ITEM 4. 18
CITY MANAGER' S REPORT
MAY 8, 2023 CITY COUNCIL REGULAR MEETING
ITEM: APPROVAL OF INDUSTRIAL SOLID WASTE LICENSE
RENEWAL FOR FISCAL YEAR 2023- 24
RECOMMENDATION: Adopt Resolution to Approve Annual Industrial Solid Waste License Renewal for Delta Container
Corporation, Ground Force Enterprises, and
Stockton Scavengers for Fiscal Year 2023- 24
SUMMARY:
The Legislature of the State of California, by enactment of the California lntegrated Waste Management Act of 1989 ( AB939), has acknowledged that it is within the public interest to authorize and require local agencies to make adequate provisions for solid waste management. The process requires cities and other local agencies to implement plans for source reduction, reuse, and recycling as part of their integrated waste management practices.
In an effort to comply with said legislation, the City of Lathrop adopted Municipal Code Chapter 8. 16 ( Garbage Collection and Disposal). Lathrop Municipal Code Section 8. 16. 140 requires any company that collects industrial solid waste in the City of Lathrop to annually apply for an Industrial Solid Waste Removal License.
The City' s current industrial solid waste haulers are Delta Container Corporation subsidiary of Allied Waste of San Joaquin County dba Republic Services, Inc.) and Ground Force Enterprises. Staff requests approval of the annual industrial solid waste license renewals for Delta Container Corporation, Ground Force Enterprises and Stockton Scavengers.
BACKGROU N D:
Lathrop Municipal Code 8. 16. 140, Section ( A) requires any company who collects and removes industrial solid waste within the City of Lathrop to apply annually for an industrial solid waste removal license. Lathrop Municipal Code 8. 16. 140 also states that the contractor who provides both residential and commercial waste removal service shall not be required to pay the annual license fee.
Delta Container is a subsidiary of Allied Waste dba Republic Services, Inc., which provides both residential and commercial waste collection service and therefore is not required to pay the annual license fee in the sum of two thousand five hundred dollars ($ 2, 500). However, Delta Container is required to pay the standard eleven percent ( 11%) of their annual gross receipts and $ 92 administration fee, which is set forth by Lathrop Municipal Code 8. 16. 140.
Ground Force Enterprises and Stockton Scavengers do not provide residential waste removal service within the City of Lathrop. Therefore, they are required to pay an CITY MANAGER' S REPORT PAGE 2
MAY 8, 2023 CITY COUNCIL REGULAR MEETING
APPROVAL OF INDUSTRIAL SOLID WASTE LICENSE RENEWAL FOR FISCAL YEAR 2023- 24
annual license fee in the sum of two thousand five hundred dollars ($ 2, 500) and the standard eleven percent ( li%) of their annual gross receipts and $ 92 administration fee, which is set forth by Lathrop Municipal Code 8. 16. 140.
The haulers, Delta Container Corporation, Ground Force Enterprises and Stockton Scavengers, have submitted their annual license renewal application, fee, bonds, insurance, locations serviced, and their financial status report.
REASON FOR RECOMMENDATION:
To continue our efforts to meet the terms of the AB939 legislation, and continue implementing plans for source reduction, reuse, and recycling as part of our integrated waste management practices, staff recommends that City Council approve the Industrial Solid Waste Removal License renewals for Delta Container Corporation, Ground Force Enterprises and Stockton Scavengers.
FISCAL IMPACT:
Revenue received from these companies will be deposited into the Franchise TaxSolid Waste Industrial revenue account number 1010- 15- 10- 319- 05- 05.
The license administration fee( s) in the sum of ninety- two dollars ($ 92) received from each company will be deposited into Parks, Recreation, and Maintenance Services Administration account number 1010- 30- 01- 341- 01- 01.
The annual license fee in the sum of two thousand five hundred dollars ($ 2, 500) received from Ground Force Enterprises will be deposited into the Franchise TaxSolid Waste Industrial revenue account number 1010- 15- 10- 319- 05- 05.
ATTAC H M E NTS:
A. Resolution to Approve Annual Industrial Solid Waste License Renewal for Stockton Scavengers Association and Delta Container Corporation for Fiscal Year2022- 23
B. Industrial Refuse Collection Application Republic Services dba Delta Container C. Industrial Refuse Collection Application Ground Force Enterprises D. Industrial Refuse Collection Application Stockton Scavengers CITY MANAGER' S REPORT PAGE 3
MAY 8, 2023 CITY COUNCIL REGULAR MEETING
APPROVAL OF INDUSTRIAL SOLID WASTE LICENSE RENEWAL FOR FISCAL YEAR 2023- 24
APPROVALS:
5 . . 2c Z'3
Todd Sebastian Date
Director of Parks, Recreation and
Maintenance Services
53 v
Cari Jam Date
Finance rector
ZOZ3
Salvador Navarrete Date
City Attorney
s •+•z3
Stephen J. Salvatore Date
City Manager
RESOLUTION NO. 23-
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF LATHROP APPROVING
ANNUAL INDUSTRIAL SOLID WASTE LICENSE RENEWAL FOR DELTA
CONTAINER CORPORATION, GROUND FORCE ENTERPRISES AND STOCTON SCAVENGERS FOR FISCAL YEAR 2023- 24
WHEREAS, Lathrop Municipal Code 8. 16. 140, Section ( A) requires any company which collects and removes industrial solid waste within the City of Lathrop to annually apply for an industrial solid waste removal license; and WHEREAS, the City' s current haulers are Delta Container Corporation, Ground Force Enterprises, and Stockton Scavengers; and
WHEREAS, Delta Container is a subsidiary of Allied Waste dba Republic Services, Inc., which provides both residential and commercial waste removal service for the City of Lathrop and therefore is not required to pay the annual license fee; and WHEREAS, Delta Container is required to pay the standard eleven percent 11%) of their annual gross receipts and $ 92 administration fee, which is by Lathrop Municipal Code 8. 16. 140; and
WHEREAS, Ground Force Enterprises do not provide residential waste removal service within the City of Lathrop and therefore are required to pay an annual license fee in the sum of two thousand five hundred dollars ($ 2, 500); and WHEREAS, Ground Force Enterprises and Stockton Scavengers are required to pay the standard eleven percent ( 11%) of their annual gross receipts and $ 92 administration fee, which is by Lathrop Municipal Code 8. 16. 140; and WHEREAS, to continue our efforts to meet the terms of the AB939 legislation and continue implementing plans for source reduction, reuse, and recycling as part of their integrated solid waste management practices, staff recommends that City Council approve the Industrial Solid Waste Removal License renewals for Container Corporation, Ground Force Enterprises, and Stockton Scavengers; and WHEREAS, the following monies received from these companies will be deposited as follows:
Annual gross receipt monies received from these companies will be deposited into the Franchise Tax- Solid Waste Industrial revenue account number 1010- 15- 10- 319- 05- 05;
License administration fee in the sum of ninety- two dollars ($ 92) received from these companies will be deposited into Parks, Recreation, and Maintenance Services Administration account number 1010- 30- 01- 341- 01- 01; Annual license fee in the sum of two thousand five hundred dollars ($ 2, 500) received from Ground Force Enterprises and Stockton Scavengers will be deposited into the Franchise Tax- Solid Waste Industrial revenue account number 1010- 15- 10- 319- 05- 05.
NOW, THEREFORE, BE IT RESOLVED, that the City Council of the City of Lathrop does hereby approve the Industrial Solid Waste Licenses renewals for FY 23- 24 with Delta Containers Corporation, Ground Force Enterprises, and Stockton Scavengers.
The foregoing resolution was passed and adopted this 8th day of May 2023, by the following vote:
AYES:
NOES:
ABSENT:
ABSTAIN:
Sonny Dhaliwal, Mayor
AlTEST: APPROVED AS TO FORM:
Teresa Vargas, City Clerk Salvador Navarrete, City Attorney
ATTACH M E NT B
City of q`
Park, Recreation 8 Maintenance Servlces 390 To vnc Ccncre Drive, Lachrop, CA 9533U Phone( 209) 94]- 7370
ww v.ci.lathrop.ca.us
INDUSTRIAL REFUSE C4LLECTION
LICENSE APPLICATION
COMPANY NAME: Republic services
ADDRESS: 1145 W. Charter Way, Stockton CA 95206
PHONE/ FAX 209) 420- 2949!( 209} 465- 0631
EMAIL: FThompson@republicservices. com
Tliefo/lo ving/ iceirse requirenien s are se fortli 6y tlre City ofLa[/crop Alunicipa/ Code, Ti!!e 8 Healt/ r& Safety, Clrnpter 8.16 Garbage Co! lectiori& Disposnl, Sectiou 8.16. 140 Lrdr stria/ Solf f li'aste Removal— Lice ise Required.
cti cK ir
ENCLOSED
PROPOS D CUSTOMERS LiST( Namcs and Addresses): x
SIGNED STATEMENTS FROM NEW INDUSTRIAL CUSTOMERS ADDRESSED NIA TO CITY( See Municipal Code section 8. 16. 140. 2):
NUMBER, KIND, AND CAPACTTY OF VEHICLES AND OTHER EQUIPMENT X Must be in compliance with all applicable air pollution control laws):
ORIGINAL PERFORMANC BOND OR OTH R SECURITY ATTACI-IED($ 25, 000)- x ORMOST RECENT FINANCIAL STATEMENT AND/ OR AUDIT
The applicant shall provide proofof financial ability to provide service contemplated by the application)
INSURANCE CERTIFICATE NAMING THE CITY, ITS OFFICES AND EMPLOYEES AS AN ADDITIONAL INSURED x
Sce Municipa! Code section 8. 16. 140. I for Insurance Requirements):
LICENSE FEE ENCLOSED( 52,500) N/A
ADMINISTRATION FEE( S92)
x
City of 4
Park, Recreation 8 Maintenance ServPces 390 Townc Cencre Drivc, LathroP, Cr195330 Phonc( 209) 941- 7370
u vw.ci.lathrop. ca. us
TYPE OF WASTE REMOVAL SE2VICE:
MSW generated at industrial accounts located in the City of Lathrop.
