2025-06-09_item_4.5_approve_annual_industrial_solid_waste_license_renewals_for_fy_2025-26

ITEM 4. 5

CITY MANAGER' SREPORT
JUNE 9, 2025 CITY COUNCIL REGULAR MEETING
ITEM: APPROVE ANNUAL INDUSTRIAL SOLID WASTE
LICENSE RENEWALS FOR FISCAL YEAR ( FY) 2025-6
RECOMMENDATION: 1. Adopt Resolution to Approve Annual Industrial Solid Waste License for California Waste Recovery
Systems, LLC for FY 2025-6

2. Adopt Resolution to Approve Annual Industrial
Solid Waste License for Ra Ra Trucking, Inc., for FY
2025-6

3. Adopt Resolution to Approve Annual Industrial
Solid Waste License for Republic Services for FY
2025-6

4. Adopt Resolution to Approve Annual Industrial
Solid Waste License for Stockton Scavengers for FY
2025-6

5. Adopt Resolution to Approve Annual Industrial
Solid Waste License for Tesla, Inc., for FY 2025-6

6. Adopt Resolution to Approve Annual Industrial
Solid Waste License for Tony and Sons Trucking,
Inc., for FY 2025-6
SUMMARY:

The Legislature of the State of California, by enactment of the California Integrated 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.

To comply with said legislation, the City of Lathrop adopted Municipal Code Chapter

8. 16 (Garbage Collection and Disposal). Lathrop Municipal Code Section 8. 16.40 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 received Industrial Solid Waste Removal License applications from the following haulers for fiscal year 2025-6: California Waste Recovery Systems, LLC, Ra Ra Trucking, Inc., Republic Services, Stockton Scavengers, Tesla, Inc., and Tony and Sons Trucking, Inc. Staff requests the approval of Industrial Solid Waste Removal Licenses for California Waste Recovery Systems, LLC, Ra Ra Trucking, Inc., Republic Services, Stockton Scavengers, Tesla, Inc., and Tony and Sons Trucking, Inc., for fiscal year 2025-6.

CITY MANAGER' S REPORT PAGE 2
JUNE 9, 2025 CITY COUNCIL REGULAR MEETING

APPROVE ANNUAL INDUSTRIAL SOLID WASTE LICENSE RENEWALS FOR FISCAL YEAR ( FY) 2025-6
BACKGROUND:

Lathrop Municipal Code 8. 16.40, 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.

California Waste Recovery Systems, LLC, Ra Ra Trucking, Inc., Stockton Scavengers, Tesla, Inc., and Tony and Sons Trucking, Inc., will be required to pay an annual license fee in the sum of two thousand five hundred dollars ($ 2, 500) and the standard eleven percent ( 11%) of their annual gross receipts and a ninety- two dollar ($ 92) license administration fee, which is set forth by Lathrop Municipal Code

8. 16.40.

Republic Services 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, Republic Services is required to pay the standard eleven percent ( 11%) of their annual gross receipts and a ninetytwo -dollar ($ 92) administration fee, which is set forth by Lathrop Municipal Code

8. 16.40.

California Waste Recovery Systems, LLC, Ra Ra Trucking, Inc., Republic Services, Stockton Scavengers, Tesla, Inc., and Tony and Sons Trucking, Inc., have submitted their annual license application, applicable fees, insurance, locations serviced, and their bonds or financial status report.

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 Industrial Solid Waste Removal Licenses for California Waste Recovery Systems, LLC, Ra Ra Trucking, Inc., Republic Services, Stockton Scavengers, Tesla, Inc., and Tony and Sons Trucking, Inc., for fiscal year 2025-6.

FISCAL IMPACT:

Revenue received from these companies will be deposited into the Franchise Tax - Solid Waste Industrial revenue account number 1010-5- 10- 319- 05-5.

The license administration fees in the amount of ninety- two dollars ($ 92) received from these companies will be deposited into Parks and Recreation account number 1010- 3- 01-41-.

CITY MANAGER' SREPORT PAGE 3
JUNE 9, 2025 CITY COUNCIL REGULAR MEETING

APPROVE ANNUAL INDUSTRIAL SOLID WASTE LICENSE RENEWALS FOR FISCAL YEAR ( FY) 2025-6
The annual license fee in the amount of two thousand five hundred dollars ($ 2, 500) received from these companies will be deposited into the Franchise Tax -Solid Waste Industrial revenue account number 1010-5- 10- 319- 05-5.

ATTACHMENTS:

A. Resolution to Approve an Annual Industrial Solid Waste License for California Waste Recovery Systems, LLC for FY 2025-6
B. Resolution to Approve an Annual Industrial Solid Waste License for Ra Ra Trucking, Inc., for FY 2025-6
C. Resolution to Approve an Annual Industrial Solid Waste License for Republic Services for FY 2025-6
D. Resolution to Approve an Annual Industrial Solid Waste License for Stockton Scavengers for FY 2025-6
E. Resolution to Approve an Annual Industrial Solid Waste License for Tesla, Inc., for FY 2025-6
F. Resolution to Approve an Annual Industrial Solid Waste License for Tony and Sons Trucking, Inc., for FY 2025-6
G. Industrial Refuse Collection Application from California Waste Recovery Systems, LLC
H. Industrial Refuse Collection Application from Ra Ra Trucking, Inc.

I. Industrial Refuse Collection Application from Republic Services J. Industrial Refuse Collection Application from Stockton Scavengers K. Industrial Refuse Collection Application from Tesla, Inc.

L. Industrial Refuse Collection Application from Tony and Sons Trucking, Inc.

CITY MANAGER' SREPORT PAGE 4
JUNE 9, 2025 CITY COUNCIL REGULAR MEETING

APPROVE ANNUAL INDUSTRIAL SOLID WASTE LICENSE RENEWALS FOR FISCAL YEAR ( FY) 2025-6
APPROVALS:

Z. 2S
Todd Sbastian Date
Director of Parks and Recreation
Cari Jame
Director o' Ginance
4/ 2/0
Date
ZZ - 2_o-z_, SSalvador Navarrete Date
City Attorney
G. • Z • Zoz5-
Michael King Date
Assistant City Manager
3• zs
Stephen J. Salvatore Date
City Manager
RESOLUTION NO. 25-

A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF LATHROP TO APPROVE

AN ANNUAL INDUSTRIAL SOLID WASTE LICENSE FOR CALIFORNIA WASTE RECOVERY SYSTEMS, LLC FOR FISCAL YEAR 2025-6
WHEREAS, the Legislature of the State of California, by enactment of the California Integrated 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; and
WHEREAS, 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; and
WHEREAS, to comply with said legislation, the City of Lathrop adopted Municipal Code Chapter 8. 16 (Garbage Collection and Disposal). Lathrop Municipal Code Section 8. 16.40 requires any company that collects industrial solid waste in the City of Lathrop to annually apply for an Industrial Solid Waste Removal License; and WHEREAS, Cal - Waste Recovery Systems submitted their annual license application, applicable fees, insurance, locations serviced, and their bonds or financial status report for fiscal year 2025-6; 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 recommend that City Council approve the Industrial Solid Waste Removal License for California Waste Recovery Systems, LLC; and
WHEREAS, the following monies received from this company will be deposited as follows:

The standard eleven percent ( 11%) of their annual gross receipt monies received will be deposited into the Franchise Tax - Solid Waste Industrial revenue account number 1010-5- 10- 319- 05-5;
License administration fee in the amount of ninety- two dollars ($ 92) will be deposited into Parks and Recreation account number 1010- 3- 01-41-; Annual license fee in the amount of two thousand five hundred dollars ($ 2, 500) received will be deposited into the Franchise Tax -Solid Waste Industrial revenue account number 1010-5- 10- 319- 05-5.

NOW, THEREFORE, BE IT RESOLVED, that the City Council of the City of Lathrop does hereby approve the Industrial Solid Waste License for California Waste Recovery Systems, LCC for fiscal year 2025-6.

The foregoing resolution was passed and adopted this 9th day of June 2025, by the following vote:

AYES:

NOES:

ABSENT:

ABSTAIN:

Paul Akinjo, Mayor
ATTEST: APPROVED AS TO FORM:

Teresa Vargas, City Clerk Salvador Navarrete, City Attorney RESOLUTION NO. 25-

A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF LATHROP TO APPROVE AN ANNUAL INDUSTRIAL SOLID WASTE LICENSE FOR RA RA TRUCKING, INC., FOR FISCAL YEAR 2025-6
WHEREAS, the Legislature of the State of California, by enactment of the California Integrated 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; and
WHEREAS, 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; and
WHEREAS, to comply with said legislation, the City of Lathrop adopted Municipal Code Chapter 8. 16 (Garbage Collection and Disposal). Lathrop Municipal Code Section 8. 16.40 requires any company that collects industrial solid waste in the City of Lathrop to annually apply for an Industrial Solid Waste Removal License; and WHEREAS, Ra Ra Trucking, Inc., submitted their annual license application, applicable fees, insurance, locations serviced, and their bonds or financial status report for fiscal year 2025-6; 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 recommend that City Council approve the Industrial Solid Waste Removal License for Ra Ra Trucking, Inc.; and WHEREAS, the following monies received from this company will be deposited as follows:

The standard eleven percent ( 11%) of their annual gross receipt monies received will be deposited into the Franchise Tax -Solid Waste Industrial revenue account number 1010-5- 10- 319- 05-;
License administration fee in the amount of ninety- twodollars ($ 92) will be deposited into Parks and Recreation account number 1010- 3- 01-41-; Annual license fee in the amount of two thousand five hundred dollars ($ 2, 500) received will be deposited into the Franchise Tax - Solid Waste Industrial revenue account number 1010-5- 10- 319- 05-5.

NOW, THEREFORE, BE IT RESOLVED, that the City Council of the City of Lathrop does hereby approve the Industrial Solid Waste License for Ra Ra Trucking, Inc., for fiscal year 2025-6.

The foregoing resolution was passed and adopted this 9th day of June 2025, by the following vote:

AYES:

NOES:

ABSENT:

ABSTAIN:

Paul Akinjo, Mayor
ATTEST: APPROVED AS TO FORM:

Teresa Vargas, City Clerk Salvador Navarrete, City Attorney RESOLUTION NO. 25-

A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF LATHROP TO APPROVE

AN ANNUAL INDUSTRIAL SOLID WASTE LICENSE FOR REPUBLIC SERVICES FOR FISCAL YEAR 2025-6
WHEREAS, the Legislature of the State of California, by enactment of the California Integrated 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; and
WHEREAS, 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; and
WHEREAS, to comply with said legislation, the City of Lathrop adopted Municipal Code Chapter 8. 16 (Garbage Collection and Disposal). Lathrop Municipal Code Section 8. 16.40 requires any company that collects industrial solid waste in the City of Lathrop to annually apply for an Industrial Solid Waste Removal License; and WHEREAS, Republic Services submitted their annual license application, applicable fees, insurance, locations serviced, and their bonds or financial status report for fiscal year 2025-6; 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 recommend that City Council approve the Industrial Solid Waste Removal License for Republic Services; and WHEREAS, the following monies received from this company will be deposited as follows:

The standard eleven percent ( 11%) of their annual gross receipt monies received will be deposited into the Franchise Tax -Solid Waste Industrial revenue account number 1010-5- 10- 319- 05-;
License administration fee in the amount of ninety- twodollars ($ 92) will be deposited into Parks and Recreation account number 1010- 3- 01-41-; Republic Services 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).

NOW, THEREFORE, BE IT RESOLVED, that the City Council of the City of Lathrop does hereby approve the Industrial Solid Waste License for Republic Services for fiscal year 2025-6.

The foregoing resolution was passed and adopted this 9th day of June 2025, by the following vote:

AYES:

NOES:

ABSENT:

ABSTAIN:

Paul Akinjo, Mayor
ATTEST: APPROVED AS TO FORM:

Teresa Vargas, City Clerk Salvador Navarrete, City Attorney RESOLUTION NO. 25-

A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF LATHROP TO APPROVE

AN ANNUAL INDUSTRIAL SOLID WASTE LICENSE FOR STOCKTON
SCAVENGERS FOR FISCAL YEAR 2025-6
WHEREAS, the Legislature of the State of California, by enactment of the California Integrated 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; and
WHEREAS, 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; and
WHEREAS, to comply with said legislation, the City of Lathrop adopted Municipal Code Chapter 8. 16 (Garbage Collection and Disposal). Lathrop Municipal Code Section 8. 16.40 requires any company that collects industrial solid waste in the City of Lathrop to annually apply for an Industrial Solid Waste Removal License; and WHEREAS, Stockton Scavengers submitted their annual license application, applicable fees, insurance, locations serviced, and their bonds or financial status report for fiscal year 2025-6; 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 recommend that City Council approve the Industrial Solid Waste Removal License for Stockton Scavengers; and WHEREAS, the following monies received from this company will be deposited as follows:

The standard eleven percent ( 11%) of their annual gross receipt monies received will be deposited into the Franchise Tax - Solid Waste Industrial revenue account number 1010-5- 10- 319- 05-;
License administration fee in the amount of ninety- two dollars ($ 92) will be deposited into Parks and Recreation account number 1010- 3- 01-41-; Annual license fee in the amount of two thousand five hundred dollars ($ 2, 500) received will be deposited into the Franchise Tax -Solid Waste Industrial revenue account number 1010-5- 10- 319- 05-5.

NOW, THEREFORE, BE IT RESOLVED, that the City Council of the City of Lathrop does hereby approve the Industrial Solid Waste License for Stockton Scavengers for fiscal year 2025-6.

The foregoing resolution was passed and adopted this 9th day of June 2025, by the following vote:

AYES:

NOES:

ABSENT:

ABSTAIN:

Paul Akinjo, Mayor
ATTEST: APPROVED AS TO FORM:

Teresa Vargas, City Clerk Salvador Navarrete, City Attorney RESOLUTION NO. 25-

A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF LATHROP TO APPROVE AN ANNUAL INDUSTRIAL SOLID WASTE LICENSE FOR TESLA, INC., FOR FISCAL YEAR 2025-6
WHEREAS, the Legislature of the State of California, by enactment of the California Integrated 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; and
WHEREAS, 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; and
WHEREAS, to comply with said legislation, the City of Lathrop adopted Municipal Code Chapter 8. 16 (Garbage Collection and Disposal). Lathrop Municipal Code Section 8. 16.40 requires any company that collects industrial solid waste in the City of Lathrop to annually apply for an Industrial Solid Waste Removal License; and WHEREAS, Tesla, Inc., submitted their annual license application, applicable fees, insurance, locations serviced, and their bonds or financial status report for fiscal year 2025-6; 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 for Tesla, Inc.; and WHEREAS, the following monies received from this company will be deposited as follows:

The standard eleven percent ( 11%) of their annual gross receipt monies received will be deposited into the Franchise Tax -Solid Waste Industrial revenue account number 1010-5- 10- 319- 05-;
License administration fee in the amount of ninety- two dollars ($ 92) will be deposited into Parks and Recreation account number 1010- 3- 01-41-; Annual license fee in the amount of two thousand five hundred dollars ($ 2, 500) received will be deposited into the Franchise Tax - Solid Waste Industrial revenue account number 1010-5- 10- 319- 05-5.

NOW, THEREFORE, BE IT RESOLVED, that the City Council of the City of Lathrop does hereby approve the Industrial Solid Waste License for Tesla, Inc., for fiscal year 2025-6.

The foregoing resolution was passed and adopted this 9th day of June 2025, by the following vote:

AYES:

NOES:

ABSENT:

ABSTAIN:

Paul Akinjo, Mayor
ATTEST: APPROVED AS TO FORM:

Teresa Vargas, City Clerk Salvador Navarrete, City Attorney RESOLUTION NO. 25-

A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF LATHROP TO APPROVE

AN ANNUAL INDUSTRIAL SOLID WASTE LICENSE FOR TONY AND SONS TRUCKING, INC., FOR FISCAL YEAR 2025-6
WHEREAS, the Legislature of the State of California, by enactment of the California Integrated 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; and
WHEREAS, 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; and
WHEREAS, to comply with said legislation, the City of Lathrop adopted Municipal Code Chapter 8. 16 (Garbage Collection and Disposal). Lathrop Municipal Code Section 8. 16.40 requires any company that collects industrial solid waste in the City of Lathrop to annually apply for an Industrial Solid Waste Removal License; and WHEREAS, Tony and Sons, Inc., submitted their annual license application, applicable fees, insurance, locations serviced, and their bonds or financial status report for fiscal year 2025-6; 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 recommend that City Council approve the Industrial Solid Waste Removal License for Tony and Sons, Inc.; and WHEREAS, the following monies received from this company will be deposited as follows:

The standard eleven percent ( 11%) of their annual gross receipt monies received will be deposited into the Franchise Tax - Solid Waste Industrial revenue account number 1010-5- 10- 319- 05-;
License administration fee in the amount of ninety- two dollars ($ 92) will be deposited into Parks and Recreation account number 1010- 3- 01-41-- 01; Annual license fee in the amount of two thousand five hundred dollars ($ 2, 500) received will be deposited into the Franchise Tax -Solid Waste Industrial revenue account number 1010-5- 10- 319- 05-5.

NOW, THEREFORE, BE IT RESOLVED, that the City Council of the City of Lathrop does hereby approve the Industrial Solid Waste License for Tony and Sons, Inc., for fiscal year 2025-6.

The foregoing resolution was passed and adopted this 9th day of June 2025, by the following vote:

AYES:

NOES:

ABSENT:

ABSTAIN:

Paul Akinjo, Mayor
ATTEST: APPROVED AS TO FORM:
s_
Teresa Vargas, City Clerk Salvador Navarrete, City Attorney Parks and Recreation Department
COMPANY NAME:

ADDRESS:

PHONE/ FAX
EMAIL:
390 Towne Centre Drive, Lathrop, CA 95330
Phone ( 209) 941- 7370
www. ci. lathrop . c a. u s

INDUSTRIAL REFUSE COLLECTION

LICENSE APPLICATION
California Waste Recovery Systems, LLC
175 Enterprise Ct., Suite A Galt, Ca 95632
209- 369- 6887
Rudyvac@cal- waste. com, toddsinder@cal- waste, karleekane@cal- waste. com TYPE OF WASTE REMOVAL SERVICE:

Trash, Recycling and Organic waste.

APPLICANT SIGNATURES:

SIGNATURE

PRINT NAME
TITLE
r:--
r
S
DATE
City of
Parks and Recreation Department 390 Towne Centre Drive, Lathrop, CA 95330 Phone ( 209) 941- 7370
www. ci. lathrop. ca. us
The following license requirements are set forth by the City of Lathrop Municipal Code, Title 8 Health & Safety, Chapter 8. 16 Garbage Collection & Disposal, Section 8. 16.40 Industrial Solid Waste Removal — License Required.

CUSTOMERS LIST ( Names and Addresses):

SIGNED STATEMENTS FROM NEW INDUSTRIAL CUSTOMERS ADDRESSED TO CITY

NUMBER, KIND, AND CAPACITY OF VEHICLES AND OTHER EQUIPMENT Must be in compliance with all applicable air pollution control laws):

ORIGINAL PERFORMANCE BOND OR OTHER SECURITY ATTACHED ($ 25, 000) ORMOST RECENT FINANCIAL STATEMENT AND/ OR AUDIT

INSURANCE CERTIFICATE AND ENDORESMENT NAMING THE CITY, ITS OFFICERS AND

EMPLOYEES AS AN ADDITIONAL INSURED
LICENSE FEE ENCLOSED ($ 2, 500)
ADMINISTRATION FEE ($ 92)
PROCESSED BY:
f ' klY `alt

MELISSA STATHAKOPOULS

PARKS AND RECREATION MANAGER

PARKS & RECREATION I SOLID WASTE & RECYCLING
APPROVED BY:

TODD EBAS

DIRECTOR

PARKS, RECREATION & FLEET SERVICES

CHECK IF

ENCLOSED
5 -to •25
DATE
DATE

CAL -WASTE

RECOVERY SYSTEMS
May 9, 2025
Dear Ms. Stathakopoulos,
I am writing on behalf of Cal -Waste Recovery Systems to formally request to be licensed as a waste collector in the City of Lathrop. Enclosed with this letter, you will find all the necessary documentation and information required for our application.

