to the terms of Exhibit "B."

4. Term
Time is of the essence of this Agreement. The services of Contractor are to commence 02/20/2024, or as soon as practicable after the execution of this Agreement by City (the "Commencement Date") and terminate three (3) years from Commencement Date, unless terminated earlier in accordance with the provisions of this Agreement.

Contract may be extended for 2 additional one-year periods if mutually agreed to in writing by both parties. The time for performance of the tasks identified in Exhibit "A" are generally to be shown in Exhibit "A." This schedule and Term may be amended to benefit the Project if mutually agreed to in writing by City and Contractor.

In the event the Commencement Date precedes the Effective Date, Contractor shall be bound by all terms and conditions as provided herein.

5. Extra Work
In the event City requires additional services not included in Exhibit "A" or changes in the scope of services described in Exhibit "A," Contractor will undertake such work only after receiving written authorization from City. Additional compensation for such extra work shall be allowed only if the prior written approval of City is obtained.

Disposition of Plans, Estimates and Other Documents
Contractor agrees that title to all materials prepared hereunder, including, without limitation, all original drawings, designs, reports, both field and office notices, calculations, computer code, language, date or programs, maps, memoranda, letters and other documents, shall belong to City, and Contractor shall turn these materials over to City upon expiration or termination of this Agreement or upon Project completion, whichever shall occur first. These materials may be used by City as it sees fit. 23-13803/324318 2

7. Hold Harmless
Contractor hereby agrees to protect, defend, indemnify and hold harmless City, its officers, elected or appointed officials, employees, agents, and volunteers from and against any and all claims, damages, losses, expenses, judgments, demands and defense costs, and consequential damage or liability of any kind or nature, however caused, including those resulting from death or injury to Contractor's employees and damage to Contractor's property, arising directly or indirectly out of the obligations or operations herein undertaken by Contractor, caused in whole or in part by any negligent act or omission of the Contractor, any subcontractors, anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable, including but not limited to concurrent active or passive negligence, except where caused by the active negligence, sole negligence, or willful misconduct of the City. Contractor will conduct all defense at its sole cost and expense and City shall approve selection of Contractor's counsel. This indemnity shall apply to all claims and liability regardless of whether any insurance policies are applicable. The policy limits do not act as a limitation upon the amount of indemnification to be provided by Contractor.

8. Workers Compensation Insurance
Pursuant to California Labor Code Section 1861, Contractor acknowledges awareness of Section 3700 et seq. of this Code, which requires every employer to be insured against liability for workers' compensation; Contractor covenants that it will comply with such provisions prior to commencing performance of the work hereunder.

Contractor shall obtain and furnish to City workers' compensation and employer's liability insurance in an amount of not less than the State statutory limits.

Contractor shall require all subcontractors to provide such workers' compensation and employer's liability insurance for all of the subcontractors' employees. Contractor shall furnish to City a certificate of waiver of subrogation under the terms of the workers' compensation and employer's liability insurance and Contractor shall similarly require all subcontractors to waive subrogation.

9. General Liability Insurance
In addition to the workers' compensation and employer's liability insurance and Contractor's covenant to defend, hold harmless and indemnify City, Contractor shall obtain and furnish to City, a policy of general public liability insurance, including motor vehicle coverage covering the Project/Service. This policy shall indemnify Contractor, its officers, employees and agents while acting within the scope of their duties, against any and all claims arising out of or in connection with the Project/Service, and shall provide coverage in not less than the following amount: combined single limit bodily injury and property damage, including products/completed operations liability and blanket contractual liability, of One Million Dollars ($1,000,000) per occurrence. If coverage is provided under a form which includes a designated general aggregate limit, 23-13803/324318 3
the aggregate limit must be no less than One Million Dollars ($1,000,000) per occurrence. If coverage is provided under a form which includes a designated general aggregate limit, the aggregate limit must be no less than One Million Dollars ($1,000,000) for this Project/Service. This policy shall name City, its officers, elected or appointed officials, employees, agents, and volunteers as Additional Insureds, and shall specifically provide that any other insurance coverage which may be applicable to the Project/Service shall be deemed excess coverage and that Contractor's insurance shall be primary.

Under no circumstances shall said above-mentioned insurance contain a self- insured retention, or a "deductible" or any other similar form of limitation on the required coverage.

10. Automobile Liability Insurance
Contractor shall obtain and furnish to City an automotive liability insurance policy covering the work performed by it hereunder. This policy shall provide coverage for Contractor's automotive liability in an amount not less than One Million Dollars ($1,000,000.00) per occurrence and a separate "Additional Insured Endorsement" page listing both the policy number and naming the "City of Huntington Beach, its officers, elected or appointed officials, employees, agents and volunteers" as additional insured on the endorsement. The above-mentioned insurance shall not contain a self-insured retention, "deductible" or any similar form of limitation on the required coverage except with the express written consent of City.

11. Certificate of Insurance
Prior to commencing performance of the work hereunder, Contractor shall furnish to City a certificate of insurance subject to approval of the City Attorney evidencing the foregoing insurance coverage as required by this Agreement; the certificate shall:
a. provide the name and policy number of each carrier and policy; b. state that the policy is currently in force; and
C. promise that such policy shall not be suspended, voided or canceled by either party, reduced in coverage or in limits except after thirty (30) days' prior written notice; however, ten (10) days' prior written notice in the event of cancellation for nonpayment of premium.

Contractor shall maintain the foregoing insurance coverage in force until the work under this Agreement is fully completed and accepted by City.

This requirement for carrying the foregoing insurance coverage shall not derogate from Contractor's defense, hold harmless and indemnification obligations as set forth in this Agreement. City or its representative shall at all times have the right to demand the original or a copy of the policy of insurance. Contractor shall pay, in a prompt and timely manner, the premiums on the insurance hereinabove required 23-13803/324318 4

12. Independent Contractor
Contractor is, and shall be, acting at all times in the performance of this Agreement as an independent contractor herein and not as an employee of City.

Contractor shall secure at its own cost and expense, and be responsible for any and all payment of all taxes, social security, state disability insurance compensation, unemployment compensation and other payroll deductions for Contractor and its officers, agents and employees and all business licenses, if any, in connection with the Project and/or the services to be performed hereunder.

13. Conflict of Interest
Contractor covenants that it presently has no interests and shall not have interests, direct or indirect, which would conflict in any manner with performance of services specified under this Agreement.

14. Termination
This Agreement may be terminated by the City upon thirty (30) days written notice of termination. In such event, Contractor shall be entitled to receive and the City shall pay Contractor compensation for all services performed by Contractor prior to receipt of such notice of termination, subject to the following conditions:
a. As a condition of such payment, the Director may require Contractor to deliver to the City all work product completed as of such date, and in such case such work product shall be the property of the City unless prohibited by law, and Contractor consents the City's use thereof for such purposes as the City deems appropriate.

Payment need not be made for work which fails to meet the standard of performance specified in the Recitals of this Agreement.

15. Exclusivity and Amendment
This Agreement represents the complete and exclusive statement between the City and Contractor, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terms of this Agreement and any attachments hereto, the terms of this Agreement shall prevail. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Contractor. The parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not bind or obligate Contractor or the City. Each party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any party, which are not embodied herein.
23-13803/324318 5

16. Assignment
Inasmuch as to this Agreement is intended to secure the specialized services of Contractor, Contractor may not assign, transter, delegate, or subcontract any interest herein without the prior written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the City's ability to have any of the services which are the subject to this Agreement performed by City personnel or by other Contractors retained by City.

17. City Employees and Officials
Contractor shall employ no City official nor any regular City employee in the work performed pursuant to this Agreement. No officer or employee of City shall have any financial interest in this Agreement in violation of the applicable provisions of the California Government Code.

18. Notices
Any notices, certificates, or other communications hereunder shall be given either by personal delivery to Contractor's agent (as designated in Section 1 hereinabove) or to City as the situation shall warrant, or by enclosing the same in a sealed envelope, postage prepaid, and depositing the same in the United States Postal Service, to the addresses below. City and Contractor may designate different addresses to which subsequent notices, certificates or other communications will be sent by notifying the other party via personal delivery, a reputable overnight carrier or U.S. certified U.S. certified mail-return receipt requested:

To City: Contractor:

City of Huntington Beach Excalibur Well Services Corporation Attn: Fire Chief Attn: Steve Martinez
2000 Main Street 22034 Rosedale Highway
Huntington Beach, CA 92648 Bakersfield, CA 93314

19. Consent
When City's consent/approval is required under this Agreement, its consent/approval for one transaction or event shall not be deemed to be a consent/approval to any subsequent occurrence of the same or any other transactions or event.

20. Modification
No waiver or modification of any language in this Agreement shall be valid unless in writing and duly executed by both parties.
23-13803/324318 6

21. Section Headings
The titles, captions, section, paragraph and subject headings, and descriptive phrases at the beginning of the various sections in this Agreement are merely descriptive and are included solely for convenience of reference only and are not representative of matters included or excluded from such provisions, and do not interpret, define, limit or describe, or construe the intent of the parties or affect the construction or interpretation of any provision of this Agreement.

22. Interpretation of this Agreement
The language of all parts of this Agreement shall in all cases be construed as a whole, according to its fair meaning, and not strictly for or against any of the parties. If any provision of this Agreement is held by an arbitrator or court of competent jurisdiction to be unenforceable, void, illegal or invalid, such holding shall not invalidate or affect the remaining covenants and provisions of this Agreement. No covenant or provision shall be deemed dependent upon any other unless so expressly provided here. As used in this Agreement, the masculine or neuter gender and singular or plural number shall be deemed to include the other whenever the context so indicates or requires. Nothing contained herein shall be construed so as to require the commission of any act contrary to law, and wherever there is any conflict between any provision contained herein and any present or future statute, law, ordinance or regulation contrary to which the parties have no right to contract, then the latter shall prevail, and the provision of this Agreement which is hereby affected shall be curtailed and limited only to the extent necessary to bring it within the requirements of the law.

23. Duplicate Original
The original of this Agreement and one or more copies hereto have been prepared and signed in counterparts as duplicate originals, each of which so executed shall, irrespective of the date of its execution and delivery, be deemed an original. Each duplicate original shall be deemed an original instrument as against any party who has signed it.

24. Immigration
Contractor shall be responsible for full compliance with the immigration and naturalization laws of the United States and shall, in particular, comply with the provisions of the United States Code regarding employment verification.

25. Legal Services Subcontracting Prohibited
Contractor and City agree that City is not liable for payment of any subcontractor work involving legal services, and that such legal services are expressly outside the scope of services contemplated hereunder. Contractor understands that pursuant to Huntington Beach City Charter Section 309, the City Attorney is the exclusive legal counsel for City; 23-13803/324318 7
and City shall not be liable for payment of any legal services expenses incurred by Contractor.

26. Confidentiality
Contractor recognizes that in the performance of its duties under this Agreement, it must conduct its activities in a manner designed to protect information of a sensitive nature from improper use or disclosure. Contractor warrants that it will use reasonable efforts consistent with practices customary in the facilities management industry in recruiting, training and supervising employees and in otherwise performing its duties hereunder in order to achieve this result. In the furtherance of this, Contractor agrees, at the request of the City, to require its employees to execute written undertakings to comply with the foregoing confidentiality provision.