Tlrefo!!o vi ig defrnitio rs are selforth by t/re City ofLatltrop Mtaticipa! Code, Trtle 8 Healtlr& Safety, Clrapter 8.16 Garbage Co! lection& Dispo. sal, Sectran 8.16.010 ` Yndttstria! solid waste" neans solid waste origi lntir gfron n ccha» ized nanujacturingfaciNties,factories, refrneries mrdprtblicly operated treatnrent works.
APPLiCANT SiGNATURES:
r
4/ 20/23
SIGNATU DATE
Francina Thompson
PRINT NAME
Municipal Manager
T1TL
PROCESSED BY:
2 23
SIGNATURE DATE
MELISSA STATIIAKOPOULOS
MANAGER
PAItKS, RECREATION& MAINTENANCE SERVICES
AP ROVED RY:
S. Z , 23
TODD SEE3ASTIAN DATE
DIRECTOR
PARKS, R.ECREATION& MAINT NANCE S RVICCS
Name Address
RIVER ISLAND ( TOOL SHED) LAKESIDE & MARINA
WILLIAM ASSAD 15810 HARLAN RD 5
DRAGON ESP PRODUCTS 15700 MCKINLEY AVE
OLD DOMINION ODMOOOSTC 40YD 601 DARCY PKWY
SHERWIN WILLIAMS 8523 3YD 15390 S HARLAN RD
MOBILE MINI 1134 6YD 16351 MCKINLEY AVE
ONE LATHROP ( LATHROP PROPERTY) 16424 S HARLAN RD
KELLY BUSINESS PARK, LLC 91- 201 D' ARCY PKWY
SEGURA& SONS TRUCKING 12796 S HARLAN RD
PREMIER INDUSTRIAL FINISHING 17700 SHIDELER PKWY
CITY OF LATHROP COMM CENTER FL 15557 5TH ST
LATHROP SANDS MOBILE HOME# 2 11550 5 HARLAN RD
BELLAS BAKERY 155 LATHROP RD
LATHROP SELF STORAGE 1644 E LOUISE AVE
BUDS CONCRETE 11145 HARLAN RD
CITY OF LATHROP W/ TREATMENT 18800 CHRISTOPHER WAY
CITY OF LATHRP/ STONEBRIDGE PRK 13400 SLATE ST
SAVE MART# 94 15240 S HARLAN RD
PFLUG PACKAGING 17600 SHIDELER 17600 SHIDELER PKWY
PFLUG PACKAGING 20YRD TRASH 17420 SHIDELER PKWY
CON FAB 1910 LATHROP RD
DAYS INN 14750 S HARLAN RD
DELTA AC SUPPLY 3515 YOSEMITE AVE
BOISE CASCADE BLDG MATERIALS 12030 S HARLAN RD
TOP GUN DRY WALL SUPPLY 15500 MCKINLEY AVE
SUPER STORE/ COMP 2400 E LOUISE AVE
TESLA TRUCK YARD 500 E LOUISE AVE
RSNA TESLA MOTORS INC 701 DARCY PKWY
CHICAGO' S PIZZA 159 LATHROP RD
SUNSET BY: PULTE HOMES 40YRD W 3200 GARDEN FARMS AVE
TRU HOTEL 161 E LOUISE AVE
SUPER STORE INDUSTRIES 16888 MCKINLEY AVE
WESTERN PACIFIC CRANE & EQUIP 1500 MADRUGA RD
TESLA 401 30YD OT 401 NESTLE WAY
LATHROP COMMUNITY APOLISTIC CHURCH 15074 5TH ST
TRU HOTEL 161 E LOUISE AVE
LATHROP WASH & DRY 16460 CAMBRIDGE DR
BORAL ROOFING ROTH RD 342 ROTH RD
LATHROP COMMUNITY CHURCH 937 J ST
GOLDEN VALLEY STORAGE 16000 GOLDEN VALLEY PKWY
NMW/ MOTOR CARGO/ UPS FREIGHT 1444 LATHROP RD
KNIGHTTRANSPORTATION SWIFT 901 DARCY PKWY
GUTHRIE GENERAL INC 901 DARCY PKWY
CBK LATHROP 16948 S HARLAN RD
DE SILVA GATE CONSTRUCTION 550 NESTLE WAY
SIGNATURE HOMES- CARDIFF RIVER 17184 VERMEER CT
AMAZON SITE VUJH 11950 S HARLAN RD 11950 S HARLAN RD
CLOROX OVERFLOW FACILITY 619 TESLA DR
TESLA( TEMP WOOD) 700 DARCY PKWY
TOWNE CENTRE- SOUTH SITE 240 TOWNE CENTRE DR
SIGNATURE HOMES 17180 REMBRANDT DR
TESLA- MCKINLEY 15660 MCKINLEY AVE
LEARNING TREE PRESCHOOL 15551 7TH ST
LATHROP FIRE DISTRICT 800 J ST
PENTECOSTAL CHURCH OF GOD 14172 AVON AVE
LATHROP HIGH SCHOOL- YARD WASTE 647 SPARTAN WAY
PETS& PALS 12488 S HARLAN RD
MANTECA LATHROP FIRE DIST# 34 460 RIVER ISLAND PKWY
MANTECA LATHROP FIRE DIST# 31 8001 ST
GIGLICO INC 12333 S MANTHEY RD
KORNHAUSER 1683 E LOUISE AVE
PERFORMANT RECOVERY, INC. 17080 S HARLAN RD
HERITAGE PAPER ( PIONEER) 17740 SHIDELER PKWY
FIRESIDE INN 854 LATHROP RD
D' ARCY BUSI PK COM/ CONDO ASSOC 17320 D' ARCY PKWY
D' ARCY BUS PK COM/ CONDO ASSOCI 17918 MURPHY PKWY
GRACE COMMUNITY CHURCH 850 J ST
LATHROP BUSINESS PARK 16916 S HARLAN RD
LATHROP BUSINESS PARK 16980 S HARLAN RD
HAMPTON INN 103 E LOUISE AVE
MOSSDALE ELEMENTARY SCHOOL 455 BROOKHURST BLVD
THE DOG HOUSE 3221 YOSEMITE AVE
FAST LANE CENTRAL VALLEY 116 ROTH RD
DOT TRUCK SALES 11299 S HARLAN RD
BROWN SAND INC 800 MOSSDALE RD
ROGER AQUINO 11471 S MANTHEY RD
CITY OF LATHROP PUBIIC 1 15445 7TH ST
LUCIA MACHADO 904 O STREET
BARBOSA CABINETS INC. 11900 S HARLAN RD
ROBINSON TRANSPORTATION 4180 NEWTON RD
CHEVRON ( F/ L) 17395 S MANTHEY RD
HOLIDAY INN AND SUITES 15688 S HARLAN RD
CALIFORNIA NATURAL EAST GATE 3 15188 S MCKINLEY AVE
TEAM HEALTH 16974 S HARLAN RD
PETER HOLTZ CPA 210 TOWNE CENTRE DR
TRIAD ADOPTION SERVICES 17259 GOLDEN VALLEY PKWY
PILKINGTON LATHROP 40YD 500 E LOUISE AVE
BERRY PLASTIC 601 TESLA DR
IN N OUT BURGER ( DIST. CNTR) 18240 S HARLAN RD
LATHROP HEAD START 721 THOMSEN RD
TARGET 2347 TGT002347 35YD C 16858 GOLDEN VALLEY PKWY
CREATIVE OUTDOOR ENVIRONMENT 15929 S MANTHEY RD
RIVER ISLAND @ LATHROP 73 STEWART RD
RIVER ISL@CONST. OFC/ LAY DWN YD 401 STEWART RD
DELLOSSO FARMS 26 STEWART RD
CAFE PLATANO 14725 S HARLAN RD
VATTADI LATHROP CROSSING, LLC 15362 S HARLAN RD
CBC STEEL 1919 E LOUISE AVE
LOUISIANA KITCHEN 16837 S HARLAN RD
RIVER ISLAND BOAT HOUSE REST. 980 LAKESIDE DR
FLYING J# 101700 345 ROTH RD
SIMWON AMERICA CORP. 400 DARCY PKWY
UNION LOGISTICS 1631 E LOUISE AVE
LA COSTA DE ACAPULCO 16444 CAMBRIDGE DR
RESIDENTIAL DESIGN SERVICES 19105 CHRISTOPHER WAY
LA REINA SUPERMARKET 1357 E LOUISE AVE
RAYMOND HANDLING 19107 CHRISTOPHER WAY
HD LATHROP LLC 16609 S HARLAN RD
SEFNCO COMMUNICATIONS( TRASH) 12687 S MANTHEY RD
TRI- WEST LTD LIMITED 17690 SHIDELER PKWY
AMERICAN RIVER CONSTRUCTION 800 ROTH RD
TACO BELL 16905 S HARLAN RD
FERELLGAS LP DBA BLUE RHINO 12693 S MANTHEY RD
ABSOLUTE VENTURES 15901 6TH ST
THE SHOPS AT LATHROP CROSSING 15382 S HARLAN RD
CHEEMA FREIGHT LINE LLC 16200 MCKINLEY AVE
HALE CONST INC LAY/ DWN YARD 401 W STEWART RD
DARTANO FARMS INC 17270 GOLDEN VALLEY PKWY
QUALITY INN & SUITES 16855 5 HARLAN RD
TESLA LATHROP 20YD RO 501 NESTLE WAY
RIVER ISLANDS BASEBALL CLUB LL 1051 RIVER ISLANDS PKWY
CROSSLINK PRO TAX SOLUTIONS 16916 S HARLAN RD
TESLA- COMPACTOR 17100 MURPHY PARKWAY
SUNRISE TRUCKING INC./ A& A INTE 1850 E LOUISE AVE
ALTO SYSTEMS, INC. 11980 S HARLAN RD
RAVINDER DHILLON 11378 S HARLAN RD
AMAZON DCK1 OFFSITE PKNG LOT 16350 MCKINLEY AVE
ASHLEY FURNITURE DC 0049 40YD 18290 S HARLAN RD
WAYFAIR INC. 5120 GLACIER ST
RIVER ISLANDS- WELCOME CENTER 1401 RIVER ISLANDS
PFLUG PACKAGING 17500 SHIDELER PKWY
SIMWON AMERICA CORP. ( BUILDIN 18231 MURPHY PKWY
ECLIPSE METAL FABRICATION 17700 SHIDELER PKWY
WEST COAST RV& BOAT STORAGE 4052 YOSEMITE AVE
SUNRISE TRUCKING SITE 3 1625 E LOUISE AVE
THE BLESSED KITCHEN 151 LATHROP RD
NMW/ UPS- LATHROP 10634 S HARLAN RD
COMFORT INN 14730 S HARLAN RD
RAFAEL& FRANCES SANDOVAL 15485 7TH ST
STORAGE PRO OR LATHROP# 26 15550 S HARLAN RD
AMG RESOURCES PACIFIC CORP. 15332 MCKINLEY AVE
SEVENTH STREET APARTMENTS 16015 7TH ST