Enclosed documents include:

1. Copy of Application

2. Annual Licensing Fee Check for $2, 592. 00

3. Certificate of Insurance

4. Original Performance Bond - $ 25, 000

5. List of rolling stock available to perform the services

6. Statement from Cal -Waste regarding Customer List
Meticulous preparation has been undertaken to ensure compliance with the city' sregulations and standards. Cal -Waste Recovery Systems is committed to delivering high -quality waste collection services to the residents and businesses of Lathrop.

Understanding the importance of responsible waste management, we are eager to contribute positively to the community. Our team is dedicated to maintaining the cleanliness and sustainability of your city through our efficient waste collection practices.

We are excited about the prospect of bringing our services to the City of Lathrop and are confident that our partnership will be mutually beneficial. Thank you for considering our application. Please do not hesitate to contact Rudy Vaccarezza if any further information or clarification is required regarding our application.
0©
175 EjitcrFprise Court, Stc A • Galt, CA 956!) 2 • (: 09) :,;69-887

L -WASTE

RECOVERY SYSTEMS
May 9, 2025
Dear Ms. Stathakopoulos,
The Refuse Collection License Application requests " Signed statements from new industrial customers addressed to City". As the newly licensed Solid Waste Collector in the City of Lathrop California Waste Recovery Systems, LLC ( Cal -Waste} is currently soliciting new customers. Cal -Waste will gladly submit signed statements from new industrial customers addressed to the City pursuant to City code and regulations as soon as possible.

If we have somehow misinterpreted the applications intent. Please reach out to Rudy Vaccarezza to clarify.
175. Fnterprise. Court, Stc A.'•- . CA 9EG32. • ( 209) 369. 6887 WWW. Cal War t C. C11711 UNIT No. Class VIN License Plate Weight
2328 SPARE Front Loader 4V5HCFFD0VR736432 5K49305 54999 2330 Front Loader 5VCDC6UE43N194253 05603N2 60000
2331 Front Loader 5VCDC6UE03N194251 4007983 60000
2337 Front Loader 5VCDC6KF99H208344 51670U2 60000
2338 Front Loader SVCACL6F7CH214517 01045H1 60000
2341 Front Loader SVCACLUF6HH223512 8934202 60000
2344 Front Loader 5VCACLVF5DH216155 32289P2 54999
2347 Front Loader 5VCACLEF0MC233829 41481G3 54999
2348 Front Loader 5VCACLEG7NC237130 45472J3 60000
2349 Front Loader 5VCACLEG0NC237129 4547413 60000
2350 Front Loader 5VCACLEF6NC237272 16888L3 54999
Total Front Load 11
2115 SPARE Roll Off 4V2JCBPF0SR832984 7Y21801 54999
2118 RoIl Off 4V2DCFHD7RN685405 7071761 54999
2120 Roll Off 4VGJDARF9VR856252 95517K2 54999
2122 Roll Off 4V4JBBPF4VN854153 7R67264 50000
2123 Roll Off 4V4JDBPF9TN843897 8P91243 54999
2124 Roll Off 4VGJDEPF6XN865494 7Z65959 80000
2125 Roll Off 4VGJDEPF4WN861099 8W44504 50000
2126 Roll Off 1 XPHD49X2DD201331 72245R2 80000
2127 Roll Off 1XPHD49X7DD201339 73655M2 80000
2128 Roll Off 2NP3LJ0X6MM735915 91652 E3 80000
2129 Roll Off 2NP3LJ0X7MM735910 91651 E3 60000
2130 Roll Off 2NP3LJ0X0MM735909 62855 E3 60000
2131 Roll Off 2NP3LJ0X2MM735913 7237903 60000
2132 Roll Off 1 XPBPP9X8KD270052 15873S3 80000
5132 Roll Off 3BKDL09X75F111846 60994N1 54999
Total Roll Off 15
2215 Tractor 1 XPHD49X7DD200059 9F39500 80000
2218 Tractor 1 NPHD49X8CD143685 9F62322 80000
2229 Tractor 1XPBDP9XSMD740632 9G13575 80000
Total Tractors 3
2223 Flat Bed Bin Delivery 3ALACXFE3KDKJ6866 54836M2 26000 2224 Fork Truck Bin Delivery 1FVACWDT9DDBU8947 62776P2 26000 2225 Sweeper Sweeper JALE5W168M7900489 8XZJ606 NA
2226 Vac Trk Vacuum Tank Truck 1NPSX7EX2FD256069 49955K3 54999 Total Opperations 4

MERCHANTS
BONDING COMPANY.

MERCHANTS BONDING COMPANY ( MUTUAL) P. O. BOX 14498, DES MOINES, IA 50306- 3498 PHONE. ( 800) 678- 8171 FAX: (SL) 243- 3854

LICENSE AND PERMIT BOND
Bond No..__. Ih03736I2____
Premium: $313. 00 fora 3 year
KNOW ALL PERSONS BY THESE PRESENTS: term
That We, California Waste Recovery Systems LAX
of Galt , State of California , as Principal,
and Merchants Bonding Company ( Mutual) , a corporation duly licensed to do business in the State of California
as Surety, are held and firmly bound unto
City of Lathrop , Obligee, In the penal
sum of Twcn y
Fivc' Thousand and Zero Dollars 25, 000. ) DOLLARS.

THE CONDITION OF THE ABOVE OBLIGATION IS SUCH, that whereas, the Principal has been licensed Waste Hauler - Compliance Only
2027 , unless renewed by Continuation Certificate.

This bond may be terminated at any time by the Surety upon sending notice in writing to the Obligee and to the Principal, in care of the Obligee or at such other address as the Surety deems reasonable, and at the expiration of thirty- five (35) days from the mailing of notice or as soon thereafter as permitted by applicable law, whichever is later, this bond shall Ipso facto terminate and the surety shall thereupon be relieved from any liability for any subsequent acts or omissions of the Principal.

No right of action shall accrue on this bond to or for the use of any person or corporation other than Obligee named herein. by the Obligee.

NOW THEREFORE, if the Principal shalt faithfully perform the duties and fn all things comply with the laws and ordinances, including all Amendments, appertaining to the license or permit applied for, then this obligation to be void, otherwise to remain In Hill force and effect for a period commencing on the 5th day of Marsh 2024 , , and ending on the 5th day of March
Dated this Sth
Countersigned ( if required):

By:

LP 0206 (2/ 16)
day of Match , 2024
California Waste Recovery Systeme
friticpal
By:

Merchants II ding Company ( Mutual)
Principal
M E RC HANT"
BONDING C: OMI' ANY.

POWER OF ATTORNEY
Know All Persons By Thera Presents, that MERCHANTS BONDING COMPANY ( MUTUAL) and MERCHANTS NATIONAL BONDING, INC., both being corporations of the Stale of Iowa, drb/ aMemhante National indemnity Company On California only) (herein eollecttvety called the Companies") do hereby make, constitute end appoint, Individually, Lisa Sayno
their true and lawful Attorney( s)- in- Fact, to sign its name as suroty( ies) and to execute, seal and acknowledge any and MI bonds, undertakings, contracts and other written instrument* in the nature thereof, on behalf of the Companies In their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by Iaw,
This Power - of -Attorney is granted and Is signed and sealed by facsimile under end by authority of the following By -Laws adopted by the Board of Directore of Merchants Banding Company ( Mutual) on April 23, 2011 and emended August 14, 2016 and adapted by the Hoard of Directors of MerchantsNat oval Bonding, Inc., on October 18, 2016.

The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretory or any Vice President shall have pcwwr and authority to appoint Attorneys -in -Face, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds end undertakings, recognlzances, contracts of indemnity and other metope obligatory in the nature thereof." The signature of any authorized officer and the eeal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company, and such signature and seal when so used shalt have the same force and effect as though manually fixed." In connection with obligations in favor of the Fkeida Department of Transportation only, it is agreed that the power and aut hority hereby given to the Altomey- in- Fact Includes any and all consents for the release of retained percentages and/ orflnai estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Depatment of Transportation making payment of the final estimate to the Contractor and/ or its assignee, shall not reliewe this surety company of any of its obligations under its bond.

In connection with obligations in favor of the Kentucky Department of Highways only, it Is agreed that the power and authority hereby given to the Attorney -in -Fact cannot bo modified or revoked unless prior written personal notice of such Intent has been given to the Commissioner.

Department of Highways of the Commonwealth of Kentucky at least thirty (30) days Oar to the modification or revocation.

In 1Mtness Whereof, the Companies have caused this instrument to be signed and seated this 5th day of march , 2024 .

O
E . rq• . A: moo$ ' : . IC:
r.: •
U .
4 2003 tea; 1933
1: •... ..•; r)`•' +'• djy tin t1 STATE OF IOWA
COUNTY
By
a
COUNTY OF DALLAS ss.

On this 6th day of March 2024 before me appeared Leroy Taylor, to me personally known, who being by me duty sworn did tray that ho is President of MERCHANTS BONDING COMPANY (MUTUAL) end MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seats of the Companies; and that the sold instrument was signed and seated in behalf of the Companies by authority of their respective Boards of Directors.

Aw9, IA4 Penni Miller
Commission Number 787952
My Commission Expires
m' NA January 20, 2027
Expiration of rotary' scommission
does not invalidate this Instrument)
1, Wiliam Wormer, Jr., Secretary of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do hereby certify that the above and foregoing is a true end correct copy of the POWER• OF" ATTORNEYexecuted by said Companies, which is still in full force and effect and has not been emended or revoked.

In Witness Whereof, I haw hereunto set my hand and affixed Meseta of the Companies on this 5th day of March , 2024 .

M•'• aP Q
iT ,Q,++.. ..a
pp p'' . ..

Cr 4.•;:., w , •t.r Ry .*
fat f* •
o• C=' O' :r—: or++;-'. C
O.
kV.. J 2003 , r„cf ...-3,...... 1933 r
S`

MERCHANTS BONDING COMPANY (MUTUAL)

MERCHANTS NATIONAL BONDINO, INC,
dlWa MERCHANTS NATIONAL INDEMNITY COMPANY
774 -
POA 0018( 1/ 24)
Secretory

ADDITIONAL OPTIONAL INFORMATION

DESCRIPTION OF THE ATTACHED DOCUMENT
Tiffo nt description of attached document)
Title or description of attached document continued)
Number of Pages .._..,......_. Document Date_.. __._.

CAPACITY CLAIMED BY THE SIGNER
p Individual ( a)
El Corporate Officer
i'liif3
Partner( s)
D Attorney -In -Fact
p Trustee( s)
Other
d t `.> V€nt•rr, n vra, w N rtd, y( l.rr; ses corn t3( X) tt73 9665

CALIFORNIA ALL- PURPOSE

CERTIFICATE OF ACKNOWLEDGMENT
A notary public or other officer
to which this certificate
ificate
cateis
es only tfattache,eldty
of the individual who signed the document
and not the truthfulness, accuracy, or validity of that document.

State of California
County of San Diego
On MAR 05 2024 before me, Judith Samuel Notary Public
Moor to: ed None ondtifo of Co officer)
personally appeared Lisa Sayno —
r
who proved to me on the basis of satisfactory evidence to be the person(&) whose name(* isare subscribed to the within instrument and acknowledged to me that het4 they executed the same in hi - Ei their authorized capacity( ies), and that by his their signature() on the instrument the person(), or the entity upon behalf of which the person( s) acted. executed the instrument.

I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.

WITNESS my hand and official seal.

Nateq'• ublic Signature "" ( Notary Public Seal)

INSTRUCTIONS FOR C' OMPLETINO TI IIS FORM

JUDITH SAMUEL
Commission No. 2452311
NOTARY PUBLIC - CALIFORNIA 3 SAN DIEGO COUNTY
i:ommraston Expires July 4, 2027
71tie Barer complies with current ( , lflornla stattrtea regarding notary warding and, needed, should !w cw ipiesk' rl and attached to the 41OOO11OK. fck, kwlc. lgureuls from other stater may he crrmpletect fire doctommtt being sent to that slate so lung an the wording does not require the ( a/ I nnia notary to violate calilorwia notary law.

State and County ini' oimation must be the Sloth and County where the ( Mormon signers) personally appeared before the notary public for acknowledgment.

Date of nouuirrtion must he the date thus the signer( s) personally appeared which must also be the same date the acknowledgement is completer).

The notary public must print his or her name as it appears within his or her commission followed by a comma and then your title (notary public).

Print the name( s) of document signcds) who pcnonatly appear at the brae of notahiaation.

Indicate the correct singular or plural firms by crossing oft incorrect forms ( i.e. he/ she/ they is /ore ) or circling the correct looms. Failure to Correctly, indicate this information may lead to rejection of document recording,. 11w notary seal impression must be clear and photographically raprodtwihic, Impression must not cover text or lines. II' seal impression smudges, re -seal it' a sufficient area permits, otherwise complete a different acknowledgment firm.

Sipinnture of' the notary public must match the signature on isle with the office of the county clerk.

Additional information is not tee cited but could help to ensure this acknowledgment is not misused or attached to a different document, ' 4- Indicate title or type of attached document, number of pages and date, Indicate the capacity claimed by the signer. if the claimed capacity is a corporate otlicer, indicate the title ( i.e. CEO, CEO, secretary), Securely attach this document on the signed document with a staple. ii ACORil CERTIFICATE OF LIABILITY INSURANCE DATE( MM/ DDIYYYY) 2/3/025
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), AUTHORIZE[) 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

PRODUCER
rights to the certificate holder in lieu of such endorsement( s).

Sequel Insurance Services
111 Scripps Drive
Sacramento CA 95825

CONTACT

PHONE FAXFAX
A/ C. No. Ext): ( A/ CNol:

ADDREss: certificate@sequelins. com

INSURER( S) AFFORDING COVERAGE NAIC U
License#: 6010509 INSURER A: National Union Fire Insurance Company of Pittsbus9 19445 INSURED CALIWAS- 01
California Waste Recovery Systems, LLC;
CWR Industries, Inc.; DKCR Properties Inc.;
175 Enterprise Ct., Suite A
Gait CA 95632-047
INSURER B : Admiral Insurance Compn / 24856
INSURER c: Landmark American Insurance Company 33138
INSURER D : StarStone Specialty Insurance Company 44776 INSURER E : General Star Indemnity Company 37362
INSURER F :

THIS IS TO CERTIFY THAT
Is.. w IVIVI\ INIVIIIIIJU. I\.

THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

INSR

LTR TYPE OF INSURANCE
ADDL
INSD
SUER
WVn POLICY NUMBER

POLICY EFF

MM/ DD/ YYYY)

POLICY EXP
MM/ Dp/ YYW) LIMITS
A X COMMERCIAL GENERAL LIABILITY Y 461- 15- 42 3/ 1/ 2025 3/ 1/ 2026 EACH OCCURRENCE 2, 000,00 CLAIMS - MADE [ X OCCUR DAMAGE TO REN' 1- ED
PREMISES ( Ea occurrence) ___
MED EXP ( Any one
300, 00 —
person) 25, 000
PERSONAL & ADV INJURY 2, 000,00
GEN' LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 4, 000,00 PPOLICY X PROJECT LOC
PRODUCTS - COMP/ O AGG 4, 000,00
OTHER:

A AUTOMOBILE LIABILITY 709- 34- 97 3/ 1/ 2025 3/ 1/ 2026 COMBINED SINGLE LIMIT Ea accident) 2, 000,00

X ANY AUTO

OWNED SCHEDULED
BODILY INJURY ( Per person)

AAUTOS ONLY
HIRED
AUTOS
NON
BODILY INJURY ( Per accident)
X
AUTOS ONLY x
OWNED

AUTOS ONLY PROPERTY DAMAGE
Per accident
D
X

UMBRELLA LIAB

EXCESS LIAB

X OCCUR

CLAIMS - MADE
AXS00289553P- 03 3/ 1/ 2025 3/ 1/ 2026 EACH OCCURRENCE

AGGREGATE
2, 000,00
DED RETENTION $
2, 000,00

A WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY
Y/ N
WC 315- 66- 11 3/ 1/ 2025 3/ 1/ 2026 X STATUTE EORH

ANYPROPRIETOR/ PARTNER/ EXECUTIVE
OFFICER/ MEMBEREXCLUDED? N / A
E. L. EACH ACCIDENT 2, 000,00
Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
E. L. DISEASE - EA EMPLOYEE
E. L. DISEASE - POLICY LIMIT
2, 000`00
2, 000,00
B
E
C
Pollution Liability
Tier 2 Excess Liability
Tier 3 Excess Liability
FEI- EL- 23153- 07
IXG681875
LHA605107
11// 2024
3/ 1 /2025
3/1/ 2025
11/ 25/026
3/ 1 /2026
3/ 1/ 2026
Per Condition/ Agg
Each Occ / Aggregate
Each Occ/ Aggregate
2, 000,00
3, 000,00
5, 000,00
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES ( ACORD 101, Additional Remarks Schedule, may be attached If more space is required) RE: Waste Hauling Service for Lathrop, CA City of Lathrop, its offices and employees are General Liability Additional Insureds per terms and conditions of the attached endorsement( s). 30 Days Notice of Cancellation applies to General Liability per the attached endorsement.

CANCELLATION
City of Lathrop
Attn: Public Works Dept.
390 Towne Centre Drive
Lathrop CA 95330

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.

AUTHORIZED REPRESENTATIVE
1988- 2015 ACORD CORPORATION. All rights reserved.

ACORD 25 (2016/ 03) The ACORD name and logo are registered marks of ACORD

ENDORSEMENT
This endorsement, effective 12: O1 A. M. 03/1/ 2025
forms a part of Policy No. 461- 15- 42
issued to California Waste Recovery Systems, LLC;
by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA.

LIMITED ADVICE OF CANCELLATION PROVIDED VIA E- MAIL

TO ENTITIES OTHER THAN THE FIRST NAMED INSURED
This policy is amended as follows:

In the event that the Insurer cancels this policy for any reason other than non- payment of premium, and

1. the cancellation effective date is prior to this policy' sexpiration date;

2. the First Named Insured is under an existing contractual obligation to notify a certificate holder when this policy is canceled ( hereinafter, the " Certificate Holder( s)") and has provided to the Insurer, either directly or through its broker of record, the email address of a contact at each such entity; and

3. the Insurer received this information after the First Named Insured receives notice of cancellation of this policy and prior to this policy' s cancellation effective date, via an electronic spreadsheet:
that is acceptable to the Insurer,
the Insurer will provide advice of cancellation ( the " Advice") via e- mail to each such Certificate Holders withi n ,30 days after the First Named Insured provides such information to the Insurer; provided, however, that if a
as
specific
soon as
number of days is not stated above, then the Advice will be provided to such Certificate Holder( s) reasonably practicable after the First Named Insured provides such information to the Insurer.

Proof of the Insurer emailing the Advice, using the information provided by the First Named Insured, will serve as proof that the Insurer has fully satisfied its obligations under this endorsement.

This endorsement does not affect, in any way, coverage provided under this policy or the cancellation of this policy or the effective date thereof, nor shall this endorsement invest any rights in any entity not insured under this policy.

The following Definitions apply to this endorsement:

1. First Named Insured means the Named Insured shown on the Declarations Page of this policy. 2. Insurer means the insurance company shown in the header on the Declarations page of this policy.

All other terms, conditions and exclusions shall remain the same.

Authorized Representative
107414 ( 3/ 1 1) Includes copyrighted material of Insurance Services Office, Inc. with its permission. Page 1 of 1 POLICY NUMBER: 461- 15- 42 COMMERCIAL GENERAL LIABILITY CG 20 10 12 19
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 Oganization( s) Location( s) Of Covered Operations

ANY PERSON OR ORGANIZATION WHOM YOU

BECOME OBLIGATED TO INCLUDE AS AN

ADDITIONAL INSURED AS A RESULT OF ANY

CONTRACT OR AGREEMENT YOU HAVE ENTERED
INTO.

PER THE CONTRACT OR AGREEMENT.

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

CG 20 10 12 19 4 Insurance Services Office, Inc., 2018 Page 1 of 2 O A. Section II — Who Is An Insured is amended to
include as an additional insured the person( s) or
organization( s) shown in the Schedule, but only
with respect to liability for " bodily injury",
property damage" or " personal and advertising
injury" caused, in whole or in part, by:

1. Your acts or omissions; or

2. The acts or omissions of those acting on
your behalf;
in the performance of your ongoing operations
for the additional insured( s) at the location( s)
designated above.