27. Discrimination
Contractor shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, training, utilization, promotion, termination or other employment related activities. Contractor affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations.

28. Jurisdiction - Venue
This Agreement and all questions relating to its validity, interpretation, performance, and enforcement shall be government and construed in accordance with the laws of the State of California. This Agreement has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the State of California. Both parties further agree that Orange County, California, shall be the venue for any action or proceeding that may be brought or arise out of, in connection with or by reason of this Agreement.

29. Professional Licenses
Contractor shall, through the term of this Agreement, maintain all necessary licenses, permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State of California, the City of Huntington Beach and all other governmental agencies.

Contractor shall notify the City immediately and in writing of her inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement.
23-13803/324318 8

30. California Prevailing Wage Law
A. The City has ascertained from the Director of Industrial Relations of the State of California the general prevailing rate of per diem wages and the general prevailing rate for legal holiday and overtime work in the locality in which the work is to be performed for each craft or type of work needed to execute this Agreement, and the same has been set forth by 14 16-5195/City Funded Construction Contract.docx - revised 04/2016 resolution on file in the office of the City Clerk of City. Contractor and any subcontractor under it shall pay not less than said prevailing wage rates to all workers employed on this public works Agreement, as required by California Labor Code Sections 1771 and 1774. In accordance with the provisions of Section 3700 of the California Labor Code, Contractor agrees to secure payment of compensation to every employee. B.

Pursuant to this Agreement and in accordance with Section 1774 and 1775 of the California Labor Code, Contractor shall, as penalty to City, forfeit twenty-five dollars ($25) for each calendar day or portion thereof for each worker paid (either by Contractor or any of its subcontractors) less than the prevailing wage rate established for that particular craft or type of work.

31. Attorney's Fees
In the event suit is brought by either party to construe, interpret and/or enforce the terms and/or provisions of this Agreement or to secure the performance hereof, each party shall bear its own attorney's fees, such that the prevailing party shall not be entitled to recover its attorney's fees from the non-prevailing party.

32. Survival
Terms and conditions of this Agreement, which by their sense and context survive the expiration or termination of this Agreement, shall so survive.

33. Governing Law
This Agreement shall be governed and construed in accordance with the laws of the State of California.

34. Signatories
Each undersigned represents and warrants that its signature hereinbelow has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify City fully for any injuries or damages to City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn.

35. Entirety
(a) The parties acknowledge and agree that they are entering into this Agreement freely and voluntarily following extensive arm's length negotiation, and that 23-13803/324318 9
each has had the opportunity to consult with legal counsel prior to executing this Agreement. The parties also acknowledge and agree that no representations, inducements, promises, agreements or warranties, oral or otherwise, have been made by that party or anyone acting on that party's behalf, which are not embodied in this Agreement, and that that party has not executed this Agreement in reliance on any representation, inducement, promise, agreement warranty, fact or circumstance not expressly set forth in this Agreement.
(b) All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement.

36. Effective Date
IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by and through their authorized officers. This Agreement shall be effective on the date of its approval by the Mayor. This Agreement shall expire when terminated as provided herein.

CONTRACTOR CITY OF HUNTINGTON BEACH, a
EXCALIBUR WELL SERVICES, CORP. municipal corporation of the State of California
Mayor
Stephen Layton
Print name
ITS: (circle one) Chairman/President/ Chief Executive Officey Vice President
City Clerk
Gary L. Richardson INITIATED AND APPROVED:

By:

Print name
ITS: (circle one Secretary Chief Financial
Officer/Asst. Secretary-Treasurer
Fire Chief
APPROVED AS TO FORM:

COUNTERPART
23-13803/324318 10
each has had the opportunity to consult with legal counsel prior to executing this Agreement. The parties also acknowledge and agree that no representations, inducements, promises, agreements or warranties, oral or otherwise, have been made by that party or anyone acting on that party's behalf, which are not embodied in this Agreement, and that that party has not executed this Agreement in reliance on any representation, inducement, promise, agreement warranty, fact or circumstance not expressly set forth in this Agreement.

All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement.

36. Effective Date
IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by and through their authorized officers. This Agreement shall be effective on the date of its approval by the Mayor. This Agreement shall expire when terminated as CONTRACTOR CITY OF HUNTINGTON BEACH, a
EXCALIBUR WELL SERVICES, CORP. municipal corporation of the State of California
Shank
By:

Mayor
Print name
ITS: (circle one) Chairman/President/ Goden Istanislaw
Vice President
City Clerk 2/29/488
AND
By:_ INITIATED AND APPROVED:

Print name
ITS: (circle one) Secretary/Chief Financial
Officer/Asst. Secretary-Treasurer
Fire Chief
COUNTERPART APPROVED AS TO FORM:
police
23-13803/324318 10
REVIEWED AND APPROVED:

City Manager

COUNTERPART
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EXHIBIT "A"
A. STATEMENT OF WORK: (Narrative of work to be performed) See attached Exhibit A.

B. CONSULTANT'S DUTIES AND RESPONSIBILITIES:

SEE ATTACHED EXHIBIT A
C. CITY'S DUTIES AND RESPONSIBILITIES:

D. WORK PROGRAM/PROJECT SCHEDULE:
23-13803/324318

EXHIBIT A

RECALLE

WELA SERVICES CORP
Program Steps
Huntington Beach Field
Civic Center Lease
Civic Center 1
API # 04-059-02421
• Mobilize rig and all equipment to Civic Center 1.
• Move in rig up hoist, mud pump, 2.5 power swivel, storage tank, catch tank, pipe trailer, & BOPE.
• Monitor atmosphere for H2S, gases, and all other hazards. Monitor tubing and casing pressures. (Report to Company Representative).

NOTE: According to lease operator, all 3 wells have less than 20 psi.
• Install rod BOPE and function test (Report to Company Representative). Rig up rod equipment and lay down rod assembly on a trailer, so we may haul the rods off and properly dispose of. • Nipple up 8" 900 series BOPE (blow out prevention equipment) with accumulator and function test BOPE per CalGEM's
requirements. NOTE: Will nipple up BOPE onto an 8" non API well head. CalGEM to witness BOPE test.
• Pull out of hole with original production string. All tubing will be laid onto a pipe trailer and hauled off.
22034 Rosedale Highway, Bakersfield, CA 93314 Phone: 661.589.5338 Fax: 661.589.1089 • Run in hole with 7" all weight scraper to 2175' +/ with 2-7/8"

6.5# N-80 eue tubing.
• Run in hole with 7" 20/23# bridge plug to 2175' +/- with 2-7/8"

6.5# N-80 eue tubing. Set bridge plug @, 2175' +/- and pull out of hole with tubing assembly.
• Fill 7" casing with water and monitor well for any gases. Pressure test casing to 500 psi (Report to Company Representative). • Nipple down 6" 900 series BOPE.
• Cold cut 7" casing one foot below original well head and weld on 6" 900 series slip on well head flange. NOTE: Hot work permit will be required.
• Nipple up 6" 900 series BOPE (blow out prevention equipment) with accumulator and function test BOPE per CalGEM's
requirements (Report to Company Representative). CalGEM to witness BOPE test.
• Run in hole with 7" bridge plug retrieving tool and 2-7/8" tubing to top of bridge plug @ 2175' +/. Release bridge plug and monitor well pressure before attempting to pull out of hole (Report to Company Representative).
• Pull out of the hole with 7" bridge plug and 2-7/8" tubing assembly.
• Run in hole with 5-1/2" 15# casing spear, bumper sub, hydraulic jars, energizer, and 2-7/8" 6.5# N-80 eue tubing to the top of the 5- 1/2" 15# sleeve @ 2184'. Spear in to 5-1/2" casing and work 5- 1/2" casing sleeve free.
22034 Rosedale Highway, Bakersfield, CA 93314 Phone: 661.589.5338 Fax: 661.589.1089 • Pull out of hole with 5-1/2" 15# casing sleeve, 2-7/8" tubing assembly. Rig up 5-1/2" casing tongs and lay down 306' (7 or 8 sticks) of 5-1/2" 15# casing on a trailer, so we may haul the casing off and properly dispose of.
• Run in hole with 4-3/4" drill bit and 2-7/8" 6.5# N-80 eue tubing while possibly having to clean out from 2950' to 4003' (Report to Company Representative). NOTE: CalGEM to witness cleanout tag.
• Rig up wireline and install wireline 2M lubricator (function test).

Fill hole with water. Log (CBL) cased hole from cleanout depth to surface (Report to Company Representative). NOTE: Squeeze jobs may not be necessary based on CBL.
• Run in hole with 2-7/8" 6.5# N-80 eue open ended tubing to 4003' and rig up cement equipment. Pump class G cement from 4003' to 3403' in two 300' stages. NOTE: CalGEM to witness.
• Run in hole with 2-7/8" tubing and tag top of cement plug @ 3403' (CalGEM to witness). Rig up cement equipment and pump class G cement from 3403' to 2803' in two 300' stages. NOTE: CalGEM to witness.
• Run in hole with 2-7/8" tubing and tag top of cement plug @ 2803' (CalGEM to witness). Rig up cement equipment and pump class G cement from 2803' to 2490' in one stage. NOTE: CalGEM to witness.
• Run in hole with 2-7/8" tubing and tag top of cement plug @ 2490' (CalGEM to witness). Rig up cement equipment and pump class G cement from 2490' to 2355' in one stage. NOTE: CalGEM to witness.
22034 Rosedale Highway, Bakersfield, CA 93314 Phone: 661.589.5338 Fax: 661.589.1089 • Run in hole with 2-7/8" tubing and tag top of cement plug @ 2355' (CalGEM to witness). Rig up cement equipment and pump class G cement from 2355' to 1800' in two 277.5' stages. NOTE: CalGEM to witness.
• Run in hole with 2-7/8" tubing and tag top of cement plug @ 1800' (CalGEM to witness). Rig up cement equipment and pump class G cement from 1800' to 1400' in one stage. NOTE: CalGEM to witness.
• Run in hole with 2-7/8" tubing and tag top of cement plug @ 1400' (CalGEM to witness). Pump 52 barrels of 73# 26 shear
abandonment mud. Abandonment will be placed from 1400' to 150' from surface. NOTE: CalGEM to witness.
• Rig up wireline and install wireline 2M lubricator (function test).

Perforate 4 half inch holes per foot from 150' to 145' , 20 total shots. (Report to Company Representative).
• Run in hole with 2-7/8" tubing to 150'. Rig up cement equipment and pump class G cement from 150' to surface (inside and outside of casing. NOTE: CalGEM and Huntington Beach Fire
Department to witness.
• Nipple down 8" 900 series BOPE and secure well. Rig down hoist and rig out all equipment.
• Witness cement at surface, perform leak test (?), cut casing between 5' and 10' from surface grade, tac weld metal top plate onto casing with required information, install vent cone and complete surface restoration (restore job sit). NOTE: CalGEM and Huntington Beach Fire Department to witness. "Job Complete" 22034 Rosedale Highway, Bakersfield, CA 93314 Phone: 661.589.5338 Fax: 661.589.1089 Location Layout
Civic Center 1 - 04-059-02421
Excalibur's Best Practice is Right in / Right out when arriving and departing location.