O STREET APARTM ENTS 934 O ST
CAMINO REAL MOBILE HOME PARK 15820 5 HARLAN RD
CITY OF LATHROP PARK STONE BRIDGE PARK
MC DONALDS RESTAURANT LATHROP 300 E LOUISE AVE
FOOD 4 LESS LTHP TRASH/ RECYCLE 17935 MURPHY PKWY
HOME DEPOT HMD005363 COMP 40YD 18300 S HARLAN RD
FLEETPRIDE 729 1629 E LOUISE AVE
SWIFT TRANSP 901 DARCY PKWY
UTILITY TRAILER SALES 12608 S HARLAN RD
LATHROP ELEMENTARY 15851 5TH ST
LATHROP POST OFFICE 15529 7TH ST
CALIFORNIA NAT. PROD. ** ADC1** 15789 MCKINLEY( WAREHOUSE) AVE S CALIFORNIA NATURAL PRODUCTS 11518 MCKINLEY AVE
CALIFORNIA NATURAL PRODUCTS 1250 LATHROP RD
CITY OF LATHROP 2112 E LOUISE AVE
CITY OF LATHROP GENERATION CTR 450 SPARTAN WAY
NICKS 76 16500 S HARLAN RD
TESLA 0551 8YD 18260 S HARLAN RD
RUBIK BUILT 18007 MANTHEY RD 4 18007 S MANTHEY RD
TESLA 701 DARCY PKWY 701 DARCY PKWY
CITY OF LATHROP/ WELL 7 40YD GR OFF MC KINLEY COUNTY DIRT RD NMW/ UPS- LATHROP R/ O 501 DARCY PKWY
TESLA 0551 18260 S HARLAN RD
KAISER PERMANENTE- LATHROP 17000 S HARLAN RD
KIPER HOMES BALBOA AT RIVER IS 16243 DUGGAR DR
PFLUG REC COMPACTOR DR# 18 17420 SHIDELER PKWY
TWO GUYS FOOD FUEL 147 LATHROP RD
MANTECA LATHROP FIRE DIST# 35 19001 SOMERSTON PKWY
VEOLIA WATER 18800 CHRISTOPHER WAY
WALGREENS# 10631 14780 S HARLAN RD
GHIRARDELLI 11980 S HARLAN RD
D' ARCY BUS PK COM/ CONDO ASSOCI 401 DARCY PKWY
JOES PLACE 15600 S HARLAN RD
LA CRESCENTA PROP/ LOUISE PLAZA 201 LOUISE AVE
JOSEPH WIDMER MIDDLE SCHOOL 751 STONEBRIDGE AVE
CBC STEEL 1700 E LOUISE AVE
LATHROP HIGH SCHOOL 647 SPARTAN WAY
JACK IN THE BOX# 588 100 E LOUISE AVE
JOHN DEERE LATHROP 17400 SHIDELER PKWY
CITY CONTRACT/ CITY OF LATHROP 390 TOWNE CENTRE DR
BALWANT SINGH SANDHU 2690 W YOSEMITE AVE
OUR LADY OF GUADALUPE 16200 CAMBRIDGE DR
TOTTEN TUBES 15540 MCKINLEY AVE
JH MOTOR SPORTS 14150 5 HARLAN RD
CITY FOOD & LIQUOR 16470 CAMBRIDGE DR
HEARTLAND EXPRESS 12550 S HARLAN RD
TEC EQUIPMENT( R/ O) 2050 E LOUISE AVE
NATIONWIDE FLEET 17605 S MANTHEY RD
LATHROP GAS& FOOD INC 140 LATHROP RD
RIVER ISLAND TECH ACADEMY 1175 MARINA DR
EAGLE' S NEST HARLEY DAVIDSON 13900 S HARLAN RD
HIGH FIVE PLAZA, LLC 16925 S HARLAN RD
ORIELLY ORE004719 4YD 15079 S HARLAN RD
DENISE' S FARMER MARKET 950 S MANTHEY RD
SWISS AMERICAN 251 DARCY PKWY
DENNYS RESTAURANT 16851 S HARLAN RD
NEXT GENERATION 18001 COMMERCIAL ST
COLONIAL ENERGY, LLC 192 LATHROP RD
KIWI CRATE INC 11980 S HARLAN RD
TESLA INC MOTORS REC 18250 MURPHY PKWY
ATLAS COPCO 1601 MADRUGA RD
PRATT INDUSTRIES 2131 E LOUISE AVE
SAVE MART CENTER SITE 15010- 18 S HARLAN RD
DONA TERE PERUVIAN RESTAURANT 16438 CAMBRIDGE DR
STARBUCKS 58278 16538 GOLDEN VALLEY PKWY
LATHROP SMOG 15151 S HARLAN RD
LATHROP VETERINARY CENTER 17600 GOLDEN VALLEY PKWY
PANDA EXPRESS 3104 15099 5 HARLAN RD
BURGER KING 22460 15119 S HARLAN RD
NMW/ UPS- LATHROP ( COMPACTOR) 11800 S HARLAN RD
CHIPOTLE# 3535 16542 GOLDEN VALLEY PKWY
CARL' S JR# 7415 200 E LOUISE AVE
HEALTH SERVICES BENEFIT ADMIN 16960 S HARLAN RD
KFC# 219 ( LEHA 219 INC) 150 E LOUISE AVE
CITY OF LATHROP SENIOR CENTER 15567 5TH ST
KABARITI AM- PM MINI MARKET 85 E LOUISE AVE
CLOROX 11950 S HARLAN RD
KAREN MEYER 947 H ST
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May 3, 2022
FedEx Priority Ovemight
Diven 1' rasad
ltepublic Services
ii45 West Chartcr Way
Stocltton, CA 95206
9i6-585- i889
R: Upcoming Rcncwals
Dear Diva d:
Please find enclosed your rene val documcnts for the following hottd( s). You wilI need eo send tliese ori,qinal dncuinen s to lhc re,spectiue Obligee at our eurlicst convenieiice:
Bond suh. i
y
Principai Obligcc Dcmd Dcscription Bond Amount
Nwnbcr Namc
92908G342 42U7 Lathrop City Of Lathrop Solid Wustc liandling nnd 25. UOO. i) 0 Sunrisc Hauling
Sanit tion
C i < ir.dion
Should you req aire ftu-ther assistance or if you have ny questions, pleasc do nc t hesitate to contact me at 2o6- 73i- i2ao or at. vnbcr. engcl t usi. c m.
Sinrercly,
I>' I'
Ainber ngel
SuretyAccount Manaber
Surety Services
ro• crty< x Ct sualty • LfT1f IC1/ Ce L'enefits • Pcrsonal flisk • i ctirenu:nt Cc nsuitinq Tf,: usi orvE d,, t:
CONTeIVUATION CERTIFICATE
The Western Surety Company ( hereinafter called the Surety) hereby contiriues in force its Bond No. 929086342 in the sum of Twenty Five Thousand Dollars and 00/ 100 ($ 25,000.00) Dollars, on behalf of Lathrop Sunrise Sanitation Corporation in favor of City Of Lathrop for Solid Waste Hadling and Hauling subject to all the conditions and terms thereof through 30th Oay of 1une, 2023 at location of risk.
This Continuation is executed upon the express condition that the Surety' s liability shall not be cumulative and shall be limited at all times by the amount of the penalty stated in the bond.
IN WITNESS WHEREOF, the Surety has caused this instrument to be si ned by its duly authorized Attorney-in- Fact and its corporate seal to be hereto affixed this 3rd Day of May, 2022.
Western Surety Company
Surety
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Debbie Lindstrom, Attorney- in- Fact
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Western Surety Company
1' UR'ER OI A'CTORNEY APPOINTINC INDIVIDUAL A7" 1' U[t'V Y- IN- CACT KIIQN' AII' l•O II' TIINSC I'rrsculx. 71 at W fiSTGRN tiURETY('( 741PAN1'. a kiwb( lakola coqwratYon. i. a July Ofl.,71017C1I i111/) l`\1,4I10 Cl)f lUfJ IOII t:lY10t,',Il3 fltlkl J U tl'C IO I IC Ctl)' 4) I SIUIIX F:III.: IOI SI:IIL• Uf SUOI I: I:/ 1U1.: lOtl fll:ll Il lIOCS hY\ 9RUl• OI IMC l(; IIAILLfC 301I Sl'AI I1C[ CIII: II71CBlI Ill'fCby m: kc. constitutc and appuim
Ucbbic Lindstrom, lndividually
ul'. SeatUe,/// rtv Inu nnd lawlul Allurncyl+ l• in• Pntl vith lidl xi cr: mJ nud unly hcnby cuulcrrcJ to slgn. cal uoJ cxc. uic fiir wid nn ilx: half lwnd., und nakings und uthcr obligutury inxtnnucnts ul' similar n;uiu.
In Uulimitecl Amow tsSarccy Boad No.: 929086342
i ri« c p i: Lathrop Sunrise Sanitation Corporation
onii c: Ciiy Of Lathrop
and to bind it thcrc y as ti lly nnd io thc c mc c uut as il' auch inswmcros ccre sign Y1 hy n July authari rJ ofliecr nl' hc cur rnlion nnd oU thc ncls of said Auomcy. pursu m lo thc nutl ority hcrcby Eti rn, arc hcreby r:itilicd anJ confinncd.
I'his Pmtrr oFAllomcy is madc aixl caccurcd p usuant to and by authority ofthc liyI. w pnmccl an thc rcvcrsc hcrcoY, duly adoptcd, ax inJitatcd, hy thc shrrchuldccs of Ihc cor wr:+liva.