However:

1. The insurance afforded to such additional
insured only applies to the extent permitted
by law; and

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

B. With respect to the insurance afforded to these
additional insureds, the following additional
exclusions apply:

This insurance does not apply to " bodily injury"
or " property damage" occurring after:

1. All work, including materials, parts or
equipment furnished in connection with such
work, on the project ( other than service,
maintenance or repairs) to be performed by
or on behalf of the additional insured( s) at
the location of the covered operations has
been completed; or

2. That portion of " your work" out of which
the injury or damage arises has been put to
its intended use by any person or
organization other than another contractor or
subcontractor engaged in performing
operations for a principal as a part of the
same project.

C. With respect to the insurance afforded to these
additional insureds, the following is added to
Section III - Limits Of Insurance:

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

1. Required by the contract or agreement; or

2. Available under the applicable limits of
insurance;
whichever is less.

This endorsement shall not increase the
applicable limits of insurance.

Page 2 of 2 ends

Attachment' J'
City of
Parks and Recreation Department 390 Towne Centre Drive, Lathrop, CA 95330 Phone ( 209) 941- 7370
www. ci. lathrop. ca. us

INDUSTRIAL REFUSE COLLECTION

LICENSE APPLICATION
COMPANY NAME: RARA Trucking Inc
ADDRESS: 210 Umbarger Rd. San Jose CA 95111

PHONE/ FAX
EMAIL:
669- 233- 6489 / 408- 516-953
susana. rivas@raratrucking. com / rara_ trucking@yahoo. com TYPE OF WASTE REMOVAL SERVICE:
tTransportation of solid waste - crashed wood, scrap metal, scrap cardboard

APPLICANT SIGNATU
SIGNAT4RE
Raul A Rivas

PRINT NAME
President
TITLE
DATE
S
Parks and Recreation Department 390 Towne Centre Drive, Lathrop, CA 95330 Phone ( 209) 941- 7370
www. ci. lathrop. ca. us
The following license requirements are set forth by the City of Lathrop Municipal Code, Title 8 Health & Safety, Chapter 8. 16 Garbage Collection & Disposal, Section 8. 16.40 Industrial Solid Waste Removal — License Required.

CUSTOMERS LIST ( Names and Addresses):

SIGNED STATEMENTS FROM NEW INDUSTRIAL CUSTOMERS ADDRESSED TO CITY

NUMBER, KIND, AND CAPACITY OF VEHICLES AND OTHER EQUIPMENT Must be in compliance with all applicable air pollution control laws):

ORIGINAL PERFORMANCE BOND OR OTHER SECURITY ATTACHED ($ 25, 000) ORMOST RECENT FINANCIAL STATEMENT AND/ ORAUDIT

INSURANCE CERTIFICATE AND ENDORESMENT NAMING THE CITY, ITS OFFICERS AND

EMPLOYEES AS AN ADDITIONAL INSURED
LICENSE FEE ENCLOSED ($ 2, 500)
ADMINISTRATION FEE ($ 92)
PROCESSED BY:

M ELISSICSTATHAKOPOULOS

PARKS AND RECREATION MANAGER

PARKS & RECREATION I SOLID WASTE & RECYCLING
APPROVED BY:

TODD SEBAS N

DIRECTOR

PARKS, RECREATION & FLEET SERVICES

CHECK IF

ENCLOSED
X
X
X
X
X
X
5- 101. 5
DATE
20 . 2S
DATE
San Jose, April 30, 2025
City of Lathrop — Parks and Recreation Dpt.

Attn. Melissa Stathakopoulos
Manager
Dear Melissa,
We are hereby submitting the documents and information requested to apply for renewal of the license as Industrial Hauler of Solid Waste, period 2025-026

CUSTOMER LIST
Tesla
700 D' Arcy Pkwy. Lathrop, CA 95330
18250 Murphy Pkwy., Lathrop, CA 95330

TRUCK LIST
2011 KW TRACTOR 1XKDDP9X5BJ290591 9E16376
2011 VOLV TRACTOR 4V4NC9EH8BN297934 9F80095
2011 KW TRACTOR 2XKBD59X4BM290621 57905Y3
2012 FRHT TRACTOR 1FUJGEDV0CSBU7281 9E75204
2013 FRHT TRACTOR 1FUJGLDR2DSBT2791 9F07599
2013 MACK TRACTOR 1M1AW08Y3DM005348 73786R2
2013 VOLV TRACTOR 4V4NC9EH8DN149012 9F80078
2012 VOLV TRACTOR 4V4NC9EJ1CN538821 9E84753
2012 PTRB TRACTOR 1XPHD49X0CD151981 9E66006
2013 KW TRACTOR 1XKDDP9X5DJ357385 9E72625
2011 INTL TRACTOR 3HSDJSJR9BN363535 9G34319
2013 MACK TRACTOR 1M1AW08Y2DM005339 97834F3
For any questions or additional information, please contact us to any of the following numbers:

Wendy Rivas — CFO — Phone: 669- 233- 6490
Susana Rivas — Office Manager — Phone: 669- 233- 6489
Thank you,
Raul A Rivas

COLONIAL SURETY COMPANY
Inc 1930 -
123 Tice Boulevard, Suite 250
Woodcliff Lake, NJ 07677
201- 573- 8788
BOND NUMBER: CSC -1R120157

LICENSE/ PERMIT BOND
KNOW ALL PERSONS BY THESE PRESENTS that we,
RARA Trucking Inc, San Jose, CA
hereinafter called the Principal) as Principal, and COLONIAL SURETY COMPANY, a corporation with principal offices at Woodcliff Lake, New Jersey ( hereinafter called the Surety) as Surety, are held and firmly bound unto City of Lathrop. Lathrop CA . Lathrop . CA
hereinafter called the Obligee), in the penal sum of
Twenty Five Thousand Dollars and No Cents ($ 25, 000),
for the payment of which well and truly to be made we do hereby bind ourselves, our heirs, execrators, administrators, successors and assigns, jointly and severally, firmly by these presents.

Signed and sealed this 29th day of April, 2025.

WHEREAS, the said Principal has made or is about to make application to said Obligee for [ a license as] or [ a permit to] Recycling/ Trash Hauler
for a term beginning on June 1st. 2025 and ending on June 1st, 2026.

NOW THEREFORE, if the Principal shall indemnify the Obligee against any loss directly arising by reason of the failure of said Principal to comply with the laws or ordinances under which such license or permit is granted, or any lawful rules or regulations pertaining thereto, then this obligation shall be void; otherwise to be and remain in full force and effect.

PROVIDED, HOWEVER, AND UPON THE FOLLOWING EXPRESS CONDITIONS:

1. This bond shall remain in full force during the term of said license or permit unless cancelled in accordance with paragraph 2 below; but if said license or permit was issued for a term of one year or any other specific term, and said license or permit is renewed for one or more specific terms, this bond shall be and is hereby extended to cover during such additional term or terms. In no event, however, shall the liability of the Surety be cumulative from year to year or from period to period, nor exceed the penal sum written in the first paragraph of this bond.

2. This bond may be terminated or cancelled by Surety by giving 30 days prior notice in writing from Surety to Principal and said Obligee, such notice to be given by standard wail. Such termination or cancellation shall not affect liability incurred or accrued under this bond to the effective date of such termination or cancellation.

COLONIAL SURETY COMPANY
Michael Bonfante, Attorney -in -Fact
Form M300- 110 (Rev 9/ 89)
Original pnnted with Blue and/ or Black ink
For verification of the authenticity of this Bond/ Policy you may call ( 201) 573- 8788.

Seal)

COLONIAL SURETY COMPANY
Duncannon, Pennsylvania
Administrative - Office: 123 Tice SIvd., Suite 250, Wdodcliff Lake, New Jersey 07677

GENERAL POWER OF ATTORNEY
Know all Men by These Presents, That COLONIAL SURETY COMPANY, a corporation duly organized and existing under the laws of the Commonwealth of Pennsylvania and having an administrative office in Woodcliff Lake, Bergen County, NJ does by these presents make, constitute and appoint +
Wayne Nunziata or Michael Bonfante of Woodcliff Lake
and the State of New Jersey its true and lawfuLAttoraey( s)- in- Fact, with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver. -
Any and All Bonds
and to bind the Company thereby as fully and to the same extent as if such bonds were signed by the President, sealed with the corporate seal of the Company, hereby ratifying and confirming all that the said Attorney( s)- in- Fact may do in the premises. Said appointment is made under and by authority of the following resolution adopted by the Board of Directors of the Colonial Surety Company at a meeting held on the 25th day of July, 1950.

Be it Resolved, that the President, any Vice -President, any Secretary or any Assistant Secretary shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attorney( s)- in- Fact to represent and act for and on behalf of the Company subject to the following provisions:

Section 1. Attorney -in -Fact. Attorney -in -Fact may be given full power and authority for and in the name of and on behalf of the Company, to execute, acknowledge and deliver, any and all bonds, recognizances, contracts, agreements of indemnity and other conditional or obligatory undertakings and any and all notices and documents canceling or terminating the Company' sliability thereunder, and any such instruments so executed by any such Attorney -in -Fact shall be binding upon the Company as if signed by the President and sealed." — - — -
n Witness Whereof, Colonial Surely Company has caused these presents to be signed by its and its corporate seal to be hereto affixed the 30th day of March , A. D., 2023.

State of New Jersey
County of Bergen SS.

On this 30th day of
Theresa La Monica
By
President

COLONIAL SURETY COMPANY
Wayne Nunziata. President
March , in the year 2023, before me
Wayne fcruhztata
a notary public, personally appeared
personally known to me to be the person who
executed the within instrument as
President , on behalf of the corporation therein named and acknowledged to me that the corporation executed it.

THERESA LA MONICA
A Notary Public of New Jersey
My Commission FxOes_ S_totember 9, 2025.

Theresa La Monica Notary Public
I, the undersigned President of Colonial Surety Company, hereby certify that the above and foregoing is a full, true and correct copy of the Original Power of Attorney issued by said Company, and do hereby further certify that the said Power of Attorney is still in force and effect.

GIVEN under my hand and the seal of said Company, at Woodcliff Lake, New Jersey this 29111 clay of pril, 2025 Ory na rr v,ah blue arWlor stack rk
roe t-enfica, on c, 1 the a, thent. otyof Ih, s Pc+, e' of Aromey you may can ( 201) 573- 8788 &Id ask fw the Power cf Attorney ^ 0e+ k Please Ieter to the stare r arned Ir v, Hua' O and details of the Land to ' f:. h the paver is altacNed
Form S- 100-01 (Rev 03/ 23)
Wayne Nunziata, President
State of New Jersey
County of Bergen
On this 29th day of April, 2025 before me, John Riccardi, a Notary Public, personally came Michael Bonfante, known to me to be the Attorney -in -Pact of Colonial Surety Company, the corporation described in the within instrument, and I acknowledge that he executed the within instrument as the act of said Colonial Surety Company in accordance with authority duly conferred upon him by said Company.

John Riccardi
Notary Public of New Jersey
My Commission Expires September 8th, 2028
John Riccardi, Notary Public
Colonial Surety Company
Duncatntott, Pennsylvania
Inc 1930 -
Balance Sheet as of December 31, 2023
Cash & Invested Assets:

Cash
Cash Equivalents
Common Stocks*
Bonds*
Total Cash & Invested Assets
Other Assets:

Accrued Investment Income
Premiums Receivable
Funds Held -- Collateral
Reinsurance Recoverable
Net Deferred Tax Assets
Other Assets
Total Admitted Assets
24, 397, 248
4, 719, 842
9, 122, 243
50; 4- 14, 007
Liabilities:

Outstanding Losses & Loss Expenses $ 3, 553, 844
Unearned Premiums 18, 529, 858
Funds Held 6, 498, 740
Reinsurance Payable 7, 650, 729
Accrued Expenses 692,42
Income Taxes Payable
88, 653, 340 Payable to Parents, Subs & Affiliates
Miscellaneous Liabilities
Commission Payable
Total Liabilities
531, 942 Capital & Surplus:
3, 518, 350 Common Capital Stock
6, 498, 740 Additional Paid in Capital
7,87,75 Unassigned Surplus
1, 0I4, 844
264, 497 Total Capital & Surplus
108, 269, 488
Total Liabilities, Capital &
Surplus
2, 889, 937
380, 416
3, 678, 088
5,29, 183)
38,45, 071
4, 000,00
1, 000,00
64, 924, 417
69, 924, 417
108, 269, 488
Bonds and stocks are valued on a basis approved by the National Association of Insurance Commissioners.

STATE OF NEW JERSEY }
COUNTY OF BERGEN }
1, Wayne Nunziata, President of Colonial Surety Company, do hereby certify that the foregoing is a full, true, and correct copy of the Financial Statement of said Company, as of December 31, 2023. ss.:

IN WITNESS WHEREOF, I have signed this statement at Woodcliff Lake, New Jersey, this 1st day of March 2024.

Wayne Nunziat< 3 President
Theresa La Monica, Notary Public

THERESA LA MONICA
A Notary Public of New Jersey
My Commission Expires September 9, 2025
ACORDQ® CERTIFICATE OF LIABILITY INSURANCE
DATE ( MM3/ 1140252/
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
AMERICAN ARROW INSURANCE SVCS, INC.
6550 VAN BUREN ROAD STE. B
RIVERSIDE, CA 92503
LICENSE# 0L95341
CONTACT SERGIO RuELAS
NAME:

PHONE 855-32- 1092 FAX 909- 354-628
INC. No, ExU; ( A/ C, No):

E- MAILD SS: sruelas@americanarrowins. com
INSURER( S) AFFORDING COVERAGE NAIC #
INSURER A : PENNSYLVANIA MANUFACTURERS 12262

INSURED
RARA TRUCKING, INC.

P. O. BOX 7353
SAN JOSE, CA 95150
INSURER B:

AMERICAN SUMMIT INSURANCE CO 19623_
INSURER C:

INSURER D :

INSURER E :

INSURER F :
vTHIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS

CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR

LTR TYPE OF INSURANCE POLICY
ADDL
INSD
SUER

WVD NUMBER
POLICY

MM/ DD/ YYYY)

POLICY EXP

MM/ DD/ YYYY) LIMITS
A

X COMMERCIAL GENERAL LIABILITY
X
303401- 0473975Y 1/9/ 2025 1/9/ 2026 EACH OCCURRENCE 1, 000,00

DAMAGE TO RENTED
CLAIMS - MADE OCCUR PREMISES ( Ea occurrence) 50, 000
MED EXP ( Any one person) 5, 000
PERSONAL 8ADV INJURY 1, 000,00
GEN' LAGGREGATE GENERAL AGGREGATE 2, 000,00
POLICY
OTHER.

LIMIT APPLIES
PROJECT
PER.

LOC PRODUCTS - COMP/ O AGG 1. 000,00
B

AUTOMOBILE
X

LIABILITY

ANY AUTO
OWNED

AUTOS ONLY
HIRED
X
X

SCHEDULED
AUTOS

NON -OWNED

AUTOS ONLY
X
ASCA0010000528- 03 3/ 19/ 2025 3/ 19/ 2026 EOaacciJdE INGLE LIMIT 1, 000,00 BODILY INJURY ( Per person)
BODILY INJURY ( Per accident)

PROPERTY DAMAGE
Per accident)

UMBRELLA LIAB

EXCESS LIAR
OCCUR

CLAIMS -MADE

OCCURRENCE- EACH

AGGREGATE
DED RETENTION $

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

ANY PROPRIETOR/ PARTNER/ EXECUTIVE
Y / N
OFFICER/ MEMBER EXCLUDED?
Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
NIAA
PER OTHSTATUTE ER
E. L. EACH ACCIDENT
E . DISEASE - EA EMPLOYEE

E L DISEASE - POLICY LIMIT
a
q

MOTOR TRUCK CARGO

TRAILER INTERCHANGE
812401- 0473975Y
812401- 0473975Y
11/3/ 2024
11/3/ 2024
11/3/ 2025
11/3/ 2025
100, 00 LIMIT / $ 1, 000
30, 000 LIMIT/ $ 1, 000 DEDUCTIBLE

CONTAINERS & DRY FREIGHT

DEDUCTIBLE
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ( ACORD 101, Additional Remarks Schedule, may be attached if more space is required) I
THE CITY OF LATHROP ITS OFFICES AND EMPLOYEES ARE NAMED AS ADDITIONAL INSURED. ENDORSEMENT TO FOLLOW BY COMPANY.

CERTIFICATE HOLDER CANCELLATION

CITY OF LATHROP
390 Towne Centre Drive
Lathrop, CA 95330

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.

AUTHORIZED REPRESENTATIVE
ACORD 25 ( 2016/ 03)
1988- 2015 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD

A R CERTIFICATE OF LIABILITY INSURANCE
DATE ( MM/ DDlYYYY)
5/ 14/ 2025
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.

PRODUCER
AMERICAN ARROW INSURANCE SVCS, INC.
6550 VAN BUREN ROAD STE. B
RIVERSIDE, CA 92503
LICENSE# 0L95341
CONTACT SERGiu RUELAa
NAME:

PHONE 855-32- 1092 FAX 909- 354-628
A/ C, No, Ext): ( A/ C, No):

E- MAIL
ADDRE s: sruelas@americanarrowins. com
INSURER( S) AFFORDING COVERAGE NAIC #
INSURER A: PENNSYLVANIA MANUFACTURERS r 12262

INSURED
RARA TRUCKING, INC.

P. O. BOX 7353
SAN JOSE, CA 95150
INSURERB:

AMERICAN SUMMIT INSURANCE CO 19623
INSURERC:

INSURER D
INSURER E :

INSURER F :

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

LTR TYPE OF INSURANCE
ADDL
INSD
SUBR

WVD POLICY NUMBER

POLICY EFF

MM/ DD/ YYYY)

POLICY EXP

IMM/ DD/ YYYY) LIMITS
A
X COMMERCIAL GENERAL LIABILITY 303401- 0473975Y 1/9/ 2025 1/9/ 2026 EACH OCCURRENCE 1, 000,00

DAMAGE TO
CLAIMS - MADE PREMISES occurrence) 50, 000 X
OCCUR
MED EXP ( Any one person) 5, 000
PERSONAL & ADV INJURY 1, 000,00
GEN' LAGGREGATE GENERAL AGGREGATE 2, 000,00
POLICY
OTHER:

LIMIT APPLIES
PRO -
JECT
PER:

LOC PRODUCTS - COMP/ O AGG 1. 000.00
B

AUTOMOBILE
X

LIABILITY

ANY AUTO
X
X

SCHEDULED
AUTOS

NON -OWNED

AUTOS ONLY
X
ASCA0010000528- 03 3/ 19/ 2025 3/ 19/ 2026 COMBINED SINGLE LIMIT Ea accident) 1 , 000,0
BODILY INJURY (Per person)
BODILY INJURY ( Per accident)

PROPERTY DAMAGE
Per accident)

UMBRELLA LIAB

EXCESS LIAB
OCCUR

CLAIMS - MADE

EACH OCCURRENCE

AGGREGATE
DED RETENTION $

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

ANY PROPRIETOR/ PARTNER/ EXECUTIVE
OFFICER/ MEMBER EXCLUDED?
Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
Y/ N
N / A
PER OTHSTATUTE ER
E. L. EACH ACCIDENT
E. L. DISEASE - EA EMPLOYEE
E. L. DISEASE - POLICY LIMIT
IN
a

MOTOR TRUCK CARGO

TRAILER INTERCHANGE
812401- 0473975Y
812401- 0473975Y
11/3/ 2024
11/3/ 2024
11/3/ 2025
11/3/ 2025
100, 00 LIMIT / $ 1, 000
30, 000 LIMIT/ $1, 000

CONTAINERS & DRY FREIGHT

DEDUCTIBLE

DEDUCTIBLE
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES ( ACORD 101, Additional Remarks Schedule, may be attached If more space is required) THE CITY OF LATHROP ITS OFFICES AND EMPLOYEES ARE NAMED AS ADDITIONAL INSURED. ENDORSEMENT ATTACHED.

CANCELLATION

CITY OF LATHROP
390 Towne Centre Drive
Lathrop, CA 95330

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.

AUTHORIZED REPRESENTATIVE
ACORD 25 ( 2016/ 03)
1988- 2015 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD
Policy Number: ASCA0010000528- 03
THIS ENDORSEMENT CHANGES THE POLICY - PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED - EXCESS
This endorsement modifies insurance provided under the following:

BUSINESS AUTO COVERAGE FORM

MOTOR CARRIER COVERAGE FORM
Name of person or organization:

THE CITY OF LATHROP ITS OFFICERS AND EMPLOYEES ARE
NAMED AS ADDITIONAL INSURED.
390 Towne Centre Drive
Lathrop, CA 95330
With respect to SECTION II — LIABILITY COVERAGE only, Who is An Insured ( Section II(A)( 1)) is amended to include as an additional insured the person( s) or organization( s) shown in the Schedule above.