Yorktown Ave
First Choice Entrance/Exit
steve Rasnome state
Yor town Ave Fant Ansurance Agent
Union Ave
Primary
Safe
Meeting YorktownrAver as
Area
Secondary
Safe Meeting
Lake Sta
CrEE
·1970
Park St
Secondary Choice Entrance/Exit Park St
(Safe Meeting areas and Entrances may change due to well, site, and safety considerations) Proposed Equipment Layout
Civic Center 1 - 04-059-02421
Union Ave ktown Ave Yorktown Ave
Yorkown Aye,
Union Aver
Yorktown Ave
Union Ave «Yorktown Ave
WATER TANK CATCH TANK SCIRCUTATING PUMP.

JUNK

IPE TRAI
Google
Haul Route
Excalibur Well Service Satellite Yard to Civic Center 1 (24 miles)
racypress VIAT
california Costco Wholesale
Stanton
University
Tona Beac
39-
Rossmoor
WESTEGARDEN:
of Latiny old Raneny country club
(MOLAA) 22 405E 22-
ong Beach
nster Mal
Wildlife ray city
Refuge
42 min

24.7 miles
Los Angeles
Harbor Lighthouse Bolsa Cnica
State. Beach Central Pa
Patriot Pol
T Head west toward S Main St 50 ft / Keep right to stay on Exit 18 follow signs for Bolsa Ave Golden West College 0.2 mi
~Turn right onto main st 0.2mi
Turn left onto Westminster Mall 350ft
Turn right onto E Sepulveda Blvd 1.2mi
Turn right onto Goldentwest St 4.6
•Turn left onto S Wilmington Ave 1.4
* Turn left onto Yorktown Ave 0.4ml
~ Turn right onto the 1-405 S ramp 0.2
Turn right onto Union Ave 50ft
A Merge onto 1-405 S
Huntington Beach Civic Center
*Keep left at the fork to stay on 1-405 $ 2.9
2000 Main St
Take exit 18 for Bolsa Ave toward
Huntington Beach, Ca.

Goldenwest St 0.1 mi
Emergency Route
Civic Center 1 to nearest Hospital
(2.5 mile)
T Exit location head Northeast on Union Ave toward Yorktown Ave 50ft Turn right onto Yorktown Ave 0.6mi
* Turn left onto Beach Blvd 150ft
Turn right Ronald Dr 135ft
~ Turn right 171ft
7 Turn left 410ft
Turn left 207ft
~ Turn right 167ft
Huntington Beach Hospital - HB Hospital
17772 Beach Blvd, Huntington Beach, Ca. 92647
Route for First Aid
Civic Center 1 to CareOnSite
(25.7 miles)
REonsite o us Ceny Fami
- Rancho
22 Beach
- 30 min

25.7 miles
6 39 min
268 mies
* 41 min
mington Beat

27.3 miles
Los Angeles
Harbor Lighthouse Bolsa Chioes
State Beach
Fast mars 5:0w
T Exit location head Northeast on Union Ave •Turn right onto W Del Amo Blvd 0.3 toward Yorktown Ave 50ft
~Turn right 100ft
~Turn right onto Yorktown Ave 0.6mi
Turn left 150ft
* Turn left onto Beach Blvd 3.7mi
Turn right onto the 1-405 N ramp 0.6ft CareOnSite
20300c S Vermont Ave, Torrace CA 90502
R Merge onto 1-405 N 5.9mi
* Keep left to stay on 1-405 N 14mi
Take exit 36 for Main St 0.3mi
Turn left onto Figueroa St 0.7mi

RECALIB
WELL. SERVICES CORP
Program Steps
Huntington Beach Field
Civic Center Lease
Civic Center 2
API # 04-059-02447
• Mobilize rig and all equipment to Civic Center 2.
• Move in rig up hoist, mud pump, 2.5 power swivel, storage tank, catch tank, pipe trailer, & BOPE.
• Monitor atmosphere for H2S, gases, and all other hazards. Monitor tubing and casing pressures. (Report to Company Representative).

NOTE: According to lease operator, all 3 wells have less than 20 psi.
• Install rod BOPE and function test (Report to Company Representative). Rig up rod equipment and lay down rod assembly on a trailer, so we may haul the rods off and properly dispose of. • Nipple up 10" 900 series BOPE (blow out prevention equipment) with accumulator and function test BOPE per CalGEM's
requirements. NOTE: CalGEM to witness.
• Pull out of hole with original production string. All tubing will be laid onto a pipe trailer and hauled off.
22034 Rosedale Highway, Bakersfield, CA 93314 Phone: 661.589.5338 Fax: 661.589.1089 • Run in hole with 7-5/8" drill bit, four 4-3/4" drill collars, and 2- 7/8" 6.5# N-80 eue tubing to top of 8-5/8" 32/36# casing stub @ 2550' . Enter 8-5/8" casing and continue running in hole to top of cement plug @ 2732'. Rig up 2.5 power swivel, break circulation with working mud, and clean out from 2732' to 2750'. Cement plug and wood plug from 2732' to 2750'. Cavity shot from 2743' to 2750'. Continue running in hole to top of 6-5/8" 26# casing stub @3265'. • (Report to Company Representative).
• Run in hole with 5-5/8" drill bit, four 4-3/4" drill collars, and 2- 7/8" 6.5# N-80 eue tubing to top of cement and wooden plug @ 3243'. . Rig up 2.5 power swivel, break circulation with working my, and clean out from 3243' to 3265'. Tag 6-5/8" 26# casing stub @3265' '. Enter 6-5/8" casing and continue running in hole while cleaning out to top of cement plug @ 3442' (Report to Company Representative).
• Rig up wireline and install 2M lubricator (function test). Fill hole with water. Log (CBL) cased hole from cleanout depth to surface (Report to Company Representative). NOTE: Squeeze jobs may be necessary based on top of USDW and Br W, according to
estimated top of cement outside 11-3/4" casing.
• Run in hole with 2-7/8" 6.5# N-80 eue open ended tubing to 3442' and rig up cement equipment. Pump class G cement from 3442' to 3165' in one stage (estimated 100' on top of 6-5/8" stub). NOTE:

CalGEM to witness.
• Run in hole with 2-7/8" tubing and tag top of cement plug @ 3165' (CalGEM to witness). Rig up cement equipment and pump class G cement from 3165' to 2732' in two 216.5' stages. NOTE: CalGEM to witness.
22034 Rosedale Highway, Bakersfield, CA 93314 Phone: 661.589.5338 Fax: 661.589.1089 • Run in hole with 2-7/8" tubing and tag top of cement plug @ 2732' (CalGEM to witness). Rig up cement equipment and pump class G cement from 2732' to 2450' in one stage (estimated 100' on top of 8-5/8" stub). NOTE: CalGEM to witness.
• Run in hole with 2-7/8" tubing and tag top of cement plug @ 2450' (CalGEM to witness). Pressure test casing to 500 psi. Rig up cement equipment and pump class G cement from 2450' to 2030' in one stage (estimated top of cement on the outside of the 11-3/4" casing. NOTE: CalGEM to witness.
• Rig up wireline and install wireline 2M lubricator (function test).

Perforate 4 half inch holes per foot from 1900' to 1895', 20 total shots (Report to Company Representative). CalGEM to witness. • Run in hole with 2-7/8" tubing and tag top of cement plug @, 2030' (CalGEM to witness). Rig up cement equipment and pump class G cement from 2030' to 1800' in one stage. Braden head squeeze 100 linear feet outside 11-3/4" casing. NOTE: CalGEM to witness. • Rig up wireline and install wireline 2M lubricator (function test).

Perforate 4 half inch holes per foot from 1500' to 1495', 20 total shots (Report to Company Representative). CalGEM to witness. • Run in hole with 2-7/8" tubing and tag top of cement plug @ 1800' (CalGEM to witness). Rig up cement equipment and pump class G cement from 1800' to 1400' in one stage. Braden head squeeze 100 linear feet outside 11-3/4" casing. NOTE: CalGEM to witness. • Run in hole with 2-7/8" tubing and tag top of cement plug @ 1400' (CalGEM to witness). Pump 150 barrels of 73# 26 shear
abandonment mud. Abandonment mud will be placed from 1400' to 150' from surface. NOTE: CalGEM to witness.
22034 Rosedale Highway, Bakersfield, CA 93314 Phone: 661.589.5338 Fax: 661.589.1089 • Rig up wireline and install wireline 2M lubricator (function test).

Perforate 4 half inch holes per foot from 150' to 145', , 20 total shots. (Report to Company Representative).
• Run in hole with 2-7/8" tubing to 150'. Rig up cement equipment and pump class G cement from 150' to surface (inside and outside of casing. NOTE: CalGEM and Huntington Beach Fire
Department to witness.
• Nipple down 10" 900 series BOPE and secure well. Rig down hoist and rig out all equipment.
• Witness cement at surface, perform leak test (?), cut casing between 5' and 10' from surface grade, tac weld metal top plate onto casing with required information, install vent cone and complete surface restoration (restore job sit). NOTE: CalGEM and Huntington Beach Fire Department to witness. "Job Complete" 22034 Rosedale Highway, Bakersfield, CA 93314 Phone: 661.589.5338 Fax: 661.589.1089 Location Layout
Civic Center 2 - 04-059-02447
Excalibur's Best Practice is Right in / Right out when arriving and departing location.

My park at
HEATInGtON
First Choice Entrance/Exit
Yorktown Ave Yorktown Ave
Yorktown
Yorktown Ave
Primary,
Safe
Meeting: Secondary Choice Entrance/Exit
Area
Secondary. Yorktown Ave st
Safe Meeting
Huntington Bch City Ha -Yorktown Ad
Unlon. Union Ave
(Safe Meeting areas and Entrances may change due to well, site, and safety considerations) Proposed Equipment Layout
Civic Center 2 - 04-059-02447
Yorktown Ave
Yorktown Ave
Vorktown Ave Yorktown Ave
Yorktown Ave
Yorktown Ave Yorktown Ave
CATCH TANK T CIRCULATING PUMP: Yorktown Ave

TRAILER
Union Ave Union Ave Union Ave
Haul Route
Excalibur Well Service Satellite Yard to Civic Center 2 (24 miles)

HEIOHTS
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Dojaso Najure Cen
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State
university
Long Beach
Museum of Latini cold Rang country club
merican Art MOLAA 2220
- 22
a Long Beach
текма
Nationa
Wildlife id way city
Refuge
Seabrage Costco
- 42 min

24.7 miles
Los Angeles
Harbor Lighthouse. Bolsa Chioa
State Beach
Patriot Poli
1 Keep right to stay on Exit 18 follow signs
for Bolsa Ave Golden West College 0.2 ml
T Head west toward S Main St 50 ft •Turn left onto Westminster Mall 350ft Turn right onto main st 0.2ml Turn right onto Goldentwest St 4.6 Turn right onto E Sepulveda Bivd 1,2mi * Turn left onto Yorktown Ave 0.4ml 7 Turn left onto 5 Wilmington Ave 1.4 Turn right onto Union Ave 150ft ~ Turn right onto the 1-405 S ramp 0.2 Turn right left
* Merge onto 1-405 S
Keep left at the fork to stay on 1-405 S 2.9 Huntington Beach Civic Center P'Take exit 18 for Bolsa Ave toward 2000 Main St
Goldenwest St 0.1 mi Huntington Beach, Ca.