In 1\' Itncss\ Yl crcof, W[: STIiRN SURIiI' 1' CO\ 1PANY hax cauccd ihesc prcscnts n bc signcd by its Virr Prcsidcnt and its coq+omtr scal m hc hc c o aliircd m Ihis 1 tiih day N" Jmic, 2021.
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WLS' I' GItN 5UI2CTY CUMI ANY
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fM aul' 1'. Ilmtlat. Vicc Prcsidcm
S1atc of South Uakota
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Cuuuty of Alinnrhu6a
On this I bth Js y ol Junc. 021. Ixli,rc mc xnonally cnnm 1' nul' 1'. 1lrullat. n mc Imo n.' hi, Iking by me duly s v m. JiJ dcTM sc nnd say: ih hr residns in thc Ci y ol' Siiu Palls. Sl: tc of Suud Daf.uta: Ihat 6n i Ihr Vicr P raiJrnt of IYt:SI' iiRh SURtS' 1' Y COMNANY Jcncrilxtil in: md hich c. ccmnl thc ahovc inslrumcnt: that hc kno c.c Hic scal of wiJ mqx+ratian; that thc xcal nlliscd to Ihc sa d msuumrnt is such corpormc scal; hat It cas so aflircd punuant lo aulhori y ivcn by thc Honrd of Dircclore of saiJ coq oraliun: md Ibat hc x gntJ hi namc thcrcto pursuam io fike authi rity. nnd uckno i Jgcs samc w tx thc act: uid dc w1 of: id cutpvr.tiun.
ly wmmisxiun cxpirc> M. BEN7
NOU1R' YOLK
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11arch 2. 20Z6
1. Ilcn4 Nocap' Puhlic
CF.RTIFICATF:
1. L Nclxm. Assn ant Srcretnry ul' WGSTE3RN SUNl: 7' Y C0 1P. NY du hcrcby crAd' y d at Ihe Pw Yr ol' Allumcy herrinabuvr rt li rth++ Iill in torcr. and tunhcr ccnity thac chc tly- Lan of ihc corpuration pnni vl on thc rcvcac hcrcof s still in torec. In tcscimony vhcrcof 1 havc hcrcunto subscrilxYl uq' t18t l•:IIUT AI 1\ CtI II1C SC: d nf thc raid cur xttuliu i liis 3fd Jay of May, 2022.
S"'="' WGS' 1' I: RN SURETY COMPANY
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Fonn Fa:& a7-: o12 L. I clson. Assisttun Secrclary
Go to www. cnasu etv.co r > Owner/ Obligee Services> Validate Bond Coverage, If you want to erify bond authenttclty. uthoricin li•- L:++
ADOPTrD B1' THE SHAR MOLD[: RS OF WC;STC'RN SURETY COMPANY Chis Po+• cr ul' AUorncy is madc and r ccu J pursuan to and by auU ority of Uic fi llo ti ing liy- l. aw duly adoptcd by lhe sharcholdcrs otthc Cumpany.
Scctian 1. All honds, policics. imdcrtakin4s. Po vc. ol' Anorncy. or Mlicr obliga ions of lhc co or.iticro shall Ur cxccut Yl in Ihc corpor.uc namc uf thc Comp:„ y ny thc Presidcnt. Sccrcuiry. anJ Assistant Scrretary. Trcasurcr. or any Vicc Presidrnt, ur by such othcr ofticcrs as thc Ilo:ud if 1) irccinr: may autlioriza ' fhc I' retiident, any Vicc 1' recidcnt. Sccretnr•. ciny Assistant S« rclarp, ur thc' I' rcasurrr may appainl Atlomcys in ract ur agrnt+ ho shail havc auth rity to isxuc lxmdx, policics, or undcrtakings in thc namc of thc Company. 1' hc cuq oratr seul i nul nrcrss: ry tiir Ihe vnlidit ul' nnp bund, pulicics. wiJcttakings. Pu errs ut' Altut7tey ur other ubligatiuus af thc co wratiun. ' 1' hc signaturc ul' any surh ulliccr: mJ thc curpuralr acal nw bc printrd liy tao imilc.
AC Page 1 of 4
DATE( MM/ DD/ YYYY)
CERTIFICATE OF LIABILITY INSURANCE os 3o zoZz
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER( S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy( ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer ri hts to the certificate holder in lieu of such endorsement s .
PRODUCER CONTACT NAME:
CANNON COCHRAN MANAGEMENT SERVICES, INC.
17015 N. SCOTTSDALE RD. PHONE( A/ C No. Ext): FAX( A/C No.Ext):
SCOTTSDALE, AZ 85255 E- MAIL ADDRESS: certificateteam ccrosl. com INSURER S AFFORDING COVERAGE NAIC#
iNsurtert a: ACE American Insurance Co. 22667
INSURED NsurteR e: Indemnit Insurance Co. of North America 43575 REPUBLIC SERVICES, INC. iNsurtertc: ACE Fire Underwriters Insurance Co. 20702 18500 N. ALLIED WAY iNSUReR n: Illinois Union Insurance Com an 27960 PHOENIX, AZ 85054 INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 2142466 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. NOTIMTHSTANDING 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
TYPE OP INSURANCE
ADDL SUBR pOLICY NUMBER POLICY EFF POLICY EXP LIMITS
LTR INSD WVD MM/ DDIYYYY ( MM/ DD/ YWY)
A
X COMMERCIAL GENERAL LIABILITY HDO G47331067 06/ 30/ 2022 06/ 30/ 2023 EACH OCCURRENCE 5, 000, 000
CLAIMS- MADE X OCCUR DAMAGE TO RENTED
PREMISES( Ea occurrence)
5, 000, 000
MED EXP( Any one person)
PERSONAL& ADV INJURY 5, 000, 000
GEN' L AGGREGATE LIMIT APPLIES PER:
POLICY PROJECT LOC
GENERAL AGGREGATE 15, 000, 000
PRODUCTS- COMPIOP AGG 15, 000, 000
OTHER:
A
UTOMOBILE LIABILITY ISA H1073261A 06/ 30/ 2022 06/ 30/ 2023 COMBINED SINGLE LIMIT X ANY AUTO Ea accident)
10, 000, 000
x
OWNED AUTOS SCHEDULED BODILY INJURY(Per person)
ONLY AUTOS BODILY INJURY( Per accident)
X HIRED AUTOS NON- OWNED
ONLY AUTOS ONLY PROPERTY DAMAGE
Per accident)
UMBRELLA LIAB OCCUR EACH OCCURRENCE
EXCESS LIAB CLAIMS- MADE GGREGATE
DED RETENTION$
ORKERS COMPENSATION WLR C50702145- AOS ' 06/ 30l2022 06/ 30/ 2023 X PER B
ND EMPLOYERS' LIABILITY
Y N N A
WLR C5070192A- MA/ OR 06/ 30/ 2022 06/ 30/ 2023
STATUTE
OTHER
A
NY PROPRIETOR/ PARTNER/ EXECUTIVE SCF C50702182- WI 06/ 30/ 2022 06/ 30f2023 E. L. EACH ACCIDENT 3, 000,000 C FFICER/ MEMBER EXCLUDED? WCU C50702273- OH XS O6/ 30/ 2022 06I30I2023 E. L. DISEASE- EA EMPLOYEE $ 3, 000,000 q Mandatory in NH)
TNS C68991171- TX NS/XS 06/ 30/ 2022 06I30/2023 E. L. DISEASE- POLICY LIMIT 3, 000, 000 p If yes, describe under
DESCRIPTION OF OPERATIONS below
ESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES( ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Division Number: 4207- Named Insured Includes: Lathrop Sunrise Sanitation Corporation- Dba: Allied Waste Lathrop Sanitation Services
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Lathrop
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
390 Towne Centre Drive
LATHROP, CA 95204
United States
O 1988- 2016 ACORD CORPORATION. All rights reserved.
ACORD 25( 2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID:
LOC#:
ACOR ADDITIONAL REMARKS SCHEDULE P 9e2of4
AGENCY NAMEDINSURED
REPUBLIC SERVICES, INC.
POIICY NUMBER 18500 N. ALLIEO WAY
See First Page PHOENIX, AZ 85054
CARRIER NAIC CODE
See Fifst Page EFFECTIVE DATE:
ADDITIONAL REMARKS CERTIFICATE NUMBER: 2142466
THIS ADDITIONAI REMARKS FORM IS A SCHEDULE TO ACORD FORM.
FORM NUMBER: 25 FORM TiT E: CERTIFICATE OF LIABILITY INSURANCE The following provisions apply when required by written contract. As used below, the term certificate holder also includes any person or organization that the insured has become obligated to include as a result of an executed contract or agreement.
GENERAL LIABILITY:
Certificate holder is Additional Insured including on- going and completed operations when required by written contract.
Coverage is primary and non- contributory when required by written contract.
Waiver of Subrogation in favor of the certificate holder is included when required by written contract.
AUTO LIABILITY:
Ce tificate holder is Additional Insured when required by written contract.
Coverage is primary and non- contributory when required by written contract.
Waiver of Subrogation in favor of the certificate holder is included when required by written contract.
WORKERS COMPENSATION AND EMPLOYERS LIABILITY:
Waiver of Subrogation in favor of the certificate holder is included when required by written contract where allowed by state law.
Stop gap coverage for ND and WA is covered under policy no. WLR C50702145 and stop gap coverage for OH is covered under policy no. WCU C50702273, as noted on page 1 of this certificate.
TEXAS EXCESS INDEMNITY AND EMPLOYERS LIABILITY:
Insured is a registered non- subscriber to the Texas Workers Compensation Act. Insured has filed an approved Indemnity Plan with the Texas Department of Insurance which offers an alternative in benefits to employees rather than the traditional Workers Compensation Insurance in Texas. The excess policy(# TNS C68991171) shown on this certificate provides excess Indemnity and Employers Liability coverage for the approved Indemnity Plan.
Contractual Liability is included in the General Liability and Automobile Liability coverage forms. The General Liability and Automobile Liability policies do not contain endorsements excluding Contractual Liability.
Separation of Insured( Cross Liability) coverage is provided to the Additional Insured, when required by written contract, per the Conditions of the Commercial General Liability Coverage form and the Automobile Liability Coverage form.