The insurance provided hereby to the Additional Insured( s) is limited as follows:

1. The coverage afforded hereby is excess over any other valid and collectible insurance, whether such other insurance is primary, excess, contingent, or otherwise. Where the Additional Insured has valid and collectible insurance in excess of a self -insured retention, this insurance is excess over the combined limits of such insurance and the self -insured retention. Where the Additional Insured does not have valid and collectible insurance applicable to a claim that would be covered by the policy, the Additional Insured shall have a self - insured retention of the first million dollars of any covered loss and the insurance afforded hereby shall be excess over such self -insured retention.

2. The coverage afforded hereby to such additional insured is limited to imputed liability specifically resulting from the conduct of the Named Insured for which the additional insured was held liable.

3. The limits of insurance applicable to the insurance afforded hereby are those specified in the written agreement or in the Declarations or Schedules of this policy, whichever is less. The limits of insurance applicable to the insurance afforded hereby are not inclusive and not in addition to the limits of insurance shown in the Declarations or Schedules of this policy.

4. Any coverage provided under this endorsement for any additional insured will never be broader than coverage provided to any named insured.

Any other policy terms, conditions, limitations, exclusions, and definitions apply to this endorsement.

ASIC AUTO CW 00 05 03 21 Includes copyrighted material of Insurance Services Office, Inc. with its permission" Page 1 of 1 Attachment' s
City of
Parks and Recreation Department
COMPANY NAME:

ADDRESS:
39( ITowne Centre / hive, Lathrop, CA 95330
Phone ( 209) 941- 7370
www. ci. lathrop. ca. us

INDUSTRIAL REFUSE COLLECTION

LICENSE APPLICATION
Republic Services
1145 W. Charter Way, Stockton CA 95206
PHONE/ FAX ( 209) 420- 2949
EMAIL: FThompson@republicservices. com
TYPE OF WASTE REMOVAL SERVICE:

MSW generated at Industrial accounts located in the City of Lathrop APPLICANT SIGNATURES:

SIGNATURE
Francina Thompson

PRINT NAME
Municipal Manager
TITLE
5/ 2025
DATE
City of
Parks and Recreation Department 390 Towne Centre Drive, Lathrop, CA 95330 Phone ( 209) 941. 7370
www. cilathrop. ca. us
The following license requirements ore set forth by the City of Lathrop Municipal Code, Title 8 Health & Safety, Chapter 8. 16 Garbage Collection & Disposal, Section 8. 16.40 Industrial Solid Waste Removal — License Required.

CUSTOMERS LIST ( Names and Addresses):

CHECK IF

ENCLOSED
x

SIGNED STATEMENTS FROM NEW INDUSTRIAL CUSTOMERS ADDRESSED TO CITY N/ A

NUMBER, KIND, AND CAPACITY OF VEHICLES AND OTHER EQUIPMENT Must be in compliance with all applicable air pollution control laws):

ORIGINAL PERFORMANCE BOND OR OTHER SECURITY ATTACHED ($ 25, 000) ORMOST RECENT FINANCIAL STATEMENT AND/ OR AUDIT

INSURANCE CERTIFICATE AND ENDORESMENT NAMING THE CITY, ITS OFFICERS AND

EMPLOYEES AS AN ADDITIONAL INSURED
LICENSE FEE ENCLOSED ($ 2, 500)
ADMINISTRATION FEE ($ 92)
PROCESED BY:

MELISSA STATHAKOPOULOS

PARKS AND RECREATION MANAGER
PARKS & RECREATION j SOLID WASTE & RECYCLING
APPRO 0 BY:

TODD SEBAST

DIRECTOR

PARKS, RECREATION & FLEET SERVICES
X
X
X
N/ A
X
DATE
1%24.. 2T
DATE
Site Name Site Address
TWO GUYS FOOD FUEL 147 LATHROP RD
PERFORMANT RECOVERY, INC. 17080 S HARLAN RD
HERITAGE PAPER ( PIONEER) 17740 SHIDELER PKWY
FIRESIDE INN 854 LATHROP RD
D' ARCY BUS PK COM/ONDO ASSOCI 401 DARCY PKWY
D' ARCY BUSI PK COM/ONDO ASSOC 17320 D' ARCY PKWY
DARCY BUS PK COM/ONDO ASSOCI 17918 MURPHY PKWY
GRACE COMMUNITY CHURCH 850 J ST
JOES PLACE 15600 S HARLAN RD
KAREN MEYER 947 H ST
LA CRESCENTA PROP/ LOUISE PLAZA 201 LOUISE AVE
HAMPTON INN 103 E LOUISE AVE
JOSEPH WIDMER MIDDLE SCHOOL 751 STONEBRIDGE AVE
CLOROX ( RECYCLING) 11950 S HARLAN RD
MOSSDALE ELEMENTARY SCHOOL 455 BROOKHURST BLVD
FAST LANE CENTRAL VALLEY 116 ROTH RD
CBC STEEL ( REC) 1700 E LOUISE AVE
WALGREENS # 10631 14780 S HARLAN RD
DOT TRUCK SALES 11299 S HARLAN RD
BORAL ROOFING ROTH RD 342 ROTH RD
LATHROP HIGH SCHOOL 647 SPARTAN WAY
BOISE CASCADE WOOD REC 40YRD 12030 S HARLAN RD
JACK IN THE BOX # 588 100 E LOUISE AVE
JOHN DEERE LATHROP 17400 SHIDELER PKWY
BROWN SAND INC 800 MOSSDALE RD
ROGER AQUINO 11471 S MANTHEY RD
CITY OF LATHROP PUBLIC 1 15445 7TH ST
CITY CONTRACT/ CITY OF LATHROP 390 TOWNE CENTRE DR
LUCIA MACHADO 904 O ST
BARBOSA CABINETS INC. 11900 S HARLAN RD
LATHROP COMMUNITY APOLISTIC CH 15074 5TH
BALWANT SINGH SANDHU 2690 W YOSEMITE AVE
OUR LADY OF GUADALUPE 16200 CAMBRIDGE DR
TOTTEN TUBES 15540 MCKINLEY AVE
JH MOTOR SPORTS 14150 S HARLAN RD
HEARTLAND EXPRESS 12550 S HARLAN RD
TEC EQUIPMENT ( RIO) 2050 E LOUISE AVE
NATIONWIDE FLEET 17605 S MANTHEY RD
LATHROP GAS & FOOD INC 140 LATHROP RD
RIVER ISLAND TECH ACADEMY 1175 MARINA DR
HOME DEPOT HMD005363 2YD PAPER 18300 S HARLAN RD
HOLIDAY INN AND SUITES 15688 S HARLAN RD
EAGLE' S NEST HARLEY DAVIDSON 13900 S HARLAN RD
HIGH FIVE PLAZA, LLC 16925 S HARLAN RD
CALIFORNIA NATURAL EAST GATE 3 15188 S MCKINLEY AVE
OREILLY AUTO ORE004719 4YD MSW 15079 S HARLAN RD
LATHROP CHRISTIAN CENTER 17261 S MANTHEY RD
SWISS AMERICAN 20 YD COMP 251 DARCY PKWY
PILKINGTON LATHROP 40YD 500 E LOUISE AVE
DENNYS RESTAURANT 16851 S HARLAN RD
CITY OF LATHROP ( RECY) 2112 E LOUISE AVE
NEXT GENERATION 18001 COMMERCIAL ST
COLONIAL ENERGY, LLC 192 LATHROP RD
LATHROP HEAD START 721 THOMSEN RD
TARGET TGT002347 35YD C MSW 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
DISCOVERY CHALLENGE ACADEMY 700 E ROTH ROAD
VATTADI LATHROP CROSSING, LLC 15362 S HARLAN RD
KIWI CRATE INC ( DOOR 6) 11980 S HARLAN RD
POPEYE' S 16837 S HARLAN RD
ATLAS COPCO 1601 MADRUGA RD
RIVER ISLAND BOAT HOUSE REST. 980 LAKESIDE DR
FLYING J # 101700 345 ROTH RD
SIMWON AMERICA CORP. 400 DARCY PKWY
LA COSTA DE ACAPULCO 16444 CAMBRIDGE DR
LA REINA SUPERMARKET 1357 E LOUISE AVE
PRATT (TRASH) 2131 E LOUISE AVE
RAYMOND HANDLING 19107 CHRISTOPHER WAY
SAVE MART CENTER SITE # 1 15010-8 S HARLAN RD
HD LATHROP LLC 16609 S HARLAN RD
SEFNCO COMMUNICATIONS ( TRASH) 12687 S MANTHEY RD
TACO BELL 16905 S HARLAN RD
FERELLGAS LP DBA BLUE RHINO 12693 S MANTHEY RD
ABSOLUTE VENTURES 15901 6TH ST
KORNHAUSER REAL ESTATE, LLC. 1683 E LOUISE AVE
THE SHOPS AT LATHROP CROSSING 15382 S HARLAN RD
DONA TERE PERUVIAN RESTAURANT 16438 CAMBRIDGE DR
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 S HARLAN RD
RIVER ISLANDS BASEBALL CLUB LL 1051 RIVER ISLANDS PKWY
TEICHERT - 40YD C&D PHASE 1 S 940 RIVER ISLANDS PKWY
TEICHERT CONSTRUCTION PO# 12032 RIVER ISLANDS PARKWAY AND WALE STARBUCKS 58278 16538 GOLDEN VALLEY PKWY
CROSSLINK PRO TAX SOLUTIONS 16916 S HARLAN RD
LATHROP SMOG 15151 S HARLAN RD
TESLA - AUGER 17100 MURPHY PARKWAY
ALTO SYSTEMS, INC. 11960 S HARLAN RD
PANDA EXPRESS 3104 15099 S HARLAN RD
RAVINDER DHILLON 11378 S HARLAN RD
WAYFAIR INC. 5120 GLACIER ST
RIVER ISLANDS -WELCOME CENTER 1401 RIVER ISLANDS
SIMWON AMERICA CORP. (BUILDIN 18231 MURPHY PKWY
ECLIPSE METAL FABRICATION 17700 SHIDELER PKWY
WEST COAST RV & BOAT STORAGE 4052 YOSEMITE AVE
BURGER KING 22460 15119 S HARLAN RD
THE BLESSED KITCHEN 151 LATHROP RD
UPS- LATHROP I/R 11800 S HARLAN RD

KB OF CA IRONPOINTE - C&D LEE SPALDING/ TESTAROSSA ST
CHIPOTLE # 3535 16542 GOLDEN VALLEY PKWY
CBK LATHROP 16948 S HARLAN RD
TRU HOTEL 161 E LOUISE AVE
CON FAB CALIFORNIA, LLC 1910 LATHROP RD
WESTERN PACIFIC CRANE & EQUIP 1500 MADRUGA RD
TOWNE CENTRE - SOUTH SITE 240 TOWNE CENTRE DR
TOWNE CENTRE - NORTH SITE 231 TOWNE CENTRE DR
KAISER PERMANENTE - LATHROP 17000 S HARLAN RD
PFLUG REC COMPACTOR DR# 18 17430 SHIDELER PKWY
CARL' SJR # 7415 200 E LOUISE AVE
ASHLEY FURNITURE DC 0049 40YD 18290 S HARLAN RD
WAYNE KELLY SITE 2 210 TOWNE CENTRE DR
WAYNE KELLY SITE 1 17259 GOLDEN VALLEY PKWY
TEICHERT CONSTRUCTION 1250 MADRUGA RD
CAMINO REAL MOBILE ESTATES 15820 S HARLAN RD
LATHROP FOOD PLAZA 16201 S HARLAN RD
RESIDENTIAL DESIGN CA061 6YD 19105 CHRISTOPHER WAY
FLOOR & DECOR 284 40YD 1880 E HAMMER LN
TESLA 12528 4YD TRASH 1611 S AIRPORT WAY
TESLA 18200 40YD TRASH 15660 MCKINLEY AVE
A&INTERMODAL TERMINAL SITE 1 1625 E LOUISE AVE
FURST CONSTRUCTION 20YD C&D LE 601 DARCY PKWY
JOHNS MANVILLE 3458 YOSEMITE AVE
FOOD 4 LESS WAREHOUSE 550 TESLA DR
NFI PC 388 NFI000388 30YD MSW 16825 MURPHY PKWY
STAFF MARK 16964 S HARLAN RD LATHROP, CA
CLEAN ENERGY FUELS 1262 MADRUGA RD
TBHCV -- SONIC DRIVE- IN LATHROP 15107 OLD HARLAN RD
KKW TRUCKING INC. 600 E LOUISE AVE
PRISM TEAM SERVICES 18284 S HARLAN RD
MEDLINE MEL000D46 40YD C MSW 18601 CHRISTOPHER WAY
SIMWON AMERICA CORP. SITE 2 619 TESLA DR
EPIC ACADEMY 2760 PENROSE LN
TESLA 11984 40YD REC 3131 AUTO CENTER CIR
CARGILL LATHROP WAREHOUSE 5030 YOSEMITE AVE
DCG FULFILLMENT 18755 BUSINESS PARK CT
CONEXWEST 17140 S HARLAN RD
SPROUTS SPR000466 30YD C MSW 16576 GOLDEN VALLEY PKWY
PARK MY FLEET 18551 CHRISTOPHER WAY
IN -N - OUT BURGER 804 65GAL REC 18240 S HARLAN RD
WAYZ PETROLRUM INC 16470 CAMBRIDGE DR
STORQUEST LATHROP GOLDEN V 16000 GOLDEN VALLEY PKWY
CBC STEEL 17072 S HARLAN RD
MOSSDALE LANDING SITE 2 18008 GOLDEN VALLEY PKWY
PRIME TRUCK AND TRAILER 12796 S HARLAN RD
FAIRFIELD INN & SUITES 17401 S MANTHEY RD
LATHROP BUSINESS PARK GROUP LP 16954 S HARLAN RD
JBF WHS CROSS DOCK LOGISTICS 601 TESLA DR
OLIVE OIL PANTRY LLC 950 S MANTHEY RD

DR HORTON SPARROW- MALIBU LAN MALIBU LANE
BLUE RAIN CAR WASH 16446 GOLDEN VALLEY PKWY
HAGGERTY CONSTRUCTION- 40YD C&D 3400 YOSEMITE AVE
KREAT NVEST 17395 S MANTHEY RD
KB HOMES- ARCADIA 40YD C&D LEE PISMO DRIVE
ARKTOS INCORPORATED 540 E LOUISE AVE
IN N OUT BURGER 346 ORGANICS 16514 GOLDEN VALLEY PKWY
NVA LATHROPVETERINARY 1085 ORG 17600 GOLDEN VALLEY PKWY DOORTEK INC 12711 S MANTHEY RD

LENNAR LLC ADLER STREET C& ADLER AND TACOMA ST
BAJWA TRANSPORT SERVICE 4100 YOSEMITE AVE
PENSKE TRUCK LEASING 2400 E LOUISE AVE
KDC CONSTRUCTION - CHIK FIL A 16608 GOLDEN VALLEY PARKWAY TFF LAT UPS FREIGHT 1444 LATHROP RD
DE COLORES RESTAURANT, LLC 14725 S HARLAN RD
HOLLINGSWORT 18491 BUSINESS PARK CT
RAAD BOURI 911 H ST
MACYS MCY710117 40Y MSW CMP 3300-400 YOSEMITE AVE
15 TRUCK TERMINAL INC 12333 S MANTHEY RD
FAST & EASY MART 104 16460 GOLDEN VALLEY PKWY
CMS LOGISTICS- PG& ESUBSTATION 1833 VIERRA RD
MACYS MCY710117 1- 30Y WOOD 3395 GRADY DR
M3 MEP LLC 950 STEWART RD
CALIFORNIA NATURAL PRODUCTS 1250 LATHROP RD

KB HOMES IRON POINTE FL SERVI ROSEDALE STREET
KB HOMES IRON POINTE FL 5YD 15870 TESTAROSSA ST
NSR KRAFT LATHROP DR200 40YD 980 E LOUISE AVE
TESLA 3447 4YD TRASH 18250 MURPHY PKWY
RIVER ISLANDS HIGH SCHOOL 16601 RIPTIDE WAY
DESI PIZZA BITE 159 LATHROP RD
TAYLOR MORRISON - PADDLEWHEEL 3344 ELLINGTON
ENSTALL C/ O IRONRIDGE 17100 S HARLAN RD
ARACELY VASQUEZ 14661 REVEREND MAURICE COTTON DR
VAN DAELE- STANFORD CROSSING 4 400 STANFORD XING
TRI POINTE HOMES- JOURNEY 16010 TESTAROSSA ST
TESLA MEGAFACTORY 700 DARCY PKWY
GSE CONSTRUCTION 18800 CHRISTOPHER WAY
KIPER HOMES- CAPRI WOOD C&D L 17379 HARBOR VIEW AVENUE
AMAZON OAK41 6YD FL TRASH 501 DARCY PKWY
DESCOR BUILDERS - DEL WEBB 40Y BRIGHTWOOD DRIVE
LATHROP- MANTECA FIRE DIST # 34 460 RIVER ISLANDS PKWY
LATHROP- MANTECA FIRE STATION 800 J ST
LATHROP- MANTECA FIRE DIST # 35 19001 SOMERSTON PKWY
VAN DAELE HOMES WESTWIND 3235 GREEN MEADOW LANE
COMFORT INN 14730 S HARLAN RD
RAFAEL & FRANCES SANDOVAL 15485 7TH ST
HEALTH SERVICES BENEFIT ADMIN 16960 S HARLAN RD
STORAGE PRO OR LATHROP # 26 15550 S HARLAN RD
KFC # 219 ( LEHA 219 INC) 150 E LOUISE AVE
CITY OF LATHROP SENIOR CENTER 15707 5TH ST
AMG RESOURCES PACIFIC CORP. 15332 MCKINLEY AVE