Emergency Route
Civic Center 2 to nearest Hospital
(2.5 mile)
T Exit location head south towards Union Ave toward Yorktown Ave 100ft * Turn left onto Union Ave 100ft
Turn right onto Yorktown Ave 0.6mi
* Turn left onto Beach Blvd 1.7mi
~Turn right Ronald Dr 150ft
~ Turn right 150ft
* Turn left 400ft
Turn left 200ft
~ Turn right 150ft
Huntington Beach Hospital - HB Hospital
17772 Beach Blvd, Huntington Beach, Ca. 92647
Route for First Aid
Civic Center 1 to CareOnSite
(25.7 miles)
sitero
imo Latin! BEASTSIDE

CO BUSIN
Beac
• 36 min

25.7 mies
39 min
i & mées
ed 41 min

27.3 miles
* LOs Angeles
Harbor Lighthouse Bolsa Chica
State Beach
T T Exit location head south towards Union Ave ~Turn right onto W Del Amo Blvd 0.3 toward Yorktown Ave 100ft
Turn right 100ft
Turn right onto Union Ave 250ft
Turn left 150ft
Turn right onto Huntington Beach City Hall 250ft
Turn left onto Yorktown Ave 0.3mi CareOnSite
20300c S Vermont Ave, Torrace CA 90502
~ Turn right onto Goldenwest st 4.7mi
Use the right lane to take 1-405 N ramp 0.3
* Merge onto 1-405 N 14mi
* Keep left to stay on 1-405 N 14mi
/Take exit 36 for Main St 0.3mi
Turn left onto Figueroa St 0.7mi
a
WAJ.SERVICES CORP
Program Steps
Huntington Beach Field
Civic Center Lease
Civic Center 3
API # 04-059-02422
• Mobilize rig and all equipment to Civic Center 3.
• Move in rig up hoist, mud pump, 2.5 power swivel, storage tank, catch tank, pipe trailer, & BOPE.
• Monitor atmosphere for H2S, gases, and all other hazards. Monitor tubing and casing pressures. (Report to Company Representative).

NOTE: According to lease operator, all 3 wells have less than 20 psi.
• Install rod BOPE and function test (Report to Company Representative). Rig up rod equipment and lay down rod assembly on a trailer, so we may haul the rods off and properly dispose of. • Nipple up 8" 900 series BOPE (blow out prevention equipment) with accumulator and function test BOPE per CalGEM's
requirements. NOTE: CalGEM to witness.
• Pull out of hole with original production string. All tubing will be laid onto a pipe trailer and hauled off.
• Run in hole with 4-3/4" drill bit, four 3-1/8" drill collar, and 2-7/8"

6.5# N-80 eue tubing and clean out to top of 2-7/8" inner liner @ 22034 Rosedale Highway, Bakersfield, CA 93314 Phone: 661.589.5338 Fax: 661.589.1089 2345' . NOTE: Inner liner must come out before cementing the holes from 2345' to 2304' due to possibility of not being able to recover/fish inner liner.
• Run in hole with 4-11/16" overshot, four 3-1/8" drill collars, 3- 1/8" hydraulic jars, energizer, and 2-7/8" 6.5# N-80 eue tubing to top of 2-7/8" inner liner @ 2345'. Engage onto 2-7/8" inner liner and work free. Pull out of hole with 2-7/8" inner liner and lay down 306' of 2-7/8" tubing (10 joints) (Report to Company Representative).
• Run in hole with 4-3/4" drill bit, four 3-1/8" drill collar, and 2-7/8"

6.5# N-80 eue tubing and clean out to top of 2-3/8" fish @ 3654'. • Run in hole with 4-11/16" overshot, four 3-1/8" drill collars, 3- 1/8" hydraulic jars, energizer, and 2-7/8" 6.5# N-80 eue tubing to top of 2-3/8" fish @ 3654'. Engage onto 2-3/8" fish and work free.

Pull out of hole with 2-3/8" fish and lay down 346' of 2-3/8" tubing (11 joints) (Report to Company Representative).
• Run in hole with 4-3/4" drill bit and 2-7/8" 6.S# N-80 eue tubing and clean out to 4094'. NOTE: CalGEM to witness.
• Rigup wireline and install 2M lubricator (function test). Fill hole with water. Log (CBL) cased hole from cleanout depth to surface (Report to Company Representative).
• Run in hole with 2-7/8" 6.5# N-80 eue open ended tubing to 4094' and rig up cement equipment. Pump class G cement from 4094' to 3494' in two 300' stages. NOTE: CalGEM to witness.
• Run in hole with 2-7/8" tubing and tag top of cement plug @ 3494' (CalGEM to witness). Rig up cement equipment and pump class G 22034 Rosedale Highway, Bakersfield, CA 93314 Phone: 661.589.5338 Fax: 661.589.1089 cement from 3494' to 2894' in two 300' stages. NOTE: CalGEM to witness.
• Run in hole with 2-7/8" tubing and tag top of cement plug @2894' (CalGEM to witness). Rig up cement equipment and pump class G cement from 2894' to 2399' in two 247.5' stages. NOTE: CalGEM to witness.
• Run in hole with 2-7/8" tubing and tag top of cement plug @ 2399' (CalGEM to witness). Pressure test casing to 500 psi. Rig up cement equipment and pump class G cement from 2399' to 1799° in two 300' stages. NOTE: CalGEM to witness.
• Run in hole with 2-7/8" tubing and tag top of cement plug @ 1799' (CalGEM to witness). Rig up cement equipment and pump class G cement from 1799' to 1315' in two 242' stages. NOTE: CalGEM to witness.
• Run in hole with 2-7/8" tubing and tag top of cement plug @ 1315' (CalGEM to witness). Pump 46 barrels of 73# 26 shear
abandonment mud. Abandonment mud will be placed from 1315' to 150' from surface. NOTE: CalGEM to witness.
• Rig up wireline and install wireline 2M lubricator (function test).

Perforate 4 half inch holes per foot from 150' to 145', 20 total shots. (Report to Company Representative).
• Run in hole with 2-7/8" tubing to 150'. Rig up cement equipment and pump class G cement from 150' to surface (inside and outside of casing. NOTE: CalGEM and Huntington Beach Fire
Department to witness.
• Nipple down 8" 900 series BOPE and secure well. Rig down hoist and rig out all equipment.
22034 Rosedale Highway, Bakersfield, CA 93314 Phone: 661.589.5338 Fax: 661.589.1089 • Witness cement at surface, perform leak test (?), cut casing between 5' and 10' from surface grade, tac weld metal top plate onto casing with required information, install vent cone and complete surface restoration (restore job sit). NOTE: CalGEM and Huntington Beach Fire Department to witness. "Job Complete" 22034 Rosedale Highway, Bakersfield, CA 93314 Phone: 661.589.5338 Fax: 661.589.1089 Location Layout
Civic Center 3 - 04-059-02422
Excalibur's Best Practice is Right in / Right out when arriving and departing location. ain St
Main St
Main St First Choice Entrance/ Exit,
Yorktown Ave Yorktown Ave,
Primary
Safe
Corporate Yatd
Temporally closed Meeting
Area
Main St
Main St.

Huntington Bch City Hall
Secondary
Safe Meeting
TUnion Aves Union Ave
(Safe Meeting areas and Entrances may change due to well, site, and safety considerations) Proposed Equipment Layout
Civic Center 3 - 04-059-02422
- Yorktown Ave Yorktown Ave Yorktown Ave - Yorktown Ave Yorktown Ave

CATCH TANK JUNK RASKET

NATER TANK CIRCULATING PUMP
Siy
PIPE TRAILER 5)
Huntington Beh City Hall
Google
Haul Route
Excalibur Well Service Satellite Yard to Civic Center 3 (24 miles)
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HEIGH
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State, it Star
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The Queen
Westminster, Mall
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Wildlife Midway City
Refuge
Seabridge Pk n CostcO Hunting

COOLDENWE
Car 42 min

24.7 miles
Los Angeles
Harbor Lighthouse Bolsa Chica
State Beac luntington Central P
Patriot Pol
/ Keep right to stay on Exit 18 follow signs
for Bolsa Ave Golden West College 0.2 mi
T Head west toward S Main St 50 ft Turn left onto Westminster Mall 350ft •Turn right onto main st 0.2mi Turn right onto Goldentwest St 4.6 •Turn right onto E Sepulveda Blvd 1.2mi * Turn left onto Yorktown Ave 0.4mi Turn left onto S Wilmington Ave 1.4 *Turn right onto Huntington Beach City Hall 50ft
~ Turn right onto the I-405 S ramp 0.2
Huntington Beach Civic Center
* Merge onto 1-405 S
2000 Main St
Keep left at the fork to stay on 1-405 $ 2.9
Huntington Beach, Ca.
/Take exit 18 for Bolsa Ave toward
Andoniest st n 1 mi
Emergency Route
Civic Center 3 to nearest Hospital
(2.2 mile)
T Exit location head north on Huntington Beach City Hall towards Yorktown Ave 50ft
5 Turn left onto Yorktown Ave 300ft
~ Turn right onto Main St 1.3mi
• Turn left onto Beach Blvd 0.7mi
Turn right Ronald Dr 150ft
~ Turn right 150ft
* Turn left 400ft
Turn left 200ft
~ Turn right 150ft
Huntington Beach Hospital - HB Hospital
17772 Beach Blvd, Huntington Beach, Ca. 92647
Route for First Aid
Civic Center 1 to CareOnSite
(25 miles)
ong Beacl
€ 36 min

25.7 miles
339 min
It emica
• 41 min

27.3 milec
Los Angeles
Harbor Lighthouse; Bolsa Chica:

State Beac
T Exit location head north on towards Huntington Turn right onto W Del Amo Blvd 0.3 Beach City Hall towards Yorktown Ave 50ft
Turn right 100ft
Turn left onto Yorktown Ave 0.3mi
Turn left 150ft
• Turn right onto Goldenwest st 4.7mi
CareOnSite
rUse the right lane to take 1-405 N ramp 0.3 20300c S Vermont Ave, Torrace CA 90502 * Merge onto 1-405 N 14mi
* Keep left to stay on 1-405 N 14mi
Take exit 36 for Main St 0.3mi
Turn left onto Figueroa St 0.7mi
EXHIBIT "B"
Payment Schedule (Hourly Payment)
A. Hourly Rate
CONSULTANT'S fees for such services shall be based upon the following hourly rate and cost schedule:

SEE ATTACHED EXHIBIT B
B. Travel Charges for time during travel are not reimbursable.