Additional Insured includes: City of Lathrop, iYs Officers, Officials, Employee and Volunteers, when required by written contract.
ACORD 101( 2008/ 01) O 1988- 2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
Pa e3of4
1 POLICY NUMBER: HDO G47331067 Endorsement Number: 12
COMMERCIAL GENERAL LIABILITY
CG 20 10 07 04
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - 4WNERS, 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) Location( s) Of Covered Operations Or Organization( s):
Any Owner, Lessee ar Contractor whom you have All locatians where you are performing operations for agreed to include as an additional insured u der a
such additional insured pursuant to any such written
written contract requiring CG201Q{ 0704), pro ided contract. such contract was executed prior to the date of
loss
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 excluorganization( s) shown in the Schedule, but only sions apply:
with respect to liability for " bodily injury", " proe dama e" or " This insurance does not apply to " bodily injury" or p rly g personal and advertising property damage" occurring after: illjury" CauSed, in whoie or in part, by: 1. All work, including materials, parts or equip1. Your acts or omissions; or ment furnished in connection with such work,
2. The acts or omissions of those acting on
on the project( other than service, maintenance
your behalf; or repairs) to be performed by or on behalf of the additional insured{ s) at the location of the
in the performance of your ongoing operations covered operations has been completed; or for the additional insured{ s) at the location( s)
2, designated above. That portion of " your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor ar subcontractor
engaged in performing operations for a principal as a part of the same project.
CG 20 10 07 04 O ISO Properties, Inc., 2004 Page 1 of 1 Pa e4of4
1 POLICY NUMBER: HDO G47331067 Endorsement Number: 17
COMMERCIAL GENERAL LIABILITY
CG 20 37 07 04
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITfONAL INSURED - OVVNERS, LESSEES OR
CONTRACTORS - COMPLETED OPERATIONS
This endorsement modifies insurance pro ided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person{ s)
Or Or anization s : Location And Descri tion Of Com leted O erations Any Owner, Lessee or Contractor whom you have A{I locations where you are perfoRning work for such agreed to include as an additional insured under a additional insured pursuant to any such written written contract requiring CG2037( 0704), pro ided contrdct. such contract was executed prior to the date of loss.
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
Section 11 — Who Is An Insured is amended to
include as an additional insured the person( s) or
organization( s) shown in the Schedule, but on y with
respect to liability for" bodily injury" or" property damage" caused, in whole or in pa t, by " your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the " producfs- completed
operations hazard".
CG 20 37 07 04 O ISO Prope ties, Inc., 2004 Page 1 of 1
ATTAC H M E NT C
City of
Park, Recreation 8 Maintenance Services 390 Towne Centre Drive, Lathrop, CA 95330 Phone( 209) 941- 7370
www.ci.lathrop.ca.us
INDUSTRIAL REFUSE COLLECTION
LICENSE APPLICATION
COMPANY NAME: Ground Force Enterprlses
ADDRESS: 6021 Grassland Drive, Castro Valley, CA 94552
PHONE/ FAX 510- 512- 6055
EMAIL: offJce@groundforceenterprlses. com
The following license requirements are set forth by the City ofLathrop Municipal Code, Title 8 Health& Safety, Chapter 8.16 Garbage Collection& Disposal, Section 8.16.140 Inslustnial SQlid Waste Removal— Li ense Required.
CHECK IF
ENCLOSED
PROPOSED CUSTOMERS LIST( Names and Addresses): X
SIGNED STATEMENTS FROM NEW INDUSTRIAL CUSTOMERS ADDRES3ED X TO CITY( See Municipal Code section 8. 16. 140.2):
NUMBER, KIND, AND CAPACITY OF VEHICLES AND OTHER EQUIPMENT X Must be in compliance with all applicable air pollution control laws):
ORIGINAL PERFORMANCE BOND OR OTHER SECURITY ATTACHED($ 25, 000) - X ORMOST RECENT FINANCIAL STATEMENT AND/ OR AUDIT
The applicant shall provide proof of financial ability to provide service contemplated by the application)
INSURANCE CERTIFICATE NAMING THE CITY, ITS OFFICES AND EMPLOYEES
AS AN ADDITIONAL INSURED X
See Municipal Code section 8. 16. 140. I for Insurance Requirements):
LICENSE FEE ENCLOSED($ 2, 500) X
ADMINISTRATION FEE($ 92) X
City of.
Park, Recreation & Maintenanee Services 390 Towne Centre Drive, Lathrop, CA 95330 Phone( 209) 941- 7370
www.ci.lathrop. ca.us
TYPE OF WASTE REMOVAL SERVICE:
Solid Waste Collectlon and Hauling
Thefollowing definitions are setforth by the City ofLathrop Munieipal Code, Title 8 Health& Safety, Chapter 8.16 Garbage Collection& Disposal, Section 8.16.010 " Industrial solid waste" means solid waste originating from meehanized manufaeturing facilities, faetories, re neries andpubliely operated treatment works.
APPLICANT SIGNATURES:
f- .
4-17-2023
SIGNATU DATE
Silvia Teixeira
PRINT NAME
Director of Operatfons
TITLE
PROCESSED BY:
28 23
GNATURE DATE
MELISSA STATHAKOPOULOS
MANAGER
PARKS, RECREATION& MAINTENANCE SERVICES
APP OVED BY:
2. 23
TOD SEBASTIAN DATE
DIRECTOR
PARKS, RECREATION & MAINTENANCE SERVICES
Ground Force Entc rprises
Profit & Loss
January tiirough Decomher 2Q21
Jan- Dcr; 21
Oniin ry Incomol[ xpcnsa
Incoato
Snlas 5. 6f(3244 22
Totnl Income 5. 6Gfl2A4 22
Cost ol GooJs Sold
MAterials
Concreto A2, 338A0
Plants d Trees 1, 224 71
Sod 75, 000. 00
tllaterials- Other 43, 948 17
Total Matarials 102, 610 QII
Subcontractors 195, 030. 00
Total COGS 2fl7, 540 88
Gross Profit 5, 870, 703 3A
Expenso
Equipmont Rentai 38, 416 07
Hauling 1, G14, 572. 46
Penally 1, 219. 01
Dump Feos 1. At39, 416 81
Advertising 391. 08
Automobilc Expanso 238, 36522
Equipment in transit 72. 600.00
bank Charges 789.41
insuranco Expcnso
Umbrclln 784.76
Auto 66, 470.G5
Employee Life 14, 9 3 20
Uabiiily 32,693.08
Workers' Comp 57, 409. 28
Total Insurance Expense 174, 336 97
Intorest Expensc 33,649.91
Payrolt
Wages 552, 997. 19
Payroll Taxes 37G, 095. 72
Payroll servicc q. 294.90
Total Payroll 934. 1 f37. 81
Licenses zg, gg_ g
Offica Supplics 1F, 107 87
ProfossionalFees
Accounting 13, J58 75
Design t, a00. 00
Legai 8, 31 G. GS
ToL I Profession l Fees 24. 075 43
Rent Expenso 16, 200. 00
Repairs and Muinten nce 39, 737. J9
Small Tools 5 Ot19 J3
Taxes
IRS I. 027. 95
Total T xes 1, 027 35
Teleplione Expense 504 05
Utilities 4 iU232
Tolal Expense A, 731, 170. 0
Net Ordinary Income G39. 532 45
Pago 1
DATE( MM/DD/YYYY) A CERTIFICATE OF LIABILITY INSURANCE 04/ 17/ 2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATNELY AMEND, EXTEND OR AI,TER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER( S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy( fes) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certiflcate does not confer rights to the ceRiflcate holder in Ileu of such endorsement( s.
PRODUCER C NTAC Jessica Martin
McDermott- Costa Co., IfIC.
NAME:
1045 MacArthur Blvd.
PHONE , ( 510) 351- 7460 ac No:
510) 357- 3230
San Leandro, CA 94577 nooRess: jessicam@mcdermottcosta. com INSURER S AFFORDING COVERAGE NAIC#
wsuReRn: Associated Industries Insurance Company, Inc. 23140 INSURED Garden of Eden Landscape Ground Force Enterprises INSURER B: Ufllt@fJ F111811CI8I C8SU8Ity CO 11770 6021 Grassland Drive
iNsuReRc: Ohio Security Insurance Company 24082
Castro Valley, CA 94546
iNsuReR o: StarStone Specialty Insurance Company 44776
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 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
TypE OF INSURANCE
D S 8 POLICY EFF POLICY EXP
LTR POLICYNUMBER MM/ DD MM D LIMRS
A
I / COMMERCIALGENERALLIABILITV y y AES122423300 06/ 01/ 2022 O6/ 01/ 2023 EqCHOCCURRENCE $ 1, 000, 000 CLAIMS- MADE ', . OCCUR PREM SES Ea oxurrence S 1 OO, OOO MED EXP( An one person $ 5, 000
PERSONAL& ADV INJURV $ I, OOO, OOO
GEN' L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ Z,OOO, OOO POLICY. I: JECT LOC PRODUCTS- COMP/OP AGG $ 2, 000, 000 OTHER: S
B
AUTOMOBILELU161LITY y y
02183661- 2 06/ 01/ 2022 06l01/ 2023 EaaocideD SINGLELIMITy Q00, 000 ANY AUTO BODILY INJURY( Per pewon) $
f OWNED ; SCHEDULEO
AUTOS ONLY ,,,__,; BODILY INJURY( Per accldenQ $ AUTOS
HIRED NON- OWNED PROPERTY DAMAGE s
AUTOS ONLY : AUTOS ONLY Per acadeM
a
UMBRELLAUAB '{^ OCCUR 89706Q230ALI 01/ 18/2023 O6/ 01/ 2023 Ep,CH OCCURRENCE a 5, 0, 00
FJ( CESS LIAB CLAIMS- MADE AGGREGATE S, OOO, OOO
DED : RETENTION$
C WORKERSCOMPENSA7ION
y XWS( 24) 58 03 31 92 01/ 01/ 2023 01/ 01/ 2024 ;' PER OTHAND EMPLOYERS' LIABLL. ITY STATUTE f ! ER OFFICE R/ MEM EREJ( CLU ED9ECUTIVE
Y
N/ A
E. L. EACH ACCIDENT $ 1, 000, 000
Mandalory In NH) E. L. DISEASE• EA EMPLOYEE S 1, 000, 000 Ifyes, describe under
DESCRIPTION OF OPERATIONS below E. L. DISEASE- POLICY LIMIT $ 1, 000, 000 DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES( ACORD 101, Additlonal Remarks Schadule, may be aHached if more space Is required) City of Lathrop, its Offices and Employees are included as an additional insured and primary, non- contributory on the General and Auto Liability. Waiver of Subrogation applies to General Liability and Workers Compensation.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELNERED IN City of Lathrop ACCORDANCE WITH THE POLICY PROVISIONS.