CITY OF LATHROP PARK STONE BRIDGE PARK
KABARITI AM -PM MINI MARKET 85 E LOUISE AVE

RIVER ISLAND ( TOOL SHED) LAKESIDE & MARINA
WILLIAM ASSAD 15810 S HARLAN RD
MC DONALDS RESTAURANT LATHROP 300 E LOUISE AVE
DRAGON ESP PRODUCTS 15700 MCKINLEY AVE
SHERWIN WILLIAMS 8523 3YD TRSH 15390 S HARLAN RD
RLEETPRIDE 729 1629 E LOUISE AVE
MOBILE MINI 1134 6YD TRASH 16351 MCKINLEY AVE
SWIFT TRANS SLATH 5YD TRASH 1 901 DARCY PKWY
TESLA 0906 40YD TRASH 501 TESLA DR
TESLA 16086 40YD TRASH 701 DARCY PKWY
TESLA 0551 20YD TRASH 18260 S HARLAN RD
DUTCH BROS DBRCA0805 4YD MSW 15135 OLD HARLAN RD
UTILITY TRAILER SALES 12608 S HARLAN RD
ONE LATHROP ( LATHROP PROPERTY) 16424 S HARLAN RD
KELLY BUSINESS PARK, LLC 91- 201 D' ARCY PKWY
CITY OF LATHROP COMM CENTER FL 15557 5TH ST
LATHROP ELEMENTARY 15851 5TH ST
LATHROP POST OFFICE 15529 7TH ST
BELLAS BAKERY 155 LATHROP RD
LATHROP SELF STORAGE 1644 E LOUISE AVE
BUDS CONCRETE 11145 HARLAN RD
CALIFORNIA NAT. PROD. **ADC1** 15789 MCKINLEY ( WAREHOUSE) AVE S CITY OF LATHROP/ WELL 7 40YD GR OFF MC KINLEY COUNTY DIRT RD CITY OF LATHRP/ STONEBRIDGE PRK 13400 SLATE ST
CITY OF LATHROP GENERATION CTR 450 SPARTAN WAY
CITY OF LATHROP ( POLICE DEPT) 940 RIVER ISLAND PARKWAY CITY OF LATHROP 700 TOWNE CENTRE DR
MANTECA LATHROP FIRE DIST # 34 460 RIVER ISLAND PKWY
SAVE MART # 94 15240 S HARLAN RD
PFLUG PACKAGING( TRASH COMP)# 30 17600 SHIDELER PKWY
PFLUG PKG TRASH COMP/ DOOR #89 17500 SHIDELER PKWY
DAYS INN 14750 S HARLAN RD
DELTA AC SUPPLY 3515 YOSEMITE AVE
NICKS 76 16500 S HARLAN RD
PETS & PALS 12488 S HARLAN RD
TOP GUN DRY WALL SUPPLY 15500 MCKINLEY AVE
SEVENTH STREET APARTMENTS 16015 7TH ST
C&S WHOLESALE GROCERS 20YD WE 16888 MCKINLEY AVE
SREYMLOP NOL 16460 CAMBRIDGE DR
LATHROP COMMUNITY CHURCH 937 J ST
O STREET APARTMENTS 934 O ST
LATHROP SMOG 15151 OLD HARLAN RD
AUNTYS GROOMING 15559 7TH ST
LEARNING TREE PRESCHOOL 15551 7TH ST
MANTECA LATHROP FIRE DISTRICT 460 RIVER ISLAND PARKWAY
LATHROP SANDS MHP 11550 S HARLAN RD
PENTECOSTAL CHURCH OF GOD 14172 AVON AVE
LATHROP COMMUNITY APOLISTIC CH 15074 5TH ST
Body Serial # Engine Serial i Year Descr. License # DOWTrkVin number Reg Ownership US 0125 MLA07570- 0002 73186061 2011 FREIGHTLINER 34439A2 1FVACWDTIBDBD4842 REPUBLIC 3171547 0126 R- 0399811 124KM2Y4414010 2018 INTERNATIONAL 12388X1 3HTHWSNN0JN626192 REPUBLIC 3171547 0127 F150 2023 FORD 43784Z3 1FTMF1CB8PKF58759 REPUBLIC 3171547 0128 F150 2023 FORD 36281Z3 1FTMF1CBXPKF60593 REPUBLIC 3171547 2000 31R0X21124932 46663959 2007 AUTOCAR 11366T3 5VCHC6MF47H204293 SUNRISE 3171547 2001 5121PX281659175 X01741 2021 PETERBILT 44833G3 3BPDXK0X4MF111096 SUNRISE 3171547 2412 DRE7001186 2019 PETERBILT 66624X2 3BPDXK0X2KF106119 LOANER 2432 DRE7001176 X007926 2019 PETERBILT 64080S2 3BPDXK0X6KF106124 ALLIED 2453 72R0X314225929 46619149 2007 AUTOCAR 8M37046 5VCHC6MF47H204407 SUNRISE 3171547 2455 63V0X284733767 73080059 2010 AUTOCAR 37562A1 5VCACD8F8AH211089 REPUBLIC 3171547 2459 62V0X314233726 73078458 2010 AUTOCAR 47567B1 5VCACD8F5AH211132 REPUBLIC 3244872 2460 63V0X314233771 73078459 2010 AUTOCAR 47569B1 5VCACD8F7AH211133 SUNRISE 3244872 2461 63V0X314233785 73078462 2010 AUTOCAR 47566B1 5VCACD8F9AH211134 REPUBLIC 3244872 2464 RR8105244 73657439 2014 AUTOCAR 86527S1 5VCACDVF3EH217456 NDEPENDEN" 3171547 2465 RR8105247 73660949 2014 AUTOCAR 86518S1 5VCACDVF9EH217459 NDEPENDEN" 3171547 2466 RR8105248 73660952 2014 AUTOCAR 86519S1 5VCACDVF5EH217460 NDEPENDEN" 3171547 2468 RR8105254 73660950 2014 AUTOCAR 86521S1 5VCACDVF9EH217462 NDEPENDEN" 3171547 2469 RR8105257 73665455 2014 AUTOCAR 86130S1 5VCACDVF0EH217463 NDEPENDEN" 3171547 2470 RR8105250 73665454 2014 AUTOCAR 86522S1 5VCACDVF2EH217464 NDEPENDEN" 3171547 2471 RR8105258 73665460 2014 AUTOCAR 86523S1 5VCACDVF4EH217465 NDEPENDEN" 3171547 2473 RR8105246 73660955 2014 AUTOCAR 86129S1 5VCACDVF7EH217458 NDEPENDEN" 3171547 2474 32160X284845853 73938865 2016 AUTOCAR 17515A2 5VCACDVF7GH222162 N LSG 3171547 2475 32160X284845859 73938984 2016 AUTOCAR 17516A2 5VCACDVF9GH222163 N LSG 3171547 2476 RR8105444 73950664 2016 AUTOCAR 4391362 5VCACDVF3HH222578 N LSG 3171547 2477 RR8105528 X003195 2018 PETERBILT 51503H2 3BPDLK0X8JF184222 NDEPENDEN" 3171547 2478 RR8105529 X003203 2018 PETERBILT 51504H2 3BPDLK0XXJF184223 NDEPENDEN" 3171547 2479 3418PX314850976 X004962 2018 PETERBILT 60357M2 3BPDLK0X7JF162079 NDEPENDEN" 3171547 2480 6318PX314851640 X005739 2019 PETERBILT 62734M2 3BPDLK0X3KF102933 NDEPENDEN" 3244851 2481 6418PX314851653 X005825 2019 PETERBILT 61633M2 3BPDLK0X5KF102934 NDEPENDEN" 3171547 2482 2320PX274856198 X012817 2020 PETERBILT 40406Z2 3BPDLK0X3LF108961 SUNSET 3171547 2483 3220PX274856366 X010534 2020 PETERBILT 27018Y2 3BPDLK0X5LF108962 SUNRISE 3171547 2484 3120PX274856353 X012733 2020 PETERBILT 01285A3 3BPDLK0X5LF108959 SUNRISE 2485 3220PX274856370 X012810 2020 PETERBILT 88754Z2 3BPDLK0X1LF108960 SUNRISE 3171547 2486 3220PX274856387 X012818 2020 PETERBILT 40805Z2 3BPDLK0X7LF108963 SUNRISE 3171547 2487 3220PX274856372 X012815 2020 PETERBILT 88753Z2 3BPDLK0X9LF108964 SUNRISE 3171547 2488 3421PX274858809 X017191 2021 PETERBILT 97905F3 3BPDXK0X2MF110724 SUNRISE 3171547 2489 3421PX274858835 X017109 2021 PETERBILT 11538T3 3BPDXK0X4MF110725 SUNRISE 3171547 2490 2222PX274861146 X022243 2022 PETERBILT 16180M3 3BPDXK0X2NF113429 NDEPENDEN" 3171547 2491 2122PX274861114 X022246 2022 PETERBILT 16181M3 3BPDXK0X9NF113430 NDEPENDEN" 3171547 2492 1422PX274861103 X022238 2022 PETERBILT 16182M3 3BPDXKOXONF113431 NDEPENDEN" 3171547 2493 2424PX274866486 X033088 2024 PETERBILT 61371Z3 3BPDXK0X8RF119449 NDEPENDEN" 3171547 2494 3124PX274866441 X031031 2024 PETERBILT 61124Z3 3BPDXK0X7RF116896 NDEPENDEN" 3171547 2495 71249X274867472 X033769 2024 PETERBILT 49149Y3 3BPDXK0X2RF119205 NDEPENDEN" 3171547 2496 7124PX274867508 X033706 2025 PETERBILT 5644564 3BPDXK0XISF119203 NDEPENDEN" 3171547 2497 3124PX274866464 X031671 2024 PETERBILT 3BPDXK0X9RF116897 NDEPENDEN" 3171547 2546 53Y0X314241577 73657433 2014 AUTOCAR 86128S1 5VCACDVF8EH217761 NDEPENDEN" 3244872 0055 F550 2014 FORD F550 99349L1 1 FDUF5GT1 EEA62591 DEP. TRUCKING F150 F15 2022 FORD F150 95614R3 1FTMF1CB8NKF20347 DEP. TRUCKING 0001EN 0001 2024 MCNEILUS 72973C4 4M9CGDKF8RM265011 SUNRISE 0002E 0002 2024 MCNEILUS 4M9CGDKF6RM265024 SUNRISE
0003E 0003 2024 MCNEILUS 4M9CGDKF5RM265032 SUNRISE
0004E 0004 2024 MCNEILUS 4M9CGDKF2RM265036 SUNRISE
Trlc # Body Serial # Engine Serial # Year Descr. License# Vin number Reg Ownership US DOT# 1225 81U0A438534072 73078417 2010 AUTOCAR 03565X2 5VCACL8F8AH211040 ALLIED 3244855 1226 HPS5012023 X007848 2019 PETERBILT 11660T3 3BPDXK0X5KF105983 ALLIED 324855 1230 HPS5005427 73483377 2013 AUTOCAR 75812K3 5VCACL8F8DH215982 ALLIED 3244855 1324 82U0A438534140 73079092 2010 AUTOCAR 94881G1 5VCACL8F6AH211182 ALLIED 3244855 1333 73U0A438533990 73078884 2010 AUTOCAR 24675B1 5VCACL8F0AH211176 ALLIED 3244855 1339 54118PA407851470 X005655 2018 PETERBILT 62509M2 3BPDXK0X1KF161693 NDEPENDEN" 3244855 1340 82181PA407852015 X006723 2019 PETERBILT 59917N2 3BPDXK0X7KF161696 DELTA 3244855 1341 10120PA438755140 X010251 2020 PETERBILT 75845W2 3BPDXK0X2LF107465 DELTA 3244855 1342 2220PA438756167 X013383 2020 PETERBILT 27019Y2 3BPDXK0XXLF109643 DELTA 3244855 1343 2420PA438756251 X013365 2020 PETERBILT 88751Z2 3BPDXK0X1LF109644 DELTA 3244855 1344 2420PA438756259 X013384 2020 PETERBILT 27020Y2 3BPDXK0X3LF109645 DELTA 3244855 1345 2320PA438756224 X013461 2020 PETERBILT 88752Z2 3BPDXK0X8LF109642 DELTA 3244855 1346 1521PA438758399 X016698 2021 PETERBILT 52310E3* 3BPDXK0X4MF110837 DELTA 3244855 1347 5324PX438667090 X033510 2024 PETERBILT 18756B4 3BPDXK0X6RF119188 DELTA 3244855 1348 4224PX438666791 X033512 2024 PETERBILT 88703Z3 3BPDXK0X8RF119189 DELTA 3244855 1349 12224PX408669077 99317509 2025 PETERBILT 3BPDXJ0X8SF751397 DELTA 3244855 3009 2006 PETERBILT 71586P3 1 NPZL00X46D716535 DELTA 3244855 3356 13H28523 191870 46676564 2007 AUTOCAR 35494G3 5VCDC6MF97H204420 DELTA 3244855 3363 13H40933 X003120 2018 PETERBILT 87575G2 3BPZLK0X1JF184228 NDEPENDEN" 3244855 3364 13H40934 X003119 2018 PETERBILT 71863P3 3BPZLK0X3JF184229 NDEPENDEN" 3244855 3365 13H42158 X005082 2018 PETERBILT 90125G2 3BPDLK0X0JF162036 NDEPENDEN" 3244855 3366 13H42159 X005354 2018 PETERBILT 90124G2 3BPDLK0X4JF162038 NDEPENDEN" 3244855 3369 13H46789 X012827 2020 PETERBILT 75664Y2 3BPDLKOXI LF109090 DELTA 3244855 3370 13H46790 X012829 2020 PETERBILT 27017Y2 3BPDLK0X3LF109091 DELTA 3244855 3371 13H48351 X016679 2021 PETERBILT 07378D3 3BPDLK0X0MF110877 DELTA 3244855 3372 13H51240 X025010 2023 PETERBILT 79411P3 3BPDLK0X9PF114852 DELTA 3244855 3373 13H51241 X025279 2023 PETERBILT 80026P3 3BPDLK0X0PF114853 DELTA 3244855 3374 13H51242 X026108 2023 PETERBILT 80027P3 3BPDLK0X2PF114854 DELTA 3244855 3375 13H51811 Y291461 2023 PETERBILT 11386T3 1 NPCXPEX6PD893326 DELTA 3244855 3376 13H51812 Y298102 2023 PETERBILT 49635U3 1 NPCXPEX8PD893327 DELTA 3244855 3377 13H51813 Y298116 2023 PETERBILT 20970V3 1NPCXPEXXPD893328 DELTA 3244855 3378 13H53942 Y313738 2024 PETERBILT 44731B4 1 NPCXPEXXRD662089 DELTA 3244855 3379 13H53944 Y314063 2024 PETERBILT 60887X3 1 NPCXPEX8RD662091 DELTA 3244855 3380 13H53943 Y314902 2024 PETERBILT 49431Y3 1NPCXPEX6RD662090 DELTA 3244855 3381 13H56551 Y331224 2024 PETERBILT 88701Z3 1NPCXPEXXRD674369 DELTA 3244855 3382 13H56552 Y331557 2024 PETERBILT 61511Z3 1NPCXPEX6RD674370 DELTA 3244855 3383 13H56550 Y331126 2024 PETERBILT 88702Z3 1NPCXPEX8RD674368 DELTA 3244855 3384 13H56553 Y333757 2025 PETERBILT 61138Z3 1NPCXPEX9SD708694 DELTA 3244855 3385 13H56554 Y333954 2025 PETERBILT 18441B4 1NPCXPEX0SD708695 DELTA 3244855 3424 18058996 X002839 2016 PETERBILT 62729M2 3BPZLK0X8HF175147 DELTA 3244855 3433 TH0151 2003 AUTOCAR 7607860 5VCDC9UE63N194349 DELTA 3244855 3440 13057 Y022584 2013 PETERBILT 35853G3 1NPSXPEXXDD205495 DELTA 3244855 3441 13H40623 X003098 2017 PETERBILT 00117C4 3BPZLK0XXJF184230 DELTA 3244855 0467 EFI14ZA122 73665676 2015 FORD 61006P1 3FRWF7FC2FV545042 REPUBLIC 3244855 0468 E1116 1503181367819 2018 FORD 61269P2 1FDWF7DC2JDF04786 3244855 B-Q- TRL OOOO SPCNS/ TRL 4DF7567 CA930785 DELTA 3244855 BDT Dave & Mike built 2015 BIN DELIVERY TI 4NJ8752 CA1150407 DELTA 3244855 79 SERIAL# AT3531559 MODEL 2P50000 FORKLIFT - CAT 3/ LP AU229: TIRE SIZE 7. 00X12/ 6. 00X939084 HOLT OF July 23, 2024
FedEx Priority Overnight
Diven Prasad
Republic Services
1145 West Charter Way
Stockton, CA 45206
209- 547- 7513
RE: Upcoming Renewals
Dear Diven:

Please find enclosed your renewal documents for the following bond( s). You will need to send these original documents to the respective Obligee at your earliest convenience:
ond Number Subsidiary Principal Name Obligee Bond Description A ndit 929086342 205 Lathrop Sunrise Sanitation
Corporation
City Of
Lathrop
Solid Waste I
landling
and Hauling
25, 000.

Should you require further assistance or if you have any questions, please do not hesitate to contact me at 206- 731- 1200 or at amber. engel@usi. com.

Sincerely,
tccy. ljJIGC'
Surety Account Manager
Surety Services
Property & CasLc' I: • Eiv oioyk:: Lien. cArts • :: U: ,. ' ti;s i•:: trCC' i"t7L eOtl a: i`'fl TI; US: ONE AC: Var a::

CONTINUATION CERTIFICATE
The Western Surety Company ( hereinafter called the Surety) hereby continues in force its Bond No. 929086342 in the sum of Twenty Five Thousand Dollars and 00/ 100 ($25, 000.) 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 Day of June, 2025 at location of risk.

This Continuation is executed upon the express condition that the Surety' sliability 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 signed by its duly authorized Attorney - in -Fact and its corporate seal to be hereto affixed this 23rd Day of July, 2024.

Western Surety Company
Surety _ , _
f
BY: X ( WI? I' 1' 0/ elf\--
Tatiana Getter, Attorney - in -Fact
Western Surety Company
POWER OF ATTORNEY APPOINTING INDIVIIM AL ATTORNEY -L\ -FACT Know All Men By These Presents, That il' hSTCULN SURETY COMPANY a South Dakota corporation is a duly orgaiuzed and existing corporation hat -n4 w piucipal office in the City of Sioux Falls. and State of South Dakota and dint n does by runic of the signanue and seal herein affixed lineby make constitute and appoint Tatiana Gefter , Individually
of Seattle, WA . its true and lawful Attomeyts) an - Fit with full power and au: lwnry 1t^_ tcby conferred to sign. seal and execute for and on as behalf bonds. undenatanr' sand othet obligatory instruments of sandal' :tonne In Unlimited :\ ntounts —
Surety Bond \ o: 929056342
Principal: Lathrop Sunrise Sanitation Corporation
Obligee: City Of Laduop
and to bind n thereby as fully and to the same extern as if such uistrunteut, we, ev Wue, l by a dilly anthor. zetl utficrr u, the cotpun itiou and all the acts of said Attorney. pursuant to the authonty hereby given. are hereby ratified and coufinued.

This Power of Anorney us nude and executed pursuant to and by : tutltority of the Authorizing BV -Laws and Resolutions } nutted at the bottom of thus page. duly adopted, as indicated by the shareholders of the corporation In 1VTtuess Whereof, WESTERN SURETY COMPANY has caused TiWx• p: etents to be culled by its Vice President and its corporate seal to be hereto affixed on this 10th day of Jautiary. 2024
a+s
RCT „
e.'.: p OR
y0Q % reld.
vat ICI 3 SC Ax'/'+ 9
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State of South Dakota
County of Minnelialu
l

WESTERN SURETY COMPANY
c7- Lanv Kasten. Vice President
Chi Ilus 10th dal' of January. 2024, before me personally crane Lai»• Kasten. to ate known who bony by the duly wont. the depose and say that lie resides m the City of Sioux Falls, State of -South Dakota, that he is a Vice President of WESTERN SURETY COMPANY descnbed in and which executed the above utstnur> rnt. that he knows the seal of said corporrtion that the oil affixed to the said intTnunent is such em orate seal that rt was co affixed pursuant to authonty given by the Bawd of Directors of stud corporation and that he signed his tiling Hereto j uI taut to like atnhoity, and aclalottic+ iPe, ,1111%. to be the act and deed of stud corporation My coaurnission expires
Math 2 2026
M. BENT
UOTAfY PUOLIC
SOUTH DAKOTA r + 172.

M Bent. Notay Public

CERTIFICATE
I. Paula Kolsrud Assistant Secretary of WESTERN SLRETY COMPANY do hereby cenily that the Power of Attorney Iterrtnabot• eset forth is , till m forge and further certify that the By -Law turd Resolutions of the coiporation punted below this ccniticnte ni e dill ire force hi tesritnoay wiieteof I have lierewuo subscnb ' d my n; im and affixed the seal oldie stud . orporauou tins 23rd day of July . 2024 . tIET
gyt4 !
r' W > Iva
tioSAL: AV

WESTERN SURETY COMPANY
Authorizing By -Laws and Resolutions
ADOPTED BY THE SHAREHOLDERS OF WESTERN SURETY C` ONIPANY Paula Kolsitad. Asststairt Secretrn
This Power of Attorney is made and executed ? mutant to . and Ls' autltonty of the iollo iii 13v -Lass' thin• adopted by the shtarcholdeis of the C' ot^. p: ury.

Section 7. All boards. policies. uncien.• tkin, s Power, of Attorney. or other obhgati i of the cotposauou +ball be executed in the corporate mine of the Contpartt• b} the President. Secretary. and Assistant Secretary Treasurer or any Vice Ptesidertt or by such other officers : v. The Board of Diretitot, may authorize The President any Vie President, Seat tats, ally Assistant Secretors. or the Treasurer may appoint Attorneys in Fact or agents who shall have auttonty to issue bonds. policies. or undertikrnps in the name of the Company. Tlx corporate seal is nos necessary Ior the tnhdtty ofany bands. pxolicrei ttiuiertakin. s. Powers of Attorney or other obligations of the corporation The signature of any such officer and the s: orpcuaw seal rn. iv be printed by fa: Sarin•:

This Power of Attorney is signed by Larry Kas: eu \'tie Pa' estaleaat who has been autituaiz•. t Ivlstnnt t.i ale: • b. w' cBylaw to execute power of attonteys c, rr behalf of We. +tent Surety Comps ny
Tltis Power ofAttorney array be signed by digital signature rutd sealed by a digital or otherwise eleetrome- fonutnedcorporate seal under and by the authority of the follow mg Resolution adopted by the Board of -Directors oldie Compas by Unaawnous %tintetr iOusent dated the 27' day of Apnl. 2022.