C. Billing

1. All billing shall be done monthly in fifteen (15) minute increments and matched to an appropriate breakdown of the time that was taken to perform that work and who performed it.

2. Each month's bill should include a total to date. That total should provide, at a glance, the total fees and costs incurred to date for the project.

A copy of memoranda, letters, reports, calculations and other documentation prepared by CONSULTANT may be required to be submitted to CITY to demonstrate progress toward completion of tasks. In the event CITY rejects or has comments on any such product, CITY shall identify specific requirements for satisfactory completion.

4. CONSULTANT shall submit to CITY an invoice for each monthly payment due. Such invoice shall:

A) Reference this Agreement;
B) Describe the services performed;
Show the total amount of the payment due;
Include a certification by a principal member of CONSULTANT's firm that the work has been performed in accordance with the provisions of this Agreement; and
E) For all payments include an estimate of the percentage of work completed.

Upon submission of any such invoice, if CITY is satisfied that CONSULTANT is making satisfactory progress toward completion of tasks in accordance with this Agreement, CITY shall approve the invoice, in which event payment shall be made within thirty (30) days of receipt of the invoice by CITY. Such approval shall not be unreasonably withheld. If CITY does not approve an invoice, CITY shall notify CONSULTANT in writing of the reasons for non-approval and the schedule of performance set 23-13803/324318 12
forth in Exhibit "A" may at the option of CITY be suspended until the parties agree that past performance by CONSULIAN! Is in, or has been brought into compliance, or until this Agreement has expired or is terminated as provided herein.

Any billings for extra work or additional services authorized in advance and in writing by CITY shall be invoiced separately to CITY. Such invoice shall contain all of the information required above, and in addition shall list the hours expended and hourly rate charged for such time. Such invoices shall be approved by CITY if the work performed is in accordance with the extra work or additional services requested, and if CITY is satisfied that the statement of hours worked and costs incurred is accurate. Such approval shall not be unreasonably withheld. Any dispute between the parties concerning payment of such an invoice shall be treated as separate and apart from the ongoing performance of the remainder of this Agreement. 23-13803/324318 13

EXHIBIT B
Civic Center 1 - API 04-059-02421 Estimated Rig Days to Complete Abandonment:_17 (Include all taxes, surcharges, chargebacks to be added to 3d party invoices) (Bidders may use their own form, but it must be as detailed / more detailed than this form) Service Unit Unit Cost Units Estimated
Cost
Rig and Crew (specify staffing) Hour $999 500
1 Operator & 2 hands $699.00 138 $96,462.00
Rig Safety Anchors Job N/A N/A N/A
Power Swivel Monthly $5,000.00 I $5,000.00
BOPE (specify equipment) Monthly
6"900 series $8,200.00
$8,200.00
Mud Pump Monthly $10,000.00 $10,000.00
1 Lump Sum
scraper, travel time and service and for 2 days Monthly $9,750.00 1 $9,750.00 Mobilization Fee $8,000.00 $8,000.00
Diesel for equipment Gallon $9.00 per gallon 138 $1,242.00 Work String Inspection Per Foot N/A N/A N/A
Work String Rental (specify equipment) Per Foot / Day
27/8 N 80 tubing $0.30 34,000 $10,200.00
Packers (specific sizes to be used) Job
7" 20#-23# bridge plug to $9,500.00 1 $9,500.00
install new well head
Surface Equipment (specify)
Private Fencing Month $2,500.00 1 $2,500.00
Abandonment Mud / working mud Barrel $23.00 265 $6,095.00 Trash Container Monthly N/A N/A
Cement Bond Log Job $10,000.00 $10,000.00
Perforating Job Job $10,000.00 $10,000.00
City Water Gallon $0.18 16,800 $3,024.00
Cement Bulk Truck Hour $170.00 55 $9,350.00
Cement Pump Truck Hour $590.00 35 $20,650.00
Cement (detail cement and additives) Cubic Foot
Class G Cement $17.00 507 $8,619.00
Tank Rentals / storage tank & catch tank Monthly $1,000.00 $1,000.00 Vacuum Trucks Hour $232.00 100 $23,200.00
Mud / Fluid Disposal (end of job) Barrel $23,00 $12,512.00 Cellar / Pad Removal / Site Restoration Job $35,871.00 517357800 $35,871.00 Administrative Cost/ only on Excalibur invoices Job 6% $10,420.00 Site Security Monthly $3,800.00 $3,800.00
Porta Potty Rental Monthly $200.00 $200.00
Rig Supervision Day / Shift $1,200.00 $20,400.00
Rig Crew Per Diem Day / Employee $600.00 17 $10,200.00
Cement Supervision Day / Shift $1,200.00 $8,400.00
Cement Crew Per Diem Day / Employee $600.00 $4,200.00
Rig Standby Charges ony f the re is down monday -fide (detail) 4 hrs a day at $699.00 Totals $ 358,795.00

BEST AND FINAL

IN UPDATED

DOCUMENT
Civic Center 2 - API 04-059-02447 Estimated Rig Days to Complete Abandonment:_16 (Include all taxes, surcharges, chargebacks to be added to 3d party invoices) (Bidders may use their own form, but it must be as detailed / more detailed than this form) Service Unit Unit Cost Units Estimated
Cost
Rig and Crew (specify staffing) Hour
$699.00 126 $88,074.00
Rig Safety Anchors Job N/A N/A
Power Swivel Monthly $5,000.00 $5,000.00
BOPE (specify equipment) Monthly
10" 900 Series $8,200.00 $8,200.00
Mud Pump Monthly $10,000.00 1 $10,000.00
Bottom Hole Assembly (specify equip) Job
6 1/8 bit, 4 3/4 bit & 4- 4 3/4 drill collar package
$5,160.00 1 $5,160.00
Mobilization Fee/ move rig to next location Job $5,000.00 1 $5,000.00 Diesel for equipment Gallon $9.00 126 $1,134.00
Work String Inspection Per Foot N/A N/A N/A
Work String Rental (specify equipment) Per Foot / Day
27/8 N80 Tubing
$0.30 30,000 $9,000.00
Packers (specific sizes to be used) Job
_N/A N/A N/A
Surface Equipment (specify)
Private Fencing Month $2,500.00 1 $2,500.00
Abandonment Mud / Working Mud Barrel $23.00 572 $13,156.00 Trash Container Monthly N/A N/A N/A
Cement Bond Log Job $10,00.00 $10,000.00
Perforating Job Job $30,000.00 $30,000.00
City Water Gallon $0.18 16,800 $3,024.00
Cement Bulk Truck Hour $170.00 75 $12,750.00
Cement Pump Truck Hour $590.00 40 $23,600.00
Cement (detail cement and additives) Cubic Foot
Class G Cement $17.00 1,387 $23,579.00
Tank Rentals / Storge & catch tank Monthly $1,000.00 $1,000.00 Vacuum Trucks Hour $232.00 $20,880.00
Mud / Fluid Disposal (end of job) Barrel $23.00 $21,252.00 Çellar / Pad Removal / Site Restoration Job $38,896.00 $38,896.00 Administrative Cost / Only on Excalibur Invoices Job 6% $191,647.00 $11,498.00 Site Security Monthly $33,800.00 $3,800.00
Porta Potty Rental Monthly $200.00 $200.00
Rig Supervision Day / Shift $1,200.00 16 $19,200.00
Rig Crew Per Diem Day / Employee $600.00 16 $9,600.00
Cement Supervision Day / Shift $1,200.00 $8,400.00
Cement Crew Per Diem Day / Employee $600.00 7 $4,200.00 (detail) 4 hrs a day at $699.00
RolaStandby Charge on the on monday iday $389,103.00

BEST AND FINAL

IN UPDATED

DOCUMENT
Civic Center 3 - API 04-059-02422 Estimated Rig Days to Complete Abandonment: 16 (Include all taxes, surcharges, chargebacks to be added to 3d party invoices) (Bidders may use their own form, but it must be as detailed / more detailed than this form) Service Unit Unit Cost Units Estimated
Cost
Rig and Crew (specify staffing) Hour
$699.00 128
$89,472.00
Rig Safety Anchors Job N/A NA N/A
Power Swivel Monthly $5,000.00 1 $5,000.00
BOPE (specify equipment) Monthly
6"900 Series
$8,200.00 1 $8,200.00
Mud Pump Monthly $10,000.00 $10,000.00
Bottom Hole Assembly (specify equip) Job
4 3/4" bit, 4- 3 1/8" Drill Collar package 4 11/16"
Block, a03/ a coneave mil 8 service maes, impression
$20,227.00 $20,227.00
Mobiliation Fee/ Back to yard Job $10,000.00 $10,000.00 Diesel for equipment Gallon $9.00 128 $1,152.00
Work String Inspection Per Foot $1.30 4094 $5,322.00
Work String Rental (specify equipment) Per Foot / Day
$0.30 32087 $9,626.00
Packers (specific sizes to be used) Job

N/A N/A
N/A
Surface Equipment (specify)
Private Fencing Month $2,500.00 1 $2,500.00
Abandonment Mud/ Working Mud Barrel $23.00 261 $6,003.00 Trash Container Monthly N/A N/A N/A
Cement Bond Log Job $10,000.00 1 $10,000.00
Perforating Job Job $10,000.00 1 $10,000.00
City Water Gallon $0.18 16,800 $3,024.00
Cement Bulk Truck Hour $170.00 45 $7,650.00
Cement Pump Truck Hour $590.00 30 $17,700.00
Cement (detail cement and additives) Cubic Foot
Class G Cement $17.00 535 $9,095.00
Tank Rentals Monthly N/A N/A N/A
Vacuum Trucks Hour $232.00 90 $20,880.00
Mud / Fluid Disposal (end of job) Barrel $23.00 490 $11,270.00 Cellar / Pad Removal / Site Restoration Job $38,896.00 $38,896.00 Administrative Cost / Oniy on Excalibur Invoices Job 6% S204,25220 $12,255.00 Site Security Monthly $3,800.00 $3,800.00
Porta Potty Rental Monthly $200.00 1 $200.00
Rig Supervision Day / Shift $1,200.00 16 $19,200.00
Rig Crew Per Diem Day / Employee $600.00 16 $9,600.00
Cement Supervision Day/ Shift $1,200.00 $7,200.00
Cement Crew Per Diem Day / Employee $600.00 $3,600.00
Rig Standby Charges/ Only i the rig is down monday - friday (detail) 4 hrs a day @ 5699.00 Totals $351,872.00

BEST AND FINAL

IN UPDATED

DOCUMENT
ACORD® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/ODYYYY) 2/20/2024
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(ies) must have ADDITIONAL INSURED provisions or be endorsed.

I 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).