390 Towne Centre Drive,
Lathrop, CA 95330 AUTHOR¢ ED REPRESENTATIVE
L. c I lo C J'
O 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25( 2016/ 03) The ACORD name and logo are registered marks of ACORD A Rt7
EI TIFtCATE QF LIABILITY INSURANCE
T' u°°` Y rm
csr,s o22
THt& CERTiFiCATE 3S tSSUED AS A MATfER qF tNF RMA71 K ONLY AND COPIFERS NO RIGH1" S UPON THE GER? I ICATE H pLDER. ' fH18 CERI3FICATE DQ S IVQT AFFIRflAATtV£ Ll' OR NEGATIVEi, Y AMEND. ExTEiVO OR AL'fER 7FiE COVERAGE AFFQRDEl3 8Y THE PC7LiC1E5 SELOW. ' MiS C RT3FIGATE O IN$ URANCE DOES N07 CONS7'! 7U' fE A COt17RAC' f BE' FWEEN ' CHE I$ SUING tNSLfl2ER( 5), AUTFE RIZ O kEPRESEKTATIVE OR PRQ UCER, AiVD THE CER' EIFICRTE NqLDER l IPOfiTANT: If the cerGflcate hoider is an AD[] i'!'IONA! ENSU£ tEO, the policy( fes} musi have ADDI' F' IONAL ITlSURED provisions or be enr3orsed. ff SiJ ROGA' r'I N tS WAIV CI, subject tp the t rma end cpnditiaas af the policy, certain poficies msy require an endoraemont. A atatemeat an this certif3cat0 does Aoi conter ri his to Me certificate holder in lfeu of suth endarsemen s. rrxaouccrt A
NAME: Pr re iv Re ial Lirt s C er Aa n Sani in
i icCierm. H-Cosia Co. fnc.
104 fJEAChI: Tt JR£fE.YD, SAN LEP. t1DR0, C 57' N : 1- 44-44 7 FAI
EaVtA( L
AUDRESS: arpyrB.: SiveGvmmerGlolCcamqil. pipgrggsivg. cpm IH8l/i2ER 8} AfFpRD2Np GOYER+ 40E NAIC B
Ik URtItA: JnitP.dFin tici. it;ta ' 0 1977Ci
iNSURED
f6 SUiiER 8:
GARDE OF EDENLANt SCAPE5INC 0& A: GROUiJD FORCE ENFERPRISES S+J23 Gr'L4S5LAND ORIVE INSURER C;
CAS7R0 VALtEY, CA, i455' NJVRCtt U;
lFfStlRER E:
iMSURER F:
COVERAGES CEFtTIFiGATE NiiAABER: 2d9555 24839311051 06152272718t E REVISiq IdtfMBEK:
YHIS ! S i 0 f: Ett) 7PY iTiA7 ' 1? iE uL'LICtES UF INSUFCANCE L! 5'l. D HtLU4V Y3AVE BEEN ISSL EI! ! O ft1E i1V5UitEi1" 7AN'iEi At3UV FCF:" fHE W: 211CY NEKtJD tN01CA' FEL. NOTUUI' tIiSTAN fNG ANY REQU1REtYtElvi', TERM OR CONDlTiQN pF ANY CON7RACT OR Q7HER DOCUAiENT UYI' 3'! E RSSPECT TC1 1' HICH TWIS C[ Rl' tFi A7L- A4AY CiE ISSUED pR . r1Y PL-RTAIN, TfiC INSUf2AlvG[ AFFpRO[ D DY THE i' pLIG1E$ DC$ Gft13C-D fiEt2EtN E$ SUBJEGT TO ALL TItE ' f RlJIS, 7CF: LJSIUh$ ANU CUNuf 1' IUNS UF 5UCH i' ULtL'iES. LfA4ft5 5H'aVJN MAY NAVE[ 3EEtv( i£Ut1CtG EiY PAID CLAIA4S.
I IN8l4 AUt) L 5UB POLii: Y EFF POLK: Y£ JIP
7YPE OF fN& 31R14NCG cp yyyp POLICY NUMOER DI D YYYY L1MtT$ C MA4ERCIA GEN@iiAl LiABiLITY ERGH QGGUftP.ENt.E
vR'
CtAtA+S• a4A0E Q OGGUF it ai! E a, ur2:t
WtELt E%fi!! v e son
PEP. SC SAL 8 AOU NJURY
IaENLAGGRE- AYE LIM37 APPUGS PEFt:
GENEFAt. l.t`,CCRFfATF.
PP' ( PROQUCTS- C A FICF AGG
POLtCY JEC7 f LCC
OTHL-R: S
f,OMFfIDlEC1 SiMGLE Ufii T
A!} TOeAOBIL. ELSA8ILlP! Ea rSaf+( S W7, Of10
RNY AU70
p p
B OfLYitJ, 1l1RY' Per ecx
i A AllTOS ONIY X ' IfT S N M1i 02 R3 1: Uf'Gli2( 1Z? ^ Cv'Q7l2. 2"u $( biLY i4UURY par eccider;t I i Y2ED ON- O YNCD
AUTOS ONL' PUTOS OlJLY P s accldsnU
6 IiMSRELLA UAS OCCUR EAGn! iI;GUCtRENCE $
ExC 55L1A8 CLAISI• WthU
TGGREGl:TE
UED RET} T10N S S
WOIt9fE123 COMAENSA710N
AMD EA1pL0YERS' ilA81t. RY Y1
AtvYPROpRiE70R! pARSMER+ EXECUTIV[ n a
1. rACH ACGL Ek# $
bFF1i;ER+'AtEMSEP, EXCLUaS? i. J
jLAanda4ory in IdH E. l. 7 EJ 6c E C6AF OY[
1f yes. deecri6e undar
c . 6.t.fltSE1.SE- POLtCY LlMt? $
DESCRtPTS6N OF OTERATiQM9/ LOCAiiONS 1 VEHfCLES( ACQRO 7Ri, AddiUOnn2 Rernarke SchedWe mey Ge etleahed it more speoe is raquirod) CERT# ICATE NOL R CANCELtAT1E} N
5H011l. D ANY OF THE A801fE[} ESCRIBEQ POLICIES 8E CANCELLEQ B£ fQRE fN XPlKA' EIQN A' f ' i'N Ii t P. NOt1C Witt B O LfV R b tk GiTY OF LATHROP ACGQRDAIdCE WI3H i'NE POLlCY PROYISIONB. 390' fOVs' A1 f.EN7RE DftfVE
iLA7HR, f.t10.5 00
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R AaDfTtUNAL RE tiARKS SCHEDULE p8 1 of z
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A4cDermott- Cost Co. inc. GARDEfV QF EDEfvU NbSGRPES i C DHti: GROUi EORt.E ENTEftPRiS S PBuCYNudaeER
SC21 GRASSLIIi i QRIVE
0228363t2
CAS732G V{ LL l. l Qd552
CdRR1ER tJAIC CObE
United fin nclel Gas Go 117i0 EfFECTt11E DATE nC+;Q'! tZE122 AbDI' f' I NAL REMRftKS
THIS QDbiTEONQL REMARKS FORM} S A SGHEDULE 1' 0 ACORt3 FQRM, p ryg: 25 ap: Cefiticate of tiabi3itv lnsurance
AddEtfonaE Cov2rages
tnsarance eaveragaSs t3m#ts
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Schaduind 3utos only
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4592 LOGAtJ TRAtLER 1X4AF2192tVA0084d8
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200 FiAi. PJlilRlf` PFiA( LER 1665 38
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20D5 P, 3` i'Rk1LER dPSD' T' 1d2949G6275
Comprehensive ffi2, 4(10 Ued
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20Q2 CFiEVROLE7' 350 ill'3504. 2 4K8B4Bi 1Z82. 3803a81........ . l;omprehensive 3, uUD Ded
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2Q48 K NUI+ORTW TA3Q 1NKZLPDX5JJ218692
Camprei ensive 4, d00 bed
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Camprehanslve t, QOQ Ded
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Z030 NUiV ObV EO ATTAGHEt1 TF2LR NUlVE
1989 FORD F350 1F7' VJX33 8XEC8t5Q3
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2020 ICENN10RTri T88t1 tNKZLPOJC2L. l423 58
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243i! NUN Ul+' lEVEU A i' i'AC3 EEU' EKLK NU1VE
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WAIVER OF SUBROGATION ENDORSEMENT
This endorsement modifies insurance provided under the follawing:
Commercial Auto Palicy
Motor Truck Cargo Legal Liability Coverage Endorsement
Commercial General Liability Coverage Endorsement
We agree to waive any and all subrogation claims against the person or organization designated below.
CITY OF LATHROP
390 TOWNE CENTRE DRIVE
LATHROP, CA 95300
This endorsement applies to Policy Number: Q2 I$ 3661
Issued to: GARDEN OF EDEN LANDSCAPES INC
Endorsement Effective: 06/ 01/ 2022 Expiration: d6/ 15/ 2023 All other terms, limits and provisions of this poliry remain unchanged.
Form 8610( 02/ 19 IVLCL
ATTAC H M E NT D
d'
I
1 City of
Park, Recreattfln Maintenance Services 39(" I owae Centre Drive, Lachrop, G19S330 Phone( 20`I} 941- 37d
ww v.ci.lathrop. ca. us
INDUSTRIAI. REFUSE COLLECTION
LICENSE APPLICATIUN
C MPANY NAME:
f
c%- a w S
ADDRESS: T`
C )
FHON/ AX f? ' 2--- _.__......._.....,__,
EMAIL: C ,.-..