RESOLVED That it is its the best interest oldie Company to periodically ratify and confurn any corporate docuuuents signed by digital signatures and to ratify and confirm the use of a digital or uthenytse alectionic- formatted corporate seal. each to be considered the ail and deed of the Company Go to w ww. enasnneh'. ciu % Owner 1 Obligee Scrt' ices - Validate Bond C' user age. if you want in met sty band authenticity.

CALIFORNIA ALL- PURPOSE ACKNOWLEDGEMENT Civil Code § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfullness, accuracy or validity of that document. s••••+••• +••••...••••.

State of
County of King
On
Washington
7/ 23/4
1 Date
before me,
Debbie Lindstrom . Notary Public
Name if A Tole cl Na: ary
personally appeared Tatiana Gefter
NA= and or Names of S rwr( s)
Who proved to me on the basis of satisfactory evidence
to be the person( s) whose name( s) is/ are subscribed
to the within instrument and acknowledged to me that
he/ she/ they executed the same in his/er/ their authorized capacity( ies), and that by his/er/ their signature( s) on the instrument the person( s), or the entity upon behalf of which the person( s) acted, executed the instrument.

I certify under PENALTY OF PERJURY under the laws of
the State of California that the foregoing paragraph is true and correct.

Witness my hand an official sett.

Signature
Notary P4* Sgrahae

OPTIONAL
Pfau! Noluy Pubic SraI Abovo
Though the information below is not required by / aw, it may prove valuable to the persons retying on the document and could prevent fraudulent removal and reattachment of this form to another document.

Description of Attached Document
Title or Type of Document
Document Date
Signer' s
Name:
individual
Corporate Officer — Title( s):

Partner - El Limited General
Guardian or Conservator
Attomey- in- Fact
Trustee
Other:

Signer is representing
RIGHTTRUMEWIlINT

OF SIGNER
Top of thumb
Number of Pages:

Individual
Corporate Officer -- Title( s):

Partner - Limited General
Guardian or Conservator
Attorney -in -Fact
Trustee
Other:

Signer is representing
RIGHT THUMbPRtNT

OF SIGNER
Top of Ih, nb
0••••0••••••.•••••• 0••
1•
A b® CERTIFICATE OF LIABILITY INSURANCE Page 1 of DATE06/ 3/ 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 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
CANNON COCHRAN MANAGEMENT SERVICES, INC.
17015 NORTH SCOTTSDALE ROAD
SCOTTSDALE, AZ 85255
CONTACT NAME:

PHONE ( A/ C No. Ext): FAX (A/ C No. Ext):

E- MAIL ADDRESS: certificateteam@ccmsi. com
INSURER( S) AFFORDING COVERAGE NAIC #
INSURER A: ACE American Insurance Co. 22667

INSURED
REPUBLIC SERVICES, INC.
18500 N. ALLIED WAY
PHOENIX, AZ 85054
INSURER B: Indemnity Insurance Co of North America 43575 INSURER C: Illinois Union Insurance Company 27960
INSURER D:

INSURER E:

INSURER F:

S CERTIFICATE NUMBER: 2481013 REVISION NUMBER:

INSR
LTR

TYPE OF INSURANCE
ADDL
INSD
SUBR
WVD

POLICY NUMBER POLICY EFF

MM/ DD/ YYYY)

POLICY EXP

MM/ DD/ YYYY)
LIMITS
A

X COMMERCIAL GENERAL LIABILITY
OCCUR
HDO G48921000 06/ 30/ 224 06/ 30/ 225 EACH OCCURRENCE 10, 000,00 CLAIMS- MADE I X El I

DAMAGE TO RENTED
PREMISES ( Ea occurrence) 10, 000,00
MED EXP ( Any one person)
AGGREGATE LIMIT APPLIES PER:

PERSONAL & ADV INJURY 10, 000,00
GEN' L
GENERAL AGGREGATE 30, 000,00
I POLICY PROJECT LOC PRODUCTS -COMP/ OAGG 20, 000,00
OTHER:

AUTOMOBILE LIABILITY

ANY AUTO

SCHEDULED
AUTOS

NON - OWNED

AUTOS ONLY
ISA H10740083 06/ 30/ 2024 06/ 30/ 2025 COMBINED SINGLE LIMIT Ea accident) 10, 000,00
X
BODILY INJURY( Per person)

X OWNED AUTOS X
ONLY BODILY INJURY (Per accident)

HIRED AUTOS X PROPERTY DAMAGE
Per accident) ONLY

UMBRELLA LIAB

EXCESS LIAB
OCCUR

CLAIMS -MADE

EACH OCCURRENCE

AGGREGATE

DED RETENTION
B
A
A
A
C

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

ANY PROPRIETOR/ PARTNER/ EXECUTIVE
OFFICER/ MEMBER EXCLUDED?
Mandatory in NH)
If yes, describe under

DESCRIPTION OF OPERATIONS
Y/ N N/ A WLR C57256862 - AOS
WLR C57257672 - OR
SCF C57257726 - WI
WCU C57257829 - OH XS
TNS C57194790 - TX NS/ XS
06/ 30/ 2024
06/ 30/ 2024
06/ 30/ 2024
06/ 30/ 224
06/ 30/ 224
06/ 30/ 2025
06/ 30/ 2025
06/ 30/ 2025
06/ 30/ 2025
06/ 30/ 225

X PER OTHER

STATUTE
E. L. EACH ACCIDENT 3, 000,00
N
E. L. DISEASE - EA EMPLOYEE 3, 000,00
below
E. L. DISEASE - POLICY LIMIT 3, 000,00
DESCRIPTION OF OPERATIONS I 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 City of Lathrop
390 Towne Centre Drive
LATHROP, CA 95330
United States

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED

BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.

AUTHORIZED REPRESENTATIVE
ACORD 25 ( 2016/ 03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID:

LOC #:

ACORD ADDITIONAL REMARKS SCHEDULE Page 2 of 4

AGENCY NAMED INSURED
REPUBLIC SERVICES, INC.
18500 N. ALLIED WAY
PHOENIX, AZ 85054

POLICY NUMBER
See First Page

CARRIER
See First Page

NAIC CODE
EFFECTIVE DATE:

ADDITIONAL REMARKS CERTIFICATE NUMBER: 2481013
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM.

FORM NUMBER: 25 FORM TITLE: 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:

Certificate 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 C57256862 and stop gap coverage for OH is covered under policy no. WCU C57257829, 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 C57194790) 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, it' s Officers, Officials, Employee and Volunteers, when required by written contract.

The ACORD name and logo are registered marks of ACORD

Page 3 of 4 ends

60 POLICY NUMBER: HDO G48921000 Endorsement Number. 179

COMMERCIAL GENERAL LIABILITY
CG 2010 07 04
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):

Locatlon( s) Of Covered Operations
Any Owner, Lessee or Contractor whom you have
agreed to include as an additional insured under a
written contract requiring CG2010 ( 0704), provided
such contract was executed prior to the date of
loss.

All locations where you are performing operations for
such additional insured pursuant to any such written
contract.

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
include as an additional insured the person( s) or
organization( s) shown in the Schedule, but only
with respect to liability for " bodily injury", "property damage" or " personal and advertising injury" caused, in whole or in part, by:

1. Your acts or omissions; or

2. The acts or omissions of those acting on
your behalf;
in the performance of your ongoing operations
for the additional insured( s) at the location( s)
designated above.

CG 2010 07 04
B. With respect to the insurance afforded to these
additional insureds, the following additional exclusions apply:

This insurance does not apply to " bodily injury" or
property damage" occurring after:

1. AU work, including materials, parts or equipment fumished in connection with such work, on the project (other than service, maintenance
or repairs) to be performed by or on behalf of
the additional insured( s) at the location of the
covered operations has been completed; or

2. That portion of " your work" out of which the
injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor
engaged in performing operations for a principal as a part of the same project.

ISO Properties, Inc., 2004 Page 1 of 1

Page 4 of 4 ends

43 POLICY NUMBER: HDO G48921000 Endorsement Number: 142

COMMERCIAL GENERAL LIABILITY
CG20370704
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

SCHEDULE
Name Of Additional Insured Person( s)
Or Organisation( s): Location And Description Of Completed Operations Any Owner, Lessee or Contractor whom you have
agreed to include as an additional insured under a
written contract requiring CG2037 ( 0704), provided
such contract was executed prior to the date of loss.

All locations where you are performing operations for
such additional insured pursuant to any such written
contract.

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

Section II — Who Is An Insured is amended to
include as an additional insured the person( s) or
organization( s) shown in the Schedule, but only with
respect to liability for " bodily injury" or "property damage" caused, in whole or in part, by " your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the " products -completed
operations hazard".

CG 20 37 07 04 ISO Properties, Inc., 2004 Page 1 of 1
Attachment ° J
City of
Parks and Recreation Department 390 Towne Centre Drive, Lathrop, CA 95330 Phone ( 209) 941- 7370
w w. ci. lathrop. ca. us

INDUSTRIAL REFUSE COLLECTION

LICENSE APPLICATION
COMPANY NAME: 5 1- ock I - 0A. S c kit 5e'
ADDRESS:

PHONE/ FAX
EMAIL:

Z Y 7 / 144v/ 9ri''-
QL f , C4 '} r22I
TYPE OF WASTE REMOVAL SERVICE:
7- t, 4/ s dy 141 1/' a S L, ,,, c, td
APPLICANT SIGNATURES:

SIGNATURE

PRINT NAME
r. (It4 C ul 4><. k )
TITLE
4/ 2
DATE
City of
Parks and Recreation Department 390 Towne Centre Drive, Lathrop, CA 95330 Phone ( 209) 941- 7370
www. ci. lathrop. ca. us
The following license requirements are set forth by the City of Lathrop Munidpal Code, Title 8 Health & Safety, Chapter 8. 16 Garbage Collection & Disposal, Section 8. 16.40 Industrial Solid Waste Removal — License Required.

CUSTOMERS LIST ( Names and Addresses):

SIGNED STATEMENTS FROM NEW INDUSTRIAL CUSTOMERS ADDRESSED TO CITY

NUMBER, KIND, AND CAPACITY OF VEHICLES AND OTHER EQUIPMENT Must be in compliance with all applicable air pollution control laws):

ORIGINAL PERFORMANCE BOND OR OTHER SECURITY ATTACHED ($ 25, 000) ORMOST RECENT FINANCIAL STATEMENT AND/ ORAUDIT

INSURANCE CERTIFICATE AND ENDORESMENT NAMING THE CITY, ITS OFFICERS AND

EMPLOYEES AS AN ADDITIONAL INSURED
LICENSE FEE ENCLOSED ($ 2, 500)
ADMINISTRATION FEE ($ 92)
PRO SSE ; Y:

QfY

MELISSA STATHAKOPOULOS

PARKS AND RECREATION MANAGER

PARKS & RECREATION I SOLID WASTE & RECYCLING
APPROVED BY:

TODD SEBAST

DIRECTOR

PARKS, RECREATION & FLEET SERVICES

CHECK IF

ENCLOSED
i 1• 014)
yd 0%l'tit.7
t c a
5, 2 25
DATE
DATE
COMPANY CUSTOMEF SERVICE_ NM PRICE_ GRC
529 605 J R SIMPLOT CO -TRASH OPN
529 676 ANDERSON TRUSS - PACIFIC COAST SCO
529 678 DIAMOND PET LATHROP MSW- 40YD/ C XAL
529 806 FOOD EXPRESS SCO
529 882 RAMIREZ, JESUS SCO
529 909 QUEST MANUFACTURING SCO
529 1033 C R A INC XER
529 1034 TUFF BOY SALES INC SCO
529 1049 GIGLI' S HAY COMPANY ( ON CALL) SCO
529 1072 J R SIMPLOT CO LCO
529 1096 SHARPE DEPOT- FEL TRASH XAL
529 1238 HAVEN ACRES RIVERCLUB OPN
529 1346 SILVER CHASE SELF STORAGE SCO
529 1796 WIRE MESH WEST COAST LLC SCO
529 1797 PRESTON PIPELINES INC SCO
529 2964 PG & E SCO
529 3074 DIAMOND PET LATHROP- FEL XAL
529 3817 DIAMOND PET LATHROP- 20YDS FWST XAL
529 4828 ENTERPRISE TRUCK RENTAL SCO
529 5077 MORONES, SHAWN SCO
529 5734 DIAMOND PET FOOD PROCESSORS 999
529 7025 J R SIMPLOT- DEMO OPN
529 7030 TESLA - PDC LATHROP - MURPHY 2 OPN
ACCPOR
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( tes) must have ADDITIONAL INSURED provisions or be endorsed.

CERTIFICATE OF LIABILITY INSURANCE 11112026

DATE ( MMIDDJYYYY)
12/0, 224
PRODUCER Lockton Companies, LLC
DBA as Lockton Insurance Brokers. LLC in CA
CA license # OF 15767
3657 Briarpark Dr., Ste. 700
Houston TX 77042
866) 260- 1118
INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATE 1300299 RELATED & SUBSIDIARY COMPANIES INCLUDING:

STOCKTON SCAVENGERS
1240 NAVY DRIVE
STOCKTON CA 95206

CONTACT
NAME:

PHONE
INC. No. Exn.

E- MAIL
ADDRESS:

INSURER( S) AFFORDING COVERAGE
FAX
A/ C, No):

INSURER A: Indemnity Insurance Co of North America
INSURER e : ACE American Insurance Company
INSURER c • ACE Fire Underwriters Insurance Company
INSURER DACE Property and Casualty Insurance Company
INSURER E :

NAtC a
43575
22667
20702
20699
INSURER F:

N NUMBER: XXXXXXX
VYrr[ At7C. 7

INSR

TYPE OF INSURANCE IMO
SUBR

WYD POLICY NUMBER

POUCY IMFF

IMMIOOIYYYY)

POLICY EXP

IMMIDD/ YYYYI LIMITS
B X
COMMERCIAL GENERAL UMW -ITT Y Y HDO G48900793 l'1' 2025 1 ' 12026 EACH OCCURRENCE 5, 000,00 DAMAG NTED REMISES( EaTO Eoccurrence) CLAIMS - MADE X OCCUR f 5, 000,00
MED EXP ( Any one pereon) S XXXXXXX

X XCU INCLUDED
PERSONAL a ADV INJURY 5, 000.00
S 6, 000,00
X ISO FORM C600010413

GENERAL AGGREGATE

GENL AGGREGATE
POLICY
OTHER:

LIMIT APPLIES
5' i X
PER:

LOC PROOUCTS - COMPIOP AGG S 6, 000,00
S

B AUTOMOBILE
X
X
X
X

LIABILITY

ANY AUTO
OWNED

AUTOS ONLY
HIRED y
L. AUTOS

SCHEDULED
AUTOS

NON - OWNED
ONLY
Y Y MMT H 1082235A 1.'.025 1,2026 COMBINED SWG' lELIMIT IEa socide o 1. 000.00
BOOLYINJURY ( Per person) XXXXXXX
BODILY INJURY ( Per in: MUM S XXX XXX X

PROPERTY DAMAGE
Per sodden!) XXXXXXX
s XXXXXXX
D X

UMBRELLA LIAR

EXCESS LIAB

X OCCUR

CLAIMS - MADE
Y Y XEU 27929242 010 1 r 1:' 2025 1 12026 EACH OCCURRENCE 15, 000,00 s 15, 000,00
8 XXXXXXX

AGGREGATE

DED RETENTIONS
A
B
C

WORKERS COMPENSATION
AND EMPLOYERS' LIAsuTY
ANY pROPR1ETOR/ PARTNERIEXEGUTIVE
OFFICERIMEMBER OCCLUDED?
Mandatory In NH)
U yds. describe udder
DESCRIPTION OF OPERATIONS below
YINN
N N IA
Y WLR C72629668 AOS)
WLR 072629620 AZ, A & MA)
SCF C7262970A ( I)
lil/ 2025
I r'1,. 2025
1;: 2025

1. 2026

1.' 2026
I. 1 ' 2026
PER OTHX STATUTE ER
E. L. EACH ACCIDENT S 3, 000,00
E. L. DISEASE - EA EMPLOYEE S 3, 000,00
E. L. DISEASE • POLICY LIMIT s 3. 000.00

B EXCESS AUTO

LIABILITY
Y V XSA H10822269 1;. 2025 I 1: 2026 COMBINED SINGLE LIMIT S9, 000,00

EACH ACCIDENT)
DESCRIPTION OF OPERATIONS ( LOCATIONS 1 VEHICLES ( ACORD 101, Additional Remarks Schedule, may be attached 1t more space Is required)

BLANKET WAIVER OF SUBROGATION IS 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' SLIABILITY) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. ADDITIONAL INSURED IN FAVOR OF CITY OF LATHROP ( ON ALL POLICIES EXCEPT WORKERS' COMPENSATION/ EL) WHERE REQUIRED BY WRITTEN CONTRACT.

LitNIIrR: Alc rtVI. MCR
11291846

CITY OF LATHROP
390 TOWNE CENTRE DRIVE
LATHROP CA 95330

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.

AUTHORIZED REPRESENTATIVE
ACORD 25 ( 2016103)
L{ IIJ AV Vt VVt• rV.Ytt,,.,
The ACORD name and logo are registered marks of ACORD
Attachment Code: D446557 Cenificate Ill: 11291846
POLICY NUMBER: HDO G48900793

COMMERCIAL GENERAL LIABILITY
CG20101219
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSUREDSCHEDULEDS' ERONDRR

CONTRACTORS

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
Any Owner, Lessee or Contractor whom you have
agreed to include as an additional insured under a
written contract, provided such contract was executed
prior to the date of loss.

All locations where you are performing ongoing
operations for such additional Insured pursuant to any
such written contract.

Information reauired to comOte) his Schedule. if not shown above. will be shown in e
A. Section II — Who Is An Insured is amended to
include as an additional insured the person( s) or
organization( s) shown in the Schedule, but only
with respect to liability for " bodily injury", "property damage" or "personal and advertising injury"
caused, in whole or in part, by:

1. Your acts or omissions; or

2. The acts or omissions of those acting on your
behalf;
in the performance of your ongoing operations for
the additional insured( s) at the location( s)
designated above.

However:

1. The insurance afforded to such additional
insured only applies to the extent permitted by
law; and

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

B. With respect to the insurance afforded to these
additional insureds, the following additional
exclusions apply:

This insurance does not apply to " bodily injury" or
property damage" occurring after:

1. All work, including materials, parts or
equipment furnished in connection with such
work, on the project (other than service,
maintenance or repairs) to be performed by or
on behalf of the additional insured( s) at the
location of the covered operations has been
completed; or

2. That portion of "your work" out of which the
injury or damage arises has been put to its
intended use by any person or organization
other than another contractor or subcontractor
engaged in performing operations for a
principal as a part of the same project.

C. With respect to the insurance afforded to these
additional insureds, the following is added to
Section III — Limits Of Insurance:

If coverage provided to the additional insured is
required by a contract or agreement, the most we
CG 20 10 12 19 Insurance Services Office, Inc., 2018 Page 1 of 2

NATIONAL GUARANTY INSURANCE COMPANY OF VERMONT
100 BANK STREET, SUITE 630 BURLINGTON, VT 05401
Memorandum
DT: May 14, 2024
TO: Waste Management
Attn: Derek Fujii
8491 Fruitridge Rd.

Sacramento, CA 95826
FR: Jeffrey Koch
Insurance Officer
RE: Bond No. LB030549TX - 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, 2024 to June 30, 2025 term.

Please forward the original to the Obligee and retain a copy for your files.

If you have any questions or need further assistance, please contact Diana Seng, Director of Treasury and Financial Assurance at ( 713) 265- 1322 or Dseng@wm. com.

Enclosures

NATIONAL GUARANTY INSURANCE COMPANY OF VERMONT
100 BANK STREET, SUITE 630 BURLINGTON, VT 05401

EXTENSION CERTIFICATE
To be filed with the Obligee)
License/ Prmit Bond
Bond Number: LB030549TX
To be attached to Bond described below, executed by National Guaranty Insurance Company of Vermont as Surety:

PRINCIPAL: 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 ofJune, 2024 to the 30th day ofJune, 2025 subject to all other provisions, conditions and limitations of said bond, upon the express condition that Surety' sliability 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.).

Signed, sealed and dated this 14th day of May 2024.

Waste Management of California, Inc.