INpower Global Insurance Services, LLC
INpower Global Insurance Services, LLC PHONE 949-600-7995 (AC, No): 949-600-7998 999 Corporate Drive, Suite 100 JA/C. No. Exti:

E-MAIL
Ladera Ranch, CA 92694 ADDRESS:

INSURERS) AFFORDING COVERAGE NAIC #
www.INpowerGlobal.com CA DOI License No. 6003712 INSURERA: Starr Indemnity & Liability Company 38318 INSURED 13604
INSURER B: Starr Surplus Lines Insurance Company
Excalibur Well Services, Inc. INSURER G: Certain Underwriters at Lloyd's London 11150 22034 Rosedale Hwy
Bakersfield CA 93314 INSURER D: Starr Indemnity & Liability Company 38318 INSURER E: Arch Specialty Insurance Company 21199
INSURER F: AXIS Surplus Insurance Company 26620
COVERAGES CERTIFICATE NUMBER: 78700527 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

LIRI TYPE OF INSURANCE INSD WYD OLICY NUMBE LIMITS
COMMERCIAL GENERAL LIABILITY 00009075724 1/31/2024 1/31/2025 EACH OCCURRENCE $1,000,000

DAMAGE TO RENTED
/ CLAIMS-MADE V OCCUR PREMISES (Ea occurrence) $1,000,000 / Incl. S&A Pollution Liability MED EXP (Any one person) $5,000 L PERSONAL & ADV INJURY $1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO
/ POLICY JECT LOC PRODUCTS -COMP/OP AGG $2,000,000
OTHER:
1000679533241 1/31/2024 1/31/2025 OMBINED SINGLE LIMI $1,000,000 AUTOMOBILE LIABILITY a acciden
/ ANY AUTO

OWNED SCHEDULED

AUTOS ONLY AUTOS

HIRED NON-OWNED

AUTOS ONLY AUTOS ONLY
A UMBRELLA LIAB / OCCUR 1000095605241 1/31/2024 1/31/2025 EACH OCCURRENCE $25,000,000 E EXCESS LIAB UXP1051292-01 1/31/2024 1/31/2025 AGGREGATE $25,000,000 CLAIMS-MADE 1/31/2024
P-001-001087432-02 | 1/31/2025
D WORKERS COMPENSATION 7100 0005402 6/15/2023 6/15/2024 → STATUTE TOR

AND EMPLOYERS' LIABILITY
VYPROPRIETOR/PARTNER/EXECUTIV E.L. EACH ACCIDENT $1,000,000

FFICER/MEMBEREXCLUDED
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1.000.000 JHBEB23000185070 1/31/2024 1/31/2025
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additonal Remarka Schedule, may be attached if more space is required) Valver or surgeon also applies to tale workers compensation policy per in atached form Co4030

CERTIFICATE HOLDER CANCELLATION

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Huntington Beach ACCORDANCE WITH THE POLICY PROVISIONS. , NOTICE WILL BE DELIVERED IN Attn: Fire Chie
2000 Main Street
Huntington Beach CA 92648 AUTHORIZED REPRESENTATIVE
Bart f. 7. Feve
Bart J. Le Fevre/KSK
© 1988-2015 ACORD CORPORATION. All rights reserved.

ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD This certificate dancers and super/2/8 A previolaty is dued 2021 ica 8. A (857) | Page 1 of 11

COMMERCIAL AUTO
SICA-1063 09 22
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

LESSOR - ADDITIONAL INSURED AND LOSS PAYEE - BLANKET

AMENDATORY ENDORSEMENT
Policy Number: 1000679533241 Effective Date: 01/31/2024 Named Insured: Excalibur Well Services, Inc.

This endorsement modifies the insurance coverage forms) listed below that have been purchased by you and evidenced as such on the Declarations page. Please read the endorsement and respective policy(ies) carefully.

BUSINESS AUTO COVERAGE FORM

MOTOR CARRIER COVERAGE FORM

AUTO DEALERS COVERAGE FORM

SCHEDULE
Additional Insured (Lessor): All lessor(s) for whom coverage is required by written contract or agreement
A. Coverage

1. Any "leased auto" will be considered a covered "auto" you own and not a covered "auto" you hire or borrow.

2. For any "leased auto," the Who Is An Insured provision under Covered Autos Liability Coverage is changed to include as an "insured" the lessor named in the Schedule. However, the lessor is an "insured" only for "bodily injury" or "property damage" resulting from the acts or omissions by:
a. You;
b. Any of your "employees" or agents; or
c. Any person, except the lessor or any "employee" or agent of the lessor, operating a "leased auto" with the permission of any of the above.

3. The coverage provided under this endorsement applies to any "leased auto" until the expiration date of the applicable written contract or agreement when the lessor or his or her agent takes possession of the "leased auto," whichever occurs first.

B. Loss Payable Clause

1. Witwil pay, as interest may appear, you and the lessor described in this endorsement for "loss" to a "leased

2. The insurance covers the interest of the lessor unless the "loss" results from fraudulent acts or omissions on your part.

3. If we make any payment to the lessor and the lessor has rights to recover damages from another, those rights are transferred to us. The lessor must do everything necessary to secure our rights and must do nothing after "loss" to impair them.

C. Notice of Cancellation

1. If we cancel the Policy, we will mail notice to the lessor in accordance with the Cancellation Common Policy Condition.

2. If you cancel the Policy, we will mail notice to the lessor.

SICA-1063 09 22 Copyright © Starr Indemnity & Liability Company. All rights reserved. Page 1 of 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission.

This certiticate dancels and supersedes All previole ly Issued 2021 dicates AM (857) | Page 2 of 11 D. Additional Definition
"Leased auto" means an "auto" leased or rented to you, including any substitute, replacement or extra "auto" needed to meet seasonal or other needs, under a leasing or rental agreement that requires you to provide direct primary insurance for the lessor.

All other terms and conditions of this Policy remain unchanged.

SICA-1063 09 22 Copyright © Starr Indemnity & Liability Company. All rights reserved. Page 2 of 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission.

This certificate d is and peas All previole ty is dued dued cat dicate8. AM (BST) | Page 3 of 12

COMMERCIAL AUTO
SICA-1020 (0919)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST

OTHERS TO US (BLANKET WAIVER OF SUBROGATION)

AMENDATORY ENDORSEMENT
Policy Number: 1000679533241 Effective Date: 01/31/2024 Named Insured: Excalibur Well Services, Inc.
evidenced as such on the Declarations page rage ra g) end rement and respective priate a reu a de

AUTO DEALERS COVERAGE FORM

BUSINESS AUTO COVERAGE FORM

MOTOR CARRIER COVERAGE FORM
A. It is hereby agree that SECTION IV - BUSINESS AUTO CONDITIONS, A. Loss Conditions, 5. Transfer Of Rights Of Recovery Against Others To Us of the Business Auto Coverage Form, and SECTION V - MOTOR CARRIER CONDITIONS, A. Loss Conditions, 5. Transfer Of Rights Of Recovery Against Others To Us of the Motor Carrier Coverage Form are deleted in their entirety and replaced with the following:

If any person or organization to or for whom we make payment under this Coverage Form has rights to recover damages from another, those rights are transferred to us. That person or organization must do everything necessary to secure our rights and must do nothing after "accident" or "loss" to impair them.

However, we waive any right of recovery we may have against any person or organization to the extent required of you by a written contract executed prior to any "accident" or "loss", provided that the "accident" or "loss" arises out of the operations contemplated by such contract. The waiver applies only to the person or organization designated in such contract.

B. It is hereby agreed that SECTION IV - CONDITIONS, A. Loss Conditions, 5. Transfer Of Rights Of Recovery Against Others To Us of the Auto Dealers Coverage Form is deleted in its entirety and replaced by the following:

If any person or organization to or for whom we make payment under this Coverage Form has rights to recover damages from another, those rights are transferred to us. That person or organization must do everything necessary to secure our rights and must do nothing after "accident" or "loss" to impair them.

However, we waive any right of recovery we may have against any person or organization to the extent required of you by a written contract executed prior to any "accident" or "loss", provided that the "accident" or "loss" arises out of the operations contemplated by such contract. The waiver applies only to the person or organization designated in such contract.

This condition does not apply to damages under Paragraph C. Locations And Operations Medical Payments Coverage of Section II - General Liability Coverages.

All other terms and conditions of this Policy remain unchanged.

SICA-1020 (0919) Copyright © Starr Indemnity & Liability Company. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 7928 certificate dances and supersed A previously ly 19du2 22t1 diate AM (PST) | Page 1 of 12

COMMERCIAL AUTO
SICA-1020 (0919)
However, we waive any right of recovery we may have against any person or organization to the extent required of you by a written contract executed prior to any "accident" or "loss", provided that the "accident" or "loss" arises out of the operations contemplated by such contract. The waiver applies only to the person or organization designated in such contract.

This condition does not apply to damages under Paragraph C. Locations And Operations Medical Payments Coverage of Section II - General Liability Coverages.

All other terms and conditions of this Policy remain unchanged.

SICA-1020 (0919) Copyright © Starr Indemnity & Liability Company. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission.

This certificate dances and supersedes previous ry issued 2001 cat. AM (BST) | Page 5 of 12 POLICY NUMBER: 1000090757241 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY

AGAINST OTHERS TO US
This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PARI

PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART

SCHEDULE
Name Of Person Or Organization:

Any person or organization to whom you become obligated to waive your rights of recovery against, under any contract or agreement you enter into prior to the occurrence of loss Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

The following is added to Paragraph 8. Transfer Of
Rights Of Recovery Against Others To Us of Section
IV - Conditions:

We waive any right of recovery we may have against the
person or organization shown in the Schedule above
cause of payments we make for injury or dama
ising out of vour ongoing operations or "vour wor
done under a contract with that person or organization
included in the "products-completed
hazard". This waiver applies only to the person or
organization shown in the Schedule above.

CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 78700527 EXCALIBUR 6 of 11
1 EXCALIBUR 24-25 aUered ALl previously sued et cates. AM (PST) POLICY NUMBER: 1000090757241
COMMERCIAL GENERA 2 01 04 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

PRIMARY AND NONCONTRIBUTORY -

OTHER INSURANCE CONDITION
This endorsement modifies insurance provided under the following:

OMMERCIAL GENERAL LIABILITY COVERAGE PAR

RODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PAR
Primary And Noncontributory Insurance additional insured.

This insurance is primary to and will not seek
contribution from any other insurance available
to an additional insured under your policy
provided that:
(1) The additional insured is a Named Insured
under such other insurance; and
CG 20 01 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 This certificate d EXCALIBUR 24-25 • perse previously issued certicates AM (PST) | Page 7 of 11

WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT -

CALIFORNIA
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule.

The additional premium for this endorsement shall be 2% of the Califoria workers' compensation premium otherwise due on such remuneration.

Schedule
plaina page or 250 per pt of the Callomia Manual Workers Compensation pramum. subject to a minimum Person or Organization Job Description
Where required by contract or
written agreement prior to loss and
allowed by law.
•:
issued by
For attachment to Policy No. 1000005402 Effective Date 06/15/2023 Premium $ Issued to Excalibur Wall Services, In.
•
..:.