Tlrefatlowing Ircense requirenrents ure setfon/t by t/re City ojLatlxrop Municipal Code, Titte 8 Health& Sufety, Cl:apter 8. 16 Garbnge Cnllec ion c c Dispasal, Sectian 8. 16.14Q Indusiria! S li! Wnste Renxaval— License Required
CH1 CK IF ,
ENCLOSED +
PROP45ED CUSTt} MERS LIST{ Names and Addresses): G'_...._._..._.__ SIGNED STATEMENTS FROM NEW 1NDUSTRIAL CUSTOMERS ADDR SSED TO CITY( See Municipal Cade section 8. 16. 140. 2): p +"?""'' y.i ,
NUMBER, KIND, AND CAPACITY OF VEHIC ES AND OTHER EQUIPMENT 1 j*
Must f.- be in compiiance with all applicable air poilutian control laws): O flRIGINAL PERFORMANCE BOND OR O" HER SECURtTY ATTACHED($ 25, 000)- URM( ST RECENT FINANCLAL STATEN( ENT ANDIUR AUDIT
The applicant shatl provide proof nf financiai abiliry to provide service contemplated by the applicatian)
INSUF ANCE CERTIPICATE NAMING THE C1TY, 1TS OFFICES AND EMALOYEES r AS AN ADDITIONAL INS[ JRED C'
See Municipal Code section $. 56. 140. I for Insurance ltequirements):
LICENSE FEE ENCLOSED($ 2, 500)
ADMINISTRATION FEE( 92)
Pc ge 1
i
City af
Park Recreatton 8 Maintenance ServJces 390 Towne Cencre Drive, Lathrap, CA 95330 Phone( 2Q9) 941- 737Q
www. ca. lathrop. ca. us
TYPE C3F WASTE REMOVAL SERVICE:
j r /' c" l,
TJre fo!lowing defrnitions are set fort/i by t/ae City ajLat/ trap Mu ricipal Code, Title 8 Healtly d'c Safety, Clrapter 8.16 Garbage Co!lection& Disposal, Section 8. 16. 01 " Industrial salid waste" n eans solid wasle originating from nrecJra: ized nranufacturrng facilities, factnries, refi series and publ cly aperated treutment warks.
APPLICANT SIGNATURES:
f
d
S14.i;tATURE DATE
Q r /- !'
t/ '.
PRINT NAME
T,._tr._,, m...
TITLE
PROCESSED BY:
l
l/ k\-` x.v Zi 7
S NATURE DATE
MEL[ SSA STATHAKUPQULQS
MANAGER
PARKS, RECREAT( ON& MAINTENANCE SERVICES
APP OVED BY:
m___ H_....
s 23
I"( D 5EB TIAN ATB
DIRECT( R
PARKS, RECREATEUN & MAINTENANCE SERVICBS
LathropCustlnfo( 2)
CUSTOMEF COMPNY CUSTOMEF SERVICE_ NM HOUSE# SERVICE STREET NM SERVICE CITY NM 0 529 605 J R SIMPLOT CO- TRASH 16777 HOWLAND RD LATHROP O 529 607 CARPENTER COMPANY( TRASH) 17100 S HARLAN RD LATHROP O 529 608 SWISS AMERICAN SAUSAGE COMP 251 D' ARCY PKWY LATHROP O 529 609 DAIMLER CHRYSLER- TRASH 18260 S HARLAN RD LATHROP 0 529 614 CARPENTER COMPANY( WOOD) 17100 S HARLAN RD LATHROP 0 529 615 CARPENTER COMPANY( OCC) 17100 S HARLAN RD LATHROP O 529 616 CARPENTER COMPANY( PLASTIC) 17100 S HARLAN RD LATHROP O 529 617 HERITAGE PAPER 11964 S HARLAN RD LATHROP
O 529 618 CARPENTER COMPANY( METAL) 17100 S HARLAN RD LATHROP 0 529 619 PILKINGTON 500 E LOUISE AVE 10 LATHROP
C 529 620 AQUINO FARMS 11401 S MANTHEY RD LATHROP
C 529 1072 1 R SIMPLOT CO 16777 HOWLAND RD LATHROP
O 529 622 CHRYSLER- CARDBOARD COMPACTOR 18260 S HARLAN RD LATHROP O 529 623 CHRYSLER- TRASH 18260 S HARLAN RD LATHROP
C 529 625 J R SIMPLOT AGRIBUSINESS RCY 16777 HOWLAND RD LATHROP O 529 626 J R SIMPLOT AGRIBUSINESS WOOD 16777 HOWLAND RD LATHROP O 529 627 AMCOR PET PACKAGING 401 NESTLE WAY LATHROP
O 529 1997 NORCAL COMMUNICATION& CONSTRU 3091 YOSEMITE AVE LATHROP 0 529 2124 LANDSCAPE DEVELOPTMENT 418 COLONIAL TRL LATHROP C 529 629 E R CARPENTER CO 17100 S HARLAN RD LATHROP
NATIONAL GUARANTY INSURANCE COMPAIVY OF VERMONT
100 BANK STREET, SUITE 630 BURLINGTON, VT 05401
Memorandum
I I': May 2, 2023
TO: Waste Management
Attn: Derek Fujii
8491 Fruitridge Rd.
Sacra.mento, CA 95826
FR: Brandi Guthrie
Insurance Officer
Bond No. LB03- 0549- TX— Stockton Scavenger
Enclosed please find the renewal document for the above referenced bond. This document has been executed at your request for the June 30, 2022 to Ju.ne 30, 2023 & June 30, 2023 to June 30, 2024 terms.
Please forward the ariginal to the Obligee and retain a copy for your files.
If you have any questions or need further assistance, please contact Diana Seng, Dixector of Treasury and Financial Assurance at( 713) 265- 1322 or Dseng@wm. com.
Enclosures
NATIC} NAL GUARAPITY INSUR ANCE COMPANY OF VERM NT
100 BANK STREET, SUITE 630 BURLINGTON, VT 05401
EXTENSION CERTIFICATE
To be filed with the Obligee)
License/ Permit Bond
Bond Number: LB03- 0549- TX
To be attached to Bond described below, executed by National Guaranty Insurance Company of Verrnont as Surety:
PE INCIPAL: Waste Management of California, Inc.
OBLIGEE: City of Lathrop
DESCRIPTION: Industrial Refuse Collection
Said Principal and said Surety hereby agree that the term of said bond is extended from the 30th day of June, 2023 to the 30' day of 3une, 2024 subject to all other provisions, conditions and limitations of said bond, upon the express condition that Surety' s liability during the original term of said bond and during any extended term shall not be cumulative and shall in no event exceed the amount of Twenty Five Thousand and 00/ 100 -- -- - - - - -- - - ---($ 25, 000. 00}.
Signed, sealed and dated this 2° d
day of May 2023.
Jdaste Man gement of California, Inc.
By:_
Je ey Koch, Attorney- In-Fact
National Guaranty Insurance Company of Vermont
syj 'B: aiidi Uutk rie, Attorney-In-Fact
ACKNOWLEDGEMENT BY SURETY
STATE OF VERMONT
COUNTY OF CHITTENDEN
On this 2° d
day of Ma, , 2023, before me Paula Klu o a notary public in and for the State of VERMON'I with principal office in the County of CHITTENDEN residing therein, duly commissioned and sworn, personally appeared Brandi Guthrie known to me to be the attorney- in-fact of the corporation that executed the within instrument, and acknowledged to me that such corporation executed the same.
In witness whereof, I have hereunto set my hand and affixed my official seal, at my office in the aforesaid County, the day and year in this certificate first above written.
Nota ublic in and for the State of Vermont
My commission expires O1/ 31/ 2025
ACKNOWLEDGEMENT BY PRINCIPA
Notary Pt lic State ot Vermont
Paula Mow an Klupo
STATE OF VERMONT My Gomm. Expfres 01/ 31/ 2025
Commissio n
COUNTY OF CHITTENDEN No. 1570014515*
On this 2" d
day of May, 2023, before me Paula Klu o a notary public in and for the State of VERMONT with principal office in the County of CHIT"TENDEN residing therein, duly commissioned and sworn, personally appeared Jeffrey Koch, known to me to be the attorney- in-fact ofthe corporation that executed the within instrument, and acknowledged to me that such corporation executed the same.
In witness whereof, I have hereunto set my hand and affixed my official seal, at my office in the aforesaid County, the day and year in this certificate first above written.
Notary Public in and for the e of VermonC
My commission expires 01131/ 2025
Notary Pubilc 5tate of Vermont
Paula Morgan Klugo
My Comm. Expires 01131/ 2ft25
Commission
No. 1 57001 451 5*
NATIONAL GUARANTY INSURANCE COMPANY ' JF VERMONT
100 BANK STREET, SUITE 630 BURLINGTON, VT 05401
EXTENSTON CERTIFICATE
To be filed with the Obligee)
License/ Permit Bond
Bond Number: LB03- 0549- TX
To be attached to Bond described below, executed by National Guaranty Insurance Company of Vermont as Surety:
PRINCIPAL: Waste Management of California, Inc.
OBLIGEF.: City of Lathrop
DESCRIPTION: Industrial Refuse Gallection
Said Principal and said Surety hereby agree that the term of said bond is extended from the 30th day of June, 2022 to the 30th day of June, 2023 subject to a11 other provisions, conditions and limitations of said bond, upon the express condition that Surety' s liability during the original term of said bond and during any extended term shall not be cumulative and shall in no event exceed the amount of Twenty Five Thousand and 00/ 100 - - - - - -- - -- - - - - - ($ 25,000.00).
Signed, sealed and dated this 2° d
day of May 2023.
Vaste N an gement of California, Inc.
By:
Jeff ey Koch, Attorney- In-Fact
National Guaranty Insurance Company of Vermont
y,
5':----
ra,rdi U athrie, Attorney- In- Fact
t
V
ACKNOWLEDGEMENT BY SUI2ETY
STATE OF VERMONT
COUNTY OF CHITTENDEN
On this 2°a
day of May, 2023, before me Paula Klur o a notary public in and for the State of VERMONT with principal office in the County of CHITTENDEN residing therein, duly commissioned and sworn, personally appeared Brandi Guthrie known to me to be the attorney- in- fact of the corporation that executed the within instrument, and acknowledged to me that such corporation executed the same.