By: ( V
Jeffrey Koch, Attorney -In -Fact
National Guaranty Insur nce Company of Vermont
By: a
Peter Snell, Attorney - In -Fact

ACKNOWLEDGEMENT BY SURETY

STATE OF VERMONT

COUNTY OF CHITTENDEN
On this le day of May. 2024, before me Paula Klugo 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 Peter Snell 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 aid year in this certificate first above written.

Notary Public State of Vermont
Paula Morgan Klugo
My Comm. Expires 01/ 31/ 2025
Commission
No. 1570014515 *
Nota ublic in and for the State of Vermont
My commission expires 0 / 31/ 2025

ACKNOWLEDGEMENT BY PRINCIPAL

STATE OF VERMONT

COUNTY OF CHITTENDEN
On this I4th day of May. 2024, before me Paula Klugo 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 Jeffrey Koch, 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 State of Vermont
Paula Morgan Klugo
My Comm. Expires 01/ 31/ 2025
Commission
No. 1570014515 *
Notary Public in and for the State of Vermont
My commission expires 01/ 31/ 2025

J' OWER OF ATTORNEY
KNOWN ALL MEN BY THESE PRESENTS that Waste Management, Inc. and each of its direct and indirect majority owned subsidiaries ( the " WM Entities"), have constituted and appointed and do hereby appoint Peter Snell, Brandi Guthrie, 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 deliver for and on its behalf as surety thereon or otherwise, bonds of any of the following classes, to wit:

I. Surety bonds to the United States of America or any agency thereof, and lease and miscellaneous surety bonds required or permitted under the laws, ordinances or regulations of any State, City, Town, Village, Board or any other body or organization, public or private.

2. Bonds on behalf of WM Entities in connection with bids, proposals or contracts.

The foregoing powers granted by the WM Entities shall be subject to and conditional upon the written direction of a duly appointed officer of the applicable WM Entity ( or any designee of any such officer) to execute and deliver any such bonds.

The signatures and attestations of such Attorneys -in -fact and the sea! of the WM Entity may be affixed to any such bond, policy or to any certificate relating thereto by facsimile and any such bond, policy or certificate bearing such facsimile signatures or facsimile seal shall be valid and binding upon the applicable WM Entity when so affixed.

IN WITNESS WHEREOF, the WM Entities have caused these presents to be signed by the Vice President and Treasurer and its corporate seal to be hereto affixed. This power of attorney is in effect as of . pay
I " I , 202 .

Witness: On behalf of Waste Management, Inc. and
each of the other WM Entities
Vice President and Treasurer

POWER OF ATTORNEY
KNOWN ALL MEN BY THESE PRESENTS that the National Guaranty Insurance Company of Vermont. 100 Bank Street, Suite 630, Burlington, Vermont Corporation ( the " Corporation"), has constituted and appointed and does hereby constitute and appoint Peter Snell, Brandi Guthrie, Michael Batsimm, Jeffrey Koch, and Nancy Madden of Burlington, Vermont, each its true and lawful Attorney -in - fact to execute 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:
l . Surety bonds to the United States of America or any agency thereof, including lease and miscellaneous surety bonds required or permitted under the laws, ordinances or regulations of any State, City. Town, Village. Board or any other body or organization, public or private.

2. Bonds on behalf of contractors in connection with bids, proposals or contracts.

3. Insurance policies and Certificates of Insurance related to financial assurance for closure, post -closure and/ or corrective action obligations.

The foregoing powers granted by the Corporation shall be subject to and conditional upon the written direction of any officer ( or any designee of any such officer) to execute and deliver any such bonds.

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, policy or certificate bearing such facsimile signatures or facsimile seal shall be valid and binding upon the Corporation when so affixed.

IN WITNESS WHEREOF, the Corporation has caused these presents to be signed by the President and its corporate seal to be hereto affixed. This power of attorney is in effect as of 1 r'l . 2024
Witness:

Diana Seng
Secretary

NATIONAL GUARANTY INSURANCE

COMPANY OF VERMONT
Leslie Nagy
President
Revised 10111/ 23
Attachment • K •
City of
Parks and Recreation Department
COMPANY NAME:
390 Towne Centre Drive, Lathrop, CA 95330
Phone ( 209) 941- 7370
www. ci. lathrop. ca. us

INDUSTRIAL REFUSE COLLECTION

LICENSE APPLICATION
Tesla Inc.

ADDRESS: 700 D' Arcy Pkwy

PHONE/ FAX
EMAIL: lbas@tesla. com
TYPE OF WASTE REMOVAL SERVICE:

Recycling materials, solid waste, commercial waste and non - hazardous industrial waste.

APPLICANTJSTGNATURES:

Leandro Bas

PRINT NAME
Production Control Manager
TITLE
5/ 8/ 2025
DATE
City of
Parks and Recreation Department 390 Towne Centre Drive, Lathrop, CA 95330 Phone ( 209) 941- 7370
www. ci. lathrop. ca. us
The following license requirements are set forth by the City of Lathrop Municipal Code, Title 8 Health & Safety, Chapter 8. 16 Garbage Collection & Disposal, Section 8. 16.40 Industrial Solid Waste Removal — License Required.

CUSTOMERS LIST ( Names and Addresses):

SIGNED STATEMENTS FROM NEW INDUSTRIAL CUSTOMERS ADDRESSED TO CITY

NUMBER, KIND, AND CAPACITY OF VEHICLES AND OTHER EQUIPMENT Must be in compliance with all applicable air pollution control laws):

ORIGINAL PERFORMANCE BOND OR OTHER SECURITY ATTACHED ($ 25, 000) ORMOST RECENT FINANCIAL STATEMENT AND/ OR AUDIT

INSURANCE CERTIFICATE AND ENDORESMENT NAMING THE CITY, ITS OFFICERS AND

EMPLOYEES AS AN ADDITIONAL INSURED
LICENSE FEE ENCLOSED ($ 2, 500)
ADMINISTRATION FEE ($ 92)
PROCESSED BY:

A. Vock.

MELISSA STATHAKOPOULOS

PARKS AND RECREATION MANAGER

PARKS & RECREATION I SOLID WASTE & RECYCLING
APP ED BY:

TODD SEBA

DIRECTOR

PARKS, RECREATION & FLEET SERVICES
o' 2•P)

CHECK IF

ENCLOSED
V
V
V
DATE
t
DATE
City of Lathrop
Department of Parks and Recreation
390 Towne Center Drive Lathrop, CA 95330
Subject: Renewal - Industrial Hauler Application for Self -Hauling Operations Dear Ms. Stathakopoulos,
I hope this letter finds you well. I am writing to formally submit an Industrial Hauler Application on behalf of Tesla Inc. for renewal of our industrial hauler permit.

Enclosed with this letter, you will find all the requisite documentation and information as outlined in the application requirements.

Should you require any further clarification or additional documentation, please do not hesitate to contact us. We are more than willing to provide any further information needed to expedite the review process.

Best regards,
Anali Gonzalez
Senior Environmental Engineer
700 D' Arcy Parkway, Lathrop CA, 95330
E. elbbrownPtesla. com T. 619. 770. 5920
L r
TABLE OF CONTENTS:

Industrial Refuse Collection License Application 1-2
Customers List 3
Number, kind, and capacity of vehicles and other equipment 3 Vehicle Pictures 4
Original Performance Bond 5- 12
Insurance Certificate and Endorsement 13
City of Lathrop Industrial Hauler Application Package
Proposed Customers List
Business Name: Testa Inc. (Megafactory)
Business Address: 700 D' Arcy Pkwy Lathrop, CA 95330
Business Name: Tesla Inc. (Megafactory Warehouse)
Business Address: 5150 Glacier St Lathrop, CA 95330
Number, kind, and capacity of vehicles and other equipment Tesla Inc. is planning on renting three ( 3) 2024 Peterbilt, Galbreath Roll Off trucks, or similarly in characteristics, to haul 40 -yard bins with an approximate weight of 9, 000 lbs. ( per bin).

Below is the body and chassis information for the rental equipment:

Body Information
Body Make Galbreath
Body Model U5 -OR -174
Body SN ; 55373
Body Size 60k Ib. 35. 5" Rails
Chassis information
Product Family Roll Off
Chassis Model Year 2024
Chassis Make Peterbilt
Drive Position Left Hand Drive
Engine Make Paccar
Engine Model MX - 13
Engine HP 455
Trans Type Automatic
Trans Make ALLISON
Trans Model 4500 RDS- P
Fuel Type Diesel
Sub Family Cable Hoist 60k lb
Total GVW Weight 66, 000
Front Axle Weight 20, 000
Rear Axle Weight 46, 000
Front Axle Tires 315/ 80R22. 5
Rear Axle Tires 315/ 80R22. 5
Rear Suspension Type Hendrickson Haulmaax

VERIFICATION OF BOND IN FORCE
Form SB- 3
License/ Prmit Bond - Collection of Industrial Solid Waste as a Self -Hauler of Type ofBond: Recycling Materials
Name ofPrincipal: TESLA, INC.

Obligee: CITY OF LATHROP
Carrier: HARCO NATIONAL INSURANCE COMPANY
Bond Number: 0806274
Effective Date: May 6, 2025
Limit: $ 25, 000.

Premium: $ 100. 00
This Bond is continuous with no definite expiration date. Sufficient Premium has been paid to satisfy the requirements of the Carrier for this bond to May 6, 2026 By:
1N St '•.
tip` ':
z SEAL of
A
HARCO NATIONAL INSURANCE COMPANY O s98a F;
Yohnke Attorney in Fact
Date: May 5, 2025

POWER OF ATTORNEY

HARCO NATIONAL INSURANCE COMPANY

INTERNATIONAL FIDELITY INSURANCE COMPANY
Member companies of IAT Insurance Group, Headquartered: 4200 Six Forks Rd, Suite 1400, Raleigh, NC 27609 0806274 Bond #
KNOW ALL MEN BY THESE PRESENTS: That HARCO NATIONAL INSURANCE COMPANY, a corporation organized and existing under the laws of the State of Illinois, and INTERNATIONAL FIDELITY INSURANCE COMPANY, a corporation organized and existing under the laws of the State of New Jersey, and having their principal offices located respectively in the cities of Rolling Meadows, Illinois and Newark, New Jersey, do hereby constitute and appoint
MARY L. YOHNKE
San Francisco, CA
their true and lawful attorney( s)- in- fact to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof, which are or may be allowed, required or permitted by law, statute, rule, regulation, contract or otherwise, and the execution of such instrument( s) in pursuance of these presents, shall be as binding upon the said HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY, as fully and amply, to all intents and purposes, as if the same had been duly executed and acknowledged by their regularly elected officers at their principal offices.

This Power of Attorney is executed, and may be revoked, pursuant to and by authority of the By -Laws of HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY and is granted under and by authority of the following resolution adopted by the Board of Directors of INTERNATIONAL FIDELITY INSURANCE COMPANY at a meeting duly held on the 13th day of December, 2018 and by the Board of Directors of HARCO NATIONAL INSURANCE COMPANY at a meeting held on the 13th day of December, 2018.

RESOLVED, that ( 1) the Chief Executive Officer, President, Executive Vice President, Senior Vice President, Vice President, or Secretary of the Corporation shall have the power to appoint, and to revoke the appointments of, Attorneys - in -Fact or agents with power and authority as defined or limited in their respective powers of attorney, and to execute on behalf of the Corporation and affix the Corporation' sseal thereto, bonds, undertakings, recognizances, contracts of indemnity and other written obligations in the nature thereof or related thereto; and ( 2) any such Officers of the Corporation may appoint and revoke the appointments of joint - control custodians, agents for acceptance of process, and Attorneys -in -fact with authority to execute waivers and consents on behalf of the Corporation; and ( 3) the signature of any such Officer of the Corporation and the Corporation' s seal may be affixed
by facsimile to any power of attorney or certification given for the execution of any bond, undertaking, recognizance, contract of indemnity or other written obligation in the nature thereof or related thereto, such signature and seals when so used whether heretofore or hereafter, being hereby adopted by the Corporation as the original signature of such officer and the original seal of the Corporation, to be valid and binding upon the Corporation with the same force and effect as though manually affixed."
IN WITNESS WHEREOF, HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY have each executed and attested these presents on this 31st day of December, 2024

STATE OF NEW JERSEY STATE OF ILLINOIS
County of Essex County of Cook
Michael F. Zurcher
Executive Vice President, Harco National Insurance Company and International Fidelity Insurance Company
SEAL = o
CO; 1014 it
On this 31st day of December, 2024 , before me came the individual who executed the preceding instrument, to me personally known, and, being by me duly sworn, said he is the therein described and authorized officer of HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY; that the seals affixed to said instrument are the Corporate Seals of said Companies; that the said Corporate Seals and his signature were duly affixed by order of the Boards of Directors of said Companies. f1Y C/ YG,,,
F NEvN
IN TESTIMONY WHEREOF, I have hereunto set my hand affixed my Official Seal, at the City of Newark, New Jersey the day and year first above written.
e

CERTIFICATION
Cathy Cruz a Notary Public of New Jersey
My Commission Expires April 16, 2029
I, the undersigned officer of HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY do hereby certify that I have compared the foregoing copy of the Power of Attorney and affidavit, and the copy of the Sections of the By -Laws of said Companies as set forth in said Power of Attorney, with the originals on file in the home office of said companies, and that the same are correct transcripts thereof, and of the whole of the said originals, and that the said Power of Attorney has not been revoked and is now in full force and effect.

IN TESTIMONY WHEREOF, I have hereunto set my hand on this day, May 5, 2025.

A00632
Irene Martins, Assistant Secretary

ACGRIJ CERTIFICATE OF LIABILITY INSURANCE

DATE ( MM/ DDYYY) Y
05/ 30/ 2025
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.

PRODUCER

MARSH RISK & INSURANCE SERVICES
FOUR EMBARCADERO CENTER, SUITE 1100
CALIFORNIA LICENSE NO. 0437153
SAN FRANCISCO, CA 94111
Attn: SanFrancisco. Certs@marsh. com / FAX 212- 948- 0398 CN102460432- GAW- 2.5M-4- 25 LC/ Per

CONTACT

PHONE FAXFAX
A/ C. No. Ext): ( A/ C, No):

E- MAIL
ADDRESS:

INSURER( S) AFFORDING COVERAGE NAIC #
INSURER A : Zurich American Insurance Company 16535

INSURED
Testa, Inc.
901 Page Avenue
Fremont, CA 94538
INSURER B : N/ A N/ A
INSURER C :

INSURER D
INSURER E :

INSURER F :

COVERAGES CERTIFICATE NUMBER: SEA -003860271- 17 REVISION NUMBER: 13

INSR

LTR TYPE OF INSURANCE
ADDL
INSD
SUBR

WVD POLICY NUMBER

POLICY EFF

MM/ DD/ YYYY)

POLICY EXP

MM/ DD/ YYYY) LIMITS
A X COMMERCIAL GENERAL LIABILITY GLO 1074588- 07
Includes Host Liquor Liability""
10/ 31/ 2024 10/ 31/ 2025 EACH OCCURRENCE 1, 000,00

CLAIMS - MADE X OCCUR

DAMAGE TO RENTED
PREMISES ( Ea occurrence) 1, 000,00
X SIR: $1, 000,00 MED EXP ( Any one person) 5, 000
X Tort Contrac Liab, No XCU Excl PERSONAL & ADV INJURY 1, 000,00 GEN' L
X
X

AGGREGATE
POLICY
OTHER: Prpmis

LIMIT APPLIES
PROJECT
s & O aerations
PER:

LOC
only
GENERAL AGGREGATE 2, 000,00

PRODUCTS - COMP/ O AGG N/ A

AUTOMOBILE LIABILITY

ANY AUTO

OWNED SCHEDULED
AUTOS

NON -OWNED

AUTOS ONLY

COMBINED SINGLE LIMIT
Ea accident)
BODILY INJURY ( Per person)
BODILY INJURY ( Per accident)

PROPERTY DAMAGE
Per accident)

UMBRELLA LIAB

EXCESS LIAB
OOCCUR

CLAIMS - MADE

EACH OCCURRENCE

AGGREGATE
DED RETENTION $

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY Y / N

ANYPROPRIETOR/ PARTNER/ EXECUTIVE
OFFICER/ MEMBEREXCLUDED?
Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N / A
PER

STATUTE
OTHER
E. L. EACH ACCIDENT
E. L. DISEASE - EA EMPLOYEE
E. L. DISEASE - POLICY LIMIT
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES ( ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Tesla Licensing/ Permitting
Industrial Solid Waste Removal
City of Lathrop is/ are included as additional insured where required by written contract.

CERTIFICATE HOLDER CANCELLATION
City of Lathrop SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Parks & Recreation I Solid Waste & Recycling 390 Towne Centre Drive THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Lathrop, CA 95330 ACCORDANCE WITH THE POLICY PROVISIONS.

The ACORD name and logo are registered marks of ACORD
POLICY NUMBER: GLO 1074588- 07 COMMERCIAL GENERAL LIABILITY CG 20 10 12 19
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

ANY PERSON OR ORGANIZATION TO WHOM

OR TO WHICH YOU ARE REQUIRED TO

PROVIDE ADDITIONAL INSURED STATUS

IN A WRITTEN CONTRACT OR WRITTEN

AGREEMENT EXECUTED PRIOR TO LOSS,

EXCEPT WHERE SUCH CONTRACT OR
AGREEMENT IS PROHIBITED BY LAW.

ANY LOCATION WHERE WORK OR

OPERATIONS PERFORMED BY THE
INSURED OR ON THEIR BEHALF.

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

CG 20 10 12 19 Insurance Services Office, Inc., 2018 Page 1 of 2 A. Section II — Who Is An Insured is amended to
include as an additional insured the person( s) or
organization( s) shown in the Schedule, but only with
respect to liability for " bodily injury", " property
damage" or " personal and advertising injury"
caused, in whole or in part, by:

1. Your acts or omissions; or

2. The acts or omissions of those acting on your
behalf;
in the performance of your ongoing operations for
the additional insured( s) at the location( s)
designated above.

However:

1. The insurance afforded to such additional
insured only applies to the extent permitted by
law; and

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

B. With respect to the insurance afforded to these
additional insureds, the following additional exclusions apply:

This insurance does not apply to " bodily injury" or
property damage" occurring after:

1. AII work, including materials, parts or equipment
furnished in connection with such work, on the
project ( other than service, maintenance or
repairs) to be performed by or on behalf of the
additional insured( s) at the location of the covered
operations has been completed; or

2. That portion of "your work" out of which the injury
or damage arises has been put to its intended use
by any person or organization other than another
contractor or subcontractor engaged in performing
operations for a principal as a part of the same
project.

C. With respect to the insurance afforded to these
additional insureds, the following is added to Section
III — Limits Of Insurance:

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

1. Required by the contract or agreement; or

2. Available under the applicable limits of
insurance;
whichever is less.

This endorsement shall not increase the applicable
limits of insurance.

CG 2010 12 19 Insurance Services Office, Inc., 2018 Page 2 of 2 Attachment' L

SIGNATURE
City of
Parks and Recreation Department
COMPANY NAME:

ADDRESS:

PHONE/ FAX
EMAIL:
390 Towne Centre Drive, Lathrop, CA 95330
Phone ( 209) 941- 7370
www. ci. lathrop. ca. us

INDUSTRIAL REFUSE COLLECTION

LICENSE APPLICATION
pen/ sons ) rV( X»PC, t tic
Po o,' 1011
3retcii ( a wipl C q5? 31
Oviciv4SonS- 1 tryLV) vt ca 3
4; I • Com
TYPE OF WASTE REMOVAL SERVICE:

V1dUsif; a1 Waste
APPLICANT SIGNATURES:
2, 77-
I ov t -o z

PRINT NAME
ifesIdpvrt
ITLE
5- 12- 2Joa
DATE
City of
Parks and Recreation Department 390 Towne Centre Drive, Lathrop, CA 95330 Phone (209) 941- 7370
www. cilathrop. ca. us
The following license requirements are set forth by the City of Lathrop Municipal Code, Title 8 Health & Safety, Chapter 8. 16 Garbage Collection & Disposal, Section 8. 16.40 Industrial Solid Waste Removal — License Required.