WC 04 03 06 Page 1 of 1
Ed: 04/1984
mi certificate dances and supersedes All previously i dud 202122052:5. AM (857) | Bage 8 of 21 POLICY NUMBER: 1000090757241 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED - OWNERS, LESSEES OR

CONTRACTORS - SCHEDULED PERSON OR

ORGANIZATION
This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

SCHEDULE
Name Of Additional Insured Person(s)
Or Organization(s) Location(s) Of Covered Operations
City of Huntington Beach, its officers, elected As Required By Written Contract, Fully or appointed officials, employees, agents and Executed Prior To The Named Insured's Work
volunteers
Attn: Fire Chief
2000 Main Street
Huntington Beach, CA 92648
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

A. Section II - Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply:
with respect to liability for "bodily injury", ' "property "his insurance does not apply to "bodily injury" o damage" or "personal and advertising injury" property damage" occurring after caused, in whole or in part, by:
, All work, including materials, parts

1. Your acts or omissions; or auipment furnished in connection with suc

2. Thracts or omissions of those acting on your work, on the project (other than service, maintenance or repairs) to be performed by or
in the performance of your ongoing operations for on behalf of the additional insured(s) at the additional insured(s) at the locations) completeof the covered operations has been designated above.

However:

1. Thered only apies den terent peration y
law; and

2. If coverage provided to the additional insured is
required by a contract or agreement, the
insurance afforded to such additional insured
will not be broader than that which you are
required by the contract or agreement to
CG 20 10 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 is certificate dances and superse p Previous Hu issued certiFicates. AM (PST) | Page 9 of 11 C. With respect to the insurance afforded to these 2. Available under the applicable Limits of additional insureds, the following is added to Insurance shown in the Declarations; Section III - Limits Of Insurance: whichever is less.

If coverage provided to the additional insured is This endorsement shall not increase required by a contract or agreement, the most we applicable Limits of Insurance shown in the will pay on behalf of the additional insured is the Declarations. amount of insurance:

1. Required by the contract or agreement; or

Page 2 of 2 ends

78700527 | 00000056 | EXCALIBUR 24-25 78700527 EXCALIBUR supersedes A previous ly ly Sued c202121c5365. AM (BST) | Page 10 of 11 POLICY NUMBER: 1000090757241 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED - OWNERS, LESSEES OR

CONTRACTORS - COMPLETED OPERATIONS
This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART

SCHEDULE
lame Of Additional Insured Person(s
)r Organization(s Location And Description Of Completed Operations City of Huntington Beach, its officers, elected or As Required By Written Contract, Fully Executed Prior appointed officials, employees, agents and volunteers To The Named Insured's Work Attn: Fire Chief
2000 Main Street
Huntington Beach, CA 92648
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

A. Section II - Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section III - Limits Of Insurance:
with respect to liability for "bodily injury" or If coverage provided to the additional insured is "property damage" caused, in whole or in part, by
"your work" at the location designated and
described in the Schedule of this endorsement amount of insurance:
performed for that additional insured and
included in the "products-completed operations 1. Required by the contract or agreement; or hazard". . Available under the applicable Limits o
However: Insurance shown in the Declarations

1. The insurance afforded to such additional whichever is less. insured only applies to the extent permitted his endorsement shall not increase the applicabl by law; and mits of Insurance shown in the Declaration:

2. If coverage provided to the additional insured
is required by a contract or agreement, the
insurance afforded to such additional insured
will not be broader than that which you are
required by the contract or agreement to
provide for such additional insured.

CG 20 37 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 his certificate cancels a as prey du diate AM (BS) | Page 11 of 11 AMENDMENT NO. 1 TO SERVICE AGREEMENT BETWEEN

THE CITY OF HUNTINGTON BEACH AND
EXCALIBUR WELL SERVICES, CORP.

CIVIC CENTER WELL ABANDONMENT
THIS AMENDMENT is made and entered into by and between the CITY OF HUNTINGTON BEACH, a California municipal corporation, hereinafter referred to as "City," and EXCALIBUR WELL SERVICES, CORP, hereinafter referred to as "Contractor."
WHEREAS, City and Contractor are parties to that certain agreement, dated February 20, 2024, entitled "Service Agreement Between the City of Huntington Beach and Excalibur Well Services, Corp. for Civic Center Well Abandonment" which agreement shall hereinafter be referred to as the "Original Agreement"; and City and Contractor wish to amend the Original Agreement to increase the amount of compensation to be paid to Contractor,
NOW, THEREFORE, it is agreed by City and Contractor as follows:

ADDITIONAL COMPENSATION
In consideration of the services to be performed under the Original Agreement, City agrees to pay Contractor at the rates specified in Exhibit B which is attached hereto and incorporated by reference into this Agreement. City further agrees to pay Contractor an additional sum not to exceed One Million One Hundred Fifty Thousand Dollars ($1,150,000.00). The additional sum shall be added to the original sum of One Million Ninety-Nine Thousand Seven Hundred Seventy Dollars ($1,099,770.00), for a new contract amount not to exceed Two Million Two Hundred Forty-Nine Thousand Seven Hundred Seventy Dollars ($2,249,770.00). 24-15368/354241 1

REAFFIRMATION
Except as specifically modified herein, all other terms and conditions for the Original Agreement shall remain in full force and effect.

IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by and through their authorized officers on October Ist -, 2024.

EXCALIBUR WELL SERVICES, CORP CITY OF HUNTINGTON BEACH, a municipal corporation of the State of
By: Steve Dagh California
Steve Layton
print name
ITS: (circle one) Chairman President/Vice President Mayor AND
City Clerk
By:_
INITIATED AND APPROVED:

ITS: (circle one) Secrefary Chief Financial
Officer/Asst. Secretary - Treasurer
Fire Chief
APPROVED AS TO FORM:

COUNTERPART
City Attorney
24-15368/354241 2

REAFFIRMATION
Except as specifically modified herein, all other terms and conditions for the Original Agreement shall remain in full force and effect.

IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by and through their authorized officers on Octobes. 1St, 2024.

EXCALIBUR WELL SERVICES, CORP CITY OF HUNTINGTON BEACH, a municipal corporation of the State of
By:_
Elenark
print name
ITS: (circle one) Chairman/President/Vice President Mayor AND Gobn Istanislaw
City Clerk 10/9/2425
By:_
INITIATED AND APPROVED:
print name
ITS: (circle one) Secretary/Chief Financial
Officer/Asst. Secretary - Treasurer
Fire Chief
COUNTERPART APPROVED AS TO FORM:

City Attorney
24-15368/354241 2
VCK.

DATE (MM/DD/YYY)
ACORD® CERTIFICATE OF LIABILITY INSURANCE
6/11/2024

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 cortificate 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 polley, certain policles may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements).

CONTACT
PRODUCER NAME INpower Global Insurance Services, LLC
INpower Global Insurance Services, LLC PHONE!
(A/C: No. Exl): 949-600-7996 AIC, No: 949-600-7998
999 Corporate Drive, Suite 100
ADDRE88:

Ladera Ranch, CA 92694

INSURERS) AFFORDING COVERAGE NAIC H
www.JNpowerGlobal.com CA DOl License No: 6003712 INSURERA:: Slar Indemnity & Liability Company 38318 INSURED INSURER: Starr Surplus Lines Insurance Company 13604 Excallbur Well Services, Inc. INSURER-C: Certain Underwriters at Lloyd's London 11150 22034 Rosedale Hwy
Bakersfield CA 93314 INSURER O: Starr Indemnily & Liability Company 38318 INSURERE: Arch Specially Insurance Company 21199
INSURER: AXIS Surplus Insurance Company 26620
COVERAGES CERTIFICATE NUMBER: 80448574 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.

INSRT ADDE SUBRE POLICY EFF POLCY EXP LIMITS
LTR TYPE OF INSURANCE INSO WVD. POLICY NUMBER
A. COMMERCIAL GENERAL LIABILITY 1000090757241 1/31/2024 1/31/2025 EACH OCCURRENCE $1,000,000

DAMAGE TO RENTED
CLAIMS-MADE PREMISES (Eg occurrence): $1,000,000
Incl. S&A Pollution Liability MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1,000,000
GENT. AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 LOC. PRODUCTS -COMP/OR AGG $2,000,000
/ OTHER: SIR: $250,000 Per Occ.
1000679533241 1/31/2025 COMBINED SINGLE LIMIT
B. AUTOMODILE LIABILITY 1/31/2024 (Ea sccident) $1,000,000 ANY AUTO BODILY INJURY (Per person)
OWNED SCHEDULED: BODILY INJURY (Per acodent)

AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE s.

AUTOS ONLY AUTOS ONLY Per accident)
Comp Ded: $1 000 Collision Ded: $1,000
UMBRELLA LIAB 1000095605241 1/31/2024 1/31/2025 EACH OCCURRENCE $25,000,000

L OCCUR
UXP1051292-01 1/31/2024 1/31/2025 AGGREGATE: $25,000,000

EXCESS LIAB CLAMS-MADE
P-001-001087432-02 1/31/2024 1/31/2025

DED RETENTION SNIL
WORKERS COMPENSATION 1000005402 6/15/2024 8/15/2025 APER OTH:

TATUTE

AND EMPLOYERS' LIABILITY
ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT 51,000,000 OFFICER MEMBEREXCLUDED? NIA
(Mandatory in NH) E.L. DISEASE -EA EMPLOYEES 1.000.000:

DESTINATIONS be EL. DISEASE - POLICY LIMIT $1,000,000
Equipment Leased From Others JHBEB23000185070 1/31/2024 1/31/2025 Any One Item/Occurrence: $750,000 Deductible: $250,000 Per Occurrence
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be allached if more space is roguired) Certificate holder is Included as addillonal insured with waiver of subrogation as per attached forms CG2010, CG2037, CG2001, SICA-1063, CG2404 and SICA-1020, but only If required by wrilten contract with the named insured prior to an occurrence and subject to all policy terms and conditiotis

APPROVED AS TO FORM
Waiver of Subrogation also apples to the workers compensation palicy per the altached form WC040306.

MICHAEL E. GATES

CITY ATTORNEY

CERTIFICATE HOLDER CANCELLATION

CITY OF HUNTINGTON BEACH

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ity of Huntington Beac THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ttn: Fire Chie ACCORDANCE WITH THE POLICY PROVISIONS.
2000 Main Street
Huntington Beach CA 92648 AUTHORIZED REPRESENTATIVE
Bart f. Y Jeme
Bart. J. Le Fevre/KSK
©1988-2015 ACORD CORPORATION. All rights reserved.

ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD tart rate dance and speeds preto ty paded 22211222* (pot 1 page i of it. 246
•
POLICY NUMBER: 1000090757241 COMMERCIAL GENERAL LIABILIT G 20 10 04 1:

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED - OWNERS, LESSEES OR

CONTRACTORS - SCHEDULED PERSON OR

ORGANIZATION
This endorsement modifies Insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

SCHEDULE
Name Of Additional Insured Person(s)
Or Organization(s) Location(s) Of Covered Operations
City of Huntington Beach, its officers, elected As Required By Written Contract, Fully or appointed officials, employees, agents and Executed Prior To The Named Insured's Work
volunteers
Attn: Fire Chief
2000 Main Street
Huntington Beach, CA 92648
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

A. Section II - Who Is An Insured is amended to B. With respect to the insurance afforded to these Include as an additional insured the persons or additional Insureds, the following additional organizations) shown in the Schedule, but only exclusions apply:
with respect to liability for "bodily injury", "property This Insurance does not apply to "bodily injury" or "personal and adverlising Injury" "property damage" occurring affer:
caused, in whole or In part, by: 1. All work, including materials, parts or

1. Your acts or omissions; or equipment furnished in connection with such

2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs) to be performed by or
In the performance of your ongoing operations for on behalf of the additional Insureds) at the location of the covered operations has been
additional Insured(s) at the locations)
designated above. completed; or

2. That portion of "your work" out of which the
However: injury or damage arises has been put to its

1. The insurance afforded to such additional intended use by any person or organization.

Insured only applies to the extent permitted by other than another contractor or subcontractor law; and engaged in performing operations for a

2. If coverage provided to the additional insured is principal as a part of the same project. required by a contract or agreement, the
insurance afforded to such additional Insured
will not be broader than that which you are
required by the contract or agreement to
provide for such additional insured.

CG 20 10 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 247
C. With respect to the insurance afforded to these . Available under the applicable Limits ( additional insureds, the following is added lo nsurance shown in the Declaration:

Section III - Limits Of Insurance: whichever Is less.

If coverage provided to the additional insured is
required by a contract or agreement, the most we
will pay on behalf of the additional insured is the Declarations amount of insurance:

1. Required by the contract or agreement; or

Page 2 of 2 ends

aia cartit ente dancea and parse l pra tda " (POT 1 Bage 10 ot 12 248
POLICY NUMBER: 1000090757241 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED - OWNERS, LESSEES OR

CONTRACTORS - COMPLETED OPERATIONS
This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART

SCHEDULE
Name Of Additional Insured Person(s)
Or Organization(s) Location And Description Of Completed Operations City of Huntington Beach, its officers, elected or As Required By Written Contract, Fully Executed Prior. appointed officials, employees, agents and volunteers To The Named Insured's Work Attn: Fire Chief
2000 Main Street
Huntington Beach, CA 92648
[Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

A. Section I - Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following Is added to organizations) shown in the Schedule, but only Section III - Limits Of Insurance:
with respect to liability for "bodily injury" or If coverage provided to the additional Insured is "property damage" caused, in whole or in part, by required by a contract or agreement, the most we "your work" at the location designated and will pay on behalf of the additional Insured is the described in the Schedule of this endorsement amount of Insurance:
performed for that additional insured and
included in the "products completed operations 1. Required by the contract or agreement; or hazard". 2. Available: under the applicable Limits of
However: Insurance shown in the Declarations;
whichever is less.

This endorsement shall not increase the applicable
by law; and Limits of Insurance shown in the Declarations.

2. If coverage provided to the additional insured
is required by a contract or agreement, the
insurance afforded to such additional insured
will not be broader than that which you are
required by the contract or agreement to
provide for such additional insured.

CG 20 37 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 80448576
mous certificate cancels and supersedes
249
POLICY NUMBER: 1000090757241 COMMERCIAL GENERAL LIABILITY CG 20 01 04 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

PRIMARY AND NONCONTRIBUTORY -

OTHER INSURANCE CONDITION
This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
Condition and supered the preten to ce (2) You have agreed in writing in a contract or Condition and agreement that this insurance would be
contrary: primary and would not seek contribution
from any other insurance available to the
Primary And Noncontributory Insurance additional insured.

This insurance is primary to and will not seek
contribution from any other insurance available
to an additional Insured. . under your policy
provided that:
(1) The additional Insured is a Named Insured
under such other insurance; and
CG 20 01 04 13 @ Insurance Services Office, Inc., 2012 Page 1 of 1 ana cel 198 Gate dance ele and perse previously seed at date teor 1 bage of t 250

WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT -

CALIFORNIA
We have the right to recover our payments from anyone liable for an injury covered by this pollcy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule.

The is due or such reuni endorsemen sal be 2% of the alonia workers compenaion prentum Schedule
Additional premium is a percent of the Californla Manual Workers Compensation premium. Subject to a minimum premium charge of $ 250 per policy
Person or Organization Job Description
Where required by contract or
written agreement prior to loss and
allowed by law.
•
.::•
•.

Issued by
For attachment to Policy No. 00005402 Effective Date 06/1512024 Premium $ Issued lo Excalibur Well Services, inc. : •
•
..

WC 04 03 06 Page 1 of 1
Ed: 04/1984
ya certificate cancela and pede as previe 15 20212122 (BOr 1 PASS 0 OR 11 251
•

COMMERCIAL AUTO
SICA-1063 09 22
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

LESSOR - ADDITIONAL INSURED AND LOSS PAYEE - BLANKET

AMENDATORY ENDORSEMENT
Policy Number: 1000679533241 Effective Date: 01/31/2024 Named Insured: Excallbur Well Services, Inc.
his endorsement modifies the insurance coverage forms) listed below that have been purchased by you ar ridenced as such on the Declarations page. Please read the endorsement and respective policy(ies) carefull BUSINESS AUTO COVERAGE FORM:

MOTOR CARRIER COVERAGE FORM

AUTO DEALERS COVERAGE FORM

SCHEDULE
Additional Insured (Lessor): All lessors) for whom coverage is required by written contract or agreement
A. Coverage

1. Any "leased auto" will be considered a covered "auto" you own and not a covered "auto" you hire or borrow. . For any "leased auto," the Who Is An Insured provision under Covered Autos Liability Coverage i:
hanged to include as an "insured" the lessor named in the Schedule. However, the lessor is an "insured only for "bodily injury" or "property damage" resulting from the acts or omissions by:
a. You;
b. Any of your "employees" or agents; or
• Any person, except the lessor or any "employee" or agent of the lessor, operating a "leased auto" wit he permission of any of the above

3. The coverage provided under this endorsement applies to any "leased auto" until the expiration dale of the applicable written contract or agreement when the lessor or his or her agent takes possession of the "leased auto, " whichever occurs first.

B. Loss Payable Clause

1. We will pay, as interest may appear, you and the lessor described in this endorsement for "loss" to a "leased auto."

2. The insurance covers the interest of the lessor unless the "'oss" results from fraudulent acts or omissions on your part.

3. If we make any payment to the lessor and the lessor has rights to recover damages from another, those rights are transferred to us. The lessor must do everything necessary to secure our rights and must do nothing after "loss" to impair them.

C. Notice of Cancellation

1. If we cancel the Policy, we will mail notice to the lessor in accordance with the Cancellation Common Policy Condition.

2. If you cancel the Policy, we will mail notice to the lessor.

SICA-1063 09 22 Copyright @Starr Indemnity & Liabilly Company. All rights reserved. Page 1 of 2 Includes copyrighted material of Insurance Services Office, inc., with its permission. 252
D. Additional Definition
"Leased auto" means an "auto" leased or rented to you, including any substitute, replacement or extra "auto" needed to meet seasonal or other needs, under a leasing or rental agreement that requires you to provide direct primary insurance for the lessor.

All other terms and conditions of this Policy remain unchanged.

SICA-1063 09 22 Copyright © Starr Indemnity & Liability Company. All rights reserved. Page 2 of 2 Includes copyrighted material of insurance Services Office, Inc., with its permission. 253

COMMERCIAL AUTO
SICA-1020 (0919)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST

OTHERS TO US (BLANKET WAIVER OF SUBROGATION)

AMENDATORY ENDORSEMENT
Policy Number: 1000679533241 Effective Date: 01/31/2024 Named Insured: Excalibur Well Services, Inc.

This endorsement modifies the insurance coverage forms) listed below that have been purchased by you and evidenced as such on the Declarations page. Please read the endorsement and respective policy(ies) carefully.

AUTO DEALERS COVERAGE FORM

BUSINESS AUTO COVERAGE FORM

MOTOR CARRIER COVERAGE FORM
A. It is hereby agree that SECTION IV - BUSINESS AUTO CONDITIONS, A. Loss Conditions, 5. Transfer Of Rights Of Recovery Against Others To Us of the Business Auto Coverage Form, and SECTION V - MOTOR CARRIER CONDITIONS, A. Loss Conditions, 5. Transfer Of Rights Of Recovery Against Others To Us of the Motor Carrier Coverage Form are deleted in their entirely and replaced with the following:

If any person or organization to or for whom we make payment under this Coverage Form has rights to recover damages from another, those rights are transferred to us. That person or organization must do everything necessary to secure our rights and must do nothing after "accident" or "loss" to impair them.

However, we waive any right of recovery we may have against any person or organization to the extent ampled by sue contact The water apies only to me pran of organization designated in such contract.

It is hereby agreed that SECTION IV - CONDITIONS, A. Loss Conditions, 5. Transfer Of Rights Of Recovery Against Others To Us of the Aufo Dealers Coverage Form is deleted in its entirely and replaced by the following:

If any person or organization to or for whom we make payment under this Coverage Form has rights to recover damages from another, those rights are transferred to us. That person or organization must do everything necessary lo secure our rights and must do nothing after "accident" or "loss" to impair them.

However, we waive any right of recovery we may have against any person or organization to the extent required of you by a wrilten contract execuled prior lo any "accident" or "loss", provided that the "accident" or "loss" arises out of the operations contemplated by such contract. The waiver applies only to the person or organization designated in such contract.

This condition does not apply to damages under Paragraph C. Locations And Operations Medical Payments Coverage of Section II - General Liability Coverages.

All other terms and conditions of this Policy remain unchanged.

SICA-1020 (0919) Copyright © Starr Indemnity & Liability Company. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 254

COMMERCIAL AUTO
SICA-1020 (0919)
However, we waive any right of recovery we may have against any person or organization to the extent required of you by a written contract executed prior to any "accident" or "loss", provided that the "accident" ol "loss" arises out of the operations contemplated by such contract. The waiver applies only to the person ol organization designated in such contract.

This condition does not apply to damages under Paragraph C. Locations And Operations Medical Payments Coverage of Section Il - General Liability Coverages.

All other terms and conditions of this Policy remain unchanged.

SICA-1020 (0919) Copyright @Starr Indemnity & Liabillty Company. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, inc., with its permission. 9019 24. certiticate dancela and su
255
POLICY NUMBER: 1000090757241 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY

AGAINST OTHERS TO US
This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART

SCHEDULE
Name Of Person Or Organization:
ny person or organization to whom you become obligated to waive your rights of recovery against, under an ontract or agreement you enter into prior to the occurrence of los:
[Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

The following is added to Paragraph 8. Transfer Of
Rights Of Recovery Against Others To Us of Section
IV - Conditions:

We waive any right of recovery we may have against the
person or organization shown in the Schedule above
cause of payments we make for injury or damag
ising out of your ongoing operations or "your wor
done under a contract with that person or organization
and Included in the "products-completed operations
This waiver applies only lo the person or
organization shown in the Schedule above.

CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 PH (PD) | Page 6 of 11
256

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