In witness whereof, I have hereunto set my hand and affixed my official seal, at my office in the aforesaid County, the day and year in this certificate first above written.
Notary Public in and for the State af Verrnont
My commission expires Ol/ 3I/ 2025
Noiary Public Sta#e of Vermont
ACKNOWLEDGEMENT BY PRINCIPAL Paula Morgan Klugo
My Comm. Expires 01/ 31/ 2025
Commtssion
STATE OF VERMONT No. 1570IJ14515
COUIVTY OF CHITTENDEN
On this 2" d
day of Mav, 2023, before me Paula Klugo a notary public in and for the State nf VERMON"f with principal office in the County of CHITTENDEN resid'rng therein, duly commissioned and sw rn, personally appeared Jeffrey Koch, known to me to be the attorney- in-fact ofthe corporation that executed the within instrument, and acknowledged to me that such corporation executed the same.
In witness whereof, I have hereunto set my hand and affixed my official seal, at my office in the aforesaid County, the day and year in this certificate first above written. 1Votary blic in and for the State of Vermont
r ien+ tic_.... My commission exp es$—
b t ry Publtc State of Vermont
Paula Morgan Klugcr
s y Comm. Expires 01/ 31/ 2025
Commission
Na. 157 14515*
r.K.. F t TTORNEY
KNOWN ALL MEN BY THESE PRESENTS that Waste Management, Inc. and each of its direct and indirect majority owned subsidiaries( thc" WM Entities"), have constituted and appointed and do hereby appoint Peter 5nell, Brandi Guthrie, Brett Belt, Michael Batsimm, Jeffrey Koch, and Nancy Madden of Aon Insurance Managers( USA) Inc., each its true and lawful Attorney- in- fact to execute under such designation in its name, to affix the corporate seal approved by the WM Entities for such purpose, and to detiver for and on its behalf as surety thereon or otherwise, bnnds of any of the following classes, to wit:
1. Surety bonds to the United States of America or any agency thereof, and icasc and miscellaneous surety bonds required or permitted under the laws, ordinances or regulations of any State, City, Town, Village, Board or any other bady ar organization, public or private.
2. Bonds on behalf of WM Entities in connection with bids, proposats or contracts.
The fvregoing powers granted by the WM Entities shali be subject to and conditional upon the written direction of a duly appointed officer af the applicable WM Entity( or any designee of any such officer) to execute and deliver any such bonds.
The signatures and ttttestations of such Attorneys- in- fact and the seal of the WM Entity may be affixed to any such bond, policy or to any certificate relating thereto hy facsimile and any such bond, policy or certificate bearing such facsimile signatures or facsimile seal shall be vatid and binding upon the applicahle WM Entity when so affixed.
iN WITNF:SS WHEREOF, the WM Entities have caused these presents to be signed by the Vice President and Treasurer and its corporate seal to be hereto af xed. This pawer of attorney is in effect as of I---`.- Z' 2023.
Witness: 4n behalf of Waste Management, Inc. and
each of the othe WM Entities
es ie Nagy
Vice President and Treasurer
POWER OF ATTQRI EY
KNUWN ALL MEN BY THESE PRESEtVT'S that the National Gnaranty Insurance Company of Vermont, 100 Bank Street, Suite 630, Burlington, Vermont Corporatian ( the" Corporation"). has constituted and appointed and does hereby constitute and appoint Peter Snel1, Brandi Guthrie, Brett Sett, Michael Batsimm, Jeffrey Koch, and Nancy Madden of Burlingtotr, Verm nt, each its true and lawful Attorney- in-fact to exerute under such designation in its name and to affix its corporate seal to deliver for and on its behalf as surety thereon or otherwise, bonds of any of the following classes, to wit:
1. Surety bonds to the United States of America or any agancy thereof, including tease and miscellaneous surety bonds required or permitted under the laws, ordinances or regulations of any Statc, City, Town, Village, Board or any other body or organization, public or private.
2. Sonds on beha(f of cvntractors in connection with bids, proposats or contracts.
3. tnsurance policies and Certificates of Insurance related to financia) assurance for closure, past-closure and/o corrective actian obligations.
T'he foregoing powers granted by the Corporatian shall be subject to and conditional upon the written direction of any officer( or any designee af any sueh officer) to execute and deliver any such boncis.
The signatures and attestations of such Attorneys- in- fact and the seal of the Corporation may be affixed to any such bond, policy or to any certificate relating thereto by facsimile and any such bond, poticy or certificate bearing such iacsimile signatures ar facsimile seal shall be valid and binding upan the Corporation when so af xed.
IN WITNESS WHEREOF, the Corparation has caused these presents tv be signed by the President and its corporate seal to be hereto uffixed. This power of attorney is in effect as of u._. 2023.
Witness: NATIUNAL GUARANTY INSURANCE
COIVIPANY OF VERMQN' I'
j
l
r,
Diana Seng Leslie Nagy
Secretary President
Revised 03/ 2$/ 23
e CERTIFICATE OF LIABILITY INSURANCE
DATE( MMIDD/ YYYY)
1/ 1/ 2024 12/ 7/ 2022
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER( S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement( s).
PRODUCER LOCKTON COMPANIES CONTACT
NAME:
3657 BRIARPARK DRIVE, SUITE 700 PHONE Fnx
HOUSTON TX 042 E
CnNo Ext: AIC No:
866- 260- 3538 ADDRESS:
INSURER( S) AFFORDING COVERAGE NAIC#
iNsuReR n: Indemnit Insurance Co of North America 43575
INSURED
WASTE MANAGEMENT HOLDINGS, INC.& ALL AFFILIATE NSURER B: ACE ATIICTICBII I11SUT811Ce COTIl 2T1 22667 1300299
LATED& SUBSIDIARY COMPANIES INCLUDING: iNsuRea c: ACE Fire Underwriters Insurance Com an 20702 STOCKTON SCAVENGERS iNsuRert o: ACE Property and Casualty Insurance Company 20699 1240 NAVY DRIVE
STOCKTON CA 95206
WSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 11291846 REVISION NUMBER: XXXXXXX
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
TypE OF INSURANCE
ADDL SUBR POLICY EFF POLICY EXP
LTR INSD WVD POLICY NUMBER MM/ DD/ YWY MM/ DD/ YYYY LIMITS
COMMERCIAL GENERAL LIABIIITY
B X Y 1' HDO G72955924 1/ i/ 2023 1/ 1/ 2024 EACH OCCURRENCE S OOO OOO
DAMAGE TO RENTED
CLAIMS- MADE OCCUR PREMISES Ea occurrence $ S OOO OOO
X XCU INCLUDED MED EXP( Any one person) $ XXXXXXX
X ISO FORM CGOOOI 0413 PERSONAL& ADV INJURY $ S OOO OOO GEN' L AGGREGATE LIMIT APPLIES PER: GENER4L AGGREGATE $ G OOO OOO POLICY jE LOC PRODUCTS- COMP/ OP AGG $ O OOO OOO
OTHER:
AUTOMOBILE UABILITY Y Y MMT H2SS S39H 1/ 1/ 2023 1/ 1/ 2024 COMBINED SINGLE LIMIT $ Ea accident 1 Q
X
ANY AUTO BODILY INJURY( Per person) $ XXXXXXX
X AUTOS ONLY AUTOSULED BODILY INJURY( Per accident) $ XXXXXXX X
AUTOS ONLY XAU TOS ONLY Per a cRdn
DAMAGE
XXXXXXX
X MCS- 90 XXXXXXX
D X
UMBRELLA LIAB X pCCUR Y Y XEUG2 929242 OOH 1/ 1/ 2023 1/ I/ 2024 EACH OCCURRENCE IS OOO OOO
EXCESS LIAB CLAIMS- MADE AGGREGATE S OOO OOO
DED RETENTION$ S XXXXXXX
WORKERS COMPENSATION 1, PER OTHA AND EMPLOYERS' LIABILITY WLR C70311094 AOS I/ UZO23 I/ UZO24 X STATUTE ER
B ANY PROPRIETOR/ PARTNER/ EXECUTIVE
Y N WLR C O3I IOS AZ, A RC MA I/ UZOZ3 1/ I/ ZO24
C OFFICER/
E. L EACH ACCIDENT 3 OOO OOO MEMBEREXCLUDED? H A SCFC 311136 1 I/ I/ ZO23 / UZO24 Mandatory In NH) E. L. DISEASE- EA EMPLOYEE $ 3 OOO OOO If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $ 3 OOO OOO g EXCESS AUTO Y Y XSA H25575350 1/ 1/ 2023 1/ U2024 COMBINED SINGLE LIMIT L IA B 1 LITY 9, 000, 000
EACH ACCIDENT)
DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES ( ACORD 101, Additional Remarks Schedule, may be altached if more space is required) BLANKET WAIVER OF SUBROGATION[ S GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT WHERE PERMISSIBLE BY LAW. CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED ON ALL POLICIES( EXCEPT FOR WORKERS' COMP/EMPLOYER' S LIABILITY) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. ADDITIONAL INSURED IN FAVOR OF CITY OF LATHROP( ON ALL POLIC[ ES EXCEPT WORKERS' COMPENSATION/ EL) WHERE REQUIRED BY WRITTEN CONTRACT.
CERTIFICATE HOLDER CANCELLATION See Attachment
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 11291846 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
CITY OF LATHROP
ACCORDANCE WITH THE POLICY PROVISIONS.
390 TOWNE CENTRE DRIVE
LATHROP CA 9S33O AUTHORIZED REPRESENTATIV
O 1988- 2075 ACORD CORPORATIO . All rights reserved.
ACORD 25( 2016/ 03) The ACORD name and logo are registered marks of ACORD Attachment Code: D462684 Certificate ID: 11291846
POLICY NUMBER: HDO G72955924 Endorsement Number: 39
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - ( Form B)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART.
SCHEDULE
Name of Person or Organization: CITY OF OAKLAND AND ITS COUNCIL MEMBERS, DIRECTORS, OFFICERS, AGENTS AND EMPLOYEES.
If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.)
WHO IS AN INSURED( Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of" your work" for that insured by or for you.
CG 20 10 li 85 Copyright, Insurance Services Office, Inc., 1984 Page 1 of 1