CUSTOMERS LIST ( Names and Addresses):

SIGNED STATEMENTS FROM NEW INDUSTRIAL CUSTOMERS ADDRESSED TO CITY

NUMBER, KIND, AND CAPACITY OF VEHICLES AND OTHER EQUIPMENT Must be in compliance with all applicable air pollution control laws):

ORIGINAL PERFORMANCE BOND OR OTHER SECURITY ATTACHED ($ 25, 000) ORMOST RECENT FINANCIAL STATEMENT AND/ ORAUDIT

INSURANCE CERTIFICATE AND ENDORESMENT NAMING THE CITY, ITS OFFICERS AND

EMPLOYEES AS AN ADDITIONAL INSURED
LICENSE FEE ENCLOSED ($ 2, 500)
ADMINISTRATION FEE ($ 92)
PROCESSED BY:
41Fert

MELISSA STATHAKOPOULOS

PARKS AND RECREATION MANAGER

PARKS & RECREATION I SOLID WASTE & RECYCLING
AP VED BY:

TOD) SEB

DIRECTOR

PARKS, RECREATION & FLEET SERVICES
DATE

CHECK IF

ENCLOSED
41 . 25
S. LC.. 43
DATE

COMMERCIAL VEHCILES
TRUCK 101: 2012 FREIGHTLINER CASCADIA
VIN: 1FUJGEDR5CSBM1575
LICENSE PLATE: 01202S2
TRUCK 102: 2015 FREIGHTLINER SD114
VIN: 1 FVMG3DV9FHGP9868
LICENSE PLATE: 80335Y1
TRUCK 103: 2019 WESTERSTAR 4700SB
VI N: 5KKHAXDVXKPKN4869
LICENSE PLATE: 52079U2
All vehicles are compliant with the California Air Resources Board.

I have attached the vehicle compliance certification for all vehicles.

CALIFORNIA

AIR RESOURCES BOARD
Vehicle Compliance Certification
Issue Date: 4/ 2/025
Start Date: 4/ 2/025
Expiration Date: 9/ 30/ 225
Vehicle Information
Vehicle Identification Number ( VIN): 1 FUJGEDR5CSBM1575 Vehicle License Plate: 01202S2
Vehicle Make:

Vehicle Model Year: 2012
Vehicle Model:

TRUCK CHECK
Certification ID: VCC1006869571
Business Information
Company/ Entity Name: TONY & SONS TRUCKING, INC.

Entity ID: E204907
Primary Address: 2771 French Camp Rd, Manteca, CA 95336-689, USA CARB reserves the right to invalidate this certificate if the vehicle is found violating the Clean Truck Check requirements prior to the certificate expiration date.

Future certificates may be denied if the vehicle has any outstanding GARB Enforcement actions.

Non -compliant vehicles could also have their registration denied by the Department of Motor Vehicles.

This compliance certificate does not exempt the vehicle from emissions - related inspection or audit.

For more information on Clean Truck Check, visit https:// ww2. arb. ca. gov/ cleantruckcheck.

To verify this certification: https:// cleantruckcheck. arb. ca. gov.

CARB' sClean Truck Check team can be reached at hdim@arb. c. gov.

Page 1 ends

CALIFORNIA

AIR RCSOURCCS BOARD
Vehicle Compliance Certification
Issue Date: 4/ 2/025
Start Date: 4/ 2/025
Expiration Date: 9/ 30/ 225
Vehicle Information
Vehicle Identification Number ( VIN): 1 FVMG3DV9FHGP9868 Vehicle License Plate: 80335Y1
Vehicle Make:

Vehicle Model Year: 2015
Vehicle Model:
k

TRUCK CHECK
Certification ID: VCC1006869575
Business Information
Company/ Entity Name: TONY & SONS TRUCKING, INC.

Future certificates may be denied if the vehicle has any outstanding CARB Enforcement actions.

Non -compliant vehicles could also have their registration denied by the Department of Motor Vehicles.

This compliance certificate does not exempt the vehicle from emissions - related inspection or audit.

For more information on Clean Truck Check, visit https:// ww2. arb. ca. gov/ cleantruckcheck.

To verify this certification: https:// cleantruckcheck. arb. ca. gov.

CARB' s Clean Truck Check team can be reached at hdim@arb. c. gov.

Page 1 ends

CALIFORNIA
Vehicle Compliance Certification
Issue Date: 4/ 2/025
Start Date: 4/2/025
Expiration Date: 9/ 30/ 225
Vehicle Information
Vehicle Identification Number (VIN): 5KKHAXDVXKPKN4869
Vehicle License Plate: 52079U2
Vehicle Make:

Vehicle Model Year: 2019
Vehicle Model:

Business Information

TRUCK CHECK
Certification ID: VCC1006869580
Company/ Entity Name: TONY & SONS TRUCKING, INC.

Future certificates may be denied if the vehicle has any outstanding GARB Enforcement actions.

Non -compliant vehicles could also have their registration denied by the Department of Motor Vehicles.

This compliance certificate does not exempt the vehicle from emissions - related inspection or audit.

For more information on Clean Truck Check, visit https:// ww2. arb. ca. gov/ cleantruckcheck.

To verify this certification: https:// cleantruckcheck. arb. ca. gov.

CARB' sClean Truck Check team can be reached at hdim@arb. c. gov.

CALIFORNIA
AIR RESOUgC. F.', 3OARD
Vehicle Compliance Certification
Issue Date: 4/ 2/025
Start Date: 4/ 2/025
Expiration Date: 9/ 30/ 225
Vehicle Information
Vehicle Identification Number (VIN): 5KKHAXDVXKPKN4869
Vehicle License Plate: 52079U2
Vehicle Make:

Vehicle Model Year: 2019
Vehicle Model:

Business Information
r

TRUCK CHECK
Certification ID: VCC1006869580
Company/ Entity Name: TONY & SONS TRUCKING, INC.

Future certificates may be denied if the vehicle has any outstanding GARB Enforcement actions.

Non - compliant vehicles could also have their registration denied by the Department of Motor Vehicles.

This compliance certificate does not exempt the vehicle from emissions -related inspection or audit.

For more information on Clean Truck Check, visit https:// ww2. arb. ca. gov/ cleantruckcheck.

To verify this certification: https:// cleantruckcheck. arb. ca. gov.

CARB' s Clean Truck Check team can be reached at hdim@arb. c. gov.

Page 1 ends

CUSTOMER LIST 2025

CALIFORNIA NATURAL PRODUCTS
MARINA
RYDER

SIMWON AMERICA CORP
TESLA
MERCHANT"
BONDING COMPANY:.

MERCHANTS BONDING COMPANY ( MUTUAL) P. O. BOX 14498, DES MOINES, IA 50306- 3498 PHONE: ( 800) 678- 8171 FAX: ( 515) 243- 3854

LICENSE AND PERMIT BOND
Bond No. 100131790
KNOW ALL PERSONS BY THESE PRESENTS.

That we, Antonio Lopez Jr dba Tony & Sons Trucking, Inc. of Stockton , State of California , as Principal,
and Merchants Bonding Company ( Mutual) , a corporation duly licensed to do business in the State of California , as Surety, are held and firmly bound unto
City of Lathrop
sum of Twenty Five Thousand Dollars
Obligee, in the penal
25, 000. ) DOLLARS.

THE CONDITION OF THE ABOVE OBLIGATION IS SUCH, that whereas, the Principal has been licensed Waste Hauler - Compliance Only
390 Towne Centre Drive, Lathrop CA 95330
by the Obligee.

NOW THEREFORE, if the Principal shall faithfully perform the duties and in all things comply with the laws and ordinances, including all Amendments, appertaining to the license or permit applied for, then this obligation to be void, otherwise to remain in full force and effect for a period commencing on the 3rd day of July 2023 , and ending on the 3rd day of July
2026 , unless renewed by Continuation Certificate.

This bond may be terminated at any time by the Surety upon sending notice in writing to the Obligee and to the Principal, in care of the Obligee or at such other address as the Surety deems reasonable, and at the expiration of thirty- fve (35) days from the mailing of notice or as soon thereafter as permitted by applicable law, whichever is later, this bond shall ipso facto terminate and the surety shall thereupon be relieved from any liability for any subsequent acts or omissions of the Principal.

No right of action shall accrue on this bond to or for the use of any person or corporation other than Obligee named herein.

Dated this
Countersigned (if required):
5th
By:
day of July
Antonio Lopez Jr dba Tony & Sons Trucking, Inc.
20 23
Principal
Antonio Lopez Jr
By:

Mere Bonding Company ( Mutual)
Sharon Smith, Attorney -in act
Principal
LP 0206 (2/ 15)

ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual who signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or
validity of that document.

State of California
County of Sacramento
On July 5, 2023 before me, Kathleen Le, Notary Public,
insert name and title of the officer)
personally appeared Sharon Smith
who proved to me on the basis of satisfactory evidence to be the person( s) whose name( s) is/ as subscribed to the within instrument and acknowledged to me that Its/ sheaw executed the same in abis/ her/ tbixauthorized capacity( iss), and that by bisdher/ theaicsignature( s) on the instrument the person( a), or the entity upon behalf of which the person( s) acted, executed the instrument.

I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.

WITNESS my hand and official seal.

Signature ( Seal)
rr`., KATHLEEN LE
COMM.# 2380925
NOTARY PUBLIC CALIFORNIA 1)3
COUNTY OF SACRAMENTO w
Comm. Expires OCT 31. 2025

MERCHANTS

BONDING COMPANY

POWER OF ATTORNEY
Know All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., both being corporations of the State of Iowa, d/ b/a Merchants National Indemnity Company ( in Califomia only) (herein collectively called the Companies') do hereby make, constitute and appoint, individually, Sharon Smith
their true and lawful Attomey( s)- in- Fact, to sign its name as surety( ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law.

This Power- of- Attomey is granted and is signed and sealed by facsimile under and by authority of the following By -Laws adopted by the Board of Directors of Merchants Bonding Company ( Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of MerchantsNational Bonding, Inc., on October 16, 2015.

The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys -in -Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof." The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company, and such signature and seal when so used shall have the same force and effect as though manually fixed" In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and aut hority hereby given to the Attorney -in -Fact includes any and all consents for the release of retained percentages and/ or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/ or its assignee, shall not relieve this surety company of any of its obligations under its bond.

In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to the Attorney - in -Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner - Department of Highways of the Commonwealth of Kentucky at least thirty ( 30) days prior to the modification or revocation.

In Witness Whereof, the Companies have caused this instrument to be signed and sealed this 5th day of July 2023 • O0N"''• a .••LNG 00
Z • - o- . OS :•-' 2 ' - o- t. •
w': 2003 zss r
1933 y' ;' By
STATE OF IOWA •+'""""',
COUNTY OF DALLAS ss.

On this 5th day of July 2023 before me appeared Larry Taylor, to me personally known, who being by me duly swom did say that he is President of MERCHANTS BONDING COMPANY ( MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors.

Kim Lee
Commission Number 702737
My I Commission Expires
April 14. 2024

MERCHANTS BONDING COMPANY (MUTUAL)
MERCHANTS NATIONAL BONDING, INC.
d/ b/ a MERCHANTS NATIONAL INDEMNITY COMPANY
AUNotary Public
7=
Expiration of notary' s commission
does not invalidate this instrument)
I, William Warner, Jr., Secretary of MERCHANTS BONDING COMPANY ( MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do hereby certify that the above and foregoing is a true and correct copy of the POWER -OF -ATTORNEY executed by said Companies, which is still in full force and effect and has not been amended or revoked.

In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 5th day of July 2023 ivH • NR o'•
h; GO 9'. O • m© X94 • — P744::: + e-",... 0004 .
v'. 2003 co; = y
1933
V.
secreray
ad •• • c• .

POA 0018 ( 10/ 22)
7 ®

ACORD CERTIFICATE OF LIABILITY INSURANCE

DATE ( MMIDDIYYYY)
5/6/ 2025
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.

PRODUCER
InterWest Insurance Services, LLC
5 Sierra Gate Plaza
Roseville CA 95678
License#: 0B01094

CONTACT
NAME: Ana Garcia
PHONE A916- 1008 784FAX No): ac, No, EMI:
916- 784- 8116
ADDRESS: agarcia@iwins. com
INSURER( S) AFFORDING COVERAGE NAIC #
INSURER A: Scottsdale Insurance Co. 41297

INSURED
TONY& SO- 01
Tony & Sons Trucking, Inc.

PO BOX 1011
French Camp CA 95231
INSURER B : Great American Insurance Company 16691
INSURER c: United Financial Casualty 11770
INSURER D:

INSURER E :

INSURER F :

INSR

LTR TYPE OF INSURANCE
ADDL

INSD INSD
SUER

WVD POLICY NUMBER

POLICY EFF

M M/ DD// YYYY) IDD// YYYY)

POLICY EXP

MM LIMITS
A X COMMERCIAL GENERAL LIABILIY CPS8022221 7/ 2024 7/ 2025 EACH OCCURRENCE 1, 000,00

DAMAGE TO RENTED
PREMISES ( Ea occurrence) 100, 00

CLAIMS - MADE X OCCUR
MED EXP ( Any one person) 5, 000
PERSONAL & ADV INJURY 1, 000,00
GEN' LAGGREGATE GENERAL AGGREGATE 2, 000,00
POLICY
OTHER:

LIMIT APPLIES
JET
PER:

LOC PRODUCTS - COMP/ O AGG 2, 000,00

C AUTOMOBILE LIABILITY

ANY AUTO

OWNED X

SCHEDULED
AUTOS

NON -OWNED

AUTOS ONLY
00776384 3/ 28/025 3/ 28/026

COMBINED SINGLE LIMIT
Ea accident) 1, 000,00
BODILY INJURY ( Per person)
BODILY INJURY ( Per accident)

PROPERTY DAMAGE
Per accident)

UMBRELLA LIAB

EXCESS LIAB
OCCUR

CLAIMS -MADE

EACH OCCURRENCE

AGGREGATE
DED RETENTION $

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

ANYPROPRIETOR/ PARTNER/ EXECUTIVE
OFFICER/ MEMBEREXCLUDED?
Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
Y I N
N / A
PER

STATUTE
OTHER
E. L. EACH ACCIDENT
E. L. DISEASE - EA EMPLOYEE
E. L. DISEASE - POLICY LIMIT
B Inland Marine IMP F300908 00 2/5/025 2/5/026 Limit 135, 000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES ( ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Certificate Holder is listed as additional insured.

CERTIFICATE HOLDER CANCELLATION
City of Lathrop, its officers, and all employees
390 Towne Centre
Lathrop CA 95330

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.

The ACORD name and logo are registered marks of ACORD
POLICY NUMBER: CPS - 7825604 COMMERCIAL GENERAL LIABILITY CG 20 10 1219
THIS ENDORSEMENT CHANGES THE POUCY. 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 Persons)
Or Organization( s) Location( s) Of Covered Operations

CITY OF LATHROP, ITS OFFICERS AND ALL

EMPLOYEES

VARIOUS
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
include as an additional insured the person( s) or
organization( s) shown in the Schedule, but only
with respect to liability for " bodily Injury", "property damage" or " personal and advertising injury
caused, in whole or in part, by:

1. Your acts or missions; or

2. The acts or omissions of those acting on your
behalf;
in the performance of your ongoing operations for
the additional insured( s) at the loc abon( s)
designated above.

However:

1. The insurance afforded to such additional
insured only applies to the extent permitted by
law; and

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

B. With respect to the insurance afforded to these
additional insureds, the following additional
exclusions apply:

This insurance does not apply to "bodily injury" or
property damage" occurring after.

1. AO work, including materials, parts or equipment
furnished in connection with such work, on the
project ( other than service, maintenance or
repairs) to be performed by or on behalf of the
additional insured( s) at the location of the
covered operations has been completed; or

2. That portion of " your work" out of which the
injury or damage arises has been put to its
intended use by any person or organization
other than another contractor or subcontractor
engaged in performing operations for a principal
as a part of the same project.

CG 2010 1219 Insurance Services Office, Inc., 2018 Page 1 of 2 C. With respect to the insurance afforded to these
additional insureds, the following is added to
Section III — Limits Of insurance:

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

1. Required by the contract or agreement; or

2. Available under the applicable limits of
insurance;
whichever is less,
This endorsement shall not increase the applicable
limits of insurance.

Page 2 of 2 ends

1 ®

ACORD CERTIFICATE OF LIABILITY INSURANCE

DATE ( MM/ DD/ YYYY)
5/9/ 2025
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.

PRODUCER
InterWest Insurance Services, LLC
5 Sierra Gate Plaza
Roseville CA 95678
License#: Mot 094

CONTACT
NAME: Ana Garcia

PHONE FAX
INC. No. Ext): 916- 784- 1008 ( A/ C, No): 916- 784- 8116 E- EADDRESS: MAILDRE agarcia@iwirs. com
INSURER( S) AFFORDING COVERAGE NAIC #
INSURER A: Scottsdale Insurance Co. 41297

INSURED
TONY& SO- 01
Tony & Sons Trucking, Inc.

PO BOX 1011
French Camp CA 95231
INSURER B : Great American Insurance Company 16691
INSURER c: United Financial Casualty 11770
INSURER D:

INSURER E :

INSURER F :

INRSR

LTR TYPE OF INSURANCE
ADDL
INSD
SUER

WVD POLICY NUMBER

POLICY EFF

MM/ DD/ YYYY)

POLICY EXP

MM/ DD/ YYYY) LIMITS
A X COMMERCIAL GENERAL LIABILITY CPS8207717 7/ 2025 7/ 2026 EACH OCCURRENCE 1, 000,00

DAMAGE TO
PREMISES ( Ea
NTED
occurrence) 100, 00

CLAIMS - MADE X OCCUR
MED EXP ( Any one person) 5, 000
PERSONAL & ADV INJURY 1, 000,00
GEN' L AGGREGATE LIMIT APPLIES GENERAL AGGREGATE 2, 000,00 JECT
PROPER:

LOC PRODUCTS - COMP/ O AGG 2, 000,00

C AUTOMOBILE LIABILITY

ANY AUTO
OWNED
X

SCHEDULED
AUTOS

NON - OWNED

AUTOS ONLY
00776384 3/ 28/025 3/ 28/026

COMBINED SINGLE LIMIT
Ea accident) 1, 000,00
BODILY INJURY ( Per person)
BODILY INJURY (Per accident)

PROPERTY DAMAGE
Per accident)

UMBRELLA LIAB

EXCESS LIAB
OCCUR

CLAIMS - MADE

EACH OCCURRENCE

AGGREGATE
DED RETENTION $

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

ANYPROPRIETOR/ PARTNERJEXECUTIVE
OFFICER/ MEMBER EXCLUDED?
Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
Y / N
N / A
PER

STATUTE
OTHER
E. L. EACH ACCIDENT
E. L. DISEASE - EA EMPLOYEE
E. L. DISEASE - POLICY LIMIT
e Inland Marine IMP F300908 00 2/5/025 2/5/026 Limit 135, 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES ( ACORD 101, Additional Remarks Schedule, may be attached IF more space is required) Certificate Holder is listed as additional insured.

CERTIFICATE HOLDER CANCELLATION
City of Lathrop, its officers, and all employees
390 Towne Centre
Lathrop CA 95330

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.

The ACORD name and logo are registered marks of ACORD
POLICY NUMBER: CPS7825604 COMMERCIAL GENERAL LIABILITY
CG20101219
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 LATHROP, ITS OFFICERS AND ALL

EMPLOYEES

VARIOUS
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
include as an additional insured the person( s) or
organization( s) shown in the Schedule, but only
with respect to liability for " bodily Injury", "property damage" or " personal and advertising injury"
caused, in whole or in part, by:

1. Your acts or omissions; or

2. The acts or omissions of those acting on your
behalf;
in the performance of your ongoing operations for
the additional insured( s) at the location( s)
designated above.

However

1. The insurance afforded to such additional
insured only applies to the extent permitted by
law; and

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

B. With respect to the insurance afforded to these
additional insureds, the following additional
exclusions apply:

This insurance does not apply to " bodily injury" or
property damage" occurring after:

1. Ail work, including materials, parts or equipment
furnished in connection with such work, on the
project ( other than service, maintenance or
repairs) to be performed by or on behalf of the
additional insured( s) at the location of the
covered operations has been completed; or

2. That portion of " your work" out of which the
injury or damage arises has been put to its
intended use by any person or organization
other than another contractor or subcontractor
engaged in performing operations for a principal
as a part of the same project.

CG20101219 Insurance Services Office, Inc.. 2018 Page 1 of 2 C. With respect to the insurance afforded to these
additional insureds, the following is added to
Section 111— Limits Of insurance:

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

1. Required by the contract or agreement; or

2. Available under the applicable limits of
insurance;
whichever is less.

This endorsement shall not increase the applicable
limits of insurance.

Page 2 of 2 ends

Lathrop City CouncilJune 9, 2025

Lathrop City Council
June 9, 2025